Lok Sabha Question No. 5638 (UNSTARRED), answered on 2017-04-07
Subject: National Oral Health Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUDHEER GUPTA, GAJANAN CHANDRAKANT KIRTIKAR, SUNIL BALIRAM GAIKWAD

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

## LOK SABHA UNSTARRED QUESTION NO. 5638 TO BE ANSWERED ON 7 th APRIL, 2017

## NATIONAL ORAL HEALTH PROGRAMME

## 5638. SHRI SUDHEER GUPTA: SHRI GAJANAN KIRTIKAR: DR. SUNIL BALIRAM GAIKWAD:

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

- (a) the present status of implementation of National Oral Health Programme (NOHP) in the country, State/ UT - wise;
- (b) the funds allocated and spent on various heads under the said programme during each of the last three years and the current year, State/UT - wise;
- (c) whether the Government has launched National Dental and Oral Health Information IVR Portal and toll free number recently;
- (d) if so, the details thereof along with the aims and objectives thereto; and
- (e) the steps taken/being taken by the Government to combine preventive measures with emphasis on education to create oral health awareness among the various segments of the populati on?

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

- (a): The Government had launched National Oral Health Programme ( NOHP ) in the year 2014 -15 to strengthen the public health facilities of the country for an accessible, affordable oral health care delivery.

The programme was started in 9 states in 2014 - 15 and now it is under implementation in 294 districts of32 States/UTs.   The present status of implementation of NOHP State/UT wise is attac in Annexure - I .

- (b): The programme has two components as under:
1. NHM Component: This is for the support of health facilities [District level and below] States /UTs with the following components of a Dental Unit:
- Manpower support [Dentist, Dental Hygienist, Dental Assistant];
- Equipments including dental Chair;
- Consumables for dental procedures.

The State/UT - wise  grants  approved/released/spent  for NOHP under NHM component are attached in Annexure II .

## 2. Tertiary Component:

- Designing  Information,  Education  and  Communication  (IEC)  materials  like  Posters,  TV Commercial, Radio Spots, Training Modules;
- Organizing  national,  regional  nodal  officers  training  program  to  enhance  the  progra management skills, review the status of the programme;
- Preparing State/District level Trainers by conducting national, regional workshops t the paramedical health functionaries associated in health care delivery.

For Tertiary activities, the following table provides information on the actual expendi -à- vis the approved outlay:

(Amount in crore of Rupees)

| Yea r    |   RE |   Actual Expenditure |
|----------|------|----------------------|
| 2014- 15 | 1.01 |                 1.01 |
| 2015- 16 | 1.01 |                 0.44 |
| 2016- 17 | 1.01 |                 0.92 |

(c) & (d): Yes, the Ministry of Health & Family Welfare launched an IVRS Help line for Ora Health Programmeon the occasion of World Oral Health Day on 20 March 2017 Which  can be accessed through a toll free number by any individual by dialling 1800 - 11- 2032 with the aims to:

- Provide information regarding common oral health concerns;
- Create awareness regarding the importance of oral health;
- Dispel common myths regarding oral diseases;
- Provide emergency instructions in case of common oral health diseases.
- (e): NOHP provides support to States/ UTs for IEC and outreach activities.  Under the NH component, the pr ogramme provides support for setting up of Dental Care Units at the District l and below. It encourages States/UTs to celebrate World Oral Health Day in March by conduct awareness generating activities (such as outreach camps and screening camps etc .).

At the Central level, under its Tertiary activities, the following steps have been taken:

- NOHP in collaboration with Centre for Dental Education & Research (CDER), AIIMS, New Delhi has developed posters, pamphlets and badges for distribution to Stat es/ UTs as well as Government Dental Colleges.
- As a  part of the World Oral Health Day celebrations on 20 th March 2017, Ministry of Health and Family Welfare launched a TV commercial and radio jingle on oral health which hav been aired on the Doordarshan network and Radio.
- MoHFW also launched 5 one page interactive games for school children helping them lear about tooth brushing and mouth rinsing while motivating them to maintain good oral hygi
- The  IVRS  help  line  was  launched  as  a  means  of  generating awareness  and  providing knowledge pertaining to oral health.
- To promote awareness about oral health among the people, the posters have been distrib to States/UTs.

