Lok Sabha Question No. 5698 (UNSTARRED), answered on 2019-07-26
Subject: Funds Allocated under NHM and NUHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: L.S. Tejasvi Surya

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

LOK SABHA UNSTARRED QUESTION NO. 5698 TO BE ANSWERED ON 26 TH JULY, 2019

## FUNDS ALLOCATED UNDE R NHM AND NUHM

## 5698. SHRI L.S. TEJASVI SURYA:

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

- (a)  the details  of  funds  allocated  to  Karnataka  under  National  Health  Mission  (NHM)  an National Urban Health Mission (NUHM) and especially to Bangalore city during the last t years, programme -wise;
- (b) the major recommendations of Audit reports of the last three years of NHM and NUHM for Karnataka;
- (c)  whether  the  Government  is  aware  that  State - level  meeting/conference/  workshops  under NHM are being conducted in star hotels, with boarding and lodging facilities provided participants in the same hot els;
- (d) if so, the number of such meetings convened in Karnataka during the last three years expenditure incurred for each meeting; and
- (e) whether the Government is considering any policy to issue direction to States to conduc meeting in Government premises as a cost - cutting measure and if so, the details thereof?

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

(a):    The  details  of  funds  released  to  the  State  of  Karnataka  under  National  Health (NHM)  including  National  Urban  Health  Mission  (NUHM)  during  the  last  three  years  is AnnexureI.      The  funds  to  the  State's  implementing units  are  released  by  the  State  Health Society on the basis of approvals and utilisation etc.

The  detail  of  funds  approved  for  Bangalore  City  during  the  period  from  2015 - 16  to 2017- 18, reported by the State may be seen at Annexure -II.

(b): As per the annual statutory audit reports of NHM including NUHM for the period from 2015- 16 to 2017 - 18 duly furnished by the State of Karnataka, the Statutory auditor has prov its opinion. Copies of the same are at Annexure -III.

(c)& (d): Public Health is a State subject and its implementation also lies with the St Governments.

The State of Karnataka has reported that the State level meeting / conference /work under NHM are generally conducted at Seminar halls of State Institute of Health and Fa ly Welfare. However, due to shortage of space or non availability of seminar halls of State of Health & Family Welfare, the meeting / conference / workshops are being conducted at hotels.

The number of such meetings convened in Karnataka du ring the last three years and the expenditure incurred for each meeting is at Annexure -IV.

(e): The States have been asked to follow General Finance Rules issued by the Ministry Finance time to time and State Finance Rules.

| Annexure - I                                                    | Annexure - I                                                                                                                                                       | Annexure - I   | Annexure - I   | Annexure - I   |
|-----------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------|----------------|----------------|
|                                                                 |                                                                                                                                                                    |                |                | [Rs.i n crore] |
|                                                                 |                                                                                                                                                                    | 2016- 17       | 2017- 18       | 2018- 19       |
| Sl. No.                                                         | Programme                                                                                                                                                          | Release        | Release        | Release        |
| A. NRHM-RCH Flexible Pool                                       | A. NRHM-RCH Flexible Pool                                                                                                                                          | 440.50         | 693.17         | 587.02         |
| 1                                                               | Flexible Pool for Reproductive and Child Health including Routine Immunization, Pulse Polio Immunization and National Iodine Deficiency Disorder Control Programme | 234.28         | 363.12         | 201.92         |
| 2                                                               | Flexible Pool for Health System Strengthening under NRHM                                                                                                           | 206.22         | 330.05         | 385.10         |
| B. National Urban Health Mission - Flexible Pool                | B. National Urban Health Mission - Flexible Pool                                                                                                                   | 24.80          | 81.99          | 58.80          |
| C. Flexible Pool for Communicable Disease Control Programmes    | C. Flexible Pool for Communicable Disease Control Programmes                                                                                                       | 60.31          | 88.81          | 68.31          |
| D. Flexible Pool for Non -Communicable DiseaseControlProgrammes | D. Flexible Pool for Non -Communicable DiseaseControlProgrammes                                                                                                    | 21.34          | 82.84          | 20.07          |
| E. Infrastructure Maintenance                                   | E. Infrastructure Maintenance                                                                                                                                      | 167.14         | 398.69         | 520.62         |
| Grand Total (A+B+C+D+E)                                         | Grand Total (A+B+C+D+E)                                                                                                                                            | 714.09         | 1345.50        | 1254.82        |

