Lok Sabha Question No. 1080 (UNSTARRED), answered on 2017-07-21
Subject: National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: VISHNU DAYAL RAM, JANAK RAM, B.V. NAYAK, PRASUN BANERJEE

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

LOK SABHA UNSTARRED QUESTION NO. 1080 TO BE ANSWERED ON 21 ST JULY, 2017

## NATIONAL HEALTH MISS ION

## 1080. SHRI VISHNU DAYAL RAM:

SHRI JANAK RAM:

SHRI B.V. NAIK:

SHRI PRASUN BANERJEE:

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

- (a) the amount released along with their purposes during the last three years and the current year under National Health Mission (NHM), State - wise;
- (b)whether released funds have been utilised by State Governments during the last three years and if so, the number of States that have submitted utilisation certificates and if not, the reasons therefor;
- (c) whether funding for NHM has increased during the said period and if so, the details thereof; and
- (d) the percentage increase with respect to the Central and State funding?

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

(SHRI FAGGAN SINGH KULASTE)

- (a): Statements showing the amount released along with their purposes in the last three yea and current year under National Health Mission (NHM) is enclosed as Annexure I, II & III.
- (b): Yes. The funds released under NHM have been utilised by the State Governments durin the last three years. Further all States /UTs have submitted Audited Utilisation Certificate up to the F.Y. 2015 - 16. The Audited Utilisation Certificates for the F.Y. 2016 - 17 is not yet due.
- (c): Funding for NHM has increased during the period from 2014 - 15 to 2017 - 18  in  NHM outlay is shown as under:

| Sl. No.   | Financial Year   | Revised Estimate   | Budgetary Corresponding State Share   | Total Outlay   |
|-----------|------------------|--------------------|---------------------------------------|----------------|
|           |                  | (Rs.               | (Rs.                                  | (Rs.           |
| 1         | 2014- 15         | 17,627.82          | 5,167.21                              | 22,795.03      |
| 2         | 2015- 16         | 18,295.00          | 9,951.87                              | 28,246.87      |
| 3         | 2016 - 17        | 20,000.00          | 10,103.00                             | 30,103.00      |
| 4         | 2017 - 18*       | 21,940.71          | 12,084.00                             | 34,024.71      |

(*For the F.Y. 2017 - 18, outlay is as per Budgetary Estimate).

(d): On  acceptance  of  recommendation  of  14th  Finance  Commission  Centre - State  funding pattern between the Centre - State has been revised from 75:25 to 60:40 for all States. However, case of NE States and 3 Himalayan States, there is no change in the Centre - Sta te funding pattern i.e. 90:10.

Due to the change in Centre -State funding pattern from 75:25 to 60:40 w.e.f. 2015 - 16, there is an hundred percentage increases in matching State funding except North Eastern Himalayan States.