## State/UT wise NOHP Implementation Outcomes

## (2014 to 2017 )

| S.N   | State/UT                    | Districts covered   | Approval Given for full support of Dental clinics   | Only HR support for Dental clinics   | Only Equipment Support   | Clinics functional   |
|-------|-----------------------------|---------------------|-----------------------------------------------------|--------------------------------------|--------------------------|----------------------|
| 1     | Bihar                       | 10                  | 10                                                  | N il                                 | N il                     | Nil                  |
| 2     | Chhattisgarh                | 27                  | 9                                                   | 130                                  | N il                     | N il                 |
| 3     | Himachal Pradesh            | 12                  | 12                                                  | Nil                                  | N il                     | 5                    |
| 4     | Jammu and Kashmir           | 5                   | 5                                                   | Nil                                  | Nil                      | Nil                  |
| 5     | Jharkhand                   | 24                  | 6                                                   | Nil                                  | Nil                      | 6                    |
| 6     | Madhya Pradesh              | 1                   | 2                                                   | Nil                                  | N il                     | Nil                  |
| 7     | Odisha                      | N il                | N il                                                | N il                                 | N il                     | N il                 |
| 8     | Rajasthan                   | 3                   | 3                                                   | 30                                   | N il                     | 3                    |
| 9     | Uttar Pradesh               | 8                   | 8                                                   | Nil                                  | Nil                      | 1                    |
| 10    | Uttarakhand                 | 5                   | 5                                                   | Nil                                  | Nil                      | 5                    |
| 11    | Andhra Pradesh              | N il                | N il                                                | N il                                 | N il                     | N il                 |
| 12    | Telengana                   | 5                   | 5                                                   | Nil                                  | Nil                      | 5*                   |
| 13    | Gujarat                     | 8                   | 8                                                   | Nil                                  | Nil                      | Nil                  |
| 14    | Goa                         | 1                   | 1                                                   | N il                                 | N il                     | 1                    |
| 15    | Haryana                     | 18                  | Nil                                                 | N il                                 | 18                       | 18                   |
| 16    | Karnataka                   | 13                  | 13                                                  | Nil                                  | Nil                      | NIl                  |
| 17    | Kerala                      | 2                   | Nil                                                 | Nil                                  | 2                        | 2                    |
| 18    | Maharashtra                 | 26                  | 26                                                  | Nil                                  | Nil                      | Nil                  |
| 19    | Punjab                      | 22                  | Nil                                                 | Nil                                  | Nil                      | Nil                  |
| 20    | Tamil Nadu                  | 32                  | 55                                                  | Nil                                  | Nil                      | 295                  |
| 21    | West Bengal                 | 20                  | 50                                                  | N il                                 | N il                     | N il                 |
| 22    | Andaman and Nicobar Isl and | N il                | N il                                                | N il                                 | N il                     | N il                 |
| 23    | Chandigarh                  | N il                | N il                                                | N il                                 | N il                     | N il                 |
| 24    | Dadra and Nagar Haveli      | 1                   | 1                                                   | Nil                                  | Nil                      | 1                    |
| 25    | Daman and Diu               | 1                   | Nil                                                 | 1                                    | Nil                      | 1                    |
| 26    | Lakshadweep                 | 1                   | 1                                                   | Nil                                  | Nil                      | 1                    |
| 27    | Delhi                       | N il                | N il                                                | N il                                 | N il                     | N il                 |
| 28    | Pondicherry                 | 1                   | 1                                                   | N il                                 | N il                     | N il                 |
| 29    | Arunachal Pradesh           | 16                  | 16                                                  | N il                                 | N il                     | 8                    |
| 30    | Assam                       | 2                   | 2                                                   | N il                                 | N il                     | N il                 |
| 31    | Manipur                     | 7                   | N il                                                | N il                                 | 7                        | N il                 |
| 32    | Meghalaya                   | 8                   | 8                                                   | N il                                 | N il                     | 4                    |
| 33    | Mizoram                     | 6                   | 6                                                   | N il                                 | N il                     | 3                    |
| 34    | Nagaland                    | 5                   | 5                                                   | N il                                 | N il                     | 2                    |
| 35    | Sikkim                      | 4                   | 5                                                   | N il                                 | N il                     | N il                 |
| 36    | Tripura                     | N il                | N il                                                | N il                                 | N il                     | N il                 |
|       | TOTAL                       | 294                 | 263                                                 | 161                                  | 27                       | 356                  |

