Lok Sabha Question No. 1173 (UNSTARRED), answered on 2024-02-09
Subject: Cases of TB in Tribal Community
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kinjarapu Ram Mohan Naidu

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1173 TO BE ANSWERED ON 09 th FEBRUARY, 2024

## CASES OF TB IN TRIBAL COMMUNITY

## 1173. SHRI RAM MOHAN NAIDU KINJARAPU :

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

- (a) whether the Government has undertaken any research/study/survey regarding the implementation of schemes/initiatives about Tuberculosis and its treatment of people, especially those belonging to Tribal communities in the country; (b) if so, the details regarding the list of schemes/initiatives introduced regarding treatment and medicines for Tuberculosis in India, especially for those who belong to the tribal communities; (c) the details regarding the total number of people from Tribal communities who are suffering from Tuberculosis in the country, State/UT-wise including Andhra Pradesh; (d) the details regarding the fund allotted and utilized for medicines and treatment of Tuberculosis of people belonging to the tribal communities especially during the last four years, year and State/UT-wise including Andhra Pradesh; (e) whether there is a high prevalence of HIV amongst TB patients in the country and if so, the details thereof, State/UT-wise; and (f) the details of ranking of the same during the last four years for the general and tribal
- population, State/UT-wise, especially in Andhra Pradesh?

## ANSWER THE MINISTER OF THE STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) to (f) To access burden of TB at sub-national levels, the government has conducted a 'National TB Prevalence Survey' through Indian Council of Medical Research (ICMR) in 20 individual state/group of states during 2019-21. The government implements National TB Elimination Programme (NTEP) for prevention, diagnosis and treatment of TB across

the country, including among tribal communities. Under NTEP, additional provisions are implemented in tribal / hilly/difficult areas, as under:

- 1) TB Programme Management Unit (TB Units) - 1 for every 1 lakh population in tribal, hilly and difficult area as against 1 for every 2 lakhs general population.
- 2) Microscopy Centres for diagnosis of TB - 1 per 1 lakh general population to 1 per 50,000 population in tribal, hilly, and difficult areas.
- 3) Patients from tribal / hilly/difficult areas are provided an incentive of Rs. 750 (one time) to cover travel costs of patient and attendant

Further, the key activities undertaken by NTEP in tribal areas are as under:

- 1) Provision of free drugs and diagnostics to TB patients including for drug-resistant TB.
- 2) Active TB case-finding campaign in key vulnerable and co-morbid populations.
- 3) Integration with Ayushman Arogya Mandir to decentralize screening and treatment services closer to the community.
- 4) Screening of vulnerable population during health camps under Ayushman Bhavah, Viksit Bharat Sankalp Yatra and Pradhan Mantri Janjati Adivasi Nyaya Maha Abhiyan through Ayushman Arogya Mandir.
- 5) Scale up of molecular diagnostic laboratories to sub-district levels.
- 6) Ni-kshay Poshan Yojana for nutritional support to TB patients
- 7) Intensified IEC campaigns to reduce stigma, raise community awareness and improve health seeking behaviour.
- 8) In Sept 2022, the government launched Pradhan Mantri TB Mukt Bharat Abhiyan (PMTBMBA) for community support to TB patients with the objective to provide people with TB with additional nutritional, diagnostic and vocational support.

The state wise details, including for Andhra Pradesh, regarding the total number of people from tribal areas who have been diagnosed with TB and number among them who are HIV positive; for general population and those residing in tribal areas; for the last four years is placed as Annexure I-A & I-B. The state wise details of fund allocated and utilized under NTEP is placed as Annexure-II.

Annexure-I-A State wise details of TB cases notified in general population and among tribal areas

