Implementation of Reproductive and Child Health Programme under Nation Rural Health Mission

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Press Information Bureau
Government of India
Ministry of Health and Family Welfare
08-August-2014 16:12 IST

The Government has been implementing the Reproductive and Child Health (RCH) programme under the umbrella of National Rural Health Mission for providing health facilities to women and children in the country. A brief note on the RCH Programme is given below:

Brief Notes on RCH Programme

I. Background

Reproductive and Child Health (RCH) programme is a comprehensive sector wide flagship programme, under the bigger umbrella of the Government of India’s (GoI) National Rural Health Mission (NRHM)( Now part of National Health Mission), to deliver the RCH targets for reduction of maternal and infant mortality and total fertility rates. RCH program aims to reduce social and geographical disparities in access to, and utilisation of quality reproductive and child health services. Launched in April 2005 in partnership with the state governments, it is consistent with GoI’s National Population Policy-2000, the National Health Policy-2001 and the Millennium Development Goals.

The Millennium Development Goals (MDGs) are eight goals to be achieved by 2015 that respond to the world's main development challenges, the focus being the human dimension. Out of the eight goals MDG 4 and 5 relates to improving the health of maternal and child.

RCH goals and achievements

S.no	Indicator	MDG	NRHM Goals	Achievement	Source
1	Infant Mortality Rate	28	30 per 1,000 live births	42 per 1,000 live births	SRS 2012
2	Maternal Mortality Ratio	Reduce this by ¾ by 2015	100 per 1,00,000 live births	178 per 1,00,000 live births	SRS 2010-12
3	Total Fertility Rate	-	2.1	2.4	SRS 2012

To achieve the MDG and NRHM goals the RCH programme is being implemented with flexible programming approach by allowing the States to develop need based annual plans known as State Programme Implementation Plan.

The major components of the RCH programme are Maternal Health, Child Health, Immunization, Family Planning, Adolescent Health (AH) and PC-PNDT. The details on each of the components of RCH programme are already available on public domain on the official website at the links provided below:

Maternal Health

http://nrhm.gov.in/nrhm-components/rmnch-a/maternal-health/background.html

Child Health and Immunization

http://nrhm.gov.in/nrhm-components/rmnch-a/child-health-immunization.html

Family Planning

http://nrhm.gov.in/nrhm-components/rmnch-a/family-planning/background.html

Adolescent Health

http://nrhm.gov.in/nrhm-components/rmnch-a/adolescent-health/adolescent-health/background.html

PCPNDT

http://mohfw.nic.in/index1.php?lang=1&level=3&sublinkid=4121&lid=2730

II. Funds allocation under the programme

Fund allocations to States for Reproductive and Child Health programme has been increased from 1699.16 crores in 2005-06 to 5700.00 crores in 2014-15.

Allocation
Year	(Rs. in Crores)
2005-06	1699.16
2006-07	1998.22
2007-08	1966.50
2008-09	3126.04
2009-10	3545.00
2010-11	3850.00
2011-12	4212.75
2012-13	4935.51
2013-14	5347.01
2014-15	5700.00

III. Programme review and monitoring

Review Missions

To assess the progress made by the States in RCH programme, annual review in the form of Common Review Mission (CRM) is being conducted. The review is being led by GoI officials with representation from other Ministries, public health institutions, development partners and civil society. Based on the field observations, CRM report is prepared with the recommendations and shared with the States and Programme Divisions of the Ministry. So, far seven CRMs have been held. The seventh CRM was held during 8-15 November 2013.

Monitoring and Evaluation

In addition to the annual review missions, several other mechanisms are put in place to assess the programme implementation of the States. The monitoring is being done both internally by the officials of MoHFW as well in support from the externally agencies.

As a part of internal monitoring a team of officials and consultants of the ministry regularly visits the states for a week. During the visit the team observes various technical components of the RCH programme in terms of services delivery at the health facilities. The monitoring also concentrates in the other parts of the programmes i.e. training, human resources, programme management etc. Based on the field observation recommendations in the form of report is being shared with the States.

