Finances of National Rural Health Mission are a critical resource determining the success of the technical interventions. Since the introduction of NRHM in the state sufficient financial resources were raised from the Ministry of Health and Family Welfare, Government of India and sufficiency of funds has provided a sunshade for equitable implementation of activities in all the Districts.A fool proof system of capturing the monthly expenditure and continuous monitoring in the form of Concurrent Audits was established. Statutory Audits are being conducted in time.


Under NRHM, all transactions are online under the e- Banking route with ICICI Bank, through custom made software developed for the purpose. The system enables rapid receipt of funds from the centre to the state to the District Societies/implementing units for implementing the NRHM scheme. Payments are released electronically to the bank account of the District/PHC/CHC/vendors as the case may be. All transactions are tracked easily under the system. During 2010-11, the e-banking system will be integrated with Tally at the state and district level for automatic computation of accounts. The scheme has helped in many ways and one example relates to the payment of salary, wherein around 1000 Doctors and 1500 Staff Nurses, PROs and Block Coordinators are paid their monthly salary by the district societies. With e-banking all the ‘Doctors/Staff Nurses/Lab Technicians/Block Coordinators’ are directly given salary to the personal bank account on the basis of attendance certificate from the Medical Officer. This enables the District Societies to directly credit the salary to the bank account of the employee and enables instant capture of expenditure. The state of Kerala is the only state in the country to put in place an e-banking system

Funding status

Financial data in tabular form is presented below in respect of the last four year. Not only the funds were received against the PIP, but implementation also drastically improved and percentage utilization has increased from 11% in 2005-06 to 16% in 2006-07 to 61% in 2007-08 and 73% in 2008-09. Out of the total receipt of `520.75 crores since the inception of the project, an amount of `420.20 crores has been utilized till 31.03.2009 (81%) with a carry over balance of `100.55 crores as on 01.04.2009 (Bank balance `39.09 crores at the State Level and `61.46 as advance with District Societies and Peripheral Institutions and other implementing agencies)..

Receipt and Expenditure of funds from 2005-06 onwards

Year    ` In crores
Sl No Activity 2005-06 2006-07 2007-08 2008-09 Total
Receipt* Exp. Receipt Exp. Receipt Exp. Receipt Exp. Receipt Exp.
RCH -II 22.00 3.04 34.37 13.84 48.36 48.19 74.23 88.57 178.96 153.64
Additionalities under NRHM 10.69 0.00 41.93 0.52 158.75 65.92 63.96 148.43 275.33 214.87
Immunisation 1.75 0.87 4.30 3.29 3.34 2.88 3.83 4.47 13.22 11.51
State Share 0 0 0 0 0 0 53.24 40.18 53.24 40.18
Total 34.44 3.91 (11%) 111.13 17.65 (16%) 303.13 116.99 (61%) 382.20 281.65 (73%) 520.75 420.20 (81%)

* includes carryover amount of previous year