Lok Sabha Question No. 1934 (UNSTARRED), answered on 2017-12-29
Subject: New Hospitals under PMSSY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAVNEET SINGH

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

LOK SABHA UNSTARRED QUESTION NO. 1934 TO BE ANSWERED ON 29 th DECEMBER, 2017

## NEW HOSPITALS UNDER PMSSY

## 1934. SHRI RAVNEET SINGH:

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

- (a) the details of hospitals sanctioned and made operational under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY);
- (b) whether the Government has undertaken an evaluation to match the need for hospitals against existing health care se vices, district - wise and State - wise, if so, the details thereof;
- (c)  whether  the  Government  has conducted  any  study  to  evaluate proper  utilization  of  funds under the PMSSY; and
- (d) if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) : The  Pradhan  Mantri  Swasthya  Suraksha  Yojana  (PMSSY) aims  at  correcting  the imbalances in the availability of affordable t ertiary healthcare facilities in the different parts the  country  in  general,  and  augmenting  facilities  for  quality  medical  education  in  th -served States in particular. This Central Sector Scheme  has two components :
- i. Setting up of new AIIMS - like institutions (including Hospital)  at 20 places; out of whic six (6) AIIMS set up under Phase -I of PMSSY at  Bhopal, Bhubaneswar, Jodhpur, Patna, Raipur and Rishikesh are functional.
- ii. Up - gradation  of  existing  73  nos.  of  State  Government  Medical  College/In stitutions (GHC/Is) by creating a Super Specialty Block (SSB) or Trauma Centre.

The  details  of    AIIMS  Hospitals  &  SSB/  Trauma  Centres  in  Govt.  Medical  Colleges sanctioned and made functional are given in Annexure-I.

- (b) : There was no evaluation study conducted by MoHFW to match the needs for hospital against the existing Healthcare services. However, three tier system of health care infr (Sub Centre, Primary Health Centre & Community Health Centre) has been developed in rural areas by the Ministry of Health & Family Welfare as per the following population norms:

|                               | Population Norms   | Population Norms       |
|-------------------------------|--------------------|------------------------|
| Centre                        | Plain Area         | Hilly/Tribal/Difficult |
| Sub Centre (SC)               | 5000               | 3000                   |
| Primary Health Centre (PHC)   | 30,000             | 20,000                 |
| Community Health Centre (CHC) | 1,20,000           | 80,000                 |

As per Rural Health Statistics (RHS) 2016 - 17 (as on 31 st March 2017) no. of Sub - centres ,  Primary  Health  Centres    and  Community  Health  Centre,    State/UTs  wise  requirement, -position and shortfall against the rural population as per Census 2011 are as follows:

| Health Centres                 |   Requirement |   In- Position |   Shortfall |
|--------------------------------|---------------|----------------|-------------|
| Sub Centre (SCs)               |        179240 |         156231 |       34961 |
| Primary Health Centre (PHCs)   |         29337 |          25650 |        6409 |
| Community Health Centre (CHCs) |          7322 |           5624 |        2168 |

A  Statement  containing  no.  of  SCs,  PHCs  and  CHCs  State/UTs  wise  required  as  per population norm, In - position and shortfall is enclosed from RHS 2016 - 17 published by Ministry of Health and Family Welfare is given in Annexure -II.

- (c)& (d) : A    third  Party  evaluation  study    for  proper  utilisation  of  funds  under  PM scheme  as  per  directive  of  Niti  Aaayog  has  been  assi gned  to  Indian  Institute  of  Public Administration   (IIPA) Delhi.

