Lok Sabha Question No. 4949 (UNSTARRED), answered on 2022-04-01
Subject: National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: S.R. Parthiban

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

## LOK SABHA UNSTARRED QUESTION NO. 4949 TO BE ANSWERED ON THE 01 ST  APRIL, 2022

## NATIONAL HEALTH MISSION

## 4949. SHRI PARTHIBAN S.R:

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

- (a) the details of funds allotted and utilised under the National Health Mission (NHM) since its inception, State-wise including Tamil Nadu; and

(b) the steps taken by Government to assess the implementation and progress of NHM along with the present status thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) & (b): National Health Mission (NHM) is a Centrally Sponsored Scheme under which the Government of India provides financial and technical support to States/UTs to strengthen their health care systems.

The  details  of  funds  released  and  utilized  under  the  National  Health  Mission (NHM) since its inception, State-wise including Tamil Nadu is at Annexure-I.

Public health and hospitals is State subject, hence the primary responsibility for proper  implementation  of  the  scheme  lies  with  the  State/UT  Governments.  However, under NHM, regular interactions are held with States/UTs. Various mechanisms exist to assess the implementation and progress of NHM like:

-  Review of key deliverables of Record of Proceedings of previous financial year during the NPCC meetings,
-  Annual visits to States by Common Review Mission which inter-alia, looks at financial systems and mechanisms.
-  Implementation of Public Financial Management System for monitoring and management of funds.
-  Regular monitoring visits by senior officials of the Ministry.

Further, Government of India also reviews /assesses the implementation of NHM through external surveys such as, National Family Health Survey, Annual Health Survey and Sample Registration System. The present status of progress under NHM is placed at Annexure-II.

## Annexure-I

State/UT wise Central Release and Expenditure under National Health Mission (NHM) from 2013-14 to 2021-22 (Rs. in crore)

| Sl. No.   |                                    | 2013-14 to 2021-22   | 2013-14 to 2021-22   |
|-----------|------------------------------------|----------------------|----------------------|
| Sl. No.   | State/UT                           | Central Release      | Expenditure          |
| 1         | Andaman &Nicobar Islands           | 295.09               | 288.94               |
| 2         | Andhra Pradesh                     | 7971.09              | 13206.38             |
| 3         | Arunachal Pradesh                  | 1583.12              | 1368.18              |
| 4         | Assam                              | 11893.79             | 12621.42             |
| 5         | Bihar                              | 12324.93             | 16529.73             |
| 6         | Chandigarh                         | 178.96               | 199.64               |
| 7         | Chhattisgarh                       | 6023.58              | 9566.38              |
| 8         | Dadra &Nagar Haveli and Daman &Diu | 257.36               | 261.40               |
| 9         | Delhi                              | 1494.15              | 1642.69              |
| 10        | Goa                                | 231.15               | 388.10               |
| 11        | Gujarat                            | 8673.42              | 12972.42             |
| 12        | Haryana                            | 3781.93              | 5562.92              |
| 13        | Himachal Pradesh                   | 2915.00              | 3118.32              |
| 14        | Jammu &Kashmir                     | 4253.49              | 4602.25              |
| 15        | Jharkhand                          | 4801.94              | 6602.69              |
| 16        | Karnataka                          | 9043.90              | 14146.80             |
| 17        | Kerala                             | 5444.71              | 7889.04              |
| 18        | Lakshadweep                        | 51.60                | 41.46                |
| 19        | Madhya Pradesh                     | 14257.49             | 21397.11             |
| 20        | Maharashtra                        | 13112.16             | 21595.90             |
| 21        | Manipur                            | 1195.51              | 1021.41              |
| 22        | Meghalaya                          | 1285.74              | 1252.50              |
| 23        | Mizoram                            | 949.07               | 939.50               |
| 24        | Nagaland                           | 1059.99              | 977.38               |
| 25        | Odisha                             | 8648.61              | 14207.42             |
| 26        | Puducherry                         | 247.02               | 322.20               |
| 27        | Punjab                             | 3929.58              | 6095.44              |
| 28        | Rajasthan                          | 12994.30             | 18170.19             |
| 29        | Sikkim                             | 425.90               | 429.32               |
| 30        | Tamil Nadu                         | 10856.74             | 18946.44             |
| 31        | Tripura                            | 1503.43              | 1529.87              |
| 32        | Uttar Pradesh                      | 31302.83             | 47691.75             |
| 33        | Uttarakhand                        | 3130.36              | 3576.88              |
| 34        | West Bengal                        | 11350.47             | 16932.98             |
| 35        | Telangana                          | 4616.12              | 6652.67              |
| 36        | Ladakh                             | 135.29               | 55.48                |

## Note:

1.  National  Health  Mission  (NHM)  comprises  of  two  sub  Missions  viz.  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.
3. Release for the F.Y. 2021-22 is updated upto 04.03.2022.
4.  Expenditure  includes  expenditure  against  Central  Release,  State  Release  &  unspent  balances  at  the  beginning  of  the  year. Expenditure for the F.Y. 2021-22 (upto 31.12.2021 are as per available FMRs reported by the States/UTs).
5. After the Reorganization of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21.

