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District Level NRHM Funds Flow and Expenditure: Sub National Evidence from the State of Karnataka

Author

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  • K Gayithri K

    (Institute for Social and Economic change)

Abstract

The issue of small and declining health sector financing by the central and state governments in India is addressed by the launching of National Rural Health Mission in 2005-06. Bottom up planning starting with village as unit used as the main strategy of NRHM to meet the region specific health needs would serve well to promote health sector development. The provision of effective and quality health services with a special focus on the backward districts with weak human development is also slated to be an important objective of NRHM. Analyzing the district level NRHM funds flow and expenditure in Karnataka the present paper argues that the district wise allocations are wrought with poor expenditure planning. Program implementation plans and allocations significantly vary from one another. Such deviations in the earmarking of planned funds defy the very purpose of stringent bottom up planning involving colossal manpower and financial resources to track the grass root felt needs. In addition such aberrations do not help the government in the achievement of professed outcomes. This is a serious lapse in NRHM implementation and can seriously distort the effectiveness of public spending and to be taken care of in future. Utilisation of the allocated resources is poor and there is absolute mismatch between the planned estimates for important components of NRHM like RCH, NRHM additionalities, Disease control program and Immunisation and actual expenditure.

Suggested Citation

  • K Gayithri K, 2012. "District Level NRHM Funds Flow and Expenditure: Sub National Evidence from the State of Karnataka," Working Papers 278, Institute for Social and Economic Change, Bangalore.
    • Handle: RePEc:sch:wpaper:278
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    File URL: http://www.isec.ac.in/WP%20278_K%20Gayithri.pdf
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    Cited by:

    1. Panos Kanavos & Olivier Wouters & Mackenzie Mills & Nicola Boekstein & Maxine Mackintosh & Panos Kanavos, 2017. "Towards High Quality Health Care and Sustainable Financing – the Role of Health Care Programmes," Global Policy, London School of Economics and Political Science, vol. 8(s2), pages 46-59, March.
    2. Sarit Kumar Rout & Sudha Chandrashekar & Shridhar M. Kadam, 2022. "Resource flow and fund management at district level in Odisha: Evidence for improving district health systems in developing countries," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(4), pages 2135-2148, July.
    3. Salim Lakha & Durgam Rajasekhar & Ramachandra Manjula, 2015. "Collusion, Co-option and Capture: Social Accountability and Social Audits in Karnataka, India," Oxford Development Studies, Taylor & Francis Journals, vol. 43(3), pages 330-348, September.
    4. repec:bla:glopol:v:8:y:2017:i::p:46-59 is not listed on IDEAS
    5. Choudhury, Mita & Mohanty, Ranjan Kumar, 2018. "Utilisation, Fund Flows and Public Financial Management under the National Health Mission," Working Papers 18/227, National Institute of Public Finance and Policy.

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