Question : National Health Mission

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

(a) the details along with salient features and objectives of the National Health Mission (NHM);

(b) whether the Government has failed to achieve its objectives and targets under NHM and if so, the details thereof and the reasons therefor;

(c) whether the Government has conducted evaluation of various programmes running under the NHM and if so, the details thereof, State/UT-wise; (d) whether the Government is aware that funds released under NHM are not being utilised by the States, if so, the details thereof; and

(e) the details of funds allocated, released and expenditure incurred by the States during the last three years?

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

(a): The National Health Mission (NHM) aims for attainment of universal access to equitable, affordable and quality health care services, accountable and responsive to people’s needs, with effective inter-sectoral convergent action to address the wider social determinants of health.
Under NHM, support to States/UTs is provided for five key programmatic components:
(i) Health Systems Strengthening including infrastructure, human resource, drugs & equipment, ambulances, MMUs, ASHAs etc under National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).

(ii) Reproductive, Maternal, Newborn, Child and Adolescent Health Services (RMNCH + A)

(iii) Communicable Disease Control Programmes

(iv) Non-Communicable Diseases Control Programme interventions upto District Hospital level


(v) Infrastructure Maintenance- to support salary of ANMs and LHVs etc.



The objectives of NHM are summarised as under:
i. Reduction in child and maternal mortality
ii. Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.
iii. Access to integrated comprehensive primary health care.
iv. Population stabilisation, gender and demographic balance.
v. Revitalize local health traditions & mainstream AYUSH.
vi. Universal access to public services for food and nutrition, sanitation and hygiene and universal access to public health care services with emphasis on services addressing women’s and children’s health and universal immunisation.
vii. Promotion of healthy life styles.

(b): The NHM has been successful in accelerating the decline of Maternal Mortality Ratio (MMR), Under 5 Mortality Rate (U5MR), Infant Mortality Rate (IMR) and Total Fertility Rate (TFR). It has also achieved many of the disease control targets.
The key targets and achievements of NHM are given at Annexure-I.


(c): Various programmes running under the NHM has been regularly evaluated, inter-alia, through external surveys such as, National Family Health Survey (NFHS), District Level Household Survey (DLHS) and Sample Registration System (SRS). Further, Common Review Missions (CRMs) also undertake a review of NRHM/NHM annually.
The details on different evaluations are available in public domain as under:
NFHS-4:
http://nrhm-mis.nic.in/SitePages/NFHS.aspx
DLHS 4:
https://nrhm-mis.nic.in/SitePages/DLHS-4.aspx
SRS:
http://www.censusindia.gov.in/2011-Common/Sample_Registration_System.html
CRM reports:
http://nhm.gov.in/monitoring/common-review-mission.html

(d) & (e): A statement showing State/UT-wise Central Release and Expenditure during the last three years is placed at Annexure-II.

As evident from the annexed Statement, most of the States have been able to utilise most of the funds.