Wednesday, 4 July 2012

NRHM funds allocation based on performance

For the first time ever, funds allocated to states under the country's flagship National Rural Health Mission (NRHM) will be cut by almost 15% if they fail to place doctors and health workers (even on contractual basis) to districts with the worst health index. 
States will also have to post performance audits of health facilities online, failing which up to 7.5% of their total outlay will be deducted. For the first time, NRHM's programme implementation plan (PIP) for the year 2012-13 has put in place incentives to reward high performing states and also punish those who fail. Rational and equitable deployment of manpower (doctors, nurses, ANMs) has been given the highest priority failing which states will be financially penalized.
Gupta added, "We are in the process of bringing about basic systemic reforms in NRHM so that our investments receive appropriate returns. We are pushing states towards providing free medicines to all patients. I expect by the end of next year, majority of the states would start providing free generic medicines. Public health cadre is vital to run health programmes on the ground and states which don't have one will be given extra funds if they introduce such a cadre." NRHM has been allocated Rs 20,400 crore for the year 2012-13. 
Gupta said, "As against national targets, we have now put in place state specific goals regarding maternal mortality rate, total fertility rate, family planning and infant mortality. We are also focusing on targeted application of resources as NRHM's main agenda is critical gap filling." source:http://articles.timesofindia.indiatimes.com/2012-06-25/india/32408445_1_nrhm-national-rural-health-mission-cashless-delivery

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