Lok Sabha Question No. 961 (UNSTARRED), answered on 2022-07-22
Subject: Implementation of NHM in Rajasthan
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Jaskaur Meena

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 961 TO BE ANSWERED ON 22 nd  JULY, 2022

## IMPLEMENTATION OF NHM IN RAJASTHAN

## 961. SHRIMATI JASKAUR MEENA:

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

- (a) the salient features of the National Health Mission;
- (b) the  details  of  funds  sanctioned,  allocated  and  utilised  in  Rajasthan  under  the  Mission during each of the last three years and the current year;
- (c) the details of targets set and achievements made so far under NHM in Rajasthan as a result thereof;
- (d) the details of the number of projects sanctioned in Rajasthan under the Mission along with their present status thereof; and
- (e) the details of the steps taken by the Government to complete these projects expeditiously?

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY

## ANSWER WELFARE (DR. BHARATI PRAVIN PAWAR)

(a):  National Health Mission (NHM) envisages achievement of universal access to equitable, affordable & quality health care services that are accountable and responsive to people's needs. NHM encompasses its two Sub-Missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). The main programmatic components include Health System Strengthening in rural  and  urban  areas,  Reproductive-Maternal-  Neonatal-  Child  and Adolescent Health (RMNCH+A) and Communicable and Non-Communicable Diseases.

Under National Health Mission (NHM), Ministry of Health & Family Welfare, Government of India  provides  financial  and  technical  support  to  States/UTs  including  support  for  health/ medical facilities, upto District Hospital level, based on the proposals submitted by States/UTs in their Program Implementation Plans (PIPs). Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per available resources.

(b): A Statement showing details of funds allocated, released and utilised in Rajasthan under National Health Mission (NHM) during the last three financial years and the current year i.e. from F.Y. 2019-20 to 2022-23 is at Annexure-I .

(c): Statements showing physical achievements and progress in Rajasthan under NHM as per NHM-MIS report (as on 31.03.2022) is at Annexure-II .

(d): The details of number of infrastructure projects sanctioned in Rajasthan in the FY 22-24 is at Annexure-III .

(e): As per the NHM - Framework of Implementation, the following steps are taken to achieve the goals:

- i) Flexible financing mechanisms
2. ii) Communitization including decentralised planning, hospital management committees at all levels, untied grants to community/PRI bodies
3. iii) Augmenting the functionality and accountability of the public health delivery system for the community
4. iv) Efficient management of human resources
- v) Close monitoring and evaluation of services provided against carefully set standards
6. vi) Intersectional convergence of health and related programmes from village level upwards

## Annexure-I

## Central Allocation, Release and Utilisation under National Health Mission (NHM) to the State of Rajasthan from F.Y. 2019-20 to 2022-23

(Rs. In crore)

| Financial Year   | Central Allocation   |   Central Release |   Utilisation |
|------------------|----------------------|-------------------|---------------|
| 2019-20          | -                    |           1781.83 |       2559.51 |
| 2020-21          | -                    |           2000.58 |       2943.21 |
| 2021-22          | -                    |           1924.95 |       3223.06 |
| 2022-23          | 1867.04              |            381.86 |         24.82 |

Note:

1. National Health Mission (NHM) comprises of National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).
2. The above releases relate to Central Govt. Grants & do not include State share contribution. Releases for the F.Y. is updated upto 04.07.2022.
3. Expenditure includes expenditure against Central Release, State Release & unspent balances at the beginning  of  the  year.  It  is  as  per  the  available  FMRs  reported  by  States/UTs  and  is  updated  upto 04.07.2022.
4. Allocation has no relevance after the closure of the financial year, hence not provided.

