Executive Summary:
The Ministry of Health and Family Welfare addresses questions regarding the National Health Mission (NHM) central funds. It details the financial support provided to States/UTs from FY2014-15 to FY2024-25, along with the allocation for FY2025-26. The Ministry outlines mechanisms for monitoring and evaluating the implementation and progress of NHM with regular interactions with States/UTs.
Key Points / Main Content:
* **Financial Allocations and Support:**
* Central releases under NHM from FY2014-15 to FY2024-25 are detailed.
* A central allocation of Rs. 39,663.73 cr. has been earmarked for FY2025-26 under NHM.
* Financial support is provided to States/UTs for improving health infrastructure and strengthening healthcare systems.
* **Responsibilities and Proposal Process:**
* Public Health and Hospitals is primarily the responsibility of State Governments.
* States/UTs submit proposals in the form of Programme Implementation Plans (PIPs).
* The Government of India approves proposals as per norms and available resources.
* **Monitoring and Evaluation Mechanisms:**
* Regular interactions are held with States/UTs to assess NHM implementation.
* Various mechanisms assess implementation and progress:
* Review of Record of Proceedings during NPCC meetings
* Common Review Missions (CRMs)
* Financial Monitoring Reports (FMRs) submitted monthly by States/UTs
* Review meetings, video conferences, and field visits by senior officials.
* Subsequent installments are released based on compliance with guidelines from the Department of Expenditure, Ministry of Finance.
* **Access to Detailed Information:**
* Details for approvals provided under NHM can be accessed via a provided link.
* The detailed report on Health Infrastructure and Human Resources may be accessed from the provided link.
* Reports on CRMs may be accessed from the provided link.
Impact Analysis:
* State Governments:
* Impact: Responsible for strengthening public healthcare systems and addressing disparities, particularly in rural and underserved areas, using central funds.
* Action Required: Submit Programme Implementation Plans (PIPs) to access funding and comply with monitoring and evaluation processes.
* Ministry of Health and Family Welfare:
* Impact: Responsible for providing financial and technical support to States/UTs and monitoring the implementation and progress of NHM.
* Action Required: Review PIPs, provide approvals, conduct review meetings, and ensure compliance with financial guidelines.
Key Entities Referenced
National Health Mission (NHM): A centrally sponsored scheme of the Government of India, aiming to provide universal access to equitable, affordable, and quality healthcare services.
Ministry of Health and Family Welfare: The Indian government ministry responsible for public health in India.
State Governments: Refers to the governments of the individual states within India, which have primary responsibility for strengthening public healthcare systems.
Union Territories (UTs): Refers to the territories within India that are directly governed by the central government.
Ministry of Finance: The Indian government ministry responsible for the country's finances.
Programme Implementation Plans (PIPs): Proposals received from all States and UTs in the form of Programme Implementation Plans.
Department of Expenditure: Department under the Ministry of Finance, Government of India.
Health Dynamics of India Infrastructure Human Resources report for FY2022-23: A report on Health Infrastructure and Human Resources.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1097
TOBE ANSWERED ON 25th JULY,2025
CENTRALFUNDS RELEASED UNDERNHM
1097. DR. SHRIKANTEKNATH SHINDE:
SHRINARESH GANPATMHASKE:
SHRIRAJESH VERMA:
SMT.SHAMBHAVI:
SHRIRAVINDRADATTARAM WAIKAR:
Willthe Ministerof HEALTH ANDFAMILYWELFAREbe pleased tostate:
(a) whether the Government has noted the significant growth of 185 percent in the share of central
funds released under the National Health Mission (NHM) since 2014 and if so, the details of this
increase;
(b) the specific initiatives/programshave beenfundedthrough these increasedallocationstoimprove
healthcareservices inthe country;
(c)whether there are plansto sustain or further enhancethis funding trendin the comingyearsandif
so,the detailsof the projectedamounts;
(d) the mannerinthis growth infunding isexpected toimpacthealthoutcomesacross variousStates,
particularlyinunderserved areas; and
(e) whether the Government has received feedback from State Governments regarding the
effectivenessof these funds inaddressing public health challengesandif so, the detailsthereof?
ANSWER
THE MINISTER OFSTATE INTHE MINISTRYOFHEALTHAND FAMILY
WELFARE
(SHRIPRATAPRAOJADHAV)
(a) to (e): With the objective of attainment of universal access to equitable, affordable and quality
healthcare services, the Ministry of Health& FamilyWelfareis implementingvariousprogramsandprovidestechnicalandfinancialsupport tothe States/UTs for improvementinhealth infrastructure &
strengthening healthcare systems. The details of Central releases under National Health Mission
(NHM)from the FY2014-15 toFY2024-25 are givenbelow:
(Rs. incr.)
FinancialYear CentralRelease
2014-15 18,039.26
2015-16 18,971.49
2016-17 20,916.63
2017-18 26,842.22
2018-19 26,363.24
2019-20 30,836.88
2020-21 31,278.84
2021-22 27,447.56
2022-23 31,278.84
2023-24 33,042.62
2024-25 36,529.14
Source:StateofBudgetEstimate,MinistryofFinance.
Further, Central Allocationof Rs. 39,663.73cr.hasbeenearmarked for the FY2025-26 underNHM.
“Public Health and Hospitals” is a State subject, the primary responsibility of strengthening public
healthcare system, including for provision to address the existing disparities inrural and underserved
healthsector lies with the respective State Governments. Proposals are received from all States/ UTs
in the form of Programme Implementation Plans (PIPs). Government of India provides approval for
the proposals inthe form of Recordof Proceedings (RoPs) aspernorms & availableresources.
The detailsfor the approvals providedunderNHM canbe accessed from the belowlink:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744.
The detailed report on Health Infrastructure and Human Resources may be accessed from the Health
Dynamicsof India (Infrastructure & Human Resources) report for FY2022-23, linkasbelow:
https://www.mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastruc
ture%20%26%20Human%20Resources%29%202022-23_RE%20%281%29.pdf
Under NHM, regular interactions are held with States/UTs. Various mechanisms exist to assess theimplementation andprogress of NHMlike:
• Review of key deliverables of Record of Proceedings of previous financial year during the NPCC
meetings,
• Common Review Missions (CRM) are conducted regularly in the States/UTs which looks at
financial systems and physical implementation of the program. Reports on CRMs may be accessed
from belowlink:
https://www.nhm.gov.in/index1.php?lang=1&level=1&sublinkid=795&lid=195.
• FinancialMonitoring Reports (FMRs) are submitted bythe States/UTsonmonthlybasis.
• Subsequent instalments released to the State/UTs based on compliance of guidelines of Department
of Expenditure,Ministry of Finance.
Further, monitoring and evaluation of the progress of all States/ UTs is assessed, through review
meetings, videoconferences & fieldvisits of senior officials.
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