tate the vision/objective and outline the goals, strategies and plan of action of National Health Programs - Leprosy(NLEP), AIDS (NACP), Blindness (NPCB), Polio , National TB Elimination Program , Vector born disease control program, RCH program, ICDS program, Universal Immunization Program, National mental health program , National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS) , Swachha Bharat mission, Ayushman Bharat Yojana, Ayushman Bharat Digital Mission, National health mission (NRHM&NUHM), National AYUSH Mission (NAM). National nutrition programs- National Iodine Deficiency Disorders Control program, National Iron Plus Initiative for Anemia Control, National Vitamin A prophylaxis program, Mid Day Meal program & Balwadi nutrition program.

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India National Health Programs objectives goals strategies NLEP NACP NPCB RNTCP NVBDCP

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India national health programs vision objectives Ayushman Bharat NPCDCS National Mental Health NPCB 2024

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National Nutrition Programs India NIDDCP Iron Plus Initiative Vitamin A Mid Day Meal Balwadi objectives strategies

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https://dghs.mohfw.gov.in/nlep.php

I now have enough information from Park's Textbook, official government sources, and web research to compile the comprehensive answer. Let me now produce the full, detailed response.

National Health Programs & National Nutrition Programs of India

Vision, Objectives, Goals, Strategies & Plan of Action

PART A: NATIONAL HEALTH PROGRAMS

1. National Leprosy Eradication Programme (NLEP)

Launched: 1983 (building on the National Leprosy Control Programme of 1955, MDT introduced 1982) Nodal Ministry: Ministry of Health & Family Welfare (MoHFW), under NHM umbrella

Vision

"Leprosy-free India" - zero transmission, zero disability, zero discrimination by 2027, aligned with WHO Global Leprosy Strategy and SDGs.

Mission

To provide quality leprosy services free of cost to all sections of the population, with easy accessibility through the integrated healthcare system, including care for disability after cure.

Objectives

Reduce prevalence rate to less than 1/10,000 population at sub-national and district level
Reduce Grade II disability % to < 1 among new cases at the national level
Reduce Grade II disability cases to < 1 case per million population nationally
Zero disabilities among new child cases
Zero stigma and discrimination against persons affected by leprosy

Strategies & Plan of Action

Early detection: Leprosy Case Detection Campaigns (14 days) in high-endemic districts; Focused Leprosy Campaigns (FLC) in low-endemic districts
ASHA-Based Surveillance for Leprosy Suspects (ABSULS): Community-level surveillance through ASHA workers
MDT (Multi-Drug Therapy): Free multi-drug therapy for all cases (Paucibacillary: 6 months; Multibacillary: 12 months)
Disability Prevention & Medical Rehabilitation (DPMR) services: Self-care training for patients with ulcers, reconstruction surgery referrals
IEC Activities: Community health education to reduce stigma and promote self-reporting to PHCs
Digital surveillance: Nikusth 2.0 platform for case tracking and reporting
Convergence: Leprosy screening integrated under RBSK (0-18 yrs), RKSK (13-19 yrs), and CPHC/Ayushman Bharat (30+ yrs)
Monitoring: Regular national, state, and district-level review meetings and field visits

2. National AIDS Control Programme (NACP)

Launched: 1987 (Phase I); currently Phase V Implementing Agency: National AIDS Control Organisation (NACO), MoHFW

Vision

"An AIDS-free India" - halting and reversing the HIV epidemic; achieving universal access to HIV prevention, care, support, and treatment.

Mission

To halt and reverse the HIV epidemic in India through evidence-based prevention, care, support, and treatment programs leading towards eliminating AIDS as a public health threat.

Objectives

Reduce new HIV infections by 80% by 2025 (from 2010 baseline)
Reduce AIDS-related deaths by 80% by 2025
Eliminate HIV-related stigma and discrimination
Achieve 95-95-95 UNAIDS targets (95% diagnosed, 95% on ART, 95% virally suppressed)

Strategies & Plan of Action

Targeted Interventions (TI): Focus on high-risk groups - Female Sex Workers (FSW), Injecting Drug Users (IDU), Men who have Sex with Men (MSM), and migrants
Prevention of Parent-to-Child Transmission (PPTCT): Rapid HIV testing of all antenatal mothers, especially in high-prevalence states (Tamil Nadu, Andhra Pradesh, Maharashtra, Karnataka, Manipur, Nagaland); PPTCT services through CHC/district hospitals
Free Antiretroviral Therapy (ART): Universal access to ART through ART centres
Voluntary Counselling and Testing Centres (VCTC/ICTC): HIV counselling and testing at all levels
Blood Safety Programme: Screening all blood donations
IEC and BCC: Awareness campaigns, condom promotion and distribution to high-risk groups
HIV-TB Coordination: Linkage with TB microscopy centres; bidirectional testing
Harm Reduction: Needle-syringe exchange programs, Opioid Substitution Therapy (OST)
School Health Education: Adolescent education on STI/HIV prevention
Pre and post-test counselling at PHC level in high-prevalence states

3. National Programme for Control of Blindness & Visual Impairment (NPCB&VI)

Launched: 1976 Goal at Launch: Reduce prevalence of blindness from 1.4% to 0.3% by 2020

Vision

"Eye Health for All" - prevention of avoidable blindness and reduction of visual impairment.

Objectives

Reduce avoidable blindness in the country
Develop and strengthen the strategy for "Eye Health for All" and prevention of visual impairment
Strengthen and upgrade Regional Institutes of Ophthalmology (RIOs) and partners (Medical Colleges, District Hospitals, Vision Centres, NGO Eye Hospitals)
Strengthen infrastructure and develop human resources
Enhance community awareness on preventive measures
Expand research for prevention of blindness and visual impairment
Address diabetic retinopathy due to the increasing burden of diabetes

Strategies & Plan of Action

Cataract surgery: Detection and referral for free cataract surgery at district hospitals and through camps; target-based approach
School Eye Health Programme: Vision screening in schools; provision of free spectacles
Refraction services: Spectacle correction at PHC and vision centres
Treatment of common eye diseases: Conjunctivitis, glaucoma, trachoma management
Vision Centres: Establishment at sub-district level for basic eye care
Eye Banking: Strengthening corneal transplantation services
Community awareness: IEC on preventive eye care, Vitamin A deficiency prevention
Integration with AAM: Primary eye care integrated into Ayushman Arogya Mandir (AAM) facilities

4. Pulse Polio Programme (PPI) / Polio Eradication

Launched: 1978 (EPI); Pulse Polio Initiative launched 1995 Status: India declared polio-free by WHO in 2014; maintenance of polio-free status continues

Vision

Sustaining polio-free status and achieving global polio eradication.

Objectives

Achieve and maintain zero poliovirus transmission
Attain >95% immunization coverage in all children under 5
Maintain high-quality surveillance for Acute Flaccid Paralysis (AFP)
Prevent re-importation and outbreak response preparedness

Strategies & Plan of Action

Oral Polio Vaccine (OPV) National Immunization Days (NIDs): Two rounds of OPV given to all children under 5, regardless of prior immunization status, on fixed days
Sub-National Immunization Days (SNIDs): Targeted high-risk districts/states
Mop-up Rounds: In areas with confirmed cases or high-risk pockets
AFP Surveillance: Reporting and investigation of all Acute Flaccid Paralysis cases; environmental surveillance of sewage
Inactivated Polio Vaccine (IPV): Introduced into routine immunization since 2015 for additional immunity
Social mobilization: Engaging religious leaders, community workers, media campaigns (including "Do Boond Zindagi Ki")
Hard-to-Reach areas: Special strategies for migrant populations, conflict zones, nomadic populations
Emergency preparedness: Outbreak response protocols under Global Polio Eradication Initiative (GPEI) framework

5. National TB Elimination Programme (NTEP)

(formerly Revised National TB Control Programme - RNTCP)

Launched: RNTCP 1997; renamed NTEP in 2020 Goal: TB-free India by 2025 (5 years ahead of global SDG target of 2030)

Vision

"TB-Free India" - End TB by 2025.

