The Union Cabinet has cleared the Rs 22,507 crore National Urban Health Mission (NUHM) to address healthcare challenges in towns and cities with focus on urban poor.

Following Cabinet approval, the scheme will be introduced as a sub-mission under the National Health Mission (NHM). The mission will be implemented in 779 cities and towns with more than 50,000 population and cover over 7.75 crore people.

It aims to improve the health status of urban population in general and the poor and other disadvantaged sections in particular, by facilitating equitable access to quality health care through a revamped primary public health care system, targeted outreach services and involvement of the community and urban local bodies.

Under the scheme, government proposes to set up one Urban Primary Health Centre for every 50,000-60,000 population, one Urban Community Health Centre for five to six urban PHCs in big cities, an Auxiliary Nursing Midwives (ANM) for 10,000 population and an Accredited Social Health Activist (ASHA) (community link worker) for 200 to 500 households.

The interventions under this sub-mission will result in reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR), universal access to reproductive health care and convergence of all health related interventions.

The estimated cost of NUHM for five years is Rs 22,507 crore, with the Central Government share of Rs 16,955 crore. While the Centre will fund it to the extent of 75 per cent and states 25 per cent, the funding pattern for North Eastern states and special category states of Jammu and Kashmir, Himachal Pradesh and Uttarakhand will be 90:10.

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