Consider the following statements regarding Decentralized planning processes in District Health Action Plans (DHAP):
1. The District Health Action Plan (DHAP) under the National Health Mission is prepared annually by the District Health Society to reflect local health priorities.
2. The DHAP process incorporates the Village Health Sanitation and Nutrition Committee reports, which are forwarded directly to the Union Ministry of Health and Family Welfare for final budget allocation.
3. The District Health Society is composed of elected representatives and health officials, and its annual budget ceiling for the DHAP is determined by the Planning Commission's 12th Five-Year Plan guidelines.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is correct as the District Health Society (DHS) is mandated to prepare the DHAP annually to ensure bottom-up, need-based health planning under the NHM framework. Statement 2 is incorrect because Village Health Sanitation and Nutrition Committee (VHSNC) reports are submitted to the Block/District level for consolidation, not directly to the Union Ministry, which plays no role in direct micro-level budget allocation. Statement 3 is incorrect because the Planning Commission was abolished in 2014, and budget ceilings for DHAPs are now determined by the State Health Society based on the Resource Envelope provided by the Union Ministry of Health and Family Welfare, not by defunct Five-Year Plan guidelines.
Consider the following statements regarding Capacity building mandates for state-level health administrators:
1. The 2015 Mission Steering Group report on health governance provides for the automatic promotion of district health managers to state-level administrative positions after five years of service in rural blocks.
2. As part of the NHM financial norms, states are permitted to allocate up to 5% of their flexi-pool budget specifically for the professional development and leadership training of health human resources.
3. The Ministry of Health and Family Welfare introduced the 'National Health Resource Repository' in 2018 to provide data-driven insights for the administrative capacity assessment of state health departments.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 3 is correct. Statement 1 is incorrect.
Statement 1 is incorrect because there is no provision for automatic promotion of district health managers to state-level positions based on tenure in rural blocks. Statement 2 is correct as NHM financial guidelines allow states to utilize up to 5% of their flexi-pool budget for human resource development, including training and capacity building. Statement 3 is correct because the National Health Resource Repository (NHRR) was launched in 2018 to create a centralized database of health resources, facilitating evidence-based planning and administrative capacity assessment for health departments.
Consider the following statements regarding Integration of District Health Societies (DHS) with Panchayati Raj Institutions:
1. The National Health Mission framework, launched in 2013, encourages the devolution of planning and monitoring functions to the Gram Panchayats through the District Health Societies.
2. The 2005 National Rural Health Mission framework established the District Health Society as a statutory body under the Ministry of Panchayati Raj to oversee the direct disbursement of funds to Gram Sabhas.
3. The 1992 decentralization guidelines introduced the District Health Society as a sub-department of the State Health Department, which operates independently of the Zila Parishad planning cycle.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is correct as the NHM framework mandates the devolution of health planning and monitoring to PRIs to ensure community-led governance. Statement 2 is incorrect because the District Health Society (DHS) is registered under the Societies Registration Act, 1860, not as a statutory body under the Ministry of Panchayati Raj, and funds are routed through the DHS rather than directly to Gram Sabhas. Statement 3 is incorrect because the DHS is designed to work in synergy with the Zila Parishad, and it functions as a flexible implementation vehicle for the NHM rather than an independent sub-department of the State Health Department.
Consider the following statements regarding Inter-ministerial convergence protocols under NHM:
1. The National Urban Health Mission utilizes the existing municipal administrative structure for health service delivery, following the 2013 guidelines that integrated the urban local bodies into the District Health Society framework.
2. The Pradhan Mantri Matru Vandana Yojana operates via the Direct Benefit Transfer portal, which links the Ministry of Finance with the Ministry of Health to facilitate the disbursement of Rs 6,000 in three installments.
3. The Rashtriya Bal Swasthya Karyakram functions through a convergence model where the Ministry of Education provides school infrastructure, while the Ministry of Health oversees the 4D screening process established in 2005.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because while NUHM focuses on urban areas, the integration of Urban Local Bodies (ULBs) into the District Health Society (DHS) framework is not a blanket mandate of the 2013 guidelines, as urban health planning remains primarily under the state health department. Statement 2 is incorrect because PMMVY is implemented by the Ministry of Women and Child Development, not the Ministry of Health. Statement 3 is incorrect because the Rashtriya Bal Swasthya Karyakram (RBSK) was launched in 2013, not 2005, and the 4D screening (Defects, Deficiencies, Diseases, and Developmental delays) is a specific health initiative rather than a school infrastructure-based convergence model.
Consider the following statements regarding Standardization of quality assurance through National Quality Assurance Standards (NQAS):
1. The National Quality Assurance Standards (NQAS) were launched by the Ministry of Health and Family Welfare in 2013 to improve the quality of public health facilities in India.
2. The NQAS guidelines were updated in 2018 to incorporate the Ayushman Bharat scheme, which allows for the automatic certification of all health and wellness centers upon their inauguration.
3. The NQAS framework is governed by the National Health Systems Resource Centre, which provides for the direct accreditation of primary health centers under the Quality Council of India.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is correct as the Ministry of Health and Family Welfare launched the NQAS in 2013 to provide a comprehensive framework for quality improvement in public health facilities. Statement 2 is incorrect because there is no provision for the automatic certification of Health and Wellness Centres (HWCs) under NQAS; certification requires a rigorous assessment process regardless of the scheme. Statement 3 is incorrect because, while the National Health Systems Resource Centre (NHSRC) provides technical support, NQAS certification is granted by the Ministry of Health and Family Welfare, not the Quality Council of India, which operates independently through the NABH accreditation system.
Consider the following statements regarding Role and mandate of the Empowered Programme Committee (EPC):
1. The committee includes the Secretary of the Department of Expenditure as a member to ensure fiscal oversight of health sector projects.
2. The committee was established under the National Health Mission framework to provide administrative and financial flexibility for programme implementation.
3. Financial proposals exceeding 15 crore rupees require the approval of the Empowered Programme Committee for inclusion in the Programme Implementation Plan.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
The Empowered Programme Committee (EPC) is chaired by the Secretary of the Ministry of Health and Family Welfare, with the Secretary of the Department of Expenditure as a mandatory member to ensure rigorous fiscal oversight. Established under the National Health Mission (NHM) framework, the EPC is empowered to provide the necessary administrative and financial flexibility required for the decentralized implementation of health projects. Furthermore, the EPC is mandated to appraise and approve financial proposals exceeding 15 crore rupees for inclusion in the annual Programme Implementation Plan (PIP), ensuring accountability and strategic alignment with national health goals.
Consider the following statements regarding Performance-based incentive frameworks for state health departments:
1. The 12th Five Year Plan introduced the performance-based financing model for NHM, which links the release of state-level health budgets directly to the achievement of the Sustainable Development Goal 3 targets.
2. The National Health Mission provides for the 'Pradhan Mantri Jan Arogya Yojana' performance incentives, which are distributed to states based on the total number of hospital beds added in rural districts during the 2018-2019 fiscal year.
3. The National Health Mission utilizes the National Health Index, developed by NITI Aayog, to rank states based on their performance across various health indicators.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 3 is correct. Statement 1 is incorrect. Statement 2 is incorrect.
Statement 3 is correct because NITI Aayog, in collaboration with the Ministry of Health and Family Welfare and the World Bank, publishes the 'Healthy States, Progressive India' report, which uses the National Health Index to rank states based on performance indicators. Statement 1 is incorrect because performance-based financing under NHM is primarily linked to the achievement of state-specific milestones and targets defined in the State Programme Implementation Plan (PIP), not directly to SDG 3 targets. Statement 2 is incorrect because PM-JAY is a separate vertical under the Ayushman Bharat scheme focused on health insurance, and NHM performance incentives are tied to broader outcomes like health system strengthening and service delivery rather than specifically counting rural hospital beds added in 2018-19.
Consider the following statements regarding Grievance redressal mechanisms for beneficiaries under NHM:
1. The NHM operational guidelines of 2013 include provisions for a social audit process where village health committees report beneficiary complaints to the National Human Rights Commission.
2. State-level grievance redressal committees for NHM are chaired by the Governor of the respective state and meet on a quarterly basis to review service delivery gaps.
