Lok Sabha Question No. 2900 (UNSTARRED), answered on 2016-12-02
Subject: Public Health Standards
Ministry: HEALTH AND FAMILY WELFARE
Asked by: C.S. PUTTARAJU, P. KUMAR

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

## LOK SABHA UNSTARRED QUESTION NO. 2900 TO BE ANSWERED ON 2 ND DECEMBER, 2016

## PUBLIC HEALTH STANDA RDS

## 2900. SHRI C.S. PUTTA RAJU: SHRI P. KUMAR:

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

- (a) whether the Government has laid down Indian Public Health Standards (IPHS) guidelines in the country, if so, the details and the objectives thereof;
- (b) whether the guidelines issued by the Government under the said standards are implemented in the country, if so, the details thereof and if not, the reasons therefor;
- (c) the special measures taken up for the expansion of health services during the last wo years; and
- (d) the effective measures taken for its implementation in rural areas particularly for treatment of women and children in the rural areas?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): The IPHS Revised Guidelines, 2012 can be accessed http://nrhm.gov.in/nhm/nrhm/guidelines/indian - public - health - standards.html

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These guidelines are intended to act as the main driver for continuous improvement in quality and serve as the bench mark for assessing the functional status of health faciliti

- (b): Public Health being a state subject, IPHS guidelines are recommendatory in nature notmandatory. The primary responsibility of bringing up facilities to IPHS norms is that State  governments.  Under  NHM,  financial  support  is  provided  to  States,  inter - alia,  for strengthening facilities to IPHS.
- (c) & (d): Some of the key measures take n up during the last two years under NHM for strengthening health services are given below:
- (i) Guidelines for NHM free drugs and NHM free diagnostics services issued.
- (ii) National Quality Assurance Framework for Health Facilities has been rolled out in November, 2014.
- (iii) Mission  Indradhanush  was  launched  in  December  2014  to  reach  90  Lakh unimmunized/partially immunized children by 2020.
- (iv) Operational Guidelines for Prevention, Screening and Control of -Communicable diseases: Hyper tension, Diabetes and Common Cancer as part of comprehensive primary care have been shared with states/ UTs.
- (v) Pradhan Mantri National Dialysis Programme has been started in PPP mode.
- (vi) Operational  guidelines  for  bio - medical  equipment  maintenance  program shared with the states.
- (vii) Inactivated Polio Vaccine (IPV) launched initially in six states and subsequ extended to the entire country.
- (viii)Rotavirus vaccine has been introduced in Universal Immunization Programme.

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- (ix) Three  new  methods  have  been  introduced  i n  the  National  Family  Planning Programme namely: Injectable Contraceptive, Centchroman pill Progesterone - only pills (POP).
- (x) Developed a  centralized  e - Rakt  Kosh  application  for  blood  banks  and  blood storage units to automate work - flow and provide citizen - centric services related to blood banks. The pilot run of this application has been undertaken in a few Sta
- (xi) 500 Cartridge Based Nucleic Acid Amplification Test (CBNAAT) Machines have been  introduced  in  addition  to  existing  121  machines  to  offe r  rapid  quality diagnostics at the earliest. This is big leap in fight against TB, especially D - TB.

A continuum of care approach has now been adopted under NRHM with the articulation o strategic approach to Reproductive Maternal, Newborn, Child and Adolescent health (RMNCH+A). This approach brings focus on adolescents as a critical life stage and link between child survival, maternal health and family planning efforts.

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