Evaluation Surveys: M & E division organizes periodic surveys namely National Family Health Survey (NFHS) District Level Household Surveys (DLHS), Facility Surveys.

Regional Evaluation Survey (RET): RET’s monitor and evaluate the programme implementation.

A statement of trend on reduction in IMR and MMR during 2006-2012 is given below:

Sl.No.	States	Infant Mortality Rate (Source: SRS)
Sl.No.	States	2006	2007	2008	2009	2010	2011	2012
	ALL INDIA	57	55	53	50	47	44	42
1	Andhra Pradesh	56	54	52	49	46	43	41
2	Assam	67	66	64	61	58	55	55
3	Bihar	60	58	56	52	48	44	43
4	Chhattisgarh	61	59	57	54	51	48	47
5	Gujarat	53	52	50	48	44	41	38
6	Haryana	57	55	54	51	48	44	42
7	Jharkhand	49	48	46	44	42	39	38
8	Karnataka	48	47	45	41	38	35	32
9	Kerala	15	13	12	12	13	12	12
10	Madhya Pradesh	74	72	70	67	62	59	56
11	Maharashtra	35	34	33	31	28	25	25
12	Odisha	73	71	69	65	61	57	53
13	Punjab	44	43	41	38	34	30	28
14	Rajasthan	67	65	63	59	55	52	49
15	Tamil Nadu	37	35	31	28	24	22	21
16	Uttar Pradesh	71	69	67	63	61	57	53
17	W. Bengal	38	37	35	33	31	32	32
18	Arunachal Pradesh	40	37	32	32	31	32	33
19	Delhi	37	36	35	33	30	28	25
20	Goa	15	13	10	11	10	11	10
21	Himachal Pradesh	50	47	44	45	40	38	36
22	J & K	52	51	49	45	43	41	39
23	Manipur	11	12	14	16	14	11	10
24	Meghalaya	53	56	58	59	55	52	49
25	Mizoram	25	23	37	36	37	34	35
26	Nagaland	20	21	26	26	23	21	18
27	Sikkim	33	34	33	34	30	26	24
28	Tripura	36	39	34	31	27	29	28
29	Uttarakhand	43	48	44	41	38	36	34
30	A&N Islands	31	34	31	27	25	23	24
31	Chandigarh	23	27	28	25	22	20	20
32	D&N Haveli	35	34	34	37	38	35	33
33	Daman & Diu	28	27	31	24	23	22	22
34	Lakshadweep	25	24	31	25	25	24	24
35	Puducherry	28	25	25	22	22	19	17

Under-five Mortality Rates (U5MR) ( Source: SRS)
	2008	2009	2010	2011	2012
India	69	64	59	55	52
Andhra Pradesh	58	52	48	45	43
Assam	88	87	83	78	75
Bihar	75	70	64	59	57
Chhattisgarh	71	67	61	57	55
Delhi	40	37	34	32	28
Gujarat	60	61	56	52	48
Haryana	65	60	55	51	48
Himachal Pradesh	50	51	49	46	43
Jammu & Kashmir	55	50	48	45	43
Jharkhand	65	62	59	54	50
Karnataka	55	50	45	40	37
Kerala	14	14	15	13	13
Madhya Pradesh	92	89	82	77	73
Maharashtra	41	36	33	28	28
Orissa	89	84	78	72	68
Punjab	49	46	43	38	34
Rajasthan	80	74	69	64	59
Tamil Nadu	36	33	27	25	24
Uttar Pradesh	91	85	79	73	68
West Bengal	42	40	37	38	38

Maternal Mortality Ratio( MMR) ( Source: SRS)
	2001-03	2004-06	2007-09	2010-12
India & Major States	MMR 2001-03	MMR 2004-06	MMR 2007-09	MMR 2010-12
India & Major States	MMR 2001-03	MMR 2004-06	MMR 2007-09	MMR 2010-12
INDIA TOTAL	301	254	212	178
Assam	490	480	390	328
Bihar	371	312	261	219
Jharkhand	371	312	261	219
Madhya Pradesh	379	335	269	230
Chhattisgarh	379	335	269	230
Orissa	358	303	258	235
Rajasthan	445	388	318	255
Uttar Pradesh	517	440	359	292
Uttaranchal	517	440	359	292
EAG AND ASSAM SUBTOTAL	438	375	308	257
Andhra Pradesh	195	154	134	110
Karnataka	228	213	178	144
Kerala	110	95	81	66
Tamil Nadu	134	111	97	90
SOUTH SUBTOTAL	173	149	127	105
Gujarat	172	160	148	122
Haryana	162	186	153	146
Maharashtra	149	130	104	87
Punjab	178	192	172	155
West Bengal	194	141	145	117
Other	235	206	160
OTHERS SUBTOTAL	199	174	149	127

A statement showing allocation, release and expenditure under Reproductive and Child Health Programme for F.Ys 2011-12 to 2014 -15 in respect of all States/UTs is given below:

Allocation, Release & Expenditure under RCH Flexible Pool For F.Ys. 2011-12 to 2014-15
Rs. In crore
Sl. No.	States		2011-12			2012-13			2013-14			2014-15
			Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp
1	Andaman & Nicobar Islands		1.18	1.18	6.03	1.16	0.87	6.80	1.26	3.65	8.57	3.92	0.00
2	Andhra Pradesh		235.74	183.56	171.65	258.76	258.76	325.51	280.40	224.32	319.42	325.23	108.41
3	Arunachal Pradesh		12.93	14.41	17.99	17.30	12.98	16.47	18.53	20.78	25.26	64.55	0.00
4	Assam		316.76	331.90	404.34	390.06	310.46	446.70	417.68	367.55	436.39	367.06	122.35
5	Bihar		333.91	333.91	470.36	412.43	309.32	614.78	446.91	335.18	729.30	391.20	0.00
6	Chandigarh		2.76	2.76	3.39	3.22	2.42	4.79	3.49	2.62	8.52	2.73	0.00
7	Chhattisgarh		96.58	121.58	138.90	117.09	87.82	167.00	126.88	104.67	175.47	160.98	53.66
8	Dadra & Nagar Haveli		0.79	1.21	2.45	1.05	1.92	3.08	1.14	2.81	4.71	3.54	0.00
9	Daman & Diu		0.40	0.55	1.56	0.74	0.56	2.86	0.80	2.25	4.18	2.51	0.84
10	Delhi		42.18	31.64	47.79	51.20	37.39	56.31	55.48	43.55	63.22	43.44	14.48
11	Goa		4.34	3.33	5.01	4.46	4.46	4.79	4.83	4.20	5.85	5.02	0.00
12	Gujarat		156.90	176.59	164.55	184.55	184.55	221.49	199.98	176.98	212.61	231.17	77.06
13	Haryana		65.44	85.44	86.99	77.49	77.49	116.19	83.96	86.48	154.74	82.37	0.00
