Lok Sabha Question No. 182 (UNSTARRED), answered on 2024-02-02
Subject: Impact and Effectiveness of NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Hibi Eden

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 182 TO BE ANSWERED ON THE 02 nd FEBRUARY, 2024

## Impact and Effectiveness of NHM

## 182. SHRI HIBI EDEN:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the total amount of funds allocated to Kerala, under the National Health Mission (NHM) since its inception, year-wise;
- (b) the total amount of funds allocated and spent in various districts of Kerala including Ernakulam District, under NHM, since its inception, project-wise, year-wise, district-wise
- (c) whether the Government proposes to conduct audit of the funds spent and utilized under NHM in Kerala, if so, the details thereof;
- (d) the Government has assessed the impact and effectiveness of the National Health Mission projects in Ernakulam District, if so, the details thereof; and;
- (e) the comprehensive list of ongoing, completed and under consideration projects under the National Health Mission in Ernakulam District including amount of funds provided in this regard?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (DR. BHARATI PRAVIN PAWAR)

(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 to the State of Kerala along with expenditure incurred under NHMsince its inception is given below:

(Rs. in Cr.)

| Financial Year   | Central Release   | Expenditure   |
|------------------|-------------------|---------------|
| 2013-14          | 374.73            | 686.83        |
| 2014-15          | 537.48            | 525.32        |
| 2015-16          | 315.35            | 644.09        |
| 2016-17          | 452.36            | 744.98        |
| 2017-18          | 586.52            | 936.35        |
| 2018-19          | 887.90            | 1074.25       |
| 2019-20          | 836.14            | 1023.94       |
| 2020-21          | 788.22            | 1457.75       |
| 2021-22          | 771.47            | 1230.96       |
| 2022-23          | 1,036.76          | 1,592.96      |

## Note:

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

2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per available Financial Management Report reported by State/UT.

Further, Ministry releases funds under Flexible Pool to States/UTs. However, the district-wise funds allocated and spent in various districts of Kerala as received from the State is enclosed at AnnexureI.

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,
-  Implementation of Public Financial Management System for monitoring and management of funds.
-  Release of subsequent installments is done on the basis of compliance of guidelines of Department of Expenditure, Ministry of Finance
-  Audit: -
- o Performance Audit by the Comptroller and Auditor General (CAG) of India
- o Annual Statutory Audit- Annual Statutory Audit by Chartered Accountant firms empaneled with C&AG and eligible for conducting audit of major PSUs, and
- o Concurrent Audit by Chartered Accountant Audit firms.
-  Submission of Financial Monitoring Reports (FMRs) by the States/UTs,

Further, monitoring and evaluation of the progress of all states/ UTs including State of Kerala is assessed, through review meetings, video conferences & field visits of senior officials, promoting performance by setting up benchmarks for service delivery & rewarding achievements etc. The working of National Health Mission (NHM) is assessed, through external surveys such as, National Family Health Survey (NFHS) and Sample Registration System (SRS). Further, under NHM, Common Review Missions (CRM) are conducted periodically to assess and monitor the progress and implementation status of various schemes. The key strategies and priority areas of CRM is to analyze challenges with respect to strengthening health systems, identify trends in progress of key indicators, evaluate the readiness of the state to undertake implementation of new initiatives, and review the progress and coordination mechanisms with various partners. The details of various reports of CRM are available in public domain at

https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=795&lid=195

The projects under the National Health Mission in Ernakulam District including amount of funds provided in this regard as received from the State of Kerala has been provided at Annexure-II.

