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Compliance Performance
Madhya Pradesh

Report of 2009 - Report of the Comptroller and Auditor General of India for the year ended 31 March 2009 (Civil) Government of Madhya Pradesh

Date on which Report Tabled:
Wed 28 Jul, 2010
Date of sending the report to Government
Government Type
State
Sector Agriculture and Rural Development,Social Welfare,Education, Health & Family Welfare,Social Infrastructure

Overview

The Report includes three chapters containing five reviews, one long paragraph and 24 paragraphs dealing with the results of performance audit of selected programmes and schemes as well as audit of the financial transactions of the Government.

The audit has been conducted in accordance with the Auditing Standards prescribed for the Indian Audit and Accounts Department. Audit samples have been drawn based on statistical sampling methods as well as on judgement basis. The specific audit methodology adopted for programmes and schemes has been mentioned in the reviews. The audit conclusions have been drawn and recommendations made, taking into consideration the views of the Government.

The National Rural Health Mission (NRHM) was launched in April 2005 by the Government of India to bnng about significant improvements in the health status of the rural population. The Mission sought to provide universal accessto equitable, affordable and quality health care facilities in rural areas.A performance audit of implementation of NRHM revealed that baseline surveys were not completed. Perspective Plans for the Mission and Annual Plans for districts, blocks and villages were not prepared regularly. The objective of the Mission to bring all health care activities under one umbrella was not achieved. The State Government did not contribute its share of 15 per cent funds during 2007-08. Funds amounting to Rs 2.12 crore were diverted from NRHM's funds to a State scheme during 2007-08. Funds remained unspent at the State Health Society/ District Health Societies level, thus defeating the goal of improving public spending in the health sector. None of the health care centres in the State were upgraded as per the Indian Public Health Standards. Despite provision of contractual appointments, there was a shortage of medical and para-medical staff. In 10 out of 12 test-checked districts. 101 Primary Health Centres were functioning without doctors. The fifth module training was not imparted to any of the Accredited Social Health Activists in the State. In the test-checked districts. 49 to 58 per cent of pregnant women were not registered in health centres during their first trimester. Targets set for spacing and terminal methods for family planning were not achieved. The current status of maternal mortality rate and infant mortality rate in the State remained high. Spectacles were not supplied to 30,715 out of 57,191 children suffering from refractive errors during 2005-09 in the test-checked districts. Due to non-formation of monitoring and planning committees, appraisal and evaluation of activities could not be ensured.

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