14	Himachal Pradesh		28.38	22.85	20.16	31.43	23.55	38.27	71.68	70.65	63.78	70.28	23.43
15	Jammu & Kashmir		46.91	61.91	84.29	57.53	57.53	112.89	161.34	156.71	151.89	158.18	0.00
16	Jharkhand		124.97	159.44	150.12	151.13	108.57	166.32	163.77	122.83	215.52	163.89	0.00
17	Karnataka		163.60	191.26	182.56	186.83	186.83	205.41	202.45	161.96	218.81	231.45	77.15
18	Kerala		98.56	86.39	71.21	102.04	102.04	160.43	110.57	110.57	150.71	100.21	33.40
19	Lakshadweep		0.40	0.40	2.20	0.23	1.23	2.36	0.21	0.60	0.53	0.66	0.22
20	Madhya Pradesh		242.84	329.40	369.36	288.44	216.33	466.07	312.56	268.80	600.37	383.91	127.97
21	Maharashtra		299.61	299.61	338.73	343.44	341.87	384.10	372.16	279.10	485.92	408.59	136.20
22	Manipur		25.86	12.00	16.12	34.06	0.00	15.01	36.47	27.35	24.57	41.32	0.00
23	Meghalaya		27.71	0.00	16.83	37.09	33.84	20.50	39.72	37.04	14.94	43.82	14.60
24	Mizoram		10.62	9.23	14.86	13.65	13.65	22.37	14.62	16.40	24.44	23.54	0.00
25	Nagaland		23.55	22.03	22.19	24.79	24.79	33.54	26.54	28.27	33.89	30.24	0.00
26	Orissa		147.83	177.83	215.87	166.66	166.66	260.03	180.60	186.92	283.88	211.96	70.65
27	Pondicherry		3.15	4.15	6.05	3.80	2.85	6.42	4.12	4.12	8.52	3.35	0.00
28	Punjab		75.30	68.72	78.00	84.67	84.67	93.21	91.75	76.61	100.78	90.55	30.18
29	Rajasthan		227.07	299.07	369.45	272.64	204.48	441.66	295.44	254.07	460.25	387.13	127.75
30	Sikkim		6.46	5.16	7.14	7.61	3.12	9.04	8.14	9.13	11.46	10.51	0.00
31	Tamil Nadu		193.17	156.66	187.68	220.48	220.48	228.56	238.91	247.27	365.83	232.55	77.52
32	Tripura		37.86	0.00	21.25	45.94	15.07	21.23	49.19	46.89	23.49	43.96	14.65
33	Uttar Pradesh		668.60	501.45	563.79	792.97	452.79	674.71	859.27	644.45	956.34	778.61	0.00
34	Uttarakhand		39.42	59.17	53.69	46.38	46.38	71.20	98.45	80.63	84.07	96.52	32.17
35	West Bengal		247.97	247.97	260.28	279.19	209.39	337.70	302.53	257.15	384.03	269.42	89.81
Total			4009.75	4002.76	4572.84	4710.51	3805.11	5757.76	5281.82	4462.57	6812.25	5464.36	1232.50	0.00
36		Others	3.00	0.03	0.03					0.69
Grand Total			4012.75	4002.79	4572.87	4710.51	3805.11	5757.76	5281.82	4463.26	6812.25	5464.36	1232.50	0.00
Note:
Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year.
Release figures for the F.Y. 2014-15 are updated upto 30.06.2014
The above Releases relate to Central Govt. grants & do not include state share contribution.

