Lok Sabha Question No. 5560 (UNSTARRED), answered on 2019-07-26
Subject: National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Su Thirunavukkarasar

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

LOK SABHA UNSTARRED QUESTION NO. 5560 TO BE ANSWERED ON 26 TH JULY, 2019

## NATIONAL RURAL HEALT H MISSION

## 5560. SHRI SU. THIRUNAVUKKARASAR:

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

- (a) whether the Union Government is implementing National Rural Health Mission (NRHM) across the country, if so, the achievements made through the implementation of NRHM; and
- (b) the f unds earmarked, released and spent by the Government under this mission for the three years, State/ UT - wise including Tamil Nadu?

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

- (a):   The National Rural Health Mission (NRHM) is a sub - mission under the overarching National Health Mission, (NHM) along with National Urban Health Mission (NUHM) as the other sub - mission. It is implemented in all the States/UTs in the country.

Statements  showing  physical  achievements  and  outcomes  under  NHM  is  given  at Annexure - I and II respectively.

- (b):     A statement showing funds released and expenditure incurred under the National Mission for last three years, Stat e/UTs- wise including Tamil Nadu is given at Annexure - III.

…………………..

## Physical Achievement/Progress under National Health Mission

Annexure -1

| S.N   | State/UT          |   Health Human Resources Augmentation |   Functional FRUs (First Referral Units) |   Mobile Medical Units (MMUs) |   Ambulances (Operational) |   Accredited Social Health Activists (ASHAs) |   No of PHCs working on 24X7 basis |   Setting up Rogi Kalyan Samitis |   Village Health Sanitation and Nutrition Committees constituted |
|-------|-------------------|---------------------------------------|------------------------------------------|-------------------------------|----------------------------|----------------------------------------------|------------------------------------|----------------------------------|------------------------------------------------------------------|
| 1     | Bihar             |                                 13570 |                                       68 |                             6 |                       1102 |                                        88791 |                                496 |                             2003 |                                                             8406 |
| 2     | Chhattisgarh      |                                  6270 |                                       57 |                            30 |                        608 |                                        69515 |                                265 |                              990 |                                                            19180 |
| 3     | Himachal Pradesh  |                                   984 |                                       16 |                             0 |                        325 |                                        32376 |                                 81 |                              667 |                                                             7765 |
| 4     | Jammu & Kashmir   |                                  7445 |                                       55 |                            11 |                        331 |                                        12257 |                                204 |                              795 |                                                             6741 |
| 5     | Jharkhand         |                                  8001 |                                       63 |                            92 |                       2103 |                                        41312 |                                114 |                              582 |                                                            30012 |
| 6     | Madhya Pradesh    |                                 10961 |                                      148 |                           150 |                       1358 |                                        76341 |                                754 |                             1607 |                                                            49567 |
| 7     | Odisha            |                                  9210 |                                       73 |                             8 |                       1004 |                                        46965 |                                116 |                             1787 |                                                            46058 |
| 8     | Rajasthan         |                                  8835 |                                       90 |                           206 |                       1317 |                                        63972 |                               1265 |                             2965 |                                                            43440 |
| 9     | Uttar Pradesh     |                                 22808 |                                      334 |                             0 |                       4008 |                                       161988 |                                439 |                             1690 |                                                            61527 |
| 10    | Uttarakhand       |                                  1929 |                                       50 |                             5 |                        245 |                                        12212 |                                 87 |                              330 |                                                            15296 |
| 11    | Arunachal Pradesh |                                  1531 |                                       13 |                            16 |                        123 |                                         3880 |                                 64 |                              227 |                                                             3772 |
| 12    | Assam             |                                 15404 |                                       73 |                           130 |                        938 |                                        32256 |                                314 |                             1192 |                                                            27673 |
| 13    | Manipur           |                                  1519 |                                        7 |                             9 |                         43 |                                         4090 |                                 66 |                              126 |                                                             3878 |
| 14    | Meghalaya         |                                  1661 |                                        8 |                             4 |                         43 |                                         6697 |                                 61 |                              148 |                                                             6249 |
| 15    | Mizoram           |                                  1068 |                                        9 |                             9 |                         60 |                                         1170 |                                 41 |                               85 |                                                              830 |
| 16    | Nagaland          |                                   924 |                                       16 |                            11 |                         82 |                                         1992 |                                 33 |                              167 |                                                             1346 |
