Lok Sabha Question No. 5727 (UNSTARRED), answered on 2017-04-07
Subject: Healthcare in Public Sector
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DEVJI MANSINGRAM PATEL

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

## LOK SABHA UNSTARRED QUESTION NO. 5727 TO BE ANSWERED ON 7 th APRIL, 2017

## HEALTHCARE IN PUBLIC SECTOR

## 5727. SHRI DEVJI M. PATEL:

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

- (a) whether according to National Family Health Survey, private hospitals/ healthcare centres are the basic source of healthcare for 70 per cent families residing in urba  areas and 63 per cent in rural areas ;
- (b) if so, the details thereof;
- (c) whether due to poor quality of public healthcare sector in the country including Rajasthan, dependency on private healthcare sector is increasing; and
- (d) if so, the steps taken by the Government to improve healthcare facilities in the public sector?

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

- (a) to (c): According  to    National  Family  Health  Survey  3  (NFHS - 3)  (2005 - 06),  the primary  source    of  heal th  care  for  69.5  percent  households  in  urban  areas  and  62.5  perce households in rural areas was private  healthcare sector. However, recently completed NF - 4 (2015- 16) reveals that for around 52 percent households in urban areas and around 44 pe households in rural areas private sector is the main source of health care when they are case of Rajasthan, NFHS - 4 data indicate that around 36 percent households in urban areas a around 33 percent households in rural areas generally seek healthca re from private sector when household members get sick.
- (d): Public health being a State subject, the primary responsibility to improve the qu healthcare services in public health facilities, lies with the State Governments. Howeve Nationa l Health Mission (NHM), financial and technical assistance is provided to the State to strengthen the health services.

Several  steps  taken  by  the  Government  to  further  improve healthcare  facilities  in  the public sector include the following:

- National Quality Assurance Programme has been rolled out to improve quality of care government health facilities.
- 'Kayakalp'  award  scheme  for  transforming  public  hospital  by  improving  Sanitation, Hygiene, Upkeep, Infection Control Practices and waste management practices has be implemented.  All  facilities  from  Primary  Health  Centres(PHCs),  Community  Health Centres(CHCs),  Dis trict  Hospitals  to  central  government  hospitals  are  given  annu award after assessment on defined criteria.
- NHM Free Drugs and Diagnosis Initiatives to reduce cost of care and improve qualit public facilities.
- Setting up of New AIIMS Institutions.
- Upgradation  of  district  hospitals  to  medical  college  hospitals  in  districts  with medical colleges to improve access to tertiary care within districts.
- Pradhan Mantri National Dialysis Services Programme to provide free dialysis service poor in district hospitals.
- The Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) to provide quality antenatal care  on  9th  of  every  month  in  government  hospitals,  with  voluntary  private  se participation.
- Biomedical Equipment Management & Maintenance Progra m (BMMP) to ensure uptime of bio - medical equipment in public health facilities.
- Health  and  wellness  centres  to  provide  comprehensive  primary  healthcare  at  Su -Centre/PHC level.
- Cartridge  Based  Nucleic  Acid  Amplification  Test  (CBNAAT)  Specialized  machine s which  enable  accurate  diagnosis  of  drug  resistant  TB  within  a  few  hours  facilit diagnosis and treatment of Drug Resistant TB have been set up in 628 districts.
- Strengthening  the  healthcare  facilities  to  Indian  Public  Health  Standards  norms funding under NHM.
- Establishing public health facilities in underserved areas.