Allocation, Release & Expenditure under Mission Flexible Pool for F.Ys. 2011-12 to 2014-15
Rs. In crore
S.No.	States / UTs	2011-12			2012-13			2013-14			2014-15
S.No.	States / UTs	Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp
1	Andaman & Nicobar Islands	1.46	1.46	5.26	1.44	1.08	3.03	1.42	3.74	4.74	3.86	0.00
2	Andhra Pradesh	290.25	310.25	216.9	321.50	241.13	304.55	316.99	253.59	342.88	332.88	110.96
3	Arunachal Pradesh	15.26	22.26	36.91	21.20	15.90	29.28	21.00	22.99	43.41	64.73	0.00
4	Assam	373.98	391.32	422.22	477.91	382.32	601.05	473.38	470.80	285.52	366.38	122.13
5	Bihar	411.1	106.425	273.72	512.42	381.91	290.52	505.25	378.94	289.76	488.55	0.00
6	Chandigarh	3.4	3.4	1.85	4.00	0.72	2.17	3.95	2.54	1.49	0.86	0.00
7	Chhattisgarh	118.9	118.9	162.35	145.47	109.10	190.51	143.44	118.34	279.35	190.57	63.52
8	Dadra & Nagar Haveli	0.97	0.96	1.14	1.30	1.30	1.07	1.28	2.07	1.23	2.52	0.00
9	Daman & Diu	0.49	0.48	0.81	0.92	0.69	1.18	0.91	0.77	1.08	0.83	0.28
10	Delhi	51.93	38.95	12.66	63.62	-	20.67	62.73	49.24	45.44	13.57	4.52
11	Goa	5.34	5.34	10	5.54	4.99	12.34	5.46	4.75	10.40	5.24	0.00
12	Gujarat	193.17	193.17	289.65	229.29	191.46	209.32	226.08	200.08	344.08	226.46	75.49
13	Haryana	80.57	109.57	94.83	96.27	80.39	123.46	94.92	97.77	129.62	87.58	0.00
14	Himachal Pradesh	34.95	47.95	27.96	39.05	29.91	108.69	77.17	79.87	86.02	90.18	30.06
15	Jammu & Kashmir	57.76	136.46	105.06	71.48	71.48	119.60	173.69	177.16	183.25	181.32	0.00
16	Jharkhand	153.86	153.86	131.74	187.77	140.83	136.27	185.14	138.86	189.39	189.09	0.00
17	Karnataka	201.42	216.42	324.1	232.13	174.10	312.29	228.88	183.10	265.15	236.03	78.68
18	Kerala	121.34	144.34	123.9	126.78	105.86	189.35	125.01	109.38	166.83	107.27	35.76
19	Lakshadweep	0.49	0.49	0.88	0.26	0.58	0.74	0.24	0.19	0.30	0.19	0.06
20	Madhya Pradesh	298.98	270.38	195.97	358.37	268.78	295.84	353.35	303.88	493.36	444.52	148.17
21	Maharashtra	368.87	422.87	594.96	426.71	426.71	858.72	420.73	394.43	636.98	381.91	127.30
22	Manipur	30.53	18.75	26.11	41.73	-	27.02	41.34	31.01	24.67	40.37	0.00
23	Meghalaya	32.71	32.71	58.21	45.45	45.45	55.57	45.02	41.89	22.97	42.20	14.07
24	Mizoram	12.54	14.54	19.24	16.73	16.73	27.54	16.57	16.92	24.41	21.70	0.00
25	Nagaland	27.8	29.8	56.88	30.37	30.37	35.80	30.08	30.27	23.55	29.63	0.00
26	Orissa	182.01	191.01	237.88	207.07	172.90	286.22	204.17	211.32	382.98	256.09	85.36
27	Pondicherry	3.88	4.52	6.6	4.73	3.55	5.79	4.66	4.66	6.73	2.42	0.00
28	Punjab	92.7	92.7	153.85	105.20	87.84	138.28	103.73	86.61	160.38	93.23	31.08
29	Rajasthan	279.57	319.57	281.21	338.74	254.05	279.07	334.00	287.23	519.85	451.20	148.90
30	Sikkim	7.64	6.52	9.76	9.32	3.78	8.05	9.23	9.23	13.63	10.58	0.00
31	Tamil Nadu	237.83	262.83	248.85	273.93	228.73	188.86	270.09	279.54	517.59	232.08	77.36
32	Tripura	44.7	44.695	65.58	56.29	22.49	70.30	55.75	51.90	46.27	44.40	14.80
33	Uttar Pradesh	823.17	411.59	278.98	985.22	738.92	498.96	971.42	565.32	430.03	916.69	0.00
34	Uttarakhand	48.54	53.54	60.66	57.62	43.22	72.64	105.98	91.14	46.87	113.61	37.87
35	West Bengal	305.29	305.29	259.18	346.87	260.15	309.19	342.01	290.71	391.52	281.23	93.74
Sub Total		4,913.40	4,483.32	4,795.86	5,842.70	4,537.42	5,813.94	5,955.04	4,990.23	6,411.75	5,949.98	1,300.11	-
36	Others	5.80	13.07	3.10	11.30	13.33	3.50		16.39
Grand Total		4,919.20	4,496.39	4,798.96	5,854.00	4,550.75	5,817.44	5,955.04	5,006.62	6,411.75	5,949.98	1,300.11	-
Note:
Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year.
Release figures for the F.Y. 2014-15 are updated up to 30.06.2014
The above Releases relate to Central Govt. grants & do not include state share contribution.

