State-wise Allocation, Release and
Utilization under National Health Mission
Rs. in crore
|
Sl. No.
|
States
|
2012-13
|
2013-14
|
2014-15
|
2015-16
|
|
|
Allocation
|
Release
|
Exp
|
Allocation
|
Release
|
Exp
|
Allocation
|
Release
|
Exp
|
Allocation
|
Release
|
|
|
1
|
Andaman
& Nicobar Islands
|
22.60
|
7.97
|
27.52
|
23.83
|
29.06
|
29.12
|
28.22
|
23.36
|
24.33
|
28.21
|
15.54
|
|
|
2
|
Andhra
Pradesh
|
1088.44
|
837.66
|
1066.65
|
1184.24
|
878.73
|
1044.81
|
707.15
|
519.73
|
902.91
|
616.13
|
156.24
|
|
|
3
|
Arunachal
Pradesh
|
74.01
|
55.06
|
73.68
|
86.31
|
78.60
|
92.03
|
185.65
|
139.41
|
69.50
|
160.01
|
6.86
|
|
|
4
|
Assam
|
1054.14
|
887.86
|
1253.73
|
1214.83
|
1077.81
|
956.89
|
1095.38
|
877.13
|
915.88
|
941.29
|
66.38
|
|
|
5
|
Bihar
|
1421.32
|
1104.42
|
1333.54
|
1487.65
|
1110.32
|
1480.68
|
1292.13
|
1148.32
|
1427.40
|
1108.61
|
758.25
|
|
|
6
|
Chandigarh
|
14.59
|
6.67
|
12.65
|
18.53
|
11.46
|
14.42
|
19.40
|
12.15
|
15.26
|
14.24
|
6.07
|
|
|
7
|
Chattisgarh
|
473.71
|
369.36
|
512.34
|
500.72
|
355.98
|
805.50
|
555.66
|
500.41
|
716.04
|
479.38
|
246.46
|
|
|
8
|
Dadra
& Nagar Haveli
|
7.54
|
5.81
|
7.43
|
8.73
|
9.23
|
9.83
|
13.99
|
8.40
|
8.56
|
11.37
|
3.94
|
|
|
9
|
Daman
& Diu
|
5.97
|
1.85
|
6.85
|
6.48
|
6.50
|
8.40
|
9.69
|
6.91
|
7.67
|
9.11
|
4.21
|
|
|
10
|
Delhi
|
169.95
|
54.21
|
109.30
|
211.46
|
129.78
|
132.59
|
192.59
|
154.04
|
222.64
|
142.81
|
59.01
|
|
|
11
|
Goa
|
23.96
|
25.11
|
29.63
|
27.12
|
19.35
|
30.58
|
27.63
|
26.03
|
29.50
|
19.41
|
3.23
|
|
|
12
|
Gujarat
|
715.69
|
669.33
|
821.11
|
833.94
|
833.72
|
977.48
|
858.47
|
832.86
|
873.66
|
677.65
|
387.82
|
|
|
13
|
Haryana
|
289.15
|
298.27
|
369.63
|
313.57
|
315.94
|
423.79
|
317.42
|
273.60
|
438.18
|
249.33
|
197.86
|
|
|
14
|
Himachal
Pradesh
|
141.97
|
115.40
|
276.69
|
225.95
|
205.29
|
158.60
|
232.00
|
185.84
|
306.92
|
197.92
|
139.35
|
|
|
15
|
Jammu
& Kashmir
|
209.75
|
198.85
|
293.78
|
433.87
|
395.10
|
391.10
|
435.17
|
335.51
|
393.29
|
368.00
|
21.11
|
|
|
16
|
Jharkhand
|
555.83
|
356.60
|
423.93
|
582.97
|
396.38
|
521.49
|
563.92
|
359.62
|
372.01
|
493.37
|
0.63
|
|
|
17
|
Karnataka
|
721.48
|
653.83
|
807.10
|
814.17
|
611.11
|
812.56
|
834.09
|
697.24
|
858.18
|
706.09
|
422.72
|
|
|
18
|
Kerala
|
379.23
|
490.55
|
628.24
|
424.15
|
360.98
|
673.07
|
373.58
|
521.99
|
509.83
|
305.87
|
43.25
|
|
|
19
|
Lakshadweep
|
3.52
|
2.48
|
4.44
|
3.61
|
3.20
|
2.28
