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Utilization of Sub Health Centre Untied Funds in Kanker (Chhattisgarh)


  • Ankur Sooden
  • Agency : Untied Fund, National Rural Health Mission, Sub-Health Centres, Chhattisgarh, Health Financing, Utilization
  • Objective : 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.


  • Background : Government of India under National Rural Health Mission 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 eligible to 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, two installments 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 decision making 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.