Lok Sabha Question No. 123 (UNSTARRED), answered on 2018-02-02
Subject: Misuse of Funds in NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ARVIND GANPAT SAWANT, BHAVANA GAWALI (PATIL)

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

## LOK SABHA UNSTARRED QUESTION NO. 123 TO BE ANSWERED ON 2 ND FEBRUARY, 2018

## MISUSE OF FUNDS IN N RHM

## 123. SHRI ARVIND SAWANT: SHRIMATI BHAVANA PUNDALIKRAO GAWALI PATIL:

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

- (a)  whether  the  Government  has received  any  complaints  from  various  parts of  the  country regarding implementation of National Rural Health Mission (NRHM);
- (b) if so, the d etails thereof;
- (c) the remedial measures taken by the Government to check fraudulent activities in the purchase of medicine under NRHM by regional agencies, State/UT - wise, and
- (d) whether the Government has any proposal to issue new directives for implementing NRHM schemes in the country with more transparency and if so, the details thereof?

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

- (a) & (b): Public Health and Hospitals is a State subje c . The implementation of National Health Mission (NHM), including its sub - mission National Rural Health Mission (NRHM), is done by respective State Governments. Therefore, the complaints regarding implementation NHM/NRHM are forwarded to respective S tate Governments for examination and appropriate action.
- (c): To facilitate transparency  in purchase of medicines and prevent stock outs/wasta medicines  in  the  States,  under  NHM,  technical  and  financial  support  is  provided  t States/UTs for setup of IT backed Drug Distribution System, Grievance Redressal mechanism and  prescription  audit,  based  on  proposals  received  from  the  States/UTs  in  their  Prog Implementation Plans (PIPs) within their resource envelope.

Further, the following Steps are a lso taken by the Central Government to monitor the implementation of NHM and utilization of funds by the States:

- I. Performance Audit under NRHM by the CAG,
- II. Annual Statutory Audits by CAG empanelled major Chartered Accountant audit firms;
- III. Concurrent Audits by Chartered Accountant audit firms;
- IV. Financial review by Institute of Public Auditors of India (IPAI) in several States;
- V. Examination of quarterly Financial Monitoring Reports (FMR) furnished by the States;
- VI. Visits by the teams of the Financial Man agement Group of the Department to States for periodic review.
- VII. Annual visits to States by Common Review Mission (CRM) which inter - alia,  looks at financial  systems  and  mechanisms.  In  CRM,  Officials  from  related  Ministries,  Ci Societies and NGOs also par ticipate.
- VIII. Implemented Public Financial Management System (PFMS) developed by the office of the  CGA,  Ministry  of  Finance  for  monitoring  and  management  of  funds  on  real  tim basis.
- IX. Integrated  monitoring  visits  by  Senior  officials  of  the  Ministry  and  Nation al  Health System Resource Centre.

(d): There is no such proposal to issue new directives for implementing NRHM schemes i the country.