Annexure-I

| Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   | Total amount NHMfunds allocated to Districts (Rs. In lakhs)   |
|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|
|                                                               | 2005-06                                                       | 2006-07                                                       | 2007-08                                                       | 2008-09                                                       | 2009-10                                                       | 2010-11                                                       | 2011-12                                                       | 2012-13                                                       | 2013-14                                                       | 2014-15                                                       | 2015-16                                                       | 2016-17                                                       | 2017-18                                                       | 2018-19                                                       | 2019-20                                                       | 2020-21                                                       | 2021-22                                                       | 2022-23                                                       | Total                                                         |
| Trivandrum                                                    | 76.12                                                         | 317.54                                                        | 1295.82                                                       | 1115.28                                                       | 1258.62                                                       | 1607.89                                                       | 1444.52                                                       | 3332.19                                                       | 2910.64                                                       | 3633.25                                                       | 5193.73                                                       | 5758.52                                                       | 8155.43                                                       | 6089.59                                                       | 6083.96                                                       | 15148.63                                                      | 14593.42                                                      | 12252.10                                                      | 90267.27                                                      |
| Kollam                                                        | 62.59                                                         | 257.15                                                        | 822.16                                                        | 961.49                                                        | 899.44                                                        | 1129.20                                                       | 1095.51                                                       | 2281.27                                                       | 2068.07                                                       | 2304.26                                                       | 1773.14                                                       | 2128.67                                                       | 2841.15                                                       | 4381.92                                                       | 4488.94                                                       | 6429.99                                                       | 9156.62                                                       | 6581.62                                                       | 49663.18                                                      |
| Pathanamthi                                                   | 40.78                                                         | 158.16                                                        | 674.07                                                        | 466.22                                                        | 461.35                                                        | 559.62                                                        | 645.48                                                        | 1130.21                                                       | 940.36                                                        | 1256.07                                                       | 1051.09                                                       | 1256.91                                                       | 1543.49                                                       | 2476.73                                                       | 2484.50                                                       | 4501.06                                                       | 4394.57                                                       | 4117.76                                                       | 28158.43                                                      |
| Alappuzha                                                     | 52.52                                                         | 276.26                                                        | 786.58                                                        | 813.26                                                        | 792.74                                                        | 1055.09                                                       | 995.12                                                        | 1717.34                                                       | 1740.85                                                       | 1705.44                                                       | 1522.67                                                       | 1994.17                                                       | 2891.27                                                       | 224.52                                                        | 2415.97                                                       | 6426.19                                                       | 5457.28                                                       | 3473.26                                                       | 34340.51                                                      |
| Kottayam                                                      | 48.83                                                         | 197.52                                                        | 908.15                                                        | 813.26                                                        | 703.65                                                        | 948.36                                                        | 870.15                                                        | 1356.17                                                       | 1467.60                                                       | 1712.86                                                       | 1388.88                                                       | 1619.19                                                       | 2092.70                                                       | 2222.73                                                       | 2535.57                                                       | 5190.37                                                       | 6437.61                                                       | 3951.45                                                       | 34465.04                                                      |
| Idukki                                                        | 49.73                                                         | 167.75                                                        | 383.39                                                        | 741.71                                                        | 623.02                                                        | 830.11                                                        | 829.18                                                        | 1394.94                                                       | 1268.22                                                       | 1376.96                                                       | 1443.06                                                       | 1524.92                                                       | 3304.05                                                       | 1804.20                                                       | 2658.96                                                       | 3168.47                                                       | 3460.53                                                       | 4180.92                                                       | 29210.13                                                      |
| Ernakulam                                                     | 64.56                                                         | 325.99                                                        | 739.01                                                        | 1051.76                                                       | 1163.96                                                       | 1625.35                                                       | 1892.95                                                       | 2648.53                                                       | 2576.96                                                       | 2544.25                                                       | 2327.09                                                       | 3053.98                                                       | 3624.19                                                       | 3954.74                                                       | 3578.75                                                       | 9967.36                                                       | 12457.03                                                      | 168.00                                                        | 53764.45                                                      |
