Lok Sabha Question No. 4262 (UNSTARRED), answered on 2019-12-13
Subject: National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pramila Bisoyi, Nihal Chand Chauhan, Sunil Kumar Singh, Umesh G. Jadhav

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

## LOK SABHA UNSTARRED QUESTION NO. 4262 TO BE ANSWERED ON 13 TH DECEMBER, 2019

## NATIONAL HEALTH MISS ION

## 4262. SHRIMATI PRAMILA BISOYI:

SHRI NIHAL CHAND:

SHRI SUNIL KUMAR SINGH:

DR. UMESH G. JADHAV:

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

- (a) the budget allocated and utilised under National Health Mission (NHM), State - wise since 2010- 11;
- (b) whether the allocated funds under NHM remained under utilised during this period;
- (c) if so, the steps taken to improve the utilization of funds thereof;
- (d) whether there has always been a difference between the demand for NHM interventions and actual approval and the steps taken to meet the demand of funds under NHM;
- (e)  the  details  of  Community  Health Centres  (CHCs)  and  Public  Health  Centres (PHCs) established under NHM since its inception, State - wise including Karnataka;
- (f)  whether  the  Government  has received  any  proposals  from various  States including Rajasthan under NHM and if so, the details thereof; and
- (g) the other 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 FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a) : A statement showing State wise budget allocated and utilized under National Hea Mission (NHM) since 2010 - 11 is at Annexure -I.
- (b): The Mission Ste ering Group (MSG) under NHM has approved the carry forward of unspent balances to be utilised in the subsequent years under the approved activities o
- (c): Public  Health  &  Ho spitals  is  the  State  subject .  Th Central  Government  provides support to State Governments for implementation of various programmes including NHM. Under  NHM  to  improve  the  financial  utilisation  of  funds  the  following  steps  have undertaken by the Ministry : -
- Performance A udit by the Comptroller and Auditor General (CAG)  of India ,
- Annual  Statutory  Audits  by  CAG  empanelled  major  Chartered  Accountant  Audit firms,
- Concurrent Audits by Chartered Accountant Audit firms,
- Public Financial Management System (PFMS) in NHM to track flow of funds on Real Time Basis,
- Submission of quarterly Financial Monitoring Reports (FMRs) and Statement of Fund Position (SFP) by the States/UTs,
- Regular review and monitoring of scheme components.

(d) to (f): Approvals under NHM are given o  the basis of proposals received from the States /UTs according to available resource envelope for a State.

The  details  of  Community  Health  Centres  (CHCs)  and  Public  Health  Centres  (PHCs) established under NHM since its inception, State - wise including Karnataka is at Annexure -II.

(g): The working of National Health Mission (NHM) has been regularly assessed, inte -alia, through external surveys such as, National Family Health Survey (NFHS) and Sam Registration System (SRS). The financial progress un de  NHM State wise since 2010 - 11 is at Annexure-II .

## State wise Central Release and Expenditure under National Health Mission (NHM) for the period from F.Y. 2010-11 to 2019-20