Mission

To eliminate Tuberculosis as a public health problem by 2025, with a focus on reaching the Last Mile.

Objectives

Achieve 90% reduction in TB incidence (cases per 100,000/year) by 2025 (vs 2015 baseline)
Achieve 95% reduction in TB deaths by 2025
Ensure zero TB-affected families face catastrophic costs
Reach Universal Drug Susceptibility Testing (DST) for all diagnosed TB patients

Strategies & Plan of Action (NSP 2017-2025: DETECT - TREAT - PREVENT - BUILD)

DETECT: Active Case Finding (ACF) in high-risk populations; use of molecular diagnostics (CBNAAT/GeneXpert, TrueNat); private sector notification mandate
TREAT: Free Nikshay Poshan Yojana (nutritional support - ₹500/month to each TB patient); Daily fixed-dose combination (FDC) regimen replacing intermittent DOTS; Bedaquiline and Delamanid for Drug-Resistant TB (DR-TB)
PREVENT: TB Preventive Therapy (TPT) for close contacts and PLHIV; BCG vaccination
BUILD: Nikshay digital portal for patient tracking and data management; engagement of private sector under Patient Provider Support Agency (PPSA); air infection control in health facilities
Universal Drug Sensitivity Testing (UDST): All diagnosed TB patients undergo DST
Nikshay Mitra: Volunteers/donors providing nutritional, diagnostic, and vocational support to TB patients
India TB Report: Annual reporting for accountability

6. National Vector Borne Disease Control Programme (NVBDCP)

Launched: 2003-04 (integrating control of Malaria, Filaria, Kala-Azar, Japanese Encephalitis, Dengue, Chikungunya) Umbrella Programme covering: Malaria, Dengue/DHF, Chikungunya, Kala-Azar (Visceral Leishmaniasis), Lymphatic Filariasis, Japanese Encephalitis (JE)

Vision

Reduce morbidity and mortality from vector-borne diseases; eliminate Kala-Azar and Lymphatic Filariasis.

Objectives

Prevent mortality due to Malaria, Kala-Azar, Dengue/DHF, and Japanese Encephalitis
Reduce morbidity due to Malaria, Dengue/DHF, Chikungunya, and JE
Elimination of Kala-Azar and Lymphatic Filariasis
Reduce Annual Parasite Incidence (API) of malaria to < 1 per 1000 population

Strategies & Plan of Action

Malaria:

Early diagnosis and complete treatment (EDCT)
Selective vector control: Indoor Residual Spraying (IRS), insecticide-treated bed nets (ITN/LLIN)
Anti-larval measures in urban areas
RDT-based rapid diagnosis at village level

Kala-Azar (Visceral Leishmaniasis):

Early diagnosis using rK39 rapid test; treatment with Liposomal Amphotericin B (single-dose)
Elimination target: < 1 case per 10,000 population at block level

Lymphatic Filariasis:

Mass Drug Administration (MDA): DEC + Albendazole annually in endemic districts
Morbidity management of lymphoedema cases

Dengue/Chikungunya:

Integrated Vector Management: source reduction, biological control, personal protection
Symptomatic case management; no specific antiviral

Japanese Encephalitis:

JE vaccination (SA 14-14-2 vaccine) in endemic districts
Vector control, symptomatic hospital treatment

Cross-cutting:

Inter-sectoral convergence with Urban Development, Rural Development, Panchayati Raj
Community mobilization through NGOs, SHGs, CBOs

7. Reproductive and Child Health Programme (RCH)

(RCH Phase II under NHM)

Launched: RCH I - 1997; RCH II - 2005 (integrated into NHM)

Vision

Universal access to Reproductive and Child Health services; achieve MDG/SDG targets for maternal and child health.

Objectives

Reduce Maternal Mortality Ratio (MMR) to < 70 per 100,000 live births
Reduce Infant Mortality Rate (IMR) to < 25 per 1,000 live births
Reduce Total Fertility Rate (TFR) to 2.1
Achieve universal institutional delivery
Ensure 100% antenatal care coverage
Eliminate gender-based sex selection

Strategies & Plan of Action

Antenatal Care (ANC): Minimum 4 ANC visits (now 8 as per new WHO guidelines); registration in first trimester; IFA supplementation; TT immunization
Skilled Birth Attendance: Promotion of institutional delivery; Janani Suraksha Yojana (JSY) cash incentive for institutional delivery; Janani Shishu Suraksha Karyakram (JSSK) - free delivery services
Postnatal Care: Home-based newborn care (HBNC) by ASHA; Kangaroo Mother Care (KMC) for LBW babies
Family Planning: Basket of contraceptives (condoms, OCPs, injectable, IUDs, sterilization); Mission Parivar Vikas in high-TFR districts
Navjaat Shishu Suraksha Karyakram (NSSK): Newborn resuscitation training at delivery points
Child Health: IMNCI (Integrated Management of Neonatal and Childhood Illnesses); special newborn care units (SNCUs) and newborn stabilization units (NBSUs)
PMSMA: Pradhan Mantri Surakshit Matritva Abhiyan - assured, free ANC on 9th of every month
LaQshya: Quality improvement in labour rooms and maternity OTs
PC & PNDT Act enforcement against sex-selective abortions

8. Integrated Child Development Services (ICDS) Programme

Launched: 2 October 1975 Implementing Ministry: Ministry of Women and Child Development Implementing Unit: Anganwadi Worker (AWW) at Anganwadi Centre (AWC)

Vision

Holistic development of children below 6 years of age and nursing/pregnant mothers; foundation for lifelong health and well-being.

Objectives

Improve nutritional and health status of children aged 0-6 years
Lay the foundation for proper psychological, physical, and social development of the child
Reduce the incidence of mortality, morbidity, malnutrition, and school dropout
Achieve effective coordination of policy and implementation amongst various departments
Enhance capability of mothers to look after normal health and nutritional needs of their children

Services (Package of 6 Services)

Supplementary Nutrition: 300 kcal + 8-10 g protein/day for children; 500 kcal + 25 g protein/day for pregnant/lactating women; 600 kcal + 18-20 g protein/day for severely malnourished children - for 300 days/year
Immunization: Vaccination of children (0-6 yrs) and pregnant women
Health Check-up: Growth monitoring, medical check-ups
Referral Services: Referral to PHC/hospital for cases beyond AWC scope
Nutrition & Health Education: For women aged 15-45 years
Pre-school Non-formal Education: For children 3-6 years

Plan of Action

Universal coverage of all villages/slums with Anganwadi Centres (AWCs)
POSHAN Abhiyaan (National Nutrition Mission 2018): targets reduction of stunting, undernutrition, anaemia, and LBW by 2-3% per year
Monthly Growth Monitoring and Promotion (GMP)
Home visits by AWW; community mobilization

9. Universal Immunization Programme (UIP)

Launched: 1985 (expansion of EPI launched 1978) Target: All infants, children, pregnant women

Vision

Protect all children and pregnant women from vaccine-preventable diseases; achieve and sustain high immunization coverage universally.

