Lok Sabha Question No. 2219 (UNSTARRED), answered on 2017-07-28
Subject: Oral Hygiene
Ministry: HEALTH AND FAMILY WELFARE
Asked by: POONAM  MAHAJAN

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

LOK SABHA UNSTARRED QUESTION NO. 2219 TO BE ANSWERED ON 28 TH JULY, 2017

## ORAL HYGIENE

## 2219. SHRIMATI POONAM MAHAJAN:

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

- (a) the details of funds released for the implementation of schemes related to oral hygiene over the last three years, State/ UT - wise, year - wise and scheme - wise;
- (b)  whether  the  Government  has  taken any  action  for  oral health  services  for  those living  in interior rural areas and if so, the details thereof;
- (c) whether the Government will provide financial assistance for oral procedures and aids such as braces  to children  in  rural  areas  for  whom  oral  health care  is  esse ntial  and  if  so,  the  details thereof; and
- (d) the manner in which the Government will incentivise health care providers and doctors to set up practises in rural areas?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- ( a) : The details of funds released under National Oral Health Programme ( NOHP ) during the last three years, State/UT - wise, are at Annexure .
- (b): Government has launched National Oral Health Programme (NOHP) in the year 2014 - 15 tostrengthen the public health facilities of the country for an accessible, affordable oral health care delivery with an aim to:
1. Improvement  in  the  determinants  of  oral  health  e.g.  healthy  diet,  oral  hyg improvement  etc.  and  to  reduce  disparit y  in  oral  health  accessibility  in  rural  &  urban population.
2. Reduce  morbidity  from  oral  diseases  by  strengthening  oral  health  services  at district/district hospital to start with.
3. Integrate oral health promotion and preventive services with general hea lth care system and other sectors that influence oral health.
4. Promotion of Public Private Partnerships (PPP) for achieving public health goals.

The program has two components as under:

NHM Component: This is for the support of health facilities [District level and below] of the states with the following components of a Dental Unit:

- Manpower support [Dentist, Dental Hygienist, Dental Assistant]
- Equipments including dental Chairs
- Consumables for dental procedures

## Tertiary Component:

- Designing IEC materials like Posters, TV, Radio Spots, Training Modules
- Organizing national, regional nodal officers training programme to enhance the progra management skills and review the status of the programme .
- Preparing State/District level Trainers by conduct ing national, regional workshops to train the paramedical health functionaries associated in health care delivery.

(c) to (d): It is the responsibility of States/UTs to prioritize and provide comprehensive oral health care services to its citizens including braces to children in rural areas. All ora services  proposed by  the  States/UTs  in  their  Programme  Implementation  Plan  (PIP)  are considered in the Depa rtment of Health & Family Welfare.  Further, u nder the NHM component of  NOHP,  States/UTs  can  seek  support  for  set tingup  of  Dental  Care  Units  including  the following components:

- Equipmentsincluding Dental Chairs, X - rays
- Consumables
- Manpower including Dent al Surgeons, Dental Assistants, Dental Hygienists