| Trichur                                                       | 65.39                                                         | 320.72                                                        | 781.88                                                        | 667.89                                                        | 881.41                                                        | 1214.75                                                       | 1231.96                                                       | 2466.84                                                       | 2236.04                                                       | 2122.74                                                       | 2362.31                                                       | 3050.15                                                       | 3032.48                                                       | 3263.31                                                       | 4236.01                                                       | 6831.73                                                       | 8557.87                                                       | 5041.49                                                       | 48364.98                                                      |
| Palakkad                                                      | 62.90                                                         | 326.36                                                        | 681.26                                                        | 937.55                                                        | 828.33                                                        | 1328.85                                                       | 1310.62                                                       | 1524.54                                                       | 2181.76                                                       | 2280.13                                                       | 2821.83                                                       | 2468.94                                                       | 2646.36                                                       | 2995.25                                                       | 3312.38                                                       | 5411.53                                                       | 8799.36                                                       | 4243.04                                                       | 44160.99                                                      |
| Malappuram                                                    | 65.41                                                         | 346.49                                                        | 1061.70                                                       | 1304.13                                                       | 788.52                                                        | 15547.25                                                      | 1728.23                                                       | 2355.27                                                       | 2657.81                                                       | 2654.04                                                       | 2472.93                                                       | 2942.48                                                       | 3312.72                                                       | 4310.88                                                       | 4561.54                                                       | 10853.61                                                      | 10356.55                                                      | 6855.77                                                       | 74175.35                                                      |
| Kozhikode                                                     | 62.26                                                         | 276.39                                                        | 800.22                                                        | 879.86                                                        | 521.28                                                        | 1089.64                                                       | 1231.96                                                       | 1791.96                                                       | 2363.95                                                       | 2091.20                                                       | 2074.39                                                       | 2408.61                                                       | 1709.29                                                       | 3116.53                                                       | 3482.19                                                       | 11819.56                                                      | 7877.63                                                       | 5534.94                                                       | 49131.86                                                      |
| Wayanad                                                       | 40.00                                                         | 142.12                                                        | 599.72                                                        | 495.24                                                        | 659.29                                                        | 750.12                                                        | 795.06                                                        | 795.06                                                        | 1172.39                                                       | 1302.55                                                       | 1535.80                                                       | 1521.94                                                       | 1928.57                                                       | 1892.42                                                       | 2011.38                                                       | 3850.73                                                       | 3965.54                                                       | 3224.25                                                       | 26682.15                                                      |
| Kannur                                                        | 53.33                                                         | 256.25                                                        | 720.05                                                        | 616.58                                                        | 685.34                                                        | 1340.57                                                       | 1086.42                                                       | 2043.74                                                       | 1931.00                                                       | 1700.65                                                       | 173.22                                                        | 2298.18                                                       | 2206.33                                                       | 2768.08                                                       | 3158.86                                                       | 4929.31                                                       | 6288.03                                                       | 4424.78                                                       | 36680.73                                                      |
| Kasaragod                                                     | 36.31                                                         | 142.67                                                        | 386.06                                                        | 453.74                                                        | 431.13                                                        | 721.39                                                        | 683.82                                                        | 179.44                                                        | 1783.23                                                       | 1331.21                                                       | 1334.13                                                       | 1502.39                                                       | 2317.33                                                       | 2036.69                                                       | 2343.50                                                       | 3755.02                                                       | 3683.05                                                       | 2955.52                                                       | 26076.62                                                      |
| Total                                                         | 780.72                                                        | 3511.39                                                       | 10640.07                                                      | 11317.98                                                      | 10698.06                                                      | 29748.18                                                      | 15840.98                                                      | 25017.49                                                      | 27298.87                                                      | 28015.59                                                      | 27474.28                                                      | 33529.05                                                      | 41605.37                                                      | 41537.59                                                      | 47352.48                                                      | 98283.56                                                      | 105485.10                                                     | 67004.90                                                      | 625141.68                                                     |

| Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   | Total amount NHMfunds spent (Rs. In lakhs)   |
|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|----------------------------------------------|
|                                              | 2005-06                                      | 2006-07                                      | 2007-08                                      | 2008-09                                      | 2009-10                                      | 2010-11                                      | 2011-12                                      | 2012-13                                      | 2013-14                                      | 2014-15                                      | 2015-16                                      | 2016-17                                      | 2017-18                                      | 2018-19                                      | 2019-20                                      | 2020-21                                      | 2021-22                                      | 2022-23                                      | Total                                        |
| Trivandrum                                   | 18.38                                        | 146.02                                       | 838.12                                       | 722.64                                       | 1925.59                                      | 1496.36                                      | 1648.61                                      | 2995.43                                      | 2939.50                                      | 3772.37                                      | 4410.84                                      | 5757.49                                      | 8332.06                                      | 6323.31                                      | 6499.00                                      | 14558.50                                     | 14405.49                                     | 12494.31                                     | 89284.00                                     |
| Kollam                                       | 0.00                                         | 75.80                                        | 709.54                                       | 871.01                                       | 1222.80                                      | 1092.95                                      | 889.15                                       | 842.34                                       | 2307.07                                      | 2368.05                                      | 1862.32                                      | 2090.50                                      | 2687.84                                      | 4451.32                                      | 4633.93                                      | 5990.05                                      | 9173.37                                      | 7217.69                                      | 48485.73                                     |
| Pathanamthi                                  | 10.86                                        | 61.02                                        | 357.37                                       | 523.76                                       | 529.90                                       | 555.21                                       | 640.36                                       | 1095.70                                      | 1307.22                                      | 1183.26                                      | 1024.43                                      | 1174.28                                      | 1495.85                                      | 2666.30                                      | 2568.58                                      | 4314.66                                      | 4598.50                                      | 2785.19                                      | 26892.44                                     |
| Alappuzha                                    | 13.97                                        | 121.69                                       | 421.63                                       | 649.14                                       | 587.17                                       | 1070.61                                      | 458.97                                       | 1785.30                                      | 1950.03                                      | 1643.16                                      | 1648.67                                      | 1810.73                                      | 1794.39                                      | 1937.22                                      | 2100.13                                      | 5201.48                                      | 8577.82                                      | 3301.85                                      | 35073.97                                     |
| Kottayam                                     | 0.00                                         | 67.54                                        | 392.01                                       | 706.55                                       | 575.97                                       | 879.19                                       | 799.54                                       | 778.14                                       | 1321.06                                      | 1392.47                                      | 1332.86                                      | 1608.86                                      | 1922.75                                      | 2340.63                                      | 2870.65                                      | 4807.41                                      | 7229.06                                      | 2802.45                                      | 31827.14                                     |
| Idukki                                       | 7.75                                         | 6.10                                         | 150.09                                       | 841.34                                       | 457.76                                       | 433.24                                       | 531.69                                       | 1403.08                                      | 1519.61                                      | 1161.67                                      | 1266.89                                      | 1323.63                                      | 3259.01                                      | 2541.20                                      | 2746.27                                      | 3168.47                                      | 4371.17                                      | 3563.66                                      | 28752.64                                     |
| Ernakulam                                    | 14.88                                        | 83.72                                        | 600.00                                       | 952.16                                       | 1325.48                                      | 1422.65                                      | 1771.32                                      | 2585.63                                      | 2490.53                                      | 1942.46                                      | 2445.82                                      | 2753.20                                      | 2716.09                                      | 4380.06                                      | 4365.70                                      | 8532.62                                      | 10283.07                                     | 6059.44                                      | 54724.84                                     |