## ANNEXURE - I

## SUMMARY OF NEW AIIMS BEING SET UP AND UPGRADATION OF GOVT. MEDICAL COLLEGES

| Sl.             | New                                                         |                             | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   |
|-----------------|-------------------------------------------------------------|-----------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|
| State           | AIIMS                                                       |                             | Phase I                                                   | Phase II                                                  | Phase III Phase IV                                        | Phase V(A)                                                |                                                           |
| Andhra Pradesh  | AIIMS Mangalapuri (Ph- IV)                                  | SVIMS, Tirupati**           |                                                           | SMC,Vijayawada GMC, Anantpur                              |                                                           | 1                                                         |                                                           |
| Assam           | AIIMS Guwahati (Ph-V)                                       |                             |                                                           | GMC, Guwahati AMC, Dibrugarh                              |                                                           | 2                                                         |                                                           |
| Bihar           | AIIMS Patna (Ph-I)** AIIMS Declared (Ph-V)                  |                             |                                                           | SMC, Muzaffarapur GMC, Darbhanga                          | PMCH, Patna GMC, Bhagalpur GMC, Gaya                      | 3                                                         |                                                           |
| Chhattisgarh    | AIIMS, Raipur (Ph-I)                                        |                             |                                                           |                                                           | GMC, Bilaspur, GMC Jagdalpur                              | 4                                                         |                                                           |
| Goa             |                                                             |                             |                                                           | GMC, Panaji                                               |                                                           | 5                                                         |                                                           |
| Gujarat         | AIIMS, Gujrat (Ph VI)                                       | BJMC, Ahmedabad             |                                                           | GMC, Rajkot                                               | GMC, Surat GMC, Bhavnagar                                 | 6                                                         |                                                           |
| Haryana         |                                                             |                             | PDSIMS, Rohtak                                            |                                                           |                                                           | 7                                                         |                                                           |
| Him. Pradesh    | AIIMS Kothipura (Ph-V)                                      |                             | GMC Tanda**                                               | I.G. GMC, Shimla                                          |                                                           | 8                                                         |                                                           |
| Jammu & Kashmir | AIIMS, Samba, Jammu (Ph-V) AIIMS, Awantipor, Kashmir (Ph-V) | GMC, Jammu** GMC, Kashmir** |                                                           |                                                           |                                                           | 9                                                         |                                                           |
| Jharkhand       | AIIMS, Deoghar (Ph VI)                                      | RIMS, Ranchi**              |                                                           | PMC, Dhanbad                                              |                                                           | 10                                                        |                                                           |
| Karnataka       |                                                             | BMC, Bangalore**            |                                                           | VMC, Bellary KIMS, Hubli                                  |                                                           | 11                                                        |                                                           |
| Kerala          |                                                             | MC, Trivandrum**            |                                                           | MC, Kozhikode TDMC, Alappuzha                             |                                                           | 12 SCTIMST                                                |                                                           |
| Madhya Pradesh  | AIIMS, Bhopal (Ph-I)**                                      |                             |                                                           | GMC, Rewa NSCB, MC, Jabalpur GRMC,, Gwalior               | GMC, Indore                                               | 13                                                        |                                                           |
| Maharashtra     | AIIMS, Nagpur (Ph-IV)                                       | Grants, MC + JJ Hospitals   | GMC, Nagpur                                               | GMC, Aurangabad GMC, Latur GMC, Akola SVK, GMC, Yavatmal. |                                                           | 14                                                        |                                                           |
| Odisha (Orissa) | AIIMS, Bhubaneshwar (Ph-I)**                                |                             |                                                           | MKCG MC, Behrampur VSS MC, Burla                          | GMC, Cuttack                                              | 15                                                        |                                                           |
| Punjab          | AIIMS, Bhatinda (Ph-V)                                      |                             | MC, Amritsar**                                            | GMC, Patiala                                              |                                                           | 16                                                        |                                                           |
| Rajasthan       | AIIMS, Jodhpur (Ph-I)**                                     |                             |                                                           | SP MC, Bikaner RNT MC, Udaipur GMC, Kota                  | GMC, Jaipur                                               | 17                                                        |                                                           |
| Tamil Nadu      | AIIMS Declared (Ph-V)                                       | GMC, Salem**                | GMC, Madurai                                              | TMC, Thanjavur TMC, Tirunelveli                           |                                                           | 18                                                        |                                                           |
| Telangana       |                                                             | NIMS, Hyderabad**           |                                                           | R.G. IMS, Adilabad KMC, Warangal                          |                                                           | 19                                                        |                                                           |

| Sl.           | State                                              | New AIIMS                         | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS                | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   |
|---------------|----------------------------------------------------|-----------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|------------------------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|
| Sl.           | State                                              | New AIIMS                         | Phase I                                                   | Phase II                                                  | Phase III                                                              | Phase IV                                                  | Phase V(A)                                                |
| Tripura       |                                                    |                                   |                                                           | Agartala                                                  | AMC,                                                                   |                                                           | 20                                                        |
| Uttar Pradesh | AIIMS, Rae Bareli (Ph-II) AIIMS, Gorakhpur (Ph-IV) | SGPGIMS Lucknow** IMS, Varanasi** | JNMC, AMU, Aligarh**                                      |                                                           | GMC, Jhansi GMC, Gorakhpur MLN MC, Allahabad LLR MC, Meerut. GMC, GMC, | Agra Kanpur IMS, BHU                                      | 21                                                        |
| Uttarakhand   | AIIMS, Rishikesh (Ph-I)**                          |                                   |                                                           |                                                           |                                                                        |                                                           | 22                                                        |
| West Bengal   | AIIMS, Kalyani (Ph-IV)                             | KMC, Kolkata                      |                                                           | BS MC, Bankura GMC, Malda NBMC, Darjeeling                |                                                                        |                                                           | 23                                                        |
| Delhi         |                                                    |                                   |                                                           |                                                           | UCMS-GTB Hos.                                                          |                                                           | 24                                                        |
|               | 20 AIIMS                                           | 13                                | 06                                                        | 39                                                        | 13                                                                     | 2                                                         |                                                           |

