Lok Sabha Question No. 3633 (UNSTARRED), answered on 2026-03-13
Subject: Implementation of NHM in Chitradurga
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Govind Makthappa Karjol

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

## LOK SABHA UNSTARRED QUESTION NO. 3633 TO BE ANSWERED ON 13.03.2026

## IMPLEMENTATION OF NHM IN CHITRADURGA

## 3633. SHRI GOVIND MAKTHAPPAKARJOL:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details of the implementation of the National Health Mission (NHM) in Chitradurga district of Karnataka, including major components and programmes being implemented thereunder;
- (b) the total amount of funds allocated, approved, released and utilized under NHM in Chitradurga district during the last three years, year-wise;
- (c) the details of infrastructure created or strengthened under NHM in the district, including Sub-Centres, Primary Health Centres, Community Health Centres, District Hospitals and Health & Wellness Centres;
- (d) the present status of availability of doctors, specialists, staff nurses and other paramedical staff under NHM in the district, including vacancies, if any; and
- (e) the steps taken by the Government to address gaps in infrastructure, manpower and service delivery under NHM in Chitradurga district?

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

(a) to (c) The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs including Karnataka to strengthen the public healthcare delivery system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under National Health Mission. Government of India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available resources. Details of the approvals given for the strengthening healthcare infrastructure in rural areas of the country including Karnataka are available at website of Ministry of Health and Family Welfare at the Uniform Resources Locator (URL) as under:

Ayushman Arogya Mandirs (AAMs), erstwhile Ayushman Bharat Health and Wellness Centres (AB-HWCs), have been established by upgrading existing Sub-Health Centres (SHC) and Primary Health Centres (PHC) in rural and urban areas to deliver 12 package of basic healthcare services. These primarily health services include Reproductive and Child Health (RMNCHA+N) services, Communicable Diseases, Non-Communicable Diseases (NCDs) (screening and management for NCDs such as Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix) and incrementally adding other services for mental health, ENT, Ophthalmology, oral health, geriatric and palliative health care and trauma care etc.

Further, the major initiatives taken by the Government to improve maternal and child health services includes Janani Suraksha Yojana (JSY), Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), STOP Diarrhoea campaign, Anemia Mukt Bharat (AMB), Rashtriya Bal Swasthya Karyakram (RBSK), Universal Immunization Programme, UWIN, Mission Indradhanush, etc.

In order to prevent and control various Communicable Diseases various schemes are operated like National Vector Borne Diseases Control Programme (NVBDCP), National TB Mukt Bharat Abhiyaan (TBMBA), National Leprosy Eradication Programme (NLEP), National Viral Hepatitis Control Programme (NVHCP), etc.

Further, to prevent and control various Non-Communicable Diseases (NCDs), National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) for prevention and control of Cancer, Diabetes, Cardiovascular Diseases and Stroke, National Tobacco Control Programme (NTCP), and National Mental Health Programme (NMHP), Tele MANAS etc. are in operation.

The details of Funds released and Expenditure for the State of Karnataka for strengthening rural healthcare under NHM during the last three years starting from FY 202223 to FY 2024-25 is as under:

Rs. In Crore

| Sl. No.   | Name of the   | 2022-23         | 2022-23     | 2023-24         | 2023-24     | 2024-25         | 2024-25     |
|-----------|---------------|-----------------|-------------|-----------------|-------------|-----------------|-------------|
| Sl. No.   | State/UT      | Central Release | Expenditure | Central Release | Expenditure | Central Release | Expenditure |
| 1         | Karnatak a    | 1,246.67        | 2,376.94    | 1,187.60        | 2,741.98    | 1,295.81        | 2,478.23    |

Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution and its Provisional.
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.
3. (d) The details regarding availability of doctors, specialists, staff nurses and other paramedical staff under NHM and their vacancies in Government hospitals across the country including Karnataka, can be accessed at the following link of HDI 2022-23:

(e) 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 including Karnataka to address gaps in manpower:

-  Hard area allowance to specialist doctors for serving in rural and remote areas and for their residential quarters so that they find it attractive to serve in public health facilities in such areas.
-  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 Auxiliary Nurse and Midwife (ANM) for ensuring timely Antenatal Checkup (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 NRHM for achieving improvement in health outcomes.

In addition to the National Health Mission, Government of India is implementing the following schemes in States/UTs including Karnataka to address gaps in healthcare infrastructure:

-  Further, under Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) , support is being provided to States/UTs for the development of Ayushman Arogya Mandirs (SHC), Urban Ayushman Arogya Mandirs (U-AAM), Block Public Health Units (BPHUs), Integrated Public Health Laboratories (IPHLs) and Critical Care Blocks (CCBs).
-  Pradhan Mantri Swasthya Suraksha Yojna (PMSSY): It aims at correcting regional imbalances in the availability of affordable tertiary healthcare services and to augment facilities for quality medical education in the country. The scheme has two components, namely, (i) Setting up of All India Institute of Medical Sciences (AIIMS); and (ii) Up-gradation of existing Government Medical Colleges/Institutions (GMCIs).
-  Under Centrally Sponsored Scheme for ' Establishment of new Medical Colleges attached with existing district/referral hospitals ' , a total of 157 Medical Colleges have been approved in the country.

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