3. The 1800-11-2345 helpline number, operational since 2012, functions as a centralized mechanism for reporting NHM drug procurement irregularities directly to the Comptroller and Auditor General.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
All three statements are incorrect because the NHM grievance redressal mechanism is primarily decentralized and state-managed rather than involving the NHRC, the Governor, or the CAG. Statement 1 is false as social audits are conducted by Village Health Sanitation and Nutrition Committees (VHSNCs) to improve local accountability, not to report to the NHRC. Statement 2 is incorrect because state-level committees are typically chaired by the Principal Secretary (Health) or Mission Director, not the Governor. Statement 3 is false as the 1800-11-2345 helpline (often associated with the Ministry of Health's general public grievances) is not a direct reporting line to the CAG for procurement irregularities, which are handled through internal audits and CVC protocols.
Consider the following statements regarding Monitoring and evaluation architecture of the Health Management Information System (HMIS):
1. The 2005 National Rural Health Mission framework introduced the HMIS as a centralized database, and the Ministry of Finance manages the direct transfer of funds based on state-level data inputs.
2. Performance-based incentives for health workers under the National Health Mission are linked to the timely submission of data into the HMIS as per the 2013 operational guidelines.
3. The District Level Household Survey (DLHS) provides the primary raw data for the HMIS monthly reports, which are then verified by the National Sample Survey Office (NSSO) before publication.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 1 is incorrect. Statement 3 is incorrect.
Statement 2 is correct because the NHM operational guidelines mandate linking performance-based incentives for frontline workers like ASHAs to the timely and accurate reporting of data in the HMIS. Statement 1 is incorrect because the Ministry of Health and Family Welfare (MoHFW) manages the HMIS, not the Ministry of Finance, and fund transfers are governed by the Public Financial Management System (PFMS). Statement 3 is incorrect because HMIS data is generated from routine facility-based reports submitted by health centers, whereas the DLHS is a separate periodic sample survey conducted by the International Institute for Population Sciences (IIPS) and is not the primary raw data source for monthly HMIS reports.
Consider the following statements regarding Transparency and disclosure norms in NHM fund utilization:
1. State Health Societies are authorized to retain interest earned on NHM funds in private bank accounts, provided the amount is reported in the quarterly financial reports submitted to the Ministry of Finance under the 2015 fiscal transparency act.
2. The Integrated Financial Management System (IFMS) provides for the automatic release of NHM grants based on the previous year's performance indicators, as outlined in the 2019 health sector financing reforms.
3. The 2012 amendment to the NHM financial guidelines allows for the diversion of capital expenditure funds toward recurring administrative salaries, provided the state health secretary approves the reallocation through the State Treasury system.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
All three statements are incorrect because they cite non-existent or misattributed frameworks: NHM funds must be kept in designated public sector bank accounts with interest earned mandatorily credited to the government, not private accounts; the release of NHM grants is governed by the Public Financial Management System (PFMS) based on the submission of Utilization Certificates and audit reports, not an automatic performance-based IFMS system; and financial guidelines strictly prohibit the diversion of capital expenditure funds toward recurring administrative salaries, as these are distinct budget heads that cannot be reallocated by state secretaries.
Consider the following statements regarding Public-Private Partnership (PPP) governance models in service delivery:
1. The 2013 National Health Mission framework provides for the utilization of the 'Voucher-based' PPP model to enhance access to maternal health services in underserved districts.
2. The 2014 National Health Assurance Mission proposed the 'Capitation Fee' model for tertiary care, which linked private hospital reimbursement directly to the state's annual health budget allocation.
3. The 2012 Rashtriya Swasthya Bima Yojana expansion included the 'Build-Own-Operate' model for primary health centers, which shifted the ownership of land titles to private partners after a 15-year term.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is correct as the NHM framework encourages voucher-based PPP models to improve access to maternal and child health services in underserved areas. Statement 2 is incorrect because the National Health Assurance Mission (NHAM) was a proposed policy framework that never reached the stage of implementing a 'Capitation Fee' model linked to state budgets. Statement 3 is incorrect because the Rashtriya Swasthya Bima Yojana (RSBY) was a health insurance scheme for BPL families and did not involve 'Build-Own-Operate' models for primary health centers or the transfer of land titles to private entities.
Consider the following statements regarding Integration of District Health Societies (DHS) with Panchayati Raj Institutions:
1. The District Health Action Plan, prepared by the District Health Society, is expected to be placed before the Zila Parishad for review and approval as per NHM operational guidelines.
2. Financial resources for the Rogi Kalyan Samitis are routed through the District Health Society to maintain a link with local administrative bodies for transparent fund utilization.
3. The NHM framework suggests that the District Health Society should include elected representatives from the Zila Parishad to improve local accountability in healthcare delivery.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
The NHM operational guidelines mandate that the District Health Action Plan be approved by the Zila Parishad to ensure democratic decentralization and alignment with local health needs. Financial resources for Rogi Kalyan Samitis are routed through the District Health Society to ensure institutional oversight and transparency in fund utilization at the grassroots level. Furthermore, the NHM framework explicitly mandates the inclusion of elected Zila Parishad representatives in the District Health Society to strengthen local accountability and ensure that healthcare delivery remains responsive to community requirements.
Consider the following statements regarding Governance structure of the Rogi Kalyan Samiti (RKS):
1. The composition of the Rogi Kalyan Samiti at the Sub-District Hospital level includes the Sub-Divisional Magistrate as the Chairperson and provides for the inclusion of one representative from the local municipal body.
2. The Rogi Kalyan Samiti is empowered to generate internal revenue through user charges, and these funds are audited annually by the Comptroller and Auditor General of India under the NHM financial framework.
3. The Rogi Kalyan Samiti is registered as a society under the Societies Registration Act of 1860 to function as a group of trustees for managing hospital affairs.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 3 is correct. Statement 1 is incorrect. Statement 2 is incorrect.
Statement 3 is correct as the RKS is registered as a society under the Societies Registration Act, 1860, to act as a body of trustees for hospital management. Statement 1 is incorrect because the Chairperson of the RKS at the Sub-District Hospital level is the Sub-Divisional Magistrate (SDM) or the senior-most administrative officer, but the inclusion of a municipal representative is not a mandatory structural provision under the NHM guidelines. Statement 2 is incorrect because while RKS generates revenue through user charges, these funds are subject to internal and statutory audits by Chartered Accountants appointed by the society, not directly by the Comptroller and Auditor General (CAG) of India.
Consider the following statements regarding Governance of the National Urban Health Mission (NUHM) vs. Rural components:
1. The National Urban Health Mission was approved by the Union Cabinet on 1st May 2013 as a sub-mission of the overarching National Health Mission.
2. The NUHM framework emphasizes the formation of Mahila Arogya Samitis at the slum level to facilitate community participation in urban health governance.
3. Governance of the NUHM involves the constitution of the District Health Society, which functions under the chairmanship of the District Collector or District Magistrate.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
The National Urban Health Mission (NUHM) was indeed approved on 1st May 2013 as a sub-mission of the National Health Mission to address the health needs of the urban poor. Statement 2 is correct as Mahila Arogya Samitis (MAS) are the designated community-level platforms in urban areas for health planning and monitoring, similar to Village Health Sanitation and Nutrition Committees in rural areas. Statement 3 is correct because, under the NUHM framework, the District Health Society (DHS) is chaired by the District Collector or District Magistrate to ensure inter-departmental convergence and effective governance at the district level.
Consider the following statements regarding Grievance redressal mechanisms for beneficiaries under NHM:
1. Beneficiaries can track the status of their health service complaints through the Ayushman Bharat portal, which serves as the unified grievance tracking system for all NHM programs.
2. The Mission Steering Group, established under the 2005 NHM notification, holds the power to impose financial penalties on district hospitals for unresolved patient grievances.
3. Under the National Quality Assurance Standards, public health facilities are evaluated annually, and patient feedback collected via the Mera Aspataal app is linked to the performance-based incentive scheme for medical officers.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because the 'Centralized Public Grievance Redress and Monitoring System' (CPGRAMS) and state-specific portals are used for NHM, not the Ayushman Bharat portal. Statement 2 is incorrect as the Mission Steering Group is a policy-making body chaired by the Union Health Minister and lacks the mandate to impose financial penalties on district hospitals. Statement 3 is incorrect because while the 'Mera Aspataal' application collects patient feedback, it is not formally linked to a performance-based incentive scheme for medical officers under the National Quality Assurance Standards.
