Lok Sabha Question No. 4709 (UNSTARRED), answered on 2025-03-28
Subject: 15th Finance Commission Local Grants for Health to Kerala
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Adv Dean Kuriakose

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

## LOK SABHA UNSTARRED QUESTION NO. 4709 TO BE ANSWERED ON 28.03.2025

## 15TH FINANCE COMMISSION LOCALGRANTS FOR HEALTH TO KERALA

## 4709. ADVDEAN KURIAKOSE:

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

- (a) the details of the overall allocation recommended by 15th Finance Commission to Local Grants for health sector in Kerala;
- (b) the details of the funds allocated for the projects of rural and urban local health bodies in the State;
- (c) the details of funds released by the Union Government to the State Government of Kerala;
- (d) the details of overall utilisation of the funds earmarked for the programmes of the State Government; and
- (e) the overall percentage of the funds to be utilised by the State Government?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a) & (b) : The 15th Finance Commission (FC-XV) Health Grants were announced as part of the Union Budget 2021-22 to address gaps in primary healthcare facilities across India. Under 15th Finance Commission funds are released for Health Sector Grants by Department of Expenditure, Ministry of Finance, the proposals of which are duly recommended by Ministry of Health & Family Welfare. The 15 th Finance Commission has recommended overall allocation of Rs.2968 crore to Kerala for Health Grant through Local Governments for the award period from 2021-22 to 2025-26 as per year-wise, component-wise and Rural & Urban-wise details given below;

| Rural:   | ( Rs. in crore )                             | ( Rs. in crore )   | ( Rs. in crore )   | ( Rs. in crore )   | ( Rs. in crore )   | ( Rs. in crore )   | ( Rs. in crore )   |
|----------|----------------------------------------------|--------------------|--------------------|--------------------|--------------------|--------------------|--------------------|
| S. No.   | Health Grant Components                      | 2021-22            | 2022-23            | 2023-24            | 2024-25            | 2025-26            | Tota l             |
| 1.       | Support for diagnostic infrastructure in SCs | 39.61              | 39.61              | 41.60              | 43.68              | 45.86              | 210.36             |

| 2.                                  | Support for diagnostic infrastructure in PHCs                            | 49.58                               | 49.58                                   | 52.06                                   | 54.66                                   | 57.39                                   | 263.27                                  |
|-------------------------------------|--------------------------------------------------------------------------|-------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
| 3.                                  | BPHU                                                                     | 30.59                               | 30.59                                   | 32.12                                   | 33.72                                   | 35.41                                   | 162.43                                  |
| 4.                                  | Building-less Sub centres, PHCs, CHCs                                    | 0.5                                 | 0.5                                     | 0.52                                    | 0.55                                    | 0.58                                    | 2.65                                    |
| 5.                                  | Conversion of rural PHCs and sub centres into health and wellness centre | 105.43                              | 105.43                                  | 110.70                                  | 116.23                                  | 122.04                                  | 559.83                                  |
|                                     | Total (Rural)                                                            | 225.71                              | 225.71                                  | 237                                     | 248.84                                  | 261.28                                  | 1198.54                                 |
| Urban:                              | Urban:                                                                   | Urban:                              | Urban:                                  | Urban:                                  | Urban:                                  | Urban:                                  | Urban:                                  |
| 1.                                  | Support for diagnostic infrastructure in Urban PHCs                      | 11.05                               | 11.05                                   | 11.61                                   | 12.19                                   | 12.80                                   | 59                                      |
| 2.                                  | Urban health and wellness centres(HWCs)                                  | 322.22                              | 322.22                                  | 338.34                                  | 355.25                                  | 373.01                                  | 1711                                    |
|                                     | Total (Urban)                                                            | 333.27                              | 333.27                                  | 349.95                                  | 367.44                                  | 385.81                                  | 1770                                    |
| i. (SC):-Sub-Health Centers         | i. (SC):-Sub-Health Centers                                              | i. (SC):-Sub-Health Centers         | iii. (PHC):-Primary Health Centers      | iii. (PHC):-Primary Health Centers      | iii. (PHC):-Primary Health Centers      | iii. (PHC):-Primary Health Centers      | iii. (PHC):-Primary Health Centers      |
| ii. (CHC):-Community Health Centers | ii. (CHC):-Community Health Centers                                      | ii. (CHC):-Community Health Centers | iv. (HWC) :-Health &Wellness Centers v. | iv. (HWC) :-Health &Wellness Centers v. | iv. (HWC) :-Health &Wellness Centers v. | iv. (HWC) :-Health &Wellness Centers v. | iv. (HWC) :-Health &Wellness Centers v. |
|                                     |                                                                          |                                     | (BPHU):- Block Public Health Unit       | (BPHU):- Block Public Health Unit       | (BPHU):- Block Public Health Unit       | (BPHU):- Block Public Health Unit       | (BPHU):- Block Public Health Unit       |

- (c) to (e) : The details of 15 th Finance Commission recommended Health Grant released during the years from 2021-22 to 2024-25 (upto 20-03-2025), year-wise details of overall utilisation of the funds alongwith the percentage of the funds utilised by the State Government of Kerala is given below:

(Rs. in crore)

| Description                                   |   2021-22 |   2022-23 |   2023-24 | 2024-25   |
|-----------------------------------------------|-----------|-----------|-----------|-----------|
| Total amount released (as on 20-03-2024)      |    557.65 |    558.97 |    176.91 | 0.00      |
| Total amount utilised (as on 12-03-2024)      |    465.41 |    209    |      0    | N. A.     |
| Percentage amount utilised (as on 12-03-2024) |     83.46 |     37.39 |      0    | N. A.     |

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