Lok Sabha Question No. 625 (UNSTARRED), answered on 2022-02-04
Subject: Non-utilisation of funds under National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Anubhav Mohanty

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTIONNO.625

## TO BE ANSWERED ON THE 04 th FEBRUARY, 2022

## 'NON-UTILISATION OF FUNDS UNDER NATIONAL HEALTH MISSION'

## 625. SHRI ANUBHAV MOHANTY:

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

- (a) whether  a  number  of  States  have  not  been  able  to  utilize  the  funds  disbursed  under National Health Mission;
- (b) if so,the details thereof for eachsuch State;
- (c) whether the said non-utilization of funds was due to poor planning  and lack of proper guidance; and
- (d) if so, whether the Government proposes to extend assistance or guidance to such States?

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

- (a) to (d): A statement showing funds released and utilized during the Financial Year 202021 of the National Health Mission (NHM), State/UT-wise is at Annexure.

Further, Public Health & Hospitals is a State subject and the Central Government provides  support  to  State  Governments  for  implementation  of  various  programmes including NHM. Under NHM to improve the financial utilization of funds the following steps have been taken up by the Ministry:

-  Performance  Audit  by  the  Comptroller  and  Auditor  General  (CAG)  of India,
-  Annual Statutory Audits by CAG empanelled major Chartered Accountant Auditfirms,
-  Concurrent Audits by Chartered Accountant Audit firms,
-  Public Financial Management System (PFMS) in NHM to track flow of funds on Real time basis,
-  Submission of quarterly Financial Monitoring Reports  (FMRs)  and Statement of Fund Position (SFP) by the States/UTs,
-  Implementation of Single Nodal Account in the States/UTs,
-  Regular review and monitoring of scheme components.

In  addition,  the  Government  has  continued  to  allocate  more  funds  to  strengthen  the National Health Mission (NHM). Allocation under NHM has increased from Rs.27,989 crore in 2020-21 to Rs.31,100 crore in 2021-22 Budget Estimate.

## Annexure

## State/UT wise Central Release and Expenditure under National Health Mission (NHM) for the FY 2020-21

(Rs. In Crore)

| Sl. No.   |                                    | FY 2020-21      | FY 2020-21   |
|-----------|------------------------------------|-----------------|--------------|
| Sl. No.   | States                             | Central Release | Expenditure  |
| 1         | Andaman & Nicobar Islands          | 36.91           | 42.68        |
| 2         | Andhra Pradesh                     | 1,097.81        | 2,385.48     |
| 3         | Arunachal Pradesh                  | 243.04          | 209.06       |
| 4         | Assam                              | 1,807.48        | 1,846.86     |
| 5         | Bihar                              | 1,814.63        | 2,415.34     |
| 6         | Chandigarh                         | 22.21           | 19.52        |
| 7         | Chhattisgarh                       | 979.41          | 1,521.30     |
| 8         | Dadra & Nagar Haveli & Daman & Diu | 36.39           | 35.74        |
| 9         | Delhi                              | 125.73          | 210.83       |
| 10        | Goa                                | 34.81           | 67.43        |
| 11        | Gujarat                            | 1,005.66        | 1,894.46     |
| 12        | Haryana                            | 531.50          | 829.12       |
| 13        | Himachal Pradesh                   | 441.94          | 425.58       |
| 14        | Jammu & Kashmir                    | 667.46          | 657.53       |
| 15        | Jharkhand                          | 602.80          | 999.71       |
| 16        | Karnataka                          | 1,232.19        | 2,320.37     |
| 17        | Kerala                             | 788.22          | 1,457.75     |
| 18        | Lakshadweep                        | 7.11            | 6.99         |
| 19        | Madhya Pradesh                     | 2,377.14        | 3,397.82     |
| 20        | Maharashtra                        | 1,833.59        | 3,503.62     |
| 21        | Manipur                            | 189.49          | 112.79       |
| 22        | Meghalaya                          | 202.63          | 213.36       |
| 23        | Mizoram                            | 143.73          | 131.36       |
| 24        | Nagaland                           | 188.21          | 159.72       |
| 25        | Orissa                             | 1,617.63        | 2,347.24     |
| 26        | Puducherry                         | 25.55           | 47.32        |
| 27        | Punjab                             | 568.14          | 908.98       |
| 28        | Rajasthan                          | 2,000.58        | 2,943.21     |
| 29        | Sikkim                             | 70.13           | 52.06        |
| 30        | Tamil Nadu                         | 1,522.71        | 2,172.33     |
| 31        | Tripura                            | 225.91          | 249.74       |
| 32        | Uttar Pradesh                      | 3,772.95        | 7,080.45     |
| 33        | Uttarakhand                        | 583.25          | 503.53       |
| 34        | West Bengal                        | 1,895.01        | 2,598.62     |
| 35        | Telangana                          | 671.88          | 1,354.93     |
| 36        | Ladakh                             | 91.89           | 38.56        |

## 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. Expenditure includes expenditure against Central Release, State Release & unspent balances at the beginning of the year.
4.  After  the  Re-organisation  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.