Lok Sabha Question No. 2263 (UNSTARRED), answered on 2023-12-15
Subject: National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajeshbhai Naranbhai Chudasama

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2263 TO BE ANSWERED ON 15.12.2023

## NATIONALRURALHEALTH MISSION

## 2263. SHRI RAJESHBHAI CHUDASAMA:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

(a) whether the healthcare delivery system introduced in rural areas has achieved the desired goals during the implementation of the National Rural Health Mission (NRHM);

(b) if so, the details thereof;

(c) the details of the expenditure incurred on rural healthcare delivery system during the last three years and the current year, State/UT-wise; and

(d) the number of people who have been provided health insurance cover so far, in rural areas of the country?

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

(a) & (b): NHM encompasses its two Sub-Missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Under National Health Mission (NHM), Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system towards the objective of providing accessible, affordable and quality healthcare to all those who access public health facilities. Support under National Health Mission (NHM) is provided to States/ UTs to supplement the efforts of the State/UT governments, based on the requirements posted by them in their Programme Implementation Plans (PIPs) and within their overall resource envelope.

The support provided under NHM includes support for engaging of health human resource on contractual basis, National Ambulance Services, Mobile Medical Units, ASHAs, Infrastructure strengthening, creation of 1,50,000 Ayushman Arogya Mandir (erstwhile Ayushman BharatHealth and Wellness Centres) by transforming the existing Sub Centres and Primary Health

Centres, 24 x 7 Services and First Referral facilities, Mera Aspataal, Kayakalp Award Scheme, 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), Rashtriya Kishor Swasthya Karyakram (RKSK), Early Childhood Development (ECD), Comprehensive Abortion Care (CAC), Anemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB Mukt Bharat Abhiyaan (PMTBMBA), Nutrition Rehabilitation Centre (NRC) program and Universal Immunization programme.

The target under National Health Policy and current achievements are as below:

Maternal Mortality Ratio reduced from 103 per 100,000 live births in 2017-2019 to 97 per 100,000 live births in 2018-20 (against target of 100 by year 2020), Infant Mortality Rate reduced from 32 per 1000 live births in 2018 to 28 per 1000 live births in 2020 (against target of 28 by year 2019) and Total Fertility Rate is reduced from 2.2 in 2015-16 as per NFHS-4 to 2.0 in 2019-21 as per NFHS-5 (against target of 2.1 by year 2025).

(c): The details of fund allocated and released under NHM incurred on rural and urban healthcare delivery system during the last three years and the current year, State/UT-wise is attached at Annexure.

(d): Pradhan Mantri Jan Arogya Yojana provides financial protection to deprived rural families and identified occupational categories of urban workers' families. As per PMJAY dashboard, as on 12.12.2023, 28.07 cr. Ayushman Cards have been created for such beneficiaries. It offers a benefit cover of Rs. 5,00,000 per family per year (on a family floater basis). Services include a range of procedures covering all the costs related to treatment, including drugs, supplies, diagnostic services, physician's fees, room charges, surgeon charges, OT and ICU charges etc.

