Utilization of Sub Health Centre Untied Funds in Kanker (Chhattisgarh)
Agency : Untied Fund, National Rural Health Mission, Sub-Health Centres, Chhattisgarh, Health Financing, Utilization
Objective : To
study the different aspects of utilization of untiedfund provided under
National Rural Health Mission to Sub-health centres in Dhanelikanhar Block of
Kanker District in Chhattisgarh during 2011-12.
Background : Government of India
under National Rural HealthMission provides an amount of Ten thousand
Rupees annually as Untied Fund to Sub-Health Centres. Provision of these funds
is made in the NRHM to facilitate meeting urgent, yet discrete, activities that
need relatively small sum of money. This fund is to be spent, based on the
local felt needs and is not bound for expenditure on pre-defined purposes. The
UF can also be used for meeting unforeseen expenditures that are not defined.
Methodology : Twenty eight SHCs in
the block that were eligibleto receive UF during financial year 2011-12
were studied. Records of the SHCs were examined and lady Health Workers of
these centres were interviewed to gather data.
Findings : UF for the year was not
disbursed, instead, twoinstallments for previous years were released to
all SHCs. A brief guideline on UF use was provided to Female Health Worker
(FHWs), however their knowledge on the issue was found to be incomplete. In a
clear deviation from national guidelines, FHW and Panchayati Raj Institution
representative should be signatories for UF account, co-signatories in study
area were FHWs and sector Medical Officer In-Charge. Involvement of community
and its representatives in decision making for expenditure was lacking. Ninety
six percent of available funds were utilized and major reason for remaining
amount not being spent was the need to maintain minimum specified balance in
bank accounts. Major part of the funds
was spent on buying furniture and civil works for SHCs. Findings suggest
incidence of pooling of untied fund and centralized purchase at block level.
Recommendations : Community
should be involved in decisionmaking on expenditure of UF and
monitoring the utilization. Orientation and training of FHWs should be done by
holding discussions on the issue in meetings and by providing them with
detailed guidelines on utilization of this valuable resource.
To study the different aspects of utilization of untied fund provided under National Rural Health Mission to Sub-health centres in Dhanelikanhar Block of Kanker District in Chhattisgarh during 2011-12.