| Trichur                                      | 17.88                                        | 100.77                                       | 454.92                                       | 847.40                                       | 614.16                                       | 562.77                                       | 569.69                                       | 1292.90                                      | 2323.62                                      | 1986.09                                      | 2066.63                                      | 1991.72                                      | 2738.48                                      | 3918.04                                      | 3405.37                                      | 4509.70                                      | 10009.21                                     | 5107.35                                      | 42516.71                                     |
| Palakkad                                     | 17.17                                        | 81.82                                        | 488.49                                       | 1046.84                                      | 526.98                                       | 1160.33                                      | 1332.38                                      | 2070.03                                      | 2306.98                                      | 2286.95                                      | 2682.23                                      | 2152.22                                      | 3414.21                                      | 4557.40                                      | 4639.51                                      | 5315.40                                      | 8897.68                                      | 7119.85                                      | 50096.49                                     |
| Malappuram                                   | 23.08                                        | 102.56                                       | 538.95                                       | 1124.90                                      | 532.61                                       | 1196.53                                      | 831.24                                       | 1011.75                                      | 2673.40                                      | 2020.97                                      | 2576.35                                      | 2773.28                                      | 3223.36                                      | 4637.82                                      | 4722.01                                      | 10232.51                                     | 11357.50                                     | 6907.51                                      | 56486.35                                     |
| Kozhikode                                    | 0.00                                         | 74.11                                        | 493.10                                       | 778.94                                       | 350.95                                       | 405.01                                       | 569.69                                       | 2282.34                                      | 2395.10                                      | 2291.22                                      | 2007.62                                      | 2313.38                                      | 1673.77                                      | 3406.14                                      | 3346.79                                      | 7406.90                                      | 8950.87                                      | 5462.02                                      | 44207.97                                     |
| Wayanad                                      | 10.55                                        | 48.63                                        | 343.52                                       | 616.85                                       | 425.63                                       | 407.88                                       | 441.48                                       | 471.60                                       | 1357.99                                      | 1335.25                                      | 1569.98                                      | 1377.16                                      | 1671.26                                      | 2006.77                                      | 2186.96                                      | 3967.20                                      | 4070.88                                      | 3159.57                                      | 25469.16                                     |
| Kannur                                       | 23.00                                        | 40.91                                        | 381.94                                       | 689.83                                       | 494.93                                       | 954.27                                       | 560.29                                       | 778.91                                       | 1992.257                                     | 1988.49                                      | 1781.72                                      | 1938.35                                      | 2548.48                                      | 2805.78                                      | 3098.29                                      | 7216.38                                      | 6686.56                                      | 4425.05                                      | 38405.44                                     |
| Kasaragod                                    | 8.52                                         | 53.66                                        | 167.15                                       | 554.25                                       | 395.68                                       | 310.87                                       | 454.10                                       | 625.26                                       | 1620.13                                      | 1176.26                                      | 487.99                                       | 1890.53                                      | 1606.32                                      | 1448.48                                      | 2285.46                                      | 3617.88                                      | 3413.00                                      | 3023.82                                      | 23139.35                                     |
| Total                                        | 166.04                                       | 1064.37                                      | 6336.85                                      | 10925.62                                     | 9965.60                                      | 11947.87                                     | 11498.49                                     | 20018.41                                     | 28504.51                                     | 26548.67                                     | 27164.36                                     | 30955.32                                     | 39083.88                                     | 47420.46                                     | 49468.64                                     | 88839.17                                     | 112024.18                                    | 73429.77                                     | 595362.23                                    |