Consider the following statements regarding Monitoring and evaluation architecture of the Health Management Information System (HMIS):
1. The HMIS data entry process is decentralized, allowing Auxiliary Nurse Midwives (ANMs) to upload sub-center level service delivery data directly into the portal on a monthly basis.
2. The HMIS portal is hosted by the National Informatics Centre and utilizes the Integrated Disease Surveillance Programme (IDSP) server architecture to store real-time epidemiological data for all private hospitals.
3. Since the 2018 rollout of the Ayushman Bharat Digital Mission, the HMIS architecture has incorporated provisions for linking facility-level data with the ABHA health ID ecosystem.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 3 is correct. Statement 2 is incorrect.
Statement 1 is correct as HMIS is a web-based portal where data is entered at the facility level, including by ANMs at sub-centers, to track service delivery. Statement 3 is correct because, under the Ayushman Bharat Digital Mission (ABDM), the health ecosystem is being integrated to link facility-level data with ABHA IDs for longitudinal health records. Statement 2 is incorrect because the HMIS portal is primarily for public health facilities and does not utilize IDSP server architecture for private hospital data, as IDSP focuses specifically on disease outbreak surveillance rather than general HMIS service delivery data.
Consider the following statements regarding Regulatory oversight of the Rashtriya Bal Swasthya Karyakram (RBSK) implementation:
1. State Health Societies receive funds for the RBSK implementation through the National Health Mission flexible pool, which is subject to annual audit by the Comptroller and Auditor General.
2. The RBSK provides for the management of developmental delays in children, and the program relies on the 2017 National Health Policy to authorize private sector participation in the mobile screening teams.
3. The District Early Intervention Centre serves as the referral hub for children identified with health conditions during the community-based screening process under the RBSK.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 3 is correct. Statement 2 is incorrect.
Statement 1 is correct as RBSK funds are routed through the NHM flexible pool, which mandates annual audits by the CAG to ensure financial accountability. Statement 3 is correct because District Early Intervention Centres (DEICs) act as the primary referral hubs for specialized management of children identified with the '4Ds' (Defects, Deficiencies, Diseases, and Developmental delays) during screening. Statement 2 is incorrect because while RBSK covers developmental delays, it is a sub-component of the NHM launched in 2013, and its mobile health teams are primarily staffed by government personnel or outsourced through state-specific contracts rather than being authorized by the 2017 National Health Policy.
Consider the following statements regarding Governance of the National Urban Health Mission (NUHM) vs. Rural components:
1. The NUHM governance structure includes the Urban Health and Nutrition Day, which serves as a platform for service delivery and community outreach in urban clusters.
2. The National Health Mission provides for the integration of the Urban Health Initiative into the existing District Health Action Plan to ensure unified planning at the district level.
3. Financial resources for the NUHM are shared between the Centre and the States in a 60:40 ratio for all states except the North Eastern and Himalayan states.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as Urban Health and Nutrition Days (UHNDs) are mandated under NUHM to provide essential health services and outreach in urban slums. Statement 2 is correct because the NUHM framework requires the integration of urban health planning into the District Health Action Plan (DHAP) to ensure a holistic approach to health governance at the district level. Statement 3 is correct as the funding pattern for the National Health Mission, including NUHM, follows the 60:40 ratio for general states and 90:10 for North Eastern and Himalayan states.
Consider the following statements regarding Role of ASHA facilitators in community-level governance:
1. Under the National Health Mission framework, ASHA facilitators report directly to the Chief Medical Officer of the district, bypassing the Block Program Manager for all administrative grievances.
2. ASHA facilitators receive a fixed monthly salary of 15,000 rupees directly from the Union Ministry of Health and Family Welfare, which is disbursed through the State Health Societies.
3. The selection process for ASHA facilitators involves a mandatory written examination conducted by the District Health Society, and candidates are recruited from the existing pool of Anganwadi workers.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
All three statements are incorrect because ASHA facilitators report to the Block level (Block Community Mobilizer/Medical Officer) rather than bypassing them to the CMO, and they receive performance-based incentives rather than a fixed salary of 15,000 rupees from the Union Ministry. Furthermore, the selection process is based on experience and performance criteria within the ASHA network, not a mandatory written exam for Anganwadi workers. These roles are designed to support ASHA workers at the grassroots level under the State Health Societies, not as a centralized cadre with fixed pay or exam-based recruitment.
Consider the following statements regarding Accountability mechanisms in the Village Health Sanitation and Nutrition Committees (VHSNC):
1. Financial oversight of the VHSNC Untied Fund is managed by the Block Medical Officer, who approves the annual expenditure report submitted by the Gram Sabha in the month of April.
2. Meetings of the VHSNC are held on a monthly basis to review the progress of immunization drives and the nutritional status of children in the village.
3. The committee is responsible for the recruitment of ASHA workers in the village, and its performance is evaluated annually by the State Health Society based on the infant mortality rate data.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 1 is incorrect. Statement 3 is incorrect.
Statement 2 is correct as VHSNCs are mandated to meet monthly to address health, sanitation, and nutrition issues, including immunization and child nutrition. Statement 1 is incorrect because the VHSNC itself, led by the Chairperson (usually the Gram Pradhan), manages the Untied Fund, and the expenditure report is approved by the committee, not the Block Medical Officer. Statement 3 is incorrect because ASHA workers are selected by the Gram Sabha, not the VHSNC, and the committee's performance is monitored through community-based monitoring rather than state-level infant mortality rate evaluations.
Consider the following statements regarding State Health Society (SHS) financial autonomy and fund flow mechanisms:
1. The Ministry of Health and Family Welfare releases NHM funds to the State Treasury, which then distributes these resources to the State Health Society based on the quarterly performance appraisal reports submitted by the district collectors.
2. The State Health Society is governed by the provisions of the National Health Authority Act, 2018, which provides the legal framework for the decentralized management of health funds at the sub-district level.
3. The National Health Mission guidelines permit the State Health Society to invest unspent annual grants into state-level infrastructure bonds to generate interest revenue for district-level health initiatives.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because NHM funds are transferred directly to the State Health Society's (SHS) bank account, not through the State Treasury, to ensure timely utilization. Statement 2 is incorrect as the SHS is registered under the Societies Registration Act, 1860, and operates under NHM guidelines rather than the National Health Authority Act, 2018. Statement 3 is incorrect because NHM guidelines strictly prohibit the investment of unspent grants into speculative financial instruments like infrastructure bonds; unspent funds must be adjusted against subsequent releases or returned to the central pool.
Consider the following statements regarding Governance of the Ayushman Bharat-Health and Wellness Centres (AB-HWC) integration:
1. The AB-HWC framework is associated with the expansion of the 'Free Drugs and Diagnostics Service Initiative', and the procurement of medical equipment is managed by the Central Medical Services Society at the district level.
2. Under the National Health Mission, the AB-HWC model encompasses a comprehensive primary healthcare approach, and the recruitment of Community Health Officers is overseen by the Union Public Service Commission.
3. The integration of AB-HWC into the existing health infrastructure refers to the strengthening of the referral system, and the Ministry of Finance serves as the nodal agency for monitoring the monthly performance indicators.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
All three statements are incorrect because the procurement of medical equipment under the National Health Mission is primarily decentralized to State/District Health Societies rather than the Central Medical Services Society. Community Health Officers are recruited by respective State Governments or National Health Mission state units, not the UPSC, and the Ministry of Health and Family Welfare, not the Ministry of Finance, serves as the nodal agency for monitoring AB-HWC performance indicators.
Consider the following statements regarding Transparency and disclosure norms in NHM fund utilization:
1. The 2005 guidelines for the National Rural Health Mission established the National Health Accounts repository, which functions as a public-facing dashboard for real-time tracking of individual hospital expenditure data.
2. The National Health Mission utilizes the Bharat Kosh portal for the direct transfer of funds to district-level health units, a mechanism introduced during the 2017 restructuring of the National Rural Health Mission.
