National Rural Health Mission (NRHM)

On Feb 26, 2016

NRHM

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).

The State/UT wise allocation, release and expenditure under NHM for the F.Y 2015-16 is given below:

Sl. No.	States	2015-16
Sl. No.	States	Allocation	Release	Utilization
1	Andaman & Nicobar Islands	28.21	24.44	7.46
2	Andhra Pradesh	616.13	496.01	538.39
3	Arunachal Pradesh	160.01	121.77	110.70
4	Assam	941.29	690.99	823.19
5	Bihar	1108.61	980.49	812.80
6	Chandigarh	14.24	18.68	10.50
7	Chattisgarh	479.38	354.45	440.70
8	Dadra & Nagar Haveli	11.37	10.42	8.37
9	Daman & Diu	9.11	8.62	7.77
10	Delhi	142.81	135.65	82.29
11	Goa	19.41	14.13	19.24
12	Gujarat	677.65	605.17	713.18
13	Haryana	249.33	289.86	312.01
14	Himachal Pradesh	197.92	207.98	141.83
15	Jammu & Kashmir	368.00	353.65	230.12
16	Jharkhand	493.37	355.17	379.60
17	Karnataka	706.09	727.37	740.74
18	Kerala	305.87	270.42	406.92
19	Lakshadweep	4.28	3.74	1.79
20	Madhya Pradesh	1085.37	997.25	1285.82
21	Maharashtra	1282.31	867.22	1088.92
22	Manipur	118.53	86.57	64.45
23	Meghalaya	131.00	90.19	69.02
24	Mizoram	97.87	68.74	69.47
25	Nagaland	108.75	75.10	48.87
26	Orissa	624.71	605.98	715.86
27	Puducherry	17.77	14.03	19.26
28	Punjab	284.75	185.17	434.85
29	Rajasthan	1069.38	1238.83	1242.42
30	Sikkim	45.86	31.16	33.89
31	Tamil Nadu	794.38	1030.25	1003.43
32	Tripura	139.08	93.52	77.80
33	Uttar Pradesh	2299.49	2501.89	2279.56
34	Uttarakhand	256.60	242.84	213.79
35	West Bengal	883.49	684.18	742.91
36	Telangana	440.58	352.55	229.32
Sub Total		16213.00	14834.49	15407.24
Others		1100.00	0.00	0.00
Total		17313.00	14834.49	15407.24
Note:
1. Allocation is per Original outlay/B.E.
2. Release is only Central Grants and do not include State share. Release for the F.Y. 2015-16 is updated up to 11.02.2016 and is provisional.
3. Utilisation includes expenditure against central Release, state release & unspent balances at the beginning of the year. Utilisation figures are as reported by States/UTs up to 31.12.2015.

Statement showing component wise allocation, release and expenditure is given below:

Component wise Allocation, Release and Utilisation under NHM
[Rs. In crore]
Sl. No.	Programme	2015-16
Sl. No.	Programme	Allocation	Release	Utilization
A. NRHM-RCH Flexible Pool		9818.56	8245.48	9943.28
1	RCH Flexible Pool	4348.32	3699.79	4899.06
2	Mission Flexible Pool	4926.09	4114.99	4647.21
3	Routine Immunization	200.00	158.20	278.83
4	Pulse Polio Immunisation	328.00	261.55	115.11
5	National I.D.D. Control Prog.	16.15	10.96	3.07

B. Infrastructure Maintenance		4420.40	4850.64	4281.27

C. Communicable Disease Control Programmes		1160.68	885.25	525.82
a	National Vector Borne Disease Control Prog DddDisea(MalarDiseases Control Programme	463.13	316.85	135.84
b	Revised National Tuberculosis Control Prog.)	603.20	501.13	319.82
c	Natioinal Leprosy Eradication Prog.	35.50	20.80	27.41
d	Integrated Disease Surveillance Project	58.85	46.47	42.75

D. Non Communicable Disease Programmes – National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke,National Programme for Control of Blindness, National Mental Health programme, National programme for Healthcare of Elderly, National Tobacco Control Programme		527.36	282.68	187.54

E. National Urban Health Mission-Flexible Pool		1386.00	570.44	469.34

Grand Total		17313.00	14834.49	15407.24

Note:
1. Allocation is per Original outlay/B.E.
2. Release is only Central Grants and do not include State share. Release for the F.Y. 2015-16 is updated up to 11.02.2016 and is provisional.
3. Utilisation includes expenditure against central Release, state release & unspent balances at the beginning of the year. Utilisation figures are as reported by States/UTs up to 31.12.2015.

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, drugs 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.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

Source: PIB

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National Rural Health Mission (NRHM)