Executive Summary:
The Ministry of Health and Family Welfare monitors and evaluates major health schemes, including the National Health Mission (NHM), Mission Indradhanush, Ayushman Bharat, National Tuberculosis Elimination Programme, and SUMAN scheme. This is achieved through regular assessments, external surveys, review missions, and real-time data analysis. Evaluations and studies inform reformative actions and improvements in scheme implementation and awareness.
Key Points / Main Content:
Monitoring and Assessment Mechanisms:
* Performance assessment is conducted through review meetings, midterm reviews, field visits, and benchmarking service delivery.
* External surveys like the National Family Health Survey (NFHS) and Sample Registration System (SRS) are used to assess various indicators of NHM.
* Common Review Missions (CRMs) are conducted annually to monitor the progress and implementation of various schemes under NHM; reports are publicly available at https:nhm.gov.inindex1.phplang1level1sublinkid795lid195.
* Real-time monitoring is done through various Management Information Systems (MIS) such as Health Management Information System (HMIS), Reproductive and Child Health, NIKSHAY, and ABAAM portal.
* The Development Monitoring Evaluation Organization (DMEO) in NITI Aayog evaluates Centrally Sponsored Schemes (CSS), including NHM.
Ayushman Bharat Evaluation and Improvements:
* A baseline study in 2019-2020 assessed the impact of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY).
* Recommendations from the study included increasing scheme awareness and addressing barriers to healthcare access.
* Actions taken based on the study include launching awareness campaigns, deploying Pradhan Mantri Arogya Mitras (PMAMs) at empaneled hospitals, installing PMJAY kiosks, and establishing a national helpline (14555).
Community Involvement:
* Local bodies play a role in managing NHM schemes at the village level.
* Community-based platforms like Jan Arogya Samiti (JAS), Mahila Arogya Samiti (MAS), and Village Health Sanitation Nutrition Committee are involved in strengthening local involvement and improving primary healthcare delivery.
Impact Analysis:
National Health Mission (NHM)
* Impact: Regularly assessed through various methods to monitor progress and improve implementation.
* Action Required: Continue to implement and participate in assessment activities, address areas identified for improvement in review reports.
Healthcare Providers:
* Impact: Empaneled hospitals are impacted by the AB-PMJAY scheme, and will require dedicated staff to guide and assist beneficiaries.
* Action Required: Hospitals should implement PMJAY kiosks, support PMAMs, and facilitate access to services for beneficiaries.
Beneficiaries of Health Schemes:
* Impact: Benefit from increased awareness campaigns, improved access to healthcare services, and assistance from PMAMs.
* Action Required: Utilize available resources such as PMAMs, PMJAY kiosks, and the national helpline (14555) to access and understand scheme benefits.
Local Bodies and Community Organizations:
* Impact: Play a role in effective management of NHM schemes and programmes at the village level.
* Action Required: Strengthen local involvement and improve primary healthcare delivery through community-based platforms like JAS, MAS, and Village Health Sanitation Nutrition Committees.
Key Entities Referenced
National Health Mission: A major health scheme in India, under which various health programmes are regularly assessed.
Mission Indradhanush: A health scheme implemented under the aegis of the National Health Mission.
Ayushman Bharat: A health scheme implemented under the aegis of the National Health Mission.
National Tuberculosis Elimination Programme: A health scheme implemented under the aegis of the National Health Mission, focused on eliminating tuberculosis.
SUMAN scheme: A health scheme implemented under the aegis of the National Health Mission.
NITI Aayog: A policy think tank of the Government of India, whose Development Monitoring Evaluation Organization (DMEO) conducts evaluations of Centrally Sponsored Schemes, including NHM.
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana: A health insurance scheme, also known as ABPMJAY, for which a baseline study was commissioned by the National Health Authority (NHA).
National Health Authority: The organization that commissioned a baseline study in 2019-2020 to understand the impact of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY).
GOVERNMENT OFINDIA
MINISTRYOFHEALTHAND FAMILYWELFARE
DEPARTMENT OFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2245
TO BE ANSWEREDON01stAUGUST,2025
MONITORING ANDIMPACTEVALUATION OFMAJOR SCHEMES
†2245.SHRI GANESH SINGH:
Willthe Ministerof HEALTHANDFAMILYWELFAREbe pleasedtostate:
(a) the manner in which monitoring and impact evaluation of major schemes like National
Health Mission (NHM), Mission Indradhanush, Ayushman Bharat, National Tuberculosis
Elimination Programme, SUMAN scheme etc. are being conducted by the Government at
present;
(b) whether there is any mechanism in place for carrying out performance assessment and
externalevaluation of these schemesfrom time totime particularly onannualbasis;
(c) if so, the details of the key findings and reformative actions taken based on the
evaluationscarriedout during the last five years;
(d) whether innovations such ascitizenparticipation, social auditor digital trackingplatforms
are beingused for monitoringof these schemes; and
(e)if so, the detailsthereof?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SMT. ANUPRIYAPATEL)
(a) to (e): Government of India has implemented Mission Indradhanush, Ayushman Arogya
Mandir, National Tuberculosis Elimination Programme and SUMAN scheme under the aegis
of the National Health Mission. Under NHM, the performance of various health programmes
is regularly assessed, through review meetings, mid-term reviews of key deliverables, field
visits of senior officials, promoting performance by setting up benchmarks for service
delivery&rewarding achievementsetc.VariousindicatorsofNationalHealthMission(NHM)
have been regularly assessed through external surveys such as, National Family Health
Survey (NFHS) and Sample Registration System (SRS). Moreover, under NHM, Common
Review Missions (CRM) are conducted annually to assess and monitor the progress and
implementation status of various schemes. The details of various reports of CRM are
availableinpublic domainat
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=795&lid=195.Government of India also reviews/assesses the implementation of NHM on a real-time basis
through variousMIS such asHealth Management Information System(HMIS), Reproductive
andChild Health,NIKSHAY, AB-AAM portal etc.
The Development Monitoring Evaluation Organization (DMEO) in NITI Aayog conducts
evaluationsof the Centrally SponsoredSchemes(CSS),includingNHM.
A baseline study was commissioned by National Health Authority (NHA) in 2019-2020 to
understand theimpactofAyushmanBharat PradhanMantri JanArogya Yojana(AB-PMJAY).
The study inter-alia recommended strategies to increase awareness of the scheme, addressing
barriers to access to healthcare services to ensure that all people in need of specialized care
receivecare,replicatingexperiencesfromothersettingslike dedicatedstafftoguideandassist
beneficiaries, establishing communication and feedback channels to allow beneficiaries to
voice theirconcerns.
In alignment with the recommendations of the study, NHA launched awareness campaigns.
Dedicated personnel known as Pradhan Mantri Arogya Mitras (PMAMs) are deployed at
empaneled hospitals to guide beneficiaries and facilitate access to services. PMJAY kiosks
have also been installed at hospitals as the first point of contact, facilitating awareness and
overall support. Anational helpline number 14555 also provides assistance and addresses all
the queriesrelatedtothe scheme.
Under NHM, the local bodies are envisaged to play an important role in effective
management of NHM schemes andprogrammes at village level.Community based platforms
including Jan Arogya Samiti (JAS), Mahila Arogya Samiti (MAS) & Village Health
Sanitation & Nutrition Committee also play a crucial role in strengthening local involvement
toimprove primaryhealthcare delivery.
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