Lok Sabha Question No. 700 (UNSTARRED), answered on 2024-11-29
Subject: National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Malaiyarasan D, Shri Tharaniventhan M S

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 700 TO BE ANSWERED ON 29.11.2024

## NATIONALRURALHEALTH MISSION

## 700. SHRI THARANIVENTHAN M S: SHRI MALAIYARASAN D:

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

(a) the current status of the National Rural Health Mission (NRHM) along with the progress made so far in achieving its objectives in the country;

- (b) the total funds allocated and utilized under NRHM, particularly for rural healthcare infrastructure in the country, State/UT-wise particularly in Tamil Nadu;
- (c) the steps taken/proposed to be taken by the Government to improve accessibility/quality of healthcare services in the remote/underserved rural areas of the country, area-wise;

(d) the number of healthcare workers who are trained and deployed under the said mission in rural regions across the country, State/UT-wise including Arani constituency in Tamil Nadu; and

(e) whether there are any plans to expand/enhance the scope of NRHM in the coming years and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE

## (SHRI PRATAPRAO JADHAV)

(a) & (b): The National Health Mission (NHM) provides support for improvement in health infrastructure, availability of adequate human resources in health facilities, to improve availability and accessibility to quality health care especially for the under served and marginalized groups in rural areas. The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under NHM. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

The details of target set and achieved under NHM are listed below:

| Targets (as per NHMextension for 2021-26)                                            | Status                                  | Status                                   |
|--------------------------------------------------------------------------------------|-----------------------------------------|------------------------------------------|
| Reduce MMRto 87 per 1 lakh                                                           | 97 per 1 lakh live births (SRS 2018-20) | 113 per 1 lakh live births (SRS 2016-18) |
| Reduce IMR to 22 per thousand                                                        | 28 per thousand (SRS 2020)              | 32 per thousand (SRS 2018)               |
| Sustain TFR to 2.0 at national level                                                 | 2.0 (NFHS 5)                            | 2.2 (NFHS 4)                             |
| Achieve the operationalization of 1.5 lakh Ayushman Arogya Mandir (erstwhile AB-HWC) | 1,74,966 (as on 31.10.2024)             | 80,348 (as on 26.11.2021)                |

The details of funds allocated and utilized under NRHM, State/UT-wise including Tamil Nadu is attached at Annexure-I .

(c): The various health programmes implemented by the Government of India under NHM includes operationalisation of Ayushman Arogya Mandir erstwhile Ayushman Bharat-Health and Wellness Centres (AB-HWCs) by transforming the existing Sub Centres and Primary Health Centre, support for engaging of health human resource on contractual basis, National Ambulance Services, Mobile Medical Units, ASHAs, Infrastructure strengthening, 24 x 7 Services and First Referral facilities, Prime Minister's National Dialysis Programme, National Quality Assurance Standards implementation and related Activities, LaQshya Certification, Biomedical Equipment Maintenance and Management Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative. Further, initiatives such as Mission Parivar Vikas, Adolescent Friendly Health Clinics (AFHCs), Weekly Iron Folic Acid Supplementation (WIFS), Menstrual Hygiene Scheme, Facility Based Newborn Care (FBNC), Home Based Newborn Care Program, Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS), Home Based Care for Young Child (HBYC), Rashtriya Bal Swasthya Karyakram (RBSK), Early Childhood Development (ECD), Comprehensive Abortion Care (CAC), Anemia Mukt Bharat (AMB) strategy, Nutrition Rehabilitation Centre (NRC) program are supported to increase access to quality healthcare services. Support is also provided to strengthen Universal Immunization programme.

(d) & (e): The number of healthcare workers deployed under NHM across the country, State/UT-wise including Arani constituency in Tamil Nadu is attached at Annexure II .

Annexure-I State/UT-wise Central Release & Expenditure under National Health Mission for the FY 2023-24

(Rs. In Crore)

| S.   | Name of the State/UT           | 2023-24         | 2023-24     |
|------|--------------------------------|-----------------|-------------|
| No.  |                                | Central Release | Expenditure |
| 1    | Andaman and Nicobar Islands    | 37.84           | 40.71       |
| 2    | Andhra Pradesh                 | 1,096.01        | 2,436.62    |
| 3    | Arunachal Pradesh              | 404.55          | 399.44      |
| 4    | Assam                          | 2,257.06        | 2,626.87    |
| 5    | Bihar                          | 2,032.95        | 4,010.97    |
| 6    | Chandigarh                     | 30.58           | 31.85       |
| 7    | Chattisgarh                    | 875.80          | 1,743.79    |
| 8    | Dadra &Nagar Haveli Daman &Diu | 39.92           | 41.96       |
| 9    | Delhi                          | 150.54          | 338.41      |
| 10   | Goa                            | 48.97           | 82.44       |
| 11   | Gujarat                        | 1,506.96        | 3,672.25    |
| 12   | Haryana                        | 524.01          | 998.80      |
| 13   | Himachal Pradesh               | 470.36          | 700.67      |
| 14   | Jammu &Kashmir                 | 805.22          | 956.95      |
| 15   | Jharkhand                      | 958.06          | 1,968.70    |
| 16   | Karnataka                      | 1,187.60        | 2,272.27    |
| 17   | Kerala                         | 189.15          | 1,069.42    |
| 18   | Ladakh                         | 120.44          | 119.67      |
| 19   | Lakshadweep                    | 3.79            | 7.10        |
| 20   | Madhya Pradesh                 | 2,545.68        | 5,079.18    |
| 21   | Maharashtra                    | 2,729.30        | 5,001.70    |
| 22   | Manipur                        | 169.12          | 159.32      |
| 23   | Meghalaya                      | 261.39          | 305.83      |
| 24   | Mizoram                        | 134.42          | 148.29      |
| 25   | Nagaland                       | 184.84          | 196.69      |
| 26   | Odisha                         | 1,901.77        | 2,868.83    |
| 27   | Puducherry                     | 30.80           | 45.74       |
| 28   | Punjab                         | 91.49           | 1,201.21    |
| 29   | Rajasthan                      | 2,785.46        | 4,350.63    |
| 30   | Sikkim                         | 68.17           | 55.69       |
| 31   | Tamil Nadu                     | 1,996.06        | 2,957.57    |
| 32   | Telangana                      | 564.93          | 1,001.75    |
| 33   | Tripura                        | 264.31          | 277.62      |
| 34   | Uttar Pradesh                  | 4,928.14        | 9,044.22    |
| 35   | Uttarakhand                    | 711.33          | 709.79      |
| 36   | West Bengal                    | 890.42          | 2,817.75    |

