Lok Sabha Question No. 4724 (UNSTARRED), answered on 2026-03-20
Subject: Kerala State PIP under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Priyanka Gandhi Vadra

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

## LOK SABHA UNSTARRED QUESTION NO. 4724 TO BE ANSWERED ON 20.03.2026

## KERALASTATE PIPUNDER NHM

## 4724. SMT. PRIYANKA GANDHI VADRA:

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

- (a) whether the Government has received the Kerala State Programme Implementation Plan (PIP) for FY 2026-27, if so, the details thereof including the details of projects proposed under the National Health Mission (NHM) and projects in Wayanad Lok Sabha Parliamentary Constituency, district -wise;
- (b) whether the Kerala State PIP for FY 2026-27 has been finalised and approved by the National Programme Coordination Committee, if so, the details thereof;
- (c) whether the Government has evaluated the impact of NHM projects in improving health outcomes in the said Parliamentary Constituency, especially for tribal women and children, if so, the details thereof along with the action taken by the Government to address the gaps; and
- (d) the amount of funds released and utilised under NHM in Kerala during the last three years, year-wise and district-wise?

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

(a) to (d): The primary responsibility of strengthening public healthcare system, lies with the respective State/UT Governments. Under National Health Mission (NHM), the Ministry of Health and Family Welfare provides the technical and financial support to the States/UTs to strengthen their public healthcare system, based on the requirements posted by States/UTs in their Programme Implementation Plans (PIPs) and within the overall resource envelope. The details of the same can be accessed in the link below:

https://nhm.gov.in/index4.php?lang=1&level=0&linkid=53&lid=66

The Government had received the Preliminary Programme Implementation Plan (PIP) of the State of Kerala for the financial year 2026-27 and based on the discussions, the State will submit the revised proposals. Programme Implementation Plans (PIPs) are one of the most crucial steps in the National Health Mission (NHM) through which State plans, prioritize and propose budgets emphasizing outcome-focused planning, state flexibility and alignment with Sustainable Development Goal (SDG) targets. It includes wide range of proposals under the National Health Mission (NHM) across various components such as Reproductive and Child Health (RCH), National Disease Control Programmes, NonCommunicable Disease Program, Health Systems Strengthening and Infrastructure Development.

Under NHM, the performance of various health programmes is regularly assessed in all the States/UTs including Kerala, through review meetings, mid-term reviews of key deliverables, field visits of senior officials, promoting performance by setting up benchmarks for service delivery & rewarding achievements etc. Also, Common Review Missions (CRM) are conducted annually to assess and monitor the progress and implementation status under the scheme.

The National Health Mission (NHM) provides support for improvement in health infrastructure, availability of adequate human resources in health facilities, to improve availability, affordability and accessibility to quality health care for all including poor and vulnerable sections in urban, rural, and tribal/hilly areas including tribal women and children.

The funds released and utilised under NHM for the State of Kerala for 2022-23 to 2024-25 is given below in the table:

( Rs. In Crore )

| Financial Year   | Central Release   | Expenditure   |
|------------------|-------------------|---------------|
| 2022-23          | 1,036.76          | 1,592.96      |
| 2023-24          | 189.15            | 1,246.25      |
| 2024-25          | 1,351.78          | 1,422.88      |

## Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution. Central Release for the F.Y. 2025-26 is updated upto 19.11.2025 and is provisional.
2. Expenditure includes Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional. Expenditure for FY 2025-26 is updated upto 30.09.2025.

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