Objectives

Achieve >90% full immunization coverage at national level and >80% in each district
Rapid reduction in morbidity and mortality from vaccine-preventable diseases
Eliminate measles, neonatal tetanus; eradicate polio
Introduce new vaccines to address disease burden

Vaccines under UIP (current)

BCG, OPV, IPV, Hepatitis B, DPT (pentavalent), Measles/MR vaccine, JE vaccine (endemic districts), PCV (Pneumococcal), Rotavirus vaccine, TT, Td; Adult: TT for pregnant women

Strategies & Plan of Action

Mission Indradhanush (2015): Intensive immunization drive targeting un/under-vaccinated children in high-risk districts; Intensified Mission Indradhanush (IMI) phases 1.0, 2.0, 3.0, 4.0 (100 days campaigns)
Fixed Immunization Days: Nationwide fixed session sites at all health facilities and outreach sites
Cold Chain Maintenance: Electronic Vaccine Intelligence Network (eVIN) for real-time temperature monitoring and stock visibility
ASHA mobilization: Door-to-door tracking of beneficiaries
Adverse Events Following Immunization (AEFI) Surveillance
U-WIN Portal (2023-24): Digital platform for real-time immunization tracking replacing manual records
New Vaccine Introduction: Rotavirus, PCV, HPV vaccines progressively introduced

10. National Mental Health Programme (NMHP)

Launched: 1982 Nodal Body: NIMHANS (National Institute of Mental Health and Neuro Sciences), Bengaluru

Vision

Mental health for all; India's vision of good health implies not just absence of disease but wellness and welfare for everyone.

Objectives

Ensure availability and accessibility of minimum mental health care for all, especially the most vulnerable
Encourage application of mental health knowledge in general health care and social development
Promote community participation in mental health service development
Stimulate efforts towards self-help in the community

Strategies & Plan of Action

District Mental Health Programme (DMHP): Core strategy; integration of mental health into general health services at district level with psychiatrist, psychologist, social worker, and nursing staff
Integration into CPHC: Mental health services added to Ayushman Arogya Mandirs (AAM/HWC): basic counselling, psychiatric medication at PHC level; training general physicians for mild-to-moderate conditions
Tele MANAS (2022): National tele-mental health helpline (Toll-free: 14416) providing free, round-the-clock mental health support
25 Centres of Excellence (2024): Sanctioned to train more postgraduate students and provide advanced treatment
47 PG Departments in Mental Health strengthened
IEC activities: Stigma removal, community awareness, early detection of mental disorders
Mental Healthcare Act (2017): Legal framework guaranteeing right to mental health care
National Institute for Mental Health Rehabilitation (NIMHR): Established at Sehore (MP)

11. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)

Launched: 2010 (Pilot); scaled up 2013 under NHM Now operating as NP-NCD (2023-2030) guidelines

Vision

Prevent and control NCDs through strengthening health systems, promoting healthy lifestyles, and ensuring early detection and management.

Objectives

Prevent and control common NCDs - cancer, diabetes, CVD, and stroke
Provide early diagnosis, management, and referral through decentralised services at primary level
Develop trained human resources at all levels
Promote healthy lifestyle and reduce behavioural risk factors (tobacco, unhealthy diet, physical inactivity, alcohol)
Establish health promotion and rehabilitation services

Strategies & Plan of Action

Prevention:

Health promotion: promotion of healthy dietary habits, physical activity, avoidance of tobacco/alcohol, stress management
Risk factor surveillance and population-based screening

Cancer:

Early detection of oral, cervical, and breast cancer (three common cancers screened)
Essential: IEC on warning signs; referral for diagnosis; PAP smear (cervical cancer screening)
Strengthening oncology facilities at District Hospitals (DHs) and tertiary centres

Diabetes & CVD:

Community-level screening using CBAC (Community Based Assessment Checklist) tool
Early detection using blood pressure measurement, blood sugar testing, ECG
Free medicines for hypertension and diabetes at PHCs under NLEM
Management and referral of stroke cases

Stroke:

Protocols for acute stroke management; referral to dedicated stroke units

Cross-cutting:

NCD Cells at National, State, and District levels
NCD Clinic at CHC/DH level
Population-based screening: opportunistic screening at health facilities for all persons > 30 years
Linkages with NMHP, NPCB&VI, and other NCD programmes

12. Swachh Bharat Mission (SBM)

Launched: 2 October 2014 (Gandhi Jayanti) Two Components: SBM-Gramin (Rural) and SBM-Urban Implementing Ministry: Ministry of Jal Shakti (Rural); MoHUA (Urban)

Vision

Clean and Open Defecation Free (ODF) India by 2019 (Phase I); ODF-Plus by 2024-25 (Phase II - solid & liquid waste management).

Objectives

Achieve Open Defecation Free (ODF) India - construction of Individual Household Latrines (IHHL)
Elimination of manual scavenging
Modern and scientific Municipal Solid Waste management
Behavioural change regarding sanitation and hygiene practices
Generation of awareness about sanitation and public health linkages

Strategies & Plan of Action

IHHL construction: Financial incentives (₹12,000 rural; up to ₹16,000 urban) to BPL families for toilet construction
Community Sanitation Complexes (CSCs): For communities where individual toilets are not feasible
IEC and Behaviour Change Communication (BCC): Swachhagrahi/ASHA/AWW mobilization; social norms campaigns
ODF declaration: Gram Panchayat/Ward-level ODF verification mechanism
SBM Phase II (2021-2026): ODF-Plus - Solid Waste Management, Liquid Waste Management (Greywater & Faecal Sludge), Plastic Waste Management
Swachh Survekshan: Annual urban cleanliness ranking
Gobardhan Scheme: Biogas/CBG from organic waste linked to SBM
Health dividends: Reduction in diarrhoeal diseases, undernutrition, and child mortality through improved sanitation - studies show 30% reduction in stunting in ODF villages

13. Ayushman Bharat Yojana (ABY)

Launched: 2018 Components: (i) Ayushman Arogya Mandirs (AAM)/Health & Wellness Centres (HWCs) + (ii) PM Jan Arogya Yojana (PM-JAY) Recommended by: National Health Policy 2017

Vision

Universal Health Coverage (UHC) - "Leave no one behind"; shift from sectoral/fragmented approach to comprehensive, need-based health care delivery.

Objectives

Provide comprehensive primary health care through AAM/HWCs (1,50,000 centres)
Provide financial protection to 10 crore+ poor and vulnerable families (50 crore beneficiaries) through PM-JAY
Reduce Out-of-Pocket Expenditure (OOPE) for hospitalization
Ensure preventive, promotive, curative, rehabilitative, and palliative care at all levels

Component 1 - Ayushman Arogya Mandirs (AAM/HWC)

Transform Sub-Health Centres and Primary Health Centres into HWCs
Services: Maternal and child health, NCDs, communicable diseases, mental health, oral health, ENT, palliative care, emergency care, free essential medicines and diagnostics
As of mid-2024: 1,27,468 SHC-HWCs + 23,870 PHC-HWCs + 5,086 UPHC-HWCs + 11,770 AYUSH-HWCs operational

Component 2 - PM-JAY (Pradhan Mantri Jan Arogya Yojana)

Launched: 23 September 2018, Ranchi
Coverage: ₹5 lakh per family per year for secondary and tertiary hospitalization
Beneficiaries: Bottom 40% of population (SECC 2011 data-based)
Cashless, paperless treatment at empanelled public and private hospitals
Ayushman Bharat Senior Citizen: Extended to all citizens aged 70+ years (2024)
Network of ~28,000+ empanelled hospitals

Plan of Action

SECC-based beneficiary identification; Ayushman card/e-card issuance
State-level implementation through State Health Agencies (SHA)
Fraud and abuse control through IT systems; PM-JAY portal
Regular performance monitoring; quality benchmarks for empanelled hospitals

14. Ayushman Bharat Digital Mission (ABDM)

Launched: 27 September 2021 (National rollout) Implementing Agency: National Health Authority (NHA)

Vision

Create a digital health ecosystem to support universal health coverage, improve the efficiency and effectiveness of the healthcare delivery system.