3. The Public Financial Management System (PFMS) serves as the primary digital platform for tracking the flow of funds from the Union Ministry of Health and Family Welfare to the State Health Societies under the National Health Mission.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 3 is correct. Statement 1 is incorrect. Statement 2 is incorrect.
Statement 3 is correct because the Public Financial Management System (PFMS) is the mandatory platform for tracking fund releases and expenditure under Centrally Sponsored Schemes like the NHM. Statement 1 is incorrect because the National Health Accounts (NHA) repository is an analytical tool for estimating total health expenditure rather than a real-time dashboard for individual hospital data. Statement 2 is incorrect because while the Bharat Kosh portal is used for non-tax receipts, NHM funds are primarily routed through the Treasury Single Account (TSA) mechanism and PFMS, not Bharat Kosh.
Consider the following statements regarding Monitoring and evaluation architecture of the Health Management Information System (HMIS):
1. Data validation protocols in the HMIS portal include a 'Data Quality Report' feature that generates monthly feedback for District Program Managers to identify reporting inconsistencies.
2. The National Health Systems Resource Centre (NHSRC) provides technical support for the HMIS, facilitating the transition to the RCH portal for tracking reproductive and child health indicators.
3. The Health Management Information System (HMIS) under the National Health Mission functions as a web-based monitoring tool that captures facility-based data from over 200,000 public health institutions across India.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as the HMIS portal features a Data Quality Report module that provides monthly feedback to district officials to rectify reporting errors. Statement 2 is correct because the NHSRC acts as the technical support agency for the Ministry of Health and Family Welfare, overseeing the integration of HMIS with the Reproductive and Child Health (RCH) portal for individual-level tracking. Statement 3 is correct as the HMIS is a robust web-based platform designed under the NHM to capture facility-level data from more than 200,000 public health institutions, enabling evidence-based policy interventions.
Consider the following statements regarding Standardization of quality assurance through National Quality Assurance Standards (NQAS):
1. NQAS certification for District Hospitals is valid for a period of three years, after which the facility undergoes a re-assessment process.
2. The quality assurance framework under the National Health Mission covers eight areas of concern, including service provision, patient rights, and clinical services.
3. The NQAS certification process is linked to the National Accreditation Board for Hospitals and Healthcare Providers, which serves as the primary auditing body for all district-level facilities.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is incorrect.
Statement 1 is correct as NQAS certification is valid for three years, requiring re-assessment thereafter to ensure sustained quality. Statement 2 is correct because the NQAS framework is structured into eight specific areas of concern, including service provision, patient rights, and clinical services, to standardize healthcare delivery. Statement 3 is incorrect because NQAS is an internal government-led quality assurance program under the Ministry of Health and Family Welfare, whereas NABH is a separate, autonomous body under the Quality Council of India; NQAS certification is not dependent on or linked to NABH accreditation.
Consider the following statements regarding Grievance redressal mechanisms for beneficiaries under NHM:
1. Under the NHM framework, the District Health Society acts as the final appellate authority for medical negligence claims filed by beneficiaries since the 2005 restructuring.
2. The Rashtriya Swasthya Bima Yojana, integrated into NHM in 2018, provides for a dedicated ombudsman at the state level to resolve insurance-related beneficiary disputes.
3. The Jan Sunwai portal, launched in 2014, serves as the primary digital interface for NHM grievance filing and is directly managed by the Union Ministry of Finance.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
All three statements are incorrect because the District Health Society is not an appellate authority for medical negligence, which falls under judicial or consumer redressal forums; the Rashtriya Swasthya Bima Yojana was subsumed into Ayushman Bharat-PMJAY, not NHM, and utilizes a different grievance structure; and the Jan Sunwai portal is not a centralized NHM interface managed by the Ministry of Finance, as grievance redressal under NHM is primarily decentralized through state-specific portals and the CPGRAMS platform.
Consider the following statements regarding Accountability mechanisms in the Village Health Sanitation and Nutrition Committees (VHSNC):
1. The committee is expected to maintain a social audit register that documents the utilization of health funds and the delivery of services at the Anganwadi center.
2. The VHSNC functions as a sub-committee of the Gram Panchayat, providing a platform for community participation in the decentralized planning of health interventions.
3. The Untied Fund of Rs 10,000 per annum is provided to the VHSNC to facilitate local health initiatives and address immediate sanitation concerns in the village.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
VHSNCs are mandated under the National Health Mission to maintain social audit registers to ensure transparency in fund utilization and service delivery at the Anganwadi/sub-center level. They function as a formal sub-committee of the Gram Panchayat to institutionalize decentralized planning and community oversight in public health. The Untied Fund of Rs 10,000 per annum is a core financial provision under NHM guidelines, specifically designed to empower these committees to address immediate local health and sanitation needs without waiting for higher-level administrative approvals.
Consider the following statements regarding State Health Society (SHS) financial autonomy and fund flow mechanisms:
1. The Governing Body of the State Health Society is chaired by the Chief Secretary of the respective state, facilitating inter-departmental coordination for the utilization of health grants.
2. Under the NHM financial framework, the State Health Society retains the authority to reallocate funds between different components of the approved State Program Implementation Plan (SPIP) within a prescribed percentage limit.
3. The SHS is permitted to maintain a separate bank account for NHM funds, which is audited annually by a Chartered Accountant firm empanelled by the Comptroller and Auditor General of India.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as the Governing Body of the State Health Society is chaired by the Chief Secretary to ensure high-level inter-departmental convergence. Statement 2 is correct because the NHM framework grants states flexibility to reallocate funds between approved components within a 10% limit to address local health priorities. Statement 3 is correct as NHM funds are held in dedicated bank accounts, and the audit process is strictly governed by CAG-empanelled Chartered Accountants to ensure financial transparency and accountability.
Consider the following statements regarding Financial management and audit protocols under the Common Review Mission (CRM):
1. The 15th Common Review Mission report emphasized the transition to the Direct Benefit Transfer (DBT) mode for all capital expenditure, which was formally adopted by the Ministry of Finance in the 2021-22 Union Budget.
2. The Common Review Mission framework includes the evaluation of the Integrated Disease Surveillance Programme (IDSP) budget, which is currently managed by the National Centre for Disease Control under the 2012 revised fiscal decentralization policy.
3. The financial management protocols of the National Health Mission permit the State Health Societies to retain unspent balances beyond the 31st March deadline, provided the funds are revalidated by the State Finance Department under the 2018 NHM Financial Rules.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because the 15th CRM did not mandate DBT for capital expenditure, and capital procurement follows standard GFR guidelines rather than DBT. Statement 2 is incorrect as the IDSP budget is primarily managed through the NHM Flexi-pool under the Ministry of Health and Family Welfare, not governed by a 2012 fiscal decentralization policy. Statement 3 is incorrect because NHM financial guidelines strictly require unspent balances to be reported at the end of the financial year, and the retention of funds is subject to the 'Public Financial Management System' (PFMS) protocols and Ministry of Finance guidelines, not a 2018 NHM-specific financial rule.
Consider the following statements regarding Institutional framework of the Mission Steering Group (MSG):
1. The Mission Steering Group of the National Health Mission is chaired by the Union Minister of Health and Family Welfare.
2. The National Health Mission framework includes the Empowered Programme Committee, which operates under the guidance of the Cabinet Secretary to approve state-level budget allocations.
3. The Mission Steering Group is responsible for the direct appointment of District Program Managers, and it meets twice annually to review state-specific health outcomes.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is correct because the Mission Steering Group (MSG) of the National Health Mission is indeed chaired by the Union Minister of Health and Family Welfare to provide policy guidance and oversight. Statement 2 is incorrect because the Empowered Programme Committee (EPC) is chaired by the Secretary of the Ministry of Health and Family Welfare, not the Cabinet Secretary, and its primary role is to approve state-level Program Implementation Plans (PIPs). Statement 3 is incorrect because the MSG does not handle the direct appointment of District Program Managers, which is a state-level administrative function, and the mission framework does not mandate the MSG to meet exactly twice annually.
