(x) Tuberculosis DOTS series- Maintain 85 per cent cure rate through

entire mission period and also sustain planned case detection rate. In
terms of systems improvements the NRHM targets were quite
moderate.
(xi) Upgrade all PHCs into 24×7 PHCs by the year 2010.
(xii) Upgrading all Community Health Centres to Indian Public Health
Standards.
(xiii) Engaging 4,00,000 female Accredited Social Health Activists
(ASHAs).
Strengthening Existing Health System:
There is need to shift to decentralization of functions to hospital
units/health centres and local bodies. The States need to move away
from the narrow focus on the implementation of budgeted
programmes and vertical schemes. They need to develop systems
that comprehensively address the health needs of all citizens.
Thus, in order to improve the health care services in the country, the
Eleventh Five Year Plan will insist on Integrated District Health Plans
and Block Specific Health Plans. It will mandate involvement of all
health related sectors and emphasize partnership with PRIs, local
bodies, communities, NGOs, Voluntary and Civil Society
Organizations.

7. Essay on Health is Wealth – Universal Immunization

Program (UIP):
Universal Immunization (is the process by which an individual’s
immune system becomes fortified against an agent) Program is a
vaccination program launched by the Government of India in 1985. It
became a part of Child Survival and Safe Motherhood Program in
1992 and is currently one of the key areas under National Rural
Health Mission (NRHM) since 2005.
The program consists of vaccination for seven diseases –
tuberculosis, diphtheria, pertussis (whooping cough), tetanus,
poliomyelitis, measles and Hepatitis B. Hepatitis B was added to the
UIP in 2007. Thus, UIP has 7 vaccine preventable diseases in the
program.
On 2014 it was announced that four vaccines will be added to the
program, namely rotavirus, rubella and Japanese encephalitis, as well
as the injectable polio vaccine.
Vaccine:
It is one of the largest in the world in terms of quantities of vaccine
used, the number of beneficiaries, the number of Immunisation
session organised, the geographical spread and diversity of areas
covered.
The national policy of Immunization of all children during the first year
of life with DPT, OPV, BCG to complete the series of primary
vaccination before reaching the age of one year was adopted in 1978
with the lunching of EPI to increase the Immunization coverage in
infancy to 80%.
Yuva: