Lok Sabha Question No. 4904 (UNSTARRED), answered on 2016-12-16
Subject: Benefits of Decentralized Planning
Ministry: HEALTH AND FAMILY WELFARE
Asked by: R. PARTHIPAN

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

## LOK SABHA UNSTARRED QUESTION NO. 4904 TO BE ANSWERED ON 16 TH DECEMBER,

## BENEFITS OF DECENTRA LIZED PLANNING

## 4904. SHRI R. PARTHIPAN:

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

(a) whether the Union Government has decentralised district based planning, monitoring an course correction utilizing the locally generated service data and civil registration in t e country;

(b) if so, the details thereof along with the benefits of the proposal;

- (c) whether the State Governments are involved in the programme;
- (d) if so, the details thereof;

(e) whether the immunisation is not universal even in the best performing States and if so, reasons therefor; and

(f) whether the coverage rates are very low in some States and if so, the details thereof?

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

(a)& (b) Public health is a State subject. Under the National Health Mission, support is to States/UTs for strengthening their healthcare system based on proposal incorporated i State Programme  Implement a ion Plan (PIP). District Health Action Plans developed throug district based planning utilizing locally generated service data, civil registration etc under NHM. Decentralized planning  using data  has following benefits:

- It  ensures  act ive  community  participation  to  identify  local  Health  needs  and  ways address them.
- It also enables mobilization of resources from sectors other than health.
- It brings community closer to the health system and provides a platform for interac commun ity members with health service providers.
- It  enables  health  system  to  get  feedback  from  the  community  to  improve  quality services and utilization of services offered.
- Programmes based on evidence are likely to be more effective and successful.

(c ) & (d) : Public health being a State subject, the States are fully involved in implemen of NHM. States have the flexibility to plan and implement state specific action plans. T PIPs  are  envisaged  to  be  an  aggregate  of  the  district/city  health act on pl ns,  and  include activities to be carried out at the state level.

(e)& (f) : The coverage under immunization is not universal even in the best performing st and is low in some states. The state wise details of immunization coverage as per Rapid su on children (RSOC) 2013 - 14 and Health Management Information System (HMIS) i s given below at Annexure .

## State Wise Details of Immunization Coverage

| S. No.   | State/UTs/India      | RSOC 2013- 14   |   HMIS 2015- 16 (as on 02.09.2016) |   HMIS 2016- 17* (as on 04.11.2016) |
|----------|----------------------|-----------------|------------------------------------|-------------------------------------|
| 1        | A & N Islands        | N/A             |                              86.57 |                               78.03 |
| 2        | Andhra Pradesh       | 74.1            |                              89.04 |                               86.53 |
| 3        | Arunachal Pradesh    | 50.5            |                              63.99 |                               63.51 |
| 4        | Assam                | 55.3            |                              87.13 |                               87.68 |
| 5        | Bihar                | 60.4            |                              85.55 |                              100.95 |
| 6        | Chandigarh           | N/A             |                              85.23 |                               89.36 |
| 7        | Chhattisgarh         | 67.2            |                              86.42 |                               86.22 |
| 8        | Dadra & Nagar Haveli | N/A             |                              78.63 |                               74.01 |
| 9        | Daman & Diu          | N/A             |                              78.02 |                               79.3  |
| 10       | Delhi                | 69.8            |                              99.81 |                              107.74 |
| 11       | Goa                  | 91.9            |                              92.03 |                               90.91 |
| 12       | Gujarat              | 56.2            |                              84.47 |                               85.91 |
| 13       | Haryana              | 70.9            |                              83.4  |                               80.35 |
| 14       | Himachal Pradesh     | 80.2            |                              94.55 |                               92.34 |
| 15       | Jammu & Kashmir      | 54.0            |                              97.49 |                               92.76 |
| 16       | Jharkhand            | 64.9            |                              85.19 |                               97.84 |
| 17       | Karnataka            | 79.3            |                              92.87 |                               89.14 |
| 18       | Kerala               | 83.0            |                              93.72 |                               84.3  |
| 19       | Lakshadweep          | N/A             |                             104.62 |                              112.25 |
| 20       | Madhya Pradesh       | 53.5            |                              73.88 |                               77.16 |
| 21       | Maharashtra          | 77.4            |                              96.31 |                               95.72 |
| 22       | Manipur              | 55.2            |                              91.82 |                               96.87 |
| 23       | Meghalaya            | 44.6            |                              93.25 |                               87.3  |
| 24       | Mizoram              | 68.6            |                             104.83 |                               99.4  |
| 25       | Nagaland             | 33.6            |                              62.63 |                               68.52 |
| 26       | Orissa               | 62.0            |                              84.03 |                               81.17 |
| 27       | Pondicherry          | N/A             |                              68.48 |                               69.37 |
| 28       | Punjab               | 78.6            |                              96.69 |                              100.23 |
| 29       | Rajasthan            | 61.0            |                              75.94 |                               77.89 |
| 30       | Sikkim               | 77.8            |                              72.38 |                               74.92 |
| 31       | Tamil Nadu           | 76.3            |                              91.09 |                               85.83 |
| 32       | Telangana            | N/A             |                              80.66 |                               80.16 |
| 33       | Tripura              | 59.2            |                              90.5  |                               80.37 |
| 34       | Uttar Pradesh        | 47.0            |                              83.61 |                               80.1  |
| 35       | Uttarakhand          | 68.3            |                              96.94 |                               94.02 |
| 36       | West Bengal          | 75.2            |                              93.31 |                               98.36 |
|          | INDIA                | 65.2            |                              85.84 |                               87.13 |

*HMIS data upto September 2016

Note:  More  than  100%  coverage  is  an  issue  of  data  quality  and  the  reasons  are:  (i)  u -estimate of target population, or (ii) duplicate reporting of beneficiaries

## Annexure