Note:The release is Central release of Grants and does not contain State share contributio

## Annexure - II

| Funds allocated for Bangalore City under NUHM for three years (2015- 16 to 2017 - 18)   | Funds allocated for Bangalore City under NUHM for three years (2015- 16 to 2017 - 18)   | Funds allocated for Bangalore City under NUHM for three years (2015- 16 to 2017 - 18)   |
|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------|
| Sl. No.                                                                                 | Year                                                                                    | Amount (Rs. in Crore)                                                                   |
| 1                                                                                       | 2015- 16                                                                                | 58.11                                                                                   |
| 2                                                                                       | 2016.17                                                                                 | 74.53                                                                                   |
| 3                                                                                       | 2017- 18                                                                                | 52.08                                                                                   |

To,

## The Mission Director,

Karnataka State Health & Family Welfare Society, IPP Building, Directorate of Health & Family Welfare Anand Rao Circle Bangalore - 560009

## Introduction

We have audited the accompanying expenditure statements / financial statements of the RCH Progr Phase- II, Routine Immunisation, Pulse Polio Immunisation and Additionalities under NRHM including National Urban Health Mission (NUHM) and all the National Disease Control Programmes i.e. RNTCP - I financed under World Bank Credit No. 4228 -IN , Leprosy, IDD, IDSP and NDVCP (World Bank Cr. No. No. 2964 -IN) and all Non - Communicable Disease Control Programmes i.e NPCB, NPCDCS, NTCP, NPHCE,  NMHP,  NOHP  etc.  implemented  through  the  Karnataka  State  Health  and  Family  Welfare Society as of 31 st March, 2016. Our responsibility is to express an opinion on these financial state based on our audit.

## Scope

We conducted our audit in accordance with standards on auditing issued by the Institute of Cha Accountants of India. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit i examining, on a test basis, evidence supporting the amounts and disclosures in the financi al statements. An  audit  also  includes  assessing  the  accounting  principles  used  and  significant  estimates  m management, as well as evaluating the overall financial statement presentation. In forming our opi have relied upon the audit findings / observations in 30 (nos.)  District Health Society and One City Health and Family Welfare Society/Karnataka State Health Society's Financial statements, which have been audited by other auditors. We believe that our audit provides a reasonable basis for o ur opinion.

## Opinion

- a. The statements of account dealing with this report include funds received from World Bank under RNTCP -II (Cr. No. 4228 - IN).
- b. The audited financial statements include funds received from the Asian Development Bank und 'Supporting National Urban Health Mission - Results Based Lending' , Loan # 3257 dated July 28, 2015', and amounts claimed under the loan are eligible for financing under the credit arrangements. The expenditure as mentioned in the respective schedule for NUHM has bee n incurred during the year  under  review  for  the  National  Urban  Health  Mission  by  the  SHS  from  all  sources  of  fu including loan proceeds, and allocation for use of loan proceeds has not been shown separately
- c. We have obtained all the informations and ex planations which to the best of our knowledge and belief were necessary for the purpose of our examination.
- d. In our opinion, proper books of accounts have been kept by the Karnataka State Health and Fa Welfare Society, so far as appears from our examin ation of the books.
- e. The statements of account dealt with this report are in agreement with the books of account.
- f. Financial Statements of the State is the consolidated Financial Statements of the State and Societies .
- g. In our opinion and to the be st of our information and according to the explanations given to us t saidconsolidated accounts of the State and District Societies, gives the information in the mann required and give a true and fair view: -
1. In the case of the balance sheet, of th e State of affairs of the Society as at 31 st March, 2016.
2. In the case of the Income and Expenditure Account of the excess of income over expenditu deficit of income over expenditure for the year ended on that date.
3. In case of Receipts and Payments Account of the receipts and payments during the year ended on that date.
- h. In addition with respect to FMR/SOEs, adequate supporting documentation has been maintained support claims to the World Bank for reimbursements of expenditures incurred;
- i. The exp enditures so claimed are eligible for financing under the Credit Agreement; and
- j. Procurement of goods and services has been carried out as per the Procurement manual by Centra Division and other concerned division of the Govt. of India.