## List of Projects in Ernakulam District

(In Rs.)

| Sl No:   | Year            | District            | Name of work                                                                           | Status              | Amount Sanctioned   |
|----------|-----------------|---------------------|----------------------------------------------------------------------------------------|---------------------|---------------------|
| 1        | 2012-13         | Ernakulam           | Setting up of NBSUat THQHNorth Paravoor                                                | Completed           | 3,20,000            |
| 2        | 2012-13         | Ernakulam           | Setting up of NBSU at THQHPerumbavoor                                                  | Completed           | 3,20,000            |
| 3        | 2012-13         | Ernakulam           | Setting up of NBSU at W&CMattanchery                                                   | Completed           | 3,20,000            |
| 4        | 2012-13         | Ernakulam           | Setting up of NBSUat DHAluva                                                           | Completed           | 3,20,000            |
| 5        | 2013-14         | Ernakulam           | Construction of OPblock, IPblock&kitchenatDH Aluva                                     | Completed           | 5,00,00,000         |
| 6        | 2013-14         | Ernakulam           | GH Ernakulam- Superspecialiy block                                                     | Completed           | 5,00,00,000         |
| 7        | 2013-14         | Ernakulam           | Construction of new OTblockat THQHNorth Paravoor                                       | Completed           | 2,00,00,000         |
| 8        | 2013-15         | Ernakulam           | Construction of OPblock, IPblock&kitchenatDH Aluva                                     | Completed           | 31,20,000           |
| 9        | 2013-14         | Ernakulam           | GH Ernakulam- Superspecialiy block                                                     | Completed           | 56,70,000           |
| 10       | 2013-14         | Ernakulam           | Construction of new OTblockat THQHNorth Paravoor                                       | Completed           | 2,42,78,000         |
| 11       | 2015-16         | Ernakulam           | Setting up of NBSU-GHMuvattupuzha                                                      | Completed           | 16,00,000           |
| 12       | 2017-18         | Ernakulam           | Renovation of labour room, OT, Pharmacy and store atGH Muvattupuzha                    | Completed           | 3,07,33,572         |
| 13       | 2018-19         | Ernakulam           | Upgradation work of Isolation ward at DHAluva                                          | Completed           | 37,50,000           |
| 14       | 2018-19         | Ernakulam           | Setting up of Skill lab                                                                | Completed           | 49,52,000           |
| 15       | 2018-19         | Ernakulam           | Construction of new building &Construction of Sump &Fire fighting works atRVS Edapally | Completed           | 4,84,00,000         |
| 16       | 2018-19         | Ernakulam           | Strenghthening of Burncare unit at GHErnakulam                                         | Progressin g        | 2,22,21,182         |
| 17       | 2018-19         | Ernakulam           | Flood reconstruction works at FHC Nayarambalam                                         | Completed           | 53,60,000           |
| 18       | 2018-19         | Ernakulam           | Flood reconstruction works at THQH North Paravoor                                      | Completed           | 23,50,000           |
| 19       | 2018-19         | Ernakulam           | Flood reconstruction worksat CHCKottuvalli                                             | Completed           | 13,40,000           |
| 20       | 2018-19         | Ernakulam           | Flood reconstruction works at PHCChittatukara                                          | Completed           | 11,60,000           |
| 21       | 2018-19         | Ernakulam           | Flood reconstruction works at PHCChoornikkara                                          | Completed           | 19,33,000           |
| 22       | 2018-19         | Ernakulam           | Flood reconstruction works atPHCMaulavukad                                             | Completed           | 9,67,000            |
| 23       | 2018-19         | Ernakulam           | Flood reconstruction works at PHCAvoly                                                 | Completed           | 9,67,000            |
| 24       | 2018-19         | Ernakulam           | Flood reconstruction works atPHCPizhala                                                | Completed           | 4,00,000            |
| 25       | 2018-19         | Ernakulam           | Flood reconstruction works at PHCKadungalloor                                          | Completed           | 6,70,000            |
| 26       | 2018-19         | Ernakulam           | Flood reconstruction works at FHCManjapra                                              | Completed           | 4,50,000            |
| 27       | 2018-19         | Ernakulam           | Flood reconstruction works at FHCGothuruthu                                            | Completed           | 6,25,000            |
| 28       | 2018-19         | Ernakulam           | Flood reconstruction worksat FHCKarumalloor                                            | Completed           | 9,67,000            |
| 29       | 2018-19         | Ernakulam           | Flood reconstruction worksat FHCKuttampuzha                                            | Completed           | 13,50,000           |
| 30       | 2018-19         | Ernakulam           | Flood reconstruction works atPHCEloor                                                  | Completed           | 15,00,000           |
| 31       | 2018-19         | Ernakulam           | Flood reconstruction works at SCKunjithai                                              | Completed           | 6,70,000            |
| 32       | 2018-19         | Ernakulam           | Flood reconstruction works at SCRakkadu                                                | Completed           | 9,67,000            |
| 33       | 2018-19         | Ernakulam           | Flood reconstruction works at SCAvoli                                                  | Completed           | 9,67,000            |
| 34       | 2018-19         | Ernakulam           | Flood reconstruction works at SCKarimpadam                                             | Completed           | 11,90,000           |
| 35       | 2018-19         | Ernakulam           | Flood reconstruction works at SCKuzhupalli                                             | Completed           | 6,70,000            |
| 36       | 2018-19         | Ernakulam           | Flood reconstruction works at SCInjoor                                                 | Completed           | 11,50,000           |
| 37       | 2018-19         | Ernakulam           | Flood reconstruction works at SCPooyamkutty                                            | Completed           | 14,59,000           |
| 38       | 2018-19         | Ernakulam           | Flood reconstruction works at SCThottakam                                              | Completed           | 9,20,000            |
| 39       | 2018-19         | Ernakulam           | Flood reconstruction works at SCPiraroor                                               | Completed           | 11,37,900           |
| 40       | 2018-19         | Ernakulam           | Flood reconstruction works atSC Prasannapuram                                          | Completed           | 2,80,000            |
| 41       | 2018-19         | Ernakulam           | Flood reconstruction works at SCThuravumkara                                           | Completed           | 9,67,000            |
| 42 43    | 2018-19 2018-19 | Ernakulam Ernakulam | Flood reconstruction works at SCAnthipallikav Flood reconstruction works at SCVavakad  | Completed Completed | 6,52,000 6,70,000   |
| 44       | 2018-19         |                     |                                                                                        |                     | 5,62,500            |
|          |                 | Ernakulam           | Flood reconstruction works at SCKottuvallikad                                          | Completed           |                     |

