National Health Mission (NHM) encompasses its two Sub-Missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Under NHM, Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system towards the objective of providing accessible, affordable and quality healthcare to all those who access public health facilities.  Support under NHM is provided to States/ UTs to supplement the efforts of the State/UT governments, based on the requirements posted by them in their Programme Implementation Plans (PIPs) and within their overall resource envelope.

The various initiatives carried out under NHM by the Government of India in various States are operationalisation of Ayushman Arogya Mandir, National Ambulance Services, Mobile Medical Units, ASHAs, 24 x 7 Services and First Referral facilities, Prime Minister's National Dialysis Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative, various activities under Reproductive & Child Health, Anemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB Mukt Bharat Abhiyaan (PMTBMBA) and Universal Immunization programme.

The target under National Health Policy and current achievements are as below:

Maternal Mortality Ratio reduced from 103 per 100,000 live births in 2017-2019 to 97 per 100,000 live births in 2018-20 (against target of 100 by year 2020), Infant Mortality Rate reduced from 32 per 1000 live births in 2018 to 28 per 1000 live births in 2020 (against target of 28 by year 2019) and Total Fertility Rate is reduced from 2.2 in 2015-16 as per NFHS-4 to 2.0 in 2019-21 as per NFHS-5 (against target of 2.1 by year 2025).

The details of expenditure under NHM incurred on rural and urban healthcare delivery system during the last five years and the current year, State-wise is attached at Annexure.

Pradhan Mantri Jan Arogya Yojana provides financial protection to deprived rural families and identified occupational categories of urban workers’ families. As per PMJAY dashboard, as on 12.12.2024, 36.16 cr. Ayushman Cards have been created for such beneficiaries. Of these, 29.87 Cr. cards have been created for the beneficiaries residing in rural areas. It offers a benefit cover of Rs. 5,00,000 per family per year (on a family floater basis). Services include a range of procedures covering all the costs related to treatment, including drugs, supplies, diagnostic services, physician's fees, room charges, surgeon charges, OT and ICU charges etc.

The Union Minister of State for Health and Family Welfare, Shri Prataprao Jadhav stated this in a written reply in the Rajya Sabha today.

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MV

HFW/ Update on NHM/17 December 2024/3

 

 

Annexure

State/UT-wise expenditure under NHM incurred on rural and urban healthcare delivery system from FY 2019-20 to FY 2024-25

Sl. N o.	States	2019-20	2020-21	2021-22	2022-23	2023-24	2024-25
		Expenditure	Expenditure	Expenditure	Expenditure	Expenditure	Expenditure
1	Andaman and Nicobar Islands	41.66	42.68	31.2	42.28	40.71	15.16
2	Andhra Pradesh	1820.15	2385.48	2448.67	1,914.34	2,436.62	915.95
3	Arunachal Pradesh	186.21	209.06	248.51	424.78	399.44	132.53
4	Assam	1856.33	1846.86	2194.36	2,307.00	2,626.87	1631.08
5	Bihar	2842.26	2415.34	1905.35	3,717.81	4,010.97	1893.92
6	Chandigarh	20.97	19.52	26.86	26.98	31.85	12.34
7	Chhattisgarh	1464.47	1521.3	1833.45	2,152.45	1,743.79	926.77
8	Dadra & Nagar Haveli	23.67	35.74	45.02	41.61	41.96	12.83
	Daman & Diu	11.36
9	Delhi	173.28	210.83	237.79	298.11	338.41	183.41
10	Goa	58.47	67.43	60.56	84.64	82.44	42.60
11	Gujarat	1864.73	1894.46	1835.81	2,292.35	3,672.25	864.50
12	Haryana	792.64	829.12	879.91	1,185.43	998.80	677.48
13	Himachal Pradesh	469.6	425.58	525.09	567.83	700.67	242.28
14	Jammu and Kashmir	662.56	657.53	779.61	917.02	956.95	340.21
15	Jharkhand	1090.11	999.71	1176.55	1,495.17	1,968.70	581.26
16	Karnataka	2384.28	2320.37	2200.92	2,376.94	2,272.27	550.36
17	Kerala	1023.94	1457.75	1230.96	1,592.96	1,069.42	684.30
18	Lakshadweep	6.55	6.99	7.26	9.29	7.10	3.85
19	Madhya Pradesh	3102.89	3397.82	3714.92	4,489.15	5,079.18	1885.40
20	Maharashtra	3097.08	3503.62	4227.31	4,501.75	5,001.70	2444.04
21	Manipur	196.06	112.79	154.09	214.69	159.32	113.42
22	Meghalaya	166.24	213.36	227.08	319.08	305.83	99.80
23	Mizoram	105.7	131.36	153.16	135.33	148.29	48.93
24	Nagaland	130.37	159.72	192.16	161.93	196.69	58.11
25	Odisha	2220.82	2347.24	2587.72	3,402.50	2,868.83	1384.38
26	Puducherry	44.21	47.32	46.36	48.51	45.74	18.79
27	Punjab	923.31	908.98	918.96	1,054.39	1,201.21	322.01
28	Rajasthan	2559.51	2943.21	3230.01	3,726.21	4,350.63	1460.85
29	Sikkim	54.84	52.06	46.06	88.69	55.69	20.77
30	Tamil Nadu	2557.62	2172.33	3039.39	3,191.84	2,957.57	1500.03
31	Tripura	208.37	249.74	237.24	287.20	277.62	135.86
32	Uttar Pradesh	7453.9	7080.45	6210.2	8,828.29	9,044.22	3606.62
33	Uttarakhand	504.02	503.53	606.07	647.13	709.79	287.40
34	West Bengal	2340.84	2598.62	2229.46	3,509.86	2,817.75	1180.27
35	Telangana	949.96	1354.93	1556.65	2,062.93	1,001.75	667.49
36	Ladakh	0	38.56	62.81	109.67	119.67	48.43

Note:

 

1. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional. The expenditure for 2024-25 w.r.t. flexible pool for RCH, etc. is updated up-to 30.09.2024 except Arunachal Pradesh, Punjab (updated up-to 31.08.2024), Karnataka, Mizoram (updated up-to 31.07.2024) & Meghalaya (updated up-to 30.06.2024).

2. After the reorganization of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and the Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21.

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