Consider the following statements regarding Governance of the Ayushman Bharat-Health and Wellness Centres (AB-HWC) integration:
1. The Ayushman Bharat-Health and Wellness Centres initiative was launched in February 2018 under the National Health Policy 2017, and it functions as a sub-component of the Pradhan Mantri Jan Arogya Yojana.
2. The governance framework of AB-HWC provides for the conversion of existing Sub-Centres and Primary Health Centres into wellness units, with the funding pattern shared in a 90:10 ratio between the Union and all States.
3. The operational guidelines for AB-HWC include provisions for the expansion of primary healthcare services to include non-communicable diseases, and these centres are administered by the National Health Systems Resource Centre.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because AB-HWC is a sub-component of the Ayushman Bharat-Comprehensive Primary Health Care (CPHC) pillar, not the Pradhan Mantri Jan Arogya Yojana (PM-JAY). Statement 2 is incorrect as the funding pattern follows the standard NHM ratio (60:40 for most states, 90:10 for North Eastern/Himalayan states) rather than a uniform 90:10 split. Statement 3 is incorrect because AB-HWCs are administered by the Ministry of Health and Family Welfare under the National Health Mission (NHM) framework, not the National Health Systems Resource Centre, which serves as a technical support agency.
Consider the following statements regarding Public-Private Partnership (PPP) governance models in service delivery:
1. The 2016 National Health Policy draft refers to the 'Outsourcing' model for laboratory services, which includes a provision for private labs to access the central government's procurement network for subsidized reagents.
2. The 2009 National Urban Health Mission pilot projects utilized the 'Franchising' model for pharmacies, which allowed private providers to set their own drug prices based on the 2013 National Pharmaceutical Pricing Policy.
3. The 2011 Public-Private Partnership framework for dialysis services provides for the 'Viability Gap Funding' mechanism, which covers 100 percent of the operational costs for private firms during the first three years of implementation.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
All three statements are incorrect because they misrepresent established health policy frameworks: the 2017 National Health Policy (not 2016) focuses on strategic purchasing rather than a specific reagent-subsidized outsourcing model, the 2013 National Urban Health Mission (NUHM) does not utilize a franchising model for pharmacies with private price-setting autonomy, and the 2016 National Dialysis Programme (not 2011) utilizes a PPP model where the government pays a fixed fee per session rather than providing 100% Viability Gap Funding for operational costs.
Consider the following statements regarding Institutional framework of the Mission Steering Group (MSG):
1. The Mission Steering Group includes the Secretaries of related Ministries such as Women and Child Development, Panchayati Raj, and Finance as ex-officio members.
2. The Mission Steering Group was reconstituted in 2013 to align with the National Urban Health Mission, and it holds the authority to finalize the procurement of medical equipment for tertiary care hospitals.
3. The Mission Steering Group oversees the National Health Systems Resource Centre, which functions as the primary financial auditing body for all centrally sponsored health schemes.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is correct as the Mission Steering Group (MSG) is chaired by the Union Minister of Health and Family Welfare and includes Secretaries from relevant ministries like Finance, WCD, and Panchayati Raj to ensure inter-sectoral convergence. Statement 2 is incorrect because while the MSG provides policy guidance and oversees the National Health Mission (NHM), it does not handle the procurement of medical equipment for tertiary care hospitals, which is a decentralized function managed by states or specific hospital procurement cells. Statement 3 is incorrect because the National Health Systems Resource Centre (NHSRC) acts as a technical support institution for policy and capacity building, whereas financial auditing for centrally sponsored schemes is conducted by the Comptroller and Auditor General (CAG) and internal audit wings of the Ministry.
Consider the following statements regarding Integration of District Health Societies (DHS) with Panchayati Raj Institutions:
1. Under the NHM guidelines, the District Health Society is chaired by the District Collector or the Chief Executive Officer of the Zila Parishad to ensure administrative convergence.
2. The 73rd Constitutional Amendment Act provides the structural basis for the involvement of Panchayati Raj Institutions in the implementation of health schemes at the village level.
3. Village Health, Sanitation and Nutrition Committees are designated as sub-committees of the Gram Panchayat to facilitate community-level health oversight.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as NHM guidelines mandate the District Collector or CEO of Zila Parishad to chair the District Health Society to ensure inter-departmental convergence. Statement 2 is correct because the 73rd Constitutional Amendment Act devolved powers to Panchayati Raj Institutions, including the 'Health and Sanitation' subject under the Eleventh Schedule, providing the legal basis for their involvement. Statement 3 is correct as Village Health, Sanitation and Nutrition Committees (VHSNCs) function as sub-committees of the Gram Panchayat to ensure decentralized monitoring and community participation in health service delivery.
Consider the following statements regarding Role of ASHA facilitators in community-level governance:
1. ASHA facilitators are designated to provide support to a cluster of 10 to 20 ASHA workers, ensuring regular supervision and performance monitoring under the National Health Mission guidelines.
2. The ASHA facilitator scheme was formally introduced in 2012 to address the supervision gap and improve the quality of community-level health service delivery across rural districts.
3. The ASHA facilitator role was conceptualized in the 2005 NHM launch document to oversee the institutional delivery targets, and they are responsible for the clinical training of ASHA workers.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is incorrect.
Statement 1 is correct as ASHA facilitators are tasked with mentoring and supervising a cluster of 10-20 ASHAs to ensure effective implementation of health services. Statement 2 is correct because the facilitator scheme was introduced in 2012 to bridge the supervision gap and enhance the quality of community-level health outcomes. Statement 3 is incorrect because the ASHA facilitator role was not part of the original 2005 NHM launch document, and their primary function is supportive supervision rather than conducting clinical training, which remains the responsibility of the health department.
Consider the following statements regarding Governance of the National Urban Health Mission (NUHM) vs. Rural components:
1. The NUHM operational guidelines specify that urban primary health centers are to be established for every 50,000 to 60,000 population in urban areas.
2. Governance mechanisms under the NUHM include the State Urban Health Consultant, who provides technical support for the planning and monitoring of urban health programs.
3. The State Health Society, established under the National Health Mission, holds the responsibility for the implementation of both rural and urban components of the mission.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as NUHM guidelines mandate one Urban Primary Health Centre (UPHC) for every 50,000-60,000 population to ensure accessible healthcare in urban areas. Statement 2 is correct because the State Urban Health Consultant is a designated role under the NHM framework tasked with providing technical assistance for planning, implementation, and monitoring of urban health initiatives. Statement 3 is correct as the State Health Society (SHS) acts as the unified nodal agency for the National Health Mission, overseeing the integrated implementation of both the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM) at the state level.
Consider the following statements regarding Inter-ministerial convergence protocols under NHM:
1. Under the inter-ministerial convergence protocols, the Ministry of Women and Child Development coordinates with the Ministry of Health and Family Welfare to implement the Anganwadi-based tracking of malnourished children.
2. The 2013 launch of the National Health Mission consolidated the National Rural Health Mission and the National Urban Health Mission into a single programmatic umbrella under the Ministry of Health and Family Welfare.
3. The National Health Mission framework includes the Village Health, Sanitation and Nutrition Committee, which receives untied funds of Rs 10,000 per annum for local health interventions.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as the convergence between MoWCD and MoHFW is institutionalized through the Poshan Abhiyaan and NHM frameworks to track malnourished children via Anganwadi centers. Statement 2 is correct because the NHM was launched in 2013 to provide an overarching umbrella for both the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). Statement 3 is correct as the Village Health, Sanitation and Nutrition Committee (VHSNC) is a key decentralized unit under NHM that receives an annual untied grant of Rs 10,000 to address local health and sanitation needs.
Consider the following statements regarding Transparency and disclosure norms in NHM fund utilization:
1. Under the National Health Mission framework, State Health Societies are expected to upload their audited Statement of Expenditure (SOE) and Utilization Certificates (UC) onto the NHM-MIS portal by the 15th of the following month.
2. As per the 2022 guidelines on financial management, the unspent balances available with the State Health Societies at the end of a financial year are adjusted against the subsequent year's Resource Envelope during the National Programme Coordination Committee meetings.
