They were set up for community monitoring of public health setups,but seven years after the NRHM started,the Health Ministry has realised that many of the Rogi Kalyan Samitis (RKS) and village health and sanitation committees have been functioning with little or no financial accountability and there are few audited accounts of these bodies that cost the government approximately Rs 250 crore annually. Between 2007-08 and 2011,for which the ministry was seeking audited accounts,this means a sum of at least Rs 1,500 crore.
Records of funds received from the NRHM are maintained only by the RKS,but for seven years the audited accounts have not reached the Centre as a matter of course which it should have and in many cases not even the monthly statement of expenditure has reached the block administration.
Despite a letter from the NRHM Mission Director to all state mission directors that audited accounts of these committees should be submitted by January 23,states are yet to do so. RKS / Hospital Management Society is a registered society that acts as a group of trustees to manage the affairs of the hospital. It consists of members from local Panchayati Raj institutions,NGOs,local elected representatives and government officials who are responsible for proper functioning and management of the hospital / Community Health Centres (CHC).
Each RKS for a district hospital gets Rs 5,00,000 a year while a Community or Primary Health Centre (PHC) gets Rs 1,00,000. The annual maintenance grant for each CHC ranges from Rs 50,000 to Rs 1,00,000,for PHC it ranges from Rs 25,000 to Rs 50,000 and for a sub-centre it is Rs 10,000.
Elaborate guidelines were developed in 2010 for maintaining audited accounts of these committees and in December last year states were asked to submit audited accounts of each RKS for the financial years 2007-08 to 2010-11 and status as on December 31,2011.