Allocation, Release & Expenditure under Routine Immunization for F.Ys. 2011-12 to 2014-15
Rs. In crore
S.No.	States / UTs	2011-12			2012-13			2013-14			2014-15
		Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp
1	Andaman & Nicobar Islands	0.06	0.06	0.09	0.06	0.04	0.06	0.06	0.03	0.03	0.07	0.00
2	Andhra Pradesh	11.96	18.11	13.94	12.66	10.00	19.67	14.06	6.22	7.17	16.36	0.00
3	Arunachal Pradesh	0.56	2.98	1.44	0.68	0.61	1.54	0.76	1.76	1.87	0.76	0.00
4	Assam	13.72	14.17	19.18	15.38	12.38	24.99	17.09	12.82	18.56	17.09	0.00
5	Bihar	16.94	8.97	13.19	20.17	37.21	28.05	22.41	28.87	48.18	20.05	0.00
6	Chandigarh	0.14	0.14	0.15	0.16	0.00	0.03	0.18	0.03	0.12	0.20	0.00
7	Chhattisgarh	4.90	5.66	3.87	5.73	0.00	7.33	6.36	3.50	10.24	4.93	0.00
8	Dadra & Nagar Haveli	0.04	0.06	0.04	0.05	0.02	0.06	0.06	0.06	0.07	0.07	0.00
9	Daman & Diu	0.02	0.08	0.04	0.04	0.00	0.03	0.04	0.04	0.07	0.05	0.00
10	Delhi	2.14	0.00	0.27	2.50	2.05	0.46	2.78	0.69	1.21	3.24	0.00
11	Goa	0.22	0.12	0.35	0.22	0.00	0.10	0.24	0.07	0.07	0.28	0.00
12	Gujarat	7.96	9.30	8.92	9.03	24.90	23.75	10.03	14.37	24.42	11.67	0.00
13	Haryana	3.32	8.16	3.07	3.79	6.79	7.49	4.21	3.16	12.74	4.90	0.00
14	Himachal Pradesh	1.44	0.41	0.64	1.54	0.85	1.77	1.71	1.28	0.89	1.32	0.00
15	Jammu & Kashmir	2.38	1.22	1.18	2.81	0.00	1.68	3.13	0.94	1.63	2.42	0.00
16	Jharkhand	6.34	15.15	12.47	7.39	0.00	10.54	8.21	6.16	14.70	6.37	0.00
17	Karnataka	8.30	2.00	5.87	9.14	6.85	8.39	10.15	3.89	10.53	11.81	0.00
18	Kerala	5.00	1.64	2.85	4.99	3.74	6.95	5.55	4.16	7.80	6.45	0.00
19	Lakshadweep	0.02	0.09	0.02	0.01	0.09	0.04	0.01	0.05	0.06	0.01	0.00
20	Madhya Pradesh	12.32	23.72	16.80	14.11	14.11	43.97	15.68	11.76	44.01	14.03	0.00
21	Maharashtra	15.20	11.80	15.92	16.80	12.60	30.47	18.67	16.06	32.86	21.71	0.00
22	Manipur	1.12	2.13	0.91	1.34	1.34	0.72	1.49	0.86	0.71	1.49	0.00
23	Meghalaya	1.20	1.56	0.60	1.46	1.28	0.57	1.63	0.04	0.31	1.63	0.00
24	Mizoram	0.46	0.20	0.55	0.55	0.51	0.59	0.60	0.61	0.55	0.60	0.00
25	Nagaland	1.02	1.08	0.68	0.98	0.76	1.23	1.09	0.73	1.30	1.09	0.00
26	Orissa	7.50	11.68	7.56	8.15	0.00	12.89	9.06	9.06	18.66	8.10	0.00
27	Pondicherry	0.16	0.18	0.15	0.18	0.14	0.12	0.21	0.09	0.12	0.24	0.00
28	Punjab	3.82	4.40	4.14	4.14	2.68	4.27	4.60	3.45	6.93	5.35	0.00
29	Rajasthan	11.52	13.22	8.48	13.34	20.92	19.90	14.82	11.11	23.71	13.26	0.00
30	Sikkim	0.28	0.21	0.19	0.30	0.19	0.26	0.33	0.26	0.45	0.33	0.00
31	Tamil Nadu	9.80	0.00	0.91	10.78	0.00	2.18	11.98	12.75	6.32	13.94	0.00
32	Tripura	1.64	1.02	1.45	1.81	0.00	1.05	2.01	1.33	1.53	2.01	0.00
33	Uttar Pradesh	33.92	27.63	27.58	38.79	60.40	78.82	43.10	0.00	112.85	38.56	0.00
34	Uttarakhand	2.00	3.43	3.03	2.27	0.00	3.47	2.52	1.88	5.36	1.95	0.00
35	West Bengal	12.58	6.29	10.32	13.65	1.25	17.14	15.17	30.80	25.96	17.65	0.00
Sub total		200.00	196.87	186.85	225.00	221.70	360.57	250.00	188.91	441.94	250.00	0.00
36	Others	0.00	0.00	0.00	0.00	0.00	2.85		0.00
Grand total		200.00	196.87	186.85	225.00	221.70	363.42	250.00	188.91	441.94	250.00	0.00
Note:
Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year.
Release figures for the F.Y. 2014-15 are updated upto 30.06.2014
The above Releases relate to Central Govt. grants & do not include state share contribution.

