Lok Sabha Question No. 72 (UNSTARRED), answered on 2024-02-02
Subject: Implementation of National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Magunta Sreenivasulu Reddy

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 72 TO BE ANSWERED ON 02.02.2024

## IMPLEMENTATION OF NATIONALRURALHEALTH MISSION

## 72. SHRI MAGUNTASREENIVASULU REDDY:

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

- (a) the salient features of National Rural Health Mission;
- (b) the targets set and achieved under NRHM in the last three years;
- (c) the funds extended to States/UTs for enhancing the healthcare system under NRHM;
- (d) whether the Government has reviewed the progress and implementation of schemes under the National Rural Health Mission; and
- (e) if so, the details thereof and if not, the reasons therefor?

## ANSWER

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

(a) & (b): 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 intersectoral convergent action to address the wider social determinants of health. The major objectives of NHM are as under:

- (i) Reduction in child and maternal mortality.
- (ii) Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.
- (iii) Access to integrated comprehensive primary health care.
- (iv) Population stabilisation, gender equality and demographic balance.
- (v) Revitalize local health traditions & mainstream AYUSH.
- (vi) Universal access to public services for food and nutrition, sanitation and hygiene and universal access to public health care services with emphasis on services addressing women's and children's health and universal immunisation.
- (vii) Promotion of healthy life styles.

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)                             |
| Achieve the operationalization of 1.5 lakh Ayushman Arogya Mandir (erstwhileAB-HWC) | 1,64,043 (as on 15.01.2024)             | 80,348 (as on 26.11.2021)                |

- (c): The details of fund allocated and released under NHM incurred on rural and urban healthcare delivery system during the last three years State/UT-wise is attached at Annexure.
- (d) & (e): 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. The working of National Health Mission (NHM) has been regularly assessed through external surveys such as, National Family Health Survey (NFHS) and Sample Registration System (SRS). Further, under NHM, Common Review Missions (CRM) are conducted annually to assess and 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

## 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.

## Annexure

## Details of funds allocated and released under NHM for the FY 2020-21 to FY 2022-23, State/UT wise

Rs. in Cr.

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