Lok Sabha Question No. 2113 (UNSTARRED), answered on 2020-09-23
Subject: Implementation of National Health Mission in Chhattisgarh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Santosh Pandey

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

## LOK SABHA UNSTARRED QUESTION NO. 2113 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## IMPLEMENTATION OF NA TIONAL HEALTH MISSIO N IN CHHATTISGARH

## 2113. SHRI SANTOSH PANDEY:

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

- (a)  the  details  of  the  funds  allocated  and  utilized under  National  Health  Mission  (NHM) during the last two years and as on date for Chhattisgarh;
- (b) whether any steps have bee n taken/proposed to be taken to strengthen National Health Mission and make it more effective by increased allocation of funds;
- (c) if so, the details thereof, if not, the reasons therefor;
- (d) the details of Community Health Centres and Public Health Centres setup in Chhattisgarh from the date of inception of National Health Mission; and
- (e) the steps taken by the Government to assess the implementation and growth of National HealthMission (NHM) along with the present status thereof?

## ANSWER THE MINI STER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a):  Funds  released  and  utilized  by  the  State  of  Chhattisgarh  under  the  National Mission (NHM) during 2018 - 19, 2019 - 20 and in the current year are as under:

| State       | 2018- 19        | 2018- 19    | 2019- 20        | 2019- 20    | 2020- 21                        | 2020- 21                          |
|-------------|-----------------|-------------|-----------------|-------------|---------------------------------|-----------------------------------|
|             | Central Release | Expenditure | Central Release | Expenditure | Central Release (as 10.09.2020) | on Expenditure (as on 30.06.2020) |
| Chattisgarh | 875.10          | 1,138.90    | 816.07          | 1,464.47    | 619.87                          | 191.82                            |

Note: Theexpenditure incurred by the State includes expenditure against Central Rele State's share & unspent balances at the beginning of the year.

- (b) & (c):  The Government has continued to allocate more funds to strengthen the Nat Health Mission (NHM). Further, there has been an increase in State share for NHM from 25% to 40% in all States except Hilly States and North Eastern States. In addition, th are  required  to  increase  their  State's  Health  Budget  by  at  least  10%  annually  as  per  the Memoran dum of Understanding (MoU) under NHM.

(d): Public Health and Hospital is a State subject, however, Government of India prov financial and technical support to the States/UTs under NHM for strengthening the healt system  including  setting  up  of  Pri mary  Health  Centres  (PHCs)  and  Community  Health Centres  (CHCs)  based  on  the  proposal  received  from  the  States  as  per  their  reso envelope. Details of CHCs and PHCs setup in Chhattisgarh from the date of inception NHM are not maintained centrally. How ever, as per the Rural Health Statistics (RHS) 2018 -19,  174  CHCs  and  837  PHCs  (including  Health  &  Wellness  Centres)  are  functional  i Chhattisgarh.

(e): The working of National Health Mission (NHM) is reviewed / assessed, inter - alia, through  external  sur veys  such  as,  National  Family  Health  Survey  (NFHS)  and  Sample Registration  System  (SRS).  Further,  Common  Review  Missions  (CRMs)  also  undertake  a review of NHM every year.

Performance  of  NHM  is  also  reviewed  by  the  Ministry  periodically  through  th HealthManagement  Information  System  (HMIS),  Reproductive  and  Child  Health  portal, NIKSHAY  portal  (for  TB  patients)  and  Comprehensive  Primary  Health  Care  Portal.  To monitor the progress of Health & Wellness Centres, the AB - HWC portal has been created.

Inaddition to Performance Audit by the Comptroller Auditor General of India (CAG) Annual  Statutory  Audits  by  CAG  empanelled  Chartered  Accountant  Audit  firms  and Concurrent  Audits  by  Chartered  Accountant  Audit  firms,  etc.,  financial  monitoring management of funds on real time basis is carried out through Public Financial Managem System (PFMS) that tracks the flow of funds at different levels. The Ministry is also on outcome - based monitoring.