Allocation, Release & Expenditure under Pulse Polio Immunization for F.Ys. 2011-12 to 2014-15
Rs. In crore
S. No.	States / UTs	2011-12			2012-13			2013-14			2014-15
S. No.	States / UTs	Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp	Allocation	Release	Exp
1	Andaman & Nicobar Islands	0.74	0.37	0.00	0.26	-	0.40	0.24	0.24	0.22	0.24	-
2	Andhra Pradesh	19.17	9.87	9.80	20.13	20.05	23.12	20.05	14.22	18.72	20.05	-
3	Arunachal Pradesh	0.84	0.85	0.43	0.90	-	1.15	0.90	0.90	1.61	0.91	-
4	Assam	8.93	9.18	8.46	9.46	9.46	9.45	9.46	9.46	6.45	9.46	-
5	Bihar	60.87	34.25	62.48	75.17	30.44	55.17	51.47	38.60	46.22	29.12	-
6	Chandigarh	0.18	0.26	0.28	0.44	0.24	0.39	0.18	0.14	0.29	0.25	-
7	Chhattisgarh	4.64	4.64	4.66	4.90	4.93	6.69	4.94	4.94	4.84	4.94	1.65
8	Dadra & Nagar Haveli	0.06	0.06	0.01	0.06	0.06	0.10	0.06	0.06	0.06	0.06	-
9	Daman & Diu	0.04	0.04	0.02	0.04	-	0.05	0.04	0.04	0.04	0.04	-
10	Delhi	14.96	7.62	10.32	14.96	-	11.06	8.70	8.70	12.45	5.99	-
11	Goa	0.18	0.18	0.10	0.19	0.19	0.23	0.19	0.19	0.19	0.19	-
12	Gujarat	11.03	5.83	4.63	14.12	12.27	20.41	12.96	12.96	11.56	12.29	-
13	Haryana	10.87	6.18	6.59	12.26	7.67	12.86	5.84	5.84	12.23	7.67	-
14	Himachal Pradesh	1.89	1.85	1.18	1.95	1.95	2.73	1.95	1.95	2.33	1.98	-
15	Jammu & Kashmir	3.60	3.74	1.93	3.95	3.98	4.19	3.98	3.98	4.96	3.98	-
16	Jharkhand	7.54	3.87	22.71	8.52	0.88	10.64	7.93	5.95	9.39	8.32	-
17	Karnataka	9.91	5.07	4.47	10.27	15.00	14.51	10.33	10.33	10.09	10.36	3.42
18	Kerala	3.73	3.73	2.82	3.93	3.71	7.16	3.71	3.71	4.61	3.71	-
19	Lakshadweep	0.04	0.04	0.02	0.04	0.04	0.05	0.04	0.04	0.05	0.04	-
20	Madhya Pradesh	15.00	14.93	2.51	15.76	15.72	21.32	15.72	15.72	14.03	15.72	5.24
21	Maharashtra	27.98	19.32	22.97	41.24	26.78	31.48	36.16	36.16	24.55	28.65	-
22	Manipur	1.20	1.21	0.61	1.28	-	1.61	1.30	0.97	0.90	1.30	-
23	Meghalaya	1.56	1.61	1.25	1.69	1.73	0.95	1.73	1.73	0.20	1.76	-
24	Mizoram	0.46	0.47	0.25	0.50	-	0.71	0.49	0.49	-	0.49	-
25	Nagaland	0.91	0.91	0.83	0.95	0.90	1.35	0.90	0.91	0.90	0.90	-
26	Orissa	6.08	6.09	3.08	6.43	6.37	8.52	6.37	6.37	5.83	6.38	2.13
27	Pondicherry	0.14	0.15	0.09	0.15	-	0.19	0.15	0.15	0.02	0.15	-
28	Punjab	7.50	4.36	5.44	9.32	5.79	8.31	7.01	7.01	6.86	5.82	1.94
29	Rajasthan	14.58	7.63	14.14	15.46	0.68	21.03	15.51	12.37	13.63	16.23	-
30	Sikkim	0.23	0.21	0.10	0.22	-	0.32	0.22	0.22	0.07	0.22	-
