Lok Sabha Question No. 185 (STARRED), answered on 2016-07-29
Subject: Centrally Sponsored Health Schemes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ANOOP MISHRA, SHARAD TRIPATHI

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

## LOK SABHA STARRED QUESTION NO. 185 TO BE ANSWERED ON THE 2 9 TH JULY, 2016 CENTRALLY SPONSORED HEALTH SCHEMES

## †*185. SHRI ANOOP MISHRA: SHRI SHARAD TRIPATHI:

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

- (a) the details of Centrally sponsored health schemes/programmes implementation  along  with  funds  allocated  and  utilised  during  the  last  th ars, State/UT - wise;
- (b) whether the Government has constituted any Committee and/or associated p representatives to oversee and monitor implementation of these schemes/programmes and if so, the details thereof;
- (c)  whether  the  Government has  received  any  proposals  from  the  States/UTs increase the allocation of funds under the above schemes for expanding its re remote and backward areas; and
- (d) if so, the details thereof along with the action taken by the Government

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

- (a)  to (d ):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 185* FOR 29 TH JULY , 2016

(a) &  (b) National  Health  Mission  is  the  flagship  Centrally  Sponsored  Health Programme of the Ministry under which state-wise funds are allocated.

NHM comprises two  sub-missions  viz.  National  Rural  Health  Mission  and National  Urban  Health  Mission.    Under  NHM,  the  technical  and  financial support is given to States /UTs to strengthen their health care systems so as to provide universal access to equitable, affordable and  quality healthcare services.

It  comprises  five  major  flexible  pools  viz.  NRHM-RCH  Flexible  Pool,  NUHM Flexible  Pool,  Flexible  Pool  for  Communicable  Disease  and  Flexible  Pool  for Non-communicable Diseases and Infrastructure Maintenance.

Status of funds allocated, released and utilised during the last three years, State/UT-wise is at Annexure.

The Government has constituted following Committees under the NHM that involve people's representatives to oversee and monitor the implementation at different levels:

- District Level Vigilance & Monitoring Committee (DLVMC) / City Level Vigilance & Monitoring Committee (CLVMC) under the Chairmanship of Member  of  Parliament  have  been  constituted  to  monitor  the  progress  of implementation  of  National  Health  Mission.  The  Order  of  nomination  of chairpersons  and  Guidelines  of  D/CLVMCs  are  available  at  the URLhttp://nhm.gov.in/monitoring/district-level-vigilance-monitoringcommittee.html. As  on  31.03.2016,  a  total  of  645  DLVMCs  had  been constituted.
- Rogi Kalyan Samiti (RKS) /Hospital management Committee (HMC) is set up at all the Public Health Facilities from Primary Health Centre (PHC) level  and  upwards,and  it acts as  a  group  of  trustees  for  the  hospital  to manage  the  affairs  of  the  hospital.  It  consists of  members  from  local Panchayati Raj Institutions (PRIs), NGOs, local elected representatives and
- officials from Government sector who are responsible for proper functioning and management of the public health facility. 29,111 RKSs were functional as on 31 st March, 2016.
- Village Health, Sanitation and Nutrition Committee (VHSNC) have been constituted  to  monitor  the  services  provided  by  the  Anganwadi  Worker (AWW), the ASHA, and the sub-centre. The VHSNC acts as a subcommittee or  Standing  Committee  of  the Gram  Panchayat  and  its    composition is elected Gram  Panchayat  members,  ASHAs,  ANM,  AWWs, school  teachers provided  they  are  resident  in  the  village,community  based  organizations, service users etc. 508,169 VHNSCs were functional as on 31 st March, 2016.

Apart from above, there is the Mission Steering Group (MSG) chaired by the Union Minister of Health & Family Welfare at the national level, State Health Mission chaired by the Chief Minister at the state level, and District Health Mission chaired by the Chairperson, ZilaParishad at the district level.  These institutions provide broad policy direction to the Mission and exercise the programme  and  governance  oversight  at  the  National,  State  and  District levels.

Besides the National Health Mission, the Ministry also implements few other Centrally Sponsored Health Schemes viz., Rashtriya Swasthya Bima Yojana (RSBY), Human Resources for Health and Medical Education and Tertiary Care Programmes.  However, under these schemes / programmes, no Statewise resources are allocated.

