National Rural Health Mission: Institutional Reform and Institutional Limitations

One of the flagship programs of the United Progressive Alliance (UPA) government, the National Rural Health Mission (NRHM) has been hailed by leading health economists as one of the “the most ambitious rural health initiative ever.” The stated goals of the NRHM were to “provide effective healthcare to rural population, especially women and children, with special focus on eighteen states – Uttar Pradesh, Madhya Pradesh, Bihar and Rajasthan Jharkhand, Chhattisgarh and Orissa, the eight north-east states, and the three hilly states of Jammu and Kashmir, Himachal Pradesh and Uttarakhand – which