Lok Sabha Question No. 4712 (UNSTARRED), answered on 2018-03-23
Subject: Condition of Medical Equipments in Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAVINDRA KUMAR PANDEY

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 4712 TO BE ANSWERED ON 23 rd MARCH, 2018

## CONDITION OF MEDICAL EQUIPMENTS IN HOSPITALS

## 4712. SHRI RAVINDRA KUMAR PANDEY:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether a large number of medical equipments in Government healthcare centres are not in working condition;
- (b) if so, the details thereof, State/UT wiseduring the last three years;
- (c)  whether  the  Government  has  set up  any  monitoring  mechanism  to  ensure proper maintenance and operation of these equipments in the said centres;
- (d) if so, the details thereof;
- (e) the total amount allocated to Government healthcare centres for procurement of medical equipments  during the  last  three  years  along  with  the  total amount  utilised  thereunder, State/UT - wise; and
- (f)  the  steps  taken  by  the  Government to  improve  maintenance  of  medical equipments  in Government health care centres?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a) &(b): An  extensive  exercise  was  undertaken  to  map  the  inventory  of  all  medica equipment including their functionality status. Equipment in range of 13% t o 34% was found dysfunctional across states as on March 2017.

The Sta t e/UT- wise details of upkeep time of medical equipments are available on real time dashboard of States, where program has been implemented. The web - links of dashboard of  15  States/UTs  are  as  per  Annexure - I.Maharashtra  and  Punjab  are  having  their  own software, link to which are not available.

- (c) & (d): This  Ministry  has  formulated  Comprehensive  Guidelines  on  Bio - medical Management  and  Maintenance  Program  (BMMP)  along  with  the  model  RFP  document. These  have  been  disseminated  to  the  States  to  facilitate  them  to  devise  appro mechanism to ensure functio nality and maintenance of the medical equipments in the health facilities. Monitoring of functional status of equipment is done on real time basis thr State dashboard.

The guidelines are available at the link; http://nhsrcindia.org/sites/default/files/practice\_file/ Biomedical%20Equipment%20Revised%20%2810 -02- 2015%29%282%29.pdf

- (e): The details of amount approved under NHM to States/UT for procurement of medical equipments during the last three years  along with utilization are given at Annexure -II.
- (f) : Comprehensive  program  guidelines  on  Biomedical  equipment  Maintenance  and Manag ement Programme have been developed. The program guidelines ensures uptime of 95% for all medical equipment in district hospitals, 90% for Community Health Centres 80% for Primary Health Centres. At no point of time in a single breakdown, the downt should be more than 7 days from the date and time of registration of fault. It also timely calibrations and preventive maintenance of medical equipments and periodic end training.
- 17 States have already implemented the programme.  13 States a re under process of hiring the service provider as per NHM guidelines and 4 States are having in - house model for Service delivery.

## Annexure - I

| Dashboard Details of Biomedical equipment Management & Maintenance program   | Dashboard Details of Biomedical equipment Management & Maintenance program   | Dashboard Details of Biomedical equipment Management & Maintenance program                              |
|------------------------------------------------------------------------------|------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|
| S.N                                                                          | State                                                                        | Dashboard Web Link                                                                                      |
| 1                                                                            | Andhra Pradesh                                                               | http://www.htms - tbs.com:8081/HTMS/ap_dashboard.jsp                                                    |
| 2                                                                            | Arunachal Pradesh                                                            | http://52.66.183.163:81/dashbo rd/manage_dashboard.html                                                 |
| 3                                                                            | Jharkhand                                                                    | http://52.66.183.163:85/dashboard/manage_dashboard.html                                                 |
| 4                                                                            | Kerala                                                                       | http://www.kmscl - bemp.com/                                                                            |
| 5                                                                            | Maharashtra                                                                  | www.mahabiomed.com (us ername: nhsrcpss: nhsrc )                                                        |
| 6                                                                            | Mizoram                                                                      | http://52.66.183.163:84/dashboard/manage_dashboard.html                                                 |
| 7                                                                            | Nagaland                                                                     | http://182.156.208.43:85/faber_nagaland (us ername: admin pass word: admin)                             |
| 8                                                                            | Rajasthan                                                                    | http://e - aushadhi.rajasthan.gov.in/EMMS/startup/loginAction (username:SIMC_EMMS password:snoim@2016 ) |
| 9                                                                            | Sikkim                                                                       | sk.macshell.com (username: admin password: 123)                                                         |
| 10                                                                           | Tripura                                                                      | http://52.66.183.163:82/dashboard/manage_dashboard.html                                                 |
| 11                                                                           | Puducherry                                                                   | http://182.156.208.43:85/faber_pondy (us ername: admin pass word: 12345)                                |
| 12                                                                           | Telengana                                                                    | http://182.156.208.43:85/faber_telangana (us ername: admin pass word: 12345)                            |
| 13                                                                           | Meghalaya                                                                    | http://www.htms - tbs.com:8081/HTMS/ml_dashboard.jsp                                                    |
| 14                                                                           | Assam                                                                        | http://www.htms - tbs.com:8081/HTMS/as_dashboard.jsp                                                    |
| 15                                                                           | HimachalPradesh                                                              | Mass.macshell.com (username:admin password:123)                                                         |

