Lok Sabha Question No. 2140 (UNSTARRED), answered on 2016-07-29
Subject: Assessment of NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NISHIKANT  DUBEY

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

## LOK SABHA UNSTARRE D  QUESTION NO. 2140 TO BE ANSWERED ON 29 TH JULY, 2016

## ASSESSMENT OF NHM

## 2140. SHRI NISHIKANT DUBEY:

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

- (a) whether the Government has assessed the performance of National Health Mission (NHM) in tribal and remote areas, if so, the details thereof and outcome thereon; and
- (b) the details of financial and technical support provided to States to strengthen their health systems  including  for  setting up/upgrading  public  health  facilities  and improving  healthcare particularly in tribal areas during each of the last three years and the current year, State/UT -wise includin g High Priority Districts (HPDs) of Jharkhand?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

- (a): The working of National Health Mission ( NHM) is reviewed/assessed inter -alia through external surveys  such  as,  National  Family  Health  Survey  (NFHS),  District  Level  Househol Survey (DLHS), Annual Health Survey (AHS) and Sample Registration System (SRS). NFHS - 4 Survey  is  presently  ongoing.  Further,  Common  Review  Missions  (CRMs)  also  undertake  a revi ew of NRHM/NHM every year. All the above surveys and review cover tribal and remote areas also.

The information on different evaluations  is available in public domain as under:

NFHS - 4:

http://nrhm - mis.nic.in/SitePages/NFHS.aspx

DLHS 4:

https://nrhm - mis.nic.in/SitePages/DLHS - 4.aspx

DLHS 3:

https://nrhm - mis.nic.in/SitePages/Pub\_SurveyReportStateWise.a spx

Contd…….

AHS:

http://www.censusindia.gov.in/vital\_statistics/AHS Bulletins/Factsheets.html

SRS:

http://www.censusindia.gov.in/2011 - Common/Sample\_Registration\_System.html

CRM reports:

http://nhm.gov.in/monitoring/common - review - mission.html

(b):The State/UT - wiseinformation (including High Priority Districts (HPDs) of Jharkhand an tribal  areas)  related  to  approvals  and  utilization under  the  activities  of  'Hospital  strengthening and  new  constructions/renovation  and  setting  up'  under  NHM  for  the  last  three  years  i s  at Annexure. For the current year 2016 - 17, approvals are under finalization.

Under NHM, HPDs receive higher per capita funding, enhanced monitoring and focused supportive  supervision.  Further,  the  States  are  encouraged  to  adopt  innovative  approac address the peculiar health challenges of HPDs and Special Focus Districts (SFDs) (all districts that are not HPDs). Technical support from all sources is being harmonised and with NHM particularly in these districts to support implementation of key priority intervention packages.

………………

## Annexure

## State/UT-wise SPIP Approval & Utilization under Hospital Strengthening (B.4) and New Constructions/ Renovation and Setting up (B.5) from the F.Y. 2013-14 to 2015-16

