NATIONAL URBAN HEALTH MISSION (NUHM)

NATIONAL URBAN HEALTH MISSION (NUHM)

 

The National Urban Health Mission (NUHM) is a flagship program of the Government of India launched in 2013 under the National Health Mission (NHM). It aims to improve the health status of the urban poor and other vulnerable sections of the urban population by providing them with equitable access to quality and affordable healthcare services.

 

NUHM in Maharashtra:

NUHM is being implemented in 397 cities and towns from Maharashtra which have population of more than 15,000. These towns and cities cover 1 Metro City, 28 Municipal Corporations, 361 Municipal Councils and 7 Cantonment Boards. NUHM provides healthcare services to 5.03 Cr  (as per 2011 Census) urban population, which is 45% of the total population.

 

Tasks:

• Establishment and strengthening of Urban Community Health Centers (UCHCs) , Urban Primary Health Centers (UPHCs), Urban health and Wellness Centers (UHWCs) and Polyclinics.
• Recruitment and training of healthcare providers, including doctors, nurses, and community health workers.
• Implementation of programs for maternal and child health, family planning, and adolescent health.
• Focus on NCD prevention and control, including screening, early detection, and management.
• Strengthening of communicable disease control programs.
• Community engagement through ASHA, Rugna Kalyan Samiti and Mahila Arogya Samiti.
• Outreach activities through healthcare facilities
• Implementation of robust quality assurance mechanisms

 

Govt. of India has approved NUHM PIP 2023-24 of Maharashtra for a budget of Rs.691.39 cores and NUHM PIP 2024-25 of Maharashtra for a budget of Rs. 965.4870 cores. and up-to Feb 2025 the utilization of funds under NUHM is 106.88 % against Distributed PIP in the state of Maharashtra.

 

Facility Type	Target	Functional
UPHC (Urban Primary Health center)	818	809
UHWC-AAM (Urban health and Wellness Center- Aayushman Aarogya Mandir)* and HBT aapla Davakhana	2232	1433
UCHC (Urban Community Health center)	44	40
Polyclinic	248	216

 

The program is implemented through the State Program Management Unit and City program Management Unit.

  

Details of important Service Delivery Cadre (UPHC +UCHC level)

 

Sr. No.	Cadre	Approved	Filled	Vacant	Percentage filled
1	Specialist	138	49	89	35.51
2	Medical Officer MBBS	1328	680	648	51.20
3	Staff Nurse	1507	1174	333	77.90
4	ANM	3580	2928	652	81.79
5	Lab Technician	680	518	162	76.18
6	Pharmacists	636	550	86	86.48
Total		7869	5899	1915                                                                                                                      1970	74.97

 

Details of Human Resource at UHWC AAM level up to Feb 2025

 

Sr. No.	Name Of Cadres	Approved	Filled	Vacant
1	Medical officer	2232	1032	1200
2	Staff Nurse	2232	898	1334
3	MPW	2232	697	1535
4	Cleaning Staff	2232	920	1312
5	Security Guard	2232	898	1334
Grand Total		11160	4445	6715

 

 

Accredited Social Health Activist (ASHA)

• ASHAs act as crucial frontline workers, connecting urban slum communities with health facilities.
• They play a vital role in generating demand for health services within their designated service areas.
• Each ASHA will be responsible for a specific geographic area, typically serving 1000-2500 beneficiaries (approximately 200-500 households).
• ASHAs are paid a fixed GoI incentive of Rs.3000 and state incentive of Rs.10,000 per month. She also gets performance-based incentives against 36 types of indicators under various national programs.

 

Mahila Aarogya Samiti (MAS) Status as on FY-2024-25

 

• One Mahila Arogya Samiti (MAS) will be formed for every 500 population or 100 households.
• ASHA will serve as the Member Secretary of the MAS.
• MAS will function as a community-based peer education group.

 

Key Roles of MAS:

• Community mobilization
• Community monitoring
• Referrals to health services
• Focus on preventive and promotive healthcare
• Facilitating access to identified health facilities
• Management of grants received for community health activities.

