Lok Sabha Question No. 97 (STARRED), answered on 2019-02-08
Subject: National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRATAPRAO GANPATRAO JADHAV, DUSHYANT CHAUTALA

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

## LOK SABHA STARRED QUESTION NO. 97 TO BE ANSWERED ON THE 8 TH FEBRUARY ,2019 NATIONAL HEALTH MISS ION

## †*97. SHRI PRATAPRAO JADHAV:

## SHRI DUSHYANT CHAUTALA:

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

- (a) the details of funds allotted and utilised under the National Health Mis since its inception, State - wise including Haryana;
- (b) whethe r the Government has taken/proposes to take any steps to allocat 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 under NHM since its inception, State - wise including Haryana; and
- (e) the steps taken by the Government to assess the implementation and pro NHM along with its present status?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a)to ( e) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 97* FOR 8 TH FEBRUARY , 20 19

(a) : A statement showing funds released and utilised since the inception (2 - 14) of National Health Mission (NHM), State - wise including Haryana is at Annexure - 1.

(b) and (c): The Government has continued to allocate more funds to streng Nationa l Health Mission. Further, there has been an increase in State share from  25%  to  40%  in  all  States  except  Hill  States  and  North  Eastern  Sta addition, the States are required to increase their State Health Budget by annually as per the Memorandum of Understanding (MoU) under NHM. Details are provided at Annexure - 2.

(d) It  is  the  State  Governments  that  establish  the  Primary  Health  Centr Community Health Centres. The number of CHCs and PHCs for which support has been rendered  under  NHM  in  2018 - 19,    State - wise  including  Haryana  is  at Annexure- 3.

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

Performance  of  National  Health  Mission  is  also  reviewed  by  the  Min periodically including through the Health Management Information System (HM S), Reproductive  and  Child  Health  portal,  NIKSHAY  portal  (for  TB  patients) Comprehensive  Primary  Health  Care  Portal.  To  monitor  the  progress  of  Heal Wellness Centres, the AB - HWC portal has been created.

In addition, annual audits by the Comptro ller Auditor General of India (CAG) and Statutory  audits  etc.,  financial  monitoring  and  management  of  funds  is  ca through Public Financial Management System (PFMS) that tracks the flow of fu different levels. The Ministry is also focusing on outcome- based monitoring.

*****

|   Sl. | Name of the States/UTs    | Total Central Releases under NHM (2013 - 14) onwards   | Rs. in Total Expenditure reported by States/UTs (2013-14 onwards)   |
|-------|---------------------------|--------------------------------------------------------|---------------------------------------------------------------------|
|     1 | Andaman & Nicobar Islands | 186.81                                                 | 156.54                                                              |
|     2 | Andhra Pradesh            | 4,669.65                                               | 6,725.31                                                            |
|     3 | Arunachal Pradesh         | 958.36                                                 | 716.43                                                              |
|     4 | Assam                     | 6,515.27                                               | 6,527.83                                                            |
|     5 | Bihar                     | 7,550.40                                               | 8,986.01                                                            |
|     6 | Chandigarh                | 114.41                                                 | 118.22                                                              |
|     7 | Chhattisgarh              | 3,442.12                                               | 4,994.79                                                            |
|     8 | Dadra & Nagar Haveli      | 86.97                                                  | 82.99                                                               |
|     9 | Daman & Diu               | 58.09                                                  | 52.40                                                               |
|    10 | Delhi                     | 1,126.28                                               | 996.10                                                              |
|    11 | Goa                       | 143.91                                                 | 189.42                                                              |
|    12 | Gujarat                   | 5,558.37                                               | 6,992.27                                                            |
|    13 | Haryana                   | 2,237.89                                               | 2,943.96                                                            |
|    14 | Himachal Pradesh          | 1,560.10                                               | 1,670.35                                                            |
|    15 | Jammu & Kashmir           | 3,318.70                                               | 2,989.22                                                            |
|    16 | Jharkhand                 | 2,842.46                                               | 3,206.96                                                            |
|    17 | Karnataka                 | 5,504.30                                               | 6,983.67                                                            |
|    18 | Kerala                    | 3,082.84                                               | 4,023.37                                                            |
|    19 | Lakshadweep               | 29.55                                                  | 19.13                                                               |
|    20 | Madhya Pradesh            | 7,863.89                                               | 10,568.36                                                           |
|    21 | Maharashtra               | 8,297.83                                               | 10,116.48                                                           |
|    22 | Manipur                   | 680.57                                                 | 510.12                                                              |
|    23 | Meghalaya                 | 784.78                                                 | 652.54                                                              |
|    24 | Mizoram                   | 575.69                                                 | 534.54                                                              |
|    25 | Nagaland                  | 646.72                                                 | 483.55                                                              |
|    26 | Orissa                    | 4,615.36                                               | 6,520.65                                                            |
|    27 | Puducherry                | 160.29                                                 | 158.74                                                              |
|    28 | Punjab                    | 2,294.14                                               | 3,244.04                                                            |
|    29 | Rajasthan                 | 7,652.02                                               | 9,790.30                                                            |
|    30 | Sikkim                    | 268.16                                                 | 254.20                                                              |
|    31 | Tamil Nadu                | 6,613.72                                               | 10,711.38                                                           |
|    32 | Tripura                   | 842.60                                                 | 768.75                                                              |
|    33 | Uttar Pradesh             | 19,039.53                                              | 26,288.77                                                           |
|    34 | Uttarakhand               | 1,711.20                                               | 1,890.30                                                            |
|    35 | West Bengal               | 6,113.57                                               | 9,503.84                                                            |
|    36 | Telangana                 | 2,060.31                                               | 3,101.19                                                            |

## Note:

- (1)National Health Mission (NHM) has come into existence from 2013 - 14, comprising of two sub Missions viz. National Rural Health Mission and National Urban Health Mission.
- (2)Release is the Central Release given by the Ministry and Expenditure is inclusive Central and State share grants.
- (3)Release is updated up to 14.1.2019 and expenditure is updated up to 30.09.2018.
- (4)The expenditure is as per the Financial Management Report (FMR) as reported by the and hence provisional.