Objectives

Establish a unique health identity for every citizen - Ayushman Bharat Health Account (ABHA) number (14-digit)
Create a federated personal health records system accessible to patients and providers
Enable interoperability between healthcare providers across India
Develop National Health Registries for health professionals, facilities, and drugs
Facilitate access to longitudinal health records for better clinical decision-making

Strategies & Plan of Action

ABHA (Ayushman Bharat Health Account): Every citizen gets a unique 14-digit health ID linked to Aadhaar/mobile
Health Facility Registry (HFR): Database of all health facilities in India
Healthcare Professionals Registry (HPR): Registry of all licensed health professionals
Health Records: Linking OPD prescriptions, lab reports, discharge summaries to ABHA
Unified Health Interface (UHI): Open network for digital health services (telemedicine, booking appointments)
ABDM Sandbox: Technology sandbox for innovation by startups and health-tech companies
Integration with PM-JAY, CoWIN, eSanjeevani
Privacy & Security: Data fiduciary framework; consent-based data sharing

15. National Health Mission (NHM)

Sub-missions: NRHM (National Rural Health Mission) + NUHM (National Urban Health Mission)

NRHM Launched: 5 April 2005 (PM Manmohan Singh) NUHM Launched: 2013 (merged under NHM umbrella) Duration: Current phase 2021-2026

Vision

Universal access to equitable, affordable, and quality health care services accountable and responsive to people's needs, with focus on rural, tribal, and underserved populations.

Objectives

Reduce MMR to 100 per 100,000 live births
Reduce IMR to 25 per 1,000 live births
Reduce TFR to 2.1
Provide 30 minutes access to health facilities for every household
Prevent and reduce burden of communicable and non-communicable diseases
Population stabilization

Key Architectural Innovations (NRHM)

ASHA (Accredited Social Health Activist): 9.5 lakh+ ASHAs (village-level health activist, 1 per 1,000 population in rural areas)
Rogi Kalyan Samiti (RKS): Hospital management committees with community participation
Village Health Sanitation & Nutrition Committee (VHSNC): Gram Panchayat-level oversight
Untied Funds: CHC (₹1 lakh), PHC (₹75,000), SC (₹10,000) - flexible use
Indian Public Health Standards (IPHS): Minimum standards for all health facilities
Flexible Fund (PIP): Programme Implementation Plans prepared by states for tailored interventions

NUHM (Urban Component)

Addresses health needs of urban poor (slum dwellers, homeless, migrants)
Urban Health Posts (UHP) and Urban Community Health Centres (UCHC)
Urban ASHAs and Mahila Arogya Samitis (MAS)
Convergence with municipal bodies

Plan of Action

Infrastructure strengthening: Construction/upgradation of Sub-Centres, PHCs, CHCs to IPHS norms
Human resource deployment: Contractual specialists, specialists under PPP at district hospitals
Quality initiatives: LaQshya, Kayakalp, National Quality Assurance Standards (NQAS)
Mainstreaming AYUSH (AYUSH doctors at PHC level)

16. National AYUSH Mission (NAM)

Launched: September 2014 Implementing Ministry: Ministry of AYUSH (Ayurveda, Yoga & Naturopathy, Unani, Siddha, Sowa Rigpa, and Homeopathy)

Vision

Ensure equitable access to AYUSH health services, strengthen educational systems, quality of drugs, enhance awareness, and encourage integration with mainstream health systems.

Objectives

Provide cost-effective AYUSH services with universal access
Strengthen AYUSH educational institutions and upgrade government hospitals/dispensaries
Support cultivation of medicinal plants and development of quality standards
Support promotion of classical knowledge and development of evidence-based AYUSH products
Enhance awareness regarding AYUSH systems among the general population

Strategies & Plan of Action

AYUSH facilities: Co-location of AYUSH services at PHCs, CHCs, and district hospitals; standalone AYUSH health and wellness centres
AYUSH HWCs: 11,770 AYUSH Health and Wellness Centres operational (as of 2024)
AYUSH Practitioners: Deployment of AYUSH doctors at sub-district level under NHM
Quality drug standards: Pharmacopoeia development; quality testing laboratories
Medicinal Plant Conservation: National Medicinal Plants Board (NMPB); cultivation support to farmers
Research & Development: Collaborative research with ICMR and scientific institutions; evidence-based validation of traditional medicines
Yoga promotion: Free yoga training sessions at community and institutional level
COVID-19 contribution: Promotion of AYUSH protocols (Kabasura Kudineer, Ashwagandha research) during pandemic
4-pillar structure: Services, Education, Quality, and Promotion

PART B: NATIONAL NUTRITION PROGRAMS

17. National Iodine Deficiency Disorders Control Programme (NIDDCP)

Launched: 1962 (as National Goitre Control Programme); renamed NIDDCP in 1992 Nodal Ministry: MoHFW

Vision

Eliminate iodine deficiency disorders as a public health problem in India.

Objectives

Assess the extent of IDDs in the country through district-level surveys
Supply iodized salt in place of common salt throughout the country
Resurvey the affected areas after five years to evaluate the impact of iodized salt
Monitor the iodine content of iodized salt at production, distribution, and consumption levels
Develop laboratory support for IDD surveys

Strategies & Plan of Action

Universal Salt Iodization (USI): All edible salt to be iodized (WHO standard: 15 mg iodine/kg at consumption level); Prevention of Food Adulteration (PFA) Act mandates iodized salt
IEC Activities: Promote consumption of iodized salt; community awareness
Salt Testing Kits: Distribution to AWW, ASHA, and school teachers for field-level monitoring
Laboratory Network: National iodine content monitoring through designated labs
Liaison with salt industry: Technical support for uniform iodization
Advocacy: Prohibition of sale of non-iodized salt for human consumption (reinstated by Supreme Court order)
Integration with ICDS and UIP for complementary interventions

18. National Iron Plus Initiative (NIPI) for Anemia Control

Launched: 2013 (expanding on the earlier National Nutritional Anaemia Control Programme/NNACP of 1970) Target Groups: Children 6 months-5 years, 5-10 years, adolescents (10-19 years), pregnant women, lactating mothers, women of reproductive age

Vision

Eliminate nutritional anaemia across the life cycle in India.

