Lok Sabha Question No. 1112 (UNSTARRED), answered on 2016-07-22
Subject: Supply of Life Saving Drugs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DILIP PATEL, JANARDAN SINGH SIGRIWAL

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

## LOK SABHA UNSTARRED QUESTION NO. 1112 TO BE ANSWERED ON 2 2 ND JULY, 2016

## SUPPLY OF LIFE SAVIN G DRUGS

## 1112. SHRI DILIP PATEL: SHRI JANARDAN SINGH SIGRIWAL:

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

- (a) whether the Government has formulated any programme/scheme for providing free supply of life saving drugs in public/Government healthcare centres acros the country;
- (b) if so, the details thereof, State/UTwise including Bihar;
- (c) the funds allocated and utilised for the purpose during the 12th Five Year Plan, year and State/UT - wise;
- (d) whether the Government has put in place a monitoring mechanism for proper utilisation of fundsand ensure free availability of quality drugs in public health centres/ hospitals; and
- (e) if so, the details thereof along with the other steps taken by the Government to strengthen medical facilities in rural areas?

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

- (a): Public Health being a state subject, the primary responsibility of supply of med including  lifesaving  medicines  free  of  cost  to  the  patients  in  publi c/Government  healthcare Centres lies with the State/UT governments. Under the National Health Mission (NHM), supp is provided to the States/UTs for strengthening their healthcare delivery system inclu provision  of  free  essential  drugs  to  those  w ho  access  public  health  facilities,  based  on  the requirement posed by the States/UTs in their Programme Implementation Plans.
- (b): As on date all the States/UTs including Bihar have reported that they have notifie drug policy in their respective Sta tes/UTs.
- (c): The information is at Annexure.

(d) & (e): Public Health being a state subject, the primary responsibility of putting in a monitoring  mechanism  for  proper  utilisation  of  funds  and  ensure  free  availability  of drugs in public he alth centres/ hospitals. Under NHM support is also provided to States/UTs putting  in  place  an IT  enabled  inventory  management  system  to  track  drug  availability.  Th implementation and progress of the National Health Mission (NHM) including proper utili sation of  funds  and  ensure  free  availability  of  quality  drugs  in  public  health  centres/  ho is monitored/ reviewed  at  the  national  level  through  Annual  Common  Review  Missions.  At  th District  Level,  the  "District  Level  Vigilance  &  Monitoring  Committee s'  are  constituted  to monitor the progress of implementation of NHM. Other mechanisms include external survey such as Sample Registration Survey (SRS), the District Level Household Survey (DLHS) an National Family Health Survey (NFHS) besides regular mon itoring visits from National Program Management  Units  to  States  &  districts  and  from  States  to  districts  &  blocks.  The  H Management Information Systems (HMIS) helps to monitor the performance of public healt facilities.  Under  NRHM,  financial  and  tech ical  support  is  provided  to  strengthen  healthcare delivery system, particularly in rural areas.

## Annexure

## Statement showing State/Uts Cash (SPIP) Approvals & Kind Grants Support for Drugs & Supplies under NHM for F.Y. 2012 -13 to 2015 -16

