Question : NRHM

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

(a) the main features of the programmes being run under the National Rural Health Mission (NRHM) along with the details of its implementation;

(b) the funds allocated by the Government under NRHM and their utilisation under different heads, State/UTwise;

(c) whether any complaints of irregularities in the implementation of the said schemes have been received from the States including Rajasthan, Gujarat and Maharashtra;

(d) if so, the details thereof; and

(e) the steps being taken/proposed to be taken to ensure that the benefits of the said scheme reach to the people directly?

ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)
(a): The National Rural Health Mission (NRHM) was launched in 2005 to improve the healthcare services, particularly in rural areas. NRHM has been subsumed as a Sub Mission of the overarching National Health Mission (NHM) with the National Urban Health Mission as the other Sub Mission. Under NHM, support to States/UTs is provided for five key components:
(i) Health Systems Strengthening including infrastructure, human resource, drugs & equipment, ambulances, MMUs, ASHAs etc under NRHM and 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.


Public Health being a State subject, support under NHM is provided to States/UTs based on requirements posed by the States in their l Programme Implementation Plans (PIPs).

(b): The State/UT wise allocation, release and expenditure under NHM for the F.Y 2015-16 is at Annexure-I and statements showing component wise allocation, release and expenditure is at Annexure-II.

(c)& (d): No such complaints have been received from State/ UT Governments in the recent past.


(e): Public Health being a State subject, the implementation of NHM is done by the respective State/ UT Governments. Approvals under the NHM are provided to States/UTs for health systems strengthening including for infrastructure , human resources for health and programme managements, drus and equipment, ambulances, Mobile Medical Units etc So, most of the benefits flow to the people through healthcare services supported under NHM and not directly to the people. However, for beneficiary oriented schemes such as Janani Suraskha Yojana, payments are being made through Public Finance Management System (PFMS) directly into bank account of the beneficiary or through account payee cheques. Public Financial Management System (PFMS)is also being has been implemented in all the States /UTs to track the flow of funds under NHM.