Statement showing SPIP Approval Vs Expenditure for the activity Procurement of Equipments under NHM for the FY 2014-15 to 2016-17 Rs. In lakhs

| S. No.               | Name of the State/UT   | 2014-15        |          | 2015-16        |           | 2016-17        |           |
|----------------------|------------------------|----------------|----------|----------------|-----------|----------------|-----------|
| S. No.               | Name of the State/UT   | SPIP Approvals | Exp      | SPIP Approvals | Exp       | SPIP Approvals | Exp       |
| A. High Focus States | A. High Focus States   |                |          |                |           |                |           |
| 1                    | Bihar                  | 2,699.07       | 2,044.65 | 8,458.61       | 1,337.62  | 5,126.76       | 2,429.00  |
| 2                    | Chattisgarh            | 833.31         | 202.88   | 602.18         | 147.16    | 3,376.39       | 861.17    |
| 3                    | Himachal Pradesh       | 315.35         | 162.92   | 1,558.72       | 155.22    | 344.62         | 151.67    |
| 4                    | Jammu & Kashmir        | 569.95         | 348.55   | 855.29         | 991.57    | 2,328.33       | 1,607.22  |
| 5                    | Jharkhand              | 818.57         | 207.10   | 2,273.68       | 341.45    | 1,403.61       | 247.23    |
| 6                    | Madhya Pradesh         | 2,981.46       | 596.69   | 3,314.62       | 2,962.09  | 9,458.99       | 2,881.32  |
| 7                    | Orissa                 | 2,551.53       | 905.57   | 1,922.62       | 951.79    | 1,432.26       | 622.38    |
| 8                    | Rajasthan              | 1,918.66       | 3,718.58 | 7,626.49       | 2,749.47  | 5,374.53       | 4,265.75  |
| 9                    | Uttar Pradesh          | 3,586.61       | 992.15   | 16,219.12      | 6,949.93  | 8,399.29       | 5,770.16  |
| 10                   | Uttarakhand            | 303.70         | 275.82   | 388.15         | 253.09    | 305.76         | 479.14    |
|                      | Sub Total              | 16,578.21      | 9,454.90 | 43,219.48      | 16,839.38 | 37,550.54      | 19,315.05 |
| B. NE                | States                 |                |          |                |           |                |           |
| 11                   | Arunachal Pradesh      | 101.24         | 59.85    | 291.92         | 28.26     | 337.44         | 491.54    |
| 12                   | Assam                  | 1,256.05       | 4,298.30 | 6,615.40       | 1,736.36  | 6,432.59       | 1,794.75  |
| 13                   | Manipur                | 153.32         | 118.39   | 141.23         | 237.67    | 809.08         | 55.33     |
| 14                   | Meghalaya              | 390.84         | 19.70    | 603.63         | 344.06    | 128.58         | 283.13    |
| 15                   | Mizoram                | 73.43          | 56.85    | 446.23         | 48.64     | 1,100.06       | 217.61    |
| 16                   | Nagaland               | 52.94          | 82.13    | 143.97         | 117.57    | 427.81         | 291.99    |
| 17                   | Sikkim                 | 68.24          | 88.70    | 595.25         | 80.54     | 109.12         | 171.01    |
| 18                   | Tripura                | 114.57         | 11.48    | 427.50         | 117.60    | 342.07         | 86.11     |
|                      | Sub Total              | 2,210.63       | 4,735.40 | 9,265.12       | 2,710.70  | 9,686.74       | 3,391.46  |

