In the present study, an attempt is made to analyze the budget allocated by the government to Community Health Centres (CHCs) and its utilization in the selected districts of the state of Haryana. For this purpose, sample of 50 respondents (doctors) i.e. 13, 12, 13 and 12 respondents from Palwal, Bhiwani, Hisar and Narnaul districts of the state of Haryana, respectively was taken for data collection. The primary data were collected with the help of pre-tested structured questionnaire on five point Likert scale. On the other hand, the secondary data were collected mainly from Ministry of Health and Family Welfare publications such as IPHS Guidelines for Community Health Centres. Statistical techniques such as mean, standard deviation, and t-test and ANOVA had been applied to analyze the data and validate the results of the study. The results shows that mismatch between policy and their implementation is the main reason for non-disbursement of allocated budget in time, followed by delay due to lengthy procedure. Further, it is also found that ‘Patient Facility/Swasthya Kalyan Smiti’ is given the highest rank, followed by ‘Untied’ head under which budget allocated is utilised appropriately. It is recommended that the budget should be increased by 20–30 per cent annually or according to inflation for improving the existing health of CHCs. The persons who implement the policy should be involved in decision making to avoid any mismatch between the policy and its implementation. The problem of delay in disbursement of allocated budget due to lengthy procedure should be overcome by use of information technology instead of using manual system of transferring files.
Budget, Mismatch, Untied, User Money, Patient