## Annexure-I

## Statement Showing Statewise Central Release under NHM from 2014-15 to 2017-18

Rs. in crore

|   Sl. No. | States                    | 2014-15 Central Release   | 2015-16 Central Release   | 2016-17 Central Release   | 2017-18 Central Release   |
|-----------|---------------------------|---------------------------|---------------------------|---------------------------|---------------------------|
|         1 | Andaman & Nicobar Islands | 23.36                     | 37.30                     | 44.81                     | -                         |
|         2 | Andhra Pradesh            | 519.73                    | 643.52                    | 603.17                    | 37.43                     |
|         3 | Arunachal Pradesh         | 139.41                    | 162.65                    | 157.57                    | 3.35                      |
|         4 | Assam                     | 877.13                    | 971.35                    | 1,022.33                  | 32.31                     |
|         5 | Bihar                     | 1,148.32                  | 1,159.49                  | 945.05                    | -                         |
|         6 | Chandigarh                | 12.15                     | 23.89                     | 21.22                     | -                         |
|         7 | Chattisgarh               | 500.41                    | 412.26                    | 558.18                    | 295.86                    |
|         8 | Dadra &Nagar Haveli       | 8.40                      | 14.37                     | 16.99                     | -                         |
|         9 | Daman &Diu                | 6.91                      | 10.53                     | 11.25                     | -                         |
|        10 | Delhi                     | 154.04                    | 163.80                    | 234.38                    | 21.44                     |
|        11 | Goa                       | 26.03                     | 16.77                     | 19.29                     | 1.56                      |
|        12 | Gujarat                   | 832.86                    | 693.78                    | 844.64                    | 517.81                    |
|        13 | Haryana                   | 273.60                    | 291.96                    | 306.44                    | 25.21                     |
|        14 | Himachal Pradesh          | 185.84                    | 246.49                    | 209.30                    | 201.52                    |
|        15 | Jammu &Kashmir            | 335.51                    | 367.90                    | 350.26                    | 308.73                    |
|        16 | Jharkhand                 | 359.62                    | 411.50                    | 373.39                    | 12.99                     |
|        17 | Karnataka                 | 697.24                    | 740.45                    | 695.42                    | 540.38                    |
|        18 | Kerala                    | 521.99                    | 304.14                    | 445.06                    | 213.72                    |
|        19 | Lakshadweep               | 5.08                      | 5.69                      | 3.81                      | -                         |
|        20 | Madhya Pradesh            | 1,162.50                  | 1,132.19                  | 1,452.50                  | 862.43                    |
|        21 | Maharashtra               | 1,431.76                  | 1,085.92                  | 1,219.99                  | 276.08                    |
|        22 | Manipur                   | 128.81                    | 112.16                    | 75.22                     | 5.06                      |
|        23 | Meghalaya                 | 104.13                    | 102.22                    | 158.74                    | -                         |
|        24 | Mizoram                   | 103.28                    | 94.68                     | 80.10                     | 7.20                      |

| 25          | Nagaland      | 114.92    | 104.85    | 94.16     | 5.97     |
|-------------|---------------|-----------|-----------|-----------|----------|
| 26          | Orissa        | 667.16    | 652.62    | 681.60    | 392.02   |
| 27          | Puducherry    | 22.56     | 18.61     | 35.50     | 3.10     |
| 28          | Punjab        | 379.35    | 295.23    | 284.99    | 107.60   |
| 29          | Rajasthan     | 1,115.96  | 1,287.84  | 1,199.56  | 160.03   |
| 30          | Sikkim        | 51.60     | 41.01     | 39.62     | -        |
| 31          | Tamil Nadu    | 952.75    | 1,093.22  | 752.76    | 404.81   |
| 32          | Tripura       | 123.11    | 136.29    | 122.51    | 5.68     |
| 33          | Uttar Pradesh | 2,431.06  | 2,862.83  | 3,083.37  | 652.22   |
| 34          | Uttarakhand   | 270.55    | 276.41    | 259.53    | 66.91    |
| 35          | West Bengal   | 1,058.62  | 959.51    | 735.35    | 364.28   |
| 36          | Telangana     | 378.72    | 436.63    | 373.84    | 183.45   |
| Total       | Total         | 17,124.48 | 17,370.07 | 17,511.91 | 5,709.14 |
| Others      | Others        | 35.83     | 92.82     | -         |          |
| Grand Total | 17,160.31     |           | 17,462.89 | 17,511.91 | 5,709.14 |

## Note:

1. Release  for the F.Y. 2017-18 is updated upto 29.06.2017 and is provisional.
2. The above releases relate to Central Govt. Grants & do not include State share contribution.
3. Above releases is not inclusive of Kind Grants under Immunisation.

## Ministry of Health & Family Welfare National Health Mission- Finance Division Statement showing Central Release from the F.Y. 2014-15 to 2017-18

