Supply of Life Saving Drugs

Public Health being a state subject, the primary responsibility of supply of medicines including lifesaving medicines free of cost to the patients in public/Government healthcare Centres lies with the State/UT governments. Under the National Health Mission (NHM), support is provided to the States/UTs for strengthening their healthcare delivery system including for provision of free essential
drugs to those who access public health facilities, based on the requirement posed by the States/UTs in their Programme Implementation Plans.
As on date all the States/UTs including Bihar have reported that they have notified free drug policy in their respective States/UTs.
The funds allocated and utilised for the purpose during the 12th Five Year Plan, year and State/UT-wise.
The information is given below:

Statement showing State/UTs Cash (SPIP) Approvals & Kind Grants Support for Drugs & Supplies under NHM for F.Y. 2012-13 to 2015-16













 Rs. In crore
S.No.
States/UTs
 Cash Grants1
 Kind Grants2
 Total
 Cash Grants1
 Kind Grants2
 Total
 Cash Grants1
 Kind Grants2
 Total
 Cash Grants1
 Kind Grants2
 Total
A. High Focus States

 2012-13
 2013-14
 2014-15
 2015-16
1
Bihar
       91.12
     189.55
     280.67
     155.70
     170.62
     326.32
     144.86
     182.81
    327.67
     212.10
      209.47
     421.57
2
Chattisgarh
         8.23
      38.09
       46.32
       51.67
       22.00
       73.67
       86.29
      23.41
    109.70
       61.56
        26.23
       87.79
3
Himachal Pradesh
         4.89
        3.38
         8.27
       11.22
        7.24
       18.46
       29.62
        4.46
      34.08
       30.85
        11.02
       41.87
4
Jammu & Kashmir
       10.76
      10.31
       21.07
       18.01
       12.14
       30.15
       24.79
      12.57
      37.36
       16.26
        16.38
       32.64
5
Jharkhand
       35.48
      43.19
       78.67
       39.51
       23.05
       62.56
       38.40
      56.10
      94.50
       51.12
        61.07
     112.19
6
Madhya Pradesh
       81.27
      65.08
     146.35
     133.66
       58.65
     192.31
     133.69
      54.65
    188.34
     125.40
        73.98
     199.38
7
Orissa
       54.91
41.88
       96.79
       32.88
27.19
       60.07
       25.71
      24.06
      49.77
         8.31
        69.06
       77.37
8
Rajasthan
       50.67
98.6
     149.27
     160.54
57.33
     217.87
     196.51
      67.16
    263.67
     185.57
        87.84
     273.41
9
Uttar Pradesh
     196.45
244.25
     440.70
     242.21
205.02
     447.23
     256.34
     240.97
    497.31
     282.54
      219.74
     502.28
10
Uttarakhand
       12.02
9.53
       21.55
       10.97
6.49
       17.46
         8.22
      17.64
      25.86
       24.82
        13.91
       38.73

Sub Total
    545.79
    743.86
  1,289.65
    856.36
    589.73
  1,446.09
    944.41
    683.83
 1,628.24
    998.53
     788.70
  1,787.23
B. NE States













11
Arunachal Pradesh
         3.41
        4.32
         7.73
        5.72
        0.92
         6.64
         5.84
        6.08
      11.92
         5.97
        19.32
       25.29
12
Assam
     159.83
      29.44
     189.27
     132.10
       28.35
     160.45
     155.60
      56.82
    212.42
     105.08
        83.60
     188.68
13
Manipur
         3.94
2.4
         6.34
        2.83
1.04
         3.87
         8.03
        2.32
      10.35
         3.26
        16.92
       20.18
14
Meghalaya
         8.37
6.07
       14.44
        5.57
1.61
         7.18
         2.04
        7.38
        9.42
         5.09
        19.02
       24.11
15
Mizoram
         4.82
3.83
         8.65
        4.31
0.56
         4.87
         4.73
        3.24
        7.97
         3.35
        17.26
       20.61
16
Nagaland
         9.64
5.51
       15.15
        2.44
1.74
         4.18
         5.85
        5.17
      11.02
         3.76
        16.68
       20.44
17
Sikkim
         1.35
0.31
         1.66
        0.62
0.41
         1.03
         3.21
        3.59
        6.80
         3.75
         5.37
         9.12
18
Tripura
       11.05
9.26
       20.31
        5.82
1.43
         7.25
       12.83
        4.88
      17.71
       12.59
        26.10
       38.69