| 17    | Sikkim            |                                   294 |                                        3 |                             4 |                          8 |                                          656 |                                 24 |                               30 |                                                              641 |
| 18    | Tripura           |                                   497 |                                       11 |                             0 |                          0 |                                         8044 |                                 84 |                              153 |                                                             1038 |
| 19    | Andhra Pradesh    |                                  9523 |                                      240 |                            52 |                        439 |                                        42346 |                                596 |                             1385 |                                                            12940 |
| 20    | Goa               |                                   423 |                                        2 |                             0 |                         49 |                                            0 |                                 15 |                               36 |                                                              247 |
| 21    | Gujarat           |                                 10871 |                                      132 |                            74 |                        587 |                                        44201 |                                314 |                             2183 |                                                            17639 |
| 22    | Haryana           |                                  8526 |                                       35 |                            12 |                        359 |                                        20025 |                                251 |                              636 |                                                             6049 |
| 23    | Karnataka         |                                 12192 |                                      146 |                            70 |                        911 |                                        42548 |                               1006 |                             2930 |                                                            26087 |
| 24    | Kerala            |                                  5212 |                                       87 |                            28 |                         43 |                                        30042 |                                171 |                             1296 |                                                            19692 |
| 25    | Maharashtra       |                                 21157 |                                      219 |                            50 |                       3611 |                                        70294 |                                704 |                             3513 |                                                            39837 |
| 26    | Punjab            |                                  4786 |                                      205 |                            33 |                        242 |                                        21429 |                                211 |                              666 |                                                            12956 |
| 27    | Tamil Nadu        |                                 24044 |                                      564 |                           415 |                        936 |                                         3905 |                               1315 |                             2585 |                                                            15015 |
| 28    | Telangana         |                                 13260 |                                      156 |                             0 |                        631 |                                        32575 |                                314 |                             1074 |                                                            10426 |
| 29    | West Bengal       |                                 15665 |                                      143 |                            50 |                       4073 |                                        60537 |                                234 |                             1226 |                                                            46862 |
| 30    | A & N Islands     |                                   282 |                                        1 |                             0 |                          1 |                                          422 |                                 20 |                               29 |                                                              275 |
| 31    | Chandigarh        |                                   528 |                                        4 |                             0 |                         15 |                                           32 |                                  0 |                                6 |                                                                0 |
| 32    | D & N Haveli      |                                   257 |                                        2 |                             1 |                          0 |                                          539 |                                  7 |                                6 |                                                               61 |
| 33    | Daman & Diu       |                                   179 |                                        2 |                             0 |                         11 |                                          124 |                                  2 |                                6 |                                                               28 |
| 34    | Delhi             |                                  1661 |                                       31 |                             2 |                        234 |                                         5781 |                                  0 |                               34 |                                                                0 |
| 35    | Lakshadweep       |                                   220 |                                        2 |                             0 |                          0 |                                          110 |                                  4 |                                9 |                                                                9 |
| 36    | Puducherry        |                                   468 |                                        4 |                             4 |                         11 |                                          206 |                                 23 |                               48 |                                                              100 |
| TOTAL | TOTAL             |                                242165 |                                     3069 |                          1482 |                      25851 |                                      1039630 |                               9695 |                            33212 |                                                           541642 |

Source: - NHM-MIS report

*Cumulative figures as on March 2019

( As on March 2019)*

The outcomes achieved under the NHM are:

- Decline  in  the  Maternal  Mortality  Ratio  (MMR) to  130  during  2014-16  from  178 during 2010-12;
- Decline in the Infant Mortality Rate (IMR) to 33 in 2017 as compared to 42 in 2012.
- Decline in the Under 5 Mortality Rate (U5MR) to 39 in 2016 from 55 in 2011.
- Decline in the Total Fertility Rate (TFR) to 2.3 in 2016.