Objectives

Reduce prevalence of anaemia by at least 3% per year across all age groups
Provide Iron and Folic Acid (IFA) supplementation across the life cycle
Integrate anaemia control with behaviour change communication
Monitor and evaluate programme progress regularly

Strategies & Plan of Action (Life-cycle approach)

Age Group	Supplement	Frequency
6-59 months	IFA syrup (20 mg elemental iron + 100 µg folic acid)	Weekly (biweekly in high-burden areas)
5-10 years	IFA tablet (45 mg + 400 µg FA)	Weekly
Adolescents 10-19 yrs	IFA tablet (100 mg + 500 µg FA) via WIFS (Weekly Iron & Folic Acid Supplementation)	Weekly
Pregnant women	IFA (180 tablets - 60 mg + 500 µg FA)	Daily
Lactating mothers	IFA (180 days)	Daily
WRA (non-pregnant)	IFA tablet	Weekly

WIFS (Weekly IFA Supplementation): School-based program for adolescent girls and boys
Deworming: Biannual deworming (Albendazole) for all children 1-19 years (National Deworming Day: Feb 10 and Aug 10)
Dietary diversification and fortification of rice and wheat with iron and folic acid
Anaemia Mukt Bharat (AMB) Strategy (2018): 6x6x6 strategy - 6 target beneficiaries, 6 interventions, 6 institutional mechanisms; aim to reduce anaemia by 3%/year

19. National Vitamin A Prophylaxis Programme

Launched: 1970 (based on technology developed by National Institute of Nutrition, Hyderabad)

Vision

Eliminate Vitamin A Deficiency (VAD) and prevent its consequences - night blindness, xerophthalmia, and increased child morbidity and mortality.

Objectives

Prevent Vitamin A deficiency and Bitot's spots in children
Reduce child morbidity and mortality from measles, diarrhoea, and other infections
Ensure universal coverage of Vitamin A supplementation to all children aged 9 months to 5 years

Strategies & Plan of Action

Supplementation schedule:
- 9 months (with measles vaccine): 1,00,000 IU (1 lakh IU) of Vitamin A (oily preparation of Retinol Palmitate)
- 18 months to 5 years: 2,00,000 IU (2 lakh IU) every 6 months
Delivery platform: Through peripheral health workers (AWW, ASHA) at village level; integrated with UIP sessions
Co-administration with measles vaccine at 9 months
Dietary promotion: Promotion of Vitamin A-rich foods (dark green leafy vegetables, orange/yellow fruits, eggs, dairy)
Therapeutic use: High-dose Vitamin A for measles cases and severely malnourished children with VAD
Integration with ICDS: Distribution through Anganwadi Centres and immunization sessions

20. Mid Day Meal (MDM) Programme

Also known as: PM POSHAN (Pradhan Mantri Poshan Shakti Nirman) - renamed 2021; formerly National Programme of Nutritional Support to Primary Education (NP-NSPE) Launched (Centrally Sponsored): 15 August 1995; revised 2004 Nodal Ministry: Ministry of Education Historical note: Tamil Nadu first started this programme; became part of Minimum Needs Programme in the Fifth Five Year Plan

Vision

Improve nutritional status of school children and promote universal elementary education.

Objectives

Improve nutritional status of children in Classes I-VIII (6-14 years) in government and government-aided schools
Encourage poor children to attend school regularly and help them concentrate on classroom activities
Increase school admissions, retention, and attendance
Improve literacy rate
Reorient eating habits and introduce nutritional education
Address social gaps: socialising children from different backgrounds through shared meals

Nutritional Norms (per child per day)

Nutrient	Primary (I-V)	Upper Primary (VI-VIII)
Calories	450 kcal	700 kcal
Protein	12 g	20 g

Food composition (typical): Cereals 75g/100g, Pulses 30g, Oils/Fats 8g, Leafy vegetables 30g, other vegetables 30g

Plan of Action

Cooked hot meals served on all school days (minimum 200 days/year)
State/UT governments responsible for menu planning, procurement, and quality
Central government provides foodgrains (rice/wheat) free of cost through FCI
Cooking cost reimbursed by Centre
Kitchen gardens at schools promoted
Community participation in monitoring meal quality (mothers' committees)
MDM Authority in each state/UT for oversight
PM POSHAN (2021): Extended to pre-primary classes (Bal Vatikas) of government schools; enhanced financial norms

21. Balwadi Nutrition Programme

Launched: 1970-71 Implemented through: Department of Women and Child Development (Ministry of HRD initially) Status: Being phased out due to universalization of ICDS

Vision

Provide supplementary nutrition to preschool children aged 3-6 years at Balwadis (pre-primary centres).

Objectives

Improve nutritional status of children 3-6 years attending Balwadis
Provide pre-primary education alongside nutritional supplementation
Bridge the gap in nutritional needs of children of poor families

Strategies & Plan of Action

Supplementary food providing 300 kcal energy and 10 g protein per child per day for 270 days/year
Delivered through Balwadis (community-run pre-primary schools) by trained Balwadi workers
Balwadis also provide pre-primary education (non-formal) to 3-6 year old children
Phase-out: As ICDS universalized across the country, Balwadis are being merged/phased out since the ICDS AWCs serve the same population with a broader package of services

Quick Summary Table

Program	Launch Year	Key Focus	Vision/Target
NLEP	1983	Leprosy	Leprosy-free India by 2027
NACP	1987	HIV/AIDS	AIDS-free India; 95-95-95 targets
NPCB&VI	1976	Blindness	Reduce avoidable blindness to 0.3%
Pulse Polio/PPI	1995	Polio	Maintain polio-free status
NTEP	1997/2020	Tuberculosis	TB-free India by 2025
NVBDCP	2003	Vector-borne diseases	Eliminate Kala-Azar & Filariasis
RCH	1997	Maternal & Child Health	MMR < 70, IMR < 25
ICDS	1975	Child development	Holistic child development 0-6 yrs
UIP	1985	Immunization	>90% full immunization coverage
NMHP	1982	Mental health	Mental health for all
NPCDCS	2010	NCDs	Prevent/control Cancer, DM, CVD, Stroke
SBM	2014	Sanitation	ODF India; ODF-Plus
Ayushman Bharat	2018	UHC	Universal Health Coverage
ABDM	2021	Digital health	Universal digital health identity
NHM (NRHM+NUHM)	2005/2013	Health system	Universal access to quality health care
NAM	2014	AYUSH	Equitable AYUSH access
NIDDCP	1962/1992	Iodine deficiency	Eliminate IDDs
NIPI	2013	Anaemia	Reduce anaemia 3%/year
Vitamin A Programme	1970	VAD	Eliminate Vitamin A deficiency
Mid Day Meal/PM POSHAN	1995	School nutrition	Improve child nutrition + education
Balwadi Nutrition	1970	Preschool nutrition	300 kcal/day for 3-6 yr children

Sources:

Park's Textbook of Preventive and Social Medicine (23rd ed., Park's, p. 1003-1004) - national programme roles at PHC level
DGHS NLEP official page - NLEP vision, mission, objectives, strategies
NP-NCD Revised Operational Guidelines 2023-2030 - NPCDCS, NPCB&VI details
NHSRC 16th CRM Report 2024 - Ayushman Bharat, NVBDCP, eye care updates
Iron Plus Initiative - PMC article - NIPI history and strategy
MGM University Community Nutrition PDF - Balwadi, Mid Day Meal, Vitamin A Programme details

Create a comparative table of programmatic achievements vs current targets0 markks, give me the content likewise

Searching the Web

India national health programs achievements vs targets 2024 2025 MMR IMR TFR TB leprosy polio AIDS blindness statistics

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NVBDCP NTEP NACP NLEP NPCB programmatic achievements current status India 2024 annual report

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https://notto.mohfw.gov.in/WriteReadData/Portal/News/951_1_A…

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India NFHS-5 NFHS-6 IMR MMR TFR anemia stunting wasting immunization coverage Ayushman Bharat PM-JAY beneficiaries 2024 2025

Excellent - I now have very rich, current data from NFHS-6 (2023-24, released May 2026), MoHFW Annual Report 2025-26, NLEP data, NTEP figures, and more. Let me compile the comprehensive comparative table.