| S.No.                         |                               | 2013- 14                      | 2013- 14                      | 2014- 15                      | 2014- 15                      | 2015- 16                      | 2015- 16                      |
|-------------------------------|-------------------------------|-------------------------------|-------------------------------|-------------------------------|-------------------------------|-------------------------------|-------------------------------|
| S.No.                         | State                         | Approval as per SPIP          | Utilization                   | Approval as                   | Utilization                   | Approval as per SPIP          | Utilization                   |
| per SPIP A. High Focus States | per SPIP A. High Focus States | per SPIP A. High Focus States | per SPIP A. High Focus States | per SPIP A. High Focus States | per SPIP A. High Focus States | per SPIP A. High Focus States | per SPIP A. High Focus States |
| 1                             | Bihar                         | 37.53                         | 15.03                         | 71.12                         | 39.87                         | 53.32                         | 41.22                         |
| 2                             | Chattisgarh                   | 107.29                        | 65.80                         | 48.79                         | 104.63                        | 29.48                         | 121.65                        |
| 3                             | Himachal Pradesh              | 20.70                         | 26.45                         | 6.55                          | 8.72                          | 37.22                         | 31.25                         |
| 4                             | Jammu & Kashmir               | 77.53                         | 101.53                        | 118.77                        | 123.77                        | 49.97                         | 65.38                         |
| 5                             | Jharkhand                     | 64.85                         | 87.87                         | 36.58                         | 29.03                         | 24.21                         | 47.29                         |
| 6                             | Madhya Pradesh                | 123.49                        | 32.46                         | 58.83                         | 72.94                         | 115.74                        | 187.14                        |
| 7                             | Orissa                        | 149.40                        | 109.30                        | 150.88                        | 191.65                        | 162.95                        | 184.55                        |
| 8                             | Rajasthan                     | 243.04                        | 192.98                        | 298.31                        | 236.11                        | 312.14                        | 276.29                        |
| 9                             | Uttar Pradesh                 | 458.71                        | 69.20                         | 6.35                          | 353.94                        | 541.76                        | 587.02                        |
| 10                            | Uttarakhand                   | 4.98                          | 10.03                         | 14.57                         | 15.49                         | 2.94                          | 12.29                         |
|                               | Sub Total                     | 1287.52                       | 710.66                        | 810.76                        | 1176.17                       | 1329.73                       | 1554.08                       |
| B. NE States                  | B. NE States                  | B. NE States                  | B. NE States                  | B. NE States                  | B. NE States                  | B. NE States                  | B. NE States                  |
| 11                            | Arunachal Pradesh             | 10.39                         | 20.71                         | 20.24                         | 8.45                          | 25.42                         | 55.91                         |
| 12                            | Assam                         | 191.74                        | 48.81                         | 149.39                        | 81.01                         | 169.71                        | 185.24                        |
| 13                            | Manipur                       | 8.14                          | 0.31                          | 9.50                          | 19.12                         | 7.64                          | 12.34                         |
| 14                            | Meghalaya                     | 18.32                         | 5.30                          | 15.37                         | 15.84                         | 26.85                         | 19.59                         |
| 15                            | Mizoram                       | 1.12                          | 5.06                          | 1.44                          | 0.00                          | 2.12                          | 0.76                          |
| 16                            | Nagaland                      | 18.77                         | 10.35                         | 6.82                          | 1.90                          | 7.65                          | 0.10                          |
| 17                            | Sikkim                        | 0.88                          | 4.33                          | 3.33                          | 3.38                          | 4.77                          | 1.87                          |
| 18                            | Tripura                       | 36.00                         | 24.61                         | 22.62                         | 30.06                         | 4.59                          | 5.70                          |
|                               | Sub Total                     | 285.36                        | 119.48                        | 228.70                        | 159.74                        | 248.75                        | 281.51                        |
| C. Non- High Focus States     | C. Non- High Focus States     | C. Non- High Focus States     | C. Non- High Focus States     | C. Non- High Focus States     | C. Non- High Focus States     | C. Non- High Focus States     | C. Non- High Focus States     |
| 19                            | Andhra Pradesh                | 158.62                        | 60.20                         | 104.32                        | 120.70                        | 104.40                        | 74.57                         |
| 20                            | Goa                           | 2.55                          | 2.43                          | 1.66                          | 0.08                          | 0.19                          | 0.02                          |
| 21                            | Gujarat                       | 75.78                         | 101.88                        | 103.78                        | 53.91                         | 76.23                         | 117.96                        |
| 22                            | Haryana                       | 24.13                         | 1.56                          | 9.05                          | 5.18                          | 8.81                          | 0.85                          |
| 23                            | Karnataka                     | 143.78                        | 83.52                         | 105.33                        | 91.07                         | 84.09                         | 85.88                         |
| 24                            | Kerala                        | 83.05                         | 32.75                         | 51.56                         | 32.69                         | 46.32                         | 48.84                         |
| 25                            | Maharashtra                   | 169.16                        | 163.20                        | 125.80                        | 64.30                         | 174.40                        | 82.39                         |
| 26                            | Punjab                        | 66.76                         | 29.71                         | 8.43                          | 27.50                         | 38.19                         | 43.05                         |
| 27                            | Tamil Nadu                    | 270.75                        | 290.03                        | 216.82                        | 474.92                        | 149.25                        | 208.70                        |
| 28                            | Telangana                     | 0.00                          | 0.00                          | 90.97                         | 60.67                         | 22.50                         | 24.60                         |
| 29                            | West Bengal                   | 128.67                        | 179.68                        | 81.73                         | 84.04                         | 46.55                         | 145.13                        |
|                               | Sub Total                     | 1123.25                       | 944.96                        | 899.46                        | 1015.05                       | 750.92                        | 831.99                        |
| D. Small States/UTs           | D. Small States/UTs           | D. Small States/UTs           | D. Small States/UTs           | D. Small States/UTs           | D. Small States/UTs           | D. Small States/UTs           | D. Small States/UTs           |
| 30                            | Andaman & Nicobar Islands     | 0.00                          | 1.50                          | 0.25                          | 0.92                          | 0.45                          | 0.00                          |
| 31                            | Chandigarh                    | 0.00                          | 0.00                          | 0.00                          | 0.00                          | 0.00                          | 0.00                          |
| 32                            | Dadra & Nagar Haveli          | 0.00                          | 0.00                          | 0.00                          | 0.00                          | 0.13                          | 0.00                          |
| 33                            | Daman & Diu                   | 0.03                          | 0.01                          | 0.03                          | 0.01                          | 0.05                          | 0.01                          |
| 34                            | Delhi                         | 41.52                         | 8.53                          | 60.77                         | 64.51                         | 3.00                          | 16.68                         |
| 35                            | Lakshadweep                   | 0.00                          | 0.00                          | 0.00                          | 0.00                          | 0.00                          | 0.00                          |
| 36                            | Puducherry                    | 0.07                          | 0.16                          | 0.09                          | 0.05                          | 0.05                          | 0.06                          |
|                               | Sub Total                     | 41.62                         | 10.20                         | 61.14                         | 65.49                         | 3.68                          | 16.75                         |
|                               | Grand Total                   | 2737.75                       | 1785.29                       | 2000.06                       | 2416.46                       | 2333.07                       | 2684.33                       |

Note:

1. SPIP-State Programme Implementation Plan.
2. Above mentioned Utilization figures are as reported by States/UTs and includes expenditure against Central Release, State sha re & unspent balances, updated up to 31 - 03- 2016.
3. The above data comprises of Hospital Strengtheining - Up - Gradation of CHCs, PHCs, Dist. Hospitals, Strengthening of Districts, Sub Divisional Hospitals, CHCs,  PHCs and Sub Centre Rent and contingencies and New Constructions/ Renovation and Setting up -CHCs, PHCs, SHCs/Sub Centres, Setting up Infrastructure wing for Civil works, Govt. Dispensaries/ others renovations and Constructi on of BHO, Facility improvement, civil work, BemOC and CemOC centres, Major civil works for operationalization of FRUS, Major civil works for operationalization of 24 hour services at PHCs, Civil Works for Operationalising Infection Management & Environment Plan at h ealth facilities, Infrastructure of Training Institutions, SDH, DH and Civil work of DEIC (RBSK).
4. FMR for the FY 20 16- 17 not yet due.

Rs. In crore