## Annexure

## Details of funds allocated and released under NHM for the FY 2020-21 to FY 2023-24, State/UT wise (Rs in Cr.)

| Sl. No.   | States                            | 2020-21    | 2020-21   | 2021-22     | 2021-22   | 2022-23    | 2022-23   | 2023-24#   | 2023-24#   |
|-----------|-----------------------------------|------------|-----------|-------------|-----------|------------|-----------|------------|------------|
| Sl. No.   | States                            | Allocation | Release   | Allocatio n | Release   | Allocation | Release   | Allocation | Release    |
| 1         | Andaman & Nicobar Islands         | 39.02      | 36.91     | 41.62       | 43.68     | 45.95      | 45.26     | 45.72      | 25.07      |
| 2         | Andhra Pradesh                    | 1079.09    | 1097.81   | 1237.95     | 1199.37   | 1,182.93   | 1,489.45  | 1,283.99   | 579.41     |
| 3         | Arunachal Pradesh                 | 236.60     | 243.04    | 294.27      | 188.53    | 272.48     | 233.82    | 268.12     | 207.70     |
| 4         | Assam                             | 1483.91    | 1807.48   | 1732.64     | 1955.93   | 1,615.70   | 1,981.83  | 1,499.31   | 1,110.87   |
| 5         | Bihar                             | 1849.38    | 1814.63   | 2026.69     | 1748.76   | 1,853.57   | 1,586.57  | 1,862.34   | 915.87     |
| 6         | Chandigarh                        | 24.75      | 22.21     | 26.30       | 17.47     | 31.73      | 38.09     | 32.48      | 19.19      |
| 7         | Chhattisgarh                      | 958.45     | 979.41    | 985.85      | 969.61    | 949.94     | 1,195.08  | 819.49     | 371.63     |
| 8         | Dadra & Nagar Haveli & Daman &Diu | 39.89      | 36.39     | 46.15       | 38.59     | 51.18      | 58.28     | 50.86      | 17.87      |
| 9         | Delhi                             | 165.69     | 125.73    | 179.64      | 127.37    | 164.98     | 35.15     | 169.86     | 73.64      |
| 10        | Goa                               | 36.23      | 34.81     | 40.57       | 26.01     | 38.13      | 55.42     | 37.52      | 30.74      |
| 11        | Gujarat                           | 946.75     | 1005.66   | 1147.40     | 1094.48   | 1,059.03   | 1,120.06  | 1,061.61   | 864.03     |
| 12        | Haryana                           | 519.03     | 531.50    | 566.85      | 577.07    | 501.71     | 681.21    | 502.56     | 365.63     |
| 13        | Himachal Pradesh                  | 421.35     | 441.94    | 507.47      | 555.09    | 472.62     | 494.65    | 464.46     | 312.98     |
| 14        | Jammu and Kashmir                 | 616.26     | 667.46    | 716.25      | 459.10    | 659.02     | 651.52    | 647.57     | 411.86     |
| 15        | Jharkhand                         | 691.72     | 602.80    | 933.20      | 640.18    | 853.19     | 810.30    | 757.64     | 430.70     |
| 16        | Karnataka                         | 1125.91    | 1232.19   | 1305.23     | 1274.71   | 1,129.18   | 1,246.67  | 1,134.32   | 607.99     |
| 17        | Kerala                            | 753.30     | 788.22    | 784.68      | 771.47    | 746.63     | 1,036.76  | 802.62     | 154.32     |
| 18        | Lakshadweep                       | 7.23       | 7.11      | 9.53        | 8.41      | 10.55      | 9.97      | 9.44       | 3.72       |
| 19        | Madhya Pradesh                    | 2247.97    | 2377.14   | 2220.09     | 2295.66   | 2,056.81   | 2,582.10  | 2,041.49   | 1,268.40   |
| 20        | Maharashtra                       | 1790.69    | 1833.59   | 1938.87     | 1769.67   | 2,006.38   | 2,187.13  | 2,118.50   | 1,532.37   |
| 21        | Manipur                           | 174.98     | 189.49    | 207.19      | 95.59     | 192.47     | 61.40     | 192.17     | 97.20      |
| 22        | Meghalaya                         | 154.53     | 202.63    | 211.03      | 282.46    | 196.26     | 261.56    | 193.80     | 138.85     |
| 23        | Mizoram                           | 117.39     | 143.73    | 140.94      | 93.82     | 132.58     | 111.82    | 132.56     | 67.08      |
| 24        | Nagaland                          | 156.19     | 188.21    | 175.46      | 126.66    | 164.27     | 91.38     | 163.01     | 104.68     |
| 25        | Odisha                            | 1465.69    | 1617.63   | 1238.50     | 1263.07   | 1,163.82   | 1,284.69  | 1,158.18   | 949.15     |
| 26        | Puducherry                        | 30.72      | 25.55     | 36.58       | 21.33     | 36.49      | 20.73     | 36.07      | 16.61      |
| 27        | Punjab                            | 555.46     | 568.14    | 488.28      | 349.21    | 448.58     | 448.89    | 457.90     | 51.11      |
| 28        | Rajasthan                         | 2018.67    | 2000.58   | 2024.38     | 1924.95   | 1,867.04   | 1,460.80  | 1,953.03   | 1,320.91   |
| 29        | Sikkim                            | 62.09      | 70.13     | 71.50       | 51.86     | 67.47      | 73.30     | 66.33      | 28.56      |
| 30        | Tamil Nadu                        | 1433.71    | 1522.71   | 1533.20     | 1631.91   | 1,373.29   | 1,652.24  | 1,432.42   | 1,098.42   |
| 31        | Tripura                           | 186.91     | 225.91    | 238.22      | 217.95    | 222.50     | 231.90    | 224.25     | 135.88     |
| 32        | Uttar Pradesh                     | 3591.98    | 3772.95   | 4419.86     | 3235.46   | 4,130.21   | 5,133.59  | 4,250.72   | 2,478.98   |
| 33        | Uttarakhand                       | 563.05     | 583.25    | 629.00      | 553.47    | 491.17     | 505.01    | 483.17     | 320.22     |
| 34        | West Bengal                       | 1809.71    | 1895.01   | 1643.35     | 1654.26   | 1,439.37   | 1,252.32  | 1,510.89   | 752.80     |
| 35        | Telangana                         | 627.62     | 671.88    | 825.48      | 725.67    | 767.82     | 683.77    | 766.61     | 514.55     |
| 36        | Ladakh                            | 89.28      | 91.89     | 112.15      | 44.79     | 124.65     | 94.94     | 123.31     | 61.14      |

# As on 30.11.2023

Note:

1. Allocation is as per original outlay/B.E.
2. The above releases relate to Central Govt. Grants & do not include State share contribution.