Lok Sabha Question No. 3243 (UNSTARRED), answered on 2025-08-08
Subject: Release of Central Funds under NHM in Kerala
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Priyanka Gandhi Vadra

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3243 TO BE ANSWERED ON 08 th AUGUST, 2025

## RELEASE OF CENTRALFUNDS UNDER NHM IN KERALA

## 3243. SMT. PRIYANKA GANDHI VADRA:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether there has been any delay in the release of Central funds to the State of Kerala under the National Health Mission (NHM);
- (b) if so, the details thereof including the reasons for the delay in the release of such funds;
- (c) the amount of Central funds allocated and utilized over the last four years in Kerala;
- (d) the details of the State share under the said scheme over the last four years in the said State;
- (e) the details of the projects proposed in the Programme Implementation Plan (PIP) and approved for Wayanad Lok Sabha Constituency since 2019, including the amount of funds released and utilized for the same; and
- (f) whether any initiatives are being taken to strengthen healthcare infrastructure in aspirational districts of the State especially Wayanad, if so, the details thereof?

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

- (a) to (f): Under the National Health Mission, technical and financial support is provided to the States/UTs including the State of Kerala for strengthening the healthcare systems, based on the proposals received from the States/UTs in their Annual Programme Implementation Plan (PIP) and subject to the available resources.

Release of funds under NHM is subject to compliance by States/UTs of the guidelines prescribed in this regard by Department of Expenditure, Ministry of Finance. Upon compliance of the DoE guidelines, funds are released / have since been released.

The details of central releases and expenditure from the FY 2021-22 to 2024-25 to the State of Kerala under NHM:

(Rs. in cr.)

| Financial Year   | Central Release   | Expenditure   |
|------------------|-------------------|---------------|
| 2021-22          | 771.47            | 1,230.96      |
| 2022-23          | 1,036.76          | 1,592.96      |
| 2023-24          | 189.15            | 1,246.25      |
| 2024-25          | 1,351.78          | 1,422.88      |

Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional.

As per Department of Expenditure, Ministry of Finance D.O. No. 32/PSO/FS/2015 dated 28th October, 2015 the funding will be shared 60:40 between the Centre and the State of Kerala.

Further, Public Health is a State subject and the responsibility of delivery of healthcare services to the public lies with State Government. However, under NHM, funds are released to States/UTs including the State of Kerala under flexible pool on a lump sum basis to provide greater flexibility to States/UTs to utilize the funds as per their felt need and priorities. Approvals granted to each State is referenced in the Record of Proceedings (RoPs) available at the below mentioned link: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744 .

SPIP Approval for Strengthening of Health infrastructure during the FY 2021-22 to 2024-25 to the State of Kerala is given below:

(Rs. in lakh)

| Financial Year   | SPIPApproval   |
|------------------|----------------|
| 2021-22          | 5897.00        |
| 2022-23          | 12,709.03      |
| 2023-24          | 18,104.34      |
| 2024-25          | 6,927.35       |

Note:

1. The above information is as per FMR submitted by the State and is provisional.

Under National Health Mission activities for strengthening for Healthcare infrastructure activities including renovation works for upgradation of 54 Sub-health Centres into Health and Wellness Centres have been completed (Phase-I), 36 have been completed (Phase-II) and 40 have been completed in Phase-III in Wayanad District for seamless health care service delivery to the beneficiaries.

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