| State/UT                          | 2020                    | 2020                               | 2020                                | 2020                                           | 2021                    | 2021                               | 2021                                | 2021                                           |
|-----------------------------------|-------------------------|------------------------------------|-------------------------------------|------------------------------------------------|-------------------------|------------------------------------|-------------------------------------|------------------------------------------------|
| State/UT                          | Total TB cases notified | TB-HIV co- infected, in number & % | TB cases notified from Tribal areas | TB-HIV co- infected in tribal areas (number &) | Total TB cases notified | TB-HIV co- infected, in number & % | TB cases notified from Tribal areas | TB-HIV co- infected in tribal areas (number &) |
| Andaman & Nicobar Islands         | 491                     | 4 (0.8%)                           | 109                                 | 0 (0%)                                         | 522                     | 3 (0.6%)                           | 85                                  | 1 (1.2%)                                       |
| Andhra Pradesh                    | 64889                   | 3586 (5.5%)                        | 8409                                | 349 (4.2%)                                     | 87817                   | 4979 (5.7%)                        | 11818                               | 471 (4%)                                       |
| Arunachal Pradesh                 | 2603                    | 5 (0.2%)                           | 2603                                | 5 (0.2%)                                       | 2917                    | 4 (0.1%)                           | 2914                                | 4 (0.1%)                                       |
| Assam                             | 35492                   | 218 (0.6%)                         | 6143                                | 26 (0.4%)                                      | 38208                   | 288 (0.8%)                         | 7087                                | 15 (0.2%)                                      |
| Bihar                             | 102614                  | 1539 (1.5%)                        | 10533                               | 101 (1%)                                       | 136510                  | 1877 (1.4%)                        | 11616                               | 96 (0.8%)                                      |
| Chandigarh                        | 2897                    | 156 (5.4%)                         | 0                                   | 0 (0%)                                         | 3245                    | 175 (5.4%)                         | 0                                   | 0 (0%)                                         |
| Chhattisgarh                      | 29519                   | 499 (1.7%)                         | 0                                   | 0 (0%)                                         | 32772                   | 498 (1.5%)                         | 0                                   | 0 (0%)                                         |
| Dadra &Nagar Haveli & Daman & Diu | 773                     | 13 (1.7%)                          | 492                                 | 11 (2.2%)                                      | 764                     | 11 (1.4%)                          | 470                                 | 8 (1.7%)                                       |
| Delhi                             | 76245                   | 966 (1.3%)                         | 0                                   | 0 (0%)                                         | 85080                   | 1183 (1.4%)                        | 0                                   | 0 (0%)                                         |
| Goa                               | 1647                    | 50 (3%)                            | 0                                   | 0 (0%)                                         | 2032                    | 50 (2.5%)                          | 0                                   | 0 (0%)                                         |
| Gujarat                           | 118851                  | 2781 (2.3%)                        | 19664                               | 282 (1.4%)                                     | 141225                  | 3228 (2.3%)                        | 22432                               | 335 (1.5%)                                     |
| Haryana                           | 64426                   | 611 (0.9%)                         | 0                                   | 0 (0%)                                         | 71096                   | 743 (1%)                           | 0                                   | 0 (0%)                                         |
| Himachal Pradesh                  | 13719                   | 110 (0.8%)                         | 315                                 | 0 (0%)                                         | 14894                   | 124 (0.8%)                         | 385                                 | 3 (0.8%)                                       |
| Jammu & Kashmir                   | 8920                    | 61 (0.7%)                          | 43                                  | 0 (0%)                                         | 11061                   | 36 (0.3%)                          | 56                                  | 0 (0%)                                         |
| Jharkhand                         | 46421                   | 320 (0.7%)                         | 26178                               | 108 (0.4%)                                     | 53647                   | 345 (0.6%)                         | 29446                               | 168 (0.6%)                                     |
| Karnataka                         | 65115                   | 4370 (6.7%)                        | 2268                                | 136 (6%)                                       | 71702                   | 4401 (6.1%)                        | 2391                                | 178 (7.4%)                                     |
| Kerala                            | 20945                   | 243 (1.2%)                         | 883                                 | 4 (0.5%)                                       | 22203                   | 234 (1.1%)                         | 810                                 | 1 (0.1%)                                       |
