Lok Sabha Question No. 5060 (UNSTARRED), answered on 2017-03-31
Subject: National Urban Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KONDA VISHWESHWAR REDDY

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

## LOK SABHA UNSTARRED QUESTION NO. 5060 TO BE ANSWERED ON 31 ST MARCH, 2017

## NATIONAL URBAN HEALT H MISSION

## 5060. SHRI KONDA VISHWESHWAR REDDY:

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

- (a) the State - wise  details of cities and district headquarters covered under the National Urban Health Mission so far;
- (b) the State - wise details of budget allocated and actual expenditure made in the last three years;
- (c) the State - wise details of Mobile Medical Units established and the expenditure incurred under the mission so far;
- (d) the details of total fund available and expenditure incurred out of NCD flexi - pool in the last three years; and
- (e) whether the Government has conducted any study to observe the impact and working of the mission, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): State - wise  details  of  cities  and  district  headquarters  covered  under  the  National Health Mission (NUHM) is enclosed at Annexure -I .
- (b): State - wise  details  of  budget  allocation  and  expenditure  during  the  last  three  y ears  is enclosed at Annexure -II .
- (c): State - wise details  of  Mobile  Medical  Units  (MMUs) and  expenditure  incurred  under NUHM so far isenclosed at Annexure -III .
- (d): The  five  programs  namely  National  Programme  for  Control  of  Blindness  (NPCB), National  Men tal  Health  Programme  (NMHP),  National  Programme  for  Health  Care  of  the Elderly (NPHCE), National Tobacco Control Programme (NTCP) and National Programme for Prevention and Control of Cancer, Diabetes, Cardio - Vascular Diseases and Stroke (NPCDCS) have beenmerged into Flexipool for NCD from the FY 2015 - 16 onwards and thus information related to releases and expenditure for the last two FYs i.e., 2015 - 16 and 2016 - 17 are enclosed at Annexure-IV.
- (e): National Urban Health Mission (NUHM) is a recent programme l aunched in 2013. The Ministry is in constant correspondence with the States/UTs with regard to implementation Programme.  Various  guidelines,  modules,  brochures,  letters,  etc.  have  been  shared  wit States/UTs. However, dedicated study with regard to NUHM has not been conducted so far.

| Annexure   | Annexure                  | Annexure                                               |                                                        |
|------------|---------------------------|--------------------------------------------------------|--------------------------------------------------------|
| S.No.      | State/UT                  | Headquarters under NUHM (Till 2016 - 17) No. of Cities | Headquarters under NUHM (Till 2016 - 17) No. of Cities |
| 1          | Andaman & Nicobar Islands | 1                                                      |                                                        |
| 2          | Andhra Pradesh            | 74                                                     |                                                        |
| 3          | Arunachal Pradesh         | 2                                                      |                                                        |
| 4          | Assam                     | 14                                                     |                                                        |
| 5          | Bihar                     | 15                                                     |                                                        |
| 6          | Chandigarh                | 1                                                      |                                                        |
| 7          | Chhastisgarh              | 19                                                     |                                                        |
| 8          | Dadar & Nagar Haveli      | 1                                                      |                                                        |
| 9          | Daman & Diu               | 1                                                      |                                                        |
| 10         | Delhi                     | 1                                                      |                                                        |
| 11         | Goa                       | 4                                                      |                                                        |
| 12         | Gujarat                   | 68                                                     |                                                        |
| 13         | Haryana                   | 28                                                     |                                                        |
| 14         | Himachal Pradesh          | 3                                                      |                                                        |
| 15         | Jammu & Kashmir           | 7                                                      |                                                        |
| 16         | Jharkhand                 | 22                                                     |                                                        |
| 17         | Karnataka                 | 76                                                     |                                                        |
| 18         | Kerala                    | 44                                                     |                                                        |
| 19         | Madhya Pradesh            | 66                                                     |                                                        |
| 20         | Maharashtra               | 95                                                     |                                                        |
| 21         | Manipur                   | 3                                                      |                                                        |
| 22         | Meghalaya                 | 4                                                      |                                                        |
| 23         | Mizoram                   | 2                                                      |                                                        |
| 24         | Nagaland                  | 5                                                      |                                                        |
| 25         | Odisha                    | 36                                                     |                                                        |
| 26         | Pudducherry               | 4                                                      |                                                        |
| 27         | Punjab                    | 40                                                     |                                                        |
| 28         | Rajasthan                 | 61                                                     |                                                        |
| 29         | Sikkim                    | 1                                                      |                                                        |
| 30         | Tamil Nadu                | 87                                                     |                                                        |
| 31         | Tripura                   | 3                                                      |                                                        |
| 32         | Telangana                 | 41                                                     |                                                        |
| 33         | Uttar Pradesh             | 131                                                    |                                                        |
| 34         | Uttarakhand               | 9                                                      |                                                        |
| 35         | West Bengal               | 88                                                     |                                                        |
| 36         | Lakshadweep *             | -                                                      |                                                        |
|            | Total                     | 1057                                                   |                                                        |

