Ministry of Health and Family Welfare
azadi ka amrit mahotsav

Funds Allocated and Key Achievements made under National Health Mission

Posted On: 17 DEC 2021 2:31PM by PIB Delhi

 

Under the National Health Mission (NHM), Government of India provides financial and technical support to States/UTs to strengthen their healthcare systems. The details of funds allocated/released/utilized under various programmes under the National Rural Health Mission and National Urban Health Mission for strengthening or upgrading health sector in the country, State/UT-wise is at Annexure-I and II.  State wise key achievements made under National Health Mission are at Annexure-III and IV.

The Government has continued to allocate more funds to strengthen the National Health Mission (NHM). Allocation under NHM has increased from Rs.27,989crore in 2020-21 to Rs.31,100 crore in 2021-22 Budget Estimate. Further, the National Health Policy, 2017, also envisages the States to increase their health spending to at least 8% of their health budget and the policy advocates allocating major proportion (up to two thirds or more) of resources to primary care followed by secondary and tertiary care.

The 'India COVID-19 Emergency Response and Health System Preparedness Package-I' (ECRP-I) of Rs.15,000crore has been approved with an objective to prevent, detect and respond to the threat posed by COVID-19. Further, the Cabinet has also approved the scheme, "India Covid-19 Emergency Response and Health Systems Preparedness Package -II" (ECRP-II) for an amount of Rs.23,123crore. This is a Centrally Sponsored Scheme (CSS) with some Central Sector (CS) components. The Scheme is aimed further to prevent, detect and respond to the continuing threat posed by COVID-19 and strengthen national health system for preparedness in India. In order to ensure implementation of critical activities at the State/District levels to prepare the public healthcare system in response to the evolving pandemic, 50% of Central Share of Resource Envelope of the State/UT, has been released inadvance to the States/UTs.

The PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched by Hon'ble Prime Minister of India for an amount of Rs.64,180crore. The measures under the scheme focus on developing capacities of health systems and institutions across the continuum of care at all levels viz. tertiary and primary, secondary preparing health systems effectively pandemics/disasters.

Further, Government of India continues to keep a close watch over COVID-19 situation in the country and globally. Government is supporting states in their endeavor to manage COVID-19 since the beginning of pandemic. Requisite support is provided to States/UTs to enhance preparedness and response capacities against COVID-19 and other public health emergencies. Some of the major areas of intervention include:

  • Ministry of Health & Family Welfare continues to provide technical guidance for managing various aspects of COVID-19. So far more than 150 guidelines/advisories/SoPs/plans have been provided to States/UTs.
  • Guidelines on Clinical management of COVID-19 continue to be updated with emerging scientific evidence. The treatment protocol for adults was last updated on 24th May 2021 and has been widely circulated.
  • Guidelines for management of COVID-19 in children were issued on 18th June 2021. The guideline covers guidance on management of acute presentation of COVID-19 as well as Multisystem Inflammatory Syndrome (MIS-C) in children and adolescents found temporally related to COVID-19.
  • A Comprehensive Guidelines for Management of Post-COVIDSequelae was issued by MoHFW on 21stOctober 2021 after expert consultations to guide doctors on post-COVID-19 complications and their management.
  • Travel advisories for international travelers have been revised from time to time based on the epidemiological situation of COVID-19 including circulation of Variants of Concern (including Omicron) of SARS-CoV-2. In view of declaration of Omicron variant as a Variant of Concern by the World Health Organization, guidelines for international arrivals were updated on 28th November 2021. As per the current guidelines, all travelers (irrespective of COVID-19 vaccination status) coming from countries deemed ‘at-risk’ are required to mandatorily undergo post-arrival COVID-19 testing at the arrival. Such travelers will also need to undergo a mandatory home quarantine for 7 days followed by repeat testing on 8th day of arrival in India to be monitored by State Health Authorities.Additionally, 2% of travelers from countries not deemed ‘at-risk’ shall also be subjected to post-arrival COVID-19 testing in India.
  • Union Ministry of Health & FW has advised all States to (i) ensure rigorous follow up and testing of travelers from ‘at-risk’ countries, (ii) send positive samples for genome sequencing to INSACOG labs in a prompt manner, (iii) ramp up testing for COVID-19, (iv) ensure preparedness of health infrastructure (availability of ICU, O2 beds, ventilators, etc.), (v) ramp up COVID-19 vaccination rates and (vi) ensure adherence to COVID appropriate behavior etc.
  • To further provide on-field assistance to the States/UTs, a total of 172 Central multi-disciplinary teams comprising of epidemiologists, clinicians, microbiologists and senior officials from the Ministry has been deployed to States/Districts reporting increased trajectory of cases.

