Lok Sabha Question No. 1825 (UNSTARRED), answered on 2016-11-25
Subject: Free Life Saving Drugs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: B. SREERAMULU

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

## LOK SABHA UNSTARRED QUESTION NO. 1825 TO BE ANSWERED ON 25 TH NOVEMBER, 2016

## FREE LIFE SAVING DRU GS

## 1825. SHRI B. SRIRAMULU:

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

- (a) whether the Government has initiated any plan for providing free supply of essential and life saving drugs to the patients availing treatments in public healthcare centres;
- (b) if so, the details thereof and the funds allocated for the purpose during the last three years, year and State/UT - wise; and
- (c) the other steps taken/being taken by the Government for proper monitoring of the funds and free availability of quality drugs in public healthcare centres/hospitals for the purpose?

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

- (a) & (b): Public Health being a state subject, the primary responsibility to provide es lifesaving drugs to patients in public health facilities lies with the state/UT governme the National Health Mission (NHM), support is already being provided to the States/UTs for strengthening their healthcare delivery system including for provision of essential drug cost  in  public  health  facilities  based  on  the  requirement  posed  by  the  States/UTs  i Programme Implementation Plans.

The state/UT - wise approvals including kind grants provided for drugs & supplies unde NHM for financial years 2013 - 14 to 2015 - 16 is placed as Annexure.

- (c): The implementation and progress of the National Health Mission (NHM) is reviewed a the national level through An nual Common Review Missions, external surveys such as Sample Registration  Survey  (SRS),  the  District  Level  Household  Survey  (DLHS)  and  NFHS  besides regular monitoring visits from National Program Management Units to States & districts from  States  to  di stricts  &  blocks. The Rogi K alyan Samiti  (RKS)/Hospital  M anagement Committee set up at all the Public Health Facilities from Primary Health Centre (PHC) level and upwards are  envisaged to ensure  proper functioning  and  management  of  the  public  health facili ty .

With  regard  to  steps  taken/being  taken  by  Government  for  proper  monitoring  of  t funds, besides provision of annual audit by Comptroller and Auditor General, some of th monitoring  mechanisms  put  in  place  by  the  Central  Government  for  adheren ce  to  finance procedures and proper financial utilization include :

- Submission of quarterly Financial M onitoring Reports by the States;
- Annual Statutory Audits;
- Concurrent Audits;
- Implementation of Public Management System (PFMS) in NHM which been developed by the office of the CGA of the Ministry of Finance for monitoring and management funds on just in time basis.
- Visits  by  the  team  of  Financial  Management  Group  of  the  Depart ment  to  States  for periodical review.

## Statement showing State/UT Cash (SPIP) Approvals & Kind Grants Support for Drugs & Supplies under NHM for F.Y. 2013 -14 to 2015 -16

Annexure Rs. In

| S.No.                    | States/UTs               | Cash Grants   | Kind Grants   | Total    | Cash Grants   | Kind Grants   | Total    | Cash Grants   | Kind Grants   | crore Total   |
|--------------------------|--------------------------|---------------|---------------|----------|---------------|---------------|----------|---------------|---------------|---------------|
| A. High Focus States     | A. High Focus States     | 2013-14       | 2013-14       | 2013-14  |               |               |          | 2015-16       | 2015-16       | 2015-16       |
| 1                        | Bihar                    | 155.70        | 170.62        | 326.32   | 144.86        | 182.81        | 327.67   | 212.10        | 209.47        | 421.57        |
| 2                        | Chattisgarh              | 51.67         | 22.00         | 73.67    | 86.29         | 23.41         | 109.70   | 61.56         | 26.23         | 87.79         |
| 3                        | Himachal Pradesh         | 11.22         | 7.24          | 18.46    | 29.62         | 4.46          | 34.08    | 30.85         | 11.02         | 41.87         |
| 4                        | Jammu & Kashmir          | 18.01         | 12.14         | 30.15    | 24.79         | 12.57         | 37.36    | 16.26         | 16.38         | 32.64         |
| 5                        | Jharkhand                | 39.51         | 23.05         | 62.56    | 38.40         | 56.10         | 94.50    | 51.12         | 61.07         | 112.19        |
| 6                        | Madhya Pradesh           | 133.66        | 58.65         | 192.31   | 133.69        | 54.65         | 188.34   | 125.40        | 73.98         | 199.38        |
| 7                        | Orissa                   | 32.88         | 27.19         | 60.07    | 25.71         | 24.06         | 49.77    | 8.31          | 69.06         | 77.37         |
| 8                        | Rajasthan                | 160.54        | 57.33         | 217.87   | 196.51        | 67.16         | 263.67   | 185.57        | 87.84         | 273.41        |
| 9                        | Uttar Pradesh            | 242.21        | 205.02        | 447.23   | 256.34        | 240.97        | 497.31   | 282.54        | 219.74        | 502.28        |
| 10                       | Uttarakhand              | 10.97         | 6.49          | 17.46    | 8.22          | 17.64         | 25.86    | 24.82         | 13.91         | 38.73         |
|                          | Sub Total                | 856.36        | 589.73        | 1,446.09 | 944.41        | 683.83        | 1,628.24 | 998.53        | 788.70        | 1,787.23      |
| B. NE States             | B. NE States             |               |               |          |               |               |          |               |               |               |
| 11                       | Arunachal Pradesh        | 5.72          | 0.92          | 6.64     | 5.84          | 6.08          | 11.92    | 5.97          | 19.32         | 25.29         |
| 12                       | Assam                    | 132.10        | 28.35         | 160.45   | 155.60        | 56.82         | 212.42   | 105.08        | 83.60         | 188.68        |
| 13                       | Manipur                  | 2.83          | 1.04          | 3.87     | 8.03          | 2.32          | 10.35    | 3.26          | 16.92         | 20.18         |
| 14                       | Meghalaya                | 5.57          | 1.61          | 7.18     | 2.04          | 7.38          | 9.42     | 5.09          | 19.02         | 24.11         |
| 15                       | Mizoram                  | 4.31          | 0.56          | 4.87     | 4.73          | 3.24          | 7.97     | 3.35          | 17.26         | 20.61         |
| 16                       | Nagaland                 | 2.44          | 1.74          | 4.18     | 5.85          | 5.17          | 11.02    | 3.76          | 16.68         | 20.44         |
| 17                       | Sikkim                   | 0.62          | 0.41          | 1.03     | 3.21          | 3.59          | 6.80     | 3.75          | 5.37          | 9.12          |
| 18                       | Tripura                  | 5.82          | 1.43          | 7.25     | 12.83         | 4.88          | 17.71    | 12.59         | 26.10         | 38.69         |
|                          | Sub Total                | 159.43        | 36.06         | 195.49   | 198.13        | 89.48         | 287.61   | 142.84        | 204.27        | 347.11        |
| C. Non-High Focus States | C. Non-High Focus States |               |               |          |               |               |          |               |               |               |
| 19                       | Andhra Pradesh           | 59.26         | 72.62         | 131.88   | 118.75        | 43.12         | 161.87   | 61.27         | 45.54         | 106.81        |

