National Health Mission (NHM) encompasses its two Sub-Missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Under NHM, Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system towards the objective of providing accessible, affordable and quality healthcare to all those who access public health facilities. Support under NHM is provided to States/ UTs to supplement the efforts of the State/UT governments, based on the requirements posted by them in their Programme Implementation Plans (PIPs) and within their overall resource envelope.
The various initiatives carried out under NHM by the Government of India in various States are operationalisation of Ayushman Arogya Mandir, National Ambulance Services, Mobile Medical Units, ASHAs, 24 x 7 Services and First Referral facilities, Prime Minister's National Dialysis Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative, various activities under Reproductive & Child Health, Anemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB Mukt Bharat Abhiyaan (PMTBMBA) and Universal Immunization programme.
The target under National Health Policy and current achievements are as below:
Maternal Mortality Ratio reduced from 103 per 100,000 live births in 2017-2019 to 97 per 100,000 live births in 2018-20 (against target of 100 by year 2020), Infant Mortality Rate reduced from 32 per 1000 live births in 2018 to 28 per 1000 live births in 2020 (against target of 28 by year 2019) and Total Fertility Rate is reduced from 2.2 in 2015-16 as per NFHS-4 to 2.0 in 2019-21 as per NFHS-5 (against target of 2.1 by year 2025).
The details of expenditure under NHM incurred on rural and urban healthcare delivery system during the last five years and the current year, State-wise is attached at Annexure.
Pradhan Mantri Jan Arogya Yojana provides financial protection to deprived rural families and identified occupational categories of urban workers’ families. As per PMJAY dashboard, as on 12.12.2024, 36.16 cr. Ayushman Cards have been created for such beneficiaries. Of these, 29.87 Cr. cards have been created for the beneficiaries residing in rural areas. It offers a benefit cover of Rs. 5,00,000 per family per year (on a family floater basis). Services include a range of procedures covering all the costs related to treatment, including drugs, supplies, diagnostic services, physician's fees, room charges, surgeon charges, OT and ICU charges etc.
The Union Minister of State for Health and Family Welfare, Shri Prataprao Jadhav stated this in a written reply in the Rajya Sabha today.
Annexure
State/UT-wise expenditure under NHM incurred on rural and urban healthcare delivery system from FY 2019-20 to FY 2024-25
Note:
1. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional. The expenditure for 2024-25 w.r.t. flexible pool for RCH, etc. is updated up-to 30.09.2024 except Arunachal Pradesh, Punjab (updated up-to 31.08.2024), Karnataka, Mizoram (updated up-to 31.07.2024) & Meghalaya (updated up-to 30.06.2024).
2. After the reorganization of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and the Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21.