Lok Sabha Question No. 3728 (UNSTARRED), answered on 2022-03-25
Subject: Contractual workers engaged under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kalaben Mohanbhai Delkar, Vinayak Bhaurao Raut, Bhavana Gawali (Patil)

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

## LOK SABHA UNSTARRED QUESTION NO. 3728 TO BE ANSWERED ON THE 25 TH  MARCH, 2022

## CONTRACTUAL WORKERS ENGAGED UNDER NHM

## 3728.  SHRIMATI DELKAR KALABEN MOHANBHAI: SHRI VINAYAK RAUT: SHRIMATI BHAVANA PUNDALIKRAO GAWALI:

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

- (a) the  details  of  health  programmes  being  run  by  the  Government  under  the  National  Health Mission(NHM), State/UT-wise;
- (b) the funds allocated and released for the health sector, State/UT-wise including Maharashtra and Daman and Diu;
- (c) whether the salary/remuneration of contractual workers engaged under the National Health Mission is increased on annual basis and if so, the State/UT-wise details thereof; and
- (d) the  details  of  post-wise  increase  in  the  salaries  of  workers  engaged  in  different  categories under  NHM  during  each  of  the  last  five  years,  State/UT-wise  including  Maharastra  and Dadar, Nagar Haveli and Daman & Diu?

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

(a) to (d) The 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,  ReproductiveMaternal - Neonatal-Child and Adolescent Health (RMNCH+A), and Communicable and NonCommunicable Diseases.

There are  various  health  programs,  for  which  support  is  provided  to  States/UTs  under NHM  which  includes  support  for  engaging  Health  Human  Resource  on  contract,  National

Ambulance Services, Mobile Medical Units, infrastructure strengthening, 24 x 7 Services and First Referral facilities, Prime Minister's National Dialysis Programme, Biomedical Equipment Maintenance and Management Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative. National Quality Assurance Standards implementation and related Activities, LaQshya Certification, Mera Aspataal, Kayakalp Award Scheme, Rogi Kalyan Samiti, Village Health Sanitation and Nutrition Committees, creation of 1,50,000 Health and Wellness Centres (HWCs) by transforming the existing Sub Centres and Primary Health Centres.

Details of funds allocated and released under NHM  to  States/ UTs including Maharashtra, Dadar, Nagar Haveli and Daman & Diu during the current FY 2021-22 is annexed.

Under NHM, Ministry of Health & Family Welfare (MoHFW)  provides technical and financial support to States/UTs for strengthening their healthcare systems including engaging of health  human  resource  on  contract  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  norms  &  available  resources.  As  Public Health and Hospitals is a State Subject, all the administrative and personnel matters of health human  resources  including  their salary/ remuneration  lies with the respective  State/UT Governments including Maharashtra, Dadar, Nagar Haveli and Daman & Diu.

However, 5% of the total Human Resource (HR) budget is approved as increment to all human  resource  for  health  (HRH)  engaged  under  NHM  and  3%  of  the  total  HR  budget  is recommended for HR rationalisation within which the State has a discretion to decide the actual increment. The maximum increase in remuneration of any staff in a year is to be within 0% to 15% (based on performance and rationalization). HR rationalization exercise and its principles, including  increments,  are  approved  by  State  Health  Society  Governing  Body  (SHS  GB).  The State have to ensure that increment is approved in such a way that it smoothens the process of HR  integration  and  leads  to  rationalization  of  salaries  of  staff  with  similar  qualification, workload and skills.

Further, the data for post-wise salaries of workers engaged in different categories under NHM, is not maintained centrally.

## State/UT wise details of Central Allocation & Releases under National Health Mission (NHM) For FY 2021-22

(Rs. in crore)

| Sr. No.   | Name of the State/UT               | 2021-22            | 2021-22         |
|-----------|------------------------------------|--------------------|-----------------|
| Sr. No.   | Name of the State/UT               | Central Allocation | Central Release |
| 1.        | Andaman &Nicobar Islands           | 41.62              | 36.10           |
| 2.        | Andhra Pradesh                     | 1237.95            | 1029.74         |
| 3.        | Arunachal Pradesh                  | 294.27             | 131.02          |
| 4.        | Assam                              | 1732.64            | 1524.55         |
| 5.        | Bihar                              | 2026.69            | 1167.14         |
| 6.        | Chandigarh                         | 26.30              | 15.88           |
| 7.        | Chhattisgarh                       | 985.85             | 634.31          |
| 8.        | Dadra &Nagar Haveli and Daman &Diu | 46.15              | 28.23           |
| 9.        | Delhi                              | 179.64             | 78.39           |
| 10.       | Goa                                | 40.57              | 8.72            |
| 11.       | Gujarat                            | 1147.40            | 875.10          |
| 12.       | Haryana                            | 566.85             | 422.44          |
| 13.       | Himachal Pradesh                   | 507.47             | 382.85          |
| 14.       | Jammu &Kashmir                     | 716.25             | 275.66          |
| 15.       | Jharkhand                          | 933.20             | 340.33          |
| 16.       | Karnataka                          | 1305.23            | 1087.13         |
| 17.       | Kerala                             | 784.68             | 666.01          |
| 18.       | Lakshadweep                        | 9.53               | 8.34            |
| 19.       | Madhya Pradesh                     | 2220.09            | 2019.75         |
| 20.       | Maharashtra                        | 1938.87            | 1142.75         |
| 21.       | Manipur                            | 207.19             | 96.73           |
| 22.       | Meghalaya                          | 211.03             | 104.66          |
| 23.       | Mizoram                            | 140.94             | 74.46           |
| 24.       | Nagaland                           | 175.46             | 59.98           |
| 25.       | Odisha                             | 1238.50            | 887.95          |
| 26.       | Puducherry                         | 36.58              | 13.21           |
| 27.       | Punjab                             | 488.28             | 258.20          |
| 28.       | Rajasthan                          | 2024.38            | 1232.39         |
| 29.       | Sikkim                             | 71.50              | 19.88           |
| 30.       | Tamil Nadu                         | 1533.20            | 1220.51         |
| 31.       | Tripura                            | 238.22             | 160.64          |
| 32.       | Uttar Pradesh                      | 4419.86            | 2784.68         |
| 33.       | Uttarakhand                        | 629.00             | 469.85          |
| 34.       | West Bengal                        | 1643.35            | 1313.78         |
| 35.       | Telangana                          | 825.48             | 559.80          |
| 36.       | Ladakh                             | 112.15             | 43.40           |

## Note:

1. National  Health  Mission  (NHM)  comprises  of  two  sub  Missions  viz.  National  Rural  Health  Mission (NRHM) and National Urban Health Mission (NUHM).
2. Allocation for the FY 2021-22 is as per original outlay/B.E.
3. The above releases relate to Central Govt. Grants & do not include State share contribution. Release for the F.Y. 2021-22 is updated upto 04.03.2022.