Lok Sabha Question No. 4214 (UNSTARRED), answered on 2024-12-20
Subject: Urban Primary Healthcare Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri P C Mohan

## GOVERNMENT OFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4214 TO BE ANSWERED ON 20 th DECEMBER, 2024

## URBAN PRIMARYHEALTHCARE CENTRES

## 4214. SHRI P C MOHAN:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the total amount of fund allocated to Urban Primary Healthcare Centres (UPHCs) in Bengaluru for maternity and child health services during the last three years; and
- (b) the total amount of fund utilized along with the impact in terms of service improvements?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

- (a) and (b): Public health & Hospitals are state subject and the responsibility of delivery of healthcare services to the public lies with State Government. However, under the National Health Mission, technical and financial support is provided to the States/UTs for strengthening the healthcare systems, based on the proposals received from the States/UTs in their Annual Programme Implementation Plan (PIP) and subject to the available resources.

Release of funds under NHM is subject to compliance by States/UTs of the guidelines prescribed in this regard by Department of Expenditure, Ministry of Finance.

The details of SPIP Approval and Expenditure for the Health System Strengthening (HSS) including Urban Primary Healthcare Centres under National Health Mission (NHM) from the FY 2021-22 to FY 2023-24 for the State of Karnataka is as under:

## (Rs. in Lakhs)

| Sl. No.   | States    | 2021-22        | 2021-22     | 2022-23        | 2022-23     | 2023-24        | 2023-24     |
|-----------|-----------|----------------|-------------|----------------|-------------|----------------|-------------|
| Sl. No.   | States    | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure |
| 1         | Karnataka | 136.97         | 102.21      | 14,394.32      | 9,431.32    | 14,136.30      | 11,609.38   |

## Note:

1. Expenditure includes utilisation against Central Release, State share & unspent balances at the beginning of the year.
2. Source: Financial Management Reports of State/UTs (Provisional).

The details of SPIP Approval and Expenditure for the Reproductive Child Health (RCH) under National Health Mission (NHM) from the FY 2021-22 to FY 2023-24 for the State of Karnataka is as under:

(Rs. in Lakhs)

| Sl. No.   | States    | 2021-22        | 2021-22     | 2022-23        | 2022-23     | 2023-24        | 2023-24     |
|-----------|-----------|----------------|-------------|----------------|-------------|----------------|-------------|
| Sl. No.   | States    | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure |
| 1         | Karnataka | 24,176.72      | 13,708.78   | 60,341.49      | 36,468.14   | 43,585.67      | 32,608.26   |

Note:

1. Expenditure includes utilisation against Central Release, State share & unspent balances at the beginning of the year.
2. Source: Financial Management Reports of State/UTs (Provisional).

RMNCHA+N services in urban areas are being provided through Urban Primary Health Centers (UPHC). The indicators for Antenatal care (ANC) , institutional deliveries, Caesarean sections, distribution of IFA tablets, follow up of high-risk pregnancies, immunization coverage, provision of postnatal and newborn care have shown improvement as per National Family Health Survey 5 (NFHS). The average out-of-pocket expenditure per delivery in a public health facility has decreased to Rs 3,633 from Rs 9,333 as per NFHS 5 & 4. The factsheet containing reflecting the improvements in the above stated surveys in district Bengaluru (Urban) is available:

https://dhsprogram.com/pubs/pdf/OF43/KA\_Bangalore.pdf

******