Lok Sabha Question No. 107 (UNSTARRED), answered on 2018-02-02
Subject: Ranking of District Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PANKAJ CHOWDHARY

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

## LOK SABHA UNSTARRED QUESTION NO. 107 TO BE ANSWERED ON 2 ND FEBRUARY, 2018

## RANKING OF DISTRICT HOSPITALS

## 107. SHRI PANKAJ CHAUDHARY:

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

- (a) whether there is any plan to introduce ranking of district hospitals in the country to improve health services;
- (b) if so, the details thereof;
- (c) the points likely to be assessed forthe ranking of district hospitals; and
- (d) the amount of funds allocated to and utilized by district hospitals during the last thre  years and the current financial year, State -wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a) to (c): Yes.  A  framework  has  been  developed  by  NITI  Aayog  in  consultation  with various stakeholders including Ministry of Health & Family Welfare, and representatives States to rank district hospitals across t he country. The District Hospitals would be categorized on the basis of bed count. District Hospitals of North Eastern States would be ranked se amongst  themselves.  Each  District  Hospital  would  be  provided  a  score  on  the  basis  o indicators cove ring infrastructure, quality, human resources and services rendered.

Details including parameters to be assessed for the ranking of district hospitals, at Annexure -I.

- (d): Under  National  Health  Mission,  technical  and  financial  support  is  provi ded  to States/UTs for strengthening their overall health systems based on the proposals receive them  in  their  Programme  Implementation  Plans.    Funds  approved  in  State  Programme Implementation  Plan(SPIP)  and  expenditure  made  by  the  States/UTs,  under  H ealth    System Strengthening (District Hospitals)  during the last three years and the current financia given at Annexure -II.

## Parameters for ranking of District Hospitals :

The ranking would involve the following 16 indicators covering infrastructure, quality, human resources and services rendered , which are categorized majorly as:

- i. Structure
- ii. Process
- iii. Outcome/ output

These indicators are categorized into two major types:

- i. Indicators that are largely under the control of the State (Category A)
- ii. Indicators that are largely under the control of the District hospital (Categ

The  indicators  were  identified  and  finalized  after  due  consultation  with  stake involving MoHFW, NITI Aayog, States/ UTs and Development Partners.

beds per

services

| Domain                     |   Weightage (%) | Category   | Indicators                                                                                                                                                    |
|----------------------------|-----------------|------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Structure (15%)            |               3 | A          | 1. Number of functional hospital 100,000 population                                                                                                           |
| Structure (15%)            |               3 | A          | 2. a -Ratio of doctors in position to Indian Health Standards (IPHS)norm b- Ratio of staff nurses in position norm c- Ratio of paramedical staff in IPHS norm |
| Structure (15%)            |               3 | B          | 3. Proportion of support services                                                                                                                             |
| Structure (15%)            |               3 | A          | 4. Proportion of core healthcare available                                                                                                                    |
| Structure (15%)            |               3 | A          | 5. Proportion of diagnostic services available                                                                                                                |
| Process (10%)              |               5 | B          | 6. Kayakalp score                                                                                                                                             |
| Process (10%)              |               5 | B          | 7. Quality score                                                                                                                                              |
| Outputs and Outcomes (75%) |               8 | B          | 8. Number of laboratory tests per                                                                                                                             |
| Outputs and Outcomes (75%) |               8 | B          | 9. Stock out rate of essential drugs                                                                                                                          |
|                            |               8 | B          | 10. OPD per doctor                                                                                                                                            |
|                            |               9 | B          | 11. Bed occupancy rate                                                                                                                                        |
|                            |               8 | B          | 12. Surgical Productivity Index                                                                                                                               |
|                            |               8 | B          | 13. C - section rate                                                                                                                                          |
|                            |               8 | B          | 14. Blood bank replacement rate                                                                                                                               |
|                            |               9 | B          | 15. Post - surgical infection rate                                                                                                                            |
|                            |               9 | B          | 16. Patient satisfaction score                                                                                                                                |

Each indicator has been assigned a specific weightage which would be considered while scaling indicator. A composite index based on the scaled value of the indicators w generated to provide the final score to the district hosp

Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hosp tals) during last three years and current year Annexure - II (Rs in Lakhs)

|                      |                       | 2014- 15                                                      | 2014- 15                                                      | 2014- 15               | 2014- 15               | 2014- 15          | 2014- 15          |                                                               |                                                               |                        |                        |                   |                   |
|----------------------|-----------------------|---------------------------------------------------------------|---------------------------------------------------------------|------------------------|------------------------|-------------------|-------------------|---------------------------------------------------------------|---------------------------------------------------------------|------------------------|------------------------|-------------------|-------------------|
| S. No.               | Name of the State/UTs | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS | Hospital Strengthening | Hospital Strengthening | New Constructions | New Constructions | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS | Hospital Strengthening | Hospital Strengthening | New Constructions | New Constructions |
|                      |                       | SPIP                                                          | Exp                                                           | SPIP*                  | Exp                    | SPIP              | Exp               | SPIP                                                          | Exp                                                           | SPIP                   | Exp                    | SPIP              | Exp               |
| A. High Focus States |                       |                                                               |                                                               |                        |                        |                   |                   |                                                               |                                                               |                        |                        |                   |                   |
| 1                    | Bihar                 | 360.00                                                        | 259.53                                                        | 300.00                 | 46.24                  | 0.00              | 0.00              | 280.80                                                        | 267.44                                                        | 511.32                 | 0.00                   | 0.00              | 0.00              |
| 2                    | Chattisgarh           | 270.00                                                        | 210.75                                                        | 853.22                 | 953.34                 | 0.00              | 48.36             | 187.20                                                        | 223.02                                                        | 0.00                   | 1025.25                | 0.00              | 0.00              |
| 3                    | Himachal Pradesh      | 118.89                                                        | 108.89                                                        | 0.00                   | 0.00                   | 0.00              | 0.00              | 84.67                                                         | 85.66                                                         | 0.00                   | 0.00                   | 0.00              | 0.00              |
| 4                    | Jammu & Kashmir       | 233.51                                                        | 132.85                                                        | 4374.00                | 6829.31                | 0.00              | 1.28              | 136.80                                                        | 119.71                                                        | 1568.80                | 1490.72                | 0.00              | 0.00              |
| 5                    | Jharkhand             | 230.00                                                        | 188.33                                                        | 0.00                   | 13.41                  | 0.00              | 0.00              | 188.33                                                        | 216.66                                                        | 0.00                   | 3.86                   | 0.00              | 0.00              |
| 6                    | Madhya Pradesh        | 497.25                                                        | 379.08                                                        | 350.00                 | 2160.78                | 0.00              | 0.00              | 510.00                                                        | 446.88                                                        | 52.00                  | 146.24                 | 0.00              | 0.00              |
| 7                    | Orissa                | 320.00                                                        | 230.20                                                        | 2066.53                | 3515.78                | 983.29            | 436.89            | 220.80                                                        | 273.47                                                        | 522.75                 | 1779.75                | 1232.08           | 407.29            |
| 8                    | Rajasthan             | 268.40                                                        | 184.91                                                        | 537.75                 | 694.08                 | 0.00              | 0.00              | 340.00                                                        | 224.42                                                        | 549.33                 | 339.38                 | 0.00              | 0.00              |
| 9                    | Uttar Pradesh         | 1067.60                                                       | 668.87                                                        | 4248.49                | 26609.95               | 0.00              | 10.25             | 1645.88                                                       | 574.95                                                        | 750.00                 | 3591.56                | 0.00              | 2573.26           |
| 10                   | Uttarakhand           | 190.00                                                        | 196.35                                                        | 0.00                   | 0.00                   | 986.47            | 720.00            | 190.00                                                        | 174.77                                                        | 0.00                   | 0.00                   | 0.00              | 931.72            |
|                      | Sub Total             | 3555.65                                                       | 2559.76                                                       | 12729.99               | 40822.89               | 1969.76           | 1216.77           | 3784.48                                                       | 2606.98                                                       | 3954.20                | 8376.77                | 1232.08           | 3912.27           |
| B. NE States         |                       |                                                               |                                                               |                        |                        |                   |                   |                                                               |                                                               |                        |                        |                   |                   |
| 11                   | Arunachal Pradesh     | 160.00                                                        | 65.86                                                         | 0.00                   | 0.00                   | 108.00            | 0.00              | 112.80                                                        | 95.20                                                         | 24.31                  | 24.31                  | 1452.00           | 700.00            |
| 12                   | Assam                 | 187.60                                                        | 121.08                                                        | 690.07                 | 5.80                   | 600.00            | 367.41            | 169.68                                                        | 188.94                                                        | 101.84                 | 31.93                  | 150.00            | 581.01            |
| 13                   | Manipur               | 70.00                                                         | 73.88                                                         | 42.00                  | 78.70                  | 0.00              | 0.00              | 70.00                                                         | 80.74                                                         | 42.26                  | 17.90                  | 0.00              | 0.00              |
| 14                   | Meghalaya             | 55.00                                                         | 23.18                                                         | 334.74                 | 465.45                 | 0.00              | 0.00              | 55.00                                                         | 54.17                                                         | 14.00                  | 739.10                 | 6.00              | 0.00              |
| 15                   | Mizoram               | 80.00                                                         | 24.00                                                         | 0.00                   | 0.00                   | 0.00              | 0.00              | 24.00                                                         | 14.26                                                         | 212.00                 | 39.94                  | 0.00              | 0.00              |
| 16                   | Nagaland              | 85.00                                                         | 5.50                                                          | 0.00                   | 9.50                   | 0.00              | 0.00              | 110.00                                                        | 43.50                                                         | 21.79                  | 0.00                   | 0.00              | 0.00              |
| 17                   | Sikkim                | 36.00                                                         | 31.52                                                         | 320.00                 | 153.17                 | 0.00              | 0.00              | 40.00                                                         | 37.55                                                         | 49.99                  | 0.00                   | 0.00              | 119.00            |