| Sl No:   | Year            | District            | Name of work                                                      | Status                  | Amount Sanctioned   |
|----------|-----------------|---------------------|-------------------------------------------------------------------|-------------------------|---------------------|
| 45       | 2018-19         | Ernakulam           | Flood reconstruction works at SCKuttikattukara East               | Completed               | 6,02,700            |
| 46       | 2018-19         | Ernakulam           | Flood reconstruction works at SCKuttikattukara West               | Completed               | 7,59,000            |
| 47       | 2018-19         | Ernakulam           | Flood reconstruction works at SCPuthuvassery                      | Completed               | 2,40,000            |
| 48       | 2018-19         | Ernakulam           | Flood reconstruction works at SCMaikkad                           | Completed               | 9,11,000            |
| 49       | 2018-19         | Ernakulam           | Flood reconstruction works at SCKeezhperiyaram                    | Completed               | 5,00,000            |
| 50       | 2018-19         | Ernakulam           | Flood reconstruction works at SC Cheriyavappilassery              | Completed               | 11,50,000           |
| 51       | 2018-19         | Ernakulam           | Flood reconstruction works at SCAttupuram                         | Completed               | 12,50,000           |
| 52       | 2018-19         | Ernakulam           | Flood reconstruction works at SCThuruthi                          | Completed               | 5,00,000            |
| 53       | 2018-19         | Ernakulam           | Renovation works at PHCPalakuzha                                  | Completed               | 15,50,000           |
| 54       | 2018-19         | Ernakulam           | Renovation works atPHCManjalloor                                  | Completed               | 15,50,000           |
| 55       | 2018-19         | Ernakulam           | Renovation works at PHCValakom                                    | Completed               | 15,50,000           |
| 56       | 2018-19         | Ernakulam           | Renovation works at PHCKoonamavu                                  | Progressing             | 15,50,000           |
| 57       | 2018-19         | Ernakulam           | Renovation works at PHCAyyampilli                                 | Completed               | 15,50,000           |
| 58       | 2018-19         | Ernakulam           | Renovation works at PHCMulavukad                                  | Completed               | 15,50,000           |
| 59       | 2018-19         | Ernakulam           | Renovation works at PHCKakkanadu                                  | Completed               | 15,50,000           |
| 60       | 2018-19         | Ernakulam           | Renovation works at PHCRayamangalam                               | Completed               | 15,50,000           |
| 61       | 2018-19         | Ernakulam           | Renovation works at PHCArakkunnam                                 | Completed               | 15,50,000           |
| 62       | 2018-19         | Ernakulam           | Renovation works at PHCPanangad                                   | Completed               | 15,50,000           |
| 63       | 2018-19         | Ernakulam           | Renovation works at PHCNettoor                                    | Progressing             | 15,50,000           |
| 64       | 2018-19         | Ernakulam           | Renovation works at PHCKadavoor                                   | Completed               | 15,50,000           |
| 65       | 2018-19         | Ernakulam           | Renovation worksat PHCThuravoor                                   | Completed               | 15,50,000           |
| 67       | 2018-19         | Ernakulam           | Renovation works at PHCEloor                                      | Completed               | 15,50,000           |
| 68       | 2018-19         | Ernakulam           | Renovation works at PHCThiruvaniyoor                              | Completed               | 15,50,000           |
| 69       | 2018-19         | Ernakulam           | RenovationworksatPHCMunambam                                      | Completed               | 15,50,000           |
| 70       | 2018-19         | Ernakulam           | Renovation worksat PHCEdavannakkadu                               | Completed               | 15,50,000           |
| 71       | 2018-19         | Ernakulam           | Renovation works at PHCAlangad                                    | Completed               | 15,50,000           |
| 72       | 2018-19         | Ernakulam           | Renovation works atPHCThiruvankulam                               | Completed               | 15,50,000           |
| 73       | 2018-19         | Ernakulam           | Renovation works at PHCOkkal                                      | Completed               | 15,50,000           |
| 74       | 2018-19         | Ernakulam           | Renovation works atPHCParakadavu                                  | Completed               | 15,50,000           |
| 75       | 2018-19         | Ernakulam           | Renovation worksat PHCAyyampuzha                                  | Completed               | 15,50,000           |
| 76       | 2018-19         | Ernakulam           | Renovation works at PHCCheruvattoor                               | Completed               | 15,50,000           |
| 77       | 2018-19         | Ernakulam           | Renovation works atPHCKandakadavu                                 | Progressing             | 15,50,000           |
| 78       | 2018-19         | Ernakulam           | Renovation works at PHCAvoly                                      | Completed               | 15,50,000           |
| 79       | 2018-19         | Ernakulam           | Renovation works atPHCMalayattoor                                 | Completed               | 15,50,000           |
| 80       | 2019-20         | Ernakulam           | Construction of Eye wards andEyeOTatTHQH Piravom                  | Completed               | 1,00,00,000         |
| 81       | 2019-20         | Ernakulam           | Renovation worksat PHCMookanoor                                   | Progressing             | 15,50,000           |
| 82       | 2019-20         | Ernakulam           | Renovation works at PHCPallisery                                  | Completed               | 15,50,000           |
| 83       | 2019-20         | Ernakulam           | Renovation works atPHCKunnukara                                   | Completed               | 15,50,000           |
| 84       | 2019-20         | Ernakulam           | Renovation works at PHCPuthuvyppu                                 | Progressing             | 15,50,000           |
| 85       | 2019-20         | Ernakulam           | Renovation works at PHCVallarpadam                                | Progressing             | 15,50,000           |
| 86       | 2019-20         | Ernakulam           | Renovation worksat PHCValanthakad                                 | Progressing             | 15,50,000           |
| 87       | 2019-20         | Ernakulam           | Renovation works at PHCKallorkad                                  | Completed               | 15,50,000           |
| 88       | 2019-20         | Ernakulam           | Renovation works at PHCAyavana                                    | Progressing             | 15,50,000           |
| 89 90    | 2019-20 2019-20 | Ernakulam Ernakulam | Renovation works atPHCPizhala Renovation works at PHCKadungalloor | Progressing Progressing | 15,50,000 15,50,000 |
| 91       | 2019-20         | Ernakulam           | Renovation works at PHCAsamannoor                                 | Progressing             | 15,50,000           |

