Funds not being utilised, workers scarcity: A number of lapses within the implementation of the Delhi State Well being Mission (DSHM) have been discovered within the CAG report tabled within the Meeting on Friday.
It mentioned not sufficient efforts have been made by the earlier Delhi authorities to attain the targets of programmes of the Nationwide Well being Mission (NHM) as funds permitted weren’t totally utilised. Delhi was one of many states chosen to implement the Nationwide Well being Mission Reproductive, Maternal, New-born, Baby and Adolescent Well being (RMNCH+A) programme, an important one below the NHM.
As per the report, DSHM couldn’t utilise funds launched below the NHM as Rs 510.71 crore was mendacity unspent in financial institution accounts of Delhi State Well being Society and its 11 Built-in District Well being Societies (March 2022).
“Underutilisation of funds ranged from 58.90% in 2016-17 to 93.03% in 2019-20, indicating the Delhi authorities was not implementing the programme adequately. Audit famous important shortfalls in implementation of RMNCH+A as solely 48.33% registered pregnant girls have been offered… ante-natal care… and solely 36.18% and 18.91% have been examined for HIV and sexually transmitted an infection/ reproductive tract an infection respectively throughout April 2016 to September 2022,” the report talked about.
The report mentioned there have been many cases of delay in releasing funds from the state treasury to DSHM, accountable for executing programmes below NHM.
It famous that neither was a price range demanded by DSHM nor have been funds launched by the Central authorities, aside from Rs 62 lakh launched by the Centre below the Nationwide Viral Hepatitis Management Programme in 2019-20, which remained unspent.
There was additionally a 36% scarcity of workers for implementing NHM schemes within the state. This occurred regardless of an settlement between the Centre and Delhi authorities, which determined to rent outsourced workers below NHM. Whereas the Centre permitted 2,581 posts of medical doctors, nurses, technicians and different para-medical workers, only one,643 posts have been crammed and 938 posts (3%) remained vacant as of March 2021.
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There have been important vacancies in necessary posts: Medical Officers (29%), Nurses (27%), Pharmacists (27%), Lab Assistants (43%) and Counsellors (86%). There have been no psychiatrists appointed below the DSHM and the 5 positions remained vacant.
In February 2018, the DSHM permitted procurement of two Superior Life Assist (ALS) ambulances for toddler transportation; funds to buy them, amounting to Rs 56 lakh, have been permitted in August 2018. The Director of Household Welfare was required to situation an in depth proposal for his or her operation via the Centralised Accident and Trauma Providers.
The audit, nonetheless, famous these weren’t procured by CATS as of June 2022. In its reply, CATS acknowledged (January 2022) that an approval letter was acquired from DGHS, however funds weren’t launched.