(c) & (d): Most of the States/UTs have asked for increase in allocation of funds under the NHM to improve health care facilities. The Government has examined the  proposals  and  accorded  the  approvals  based  on  the  resource  envelope  of each State/UT and funds available under the programme.

****

Annexure

A Statement Showing State/UT wise Allocation, Release and Expenditure under NHM from the F.Y 2013 - 14 to 2015 - 16 Rs. in crore

| Sl. No.   |                                       | 2013- 14   | 2013- 14   | 2013- 14   | 2014- 15    | 2014- 15   | 2014- 15   | 2015- 16   | 2015- 16   | 2015- 16   |
|-----------|---------------------------------------|------------|------------|------------|-------------|------------|------------|------------|------------|------------|
| Sl. No.   | States                                | Allocation | Release    | Exp        | Allocatio n | Release    | Exp        | Allocation | Release    | Exp        |
| 1         | Andaman & Nicobar Islands             | 23.83      | 29.06      | 29.12      | 28.22       | 23.36      | 24.33      | 28.21      | 37.26      | 11.47      |
| 2         | Andhra Pradesh                        | 1184.24    | 878.73     | 1044.81    | 707.15      | 519.73     | 902.91     | 616.23     | 642.89     | 1090.17    |
| 3         | Arunachal Pradesh                     | 86.31      | 78.60      | 92.03      | 185.65      | 139.41     | 69.50      | 160.01     | 161.65     | 146.27     |
| 4         | Assam                                 | 1214.83    | 1077.81    | 956.89     | 1095.38     | 877.13     | 915.88     | 941.29     | 970.84     | 1186.01    |
| 5         | Bihar                                 | 1487.65    | 1110.32    | 1480.68    | 1292.13     | 1148.32    | 1427.40    | 1108.61    | 1139.28    | 1396.03    |
| 6         | Chandigarh                            | 18.53      | 11.46      | 14.42      | 19.40       | 12.15      | 15.26      | 14.24      | 23.88      | 20.98      |
| 7         | Chattisgarh                           | 500.72     | 355.98     | 805.50     | 555.66      | 500.41     | 716.04     | 479.38     | 410.80     | 758.28     |
| 8         | Dadra & Nagar Haveli                  | 8.73       | 9.23       | 9.83       | 13.99       | 8.40       | 8.56       | 11.37      | 14.37      | 15.54      |
| 9         | Daman & Diu                           | 6.48       | 6.50       | 8.40       | 9.69        | 6.91       | 7.67       | 9.11       | 10.53      | 15.69      |
| 10        | Delhi                                 | 211.46     | 129.78     | 132.59     | 192.59      | 154.04     | 222.64     | 142.81     | 163.80     | 137.29     |
| 11        | Goa                                   | 27.12      | 19.35      | 30.58      | 27.63       | 26.03      | 29.50      | 19.41      | 16.77      | 24.92      |
| 12        | Gujarat                               | 833.94     | 833.72     | 977.48     | 858.47      | 832.86     | 873.66     | 677.65     | 693.78     | 1272.42    |
| 13        | Haryana                               | 313.57     | 315.94     | 423.79     | 317.42      | 273.60     | 438.18     | 249.33     | 291.96     | 493.23     |
| 14        | Himachal Pradesh                      | 225.95     | 205.29     | 158.60     | 232.00      | 185.84     | 306.92     | 197.92     | 246.49     | 239.80     |
| 15        | Jammu & Kashmir                       | 433.87     | 395.10     | 391.10     | 435.17      | 335.51     | 393.29     | 368.00     | 367.89     | 420.94     |
| 16        | Jharkhand                             | 582.97     | 396.38     | 521.49     | 563.92      | 359.62     | 372.01     | 493.37     | 395.15     | 590.18     |
| 17        | Karnataka                             | 814.17     | 611.11     | 812.56     | 834.09      | 697.24     | 858.18     | 706.09     | 740.35     | 1141.61    |
| 18        | Kerala                                | 424.15     | 360.98     | 673.07     | 373.58      | 521.99     | 509.83     | 305.87     | 304.14     | 545.70     |
| 19        | Lakshadweep                           | 3.61       | 3.20       | 2.28       | 5.89        | 5.08       | 1.36       | 4.28       | 5.69       | 2.72       |
