Lok Sabha Question No. 657 (UNSTARRED), answered on 2016-02-26
Subject: NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAVINDRA VISHWANATH GAIKWAD, C.R. CHAUDHARY, RAJESHBHAI NARANBHAI CHUDASAMA, SONA RAM CHOUDHARY

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

## LOK SABHA UNSTARRED QUESTION NO. 657 TO BE ANSWERED ON 26 TH FEBRUARY, 2016

## NRHM

## 657. PROF. RAVINDRA VISHWANATH GAIKWAD:

SHRI C.R. CHAUDHARY:

SHRI RAJESHBHAI CHUDASAMA:

COL. SONARAM CHOUDHARY:

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

- (a)  the  main  features  of  the  programmes being  run  under  the  National  Rural  Health Mission (NRHM) along with the details of its implementatio n;
- (b) the funds allocated by the Government under NRHM and their utilisation under different heads, State/UTwise;
- (c) whether any complaints of irregularities in the implementation of the saidschemes have been received from the States including Rajasthan, Gujarat and Maharashtra;
- (d) if so, the details thereof; and
- (e) the steps being taken/proposed to be taken to ensure that the benefits of the said scheme reach to the people directly?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a): The  National  Rural  Health  Mission  (NRHM)  was  launched  in  2005  to  improve  the healthcare services, particularly in rural areas. NRHM has been subsumed as a Sub Missi the overarching National Health Mission (NHM) with the Natio nal Urban Health Mission as the other Sub Mission. Under NHM, support to States/UTs is provided for five key components:
- (i)Health  Systems  Strengthening  including  infrastructure,  human  resource,  drugs equipment, ambulances, MMUs, ASHAs etc under NRHM and NU HM .
- (ii) Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH + A) .
- (iii) Communicable Disease Control Programmes
- (iv)Non - Communicable Diseases Control Programme interventions upto Hospital level .
- (v)Infrastructure Maintenance -to support salary of ANMs and LHVs etc .

Services

District

Public Health being a State subject, support under NHM is provided to States/UTs based on requirements posed by the States in their l Programme Implementation Plans (PIPs).

(b): The State/UT wise allocation, release and expenditure under NHM for the F.Y 2015 - 16 is at Annexure -I and statements showing component wise allocation, release and expenditure is Annexure-II.

(c)& (d) : No such complaints have been received from State/ UT Governments in t he recent past.

(e): Public  Health  being  a  State  subject,  the  implementation  of  NHM  is  done  by  t respective State/ UT Governments. Approvals under the NHM are provided to States/UTs f health  systems  strengthening  including  for  infrastructure  ,  human resources  for  health  and programme managements, drus and equipment, ambulances, Mobile Medical Units etc So, most of the benefits flow to the people through healthcare services supported under NHM and directly  to  the  people.  However,  for  beneficiary  o riented  schemes  such  as  Janani  Suraskha Yojana, payments are being made through Public Finance Management System (PFMS) directly into  bank  account  of  the  beneficiary  or  through  account  payee  cheques.  Public  Fina Management System (PFMS)is also being h as been implemented in all the States /UTs to track the flow of funds under NHM.

| Sl.       |                           | 2015- 16   | 2015- 16   | 2015- 16    |
|-----------|---------------------------|------------|------------|-------------|
| No.       | States                    | Allocation | Release    | Utilization |
| 1         | Andaman & Nicobar Islands | 28.21      | 24.44      | 7.46        |
| 2         | Andhra Pradesh            | 616.13     | 496.01     | 538.39      |
| 3         | ArunachalPradesh          | 160.01     | 121.77     | 110.70      |
| 4         | Assam                     | 941.29     | 690.99     | 823.19      |
| 5         | Bihar                     | 1108.61    | 980.49     | 812.80      |
| 6         | Chandigarh                | 14.24      | 18.68      | 10.50       |
| 7         | Chattisgarh               | 479.38     | 354.45     | 440.70      |
| 8         | Dadra & Nagar Haveli      | 11.37      | 10.42      | 8.37        |
| 9         | Daman & Diu               | 9.11       | 8.62       | 7.77        |
| 10        | Delhi                     | 142.81     | 135.65     | 82.29       |
| 11        | Goa                       | 19.41      | 14.13      | 19.24       |
| 12        | Gujarat                   | 677.65     | 605.17     | 713.18      |
| 13        | Haryana                   | 249.33     | 289.86     | 312.01      |
| 14        | Himachal Pradesh          | 197.92     | 207.98     | 141.83      |
| 15        | Jammu & Kashmir           | 368.00     | 353.65     | 230.12      |
| 16        | Jharkhand                 | 493.37     | 355.17     | 379.60      |
| 17        | Karnataka                 | 706.09     | 727.37     | 740.74      |
| 18        | Kerala                    | 305.87     | 270.42     | 406.92      |
| 19        | Lakshadweep               | 4.28       | 3.74       | 1.79        |
| 20        | Madhya Pradesh            | 1085.37    | 997.25     | 1285.82     |
| 21        | Maharashtra               | 1282.31    | 867.22     | 1088.92     |
| 22        | Manipur                   | 118.53     | 86.57      | 64.45       |
| 23        | Meghalaya                 | 131.00     | 90.19      | 69.02       |
| 24        | Mizoram                   | 97.87      | 68.74      | 69.47       |
| 25        | Nagaland                  | 108.75     | 75.10      | 48.87       |
| 26        | Orissa                    | 624.71     | 605.98     | 715.86      |
| 27        | Puducherry                | 17.77      | 14.03      | 19.26       |
| 28        | Punjab                    | 284.75     | 185.17     | 434.85      |
| 29        | Rajasthan                 | 1069.38    | 1238.83    | 1242.42     |
| 30        | Sikkim                    | 45.86      | 31.16      | 33.89       |
| 31        | Tamil Nadu                | 794.38     | 1030.25    | 1003.43     |
| 32        | Tripura                   | 139.08     | 93.52      | 77.80       |
| 33        | Uttar Pradesh             | 2299.49    | 2501.89    | 2279.56     |
| 34        | Uttarakhand               | 256.60     | 242.84     | 213.79      |
| 35        | West Bengal               | 883.49     | 684.18     | 742.91      |
| 36        | Telangana                 | 440.58     | 352.55     | 229.32      |
| Sub Total | Sub Total                 | 16213.00   | 14834.49   | 15407.24    |
| Others    | Others                    | 1100.00    | 0.00       | 0.00        |
| Total     | Total                     | 17313.00   | 14834.49   | 15407.24    |