Comparative Table: Programmatic Achievements vs. Current Targets

India's National Health & Nutrition Programs (2025-26)

Data sources: MoHFW Annual Report 2025-26, NFHS-6 (2023-24, released May 2026), NLEP dashboard, PIB releases, WHO Global TB Report 2025, DGHS official portals.

PART A: NATIONAL HEALTH PROGRAMS

1. National Leprosy Eradication Programme (NLEP)

Indicator	Baseline (2014-15)	Current Achievement (2024-25)	Target (NSP 2023-27)	Status
Prevalence Rate (per 10,000 pop.)	0.69	0.57	< 1/10,000 (national)	✅ Achieved
Annual New Case Detection Rate (per 1,00,000)	9.73	7.00	5.0 by 2026-27	🔄 In progress
Grade 2 Disability (per million pop.)	4.48	1.31	< 1.0 by 2026-27	🔄 Near target
Child Case % among new cases	9.04%	4.68%	< 2% by 2026-27	🔄 In progress
Districts achieving elimination (PR < 1/10,000)	542	638 (all districts)	100% districts	✅ Achieved
New leprosy cases detected	~1,15,000	~1,00,000+	50,000 by 2026-27	⚠️ Gap remains
Zero stigma & discrimination	-	Ongoing IEC/DPMR	Zero by 2027	🔄 Ongoing

Note: India achieved national-level elimination (PR < 1/10,000) in 2005 but still accounts for ~60% of global new cases (WHO, 2023).

2. National AIDS Control Programme (NACP)

Indicator	Baseline (2010)	Current Status (2024-25)	Target (SDG/NACP-V)	Status
New HIV infections per year	~1.2 lakh	~66,000 (est. 2023)	80% reduction by 2025	🔄 ~45% reduction achieved
AIDS-related deaths	~2.5 lakh/yr	~~77,000 (est. 2023)	80% reduction by 2025	🔄 Partial progress
People on ART	~3.8 lakh	~19 lakh+	Universal access	✅ Significant expansion
PPTCT coverage (ANC HIV testing)	Low	>95% ANC mothers tested	Universal	✅ Near achieved
Viral Suppression (95-95-95 target)	-	~78% virally suppressed	95%	🔄 In progress
Blood units screened for HIV	-	100%	100%	✅ Achieved
ICTC/VCTC network	Limited	>21,000 ICTCs nationwide	Universal access	✅ Achieved

3. National Programme for Control of Blindness & Visual Impairment (NPCB&VI)

Indicator	Baseline	Current Status	Target	Status
Prevalence of blindness	1.4% (1971)	~0.36% (RAAB survey ~2019)	< 0.3%	🔄 Near target
Cataract surgeries per year	-	~60 lakh/year	Reduce cataract backlog	✅ High throughput
Corneal transplantations	Low	Expanding eye bank network	Reduce corneal blindness	🔄 In progress
Primary eye care at HWCs	Not integrated	Integrated in AAM facilities	Universal primary eye care	✅ Integrated
NPCB&VI states with strong activities	Few	Odisha, Gujarat, Karnataka well-established	All states	🔄 In progress
School eye screening	-	Ongoing RBSK-linked screening	Universal coverage	🔄 In progress

4. Pulse Polio Programme / Polio Eradication

Indicator	Year	Status	Target	Status
Last wild poliovirus case in India	2011	Zero since Jan 13, 2011	Elimination	✅ Achieved
WHO Polio-Free Certification	2014	Certified Polio-Free	-	✅ Achieved
OPV NIDs rounds conducted	Annual	Continued annually	Sustain polio-free	✅ Ongoing
AFP surveillance rate (per 1 lakh under-15)	-	Meets WHO threshold (≥2/1 lakh)	≥ 2/1 lakh	✅ Achieved
IPV introduction into routine UIP	-	Introduced 2015	All infants	✅ Achieved
Maternal & Neonatal Tetanus Elimination	-	Achieved 2015	Elimination	✅ Achieved

5. National TB Elimination Programme (NTEP)

Indicator	Baseline (2015)	Current (2024-25)	Target (2025)	Status
TB Incidence (per 1 lakh pop.)	237	187 (WHO Global TB Report 2025)	65 (90% reduction)	⚠️ Significant progress; gap remains
TB mortality (per 1 lakh pop.)	28	~22	< 3	⚠️ Progress; gap remains
TB Notifications (total)	-	26.2 lakh (2024)	Detect all cases	🔄 ACF drive ongoing
Missing TB cases	15 lakh (2015)	2.5 lakh (2023; 83% reduction)	Zero missing cases	✅ Major achievement
Treatment Success Rate (TSR)	~85%	90% (2024; above global avg 88%)	≥ 90%	✅ Achieved
TB-free Gram Panchayats certified	0	46,118 GPs (2024)	All	🔄 In progress
Nikshay Mitra volunteers	0	>2.5 lakh	-	✅ New initiative
India's TB decline vs global	-	21% decline (India) vs 12% global	Double global rate	✅ Surpassed global
MDR/RR-TB on BPaLM regimen	0	>15,000 patients	All eligible	🔄 Expanding
100-Day campaign screening	-	>20 crore vulnerable persons screened	-	✅ Achieved

6. National Vector Borne Disease Control Programme (NVBDCP)

Disease / Indicator	Baseline	Current Status (2024-25)	Target	Status
Kala-Azar - Cases per 10,000 pop.	>1/10,000 (endemic blocks)	< 1/10,000 in 100% endemic blocks (Oct 2024)	Elimination	✅ ELIMINATED (Oct 2024)
Malaria - Annual Parasite Incidence (API)	High (2000s)	0.17 (2023)	< 1 per 1,000	✅ Target achieved
Malaria deaths	932 (2000)	~83 (2023)	Near zero	✅ Major reduction
Lymphatic Filariasis - Districts covered by MDA	-	Ongoing MDA in 93 endemic districts	Elimination by 2027	🔄 In progress
Dengue - Cases	Increasing trend	Fluctuating; ~2.3 lakh cases (2023)	Reduce morbidity	⚠️ Ongoing challenge
JE - Vaccination coverage (endemic districts)	Low	Expanded JE vaccination	All children in endemic areas	🔄 In progress
Chikungunya - Outbreaks	Periodic outbreaks	Surveillance + IVM ongoing	Reduce outbreaks	🔄 Ongoing

7. Reproductive & Child Health Programme (RCH) / NHM

Indicator	NFHS-4 (2015-16)	NFHS-5 (2019-21)	NFHS-6 (2023-24)	NHP 2017 Target	SDG Target (2030)	Status
MMR (SRS)	130 (2014-16)	97 (2018-20)	~80 (est. 2021-23)	< 100	< 70	✅ NHP target met; SDG in sight
IMR (SRS 2024)	34	28 (2020)	24 (SRS 2024)	28	25	✅ Near/met SDG target
U5MR (SRS 2024)	43	35	28	23	-	🔄 In progress
NMR (SRS 2024)	24	20	18	16	-	🔄 Near target
TFR	2.2	2.0	1.9 (NFHS-6 est.)	2.1	-	✅ Below replacement level
Institutional Deliveries	78.9%	88.6%	90.6%	100%	-	✅ Major improvement
ANC coverage (4+ visits)	51.2%	58.7%	~65%+	Universal	-	🔄 In progress
ANC full coverage (any)	-	92.6%	95.9%	Universal	-	🔄 Near target
Skilled Birth Attendance	81.4%	89.4%	~91%+	97% (SDG)	-	🔄 In progress
Modern Contraceptive Prevalence	53.5%	56.5%	-	55.3% (SDG)	55.3%	✅ SDG target met (NFHS-5)
Unmet need for family planning	12.9%	9.0%	-	< 10.5% (SDG)	-	✅ SDG target met

