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GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 3633
TO BE ANSWERED ON13.03.2026
IMPLEMENTATION OFNHM IN CHITRADURGA
3633. SHRIGOVIND MAKTHAPPAKARJOL:
Will the Minister of HEALTHANDFAMILYWELFARE be pleased tostate:
(a) the details of the implementation of the National Health Mission (NHM) inChitradurga
district of Karnataka, including major components and programmes being implemented
thereunder;
(b) the total amount of funds allocated, approved, released and utilized under NHM in
Chitradurga district during the last three years, year-wise;
(c) the details of infrastructure createdor strengthened under NHMinthe district, including
Sub-Centres, Primary Health Centres, Community Health Centres, District Hospitals
andHealth& WellnessCentres;
(d) the present status of availability of doctors, specialists, staff nurses and other
paramedicalstaff underNHM inthe district, includingvacancies, if any; and
(e) the steps taken by the Government to address gaps in infrastructure, manpower and
service deliveryunderNHM inChitradurga district?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a)to(c) The Ministry of Health and Family Welfare provides technical and financial
support to the States/UTs including Karnataka to strengthen the public healthcare delivery
system, based on the proposals received in the form of Programme Implementation Plans
(PIPs) under National Health Mission. Government of India provides approval for the
proposal in the form of Record of Proceedings (RoPs) as per norms & available resources.
Details of the approvals given for the strengthening healthcare infrastructure in rural areas of
the country including Karnataka are available at website of Ministry of Health and Family
Welfareat the Uniform Resources Locator(URL) asunder:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744Ayushman Arogya Mandirs (AAMs), erstwhile Ayushman Bharat Health and
Wellness Centres (AB-HWCs), have been established by upgrading existing Sub-Health
Centres (SHC) and Primary Health Centres (PHC) in rural and urban areas to deliver 12
package of basic healthcare services. These primarily health services include Reproductive
and Child Health (RMNCHA+N) services, Communicable Diseases, Non-Communicable
Diseases (NCDs) (screening and management for NCDs such as Hypertension, Diabetes and
3 common cancers of Oral, Breast and Cervix) and incrementally adding other services for
mental health, ENT, Ophthalmology, oral health, geriatric and palliative health care and
trauma care etc.
Further, the major initiatives taken by the Government to improve maternal and child
health services includes Janani Suraksha Yojana (JSY), Pradhan Mantri Surakshit Matritva
Abhiyan (PMSMA), STOPDiarrhoea campaign, Anemia Mukt Bharat (AMB), Rashtriya Bal
Swasthya Karyakram (RBSK), Universal Immunization Programme, UWIN, Mission
Indradhanush, etc.
In order to prevent and control various Communicable Diseases various schemes are
operated like National Vector Borne Diseases Control Programme (NVBDCP), National TB
Mukt Bharat Abhiyaan (TBMBA), National Leprosy Eradication Programme (NLEP),
National Viral HepatitisControl Programme(NVHCP), etc.
Further, to prevent and control various Non-Communicable Diseases (NCDs),
National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD)
for preventionand control of Cancer, Diabetes, Cardiovascular Diseases andStroke, National
Tobacco Control Programme (NTCP), and National Mental Health Programme (NMHP),
Tele MANAS etc.are inoperation.
The details of Funds released and Expenditure for the State of Karnataka for
strengthening rural healthcare under NHM during the last three years starting from FY2022-
23toFY2024-25 isasunder:
Rs.InCrore
Nameof 2022-23 2023-24 2024-25
Sl.
the Central Central Central
No. Expenditure Expenditure Expenditure
State/UT Release Release Release
Karnatak
1 a 1,246.67 2,376.94 1,187.60 2,741.98 1,295.81 2,478.23
Note:
1.TheabovereleasesrelatetoCentralGovt.Grants&donotincludeStatesharecontributionanditsProvisional.
2.ExpenditureincludesexpenditureagainstCentralRelease,Staterelease&unspentbalancesatthebeginningoftheyear.Expenditureisas
perFMRssubmittedbyStates/UTsandisprovisional.
(d) The details regarding availability of doctors, specialists, staff nurses and other
paramedical staffunderNHM and theirvacanciesinGovernment hospitals across the country
includingKarnataka,can be accessed at the following linkof HDI 2022-23:https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastr
ucture%20%26%20Human%20Resources%29%202022-23_RE%20%281%29.pdf
(e) Under NHM, following types of incentives and honorarium are provided for
encouraging doctors and paramedics to practice in rural and remote areas of the country
includingKarnataka toaddress gapsin manpower:
Hard area allowance to specialist doctors for serving in rural and remote areas and
for their residential quarters so that they find it attractive to serve in public health
facilitiesinsuch areas.
Honorarium to Gynecologists/ Emergency Obstetric Care (EmOC) trained,
Pediatricians & Anesthetist/ Life Saving Anaesthesia Skills (LSAS) trained doctors
is also provided to increase availability of specialists for conducting Cesarean
Sectionsinrural & remote area.
Incentives like special incentives for doctors, incentive for Auxiliary Nurse and
Midwife(ANM)forensuringtimelyAntenatalCheckup(ANC)checkupandrecording,
incentivesfor conductingAdolescent Reproductive andSexual Healthactivities.
States are also allowed to offer negotiable salary to attract specialist including
flexibilityinstrategies such as“You Quote We Pay”.
Non-Monetary incentivessuch aspreferentialadmission inpost graduate courses for
staff serving in difficult areas and improving accommodation arrangement in rural
areashave also beenintroduced underNHM.
Multi-skilling of doctors is supported under NHM to overcome the shortage of
specialists. Skill upgradation of existing HR is another major strategy under NRHM
for achievingimprovement inhealthoutcomes.
In addition to the National Health Mission, Government of India is implementing the
following schemes in States/UTs including Karnataka to address gaps in
healthcareinfrastructure:
Further, under Pradhan Mantri Ayushman Bharat Health Infrastructure Mission
(PM-ABHIM), support is being provided to States/UTs for the development of
Ayushman Arogya Mandirs (SHC), Urban Ayushman Arogya Mandirs (U-AAM),
Block Public Health Units (BPHUs), Integrated Public Health Laboratories (IPHLs)
andCriticalCare Blocks (CCBs).
Pradhan Mantri Swasthya Suraksha Yojna (PMSSY): It aims at correcting
regional imbalances inthe availability of affordable tertiary healthcare services and to
augment facilities for quality medical education in the country. The scheme has two
components,namely,(i) SettingupofAllIndiaInstitute ofMedical Sciences(AIIMS);
and(ii)Up-gradation of existing Government Medical Colleges/Institutions (GMCIs).
Under Centrally Sponsored Scheme for ‘Establishment of new Medical Colleges
attached with existing district/referral hospitals’, a total of 157 Medical Colleges
have beenapprovedinthe country.
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