Lok Sabha Question No. 4036 (UNSTARRED), answered on 2018-08-10
Subject: Survey of NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BHAVANA GAWALI (PATIL), REKHA ARUN VERMA, SADHU SINGH

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

## LOK SABHA UNSTARRED QUESTION NO. 4036 TO BE ANSWERED ON 10 TH AUGUST, 2018

## SURVEY OF NRHM

## 4036. SHRIMATI BHAVANA PUNDALIKRAO GAWALI PATIL: SHRIMATI REKHA VERMA: PROF. SADHU SINGH:

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

- (a) whether the Government has any proposal to conduct a survey to find the shortcomings in the National Rural Health Mission (NRHM) and if so, the detail sand objectives thereof;
- (b) the funds allocated to the State Governm nts under the said Mission;
- (c)  whether  the  Government  has received  any  complaints  against  shortage of  medicines  in several hospitals under NRHM and if so, the details thereof; and
- (d) the steps taken/being taken by the Government in this regard?

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

- (a): No. However, working of National Health Mission (NHM) is reviewed/assessed inter -alia through  external  surveys  such  as,  National  Family  Health  Survey  (NFHS),  District  Le Household  Survey  (DLHS),  Annual  Health  Survey  (AHS)  and  Sample  Registration  System (SRS).  Further, Common Review Missions (CRMs) also undertake a review of NRHM/NHM every year. The report of 11th CRM is available in public domain as under:

CRM: http://n hm.gov.in/New\_Updates\_2018/In\_Focus/11th\_CRM\_Report\_Web.pdf

Apart  from  above,  the  programme  is  also  monitored  through  video  conferences programme specific reviews and     integrated monitoring visits are also undertaken by officers of the Ministry and other representatives. Theme based consultations are also held wi the States/UTs regarding various activities under NHM. Further, during the process of ap and  discussions  on  Programme  Implementation  Plans  submitted  by  the  States/UTs,  the performance under NHM during the previous year is reviewed.

- (b): A Statement showing funds allocated to the state Government under the said Missi during last three financial years is at Annexure.

(c): Public Health being a State subject the primary responsibility to ensure the availability of essential  medicines  is  that  of  respective  State/  UT  Governments.  Under  the  National  H Mission, the central government supplements the efforts of state governments to strengthe healthcare  system  based on  proposals  of  the  State  Governments.  Therefore,  as  and  when complaints  regarding  shortage  of  medicines  under  NHM/  NRHM  are  received,  same  are forwarded to respective State Governments for examination and appropriate action.

(d): Under the NHM, financia l and technical support is provided to the States/UTs not onl for  provision  of  essential  drugs  free  of cost  in  public  health  facilities  but strengthening/setting up robust systems of procurement, quality assurance mechani warehousing,  prescrip tion  audit,  grievance  redressal,  dissemination  of  Standard  Treatme Guidelines,  and  IT  backed  supply  chain  management  systems  like  Drugs  and  Vaccines Distribution Management Systems (DVDMS).

## Statement Showing State-wise Releases under NHM for the F.Y. 2015-16 to F.Y. 2017-18

Rs. in crores

Note: The above releases relate to Central Govt. Grants & do not include State share contribution.

| Sl.             | No.                       | Name of the States/UTs   | 2015-16 2016-17   | 2017-18   |
|-----------------|---------------------------|--------------------------|-------------------|-----------|
| 1               | Andaman & Nicobar Islands | 37.54                    | 44.90             | 33.94     |
| 2               | Andhra Pradesh            | 659.04                   | 629.55            | 875.06    |
| 3               | Arunachal Pradesh         | 163.80                   | 160.60            | 261.70    |
| 4               | Assam                     | 997.59                   | 1,046.09          | 1,392.66  |
| 5               | Bihar                     | 1,269.67                 | 1,040.59          | 1,557.40  |
| 6               | Chandigarh                | 24.66                    | 21.47             | 20.35     |
| 7               | Chattisgarh               | 423.31                   | 586.97            | 825.76    |
| 8               | Dadra & Nagar Haveli      | 14.63                    | 17.12             | 19.14     |
| 9               | Daman & Diu               | 10.66                    | 11.53             | 10.67     |
| 10              | Delhi                     | 176.56                   | 241.98            | 268.39    |
| 11              | Goa                       | 17.30                    | 26.13             | 26.07     |
| 12              | Gujarat                   | 714.39                   | 863.66            | 1,221.83  |
| 13              | Haryana                   | 318.21                   | 335.55            | 384.25    |
| 14              | Himachal Pradesh          | 249.14                   | 212.49            | 370.89    |
| 15              | Jammu & Kashmir           | 375.34                   | 362.42            | 550.42    |
| 16              | Jharkhand                 | 423.93                   | 454.64            | 735.99    |
| 17              | Karnataka                 | 772.15                   | 714.09            | 1,345.50  |
| 18              | Kerala                    | 315.35                   | 452.36            | 586.52    |
| 19              | Lakshadweep               | 5.72                     | 3.83              | 5.54      |
| 20              | Madhya Pradesh            | 1,156.95                 | 1,490.75          | 1,696.56  |
| 21              | Maharashtra               | 1,142.64                 | 1,252.55          | 1,707.60  |
| 22              | Manipur                   | 115.19                   | 79.07             | 163.05    |
| 23              | Meghalaya                 | 107.50                   | 161.13            | 189.02    |
| 24              | Mizoram                   | 95.26                    | 80.88             | 126.95    |
| 25              | Nagaland                  | 106.37                   | 95.92             | 134.86    |
| 26              | Orissa                    | 669.77                   | 728.58            | 1,216.22  |
| 27              | Puducherry                | 19.21                    | 41.35             | 35.55     |
| 28              | Punjab                    | 305.97                   | 292.55            | 483.74    |
| 29              | Rajasthan                 | 1,329.48                 | 1,234.18          | 1,615.29  |
| 30              | Sikkim                    | 41.54                    | 41.72             | 55.40     |
| 31              | Tamil Nadu                | 1,110.31                 | 788.68            | 1,293.97  |
| 32              | Tripura                   | 238.39                   | 343.47            | 662.42    |
| 33              | Uttar Pradesh             | 2,868.98                 | 3,099.84          | 3,509.95  |
| 34              | Uttarakhand               | 378.53                   | 325.86            | 493.67    |
| 35              | West Bengal               | 971.36                   | 755.60            | 1,232.81  |
| 36              | Telangana                 | 439.06                   | 386.34            | 356.16    |
| Total 18,158.32 | Total 18,158.32           | Total 18,158.32          | 18,424.43         | 25,465.28 |