8. Integrated Child Development Services (ICDS) Programme

Indicator	NFHS-4 (2015-16)	NFHS-5 (2019-21)	NFHS-6 (2023-24)	Target	Status
Stunting (under-5)	38.4%	35.5%	29.3%	25% (POSHAN 2.0)	🔄 17% reduction; progressing
Wasting (under-5)	21.0%	19.3%	19.0%	5%	⚠️ Slow decline
Severe Wasting	7.4%	7.7%	5.2% (32% reduction)	-	✅ Significant improvement
Underweight (under-5)	35.7%	32.1%	31.8%	25%	🔄 Slow progress
Exclusive Breastfeeding (< 6 months)	54.9%	63.7%	-	70%	🔄 In progress
Breastfeeding within 1 hour of birth	41.6%	41.8%	50.1%	-	✅ Improved sharply (NFHS-6)
AWCs operational	-	13.9 lakh AWCs	-	14 lakh	✅ Near target

9. Universal Immunization Programme (UIP)

Indicator	NFHS-4 (2015-16)	NFHS-5 (2019-21)	NFHS-6 (2023-24)	Target	Status
Full Immunization Coverage (FIC)	62%	76.4% (NFHS-5) / 83.8% (admin)	87.1% (NFHS-6)	> 90% (NHP)	🔄 Near target
FIC (administrative data, Apr-Dec 2025)	-	-	98.7%	90%+	✅ Achieved
Children receiving any vaccine	-	-	> 96%	-	✅ Achieved
Rotavirus vaccine coverage	~36.4%	36.4%	85.4%	Universal	✅ Major jump
Hepatitis-B birth dose	67.4%	67.4%	77.6%	Universal	🔄 Improving
Vaccinations in public facilities	90.7%	-	95.6%	-	✅ Improved
Mission Indradhanush - children vaccinated	-	-	5.46 crore (12 phases)	-	✅ Ongoing
U-WIN platform registrations	0	0	17.39 crore beneficiaries; 75.36 crore doses tracked	-	✅ New

10. National Mental Health Programme (NMHP)

Indicator	Baseline	Current Status (2024-25)	Target	Status
Districts with DMHP	Limited	All districts (>700)	Universal	✅ Achieved
Tele-MANAS (calls handled)	0 (launched 2022)	>20 lakh calls (by Apr 2025)	-	✅ Functional
Tele-MANAS funding (3 years)	-	₹230 crore+	-	✅
Centres of Excellence (2024)	Few	25 CoEs sanctioned	25	✅ Achieved
PG departments in mental health	-	47 strengthened	-	✅
Rehabilitation Homes/Halfway Homes	-	~440 (Manoashraya Dashboard)	-	🔄 Expanding
Mental health at HWC/AAM	No	Integrated in AAM (basic counselling + psychiatric medicines)	Universal	✅ Integrated
Specialist-to-population ratio	1:1 lakh (psychiatrist)	Improving; still < WHO norms	3/1 lakh	⚠️ Shortfall persists

11. NPCDCS (Cancer, Diabetes, CVD & Stroke)

Indicator	Baseline	Current Status (2024-25)	Target	Status
NCD Clinics at District Hospitals	Pilot districts	All 36 States/UTs	Universal	✅ Scaled up
Population screened (>30 yrs) via CBAC	0	>27 crore persons screened for common NCDs	Universal (30+)	🔄 Ongoing
Hypertension prevalence (adult women, NFHS-6)	21.0% (2015-16)	29.7% (NFHS-6; rising trend)	Reduce incidence	⚠️ Rising burden
Diabetes prevalence (adult women)	12.8% (2015-16)	21.4% (NFHS-6; rising)	Reduce incidence	⚠️ Rising burden
Free anti-hypertensive medicines at PHC	Limited	Available under NLEM	Universal	✅ Available
Cancer screening (oral/cervical/breast)	Pilot	Expanding opportunistic screening	Universal	🔄 In progress
Tobacco use (adults, NFHS-6)	-	Declining trend	Reduce	🔄 Declining

12. Swachh Bharat Mission (SBM)

Indicator	Baseline (2014)	Current Status (2024-25)	Target	Status
Rural ODF Status	Open defecation widespread	All 6.38 lakh villages ODF declared	100% ODF	✅ Phase I Achieved
Household toilet coverage (rural)	~38.7%	>99% (govt. claim; verified ~95%+)	100%	✅ Near achieved
Urban households with toilets	~81.4%	~97%+	100%	✅ Near achieved
Manual scavenging elimination	Active	Legally abolished; monitoring ongoing	Zero	🔄 Ongoing
ODF-Plus villages (SBM-II)	-	>5.5 lakh ODF-Plus villages (2024)	All villages by 2025	🔄 In progress
Swachh Survekshan top cities	-	Annual ranking operational	All cities ranked	✅ Operational
Reduction in open defecation	550 million practicing OD	Dramatic decline	Zero OD	✅ Major achievement

13. Ayushman Bharat Yojana (HWC + PM-JAY)

Indicator	Baseline (2018)	Current Status (2025-26)	Target	Status
Health & Wellness Centres (AAM) operational	0	>1,73,000 (as of 2024-25)	1,50,000	✅ Target exceeded
PM-JAY beneficiaries registered	0	>55 crore (as of Dec 2024)	50 crore (10 crore families)	✅ Target exceeded
Hospitalizations covered under PM-JAY	0	>8.3 crore (cumulative)	-	✅ Significant coverage
Empanelled hospitals (PM-JAY)	0	~28,000+	-	✅ Expanding
Households with health insurance (NFHS-6)	29% (NFHS-4)	Improved substantially	Universal	🔄 Improving
Senior citizens (70+) covered (Ayushman Vaya Vandana)	0	Launched 2024; expanding	All 70+ citizens	🔄 New

14. Ayushman Bharat Digital Mission (ABDM)

Indicator	Current Status (2025-26)	Target	Status
ABHA (Health IDs) created	>73 crore ABHA numbers	100 crore+	🔄 Rapid progress
Health Facility Registry (HFR) entries	>3.4 lakh facilities	All facilities	🔄 In progress
Healthcare Professionals Registry	>6 lakh professionals	All licensed HCPs	🔄 In progress
U-WIN beneficiaries tracked	17.39 crore	Universal immunization tracking	🔄 Expanding
Digital health records linked to ABHA	Growing; interoperability framework live	Universal	🔄 Early stage

15. National Health Mission (NHM: NRHM + NUHM)

Indicator	Pre-NHM (2005)	Current Status (2024-25)	NHP 2017 Target	Status
Sub-Centres functioning	~1.45 lakh	~1.65 lakh	IPHS norms	🔄 Upgraded
PHCs functioning	~22,000	~25,743	IPHS norms	🔄 Upgrading
CHCs functioning	~3,000	~6,064	IPHS norms	🔄 Upgrading
ASHAs deployed	0	~10.5 lakh ASHAs	1 per 1,000 rural pop.	✅ Achieved
MMR (NHP target)	254 (2004-06)	97 (SRS 2018-20)	< 100	✅ Achieved
IMR (NHP target)	58 (2005)	24 (SRS 2024)	28	✅ Exceeded target
ASHA performance incentives paid	-	>₹4,000 crore/yr to ASHAs	-	✅ Functional

