One late evening in April, a senior official with the Mizoram health administration sat in his office in Aizawl, frustrated and angry. It was dark outside. Most of his staff had left for the day. “If they delay it by two months it is okay, if they delay it by three months we may manage, but it is four months now,” said the official, with discernible worry. The Mizoram Health Society, which decides how healthcare funds get used in the state, was to get Rs 25 crore from the treasury last November. That was the third and final instalment for the year 2014. Even today, the society is waiting for the funds transfer.
While the official watches helplessly, all around him the healthcare system is collapsing. Funds are needed for running hospitals and clinics, for programmes fighting malaria, tuberculosis and disease control, for immunisation, family planning, childbirth and care of new mothers. The delay is disrupting them all. “It’s not that our funds don’t come,” the health official said. “They eventually do. But the problem is the mismatch between the routing of funding and the needs of the schemes.” To tide over these shortages, he added, “We are telling staff to take loans to keep the work going. That we will reimburse them when the money comes.”