## Note:

1. Allocation is per Original outlay/B.E.
2. Release is only Central Grants and do not include State share. Release for the F.Y. 2015 - 16 is updated up to 11.02.2016 and  is provisional.
3. 3.Utilisation i cludes expenditure against central Release, state release & unspent balances at the b year. Utilisation figures are as reported by States/UTs up to 31.12.2015.

## Component wise Allocation, Release and Utilisation under NHM

[Rs. In crore]

| Sl.                                                                                                                                                                                                                                                                                 | Sl.                                                                                                                                                                                                                                                                                 | 2015- 16                       | 2015- 16   | 2015- 16    |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------|------------|-------------|
| No. Programme                                                                                                                                                                                                                                                                       | No. Programme                                                                                                                                                                                                                                                                       | Allocation                     | Release    | Utilization |
| A.                                                                                                                                                                                                                                                                                  | NRHM-RCH Flexible Pool 9818.56                                                                                                                                                                                                                                                      | NRHM-RCH Flexible Pool 9818.56 | 8245.48    | 9943.28     |
| 1 RCH Flexible Pool                                                                                                                                                                                                                                                                 | 1 RCH Flexible Pool                                                                                                                                                                                                                                                                 | 4348.32                        | 3699.79    | 4899.06     |
| 2 Mission Flexible Pool                                                                                                                                                                                                                                                             | 2 Mission Flexible Pool                                                                                                                                                                                                                                                             | 4926.09                        | 4114.99    | 4647.21     |
| 3 Routine Immunization                                                                                                                                                                                                                                                              | 3 Routine Immunization                                                                                                                                                                                                                                                              | 200.00                         | 158.20     | 278.83      |
| 4 Pulse Polio Immunisation                                                                                                                                                                                                                                                          | 4 Pulse Polio Immunisation                                                                                                                                                                                                                                                          | 328.00                         | 261.55     | 115.11      |
| 5 National I.D.D. Control Prog.                                                                                                                                                                                                                                                     | 5 National I.D.D. Control Prog.                                                                                                                                                                                                                                                     | 16.15                          | 10.96      | 3.07        |
| B . Infrastructure Maintenance                                                                                                                                                                                                                                                      | B . Infrastructure Maintenance                                                                                                                                                                                                                                                      | 4420.40                        | 4850.64    | 4281.27     |
| C. Communicable Disease Control Programmes                                                                                                                                                                                                                                          | C. Communicable Disease Control Programmes                                                                                                                                                                                                                                          | 1160.68                        | 885.25     | 525.82      |
| a National Vector Borne Disease Control Prog                                                                                                                                                                                                                                        | a National Vector Borne Disease Control Prog                                                                                                                                                                                                                                        | 463.13                         | 316.85     | 135.84      |
| DddDisea(Malar Diseases Control Programme b Revised National Tuberculosis Control                                                                                                                                                                                                   | DddDisea(Malar Diseases Control Programme b Revised National Tuberculosis Control                                                                                                                                                                                                   | Prog.) 603.20                  | 501.13     | 319.82      |
| c Natioinal Leprosy Eradication                                                                                                                                                                                                                                                     | c Natioinal Leprosy Eradication                                                                                                                                                                                                                                                     | 35.50                          | 20.80      | 27.41       |
| d Integrated Disease Surveillance Project                                                                                                                                                                                                                                           | d Integrated Disease Surveillance Project                                                                                                                                                                                                                                           | 58.85                          | 46.47      | 42.75       |
| D. Non Communicable Disease Programmes - National Programme for Prevention and Control Cancer, Diabetes, Cardiovascular Diseases & , National Programme for Control of Blindness, Mental Health programme, National programme for Healthcare of Elderly, National Tobacco Programme | D. Non Communicable Disease Programmes - National Programme for Prevention and Control Cancer, Diabetes, Cardiovascular Diseases & , National Programme for Control of Blindness, Mental Health programme, National programme for Healthcare of Elderly, National Tobacco Programme | Stroke National 527.36         | 282.68     | 187.54      |
| E . National Urban Health Mission - Flexible Pool                                                                                                                                                                                                                                   | E . National Urban Health Mission - Flexible Pool                                                                                                                                                                                                                                   | 1386.00                        | 570.44     | 469.34      |
| Grand Total                                                                                                                                                                                                                                                                         | Grand Total                                                                                                                                                                                                                                                                         | 17313.00                       | 14834.49   | 15407.24    |

## Note:

1. Allocation is per Original outlay/B.E.
2. Release is only Central Grants and do not include State share. Release for the F.Y. 2015 - 16 is updated up to 11.02.2016 and  is provisional.
3. Utilisation ncludes expenditure against central Release, state release & unspent balances a beginning of  the year. Utilisation figures are as reported by States/UTs up to 31.12.2015.