New Delhi: Taking a stern note on the implementation and failure of schemes under National Rural Health Mission (NRHM), Public Accounts Committee (PAC) on Thursday has urged to start all the schemes in a fresh way.

Public Accounts Committee, headed by senior BJP leader Murli Manohar Joshi, has said that the conditions of heath centers in rural area are not just pitiable, but they have become a ground for storage of foodgrains and cow dung.

Audit examination also revealed that a large number of health centres were functioning in unhygienic conditions due to various infrastructural deficiencies. In many cases, the centres were functioning in an unhygienic environment since they were located in the close vicinity of garbage dumps, cattle sheds, and stagnant water bodies or polluting industries.

National Health Mission which was started in 2005 doesn’t seem to render results in these five years. Giving data, he said that in comparison to Sri Lanka where public expenditure per person is 30 dollars, India is spending only 7 dollars per person. After even spending huge amounts, results failed to show.

Everything other than doctors and medicines can be found in primary health centres. There was also a proposal of including it in the Panchayati Raj system but till date nothing has been done on that front. Participation of the many state governments is not even one percent which was proposed to be at least 15 percent.

A Parliamentary Committee has recommended a comprehensive Central electronic database for all districts which should be uploaded state-wise for easy access by district planning teams while implementing schemes under the National Rural Health Mission.

The committee emphasised that the Mission Steering Group MSG should invariably meet twice a year and the progress report on the functioning of the mission must be placed before the Cabinet once a year as stipulated.

Further, a suitable format should be prescribed for quarterly and annual reporting by smaller committees to the MSG so as to make monitoring more effective and meaningful.

JPN/ Bureau