Lok Sabha Question No. 4167 (UNSTARRED), answered on 2024-12-20
Subject: Financial Support to Tamil Nadu under NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. T Sumathy Alias Thamizhachi Thangapandian, Thiru D M Kathir Anand

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4167 TO BE ANSWERED ON 20 th DECEMBER, 2024

## FINANCIALSUPPORT TO TAMILNADU UNDER NRHM

## 4167. DR. T SUMATHY ALIAS THAMIZHACHI THANGAPANDIAN: THIRU D M KATHIR ANAND:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government has provided adequate financial support to Tamil Nadu under the National Rural Health Mission (NRHM) program, if so the details thereof;
- (b) whether the schemes for recruitment of medical officers, Dentists and Ophthalmologists to serve the rural areas under the NRHM, if so, details thereof; and
- (c) whether the Government has any special schemes to recruit ASHA workers and trained nurses in various Primary Healthcare Centres (PHCs) under the National Health Mission and if so the details thereof, State-wise?

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

- (a) to (c): 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 including National Rural Health Mission. The details of central release under the National Health Mission (NHM) from the FY 2021-22 to FY 2023-24 to the State of Tamil Nadu is as follows:

(Rs. in Cr.)

| Financial Year   | Central Release   |
|------------------|-------------------|
| 2021-22          | 1,631.91          |
| 2022-23          | 1,652.24          |
| 2023-24          | 1,996.06          |

Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.

Public Health & hospitals is a State subject. All personal matters including recruitment of Medical officers, Dentist, Ophthalmologist, ASHA workers and trained nurses lies with the respective State/UT Governments. The Ministry of Health and Family Welfare provides the technical and financial support to the States/UTs to strengthen their public healthcare system, based on the requirements posted by States/UTs in their Programme Implementation Plans (PIPs) and within the overall resource envelope .

In order to address the shortage of human resources (HR), under NHM, following types of incentives and honorarium are provided for encouraging doctors and paramedics to practice in rural and remote areas of the country under NHM:

- Hard area allowance to specialist doctors for serving in rural and remote areas and for their residential quarters.
- Honorarium to Gynecologists/ Emergency Obstetric Care (EmoC) trained, Pediatricians & Anesthetist/ Life Saving Anaesthesia Skills (LSAS) trained doctors is also provided to increase availability of specialists for conducting Cesarean Sections in rural & remote area.
- Incentives like special incentives for doctors, incentive for ANM for ensuring timely ANC checkup and recording, incentives for conducting Adolescent Reproductive and Sexual Health activities.
- States are also allowed to offer negotiable salary to attract specialist including flexibility in strategies such as 'You Quote We Pay'.
- Non-Monetary incentives such as preferential admission in post graduate courses for staff serving in difficult areas and improving accommodation arrangement in rural areas have also been introduced under NHM.
- Multi-skilling of doctors is supported under NHM to overcome the shortage of specialists. Skill upgradation of existing HR is another major strategy under NHM for achieving improvement in health outcomes.

Further, the details of Human Resources under NHM may be accessed from the Health Dynamics of India (Infrastructure & Human Resources) report for FY 2022-23, link as below:

https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastru cture%20%26%20Human%20Resources%29%202022-23\_RE%20%281%29.pdf

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