Lok Sabha Question No. 2982 (UNSTARRED), answered on 2018-08-03
Subject: Allocation of Funds for Health Programmes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAHUL KASWAN, ASADUDDIN OWAISI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 2982 TO BE ANSWERED ON 3 rd AUGUST, 2018

## ALLOCATION OF FUNDS FOR HEALTH PROGRAMMES

## 2982. SHRI RAHUL KASWAN: SHRI ASADUDDIN OWAISI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  the  total  allocation  of  funds  by  the Government  towards  various  health programmes  and schemes during the last three years and the current year, State/UT wise;
- (b)whether the funds allocated for said programmes are not being properly utilised and if so, the details thereof, State/ UT - wise;
- (c)  whether  any  allocation  under  the budgetary  provisions  has  been  slashed down  if  so,  the details thereof; and
- (d) the steps taken/being taken by the Government to minimise the gap between utilisation and budgetary allocation?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a) & (b): The total allocation of funds towards various Health Programmes and Schemes during the last three years and current     years is as under: -

## (` in crore)

| Year     |      BE | RE       | Expenditure                |
|----------|---------|----------|----------------------------|
| 2015- 16 | 31050   | 32819.00 | 33121.41                   |
| 2016- 17 | 37061.6 | 38343.33 | 37671.21                   |
| 2017- 18 | 47352.5 | 51550.85 | 51381.79                   |
| 2018- 19 | 52800   |          | 18234.11 (upto 26.07.2018) |

However,  State/UT - wise  distribution  is  done  only  for  Centrally  Sponsored  Schemes. State/UT - wise distribution of various Centrally Sponsored Schemes is at Annexure -I, II and III.

Public  Health  being  a  State  subject,  primary  responsibility  of  implementation monitoring of Programmes under NHM rests with the State Governments.  However, the Centra Government has been undertaking financial monitoring of the programmes through Audi t by the Comptroller & Auditor General of India, Annual Statutory Audit by CAG empanelled major CA audit firms; Concurrent Audit by CA audit firms, financial reporting through Quarterly Fi Management Reports (FMR) etc.

- (c): No.
- (d): The steps take n in this regard include: -
- I. Monitoring of expenditure as per approved monthly/quarterly expenditure plan to av rush  of  expenditure  and  anticipate  the  saving  for  pacing  up  of  expenditure -appropriation, if required.
- II. Implementation of Public Finance Man agement Systems (PFMS) to  ensure transparency and real - time disbursements.

## Statement Showing State - wise Release for the period from 2015 -16 to 2017 - 18 and allocation of 2018 - 19 under NHM

Rs. in crore

| Sl. No.   | States/UTs                | 2015-16   | 2016-17   | 2017-18   | 2018-19    |
|-----------|---------------------------|-----------|-----------|-----------|------------|
| Sl. No.   | States/UTs                | Release   | Release   | Release   | Allocation |
| 1         | Andaman & Nicobar Islands | 37.54     | 44.9 0    | 33.94     | 38.06      |
| 2         | Andhra Pradesh            | 659.04    | 629.55    | 875.06    | 749.54     |
| 3         | Arunachal Pradesh         | 163.8 0   | 160.6 0   | 261.7 0   | 209.69     |
| 4         | Assam                     | 997.59    | 1,046.09  | 1,392.66  | 1,245.23   |
| 5         | Bihar                     | 1,269.67  | 1,040.59  | 1,557.40  | 1,589.56   |
| 6         | Chandigarh                | 24.66     | 21.47     | 20.35     | 21.2 0     |
| 7         | Chhattisgarh              | 423.31    | 586.97    | 825.76    | 695.88     |
| 8         | Dadra & Nagar Haveli      | 14.63     | 17.12     | 19.14     | 21.82      |
| 9         | Daman & Diu               | 10.66     | 11.53     | 10.67     | 15.48      |
| 10        | Delhi                     | 176.56    | 241.98    | 268.39    | 149.22     |
| 11        | Goa                       | 17.3 0    | 26.13     | 26.07     | 30.38      |
| 12        | Gujarat                   | 714.39    | 863.66    | 1,221.83  | 965.8      |
| 13        | Haryana                   | 318.21    | 335.55    | 384.25    | 384.62     |
| 14        | Himachal Pradesh          | 249.14    | 212.49    | 370.89    | 344.9      |
| 15        | Jammu & Kashmir           | 375.34    | 362.42    | 550.42    | 513.03     |
| 16        | Jharkhand                 | 423.93    | 454.64    | 735.99    | 609.49     |
| 17        | Karnataka                 | 772.15    | 714.09    | 1,345.50  | 1,224.53   |
| 18        | Kerala                    | 315.35    | 452.36    | 586.52    | 582.43     |
| 19        | Lakshadweep               | 5.72      | 3.83      | 5.54      | 7.65       |
| 20        | Madhya Pradesh            | 1,156.95  | 1,490.75  | 1,696.56  | 1,767.03   |
| 21        | Maharashtra               | 1,142.64  | 1,252.55  | 1,707.60  | 1,803.21   |
| 22        | Manipur                   | 115.19    | 79.07     | 163.05    | 146.49     |
| 23        | Meghalaya                 | 107.5 0   | 161.13    | 189.02    | 158.03     |
| 24        | Mizoram                   | 95.26     | 80.88     | 126.95    | 105.9 0    |
| 25        | Nagaland                  | 106.37    | 95.92     | 134.86    | 122.93     |
| 26        | Orissa                    | 669.77    | 728.58    | 1,216.22  | 803.74     |
| 27        | Puducherry                | 19.21     | 41.35     | 35.55     | 27.4 0     |
| 28        | Punjab                    | 305.97    | 292.55    | 483.74    | 523.21     |
| 29        | Rajasthan                 | 1,329.48  | 1,234.18  | 1,615.29  | 1,485.95   |
| 30        | Sikkim                    | 41.54     | 41.72     | 55.4 0    | 55.35      |
| 31        | Tamil Nadu                | 1,110.31  | 788.68    | 1,293.97  | 1,162.29   |
| 32        | Tripura                   | 238.39    | 343.47    | 662.42    | 168.67     |
| 33        | Uttar Pradesh             | 2,868.98  | 3,099.84  | 3,509.95  | 3,302.12   |
| 34        | Uttarakhand               | 378.53    | 325.86    | 493.67    | 344.62     |
| 35        | West Bengal               | 971.36    | 755.6 0   | 1,232.81  | 1,059.58   |
| 36        | Telangana                 | 439.06    | 386.34    | 356.16    | 564.43     |
| Sub Total | Sub Total                 | 18,065.50 | 18,424.43 | 25,465.28 | 22,999.44  |

