Table 2 Barriers related to underutilisation of specific type of flexi-fund

District and block

RKS

Formation and registration of district level societies

Lack of clarity for technical and management Units

Block

AMG

Lack of clarity on accountability and role of managers in fund utilisation

Village (health sub-center)

AMG, Unitied fund

Lack of operational guideline

Frontline health workers are new to fund management

Guidelines for utilisation of fund prescribe specific items (against the principle of ‘untied’ fund)

Village (VHSC)

Untied fund

Delayed formation and registration of VHSCs

Absence of PRI in the state

Frontline health workers and VHSC members are new to fund management