- A Total of 20 AIIMS and 73 Government Medical Colleges are being upgraded
- ** Marked are functional

## ANNEXURE II

|     | SHORTFALL IN HEALTH   | Total Population in Rural Areas   | Tribal Population in Rural Areas   | INFRASTRUCTURE AS PER   | INFRASTRUCTURE AS PER   | INFRASTRUCTURE AS PER   | INFRASTRUCTURE AS PER   | 2011 POPULATION IN   | 2011 POPULATION IN   | 2011 POPULATION IN   | 2011 POPULATION IN   | INDIA (As on 31st March, 2017)   | INDIA (As on 31st March, 2017)   | INDIA (As on 31st March, 2017)   | INDIA (As on 31st March, 2017)   |
|-----|-----------------------|-----------------------------------|------------------------------------|-------------------------|-------------------------|-------------------------|-------------------------|----------------------|----------------------|----------------------|----------------------|----------------------------------|----------------------------------|----------------------------------|----------------------------------|
| Sl. | State/ UT             | Total Population in Rural Areas   | Tribal Population in Rural Areas   | R                       | P                       | S                       | % Shortfall             | R                    | P                    | S                    | % Shortfall          | R                                | P                                | S                                | % Shortfall                      |
| 1   | Andhra Pradesh        | 34776389                          | 2293102                            | 7261                    | 7458                    | *                       | *                       | 1197                 | 1147                 | 50                   | 4                    | 299                              | 193                              | 106                              | 35                               |
| 2   | Arunachal Pradesh     | 1066358                           | 789846                             | 318                     | 312                     | 6                       | 2                       | 48                   | 143                  | *                    | *                    | 12                               | 63                               | *                                | *                                |
| 3   | Assam                 | 26807034                          | 3665405                            | 5850                    | 4621                    | 1229                    | 21                      | 954                  | 1014                 | *                    | *                    | 238                              | 158                              | 80                               | 34                               |
| 4   | Bihar                 | 92341436                          | 1270851                            | 18637                   | 9949                    | 8688                    | 47                      | 3099                 | 1899                 | 1200                 | 39                   | 774                              | 150                              | 624                              | 81                               |
| 5   | Chhattisgarh          | 19607961                          | 7231082                            | 4885                    | 5186                    | *                       | *                       | 774                  | 785                  | *                    | *                    | 193                              | 169                              | 24                               | 12                               |
| 6   | Goa                   | 551731                            | 87639                              | 122                     | 214                     | *                       | *                       | 19                   | 24                   | *                    | *                    | 4                                | 4                                | 0                                | 0                                |
| 7   | Gujarat               | 34694609                          | 8021848                            | 8008                    | 9082                    | *                       | *                       | 1290                 | 1392                 | *                    | *                    | 322                              | 363                              | *                                | *                                |
| 8   | Haryana               | 16509359                          | 0                                  | 3301                    | 2589                    | 712                     | 22                      | 550                  | 366                  | 184                  | 33                   | 137                              | 112                              | 25                               | 18                               |
| 9   | Himachal Pradesh      | 6176050                           | 374392                             | 1285                    | 2083                    | *                       | *                       | 212                  | 538                  | *                    | *                    | 53                               | 89                               | *                                | *                                |
| 10  | Jammu & Kashmir       | 9108060                           | 1406833                            | 2009                    | 2967                    | *                       | *                       | 327                  | 637                  | *                    | *                    | 81                               | 84                               | *                                | *                                |
| 11  | Jharkhand             | 25055073                          | 7868150                            | 6060                    | 3848                    | 2212                    | 37                      | 966                  | 297                  | 669                  | 69                   | 241                              | 188                              | 53                               | 22                               |
| 12  | Karnataka             | 37469335                          | 3429791                            | 7951                    | 9381                    | *                       | *                       | 1306                 | 2359                 | *                    | *                    | 326                              | 206                              | 120                              | 37                               |
| 13  | Kerala                | 17471135                          | 433092                             | 3551                    | 5380                    | *                       | *                       | 589                  | 849                  | *                    | *                    | 147                              | 232                              | *                                | *                                |
| 14  | Madhya Pradesh        | 52557404                          | 14276874                           | 12415                   | 9192                    | 3223                    | 26                      | 1989                 | 1171                 | 818                  | 41                   | 497                              | 309                              | 188                              | 38                               |
| 15  | Maharashtra           | 61556074                          | 9006077                            | 13512                   | 10580                   | 2932                    | 22                      | 2201                 | 1814                 | 387                  | 18                   | 550                              | 360                              | 190                              | 35                               |
| 16  | Manipur               | 2021640                           | 791126                             | 509                     | 421                     | 88                      | 17                      | 80                   | 85                   | *                    | *                    | 20                               | 17                               | 3                                | 15                               |
| 17  | Meghalaya             | 2371439                           | 2136891                            | 759                     | 436                     | 323                     | 43                      | 114                  | 109                  | 5                    | 4                    | 28                               | 27                               | 1                                | 4                                |
