Lok Sabha Question No. 957 (UNSTARRED), answered on 2017-07-21
Subject: Universal Health Coverage
Ministry: HEALTH AND FAMILY WELFARE
Asked by: K. KAMARAAJ

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

## LOK SABHA UNSTARRED QUESTION N O. 957 TO BE ANSWERED ON  21 ST JULY, 2017

## UNIVERSAL HEALTH COV ERAGE

## 957. DR. K. KAMARAJ:

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

- (a) whether the Government proposes to provide Universal Health Coverage to every citize the country;
- (b) if so, the details thereof;
- (c) the steps taken in the direction so far and results yielded along with t he funds spent in this regard during each of the last three years, State - wise including Tamil Nadu; and
- (d) if so, the details thereof?

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

- (a)& (b) Oneof the stated objectives of the National Health Policy, 2017 is to progres achieve  Universal  Health  Coverage  (UHC).  The  primary vehicle  to  strengthen  public  health systems in the states for moving towards UHC i the National Health Mission -which subsumes both National Rural Health Mission and National Urban Health Mission.
- (c ) & (d) Public health and hospitals is a state subject. Under the National Health Miss Government has already taken many steps towards universal health coverage. Strengthening of public  facilities  under  NHM  provides  social  protection,  particularly  to  weaker  sectio Central Government is supporting States for provision of a host of free services including for maternal  health ,  child  health,  adolescent  health,  family  planning,  universal  immunisa programme, and for major diseases such as Tuberculosis, HIV/ AIDS, vector borne diseases as  Malaria,  Dengue  and  Kala  Azar,  Leprosy  etc.  Other  major  initiatives  for  which  stat are being supported include Janani Shishu Suraksha Karyakram (JSSK), Rashtriya Bal SwasthyaKaryakram (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), implementation of NHM Free Drugs and Free Diagnostics Service Initiatives, and implementation of Natio nal Quality Assurance Framework. Under the Rashtrya Swasthya Bima Yojana, cashless treatment upto Rs 30000 is available to specified categories of workers in the unorganisedsectorfor

secondary and tertiary care hospitalisation. Additional cove r of Rs 30000 is available for senior citizen.

NHM  has  been  instrumental  in  accelerating  the  decline  of  key  indicators  such  as  Und Mortality  Rate  (U5MR),  Maternal  Mortality  Ratio  (MMR),  Infant  Mortality  Rate  (IMR)  and Total Fertility rate (TFR) with I ndia registering higher average rates of decline as compared t the global average rates of decline. The Millennium Development Goal target for Tubercul Malaria  and  HIV/  AIDS  was  also  achieved.  There  has  been  an  increase  in  immunizatio coverage, inst itutional deliveries in government institutions and in inpatient and outpatien to public health facilities.

The State wise details of funds released and expenditure incurred under NHM including for of Tamil Nadu for last three years is at Ann exure.

