Lok Sabha Question No. 108 (STARRED), answered on 2024-02-09
Subject: Fund Allocation under National Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Debasree Chaudhuri

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOKSABHA STARRED QUESTION NO. 108 TO BE ANSWERED ON THE 9 TH FEBRUARY, 2024

## FUNDALLOCATIONUNDERNATIONALHEALTHMISSION

## *108. MS. DEBASREE CHAUDHURI:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the details of fund allotted and utilised under National Health Mission (NHM) since its inception in West Bengal;
- (b) whether the Government has taken/proposes to take any steps to allocate more funds to strengthen NHM and make it more effective;
- (c) if so, the details thereof;
- (d) the details of Community Health Centres (CHCs) and Public Health Centres (PHCs) established under NHM since its inception in West Bengal; and
- (e) the steps taken by the Government to assess the implementation and progress of NHM, along with its present status?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to ( e) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 108 FOR 9 TH FEBRUARY, 2024

(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 allocated, released and utilized under the National Health Mission (NHM) since inception to the state of West Bengal is as below:

(Rs in crore)

| Financial Year   | Central Release    | Central Release   | Expenditure   |
|------------------|--------------------|-------------------|---------------|
| 2013-14          | 986.55             | 986.55            | 1309.74       |
| 2014-15          | 1115.74            | 1115.74           | 1253.90       |
| 2015-16          | 1061.64            | 1061.64           | 1589.75       |
| 2016-17          | 806.98             | 806.98            | 1914.71       |
| 2017-18          | 1,305.37           | 1,305.37          | 2,341.05      |
| 2018-19          | 1116.09            | 1116.09           | 2236.34       |
| 2019-20          | 1749.32            | 1749.32           | 2340.84       |
| 2020-21          | 1895.01            | 1895.01           | 2598.62       |
| 2021-22          | 1654.26            | 1654.26           | 2229.46       |
| 2022-23          | 1,252.32           | 1,252.32          | 3,509.86      |
| 2023-24          | Central Allocation | Central Release   | Expenditure   |
| 2023-24          | 1,510.89           | 831.55            | 1,608.64      |

Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. Release for the F.Y. 2023-24 is updated up-to 20.01.2024 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. The expenditure w.r.t. flexible pool for RCH, etc. is updated up-to 30.11.2023 and is provisional.
4. There is no relevance of allocation after the closure of the financial year.

Central release to the State of West Bengal has increased by 12.24% from FY 2014-15 to FY 2022-23.

Further, as per RHS 2021-22 a total of 348 Community Health Centres (CHCs) and 1,371 Primary Health Centres (PHCs) are functioning in rural and urban areas in the State of West Bengal as on 31 st March, 2022.

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 instalments 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 is 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) has been through external surveys such as, National Family Health Survey (NFHS) and Sample Registration System (SRS). The present status of progress under NHM is at Annexure-I. Further, under NHM, Common Review Missions (CRM) are conducted periodically to 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

As on 31 st January, 2024, a total of 1,64,478 Ayushman Arogya Mandirs have been made functional.

Annexure-I Statement showing State/UT-wise Physical Achievement/ Progress under National Health Mission (as on September 2023)