|
5.89
|
5.08
|
1.36
|
4.28
|
1.62
|
|
|
20
|
Madhya
Pradesh
|
1032.41
|
946.08
|
1223.50
|
1141.03
|
865.94
|
1583.60
|
1250.17
|
1162.50
|
1738.02
|
1085.37
|
676.64
|
|
|
21
|
Maharashtra
|
1270.27
|
1418.14
|
1840.14
|
1520.71
|
1218.51
|
1806.86
|
1536.58
|
1431.76
|
1834.40
|
1282.31
|
144.64
|
|
|
22
|
Manipur
|
114.66
|
25.79
|
68.48
|
127.75
|
88.93
|
74.57
|
144.97
|
128.81
|
86.91
|
118.53
|
10.30
|
|
|
23
|
Meghalaya
|
125.45
|
108.33
|
104.75
|
139.24
|
125.51
|
71.53
|
160.21
|
104.13
|
70.72
|
131.00
|
0.25
|
|
|
24
|
Mizoram
|
75.84
|
68.41
|
87.69
|
86.20
|
77.43
|
91.89
|
116.53
|
103.28
|
93.29
|
97.87
|
14.47
|
|
|
25
|
Nagaland
|
95.78
|
95.05
|
105.35
|
114.42
|
99.73
|
90.40
|
131.26
|
114.92
|
63.04
|
108.75
|
12.12
|
|
|
26
|
Orissa
|
653.52
|
534.49
|
780.73
|
678.99
|
604.20
|
901.65
|
730.09
|
667.16
|
944.10
|
624.71
|
344.28
|
|
|
27
|
Puducherry
|
15.89
|
14.74
|
20.53
|
21.29
|
18.10
|
25.43
|
25.46
|
22.56
|
23.35
|
17.77
|
8.03
|
|
|
28
|
Punjab
|
318.91
|
321.69
|
423.47
|
362.38
|
333.47
|
437.57
|
351.89
|
379.35
|
460.59
|
284.75
|
143.42
|
|
|
29
|
Rajasthan
|
980.98
|
847.12
|
1181.47
|
1091.20
|
922.93
|
1457.06
|
1238.11
|
1115.96
|
1722.69
|
1069.38
|
877.48
|
|
|
30
|
Sikkim
|
54.12
|
34.79
|
37.30
|
42.32
|
45.91
|
44.82
|
51.42
|
51.60
|
41.36
|
45.86
|
6.44
|
|
|
31
|
Tamil
Nadu
|
867.98
|
948.14
|
900.73
|
1020.75
|
906.24
|
1430.28
|
968.18
|
952.75
|
2248.06
|
794.38
|
443.57
|
|
|
32
|
Tripura
|
133.44
|
69.54
|
118.96
|
165.43
|
140.15
|
101.93
|
161.75
|
123.11
|
130.15
|
139.08
|
11.55
|
|
|
33
|
Uttar
Pradesh
|
2685.50
|
2247.20
|
3263.04
|
3584.98
|
3024.60
|
2924.38
|
2650.25
|
2431.06
|
3671.26
|
2299.49
|
1160.63
|
|
|
34
|
Uttarakhand
|
206.67
|
176.89
|
246.97
|
310.55
|
245.25
|
255.28
|
308.10
|
270.55
|
324.42
|
256.60
|
27.52
|
|
|
35
|
West
Bengal
|
1026.41
|
937.53
|
1104.09
|
1179.64
|
948.51
|
1271.71
|
1053.27
|
1058.62
|
1196.78
|
883.49
|
438.47
|
|
|
36
|
Telangana
|
0.00
|
0.00
|
0.00
|
0.00
|
0.00
|
0.00
|
506.45
|
378.72
|
334.68
|
440.58
|
56.88
|
|
|
Sub Total
|
17030.69
|
14935.22
|
19565.44
|
19989.01
|
16493.93
|
21134.19
|
19132.72
|
17124.48
|
23076.94
|
16213.00
|
6917.24
|
|
|
Others
|
11.30
|
67.23
|
41.41
|
132.77
|
89.77
|
4.08
|
1211.51
|
35.83
|
0.00
|
0.00
|
0.00
|
|
|
Total
|
17041.99
|
15002.45
|
19606.85
|
20121.78
|
16583.70
|
21138.27
|
20344.23
|
17160.31
|
23076.94
|
16213.00
|
6917.24
|
|
|
1.