 

               

Annexure I

State/UT wise Central Allocation, Central Releases and Expenditure under National Rural Health Mission (NRHM) from the FY 2019-20 to 2021-22

 

 

 

 

 

 

   

Rs. in crore

S. No.

Name of the State/UT

2019-20

2020-21

2021-22

Central Release

 Expenditure

Central Release

 Expenditure

Central Allocation

Central Release

 Expenditure

1

Andaman & Nicobar Islands

34.43

41.13

36.37

26.98

40.97

28.95

14.30

2

Andhra Pradesh

1054.08

1688.81

1037.21

2102.22

1175.66

747.40

1166.21

3

Arunachal Pradesh

185.25

184.84

241.64

207.57

292.84

13.55

65.46

4

Assam

1721.69

1829.70

1782.37

1751.58

1713.49

869.49

840.18

5

Bihar

1486.65

2824.09

1803.05

2394.46

2002.33

897.38

344.99

6

Chandigarh

19.38

16.60

18.01

9.86

21.88

11.71

12.49

7

Chhattisgarh

792.83

1414.71

958.43

1474.41

964.29

416.83

603.26

8

Dadra & Nagar Haveli

25.14

23.02

35.81

34.99

45.52

27.91

28.29

9

Daman & Diu

16.68

11.12

10

Delhi

108.63

124.72

97.20

162.97

149.03

36.33

88.17

11

Goa

35.12

57.72

33.83

66.33

39.19

4.41

42.73

12

Gujarat

1057.35

1748.39

961.08

1769.17

1101.56

536.06

648.52

13

Haryana

540.04

747.16

508.50

732.35

543.21

338.39

331.73

14

Himachal Pradesh

504.23

468.92

440.83

425.09

506.12

208.10

197.44

15

Jammu & Kashmir

692.49

651.98

656.39

600.20

705.17

121.65

134.15

16

Jharkhand

815.72

1068.98

596.02

984.74

920.13

207.61

72.32

17

Karnataka

1120.14

2259.32

1178.89

2192.98

1250.45

616.48

485.96

18

Kerala

814.36

988.21

766.56

1312.36

762.40

511.72

384.47

19

Lakshadweep

6.16

6.55

7.11

6.99

9.53

5.97

3.69

20

Madhya Pradesh

1684.59

3038.31

2311.39

3329.18

2152.50

1340.84

1664.63

21

Maharashtra

1579.12

2966.07

1686.67

3097.21

1786.34

162.28

921.13

22

Manipur

181.61

193.76

188.93

111.35

204.96

17.87

62.43

23

Meghalaya

135.80

160.56

199.42

206.26

207.30

44.07

66.24

24

Mizoram

122.06

101.70

139.05

127.83

136.47

13.60

48.58

25

Nagaland

119.41

127.19

184.26

146.02

170.86

26.67

70.66

26

Odisha

1453.04

2154.62

1597.69

2295.64

1218.00

624.08

722.21

27

Puducherry

29.18

40.45

23.68

41.17

34.01

3.28

17.95

28

Punjab

691.23

883.10

544.60

848.48

464.09

131.52

186.42

29

Rajasthan

1750.34

2478.44

1964.29

2761.23

1987.08

296.60

1015.36

30

Sikkim

52.84

54.25

69.03

51.03

69.92

9.58

22.32

31

Tamil Nadu

1349.28

2432.96

1437.32

2049.33

1445.44

317.18

1023.75

32

Tripura

233.56

203.46

223.18

244.18

230.42

127.26

83.43

33

Uttar Pradesh

4634.96

7250.36

3672.27

6152.72

4316.38

824.32

1574.56

34

Uttarakhand

341.15

497.22

575.98

465.52

621.47

223.75

162.44

35

West Bengal

1677.47

2209.93

1812.63

2443.29

1558.68

586.96

800.46

36

Telangana

924.03

859.18

624.55

1239.51

776.83

173.71

172.01

37

Ladakh

0.00

0.00

91.62

38.56

111.85

24.39

8.19

Note: 

               

1. Allocation for the FY 2021-22 is as per original outlay/B.E.

2. The above releases relate to Central Govt. Grants & do not include State share contribution. Release for the F.Y. 2021-22 is updated upto 24.11.2021.

3. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per available Financial Management Report (FMR) submitted by States/UTs and is updated upto 30.09.2021.

4. The above data comprises of cash grants and commodity support.

         

 

 

 

           

Annexure II

State/UT wise Central Allocation, Central Releases and Expenditure under National Urban Health Mission (NUHM) from the FY 2019-20 to 2021-22

 

 

 

 

 

 

 

