Sundararaman T, Jain Kamlesh, Raman V R, Singh Premanjali Deepti
State Health Resource Center, Kalibadi Raipur.
Indian J Public Health. 2005 Jul-Sep;49(3):156-62.
The National Rural Health Mission (NRHM), launched by the present government as part of its honouring the Common Minimum Programme (CMP) commitment, had its content shaped by an active process of dialogue between many stakeholders. This article traces the contours of the discussions on three key concerns of civil society that influenced their contributions to the shaping of the National Rural Health Mission agenda. These three concerns were promotion of targeted sterilisation, a retreat of the state from its commitments to the health sector and that the NRHM agenda would lead to privatisation of public health facilities. Whereas fears on targeted sterilisation and retreat of the state may be unrealistic, there is a thrust to increased involvement of the private sector, which needs to be understood in its entirety. There is need for continued engagement byequity concerned public health professionals and health activists at all levels of implementation and not merely community monitoring to influence and shape the National Rural Health Mission in a pro-poor direction.
现任政府发起的国家农村卫生使命（NRHM），作为其履行《共同最低纲领》（CMP）承诺的一部分，其内容是由众多利益相关者之间积极的对话过程所塑造的。本文追溯了民间社会就三个关键问题进行讨论的概况，这些问题影响了他们对国家农村卫生使命议程形成所做的贡献。这三个问题分别是：推广针对性绝育、国家从其对卫生部门的承诺中退缩，以及国家农村卫生使命议程将导致公共卫生设施私有化。尽管对针对性绝育和国家退缩的担忧可能不切实际，但私营部门参与度增加这一趋势需要全面理解。关注公平的公共卫生专业人员和卫生活动家需要在各级实施过程中持续参与，而不仅仅是进行社区监督，以便朝着有利于穷人的方向影响和塑造国家农村卫生使命。
