What happened (announcement in Parliament on NAM monitoring and funding)

The Union Ministry of AYUSH described how NAM is monitored for expansion of AYUSH healthcare services in rural and tribal areas and explained the funding mechanism used to support facility creation under the scheme. A written reply in Lok Sabha by the Union Minister of State (I/C) for AYUSH, Shri Prataprao Jadhav, presented scheme-wise funding figures for the last three years (2023-24, 2024-25, and 2025-26) with Budget Estimate (BE), Revised Estimate (RE), and Actual Expenditure (AE) as applicable.

Monitoring and accountability tools used by the Ministry of AYUSH under NAM

The Ministry of AYUSH stated that it monitors NAM implementation regularly and through multiple methods. The stated monitoring methods are: collecting activity-wise physical and financial progress from State/Union Territory Governments at regular intervals; conducting field visits by central teams to analyse actual implementation where States have reported expenditure and submitted utilization certificates; conducting Regional Review Meetings with States/UTs under the chairmanship of the Hon’ble Minister/Secretary; conducting one-to-one meetings with States/UTs for detailed review of physical and financial progress; and mid-term evaluation of NAM scheme implementation/progress by NITI Aayog using a third-party evaluator that undertakes field visits in State/UTs.

Why States remain the main driver: health as a State subject

The Ministry of AYUSH stated that because public health is a State subject, State Governments have the primary responsibility to assess availability and accessibility of AYUSH healthcare facilities (including Ayurvedic, Yoga, Unani, Siddha, and Homoeopathy services) in the country, including rural and tribal areas. Similarly, the Ministry stated that State Governments have the primary responsibility to establish new AYUSH hospitals, dispensaries, and wellness centres, including in underserved districts.

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