1. Allocation has no relevance after the closure of financial year, therefore release figure is furnished.
2. Allocation for the F.Y. 2018 - 19 is tentative and does not include kind grants under Immunisation.

Annexure - II

| Release made Under RSBY (Amounts in crores)   | Release made Under RSBY (Amounts in crores)   | Release made Under RSBY (Amounts in crores)   | Release made Under RSBY (Amounts in crores)   | Release made Under RSBY (Amounts in crores)   | Release made Under RSBY (Amounts in crores)   | Release made Under RSBY (Amounts in crores)   |
|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|
| Sr. No.                                       | Name of State                                 | 2015- 16                                      | 2016- 17                                      | 2017- 18                                      | 2018- 19                                      | TOTAL                                         |
| 1                                             | Assam                                         | 23.24                                         | 54.72                                         | 0.00                                          | 0.00                                          | 77.96                                         |
| 2                                             | Bihar                                         | -                                             | 0.00                                          | 0.00                                          | 0.00                                          | 0.00                                          |
| 3                                             | Chhattisgarh                                  | 88.77                                         | 114.09                                        | 171.38                                        | 0.00                                          | 374.24                                        |
| 4                                             | Gujarat                                       | 74.24                                         | 22.34                                         | 15.07                                         | 23.52                                         | 135.17                                        |
| 5                                             | Haryana                                       | 4.67                                          | 0.60                                          | 0.00                                          | 0.00                                          | 5.27                                          |
| 6                                             | Himachal Pradesh                              | 13.90                                         | 12.30                                         | 6.15                                          | 0.00                                          | 32.36                                         |
| 7                                             | Jharkhand                                     | -                                             | 0.00                                          | 0.00                                          | 0.00                                          | 0.00                                          |
| 8                                             | Karnataka                                     | 94.99                                         | 45.89                                         | 7.39                                          | 21.93                                         | 170.19                                        |
| 9                                             | Kerala                                        | 112.37                                        | 73.29                                         | 77.53                                         | 0.00                                          | 263.19                                        |
| 10                                            | Madhya Pradesh                                | 1.00                                          | 0.00                                          | 0.00                                          | 0.00                                          | 1.00                                          |
| 11                                            | Manipur                                       | 1.17                                          | 2.20                                          | 0.00                                          | 0.00                                          | 3.37                                          |
| 12                                            | Meghalaya                                     | 4.10                                          | 4.10                                          | 0.00                                          | 11.08                                         | 19.28                                         |
| 13                                            | Mizoram                                       | 9.43                                          | 14.13                                         | 12.96                                         | 0.00                                          | 36.52                                         |
| 14                                            | Nagaland                                      | -                                             | 0.00                                          | 4.87                                          | 0.00                                          | 4.87                                          |
| 15                                            | Odisha                                        | 59.55                                         | 31.70                                         | 55.75                                         | 0.00                                          | 147.00                                        |
| 16                                            | Puducherry                                    | 0.17                                          | 0.00                                          | 0.00                                          | 0.00                                          | 0.17                                          |
| 17                                            | Punjab                                        | 2.80                                          | 0.00                                          | 0.00                                          | 0.00                                          | 2.80                                          |
| 18                                            | Rajasthan                                     | 53.57                                         | 0.00                                          | 0.00                                          | 0.00                                          | 53.57                                         |
| 19                                            | Tripura                                       | 15.64                                         | 10.83                                         | 0.04                                          | 0.00                                          | 26.51                                         |
| 20                                            | Uttar Pradesh                                 | 11.91                                         | 0.00                                          | 0.00                                          | 0.00                                          | 11.91                                         |
| 21                                            | Uttarakhand                                   | 10.20                                         | 0.00                                          | 9.15                                          | 0.00                                          | 19.34                                         |
| 22                                            | West Bengal                                   | 93.38                                         | 50.47                                         | 95.01                                         | 0.00                                          | 238.86                                        |
| Grand Total                                   | Grand Total                                   | 675.10                                        | 436.66                                        | 455.30                                        | 56.53                                         | 1623.59                                       |