 

Mahila Aarogya Samiti (MAS) Status up Feb -2025

 

Mas Target 2024-25	Formed MAS
10952	8599

 

 

 Outreach Activity:   Status as on FY-2024-25

 

Outreach camps: Special camps are conducted to provide specialist services, diagnostic services and drugs to vulnerable population

• Budget: Rs. 10000/- for each camp
• Target : Annually 2 camps per UPHC

Urban Health Nutrition Day:

• UHNDS are to conducted by ANM to provide preventive and promotive health services to the targeted population
• Focusing on NCDs along with RMNCH+A services
• Target: Annually 120 UHND per UPHC

 

Outreach Activity:   Status up February – 2025

 

Sr. No.	Name of Activity	Target for 2024-25	Achievements Up to Feb –2024	Percentage (%)
1	Outreach Camps	1334	958	71.81
2	UHNDs	79560	54045	67.93

 

 

RKS (Rugna Kalyan Samiti):

 

• Rugna Kalyan Samiti is a simple yet effective management structure in urban areas for community engagement.
• This committee led by elected public representative is a registered under Society Registration Act 1860
• This committee is involved in planning for healthcare services at facility level and monitors performance.
• Untied Grant: Unit cost for UPHC is Rs 1.75 Lakhs and UCHC is Rs. 2.50 Lakhs.
• The funds provided are to be used for following activities:

 

• Purchase of Medicine, equipment, dressing material/ bandage/cotton.
• Referral services
• Laboratory services for poor patient
• Minor repairs of institution.
• Clean drainage, toilet Facility.
• Clean drinking water facility for patient.
• Sitting arrangement for patient,
• Repair of furniture, door/windows (carpenter works)
• Fund for other innovative schemes (outdoor Medical camp)

RKS institution Registration Status up to February – 2025

 

Sr No	Type of Institutes	RKS Status
		Total Target	Total Registered Institute	Meetings Target	Meetings Held
1	Corporation UPHC	725	313	2504	1015
2	Council UPHC	93	75	600	370
	UCHC	44	24	192	186
Total		862	412	3296	1571

As per Government of India guidelines, the state is in the process of establishing Jan Arogya Samiti replacing Rugna Kalyan Samiti.

 

JSSK Referral Transport (Mumbai)

The referral transport program under the Janani Shishu Suraksha program by the National Health Mission is implemented by the Public Health Department. Under this program, free vehicle service is provided to transport the mother, newborn child and ill infants (0 to 1 year) to their residence after delivery in Mumbai and MMRDA area.

 

Physical Performance:-

 

JSSK Drop back Report F.Y 2024-2025 April-24 to February -25
Mumbai Corporation
SR. NO.	Financial Year	Free drop back to pregnant women	Free drop back to sick children (01 yrs)	No. of Drop back service given to JSSK beneficiaries
1	April-24 to February -24	24533	43633	75722

 

 

Urban Facility Based Reporting Status under IHIP- HMIS (Main) Portal:

• HMIS is an information system specially designed to assist in the management and planning of health programs.
• Facility Based Reporting on the portal under NUHM started from 1st November 2015 which is currently increased to 100%.

 

 

Expenditure against approved PIP 2024-25:  Up to February -2025               

	Budget Head			TOTAL
		Approved PIP for FY 2024-25	Distributed PIP for FY- 2024-25 after prioritization		Exp upto February  against prioritization –  2024	Expenditure % against on prioritization
127	Development and operations of Health and wellness centres-urban	6496.89	1601.56		415.05	25.92
128	Wellness activities at HWCs-urban	1377.36	500.36		521.37	104.20
129	Teleconsultation facilities at HWCs-Urban	99.83	0.00		0.00	0.00
130	Asha	8530.7	2835.00		4417.19	155.81
131	MAS	1175.26	45.00		45.99	102.20
132	JAS	4.32	2.16		0.59	27.44
133	RKS	3.07	1.02		0.78	76.55
134	Outreach activities	707.51	310.58		267.83	86.24
135	Mapping of Slums and Vulnerable population	60	0.00		0.00	0.00
136	Other community Engagement Components	0	0.00		0.00	0.00
137	Urban PHC’s	1308.3	287.89		227.77	79.12
138	Urban CHC’s and Maternity Homes	1125	0.00		21.69	0.00
139	Quality Assurance Implementation & Mera aspataal	897.18	148.55		13.29	8.94
140	Kayakalp	562.78	230.79		65.03	28.18
141	Swachh swasth Sarvatra	0	0.00		0.00	0.00
142	Remuneration for all NUHM HR	65175.1	23014.24		25251.44	109.72
143	Incentives(Allowance, Incentives,staff welfarefund)	6026.4	327.32		495.01	151.23
144	Incentives Under CPHC	902.4	360.00		65.73	18.26
145	Cost for HR Recruitment and Outstanding	425.15	270.00		211.51	78.34
146	Planning and Programm Management	322	117.54		50.64	43.08
147	PPP	0	0.00		0.00	0.00
148	State Specific programme innovation and interventions	15.11	6.53		188.50	2887.81
149	United Fund	1334.35	243.65		127.54	52.34
TOTAL		96548.70	30302.19		32386.93	106.88

 

Beneficiary:

Citizens

Benefits:

As above