The objective of the National Rural Health Mission is to reduce IMR (Infant Mortality Rate) to \ \ \ \ \ \ li… - MP NHM CHO-2024 (Shift-1)

MP NHM CHO-2024 (Shift-1)

Community Health Nursing

Easy

Appeared in: MP NHM CHO-2024 (Shift-1)

Explanation

The National Rural Health Mission (NRHM) was launched by the Government of India in 2005 to address the health needs of the rural population.
One of the mission's primary, explicitly stated goals was to reduce the Infant Mortality Rate (IMR) to 30 deaths per 1000 live births.
This target was part of a comprehensive strategy that included strengthening health infrastructure, promoting institutional deliveries through Janani Suraksha Yojana (JSY), and improving child health and nutrition services.

Option A: This target is exceptionally low and more characteristic of highly developed countries. It was not a realistic or stated goal for the NRHM during its implementation period.
Option C: This rate was close to the existing IMR (around 57 per 1000 live births) when the NRHM was launched. The objective was to reduce the rate from this baseline, making 50 an incorrect target.
Option D: An IMR of 100 per 1000 live births is extremely high and would represent a major public health failure, not a goal for a health improvement mission.

Visual 1: Infographic: A clear chart displaying the main goals of the National Rural Health Mission (NRHM), highlighting the specific numerical targets for IMR (30/1000), MMR (100/100,000), and TFR (2.1).
Visual 2: Timeline: A visual timeline of major Indian health missions (e.g., CSSM, RCH, NRHM, NHM) to help differentiate their respective goals and timeframes.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Goals of the National Rural Health Mission (NRHM) as background academic context rather than a clinical decision trigger.
Community health nurses are at the forefront of implementing programs under national health missions. Their work in antenatal care, promoting institutional deliveries, ensuring vaccination, and providing health education directly contributes to achieving the IMR reduction target.
Knowledge of these national targets helps nurses understand the broader public health context of their daily work and the importance of accurate data reporting for monitoring progress.
What if the question asked about the National Health Mission (NHM) target? The answer would change. The NHM, which succeeded the NRHM in 2013, set a more ambitious goal of reducing the IMR to 25 per 1000 live births, as noted in source SRC_4.

How to Approach the Question

First, identify the key terms in the question: 'National Rural Health Mission' (NRHM) and 'Infant Mortality Rate' (IMR).
Recognize this as a factual recall question that requires knowledge of specific targets from a major national health program.
Mentally access your knowledge about the goals of NRHM, which was a landmark program launched in 2005.
Evaluate the given options. Eliminate choices that are clearly implausible. An IMR of 100 is too high to be a target, and 10 is too low for the time period.
Differentiate between the baseline IMR at the time (which was over 50) and the reduction target. The goal was to reduce the rate significantly.
Select the option that corresponds to the well-established NRHM goal, which is 30 per 1000 live births.

Concept Tested & Keywords

Concept Tested: Goals of the National Rural Health Mission (NRHM)
Stem keywords: National Rural Health Mission, NRHM, objective, reduce IMR, Infant Mortality Rate
Lead-in keywords: to
Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.

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