An autonomous research institute under the Ministry of Finance


Selected Aspects of NRHM Expenditure at the State-level: A Focus on Rajasthan and Karnataka

Publication date

Feb, 2013


Draft Report submitted to the Ministry of Health and Family Welfare


Mita Choudhury, H. K. Amar Nath, Bharatee Bhusana Dash


This report analyses selected aspects of spending under the National Rural Health Mission (NRHM) in Karnataka and Rajasthan. Analysis suggests that funds provided by the Central government through NRHM have complimented the expenditure incurred by State governments. Data from these two States does not provide any evidence of substitution of spending by States with funds available under NRHM. Analysis also shows that about 60-70 per cent of the funds provided under the flexible pools of NRHM are spent at/below the district level. The degree of decentralisation was higher in the RCH Flexible Pool than in the Mission Flexible Pool. The level of devolution of funds for facility-level spending was found to be higher in Karnataka than in Rajasthan. Through analysis of data collected from facilities and administrative offices in three districts, the study presents illustrations of the nature of utilisation of funds provided to facilities for discretionary spending. The study also attempts to identify factors that limit the level of effective utilisation of discretionary funds provided to facilities under NRHM.


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