For S Venkatram & Co. Chartered Accountants FRN:004656S

Place: Ban galore

Date:

S Venkataramani Partner ( M. No. 015700)

## To,

## The Mission Director,

Karnataka State Health & Family Welfare Society, IPP Building, Directorate of Health & Family Welfare Anand Rao Circle Bangalore - 560009

## Introduction

We have audited the accompanying expenditure statements / financial statements of the RCH Progr Phase- II, Routine Immunisation, Pulse Polio Immunisation and Additionalities under NRHM including National Urban Health Mission (NUHM) and all the National Di sease Control Programmes i.e. RNTCP - I financed under World Bank Credit No. 4228 -IN , Leprosy, IDD, IDSP and NDVCP (World Bank Cr. No. No. 2964 -IN) and all Non - Communicable Disease Control Programmes i.e NPCB, NPCDCS, NTCP, NPHCE,  NMHP,  NOHP  etc.  implemented  through  the  Karnataka  State  Health  and  Family  Welfare Society as of 31 st March, 2017. Our responsibility is to express an opinion on these financial state based on our audit.

## Scope

We conducted our audit in accordance with standards on auditing i ssued by the Institute of Chartered Accountants of India. Those standards require that we plan and perform the audit to obtain rea assurance about whether the financial statements are free of material misstatement. An audit i examining, on a test basis, evidence supporting the amounts and disclosures in the financial state An  audit  also  includes  assessing  the  accounting  principles  used  and  significant  estimates  m management, as well as evaluating the overall financial statement pre sentation. In forming our opinion on Karnataka  State  Health  Society's  Financial  statements,  we  have  relied  upon  the  audit  findings  / observations in 30 (nos.)  District Health Society and One City Health and Family Welfare Society have been audited b y us. We believe that our audit provides a reasonable basis for our opinion.

## Opinion

- k. The statements of account dealing with this report include funds received from World Bank under RNTCP -II (Cr. No. 4228 - IN).
- l. The audited financial statements include fun ds received from the Asian Development Bank under 'Supporting National Urban Health Mission - Results Based Lending' , Loan # 3257 dated July 28, 2015', and amounts claimed under the loan are eligible for financing under the credit arrangements. The expend iture as mentioned in the respective schedule for NUHM has been incurred during t year  under  review  for  the  National  Urban  Health  Mission  by  the  SHS  from  all  sources  of  fu including loan proceeds, and allocation for use of loan proceeds has not been s hown separately.
- m. We have obtained all the informations and explanations which to the best of our knowledge and were necessary for the purpose of our examination.
- n. In our opinion, proper books of accounts have been kept by the Karnataka State Health and Family Welfare Society, so far as appears from our examination of the books.
- o. The statements of account dealt with this report are in agreement with the books of account.
- p. Financial Statements of the State is the consolidated Financial Statements of t he State and District Societies .
- q. In our opinion and to the best of our information and according to the explanations given t saidconsolidated accounts of the State and District Societies, gives the information in the mann required and give a true and fair view: -
4. In the case of the balance sheet, of the State of affairs of the Society as at 31 st March, 2017.
5. In the case of the Income and Expenditure Account of the excess of income over expenditure / deficit of income over expenditure for the year ended on that date.
6. In case of Receipts and Payments Account of the receipts and payments during the year ended that date.
- r. In addition with respect to FMR/SOEs, adequate supporting documentation has been maintained to support claims to the World Bank for reimbursements of expenditures incurred;
- s. The expenditures so claimed are eligible for financing under the Credit Agreement; and
- t. Procuremen t of goods and services has been carried out as per the Procurement manual by Central Division and other concerned division of the Govt. of India/Procurement Procedures prescribe Government of Karanataka.