(State/UT wise details of MMR, IMR, U5MR and TFR is enclosed)

Further various diseases-related health indicators have also shown improvement, such as:

- Annual Parasite Incidence (API) of Malaria Cases has declined to 0.30 in 2018 from 1.10 in 2011.
- The incidence of Tuberculosis (TB) per 1 lakh population has been reduced to 204 in 2017, from 234 in 2012.
- The  target  of  prevalence  of  leprosy  <1/one  lakh population  has  been  achieved nationally.
- At  the  end  of  December  2018,  92%  Kala-azar  endemic  blocks  have  achieved  the elimination target of <1 Kala Aazar case per 10,000 population at block level.
- The  prevalence  of  tobacco  use  has  reduced  by  six  percentage  points  from  34.6% (2009-10) to 28.6% (2016-17) as per Global Adult Tobacco Survey (GATS-2)]

Statement showing State/UTs wise Details of IMR, U5MR and TFR

|         |                   | SRS 2017         | SRS 2017         | SRS 2017              | SRS 2016                  | SRS 2016               | SRS 2016             |
|---------|-------------------|------------------|------------------|-----------------------|---------------------------|------------------------|----------------------|
| Sl. No. | States            | Crude Birth Rate | Crude Death Rate | Infant Mortality Rate | Neo -natal Mortality Rate | Under 5 Mortality Rate | Total Fertility Rate |
|         | ALL INDIA         | 20.2             | 6.3              | 33                    | 24                        | 39                     | 2.3                  |
| 1       | Andhra Pradesh    | 16.2             | 7.2              | 32                    | 23                        | 37                     | 1.7                  |
| 2       | Assam             | 21.2             | 6.5              | 44                    | 23                        | 52                     | 2.3                  |
| 3       | Bihar             | 26. 4            | 5.8              | 35                    | 27                        | 43                     | 3.3                  |
| 4       | Chhattisgarh      | 22. 7            | 7.5              | 38                    | 26                        | 49                     | 2.5                  |
| 5       | Gujarat           | 19.9             | 6.2              | 30                    | 21                        | 33                     | 2.2                  |
| 6       | Haryana           | 20.5             | 5.8              | 30                    | 22                        | 37                     | 2.3                  |
| 7       | Jharkhand         | 22.7             | 5.5              | 29                    | 21                        | 33                     | 2.6                  |
| 8       | Karnataka         | 17.4             | 6.5              | 25                    | 18                        | 29                     | 1.8                  |
| 9       | Kerala            | 14.2             | 6.8              | 10                    | 6                         | 11                     | 1.8                  |
| 10      | Madhya Pradesh    | 24.8             | 6.8              | 47                    | 32                        | 55                     | 2.8                  |
| 11      | Maharashtra       | 15.7             | 5.7              | 19                    | 13                        | 21                     | 1.8                  |
| 12      | Odisha            | 18.3             | 7.4              | 41                    | 32                        | 50                     | 2.0                  |
| 13      | Punjab            | 14.9             | 7.0              | 21                    | 13                        | 24                     | 1.7                  |
| 14      | Rajasthan         | 24.1             | 6.0              | 38                    | 28                        | 45                     | 2.7                  |
| 15      | Tamil Nadu        | 14.9             | 6.7              | 16                    | 12                        | 19                     | 1.6                  |
| 16      | Telangana         | 17.2             | 6.6              | 29                    | 21                        | 34                     | 1.7                  |
| 17      | Uttar Pradesh     | 25.9             | 6.7              | 41                    | 30                        | 47                     | 3.1                  |
| 18      | West Bengal       | 15.2             | 5.8              | 24                    | 17                        | 27                     | 1.6                  |
| 19      | Arunachal Pradesh | 18.3             | 6.1              | 42                    | ..                        | ..                     | ..                   |
| 20      | Delhi             | 15.2             | 3.7              | 16                    | 12                        | 22                     | 1.6                  |
| 21      | Goa               | 12.5             | 6.2              | 9                     | ..                        | ..                     | ..                   |
| 22      | Himachal Pradesh  | 15.8             | 6. 6             | 22                    | 16                        | 27                     | 1.7                  |
| 23      | Jammu & Kashmir   | 15.4             | 4.8              | 23                    | 18                        | 26                     | 1.7                  |
| 24      | Manipur           | 14.6             | 5.3              | 12                    | ..                        | ..                     | ..                   |
| 25      | Meghalaya         | 22.8             | 6.1              | 39                    | ..                        | ..                     | ..                   |
| 26      | Mizoram           | 15.0             | 4.0              | 15                    | ..                        | ..                     | ..                   |
| 27      | Nagaland          | 13.5             | 3.6              | 7                     | ..                        | ..                     | ..                   |
| 28      | Sikkim            | 16.4             | 4.5              | 12                    | ..                        | ..                     | ..                   |
| 29      | Tripura           | 13.0             | 5.2              | 29                    | ..                        | ..                     | ..                   |
| 30      | Uttarakhand       | 17.3             | 6.7              | 32                    | 30                        | 41                     | 1.9                  |
| 31      | A&N Islands       | 11.4             | 5.1              | 14                    | ..                        | ..                     | ..                   |
| 32      | Chandigarh        | 13.5             | 4.5              | 14                    | ..                        | ..                     | ..                   |
| 33      | D&N Haveli        | 23.6             | 4.4              | 13                    | ..                        | ..                     | ..                   |
| 34      | Daman & Diu       | 20.2             | 4.7              | 17                    | ..                        | ..                     | ..                   |
| 35      | Lakshadweep       | 15.0             | 6.5              | 20                    | ..                        | ..                     | ..                   |

