Lok Sabha Question No. 4108 (UNSTARRED), answered on 2021-03-19
Subject: National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bharti Pravin Pawar

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

## LOK SABHA UNSTARRED QUESTI ON NO. 4108 TO BE ANSWERED ON 19 TH MARCH, 2021

## NATIONAL HEALTH MISS ION

## 4108. DR. BHARATI PR AVIN PAWAR:

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

(a) the details of funds allotted and utilised under the National Health Mission (NHM) since its inception, State - wise including North Maharashtra;

(b)  whether  the  Government  has  taken/proposes  to take  any  ste ps  to  allocate  more  funds  to strengthen the National Health Mission and make it more effective;

(c) if so, the details thereof and if not, the reasons therefor;

(d)  the  details  of  Community  Health  Centres  (CHCs) and  Public  Health  Centres  (PHCs) established underNHM since its inception, State - wise including North Maharashtra; and

(e) the steps taken by the Government to assess the implementation and progress of NHM along with its present status?

## ANSWER

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

(a): A statement showing funds released and utilized since the inception of the National Mission (NHM), State/UT - wise including Maharashtra is at Annexure -I.

(b)  &  (c):  The  Government  has  continued  to allocate  more  funds  to  strengthen  the  National Health Mission (NHM). Rs.31,100.00 crore has been allocated to NHM during 2021 - 22 BE as against Rs. 27,989.00 crore in 2020 - 21 BE, i.e.  an increase of 11.1%.

Further,  the  National  Health  Policy,  2017,  also  e nvisages  the  States  to  increase  their health spending to atleast 8% of their budget and two thirds of such expenditure should primary care. In addition, as per the Memorandum of Understanding (MoU) under NHM, State are required to increase their Sta te's Health Budget by atleast 10% annually.

(d): It is the State Governments that establish the Public Health Centres (PHCs) and Community Health Centres (CHCs). Support is provided to CHCs and PHCs in the States/UTs under the National  Health  Mission  (NH M).  The  number  of  CHCs  and  PHCs  as  on  31 st March,  2019, State/UT - wise including Maharashtra is at Annexure -II.

(e):  The  working  of  National  Health  Mission  (NHM)  has  been  regularly  assessed, inter - alia , through  external  surveys  such  as,  National  Family  H e lth  Survey  (NFHS)  and  Sample Registration System (SRS). Further, Common Review Mission (CRM) also undertake a review of NHM every year.

Performance   of   National   Health   Mission   is   also   reviewed   by   the periodically including th rough the Health Management Information System (HMIS), Reproductive and Child Health portal, NIKSHAY portal (for TB patients) and Comprehensiv Primary Health Care Portal. To monitor the progress of Ayushman Bharat - Healt  & Wellness Centres (AB - HWCs), theAB - HWC portal has been created.

To improve health infrastructure and services in public health facilities, Governme laid  down  Indian  Public  Health  Standards  (IPHS).  These  standards  are  used  as  the  refe points for public health care infrastructur e planning and up -gradation in the States/UTs.

In addition, performance audits by the Comptroller and Auditor General (CAG) of In and Statutory Audits, Concurrent Audits etc., financial monitoring and management of fun carried out through Public F inancial Management System (PFMS) that track the flow of funds at different levels. The Ministry is also focusing on outcome based monitoring.

Annexure- I State/UT wise Central Release and Expenditure under National Health Mission

(Rs. in crore)

## (NHM) from 2013-14 to 2020-21

| Sl. No.     | State/UT                           | 2013-14 to 2020-21   | 2013-14 to 2020-21   |
|-------------|------------------------------------|----------------------|----------------------|
| Sl. No.     | State/UT                           | Central Release      | Expenditure          |
| 1           | Andaman & Nicobar Islands          | 255.85               | 260.15               |
| 2           | Andhra Pradesh                     | 6861.58              | 11449.66             |
| 3           | Arunachal Pradesh                  | 1380.55              | 1109.03              |
| 4           | Assam                              | 9802.05              | 10502.65             |
| 5           | Bihar                              | 10585.95             | 13999.84             |
| 6           | Chandigarh                         | 159.92               | 166.52               |
| 7           | Chhattisgarh                       | 5271.21              | 7932.02              |
| 8           | Dadra & Nagar Haveli & Daman & Diu | 222.73               | 213.67               |
| 9           | Delhi                              | 1398.17              | 1411.53              |
| 10          | Goa                                | 218.21               | 310.85               |
| 11          | Gujarat                            | 7692.24              | 11069.18             |
| 12          | Haryana                            | 3314.70              | 4653.36              |
| 13          | Himachal Pradesh                   | 2484.11              | 2600.38              |
| 14          | Jammu & Kashmir                    | 3890.22              | 3762.57              |
| 15          | Jharkhand                          | 4406.23              | 5693.70              |
| 16          | Karnataka                          | 7832.48              | 12272.00             |
| 17          | Kerala                             | 4732.94              | 6636.82              |
| 18          | Lakshadweep                        | 42.96                | 34.93                |
| 19          | Madhya Pradesh                     | 11959.98             | 17533.88             |
| 20          | Maharashtra                        | 11842.81             | 17589.61             |
| 21          | Manipur                            | 1013.11              | 882.28               |
| 22          | Meghalaya                          | 1097.17              | 1064.15              |
| 23          | Mizoram                            | 826.15               | 806.08               |
| 24          | Nagaland                           | 934.84               | 785.11               |
| 25          | Orissa                             | 7614.21              | 11281.50             |
| 26          | Puducherry                         | 226.23               | 266.91               |
| 27          | Punjab                             | 3633.87              | 5279.72              |
| 28          | Rajasthan                          | 11471.30             | 14942.20             |
| 29          | Sikkim                             | 389.42               | 392.50               |
| 30          | Tamil Nadu                         | 9537.44              | 16348.10             |
| 31          | Tripura                            | 1266.95              | 1250.23              |
| 32          | Uttar Pradesh                      | 28096.56             | 41786.19             |
| 33          | Uttarakhand                        | 2620.32              | 3040.81              |
| 34          | West Bengal                        | 9725.28              | 14602.90             |
| 35          | Telangana                          | 3975.91              | 5522.08              |
| 36          | Ladakh                             | 85.73                | 16.05                |
| Grand Total | Grand Total                        | 176869.40            | 247469.18            |