| 18                        | Tripura                   | 50.64   | 41.06   | 0.00     | 0.00     | 0.00    | 0.00    | 33.60   | 54.81   | 0.00     | 198.21   | 0.00    | 0.00    |
|---------------------------|---------------------------|---------|---------|----------|----------|---------|---------|---------|---------|----------|----------|---------|---------|
|                           | Sub Total                 | 724.24  | 386.09  | 1386.81  | 712.62   | 708.00  | 367.41  | 615.08  | 569.17  | 466.19   | 1051.40  | 1608.00 | 1400.01 |
| C. Non- High Focus States |                           |         |         |          |          |         |         |         |         |          |          |         |         |
| 19                        | Andhra Pradesh            | 83.60   | 83.60   | 0.00     | 150.00   | 0.00    | 0.00    | 90.00   | 90.00   | 0.00     | 7409.32  | 0.00    | 0.00    |
| 20                        | Goa                       | 5.27    | 4.07    | 0.00     | 0.00     | 0.00    | 0.00    | 20.00   | 11.32   | 0.00     | 0.00     | 0.00    | 0.00    |
| 21                        | Gujarat                   | 230.00  | 175.79  | 0.00     | 86.15    | 0.00    | 0.00    | 160.50  | 162.21  | 0.00     | 0.00     | 0.00    | 0.00    |
| 22                        | Haryana                   | 110.00  | 68.89   | 0.00     | 280.64   | 0.00    | 0.00    | 69.30   | 46.46   | 0.00     | 4.47     | 0.00    | 0.00    |
| 23                        | Karnataka                 | 242.84  | 123.28  | 753.58   | 1282.00  | 0.00    | 0.00    | 137.70  | 218.09  | 522.03   | 686.88   | 200.00  | 0.00    |
| 24                        | Kerala                    | 310.00  | 110.20  | 1869.50  | 1019.67  | 0.00    | 0.00    | 102.00  | 30.45   | 2393.00  | 2048.31  | 0.00    | 0.00    |
| 25                        | Maharashtra               | 190.00  | 190.00  | 0.00     | 0.00     | 0.00    | 0.00    | 275.00  | 238.61  | 2146.73  | 68.96    | 0.00    | 0.00    |
| 26                        | Punjab                    | 220.00  | 138.20  | 400.00   | 287.62   | 0.00    | 0.00    | 138.20  | 210.72  | 1300.00  | 1903.11  | 0.00    | 0.00    |
| 27                        | Tamil Nadu                | 310.00  | 474.50  | 143.00   | 8936.68  | 424.00  | 1614.14 | 310.00  | 331.30  | 527.50   | 2991.35  | 375.00  | 0.00    |
| 28                        | Telangana                 | 40.00   | 0.00    | 606.06   | 5792.00  | 0.00    | 0.00    | 80.00   | 5.95    | 0.00     | 0.00     | 0.00    | 0.00    |
| 29                        | West Bengal               | 105.00  | 228.28  | 243.13   | 244.00   | 0.00    | 0.00    | 83.60   | 99.45   | 162.09   | 39.47    | 0.00    | 0.00    |
|                           | Sub Total                 | 1846.71 | 1596.81 | 4015.27  | 18078.76 | 424.00  | 1614.14 | 1466.30 | 1444.56 | 7051.35  | 15151.87 | 575.00  | 0.00    |
| D. Small States/UTs       |                           |         |         |          |          |         |         |         |         |          |          |         |         |
| 30                        | Andaman & Nicobar Islands | 30.00   | 7.09    | 15.00    | 59.29    | 0.00    | 0.00    | 7.20    | 4.53    | 0.00     | 0.00     | 0.00    | 0.00    |
| 31                        | Chandigarh                | 5.00    | 5.00    | 0.00     | 0.00     | 0.00    | 0.00    | 5.00    | 5.00    | 0.00     | 0.00     | 0.00    | 0.00    |
| 32                        | Dadra & Nagar Haveli      | 5.00    | 0.00    | 0.00     | 0.00     | 0.00    | 0.00    | 2.50    | 4.97    | 0.00     | 0.00     | 0.00    | 0.00    |
| 33                        | Daman & Diu               | 10.00   | 15.00   | 0.00     | 0.00     | 0.00    | 0.00    | 10.00   | 10.00   | 0.00     | 0.00     | 0.00    | 0.00    |
| 34                        | Delhi                     | 0.00    | 1.53    | 6000.00  | 5322.84  | 0.00    | 0.00    | 0.00    | 0.00    | 0.00     | 675.45   | 0.00    | 0.00    |
| 35                        | Lakshadweep               | 5.00    | 2.00    | 0.00     | 0.00     | 0.00    | 0.00    | 5.75    | 3.50    | 0.00     | 0.00     | 0.00    | 0.00    |
| 36                        | Puducherry                | 46.91   | 49.61   | 0.00     | 0.00     | 0.00    | 0.00    | 47.50   | 15.98   | 0.00     | 0.00     | 0.00    | 0.00    |
|                           | Sub Total                 | 101.91  | 80.23   | 6015.00  | 5382.13  | 0.00    | 0.00    | 77.95   | 43.98   | 0.00     | 675.45   | 0.00    | 0.00    |
|                           | Total                     | 6228.51 | 4622.89 | 24147.07 | 64996.41 | 3101.76 | 3198.33 | 5943.81 | 4664.69 | 11471.74 | 25255.49 | 3415.08 | 5312.28 |

| Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   | Funds approved in SPIPs and Expenditure made under Health System Stregthning (District Hospitals) during last three years and current   |
|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                         |                                                                                                                                         | 2016-17                                                                                                                                 | 2016-17                                                                                                                                 | 2016-17                                                                                                                                 | 2016-17                                                                                                                                 | 2016-17                                                                                                                                 | 2016-17                                                                                                                                 | 2017-18 (Upto 30/9/2017)                                                                                                                | 2017-18 (Upto 30/9/2017)                                                                                                                | 2017-18 (Upto 30/9/2017)                                                                                                                | 2017-18 (Upto 30/9/2017)                                                                                                                | 2017-18 (Upto 30/9/2017)                                                                                                                | 2017-18 (Upto 30/9/2017)                                                                                                                |
| S. No.                                                                                                                                  | Name of the State/UTs                                                                                                                   | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS                                                                           | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS                                                                           | Hospital Strengthening                                                                                                                  | Hospital Strengthening                                                                                                                  | New Constructions                                                                                                                       | New Constructions                                                                                                                       | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS                                                                           | Untied Funds/Annual Maintenance Grant/Corpus Grant to HMS/RKS                                                                           | Hospital Strengthening                                                                                                                  | Hospital Strengthening                                                                                                                  | New Constructions                                                                                                                       | New Constructions                                                                                                                       |
|                                                                                                                                         |                                                                                                                                         | SPIP                                                                                                                                    | Exp                                                                                                                                     | SPIP                                                                                                                                    | Exp                                                                                                                                     | SPIP                                                                                                                                    | Exp                                                                                                                                     | SPIP                                                                                                                                    | Exp                                                                                                                                     | SPIP                                                                                                                                    | Exp                                                                                                                                     | SPIP                                                                                                                                    | Exp                                                                                                                                     |
| A. High Focus States                                                                                                                    |                                                                                                                                         | 342.86                                                                                                                                  | 314.11                                                                                                                                  | 577.46                                                                                                                                  | 12.50                                                                                                                                   | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 324.00                                                                                                                                  | 75.03                                                                                                                                   | 4628.47                                                                                                                                 | 4.71                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 1                                                                                                                                       | Bihar                                                                                                                                   | 223.02                                                                                                                                  | 200.42                                                                                                                                  | 1229.45                                                                                                                                 | 1366.08                                                                                                                                 | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 200.43                                                                                                                                  | 95.98                                                                                                                                   | 532.62                                                                                                                                  | 21.10                                                                                                                                   | 0.00                                                                                                                                    | 18.49                                                                                                                                   |
| 2                                                                                                                                       | Chattisgarh                                                                                                                             | 90.00                                                                                                                                   | 90.82                                                                                                                                   | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 90.82                                                                                                                                   | 24.70                                                                                                                                   | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 3                                                                                                                                       | Himachal Pradesh                                                                                                                        | 210.02                                                                                                                                  | 161.58                                                                                                                                  | 945.65                                                                                                                                  | 1428.47                                                                                                                                 | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 161.58                                                                                                                                  | 22.08                                                                                                                                   | 78.15                                                                                                                                   | 144.39                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 4                                                                                                                                       | Jammu & Kashmir                                                                                                                         | 216.66                                                                                                                                  | 162.41                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 2719.24                                                                                                                                 | 0.00                                                                                                                                    | 162.41                                                                                                                                  | 80.45                                                                                                                                   | 158.40                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 5                                                                                                                                       | Jharkhand                                                                                                                               | 269.52                                                                                                                                  | 264.43                                                                                                                                  | 2520.00                                                                                                                                 | 523.02                