.. Not available, Source: SRS, RGI

MATERNAL MORTALITY RATIO (per 1,00,000 live births)

| India/States              | 2014-16 *   |
|---------------------------|-------------|
| India                     | 130         |
| Andhra Pradesh            | 74          |
| Assam                     | 237         |
| Bihar/Jharkhand           | 165         |
| Gujarat                   | 91          |
| Haryana                   | 101         |
| Karnataka                 | 108         |
| Kerala                    | 46          |
| Madhya                    | 173         |
| Pradesh/Chhattisgarh      |             |
| Maharashtra               | 61          |
| Odisha                    | 180         |
| Punjab                    | 122         |
| Rajasthan                 | 199         |
| Tamil Nadu                | 66          |
| Telangana                 | 81          |
| Uttar Pradesh/Uttarakhand | 201         |
| West Bengal               | 101         |

Source : * latest available SRS

## Statement Showing State-wise Release and Expenditure under NHM during the period from F.Y.2016-17 to 2018-19

| Sl.   |                        | 2016-17   | 2016-17   | 2017-18   | 2017-18          | Rs. in crore 2018-19   | Rs. in crore 2018-19   |
|-------|------------------------|-----------|-----------|-----------|------------------|------------------------|------------------------|
| No.   | States                 | Release   | Exp       | Release   | Exp              | Release                | Exp                    |
| 1     | Andaman & Nicobar      | 44.90     | 28.92     | 33.94     | 32.84            | 18.05                  | 33.80                  |
| 2     | Islands Andhra Pradesh | 629.55    | 1287.04   | 875.06    | 1,555.50         | 1081.29                | 1574.53                |
| 3     | Arunachal Pradesh      | 160.60    | 165.42    | 261.70    | 165.75           | 216.92                 | 164.12                 |
| 4     | Assam                  | 1046.09   | 1337.40   | 1,392.66  | 1,476.86         | 1381.51                | 1505.95                |
| 5     | Bihar                  | 1040.59   | 1619.20   | 1,557.40  | 1,820.14         | 1409.78                | 1788.82                |
| 6     | Chandigarh             | 21.47     | 24.57     | 20.35     | 31.64            | 27.06                  | 29.21                  |
| 7     | Chattisgarh            | 586.97    | 999.33    | 825.76    | 1,180.27         | 875.10                 | 1087.94                |
| 8     | Dadra & Nagar          | 17.12     | 17.36     | 19.14     | 19.76            | 22.52                  | 23.52                  |
| 9     | Haveli Daman & Diu     | 11.53     | 10.24     | 10.67     | 10.63            | 11.76                  | 14.30                  |
| 10    | Delhi                  | 241.98    | 155.15    | 268.39    | 251.37           | 154.23                 | 149.99                 |
| 11    | Goa                    | 26.13     | 37.38     | 26.07     | 43.28            | 33.96                  | 46.23                  |
| 12    | Gujarat                | 863.66    | 1395.67   | 1,221.83  | 1,593.16         | 1038.69                | 1793.63                |
| 13    | Haryana                | 335.55    | 535.09    | 384.25    | 637.75           | 538.83                 | 666.07                 |
| 14    | Himachal Pradesh       | 212.49    | 346.58    | 370.89    | 377.08           | 345.43                 | 402.02                 |
| 15    | Jammu & Kashmir        | 362.42    | 419.55    | 550.42    | 521.86           | 556.46                 | 573.12                 |