Rs. in crore

S. No.

Name of the State/UT

2019-20

2020-21

2021-22

Central Release

 Expenditure

Central Release

 Expenditure

Central Allocation

Central Release

 Expenditure

1

Andaman & Nicobar Islands

0.49

0.53

0.54

0.87

0.65

0.39

0.50

2

Andhra Pradesh

56.99

131.34

60.60

173.20

62.29

27.70

49.99

3

Arunachal Pradesh

0.70

1.38

1.40

1.49

1.43

0.00

0.12

4

Assam

27.55

26.64

25.11

26.73

19.15

5.74

13.01

5

Bihar

24.03

18.17

11.58

20.88

24.36

9.74

0.00

6

Chandigarh

3.39

4.37

4.20

4.69

4.42

0.00

1.89

7

Chhattisgarh

23.24

49.75

20.98

46.89

21.56

8.62

59.76

8

Dadra & Nagar Haveli

0.19

0.64

0.58

0.75

0.63

0.29

1.17

9

Daman & Diu

0.11

0.24

10

Delhi

30.11

48.56

28.53

47.86

30.61

0.00

22.55

11

Goa

0.35

0.75

0.98

1.10

1.38

0.00

0.54

12

Gujarat

53.45

116.34

44.58

125.29

45.84

25.13

45.86

13

Haryana

27.67

45.48

23.00

48.08

23.64

12.96

21.97

14

Himachal Pradesh

0.61

0.68

1.11

0.48

1.35

0.14

0.35

15

Jammu & Kashmir

9.71

10.58

11.07

12.67

11.08

1.35

1.22

16

Jharkhand

14.91

21.13

6.78

14.97

13.07

2.62

0.00

17

Karnataka

53.63

124.95

53.30

119.55

54.78

24.75

18.46

18

Kerala

21.78

35.73

21.66

52.01

22.28

10.06

10.21

19

Lakshadweep

0.00

0.00

0.00

0.00

0.00

0.00

0.00

20

Madhya Pradesh

44.14

64.58

65.75

68.64

67.59

0.00

33.38

21

Maharashtra

145.87

131.01

146.92

203.11

152.53

0.00

92.09

22

Manipur

4.04

2.30

0.56

1.44

2.23

0.00

0.10

23

Meghalaya

5.37

5.68

3.21

7.10

3.73

0.75

5.42

24

Mizoram

5.18

4.00

4.68

3.53

4.47

0.00

1.72

25

Nagaland

3.82

3.19

3.95

4.15

4.60

0.92

2.39

26

Odisha

22.10

66.20

19.94

51.60

20.50

8.20

21.75

27

Puducherry

2.38

3.76

1.87

4.62

2.57

0.00

1.75

28

Punjab

20.79

40.21

23.54

60.49

24.19

2.64

11.66

29

Rajasthan

31.49

81.07

36.29

65.23

37.30

0.00

34.86

30

Sikkim

0.71

0.59

1.10

1.03

1.58

0.24

0.45

31

Tamil Nadu

74.94

124.66

85.39

123.00

87.76

39.65

16.82

32

Tripura

5.91

4.91

2.73

5.56

7.80

2.34

2.71

33

Uttar Pradesh

114.09

203.54

100.68

209.98

103.48

0.00

59.76

34

Uttarakhand

7.68

6.80

7.27

14.84

7.53

1.17

8.79

35

West Bengal

71.85

130.91

82.38

155.33

84.67

16.47

62.69

36

Telangana

40.31

90.78

47.33

115.42

48.65

0.00

13.78

37

Ladakh

0.00

0.00

0.27

0.00

0.30

0.06

0.00

Note: 

               

1. Allocation for the FY 2021-22 is as per original outlay/B.E.

2. The above releases relate to Central Govt. Grants & do not include State share contribution. Release for the F.Y. 2021-22 is updated up to 24.11.2021.

3. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per available Financial Management Report (FMR) submitted by States/UTs and is updated upto 30.09.2021.

4. The above data comprises of Other NUHM and Ayushman Bharat-Health & Wellness Centres (AB-H&WC) under NUHM.

   
                             

Annexure-III

Achievements of NHM:

Key achievements of NHM inter-alia include the following: 

  1. Reduction in Out of Pocket Expenditure (OOPE):The OOPE has reduced over the years from 64.21% in FY 2013-14 to 48.8% in FY 2017-18 as per National Health Account of 2017-18.
  2. Maternal Mortality Rate (MMR) has declined from 556/lakh live births in 1990 to 113/lakh live births in 2016-2017. Rate of decline of MMR in India at 77% is much higher than global average decline of 44% over the same period.
  3. Infant Mortality Rate (IMR), declined from 80 in 1990 to 32 in the year 2018. 
  4. Under 5 Mortality Rate (U5MR), declined from 52 in 2012 to 36 in 2018,
  5. Total Fertility Rate (TFR) declined from 2.3 in 2013 to 2.2 in the year 2018.
  6. The incidence of Tuberculosis per 1,00,000 population reduced from 234 in 2012 to 193 in 2019. The mortality due to TB per 1,00,000 populations also reduced from 42 in 2012 to 33 in 2019.
  7. The number of districts that achieved the target of leprosy elimination increased from 543 districts in 2011-2012 to 554 by March 2017 and to 571 districts by March 2018. The prevalence rate of Leprosy reduced to less than 1/10000 population in 610 Districts in 2020. 
  8. For Malaria, Annual Parasitic Index (API) was sustained at levels of less than 1 and declined from 0.89 in 2014 to 0.32 in 2018, and 0.25, in 2019. Malaria cases and deaths declined from 21.27% and 20% respectively in 2019 from 2018. 
  9. By the end of December 2019, 94% Kala-azar endemic blocks have achieved the elimination target of <1 KA case per 10,000 population at block level.
  10. The National target for sustaining Dengue related case fatality rate to less than 1% was met. Dengue related case fatality rate in 2014 was 0.3% and reduced to 0.1% in 2019. 
  11. The prevalence of blindness (visual acuity <3/60) has reduced to 0.36% in 2019) from 0.68% in 2010. 
  12. There is a 17.3% relative reduction in prevalence of tobacco use from 34.6% to 28.6% from 2009-10 to 2016-17.
  13. Proportion of those seeking care from public health facilities, increased from 28.3% to 32.5% in rural areas and 21.2% to 26.2% in urban areas between 2014 to 2017.; and utilization of public health facilities for institutional deliveries increased from 56% to 69.2% in rural areas and from 42% to 48.3% in urban areas.  