## Year wise Allocation and Expenditure  under NUHM for last three years

Rs. in crore

| Sl. No.   | Name of State             | 2013- 14   | 2013- 14   | 2014- 15   | 2014- 15   | 2015- 16   | 2015- 16   | 2016- 17   | 2016- 17   |
|-----------|---------------------------|------------|------------|------------|------------|------------|------------|------------|------------|
| Sl. No.   | Name of State             | Allocation | Exp        | Allocation | Exp        | Allocation | Exp        | Allocation | Exp        |
| 1         | Andaman & Nicobar Islands | 0.36       |            | 0.73       | 0.00       | 0.38       | 0.08       | 0.43       | 0.28       |
| 2         | Andhra Pradesh            | 81.59      |            | 89.96      | 17.92      | 92.16      | 24.19      | 58.62      | 57.76      |
| 3         | Arunachal Pradesh         | 0.94       |            | 5.37       | 0.78       | 1.61       | 0.79       | 1.10       | 1.33       |
| 4         | Assam                     | 11.57      | 0.03       | 99.53      | 6.16       | 36.34      |            | 24.91      | 9.41       |
| 5         | Bihar                     | 24.60      |            | 40.86      | 0.12       | 32.28      | 4.93       | 21.41      | 2.98       |
| 6         | Chandigarh                | 3.15       |            | 6.47       | 1.59       | 7.13       | 5.13       | 3.53       | 4.08       |
| 7         | Chattisgarh               | 19.22      | 2.02       | 32.13      | 13.93      | 27.98      | 17.17      | 18.55      | 21.37      |
| 8         | Dadra & Nagar Haveli      | 0.35       |            | 0.90       | 0.03       | 0.22       | 0.48       | 0.25       | 0.31       |
| 9         | Daman & Diu               | 0.29       |            | 0.83       | 0.00       | 0.21       |            | 0.24       | -          |
| 10        | Delhi                     | 38.65      |            | 82.50      | 66.24      | 54.03      | 50.23      | 61.47      | 21.62      |
| 11        | Goa                       | 2.03       |            | 2.70       | 0.75       | 0.98       | 0.81       | 0.65       | 0.64       |
| 12        | Gujarat                   | 59.15      | 6.12       | 110.58     | 54.47      | 65.31      | 94.88      | 43.31      | 54.87      |
| 13        | Haryana                   | 29.37      | 0.03       | 51.07      | 22.69      | 32.04      | 37.38      | 21.25      | 17.98      |
| 14        | Himachal Pradesh          | 1.38       |            | 1.43       | 1.16       | 1.08       | 0.26       | 0.72       | 0.89       |
| 15        | Jammu & Kashmir           | 7.18       |            | 12.71      | 3.40       | 12.02      | 6.48       | 7.97       | 4.34       |
| 16        | Jharkhand                 | 15.52      |            | 27.97      | 0.52       | 17.34      | 2.37       | 11.50      | 4.04       |
| 17        | Karnataka                 | 50.77      | 0.08       | 90.52      | 6.11       | 74.80      | 29.58      | 49.60      | 36.76      |
| 18        | Kerala                    | 24.00      | 1.15       | 30.50      | 21.28      | 35.55      | 24.18      | 23.57      | 23.01      |
| 19        | Lakshadweep               | 0.08       |            | 0.22       | 0.00       | -          |            | -          | -          |
| 20        | Madhya Pradesh            | 60.95      | 0.27       | 104.06     | 13.16      | 88.17      | 33.93      | 58.46      | 16.66      |
| 21        | Maharashtra               | 164.92     |            | 318.52     | 11.26      | 214.24     | 64.84      | 142.06     | 53.73      |
| 22        | Manipur                   | 1.49       |            | 9.71       | 0.28       | 3.77       | 0.50       | 2.58       | 0.48       |
| 23        | Meghalaya                 | 1.89       |            | 17.56      | 3.23       | 7.79       | 5.58       | 5.34       | 3.16       |
| 24        | Mizoram                   | 1.31       | 0.36       | 10.55      | 3.64       | 8.85       |            | 6.07       | 0.46       |