## Note:

1. Central Allocation is as per original outlay/B.E.

2. The above releases relate to Central Govt. Grants & do not include State share contribution. Central Release for the F.Y . 2024-25 is updated upto 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.

## Human Resource under National Health Mission

| Sl. No   | State/UT                 |   Specialists |   GDMOs |   AYUSH Doctors |   Staff Nurses |   ANMs |   Allied &Health Care workers |
|----------|--------------------------|---------------|---------|-----------------|----------------|--------|-------------------------------|
| 1        | Bihar                    |           127 |      84 |             402 |           1742 |   9812 |                          4418 |
| 2        | Chhattisgarh             |           119 |     372 |             621 |           2416 |   2924 |                           967 |
| 3        | Himachal Pradesh         |             4 |       1 |             253 |            333 |    183 |                           285 |
| 4        | Jammu& Kashmir           |           120 |     463 |             862 |           1799 |   3520 |                          3428 |
| 5        | Jharkhand                |           194 |     299 |             405 |            902 |   5135 |                           920 |
| 6        | Madhya Pradesh           |           351 |    2065 |            1190 |           4460 |   6883 |                         14616 |
| 7        | Odisha                   |             2 |     217 |            2174 |            615 |   1120 |                          1227 |
| 8        | Rajasthan                |            17 |     332 |             423 |           2574 |   1236 |                           939 |
| 9        | Uttar Pradesh            |           210 |     782 |            4018 |          11434 |   8166 |                          5106 |
| 10       | Uttarakhand              |            45 |      71 |             356 |            740 |    705 |                          2685 |
| 11       | Arunachal Pradesh        |            15 |       9 |             116 |            943 |    388 |                           487 |
| 12       | Assam                    |           231 |    1054 |             710 |           4867 |   4571 |                          4982 |
| 13       | Manipur                  |             0 |      64 |             167 |            274 |    570 |                           436 |
| 14       | Meghalaya                |             9 |      42 |             235 |            381 |    532 |                           295 |
| 15       | Mizoram                  |            10 |      49 |              61 |            368 |    376 |                           420 |
| 16       | Nagaland                 |             9 |      42 |              43 |            313 |    332 |                           227 |
| 17       | Sikkim                   |             3 |      51 |              11 |             71 |    104 |                           115 |
| 18       | Tripura                  |             5 |      12 |             211 |             26 |     23 |                           148 |
| 19       | Andhra Pradesh           |           264 |     820 |              99 |           3146 |   5271 |                          3841 |
| 20       | Goa                      |            18 |      15 |              80 |             61 |    122 |                           166 |
| 21       | Gujarat                  |           172 |     196 |            2728 |           1681 |   2049 |                          1686 |
| 22       | Haryana                  |           112 |     400 |             635 |           2436 |   3935 |                          1419 |
| 23       | Karnataka                |           616 |     878 |            1464 |           7762 |   1801 |                          3420 |
| 24       | Kerala                   |           119 |    1128 |             742 |           1852 |   1328 |                          2434 |
| 25       | Maharashtra              |           687 |    1332 |            2857 |           7175 |   9169 |                          6830 |
| 26       | Punjab                   |            60 |     509 |             525 |           1117 |   1571 |                           939 |
| 27       | Tamil Nadu               |           936 |    4053 |             452 |          15037 |   2054 |                         14691 |
| 28       | Telangana                |           698 |     377 |             749 |           4661 |   4873 |                          1395 |
| 29       | West Bengal              |            19 |    1265 |            1770 |           1062 |   9355 |                          6644 |
| 30       | A&NIslands               |             0 |      34 |              33 |             69 |     90 |                           131 |
| 31       | Chandigarh               |            11 |      46 |              26 |             67 |    262 |                            98 |
| 32       | D & N Haveli/ Daman &Diu |            13 |      10 |              20 |            105 |    136 |                           183 |
| 33       | Delhi                    |            18 |     247 |               0 |            153 |    654 |                           418 |
| 34       | Ladakh                   |            22 |      85 |              50 |            116 |    352 |                           702 |
| 35       | Lakshadweep              |             2 |       9 |               0 |             42 |     33 |                           123 |
| 36       | Puducherry               |             8 |      72 |              44 |             90 |     98 |                            82 |
|          | TOTAL                    |          5246 |   17485 |           24532 |          80890 |  89733 |                         86903 |

## Annexure-II