National Family Welfare Programme

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Browsing National Family Welfare Programme by Author "CAG of India"

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    Performance Audit of National Family Welfare Program in Arunachal Pradesh (1995-2000)
    (CAG of India, 2001) CAG of India
    The National Family Welfare Programme is a demographic as well as a Welfare Programme meant for stabilising population level and at the same time improving maternal and child health care. The programme is a cent percent Centrally Sponsored Scheme. A review of the programme through test check of records revealed that programme implementing department could not achieve the demographic goal in respect of birth rate, crude death rate, etc., during March ending 1995, 1996 and 1997 though expenditure on this account continued to be increased year after year. The couple protection rate during 1995-96 to 1999-2000 fell short of the target to a considerable extent. There was huge shortage of manpower in operation of the programme. The State Government did neither evolve any monitoring system nor any evaluation was ever conducted, thereby, the effectiveness of the programme remained unassessed. Main audit findings are stated below: 1. Against the grants of Rs. 809.66 lakh released by the Government of India for implementation of the scheme during the period from 1995-96 to 1999-2000, Rs. 958.59 lakh was spent by the State Government resulting in excess expenditure of Rs. 148.93 lakh over the grant. 2. There was short establishment of 23 SCs and 0.69 lakh population was deprived of the desired benefit of health services. 3. Couple protection during 1995-96 to 1999-2000 ranged between 3 and 14 per cent against target of 60 per cent set under National Health Policy. 4. Under MCH Services shortfall in coverage under DPT ranged between 36 and 67 per cent, OPV between 28 and 49 per cent, BCG between 32 and 47 per cent, measles between 49 and 64 per cent, T.T. for pregnant women between 52 and 76 per cent during the year 1995-96 to 1999-2000 (Upto October 1999) as against 100 percent immunisation targeted. 5. Rupees 41 lakh incurred by the SCOVA for the execution of the items of work which were not covered by their approved guideline was irregular. 6. No target for imparting training to Family Welfare Staff was fixed by the department. Out of 155 ANMs, only 78 ANMs were trained in IUD insertion during the period from 1995-96 to 1999-2000. Out of Rs. 47.08 lakh released by the GOI for training, Rs. 23.43 lakh was irregularly spent by the department for payment of salary of the ANMs of sub-centres and Urban Family Welfare Centres during 1995-2000. 7. As per GOI norm for carrying out IEC activities in a smaller State, maximum financial assistance was fixed as Rs.10.00 lakh per year. But due to inflated demand in the Annual Action Plan of the department, the GOI had released Rs.24.20 lakh in excess of the stipulated norm to the State Government during 1995-2000.
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    Performance Audit of National Family Welfare Program in Nagaland (1995-2000)
    (CAG of India, 2001) CAG of India
    The National Family Welfare Programme is a demographic as well as a welfare programme meant for stabilising the population level, and at the same time, improving maternal and child health care. However, due to inconsistency of data on population coverage, procurement, and application of vaccines, and also due to scanty issue of family welfare materials, and incorrect and inflated reporting, the reported figures of achievement in the State were unreliable. Highlights: 1. Expenditure (Rs.23.90 crore) on salaries alone accounted for 75 per cent of the total expenditure (Rs.31.99 crore) under the Programme during 1995-2000. The Department stated that excess staff were appointed on the recommendation of Ministers and higher authorities. 2. There was an excess expenditure of Rs.1.43 crore in 182 Sub-centres due to appointment of staff far in excess of actual requirement. 3. The monthly progress reports submitted by departmental officers contained inflated/incorrect figures and the entire reporting process was unreliable. 4. Vaccine vials shown as issued, by the Directorate of Health and Family Welfare, were more than the number of vials actually received. 5. Fictitious issue of BCG (350 Amp), OP (3840 vials), Measles (2400 vials), TT (2000 vials), DT (800 vials) and DPT (1360 vials) vaccines by the DH&FW to the field units.
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    Performance Audit of National Family Welfare Programme
    (CAG of India, 2001) CAG of India
    Implementation of the scheme - National Family Welfare Programme (NFWP) - was last reviewed in Audit (Report No. 2 of 1994 of the CAG of India) in 1993-94. That review had brought out among others, non-achievement of demographic goals during prescribed period and certain flaws in planning, project formulation, operational failures, and application of resources etc. This follow up performance audit of National Family Welfare Programme (NFWP) disclosed that the organisational and operational weaknesses pointed out by Audit in the earlier review persist, and the programme has failed to consolidate the widely dispersed linkages. The objective of the audit review has been to examine the performance of the programme in terms of activities and to assess if the approaches and interventions, have yielded the welfare goals and the desired demographic objectives. Review of the NFWP covering the period 1995-2000 was carried out by sample checks during March to October 2000 in the Ministry of Health and Family Welfare and implementing agencies in 26 States and 6 Union Territories.
