Lok Sabha Question No. 3994 (UNSTARRED), answered on 2018-08-10
Subject: Insufficient Supply of Free Medicines
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SIRAJUDDIN AJMAL

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

LOK SABHA UNSTARRED QUESTION NO. 3994 TO BE ANSWERED ON  10 TH AUGUST, 2018

## INSUFFICIENT SUPPLY OF FREE MEDICINES

## 3994. SHRI SIRAJUDDIN AJMAL:

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

- (a) whether the Government is aware that the Government Health Institutions in most o States are running with insufficient supply of free medicines and if so, the details there
- (b) whether the Government has reviewed the present status of the implementation of the s for distributing free essential drugs to the such Institutions;
- (c) if so, the details and outcome thereof, State/UT - wise; and
- (d) the steps taken by the G overnment to deal with the said problem?

## 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 the  sufficient  supply  of  free  medicines  is  that  of  respective  State  Government. Under  the National Health Mission, the central government supplements the efforts of state governme to strengthen their healthcare system including for provision of free essential medicines health facilities, based on proposals of the State Governments.
- (b): The status of implementation of NHM Free Drugs Service Initiative is regularly re view d by the C entral Government.
- (c ): As on date all States/ UTs have reported that they have notified policy to provi essential drugs in public health facilities. As per information obtained from States, as on date .
- 32 states have centraliz ed procurement through a corporation / procurement body. (placed at Annexure - I ) .

Contd…….

- 29  states  have  operationalized  /  are  in  process  of  operationalization  of  IT  e logistics & supply chain system. ( placed  at Annexure - II ) .
- 28  States  have  NABL  accredited  labs  to  ensure  quality  of  drugs  provided. placed    at Annexure -III .
- 30 States have facility wise EDL (placed  at Annexure - IV).
- 14 States have prescription audit mechanism and 22 States have established call center based gr ievance redressal mechanism with dedicated toll free number .( Annexure -V).

(d): Under the NHM, f inancial and technical support is provided to the States/UTs not only for provision of essential drugs free of cost in public health facilities but also r fo strengthening/setting up robust systems of procurement, quality assurance mechanism , warehousing,  prescription  audit,  grievance  redressal,  dissemination  of  Standard  Trea Guidelines, and IT  backed  supply  chain  management  systems  like  Drugs  and Vaccines Distribution Management Systems (DVDMS) .

……………….

States having Centralised Procurement Body / Corporation

| S.             | State             |
|----------------|-------------------|
| 1              | Andhra Pradesh    |
| N o. 2         | Arunachal Pradesh |
| 3              | Assam             |
| 4              | Bihar             |
| 5              | Chhattisgarh      |
| 6              | Daman & Diu       |
| 7              | Delhi             |
| 8              | Goa               |
| 9              | Gujarat           |
| 10             | Haryana           |
| 11             | Himachal Pradesh  |
| 12             | Jammu & Kashmir   |
| 13             | Jharkhand         |
| 14             | Karnataka         |
| 15             | Kerala            |
| 16             | Madhya Pradesh    |
| 17 Maharashtra | 17 Maharashtra    |
| 18 Manipur     | 18 Manipur        |
| 19 Meghalaya   | 19 Meghalaya      |
| 20 Mizoram     | 20 Mizoram        |
| 22 Odisha      | 22 Odisha         |
| 23 Puducherry  | 23 Puducherry     |
| 24 Punjab      | 24 Punjab         |
| 25 Rajasthan   | 25 Rajasthan      |
| 26 Sikkim      | 26 Sikkim         |
| 27 Tamil       | Nadu              |
| 28             | Telangana         |
| 29             | Tripura           |
| 30             | Uttar Pradesh     |
| 31             | Uttarakhand       |

## Annexure - I

Annexure II

States which have implemented IT Based -Supply Chain Management System (DVDMS / State owned)

|   S. N o. | State Name           | DVDMS /State   |
|-----------|----------------------|----------------|
|         1 | Andhra Pradesh       | DVDMS          |
|         2 | Bihar                | owned DVDMS    |
|         3 | Gujarat              | DVDMS          |
|         4 | Himachal Pradesh     | DVDMS          |
|         5 | Jammu and Kashmir    | DVDMS          |
|         6 | Madhya Pradesh       | DVDMS          |
|         7 | Maharashtra          | DVDMS          |
|         8 | Odisha               | DVDMS          |
|         9 | Punjab               | DVDMS          |
|        10 | Rajasthan            | DVDMS          |
|        11 | Telangana            | DVDMS          |
|        12 | Uttar Pradesh        | DVDMS          |
|        13 | Uttarakhand          | DVDMS          |
|        14 | Chhattisgarh         | DVDMS          |
|        15 | Assam                | State Owned    |
|        16 | Dadra and Nagar      | State Owned    |
|        17 | Haveli Daman and Diu | State Owned    |
|        18 | Delhi                | State Owned    |
|        19 | Goa                  | State Owned    |
|        20 | Haryana              | State Owned    |
|        21 | Karnataka            | State Owned    |
|        22 | Kerala               | State Owned    |
|        23 | Tamil Nadu           | State Owned    |
|        24 | Tripura              | State Owned    |
|        25 | West Bengal          | State Owned    |