|                                                |                                                  | 2014-15         |                         | [Rs. In crore]          | [Rs. In crore]          |
|------------------------------------------------|--------------------------------------------------|-----------------|-------------------------|-------------------------|-------------------------|
| Sl. No.                                        | Programme                                        | Central Release | 2015-16 Central Release | 2016-17 Central Release | 2017-18 Central Release |
| A. NRHM-RCH Flexible Pool                      |                                                  | 9,656.98        | 9,922.09                | 10,303.17               | 2,789.63                |
| 1                                              | RCH Flexible Pool                                | 4,624.23        | 4,463.68                | 4,499.13                | 660.74                  |
| 2                                              | Mission Flexible Pool                            | 4,572.17        | 4,915.60                | 5,243.44                | 1,998.54                |
| 3                                              | Routine Immunization                             | 189.19          | 195.67                  | 207.68                  | 47.65                   |
| 4                                              | Pulse Polio Immunisation                         | 258.63          | 317.55                  | 338.58                  | 78.16                   |
| 5                                              | National I.D.D. Control Prog.                    | 12.76           | 29.60                   | 14.34                   | 4.54                    |
| B. National Urban Health Mission-Flexible Pool |                                                  | 1,345.82        | 725.00                  | 491.37                  | 80.54                   |
| C. Communicable Disease Control Programmes     |                                                  | 1,182.06        | 1,258.42                | 980.38                  | -                       |
| a                                              | National Vector Borne Diseases Control Programme | 452.41          | 515.43                  | 283.38                  | -                       |
| b                                              | Revised National Tuberculosis Control Prog.)     | 635.44          | 638.19                  | 614.95                  | -                       |
| c                                              | Natioinal Leprosy Eradication Prog.              | 42.36           | 40.48                   | 21.84                   | -                       |
| d                                              | Integrated Disease Surveillance Project          | 51.84           | 64.33                   | 60.21                   | -                       |
| D. Non Communicable Disease Programmes         |                                                  | 495.95          | 379.00                  | 494.33                  | 136.69                  |
| E. Infrastructure Maintenance                  |                                                  | 4,479.50        | 5,178.37                | 5,242.67                | 2,702.28                |
| Grand Total (A+B+C+D+E)                        |                                                  | 17,160.31       | 17,462.89               | 17,511.91               | 5,709.14                |

## Annexure-III Purpose of amount release under National Health Mission (NHM)

NHM  is  a  flagship  programme  with  two  sub-missions  viz.  National  Rural  Health Mission  and  National  Urban  Health  Mission.  Under  NHM,  the  technical  and  financial supports  are  given  to  States  /UTs  to  strengthen  their  health  care  systems  for  the purpose  of  providing  accessible,  affordable,  accountable,  effective  and  qualitative healthcare.

Under NHM, support to States/UTs is provided for five key components:

## 1) NRHM-RCH Flexible Pool:

- (i) Reproductive, Maternal, Newborn, Child and Adolescent Health Services (RMNCH+A) - A Continuum of care approach has been adopted under NHM with the articulation of 'Strategic approach to Reproductive Maternal, Newborn, Child and Adolescent health (RMNCH+A) in India, bringing focus on all the life stages.
- (ii) Health  System  Strengthening under  NRHM -Financial  assistance  for health  systems  strengthening  which  inter  alia  includes  augmentation  of infrastructure, human resources and programme management, patient transport  services  (including  Dial  108  for  critical  care  and  Dial  102  for predominantly transporting pregnant women and sick infants), Mobile Medical Units, community participation including engagement of ASHAs, involvement of Rogi Kalyan Samitis,  mainstreaming of AYUSH and availability of drugs, equipment, diagnostics etc.
2. National Urban Health Mission: Pool  to  provide  financial  assistance  given  to eeffectively  address  the  health  concerns  of  the  urban  poor  population  living  in listed and unlisted slums.
3. Control  of  Communicable  Diseases -This  includes  national  programmes  for control  of  communicable  diseases  namely  (1)  Revised  National  Tuberculosis Control Programme, (ii) National Vector Borne Disease Control Programme, (iii) National Leprosy Eradication Programme and (iv) Integrated Disease Surveillance Project.
4. Control of Non-Communicable diseases :  To address the emerging challenge of growing disease burden of Non Communicable Diseases (NCD), an NCD flexipool has been introduced under the National Health Mission. All interventions up to District Hospital level and below for non-communicable disease programmes are  now  being  funded  through  this  NCD  flexi-pool  under  NHM.  This  includes
- National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS),  National  Programme  for Control  of Blindness  (NPCB),  National  Mental  Health  Programme  (NMHP), National  Tobacco  Control  Programme  (NTCP)  and  National  Programme  for Health Care Elderly (NPHCE).
5. Infrastructure  Maintenance: Support  under  this  component  is  provided  to states  to  meet  salary  requirement  of  Family Welfare  Schemes  including  salary payments of ANMs/Lady Health Visitors (LHVs).