## Annexure

## Statement Showing State-wise Release and Expenditure under NHM for the F.Y. 2014-15 to 2016-17

Rs. in crore

| Sl. No.   | States                    | 2014- 15   | 2014- 15   | 2015- 16   | 2015- 16   | 2016- 17   | 2016- 17   |
|-----------|---------------------------|------------|------------|------------|------------|------------|------------|
| Sl. No.   | States                    | Release    | Exp        | Release    | Exp        | Release    | Exp        |
| 1         | Andaman & Nicobar Islands | 23.36      | 24.33      | 37.30      | 11.47      | 44.81      | 28.83      |
| 2         | Andhra Pradesh            | 519.73     | 902.91     | 643.52     | 1,090.17   | 603.17     | 1,247.63   |
| 3         | Arunachal Pradesh         | 139.41     | 69.50      | 162.65     | 146.27     | 157.57     | 161.81     |
| 4         | Assam                     | 877.13     | 915.88     | 971.35     | 1,186.01   | 1,022.33   | 1,331.77   |
| 5         | Bihar                     | 1,148.32   | 1,427.40   | 1,159.49   | 1,621.67   | 945.05     | 1,536.72   |
| 6         | Chandigarh                | 12.15      | 15.26      | 23.89      | 20.98      | 21.22      | 20.36      |
| 7         | Chattisgarh               | 500.41     | 716.04     | 412.26     | 758.28     | 558.18     | 987.40     |
| 8         | Dadra & Nagar Haveli      | 8.40       | 8.56       | 14.37      | 15.54      | 16.99      | 17.22      |
| 9         | Daman & Diu               | 6.91       | 7.67       | 10.53      | 15.69      | 11.25      | 9.97       |
| 10        | Delhi                     | 154.04     | 222.64     | 163.80     | 137.29     | 234.38     | 146.49     |
| 11        | Goa                       | 26.03      | 29.50      | 16.77      | 24.92      | 19.29      | 30.54      |
| 12        | Gujarat                   | 832.86     | 873.66     | 693.78     | 1,272.42   | 844.64     | 1,376.91   |
| 13        | Haryana                   | 273.60     | 438.18     | 291.96     | 493.23     | 306.44     | 510.00     |
| 14        | Himachal Pradesh          | 185.84     | 306.92     | 246.49     | 281.26     | 209.30     | 316.27     |
| 15        | Jammu & Kashmir           | 335.51     | 393.29     | 367.90     | 420.94     | 350.26     | 414.43     |
| 16        | Jharkhand                 | 359.62     | 372.01     | 411.50     | 590.18     | 373.39     | 570.60     |
| 17        | Karnataka                 | 697.24     | 858.18     | 740.45     | 1,141.61   | 695.42     | 1,128.61   |
| 18        | Kerala                    | 521.99     | 509.83     | 304.14     | 632.88     | 445.06     | 737.69     |
| 19        | Lakshadweep               | 5.08       | 1.36       | 5.69       | 2.72       | 3.81       | 4.32       |

| 20    | Madhya Pradesh   | 1,162.50   | 1,738.02   | 1,132.19   | 2,046.60   | 1,452.50   | 1,956.84   |
|-------|------------------|------------|------------|------------|------------|------------|------------|
| 21    | Maharashtra      | 1,431.76   | 1,834.40   | 1,085.92   | 1,734.44   | 1,219.99   | 1,773.47   |
| 22    | Manipur          | 128.81     | 86.91      | 112.16     | 105.51     | 75.22      | 77.54      |
| 23    | Meghalaya        | 104.13     | 70.72      | 102.22     | 133.55     | 158.74     | 145.68     |
| 24    | Mizoram          | 103.28     | 93.29      | 94.68      | 172.38     | 80.10      | 90.45      |
| 25    | Nagaland         | 114.92     | 63.04      | 104.85     | 81.05      | 94.16      | 94.13      |
| 26    | Orissa           | 667.16     | 944.10     | 652.62     | 1,205.77   | 681.60     | 1,255.88   |
| 27    | Puducherry       | 22.56      | 23.35      | 18.61      | 21.77      | 35.50      | 32.56      |
| 28    | Punjab           | 379.35     | 460.59     | 295.23     | 649.49     | 284.99     | 687.75     |
| 29    | Rajasthan        | 1,115.96   | 1,722.69   | 1,287.84   | 1,799.11   | 1,199.56   | 1,704.99   |
| 30    | Sikkim           | 51.60      | 41.36      | 41.01      | 50.71      | 39.62      | 50.57      |
| 31    | Tamil Nadu       | 952.75     | 2,248.06   | 1,093.22   | 1,633.37   | 752.76     | 1,816.97   |
| 32    | Tripura          | 123.11     | 130.15     | 136.29     | 118.77     | 122.51     | 141.27     |
| 33    | Uttar Pradesh    | 2,431.06   | 3,671.26   | 2,862.83   | 4,451.78   | 3,083.37   | 4,901.10   |
| 34    | Uttarakhand      | 270.55     | 324.42     | 276.41     | 335.95     | 259.53     | 346.01     |
| 35    | West Bengal      | 1,058.62   | 1,196.78   | 959.51     | 1,487.62   | 735.35     | 1,743.92   |
| 36    | Telangana        | 378.72     | 334.68     | 436.63     | 505.55     | 373.84     | 687.15     |
| Total | Total            | 17,124.48  | 23,076.94  | 17,370.07  | 26,396.94  | 17,511.91  | 28,083.85  |

## Note

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. Expenditure includes expenditure against central Release, State release & unspent bala the beginning of  the year. Expenditure is as per FMR, hence provisional.