Lok Sabha Question No. 337 (STARRED), answered on 2017-03-24
Subject: Certification of Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI BABU KAMBHAMPATI

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

## LOK SABHA STARRED QUESTION NO. 337 TO BE ANSWERED ON THE 24 TH MARCH, 2017

## CERTIFICATION OF HEA LTH CENTRES

## *337. DR. KAMBHAMPATI HARIBABU:

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

- (a) the status of Community and Primary Health Centres in the country;
- (b)  whether  the  Government  intends  to get  all  Community  Health  Centres
- (CHCs) and Primary Health Centres (PHCs) ISOCertified;
- (c) if so, the details thereof including the number of CHCs and PHCs that have received ISO - Certification, State - wise; and
- (d) the steps being taken to improve the quality of services in CHCs and PHCs?

## ANSWER

## THE MINISTER OF HEALTH AND FAMILY WELFARE ( SHRI JAGAT PRAKASH NADDA )

- (a) to (d): A statement is laid on the Table of the House .

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 337* FOR 24 TH MARCH, 2017

(a) As per Rural Health Statistics 2016, the State/UT wise details of n Community Health Centres (CHCs) and Primary Health Centres (PHCs) functionin the  country  and  the  number  of  CHCs  and  PHCs  functioning  as  per  I PHS norms is given at Annexure .

( b & c)  No, there is no plan to get PHCs and CHCs ISO certified since IS have any Hospital Specific standards. Ministry has enacted its own quality (National Quality Assurance Standards) for Quality Certification of PHCs & Governme nt has also issued Indian Public Health Standards (IPHS) norms for Health facilities . Financial support is provided to states under NHM for strengt Public Health facilities to IPHS norms.

(d) Public Health being a State subject, the primar y responsibility to improve the quality of services in CHCs and PHCs, lies with the State Governments.  H under NHM, assistance is provided to the States/UTs to strengthen the healt that include improving quality of services in CHCs and PH Cs.  Various steps taken, inter alia, to improve the quality of services in CHCs and PHCs are as under -

1. Quality Assurance Committees have been constituted at National, State and level. Under National Health Mission ,dedicated Human Resource has been provided to  operationalize  these  committees  and  carry  out  related  tasks  such  a assessment,  preparing  action  plan  and  assisting  healthcare  facilities certification.
2. Quality  Standards  for  Public  Health  facilities  have  been  defined and  public  health facilities are encouraged to meet these standards and achieve quality certif
3. Poor Hygiene and sanitation condition of Public hospitals has been a major community to utilize the services. The central government has l aunched 'Kayakalp' award scheme for transforming public hospital in by improving Sanitation, Upkeep,  Infection  Control  Practices  and  waste  management  practices.  All  f from PHC s, CHCs, District Hospitals to Tertiary care institutions are given a nual award after assessment on defined criteria.
4. Support is provided to States to implement NHM Free Diagnostics Services In and NHM free drugs initiative in Public Health facilities.
5. Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) has been recently launched in the year 2016 to provide fixed - day assured, comprehensive and quality antenatal c universally to all pregnant women on the 9th of every month free of cost Sub-District Hospitals etc.
6. In order to improve f unctionality of Medical Equipments, Operational Guidelines Biomedical  Equipment  Management  and  Maintenance  Program  (BMMP)  has  been shared with States.

Details of Community Health Centres (CHCs) and Primary Health Centres (PHCs) functioning the country

| S.No.   | State/UT         | Community Health Centres (CHCs)   | Community Health Centres (CHCs)   | Primary Health Centres (PHCs)   | Primary Health Centres (PHCs)   |
|---------|------------------|-----------------------------------|-----------------------------------|---------------------------------|---------------------------------|
|         |                  | Number of CHCs functioning        | Functionin g asper IPHS norms     | Number of PHCs functioning      | Functioning as per IPHS norms   |
|         |                  | (1)                               | (2)                               | (3)                             | (4)                             |
| 1       | AndhraPradesh    | 193                               | 193                               | 1075                            | 1075                            |
| 2       | ArunachalPradesh | 63                                | 2                                 | 143                             | 0                               |
| 3       | Assam            | 151                               | NA                                | 1014                            | NA                              |
| 4       | Bihar            | 148                               | NA                                | 1802                            | NA                              |
| 5       | Chhattisgarh     | 155                               | 0                                 | 790                             | 0                               |
| 6       | Goa              | 4                                 | 4                                 | 22                              | 22                              |
| 7       | Gujarat          | 322                               | 175                               | 1314                            | 709                             |
| 8       | Haryana          | 110                               | 10                                | 474                             | 8                               |
| 9       | HimachalPradesh  | 79                                | 0                                 | 518                             | 0                               |
| 10      | Jammu & Kashmir  | 84                                | 0                                 | 637                             | 0                               |
| 11      | Jharkhand        | 188                               | 0                                 | 327                             | 0                               |
| 12      | Karnataka        | 206                               | 0                                 | 2353                            | 0                               |
| 13      | Kerala           | 225                               | 7                                 | 824                             | 1                               |
| 14      | Madhya Pradesh   | 334                               | 6                                 | 1171                            | 0                               |
| 15      | Maharashtra      | 360                               | 127                               | 1811                            | 693                             |
| 16      | Manipur          | 17                                | 0                                 | 85                              | 0                               |
| 17      | Meghalaya        | 27                                | 0                                 | 109                             | 0                               |
| 18      | Mizoram          | 9                                 | 0                                 | 57                              | 11                              |
| 19      | Nagaland         | 21                                | 0                                 | 126                             | 0                               |
| 20      | Odisha           | 377                               | 0                                 | 1305                            | 0                               |
| 21      | Punjab           | 150                               | NA                                | 427                             | NA                              |
| 22      | Rajasthan        | 571                               | 233                               | 2080                            | 760                             |
| 23      | Sikkim           | 2                                 | 0                                 | 24                              | 24                              |
| 24      | TamilNadu        | 385                               | 338                               | 1368                            | 1271                            |
| 25      | Telangana        | 114                               | 0                                 | 668                             | 0                               |
| 26      | Tripura          | 20                                | 20                                | 94                              | 94                              |
| 27      | Uttarakhand      | 59                                | 27                                | 257                             | 69                              |
| 28      | Uttar Pradesh    | 773                               | 134                               | 3497                            | 170                             |
| 29      | West Bengal      | 349                               | 189                               | 909                             | 308                             |
| 30      | A& N Islands     | 4                                 | 4                                 | 22                              | 21                              |
| 31      | Chandigarh       | 2                                 | 1                                 | 3                               | 0                               |
| 32      | D & N Haveli     | 0                                 | 0                                 | 11                              | 7                               |
| 33      | Daman & Diu      | 2                                 | 2                                 | 4                               | 4                               |
| 34      | Delhi            | 0                                 | 0                                 | 5                               | 5                               |
| 35      | Lakshadweep      | 3                                 | 3                                 | 4                               | 4                               |
| 36      | Puducherry       | 3                                 | 4                                 | 24                              | 24                              |
|         | AllIndia/Total   | 5510                              | 1479                              | 25354                           | 5280                            |