## Physical Achievement/Progress under National Health Mission (As on September, 2021) *

|   Sl.no. | State                      |   Health Human Resources Augmentation |   Functional FRUs (First Referral Unit) |   Mobile Medical Units (MMU) |   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                      |                                 14392 |                                      66 |                            0 |                       1202 |                                        92792 |                                 496 |                             1918 |                                                            29670 |
|        2 | Chhatisgarh                |                                  7498 |                                      37 |                           30 |                        625 |                                        71983 |                                 254 |                             1013 |                                                           135786 |
|        3 | Himachal Pradesh           |                                  1101 |                                      19 |                           12 |                        329 |                                        32390 |                                  81 |                              777 |                                                            17272 |
|        4 | Jammu & Kashmir            |                                  8074 |                                      51 |                           10 |                        493 |                                        12623 |                                 190 |                              741 |                                                           360308 |
|        5 | Jharkhand                  |                                  8008 |                                      50 |                           92 |                       2140 |                                        42670 |                                 114 |                              582 |                                                           190419 |
|        6 | Madhya Pradesh             |                                 14978 |                                     148 |                            0 |                       1460 |                                        82021 |                                 771 |                             1673 |                                                           518870 |
|        7 | Orissa                     |                                  6465 |                                      77 |                            9 |                       1131 |                                        47733 |                                 125 |                             1796 |                                                           288365 |
|        8 | Rajasthan                  |                                 10573 |                                      88 |                          299 |                       1335 |                                        67730 |                                 990 |                             3143 |                                                           194136 |
|        9 | Uttar Pradesh              |                                 32331 |                                     334 |                          170 |                       4720 |                                       164523 |                                 439 |                             1760 |                                                           229165 |
|       10 | Uttarakhand                |                                  3533 |                                      50 |                           16 |                        388 |                                        13111 |                                  87 |                              324 |                                                            57645 |
|       11 | Arunachal Pradesh          |                                  1911 |                                      13 |                           16 |                        240 |                                         4082 |                                  64 |                              228 |                                                             9501 |
|       12 | Assam                      |                                 19104 |                                      72 |                          130 |                       1035 |                                        32546 |                                 314 |                             1244 |                                                           125271 |
|       13 | Manipur                    |                                  1525 |                                       7 |                            9 |                         43 |                                         4009 |                                  66 |                              132 |                                                            65876 |
|       14 | Meghalaya                  |                                  1659 |                                       9 |                            4 |                         50 |                                         6866 |                                  65 |                              172 |                                                            13238 |
|       15 | Mizoram                    |                                  1244 |                                      15 |                            9 |                         65 |                                         1170 |                                  41 |                               86 |                                                             1664 |
|       16 | Nagaland                   |                                   893 |                                      14 |                           11 |                         80 |                                         1992 |                                  33 |                              170 |                                                             3202 |
|       17 | Sikkim                     |                                   360 |                                       3 |                            0 |                          9 |                                          658 |                                  24 |                               30 |                                                             3722 |
|       18 | Tripura                    |                                   680 |                                      11 |                            0 |                         50 |                                         8044 |                                  85 |                              158 |                                                                0 |
|       19 | Andhra Pradesh             |                                  7163 |                                     239 |                           67 |                        628 |                                        42209 |                                1144 |                             1382 |                                                          3171349 |
|       20 | Goa                        |                                   535 |                                       2 |                            0 |                         55 |                                            0 |                                  13 |                               37 |                                                              510 |
|       21 | Gujarat                    |                                 11810 |                                     130 |                           74 |                        636 |                                        49917 |                                 311 |                             2217 |                                                           255240 |
|       22 | Haryana                    |                                  9166 |                                      27 |                           12 |                        501 |                                        20125 |                                 244 |                              655 |                                                            52326 |
|       23 | Karnataka                  |                                 14758 |                                     172 |                           70 |                        909 |                                        47053 |                                 956 |                             2938 |                                                            87493 |
|       24 | Kerala                     |                                  5456 |                                      87 |                           31 |                        315 |                                        30476 |                                 171 |                             1320 |                                                          1848910 |
|       25 | Maharashtra                |                                 22937 |                                     159 |                           70 |                       3611 |                                        69106 |                                1720 |                             3553 |                                                          2801274 |
|       26 | Punjab                     |                                  4573 |                                     185 |                           33 |                        242 |                                        22262 |                                 211 |                              679 |                                                            51596 |
|       27 | Tamil Nadu                 |                                 30916 |                                     576 |                          425 |                       1153 |                                         5360 |                                1316 |                             2580 |                                                           146982 |
|       28 | Telangana                  |                                 11249 |                                     156 |                            0 |                        624 |                                        32575 |                                 314 |                             1075 |                                                           153498 |
|       29 | West Bengal                |                                 18472 |                                     154 |                           49 |                       3465 |                                        63609 |                                 234 |                             1209 |                                                           137687 |
|       30 | A&N Island                 |                                   330 |                                       1 |                            0 |                          1 |                                          422 |                                  20 |                               33 |                                                             7851 |
|       31 | Chandigarh                 |                                   401 |                                       4 |                            0 |                          6 |                                           18 |                                   0 |                               32 |                                                                1 |
|       32 | D&N Haveli and Daman & Diu |                                   452 |                                       8 |                            3 |                         11 |                                         6725 |                                   9 |                               12 |                                                              543 |
|       33 | Delhi                      |                                  1629 |                                      32 |                            2 |                        229 |                                            0 |                                   1 |                               33 |                                                                0 |
|       34 | Ladakh                     |                                   634 |                                       5 |                            1 |                         18 |                                          593 |                                  12 |                               41 |                                                              150 |
|       35 | Lakshadweep                |                                   232 |                                       6 |                            0 |                          0 |                                          110 |                                   4 |                                9 |                                                               30 |
|       36 | Puducherry                 |                                   413 |                                       4 |                            4 |                         11 |                                          220 |                                  23 |                               48 |                                                              606 |

Source: - NHM-MIS report as on September, 2021.

## Annexure-II