For GHOSHAL & GHOSAL. Chartered Accountants FRN:304013E

GUPTA SAMA SESHAGIRI RAO Partner M. No. 023640

To,

## The Mission Director,

Karnataka State Health & Family Welfare Society, IPP Building, Directorate of Health & Family Welfare Anand Rao Circle Bangalore - 560009

## Introduction

We have audited the accompanying expenditure statements / financial statements of the RCH Progr Phase- II, Routine Immunisation, Pulse Polio Immunisation and Additionalities under NRHM including National Urban Health Mission (NUHM) and all the National Disease Control Programmes i.e. RNTCP - I financed under World Bank Credit No. 4228 -IN , Leprosy, IDD, IDSP and NDVCP (World Bank Cr. No. No. 2964 -IN) and all Non - Communicable Disease Control Programmes i.e NPCB, NPCDCS, NTCP, NPHCE,  NMHP,  NOHP  etc.  implemented  through  the  Karnataka  State  Health  and  Family  Welfare Society as of 31 st March, 2018. Our responsibility is to express an opinion on these finan cial statements based on our audit.

## Scope

We conducted our audit in accordance with standards on auditing issued by the Institute of Cha Accountants of India. Those standards require that we plan and perform the audit to obtain rea assuranc e about whether the financial statements are free of material misstatement. An audit in examining, on a test basis, evidence supporting the amounts and disclosures in the financial st An  audit  also  includes  assessing  the  accounting  principle s  used  and  significant  estimates  made  by management, as well as evaluating the overall financial statement presentation. In forming our op Karnataka  State  Health  Society's  Financial  statements,  we  have  relied  upon  the  audit  findings  / observations in 30 (nos.)  District Health Society and One City Health and Family Welfare Society w have been audited by us. We believe that our audit provides a reasonable basis for our opinion.

## Opinion

- u. The statements of account dealing with this report include funds received from World Bank under RNTCP -II (Cr. No. 4228 - IN).
- v. The audited financial statements include funds received from the Asian Development Bank und 'Supporting National Urban Health Mission - Results Based Lending' , Loan # 3257 dated July 28, 2015', and amounts claimed under the loan are eligible for financing under the credit arrangements. The expenditure as mentioned in the respective schedule for NUHM has been incurred during t year  under  review  for  the  National  Urban  Health  Mission  by  the SHS  from  all  sources  of  funds including loan proceeds, and allocation for use of loan proceeds has not been shown separately
- w. We have obtained all the informations and explanations which to the best of our knowledge and were necessary for the purp ose of our examination.
- x. In our opinion, proper books of accounts have been kept by the Karnataka State Health and Fa Welfare Society, so far as appears from our examination of the books.
- y. The statements of account dealt with this report are in agreeme nt with the books of account.

## AUDIT REPORT

- z. Financial Statements of the State is the consolidated Financial Statements of the State and Societies .
2. aa.In our opinion and to the best of our information and according to the explanations given t saidconsolidated accounts of the State and District Societies, gives the information in the mann required and give a true and fair view: -
7. In the case of the balance sheet, of the State of affairs of the Society as at 31 st March, 2018.
8. In the case of the Income and Expenditure Account of the excess of income over expenditure / deficit of income over expenditure for the year ended on that date.
9. In case of Receipts and Payments Account of the receipts and payments during the year ended that date.
6. bb.In adition with respect to FMR/SOEs, adequate supporting documentation has been maintained t support claims to the World Bank for reimbursements of expenditures incurred;
7. cc.The expenditures so claimed are eligible for financing under the Credit Agreement; and
8. dd.Procurement of goods and services has been carried out as per the Procurement manual by Centra Division and other concerned division of the Govt. of India/Procurement Procedures prescribe Government of Karanataka.

For GHOSHAL & GHOSAL. Chartered Accountants FRN:304013E

GUPTA SAMA SESHAGIRI RAO Partner M. No. 023640

Place: Bangalore

Date: 10.09.2018

## Details of Conferences/ Workshops conducted @ Hotels for the FY 2016-17

| Sl.No   | Date / Tenure            | Name of the Programme               | Name of the Meeting / Activity                                                                   | Venue                                           |   Expenditure incurred (in Lakh) |
|---------|--------------------------|-------------------------------------|--------------------------------------------------------------------------------------------------|-------------------------------------------------|----------------------------------|
| 1       | 28.12.2016 To 30.12.2016 | Programme Implementation Plan (PIP) | State level re-orientation workshop on preparation of PIP/DHAP process software for 2017-18 reg. | Private: The Chancery Pavilion hotel, Bangalore |                             8.12 |
| 2       | 16.02.2017 &17.02.2017   | Quality Assurance                   | Internal Assessors Training                                                                      | Private-The Bel Hotel, Bengaluru                |                             0.85 |
| 3       | 27.09.2016               | SIHFW                               | PGDHPE                                                                                           | West Fort Hotel                                 |                             1.47 |
| Total   | Total                    | Total                               | Total                                                                                            | Total                                           |                            10.44 |