Annexure-IV

Physical Achievement/Progress under National Health Mission

(As on June 2021) *

 

S.N

State/UTs

Health Human Resources Augmentation

Functional FRUs (First Referral Units)

Mobile Medical Units (operational)

Ambulances

(Operational)

Accredited Social Health Activists (ASHAs)

No of PHCs working on 24X7 basis

Setting up of RogiKalyanSamitis

Village Health Sanitation and Nutrition Committees

constituted

 
 

1

Bihar

15354

66

0

1244

92597

496

1918

8406

 

2

Chhattisgarh

7252

37

30

625

71486

256

1013

19180

 

3

Himachal Pradesh

1124

19

12

329

32388

81

777

7831

 

4

Jammu & Kashmir

7993

51

10

426

12595

190

741

6494

 

5

Jharkhand

8008

50

92

2140

42670

114

582

30012

 

6

Madhya Pradesh

15274

148

0

1462

81683

771

1673

49567

 

7

Odisha

6618

74

9

1125

47348

131

1795

46064

 

8

Rajasthan

10803

83

299

1335

66959

990

3143

43440

 

9

Uttar Pradesh

32331

334

170

4720

164341

439

1760

72880

 

10

Uttarakhand

3534

50

17

354

13111

87

324

15296

 

11

Arunachal Pradesh

1893

13

16

239

4082

64

228

3772

 

12

Assam

16995

72

130

1035

32546

314

1244

28149

 

13

Manipur

1525

7

9

43

4009

66

132

3878

 

14

Meghalaya

1683

9

4

50

6827

65

172

6310

 

15

Mizoram

1242

9

9

65

1170

41

86

830

 

16

Nagaland

845

14

11

80

1992

33

170

1346

 

17

Sikkim

360

3

0

9

656

24

30

641

 

18

Tripura

507

11

0

50

8044

84

155

1038

 

19

Andhra Pradesh

6204

239

67

628

42209

1144

1382

12940

 

20

Goa

530

2

0

55

0

13

37

247

 

21

Gujarat

11802

130

74

636

48858

311

2217

17672

 

22

Haryana

8590

27

12

438

20120

246

655

6049

 

23

Karnataka

13661

172

70

909

46996

956

2938

26087

 

24

Kerala

5228

87

31

315

30405

171

1314

19692

 

25

Maharashtra

23272

173

50

3584

68656

1720

3553

39770

 

26

Punjab

4981

185

33

242

21847

211

679

12982

 

27

Tamil Nadu

30804

577

420

1113

4309

1316

2577

15015

 

28

Telangana

13564

156

0

727

32575

314

1074

10426

 

29

West Bengal

18279

143

49

3465

63609

234

1209

48472

 

30

A&N Island

330

1

0

1

422

20

33

275

 

31

Chandigarh

400

4

0

6

0

0

3

0

 

32

D&N Haveli/Daman & Diu

452

8

3

11

670

9

12

89

 

33

Delhi

1629

32

2

229

6045

1

33

0

 

34

Ladakh

574

5

1

18

593

12

41

247

 

35

Lakshadweep

232

6

0

0

110

4

9

9

 

36

Puducherry

416

4

4

11

220

23

48

100

 

TOTAL

274289

3001

1634

27719

1072148

10951

33757

555206

 

 

The Union Minister of State for Health and Family Welfare, Dr Bharati Pravin Pawar stated this in a written reply in the Lok Sabha today.

****

MV/AL

HFW/PQ/Funds Allocated and Key Achievements made under NHM/17thDecember2021/5



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