MID TERM APPRAISAL OF THE 11TH FIVE YEAR PLAN

During the 11th Five Year Plan (2007-2008 to 2011-2012), the agreed outlay of Medical & Public Health is Rs. 269.66 crores against the actual total yearly revised outlay of Rs. 189.70 crores during the 10th Five Year Plan which is 42.15% increase over the 10th Plan revised outlays. During the first two years of 11th Five Year Plan, a total outlay of Rs. 48.00 crores had been approved which is only 17.80% against the agreed outlay of 11th Plan. A total expenditures of Rs. 4671.45 lakhs had been incurred during the first two years of 11th Plan. About 65% of the total expenditures had been utilized for salary component as posts created upto only 7th plan could be transferred to Non-Plan side due to financial problems in the State.

As well aware, the services of health sector is to improve and strengthen the availability and accessibility of quality health care for the people. In order to improve the availability and quality of health care, physical infrastructure development is needed as the present buildings are constructed ten years back. The 11th Plan envisaged construction of 9 nos. CMO Offices, 10 nos. Sub-Centre building with quarters, 15 nos. Medical Officers Quarters, 10 nos., Type III Quarters, 6 nos. Staff quarters and Re-construction of 2 nos. PHC Buildings, 2 nos. CHC buildings and 5 nos. Sub-Centres buildings but due to limited allocation of fund, only 8 nos. Staff Quarters had been constructed during the first two years of 11th Plan.

During the first two years of 11th Plan, 3 (three) nos. of PHCs were upgraded to CHCs and another 3 (three) Sub-Centres were also upgraded to PHC. Meanwhile, 4 (four) Sub-Centres were opened where Bru Refugees were settled. During this period no new post was created even though there is acute shortage of various posts of medical personnel especially in remote rural areas. A lot of work are to be done for human resource development without which quality health care could not be delivered for the poor people in rural areas.

Under such circumstances, the strong commitment of the Central Government regarding strengthening of health sector for improving the availability, accessibility of affordable quality of health care services for the people is very beneficial for a small State like Mizoram where there is acute shortage of financial resources. Under the National Rural Health Our History (NRHM), 49 nos. of Ambulance had been procured and distributed to 8 District Hospitals, 9 CHCs and 32 PHCs. Under this Scheme 943 nos. of ASHA had been trained and made functional with a drug kits which is very beneficial to bring about increased institutional delivery, improvement in maternal and child health as well as bringing about better coordination between the health sector and the community. A village Health & Sanitation Committee had also been set up in 815 nos. of revenue villages who look after the health care system and functioning in rural areas. About 412 nos. of various posts had been recruited on contractual basis and posted in rural areas. Even regarding physical infrastructure development, many works had been taken up under the National Rural Health Our History. Construction of as many as 230 nos. of Sub-Centres building cum Quarters were completed, 4 nos. CHC building and 8 nos. PHC buildings are also progressing satisfactorily. A lot of infrastructures development programmes are also proposed for rural health institutions as well as District Hospitals buildings.

The 11th Plan financial target and achievement are as below:- (Rs. in crore)