Lok Sabha Question No. 4803 (UNSTARRED), answered on 2018-03-23
Subject: Assessment of NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHIVAJI ADHALRAO PATIL, DHARMENDRA YADAV, P.K.SREEMATHI TEACHER, DEEPAK (DEV) ADHIKARI, Shrirang Appa Barne, SHRIKANT EKNATH SHINDE, ANANDRAO  ADSUL, VINAYAK BHAURAO RAUT

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

## LOK SABHA UNSTARRED QUESTIO N NO. 4803 TO BE ANSWERED ON 23 rd MARCH, 2018

## ASSESSMENT OF NHM

4803. SHRI ADHALRAO PATIL SHIVAJIRAO:

SHRI DHARMENDRA YADAV:

SHRIMATI P.K. SREEMATHI TEACHER:

SHRI DEEPAK ADHIKARI (DEV):

SHRI SHRIRANG APPA BARNE:

DR. SHRIKANT EKNATH SHINDE:

SHRI ANANDRAO ADSUL:

SHRI VINAYAK BHAURAO RAUT:

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

- (a)  whether National  Health  Mission (NHM)  is  helpful  to  the  States  in improving  their healthcare system;
- (b)  if  so,  whether  the  Government  has conducted  any  assessment  regarding  works and performance of NHM during the last three years and if so, the details thereof;
- (c) whether long persisting disparities and development lag in districts are now likely to be targetted through health and wellness centres of NHM;
- (d)  if  so,  the  details  of  the  health  and we lness  centres  set  up  under  NHM  to provide preventive, promoti ve,rehabilitative and curative care for a package of 12 services, if so, the details thereof;
- (e)  whether  the  Government  has developed  a  central  monitoring  system  to implement  its schemes properly and if so, the details thereof; and
- (f) the steps taken/being taken by the Government for better provisions of healthcare facilities to every citizen of the country?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): Various  independent  su rveys,  including  results  of  National  Family  Health  Survey over a decade indicate significant improvement in healthcare systems of States as refl performance in key health indicators.
- (b): A performance Audit of Reproductive and Child Health under NRHM for the period 2011- 12  to  2015 - 16  was  conducted  by  CAG  and  findings  (Report  no.25  of  2017)  are available in public domain at http://www.cag.gov.in/content/report - no25- 2017- performance audit - union - government - reproductive - and- child -health - under.

The Government also conducts annual Common Review Mission (CRM) to review the implementation of NHM. The CRM reports including of last three years are availabl public domain at h t p://nhm.gov.in/monitoring/common - review - mission.html

- (c): Aspirational districts identified by NITI Aayog are being prioritized for all ke interventions under NHM including operationalization of Health and wellness Centres.
- (d): In financial year , 2017 - 18, against a target of 4000 Health and Wellness Centres, as on date, approval has been given for 4689 Health and Wellness Centres.

(e): The Government has developed web based Health Management Information System (HMIS) to monitor the implementatio n of NHM. Presently, approx. 2 lakh health facilities (across  all  districts  of  the  country)  are  uploading  facility  wise  data  on  monthly infrastructure data annually on HMIS web portal. Data are presently being made availab various stakeholde rs in the form of standard, customized and analytical reports etc. The State Governments  from  time  to  time  are  being  requested  to  verify  the  veracity  of  data uploaded on HMIS and monitor the performance of districts through HMIS.

- (f): Under  the  Nati onal  Health  Mission  (NHM),  the  Central  Government  is  supporting States/UTs  to  strengthen  their  healthcare  systems  including  for  provision  of  a  h free services including for maternal health, child health, adolescent health, family p universal immunisation  programme,  and  for  major  diseases  such  as  Tuberculosis,  HIV/ AIDS, vector borne diseases such as Malaria, Dengue and Kala Azar, Leprosy etc. Oth major  initiatives  for  which  states  are  being  supported  include  Janani  Shishu  Sur Karyakram (JSSK), Rashtriya Bal SwasthyaKaryakram (RBSK), Rashtriya Kishor Swasthya Karyakram  (RKSK),implementation  of  NHM  Free  Drugs  and  Free  Diagnostics  Service Initiatives,  PM  National  Dialysis  Programme,  free  patient  emergency  transport,  mo Medical  Units  an d    National  Quality  Assurance  Framework.  However,  public  health  and hospitals being a State subject, under NHM it is the prerogative of State Governmen prioritize interventions as per their needs and disease burden.