**Executive Summary**
This document is the answer provided by the Minister of State in the Ministry of Health and Family Welfare to Unstarred Question No. 2507 in Lok Sabha, to be answered on February 13, 2026, concerning the allocation of funds under the National Rural Health Mission (NRHM). The Minister clarifies that public health is a State subject, but the Union Government supports health infrastructure and services nationwide through the National Health Mission (NHM). The document highlights performance assessment and progress under the National Health Policy, 2017.
**Key Points / Main Content**
* **State Responsibility for Public Health:**
* Public Health and Hospitals fall under State jurisdiction, making basic healthcare services the responsibility of individual State/UT governments.
* **National Health Mission (NHM) Support:**
* NHM provides support to improve health infrastructure and ensure sufficient human resources in health facilities nationwide.
* Technical and financial assistance is provided to States/UTs to strengthen the public healthcare system based on Programme Implementation Plans (PIPs).
* Government of India approves proposals via Record of Proceedings (RoPs) following established norms and resource availability.
* Details of RoPs are available online: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
* **Performance Assessment Under NHM:**
* Performance of health programs is regularly evaluated in various districts, including Aspirational and tribal-dominated districts.
* Assessment methods include review meetings, mid-term reviews, field visits, and setting service delivery benchmarks.
* **National Health Policy, 2017:**
* The Government has set time-bound targets to improve health outcomes.
* Significant progress has been made towards these targets.
* Improvements are noted in Total Fertility Rate (down to 2.0), Maternal Mortality Ratio (88 per lakh live births), Infant Mortality Rate (25 per thousand), and Under-Five Mortality Rate (29 per thousand).
**Impact Analysis**
**State/UT Governments**
* **Impact:** Responsible for providing basic healthcare services but receive support from the Union Government through NHM.
* **Action Required:** Develop and submit Programme Implementation Plans (PIPs) to the Ministry of Health and Family Welfare to secure technical and financial support; monitor and implement health programs, improve health infrastructure, and ensure adequate human resources.
**Ministry of Health and Family Welfare**
* **Impact:** Provides technical and financial support to States/UTs through NHM.
* **Action Required:** Review and approve PIPs, allocate funds, monitor program performance, and conduct Common Review Missions (CRMs).
Key Entities Referenced
National Health Mission (NHM): A scheme to provide support for improvement in health infrastructure and quality health services across India.
Ministry of Health and Family Welfare: The ministry responsible for providing technical and financial support to States/UTs to strengthen the public healthcare system.
National Health Policy, 2017: A policy that sets time-bound targets to improve health outcomes in India.
GOVERNMENT OFINDIA
MINISTRYOFHEALTHAND FAMILYWELFARE
DEPARTMENT OFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2507
TOBE ANSWERED ON13TH FEBRUARY,2026
ALLOCATION OFFUNDS UNDER NRHM
†2507.SHRIMANSUKHBHAI DHANJIBHAI VASAVA:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) whether the Government has selected certain high focus districts across the country for
supportive monitoring and higher allocation of funds to bridge the critical gaps under the
National Rural HealthMission;
(b) if so, the detailsthereof,including State-wise namesof the said districts; and
(c) the details of the work done in the said districts during each of the last three yearsand the
current yearalongwith the outcomesthereof,district-wise?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY
WELFARE
(SHRIPRATAPRAO JADHAV)
(a)to (c): Public Health’ & ‘Hospitals’ are Statesubjects, hence,the primary responsibility of
providing basic healthcare services to all the citizens of the country lies with respective
State/UTGovernment.
The National Health Mission (NHM) provides support for improvement in health
infrastructure, availability of adequate human resources in health facilities, to improve
availability and accessibility to quality health services for all districts in the country. The
Ministry of Health and Family Welfare provides technical and financial support to the
States/UTs to strengthen the public healthcare system, based on the proposals received in the
form of Programme Implementation Plans (PIPs) underNHM. Government of India provides
approval for the proposals in the form of Record of Proceedings (RoPs) as per norms &
available resources. The details of RoPs issued to States/UTs, are available at following web
link:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
Under NHM, the performance of various health programmes is regularly assessed in the
country including Aspirational Districts and tribal-dominated districts, through review
meetings, mid term reviews of key deliverables, field visits of senior officials, promoting
performance by setting up benchmarks for service delivery & rewarding achievements etc.Common Review Missions (CRMs) are conducted annually to assess and monitor the
progress andimplementation status of variousschemes.
Under the National Health Policy, 2017, the Government has set time-bound targets to
improve health outcomes and has made significant progress towards achieving these goals.
Total Fertility Rate has declined to 2.0 [National Family Health Survey (NFHS-5)], Maternal
and child health indicators have shown steady improvement, with the Maternal Mortality
Ratiodecliningto88per lakhlive births, Infant Mortality Rate to25perthousand andUnder-
FiveMortality Rate to29 perthousand [SampleRegistration System(SRS 2023)].
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