## Annexure - I

## Annexure-II

Allocation, Release & Expenditure  under NOHP (Expenditure updated  as on 3rd Quarter i.e. 31.12.2016)

| S.N.   | State                     | 2014-15 under NOHP   | 2014-15 under NOHP   | 2014-15 under NOHP   | 2015-16 under Mission Flexipool *   | 2015-16 under Mission Flexipool *   | 2015-16 under Mission Flexipool *   | Figures in crore of Rupees 2016-17under Mission Flexipool *   | Figures in crore of Rupees 2016-17under Mission Flexipool *   | Figures in crore of Rupees 2016-17under Mission Flexipool *   |
|--------|---------------------------|----------------------|----------------------|----------------------|-------------------------------------|-------------------------------------|-------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------------------|
| S.N.   | State                     | Allocation           | Release              | Exp                  | Allocation                          | Release                             | Exp**                               | Allocation                                                    | Release                                                       | Exp**                                                         |
| 1      | Andaman & Nicobar Islands | 0.00                 | 0.00                 | 0.00                 | 3.31                                | 6.87                                | -                                   | 5.82                                                          | -                                                             | 0.00                                                          |
| 2      | Andhra Pradesh            | 0.00                 | 0.00                 | 0.00                 | 153.63                              | 177.57                              | 0.39                                | 161.69                                                        | 170.74                                                        | 0.00                                                          |
| 3      | Arunachal Pradesh         | 0.05                 | 0.05                 | 0                    | 58.49                               | 57.62                               | -                                   | 62.05                                                         | 46.54                                                         | 0.00                                                          |
| 4      | Assam                     | 0.00                 | 0.00                 | 0.00                 | 334.77                              | 335.46                              | -                                   | 355.15                                                        | 319.63                                                        | 0.00                                                          |
| 5      | Bihar                     | 0.00                 | 0.00                 | 0.00                 | 417.67                              | 375.89                              | -                                   | 441.19                                                        | 397.07                                                        | 0.00                                                          |
| 6      | Chandigarh                | 0.00                 | 0.00                 | 0.00                 | 0.76                                | 0.94                                | -                                   | 1.63                                                          | 1.72                                                          | 0.00                                                          |
| 7      | Chattisgarh               | 0.00                 | 0.00                 | 0.00                 | 159.96                              | 147.16                              | -                                   | 168.97                                                        | 178.41                                                        | 0.02                                                          |
| 8      | Dadra & Nagar Haveli      | 0.00                 | 0.00                 | 0.00                 | 2.97                                | 4.37                                | 0.03                                | 5.24                                                          | 3.93                                                          | 0.06                                                          |
| 9      | Daman & Diu               | 0.00                 | 0.00                 | 0.00                 | 1.78                                | 2.29                                | -                                   | 3.13                                                          | 2.35                                                          | 0.00                                                          |
| 10     | Delhi                     | 0.00                 | 0.00                 | 0.00                 | 11.96                               | 15.42                               | -                                   | 25.84                                                         | 41.11                                                         | 0.00                                                          |
| 11     | Goa                       | 0.00                 | 0.00                 | 0.00                 | 4.43                                | 4.43                                | -                                   | 4.67                                                          | 2.34                                                          | 0.00                                                          |
| 12     | Gujarat                   | 0.16                 | 0.16                 | 0                    | 175.38                              | 196.32                              | -                                   | 184.54                                                        | 194.85                                                        | 0.01                                                          |
| 13     | Haryana                   | 0.00                 | 0.00                 | 0.00                 | 69.10                               | 69.11                               | -                                   | 72.83                                                         | 76.90                                                         | 0.00                                                          |
| 14     | Himachal Pradesh          | 0.31                 | 0.31                 | 0.01                 | 78.12                               | 78.12                               | 0.72                                | 82.52                                                         | 87.13                                                         | 0.15                                                          |
| 15     | Jammu & Kashmir           | 0.28                 | 0.28                 | 0                    | 152.13                              | 158.22                              | -                                   | 160.70                                                        | 152.60                                                        | 0.00                                                          |
| 16     | Jharkhand                 | 0.00                 | 0.00                 | 0.00                 | 158.47                              | 118.86                              | -                                   | 167.39                                                        | 88.37                                                         | 0.00                                                          |
| 17     | Karnataka                 | 0.00                 | 0.00                 | 0.00                 | 185.57                              | 185.57                              | -                                   | 195.32                                                        | 206.22                                                        | 0.00                                                          |
| 18     | Kerala                    | 0.00                 | 0.00                 | 0.00                 | 66.29                               | 71.59                               | -                                   | 69.89                                                         | 52.42                                                         | 0.00                                                          |
| 19     | Lakshadweep               | 0.00                 | 0.00                 | 0.00                 | 0.78                                | 1.60                                | -                                   | 1.38                                                          | 0.69                                                          | 0.00                                                          |
| 20     | Madhya Pradesh            | 0.41                 | 0.41                 | 0                    | 371.21                              | 427.44                              | 0.06                                | 392.12                                                        | 414.01                                                        | 0.00                                                          |
| 21     | Maharashtra               | 0.00                 | 0.00                 | 0.00                 | 302.46                              | 314.56                              | -                                   | 318.36                                                        | 352.84                                                        | 0.00                                                          |
| 22     | Manipur                   | 0.00                 | 0.00                 | 0.00                 | 35.41                               | 35.48                               | -                                   | 37.57                                                         | 18.79                                                         | 0.00                                                          |
| 23     | Meghalaya                 | 0.00                 | 0.00                 | 0.00                 | 37.89                               | 37.97                               | -                                   | 40.19                                                         | -                                                             | 0.47                                                          |

| 24          | Mizoram       |   0.17 |   0.17 |   0.14 | 18.25    | 13.98    | 0.14   | 19.36    | 14.52    |   0.19 |
|-------------|---------------|--------|--------|--------|----------|----------|--------|----------|----------|--------|
| 25          | Nagaland      |   0.16 |   0.16 |   0    | 25.74    | 25.79    | -      | 27.30    | 20.48    |   0    |
| 26          | Orissa        |   0    |   0    |   0    | 217.57   | 217.57   | -      | 229.82   | 218.39   |   0    |
| 27          | Puducherry    |   0    |   0    |   0    | 2.13     | 3.11     | -      | 6.70     | 10.90    |   0    |
| 28          | Punjab        |   0    |   0    |   0    | 75.22    | 90.89    | -      | 79.27    | 83.70    |   0    |
| 29          | Rajasthan     |   0.12 |   0.12 |   0    | 377.60   | 411.41   | 0.16   | 398.87   | 421.15   |   0.24 |
| 30          | Sikkim        |   0.05 |   0.05 |   0.03 | 9.01     | 9.02     | 0.02   | 9.56     | 8.60     |   0.05 |
| 31          | Tamil Nadu    |   0    |   0    |   0    | 181.29   | 208.48   | -      | 191.06   | 201.72   |   9.01 |
| 32          | Tripura       |   0    |   0    |   0    | 38.33    | 38.79    | -      | 40.66    | 30.49    |   0    |
| 33          | Uttar Pradesh |   0    |   0    |   0    | 765.42   | 688.88   | 0.10   | 808.53   | 768.32   |   0.22 |
| 34          | Uttarakhand   |   0    |   0    |   0    | 89.66    | 83.39    | -      | 94.71    | 90.00    |   0.18 |
| 35          | West Bengal   |   0    |   0    |   0    | 233.55   | 179.83   | -      | 246.39   | 260.15   |   0    |
| 36          | Telangana     |   0    |   0    |   0    | 109.80   | 121.61   | -      | 115.56   | 115.91   |   0    |
| Grand Total | Grand Total   |   1.72 |   1.72 |   0.18 | 4,926.09 | 4,915.60 | 1.62   | 5,226.00 | 5,052.99 |  10.6  |

## Note:

* Mission Flexipool covers as many as 29 activites/Programme/Scheme out of which NOHP is one.  Hence, programme wise releases is not available

** Expenditure given NOHP wise and it  includes against Central Releases, State share & unspent balance as the beginning of the year.

The above figures are provided by   NHM as NOHP covered under Health System Strengthening since 2015-16

The above figures of expenditure during 2016-17 are updated to 31.12.2016. Hence, the figures are provisonal