| 25   | Nagaland      | 1.21     |       | 8.19     | 0.51   | 8.65     |   1.68 |   5.93 |   2.14 |
|------|---------------|----------|-------|----------|--------|----------|--------|--------|--------|
| 26   | Orissa        | 18.60    |       | 31.37    | 1.93   | 26.41    |  12.55 |  17.51 |  37.57 |
| 27   | Puducherry    | 1.86     | 0.07  | 3.66     | 0.60   | 3.33     |   2.05 |   3.79 |   2.12 |
| 28   | Punjab        | 28.81    |       | 51.65    | 5.88   | 31.96    |  47.58 |  21.19 |  33.54 |
| 29   | Rajasthan     | 43.21    | -     | 74.91    | 8.06   | 48.70    |  28.85 |  32.29 |  80.51 |
| 30   | Sikkim        | 0.27     |       | 1.34     | 0.39   | 3.07     |   0.56 |   2.11 |   0.34 |
| 31   | Tamil Nadu    | 92.80    |       | 156.38   | 106.95 | 111.99   |  63.7  |  74.26 |  93.55 |
| 32   | Telangana     |          |       | 64.29    | -      | 65.87    |   6.92 |  46.16 |  28.3  |
| 33   | Tripura       | 1.98     |       | 10.75    | 0.07   | 13.92    |   0.56 |   9.54 |   0.75 |
| 34   | Uttar Pradesh | 117.41   |       | 200.97   | 47.88  | 136.55   | 136.5  |  90.54 |  86.94 |
| 35   | Uttarakhand   | 8.54     |       | 12.84    | 3.47   | 9.79     |   6.42 |   6.49 |   4.39 |
| 36   | West Bengal   | 84.55    |       | 160.69   | 6.88   | 115.53   |  36.62 |  76.61 |  58.07 |
|      | Total         | 1,000.00 | 10.12 | 1,924.43 | 431.34 | 1,390.03 | 747.79 | 950    | 764.38 |

## Note:

1. Expenditures from 2013 - 14 to 2015 - 16 is based on audit reports
2. 2.Expenditure for 2016 -17 is provisional upto 31.12.2016

## Mobile Medical Units and Expenditure incurred under NUHM

| S.No.   | State                     |   No. of MMUs | Expenditure (in Lakhs)   |
|---------|---------------------------|---------------|--------------------------|
| 1       | Andaman & Nicobar Islands |             0 | -                        |
| 2       | Andhra Pradesh            |             0 | -                        |
| 3       | Arunachal Pradesh         |             0 | -                        |
| 4       | Assam                     |             0 | -                        |
| 5       | Bihar                     |             0 | -                        |
| 6       | Chandigarh                |             0 | -                        |
| 7       | Chhattisgarh              |             0 | -                        |
| 8       | Dadra & NagarHaveli       |             0 | -                        |
| 9       | Daman & Diu               |             0 | -                        |
| 10      | Delhi                     |             4 | 68.00                    |
| 11      | Goa                       |             0 | -                        |
| 12      | Gujarat                   |             1 | -                        |
| 13      | Haryana                   |             0 | -                        |
| 14      | Himachal Pradesh          |             0 | -                        |
| 15      | Jammu & Kashmir           |             0 | -                        |
| 16      | Jharkhand                 |             0 | -                        |
| 17      | Karnataka                 |             8 | -                        |
| 18      | Kerala                    |             0 | -                        |
| 19      | Madhya Pradesh            |             0 | 52.36                    |
| 20      | Maharashtra               |             0 | 3.23                     |
| 21      | Manipur                   |             0 | -                        |
| 22      | Meghalaya                 |             0 | 0.59                     |
| 23      | Mizoram                   |             0 | -                        |
| 24      | Nagaland                  |             0 | -                        |
| 25      | Odisha                    |            11 | -                        |
| 26      | Pudducherry               |             0 | -                        |
| 27      | Punjab                    |             0 | -                        |
| 28      | Rajasthan                 |             4 | -                        |
| 29      | Sikkim                    |             0 | -                        |
| 30      | Tamil Nadu                |            10 | -                        |
| 31      | Telangana                 |             0 | -                        |
| 32      | Tripura                   |             0 | -                        |
| 33      | Uttar Pradesh             |            20 | -                        |
| 34      | Uttarakhand               |             0 | -                        |
| 35      | West Bengal               |             5 | -                        |
|         | Total                     |            63 | 124.18                   |

## Note:

1.  Expenditure  includes  expenditure  against Central  Release,  State  share  &  unspent  balances  at  the beginning of  the year. It is updated upto 31 - 12- 2016, hence provisional.
2. The above figures are as per Financial Management Report reported by State/UTs.