| Ladakh                            | 246                     | 1 (0.4%)                           | 246                                 | 1 (0.4%)                                       | 327                     | 1 (0.3%)                           | 320                                 | 1 (0.3%)                                       |
| Lakshadweep                       | 17                      | 0%                                 | 0                                   | 0 (0%)                                         | 20                      | 0%                                 | 0                                   | 0 (0%)                                         |
| Madhya Pradesh                    | 139229                  | 1313 (0.9%)                        | 21326                               | 211 (1%)                                       | 168904                  | 1565 (0.9%)                        | 26178                               | 230 (0.9%)                                     |
| Maharashtra                       | 157869                  | 5800 (3.7%)                        | 13583                               | 323 (2.4%)                                     | 195007                  | 6226 (3.2%)                        | 15683                               | 385 (2.5%)                                     |
| Manipur                           | 1622                    | 108 (6.7%)                         | 974                                 | 72 (7.4%)                                      | 1883                    | 117 (6.2%)                         | 958                                 | 65 (6.8%)                                      |
| Meghalaya                         | 4153                    | 132 (3.2%)                         | 4154                                | 132 (3.2%)                                     | 4205                    | 101 (2.4%)                         | 4205                                | 101 (2.4%)                                     |
| Mizoram                           | 2148                    | 264 (12.3%)                        | 2148                                | 264 (12.3%)                                    | 1793                    | 301 (16.8%)                        | 1793                                | 301 (16.8%)                                    |
| Nagaland                          | 3622                    | 281 (7.8%)                         | 3622                                | 281 (7.8%)                                     | 3749                    | 360 (9.6%)                         | 3749                                | 360 (9.6%)                                     |
| Odisha                            | 45591                   | 592 (1.3%)                         | 19735                               | 136 (0.7%)                                     | 52276                   | 592 (1.1%)                         | 21563                               | 118 (0.5%)                                     |
| Puducherry                        | 1267                    | 20 (1.6%)                          | 0                                   | 0 (0%)                                         | 1409                    | 30 (2.1%)                          | 0                                   | 0 (0%)                                         |
| Punjab                            | 47424                   | 970 (2%)                           | 0                                   | 0 (0%)                                         | 53177                   | 1130 (2.1%)                        | 1                                   | 0 (0%)                                         |
| Rajasthan                         | 137473                  | 1273 (0.9%)                        | 16147                               | 215 (1.3%)                                     | 151026                  | 1528 (1%)                          | 17266                               | 210 (1.2%)                                     |
| Sikkim                            | 1385                    | 8 (0.6%)                           | 0                                   | 0 (0%)                                         | 1484                    | 9 (0.6%)                           | 0                                   | 0 (0%)                                         |
| Tamil Nadu                        | 72076                   | 2435 (3.4%)                        | 491                                 | 24 (4.9%)                                      | 85279                   | 2988 (3.5%)                        | 480                                 | 34 (7.1%)                                      |
|                                   | 2219                    | 2339 (0.6%)                        | 3104                                |                                                | 2796                    |                                    | 270                                 | 6 (2.2%)                                       |
| Tripura                           |                         | 24 (1.1%)                          | 198                                 |                                                |                         | 46 (1.6%)                          |                                     |                                                |
|                                   |                         |                                    |                                     | 3 (1.5%)                                       |                         |                                    | 3712                                |                                                |
| Uttar Pradesh                     | 375723                  |                                    |                                     | 18 (0.6%)                                      | 467709                  | 2669 (0.6%)                        |                                     | 17 (0.5%)                                      |
| Uttarakhand West Bengal           | 20259 76917             | 225 (1.1%) 748 (1%)                | 0 0                                 | 0 (0%) 0 (0%)                                  | 23775 85130             | 211 (0.9%) 884 (1%)                | 0 0                                 | 0 (0%) 0 (0%)                                  |