3. The 2013 Framework for Implementation of the National Health Mission introduced the requirement for states to conduct annual concurrent audits of fund utilization by chartered accountant firms empaneled with the Comptroller and Auditor General.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
All three statements are correct: Statement 1 accurately reflects the NHM-MIS portal reporting mandate for timely financial transparency; Statement 2 aligns with the 2022 Financial Management guidelines ensuring fiscal discipline by adjusting unspent balances against future Resource Envelopes; Statement 3 correctly identifies the 2013 Framework's institutionalization of annual concurrent audits by CAG-empaneled Chartered Accountants to ensure accountability in fund utilization.
Consider the following statements regarding Governance structure of the Rogi Kalyan Samiti (RKS):
1. The executive committee of the Rogi Kalyan Samiti includes the Chief Medical Officer as the Secretary and allows for the inclusion of two local elected representatives from the Zila Parishad.
2. The guidelines for the Rogi Kalyan Samiti were first introduced in 2005 as part of the National Rural Health Mission, and they replaced the existing Hospital Management Committees in all state-run medical colleges.
3. The Rogi Kalyan Samiti functions under the administrative control of the Union Ministry of Health and Family Welfare, which provides the initial corpus fund through the Pradhan Mantri Swasthya Suraksha Nidhi.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because the RKS Executive Committee is chaired by the District Collector/Magistrate, with the Medical Superintendent/Chief Medical Officer as the Member Secretary, and it includes local representatives from the Panchayati Raj Institutions (PRIs) or Urban Local Bodies, not specifically the Zila Parishad. Statement 2 is incorrect because while RKS guidelines were introduced under the NRHM in 2005, they were designed for District and Sub-district hospitals, not as a replacement for Hospital Management Committees in medical colleges. Statement 3 is incorrect because RKS operates under the administrative control of the State/District Health Societies, and the initial corpus fund is provided by the National Health Mission (NHM) budget, not the Pradhan Mantri Swasthya Suraksha Nidhi.
Consider the following statements regarding Role of ASHA facilitators in community-level governance:
1. ASHA facilitators are empowered to authorize the release of incentive payments for ASHA workers based on their own assessment of field visits conducted during the previous quarter.
2. ASHA facilitators are tasked with the procurement of medical kits for the ASHA workers in their cluster, utilizing funds allocated under the Untied Fund component of the NHM budget.
3. The guidelines for ASHA facilitators allow them to serve as permanent members of the Village Health, Sanitation and Nutrition Committee, holding voting rights on budget allocation decisions.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
ASHA facilitators act as mentors and supervisors rather than financial authorities; they verify ASHA performance for incentive claims, but the final authorization rests with the Block/District health authorities. Procurement of medical kits is a centralized process managed by the state or district health societies under NHM guidelines, not by individual facilitators. Furthermore, while facilitators support the Village Health, Sanitation and Nutrition Committee (VHSNC), they do not hold permanent voting membership or budgetary control, as the committee is chaired by the Village Sarpanch with the ASHA worker serving as the Member Secretary.
Consider the following statements regarding Capacity building mandates for state-level health administrators:
1. The 2012 Rashtriya Swasthya Bima Yojana guidelines introduced a mandatory certification program for district health officers to oversee the implementation of state-level hospital empanelment processes.
2. The National Health Mission framework, launched in 2013, provides for the establishment of State Health Systems Resource Centres to support capacity building for district-level health administrators.
3. The 2005 National Rural Health Mission framework established the National Institute of Health and Family Welfare as the primary agency for the direct recruitment of state-level health administrators.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 1 is incorrect. Statement 3 is incorrect.
Statement 2 is correct as the NHM framework mandates State Health Systems Resource Centres (SHSRCs) to provide technical assistance and capacity building for state and district health administrators. Statement 1 is incorrect because the Rashtriya Swasthya Bima Yojana (RSBY) guidelines did not mandate a certification program for district health officers for empanelment. Statement 3 is incorrect because the National Institute of Health and Family Welfare (NIHFW) acts as a technical and training apex body, but it is not the recruitment agency for state-level health administrators, as such appointments are governed by state-specific service rules and the Union Public Service Commission or State Public Service Commissions.
Consider the following statements regarding Institutional framework of the Mission Steering Group (MSG):
1. The Secretary of the Department of Health and Family Welfare serves as the Member-Secretary of the Mission Steering Group.
2. The Mission Steering Group was established to provide inter-sectoral coordination for the National Rural Health Mission, which was launched in April 2005.
3. The Mission Steering Group provides policy guidance and oversees the implementation of the National Health Mission across all States and Union Territories.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
The Mission Steering Group (MSG), chaired by the Union Minister of Health and Family Welfare, is supported by the Secretary of the Department of Health and Family Welfare as its Member-Secretary, making statement 1 correct. Established in 2005 to steer the National Rural Health Mission (now NHM), the MSG serves as the apex body for policy guidance and inter-sectoral coordination, validating statements 2 and 3. As all provided statements accurately reflect the institutional framework and historical context of the NHM governance structure, no statements are incorrect.
Consider the following statements regarding Inter-ministerial convergence protocols under NHM:
1. The National Vector Borne Disease Control Programme coordinates with the Ministry of Jal Shakti to manage water-logging sites, utilizing the 2017 guidelines to reduce the incidence of malaria and dengue in urban clusters.
2. The Ayushman Bharat-Health and Wellness Centres program leverages the Digital India initiative to connect rural sub-centres, providing tele-consultation services through the eSanjeevani platform launched by the Ministry of Electronics and Information Technology in 2014.
3. The Janani Suraksha Yojana involves a collaborative mechanism between the Ministry of Panchayati Raj and the Ministry of Health, where Accredited Social Health Activists receive performance-based incentives for institutional deliveries recorded since 2002.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because vector control convergence primarily involves the Ministry of Housing and Urban Affairs and local bodies, not specifically the Ministry of Jal Shakti under 2017 guidelines. Statement 2 is incorrect because the eSanjeevani platform was launched by the Ministry of Health and Family Welfare in 2019, not by the Ministry of Electronics and Information Technology in 2014. Statement 3 is incorrect because the Janani Suraksha Yojana was launched in 2005, not 2002, and it is a centrally sponsored scheme under the Ministry of Health and Family Welfare without a formal inter-ministerial collaborative mechanism involving the Ministry of Panchayati Raj for incentive disbursements.
Consider the following statements regarding Standardization of quality assurance through National Quality Assurance Standards (NQAS):
1. The NQAS assessment process involves a three-tier mechanism comprising internal assessment, state-level assessment, and national-level certification.
2. Under the NQAS framework, the 'Kayakalp' initiative was introduced in 2015 to promote cleanliness, hygiene, and infection control practices in public health facilities.
3. Public health facilities achieving a score of 70 percent or more in the NQAS assessment are eligible for national-level certification.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
The NQAS follows a three-tier assessment process (internal, state, and national) to ensure comprehensive quality management across public health facilities. The Kayakalp initiative was indeed launched in 2015 to incentivize public health facilities to maintain high standards of hygiene and infection control. Furthermore, facilities must achieve a minimum score of 70 percent in the final national-level assessment to be granted the official NQAS certification.
Consider the following statements regarding Decentralized planning processes in District Health Action Plans (DHAP):
1. Guidelines issued by the Ministry of Health and Family Welfare in 2013 emphasize the role of Panchayati Raj Institutions in the decentralized planning process of the DHAP.
2. The DHAP integrates the resource envelope provided by the National Health Mission with the existing infrastructure and human resource data available at the district level.
3. Performance-based incentive mechanisms for states are linked to the timely submission and quality of the DHAP as per the NHM framework established in 2005.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as the 2013 NHM guidelines mandate the involvement of Panchayati Raj Institutions (PRIs) in planning and monitoring to ensure grassroots accountability. Statement 2 is correct because the DHAP serves as a comprehensive tool that maps local health infrastructure and human resource gaps against the financial resource envelope allocated under the NHM. Statement 3 is correct as the NHM framework utilizes the quality and timely submission of DHAPs as a key performance indicator to determine the release of flexible funds and incentive grants to states.
Consider the following statements regarding Performance-based incentive frameworks for state health departments:
1. The National Health Mission's 'Kayakalp' initiative rewards public health facilities with monetary incentives based on their performance in sanitation, hygiene, and infection control audits conducted annually.
