(a) the number of Primary Health Centres (PHCs) under the Social Safety
Net Schemes, State-wise;
(b) the funds sanctioned and utilisation thereof by the States during
the last three years;
(c) whether the Planning Commission has conducted an evaluation study of
health projects under NRHM;
(d) if so, the details alongwith the outcome thereof; and
(e) the steps taken by the Government to streamline the functioning
of the PHCs?
THE MINISTER OF STATE FOR HEALTH & FAMILY WELFARE (SHRI DINESH TRIVEDI)
(a): National Rural Health Mission[NRHM] was launched in year 2005 with the
objective to provide accessible, accountable and affordable health care services
in the rural areas across the country. As per Bulletin on Rural Health Statistics
in India 2009, 23391 Primary Health Centres (PHCs) are functioning across the
country as on arch 2009 A list of State-wise PHCs is annexed at Annexure A.
(b): Statement showing the funds released and utilized under (NRHM) during the
financial year 2007-08,2008-09,2009-10 and 2010-11 to all States/UTs Government
including for upgradation/establishment of PHCs is annexed at Annexure B.
(c) to (d): A study of NRHM has been done by Kavery Gill for the Planning
Commission.
# The study was based on the sample study of few institutions in Andhra Pradesh,
Uttar Pradesh, Rajasthan and Bihar.
# The study indicates uneven progress in the States, different States perform
differently on different parameters – which suggest something is happening, NRHM
institutional arrangements are in place, confidence to spend is taking time in
some places, not much evidence of corruption, and NRHM has created hope for rural
infrastructure in health.
(e): The streamlining/upgradation of PHCs is a continuous process. NRHM
stipulates a Patient Welfare Committee or Rogi Kalyan Samiti consisting of
eminent persons like local MP/MLA, eminent citizens to be nominated by the
District Collector, and leading donors etc. for supervising the management
of healthcare facilities including the PHCs. PHCs are also provided annual
maintenance grant and untied funds in order to make them functionally better.