Lok Sabha Question No. 2995 (UNSTARRED), answered on 2018-01-05
Subject: Healthcare Delivery System
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MANOJ RAJORIA

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

## LOK SABHA UNSTARRED QUESTION NO. 2995 TO BE ANSWERED ON   5 TH JANUARY, 2018

## HEALTHCARE DELIVERY SYSTEM

## 2995. DR. MANOJ RAJORIA:

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

- (a) whether the Government has been providing adequate financial assistance for strength the healthcare delivery system;
- (b) if so, the details thereof; and
- (c) the details of a ssistance provided/ utilised during the last three years, State/ UT - wise?

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

- (a) & (b):   Public Health being a State's subject, its implementation primarily lies with the State.    However,  under  the  National  Health  Mission  (NHM),  the  flagship  programme  of  t Ministry of Health & Family Welfare, the Government of India has been providin g ecessary financial assistance to the State Governments for strengthening their healthcare delivery To strengthen the status of healthcare delivery system across the country, funds to the Rs.1,76,097.44  crore  have  been  released  to  the  Sta tes/UTs  under  NHM  since  inception  for implementation of various healthcare activities. The detail is at Annexure - 1.
- (c):  The details of financial assistance provided and utilised under NHM during the last three years, States/UT wise areat Annexure - 2.

………………

## Annexure - I

| Sl. No.   | States                    | Total Central Releases (Rs. in Crore)   |
|-----------|---------------------------|-----------------------------------------|
| 1         | Andaman & Nicobar Islands | 238.93                                  |
| 2         | Andhra Pradesh            | 8,848.41                                |
| 3         | Arunachal Pradesh         | 1,074.65                                |
| 4         | Assam                     | 9,704.32                                |
| 5         | Bihar                     | 12,045.80                               |
| 6         | Chandigarh                | 134.98                                  |
| 7         | Chhattisgarh              | 4,474.68                                |
| 8         | Dadra & Nagar Haveli      | 95.55                                   |
| 9         | Daman & Diu               | 60.83                                   |
| 10        | Delhi                     | 1,549.99                                |
| 11        | Goa                       | 212.94                                  |
| 12        | Gujarat                   | 7,888.81                                |
| 13        | Haryana                   | 3,202.77                                |
| 14        | Himachal Pradesh          | 1,918.62                                |
| 15        | Jammu & Kashmir           | 3,024.43                                |
| 16        | Jharkhand                 | 4,223.47                                |
| 17        | Karnataka                 | 7,476.20                                |
| 18        | Kerala                    | 4,545.74                                |
| 19        | Lakshadweep               | 36.19                                   |
| 20        | Madhya Pradesh            | 11,385.35                               |
| 21        | Maharashtra               | 13,132.36                               |
| 22        | Manipur                   | 846.43                                  |
| 23        | Meghalaya                 | 1,045.24                                |
| 24        | Mizoram                   | 827.13                                  |
| 25        | Nagaland                  | 995.72                                  |
| 26        | Orissa                    | 6,797.39                                |
| 27        | Puducherry                | 210.63                                  |
| 28        | Punjab                    | 3,574.44                                |
| 29        | Rajasthan                 | 11,622.26                               |
| 30        | Sikkim                    | 419.85                                  |
| 31        | Tamil Nadu                | 9,582.85                                |
| 32        | Telangana                 | 1,479.99                                |
| 33        | Tripura                   | 1,270.72                                |
| 34        | Uttar Pradesh             | 29,105.79                               |
| 35        | Uttarakhand               | 2,426.91                                |
| 36        | West Bengal               | 9,924.50                                |
|           | Others                    | 692.57                                  |
|           | Grand Total               | 1,76,097.45                             |

- The releases are inclusive of kind grants under Immunisation.

Annexure-II Statement Showing State-wise Central Release and Expenditure under NHM for the F.Y. 2014-15 to 2017-18