States which are under the process of implementing IT Based -Supply Chain Management System (DVDMS)

|   26 | Arunachal Pradesh   |
|------|---------------------|
|   27 | Jharkhand           |
|   28 | Manipur             |
|   29 | Meghalaya           |

Annexure - III

States which have NABLaccredited labs:

|   S. N o. | State Name        |
|-----------|-------------------|
|         1 | Andhra Pradesh    |
|         2 | Arunachal Pradesh |
|         3 | Assam             |
|         4 | Bihar             |
|         5 | Chhattisgarh      |
|         6 | D & N Haveli      |
|         7 | Delhi             |
|         8 | Gujarat           |
|         9 | Haryana           |
|        10 | Jammu & Kashmir   |
|        11 | Jharkhand         |
|        12 | Karnataka         |
|        13 | Kerala            |
|        14 | Lakshadweep       |
|        15 | Madhya Pradesh    |
|        16 | Maharashtra       |
|        17 | Mizoram           |
|        18 | Nagaland          |
|        19 | Odisha            |
|        20 | Puducherry        |
|        21 | Punjab            |
|        22 | Rajasthan         |
|        23 | Sikkim            |
|        24 | Tamil Nadu        |
|        25 | Telangana         |
|        26 | Tripura           |
|        27 | Uttarakhand       |
|        28 | West Bengal       |

## Annexure IV

## States / UTs with facility wise EDL

|   S. | State / UT        |
|------|-------------------|
|    1 | Andhra Pradesh    |
|    2 | Arunachal Pradesh |
|    3 | Assam             |
|    4 | Bihar             |
|    5 | Chhattisgarh      |
|    6 | D & N Haveli      |
|    7 | Daman & Diu       |
|    8 | Delhi             |
|    9 | Goa               |
|   10 | Gujarat           |
|   11 | Haryana           |
|   12 | Himachal Pradesh  |
|   13 | Jammu & Kashmir   |
|   14 | Jharkhand         |
|   15 | Karnataka         |
|   16 | Kerala            |
|   17 | Madhya Pradesh    |
|   18 | Maharashtra       |
|   19 | Meghalaya         |
|   20 | Mizoram           |
|   21 | Nagaland          |
|   22 | Odisha            |
|   23 | Puducherry        |
|   24 | Punjab            |
|   25 | Rajasthan         |
|   26 | Telangana         |
|   27 | Tripura           |
|   28 | Uttar Pradesh     |
|   29 | Uttarakhand       |
|   30 | West Bengal       |

States /  UTs which have implemented prescription audit mechanism .

|   Sno | State            |
|-------|------------------|
|     1 | Assam            |
|     2 | Bihar            |
|     3 | D & N Haveli     |
|     4 | Delhi            |
|     5 | Himachal Pradesh |
|     6 | Jammu & Kashmir  |
|     7 | Lakshadweep      |
|     8 | Mizoram          |
|     9 | Odisha           |
|    10 | Rajasthan        |
|    11 | Telangana        |
|    12 | Tripura (Under   |
|    13 | Uttarakhand      |
|    14 | West Bengal      |

## States / UTs which have Grievance redressal Mechan ism (dedicated Toll free number ):

|   Sno. | State                   |
|--------|-------------------------|
|      1 | Andhra Pradesh          |
|      2 | Assam                   |
|      3 | Bihar                   |
|      4 | Chhattisgarh            |
|      5 | D & N Haveli            |
|      6 | Daman & Diu             |
|      7 | Delhi                   |
|      8 | Himachal Pradesh        |
|      9 | Jharkhand               |
|     10 | Karnataka               |
|     11 | Kerala                  |
|     12 | Lakshadweep             |
|     13 | Madhya Pradesh          |
|     14 | Maharashtra             |
|     15 | Punjab                  |
|     16 | Rajasthan               |
|     17 | Tamil Nadu              |
|     18 | Telangana               |
|     19 | Tripura (under process) |
|     20 | Uttarakhand             |