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 264.43                                                                                                                                  | 109.90                                                                                                                                  | 8479.31                                                                                                                                 | 181.49                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 6                                                                                                                                       | Madhya Pradesh                                                                                                                          | 320.00                                                                                                                                  | 301.29                                                                                                                                  | 1970.52                                                                                                                                 | 866.58                                                                                                                                  | 3104.26                                                                                                                                 | 1676.37                                                                                                                                 | 301.29                                                                                                                                  | 127.71                                                                                                                                  | 575.88                                                                                                                                  | 97.55                                                                                                                                   | 1829. 01                                                                                                                                | 2.32                                                                                                                                    |
| 7                                                                                                                                       | Orissa                                                                                                                                  | 340.00                                                                                                                                  | 309.01                                                                                                                                  | 630.00                                                                                                                                  | 270.35                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 217.06                                                                                                                                  | 0.00                                                                                                                                    | 1201.00                                                                                                                                 | 242.91                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 8                                                                                                                                       | Rajasthan                                                                                                                               | 697.58                                                                                                                                  | 837.51                                                                                                                                  | 0.00                                                                                                                                    | 1235.48                                                                                                                                 | 10774.74                                                                                                                                | 12418.82                                                                                                                                | 837.52                                                                                                                                  | 140.01                                                                                                                                  | 611.00                                                                                                                                  | 292.57                                                                                                                                  | 1612 0.01                                                                                                                               | 6543.15                                                                                                                                 |
| 9                                                                                                                                       | Uttar                                                                                                                                   | Pradesh174.77                                                                                                                           | 164.30                                                                                                                                  | 62.00                                                                                                                                   | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 164.30                                                                                                                                  | 5.92                                                                                                                                    | 0.00                                                                                                                                    | 0.36                                                                                                                                    | 0.00                                                                                                                                    | 8.44                                                                                                                                    |
| 10                                                                                                                                      | Uttarakhand                                                                                                                             | 2884.43                                                                                                                                 | 2805.88                                                                                                                                 | 7935.08                                                                                                                                 | 5702.49                                                                                                                                 | 16598.24                                                                                                                                | 14095.19                                                                                                                                | 2723.84                                                                                                                                 | 681.78                                                                                                                                  | 16264.83                                                                                                                                | 985.08                                                                                                                                  | 1794 9.02                                                                                                                               | 6572.40                                                                                                                                 |
|                                                                                                                                         | Sub Total                                                                                                                               |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |                                                                                                                                         |
| B. NE States                                                                                                                            |                                                                                                                                         | 114.90                                                                                                                                  | 56.65                                                                                                                                   | 142.00                                                                                                                                  | 579.05                                                                                                                                  | 1090.00                                                                                                                                 | 7.20                                                                                                                                    | 135.00                                                                                                                                  | 14.28                                                                                                                                   | 309.85                                                                                                                                  | 47.00                                                                                                                                   | 436.0 0                                                                                                                                 | 0.00                                                                                                                                    |
| 11                                                                                                                                      | Arunachal Pradesh                                                                                                                       | 250.00                                                                                                                                  | 227.32                                                                                                                                  | 707.01                                                                                                                                  | 245.10                                                                                                                                  | 350.00                                                                                                                                  | 40.57                                                                                                                                   | 132.50                                                                                                                                  | 17.08                                                                                                                                   | 387.83                                                                                                                                  | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    |