|   Sl No: | Year    | District   | Name of work                                                               | Status      | Amount Sanctioned   |
|----------|---------|------------|----------------------------------------------------------------------------|-------------|---------------------|
|       92 | 2019-20 | Ernakulam  | Renovation works at PHCNedumbassery                                        | Progressing | 15,50,000           |
|       93 | 2019-20 | Ernakulam  | Renovation works at PHCKalamasery                                          | Progressing | 15,50,000           |
|       94 | 2019-20 | Ernakulam  | Renovation works at PHCKanjoor                                             | Progressing | 15,50,000           |
|       95 | 2019-20 | Ernakulam  | Renovation works at PHCChotanikkara                                        | Progressing | 15,50,000           |
|       96 | 2019-20 | Ernakulam  | Renovation works atPHCTottoor                                              | Progressing | 15,50,000           |
|       97 | 2019-20 | Ernakulam  | Renovation works at Tripunithura (RVPD)                                    | Progressing | 15,50,000           |
|       98 | 2019-20 | Ernakulam  | Renovation works at PHCMarady                                              | Progressing | 15,50,000           |
|       99 | 2019-20 | Ernakulam  | Renovation works at PHCPattimattoom                                        | Progressing | 15,50,000           |
|      100 | 2019-20 | Ernakulam  | Renovation works at PHCPoothrikka                                          | Progressing | 15,50,000           |
|      101 | 2019-20 | Ernakulam  | Renovation works at PHCElanji                                              | Completed   | 15,50,000           |
|      102 | 2019-20 | Ernakulam  | Renovation worksat PHCManeed                                               | Completed   | 15,50,000           |
|      103 | 2019-20 | Ernakulam  | Renovation works at PHCTrikkakara                                          | Progressing | 15,50,000           |
|      104 | 2020-21 | Ernakulam  | Labour Room &Emergency OTstrengthening as per LaQshya Standards at DHAluva | Progressing | 1,97,55,000         |
|      105 | 2020-21 | Ernakulam  | Establishment of Liquid Waste Treatment System at DHAluva                  | Progressing | 1,50,00,000         |
|      106 | 2021-22 | Eranakulam | Renovation and ExtensionofOPBlockatTH Piravom                              | Progressing | 2,35,00,000         |
|      107 | 2021-22 | Eranakulam | Construction of new Building at SCMalippuram                               | Progressing | 67,00,000           |
|      108 | 2021-22 | Eranakulam | Construction of new Building atSC Ayyampilly                               | Progressing | 67,00,000           |
|      109 | 2021-22 | Eranakulam | Regional Vaccine Store, Edappally                                          | Progressing | 6,74,54,580         |
|      110 | 2022-23 | Eranakulam | Upgradation and Extension of Maternity BockatGH Muvattupuzha               | Not started | 64000000            |
|      111 | 2022-23 | Eranakulam | Construction of newbuilding                                                | Progressing | 5550000             |
|      112 | 2023-24 | Eranakulam | Upgradation &Vertical Extension of OPBlock                                 | Not started | 47300000            |
|      113 | 2023-24 | Eranakulam | Construction of new building atSC Pulikkamaly                              | Not started | 5550000             |