Allocation is as per Original outlay / B.E.
|
|
|
2.
Release is only Central Grants and do not include State share.
|
|
|
3.
Expenditure includes expenditure against Central and State release &
Unspent balances at the beginning of the year and as per FMR reporting as on
31.03.2015, hence provisional for the year 2014-15.
|
|
|
4.
Release for the F.Y. 2015-16 is updated up to 30.06.2015 and is Provisional
|
|
|
5.
The information on fund utilization / expenditure during the 1st quarter of
F.Y. 2015-16 is not yet due.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
12th
Plan proposes to increase the expenditure on core health by States and the Centre
to 1.87% of Gross Domestic Product (GDP) by the end of 12th Plan.
Under
NHM, health interventions/ initiatives are regularly designed and implemented
to address the healthcare needs of the country. A list of interventions
currently being implemented under NHM to reduce IMR and MMR is given below:-
The
steps taken by the Government under the National Health Mission (NHM) to
accelerate the pace of reduction in maternal mortality and infant mortality:-
·
Promotion
of institutional deliveries through Janani Suraksha Yojana.
·
Capacity
building of health care providers in basic and comprehensive obstetric care.
·
Operationalization
of Sub-Centres, Primary Health Centres, Community Health Centres and District
Hospitals for providing 24x7 basic and comprehensive obstetric care services.
·
Name
Based Web enabled Tracking of Pregnant Women to ensure antenatal, intranatal
and postnatal care.
·
Mother
and Child Protection Card in collaboration with the Ministry of Women and Child
Development to monitor service delivery for mothers and children.
·
Antenatal,
Intranatal and Postnatal care including Iron and Folic Acid supplementation to
pregnant & lactating women for prevention and treatment of anaemia.
·
Village
Health and Nutrition Days in rural areas as an outreach activity, for provision
of maternal and child health services.
·
Health
and nutrition education to promote dietary diversification, inclusion of iron
and foliate rich food as well as food items that promote iron absorption.
·
Janani
Shishu Suraksha Karyakaram (JSSK) entitles all pregnant women delivering in
public health institutions to absolutely free and no expense delivery including
Caesarean section. The initiative stipulates free drugs, diagnostics, blood
and diet, besides free transport from home to institution, between facilities
in case of a referral and drop back home. Similar entitlements have been put
in place for all sick infants accessing public health institutions for
treatment.
·
To
sharpen the focus on the low performing districts, 184 High Priority Districts
(HPDs) have been prioritized for Reproductive Maternal Newborn Child Health+
Adolescent (RMNCH+A) interventions for achieving improved maternal and child
health outcomes.
·
Emphasis
on facility based newborn care at different levels to reduce child morbidity
and mortality: Setting up of facilities for care of sick newborn such as
Special New Born Care Units (SNCUs), Newborn Stabilization Units (NBSUs) and
Newborn Care Corners (NBCCs) at different levels is a thrust area under NHM.