Rs. in crore

| Sl. No.   | States                    | 2014-15   | 2014-15   | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18   | 2017-18   |
|-----------|---------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|
| Sl. No.   | States                    | Release   | Exp       | Release   | Exp       | Release   | Exp       | Release   | Exp       |
| 1         | Andaman & Nicobar Islands | 23.36     | 24.33     | 37.30     | 11.47     | 44.81     | 28.83     | 17.25     | 8.11      |
| 2         | Andhra Pradesh            | 519.73    | 902.91    | 643.52    | 1090.17   | 590.14    | 1247.6 3  | 601.66    | 583.40    |
| 3         | Arunachal Pradesh         | 139.41    | 69.50     | 162.65    | 146.27    | 160.35    | 165.16    | 101.61    | 43.46     |
| 4         | Assam                     | 877.13    | 915.88    | 971.35    | 1186.01   | 1040.46   | 1331.7 7  | 528.79    | 404.99    |
| 5         | Bihar                     | 1148.32   | 1427.40   | 1159.49   | 1621.67   | 958.11    | 1536.7 2  | 801.79    | 312.29    |
| 6         | Chandigarh                | 12.15     | 15.26     | 23.89     | 20.98     | 21.22     | 20.36     | 9.84      | 8.85      |
| 7         | Chattisgarh               | 500.41    | 716.04    | 412.26    | 758.28    | 575.05    | 987.40    | 396.44    | 402.75    |
| 8         | Dadra & Nagar Haveli      | 8.40      | 8.56      | 14.37     | 15.54     | 16.99     | 17.22     | 14.06     | 10.37     |
| 9         | Daman & Diu               | 6.91      | 7.67      | 10.53     | 15.69     | 11.25     | 9.97      | 4.31      | 4.26      |
| 10        | Delhi                     | 154.04    | 222.64    | 163.80    | 137.29    | 234.38    | 147.56    | 133.71    | 121.32    |
| 11        | Goa                       | 26.03     | 29.50     | 16.77     | 24.92     | 19.29     | 40.52     | 14.11     | 18.01     |
| 12        | Gujarat                   | 832.86    | 873.66    | 693.78    | 1272.42   | 844.90    | 1376.9 1  | 677.94    | 455.52    |
| 13        | Haryana                   | 273.60    | 438.18    | 291.96    | 493.23    | 310.46    | 510.00    | 209.85    | 226.73    |
| 14        | Himachal Pradesh          | 185.84    | 306.92    | 246.49    | 281.26    | 209.30    | 343.39    | 243.12    | 115.98    |
| 15        | Jammu & Kashmir           | 335.51    | 393.29    | 367.90    | 420.94    | 357.30    | 414.43    | 371.66    | 170.20    |
| 16        | Jharkhand                 | 359.62    | 372.01    | 411.50    | 590.18    | 391.70    | 570.60    | 359.02    | 235.34    |
| 17        | Karnataka                 | 697.24    | 858.18    | 740.45    | 1141.61   | 695.77    | 1268.3 3  | 818.01    | 608.63    |
| 18        | Kerala                    | 521.99    | 509.83    | 304.14    | 632.88    | 445.06    | 737.69    | 430.41    | 232.65    |
| 19        | Lakshadweep               | 5.08      | 1.36      | 5.69      | 2.72      | 3.81      | 4.32      | 4.61      | 2.10      |
| 20        | Madhya Pradesh            | 1162.50   | 1738.02   | 1132.19   | 2046.60   | 1458.76   | 1956.8 4  | 1066.55   | 582.55    |

| 21    | Maharashtra   |   1431.76 |   1834.40 |   1085.92 |   1734.44 |   1221.34 | 1773.4 7   |   1108.89 | 719.86    |
|-------|---------------|-----------|-----------|-----------|-----------|-----------|------------|-----------|-----------|
| 22    | Manipur       |    128.81 |     86.91 |    112.16 |    105.51 |     78.5  | 78.99      |     13.92 | 31.89     |
| 23    | Meghalaya     |    104.13 |     70.72 |    102.22 |    133.55 |    159.86 | 145.68     |     84.87 | 36.79     |
| 24    | Mizoram       |    103.28 |     93.29 |     94.68 |    172.38 |     80.66 | 90.45      |     63.74 | 43.47     |
| 25    | Nagaland      |    114.92 |     63.04 |    104.85 |     81.05 |     94.88 | 134.55     |     71.77 | 39.32     |
| 26    | Orissa        |    667.16 |    944.1  |    652.62 |   1205.77 |    685.2  | 1255.8 8   |    510.46 | 530.87    |
| 27    | Puducherry    |     22.56 |     23.35 |     18.61 |     21.77 |     35.5  | 32.56      |     26.37 | 11.24     |
| 28    | Punjab        |    379.35 |    460.59 |    295.23 |    649.49 |    284.99 | 687.75     |    356.42 | 172.59    |
| 29    | Rajasthan     |   1115.96 |   1722.69 |   1287.84 |   1799.11 |   1204.84 | 1856.7 7   |   1002.83 | 703.78    |
| 30    | Sikkim        |     51.6  |     41.36 |     41.01 |     50.71 |     41.67 | 50.57      |     28.49 | 16.09     |
| 31    | Tamil Nadu    |    952.75 |   2248.06 |   1093.22 |   1633.37 |    752.76 | 1816.9 7   |    780.22 | 983.78    |
| 32    | Tripura       |    123.11 |    130.15 |    136.29 |    118.77 |    123.89 | 141.27     |     69.23 | 46.04     |
| 33    | Uttar Pradesh |   2431.06 |   3671.26 |   2862.83 |   4451.78 |   3095.17 | 4901.1 0   |   2662.27 | 2020.6 8  |
| 34    | Uttarakhand   |    270.55 |    324.42 |    276.41 |    335.95 |    260.87 | 346.01     |    247.89 | 112.49    |
| 35    | West Bengal   |   1058.62 |   1196.78 |    959.51 |   1487.62 |    741.99 | 1743.9 2   |    698.01 | 642.98    |
| 36    | Telangana     |    378.72 |    334.68 |    436.63 |    505.55 |    384.47 | 687.15     |    234.86 | 367.98    |
| Total | Total         |  17124.5  |  23076.9  |  17370.1  |  26396.9  |  17635.7  | 28458 .73  |  14765    | 11027 .34 |

Note:

2. The above releases relate to Central Govt. Grants & do not include State share contribution.
1. Release  for the F.Y. 2017-18 is updated upto 05.12.2017 and is provisional.
3. Expenditure includes expenditure against central Release, State release & unspent balances at the beginning of  the year. Expenditure for the F.Y. 2017-18 (upto 30.09.2017 as per FMR) are provisional.