31	Tamil Nadu	9.36	9.25	2.98	9.77	-	7.86	9.73	9.73	10.30	9.85	3.28
32	Tripura	1.40	1.38	0.82	1.45	-	1.62	1.46	1.46	1.47	1.46	-
33	Uttar Pradesh	30.29	81.64	127.94	74.99	84.44	127.64	130.69	98.02	125.09	85.80	-
34	Uttarakhand	8.45	3.64	9.30	8.63	-	6.89	4.51	4.51	7.74	5.99	1.99
35	West Bengal	15.00	47.13	37.48	41.29	5.53	37.78	35.85	35.85	36.28	27.78	-
	Sub Total	299.34	297.56	370.71	410.69	258.83	457.96	410.77	353.92	394.20	328.10	19.65	-
36	Others	0.00	4.43	0.00	0.00	2.60	21.16		0.00		1.90
	Grand Total	299.34	301.99	370.71	410.69	261.43	479.11	410.77	353.92	394.20	330.00	19.65	0.00
Note:
Expenditure includes expenditure against central Release, state release & unspent balances at the beginning of the year.
Release figures for the F.Y. 2014-15 are updated upto 30.06.2014
The above Releases relate to Central Govt. grants & do not include state share contribution.

The following monitoring mechanisms have been put in place by Ministry of Health & Family Welfare for adherence to financial procedures and proper financial utilization:

i. Monitoring the expenditure through quarterly Financial Management Report from States/ UTs.

ii. Implementation of the CAG Audit from 2011-12 onwards, Implemented statutory audit and concurrent audit to capture the accurate expenditure from State/UTs.

iii. Issuance of Model accounting hand books for sub district level finance/accounts personnel for community Health Centers, Villages Health sanitation and nutrition committees sub Centre, Rogi Kalyan Samities (RKS) and Block Accountants.

iv. Dissemination of hand book on operational guidelines on financial Management.

v. Implementation of Central Plan Scheme Monitoring Systems (CPSMS/PFMS) in NHM. The COPSMS developed by the office of the CGA of Ministry of Finance for monitoring and management of funds on just in Times basis.

vi. Implementation of NHM in the States is reviewed though Joint Review Mission (JRMs), Common Review Missions (CRMs) other periodical review by the ministry.

vii. Sr. Officers of the rank of Additional Secretary and Joint Secretaries have been visiting the States / UTs to settle pending UCs in the State/ UTs.

The Health Minister was replying to a question in the Lok Sabha here today.

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MV/BK/LK