Lok Sabha Question No. 1244 (UNSTARRED), answered on 2024-02-09
Subject: Revision of Programmes under NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: M. P. Abdussamad Samadani

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1244 TO BE ANSWERED ON 09.02.2024

## REVISION OFPROGRAMMES UNDER NRHM

## 1244. DR. M.P. ABDUSSAMAD SAMADANI:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state;

(a) whether the Government have any plan to revise programmes under the National Rural Health Mission (NRHM) to complement the efforts of State Governments in providing accessible, affordable and quality healthcare to all those accessing public health facilities; (b) the total amount of funds allotted under NRHM schemes during the last financial year, State/ UT-wise;

(c) whether the Government contemplating any new schemes under the NRHM;

(d) if so, the details thereof; and

(e) the total number of staff working under the various NRHM schemes in the State of Kerala during the last financial year and their selection procedure?

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

(a) to (d): To address the healthcare challenges, particularly in rural areas, the National Rural Health Mission (NRHM) was launched in 2005 to supplement the efforts of the State/UT governments to provide accessible, affordable and quality healthcare to all those who access public health facilities.

The National Health Policy formulated in 2017 envisages to provide universal access to good quality healthcare services through increasing access, increasing affordability by lowering the cost of healthcare delivery and equity. The policy envisages as its goal the attainment of the highest possible level of health and well-being for all at all ages, through a preventive and promotive healthcare orientation in all developmental policies, and universal access to good quality healthcare services without anyone having to face financial hardship as a consequence.

The Government has launched four mission mode projects, namely PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Arogya Mandir erstwhile Ayushman Bharat Health & Wellness Centres (AB-HWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY) and Ayushman Bharat Digital Mission (ABDM).

PM-ABHIM was launched to develop the capacities of primary, secondary, and tertiary healthcare systems, strengthen existing national institutions and create new institutions to cater to detection and cure of new and emerging diseases. PM-ABHIM is a Centrally Sponsored Scheme with some Central Sector Components. The scheme has an outlay of Rs. 64,180 crore till year 2025-26.

Through 1.64 lakh Ayushman Arogya Mandir, comprehensive primary healthcare is provided by strengthening Sub Health Centres (SHCs) and Primary Health Centres (PHCs). These Ayushman Arogya Mandir (AAM) provide preventive, promotive, rehabilitative and curative care for an expanded range of services encompassing reproductive and child healthcare services, Communicable diseases, Non-communicable diseases and other health issues.

Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health coverage up to Rs. 5.00 lakh per family per year to poor and vulnerable families.

The Ayushman Bharat Digital Mission (ABDM) aims to develop the backbone necessary to support the integrated digital health infrastructure of the country. It will bridge the existing gap amongst different stakeholders of Healthcare ecosystem through digital highways. As on 08.02.2024, 55 cr Ayushman Bharat Health Accounts (ABHA) have been created.

The total funds allocated and released under NRHM schemes during the last financial year is attached at Annexure.

(e): As informed by Government of Kerala, the selection procedure of staff working under the various NRHM scheme in the Kerala is written test and/or interview. The district-wise staff position is given below:

| Name of District                        |   No. of Staff as on March, 2023 |
|-----------------------------------------|----------------------------------|
| Thiruvananthapuram (TVM)                |                             1386 |
| Kollam (KLM)                            |                              899 |
| Pathanamthitta (PTA)                    |                              647 |
| Alappuzha (ALP)                         |                              732 |
| Kottayam (KTM)                          |                              735 |
| Idukki (IDK)                            |                              638 |
| Ernakulam (EKM)                         |                             1111 |
| Thrissur (TSR)                          |                             1037 |
| Palakkad (PKD)                          |                              974 |
| Malappuram (MLPM)                       |                             1271 |
| Kozhikode (KKD)                         |                              970 |
| Wayanad (WYD)                           |                              620 |
| Kannur (KNR)                            |                              859 |
| Kasaragod (KSD)                         |                              535 |
| State Programme Management Unit (SPMU)* |                              108 |
| Total                                   |                            12522 |

## Note:

1. Allocation is as per original outlay/B.E.
2. The above releases relate to Central Govt. Grants & do not include State share contribution.

Details of funds allocated and released under NRHM for FY 2022-23, State/UT wise Rs. in Cr.

| Sl. No.   | States                             | 2022-23    | 2022-23         |
|-----------|------------------------------------|------------|-----------------|
| Sl. No.   | States                             | Allocation | Release         |
| 1         | Andaman &Nicobar Islands           | 45.95      | 45.26           |
| 2         | Andhra Pradesh                     | 1,182.93   | 1,489.45        |
| 3         | Arunachal Pradesh                  | 272.48     | 233.82          |
| 4         | Assam                              | 1,615.70   | 1,981.83        |
| 5         | Bihar                              | 1,853.57   | 1,586.57        |
| 6         | Chandigarh                         | 31.73      | 38.09           |
| 7         | Chhattisgarh                       | 949.94     | 1,195.08        |
| 8         | Dadra & Nagar Haveli & Daman & Diu | 51.18      | 58.28           |
| 9         | Delhi                              | 164.98     | 35.15           |
| 10        | Goa                                | 38.13      | 55.42           |
| 11        | Gujarat                            | 1,059.03   | 1,120.06        |
| 12        | Haryana                            | 501.71     | 681.21          |
| 13        | Himachal Pradesh                   | 472.62     | 494.65          |
| 14        | Jammu and Kashmir                  | 659.02     | 651.52          |
| 15        | Jharkhand                          | 853.19     | 810.30          |
| 16        | Karnataka                          | 1,129.18   | 1,246.67        |
| 17        | Kerala                             | 746.63     | 1,036.76        |
| 18        | Lakshadweep                        | 10.55      | 9.97            |
| 19        | Madhya Pradesh                     | 2,056.81   | 2,582.10        |
| 20        | Maharashtra                        | 2,006.38   | 2,187.13        |
| 21        | Manipur                            | 192.47     | 61.40           |
| 22        | Meghalaya                          | 196.26     | 261.56          |
| 23        | Mizoram                            | 132.58     | 111.82          |
| 24        | Nagaland                           | 164.27     | 91.38           |
| 25        | Odisha                             | 1,163.82   | 1,284.69        |
| 26        | Puducherry                         | 36.49      | 20.73           |
| 27        | Punjab                             | 448.58     | 448.89          |
| 28        | Rajasthan                          | 1,867.04   | 1,460.80        |
| 29        | Sikkim                             | 67.47      | 73.30           |
| 30        | Tamil Nadu                         | 1,373.29   | 1,652.24        |
| 31        | Tripura                            | 222.50     | 231.90          |
| 32        | Uttar Pradesh                      | 4,130.21   | 5,133.59        |
| 33        | Uttarakhand                        | 491.17     | 505.01          |
| 34 35     | West Bengal                        | 1,439.37   | 1,252.32 683.77 |
| 36        | Telangana                          | 767.82     |                 |
|           | Ladakh                             | 124.65     | 94.94           |