Utilization of Intergovernmental Funds to Implement Maternal and Child Health Plans of a Multi-Strategy Community Intervention in Haryana, North India: A Retrospective Assessment

Madhu Gupta (), Federica Angeli (), Hans Bosma (), Shankar Prinja (), Manmeet Kaur () and Onno C. P. Schayck ()
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Madhu Gupta: PGIMER
Federica Angeli: Maastricht University
Hans Bosma: Maastricht University
Shankar Prinja: PGIMER
Manmeet Kaur: PGIMER
Onno C. P. Schayck: Maastricht University

PharmacoEconomics - Open, 2017, vol. 1, issue 4, No 5, 265-278

Abstract: Abstract Introduction A multi-strategy community intervention known as the National Rural Health Mission (NRHM) was implemented in India from 2005 to 2012 in an attempt to reduce maternal and child mortality. Objective This study examined the extent to which the NRHM’s maternal and child health (MCH) sector plans were implemented. We observed trends in how intergovernmental (use of central government funds by state governments) budgets were allocated and used to implement MCH plans in Haryana, India. Methods We conducted a retrospective assessment of programme implementation plans, MCH budget allocation and expenditure and financial monitoring reports during the NRHM implementation period. The yearly budget utilization rate was calculated for each MCH strategy implemented. On the basis of this budget utilization rate, we classed the extent of MCH strategy implementation as fully, partially or not implemented. The status of MCH indicators before, during and after the NRHM period was obtained from national demographic surveys. The budget utilization rate was correlated with MCH outcomes. Results The overall budget allocated for MCH plans increased from $US6.6 million during the 2005–2006 period to $US66.7 million in the 2012–2013 period. The rate of budget utilization increased from 20.6% in 2007–2008 to 89% in 2012–2013. Expenditure exceeded the initially allocated budget for patient referral services (111.5%), human resources (110.1%), drugs and logistics (170%), accredited social health activists (133.3%) and immunization (106.4%). Additional budget was obtained from the state health budget. Plans for referral services, human resources, drug provision, accredited social health activists and immunization were fully implemented, few schemes (

Date: 2017
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DOI: 10.1007/s41669-017-0026-3

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