Lok Sabha Question No. 4053 (UNSTARRED), answered on 2018-08-10
Subject: PPP Model in Health Sector
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NINONG ERING

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

## LOK SABHA UNSTARRED QUESTION NO. 4053 TO BE ANSWERED ON 10 TH AUGUST, 2018

## PPP MODEL IN HEALTH SECTOR

## 4053. SHRI NINONG ERING:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state that the present scenario of the Public - Private Participation (PPP model) in health sector in the northeast India?

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

Public  Health  and  hospitals  being  a  State  subject,  the  primary  responsibili provide healthcare services lies with the respective State Government.

However,  under  the  National  Health  Mission  (NHM),  technical  and  financial support  is  prov ided  to  States/UTs  to  strengthen  their  healthcare  systems,  based  on requirements posed by the States/UTs in their Programme Implementation Plans (PIPs).   T includes support for provision of healthcare services through Public Private Partnership e. Under NHM, States may contract in or outsource those services which improve efficiency a quality  of  care  in  the  public  health  facilities  or  close  the  existing  critical  g engagement/involvement  of  private  healthcare  providers  is  envisaged only  till  public  health facility/system is strengthened enough to deliver intended services.

The  details  of  the  initiatives  undertaken  by  NE  States  in  partnership  with  p healthcare providers , is annexed.

## The present scenario of the Public Private Participation in health sector in the Northeast Ind

## Service Delivery

## Arunachal Pradesh

1. Management of  16 health facilities (15 PHCs and 1 CHC) by 5 NGOs -Karuna Trust since 2005, Futures Generation since 2005, JAC Prayas since 2005, NN Charitable Society since 2013 and MM Charitable Trust since 2012.
2. Bio Medical Equipment Management & Maintenance Programme by Mediciti Health Care Services Pvt. Ltd. since January 2017.

## Assam

1. ' Operation Smile ' is being run by Mission Smile Trust since 2009 to pro vide services like surgeries  of cleft  lip  and  cleft  palate,  speech  therapy  consultation,  ENT  & consultation, and nutritional counselling .
2. There are 15 Boat Clinics in 13 riverine districts/Char areas of Assam being suppor y an NGO called Centre for North East Studies and Policy Research ( C - NES) since 2008.
3. Tea Garden Health facilities -a total of 150 tea gardens are under PPP for service delive uncovered tea garden areas. Tea garden hospitals are functional w.r.t. an MoU with District Health Society and Tea Garden Hospital Management Authority since 2007 - 08.
4. MoU has been signed for 1 year between NHM Assam and  following charitable hospitals  to provide service delivery fo  improvement of maternal and child health wit hin the urban poor population residing in municipal wards, outreach areas and BPL families.
- a. Pathsala Maternity cum Polyclinic and Research Centre
- b. Satribari Christian Hospital
- c. St. Lukes Hospital
- d. Burrows Memorial Christian Hospital
- e. Siva Sundari NariSikshasram
- f. Borgang Catholic Hospital
- g. Makunda Chriastian Leprosy and General Hospital
5. MMUs -a total of 130 MMUs (50 for district & sub division and 80 for tea garde being supported by Hindustan Latex Family Planning Promotion Trust (HLFPPT) since June 2017.
6. Sanjeevani -Village  Health  Outreach  Programme  supported  by  Piramal  Swasthya Management  &  Research  Institute. The  organisation  also  supports  Sarathi - 104- Health Information Help Line (HIHL) that provide 24x7 services at toll free number 104.
7. Free  Diagnostic  Services  Initiative  is  being  supported  since  May  2017  by  Sp Diagnostics Centre Pvt. Ltd. for providing CT Scan services, by Krishnaa Diagnosti Ltd.for providing X - Ray Services and by Hindustan Latex Family Planning Promotion Tr ust for providing Laboratory Services.
8. Biomedical Equipment Maintenance & Management Programme is running with the support of TBS India T elematic and Biomedical Services Pvt. Ltd.
9. Referral  Transport  services  like  104  are  running  with  support  from  GVK  Emer gency Management and Research Institute.
17. 10.Under National  Blindness Control Programme -several NGOs are involved in providing services  like  cataract  operation  and  managing  cases  of  Diabetic  Retinoapathy,  Ch blindness, Glaucoma, etc. These are Sri San kardeva Nethralaya, Guwahati, Chandra Prabha Eye Hospital, Jorhat, Lions K K Saharia Eye Hospital, Dibrugarh, Lions Eye hospital, Nalbari Eye Hospital, Nalbari, Guahati Lions Eye Hospital, Guwahati, Lions Eye Hos Silchar,  Red  Cross  Hospital, Silchar,  Lions  Eye  Hospital,  Hailakandi, Eye  Clinic,  Jo rhat, Lions Club, Bongaigaon, Seoj Jyoti, Nagaon, Lions Club, Greater Nagaon, Srimanta Sha Mission, Nagaon.

## Manipur

1. 5 PHCs are  being managed and run by an NGO, New Life Trust to provide basic health ca facility for the hard to reach areas in the State since 2016.

## Meghalaya

1. Management and operation of 22 health facilities (PHCs/ CHCs ) by  5 NGOs  ie. Karuna Trust (Karnataka), Voluntary Health Association of Meghalaya (VHAM), Citizens Foundation, Jaintia Development Society and Bakdil.
2. BiomedicalEquipment Management & Maintenance Programme by TBS India Telematic and Biomedical Services Pvt. Ltd., since August 2017.
3. Free Pathology Servic es under Free Diagnostic Services  by Krsnaa Diagnostics Pvt. L since June FY 2017.

## Nagaland

1. Two Health facilities i.e. Longpang PHC  in Tuensang b ing  run by Eleutheros Christian Society  since  2010 and    Police  Referral  Hospital  at  Chumukedima, is  under  Nagaland Police Deptt., Govt. of Nagaland  functioning under PPP mode since  FY2010.

## Sikkim

1. Bio- Medical  Equipment Management  & Maintenance Programme by M/S Transmass TM Biomedical Se rvices India Pvt. Ltd since FY 2016- 17.

## Tripura

1. Implementation of all schemes under National Free Diagnostic Initiative (X - Ray by Webel Electronic Communication System Ltd  since 2006 - 07, CT Scan  by Teraja Diagnostic centre sinceMarch, 2017.
2. Implementation  of  Bio  Medical  Equipment  Maintenance  &    Ma nagement  Programme  by Medicity Healthcare Pvt . L d. since Nov ember, 2016.
3. Implementation  of  National  Dialysis  Programme  by Eskaj  Sanjeevani    Pvt . L d. since January,2017.
4. Under NPCDCS, Implementation of Electronic Decision Support System (EDSS) is done f screening of Diabetes, Hypertension and Chronic Obstructive Pulmonary Disease (COPD PPP mode with Public Health Foundation of India since FY 2017- 18.
5. Implementation o f Tripura Vision Centre Project (Tele ophthalmology)  by IL&FS Pvt. since FY 2006- 07.
6. Telemedicine in PPP  by Webel Electronic Communication System Ltd  since August, 2016.