| 20        | Madhya Pradesh                        | 1141.03    | 865.94     | 1583.60    | 1250.17     | 1162.50    | 1738.02    | 1085.37    | 1131.10    | 2046.60    |
| 21        | Maharashtra                           | 1520.71    | 1218.51    | 1806.86    | 1536.58     | 1431.76    | 1834.40    | 1282.31    | 1085.92    | 1734.44    |
| 22        | Manipur                               | 127.75     | 88.93      | 74.57      | 144.97      | 128.81     | 86.91      | 118.53     | 112.14     | 105.51     |
| 23        | Meghalaya                             | 139.24     | 125.51     | 71.53      | 160.21      | 104.13     | 70.72      | 131.00     | 100.60     | 133.55     |
| 24        | Mizoram                               | 86.20      | 77.43      | 91.89      | 116.53      | 103.28     | 93.29      | 97.87      | 93.51      | 172.38     |
| 25        | Nagaland                              | 114.42     | 99.73      | 90.40      | 131.26      | 114.92     | 63.04      | 108.75     | 104.21     | 81.05      |
| 26        | Orissa                                | 678.99     | 604.20     | 901.65     | 730.09      | 667.16     | 944.10     | 624.71     | 644.52     | 1205.77    |
| 27        | Puducherry                            | 21.29      | 18.10      | 25.43      | 25.46       | 22.56      | 23.35      | 17.77      | 18.61      | 21.77      |
| 28        | Punjab                                | 362.38     | 333.47     | 437.57     | 351.89      | 379.35     | 460.59     | 284.75     | 295.19     | 619.01     |
| 29        | Rajasthan                             | 1091.20    | 922.93     | 1457.06    | 1238.11     | 1115.96    | 1722.69    | 1069.38    | 1284.66    | 1799.11    |
| 30        | Sikkim                                | 42.32      | 45.91      | 44.82      | 51.42       | 51.60      | 41.36      | 45.86      | 41.00      | 50.71      |
| 31        | Tamil Nadu                            | 1020.75    | 906.24     | 1430.28    | 968.18      | 952.75     | 2248.06    | 794.38     | 1093.22    | 1633.37    |
| 32        | Tripura                               | 165.43     | 140.15     | 101.93     | 161.75      | 123.11     | 130.15     | 139.08     | 135.24     | 118.77     |
| 33        | Uttar Pradesh                         | 3584.98    | 3024.60    | 2924.38    | 2650.25     | 2431.06    | 3671.26    | 2299.49    | 2862.23    | 4451.78    |
| 34        | Uttarakhand                           | 310.55     | 245.25     | 255.28     | 308.10      | 270.55     | 324.42     | 256.60     | 276.38     | 335.95     |
| 35        | West Bengal                           | 1179.64    | 948.51     | 1271.71    | 1053.27     | 1058.62    | 1196.78    | 883.49     | 957.92     | 1411.61    |
| 36        | Telangana                             | 0.00       | 0.00       | 0.00       | 506.45      | 378.72     | 334.68     | 440.58     | 436.38     | 505.55     |
|           | Sub Total                             | 19989.01   | 16493.93   | 21134.19   | 19132.72    | 17124.48   | 23076.94   | 16213.09   | 17310.34   | 25936.17   |
| 37        | Arrears of Infrastructure Maintenance |            |            |            | 1089.28*    |            |            | 1100**     |            |            |
|           | Total                                 | 19989.01   | 16493.93   | 21134.19   | 20222.00    | 17124.48   | 23076.94   | 17313.09   | 17310.34   | 25936.17   |

## Note:

1. Allocation is per Original outlay/B.E.
2. The above  Releases relate to Central Govt. Grants & do not include state share contribution.
3. Expenditure includes  expenditure against central Release, state release & unspent balances at the beginning of  the year.
4. The arrears under Infrastructure Maintenance were paid to the following States/UTs during the FY 2014 - 15 and 2015 - 16:
* F.Y. 2014 - 15: Bihar, Chhattisgarh, Goa, Gujarat, Haryana, Himachal Pradesh, Kerala, Madhya Pradesh, Maharashtra, Odisha, Punjab Nadu, Uttar Pradesh, Uttarakhand, West Bengal, Assam, Tripura and Puducherry
6. ** F.Y. 2015 - 16: Andhra Pradesh, Bihar, Haryana, Himachal Pradesh, Karnataka, Odisha, Rajasthan, Tamil Nadu, Uttar Pradesh, Uttara est Bengal, and Assam.