Rs. In crore

| S. No .              | States/UTs           | Cash Grants1     | Kind Grants2     | Total            | Cash Grants1     | Kind Grants2     | Total            | Cash Grants1     | Kind Grants2     | Total            | Cash Grants1     | Kind Grants2     | Total            |
|----------------------|----------------------|------------------|------------------|------------------|------------------|------------------|------------------|------------------|------------------|------------------|------------------|------------------|------------------|
| A. High Focus States | A. High Focus States | 2012-13          | 2012-13          | 2012-13          | 2013-14          | 2013-14          | 2013-14          | 2014-15          | 2014-15          | 2014-15          | 2015-16          | 2015-16          | 2015-16          |
| 1                    | Bihar                | 91.12            | 189.55           | 280.67           | 155.70           | 170.62           | 326.32           | 144.86           | 182.81           | 327.67           | 212.10           | 209.47           | 421.57           |
| 2                    | Chattisgarh          | 8.23             | 38.09            | 46.32            | 51.67            | 22.00            | 73.67            | 86.29            | 23.41            | 109.70           | 61.56            | 26.23            | 87.79            |
| 3                    | Himachal Pradesh     | 4.89             | 3.38             | 8.27             | 11.22            | 7.24             | 18.46            | 29.62            | 4.46             | 34.08            | 30.85            | 11.02            | 41.87            |
| 4                    | Jammu & Kashmir      | 10.76            | 10.31            | 21.07            | 18.01            | 12.14            | 30.15            | 24.79            | 12.57            | 37.36            | 16.26            | 16.38            | 32.64            |
| 5                    | Jharkhand            | 35.48            | 43.19            | 78.67            | 39.51            | 23.05            | 62.56            | 38.40            | 56.10            | 94.50            | 51.12            | 61.07            | 112.19           |
| 6                    | Madhya Pradesh       | 81.27            | 65.08            | 146.35           | 133.66           | 58.65            | 192.31           | 133.69           | 54.65            | 188.34           | 125.40           | 73.98            | 199.38           |
| 7                    | Orissa               | 54.91            | 41.88            | 96.79            | 32.88            | 27.19            | 60.07            | 25.71            | 24.06            | 49.77            | 8.31             | 69.06            | 77.37            |
| 8                    | Rajasthan            | 50.67            | 98.6             | 149.27           | 160.54           | 57.33            | 217.87           | 196.51           | 67.16            | 263.67           | 185.57           | 87.84            | 273.41           |
| 9                    | Uttar Pradesh        | 196.45           | 244.25           | 440.70           | 242.21           | 205.02           | 447.23           | 256.34           | 240.97           | 497.31           | 282.54           | 219.74           | 502.28           |
| 10                   | Uttarakhand          | 12.02            | 9.53             | 21.55            | 10.97            | 6.49             | 17.46            | 8.22             | 17.64            | 25.86            | 24.82            | 13.91            | 38.73            |
| Total                | Total                | 545.79           | 743.86           | 1,289.65         | 856.36           | 589.73           | 1,446.09         | 944.41           | 683.83           | 1,628.24         | 998.53           | 788.70           | 1,787.23         |
| Sub B. NE States     | Sub B. NE States     | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States | Sub B. NE States |
| 11                   | Arunachal Pradesh    | 3.41             | 4.32             | 7.73             | 5.72             | 0.92             | 6.64             | 5.84             | 6.08             | 11.92            | 5.97             | 19.32            | 25.29            |
| 12                   | Assam                | 159.83           | 29.44            | 189.27           | 132.10           | 28.35            | 160.45           | 155.60           | 56.82            | 212.42           | 105.08           | 83.60            | 188.68           |
| 13                   | Manipur              | 3.94             | 2.4              | 6.34             | 2.83             | 1.04             | 3.87             | 8.03             | 2.32             | 10.35            | 3.26             | 16.92            | 20.18            |
| 14                   | Meghalaya            | 8.37             | 6.07             | 14.44            | 5.57             | 1.61             | 7.18             | 2.04             | 7.38             | 9.42             | 5.09             | 19.02            | 24.11            |

| 15                       | Mizoram                  | 4.82                     | 3.83                     | 8.65                     | 4.31                     | 0.56                     | 4.87                     | 4.73                     | 3.24                     | 7.97                     | 3.35                     | 17.26                    | 20.61                    |
|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|
| 16                       | Nagaland                 | 9.64                     | 5.51                     | 15.15                    | 2.44                     | 1.74                     | 4.18                     | 5.85                     | 5.17                     | 11.02                    | 3.76                     | 16.68                    | 20.44                    |
| 17                       | Sikkim                   | 1.35                     | 0.31                     | 1.66                     | 0.62                     | 0.41                     | 1.03                     | 3.21                     | 3.59                     | 6.80                     | 3.75                     | 5.37                     | 9.12                     |
| 18                       | Tripura                  | 11.05                    | 9.26                     | 20.31                    | 5.82                     | 1.43                     | 7.25                     | 12.83                    | 4.88                     | 17.71                    | 12.59                    | 26.10                    | 38.69                    |
|                          | Sub Total                | 202.40                   | 61.14                    | 263.54                   | 159.43                   | 36.06                    | 195.49                   | 198.13                   | 89.48                    | 287.61                   | 142.84                   | 204.27                   | 347.11                   |
| 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 | 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           | 35.06                    | 58.95                    | 94.01                    | 59.26                    | 72.62                    | 131.88                   | 118.75                   | 43.12                    | 161.87                   | 61.27                    | 45.54                    | 106.81                   |
| 20                       | Goa                      | 2.05                     | 0.96                     | 3.01                     | 2.55                     | 1.18                     | 3.73                     | 3.18                     | 1.58                     | 4.76                     | 3.59                     | 1.69                     | 5.28                     |
| 21                       | Gujarat                  | 22.67                    | 86.83                    | 109.50                   | 77.63                    | 110.23                   | 187.86                   | 54.29                    | 55.62                    | 109.91                   | 77.81                    | 65.20                    | 143.01                   |
| 22                       | Haryana                  | 22.65                    | 35.88                    | 58.53                    | 40.78                    | 38.35                    | 79.13                    | 45.92                    | 14.58                    | 60.50                    | 32.38                    | 40.87                    | 73.25                    |
| 23                       | Karnataka                | 58.47                    | 57.13                    | 115.60                   | 67.14                    | 51.70                    | 118.84                   | 73.03                    | 62.12                    | 135.15                   | 70.71                    | 68.87                    | 139.58                   |
| 24                       | Kerala                   | 15.59                    | 29.59                    | 45.18                    | 11.60                    | 22.18                    | 33.78                    | 15.10                    | 23.60                    | 38.70                    | 14.35                    | 31.38                    | 45.73                    |
| 25                       | Maharashtra              | 83.43                    | 55.81                    | 139.24                   | 276.28                   | 67.70                    | 343.98                   | 325.18                   | 83.57                    | 408.75                   | 356.39                   | 145.24                   | 501.63                   |
| 26                       | Punjab                   | 45.14                    | 16.12                    | 61.26                    | 74.77                    | 18.44                    | 93.21                    | 53.99                    | 20.15                    | 74.14                    | 75.88                    | 28.54                    | 104.42                   |
| 27                       | Tamil Nadu               | 71.19                    | 68.32                    | 139.51                   | 71.35                    | 71.06                    | 142.41                   | 61.05                    | 50.06                    | 111.11                   | 155.40                   | 66.70                    | 222.10                   |
| 28                       | Telangana                | -                        | -                        | -                        | -                        |                          | -                        | 67.87                    | 19.62                    | 87.49                    | 47.64                    | 32.09                    | 79.73                    |
| 29                       | West Bengal              | 84.93                    | 74.14                    | 159.07                   | 136.75                   | 51.95                    | 188.70                   | 115.67                   | 66.65                    | 182.32                   | 104.97                   | 148.87                   | 253.84                   |
| Sub Total                | Sub Total                | Sub Total                | 441.19 483.73            | 924.92                   | 818.10                   | 505.41                   | 1,323.51                 | 934.04                   | 440.67                   | 1,374.71                 | 1,000.39                 | 674.99                   | 1,675.38                 |

| 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                                                         | 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                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           | Andaman & Nicobar                                                           |
| 31                                                                        | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         | Islands 1.59 0.82 2.41 0.38 0.10 0.48 0.28 0.30 0.58 0.21 7.23 7.44         |
|                                                                           | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & | Chandigarh 1.09 0.85 1.94 - 0.70 0.70 0.02 2.13 2.15 1.63 3.12 4.75 Dadra & |
| 32                                                                        | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    | Nagar Haveli 0.67 0.22 0.89 0.37 0.13 0.50 0.84 0.29 1.13 0.91 1.86 2.77    |
| 33                                                                        | Daman & Diu                                                                 | 0.22                                                                        | 0.12                                                                        | 0.34                                                                        | 0.12                                                                        | 0.07                                                                        | 0.19                                                                        | 0.16                                                                        |                                                                             | 0.11                                                                        | 0.27                                                                        | 0.22                                                                        | 1.26                                                                        | 1.48                                                                        |
| 34                                                                        | Delhi                                                                       | 17.33                                                                       | 17.95                                                                       | 35.28                                                                       | 36.96                                                                       | 16.62                                                                       | 53.58                                                                       | 3.36                                                                        |                                                                             | 17.26                                                                       | 20.62 2.49                                                                  |                                                                             | 30.00                                                                       | 32.49                                                                       |
| 35                                                                        | Lakshadweep                                                                 | 0.03                                                                        | 0.04                                                                        | 0.07                                                                        | 0.29                                                                        | 0.03                                                                        |                                                                             | 0.32                                                                        | 0.34                                                                        | 0.03                                                                        | 0.37                                                                        | 0.46                                                                        | 0.88                                                                        | 1.34                                                                        |
|                                                                           | Pondicherry                                                                 | 2.52                                                                        | 1.13                                                                        | 3.65                                                                        | 2.77                                                                        | 0.86                                                                        | 3.63                                                                        |                                                                             | 3.19                                                                        | 0.87                                                                        | 4.06                                                                        | 2.95                                                                        | 3.72                                                                        | 6.67                                                                        |
| 36                                                                        |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             | 48.07                                                                       |                                                                             |
| Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93 | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   | Sub Total 23.45 21.13 44.58 40.89 18.51 59.40 8.21 20.99 29.20 8.86 56.93   |
|                                                                           |                                                                             | 1,212.83                                                                    |                                                                             |                                                                             |                                                                             |                                                                             | 1,149.71                                                                    |                                                                             |                                                                             |                                                                             | 3,319.76                                                                    | 2,150.63                                                                    |                                                                             |                                                                             |
| Grand Total                                                               |                                                                             |                                                                             | 1,309.86                                                                    | 2,522.69                                                                    | 1,874.78                                                                    |                                                                             |                                                                             |                                                                             | 2,084.79                                                                    | 1,234.97                                                                    |                                                                             |                                                                             |                                                                             |                                                                             |
|                                                                           |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             | 3,024.49                                                                    |                                                                             |                                                                             |                                                                             |                                                                             |                                                                             | 1,716.03                                                                    | 3,866.66                                                                    |

## Note:

- 1.Cash grant is State Program Implementation Plan (SPIP) Approval for the component Procurement of drugs and supplies under RCH and M s io Flexible Pool.
2. Kind Grants is cost adjustment / release for vaccine and drugs under Immunization & Flexible Pool for Communicable Disease.

3. Kind Grants is updated upto 31/03/2016 and are provisional.

## Statement showing State/Uts Cash (SPIP) Utilization & Kind Grants Support for Drugs & Supplies under NHM for F.Y. 2012 -13 to 5 -16

(Rs. in Crores)

| S.N o.               | States/UTs           | 2012-13              | 2012-13              | 2012-13              | 2013-14              | 2013-14              | 2013-14              | 2014-15              | 2014-15              | 2014-15              | 2015-16              | 2015-16              | 2015-16              |
|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|
| S.N o.               | States/UTs           | Cash Grants          | Kind Grants          | Total                | Cash Grants          | Kind Grants          | Total                | Cash Grants          | Kind Grants          | Total                | Cash Grants          | Kind Grants          | Total                |
| A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States | A. High Focus States |
| 1                    | Bihar                | 69.17                | 189.55               | 258.72               | 90.64                | 170.62               | 261.26               | 42.23                | 182.81               | 225.04               | 60.87                | 209.47               | 270.34               |
| 2                    | Chattisgarh          | 10.44                | 38.09                | 48.53                | 32.98                | 22.00                | 54.98                | 55.31                | 23.41                | 78.72                | 4.84                 | 26.23                | 31.07                |
| 3                    | Himachal Pradesh     | 16.31                | 3.38                 | 19.69                | 19.47                | 7.24                 | 26.71                | 29.37                | 4.46                 | 33.83                | 36.50                | 11.02                | 47.52                |
| 4                    | Jammu & Kashmir      | 9.75                 | 10.31                | 20.06                | 21.64                | 12.14                | 33.78                | 26.11                | 12.57                | 38.68                | 30.09                | 16.38                | 46.47                |
| 5                    | Jharkhand            | 13.98                | 43.19                | 57.17                | 30.52                | 23.05                | 53.57                | 22.89                | 56.10                | 78.99                | 25.27                | 61.07                | 86.34                |
| 6                    | Madhya Pradesh       | 84.69                | 65.08                | 149.77               | 125.58               | 58.65                | 184.23               | 108.14               | 54.65                | 162.79               | 125.20               | 73.98                | 199.18               |
| 7                    | Orissa               | 33.40                | 41.88                | 75.28                | 41.15                | 27.19                | 68.34                | 12.93                | 24.06                | 36.99                | 4.82                 | 69.06                | 73.88                |
| 8                    | Rajasthan            | 44.84                | 98.60                | 143.44               | 111.44               | 57.33                | 168.77               | 166.33               | 67.16                | 233.49               | 159.94               | 87.84                | 247.78               |
| 9                    | Uttar Pradesh        | 67.96                | 244.25               | 312.21               | 167.33               | 205.02               | 372.35               | 163.20               | 240.97               | 404.17               | 181.50               | 219.74               | 401.24               |
| 10                   | Uttarakhand          | 6.24                 | 9.53                 | 15.77                | 5.61                 | 6.49                 | 12.10                | 6.77                 | 17.64                | 24.41                | 7.57                 | 13.91                | 21.48                |
|                      | Sub Total            | 356.78               | 743.86               | 1,100.64             | 646.36               | 589.73               | 1,236.0 9            | 633.28               | 683.83               | 1,317.1 1            | 636.59               | 788.70               | 1,425.29             |
| B. NE States         | B. NE States         | B. NE States         | B. NE States         | B. NE States         | B. NE States         | 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    | 0.95                 | 4.32                 | 5.27                 | 7.16                 | 0.92                 | 8.08                 | 1.35                 | 6.08                 | 7.43                 | 3.61                 | 19.32                | 22.93                |
| 12                   | Assam                | 159.56               | 29.44                | 189.00               | 81.74                | 28.35                | 110.09               | 38.13                | 56.82                | 94.95                | 141.50               | 83.60                | 225.10               |
| 13                   | Manipur              | 0.01                 | 2.40                 | 2.41                 | 4.47                 | 1.04                 | 5.51                 | 2.02                 | 2.32                 | 4.34                 | 4.37                 | 16.92                | 21.29                |
| 14                   | Meghalaya            | 7.44                 | 6.07                 | 13.51                | 0.72                 | 1.61                 | 2.33                 | 2.90                 | 7.38                 | 10.28                | 9.92                 | 19.02                | 28.94                |
| 15                   | Mizoram              | 5.54                 | 3.83                 | 9.37                 | 5.35                 | 0.56                 | 5.91                 | 0.75                 | 3.24                 | 3.99                 | 1.80                 | 17.26                | 19.06                |

| 16                       | Nagaland                  | 8.36                     | 5.51                     | 13.87                    | 2.26                     | 1.74                     | 4.00                     | 0.59                     | 5.17                     | 5.76                     | 4.98                     | 16.68                    | 21.66                    |
|--------------------------|---------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|
| 17                       | Sikkim                    | 0.29                     | 0.31                     | 0.60                     | 2.41                     | 0.41                     | 2.82                     | 1.95                     | 3.59                     | 5.54                     | 3.92                     | 5.37                     | 9.29                     |
| 18                       | Tripura                   | 3.02                     | 9.26                     | 12.28                    | 2.17                     | 1.43                     | 3.60                     | 8.44                     | 4.88                     | 13.32                    | 3.53                     | 26.10                    | 29.63                    |
|                          | Sub Total                 | 185.16                   | 61.14                    | 246.30                   | 106.28                   | 36.06                    | 142.34                   | 56.14                    | 89.48                    | 145.62                   | 173.63                   | 204.27                   | 377.90                   |
| 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 | 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            | 17.57                    | 58.95                    | 76.52                    | 122.69                   | 72.62                    | 195.31                   | 85.60                    | 43.12                    | 128.72                   | 47.28                    | 45.54                    | 92.82                    |
| 20                       | Goa                       | 1.64                     | 0.96                     | 2.60                     | 1.92                     | 1.18                     | 3.10                     | 1.81                     | 1.58                     | 3.39                     | 0.62                     | 1.69                     | 2.31                     |
| 21                       | Gujarat                   | 12.74                    | 86.83                    | 99.57                    | 42.03                    | 110.23                   | 152.26                   | 44.50                    | 55.62                    | 100.12                   | 109.88                   | 65.20                    | 175.08                   |
| 22                       | Haryana                   | 18.15                    | 35.88                    | 54.03                    | 28.21                    | 38.35                    | 66.56                    | 20.21                    | 14.58                    | 34.79                    | 3.48                     | 40.87                    | 44.35                    |
| 23                       | Karnataka                 | 27.87                    | 57.13                    | 85.00                    | 36.11                    | 51.70                    | 87.81                    | 38.71                    | 62.12                    | 100.83                   | 31.63                    | 68.87                    | 100.50                   |
| 24                       | Kerala                    | 8.81                     | 29.59                    | 38.40                    | 13.45                    | 22.18                    | 35.63                    | 8.48                     | 23.60                    | 32.08                    | 9.72                     | 31.38                    | 41.10                    |
| 25                       | Maharashtra               | 34.19                    | 55.81                    | 90.00                    | 121.32                   | 67.70                    | 189.02                   | 179.57                   | 83.57                    | 263.14                   | 149.71                   | 145.24                   | 294.95                   |
| 26                       | Punjab                    | 30.99                    | 16.12                    | 47.11                    | 36.02                    | 18.44                    | 54.46                    | 70.57                    | 20.15                    | 90.72                    | 96.30                    | 28.54                    | 124.84                   |
| 27                       | Tamil Nadu                | 56.65                    | 68.32                    | 124.97                   | 68.97                    | 71.06                    | 140.03                   | 166.61                   | 50.06                    | 216.67                   | 112.44                   | 66.70                    | 179.14                   |
| 28                       | Telangana                 | -                        | -                        | -                        | -                        | -                        | -                        | 16.11                    | 19.62                    | 35.73                    | 17.42                    | 32.09                    | 49.51                    |
| 29                       | West Bengal               | 46.38                    | 74.14                    | 120.52                   | 73.19                    | 51.95                    | 125.14                   | 109.30                   | 66.65                    | 175.95                   | 123.39                   | 148.87                   | 272.26                   |
|                          | Sub Total                 | 254.98                   | 483.73                   | 738.71                   | 543.92                   | 505.41                   | 1,049.3 3                | 741.45                   | 440.67                   | 1,182.1 2                | 701.89                   | 674.99                   | 1,376.88                 |
| 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      | 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 | 0.06                     | 0.82                     | 0.88                     | 0.01                     | 0.10                     | 0.11                     | 0.15                     | 0.30                     | 0.45                     | -                        | 7.23                     | 7.23                     |
| 31                       | Chandigarh                | 0.04                     | 0.85                     | 0.89                     | -                        | 0.70                     | 0.70                     | -                        | 2.13                     | 2.13                     | 1.37                     | 3.12                     | 4.49                     |
| 32                       | Dadra & Nagar Haveli      | 0.15                     | 0.22                     | 0.37                     | 0.36                     | 0.13                     | 0.49                     | 0.03                     | 0.29                     | 0.32                     | 0.89                     | 1.86                     | 2.75                     |
| 33                       | Daman & Diu               | 0.00                     | 0.12                     | 0.12                     | 0.05                     | 0.07                     | 0.12                     | 0.01                     | 0.11                     | 0.12                     | 0.11                     | 1.26                     | 1.37                     |

