In the newly created sub divisions and districts,hospitals were not set up.The number of beds in the hospitals was also less than the required as per the IPHS norms.There was shortage of staff of differents categories like medical officers,Nurse "A" grade,ANM,Lab technicians,OT assistants etc at districts and sub divisional hospitals and PHC.

NRHM was launched in the month of August2005 with a view to bring about these architectural corrections,provide techno-managerial support and ASHA a voluntary link worker between the villages and the health facilities.With this view State Health Society (SHS),Bihar was set up in August 2005 for providing techno-managerial support and implementation of NRHM in the State.

The prime goal of the Department of Health GoB with SHS to provide qualilty health care services 24*7 hours up to PHC level.Under the NRHM the state has embarked upon a number of initiatives which are described below.