Data Source: Ni-kshay

Annexure-I-B State wise details of TB cases notified in general population and among tribal areas

| State/UT                           | 2022                    | 2022                               | 2022                                | 2022                                           | 2023                    | 2023                               | 2023                                | 2023                                           |
|------------------------------------|-------------------------|------------------------------------|-------------------------------------|------------------------------------------------|-------------------------|------------------------------------|-------------------------------------|------------------------------------------------|
| State/UT                           | Total TB cases notified | TB-HIV co- infected, in number & % | TB cases notified from Tribal areas | TB-HIV co- infected in tribal areas (number &) | Total TB cases notified | TB-HIV co- infected, in number & % | TB cases notified from Tribal areas | TB-HIV co- infected in tribal areas (number &) |
| Andaman & Nicobar Islands          | 551                     | 4 (0.7%)                           | 92                                  | 0 (0%)                                         | 578                     | 3 (0.5%)                           | 86                                  | 1 (1.2%)                                       |
| Andhra Pradesh                     | 93166                   | 4354 (4.7%)                        | 12551                               | 388 (3.1%)                                     | 89872                   | 3631 (4%)                          | 7680                                | 200 (2.6%)                                     |
| Arunachal Pradesh                  | 3024                    | 16 (0.5%)                          | 3012                                | 16 (0.5%)                                      | 2803                    | 11 (0.4%)                          | 2793                                | 11 (0.4%)                                      |
| Assam                              | 48275                   | 344 (0.7%)                         | 8549                                | 26 (0.3%)                                      | 51706                   | 369 (0.7%)                         | 9159                                | 36 (0.4%)                                      |
| Bihar                              | 166943                  | 2183 (1.3%)                        | 14582                               | 118 (0.8%)                                     | 190790                  | 2277 (1.2%)                        | 13406                               | 108 (0.8%)                                     |
| Chandigarh                         | 3778                    | 157 (4.2%)                         | 0                                   | 0 (0%)                                         | 4233                    | 162 (3.8%)                         | 0                                   | 0 (0%)                                         |
| Chhattisgarh                       | 39312                   | 564 (1.4%)                         | 0                                   | 0 (0%)                                         | 38913                   | 500 (1.3%)                         | 0                                   | 0 (0%)                                         |
| Dadra & Nagar Haveli & Daman & Diu | 919                     | 10 (1.1%)                          | 565                                 | 7 (1.2%)                                       | 865                     | 10 (1.2%)                          | 501                                 | 5 (1%)                                         |
| Delhi                              | 88500                   | 1514 (1.7%)                        | 0                                   | 0 (0%)                                         | 88696                   | 1215 (1.4%)                        | 0                                   | 0 (0%)                                         |
| Goa                                | 2069                    | 69 (3.3%)                          | 0                                   | 0 (0%)                                         | 2026                    | 40 (2%)                            | 0                                   | 0 (0%)                                         |
| Gujarat                            | 147978                  | 3052 (2.1%)                        | 24486                               | 317 (1.3%)                                     | 140586                  | 2494 (1.8%)                        | 23724                               | 253 (1.1%)                                     |
| Haryana                            | 78019                   | 818 (1%)                           | 0                                   | 0 (0%)                                         | 80525                   | 896 (1.1%)                         | 0                                   | 0 (0%)                                         |
| Himachal Pradesh                   | 16550                   | 104 (0.6%)                         | 452                                 | 0 (0%)                                         | 16019                   | 104 (0.6%)                         | 385                                 | 1 (0.3%)                                       |
| Jammu & Kashmir                    | 11963                   | 61 (0.5%)                          | 73                                  | 0 (0%)                                         | 11727                   | 47 (0.4%)                          | 70                                  | 0 (0%)                                         |
| Jharkhand                          | 59946                   | 361 (0.6%)                         | 33412                               | 171 (0.5%)                                     | 63041                   | 363 (0.6%)                         | 34952                               | 169 (0.5%)                                     |
| Karnataka                          | 79364                   | 4370 (5.5%)                        | 2783                                | 156 (5.6%)                                     | 80175                   | 4021 (5%)                          | 2732                                | 139 (5.1%)                                     |