| 16    | Jharkhand              | 454.64    | 633.54    | 735.99    | 753.03           | 616.23                 | 1016.80                |
| 17    | Karnataka              | 714.09    | 1291.49   | 1,345.50  | 2,016.65         | 1254.82                | 1942.61                |
| 18    | Kerala                 | 452.36    | 744.98    | 586.52    | 936.35           | 887.90                 | 870.15                 |
| 19    | Lakshadweep            | 3.83      | 4.33      | 5.54      | 6.20             | 6.58                   | 5.85                   |
| 20    | Madhya Pradesh         | 1490.75   | 2066.38   | 1,696.56  | 2,313.93         | 1668.09                | 2531.87                |
| 21    | Maharashtra            | 1252.55   | 1804.67   | 1,707.60  | 2,192.88         | 1565.98                | 2714.86                |
| 22    | Manipur                | 79.07     | 81.40     | 163.05    | 110.51           | 147.09                 | 146.46                 |
| 23    | Meghalaya              | 161.13    | 152.85    | 189.02    | 169.14           | 145.06                 | 159.81                 |
| 24    | Mizoram                | 80.88     | 99.55     | 126.95    | 112.35           | 118.36                 | 118.29                 |
| 25    | Nagaland               | 95.92     | 95.17     | 134.86    | 95.55            | 132.11                 | 133.73                 |
| 26    | Orissa                 | 728.58    | 1299.27   | 1,216.22  | 1,514.45         | 743.57                 | 1579.77                |
| 27    | Puducherry             | 41.35     | 38.41     | 35.55     | 38.83            | 38.16                  | 45.95                  |
| 28    | Punjab                 | 292.55    | 695.31    | 483.74    | 639.53           | 570.51                 | 702.02                 |
| 29    | Rajasthan              | 1234.18   | 1734.34   | 1,615.29  | 1,885.55         | 1667.00                | 2309.53                |
| 30    | Sikkim                 | 41.72     | 50.62     | 55.40     | 43.48            | 46.92                  | 56.74                  |
| 31    | Tamil Nadu             | 788.68    | 1852.90   | 1,293.97  | 2,285.56         | 1479.71                | 2533.41                |
| 32    | Tripura                | 125.76    | 143.14    | 158.99    | 202.79           | 186.52                 | 191.81                 |
| 33    | Uttar Pradesh          | 3314.75   | 5120.68   | 3,967.46  | 6,569.01         | 3886.70                | 6358.50                |
| 34    | Uttarakhand            | 265.53    | 350.67    | 354.85    | 448.22           | 297.18                 | 401.00                 |
| 35    | West Bengal            | 806.98    | 1914.71   | 1,305.37  | 2,341.05         | 1116.09                | 2236.34                |
| 36    | Telangana              | 398.08    | 700.76    | 468.34    |                  | 713.43                 | 1025.39                |
|       | Total                  | 18424.43  | 29254.07  | 25,465.28 | 977.76 35,370.74 | 24999.57               | 36934.14               |

1. The above releases relate to Central Govt. Grants & do not include State share contribution.

Notes

2. Expenditure includes expenditure against central Release, State release & unspent balances at the beginning of the year. Expenditure for the F.Y. 2018-19 (upto 31.03.2019 as per FMR) are provisional.
3.  Expenditure  under  Infrastructure  Management  is  updated  upto  31.03.2019  for  the  States  of  Goa,  Gujarat,  J&K,  Karnataka, M.P, Maharashtra, Manipur, Puducherry, T.N and W.B. Expenditure is provided by the States and is provisional.