Lok Sabha Question No. 1924 (UNSTARRED), answered on 2024-12-06
Subject: Implementation of NHM in  Karnataka
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Govind Makthappa Karjol

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1924 TO BE ANSWERED ON 6 th DECEMBER, 2024

## IMPLEMENTATION OF NHM IN KARNATAKA

## 1924. SHRI GOVIND MAKTHAPPAKARJOL:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details of funds allotted, sanctioned and utilised under National Health Mission (NHM) in the State of Karnataka including Chitradurga and Tumkuru districts since its inception, district wise and year-wise;
- (b) the details of Community Health Centres (CHCs) and Primary Health Centres (PHCs) established under NHM in the State of Karnataka including Chitradurga and Tumkuru district since its inception, district-wise;
- (c) whether the Government has taken/proposes to take steps to allocate more funds to strengthen the said mission and make it more effective, if so, the details thereof;
- (d) whether the Government has taken/proposes to take steps to assess the implementation and progress of NHM in the State of Karnataka, if so, the details thereof; and
- (e) if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

- (a) to (e): With the objective of attainment of universal access to equitable, affordable and quality health care services, the Ministry of Health & Family Welfare is implementing National Health Mission. Government provides technical and financial support to the States/UTs for improvement in health infrastructure, availability of adequate human resources to health facilities, to improve availability and accessibility to quality health care especially for the underserved and marginalized groups. The details of funds released and utilized under the National Health Mission (NHM) from the FY 2013-14 to FY 2024-25 to the State of Karnataka is as follows:

(Rs. in Cr.)

| Financial Year   | Central Release   | Expenditure   |
|------------------|-------------------|---------------|
| 2013-14          | 660.39            | 861.84        |
| 2014-15          | 803.86            | 964.80        |
| 2015-16          | 772.15            | 1173.31       |
| 2016-17          | 714.09            | 1291.49       |
| 2017-18          | 1,345.50          | 2,016.65      |
| 2018-19          | 1254.82           | 1942.61       |

| 2019-20   | 1173.77   | 2384.28   |
|-----------|-----------|-----------|
| 2020-21   | 1232.19   | 2320.37   |
| 2021-22   | 1274.71   | 2200.92   |
| 2022-23   | 1,246.67  | 2,376.94  |
| 2023-24   | 1,187.60  | 2,272.27  |
| 2024-25   | 661.70    | 550.36    |

## Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.

2. Release for the F.Y. 2024-25 is updated up-to 13.11.2024 and is provisional.
3. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional. The expenditure is updated up-to 31.07.2024.

As per Health Dynamics of lndia (lnfrastructure & Human Resources) 2022-23 report, the details of district wise Community Health Centres (CHCs) and Primary Health Centres (PHCs) functioning under NHM in the State of Karnataka has been provided at Annexure-I.

Under National Health Mission (NHM), Rs. 36,000.00 crore has been allocated in Budget Estimate (BE) during the FY 2024-25, as against the BE of Rs. 29,085.26 crore in the FY 2023-24.

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,
-  Common Review Missions are conducted regularly in the States/UTs which looks at financial systems and physical implementation of the program,
-  Implementation of Public Financial Management System for monitoring and management of funds.
-  Release of subsequent instalments is done on the basis of compliance of guidelines of Department of Expenditure, Ministry of Finance
-  Submission of Financial Monitoring Reports (FMRs) by the States/UTs,

Further, monitoring and evaluation of the progress of all States/ UTs including State of Karnataka is assessed, through review meetings, video conferences & field visits of senior officials.

## Details of district wise Community Health Centres (CHCs) and Primary Health Centres (PHCs) functioning under NHM in the State of Karnataka

| S No.   | State     | Name of the District   | (As on 31st March 2023) Number of functional   | (As on 31st March 2023) Number of functional   | (As on 31st March 2023) Number of functional   | (As on 31st March 2023) Number of functional   |
|---------|-----------|------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|
|         |           |                        | PHCs                                           | PHCs                                           | CHCs                                           | CHCs                                           |
|         |           |                        | Rural                                          | Urban                                          | Rural                                          | Urban                                          |
| 1       | Karnataka | Bagalkote              | 43                                             | 12                                             | 3                                              | 5                                              |
|         |           | Ballari                | 30                                             | 9                                              | 4                                              | 2                                              |
|         |           | Belagavi               | 126                                            | 20                                             | 15                                             | 1                                              |
|         |           | Bengaluru Rural        | 48                                             | 2                                              | 2                                              | 0                                              |
|         |           | Bengaluru Urban        | 36                                             | 167                                            | 3                                              | 8                                              |
|         |           | Bidar                  | 52                                             | 6                                              | 7                                              | 1                                              |
|         |           | Chamarajanagara        | 60                                             | 2                                              | 3                                              | 0                                              |
|         |           | Chikkaballapura        | 57                                             | 4                                              | 2                                              | 0                                              |
|         |           | Chikkamagaluru         | 89                                             | 2                                              | 4                                              | 1                                              |
|         |           | Chitradurga            | 81                                             | 5                                              | 11                                             | 0                                              |
|         |           | Dakshina Kannada       | 64                                             | 12                                             | 7                                              | 1                                              |
|         |           | Davangere              | 79                                             | 10                                             | 2                                              | 2                                              |
|         |           | Dharwad                | 33                                             | 20                                             | 0                                              | 0                                              |
|         |           | Gadag                  | 39                                             | 3                                              | 2                                              | 0                                              |
|         |           | Hassan                 | 134                                            | 4                                              | 15                                             | 0                                              |
|         |           | Haveri                 | 68                                             | 4                                              | 5                                              | 0                                              |
|         |           | Kalaburagi             | 87                                             | 15                                             | 16                                             | 0                                              |
|         |           | Kodagu                 | 29                                             | 1                                              | 7                                              | 0                                              |
|         |           | Kolar                  | 59                                             | 9                                              | 2                                              | 0                                              |
|         |           | Koppal                 | 44                                             | 4                                              | 5                                              | 4                                              |
|         |           | Mandya                 | 113                                            | 3                                              | 10                                             | 0                                              |
|         |           | Mysuru                 | 119                                            | 28                                             | 7                                              | 3                                              |
|         |           | Raichur                | 50                                             | 7                                              | 6                                              | 0                                              |
|         |           | Ramanagara             | 61                                             | 4                                              | 4                                              | 0                                              |
|         |           | Shivamogga             | 97                                             | 10                                             | 7                                              | 0                                              |
|         |           | Tumakuru               | 142                                            | 8                                              | 4                                              | 0                                              |
|         |           | Udupi                  | 62                                             | 2                                              | 6                                              | 0                                              |
|         |           | Uttara Kannada         | 82                                             | 3                                              | 2                                              | 1                                              |
|         |           | Vijayanagar            | 47                                             | 7                                              | 6                                              | 1                                              |
|         |           | Vijayapura             | 60                                             | 6                                              | 9                                              | 0                                              |
|         |           | Yadgir                 | 41                                             | 3                                              | 6                                              | 0                                              |
|         |           | Total Districts = 31   | 2132                                           | 392                                            | 182                                            | 30                                             |

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