·
Capacity
building of health care providers: Various trainings are being conducted under
NHM to train doctors, nurses and ANMs for essential newborn care, early
diagnosis and case management of common ailments of children. These trainings
are on Navjaat Shishu, Suraksha Karyakram (NSSK), Integrated Management of
Neonatal and Childhood Illnesses (IMNCI), Facility Based Newborn Care (FBNC),
Infant and Young Child Feeding practices (IYCF), etc.
·
India
Newborn Action Plan (INAP) has been launched with an aim to reduce neonatal
mortality and stillbirths.
·
Newer
interventions to reduce newborn mortality- Vitamin K injection at birth,
Antenatal corticosteroids for preterm labour, kangaroo mother care and injection
gentamicin to young infants in cases of suspected sepsis.
·
Home
Based New Born Care (HBNC): Home based newborn care through ASHAs has been
initiated to improve new born practices at the community level and early
detection and referral of sick new born babies.
·
Intensified
Diarrhoea Control Fortnight (IDCF) to be observed in July-August 2015 focusing
on ORS and Zinc distribution for management of diarrhoea and feeding practices.
·
Integrated
Action Plan for Pneumonia and Diarrhoea (IAPPD) launched in four states with
highest infant mortality (UP, MP, Bihar and Rajasthan).
·
Management
of Malnutrition: Nutritional Rehabilitation Centres (NRCs) have been
established for management of severe acute malnutrition in children.
·
Appropriate
Infant and Young Child Feeding practices are being promoted in convergence with
Ministry of Woman and Child Development.
·
Universal
Immunization Programme (UIP): Vaccination protects children against many life
threatening diseases such as Tuberculosis, Diphtheria, Pertussis, Polio, Tetanus,
Hepatitis B and Measles. Infants are thus immunized against seven vaccine
preventable diseases every year. The Government of India supports the vaccine
programme by supply of vaccines and syringes, cold chain equipment and
provision of operational costs.
·
Mission
Indradhanush has been launched in 201 high focus districts to fully immunize
more than 89 lakh children who are either unvaccinated or partially vaccinated;
those that have not been covered during the rounds of routine immunization for
various reasons. They will be fully immunized against seven life-threatening
but vaccine preventable diseases which include diphtheria, whooping cough,
tetanus, polio, tuberculosis, measles and hepatitis-B. In addition,
vaccination against Japanese Encephalitis and Haemophilus influenza type B will
be provided in selected districts/states of the country. Pregnant women will
also be immunized against tetanus.
·
Mother
and Child Tracking System (MCTS): A name based Mother and Child Tracking System
has been put in place which is web based to ensure registration and tracking of
all pregnant women and new born babies so that provision of regular and
complete services to them can be ensured.
·
Rashtriya
Bal Swasthya Karyakram (RBSK) for health screening and early intervention
services has been launched to provide comprehensive care to all the children in
the age group of 0-18 years in the community. The purpose of these services is
to improve the overall quality of life of children through early detection of
birth defects, diseases, deficiencies, development delays including disability.
·
Under
National Iron Plus Initiative (NIPI), through life cycle approach, age and dose
specific IFA supplementation programme is being implemented for the prevention
of anaemia among the vulnerable age groups like under-5 children, children of 6
– 10 years of age group, adolescents, pregnant & lactating women and women
in reproductive age along with treatment of anaemic children and pregnant
mothers at health facilities.