Sub Total
    202.40
      61.14
     263.54
    159.43
      36.06
     195.49
    198.13
      89.48
    287.61
    142.84
     204.27
     347.11
C. Non-High Focus States













19
Andhra Pradesh
       35.06
      58.95
       94.01
       59.26
       72.62
     131.88
     118.75
      43.12
    161.87
       61.27
        45.54
     106.81
20
Goa
         2.05
        0.96
         3.01
        2.55
        1.18
         3.73
         3.18
        1.58
        4.76
         3.59
         1.69
         5.28
21
Gujarat
       22.67
      86.83
     109.50
       77.63
     110.23
     187.86
       54.29
      55.62
    109.91
       77.81
        65.20
     143.01
22
Haryana
       22.65
      35.88
       58.53
       40.78
       38.35
       79.13
       45.92
      14.58
      60.50
       32.38
        40.87
       73.25
23
Karnataka
       58.47
      57.13
     115.60
       67.14
       51.70
     118.84
       73.03
      62.12
    135.15
       70.71
        68.87
     139.58
24
Kerala
       15.59
      29.59
       45.18
       11.60
       22.18
       33.78
       15.10
      23.60
      38.70
       14.35
        31.38
       45.73
25
Maharashtra
       83.43
      55.81
     139.24
     276.28
       67.70
     343.98
     325.18
      83.57
    408.75
     356.39
      145.24
     501.63
26
Punjab
       45.14
16.12
       61.26
       74.77
18.44
       93.21
       53.99
      20.15
      74.14
       75.88
        28.54
     104.42
27
Tamil Nadu
       71.19
68.32
     139.51
       71.35
71.06
     142.41
       61.05
      50.06
    111.11
     155.40
        66.70
     222.10
28
Telangana
            -  
           -  
             -  
            -  

             -  
       67.87
      19.62
      87.49
       47.64
        32.09
       79.73
29
West Bengal
       84.93
      74.14
     159.07
     136.75
51.95
     188.70
     115.67
      66.65
    182.32
     104.97
      148.87
     253.84

Sub Total
    441.19
    483.73
     924.92
    818.10
    505.41
  1,323.51
    934.04
    440.67
 1,374.71
 1,000.39
     674.99
  1,675.38


D. Small States/UTs













30
Andaman & Nicobar Islands
         1.59
        0.82
         2.41
        0.38
        0.10
         0.48
         0.28
        0.30
        0.58
         0.21
         7.23
         7.44
31
Chandigarh
         1.09
        0.85
         1.94
            -  
        0.70
         0.70
         0.02
        2.13
        2.15
         1.63
         3.12
         4.75
32
Dadra & Nagar Haveli
         0.67
        0.22
         0.89
        0.37
        0.13
         0.50
         0.84
        0.29
        1.13
         0.91
         1.86
         2.77
33
Daman & Diu
         0.22
        0.12
         0.34
        0.12
        0.07
         0.19
         0.16
        0.11
        0.27
         0.22
         1.26
         1.48
34
Delhi
       17.33
      17.95
       35.28
       36.96
       16.62
       53.58
         3.36
      17.26
      20.62
         2.49
        30.00
       32.49
35
Lakshadweep
         0.03
        0.04
         0.07
        0.29
        0.03
         0.32
         0.34
        0.03
        0.37
         0.46
         0.88
         1.34
36
Pondicherry
         2.52
1.13
         3.65
        2.77
0.86
         3.63
         3.19
        0.87
        4.06
         2.95
         3.72
         6.67

Sub Total
      23.45
      21.13
       44.58
      40.89
      18.51
       59.40
        8.21
      20.99
      29.20
        8.86
       48.07
       56.93

Grand Total
 1,212.83
 1,309.86
  2,522.69
 1,874.78
 1,149.71
  3,024.49
 2,084.79
 1,234.97
 3,319.76
 2,150.63
  1,716.03
  3,866.66
Note:












1. Cash grant is State Program Implementation Plan (SPIP) Approval for the component Procurement of drugs and supplies under RCH and Mission Flexible Pool.

2. Kind Grants is cost adjustment / release for vaccine and drugs under Immunization & Flexible Pool for Communicable Disease.
3. Kind Grants is updated upto 31/03/2016 and are provisional.












Statement showing State/Uts Cash (SPIP) Utilization & Kind Grants Support for Drugs & Supplies under NHM for F.Y. 2012-13 to 2015-16













 (Rs. in Crores)

S.No.
States/UTs
 2012-13
 2013-14
 2014-15
 2015-16

 Cash Grants
 Kind Grants
 Total
 Cash Grants
 Kind Grants
 Total
 Cash Grants
 Kind Grants
 Total
 Cash Grants
 Kind Grants
 Total

A. High Focus States

1
Bihar
       69.17
     189.55
     258.72
       90.64
     170.62
    261.26
        42.23
     182.81
    225.04
       60.87
     209.47
    270.34

2
Chattisgarh
       10.44
       38.09
       48.53
       32.98
       22.00
      54.98
        55.31
       23.41
       78.72
         4.84
       26.23
      31.07

3
Himachal Pradesh
       16.31
         3.38
       19.69
       19.47
         7.24
      26.71
        29.37
         4.46
       33.83
       36.50
       11.02
      47.52

4
Jammu & Kashmir
         9.75
       10.31
       20.06
       21.64
       12.14
      33.78
        26.11
       12.57
       38.68
       30.09
       16.38
      46.47

5
Jharkhand
       13.98
       43.19
       57.17
       30.52
       23.05
      53.57
        22.89
       56.10
       78.99
       25.27
       61.07
      86.34

6
Madhya Pradesh
       84.69
       65.08
     149.77
     125.58
       58.65
    184.23
      108.14
       54.65
     162.79
     125.20
       73.98
    199.18

7
Orissa
       33.40
       41.88
       75.28
       41.15
       27.19
      68.34
        12.93
       24.06
       36.99
         4.82
       69.06
      73.88

8
Rajasthan
       44.84
       98.60
     143.44
     111.44
       57.33
    168.77
      166.33
       67.16
    233.49
     159.94
       87.84
    247.78

9
Uttar Pradesh
       67.96
     244.25
     312.21
     167.33
     205.02
    372.35
      163.20
     240.97
     404.17
     181.50
     219.74
    401.24

10
Uttarakhand
         6.24
         9.53
       15.77
         5.61
         6.49
      12.10
          6.77
       17.64
       24.41
         7.57
       13.91
      21.48


Sub Total
    356.78
    743.86
  1,100.64
    646.36
    589.73
 1,236.09
     633.28
    683.83
  1,317.11
    636.59
    788.70
 1,425.29

B. NE States

11
Arunachal Pradesh
         0.95
         4.32
         5.27
         7.16
         0.92
        8.08
          1.35
         6.08
         7.43
         3.61
       19.32
      22.93

12
Assam
     159.56
       29.44
     189.00
       81.74
       28.35
    110.09
        38.13
       56.82
       94.95
     141.50
       83.60
    225.10

13
Manipur
         0.01
         2.40
         2.41
         4.47
         1.04
        5.51
          2.02
         2.32
         4.34
         4.37
       16.92
      21.29

14
Meghalaya
         7.44
         6.07
       13.51
         0.72
         1.61
        2.33
          2.90
         7.38
       10.28
         9.92
       19.02
      28.94

15
Mizoram
         5.54
         3.83
         9.37
         5.35
         0.56
        5.91
          0.75
         3.24
         3.99
         1.80
       17.26
      19.06

16
Nagaland
         8.36
         5.51
       13.87
         2.26
         1.74
        4.00
          0.59
         5.17
         5.76
         4.98
       16.68
      21.66

17
Sikkim
         0.29
         0.31
         0.60
         2.41
         0.41
        2.82
          1.95
         3.59
         5.54
         3.92
         5.37
        9.29

18
Tripura
         3.02
         9.26
       12.28
         2.17
         1.43
        3.60
          8.44
         4.88
       13.32
         3.53
       26.10
      29.63


Sub Total
    185.16
       61.14
     246.30
    106.28
      36.06
    142.34
       56.14
      89.48
     145.62
    173.63
    204.27
    377.90

C. Non-High Focus States

19
Andhra Pradesh
       17.57
       58.95
       76.52
     122.69
       72.62
    195.31
        85.60
       43.12
     128.72
       47.28
       45.54
      92.82

20
Goa
         1.64
         0.96
         2.60
         1.92
         1.18
        3.10
          1.81
         1.58
         3.39
         0.62
         1.69
        2.31

21
Gujarat
       12.74
       86.83
       99.57
       42.03
     110.23
    152.26
        44.50
       55.62
     100.12
     109.88
       65.20
    175.08

22
Haryana
       18.15
       35.88
       54.03
       28.21
       38.35
      66.56
        20.21
       14.58
       34.79
         3.48
       40.87
      44.35