2. The Ministry of Health and Family Welfare operates the 'Rashtriya Swasthya Bima Yojana' performance fund, which allocates additional resources to states that maintain a standardized electronic health record system for all primary health centers.
3. The NHM financial management guidelines allow for the utilization of 'Flexi-pool' funds, which provide states the autonomy to allocate resources toward state-specific health priorities beyond the standard programmatic budget.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 3 is correct. Statement 2 is incorrect.
Statement 1 is correct as the 'Kayakalp' initiative, launched in 2015, incentivizes public health facilities to maintain high standards of sanitation and hygiene through monetary awards. Statement 3 is correct because the NHM 'Flexi-pool' allows states to utilize up to 25% of their total NHM budget for state-specific innovations and priorities, granting them greater fiscal autonomy. Statement 2 is incorrect because the 'Rashtriya Swasthya Bima Yojana' (RSBY) was a health insurance scheme that has been subsumed under the 'Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana' (AB-PMJAY) and does not operate a performance fund for electronic health records at primary health centers.
Consider the following statements regarding Accountability mechanisms in the Village Health Sanitation and Nutrition Committees (VHSNC):
1. The VHSNC guidelines were formally introduced under the National Rural Health Mission in 2005, and the committee functions as an autonomous body reporting directly to the District Magistrate.
2. Guidelines under the National Health Mission suggest that at least 50 percent of the committee members should be women to ensure gender-sensitive health planning.
3. The Village Health Sanitation and Nutrition Committee is chaired by the elected head of the Gram Panchayat, with the ASHA worker serving as the Member Secretary.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 3 is correct. Statement 1 is incorrect.
Statement 1 is incorrect because VHSNCs are not autonomous bodies reporting to the District Magistrate; they function under the Gram Panchayat to promote decentralized health planning. Statement 2 is correct as NHM guidelines mandate that at least 50 percent of members be women to ensure inclusive, gender-sensitive community participation. Statement 3 is correct because the committee is chaired by the elected Gram Panchayat head, with the ASHA worker acting as the Member Secretary to facilitate coordination between the community and the health system.
Consider the following statements regarding Capacity building mandates for state-level health administrators:
1. The 2017 National Health Policy emphasizes the role of the Public Health Management Cadre in enhancing the technical competencies of state-level health administrators through structured modular training.
2. The 2018 Ayushman Bharat Pradhan Mantri Jan Arogya Yojana implementation strategy includes the provision for the National Health Authority to directly manage the human resource payroll for state-level health administrators.
3. Under the NHM guidelines, the National Health Systems Resource Centre facilitates the 'Skill Building for Health Managers' initiative, which aims to train 500 district program managers annually.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 3 is correct. Statement 2 is incorrect.
Statement 1 is correct as the National Health Policy 2017 explicitly advocates for a dedicated Public Health Management Cadre to professionalize health administration through continuous modular training. Statement 3 is correct because the National Health Systems Resource Centre (NHSRC) acts as the technical support unit for NHM, overseeing capacity-building initiatives like 'Skill Building for Health Managers' to strengthen district-level leadership. Statement 2 is incorrect because the National Health Authority (NHA) does not manage the payroll for state-level health administrators; human resource management and salary disbursements remain under the purview of the respective State Health Societies and state governments.
Consider the following statements regarding Decentralized planning processes in District Health Action Plans (DHAP):
1. The National Health Mission guidelines of 2005 introduced the District Health Action Plan as a mechanism for direct fund transfer from the central government to the Gram Panchayats.
2. Under the NHM decentralization framework, the State Health Society functions as the primary body for local data collection, and it delegates the final approval of the DHAP to the District Planning Committee.
3. The District Health Society, chaired by the District Magistrate or Collector, holds the responsibility for the approval of the DHAP before it is submitted to the State Health Society.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 3 is correct. Statement 1 is incorrect. Statement 2 is incorrect.
Statement 3 is correct because the District Health Society (DHS), chaired by the District Magistrate or Collector, is the designated authority for finalizing and approving the District Health Action Plan (DHAP) before submission to the State. Statement 1 is incorrect as the NHM guidelines do not facilitate direct fund transfers from the Centre to Gram Panchayats; instead, funds flow through the State Health Society to the DHS. Statement 2 is incorrect because the primary responsibility for local data collection and planning lies with the District Health Society and block-level units, while the State Health Society holds the authority for final approval and resource allocation, not the District Planning Committee.
Consider the following statements regarding Public-Private Partnership (PPP) governance models in service delivery:
1. The 2005 National Rural Health Mission guidelines introduced the 'Rogi Kalyan Samiti' framework, which allows local health societies to engage private entities for non-clinical facility management.
2. The 2018 Ayushman Bharat guidelines encompass the 'Management Contract' model for district hospitals, where the state government retains full liability for medical negligence claims filed against private operators.
3. Under the 2017 National Health Policy, the government identifies the 'Contracting-in' model as a mechanism for private specialists to provide diagnostic services within public health facilities.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 3 is correct. Statement 2 is incorrect.
Statement 1 is correct as the Rogi Kalyan Samiti (RKS) was institutionalized under NRHM (2005) to decentralize hospital management, allowing for outsourcing non-clinical services like sanitation and security. Statement 3 is correct because the 2017 National Health Policy explicitly promotes 'contracting-in' private specialists to utilize underused public infrastructure for diagnostic and specialized services. Statement 2 is incorrect because, under standard PPP management contracts in healthcare, liability for medical negligence is typically shared or transferred to the private operator through indemnity clauses, rather than the state retaining full liability.
Consider the following statements regarding Performance-based incentive frameworks for state health departments:
1. The NHM framework includes provisions for the 'Mission Indradhanush' bonus grants, which are calculated based on the state's success in achieving 100% institutional delivery rates within the first two years of program implementation.
2. Under the NHM framework, the Ministry of Health and Family Welfare releases incentive grants to states that achieve at least a 5% year-on-year improvement in their composite health index score.
3. The 15th Finance Commission recommended a performance-based grant mechanism for the health sector, linking a portion of state-specific health grants to the operationalization of Health and Wellness Centres.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 3 is correct. Statement 1 is incorrect.
Statement 1 is incorrect because Mission Indradhanush focuses on full immunization coverage, not institutional delivery rates. Statement 2 is correct as the NHM framework incorporates performance-based incentives linked to progress on the NITI Aayog's Health Index, which tracks year-on-year improvements. Statement 3 is correct because the 15th Finance Commission specifically recommended linking a portion of health grants to the operationalization of Health and Wellness Centres (HWCs) to strengthen primary healthcare delivery.
Consider the following statements regarding Regulatory oversight of the Rashtriya Bal Swasthya Karyakram (RBSK) implementation:
1. The RBSK framework incorporates the 2005 National Rural Health Mission guidelines, and the program utilizes the existing Primary Health Centre infrastructure for its tertiary care surgical interventions.
2. The Ministry of Women and Child Development oversees the RBSK operational budget, and the program coordinates with the Integrated Child Development Services to maintain the digital health records of newborns.
3. The Rashtriya Bal Swasthya Karyakram was launched in February 2013 under the umbrella of the National Health Mission to provide systematic screening for 4D conditions in children.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 3 is correct. Statement 1 is incorrect. Statement 2 is incorrect.
Statement 3 is correct as RBSK was launched in February 2013 under the National Health Mission to screen children from birth to 18 years for 4Ds: Defects at birth, Diseases, Deficiencies, and Developmental delays. Statement 1 is incorrect because RBSK utilizes the existing public health infrastructure for screening, but tertiary care surgical interventions are facilitated through specialized referral centers, not PHCs. Statement 2 is incorrect because the Ministry of Health and Family Welfare oversees the RBSK budget, and while it coordinates with the Ministry of Women and Child Development for screening at Anganwadi centers, the digital health records are managed under the NHM framework, not specifically by ICDS.
Consider the following statements regarding Governance structure of the Rogi Kalyan Samiti (RKS):
1. The District Magistrate or the District Collector serves as the ex-officio Chairperson of the Rogi Kalyan Samiti at the District Hospital level.
2. The Rogi Kalyan Samiti maintains a bank account in the name of the hospital, and the operational authority for these funds is vested in the hospital superintendent with oversight from the State Health Society.
