Lok Sabha Question No. 1225 (UNSTARRED), answered on 2018-02-09
Subject: Coronary Cardiac Unit
Ministry: HEALTH AND FAMILY WELFARE
Asked by: C.S. PUTTARAJU

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

## LOK SABHA UNSTARRED QUESTION NO. 1 225 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## CORONARY CARDIAC UNI T

## 1225. SHRI C.S. PUTTA RAJU:

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

- (a) whether the Government proposes to set up Coronary Cardiac Unit/ Dialysis unit and Tr centre in all the block/panchayat levels of the country to take care of the patients of lo l areas;
- (b) if so, the details of the infrastructure and the procedures to set up such units in conditions therein;
- (c)  the  details  of  the  project  proposals  and  budget  along  with  the  Centre - State  participation therefor; and
- (d) whether t he proposal of Public Private Partnership (PPP) model is being considered in regard and if so, the details thereof and if not, the reasons therefor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SMT. ANUPRIYA PATEL )

(a)to (d):Public Health being a State subject, it is primarily the responsibility of t Governments to provide health care to the people. However, financial and technical assist being  provided  to  the  States/UTs  under  National  Health  Mission(NHM)  for  st rengthening existing healthcare facilities including setting up of infrastructure, training of doct medical staff, etc. as per State specific Programme Implementation Plans (PIPs).

Government of India is implementing National Programme for Pre vention and Control of Cancer,  Diabetes,  Cardiovascular  Diseases  and  Stroke  (NPCDCS)  for  interventions  up District level under the National Health Mission.

Under  NPCDCS,  there  is  a  provision  for  setting  up  of  Cardiac  Care  Units(CCUs)  i District  Hospi tals.  The  approvals  are  given  as  per  the  Programme  Implementation  Plan submitted by the States under National Health Mission(NHM). As informed by the States, December, 2017, 138 CCUs have been set up under the programme.

For  developing/  strengthening and  equipping  CCU,  a  non - recurring  budget  of  Rs.  1.5 crore is allotted, with annual recurring budget of Rs. 26 lakh for manpower and consum There is also a provision for one specialist doctor and 4 GNMs.

Government  of  India  is  also  implementing  the Scheme  'Capacity Building for Developing Trauma Care Facilities in Govt. Hospitals on National Highways' aims at reducing preventable deaths because of road accidents to 10 per cent by developing a pan -India trauma care network in which no trauma victim h as to be transported for more than 50 kilometers and a designated trauma care facility is available at every 100 Km of National Highway. There provision under the scheme to set up at Trauma centre in all the block/ panchayat level country.

Pursuant  to  announcement  in  Union  Budget  2016 - 17  regarding  starting  of  Dialysis services  in  District  Hospitals  under  the  National  Health  Mission  (NHM),  the  'Pradhan  Mantri National Dialysis Programme' was rolled out in 2016. Guidelines for 'Pradhan Mantri N ational Dialysis  Programme'  including  model  Request  for  Proposal  (RFP)  from  the  private  providers have  been  issued.  As  per  the  guidelines,  the  private  partner  is  envisaged  to  provide human resource, dialysis machine along with Reverse Osmosis (RO) water plant infrastructure, dialyzer and consumables, while the space, power, and water supply within District Hospit to  be  provided  by  the  State  Governments.  Support  under  Pradhan  Mantri  National  Dialy Programme for provision of free dialysis se rvices to the poor is provided to State/ UTs on the basis of their proposals in their Programme Implementation Plans. Approval of Rs. 154 cror Rs. 178 crore has been given to states in 2016 - 17 and 2017 - 18 respectively.