## Annexure-II

## Statement showing physical achievement/Progress under National Health Mission in Rajasthan (as on 31 st March, 2022)

|           | In Rural and Urban Areas            | In Rural and Urban Areas           | In Rural and Urban Areas   | In Rural and Urban Areas                   | In Rural and Urban Areas       | In Rural Areas                   | In Rural Areas                         | In Rural Areas                                                |
|-----------|-------------------------------------|------------------------------------|----------------------------|--------------------------------------------|--------------------------------|----------------------------------|----------------------------------------|---------------------------------------------------------------|
| State/UTs | Health Human Resources Augmentation | Mobile Medical Units (operational) | Ambulances (Operational)   | Accredited Social Health Activists (ASHAs) | Setting up Rogi Kalyan Samitis | No of PHCs working on 24X7 basis | Functional FRUs (First Referral Units) | Village Health Sanitation and Nutrition Committee constituted |
| Rajasthan | 8712                                | 299                                | 1484                       | 53676                                      | 3243                           | 1004                             | 83                                     | 43440                                                         |

Source: - NHM-MIS report, as on 31 st March, 2022

## Annexure-III

## Details of number of infrastructure projects sanctioned in Rajasthan in the FY 22-24

| Type of Facility          | Activities approved in FY 22-24                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
|---------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| DH                        |  District Hospital - Balotra (Barmer), Hindaun (Karauli), Neem Ka Thana (Sikar), Sheoganj (Sirohi) and Salumber, Udaipur (FY 23-24)  Upgradation of SNCUs to MNCU at 12 SNCUs  Additional construction at District Drug Warehouses (DDW) in 28 districts  New DH at Phalodi, Jodhpur, Nokha (Bikaner), Sawai Madhopur & Kota and additional Constructions of 50 bedded MCH Unit, DH Bhilwara, De-addiction Center at DH Ajmer and New T.B. Hospital Sriganganagar                                                                                                                                                                                                                                                                                                                                                       |
| SDH                       |  8 new 100-bedded SDH at Bhiwadi (Alwar), Lalsot (Dausa) Bassi (Jaipur-II), Dudu (Jaipur-II), Pokran (Jaisalmer), Parbatsar (Nagaur), Laxmangarh (Sikar) & Fatehpur (Sikar)  9 New SDHs in FY 23-24- Behror (Alwar), Mangrol (Baran), Chaksu (Jaipur-II), Phagi (Jaipur-II), Jamwaramgarh (Jaipur-I), Shahpura (Jaipur-I), Salawas (Jodhpur), Makrana (Nagaur) &Bali (Pali)  Construction/Upgradation of SNCU/MNCU in FY 22-23- SDH Didwana, Nagaur, SDH Nimbahera, Sujangarh& Lalsot  Construction of 65 residential quarters for doctors in 4 SDHs (Nimbahera, Bari, Ladnu, SDH Nathdwara)  Additional Constructions at Govt. General hospital Nasirabad (Ajmer), De- addiction Center at DH Ajmer, additional Constructions at Satellite Hospital Shahpura (Bhilwara) and Upgradation of SDH, Neem Ka Thana, Sikar. |
| CHC                       |  Construction of 23 new CHCs in FY 22-23- Chhota Dungra, Badodiya, Kalinjara, Choti Sarwa, Kushalgarh, Baytu, Balahedi, Basedi, Sarmathura, Nohar, Nawa, Dhariywad, Arnod, Chhoti Sadri, Mungana, Parthipura, Bonli, Jawal, Madri, Bawalwara, Intalikheda, Padrada  Construction of new CHCs in FY 23-24- CHC Ogna  Construction of Lactation Management Units at 11 CHCs  Construction of SNCU/MNCU/NBSU at 28 CHCs  Residential quarters at 17 CHCs  Upgradation PHC to CHC, Construction of Ward, Additional Construction CHC Rajakhera, Staff Qtrs at 06 nos CHC, Construction of 15 nos New CHCs                                                                                                                                                                                                                 |
| PHC                       |  Construction of staff quarters at 17 PHCs at Harsana (Laxmangarh), Khonkar (Kherli), Mundanwada Kalan (Mundwar), Nanglibalahir (Shajhanpur), Majra (Shajhanpur), Karana (Bansur), Gurha Nathawatan, Ranipura, Mayja, Shyampura Kalan Titarwada, Gudaliya, Pundarpada, Khanwas, Jhag, Batoda, and Rawajna Chod  Upgradation & Additional Construction work at 03 nos PHC, Staff Qtrs at 04 nos PHC &Construction of 50 nos New PHC                                                                                                                                                                                                                                                                                                                                                                                        |
| SHC                       | Construction of 200 nos New SHCs                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            |
| HDU/ICU - Maternal Health | Upgradation of 8 bedded Hybrid Obs. HDU/ICU at PBM Medical College and Hospital, Bikaner &RBMHospital, District Hospital, Bharatpur                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |