Central Government National Health Mission

Central Government National Health Mission

state: Will the Minister of HEALTH AND FAMILY WELFARE be pleased to 
  • (a) the details of funds allotted and utilised under the National Health Mission (NHM) since its inception, State-wise including Haryana; 
  • (b) whether the Government has taken/proposes to take any steps to allocate more funds to strengthen the National Health Mission and make it more effective; 
  • (c) if so, the details thereof and if not, the reasons therefor; 
  • (d) the details of Community Health Centres (CHCs) and Public Health Centres (PHCs) established under NHM since its inception, State-wise including Haryana; and 
  • (e) the steps taken by the Government to assess the implementation and progress of NHM along with its present status? 
Central+Government+National+Health+Mission
ANSWER 
THE MINISTER OF HEALTH AND FAMILY WELFARE 
(SHRI JAGAT PRAKASH NADDA) 

(a) to (e)   A Statement is laid on the Table of the House. 

STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO.97* FOR 8TH FEBRUARY, 2019 

(a)   A statement showing funds released and utilised since the inception (2013-14) of National Health Mission (NHM), State-wise including Haryana is at Annexure-1. 

(b) and (c)  The Government has continued to allocate more funds to strengthen the National Health Mission. Further, there has been an increase in State share for NHM from 25% to 40% in all States except Hill States and North Eastern States. In addition, the States are required to increase their State Health Budget by at least 10% annually as per the Memorandum of Understanding (MoU) under NHM. Details are provided at Annexure-2. 

(d) It is the State Governments that establish the Primary Health Centres and Community Health Centres. The number of CHCs and PHCs for which support has been rendered under NHM in 2018-19, State-wise including Haryana is at Annexure-3. 

(e) The working of National Health Mission (NHM) is reviewed/assessed inter-alia through external surveys such as, National Family Health Survey (NFHS) and Sample Registration System (SRS). Further, Common Review Missions (CRMs) also undertake a review of NRHM/NHM every year. 

Performance of National Health Mission is also reviewed by the Ministry periodically including through the Health Management Information System (HMIS), Reproductive and Child Health portal, NIKSHAY portal (for TB patients) and Comprehensive Primary Health Care Portal. To monitor the progress of Health & Wellness Centres, the AB-HWC portal has been created. 

In addition, annual audits by the Comptroller Auditor General of India (CAG) and Statutory audits etc., financial monitoring and management of funds is carried out through Public Financial Management System (PFMS) that tracks the flow of funds at different levels. The Ministry is also focusing on outcome-based monitoring. 
 Annexure-1
Rs. in crore

Sl. No.

Name of the States/UTs
Total Central Releases under NHM (2013-14)
onwards
Total Expenditure reported by States/UTs (2013-14 onwards)
1
Andaman & Nicobar Islands
186.81
156.54
2
Andhra Pradesh
4,669.65
6,725.31
3
Arunachal Pradesh
958.36
716.43
4
Assam
6,515.27
6,527.83
5
Bihar
7,550.40
8,986.01
6
Chandigarh
114.41
118.22
7
Chhattisgarh
3,442.12
4,994.79
8
Dadra & Nagar Haveli
86.97
82.99
9
Daman & Diu
58.09
52.40
10
Delhi
1,126.28
996.10
11
Goa
143.91
189.42
12
Gujarat
5,558.37
6,992.27
13
Haryana
2,237.89
2,943.96
14
Himachal Pradesh
1,560.10
1,670.35
15
Jammu & Kashmir
3,318.70
2,989.22
16
Jharkhand
2,842.46
3,206.96
17
Karnataka
5,504.30
6,983.67
18
Kerala
3,082.84
4,023.37
19
Lakshadweep
29.55
19.13
20
Madhya Pradesh
7,863.89
10,568.36
21
Maharashtra
8,297.83
10,116.48
22
Manipur
680.57
510.12
23
Meghalaya
784.78
652.54
24
Mizoram
575.69
534.54
25
Nagaland
646.72
483.55
26
Orissa
4,615.36
6,520.65
27
Puducherry
160.29
158.74
28
Punjab
2,294.14
3,244.04
29
Rajasthan
7,652.02
9,790.30
30
Sikkim
268.16
254.20
31
Tamil Nadu
6,613.72
10,711.38
32
Tripura
842.60
768.75
33
Uttar Pradesh
19,039.53
26,288.77
34
Uttarakhand
1,711.20
1,890.30
35
West Bengal
6,113.57
9,503.84
36
Telangana
2,060.31
3,101.19
Total
119,206.86
153,472.72
Note
         (1) National Health Mission (NHM) has come into existence from 2013-14, comprising of two sub Missions viz. National Rural Health Mission and National Urban Health Mission. 
          (2) Release is the Central Release given by the Ministry and Expenditure is inclusive of Central and State share grants. 
          (3) Release is updated up to 14.1.2019 and expenditure is updated up to 30.09.2018. 
         (4) The expenditure is as per the Financial Management Report (FMR) as reported by the States and hence provisional. 
Annexure-2



Financial Year

Total Funds for NHM
(Central Grants +Proportionate State Share)
(Rs. in Crore)
2013-14

22,332.10
2014-15
23,454.82
2015-16
28,017.37
2016-17
28,862.42
2017-18
38,552.53

Annexure -3
NHM for PHCs & CHCs in 2018-19



S. No.


Name of the State / UT
No. of facilities
PHCs
CHCs
Rural
Urban
Total
Rural
Urban
Total
1
Andhra Pradesh
1147
244
1391
193
0
193
2
Arunachal Pradesh
143
4
147
63
0
63
3
Assam
946
55
1001
172
2
174
4
Bihar
1899
100
1999
150
0
150
5
Chhattisgarh
793
45
838
169
3
172
6
Goa
25
4
29
4
0
4
7
Gujarat
1474
314
1788
363
7
370
8
Haryana
368
100
468
113
2
115
9
Himachal Pradesh
576
8
584
91
0
91
10
Jammu & Kashmir
637
49
686
84
0
84
11
Jharkhand
298
53
351
171
6
177
12
Karnataka
2359
364
2723
206
9
215
13
Kerala
849
83
932
227
0
227
14
Madhya Pradesh
1171
259
1430
309
1
310
15
Maharashtra
1823
618
2441
361
37
398
16
Manipur
91
9
100
23
0
23
17
Meghalaya
108
19
127
28
0
28
18
Mizoram
57
8
65
9
0
9
19
Nagaland
126
6
132
21
0
21
20
Odisha
1288
97
1385
377
7
384
21
Punjab
432
104
536
151
12
163
22
Rajasthan
2078
245
2323
588
11
599
23
Sikkim
24
6
30
2
0
2
24
Tamil Nadu
1421
420
1841
385
15
400
25
Telangana
643
247
890
91
0
91
26
Tripura
108
7
115
22
0
22
27
Uttarakhand
257
39
296
67
0
67
28
Uttar Pradesh
3621
592
4213
822
10
832
29
West Bengal
913
459
1372
348
0
348
30
Andaman & Nicobar Islands
22
5
27
4
0
4
31
Chandigarh
0
3
3
0
2
2
32
Dadra & Nagar Haveli
9
2
11
2
0
2
33
Daman & Diu
4
1
5
2
0
2
34
Delhi
5
251
256
0
45
45
35
Lakshdweep
4
0
4
3
0
3
36
Puducherry
24
5
29
3
0
3
All India
25743
4825
30568
5624
169
5793
Source: Rural Health Statistics (RHS) of 2018 for Rural health facilities and ROPs issued to States for Urban health facilities.
GOVERNMENT OF INDIA 
MINISTRY OF HEALTH AND FAMILY WELFARE 
DEPARTMENT OF HEALTH AND FAMILY WELFARE 

LOK SABHA 
STARRED QUESTION NO.97 
TO BE ANSWERED ON THE 8TH FEBRUARY, 2019 

NATIONAL HEALTH MISSION 

97. SHRI PRATAPRAO JADHAV
SHRI DUSHYANT CHAUTALA 
*****

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