## Annexure - III(A)

## Funds released under the Scheme for Establishment of new Medical Colleges attached with existing District/Referral Hospital -Phase- I

(Rs. in crore)

| S. No.   | States/UT                   |   Amount released (2014 -15) |   Amount released (2015 -16) |   Amount released (2016 -17) |   Amount released (2017 -18) |   Amount released (2018 -19) Till date |   Total Amount Released |
|----------|-----------------------------|------------------------------|------------------------------|------------------------------|------------------------------|----------------------------------------|-------------------------|
| 1        | Andaman and Nicobar Islands |                         0    |                        28    |                        40    |                        45    |                                   0    |                  113    |
| 2        | Arunachal Pradesh           |                         0    |                        42.5  |                        10    |                        50    |                                  50    |                  152.5  |
| 3        | Assam                       |                         0    |                        30    |                       143.97 |                       161    |                                 158    |                  492.97 |
| 4        | Bihar                       |                         0    |                         8    |                        44    |                        56    |                                   0    |                  108    |
| 5        | Chhattisgarh                |                        14    |                        39.02 |                        83    |                        60.78 |                                  20    |                  216.8  |
| 6        | Himachal Pradesh            |                        12.53 |                        67.98 |                       123    |                       119    |                                 163    |                  485.51 |
| 7        | Haryana                     |                         0    |                         0    |                        14.05 |                        54    |                                  20    |                   88.05 |
| 8        | Jharkhand                   |                         0    |                         0    |                        78    |                       186    |                                  36    |                  300    |
| 9        | Jammu & Kashmir             |                         0    |                         0    |                       108    |                       247    |                                 150    |                  505    |
| 10       | Madhya Pradesh              |                        14    |                        24    |                       111    |                       429.5  |                                 121.5  |                  700    |
| 11       | Maharashtra                 |                         6    |                         7    |                        55    |                        20    |                                  17    |                  105    |
| 12       | Meghalaya                   |                         0    |                         0    |                         0    |                        76    |                                  50    |                  126    |
| 13       | Mizoram                     |                         0    |                        30    |                        21.02 |                        90.5  |                                  23.58 |                  165.1  |
| 14       | Nagaland                    |                         0    |                        36.5  |                        14.53 |                        25    |                                   0    |                   76.03 |
| 15       | Odisha                      |                        35    |                        85    |                        50    |                       371    |                                  17.6  |                  558.6  |
| 16       | Punjab                      |                         0    |                         0    |                         0    |                         0    |                                  60    |                   60    |
| 17       | Rajasthan                   |                        41    |                        89.2  |                       103    |                       502.2  |                                  55.6  |                  791    |
| 18       | Uttar Pradesh               |                         0    |                        16    |                       154.1  |                       330    |                                  50    |                  550.1  |
| 19       | Uttarakhand                 |                         6    |                         8    |                        37.02 |                       102.02 |                                  10    |                  163.04 |
| 20       | West Bengal                 |                         0    |                        20    |                       104    |                       375    |                                  26    |                  525    |
|          | TOTAL                       |                       128.53 |                       531.2  |                      1293.69 |                      3300    |                                1028.28 |                 6281.7  |

Funds  released  under  the  Scheme  for  Establishment  of  new  Medical Colleges attached with existing District/Referral Hospital -Phase- II

| S.No.   | State          |   Funds released during 2018 - 19 (in crore) |
|---------|----------------|----------------------------------------------|
| 1       | Jharkhand      |                                           50 |
| 2       | Madhya Pradesh |                                           50 |
| 3       | Rajasthan      |                                           50 |
| 4       | Uttar Pradesh  |                                          350 |
| 5       | West Bengal    |                                           50 |
| 6       | Sikkim         |                                           50 |
| Total   | Total          |                                          600 |

The Phase - IIof the Scheme was approved in February, 2018.

