The National Rural Health Mission (NRHM) is a major initiative of the Government of India aimed at improving the availability, accessibility, affordability, and quality of healthcare services in rural areas. It was launched on 12 April 2005 under the Ministry of Health and Family Welfare to strengthen the rural public health system and provide equitable healthcare, especially to vulnerable and underserved populations. In the context of Development Administration, the National Rural Health Mission represents an integrated and people-oriented approach to health administration, emphasizing decentralization, community participation, interdepartmental coordination, and effective service delivery. The mission was introduced in response to the poor health indicators prevailing in rural India, including high maternal and infant mortality rates, inadequate healthcare infrastructure, shortage of trained medical personnel, low immunization coverage, and unequal access to healthcare services. Initially, it focused on eighteen states with weak public health systems, including the Empowered Action Group (EAG) states, North-Eastern states, Jammu and Kashmir, and Himachal Pradesh. The primary objective of NRHM is to provide accessible, affordable, accountable, effective, and reliable healthcare services to the rural population. It aims to reduce maternal mortality, infant mortality, and total fertility rates while ensuring universal access to reproductive, maternal,