| 34   | Delhi       | 0.70   | 17.95    | 18.65    | 18.12     | 16.62     | 34.74     | 2.52     | 17.26     | 19.78     | 0.39      | 30.00    | 30.39    |
|------|-------------|--------|----------|----------|-----------|-----------|-----------|----------|-----------|-----------|-----------|----------|----------|
| 35   | Lakshadweep | -      | 0.04     | 0.04     | 0.00      | 0.03      | 0.03      | 0.10     | 0.03      | 0.13      | 0.07      | 0.88     | 0.95     |
| 36   | Pondicherry | 0.63   | 1.13     | 1.76     | 2.33      | 0.86      | 3.19      | 2.59     | 0.87      | 3.46      | 1.00      | 3.72     | 4.72     |
|      | Sub Total   | 1.58   | 21.13    | 22.71    | 20.88     | 18.51     | 39.39     | 5.40     | 20.99     | 26.39     | 3.83      | 48.07    | 51.90    |
|      | Grand Total | 798.51 | 1,309.86 | 2,108.37 | 1,317.4 4 | 1,149.7 1 | 2,467.1 5 | 1,436.26 | 1,234.9 7 | 2,671.2 3 | 1,515.9 4 | 1,716.03 | 3,231.97 |

Not e: 1. Cash grant is State Program Implementation Plan (SPIP) utilization for the component Procurement of drugs and supplies und e RCH and Mission Flexible Pool. 2. Kind Grants is cost adjustment / release for vaccine and drugs under Immunization & Flexible Pool for Communicable Disease. 3. Kind Grants is updated upto 31/03/2016 and are provisional.