23
Karnataka
       27.87
       57.13
       85.00
       36.11
       51.70
      87.81
        38.71
       62.12
     100.83
       31.63
       68.87
    100.50

24
Kerala
         8.81
       29.59
       38.40
       13.45
       22.18
      35.63
          8.48
       23.60
       32.08
         9.72
       31.38
      41.10

25
Maharashtra
       34.19
       55.81
       90.00
     121.32
       67.70
    189.02
      179.57
       83.57
     263.14
     149.71
     145.24
    294.95

26
Punjab
       30.99
       16.12
       47.11
       36.02
       18.44
      54.46
        70.57
       20.15
       90.72
       96.30
       28.54
    124.84

27
Tamil Nadu
       56.65
       68.32
     124.97
       68.97
       71.06
    140.03
      166.61
       50.06
     216.67
     112.44
       66.70
    179.14

28
Telangana
             -  
             -  
             -  
             -  
            -  
             -  
        16.11
       19.62
       35.73
       17.42
       32.09
      49.51

29
West Bengal
       46.38
       74.14
     120.52
       73.19
       51.95
    125.14
      109.30
       66.65
     175.95
     123.39
     148.87
    272.26


Sub Total
    254.98
    483.73
     738.71
    543.92
    505.41
 1,049.33
     741.45
    440.67
  1,182.12
    701.89
    674.99
 1,376.88

D. Small States/UTs

30
Andaman & Nicobar Islands
         0.06
         0.82
         0.88
         0.01
         0.10
         0.11
          0.15
         0.30
         0.45
             -  
         7.23
        7.23
31
Chandigarh
         0.04
         0.85
         0.89
             -  
         0.70
        0.70
              -  
         2.13
         2.13
         1.37
         3.12
        4.49
32
Dadra & Nagar Haveli
         0.15
         0.22
         0.37
         0.36
         0.13
        0.49
          0.03
         0.29
         0.32
         0.89
         1.86
        2.75
33
Daman & Diu
         0.00
         0.12
         0.12
         0.05
         0.07
        0.12
          0.01
         0.11
         0.12
         0.11
         1.26
        1.37
34
Delhi
         0.70
       17.95
       18.65
       18.12
       16.62
      34.74
          2.52
       17.26
       19.78
         0.39
       30.00
      30.39
35
Lakshadweep
             -  
         0.04
         0.04
         0.00
         0.03
        0.03
          0.10
         0.03
         0.13
         0.07
         0.88
        0.95
36
Pondicherry
         0.63
         1.13
         1.76
         2.33
         0.86
        3.19
          2.59
         0.87
         3.46
         1.00
         3.72
        4.72

Sub Total
         1.58
       21.13
       22.71
      20.88
      18.51
      39.39
         5.40
      20.99
       26.39
        3.83
      48.07
      51.90

Grand Total
    798.51
 1,309.86
  2,108.37
 1,317.44
 1,149.71
 2,467.15
  1,436.26
 1,234.97
 2,671.23
 1,515.94
 1,716.03
 3,231.97














Note:













1. Cash grant is State Program Implementation Plan (SPIP) utilization for the component Procurement of drugs and supplies under RCH and Mission Flexible Pool.


2. Kind Grants is cost adjustment / release for vaccine and drugs under Immunization & Flexible Pool for Communicable Disease.

3. Kind Grants is updated upto 31/03/2016 and are provisional.











Public Health being a state subject, the primary responsibility of putting in place a monitoring mechanism for proper utilisation of funds and ensure free availability of quality drugs in public health centres/ hospitals. Under NHM support is also provided to States/UTs for putting in place an IT enabled inventory management system to track drug availability. The implementation and progress of the National Health Mission (NHM) includingproper utilisation of funds and ensure free availability of quality drugs in public health centres/ hospital is monitored/ reviewed at the national level through Annual Common Review Missions. At the District Level, the "District Level Vigilance & Monitoring Committees” are constituted to monitor the progress of implementation of NHM. Other mechanisms include external surveys such as Sample Registration Survey (SRS), the District Level Household Survey (DLHS) and National Family Health Survey (NFHS) besides regular monitoring visits from National Program Management Units to States & districts and from States to districts & blocks. The Health Management Information Systems (HMIS) helps to monitor the performance of public health facilities. Under NRHM, financial and technical support is provided to strengthen healthcare delivery system, particularly in rural areas.
The Minister of State (Health and Family Welfare),  Sh Faggan Singh Kulaste stated this in a written reply in the Lok Sabha

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