| 12                        | Assam                     | 70.00   | 37.52   | 42.26   | 40.71   | 0.00    | 0.00   | 32.48   | 20.36   | 0.00    | 0.00     | 0.00     | 0.00   |
|---------------------------|---------------------------|---------|---------|---------|---------|---------|--------|---------|---------|---------|----------|----------|--------|
| 13                        | Manipur                   | 110.00  | 110.00  | 9.75    | 173.42  | 0.00    | 143.25 | 110.00  | 7.32    | 885.00  | 0.00     | 0.00     | 0.00   |
| 14                        | Meghalaya                 | 40.00   | 40.00   | 0.00    | 96.66   | 0.00    | 0.00   | 90.00   | 0.00    | 0.00    | 0.00     | 0.00     | 0.00   |
| 15                        | Mizoram                   | 56.10   | 36.84   | 41.00   | 68.04   | 0.00    | 0.00   | 36.84   | 0.00    | 47.73   | 0.00     | 0.00     | 0.00   |
| 16                        | Nagaland                  | 40.00   | 66.38   | 20.00   | 35.72   | 0.00    | 46.49  | 40.00   | 3.78    | 25.00   | 0.00     | 0.00     | 0.00   |
| 17                        | Sikkim                    | 62.91   | 53.89   | 0.00    | 0.00    | 0.00    | 0.00   | 164.30  | 5.92    | 0.00    | 0.36     | 0.00     | 8.44   |
| 18                        | Tripura                   | 743.91  | 628.59  | 962.02  | 1238.70 | 1440.00 | 237.51 | 741.12  | 68.74   | 1655.41 | 47.36    | 436.0 0  | 8.44   |
|                           | Sub Total                 |         |         |         |         |         |        |         |         |         |          |          |        |
| C. Non- High Focus States |                           | 90.00   | 80.00   | 1243.09 | 1664.96 | 0.00    | 0.00   | 80.00   | 30.36   | 504.00  | 233.83   | 0.00     | 0.00   |
| 19                        | Andhra Pradesh            | 10.00   | 8.03    | 0.00    | 0.00    | 0.00    | 0.00   | 8.04    | 7.36    | 6.00    | 0.00     | 0.00     | 0.00   |
| 20                        | Goa                       | 220.00  | 213.95  | 0.00    | 0.00    | 0.00    | 0.00   | 220.00  | 68.78   | 210.00  | 0.00     | 0.00     | 0.00   |
| 21                        | Gujarat                   | 110.00  | 93.05   | 0.00    | 0.00    | 0.00    | 0.00   | 92.40   | 21.16   | 2.43    | 0.00     | 0.00     | 0.00   |
| 22                        | Haryana                   | 216.00  | 190.45  | 0.00    | 0.00    | 2200.00 | 0.00   | 320.00  | 595.29  | 1850.00 | 2451.8 8 | 2000. 00 | 0.00   |
| 23                        | Karnataka                 | 20.77   | 4.83    | 720.00  | 1007.14 | 0.00    | 0.00   | 0.00    | 3.53    | 118.00  | 126.46   | 0.00     | 0.00   |
| 24                        | Kerala                    | 238.61  | 236.95  | 0.00    | - 1.32  | 0.00    | 0.00   | 236.96  | 43.55   | 0.00    | 0.00     | 0.00     | 0.00   |
| 25                        | Maharashtra               | 204.60  | 205.53  | 1200.00 | 2920.07 | 0.00    | 0.00   | 220.00  | 4.61    | 1100.00 | 100.88   | 0.00     | 0.00   |
| 26                        | Punjab                    | 310.00  | 287.03  | 872.00  | 1614.15 | 130.00  | 0.00   | 186.00  | 207.76  | 435.00  | 749.86   | 0.00     | 0.00   |
| 27                        | Tamil Nadu                | 5.60    | 18.94   | 900.78  | 0.00    | 0.00    | 0.00   | 60.00   | 7.82    | 0.00    | 0.00     | 54.72    | 0.00   |
| 28                        | Telangana                 | 220.00  | 203.84  | 0.00    | 12.88   | 0.00    | 0.00   | 204.00  | 98.38   | 0.00    | 0.16     | 0.00     | 0.00   |
| 29                        | West Bengal               | 1645.58 | 1542.60 | 4935.87 | 7217.88 | 2330.00 | 0.00   | 1627.40 | 1088.61 | 4225.43 | 3663.0 7 | 2054. 72 | 0.00   |
|                           | Sub Total                 |         |         |         |         |         |        |         |         |         |          |          |        |
| D. Small States/UTs       |                           | 23.88   | 7.43    | 10.00   | 0.00    | 0.00    | 0.00   | 9.60    | 0.00    | 15.00   | 0.00     | 0.00     | 0.00   |
| 30                        | Andaman & Nicobar Islands | 10.00   | 5.00    | 0.00    | 0.00    | 0.00    | 0.00   | 5.00    | 0.00    | 0.00    | 0.00     | 0.00     | 0.00   |
| 31                        | Chandigarh                | 9.97    | 19.97   | 0.00    | 0.00    | 0.00    | 0.00   | 20.37   | 0.00    | 0.00    | 0.00     | 0.00     | 0.00   |