|         |                        | In Rural and Urban Areas            | In Rural and Urban Areas           | In Rural and Urban Areas   | In Rural and Urban Areas                                  | In Rural and Urban Areas        | In Rural Areas                    | In Rural Areas                         | In Rural Areas                                                 |
|---------|------------------------|-------------------------------------|------------------------------------|----------------------------|-----------------------------------------------------------|---------------------------------|-----------------------------------|----------------------------------------|----------------------------------------------------------------|
| Sl. No. | State/UTs              | Health Human Resources Augmentation | Mobile Medical Units (operational) | Ambulances (operational)   | Accredited Special Health Activists (ASHAs) (in position) | Setting up Rogi Kalyan Samities | No. of PHCs working on 24x7 basis | Functional FRUs (First Referral Units) | Village Health Sanitation and Nutrition Committees constituted |
| 1       | Bihar                  | 19256                               | 0                                  | 1818                       | 94976                                                     | 1927                            | 496                               | 68                                     | 8406                                                           |
| 2       | Chhattisgarh           | 7533                                | 30                                 | 641                        | 71546                                                     | 1007                            | 271                               | 50                                     | 19180                                                          |
| 3       | Himachal Pradesh       | 1314                                | 12                                 | 404                        | 7924                                                      | 797                             | 0                                 | 24                                     | 7916                                                           |
| 4       | Jammu & Kashmir        | 8603                                | 10                                 | 489                        | 13269                                                     | 741                             | 185                               | 54                                     | 6494                                                           |
| 5       | Jharkhand              | 8325                                | 36                                 | 2176                       | 42289                                                     | 608                             | 121                               | 53                                     | 30012                                                          |
| 6       | Madhya Pradesh         | 21284                               | 0                                  | 2052                       | 69173                                                     | 1909                            | 834                               | 144                                    | 49567                                                          |
| 7       | Odisha                 | 6138                                | 9                                  | 1130                       | 49194                                                     | 1818                            | 98                                | 76                                     | 46064                                                          |
| 8       | Rajasthan              | 7355                                | 233                                | 1609                       | 53642                                                     | 3565                            | 2363                              | 95                                     | 43440                                                          |
| 9       | Uttar Pradesh          | 31517                               | 170                                | 4720                       | 170090                                                    | 1818                            | 439                               | 334                                    | 76768                                                          |
| 10      | Uttarakhand            | 4545                                | 0                                  | 388                        | 12018                                                     | 325                             | 87                                | 50                                     | 14915                                                          |
| 11      | Arunachal Pradesh      | 2000                                | 16                                 | 239                        | 4170                                                      | 228                             | 64                                | 14                                     | 3772                                                           |
| 12      | Assam                  | 17101                               | 130                                | 800                        | 32500                                                     | 1265                            | 314                               | 71                                     | 28149                                                          |
| 13      | Manipur                | 1593                                | 9                                  | 33                         | 4009                                                      | 132                             | 66                                | 7                                      | 3878                                                           |
| 14      | Meghalaya              | 1653                                | 4                                  | 160                        | 7071                                                      | 177                             | 65                                | 9                                      | 6310                                                           |
| 15      | Mizoram                | 1286                                | 9                                  | 65                         | 1091                                                      | 86                              | 41                                | 15                                     | 872                                                            |
| 16      | Nagaland               | 1052                                | 11                                 | 93                         | 2169                                                      | 178                             | 33                                | 15                                     | 1346                                                           |
| 17      | Sikkim                 | 409                                 | 0                                  | 8                          | 676                                                       | 32                              | 24                                | 3                                      | 641                                                            |
| 18      | Tripura                | 583                                 | 0                                  | 50                         | 7663                                                      | 161                             | 83                                | 13                                     | 1178                                                           |
| 19      | Andhra Pradesh         | 12143                               | 67                                 | 628                        | 42558                                                     | 1389                            | 1146                              | 244                                    | 13130                                                          |
| 20      | Goa                    | 522                                 | 0                                  | 31                         | 0                                                         | 37                              | 13                                | 2                                      | 247                                                            |
| 21      | Gujarat                | 11341                               | 74                                 | 618                        | 44324                                                     | 2371                            | 511                               | 130                                    | 17648                                                          |
| 22      | Haryana                | 9434                                | 59                                 | 610                        | 20327                                                     | 658                             | 238                               | 42                                     | 6049                                                           |
| 23      | Karnataka              | 15417                               | 0                                  | 881                        | 41333                                                     | 2904                            | 960                               | 177                                    | 26087                                                          |
| 24      | Kerala                 | 5693                                | 36                                 | 315                        | 26448                                                     | 1328                            | 171                               | 87                                     | 19936                                                          |
| 25      | Maharashtra            | 25619                               | 20                                 | 4486                       | 72412                                                     | 3607                            | 1591                              | 220                                    | 39723                                                          |
| 26      | Punjab                 | 4468                                | 33                                 | 0                          | 20100                                                     | 747                             | 210                               | 185                                    | 12968                                                          |
| 27      | Tamil Nadu             | 33184                               | 425                                | 1353                       | 4864                                                      | 2614                            | 1316                              | 557                                    | 15015                                                          |
| 28      | Telangana              | 13509                               | 0                                  | 455                        | 28160                                                     | 998                             | 333                               | 118                                    | 10431                                                          |
| 29      | West Bengal            | 19329                               | 49                                 | 2955                       | 67802                                                     | 1131                            | 234                               | 161                                    | 48429                                                          |
| 30      | A&NIslands             | 374                                 | 0                                  | 26                         | 422                                                       | 34                              | 22                                | 1                                      | 275                                                            |
| 31      | Chandigarh             | 421                                 | 0                                  | 6                          | 0                                                         | 33                              | 0                                 | 4                                      | 0                                                              |
| 32      | D &NHaveli/ Daman &Diu | 397                                 | 3                                  | 11                         | 440                                                       | 12                              | 9                                 | 8                                      | 89                                                             |
| 33      | Delhi                  | 1614                                | 2                                  | 177                        | 6200                                                      | 33                              | 1                                 | 34                                     | 0                                                              |
| 34      | Ladakh                 | 1366                                | 0                                  | 19                         | 0                                                         | 42                              | 12                                | 7                                      | 247                                                            |
| 35      | Lakshadweep            | 235                                 | 0                                  | 0                          | 605                                                       | 9                               | 4                                 | 6                                      | 9                                                              |
| 36      | Puducherry             | 478                                 | 4                                  | 11                         | 442                                                       | 49                              | 23                                | 4                                      | 99                                                             |
|         | Total                  | 297091                              | 1451                               | 29457                      | 1019907                                                   | 34770                           | 12378                             | 3082                                   | 559290                                                         |

Source: NHM-MIS as on September 2023