Lok Sabha Question No. 4154 (UNSTARRED), answered on 2017-08-11
Subject: Public Participation in Government Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: K. ASHOK KUMAR, SUPRIYA SADANAND SULE, JAYAKUMAR JAYAVARDHAN, DHANANJAY BHIMRAO MAHADIK, VIJAYSINH MOHITE PATIL, RAJEEV SHANKARRAO SATAV, HEENA VIJAYKUMAR GAVIT

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

LOK SABHA UNSTARRED QUESTION NO. 4154 TO BE ANSWERED ON 11 TH AUGUST, 2017

## PUBLIC PARTICIPATION IN GOVERNMENT HOSPIT ALS

## 4154. SHRI K. ASHOK KUMAR:

SHRIMATI SUPRIYA SULE:

DR. J. JAYAVARDHAN:

SHRI DHANANJAY MAHADIK:

SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

SHRI SATAV RAJEEV:

DR. HEENA VIJAYKUMAR GAVIT:

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

- (a)  whether the  Government  proposes  to  promote  public  participation  in  the  management  o Government hospitals;
- (b) if so, the details and objectives of the scheme thereof;
- (c) the challenges faced by the Government in the implementation of the scheme;
- (d) the s teps taken by the Government to overcome the difficulties in the implementation o scheme;
- (e)  whether  there  is  any  improvement  in  the  related  indices  after  the  implementation scheme;
- (f) if so, the State -wise distribution of the related ind ices; and
- (g)  whether  the  Government  is  undertaking  any  other  policies  for  promoting  the  commun management of public hospitals and if so, the details thereof?

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

(SHRI FAGGAN SINGH KULASTE)

(a) & (b): 'Public Health and Hospitals' is a State subject. However, support under the National Health Mission (NHM) is being provided to States/ UTs for strengthening of their health system including for Rogi Kalyan Samitis (RKS)/Pati en  Welfare Committees (PWC) based on the proposal received from them in their Programme Implementation Plans.

Contd…….

RKS/ PWC are envisaged to act as a forum to improve the functioning and service provisio public health facilities, increase participation and enhance accountability for provisio facilities to the patients in the public health facilities at t he level of Primary Health Centres and above. The objectives of the RKS/PWC is at Annexure.

(c ) & (d): Public Health & Hospitals being a State subject, implementation of NHM includin RKS is being done by respective State/ UT Governments. As such no challenges in respect of implementation of RKS schemes has been brought to the notice of this Ministry in the r past.

(e)& (f):RKS/ PWC are envisaged to act as a forum to improve the functioning and servic provision in public health facilities an d are not directly linked to health related indices .

(g): The Rogi Kalyan Samiti Guidelines has been revised in 2015 to make the RKS more participatory and accountable. However State have the flexibility to adapt it to State Some of the key changes are:

- Changes in the composition to ensure greater participation of elected representative
- I ncreased delegation of authority to the Executive Committee and Facility In - charge to be able to timely respond to increased responsibility .
- While  the  RK S  cannot  make  regular  permanent  appointments,  it  can  contract  in  th services of specialists, Medical/Para medical staff, professional counsellors etc .
- Implementation  of  National  Quality  Assurance  Framework  and  make  services  patient centric.

………………..

## Annexure

## Objectives of the Rogi Kalyan Samitis (RKS)/Patient Welfare Committees (PWC)

1. Ensure compliance to minimal standard for facility and hospital care and protoco treatment as issued by the Government.

2. Ensure accountability of the public health providers to the community;

3. Introduce transparency with regard to management of funds;

4. Upgrade and modernize the health services provided by the hospital and any associa outreach services;

5. Supervise the implementation of National Health Programmes at th e hospital and other health institutions that may be placed under its administrative jurisdiction;

6. O rganize  outreach  services  /  health  camps  at  facilities  under  the  jurisdiction hospital;

7. Display  a  Citizens  Charter  in  the  Health  facility  and  ensure its  compliance  through operationalisation of a Grievance Redressal Mechanism;

8. Generate resources locally through donations, user fees and other means;

9. Establish affiliations with private institutions to upgrade services;

- 10.Undertake construction and expansio n in the hospital building;

- 11.Ensure optimal use of hospital land as per govt. guidelines;

- 12.Improve participation of the Society in the running of the hospital;

- 13.Ensure scientific disposal of hospital waste;

- 14.Ensure proper training for doctors and staff;

- 15.Ensuresubsidized food, medicines and drinking water and cleanliness to the patients their attendants;

- 16.Ensure  proper  use,  timely  maintenance  and  repair  of  hospital  b uilding  equipment  and machinery.

……………………