Lok Sabha Question No. 2004 (UNSTARRED), answered on 2024-08-02
Subject: Financial Support to Maharashtra under NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. Amol Ramsing Kolhe, Shri Mohite Patil Dhairyasheel Rajsinh, Shri Aashtikar Patil Nagesh Bapurao, Smt. Supriya Sule, Shri Sanjay Dina Patil, Prof. Varsha Eknath Gaikwad, Shri Amar Sharadrao Kale, Shri Bajrang Manohar Sonwane, Shri Bhaskar Murlidhar Bhagare, Shri Nilesh Dnyandev Lanke

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

## LOK SABHA

## UNSTARRED QUESTION NO. 2004 TO BE ANSWERED ON 02.08.2024

## FINANCIALSUPPORT TO MAHARASHTRAUNDER NRHM

## 2004. SHRI AMAR SHARADRAO KALE;

SHRINILESHDNYANDEVLANKE:

SHRISANJAYDINAPATIL;

SHRIMOHITEPATILDHAIRYASHEELRAJSINH:

SHRIBHASKARMURLIDHARBHAGARE;

DR. AMOLRAMSINGKOLHE:

PROF. VARSHAEKNATH GAIKWAD;

SMT. SUPRIYASULE:

SHRIAASHTIKARPATILNAGESHBAPURAO;

SHRIBAJRANGMANOHARSONWANE:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government is implementing National Rural Health Mission (NRHM) in the country and if so, the details alongwith the present status of implementation thereof;
- (b) whether the Government proposes to sanction adequate financial support under the NRHM program across the country including Maharashtra;
- (c) the details of the schemes for recruitment of Medical Officers/Dentists/Ophthalmologists in the rural areas under the NRHM and if so, the details thereof;
- (d) whether the Government has reviewed the progress and implementation of medical facilities/schemes/programmes under the NRHM across the country including Maharashtra and if so, the details thereof alongwith the corrective measures taken by the Government to remove the shortcomings, State-wise;
- (e) whether the rural population do not have access to adequate medical facilities in rural areas of country including Maharashtra, if so, the details thereof and if not, the reasons therefor alongwith the steps taken/proposed to be taken by the Government in this regard; and
- (f) whether the Government proposes to set up super specialty healthcare centres in rural areas and if so, the details thereof alongwith budget sanctioned for setting up of such centres during the last three years?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SMT. ANUPRIYAPATEL)

(a): National Rural Health Mission (NRHM) is a sub-Mission under the overarching National Health Mission (NHM), along with National Urban Health Mission (NUHM) as the other sub

-Mission. It is implemented in all the States/UTs in the country. 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 inter-sectoral convergent action to address the wider social determinants of health.

The details of target set and achieved under NRHM in the last three years 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)                             |

- (b) & (c): The Ministry of Health and Family Welfare provides technical and financial support including support for recruitment of health human resource (Specialists Doctors and other health workers), to the States/UTs to strengthen the public healthcare system , based on the proposals received in the form of Programme Implementation Plans (PIPs) under National Health Mission. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources. The details of RoPs issued to States/UTs are available at following web link:

https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744

- (d): Under NHM, the performance of various health programmes is regularly assessed, through review meetings, mid term reviews of key deliverables, field visits of senior officials, promoting performance by setting up benchmarks for service delivery & rewarding achievements etc. Further, under NHM, Common Review Missions (CRM) are conducted annually to assess and monitor the progress and implementation status of various schemes. 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
- (e): As per Rural Health Statistics 2022, the shortfall of health infrastructure in rural areas of the country including Maharashtra as on 1st July, 2022 is as below:

(no. in units)

| Health Infrastructure   |   Required |   Present |   Shortfall* |
|-------------------------|------------|-----------|--------------|
| Sub-Centre              |     193310 |    157935 |        48060 |
| Primary Health Centre   |      31640 |     24935 |         9742 |
| Community Health Centre |       7894 |      5480 |         2852 |

As on 30.06.2024, a total of 1,73,410 Ayushman Arogya Mandir have been operationalized in the country inlcluding Maharashtra by upgrading existing SHCs and PHCs to deliver Comprehensive Primary Health Care (CPHC) that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community.

The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the health sector to the tune of Rs 70,051 crores and the same have been accepted by the Union Government. These grants for health through Local Governments are spread over the five-year period from FY 2021-22 to FY 2025-26 and will facilitate strengthening of health system at the grass-root level. Total amount of Rs.7067 crore has been allocated under FC-XV health grant for the State of Maharashtra for FY 202122 to FY 2025-26.

(f): Support under NHM is provided to States/ UTs for District Hospital strengthening including for adding specialities based on IPHS or developing it as training hub for initiating Nursing /Paramedical/ DNB courses etc.

PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched by Hon'ble Prime Minister of India for an amount of Rs.64,180 crore. The measures under the PMABHIM focus on developing capacities of health systems and institutions across the continuum of care at all levels, primary, secondary and tertiary, to prepare health systems in responding effectively to the current and future pandemics /disasters. Total amount of Rs. 1195.15 crore has been allocated under PM-ABHIM for the State of Maharashtra for FY 2021-22 to FY 2025-26. Under PM-ABHIM, provision have been made for construction/strengthening of 730 Integrated Public Health Labs (IPHLs), 3382 Block Public Health Units (BPHU) and 602 Critical Care Blocks (CCBs) during the scheme period.

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