| 20                  | Goa                       | 2.55     | 1.18     | 3.73     | 3.18     | 1.58     | 4.76     | 3.59     | 1.69     | 5.28     |
|---------------------|---------------------------|----------|----------|----------|----------|----------|----------|----------|----------|----------|
| 21                  | Gujarat                   | 77.63    | 110.23   | 187.86   | 54.29    | 55.62    | 109.91   | 77.81    | 65.20    | 143.01   |
| 22                  | Haryana                   | 40.78    | 38.35    | 79.13    | 45.92    | 14.58    | 60.50    | 32.38    | 40.87    | 73.25    |
| 23                  | Karnataka                 | 67.14    | 51.70    | 118.84   | 73.03    | 62.12    | 135.15   | 70.71    | 68.87    | 139.58   |
| 24                  | Kerala                    | 11.60    | 22.18    | 33.78    | 15.10    | 23.60    | 38.70    | 14.35    | 31.38    | 45.73    |
| 25                  | Maharashtra               | 276.28   | 67.70    | 343.98   | 325.18   | 83.57    | 408.75   | 356.39   | 145.24   | 501.63   |
| 26                  | Punjab                    | 74.77    | 18.44    | 93.21    | 53.99    | 20.15    | 74.14    | 75.88    | 28.54    | 104.42   |
| 27                  | Tamil Nadu                | 71.35    | 71.06    | 142.41   | 61.05    | 50.06    | 111.11   | 155.40   | 66.70    | 222.10   |
| 28                  | Telangana                 | -        |          | -        | 67.87    | 19.62    | 87.49    | 47.64    | 32.09    | 79.73    |
| 29                  | West Bengal               | 136.75   | 51.95    | 188.70   | 115.67   | 66.65    | 182.32   | 104.97   | 148.87   | 253.84   |
|                     | Sub Total                 | 818.10   | 505.41   | 1,323.51 | 934.04   | 440.67   | 1,374.71 | 1,000.39 | 674.99   | 1,675.38 |
| D. Small States/UTs | D. Small States/UTs       |          |          |          |          |          |          |          |          |          |
| 30                  | Andaman & Nicobar Islands | 0.38     | 0.10     | 0.48     | 0.28     | 0.30     | 0.58     | 0.21     | 7.23     | 7.44     |
| 31                  | Chandigarh                | -        | 0.70     | 0.70     | 0.02     | 2.13     | 2.15     | 1.63     | 3.12     | 4.75     |
| 32                  | Dadra & Nagar Haveli      | 0.37     | 0.13     | 0.50     | 0.84     | 0.29     | 1.13     | 0.91     | 1.86     | 2.77     |
| 33                  | Daman & Diu               | 0.12     | 0.07     | 0.19     | 0.16     | 0.11     | 0.27     | 0.22     | 1.26     | 1.48     |
| 34                  | Delhi                     | 36.96    | 16.62    | 53.58    | 3.36     | 17.26    | 20.62    | 2.49     | 30.00    | 32.49    |
| 35                  | Lakshadweep               | 0.29     | 0.03     | 0.32     | 0.34     | 0.03     | 0.37     | 0.46     | 0.88     | 1.34     |
| 36                  | Pondicherry               | 2.77     | 0.86     | 3.63     | 3.19     | 0.87     | 4.06     | 2.95     | 3.72     | 6.67     |
|                     | Sub Total                 | 40.89    | 18.51    | 59.40    | 8.21     | 20.99    | 29.20    | 8.86     | 48.07    | 56.93    |
|                     | Grand Total               | 1,874.78 | 1,149.71 | 3,024.49 | 2,084.79 | 1,234.97 | 3,319.76 | 2,150.63 | 1,716.03 | 3,866.66 |

## Note:

1. Cash grant is State Program Implementation Plan (SPIP) Approval for the component Procurement of drugs and supplies under RCH and Mission Fle
2. Kind Grants is cost adjustment / release for vaccine and drugs under Immunization & Flexible Pool for Communicable Disease .