Lok Sabha Question No. 2481 (UNSTARRED), answered on 2026-02-13
Subject: Scheme-wise Expenditure under National Health Mission in Odisha
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Sukanta Kumar Panigrahi

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2481 TO BE ANSWERED ON 13 TH FEBRUARY, 2026

## SCHEME-WISE EXPENDITURE UNDER NATIONAL HEALTH MISSION IN ODISHA

## 2481. SHRI SUKANTA KUMAR PANIGRAHI:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government has made scheme-wise allocations and incurred expenditure under the National Health Mission (NHM) in Odisha during the last three years, including major components such as Reproductive Maternal Newborn Child and Adolescent Health (RMNCH+A), disease control programmes, health infrastructure and human resources and if so, the details thereof;
- (b) whether NHM funds have been utilised in Kandhamal Lok Sabha Parliamentary Constituency, particularly in tribal and remote areas and if so, the expenditure incurred during the last three years, scheme-wise;
- (c) whether NHM interventions have resulted in improvements in key health indicators in Odisha and if so, the details thereof; and
- (d) whether budgetary provisions have been made in the upcoming Union Budget for NHM in Odisha, including Kandhamal, to further strengthen public healthcare delivery and if so, the details thereof?

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

(a) to (d): Public Health is a State subject, hence, the primary responsibility of providing basic health services to all the citizens of the country lies with respective State/UT Government. With the objective of attainment of universal access to equitable, affordable and quality health care services, the Ministry of Health & Family Welfare (MoHFW) is implementing National Health Mission (NHM). Under NHM, Government of India provides technical and financial support to the States/UTs including tribal and remote areas for improvement in health infrastructure, availability of adequate human resources to health facilities, to improve availability and accessibility to quality health care especially for the underserved and marginalized groups.

As per DoE OM dated 23.12.2021, all pools and programs have been merged under 'Flexible Pool for RCH & Health System Strengthening, National Health Programme and Urban Health Mission' from the FY 2022-23 onwards. Under NHM, funds are released to States/UTs 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.

The proposals from State/UT Governments are received in the form of Programme Implementation Plans (PIPs) under NHM and Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

The details of Central Release for the State of Odisha from F.Y. 2022-23 to F.Y. 2024-25 under NHM is as under:

(Rs. in Cr.)

| F.Y     | Central Release   |
|---------|-------------------|
| 2022-23 | 1,284.69          |
| 2023-24 | 1,901.77          |
| 2024-25 | 1,916.79          |

## Note:

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

Furthermore, for the F.Y. 2026-27, a budget provision of Rs.39,390.00 crore has been allocated under NHMand Rs.4,200.00 crore under PM-ABHIM, for all the States/UTs, including Odisha.

As per the information received from the State Govt. of Odisha, the scheme-wise expenditure in Kandhamal District under NHM for the F.Y. 2022-23, 2023-24, and 2024-25 is at Annexure.

The status of key health indicators is as below:

-  The percentage of institutional deliveries of the State has also increased from 35.6 in 2005-06 to 92.2% in 2019-21 which is again better than national average of 88.6%. (Source: NFHS).
-  The State of Odisha reported IMR with 45 points decline from 75 in 2005 to 30 in 2023 for IMR.(Source: SRS).
-  The Maternal Mortality Ratio of Odisha has reduced from 258 in 2007-09 to 153 in 2021-23. (Source: SRS).

Annexure Scheme-Wise Expenditure in Kandhamal District under NHM for the F.Y. 2022-23, 2023-24 and 2024-25

## (Rs. in Lakhs)

| Sl. No.                              | Pools under                                                                                                   | Schemes                                      | Expenditure   | Expenditure   | Expenditure   |
|--------------------------------------|---------------------------------------------------------------------------------------------------------------|----------------------------------------------|---------------|---------------|---------------|
|                                      | NHM                                                                                                           |                                              | 2022-23       | 2023-24       | 2024-25       |
| 1 2 3                                | RCH (including RI, IPPI, NIDDCP)                                                                              | Reproductive Child Health-II (RMNCH+A)       | 806.64        | 776.91        | 700.66        |
|                                      |                                                                                                               | Routine Immunization (RI)                    | 75.33         | 74.72         | 59.40         |
|                                      | Pulse Polio                                                                                                   | Campaign                                     | 0.81          | 4.45          | 1.06          |
| 4                                    | Programme (NIDDCP)                                                                                            | National Iodine Deficiency Disorders Control | 0.74          | 0.27          | 1.69          |
| 5                                    | Implementation of Integrated Disease Surveillance Programme (IDSP)                                            |                                              | 6.16          | 7.80          | 1.49          |
| 6                                    | National Vector Borne Disease Control Programme (NVBDCP)                                                      |                                              | 100.89        | 129.21        | 79.36         |
| National 7                           | National Leprosy Eradication Programme (NLEP)                                                                 | 15.71                                        |               | 7.01          | 5.91          |
| Disease Control 8                    | National Tuberculosis Elimination Programme (NTEP)                                                            |                                              | 91.13         | 91.27         | 122.92        |
| Programmes (NDCP) 9                  | National Viral Hepatitis Control Programme (NVHCP)                                                            |                                              | 2.55          | 2.84          | 1.32          |
| 10                                   | Implementation of National Rabies Control Programme (NRCP)                                                    | 2.47                                         |               | 1.15          | 0.60          |
| 11                                   | Implementation of Programme for Prevention and Control of Leptospirosis (PPCL)                                |                                              | 0.38          | 0.42          | -             |
| 12                                   | National Program for Control of Blindness and Vision Impairment (NPCB+VI)                                     | 30.55                                        |               | 28.85         | 8.04          |
| 13                                   | National Mental Health Program (NMHP)                                                                         | 13.56                                        |               | 13.55         | 3.95          |
| 14                                   | National Programme for Health Care for the Elderly (NPHCE)                                                    | 22.24                                        |               | 4.52          | 24.11         |
| 15                                   | National Tobacco Control Programme (NTCP)                                                                     | 9.64                                         |               | 14.26         | 9.44          |
| 16                                   | National Programme for Prevention and Control of Diabetes, Cardiovascular Disease and Stroke (NPCDCS)         | 45.06                                        |               | 52.60         | 15.41         |
| Non-Communi cable Disease Control 17 | Pradhan Mantri National Dialysis Programme (PMNDP)                                                            | 35.49                                        |               | 45.71         | 35.62         |
| Programme (NCD) 18                   | Implementation of National Program for Climate Change and Human Health (NPCCHH)                               | 1.41                                         |               | 0.89          | 0.22 1.14     |
| 19                                   | National Oral Health Programme (NOHP)                                                                         | 4.06                                         |               | 3.93 0.90     | 1.17          |
| 20 21                                | Implementation of National Programme on Palliative Care (NPPC) Implementation of National Programme for       | 15.52                                        |               | -             | -             |
| 22                                   | Prevention and Control of Fluorosis (NPPCF) National Programme for Prevention and Control of Deafness (NPPCD) | 2.60                                         |               | 2.54          | 0.15          |
| 23                                   | National Programme for Prevention and                                                                         |                                              |               | -             | -             |
| Health System                        | Management of Burn &Injuries                                                                                  |                                              |               |               |               |
| 24 Strengthening (HSS) - Urban       | National Urban Health Mission                                                                                 | 63.35                                        |               | 60.06         | 36.73         |
| 25                                   | Health System Strengthening (HSS) - Rural                                                                     | Health System Strengthening                  | 4,024.95      | 5,328.69      | 4,480.99      |
|                                      | Total                                                                                                         |                                              | 5,371.25      | 6,652.58      | 5,591.37      |

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