Lok Sabha Question No. 1290 (UNSTARRED), answered on 2018-02-09
Subject: National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PARBHUBHAI NAGARBHAI VASAVA, SUKENDER REDDY GUTHA, Richard Hay

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

LOK SABHA UNSTARRED QUESTION NO. 1290 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## NATIONAL RURAL HEALT H MISSION

## 1290. SHRI PARBHUBHAI NAGARBHAI VASAVA: SHRI GUTHA SUKENDER REDDY:

PROF. RICHARD HAY:

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

- (a) the salient features of National Rural Health Mission (NRHM);
- (b) the details of States/UTs covered and yet to be covered so far under the saidscheme;
- (c) the details of the funds sanctioned, allocated and utilized under the said Mission during the last three years and the current year across the country, State/UT wiseincluding Kerala;
- (d) whether the Government has appointed/propose to appoint AYUSH doctors under the said scheme in some States and if so, the details thereof along with the outcome thereof;
- (e) whether the Government has received any suggestion from any States in thi regard and if so, the details thereof along with the a ction taken by the Government thereon; and
- (f) whether the working of primary health centres and community health cen res in the villages is not upto the mark and need to be improved and if so, the details thereof al ong with the steps taken/ being taken b y the Government to improve the quality of services in these centres?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a) The National Rural Health Mission (NRHM) was launched in April 2005 and has now been subsumed under National Health Mission (NHM) as one of its sub - mission with the National Urban Health Mission (NUHM) as the other sub -mission.

The salient features in clude:

- Making public health delivery systems fully functional and accountable to community
- Human resource management
- Innovation and flexible financing Community involvement
- Decentralised planning
- Monitoring and evaluation
- Inter sectoral convergence

Contd

……..

(b) : All States/UTs are implementing NHM .

(c) : The details of the funds sanctioned, allocated and utilized under NHM during the three  years  and  the  current  year  across  the  country,  State/UT  wise  including  Kerala Annexure.

( d): Public health and hospital is a State subject, implementation of NHM is carried o States/UTs including engagement of AYUSH doctors under NHM on contractual basis. Under NHM support is provided to States/UTs for co - location of AYUSH facilities and for AYUSH practitioners under the Rashtriya Bal Swasthya Karyakram.

(e) : No suggestion has been received from State Governments in the recent past.

(f) : Public health and hospital being a State subject, the responsibility of ensuring functioning of primary health centres (PHCs) and community health centres (CHCs) lies with respective State/UT governments.

Under NHM, support is provided to State/UTs including untied grants to each facility to improve the quality of healthcare services including for construction of new or upgradatio existing PHCs and CHCs, HR on contractual basis, equipment, drugs and diagnostics, quality assurance, Kayakalp etc .

………………..