Information
on IMR for the period 2011 to 2013 and on MMR for the period 2010-12 to 2011-13
is given below:-
|
Infant Mortality Rate
(IMR)
|
|
|
Sl. No.
|
States
|
2011
|
2012
|
2013
|
|
|
|
All
India
|
44
|
42
|
40
|
|
|
1
|
Andhra
Pradesh
|
43
|
41
|
39
|
|
|
2
|
Assam
|
55
|
55
|
54
|
|
|
3
|
Bihar
|
44
|
43
|
42
|
|
|
4
|
Chhattisgarh
|
48
|
47
|
46
|
|
|
5
|
Gujarat
|
41
|
38
|
36
|
|
|
6
|
Haryana
|
44
|
42
|
41
|
|
|
7
|
Jharkhand
|
39
|
38
|
37
|
|
|
8
|
Karnataka
|
35
|
32
|
31
|
|
|
9
|
Kerala
|
12
|
12
|
12
|
|
|
10
|
Madhya
Pradesh
|
59
|
56
|
54
|
|
|
11
|
Maharashtra
|
25
|
25
|
24
|
|
|
12
|
Odisha
|
57
|
53
|
51
|
|
|
13
|
Punjab
|
30
|
28
|
26
|
|
|
14
|
Rajasthan
|
52
|
49
|
47
|
|
|
15
|
Tamil
Nadu
|
22
|
21
|
21
|
|
|
16
|
Uttar
Pr.
|
57
|
53
|
50
|
|
|
17
|
W.
Bengal
|
32
|
32
|
31
|
|
|
18
|
Arunachal
Pr
|
32
|
33
|
32
|
|
|
19
|
Delhi
|
28
|
25
|
24
|
|
|
20
|
Goa
|
11
|
10
|
9
|
|
|
21
|
Himachal
Pradesh
|
38
|
36
|
35
|
|
|
22
|
J
& K
|
41
|
39
|
37
|
|
|
23
|
Manipur
|
11
|
10
|
10
|
|
|
24
|
Meghalaya
|
52
|
49
|
47
|
|
|
25
|
Mizoram
|
34
|
35
|
35
|
|
|
26
|
Nagaland
|
21
|
18
|
18
|
|
|
27
|
Sikkim
|
26
|
24
|
22
|
|
|
28
|
Tripura
|
29
|
28
|
26
|
|
|
29
|
Uttarakhand
|
36
|
34
|
32
|
|
|
30
|
A&N
Islands
|
23
|
24
|
24
|
|
|
31
|
Chandigarh
|
20
|
20
|
21
|
|
|
32
|
D&N
Haveli
|
35
|
33
|
31
|
|
|
33
|
Daman
& Diu
|
22
|
22
|
20
|
|
|
34
|
Lakshadweep
|
24
|
24
|
24
|
|
|
35
|
Puducherry
|
19
|
17
|
17
|
|
|
Source:
Sample Registration System, Statistical Report (Registrar General, India)
|
|
|
Maternal Mortality Ratio (MMR)
|
|
Sl.
No.
|
India/States
|
2010-12
|
2011-13
|
|
|
India
|
178
|
167
|
|
1
|
Andhra
Pradesh
|
110
|
92
|
|
2
|
Assam
|
328
|
300
|
|
3
|
Bihar/Jharkhand
|
219
|
208
|
|
4
|
Gujarat
|
122
|
112
|
|
5
|
Haryana
|
146
|
127
|
|
6
|
Karnataka
|
144
|
133
|
|
7
|
Kerala
|
66
|
61
|
|
8
|
Madhya
Pr/Chhattisgarh
|
230
|
221
|
|
9
|
Maharashtra
|
87
|
68
|
|
10
|
Odisha
|
235
|
222
|
|
11
|
Punjab
|
155
|
141
|
|
12
|
Rajasthan
|
255
|
244
|
|
13
|
Tamil
Nadu
|
90
|
79
|
|
14
|
Uttar
Pradesh/Uttarakhand
|
292
|
285
|
|
15
|
West
Bengal
|
117
|
113
|
|
Source:
Sample Registration System, Statistical Report (Registrar General, India)
|
|
|
|
|
|
|
|
|
|
|
The Health Minister, Shri J P Nadda
stated this in a written reply in the Lok Sabha here today.
*****
MV/BK