Funds released under the Scheme for Upgradation of existing State Government/Central  Government  medical  colleges  to  increase  MBBS  seats  in  the country

(Rs. in crore)

| S. No.   | States/UT      |   Amount released (2015- 16) |   Amount released (2016- 17) |   Amount released (2017- 18) |   Amount released (2018- 19) till date |   Total |
|----------|----------------|------------------------------|------------------------------|------------------------------|----------------------------------------|---------|
| 1        | Andhra Pradesh |                          6   |                        15.51 |                        27.96 |                                  30.53 |   80    |
| 2        | Gujarat        |                          4.5 |                        15.6  |                        20.7  |                                  30    |   70.8  |
| 3        | Jharkhand      |                          0   |                         0    |                         0    |                                  24    |   24    |
| 4        | Madhya Pradesh |                         12   |                        38.33 |                        57.67 |                                  90    |  198    |
| 5        | Odisha         |                          5   |                        16.56 |                        53.38 |                                  30    |  104.94 |
| 6        | Punjab         |                          4   |                        10.34 |                        36.6  |                                  21.06 |   72    |
| 7        | Rajasthan      |                          7   |                        21.73 |                        44.74 |                                  74.53 |  148    |
| 8        | Tamil Nadu     |                          9.5 |                        31.76 |                        41.3  |                                  70    |  152.56 |
| 9        | Uttarakhand    |                          2   |                         5.17 |                         8.83 |                                  10    |   26    |
| 10       | West Bengal    |                          0   |                         0    |                        24    |                                  20    |   44    |
| 11       | Manipur        |                          0   |                         0    |                        12    |                                  20    |   32    |
| 12       | Karnataka      |                          0   |                         0    |                       152.82 |                                 123.18 |  276    |
|          | TOTAL          |                         50   |                       155    |                       480    |                                 543.3  | 1228.3  |

Funds  released  under  the  Scheme  for 'Strengthening  and  up - gradation  of  State Government Medical Colleges for starting new PG disciplines and increasing PG seats' till date

(Rs. in crore)

| S. No.   | State/UT         |   2015-16 |   2016-17 |   2017-18 |   2018-19 (till date) |    Total |
|----------|------------------|-----------|-----------|-----------|-----------------------|----------|
| 1        | Assam            |         0 |      3    |    6.9344 |                8.5065 |  36.1509 |
| 2        | Andhra Pradesh   |         0 |      0    |   28.655  |                6.3753 |  81.1053 |
| 3        | Bihar            |         0 |      0    |    7.047  |                0      |  36.107  |
| 4        | Chandigarh       |         0 |      0    |   13.664  |               13.664  |  44.418  |
| 5        | Chhattisgarh     |         0 |      0    |    9.819  |                0      |  22.094  |
| 6        | Goa              |         0 |      0    |    0      |                0      |  16.07   |
| 7        | Gujarat          |         0 |      0    |    0      |                0      |  22.22   |
| 8        | Himachal Pradesh |         0 |      0    |    0      |                0      |  10.05   |
| 9        | Jammu & Kashmir  |         0 |      0    |    8      |                8.9185 |  30.9985 |
| 10       | Jharkhand        |         0 |      3    |    5      |                0      |  24.49   |
| 11       | Kerala           |         0 |      0    |   11      |                4.5071 |  36.9621 |
| 12       | Madhya Pradesh   |         0 |      1.94 |   12.7535 |                5.8726 |  52.4761 |
| 13       | Maharashtra      |         0 |      0    |   45.4211 |               30.366  | 205.357  |
| 14       | Odisha           |         0 |      4.06 |    0.5    |                0      |  10.1    |
| 15       | Punjab           |         0 |      0    |    0      |                0      |  44      |
| 16       | Rajasthan        |         0 |      0    |    0      |                0      | 103.54   |
| 17       | Telangana        |         0 |      2    |    0      |                0      |  25.565  |
| 18       | Tripura          |         0 |      6    |    5      |                0      |  18.29   |
| 19       | Uttarakhand      |         0 |      0    |    0      |                0      |   7.65   |
| 20       | Uttar Pradesh    |         0 |      0    |    0      |                0      |  37.37   |
| 21       | West Bengal      |         0 |      0    |   11.206  |                0      | 123.976  |
|          | Total            |         0 |     20    |  165      |               78.21   | 988.99   |