Annexure

| Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   | Statement Showing State-wise Allocation, Release and Expenditure   |
|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
| Sl. No.                                                            | States                                                             |                                                                    |                                                                    |                                                                    |                                                                    |                                                                    |                                                                    | 2016-17                                                            | 2016-17                                                            | 2016-17                                                            | 2017-18                                                            | 2017-18                                                            | 2017-18                                                            |
| Sl. No.                                                            | States                                                             | Allocation                                                         | Release                                                            | Expenditure                                                        | Allocation                                                         | Release                                                            | Expenditure                                                        | Allocation                                                         | Release                                                            | Expenditure                                                        | Allocation                                                         | Release                                                            | Expenditure                                                        |
| 1                                                                  | Andaman & Nicobar Islands                                          | 28.36                                                              | 23.36                                                              | 24.33                                                              | 28.21                                                              | 37.30                                                              | 11.47                                                              | 46.20                                                              | 44.81                                                              | 28.83                                                              | 37.97                                                              | 22.29                                                              | 8.11                                                               |
| 2                                                                  | Andhra Pradesh                                                     | 642.99                                                             | 519.73                                                             | 902.91                                                             | 656.34                                                             | 643.52                                                             | 1090.17                                                            | 605.87                                                             | 590.14                                                             | 1247.63                                                            | 644.40                                                             | 628.95                                                             | 583.40                                                             |
| 3                                                                  | Arunachal Pradesh                                                  | 185.28                                                             | 139.41                                                             | 69.50                                                              | 160.01                                                             | 162.65                                                             | 146.27                                                             | 166.20                                                             | 160.35                                                             | 165.16                                                             | 184.88                                                             | 119.42                                                             | 43.46                                                              |
| 4                                                                  | Assam                                                              | 1114.50                                                            | 877.13                                                             | 915.88                                                             | 973.90                                                             | 971.35                                                             | 1186.01                                                            | 985.73                                                             | 1040.46                                                            | 1331.77                                                            | 1056.25                                                            | 759.37                                                             | 404.99                                                             |
| 5                                                                  | Bihar                                                              | 1319.10                                                            | 1148.32                                                            | 1427.40                                                            | 1217.95                                                            | 1159.49                                                            | 1621.67                                                            | 1105.70                                                            | 958.11                                                             | 1536.72                                                            | 1305.33                                                            | 815.82                                                             | 312.29                                                             |
| 6                                                                  | Chandigarh                                                         | 19.40                                                              | 12.15                                                              | 15.26                                                              | 14.24                                                              | 23.89                                                              | 20.98                                                              | 22.23                                                              | 21.22                                                              | 20.36                                                              | 18.68                                                              | 10.50                                                              | 8.85                                                               |
| 7                                                                  | Chhattisgarh                                                       | 604.40                                                             | 500.41                                                             | 716.04                                                             | 479.38                                                             | 412.26                                                             | 758.28                                                             | 554.64                                                             | 575.05                                                             | 987.40                                                             | 565.46                                                             | 567.36                                                             | 402.75                                                             |
| 8                                                                  | Dadra & Nagar Haveli                                               | 13.60                                                              | 8.40                                                               | 8.56                                                               | 11.37                                                              | 14.37                                                              | 15.54                                                              | 21.24                                                              | 16.99                                                              | 17.22                                                              | 18.77                                                              | 14.30                                                              | 10.37                                                              |
| 9                                                                  | Daman & Diu                                                        | 10.71                                                              | 6.91                                                               | 7.67                                                               | 9.11                                                               | 10.53                                                              | 15.69                                                              | 15.00                                                              | 11.25                                                              | 9.97                                                               | 13.93                                                              | 9.67                                                               | 4.26                                                               |
| 10                                                                 | Delhi                                                              | 187.84                                                             | 154.04                                                             | 222.64                                                             | 142.22                                                             | 163.80                                                             | 137.29                                                             | 203.78                                                             | 234.38                                                             | 147.56                                                             | 203.95                                                             | 140.71                                                             | 121.32                                                             |
| 11                                                                 | Goa                                                                | 32.34                                                              | 26.03                                                              | 29.50                                                              | 19.41                                                              | 16.77                                                              | 24.92                                                              | 24.75                                                              | 19.29                                                              | 40.52                                                              | 21.43                                                              | 19.20                                                              | 18.01                                                              |
| 12                                                                 | Gujarat                                                            | 943.75                                                             | 832.86                                                             | 873.66                                                             | 677.65                                                             | 693.78                                                             | 1272.42                                                            | 837.27                                                             | 844.90                                                             | 1376.91                                                            | 870.19                                                             | 905.46                                                             | 455.52                                                             |
| 13                                                                 | Haryana                                                            | 335.53                                                             | 273.60                                                             | 438.18                                                             | 303.02                                                             | 291.96                                                             | 493.23                                                             | 315.38                                                             | 310.46                                                             | 510.00                                                             | 262.90                                                             | 269.63                                                             | 226.73                                                             |
| 14                                                                 | Himachal Pradesh                                                   | 232.00                                                             | 185.84                                                             | 306.92                                                             | 249.58                                                             | 246.49                                                             | 281.26                                                             | 213.63                                                             | 209.30                                                             | 343.39                                                             | 309.14                                                             | 305.61                                                             | 115.98                                                             |
| 15                                                                 | Jammu & Kashmir                                                    | 433.50                                                             | 335.51                                                             | 393.29                                                             | 365.90                                                             | 367.90                                                             | 420.94                                                             | 400.12                                                             | 357.30                                                             | 414.43                                                             | 492.18                                                             | 378.03                                                             | 170.20                                                             |
| 16                                                                 | Jharkhand                                                          | 485.98                                                             | 359.62                                                             | 372.01                                                             | 472.07                                                             | 411.50                                                             | 590.18                                                             | 496.76                                                             | 391.70                                                             | 570.60                                                             | 563.86                                                             | 399.57                                                             | 235.34                                                             |
| 17                                                                 | Karnataka                                                          | 834.10                                                             | 697.24                                                             | 858.18                                                             | 835.64                                                             | 740.45                                                             | 1141.61                                                            | 713.85                                                             | 695.77                                                             | 1268.33                                                            | 1028.40                                                            | 1015.98                                                            | 608.63                                                             |
| 18                                                                 | Kerala                                                             | 583.57                                                             | 521.99                                                             | 509.83                                                             | 305.87                                                             | 304.14                                                             | 632.88                                                             | 476.34                                                             | 445.06                                                             | 737.69                                                             | 318.55                                                             | 430.41                                                             | 232.65                                                             |
| 19                                                                 | Lakshadweep                                                        | 6.01                                                               | 5.08                                                               | 1.36                                                               | 4.28                                                               | 5.69                                                               | 2.72                                                               | 6.63                                                               | 3.81                                                               | 4.32                                                               | 6.50                                                               | 4.61                                                               | 2.10                                                               |
| 20                                                                 | Madhya Pradesh                                                     | 1305.16                                                            | 1162.50                                                            | 1738.02                                                            | 1089.37                                                            | 1132.19                                                            | 2046.60                                                            | 1524.99                                                            | 1458.76                                                            | 1956.84                                                            | 1434.69                                                            | 1357.95                                                            | 776.56                                                             |
| 21                                                                 | Maharashtra                                                        | 1618.30                                                            | 1431.76                                                            | 1834.40                                                            | 1282.31                                                            | 1085.92                                                            | 1734.44                                                            | 1264.34                                                            | 1221.34                                                            | 1773.47                                                            | 1590.03                                                            | 1395.91                                                            | 719.86                                                             |
| 22                                                                 | Manipur                                                            | 144.97                                                             | 128.81                                                             | 86.91                                                              | 115.16                                                             | 112.16                                                             | 105.51                                                             | 117.10                                                             | 78.50                                                              | 78.99                                                              | 130.45                                                             | 83.92                                                              | 40.75                                                              |

