In order to prevent the states from hijacking National Rural Health Mission schemes,the UPA government has asked the states not to give NRHM initiatives their own names and,instead,name them all as national schemes.
The Samajwadi Party government in UP had named NRHMs ambulance scheme as Samajwadi Swasthya Sewa while the scheme for mobile medical units was named as Mukhya Mantri Maha Maya Sachal Aspatal Yojana in the BSP regime.
In its approval for Project Implementation Plan (PIP) of NRHM for UP for 2013-14,the Centre has stated that all ambulances and mobile medical units running under NRHM are to be branded as National Ambulance Service and National Mobile Medical Unit,respectively. The Government of India has also prepared guidelines which entail clear colour,design and logo scheme for the two services
The Centre has also kept the states proposals of approximately Rs 170 crore for ambulances and Rs 145 crore for MMU schemes pending,awaiting implementation of these guidelines.
On similar lines,the Centre has also said that all buildings constructed under NRHM should prominently carry NRHM logo in English or Hindi and regional language and the state will not change the names of national health initiatives like Janani Swasthya Suraksha Karyakram,Rashtriya Bal Swasthya Karyakram etc.
Meanwhile,the Centre has approved a budget of Rs 3,043.87 crore for UP under NRHM for the year 2013-14. This is the first round of approval that the Centre sent to the state earlier this week against its proposal of Rs 5,583.20 crore sent to Centre through PIP in April 2013. UP has a total resource envelope maximum available budget of Rs 4,504.22 crore for this fiscal.
Amongst the major areas of fund allocation,the Centre has approved a budget of Rs 230.25 crore for maternal health,Rs 270 crore for routine immunisation and other vaccination programmes,Rs 344 crore for hospital strengthening,Rs 210 crore for infrastructure and human resource,Rs 129 crore for various procurements and Rs 12 crore for urban reproductive and child health programmes.
Criticising the state for not being able to deploy contractual human resources under NRHM in inaccessible and hard-to- reach areas to the desired extent,the Centre said this defeats the purpose of NRHM. Instructing the state not to deploy contractual staff in better-served areas till remote areas are saturated,the Centre has said these conditions will be very closely monitored and if there is a violation,the salaries of contractual human resource will be discontinued. UP has also been asked to prepare a policy on human resource and also put up on its website the facility-wise details of deployed human resource as a mandatory disclosure.
From the budget allocated under NRHM in 2012-13,the state did not use Rs 819.65 crore whereas Rs 1152.02 crore were committed but unspent. The Centre has asked the state to ensure that at least 15 per cent of the allocated funds are utilised till June whereas 45 per cent is utilised till September 2013.