1. The vision of NRHM ( FINANCE )  To raise public spending on health from 0.9% GDP to 2-3 % of GDP with improved arrangement for community financing and risk pooling  To undertake architectural correction of the health system to enable it to effectively handle increased allocations and promote policies that strengthen public health management and service delivery in the country

2. Strategy for NRHM ( Finance )  Empowerment for effective decentralization of finance related decisions  Flexible financing for addressing local issues  A ‘bottom up’ planning process from the village to the Block, Block to the District and finally to the state, involving the stakeholder

3. NRHM FINANCES Sources of Fund 1) Government of India – 85% 2) Government of Maharashtra – 15%

4. FINANCIAL COMPONENTS OF NRHM A. RCH Flexipool B. Additionalities ( Mission Flexipool) C. Routine Immunisation & Pulse Polio Cont.

5. FINANCIAL COMPONENTS OF NRHM (Contd.) D. National Disease Control Programmes (NDCPs) I. RNTCP (TB) II. NVBDCP (Malaria & Filaria) III. NPCB (Blindness Control) IV. IDSP (Integrated Disease Surveillance) V. NIDDCP (Iodine Deficiency) VI. NLEP (Leprosy)

6. FUND FLOW UNDER NRHM SHSM DHSs (33) GO M GO I HFWTCs (7) CS (for CS, RH, SDH, WH etc) Blocks (for RKS, PHCs & SCs etc) NDCPs (NPCB, NLEP, IDSP, NVBDCP, RNTCP) NGOs (for RCH, Sickle cell & MMU) Corporations (22)

7. FINANCIAL REPORTING MECHANISM CS (from CS, RH, SDH, WH to CS) Blocks (from RKS, PHCs & SCs to Blocks) NDCPs (NPCB, NLEP, IDSP, NVBDCP, RNTCP) NGOs (for RCH, Sickle cell & MMU) District Health Society State Health Society, Maharashtra GOIGOM Corporations IH&FWSs HFWTCs

8. TYPES OF REPORTS 1) Financial Management Report (FMR) Monthly as well as Quarterly 2) Monthly Fund Position Statements 3) Statement of Expenditures from HFWTCs 4) Concurrent Audit Reports of DHSs 5) Statutory Audit Report of Districts/ Corpns. - Annually 6) Statutory Audit Reports of RKS – Annually

9. The Journey so far (2005-06 to 2010-11)  Appointment of District Account Managers, Accountants at District and Block level exclusively for NRHM finance  Introduction of TALLY ERP 9 accounting system at District level to streamline financial reporting  Regular concurrent and statutory audit of accounts at State, Districts, Blocks and PHC level  Training for DAM by State FMG.

10. Audit Calendar Types of AuditPeriod Concurrent AuditQuarterly Statutory AuditAnnually RKS AuditAnnually

11. The Road Ahead – Future Plans  Introduction of TALLY ERP.9 at all Blocks, RH, SDH  E- banking at all Districts and Blocks levels, wherever possible  Regular training & capacity building for finance staff at all levels