Chandigarh, September 30: The National Health Mission (NHM), Haryana, has released its first Quarterly Performance Review (QPR) booklet, titled Pratham Traimasik Samiksha – 2026-27. The QPR is envisioned as a comprehensive, indicator-based mechanism for assessing NHM programme performance at the district level. It aims to give an in-depth understanding of district-wise performance by identifying high- and low-performing districts, highlighting areas of concern, and enabling districts to address the key challenges affecting service delivery.

The booklet has been compiled as a comprehensive and practical guide for Programme Managers, Medical Officers, district- and block-level officials, and all other stakeholders involved in NHM implementation. Baseline data was captured using scientific research methodologies.

Mission Director, NHM, Dr. R.S. Dhillon said, “The performance framework is structured across four major pools: Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCHAH); Health System Strengthening (HSS); National Disease Control Programmes (NDCP); and Non-Communicable Diseases (NCD). These indicators give a holistic view of programme implementation, coverage, quality and outcomes, thereby facilitating evidence-based decision-making and targeted corrective action. For an objective and comparable assessment, district-wise rankings have been developed using a robust scoring framework that incorporates the Points Method, Z-Score and Normalization Method, as appropriate. The rankings foster healthy competition and a spirit of continuous improvement, encouraging districts to learn from their better-performing peers. Detailed performance reports have been shared with all districts”.

Dr. Dhillon said, “Earlier, the program divisions were monitoring their respective programs. As a result, key health indicators did not improve optimally, since gaps that could have been plugged through programme integration remained unaddressed. The planning division, which had primary role of budgeting under NHM and formed the Monitoring, Coordination and Planning (MCP) Division. The programme wise evaluation is more structured, collaborative and target oriented. It aims to institutionalize an integrated mechanism for programme monitoring, strategic planning, performance management, inter-divisional coordination and inter-sectoral convergence across all NHM programmes. The MCP Division has a three-fold objective and inter-linkage with the line department: Monitoring: Overall monitoring of all NHM programmes. Coordination: Integration and reconciliation of interlinked challenges and issues among divisions. Planning: Strategic planning based on feedback, gap analysis and regular reviews. This will chart a clear pathway for implementing the approved Programme Implementation Plans (PIPs), both financial and physical progress achieved against tartget, for improving the Key Performance Indicators (KPIs) and  Sustainable Development Goals (SDGs). It includes monitoring flagship initiatives such as PM-ABHIM, the National Digital Health Mission, TB Elimination, Maternal and Child Health, NCDs and other priority programmes”.

Dr. Dhillon further said, “The booklet developed has been shared with the civil surgeons, the base line data has been captured in the first quarter. The ranking of districts have been done on 4 major parameters RMNCHAH, HSS, NCD, NDCP and overall ranking. The MCP division will identify the gaps and formulate strategy and facilitate the districts in achieving their physical and financial targets. This exercise will be done in 2nd, 3rd and 4th quarter to achieve the said targets. This data collected and ranking in each group will classify the districts to plan more aggressively and work diligently in rendering the services at the field level as result people will be benefitted in availing the services provided by the department”.

“This booklet published in four quarters will help the department in planning for the next Financial year and developing road map to achieve the targets in terms of physical and financial. The first-time exercise has provided a useful baseline and helped establish the overall direction of progress. However, going forward, a more structured, standardized and objective ranking mechanism shall be in place. To tackle this and standardize the ranking for the next quarter onwards, appropriate weightage may be assigned to the indicators among three broad categories, namely Input, Process and Output Indicators, not only making the evaluation process more structured and robust but also likely contribution towards their expected contribution towards improved health outcomes in the near future,” he added. 

In addition, the framework may progressively incorporate relevant Key Performance Indicators (KPIs) and Key Deliverables covering the 37 programmes under the National Health Mission, thereby providing a more comprehensive assessment of programme implementation and service delivery across districts.

No.IPRDH/2026