Lok Sabha Question No. 1163 (UNSTARRED), answered on 2018-02-09
Subject: Free Supply of Essential and Life Saving Drugs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHIVKUMAR CHANABASAPPA UDASI

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

LOK SABHA UNSTARRED QUESTION NO. 1163 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## FREE SUPPLY OF ESSEN TIAL AND LIFE SAVING DRUGS

## 1163. SHRI SHIVKUMAR UDASI:

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

- (a)  whether  the  Government  is  ensuring  free  supply  of  essential  and  life  saving  drugs patients in public health care centres;
- (b) if so, the details thereof and the funds allocated for the purpose, State/UTwise; and
- (c)  the  steps  taken/proposed  to  be  taken  by  the  Government  for  proper  monitoring  of availability of quality drugs in public hospitals?

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

- (a): Public Health & Hospitals' being a State subject the primary responsibility of ensuring free supply of essential and life saving drugs to the patients in public health care cent respective State Government. However, under National Health Mission (NHM), support is bei provided to States/ UTs for strengthening of their healthcare delivery system including support for NHM Free Drugs Service Initiative for provision of essential drugs free of cost i health facilities based on the proposals received from respective States/ UTs in their Program Implementation Plans (PIPs).
- (b ): The details of approvals (cash & kind) for Drugs under NHM for the FY 2016 - 17 is at Annexure.
- (c ): Implementation of NHM is carried out by States/UTs and hence, it is for the States/U ensure proper monitoring of free availability of quality drugs in public hospitals . Under NHM support is also provided to States/UTs for putting in place an IT enabled inventory management system  and  grievance  redressal  mechanism  to  facilitate  monitoring  by  States/UTs, availability of quality drugs in publi c health facilities. A central dashboard,  ( www.dvdms.in) with advanced analytics tools developed by CDAC has also been operationalized to facil monitoring of stockouts, consumption pattern, demand and supply trend, quality control  of drugs etc .

Annexure Statement showing State/UTs Cash Grants (SPIP Approvals) & Kind Grants for the

## activity Support for Drugs & Supplies under NHM for the F.Y. 2016 - 17

Rs. In crore

| S.No.                     | States/UTs                | Cash Grants1   | Kind       | Total        |
|---------------------------|---------------------------|----------------|------------|--------------|
| A. High Focus States      | A. High Focus States      |                | Grants2    |              |
| 1                         | Bihar                     | 166.33         | 82.48      | 248.82       |
| 2                         | Chattisgarh               | 49.31          | 11.92      | 61.23        |
| 3                         | Himachal Pradesh          | 40.55          | 3.19       | 43.74        |
| 4                         | Jammu & Kashmir           | 36.01          | 5.12       | 41.13        |
| 5                         | Jharkhand                 | 90.03          | 62.94      | 152.98       |
| 6                         | Madhya Pradesh            | 181.30         | 31.99      | 213.29       |
| 7                         | Orissa                    | 19.17          | 43.39      | 62.56        |
| 8                         | Rajasthan                 | 199.03         | 29.34      | 228.37       |
| 9                         | Uttar Pradesh             | 431.58         | 219.58     | 651.15       |
| 10                        | Uttarakhand               | 20.20          | 4.67       | 24.87        |
|                           | Sub Total                 | 1,233.52       | 494.61     | 1,728.14     |
| B. NE States              | B. NE States              |                |            |              |
| 11                        | Arunachal Pradesh         | 1.07           | 0.25       | 1.33         |
| 12                        | Assam                     | 147.23         | 5.63       | 152.86       |
| 13                        | Manipur                   | 11.71          | 0.57       | 12.28        |
| 14                        | Meghalaya                 | 8.01           | 1.27       | 9.28         |
| 15                        | Mizoram                   | 4.21           | 0.22       | 4.44         |
| 16                        | Nagaland                  | 7.37           | 1.04       | 8.41         |
| 17                        | Sikkim                    | 2.39           | 0.05       | 2.44         |
| 18                        | Tripura                   | 12.17          | 1.87       | 14.04        |
|                           | Sub Total                 | 194.16         | 10.91      | 205.08       |
| C. Non- High Focus States | C. Non- High Focus States |                |            |              |
| 19                        | Andhra Pradesh            | 46.85          | 39.41      | 86.26        |
| 20                        | Goa                       | 3.02           | 6.84       | 9.87         |
| 21                        | Gujarat                   | 98.12          | 18.76      | 116.88       |
| 22                        | Haryana                   | 22.26          | 25.09      | 47.35        |
| 23                        | Karnataka                 | 213.25         | 18.32      | 231.57       |
| 24                        | Kerala                    | 18.13          | 7.30       | 25.43        |
| 25                        | Maharashtra               | 284.13         | 31.21      | 315.34       |
| 26 27                     | Punjab Tamil Nadu         | 70.76 148.29   | 7.56 35.93 | 78.32 184.22 |
| 28                        | Telangana                 | 58.55          | 13.61      | 72.16        |
| 29                        | West Bengal               | 216.84         | 64.99      | 281.83       |
|                           | Total                     | 1,180.21       | 269.02     | 1,449.22     |
| Sub D. Small States/UT    | Sub D. Small States/UT    |                |            |              |
| 30                        | Andaman & Nicobar Islands | 0.37           | 0.09       | 0.46         |
| 31                        | Chandigarh                | 4.89           | 0.26       | 5.15         |
| 32                        | Dadra & Nagar Haveli      | 1.81           | 0.14       | 1.95         |

| 33   | Daman & Diu   | 0.18     |   0.27 | 0.45     |
|------|---------------|----------|--------|----------|
| 34   | Delhi         | 0.69     |   7.59 | 8.28     |
| 35   | Lakshadweep   | 0.34     |   0.01 | 0.36     |
| 36   | Pondicherry   | 3.56     |   5.85 | 9.41     |
|      | Sub Total     | 11.85    |  14.21 | 26.06    |
|      | Grand Total   | 2,619.75 | 788.75 | 3,408.50 |

## Note:

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