3. Under the National Health Mission guidelines, the Rogi Kalyan Samiti receives an annual untied fund of 5 lakh rupees for Community Health Centres.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 3 is correct. Statement 2 is incorrect.
Statement 1 is correct as the District Magistrate/Collector chairs the RKS at the District Hospital to ensure administrative oversight. Statement 3 is correct because NHM guidelines provide an annual untied fund of Rs. 5 lakh for CHCs to manage local health facility needs. Statement 2 is incorrect because, while the RKS maintains a bank account, the operational authority and financial management are vested in the Executive Committee of the RKS itself, not directly under the State Health Society's operational control.
Consider the following statements regarding Role and mandate of the Empowered Programme Committee (EPC):
1. The Empowered Programme Committee is chaired by the Secretary of the Department of Health and Family Welfare.
2. The Empowered Programme Committee holds the authority to finalize the National Health Policy document, which was last updated in 2017 to focus on universal health coverage.
3. The committee oversees the recruitment of ASHA workers across rural districts, a cadre that was formalized under the National Rural Health Mission launched in 2005.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is correct as the Empowered Programme Committee (EPC) under the National Health Mission is chaired by the Secretary of the Department of Health and Family Welfare to ensure administrative oversight. Statement 2 is incorrect because the National Health Policy is a cabinet-level policy document approved by the Union Cabinet, not the EPC. Statement 3 is incorrect because the recruitment and management of ASHA workers are decentralized to the state and district levels under the supervision of the State Health Societies, rather than being a direct mandate of the central EPC.
Consider the following statements regarding Governance of the Ayushman Bharat-Health and Wellness Centres (AB-HWC) integration:
1. The administrative structure of AB-HWC involves the State Health Societies, and the target of operationalizing 1.5 lakh centres was achieved by the end of the 2020-21 fiscal year.
2. The governance of AB-HWC includes provisions for the 'Kayakalp' award scheme to incentivize cleanliness, and the implementation is coordinated by the NITI Aayog's Health Division across all administrative blocks.
3. The AB-HWC initiative provides for the delivery of 12 packages of services, and the digital health records generated at these centres are stored in the centralized database managed by the Indian Council of Medical Research.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is incorrect. Statement 2 is incorrect. Statement 3 is incorrect.
Statement 1 is incorrect because the target of operationalizing 1.5 lakh AB-HWCs was achieved in December 2022, not by the end of 2020-21. Statement 2 is incorrect as the implementation is coordinated by the Ministry of Health and Family Welfare (MoHFW), not NITI Aayog. Statement 3 is incorrect because AB-HWCs provide a comprehensive package of 12 services, but digital health records are managed under the Ayushman Bharat Digital Mission (ABDM) framework, not by the ICMR.
Consider the following statements regarding Financial management and audit protocols under the Common Review Mission (CRM):
1. Audit protocols for the National Health Mission involve the submission of audited statements of accounts by the State Health Societies to the Ministry of Health and Family Welfare by 31st July of the following financial year.
2. The National Health Mission guidelines specify that external audit of State and District Health Societies is conducted by Chartered Accountant firms empanelled with the Comptroller and Auditor General of India.
3. Under the financial management framework of the National Health Mission, the release of the second tranche of funds to states is contingent upon the utilization of at least 60 percent of the available funds from the first tranche.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is correct.
Statement 1 is correct as per NHM financial guidelines, which mandate the submission of audited statements by July 31st to ensure timely fiscal accountability. Statement 2 is correct because the Ministry of Health and Family Welfare requires independent audits to be conducted exclusively by CAG-empanelled Chartered Accountant firms to maintain transparency and professional standards. Statement 3 is correct because the release of the second tranche of funds is strictly performance-linked, requiring states to demonstrate a minimum utilization of 60% of the funds received in the first tranche to ensure efficient resource absorption.
Consider the following statements regarding Financial management and audit protocols under the Common Review Mission (CRM):
1. The audit protocols for the National Health Mission allow for the internal audit of primary health centres to be conducted by the District Magistrate's office, following the guidelines issued during the 2015 administrative restructuring of the health sector.
2. The 16th Common Review Mission report highlighted the need for strengthening the Public Financial Management System (PFMS) to track fund flow up to the health facility level.
3. The Common Review Mission (CRM) under the National Health Mission assesses the utilization of funds against the approved State Programme Implementation Plan (PIP) for the fiscal year.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 3 is correct. Statement 1 is incorrect.
Statement 1 is incorrect because internal audits under NHM are conducted by chartered accountant firms or internal audit wings as per the Financial Management Guidelines, not by the District Magistrate's office. Statement 2 is correct as the 16th CRM report emphasized leveraging PFMS to ensure real-time tracking of fund utilization down to the facility level for better accountability. Statement 3 is correct because the CRM serves as a periodic external evaluation mechanism to monitor whether state expenditures align with the approved State Programme Implementation Plan (PIP) under the NHM framework.
Consider the following statements regarding State Health Society (SHS) financial autonomy and fund flow mechanisms:
1. The State Health Society (SHS) operates under the National Health Mission as a registered society under the Societies Registration Act, 1860, to ensure financial flexibility in program implementation.
2. Funds under the National Health Mission are transferred from the Union Ministry of Health and Family Welfare directly to the State Health Society bank account via the Public Financial Management System (PFMS).
3. The State Health Society functions as a subordinate office of the State Directorate of Health Services, and it follows the General Financial Rules (GFR) 2005 for the procurement of medical equipment.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is incorrect.
Statement 1 is correct as the SHS is registered under the Societies Registration Act, 1860, to bypass rigid government treasury rules and ensure flexible fund utilization. Statement 2 is correct because the NHM utilizes the Public Financial Management System (PFMS) for direct fund transfers to SHS accounts to enhance transparency and reduce delays. Statement 3 is incorrect because the SHS is an autonomous body, not a subordinate office, and it follows the NHM Financial Management Guidelines rather than the outdated GFR 2005 for its procurement processes.
Consider the following statements regarding Regulatory oversight of the Rashtriya Bal Swasthya Karyakram (RBSK) implementation:
1. Under the 2013 RBSK operational guidelines, the program focuses on the 4D screening model, and the implementation is monitored by the National Medical Commission through quarterly state-level reports.
2. The 4D screening framework of the RBSK covers defects at birth, diseases, deficiencies, and developmental delays including disabilities in children from birth to 18 years of age.
3. Mobile Health Teams under the RBSK consist of two AYUSH doctors, one ANM, and one pharmacist to conduct biannual screenings at Anganwadi centers and government schools.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 2 is correct. Statement 3 is correct. Statement 1 is incorrect.
Statement 2 is correct as the RBSK 4D model targets children aged 0-18 years for defects at birth, diseases, deficiencies, and developmental delays. Statement 3 is correct because Mobile Health Teams (MHTs) are indeed composed of two AYUSH doctors, one ANM/Staff Nurse, and one pharmacist, tasked with regular screenings at Anganwadis and schools. Statement 1 is incorrect because the program is monitored by the Ministry of Health and Family Welfare under the National Health Mission framework, not the National Medical Commission.
Consider the following statements regarding Role and mandate of the Empowered Programme Committee (EPC):
1. The committee functions under the overall guidance of the Mission Steering Group, which is chaired by the Union Minister of Health and Family Welfare.
2. The Empowered Programme Committee serves as the primary body for approving the annual State Programme Implementation Plans submitted by the states.
3. The Empowered Programme Committee reports directly to the NITI Aayog Governing Council, which replaced the Planning Commission in 2015 to foster cooperative federalism.
How many of the statements given above are correct?
- Only one
- Only two
- All three
- None
Explanation: Statement 1 is correct. Statement 2 is correct. Statement 3 is incorrect.
Statement 1 is correct as the Empowered Programme Committee (EPC) operates under the Mission Steering Group (MSG), which is chaired by the Union Minister of Health and Family Welfare to provide policy guidance. Statement 2 is correct because the EPC is mandated to appraise and approve the State Programme Implementation Plans (PIPs) submitted by States/UTs under the National Health Mission. Statement 3 is incorrect because the EPC reports to the Mission Steering Group, not the NITI Aayog Governing Council; the governance structure of NHM is internal to the Ministry of Health and Family Welfare.