| Kerala                             | 23560                   | 231 (1%)                           | 909                                 | 2 (0.2%)                                       | 21768                   | 232 (1.1%)                         | 832                                 | 1 (0.1%)                                       |
| Ladakh                             | 348                     | 0%                                 | 333                                 | 0 (0%)                                         | 345                     | 0 (0%)                             | 330                                 | 0 (0%)                                         |
| Lakshadweep                        | 22                      | 0%                                 | 0                                   | 0 (0%)                                         | 14                      | 0 (0%)                             | 0                                   | 0 (0%)                                         |
| Madhya Pradesh                     | 189980                  | 1572 (0.8%)                        | 30229                               | 253 (0.8%)                                     | 186560                  | 1530 (0.8%)                        | 29223                               | 257 (0.9%)                                     |
| Maharashtra                        | 231649                  | 6317 (2.7%)                        | 21074                               | 354 (1.7%)                                     | 224303                  | 5335 (2.4%)                        | 19786                               | 322 (1.6%)                                     |
| Manipur                            | 2652                    | 144 (5.4%)                         | 1022                                | 72 (7%)                                        | 2537                    | 115 (4.5%)                         | 915                                 | 55 (6%)                                        |
| Meghalaya                          | 4943                    | 149 (3%)                           | 4944                                | 149 (3%)                                       | 4899                    | 128 (2.6%)                         | 4905                                | 128 (2.6%)                                     |
| Mizoram                            | 2104                    | 311 (14.8%)                        | 2104                                | 311 (14.8%)                                    | 2304                    | 290 (12.6%)                        | 2304                                | 290 (12.6%)                                    |
| Nagaland                           | 4246                    | 400 (9.4%)                         | 4247                                | 400 (9.4%)                                     | 4307                    | 378 (8.8%)                         | 4308                                | 377 (8.8%)                                     |
| Odisha                             | 60138                   | 703 (1.2%)                         | 24587                               | 111 (0.5%)                                     | 61744                   | 653 (1.1%)                         | 25279                               | 123 (0.5%)                                     |
| Puducherry                         | 1528                    | 28 (1.8%)                          | 0                                   | 0 (0%)                                         | 1610                    | 31 (1.9%)                          | 0                                   | 0 (0%)                                         |
| Punjab                             | 58204                   | 1443 (2.5%)                        | 0                                   | 0 (0%)                                         | 57450                   | 1325 (2.3%)                        | 1                                   | 0 (0%)                                         |
| Rajasthan                          | 170426                  | 1788 (1%)                          | 20922                               | 216 (1%)                                       | 165801                  | 1519 (0.9%)                        | 21547                               | 216 (1%)                                       |
| Sikkim                             | 1428                    | 13 (0.9%)                          | 0                                   | 0 (0%)                                         | 1400                    | 5 (0.4%)                           | 0                                   | 0 (0%)                                         |
| Tamil Nadu                         | 96261                   | 3100 (3.2%)                        | 556                                 | 25 (4.5%)                                      | 100276                  | 2707 (2.7%)                        | 567                                 | 24 (4.2%)                                      |
| Telangana                          | 73272                   | 1866 (2.5%)                        | 8110 287                            | 228 (2.8%)                                     | 74896                   | 1200 (1.6%)                        | 7330 334                            | 134 (1.8%) 2 (0.6%)                            |
| Tripura                            | 3315                    | 56 (1.7%)                          |                                     | 6 (2.1%)                                       | 3571                    | 56 (1.6%)                          |                                     |                                                |
| Uttar Pradesh                      | 537804                  | 2907 (0.5%)                        | 3875 0                              | 0 (0%)                                         |                         |                                    | 0                                   | 0 (0%)                                         |
| Uttarakhand                        |                         | 233 (0.8%)                         |                                     | 23 (0.6%)                                      | 642089                  | 3011 (0.5%)                        | 4543                                | 29 (0.6%)                                      |
| West Bengal                        | 27498 96239             | 1117 (1.2%)                        | 0                                   | 0 (0%)                                         | 26644 103352            | 228 (0.9%) 1186 (1.1%)             | 0                                   | 0 (0%)                                         |