## Annexure - 2

| Financial Year   | Total Funds for NHM (Central Grants +Proportionate Share)   |
|------------------|-------------------------------------------------------------|
|                  | (Rs. in Crore)                                              |
| 2013- 14         | 22,332.10                                                   |
| 2014- 15         | 23,454.82                                                   |
| 2015- 16         | 28,017.37                                                   |
| 2016- 17         | 28,862.42                                                   |
| 2017- 18         | 38,552.53                                                   |

## NHM for PHCs & CHCs in 2018 - 19

| S. No.   | Name of the State / UT    | No. of facilities   | No. of facilities   | No. of facilities   | No. of facilities   | No. of facilities   | No. of facilities   |
|----------|---------------------------|---------------------|---------------------|---------------------|---------------------|---------------------|---------------------|
| S. No.   | Name of the State / UT    | PHCs                | PHCs                | PHCs                | CHCs                | CHCs                | CHCs                |
| S. No.   | Name of the State / UT    | Rural               | Urban               | Total               | Rural               | Urban               | Total               |
| 1        | Andhra Pradesh            | 1147                | 244                 | 1391                | 193                 | 0                   | 193                 |
| 2        | Arunachal Pradesh         | 143                 | 4                   | 147                 | 63                  | 0                   | 63                  |
| 3        | Assam                     | 946                 | 55                  | 1001                | 172                 | 2                   | 174                 |
| 4        | Bihar                     | 1899                | 100                 | 1999                | 150                 | 0                   | 150                 |
| 5        | Chhattisgarh              | 793                 | 45                  | 838                 | 169                 | 3                   | 172                 |
| 6        | Goa                       | 25                  | 4                   | 29                  | 4                   | 0                   | 4                   |
| 7        | Gujarat                   | 1474                | 314                 | 1788                | 363                 | 7                   | 370                 |
| 8        | Haryana                   | 368                 | 100                 | 468                 | 113                 | 2                   | 115                 |
| 9        | Himachal Pradesh          | 576                 | 8                   | 584                 | 91                  | 0                   | 91                  |
| 10       | Jammu & Kashmir           | 637                 | 49                  | 686                 | 84                  | 0                   | 84                  |
| 11       | Jharkhand                 | 298                 | 53                  | 351                 | 171                 | 6                   | 177                 |
| 12       | Karnataka                 | 2359                | 364                 | 2723                | 206                 | 9                   | 215                 |
| 13       | Kerala                    | 849                 | 83                  | 932                 | 227                 | 0                   | 227                 |
| 14       | Madhya Pradesh            | 1171                | 259                 | 1430                | 309                 | 1                   | 310                 |
| 15       | Maharashtra               | 1823                | 618                 | 2441                | 361                 | 37                  | 398                 |
| 16       | Manipur                   | 91                  | 9                   | 100                 | 23                  | 0                   | 23                  |
| 17       | Meghalaya                 | 108                 | 19                  | 127                 | 28                  | 0                   | 28                  |
| 18       | Mizoram                   | 57                  | 8                   | 65                  | 9                   | 0                   | 9                   |
| 19       | Nagaland                  | 126                 | 6                   | 132                 | 21                  | 0                   | 21                  |
| 20       | Odisha                    | 1288                | 97                  | 1385                | 377                 | 7                   | 384                 |
| 21       | Punjab                    | 432                 | 104                 | 536                 | 151                 | 12                  | 163                 |
| 22       | Rajasthan                 | 2078                | 245                 | 2323                | 588                 | 11                  | 599                 |
| 23       | Sikkim                    | 24                  | 6                   | 30                  | 2                   | 0                   | 2                   |
| 24       | Tamil Nadu                | 1421                | 420                 | 1841                | 385                 | 15                  | 400                 |
| 25       | Telangana                 | 643                 | 247                 | 890                 | 91                  | 0                   | 91                  |
| 26       | Tripura                   | 108                 | 7                   | 115                 | 22                  | 0                   | 22                  |
| 27       | Uttarakhand               | 257                 | 39                  | 296                 | 67                  | 0                   | 67                  |
| 28       | Uttar Pradesh             | 3621                | 592                 | 4213                | 822                 | 10                  | 832                 |
| 29       | West Bengal               | 913                 | 459                 | 1372                | 348                 | 0                   | 348                 |
| 30       | Andaman & Nicobar Islands | 22                  | 5                   | 27                  | 4                   | 0                   | 4                   |
| 31       | Chandigarh                | 0                   | 3                   | 3                   | 0                   | 2                   | 2                   |
| 32       | Dadra & Nagar Haveli      | 9                   | 2                   | 11                  | 2                   | 0                   | 2                   |
| 33       | Daman & Diu               | 4                   | 1                   | 5                   | 2                   | 0                   | 2                   |
| 34       | Delhi                     | 5                   | 251                 | 256                 | 0                   | 45                  | 45                  |
| 35       | Lakshdweep                | 4                   | 0                   | 4                   | 3                   | 0                   | 3                   |
| 36       | Puducherry                | 24                  | 5                   |                     |                     |                     | 3                   |
|          | AllIndia                  | 25743               | 4825                | 29 30568            | 3 5624              | 0 169               | 5793                |

Source : Rural Health Statistics (RHS) of 2018 for Rural health facilities and ROPs issued to States for Urban he

## Annexure - 3