## Statement showing Release and Expenditure under NCD for the FY 2015 - 16 and 2016 - 17

Rs. In Crore

| Sl. No   | Name of                   | 2015-16   | 2015-16   | 2016-17   | 2016-17   |
|----------|---------------------------|-----------|-----------|-----------|-----------|
| Sl. No   | Name of                   | Release   | Exp       | Release   | Exp       |
| 1        | Andaman & Nicobar Islands | 0.55      | 0.11      | 0.91      | 0.11      |
| 2        | Andhra Pradesh            | 14.78     | 18.67     | 30.82     | 5.24      |
| 3        | Arunachal Pradesh         | 5.7       | 1.28      | 5.86      | 2.64      |
| 4        | Assam                     | 35.78     | 22.30     | 22.22     | 14.96     |
| 5        | Bihar                     | 22.34     | 10.77     | 18.04     | 4.44      |
| 6        | Chandigarh                | 0.69      | 0.72      | 0.42      | 0.61      |
| 7        | Chattisgarh               | 8.47      | 5.36      | 14.85     | 6.91      |
| 8        | Dadra & Nagar Haveli      | 0.63      | 1.07      | 0.82      | 1.32      |
| 9        | Daman & Diu               | 0.35      | 0.11      | 0.39      | 0.00      |
| 10       | Delhi                     | 2.23      | 1.62      | -         | 0.52      |
| 11       | Goa                       | 0.23      | 1.43      | -         | 0.96      |
| 12       | Gujarat                   | 20.98     | 34.71     | 21.32     | 26.50     |
| 13       | Haryana                   | 4.93      | 4.90      | 3.80      | 3.42      |
| 14       | Himachal Pradesh          | 4.78      | 6.19      | 3.24      | 1.25      |
| 15       | Jammu & Kashmir           | 8.16      | 7.18      | 10.94     | 2.94      |
| 16       | Jharkhand                 | 10.57     | 4.07      | 15.11     | 3.91      |
| 17       | Karnataka                 | 14.29     | 20.92     | 21.34     | 19.65     |
| 18       | Kerala                    | 5.18      | 8.94      | 6.93      | 6.53      |
| 19       | Lakshadweep               | 0.07      | 0.37      | -         | 0.02      |
| 20       | Madhya Pradesh            | 26.82     | 26.46     | 35.40     | 14.62     |
| 21       | Maharashtra               | 27.54     | 29.67     | 28.26     | 15.09     |
| 22       | Manipur                   | 3.08      | 1.62      | -         | 1.22      |
| 23       | Meghalaya                 | 2.46      | 0.98      | 2.65      | 2.00      |

| 24   | Mizoram       |   1.42 |   4.60 | 2.14   |   5.20 |
|------|---------------|--------|--------|--------|--------|
| 25   | Nagaland      |   2.63 |   2.17 | 1.83   |   1.79 |
| 26   | Orissa        |  16.19 |  21.08 | 19.55  |  11.25 |
| 27   | Puducherry    |   0.29 |   0.52 | 0.39   |   1.31 |
| 28   | Punjab        |   6.71 |  11.39 | 8.35   |  10.49 |
| 29   | Rajasthan     |  27.04 |  40.78 | 26.78  |  33.48 |
| 30   | Sikkim        |   0.95 |   4.2  | -      |   1.35 |
| 31   | Tamil Nadu    |  17.16 |  51.23 | 21.45  |  35.04 |
| 32   | Tripura       |   2.55 |   2.97 | -      |   1.8  |
| 33   | Uttar Pradesh |  54.39 |  35.43 | 44.39  |  28.12 |
| 34   | Uttarakhand   |   6.62 |   1.78 | 8.90   |   1.59 |
| 35   | West Bengal   |  13.03 |  14.18 | 24.85  |   7.36 |
| 36   | Telangana     |   9.41 |   6.15 | 9.38   |   0.68 |
|      | Total         | 379    | 405.97 | 411.33 | 274.33 |

## Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. Release for the F.Y. 2016 - 17 is updated upto 02.03.2017 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.  2016 - 17  (upto  31.12.2016  as  per  Financial Management Report) are provisional.