Innovative Rural Health Care Services and Its Social Impact -A State Wise Comparative Analysis

National Rural Health Mission (NRHM) was launched in 2005 with the main target focusing on prime public health indicators of 18 states of India. Greater emphasis was given on curative and preventive health care services with decentralization of health care delivery resources at community level. NRHM focused on prime necessities of the country's rural health needs and was oriented towards achievements of the outcomes rather impact analysis. Although after completion of 8 years of NRHM impact assessment at community level, it has become a key parameter for deciding the success or failure of NRHM as rural health policy. NRHM objective stress on rural women and children considering the most vulnerable group, thus mission grasp attention through acute programs like ‘Janani Suraksha Yojana (JSY)’, ‘Rastriya Bal Swaath Karyakaram (RBSK)’ and most popularized approach was selecting women activist form the community working towards maternal and child health care. This paper intends review major innovation and positive changes brought by NRHM in various states of India with changing governance. The present review paper provides exclusive comparative critical analysis of community base innovations of NRHM in rural India and its overall impact on the prime health care indicators. The paper highlights the achievements of NRHM as rural health policy involving the community and promoting the mission through communitization. The existence of NRHM and continuum of the mission werejudged with achievement of laid objectives in the defined time frame. The review paper has concise the major innovation inrural public health field and impact on target health indicators since 2005 till 2014. All the secondary of different states on physical infrastructure and health indicators were analysed and reported in tables and figure. Furthermore, comparative analysis of rural and urban variation achieved through execution of NRHM is also illustrated and discussed in this review paper.