Lok Sabha Question No. 617 (UNSTARRED), answered on 2022-12-09
Subject: Funds sanctioned under NRHM and NUHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajyavardhan Singh Rathore

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

## LOK SABHA UNSTARRED QUESTION NO. 617 TO BE ANSWERED ON THE 09 th  DECEMBER, 2022

## FUNDS SANCTIONED UNDER NRHM AND NUHM

## 617. COL. RAJYAVARDHAN RATHORE:

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

- (a) the  details  of  the  funds  sanctioned  and  utilized  under  National  Rural  and  Urban Health Mission, during each of the last three years, State/UT-wise;
- (b) the details of the funds allocated for Rajasthan under National Digital Health Mission, district-wise; and
- (c) whether the Government has assessed the quality of healthcare services in the country especially in the State of Rajasthan and if so, the details and the outcome thereof?

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

- (a) to  (c):  Details  of  funds  released  and  utilized  under  National  Rural  Health  Mission (NRHM) and National  Urban Health Mission (NUHM) during the last three  years, State/UT-Wise is given at Annexure-I and II respectively.

The quality of healthcare services has been assessed in the State of Rajasthan under  the  ambit  of  the  National  Quality  Assurance  Programme  (Kayakalp,  NQAS, LaQshya). The progress made so far under Kayakalp, NQAS, and LaQshya is given as follows:-

- I. Status of Kayakalp: A total of 721 public health facilities, comprising 121 DHs, 12 SDHs, 158 CHCs, 362 PHCs, 132 UPHCs, and 45 Health and Wellness Centres, were assessed  and  awarded  in  FY  2021-22.  A  peer  assessment  of  3595  public  health facilities  has  completed for the current  FY 2022-2023 including 36 DHs,1 Satellite Hospital,  14  SDHs,  523  CHCs,  1550  PHCs,  198  UPHCs,  1238  Health &  Wellness Centres, and 35 City Dispensaries.
- II. Status of NQAS Certification: As on 30th November 2022, a total of 56 healthcare facilities were assessed and nationally NQAS Certified facilities. It includes 6 DHs, 2 SDHs, 18 CHCs, 22 PHCs, 8 UPHCs, and 19 are state certified including 2 DHs, 6 CHCs, 8 PHCs & 3 UPHCs.

## III. Status  of  LaQshya  Certification  (Labor  Room  &  Maternity  OT)  as  on  30th November 2022:

- o As on 30th November 2022, a total of 40 LR including 3 Medical Colleges, 26 DHs, 3S DHs & 8 CHCs are Nationally assessed and LaQshya certified.
- o Similarly, 25 Maternity OTs including 1 Medical College, 19 DHs, 3 SDHs & 2 CHCs are Nationally assessed and LaQshya certified.

## IV. SUMAN (Surakshit Matritva Aashwasan):

- o With that goal of ensuring guaranteed 'guaranteed service delivery.',MoHFW has launched "SUMAN  -  Surakshit  Matritva Aashwasan,"  a multifaceted and integrated  policy  strategy  that  brings  together  all  existing  programs  under  one roof.
- o In Rajasthan, 400 are SUMAN notified facilities, out of which 43 are state-level NQAS certified and 19 are national-level NQAS certified.

National  Digital  Health  Mission  (NDHM)  is  now  known  as  the  Ayushman Bharat Digital Mission (ABDM). The funds earmarked to the State of Rajasthan is as follows:

(Rs. in Cr)

|           |      | FY      | FY       | FY       | FY       | FY       |       |
|-----------|------|---------|----------|----------|----------|----------|-------|
| State/UT  | ABDM | 2021-22 | 2022- 23 | 2023- 24 | 2024- 25 | 2025- 26 | Total |
| Rajasthan |      | 0.70    | 6.58     | 7.13     | 5.28     | 2.99     | 22.67 |

## Annexure-I

## State/UT  wise  Central  Release  under  National  Rural  Health  Mission (NRHM) and National Urban Health Mission (NUHM)

