Lok Sabha Question No. 2076 (UNSTARRED), answered on 2021-12-10
Subject: Health Programmes under National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sambhajirao Mane Dhairyasheel, Unmesh Bhaiyyasaheb Patil, Sujay Radhakrishna Vikhepatil, Heena Vijaykumar Gavit, Shrikant Eknath Shinde

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

## LOK SABHA UNSTARRED QUESTION NO. 2076

## TO BE ANSWERED ON THE 10 th  DECEMBER, 2021

## 'HEALTH PROGRAMMES UNDER NATIONAL HEALTH MISSION'

## 2076.   SHRI DHAIRYASHEEL SAMBHAJIRAO MANE:

SHRI UNMESH BHAIYYASAHEB PATIL:

DR. SUJAY RADHAKRISHNA VIKHE PATIL:

DR. HEENA GAVIT:

- DR. SHRIKANT EKNATH SHINDE:

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

- a) the  details  of  health  programmes  run  by  the  Government  under  National  Health Mission, State/UT-wise;
- b) whether the salary of contractual employees working in various States/UTs under the said Mission is increased by the Government every year;
- c) if so, the details of the increased salary post-wise and employees of various categories in Maharashtra during the last five years; and
- d) the  details  of  funds  allocated  and  released  in  health  sector,  State/UT-wise  including Maharashtra?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE

## (DR. BHARATI PRAVIN PAWAR)

(a):  'Public  Health  and  Hospital'  is  a  State  subject,  the  primary  responsibility  of  ensuring availability of healthcare facilities lies with respective State/UT Governments.

Under  the  National  Health  Mission  (NHM),  Government  of  India  provides  financial  and technical  support  to  States/UTs  to  strengthen  their  health  care  systems  for  provision  of equitable, affordable healthcare to all its citizens based on requirements posed by the States in their Programme Implementation Plans (PIPs).

NHM support is provided for provision of a range of free services related to maternal health, child  health,  adolescent  health,  family  planning,  universal  immunisation  programme,  and  for major  diseases  such  as  Tuberculosis,  vector  borne  diseases  like  Malaria,  Dengue  and  Kala Azar, Leprosy etc.

Other  major  initiatives  supported  under  NHM  include  Janani  Shishu  Suraksha  Karyakram (JSSK), Rashtriya Bal Swasthya Karyakram (RBSK), implementation of Free Drugs and Free Diagnostics  Service  Initiatives,  Mobile  Medical  Units  (MMUs),  Tele-consultation  services, Ambulance services, PM National Dialysis Programme and implementation of National Quality Assurance Framework in all public health facilities of all states/UTs including Maharashtra.

As part of Ayushman Bharat-Health & Wellness Centres (AB-HWCs), more than 80000 Health and Wellness Centres across the country have been established for provision of comprehensive primary care that includes preventive healthcare and health promotion at the community level with continuum of care approach.

(b) and (c): Public health and hospitals is a State subject, the primary responsibility to ensure payment of salary of human healthcare professionals including contractual employees lies with the  respective  State/UT  Governments  including  Maharashtra.  Under  the  National  Health Mission  (NHM),  support  is  provided  to  States/UTs  to  augment  health  human  resource  on contractual basis including support for in-sourcing or engagement of doctors, specialist doctors and  other  health  professionals  for  provision  of  equitable,  affordable  healthcare  based  on requirements posed by the States in their Programme Implementation Plans (PIPs) and within their overall resource envelope.

In Record of Proceeding (ROP), 8% of the total HR budget is approved as per State proposal, as increment  and  for  rationalization  and  experience  bonus  (as  per  eligibility  and  principles  of rationalization). Only those who have completed minimum one year of engagement under NHM and whose contract (in case of annual contract) gets renewed are eligible for annual increment. Principles of increments are approved by State Health Society Governing Body.

(d): Details of funds released and utilised by the State/UTs including Maharashtra under National Health Mission (NHM) during the last five years i.e. FY 2016-17 to 2020-2l is given at Annexure.