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    Performance Audit of National Family Welfare Programme (NFWP) in Mizoram (1995-2000)
    (CAG of India, 2001) CAG of India
    The National Family Welfare Programme (NFWP) is a demographic as well as a Welfare Programme meant for stabilising population level and at the same time improving maternal and child health care. The programme is a cent per cent Centrally Sponsored Scheme. The implementation of the Family Welfare Programme (NFWP) in Mizoram, covering the period from 1995-96 to 1999-2000 was reviewed by CAG of India in audit during March – May 2000 through test check of records of the DHS Project Director (State Committee On Voluntary Action), Chief Medical Officers Aizawl East and Aizawl West, Medical officers, of Post Partum Centres at Aizawl, Kolasib. The services of the ORG-MARG were commissioned by the Comptroller and Auditor General of India with a view to gauge, inter alia beneficiaries perception of the programme and related matters. The ORG-MARG carried out (October 2000) survey in the State of Mizoram over a sample of 1000 households (464 urban and 536 rural) and 8 health facilities in respect of two districts (Aizawl and Lunglei). Significant findings of the survey on matters discussed in the Report have also been included in this review at appropriate places.
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    Performance Audit of National Family Welfare Programme in Jammu and Kashmir
    (CAG of India, 2001) CAG of India
    The National Family Welfare Programme was introduced in the First Five Year Plan in 1952 for stabilising population level by bringing down birth and death rates through various family planning measures. Subsequently, Maternal and Child Health Services were integrated with it during Fourth Five Year Plan period. This performance audit of implementation of the programme in Jammu and Kashmir covering the period 1995-96 to 1999-2000 revealed that implementation suffered adversely due to inadequate family control equipment/devices, medicines and absence of training to health workers. The scheme had degenerated into wage programme as expenditure on salaries during 1995-99 ranged between 70 and 100 per cent of the total expenditure. A few main audit findings are as below: • PAP smear tests were not conducted at PP centres Srinagar and Jammu and a cyto-technician posted at Srinagar centre was paid idle wages of Rs 3.66 lakh. • Family planning activities at Post Partum Centres suffered adversely as no funds for meeting recurring expenditure on contingency, maintenance of operation theatres, replacement of surgical equipments, POL for vehicles were provided to any PP Centre. Survey conducted by ORG-MARG revealed that Post-Partum care in the State was inadequate and PPCs were poorly equipped. • Sterilisations conducted under the Programme declined from 15714 in 1995-96 to 11040 in 1999-2000. • No training was imparted to health workers in all the eleven training schools which resulted in payment of idle wages of Rs 2.55 crore during 1995-96 to 1999-2000. • Inadequate manpower, non-availability of laparoscopes, family control devices and medicines affected adversely the working of family welfare centres.
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    Performance Audit of National Family Welfare Programme in Pondicherry (1995-2000)
    (CAG of India, 2001) CAG of India
    The infrastructural facilities in Primary Health Centres and Community Health Centres were very poor and the rural people had to depend on district hospitals for their health care. The motivation of the community to adopt small family norms was not effective and there was a decline in the number of acceptors. The implementation of the Programme was not as envisaged by Government of India. There were deficiencies in the health care services provided to expectant mothers and children. Consequently, the national goal of below 2 per 1000 for Maternal Mortality Rate was not achieved in 4 out of 5 years in Post Partum centres and the Union Territory Government goal of achieving Infant Mortality Rate of less than 25 per 1000 by year 2000 was not achieved. Some major points noticed were as follows: Though Government of India released funds in instalments provisionally every year, the Union Territory Government had not worked out the eligible assistance as per the prescribed pattern of assistance for intimation to Government of India to enable adjustment of the excess or shortfall in future releases. There was an excess expenditure of Rs 47.82 lakh over the norms in the Post Partum centres at Pondicherry and Karaikal. Medical Officers in charge of Post Partum centres had spent less amount on payment of compensation to acceptors than the prescribed norms would warrant, even though enough funds were released by Government of India. Though there were more number of Rural Family Welfare centres established than the norms prescribed, the rural population had to depend only on District Hospitals for their emergency obstetric needs as specialist posts were not created in Community Health Centres. There was deficiency in the health care services provided to expectant mothers; consequently the Maternal Mortality Rate exceeded the national goal of ‘below 2 per 1000’ during 1995-99. The declining trend noticed in the number of acceptors of small family norms indicated that motivation under Post Partum Programme was not effective. Of infants to whom BCG vaccine was provided during 1995-2000, only 52 to 60 per cent were provided with other vaccines, though adequate quantity of vaccines was available.