| 18  | Mizoram               | 525435                            | 507467                             | 172                     | 370                     | *                       | *                       | 25                   | 57                   | *                    | *                    | 6                                | 9                                | *                                | *                                |
| 19  | Nagaland              | 1407536                           | 1306838                            | 455                     | 396                     | 59                      | 13                      | 68                   | 126                  | *                    | *                    | 17                               | 21                               | *                                | *                                |
| 20  | Odisha                | 34970562                          | 8994967                            | 8193                    | 6688                    | 1505                    | 18                      | 1315                 | 1280                 | 35                   | 3                    | 328                              | 370                              | *                                | *                                |
| 21  | Punjab                | 17344192                          | 0                                  | 3468                    | 2950                    | 518                     | 15                      | 578                  | 432                  | 146                  | 25                   | 144                              | 151                              | *                                | *                                |
| 22  | Rajasthan             | 51500352                          | 8693123                            | 11459                   | 14406                   | *                       | *                       | 1861                 | 2079                 | *                    | *                    | 465                              | 579                              | *                                | *                                |
| 23  | Sikkim                | 456999                            | 167146                             | 113                     | 147                     | *                       | *                       | 18                   | 24                   | *                    | *                    | 4                                | 2                                | 2                                | 50                               |
| 24  | Tamil Nadu            | 37229590                          | 660280                             | 7533                    | 8712                    | *                       | *                       | 1251                 | 1362                 | *                    | *                    | 312                              | 385                              | *                                | *                                |
| 25  | Telangana             | 21585313                          | 2939027                            | 4708                    | 4797                    | *                       | *                       | 768                  | 689                  | 79                   | 10                   | 192                              | 114                              | 78                               | 41                               |
| 26  | Tripura               | 2712464                           | 1117566                            | 691                     | 987                     | *                       | *                       | 109                  | 93                   | 16                   | 15                   | 27                               | 21                               | 6                                | 22                               |
| 27  | Uttarakhand           | 7036954                           | 264819                             | 1442                    | 1847                    | *                       | *                       | 238                  | 257                  | *                    | *                    | 59                               | 60                               | *                                | *                                |
| 28  | Uttar Pradesh         | 155317278                         | 1031076                            | 31200                   | 20521                   | 10679                   | 34                      | 5194                 | 3621                 | 1573                 | 30                   | 1298                             | 822                              | 476                              | 37                               |
| 29  | West Bengal           | 62183113                          | 4855115                            | 13083                   | 10369                   | 2714                    | 21                      | 2153                 | 914                  | 1239                 | 58                   | 538                              | 349                              | 189                              | 35                               |
| 30  | A & N Islands         | 237093                            | 26715                              | 50                      | 123                     | *                       | *                       | 8                    | 22                   | *                    | *                    | 2                                | 4                                | *                                | *                                |
| 31  | Chandigarh            | 28991                             | 0                                  | 5                       | 17                      | *                       | *                       | 0                    | 3                    | *                    | *                    | 0                                | 2                                | *                                | *                                |
| 32  | D & N Haveli          | 183114                            | 150944                             | 56                      | 71                      | *                       | *                       | 8                    | 9                    | *                    | *                    | 2                                | 2                                | 0                                | 0                                |
| 33  | Daman& Diu            | 60396                             | 7617                               | 13                      | 26                      | *                       | *                       | 2                    | 4                    | *                    | *                    | 0                                | 2                                | *                                | *                                |
| 34  | Delhi                 | 419042                            | 0                                  | 83                      | 10                      | 73                      | 88                      | 13                   | 5                    | 8                    | 62                   | 3                                | 0                                | 3                                | 100                              |
| 35  | Lakshadweep           | 14141                             | 13463                              | 4                       | 14                      | *                       | *                       | 0                    | 4                    | *                    | *                    | 0                                | 3                                | *                                | *                                |
| 36  | Puducherry            | 395200                            | 0                                  |                         |                         |                         | *                       | 13                   | 40                   | *                    | *                    |                                  | 4                                | *                                | *                                |
|     | All India/ Total      | 833748852                         | 93819162                           | 79 179240               | 81 156231               | * 34961                 | 20                      | 29337                | 25650                | 6409                 | 22                   | 3 7322                           | 5624                             | 2168                             | 30                               |