Rs. in crore

| Sl. No.   | States                   | 2019-20   | 2019-20   | 2020-21   | 2020-21   | 2021-22   | 2021-22   |
|-----------|--------------------------|-----------|-----------|-----------|-----------|-----------|-----------|
| Sl. No.   | States                   | NRHM      | NUHM      | NRHM      | NUHM      | NRHM      | NUHM      |
| 1         | Andaman &Nicobar Islands | 34.43     | 0.49      | 36.37     | 0.54      | 43.10     | 0.58      |
| 2         | Andhra Pradesh           | 1054.08   | 56.99     | 1037.21   | 60.60     | 1161.02   | 38.35     |
| 3         | Arunachal Pradesh        | 185.25    | 0.70      | 241.64    | 1.40      | 187.86    | 0.67      |
| 4         | Assam                    | 1721.69   | 27.55     | 1782.37   | 25.11     | 1941.52   | 14.41     |
| 5         | Bihar                    | 1486.65   | 24.03     | 1803.05   | 11.58     | 1735.34   | 13.42     |
| 6         | Chandigarh               | 19.38     | 3.39      | 18.01     | 4.20      | 15.69     | 1.78      |
| 7         | Chhattisgarh             | 792.83    | 23.24     | 958.43    | 20.98     | 957.01    | 12.60     |
| 8         | Dadra &Nagar Haveli      | 25.14     | 0.19      |           |           |           |           |
| 9         | Daman &Diu               | 16.68     | 0.11      | 35.81     | 0.58      | 38.07     | 0.52      |
| 10        | Delhi                    | 108.63    | 30.11     | 97.20     | 28.53     | 113.02    | 14.35     |
| 11        | Goa                      | 35.12     | 0.35      | 33.83     | 0.98      | 25.63     | 0.38      |
| 12        | Gujarat                  | 1057.35   | 53.45     | 961.08    | 44.58     | 1061.53   | 32.95     |
| 13        | Haryana                  | 540.04    | 27.67     | 508.50    | 23.00     | 553.43    | 23.64     |
| 14        | Himachal Pradesh         | 504.23    | 0.61      | 440.83    | 1.11      | 553.74    | 1.35      |
| 15        | Jammu &Kashmir           | 692.49    | 9.71      | 656.39    | 11.07     | 455.69    | 3.41      |
| 16        | Jharkhand                | 815.72    | 14.91     | 596.02    | 6.78      | 635.26    | 4.92      |
| 17        | Karnataka                | 1120.14   | 53.63     | 1178.89   | 53.30     | 1240.57   | 34.14     |
| 18        | Kerala                   | 814.36    | 21.78     | 766.56    | 21.66     | 757.55    | 13.92     |
| 19        | Lakshadweep              | 6.16      | 0.00      | 7.11      | 0.00      | 8.41      | 0.00      |
| 20        | Madhya Pradesh           | 1684.59   | 44.14     | 2311.39   | 65.75     | 2283.96   | 11.70     |
| 21        | Maharashtra              | 1579.12   | 145.87    | 1686.67   | 146.92    | 1743.40   | 26.27     |
| 22        | Manipur                  | 181.61    | 4.04      | 188.93    | 0.56      | 94.58     | 1.01      |
| 23        | Meghalaya                | 135.80    | 5.37      | 199.42    | 3.21      | 280.86    | 1.60      |
| 24        | Mizoram                  | 122.06    | 5.18      | 139.05    | 4.68      | 92.55     | 1.27      |
| 25        | Nagaland                 | 119.41    | 3.82      | 184.26    | 3.95      | 125.06    | 1.60      |
| 26        | Odisha                   | 1453.04   | 22.10     | 1597.69   | 19.94     | 1242.57   | 20.50     |
| 27        | Puducherry               | 29.18     | 2.38      | 23.68     | 1.87      | 19.85     | 1.48      |
| 28        | Punjab                   | 691.23    | 20.79     | 544.60    | 23.54     | 340.23    | 8.98      |
| 29        | Rajasthan                | 1750.34   | 31.49     | 1964.29   | 36.29     | 1903.49   | 21.46     |
| 30        | Sikkim                   | 52.84     | 0.71      | 69.03     | 1.10      | 51.62     | 0.24      |
| 31        | Tamil Nadu               | 1349.28   | 74.94     | 1437.32   | 85.39     | 1555.80   | 76.12     |
| 32        | Tripura                  | 233.56    | 5.91      | 223.18    | 2.73      | 214.32    | 3.63      |
| 33        | Uttar Pradesh            | 4634.96   | 114.09    | 3672.27   | 100.68    | 3217.87   | 17.59     |
| 34        | Uttarakhand              | 341.15    | 7.68      | 575.98    | 7.27      | 549.33    | 4.14      |
| 35        | West Bengal              | 1677.47   | 71.85     | 1812.63   | 82.38     | 1569.59   | 84.67     |
| 36        | Telangana                | 924.03    | 40.31     | 624.55    | 47.33     | 717.36    | 8.31      |
| 37        | Ladakh                   | 0.00      | 0.00      | 91.62     | 0.27      | 44.67     | 0.12      |

## 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.  After  the  Reorganisation 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.