16. National AYUSH Mission (NAM)

Indicator	Baseline (2014)	Current Status (2024-25)	Target	Status
AYUSH HWCs	0	11,770 AYUSH HWCs	12,500	🔄 Near target
AYUSH doctors deployed at PHC/CHC	Limited	Expanded under NHM	All PHCs with AYUSH	🔄 In progress
AYUSH hospitals (upgraded)	~3,200	~4,500+	All state AYUSH hospitals	🔄 In progress
AYUSH dispensaries	~25,000	~30,000+	Expanded	🔄 In progress
Yoga & Wellness centres	0	Expanding under NAM	-	🔄

PART B: NATIONAL NUTRITION PROGRAMS

17. National Iodine Deficiency Disorders Control Programme (NIDDCP)

Indicator	Baseline	Current Status	Target	Status
Total Goitre Rate (TGR)	>10% (1990s, many states)	< 5% in most states	< 5%	✅ Near target
Salt iodization coverage	~50% (1990s)	>90% of households use iodized salt	100% USI	✅ Near achieved
Iodine deficiency - districts surveyed	-	Ongoing NIDDCP surveys	All districts	🔄 Periodic surveys
IDDs as public health problem	Endemic in many states	Significant reduction	Elimination	✅ Major progress
Urinary Iodine Excretion (UIE)	Deficient in many areas	Improving	≥ 100 µg/L median UIE	🔄 Monitoring ongoing

18. National Iron Plus Initiative (NIPI) / Anaemia Mukt Bharat

Indicator	NFHS-4 (2015-16)	NFHS-5 (2019-21)	NFHS-6 (2023-24)	Target (AMB)	Status
Anaemia in children 6-59 months	58.5%	67.1%	~58% (est.)	Reduce 3%/yr	⚠️ Worsened in NFHS-5; recovering
Anaemia in women 15-49 yrs	53.1%	57.0%	~52% (est.)	Reduce 3%/yr	⚠️ Still high; declining
Anaemia in pregnant women	50.4%	52.2%	~48% (est.)	Reduce 3%/yr	🔄 Gradual decline
Anaemia in adolescent girls (15-19)	54.1%	59.1%	-	Reduce 3%/yr	⚠️ Rising trend
WIFS coverage (adolescent girls in school)	Low	Improving	-	Universal	🔄 Expanding
National Deworming Day coverage	0 (2015)	>25 crore children (2x/year)	All 1-19 yrs	✅ Large scale

Anaemia remains one of India's most persistent public health challenges despite NIPI/AMB.

19. National Vitamin A Prophylaxis Programme

Indicator	Baseline	Current Status (2024-25)	Target	Status
Vitamin A deficiency (clinical) prevalence in children	~0.7% Bitot's spots (1970s-80s)	< 0.5% (significant reduction)	Elimination of clinical VAD	✅ Major progress
Night Blindness in children (6-59 months)	0.7% (older data)	0.5% (NFHS-5)	Near zero	🔄 Declining
Vitamin A supplementation coverage (6-59 months)	Low (pre-2005)	~85-90% via UIP+ICDS	> 90%	🔄 Near target
Vitamin A dose at 9 months (with measles)	Partially covered	Integrated in UIP	Universal	✅ Integrated
6-monthly doses (18 months - 5 yrs)	Irregular	More systematic	Universal	🔄 Improving

20. Mid Day Meal Programme (PM POSHAN)

Indicator	Baseline (1995)	Current Status (2024-25)	Target	Status
Children covered (daily)	~1.7 crore (1995)	~11.8 crore children (Classes I-VIII + pre-primary)	Universal (govt. schools)	✅ Scaled massively
Schools covered	-	~11.8 lakh schools	All govt./aided	✅ Near universal
Enrolment increase attributed	Low	School enrolment > 96% (primary)	Universal enrolment	✅ Contributed
Nutritional impact: Stunting in school-age children	High	Declining trend	Reduce	🔄 Gradual improvement
PM POSHAN (pre-primary Bal Vatikas)	Not covered	Extended to Bal Vatikas (2021)	All govt. pre-primary	✅ Extended
Kitchen gardens at schools	Few	Promoted; expanding	All schools	🔄 In progress
Calorie norm met (daily per child)	Irregular	450 kcal (primary) / 700 kcal (upper primary)	As per norm	🔄 Monitored

21. Balwadi Nutrition Programme

Indicator	Baseline (1970)	Current Status	Target	Status
Balwadis operational	5,000 (1970s)	Being phased out	Merged with ICDS	✅ Phase-out in progress
Children covered	Limited	Absorbed by ICDS AWCs	Universal via ICDS	✅ ICDS replacement
Nutritional supplement (300 kcal/day)	Ongoing (where active)	Now provided under ICDS	Via AWCs	✅ Continued under ICDS

Overall Progress Summary

Program	Overall Status	Key Gap / Challenge
NLEP	✅ Elimination achieved nationally; district-level complete	New case detection still ~1 lakh/yr; 60% of global burden
NACP	🔄 Good ART expansion; SDG targets partially met	Viral suppression & new infection reduction gaps
NPCB&VI	🔄 Near target on blindness prevalence	Diabetic retinopathy emerging as new burden
Polio	✅ Eradicated; free since 2014	Maintain surveillance; prevent re-importation
NTEP	✅ Treatment success 90%; 21% incidence decline	Still far from 2025 elimination target; 187 vs target 65/lakh
NVBDCP	✅ Kala-Azar eliminated Oct 2024; Malaria near target	Dengue/Chikungunya persistent; Filariasis elimination pending
RCH/NHM	✅ MMR, IMR, TFR targets met/near met	MMR SDG target (< 70) still to achieve
ICDS	🔄 Stunting reduced 17% (NFHS-6)	Wasting and underweight remain high
UIP	✅ FIC 87.1% (NFHS-6); 98.7% (admin data)	Survey vs admin data gap; equitable coverage in remote areas
NMHP	🔄 DMHP universal; Tele-MANAS live	Psychiatrist shortage; stigma persists
NPCDCS	⚠️ NCD screening expanded but NCD burden rising	HTN 29.7%; DM 21.4% in adults (NFHS-6) - rising trend
SBM	✅ ODF declared; Phase II ODF-Plus ongoing	Sustainability of toilet usage; behaviour change
Ayushman Bharat	✅ 55 crore enrolled; 1.73 lakh HWCs	Quality of care at HWCs; private sector fraud control
ABDM	🔄 73 crore ABHA IDs created	Actual health record linkage low; digital divide
NIDDCP	✅ Salt iodization >90% coverage	Sub-national pockets of deficiency remain
NIPI/AMB	⚠️ Anaemia still very high (50-67% in target groups)	Most difficult SDG nutrition challenge in India
Vitamin A	✅ Clinical VAD largely controlled	Coverage of 6-monthly doses still sub-optimal
PM POSHAN/MDM	✅ 11.8 crore children covered	Quality, hot meal vs dry ration compliance
Balwadi	✅ Phased into ICDS	No longer independent; ICDS coverage critical

Legend: ✅ Target Achieved | 🔄 In Progress / Partial | ⚠️ Significant Gap / Challenge

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