Assessment of Progress Made in Health Infrastructure and Manpower through NRHM and Their Impact in Reducing IMR in India

M. R. Singariya^1,

¹Lecturer in Economics, Govt. College Jaitaran (Raj), India

Cite this paper:
M. R. Singariya. Assessment of Progress Made in Health Infrastructure and Manpower through NRHM and Their Impact in Reducing IMR in India. Journal of Finance and Economics. 2013; 1(4):118-127. doi: 10.12691/jfe-1-4-9

Abstract

One of the prime objectives of the National Rural Health Mission (NRHM) is to reduce the Infant Mortality Rate (IMR) in India. Different strategies adopted for child health under NRHM are directed to reduce IMR. Using review of available data sources and published literature, the paper aims to examine the impact of NRHM initiatives like health infrastructure and manpower in reducing IMR. The mission had set specific targets; these include a reduction in the infant mortality rate to 30 per 1000 live births. At the national level, there was a decline in the infant mortality rate from 58 per thousand live births in 2005 to 44 in 2011 (all India) after implementation of NRHM. The IMR in focus states like Bihar fell from 61 to 44, in Madhya Pradesh from 76 to 59, in Rajasthan from 68 to 52 and in Assam from 68 to 55. However, 14 states/UTs have already achieved MDG 4 of IMR. These figures are, however, still dismal even when compared to the target IMR rate of 30 under NRHM. Thus the NRHM has had an impact but a rather limited one.

Keywords:
IMR NRHM health infrastructure manpower India

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Sharma S, Childhood Mortality and Health in India, Institute of Economic Growth, Working paper series No. E /292, 2008.
[2]	Nair H & Panda R, Quality of maternal healthcare in India: Has the National Rural Health Mission made a difference? , Journal of Global Health, Vol. 1, No. 1, 2011, PP79-86.
[3]	Sen, A.K., Africa and India: What do we have to learn from each other? Discussion paper no. 19, United Nations University, WIDER, 1987.
[4]	Sen, A.K., Mortality as an indicator of economic success and failure, the economic Journal, Vol. 108, No 446, 1998.
[5]	Congressional Budget Office., Factors Contributing to the Infant Mortality Rankings of the UnitedStates., February 1992.
[6]	MacDorman MF, Mathews TJ., Recent Trends in Infant Mortality in the United States. NCHS data brief, no9. Hyattsville, MD: National Center for HealthStatistics. 2008.
[7]	Boone, Peter, “Politics and the Effectiveness of Foreign Aid,” European EconomicReview, Vol. 40, Issue 2 (February), pp. 289-329, 1996.
[8]	Himmelstein, David U., and Woolhandler, Steffie., Cost Without Benefit. New England Journal of Medicine 314: 441-45. 1986.
[9]	Shortell, Stephen M., and Hughes, F.X., The Effects of Regulation, Competition, and Ownership on Mortality Rates among Hospital Inpatients. New England Journal of Medicine 318:1100-1107, 1988.
[10]	Ohsfeldt, Robert L., If the Business Model of Medicine Is Sick, What’s the Diagnosis and What’s the Cure? Independent Review 8: 271-283, 2003.
[11]	Ahlbrandt, Roger S. Jr., Efficiency in theProvision of Fire Service. Public Choice 16: 1-15, 1973.
[12]	Stigler, George J., The Theory of Economic Regulation. Bell Journal of Economics and ManagementSciences 2:137-46, 1971;
[13]	Friedman, Milton., How to cure health care. The Public Interest. pp. 3-30, Winter 2001.
[14]	Santerre, R.E., Grubauch, S. G., and Stollar, A.J., Government Intervention in Health Care Markets and Health Care Outcomes: Some International Evidence. Cato Journal 11: 1-12, 1991.
[15]	Hossain, J. & Kamal K.M., An Econometric Investigation of Infant Mortality Scenarios in Bangladesh, Journal of Business and Economics, Vol. 5, No. 1&2, 2010, PP 97-105.
[16]	Caldwell, J.C., Education as a factor in mortality decline: an examination of Nigerian data, Population Studies, Vol. 33, No.3, 1979, PP. 395-413.
[17]	Roenzwig. M. and K. Wolpin, “Government Interventions and a household behaviour in developing countries: anticipating and unanticipated consequences of social programs” Journal of Development Economics, 10 (1982); 209-225.
[18]	Da Vanz, J., ”A household survey of child mortality determinants in Malaysia” Population and Development Review, Supplement to volume 10, 1984, pp 307-323.
[19]	Das A, Socioeconomic Development in India: A Regional Analysis, Development and Society, Volume 28/2 Dec, 1999, pp 313-45.
[20]	Gujarati, D. N., Basic Econometrics, 4th Edition, McGraw-Hill International Edition, 2003.
[21]	Miller, B., female labour participation and female seclusion in rural India: a regional view, economic development and cultural change, Vol. 30, No. 4, 1982.