## Statement Showing State/UT-wise Central Releases and Expenditure under National Health Mission (NHM) for the FY 2016-17 to 2020-21

## Annexure

Rs. in crore

| S. No.   |                          | 2016-17         | 2016-17        | 2017-18         | 2017-18     | 2018-19         | 2018-19      | 2019-20         | 2019-20      | 2020-21         | 2020-21        |
|----------|--------------------------|-----------------|----------------|-----------------|-------------|-----------------|--------------|-----------------|--------------|-----------------|----------------|
| S. No.   | Name of the State/UT     | Central Release | Expendit ure   | Central Release | Expenditure | Central Release | Expendit ure | Central Release | Expendit ure | Central Release | Expenditur e   |
| 1        | Andaman &Nicobar Islands | 44.90           | 28.92          | 33.94           | 32.84       | 18.05           | 41.49        | 34.92           | 41.66        | 36.91           | 27.85          |
| 2        | Andhra Pradesh           | 629.55          | 1287.04        | 875.06          | 1,555.50    | 1081.29         | 1658.07      | 1111.07         | 1820.15      | 1097.81         | 2275.42        |
| 3        | Arunachal Pradesh        | 160.60          | 165.42         | 261.70          | 165.75      | 216.92          | 168.74       | 185.95          | 186.21       | 243.04          | 209.06         |
| 4        | Assam                    | 1046.09         | 1337.40        | 1,392.66        | 1,476.86    | 1381.51         | 1571.54      | 1749.24         | 1856.33      | 1807.48         | 1778.31        |
| 5        | Bihar                    | 1040.59         | 1619.20        | 1,557.40        | 1,820.14    | 1409.78         | 1788.82      | 1510.68         | 2842.26      | 1814.63         | 2415.34        |
| 6        | Chandigarh               | 21.47           | 24.57          | 20.35           | 31.64       | 27.06           | 30.42        | 22.77           | 20.97        | 22.21           | 14.55          |
| 7        | Chattisgarh              | 586.97          | 999.33         | 825.76          | 1,180.27    | 875.10          | 1138.90      | 816.07          | 1464.47      | 979.41          | 1521.30        |
| 8        | Dadra &Nagar Haveli      | 17.12           | 17.36          | 19.14           | 19.76       | 23.46           | 23.15        | 25.33           | 23.67        |                 |                |
| 9        | Daman &Diu               | 11.53           | 10.24          | 10.67           | 10.63       | 11.76           | 14.67        | 16.79           | 11.36        | 36.39           | 35.74          |
| 10       | Delhi                    | 241.98          | 155.15         | 268.39          | 251.37      | 154.23          | 156.47       | 138.74          | 173.28       | 125.73          | 210.83         |
| 11       | Goa                      | 26.13           | 37.38          | 26.07           | 43.28       | 33.96           | 46.23        | 35.47           | 58.47        | 34.81           | 67.43          |
| 12       | Gujarat                  | 863.66          | 1395.67        | 1,221.83        | 1,593.16    | 1038.69         | 1793.63      | 1110.80         | 1864.73      | 1005.66         | 1894.46        |
| 13       | Haryana                  | 335.55          | 535.09         | 384.25          | 637.75      | 538.83          | 705.96       | 567.71          | 792.64       | 531.50          | 780.44         |
| 14       | Himachal Pradesh         | 212.49          | 346.58         | 370.89          | 377.08      | 345.43          | 441.38       | 504.84          | 469.60       | 441.94          | 425.58         |
| 15       | Jammu &Kashmir           | 362.42          | 419.55         | 550.42          | 521.86      | 556.46          | 573.12       | 702.20          | 662.56       | 667.46          | 612.87         |
| 16       | Jharkhand                | 454.64          | 633.54         | 735.99          | 753.03      | 616.23          | 1039.07      | 830.63          | 1090.11      | 602.80          | 999.71         |
| 17       | Karnataka                | 714.09          | 1291.49        | 1,345.50        | 2,016.65    | 1254.82         | 1942.61      | 1173.77         | 2384.28      | 1232.19         | 2312.53        |