| 32   | Dadra & Nagar Haveli   |   10.00 |    0.00 |     0.00 |     0.00 |    0.00 |    0.00 |    5.00 |    0.00 |    0.00 | 0.00     | 0.00      |    0.00 |
|------|------------------------|---------|---------|----------|----------|---------|---------|---------|---------|---------|----------|-----------|---------|
| 33   | Daman & Diu            |    0    |    0    |  3500    |   169.41 |     0   |     0   |    0    |    0    |     0   | 4285.4 2 | 0.00      |    0    |
| 34   | Delhi                  |    5.06 |   12.5  |     3.84 |     0    |     0   |     0   |   10    |    4    |     0   | 0.00     | 0.00      |    0    |
| 35   | Lakshadweep            |   50    |   41.9  |     0    |     0    |     0   |     0   |   50    |    0    |     0   | 0.00     | 0.00      |    0    |
| 36   | Puducherry             |  108.91 |   86.8  |  3513.84 |   169.41 |     0   |     0   |   99.97 |    4    |    15   | 4285.4 2 | 0.00      |    0    |
| Sub  | Total                  | 5382.83 | 5063.87 | 17346.8  | 14328.5  | 20368.2 | 14332.7 | 5192.33 | 1843.13 | 22160.7 | 8980.9 3 | 2043 9.74 | 6580.84 |

- Note: 1. SPIP stands for funds approved  in State Programme Implementation Plan; Exp -Expenditure, HMS/RKS - Hospital Mangement Society/Rogi Kalyan Samiti 2. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year. It is updated upto 30.09.2017 hence provisional. 3. The above figures are as  reported by State/UTs.