## Annexure-II

## State/UT  wise  Utilisation  under  National  Rural  Health  Mission  (NRHM) and National Urban Health Mission (NUHM)

Rs. in crore

| Sl. No.   | States                    | 2019-20        | 2019-20     | 2020-21        | 2020-21      | 2021-22        | 2021-22      |
|-----------|---------------------------|----------------|-------------|----------------|--------------|----------------|--------------|
| Sl. No.   | States                    | NRHM           | NUHM        | NRHM           | NUHM         | NRHM           | NUHM         |
| 1         | Andaman &Nicobar Islands  | 41.13          | 0.53        | 41.81          | 0.87         | 30.41          | 0.79         |
| 2         | Andhra Pradesh            | 1688.81        | 131.34      | 2212.28        | 173.20       | 2335.26        | 113.41       |
| 3         | Arunachal Pradesh         | 184.84         | 1.38        | 207.57         | 1.49         | 247.09         | 1.42         |
| 4         | Assam                     | 1829.70        | 26.64       | 1820.13        | 26.73        | 2168.20        | 26.15        |
| 5         | Bihar                     | 2824.09        | 18.17       | 2394.46        | 20.88        | 1872.13        | 33.21        |
| 6         | Chandigarh                | 16.60          | 4.37        | 14.83          | 4.69         | 19.06          | 7.80         |
| 7         | Chhattisgarh              | 1414.71        | 49.75       | 1474.41        | 46.89        | 1777.12        | 56.33        |
| 8         | Dadra &Nagar Haveli       | 23.02          | 0.64        |                |              |                |              |
| 9         | Daman &Diu                | 11.12          | 0.24        | 34.99          | 0.75         | 43.87          | 1.15         |
| 10        | Delhi                     | 124.72         | 48.56       | 162.97         | 47.86        | 183.83         | 53.96        |
| 11        | Goa                       | 57.72          | 0.75        | 66.33          | 1.10         | 59.20          | 1.36         |
| 12        | Gujarat                   | 1748.39        | 116.34      | 1769.17        | 125.29       | 1718.41        | 117.40       |
| 13        | Haryana                   | 747.16         | 45.48       | 781.04         | 48.08        | 773.97         | 105.94       |
| 14        | Himachal Pradesh          | 468.92         | 0.68        | 425.09         | 0.48         | 524.62         | 0.47         |
| 15        | Jammu &Kashmir            | 651.98         | 10.58       | 644.86         | 12.67        | 767.81         | 11.80        |
| 16        | Jharkhand                 | 1068.98        | 21.13       | 984.74         | 14.97        | 1142.47        | 34.08        |
| 17        | Karnataka                 | 2259.32        | 124.95      | 2200.82        | 119.55       | 2096.65        | 104.26       |
| 18        | Kerala                    | 988.21         | 35.73       | 1405.73        | 52.01        | 1179.17        | 51.79        |
| 19        | Lakshadweep               | 6.55           | 0.00        | 6.99           | 0.00         | 7.26           | 0.00         |
| 20        | Madhya Pradesh            | 3038.31        | 64.58       | 3329.18        | 68.64        | 3629.65        | 85.27        |
| 21        | Maharashtra               | 2966.07        | 131.01      | 3300.51        | 203.11       | 3963.51        | 263.81       |
| 22        | Manipur                   | 193.76         | 2.30        | 111.35         | 1.44         | 152.85         | 1.24         |
| 23        | Meghalaya                 | 160.56         | 5.68        | 206.26         | 7.10         | 222.76         | 4.32         |
| 24        | Mizoram                   | 101.70         | 4.00        | 127.83         | 3.53         | 148.39         | 4.77         |
| 25        | Nagaland                  | 127.19         | 3.19        | 155.57         | 4.15         | 186.08         | 6.09         |
| 26        | Odisha                    | 2154.62        | 66.20       | 2295.64        | 51.60        | 2528.79        | 58.93        |
| 27        | Puducherry                | 40.45          | 3.76        | 42.70          | 4.62         | 42.49          | 3.87         |
| 28        | Punjab                    | 883.10         | 40.21       | 848.48         | 60.49        | 866.04         | 52.92        |
| 29        | Rajasthan                 | 2478.44        | 81.07       | 2877.98        | 65.23        | 3157.84        | 72.17        |
| 30        | Sikkim                    | 54.25          | 0.59        | 51.03          | 1.03         | 45.18          | 0.88         |
| 31        | Tamil Nadu                | 2432.96        | 124.66      | 2049.33        | 123.00       | 2758.58        | 280.81       |
| 32        | Tripura                   | 203.46         | 4.91        | 244.18         | 5.56         | 229.84         | 7.40         |
| 33 34     | Uttar Pradesh Uttarakhand | 7250.36 497.22 | 203.54 6.80 | 6870.47 488.69 | 209.98 14.84 | 6019.40 591.02 | 190.80 15.05 |
| 35        | West Bengal               |                | 130.91      | 2443.29        | 155.33       | 2054.36        | 175.10       |
|           |                           | 2209.93        |             |                |              |                |              |
| 36        | Telangana                 | 859.18         | 90.78       | 1239.51        | 115.42       | 1452.55        | 104.09       |
| 37        | Ladakh                    | 0.00           | 0.00        | 38.56          | 0.00         | 62.70          | 0.11         |

## Note:

1. National Health Mission (NHM) comprises of two sub Missions viz. National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).
2. Expenditure includes expenditure against Central Release, State Release & unspent balances at the beginning of the year. Expenditure is as per available Financial Management Reports submitted by the States/UTs.
3.  After  the  Reorganisation 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.