| Sl. No.   | States        | 2014-15    | 2014-15   | 2014-15     | 2015-16    | 2015-16   | 2015-16   | 2016-17    | 2016-17   | 2016-17     | 2017-18    | 2017-18   | 2017-18   |
|-----------|---------------|------------|-----------|-------------|------------|-----------|-----------|------------|-----------|-------------|------------|-----------|-----------|
|           | States        | Allocation | Release   | Expenditure | Allocation |           |           | Allocation | Release   | Expenditure | Allocation |           |           |
| 23        | Meghalaya     | 136.83     | 104.13    | 70.72       | 107.62     | 102.22    | 133.55    | 165.94     | 159.86    | 145.68      | 140.32     | 104.57    | 36.79     |
| 24        | Mizoram       | 116.53     | 103.28    | 93.29       | 97.50      | 94.68     | 96.05     | 98.99      | 80.66     | 90.45       | 101.79     | 69.20     | 43.47     |
| 25        | Nagaland      | 135.26     | 114.92    | 63.04       | 108.75     | 104.85    | 81.05     | 106.96     | 94.88     | 134.55      | 113.67     | 79.71     | 39.32     |
| 26        | Orissa        | 752.19     | 667.16    | 944.10      | 656.78     | 652.62    | 1205.77   | 758.40     | 685.20    | 1255.88     | 798.79     | 748.70    | 530.87    |
| 27        | Puducherry    | 27.64      | 22.56     | 23.35       | 17.77      | 18.61     | 21.77     | 36.42      | 35.50     | 32.56       | 36.32      | 26.40     | 11.24     |
| 28        | Punjab        | 429.49     | 379.35    | 460.59      | 284.75     | 295.23    | 649.49    | 285.32     | 284.99    | 687.75      | 403.11     | 365.51    | 172.59    |
| 29        | Rajasthan     | 1238.11    | 1115.96   | 1722.69     | 1256.97    | 1287.84   | 1799.11   | 1246.08    | 1204.84   | 1856.77     | 1349.79    | 1298.48   | 703.78    |
| 30        | Sikkim        | 51.09      | 51.60     | 41.36       | 43.54      | 41.01     | 50.71     | 46.62      | 41.67     | 50.57       | 48.33      | 33.86     | 16.09     |
| 31        | Tamil Nadu    | 1086.58    | 952.75    | 2248.06     | 1039.16    | 1093.22   | 1633.37   | 789.84     | 752.76    | 1816.97     | 974.47     | 917.30    | 983.78    |
| 32        | Tripura       | 164.24     | 123.11    | 130.15      | 139.07     | 136.29    | 118.77    | 145.53     | 123.89    | 141.27      | 149.00     | 76.99     | 46.04     |
| 33        | Uttar Pradesh | 3026.05    | 2431.06   | 3671.26     | 3092.96    | 2862.83   | 4451.78   | 3272.74    | 3095.17   | 4901.10     | 3388.37    | 2788.95   | 2020.68   |
| 34        | Uttarakhand   | 328.63     | 270.55    | 324.42      | 296.80     | 276.41    | 335.95    | 271.88     | 260.87    | 346.01      | 354.30     | 247.90    | 112.49    |
| 35        | West Bengal   | 1243.75    | 1058.62   | 1196.78     | 1075.83    | 959.51    | 1487.62   | 820.02     | 741.99    | 1743.92     | 930.01     | 996.90    | 642.98    |
| 36        | Telangana     | 479.70     | 378.72    | 334.68      | 440.58     | 436.63    | 505.55    | 440.46     | 384.47    | 687.15      | 465.30     | 253.14    | 367.98    |
| Total     | Total         | 20297.50   | 17124.48  | 23076.94    | 18071.06   | 17370.07  | 26320.61  | 18602.96   | 17635.67  | 28458.73    | 20331.49   | 17662.26  | 11230.21  |

- Note: 1. Allocation is as per original outlay/B.E. after revising the allocation under Infrastructure Maintenance to the extent of releases made. 2. For the F.Y. 2016-17, the allocation under Health System Strengthening under NRHM is revised to the extent of additional allocation made available for Revised Estimate. 3. Release for the F.Y. 2017-18 is updated up to 31.12.2017 and is provisional. 4. The above releases relate to Central Govt. Grants & do not include State share contribution and Kind Grants under Immunization. 5. Expenditure includes expenditure against central Release, State release & unspent balances at the beginning of the year. Expenditure for the F.Y. 2017-18 (up-to 30.09.2017 as per FMR) are provisional