## Details of Conferences/ Workshops conducted @ Hotels for the FY 2017-18

|   Sl.No | Date / Tenure            | Name of the Programme               | Name of the Meeting / Activity                                                  | Venue                                           |   Expenditur e incurred (in Lakh) |
|---------|--------------------------|-------------------------------------|---------------------------------------------------------------------------------|-------------------------------------------------|-----------------------------------|
|       1 | 11.01.2018 TO 12.01.2018 | Programme Implementation Plan (PIP) | State level re-orientation workshop on preparation of PIP/DHAP for 2018-19 reg. | Private: The Chancery Pavilion hotel, Bangalore |                              0.76 |
|       2 | 1-3.08.17                | Quality Assurance                   | NQAS-Service Providers Training                                                 | Private- The Palladium Hotel, Bengaluru         |                              3.04 |
|       3 | 5&7.12.17                | Quality Assurance                   | SBA &Kayakalpa EA                                                               | Private- The West Fort Hotel,                   |                              2.45 |

Training

Bengaluru

| 4   | 25.03.2018 (Dharwad), 13.04.2018 (Mysore), 22.04.2018 (Bangalore)   | State Blood Cell   | Rehabilitation Workshop for Hemophilia Patients   | Dharwad (Rashi Farms Club& Resort) Mysore (Hotel Le Ruchi the Prince) Bangalore (Kanva Star Resorts)   |   6.63 |
|-----|---------------------------------------------------------------------|--------------------|---------------------------------------------------|--------------------------------------------------------------------------------------------------------|--------|
|     | Total                                                               |                    |                                                   |                                                                                                        |  12.88 |

## Details of Conferences/ Workshops conducted @ Hotels for the FY 2018-19

|   Sl.No | Date / Tenure                       | Name of the Programme                                     | Name of the Meeting / Activity                                                                                                                                                                                                                                                                                                | Venue                                     | Expenditur e incurred (in Lakh)   |
|---------|-------------------------------------|-----------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------|-----------------------------------|
|       1 | 28th &29th March 2019               | IDSP                                                      | Southern States IDSP Review Meeting                                                                                                                                                                                                                                                                                           | Gold Finch                                | 1.34                              |
|       2 | 2/26/2019                           | Nutrition                                                 | (Stunting and Wasting) &À 'Brain Storming"                                                                                                                                                                                                                                                                                    | Hotel Capitol, Raj Bhavan Road, Bengaluru | 1.75                              |
|       3 | 12/12/2018 to 14/12/2018. Bangalore | National Programme for Prevention and Control of Deafness | South India Regional Review Meeting of NPPCD Programme to review State Nodal Officer of 16 South India Regional States (Karnataka, Andhra Pradesh, Chhattisgarh, Goa, Jharkhand, Kerala, Madhya Pradesh, Maharashtra, Odisha, Tamil Nadu, Andaman & Nicobar, Dadar &Nagar, Daman &Diu, Lakshadweep, Puducherry and Telangana) | Citrine Hotel, Sheshadripuram, Banglaore  | 2.93 0.76                         |
|       4 | 18.09.2018, 20.09.2018&             | Programme Implementation                                  | RoP meeting for the FY 2018-19                                                                                                                                                                                                                                                                                                | Private: Gold Finch hotel, Bangalore      | 6.43                              |

22.09.2018

Plan (PIP)

Private- The West

| 5   | 13-14.11.18              | Quality Assurance   | SBA &Kayakalpa EA Training                                                                | Fort Hotel, Bengaluru   |   2.21 |
|-----|--------------------------|---------------------|-------------------------------------------------------------------------------------------|-------------------------|--------|
| 6   | 19.02.2018               | SIHFW               | IEC                                                                                       | West Fort Hotel         |   0.83 |
| 7   | 01.02.2018 to 02.02.2018 | State Blood Cell    | International Workshop on Prevention and Management of Hemoglobionopathies and Hemophilia | The Hotel Ashoka        |  53.81 |
|     | Total                    |                     |                                                                                           |                         |  70.06 |