| 18       | Kerala                   | 452.36          | 744.98         | 586.52          | 936.35      | 887.90          | 1074.25      | 836.14          | 1023.94      | 788.22          | 1364.38        |
| 19       | Lakshadweep              | 3.83            | 4.33           | 5.54            | 6.20        | 6.58            | 5.85         | 6.16            | 6.55         | 7.11            | 6.99           |
| 20       | Madhya Pradesh           | 1490.75         | 2066.38        | 1,696.56        | 2,313.93    | 1668.09         | 2531.87      | 1728.73         | 3102.89      | 2377.14         | 3397.82        |
| 21       | Maharashtra              | 1252.55         | 1804.67        | 1,707.60        | 2,192.88    | 1565.98         | 2714.86      | 1724.99         | 3097.08      | 1833.59         | 3300.32        |
| 22       | Manipur                  | 79.07           | 81.40          | 163.05          | 110.51      | 147.09          | 146.46       | 185.65          | 196.06       | 189.49          | 112.79         |
| 23       | Meghalaya                | 161.13          | 152.85         | 189.02          | 169.14      | 145.06          | 159.81       | 141.17          | 166.24       | 202.63          | 213.36         |
| 24       | Mizoram                  | 80.88           | 99.55          | 126.95          | 112.35      | 118.36          | 125.46       | 127.24          | 105.70       | 143.73          | 131.36         |
| 25       | Nagaland                 | 95.92           | 95.17          | 134.86          | 95.55       | 132.11          | 142.55       | 123.23          | 130.37       | 188.21          | 150.17         |
| 26       | Orissa                   | 728.58          | 1299.27        | 1,216.22        | 1,514.45    | 743.57          | 1673.91      | 1475.14         | 2220.82      | 1617.63         | 2347.24        |
| 27       | Puducherry               | 41.35           | 38.41          | 35.55           | 38.83       | 38.16           | 40.13        | 31.56           | 44.21        | 25.55           | 45.79          |
| 28       | Punjab                   | 292.55          | 695.31         | 483.74          | 639.53      | 570.51          | 739.07       | 712.02          | 923.31       | 568.14          | 908.98         |
| 29       | Rajasthan                | 1234.18         | 1734.34        | 1,615.29        | 1,885.55    | 1667.00         | 2309.53      | 1781.83         | 2559.51      | 2000.58         | 2826.46        |
| 30       | Sikkim                   | 41.72           | 50.62          | 55.40           | 43.48       | 45.22           | 59.38        | 53.55           | 54.84        | 70.13           | 52.06          |
| 31       | Tamil Nadu               | 788.68          | 1852.90        | 1,293.97        | 2,285.56    | 1479.71         | 2533.41      | 1424.22         | 2557.62      | 1522.71         | 2172.33        |
| 32       | Tripura                  | 125.76          | 143.14         | 158.99          | 202.79      | 186.52          | 199.86       | 239.47          | 208.37       | 225.91          | 249.74         |
|          |                          |                 |                |                 |             |                 |              | 4749.05         | 7453.90      |                 |                |
| 33       | Uttar Pradesh            | 3314.75         | 5120.68        | 3,967.46        | 6,569.43    | 3886.70         | 6871.79      |                 |              | 3772.95         | 6362.71        |
| 34       | Uttarakhand              | 265.53 806.98   | 350.67 1914.71 | 354.85          | 448.22      | 297.18          | 491.87       | 348.83          | 504.02       | 583.25 1895.01  | 480.36 2598.62 |
| 35       | West Bengal              |                 |                | 1,305.37        | 2,341.05    | 1116.09         | 2236.34      | 1749.32         | 2340.84      |                 |                |
| 36       | Telangana                | 398.08          | 700.76         | 468.34          | 977.76      | 713.43          | 1078.70      | 964.34          | 949.96       | 671.88          | 1354.93        |

Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of  the year.
3. Allocation has no relevance after the closure of the Financial Year, hence not being provided.