1. National Health Mission (NHM) has come into existence from 2013-14, comprising of two sub Missions viz. National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).

## Note:

2. The above releases relate to Central Govt. Grants & do not include State share contribution.
4. Expenditure includes expenditure against Central Release, State Release & unspent balances at the beginning of the year. Expenditure for the F.Y. 2020-21 (upto 31.12.2020 are as per FMRs reported by the States/UTs), hence provisional.
3. Release  for the F.Y. 2020-21 is updated upto 28.02.2021 and is provisional.
5. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 202021.

Annexure-II Number of Primary Health Centres (PHCs) and Community Health Centres (CHCs) as on

## 31 st March, 2019

| S. No.   | State/UT             |   Primary Health Centres (Rural + Urban) |   Community Health Centres (Rural + Urban) |
|----------|----------------------|------------------------------------------|--------------------------------------------|
| 1        | Andhra Pradesh       |                                     1509 |                                        195 |
| 2        | Arunachal Pradesh    |                                      147 |                                         63 |
| 3        | Assam                |                                     1001 |                                        179 |
| 4        | Bihar                |                                     1994 |                                        150 |
| 5        | Chhattisgarh         |                                      837 |                                        174 |
| 6        | Goa                  |                                       24 |                                          5 |
| 7        | Gujarat              |                                     1794 |                                        376 |
| 8        | Haryana              |                                      476 |                                        128 |
| 9        | Himachal Pradesh     |                                      606 |                                         94 |
| 10       | Jammu & Kashmir      |                                      671 |                                         84 |
| 11       | Jharkhand            |                                      355 |                                        177 |
| 12       | Karnataka            |                                     2562 |                                        207 |
| 13       | Kerala               |                                      931 |                                        229 |
| 14       | Madhya Pradesh       |                                     1335 |                                        330 |
| 15       | Maharashtra          |                                     2366 |                                        401 |
| 16       | Manipur              |                                       99 |                                         23 |
| 17       | Meghalaya            |                                      118 |                                         28 |
| 18       | Mizoram              |                                       69 |                                          9 |
| 19       | Nagaland             |                                      131 |                                         21 |
| 20       | Odisha               |                                     1375 |                                        384 |
| 21       | Punjab               |                                      432 |                                        152 |
| 22       | Rajasthan            |                                     2459 |                                        595 |
| 23       | Sikkim               |                                       30 |                                          2 |
| 24       | Tamil Nadu           |                                     1885 |                                        400 |
| 25       | Telangana            |                                      885 |                                         95 |
| 26       | Tripura              |                                      113 |                                         22 |
| 27       | Uttarakhand          |                                      257 |                                         67 |
| 28       | Uttar Pradesh        |                                     3560 |                                        691 |
| 29       | West Bengal          |                                     1356 |                                        387 |
| 30       | A& N Islands         |                                       24 |                                          4 |
| 31       | Chandigarh           |                                       46 |                                          2 |
| 32       | Dadra & Nagar Haveli |                                       11 |                                          2 |
| 33       | Daman & Diu          |                                        4 |                                          2 |
| 34       | Delhi                |                                      540 |                                          0 |
| 35       | Lakshadweep          |                                        4 |                                          3 |
| 36       | Puducherry           |                                       39 |                                          4 |
|          | All India/ Total     |                                    30045 |                                       5685 |

1. Telangana came to existence in 2014 after bifurcation of Andhra Pradesh

Note:

2. Source: Rural Health Statistics, 2018-19.