| Sl. No.     | Name of the State /UT    | 2010-11 to 2019-20   | 2010-11 to 2019-20   |
|-------------|--------------------------|----------------------|----------------------|
| Sl. No.     | Name of the State /UT    | Central Release      | Expenditure          |
| 1           | Andaman& Nicobar Islands | 244.18               | 253.48               |
| 2           | Andhra Pradesh           | 8166.00              | 10899.49             |
| 3           | Arunachal Pradesh        | 1240.07              | 1099.16              |
| 4           | Assam                    | 10234.38             | 11616.71             |
| 5           | Bihar                    | 12025.40             | 15289.18             |
| 6           | Chandigarh               | 157.78               | 180.73               |
| 7           | Chhattisgarh             | 5263.55              | 7445.79              |
| 8           | Dadra &Nagar Haveli      | 118.79               | 122.93               |
| 9           | Daman &Diu               | 68.79                | 81.45                |
| 10          | Delhi                    | 1491.09              | 1512.59              |
| 11          | Goa                      | 231.02               | 319.08               |
| 12          | Gujarat                  | 8510.92              | 11245.74             |
| 13          | Haryana                  | 3591.01              | 4686.72              |
| 14          | Himachal Pradesh         | 2229.04              | 2672.95              |
| 15          | Jammu &Kashmir           | 3755.04              | 3700.67              |
| 16          | Jharkhand                | 4679.24              | 5710.93              |
| 17          | Karnataka                | 8157.70              | 11224.26             |
| 18          | Kerala                   | 5179.54              | 6458.93              |
| 19          | Lakshadweep              | 41.16                | 36.94                |
| 20          | Madhya Pradesh           | 12129.42             | 16869.36             |
| 21          | Maharashtra              | 13299.18             | 18204.88             |
| 22          | Manipur                  | 974.40               | 882.80               |
| 23          | Meghalaya                | 1150.88              | 1129.58              |
| 24          | Mizoram                  | 870.09               | 901.66               |
| 25          | Nagaland                 | 950.34               | 911.75               |
| 26          | Orissa                   | 7405.92              | 10672.58             |
| 27          | Puducherry               | 232.00               | 270.68               |
| 28          | Punjab                   | 3748.88              | 5186.80              |
| 29          | Rajasthan                | 12027.22             | 15505.59             |
| 30          | Sikkim                   | 394.90               | 403.03               |
| 31          | Tamil Nadu               | 10205.37             | 15925.34             |
| 32          | Tripura                  | 1213.54              | 1308.24              |
| 33          | Uttar Pradesh            | 28989.04             | 41643.49             |
| 34          | Uttarakhand              | 2924.83              | 3540.56              |
| 35          | West Bengal              | 10381.36             | 14369.99             |
| 36          | Telangana                | 3224.13              | 4102.07              |
| Grand Total | Grand Total              | 185567.14            | 246447.09            |

Rs. in crore

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

Note:

2. Release for the F.Y. 2019-20 is updated upto 31.10.2019 and is provisional.
3. Expenditure includes expenditure against Central Release, State release & Unspent balances at the beginning of the year. Expenditure for the F.Y. 2019-20 (upto 30.09.2019 as per FMR) is provisional.

Details Of  Community Health Centre (CHCs) And  Primary Health Centre(PHCs)Functioning

As on March  2018

| S. No.   | State/UTs           |   Community Health centres |   Primary Health centres |
|----------|---------------------|----------------------------|--------------------------|
| 1        | Andhra Pradesh      |                        193 |                     1147 |
| 2        | Arunachal Pradesh   |                         63 |                      143 |
| 3        | Assam               |                        172 |                      946 |
| 4        | Bihar               |                        150 |                     1899 |
| 5        | Chhattisgarh        |                        169 |                      793 |
| 6        | Goa                 |                          4 |                       25 |
| 7        | Gujarat             |                        363 |                     1474 |
| 8        | Haryana             |                        113 |                      368 |
| 9        | Himachal Pradesh    |                         91 |                      576 |
| 10       | Jammu &Kashmir      |                         84 |                      637 |
| 11       | Jharkhand           |                        171 |                      298 |
| 12       | Karnataka           |                        206 |                     2359 |
| 13       | Kerala              |                        227 |                      849 |
| 14       | Madhya Pradesh      |                        309 |                     1171 |
| 15       | Maharashtra         |                        361 |                     1823 |
| 16       | Manipur             |                         23 |                       91 |
| 17       | Meghalaya           |                         28 |                      108 |
| 18       | Mizoram             |                          9 |                       57 |
| 19       | Nagaland            |                         21 |                      126 |
| 20       | Odisha              |                        377 |                     1288 |
| 21       | Punjab              |                        151 |                      432 |
| 22       | Rajasthan           |                        588 |                     2078 |
| 23       | Sikkim              |                          2 |                       24 |
| 24       | Tamil Nadu          |                        385 |                     1421 |
| 25       | Telangana           |                         91 |                      643 |
| 26       | Tripura             |                         22 |                      108 |
| 27       | Uttarakhand         |                         67 |                      257 |
| 28       | Uttar Pradesh       |                        822 |                     3621 |
| 29       | West Bengal         |                        348 |                      913 |
| 30       | A& N Islands        |                          4 |                       22 |
| 31       | Chandigarh          |                          0 |                        0 |
| 32       | Dadra &Nagar Haveli |                          2 |                        9 |
| 33       | Daman &Diu          |                          2 |                        4 |
| 34       | Delhi               |                          0 |                        5 |
| 35       | Lakshadweep         |                          3 |                        4 |
| 36       | Puducherry          |                          3 |                       24 |
|          | All India/ Total    |                       5624 |                    25743 |

Source: RHS 2018.