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National Health Mission (NHM) : Kavita Singh, Director - Finance
National Health Mission (NHM) : Kavita Singh, Director - Finance
Mission (NHM)
1 2 3 4 5=4*2 7 8
2017-18 1.20% 166.28 172.93 2.08 0.66 1.41
2018-19 1.20% 178.75 185.90 2.23 0.71 1.52
2019-20 1.27% 192.15 199.84 2.54 0.81 1.73
2020-21 1.45% 206.56 214.83 3.11 1.00 2.12
2021-22 1.70% 222.06 230.94 3.93 1.26 2.67
2022-23 1.95% 238.71 248.26 4.84 1.55 3.29
2023-24 2.20% 256.61 266.88 5.87 1.88 3.99
2024-25 2.50% 275.86 286.89 7.17 2.30 4.88
Source: GDP of 2017-18, as per Economic Survey, Vol.II for the year 2017-18 .
Allocation –DoHFW
Rs. in Crore
12th Plan
12th Plan Actual BE BE
Particulars Approved
Budgetary Allocation (2018-19) (2019-20)
Outlay
NHM 1,93,405.71 91,022.82 25,155.00 26,945.00
(47.06% of 12th Plan (15.6 % increase over (7% increase over last
(NRHM+
NUHM)
Outlay) last BE) BE)
PMJAY 6400.00
HRH & Medical
4,225.00 4250.00
Education
Tertiary Care
750.00 550.00
Programme
National Rural Health Mission (NRHM) launched on 12th
April, 2005
Communica
NRHM –Flexible pool-
ble Disease Comprehe
(I)RCH Pool
Pool nsive
Health System
(II) Health System Primary
Strengthening
Strengthening
Pool
Health
(i) Other Health Care
System Strengthening
(ii) Comprehensive
Primary Health Care Health System Strengthening- includes components -- NPCD, NOHP, Burns &
(iiI) ASHA Benefit
Trauma, NPCF and other New Initiatives under NCD
Package including
social benefits
NATIONAL HEALTH MISSION - COMPONENTS
RCH Flexipool-
• RMNCH + A - Reproductive, Maternal, Neonatal, Child &
Adolescent Health.
NRHM- RCH • Immunization- Routine Immunization & Pulse Polio
Pool Immunization.
• NIDDCP- National Iodine Deficiency Disorder Control
Programme
Central % Expenditure
Sr. No. Financial Year B.E. R.E.
Expenditure against R.E.
26,110 25,975
9 2017-18 21,941 99%
26,118 26,053
10 2018-19 25154 100%
Allocation
Sl. No. Name of the Flexible Pools % of Allocation
(Rs.in crore)
A NRHM-RCH Flexible Pool 16,885.73 63%
RCH Flexible pool including Routine Immunization, Pulse Polio Immunization,
1
National Iodine Deficiency Disorders Control Programme etc.
5,253.51 19%
2 Health System Strengthening under NRHM 11,632.22 43%
B National Urban Health Mission-Flexible Pool 950.00 4%
C. Flexible Pool for Communicable Diseases 1,928.00 7%
D. Flexible Pool for Non-Communicable Diseases, Injury & Trauma 717.00 3%
E. Infrastructure Maintenance 6,043.41 22%
Misc. Programme
F.
(NPMU, Pilot projects, SDRS, PMDP etc.)
420.86 2%
Grand Total
26,945.00
ALLOCATION FOR 2019-20 UNDER NHM
ACTIVITY-WISE APPROVALS UNDER NRHM-RCH FLEXIBLE POOL 2018-19
Amount(Rs. in
S.No RCH Flexible Pool Activities Lakhs) %
1 Maternal Health (including JSY & JSSK) 329,436.45 40.28
2 Programme / NRHM Management Cost 229,498.43 28.06
3 Family Planning 93,243.92 11.40
4 RBSK 74,261.74 9.08
5 Training 50,390.50 6.16
6 Child Health (including JSSK) 32,419.32 3.96
7 Adolescent Health / RKSK 5,132.68 0.63
8 Tribal RCH 1,518.55 0.19
9 Vulnerable Groups 816.57 0.10
10 PNDT Activities 1,238.45 0.15
TOTAL 817,956.62 100
ACTIVITY-WISE APPROVALS UNDER NRHM-RCH FLEXIBLE
POOL 2018-19
ACTIVITY-WISE APPROVALS UNDER HEALTH
SYSTEM STRENGTHENING POOL 2018-19 (in
descending order)
Amount
S.No. Activity %
(Rs. in Crore)
1 Human Resources 9471.33 0.62
2 PROCUREMENT 527871.46 34.55
3 ASHA 248867.42 16.29
4 Hospital Strengthening 192092.83 12.57
5 National Ambulance Service 111052.46 7.27
6 UF/AMG /RKS 119635.08 7.83
7 Planning, Implementation and Monitoring 112270.49 7.35
8 IEC-BCC NRHM 64629.85 4.23
9 Innovations 40320.57 2.64
10 National Mobile Medical Vans 25324.28 1.66
11 PPP/ NGOs 69686.22 4.56
12 Other Expenditures 3317.14 0.22
13 Drug Ware Housing 3219.97 0.21
14 Mainstreaming of AYUSH 229.22 0.02
Total 1527988.33 100
NHM PLANNING PROCESS
Communicated to States States submit Draft PIP
Integrate
State Programme
State Integrate
Implementation Plan
RCH Flexible Pool 75% Total population & 25% Rural area
Mission Flexible Pool now Health Systems 75% Rural Population & 25% Rural Area
Strengthening
50% weightage on Urban Population & 50% weightage
on slum population
National Urban Health Mission (NUHM)
(Covering Cities in State Capital and Distt. HQ with Population 30,000
Flexible Pool and Other Cities with 50,000 & above population) – 1000 + Cities
Flexible Pool for Non-Communicable Disease 75% Total population & 25% Rural area
COMMITTED & UN-COMMITTED BALANCE
The unspent balance assigned under the pools for expenditure becomes
free for fresh approval in the next financial year .
• All UTs are 100% Centrally funded except Delhi & Puducherry.
Temporary loans can be taken and to be returned to original pool on receiving of funds.
Permanent diversion is prohibited.
Books of accounts not closed at year end and interest nor accounted for.
Important Communications
Advances to Implementing Agencies for Civil works, Procurements may be
treated as deemed Expenditure for the purpose of Release proposals.
2 Ranking of District At least 75% (in Non EAG) and 60% HMIS and NITI +10
Hospitals in terms (in EAG and NE states) of all District Aayog DH ranking to
of input and Hospitals to have at least 8 fully report -10
service delivery functional specialties as per IPHS :
10 points incentive
7 Star rating of PHCs 75% (in Non EAG) and (60% in EAG and HMIS +5
(both Urban and NE) of the PHCs having 3 or more star to
rural) based on rating : 5 Points incentives
-5
inputs and
provision of the
50% (in Non EAG) and 40% (in EAG and
service package NE) PHCs having 3 or more star rating: 2
agreed
Points incentive