Lok Sabha Question No. 3341 (UNSTARRED), answered on 2022-08-05
Subject: Implementation of National Rural Health Mission in Madhya Pradesh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vivek Narayan Shejwalkar

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

## LOK SABHA UNSTARRED QUESTION NO. 3341

## TO BE ANSWERED ON 05 th  AUGUST, 2022

## IMPLEMENTATION OF NATIONAL RURAL HEALTH MISSION IN MADHYA PRADESH

## 3341. SHRI VIVEK NARAYAN SHEJWALKAR:

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

- (a) the major objectives along with the details of work carried out to strengthen the healthcare systems under National Rural Health Mission (NRHM);
- (b) the manner in which NRHM played its role during the Corona pandemic; and
- (c) the district-wise details of funds released to Madhya Pradesh under the said Mission during the last three years?

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

## ANSWER WELFARE (DR. BHARATI PRAVIN PAWAR)

(a): NHM encompasses its two Sub-Missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Under National Health Mission (NHM), Ministry of  Health  and  Family  Welfare  provides  technical  and  financial  support  to  the  States/UTs  to strengthen the public healthcare system towards the objective of providing accessible, affordable and quality healthcare to all those who access public health facilities.  Support under National Health  Mission  (NHM)  is  provided  to  States/  UTs  to  supplement  the  efforts  of  the  State/UT governments,  based  on  the  requirements  posted  by  them  in  their  Programme  Implementation Plans (PIPs) and within their overall resource envelope.

The support provided under NHM includes support for engaging of health human resource on contractual basis, National Ambulance Services, Mobile Medical Units, ASHAs, Infrastructure strengthening, creation of 1,50,000 Ayushman Bharat-Health and Wellness Centres (AB-HWCs) by transforming the existing Sub Centres and Primary Health Centres, 24 x 7 Services and First Referral facilities, Mera Aspataal, Kayakalp Award Scheme, Prime Minister's National Dialysis Programme,  National  Quality  Assurance  Standards  implementation  and  related  Activities, LaQshya Certification, Biomedical Equipment Maintenance and Management Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative.

Further, initiatives such as Mission Parivar Vikas, Adolescent Friendly Health Clinics (AFHCs), Weekly Iron Folic Acid Supplementation (WIFS), Menstrual Hygiene Scheme, Facility Based Newborn Care (FBNC), Home Based Newborn Care Program, Social Awareness and Actions to Neutralize  Pneumonia  Successfully  (SAANS),  Home  Based  Care  for  Young  Child  (HBYC), Rashtriya Bal Swasthya Karyakram (RBSK), Early Childhood Development (ECD),

Comprehensive  Abortion  Care  (CAC), Anemia  Mukt  Bharat  (AMB)  strategy,  Nutrition Rehabilitation  Centre  (NRC)  program  are  supported  to  increase  access  to  quality  healthcare services. Support is also provided to strengthen Universal Immunization programme.

(b): The India COVID 19 Emergency Response and Health Systems Preparedness Package I &II intended to build resilient health systems to support preparedness and prevention to address the current  COVID-19  outbreak  &  also  such  outbreaks  in  future. National  Health  Mission framework with the available resources were utilized for implementing this package.

Diagnostic  facilities  like  procurement  of  diagnostic  equipment,  testing  kits,  Viral  Transport Media  (VTM)  and  other  consumables  and  reagents  both  for  COVID-19  and  other  routine pathological  examinations  were  expanded  to  strengthen  public  laboratories.  Deployment  of existing  ambulances  and  hiring  of  additional  ambulances  to  provide  reliable  referral  linkages between  the  Dedicated  COVID  Health  Centres  (DCHCs)\  Dedicated  COVID  Care  Centres (DCCCs)  and  the  Dedicated  COVID-Hospitals  (DCHs).  Existing  Human  Resource  (HR) supported under the NHM,  both service delivery and programme management were deployed\redeployed. Additional HR engaged to meet the needs for increased services in view of COVID-19  including  Specialists,  Doctors,  Nurses,  Pharmacists,  ANMs,  sanitation  staff,  data entry  operators  and  other  health  workers.  Additional  incentives  paid  to  ASHAs  and  other volunteers, for the period of their engagement during the emergency response period.

National  COVID-19  Vaccination  Programme  started  across  the  country  using  the  existing structure of Universal Immunization Programme, which was developed and strengthened under NHM. The supervisory cadre and governance structure at the State and District level were used to monitor and review the COVID vaccination programme.

Further, the Government ensured that the general public was provided with accurate information about the pandemic, its spread as well as protective measures to be adopted to prevent infection. Care was taken to prevent misinformation and the media was kept fully briefed of the changing status of the disease as well the response of the government. Appeals were made to the national media to educate the general public on hand, respiratory and environmental hygiene practices, testing protocols for COVID-19. IEC messages were disseminated through various communication channels like social and print media, Government websites, and IVR recording during phone calls. A 24x7 call centre provided information related to the disease, its prevention, management and any other details to callers seeking clarification.

(c):  Under  NHM, all the States/UTs  including Madhya Pradesh submit the proposals, through Program Implementation Plan (PIP) annually before the commencement of next financial year. Year-wise  Record  of  Proceedings  (RoPs)  and  PIPs  of  Madhya  Pradesh  under  NHM,  are available at the link https://nhm.gov.in/index4.php?lang=1&level=0&linkid=43&lid=56.

The details of Central releases under National Rural Health Mission (NRHM) for the last three financial years to the State of Madhya Pradesh is as below:

| Name of the State   | Central Releases under NRHM(Rs. In crore)   | Central Releases under NRHM(Rs. In crore)   | Central Releases under NRHM(Rs. In crore)   |
|---------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|
| Madhya Pradesh      | FY 2019-20                                  | FY 2020-21                                  | FY 2021-22                                  |
| Madhya Pradesh      | 1684.59                                     | 2311.39                                     | 2283.96                                     |