Lok Sabha Question No. 731 (UNSTARRED), answered on 2025-02-07
Subject: National Health Mission in Kerala
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Kodikunnil Suresh

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

## LOK SABHA UNSTARRED QUESTION NO. 731 TO BE ANSWERED ON 07.02.2025

## NATIONALHEALTH MISSION IN KERALA

## 731. SHRI KODIKUNNILSURESH:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the current status of the implementation of National Health Mission (NHM) in Kerala including ongoing and completed projects for FY 2024-25, district-wise;
- (b) the total amount of funds allocated under NHM for Kerala in financial year 2024-25 along with the division of the shares between the Central and State;
- (c) the physical achievements reported under NHM in Kerala during financial year 2024-25;
- (d) the details of sanctioned strength of Human Resources and the number of HR currently posted under various categories on contractual basis under NHM in Kerala; and
- (e) the steps taken/proposed to be taken by the Government to address any delays or gaps in project implementation and fund utilization under NHM in Kerala?

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

- (a) Public health & Hospital is a State Subject. Under National Health Mission, Ministry of Health & Family Welfare provides financial and technical support to States/UTs to strengthen their healthcare systems based on the requirements posed by them in their Programme Implementation Plans (PIPs). Government of India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available resources. NHM supports initiatives/projects under RCH, Health System Strengthening, Disease control programmes and Infrastructure maintenance. The details of various health projects approved for the State of Kerala are available in public domain at:

https://nhm.gov.in/index4.php?lang=1&level=0&linkid=53&lid=66

- (b) National Health Mission is a centrally sponsored scheme, funding pattern between the Centre -State is 60:40 for all States except
-  8 North Eastern States and 3 Himalayan States/UT (Himachal Pradesh, Uttarakhand, , UT of Jammu &Kashmir)- funding pattern is 90:10
-  UTs without Legislature - 100 % Centrally funded

Atotal of Rs. 913.25 crores has been allocated under NHM for Kerala in financial year 2024-25.

(c) 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. The key achievements in status of health indicators of Kerala are as under:

-  Kerala reported sharp decline in Maternal Mortality Rate which stands as 19 (SRS 201820) for Kerala to that of India which is 97 (SRS 2018-20)
-  State has achieved SDG Goal in population stabilization measures by reducing the Total Fertility Rate (TFR) to 1.8 (India 2.0). (Source: NFHS-5,2019-21)
-  Infant Mortality Rate for Kerala is 6 (SRS 2020) to that of India which is 28 (SRS 2020)
-  Percenatge of Full immunization coverage is 76.2% % coverage. (Source: HMIS, January 2025)

(d) The total Human Resource for Health (HRH) in place is 8,218 as on June, 2024 (as per NHMMIS).

(e) National Programme Coordination Committee held on annual basis to review the progress of ongoing programmes. Periodic review as Common Review Mission comprising of experts of different domains under public health. Regular review meetings are conducted with State for continuous monitoring. The working of NHM is regularly assessed, inter-alia, through external surveys such as, National Family Health Survey (NFHS) and Sample Registration System (SRS). Health Monitoring Information System (HMIS) to monitor and review the service delivery of various programmes/schemes at facility and community levels. NHMProgress Monitoring System (PMS) portal to ensure mapping of physical and financial progress. Various portals like RCH portal, AAM portal, NCD portal etc. are also used to monitor progress of programme components.