Lok Sabha Question No. 5739 (UNSTARRED), answered on 2025-04-04
Subject: National Health Mission in Gujarat
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Rajesh Naranbhai Chudasama

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 5739 TO BE ANSWERED ON 04.04.2025

## NATIONALHEALTH MISSION IN GUJARAT

## 5739. SHRI RAJESH NARANBHAI CHUDASAMA:

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

- (a) whether a nation-wide programme is being implemented to achieve universal access to equitable, affordable and quality healthcare services for all citizens in the country, if so, the details thereof;
- (b) the details of the steps/measures taken under the National Health Mission during the last five years in Gujarat, year-wise; and
- (c) the details of the funds released and spent under the National Health Mission during the last five years in Gujarat, year-wise?

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

(a) & (b): The National Health Mission (NHM) envisages achievement of universal access to equitable, affordable & quality health care services that are accountable and responsive to people ' s needs. NHM encompasses its two Sub-Missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). The main programmatic components include Health System Strengthening in rural and urban areas, Reproductive-Maternal- NeonatalChild and Adolescent Health (RMNCH+A), and Communicable and Non-Communicable Diseases. Key components of the Mission are as under:

-  Reproductive, Maternal, Newborn, Child and Adolescent Health Services (RMNCH + A) including Janani Suraksha Yojana, Janani Shishu Suraksha Karyakram (JSSK), Rashtriya Bal Swasthya Karyakram (RBSK), Rashtriya Kishore Swasthya Karyaqkram (RKSK),

Facility Based Newborn care including Special Newborn Care Units (SNCUs) and Newborn Care Stabilisation Units (NBSUs), Maternal & Child health wings, Routine Immun isation and Pulse Polio Immunisation etc.

-  Health Systems Strengthening including augmentation of infrastructure, human resources and programme management, patient transport services (including Dial 108 for critical care and Dial 102 for predominantly transporting pregnant women and sick infants), Mobile Medical Units, community participation including engagement of ASHAs, involvement of Rogi Kalyan Samitis, mainstreaming of AYUSH and provision of drugs, equipment, diagnostics etc.
-  Communicable Disease Control Programmes -includes national programmes namely Revised National Tuberculosis Control Programme, National Vector Borne Disease Control Programme to control malaria, dengue, filariasis, kala-azar, National Leprosy Eradication Programme, and Integrated Disease Surveillance Project.
-  Non- Communicable Diseases Control Programme -interventions upto District Hospital level -including National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS), National Programme for Control of Blindness (NPCB), National Mental Health Programme (NMHP), National Programme for Health Care of the Elderly (NPHCE), National Tobacco Control Programme (NTCP) and National Oral Health Programme (NOHP)
-  Infrastructure Maintenance - to support salary of ANMs and LHVs etc. -Support under this component is provided to states to meet salary requirement of Schemes viz. Direction & Administration (Family Welfare Bureaus at state & district level), Sub-Centres, Urban Family Welfare Centres, Urban Revamping Scheme (Health Posts), ANM/LHV Training Schools, Health & Family Welfare Training Centres, and Training of Multi-Purpose Workers (Male). The National Health Mission (NHM) aims for attainment of universal access to equitable, affordable and quality health care services, accountable and responsive to people ' s needs, with effective intersectoral convergent action to address the wider social determinants of health. It is implemented in all the States/UTs in the country.

The Ministry of Health and Family Welfare provides technical and financial support to all States/UTs including Gujarat to strengthen the public healthcare system in rural areas based on the proposals received in the form of Programme Implementation Plans (PIPs) under National Health Mission. Government of India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available resources. The details for the last five years are available in public domain at:

https://nhm.gov.in/index4.php?lang=1&level=0&linkid=56&lid=69

- (c). The year-wise details of Central Release and Expenditure under National Health Mission (NHM) for the state of Gujarat from FY 2019-20 to FY 2023-24 is as under:

(Rs. In crores)

|   Sl. No. | Financial Year   |   Central Release |   Expenditure |
|-----------|------------------|-------------------|---------------|
|         1 | 2019-20          |           1110.8  |       1864.73 |
|         2 | 2020-21          |           1005.66 |       1894.46 |
|         3 | 2021-22          |           1094.48 |       1835.81 |
|         4 | 2022-23          |           1120.06 |       2292.35 |
|         5 | 2023-24          |           1506.96 |       3672.25 |

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