Budget proportion between central and state for National Urban Health Mission NUHM program?

RRB Staff Nurse Delhi-2015

Community Health Nursing

Easy

Appeared in: RRB Staff Nurse Delhi-2015

Explanation

The question refers to the original funding pattern for the National Urban Health Mission (NUHM) for general category states.
At its launch in 2013, the financial sharing between the Central and State governments was set at a 75:25 ratio.
While this pattern was later revised to 60:40, the original 75:25 ratio is the correct choice among the given options, as 60:40 is not listed.

Option B: A 50:50 funding split is not the standard ratio for the NUHM program. While some centrally sponsored schemes may use this model, it does not apply here.
Option C: 100% funding by the central government is incorrect for states. This model is reserved only for Union Territories that do not have their own legislature.
Option D: A 25:75 ratio reverses the financial responsibility, placing the majority of the burden on the state government. This is contrary to the design of centrally sponsored schemes like NUHM, where the central government takes the larger share.

Visual 1: Infographic: A pie chart visually representing the 75% Central and 25% State share for NUHM's original funding pattern.
Visual 2: Table: A comparative table showing the funding patterns for NUHM across different state categories (General, Special Category, UTs) and the revision over time from 75:25 to 60:40.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Funding pattern of National Urban Health Mission (NUHM) as background academic context rather than a clinical decision trigger.
Understanding funding mechanisms is crucial for public health administrators and community health nurses to advocate for resources and plan service delivery effectively.
The shift in funding from 75:25 to 60:40 reflects evolving fiscal federalism policies in India, impacting how states budget for and implement public health programs.
Knowledge of these financial structures helps in tracking the flow of funds and ensuring accountability in the health system.

How to Approach the Question

First, identify the core of the question: It asks for the funding ratio of a specific government health program (NUHM).
Recognize that this is a factual recall question related to public health policy in India.
Analyze the options provided, which are different financial ratios.
Recall or deduce the financial structures of centrally sponsored schemes. Typically, the central government bears a larger share.
Evaluate each ratio. Consider if different ratios apply to different types of states (e.g., General vs. Special Category).
If the current standard ratio (which is 60:40) is not an option, consider if the question might be referring to a previous or original funding model. Select the most historically accurate option provided, which is 75:25 in this case.

Concept Tested & Keywords

Concept Tested: Funding pattern of National Urban Health Mission (NUHM)
Stem keywords: Budget proportion, central and state, National Urban Health Mission, NUHM
Lead-in keywords: ?
Negative lead-in flag: false

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