Union Minister for Health & Family Welfare, Shri Jagat Prakash Nadda chaired the ninth meeting of Mission Steering Group (MSG) of National Health Mission (NHM), today at Bharat Mandapam, New Delhi. Union Ministers of State for Health & Family Welfare, Shri Prataprao Jadhav and Smt. Anupriya Patel, Shri Suman K. Bery, Vice chairman, NITI Aayog, Shri V.K. Paul, Member, NITI Aayog were also present.  

The Mission Steering Group is the highest policy-making and steering institution under the NHM, providing broad policy direction and governance for the health sector. Secretaries of Ministries of Government of India including MoHFW, AYUSH, Drinking Water & Sanitation, Punchayati Raj, Development of North Eastern Region along with officials from Women and Child Development, Social Justice & Empowerment, Education, Housing and Urban Affairs, Department of Expenditure, NHSRC and Secretaries from various central ministries, Health Secretaries from high-focus states including Uttarakhand, Chhattisgarh, Arunachal Pradesh, and Tripura and senior officials from NITI Aayog and MoHFW also attended the meeting.

Addressing the meeting, Shri Nadda commended NHM for its achievements and thanked the MSG for its role in ensuring the outputs of different initiatives and schemes. He stressed on the need “to ensure the translation of agendas and objectives of different health schemes” for which he underlined the importance of the roles of officers like the Chief Medical Officers (CMOs) at the ground level. Citing the administrative hindrances, he stressed on “enhancing and strengthening the capacities of Chief Medical Officers” and suggested the “need for training and capacity- building exercises so that their capacities can be utilized in the best way possible that will pave way for achieving required results of healthcare schemes at the grassroot level”.

Shri Nadda also commended the role of ASHA workers, “grassroot foot soldiers”, in the healthcare system and stressed on the need for their further empowerment and welfare through revised incentives for routine activities, and providing enhanced honorariums.

While commending the developments made in strengthening the health infrastructure through new technological advances and additions, he also stressed on the need to ensure quality of the latest additions like the BHISHM cubes (Bharat Health Initiative for Sahyog Hita & Maitri).

The MSG was apprised about the achievements made under NHM during the past few years while marking the future targets for different missions. For the first time, Pradhan Mantri-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was also included in the MSG. Presentations on achievements and future targets of NHM and PM-ABHIM were also made that covered the developments made under the Mission, its components and agenda for the future.

The achievements highlighted in the meeting include:

• India has achieved the National Health Policy (NHP) target of MMR 100 deaths per 1 lakh live births. Between 1990 to 2020, MMR in India declined 83% which is much higher than the Global MMR decline
• 69% decline was observed in Infant Mortality Rate in India during this period, while the Global IMR decline was 55%
• 75% decline in Under 5 Mortality Rate while the global decline rate was 58%. As per SRS 2020, 11 states/ UT have attained the SDGs target
• Reduction in Total Fertility Rate from 3.4 in 199293 to 2.0 in 2019-21. 31 states have achieved replacement level of fertility as per National Family Health Survey (NFHS-5), 2019-21
• Out of Pocket Expenditure has declined from 69.4 of the Total health expenditure (THE) in 200405 to 39.4 in 2021-22 of THE while the Government Health Expenditure has increased from 22.5% of the TFR in 2004-05 to 48% of THE in 2021-22
• Increase in Health Human Resources Augmentation (HRH) under NHM, increased from 23 thousand in 200607 to 5.23 lakhs in 2023-24
• On 15.05.2015, WHO certified India for eliminating maternal and neonatal tetanus
• On 8th October 2024, WHO declared that Government of India has eliminated Trachoma as a public health problem
• As of 28^th February 2025, Expanded Package of Services is available at 85% of total operational Ayushman Arogya Mandirs
• More than 1.76 lakh Ayushman Arogya Mandirs are operational in the country today
• In the last 5 years, annual footfall at Ayushman Arogya Mandirs has increased from 13.49 crores in 201920 to 121.03 crores in 2023-24
• The no. of wellness sessions conducted for Primary Healthcare have increased from 0.11 crores in 201920 to 1.54 crores in 2023-24
• The no. of NCD screenings increased from 10.94 crores in 201920 to 109.55 crores in 2023-24
• The no. Teleconsultations increased from 0.26 crores in 2019-20 to 11.83 crores in 2023-24
• Under the National Tuberculosis Elimination Program, 18% reduction was observed in incidence of TB during 201523 which is more than double the global reduction; while 21% reduction in mortality was observed
• Pradhan Mantri National Dialysis Program, all the states & UTs and 748 districts have been covered. 26.97 lakh patients have been covered and a total of 3.27 Crore sessions have been held
• As of 28th February 2025, Under the Sickle Cell Anaemia Elimination Mission, more than 5 crore people have been screened, out of which 1.84 lakh patients have been diagnosed and 2.24 crore sickle cell cards have been distributed
• Under the Malaria Elimination Mission, 79.3% reduction in Malaria cases was observed in 2023 as compared to 2014; while the number of deaths due to Malaria reduced 85.2% in 2023 compared to 2014
• India achieved the Kalaazar elimination target in 2023 i.e. to reduce the annual incidence of Kala- azar cases to less than one case per ten thousand population at block level, ahead of the SDG target
• ODK tool kit launched for selfassessment of health facilities in June 2024 and 95% of total health facilities have been assessed

The attendees commended the progress achieved under the National Health Mission (NHM) through targeted programs and the support extended to states over the years. They proposed several key suggestions, including emphasizing on the need to increase internet connectivity in the Ayushman Aarogya Mandirs that is necessary to ensure tele-consultations. To address the issue of obesity in the country, AYUSH interventions along with screening and management through Ayushman Arogya Mandirs was emphasized upon.

The meeting also covered crucial discussions on policy frameworks, operational strategies, and financial norms aimed at enhancing healthcare delivery and achieving the NHM’s objectives. The focus remained on ensuring universal access to equitable, affordable, and quality healthcare, reducing child and maternal mortality, stabilizing population growth, and maintaining gender and demographic balance.

Shri Nadda observed that the decisions made during the MSG meeting will enhance the delivery of healthcare services and bring about results at the grassroots level. He added that the feedback and suggestions from the meeting will be taken into consideration to build the roadmap for future interventions.

Background: The Mission Steering Group is the highest policy-making and steering institution under the NHM, providing broad policy direction and governance for the health sector. The MSG plays a critical role in shaping policies and strategies that drive the nation’s healthcare initiatives. It is fully empowered to approve financial norms for all schemes and components under the NHM and advises the Empowered Programme Committee (EPC) in policy formulation and operation.

Since its inception in 2005 under the National Rural Health Mission (NRHM), which was later subsumed into the NHM, the MSG has convened 8 meetings under the NHM and 9 meetings under the NRHM. The last meeting of the MSG was held on January 11, 2023, under the chairpersonship of the then Union Minister of Health & Family Welfare. These meetings have historically provided a platform for critical decision-making and alignment of policies to strengthen healthcare services across the country.

The Mission Steering Group has been instrumental in guiding initiatives that strengthen healthcare infrastructure, improve service delivery, and respond effectively to public health challenges. The meeting was held with an objective of contributing significantly to the ongoing efforts towards building a resilient and responsive health system in India.

The MSG has been instrumental in guiding initiatives that strengthen healthcare infrastructure, improve service delivery, and respond effectively to public health challenges. The meeting was held with an objective of contributing significantly to the ongoing efforts towards building a resilient and responsive health system in India.

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MV/AKS

HFW/HFM 9^th Meeting of Mission Steering Group of NHM/04March2025/1