Data Source: Ni-kshay

## National TB Elimination Programme State/UTs wise Allocation & Utilization

| Sl.N o.   | Name of the State / UT   | 2020-21     | 2020-21      | 2021-22     | 2021-22      | 2022-23     | 2022-23      | 2023-24*    | 2023-24*     |
|-----------|--------------------------|-------------|--------------|-------------|--------------|-------------|--------------|-------------|--------------|
| Sl.N o.   | Name of the State / UT   | Allocatio n | Utilizatio n | Allocatio n | Utilizatio n | Allocatio n | Utilizatio n | Allocatio n | Utilizatio n |
| 1         | Andhra Pradesh           | 50.79       | 69.80        | 55.87       | 77.55        | 17.29       | 17.29        | 19.02       | 18.83        |
| 2         | Andaman& Nicobar         | 1.87        | 0.61         | 2.06        | 0.76         | 0.87        | 0.87         | 0.96        | 0.96         |
| 3         | Arunachal Pradesh        | 16.21       | 22.03        | 17.83       | 20.17        | 6.80        | 6.80         | 7.48        | 7.48         |
| 4         | Assam                    | 54.35       | 74.19        | 48.28       | 49.94        | 13.04       | 13.04        | 14.35       | 14.35        |
| 5         | Bihar                    | 55.62       | 62.37        | 41.18       | 45.62        | 11.27       | 11.27        | 12.40       | 12.29        |
| 6         | Chandigarh               | 4.79        | 2.68         | 4.18        | 2.85         | 0.78        | 0.78         | 0.86        | 0.86         |
| 7         | Chattisgarh              | 43.93       | 36.71        | 38.32       | 21.30        | 8.90        | 8.90         | 9.79        | 9.68         |
| 8         | D &NHaveli               | 3.11        | 0.68         | 3.23        | 0.29         | 0.93        | 0.93         | 1.02        | 1.02         |
| 9         | Daman &Diu               | 20.43       | 41.91        | 17.96       | 36.49        | 4.86        | 4.86         | 5.35        | 5.35         |
| 10        | Delhi                    | 2.93        | 4.13         | 3.22        | 3.76         | 0.72        | 0.72         | 0.79        | 0.78         |
| 11        | Goa                      | 59.76       | 26.83        | 57.55       | 70.50        | 19.24       | 19.24        | 21.16       | 20.93        |
| 12        | Gujarat                  | 40.49       | 46.42        | 44.54       | 56.71        | 13.03       | 13.03        | 14.33       | 14.17        |
| 13        | Haryana                  | 15.11       | 14.46        | 16.62       | 27.36        | 3.47        | 3.47         | 3.82        | 3.78         |
| 14        | Himachal Pradesh         | 21.82       | 26.03        | 23.00       | 28.24        | 2.20        | 2.20         | 2.42        | 2.42         |
| 15        | Jammu & Kashmir          | 30.52       | 60.38        | 42.57       | 76.58        | 8.70        | 8.70         | 9.57        | 9.47         |
| 16        | Jharkhand                | 63.56       | 75.64        | 69.92       | 110.04       | 25.42       | 25.42        | 27.96       | 27.65        |
| 17        | Karnataka                | 37.85       | 37.83        | 41.63       | 27.85        | 15.60       | 15.60        | 17.16       | 16.97        |
| 18        | Kerala                   | 4.02        | 1.42         | 3.90        | 2.23         | 1.02        | 1.02         | 1.12        | 1.12         |
| 19        | Lakshadweep              | 0.20        | 0.18         | 0.62        | 0.44         | 0.16        | 0.16         | 0.18        | 0.18         |
| 20        | Madhya Pradesh           | 75.15       | 119.70       | 77.67       | 127.93       | 15.39       | 15.39        | 16.93       | 16.76        |
| 21        | Maharashtra              | 118.10      | 207.06       | 104.92      | 252.78       | 25.90       | 25.90        | 28.49       | 28.19        |
| 22        | Manipur                  | 25.08       | 18.34        | 23.59       | 11.71        | 6.81        | 6.81         | 7.49        | 7.49         |
| 23        | Meghalaya                | 10.25       | 17.13        | 11.28       | 6.51         | 3.63        | 3.63         | 3.99        | 3.99         |
| 24        | Mizoram                  | 12.86       | 14.85        | 14.14       | 9.17         | 4.74        | 4.74         | 5.21        | 5.21         |
| 25        | Nagaland                 | 17.35       | 17.23        | 19.09       | 14.10        | 4.40        | 4.40         | 4.84        | 4.84         |
| 26        | Orissa                   | 47.61       | 82.02        | 52.37       | 79.17        | 10.78       | 10.78        | 11.86       | 11.74        |
| 27        | Puducherry               | 2.88        | 2.93         | 4.17        | 2.29         | 0.70        | 0.70         | 0.77        | 0.77         |
| 28        | Punjab                   | 37.58       | 29.21        | 41.34       | 32.84        | 14.07       | 14.07        | 15.48       | 15.31        |
| 29        | Rajasthan                | 40.92       | 83.20        | 40.02       | 51.19        | 16.66       | 16.66        | 18.33       | 18.14        |
| 30        | Sikkim                   | 8.55        | 9.42         | 9.41        | 6.35         | 2.57        | 2.57         | 2.83        | 2.83         |
| 31        | Tamilnadu                | 89.97       | 112.41       | 64.97       | 127.59       | 15.90       | 15.90        | 17.49       | 17.31        |
| 32        | Tripura                  | 10.32       | 12.54        | 11.35       | 8.32         | 3.20        | 3.20         | 3.52        | 3.52         |
| 33        | Uttar Pradesh            | 122.88      | 226.44       | 135.17      | 333.36       | 25.82       | 25.82        | 28.40       | 28.13        |
| 34        | Uttrakhand               | 20.24       | 16.68        | 22.27       | 22.06        | 5.19        | 5.19         | 5.71        | 5.65         |
| 35        | West Bengal              | 81.28       | 109.10       | 79.40       | 128.99       | 15.37       | 15.37        | 16.91       | 16.74        |
| 36        | Telangana                | 47.41       | 48.77        | 52.15       | 54.23        | 12.51       | 12.51        | 13.76       | 13.61        |

## Annexure-II

(Rs. In crores)

Note: 1. From the year 2022-23 onwards the allocation, and expenditure are excluding of cash grant to States/ UTs which is being released by NHM directly to States/ UTs as a common pool i.e. RCH Flexible Pool. ; 2. Funds are allocated for the benefit of all community irrespective of caste 3. *Utilization are till 06.02.2024.