• The Mission covers the entire country. The 18 high focus States are Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, Orissa, Uttaranchal, Jharkhand, Chhattisgarh, Assam, Sikkim, Arunachal Pradesh, Manipur, Meghalaya, Tripura, Nagaland, Mizoram, Himachal Pradesh and Jammu & Kashmir. GoI would provide funding for key components in these 18 high focus States. Other State would fund interventions like ASHA, Programme Management Unit (PMU), and up-gradation of SC/PHC/CHC through Integrated Financial Envelope.
  • NRHM provides broad conceptual framework. States would project operational modalities in their State Action Plans, to be decided in consultation with the Mission Steering Group.
  • NRHM would prioritise funding for addressing inter-state and intra-district disparities in terms of health infrastructure and indicators.
  • States would sign Memorandum of Understanding with Government of India, indicating their commitment to increase contribution to Public Health Budget (preferably by 10% each year), increased devolution to Panchayati Raj Institutions as per 73rd Constitution (Amendment) Act, and performance benchmarks for release of funds.


  • States to indicate in their MoUs the commitment for devolution of funds, functionaries and programmes for health, to PRIs.
  • The District Health Mission (DHM) to be led by the Zila Parishad. The DHM will control, guide and manage all public health institutions in the district, Sub-centres, PHCs and CHCs.
  • ASHAs would be selected by and be accountable to the Village Panchayat.
  • The Village Health Committee of the Panchayat would prepare the Village Health Plan, and promote intersectoral integration.
  • Each sub-centre will have an Untied Fund for local action @ Rs. 10,000 per annum. This Fund will be deposited in a joint Bank Account of the ANM & Sarpanch and operated by the ANM, in consultation with the Village Health Committee.
  • PRI involvement in Rogi Kalyan Samitis for good hospital management.
  • Provision of training to members of PRIs.
  • Making available health related databases to all stakeholders, including Panchayats at all levels.


  • Included in institutional arrangement at National, State and District levels, including Standing Mentoring Group for ASHA.
  • Member of Task Groups.
  • Provision of Training, BCC and Technical Support for ASHAs/DHM.
  • Health Resource Organisations.
  • Service delivery for identified population groups on select themes.
  • For monitoring, evaluation and social audit.