| Non-High States     | Non-High States           | Non-High States     |                     |                     |                     |                     |                     |
|---------------------|---------------------------|---------------------|---------------------|---------------------|---------------------|---------------------|---------------------|
| C. 19               | Focus Andhra Pradesh      | 978.81              | 1,383.93            | 4,456.68            | 2,421.85            | 3,889.52            | 3,363.39            |
| 20                  | Goa                       | 64.80               | 38.33               | 268.90              | 30.39               | 163.46              | 49.71               |
| 21                  | Gujarat                   | 1,122.21            | 339.32              | 3,552.33            | 2,882.20            | 2,108.82            | 1,845.49            |
| 22                  | Haryana                   | 847.89              | 739.45              | 1,749.47            | 1,195.04            | 1,183.90            | 113.28              |
| 23                  | Karnataka                 | 706.05              | 292.39              | 1,555.97            | 161.93              | 3,229.06            | 1,580.90            |
| 24                  | Kerala                    | 568.75              | 96.58               | 1,608.44            | 993.88              | 2,268.20            | 2,269.29            |
| 25                  | Maharashtra               | 3,198.00            | 2,174.82            | 13,293.18           | 4,416.28            | 15,954.04           | 2,810.43            |
| 26                  | Punjab                    | 302.65              | 551.34              | 870.25              | 1,495.06            | 1,711.07            | 1,792.98            |
| 27                  | Tamil Nadu                | 1,940.26            | 14,848.85           | 8,312.42            | 5,970.58            | 6,271.59            | 9,916.05            |
| 28                  | Telangana                 | 833.71              | -                   | 5,970.28            | 263.86              | 1,380.07            | 2,040.68            |
| 29                  | West Bengal               | 2,588.15            | 876.62              | 6,079.35            | 2,459.50            | 9,068.09            | 7,269.36            |
|                     | Sub Total                 | 13,151.28           | 21,341.62           | 47,717.27           | 22,290.58           | 47,227.82           | 33,051.57           |
| D. Small States/UTs | D. Small States/UTs       | D. Small States/UTs | D. Small States/UTs | D. Small States/UTs | D. Small States/UTs | D. Small States/UTs | D. Small States/UTs |
| 30                  | Andaman & Nicobar Islands | 56.22               | 1.75                | 81.63               | 0.83                | 32.40               | 0.42                |
| 31                  | Chandigarh                | 12.79               | 0.16                | 24.71               | 3.88                | 24.65               | 3.18                |
| 32                  | Dadra & Nagar Haveli      | 21.52               | 106.58              | 47.91               | 65.78               | 40.05               | 42.64               |
| 33                  | Daman & Diu               | 19.53               | 3.60                | 19.52               | 2.72                | 17.82               | 0.82                |
| 34                  | Delhi                     | 249.55              | 24.99               | 1,045.48            | 118.45              | 1,017.00            | 36.46               |
| 35                  | Lakshadweep               | 10.01               | -                   | 9.79                | 1.29                | 8.91                | 0.95                |
| 36                  | Puducherry                | 91.33               | 5.29                | 216.14              | 69.05               | 267.83              | 47.20               |
|                     | Sub Total                 | 460.95              | 142.37              | 1,445.18            | 262.00              | 1,408.66            | 131.67              |
|                     | Grand Total               | 32,401.07           | 35,674.29           | 1,01,647.0 5        | 42,102.66           | 95,873.77           | 55,889.75           |

Note:

1. SPIP stands for State Program Implementation Plan.
2. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of  the year.
3. The above figures are as per FMR reported by State/UTs.
4. The above figures comprising the data of all the programmes of NHM.