## Allocation, Release & Expenditure  under National Oral Health Programme(NOHP)

Rs. In crore

| S.N.   | State                     | 2014-15 under NOHP   | 2014-15 under NOHP   | 2014-15 under NOHP   | 2015-16 under Mission Flexi pool **   | 2015-16 under Mission Flexi pool **   | 2015-16 under Mission Flexi pool **   | 2016-17under Mission Flexi pool **   | 2016-17under Mission Flexi pool **   | 2016-17under Mission Flexi pool **   |
|--------|---------------------------|----------------------|----------------------|----------------------|---------------------------------------|---------------------------------------|---------------------------------------|--------------------------------------|--------------------------------------|--------------------------------------|
| S.N.   | State                     | Allocation           | Release              | Exp                  | Allocation                            | Release                               | Exp***                                | Allocation                           | Release                              | Exp***                               |
| 1      | Andaman & Nicobar Islands | 0.00                 | 0.00                 | 0.00                 | 3.31                                  | 6.87                                  | -                                     | 6.15                                 | -                                    | 0.00                                 |
| 2      | Andhra Pradesh            | 0.00                 | 0.00                 | 0.00                 | 153.63                                | 177.57                                | 0.39                                  | 170.72                               | 170.74                               | 0.04                                 |
| 3      | Arunachal Pradesh         | 0.00                 | 0.05                 | 0                    | 58.49                                 | 57.62                                 | -                                     | 65.03                                | 62.63                                | 1.02                                 |
| 4      | Assam                     | 0.00                 | 0.00                 | 0.00                 | 334.77                                | 335.46                                | -                                     | 372.22                               | 409.44                               | 0.00                                 |
| 5      | Bihar                     | 0.00                 | 0.00                 | 0.00                 | 417.67                                | 375.89                                | -                                     | 465.83                               | 397.07                               | 0.01                                 |
| 6      | Chandigarh                | 0.00                 | 0.00                 | 0.00                 | 0.76                                  | 0.94                                  | -                                     | 1.72                                 | -                                    | 0.00                                 |
| 7      | Chattisgarh               | 0.00                 | 0.00                 | 0.00                 | 159.96                                | 147.16                                | -                                     | 178.41                               | 178.41                               | 0.04                                 |
| 8      | Dadra & Nagar Haveli      | 0.00                 | 0.00                 | 0.00                 | 2.97                                  | 4.37                                  | 0.03                                  | 5.53                                 | 3.93                                 | 0.07                                 |
| 9      | Daman & Diu               | 0.00                 | 0.00                 | 0.00                 | 1.78                                  | 2.29                                  | -                                     | 3.30                                 | 2.35                                 | 0.01                                 |
| 10     | Delhi                     | 0.00                 | 0.00                 | 0.00                 | 11.96                                 | 15.42                                 | -                                     | 27.27                                | -                                    | 0.00                                 |
| 11     | Goa                       | 0.00                 | 0.00                 | 0.00                 | 4.43                                  | 4.43                                  | -                                     | 4.93                                 | 2.34                                 | 0.03                                 |
| 12     | Gujarat                   | 0.00                 | 0.16                 | 0                    | 175.38                                | 196.32                                | -                                     | 194.85                               | 194.85                               | 0.15                                 |
| 13     | Haryana                   | 0.00                 | 0.00                 | 0.00                 | 69.10                                 | 69.11                                 | -                                     | 76.90                                | 76.90                                | 0.00                                 |
| 14     | Himachal Pradesh          | 0.00                 | 0.31                 | 0.01                 | 78.12                                 | 78.12                                 | 0.72                                  | 87.13                                | 87.13                                | 0.26                                 |
| 15     | Jammu & Kashmir           | 0.00                 | 0.28                 | 0                    | 152.13                                | 158.22                                | -                                     | 169.68                               | 152.60                               | 0.06                                 |
| 16     | Jharkhand                 | 0.00                 | 0.00                 | 0.00                 | 158.47                                | 118.86                                | -                                     | 176.74                               | 88.37                                | 0.03                                 |
| 17     | Karnataka                 | 0.00                 | 0.00                 | 0.00                 | 185.57                                | 185.57                                | -                                     | 206.23                               | 206.22                               | 0.63                                 |
| 18     | Kerala                    | 0.00                 | 0.00                 | 0.00                 | 66.29                                 | 71.59                                 | -                                     | 73.79                                | 60.29                                | 0.02                                 |
| 19     | Lakshadweep               | 0.00                 | 0.00                 | 0.00                 | 0.78                                  | 1.60                                  | -                                     | 1.46                                 | 0.69                                 | 0.00                                 |
| 20     | Madhya Pradesh            | 0.00                 | 0.41                 | 0                    | 371.21                                | 427.44                                | 0.06                                  | 414.01                               | 414.01                               | 0.00                                 |
| 21     | Maharashtra               | 0.00                 | 0.00                 | 0.00                 | 302.46                                | 314.56                                | -                                     | 336.14                               | 352.84                               | 0.25                                 |
| 22     | Manipur                   | 0.00                 | 0.00                 | 0.00                 | 35.41                                 | 35.48                                 | -                                     | 39.37                                | 19.69                                | 0.00                                 |
| 23     | Meghalaya                 | 0.00                 | 0.00                 | 0.00                 | 37.89                                 | 37.97                                 | -                                     | 42.12                                | 42.12                                | 0.47                                 |

| 24          | Mizoram               | 0.00      |   0.17 |   0.14 | 18.25    | 13.98    | 0.14   | 20.29    | 15.22    |   0.32 |
|-------------|-----------------------|-----------|--------|--------|----------|----------|--------|----------|----------|--------|
| 25          | Nagaland              | 0.00 0.16 |   0    |  25.74 | 25.79    | -        | 28.62  | 28.62    |          |   0.15 |
| 26          | Odisha                | 0.00 0.00 |   0    | 217.57 | 217.57   | -        | 242.66 |          |          |   0    |
| 27          | Puducherry 0.00       | 0.00      |   0    |   2.13 | 3.11     |          | -      | 7.07     | 10.90    |   0.01 |
| 28          | Punjab                | 0.00 0.00 |   0    |  75.22 | 90.89    |          | -      | 83.70    | 83.70    |   0.66 |
| 29          | Rajasthan             | 0.00 0.12 |   0    | 377.6  | 411.41   | 0.16     |        | 421.15   | 421.15   |   0.53 |
| 30          | Sikkim                | 0.00 0.05 |   0.03 |   9.01 | 9.02     | 0.02     |        | 10.02    | 9.10     |   0.05 |
| 31          | Tamil Nadu            | 0.00 0.00 |   0    | 181.29 | 208.48   |          | -      | 201.73   | 201.72   |  11.57 |
| 32          | Tripura               | 0.00 0.00 |   0    |  38.33 | 38.79    |          | -      | 42.61    | 38.72    |   0.03 |
| 33          | Uttar Pradesh         | 0.00 0.00 |   0    | 765.42 |          | 688.88   |        | 853.69   | 768.32   |   0.3  |
| 34          | Uttarakhand           | 0.00 0.00 |   0    |  89.66 | 83.39    | 0.10     | -      | 100.00   | 95.00    |   0.35 |
| 35          | West Bengal 0.00 0.00 | 0.00      |   0    | 233.55 |          | 179.83   | -      | 260.15   | 260.15   |   0    |
| 36          | Telangana             | 0.00      |   0    | 109.8  | 121.61   |          | -      | 122.01   | 115.91   |   0.18 |
| Grand Total | Grand Total           | 2.65*     |   1.7  |   0.18 | 4,926.09 | 4,915.60 | 1.62   | 5,513.23 | 4,971.13 |  17.23 |

## Note:

*Total allocation was Rs.2.65Cr. under the major head 2210(UTs without Legislature),  2552(NE states), 3601(Other than NE States) and 3602 (U allocation is not available.

** Mission Flexipool covers as many as 29 activites/Programme/Scheme out of which NOHP is one.  Hence, programme wise allocation/releases i

*** Expenditure given in respect of NOHP includes Central Releases, State share & unspent balance as the beginning of the year.

1.  The above figures are provided by   NHM as NOHP covered under Health System Strengthening since 2015-16.

2. The NOHP is being implemented in the 32 States/UTs except A&N Island, Chandigarh,Odisha and Delhi