Lok Sabha Question No. 2221 (UNSTARRED), answered on 2017-07-28
Subject: Primary Healthcare Systems
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Gurjeet Singh,Aujla, DUSHYANT CHAUTALA

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

LOK SABHA UNSTARRED QUESTION NO. 2221 TO BE ANSWERED ON 28 TH JULY, 2017

## PRIMARY HEALTHCARE S YSTEMS

## 2221. SHRI GURJEET SINGH AUJLA: SHRI DUSHYANT CHAUTALA:

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

(a) whether there is a need for major changes in the country's primary healthcare systems, if so, the details thereof;

(b) whether the Government proposes to undertake measures to meet the shortfall in the number of Primary Health Centers (PHCs) in the various States, if so, the details thereof;

(c) whether the Government proposes to take special action with respect to certain States;

(d) whether the Government would take action to meet the acute shortage of specialists in the Community  HealthCenters  (CHCs)  in  the  State  of  Haryana, as  reported  by  National  Health Missionstatistics, if so, the details thereof and the proposed time line to achieve such targets; and

(e)whether  the  experts  from developed  countries  have  agreed  to  provide training  to  Public Health Foundation of India in public healthcare, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI FAGGAN SI NGH KULASTE)

(a): Public Health & Hospitals being a State subject it is for the State Governments to view on the same. However, support under the National Health Mission is now being provi for provision of comprehensive primary care that goes bey ond maternal and child care services and select communicable diseases and includes common non - communicable diseases.

(b) & (c): Public  Health  &  Hospitals  being  a  State  subject,  the  primary  responsibilit to undertake measures to meet the shortfall in the number of Primary Health Centres (PHCs) lies with respective State Governments. However under National Health Mission (NHM) support i being provided to States/ UTs for strengthening of healthcare systems including setting PHCs on the basis of propos al received from them in their Programme Implementation Plans (PIPs). Approvals for infrastructure including setting up of PHCs are prioritised for Hig Districts and hard to reach and underserved areas.

Resources under NHM are allocated to State s on the basis of population, area and socio -economic  backwardness,  such  that  states  that  are  relatively  backward  socio - economically, receive higher per capita allocation.

(d): Public  health  and  hospitals  being  a  State  subject,  the  primary  responsibility  to availability of specialists in the Community Health Centres (CHCs) lies with the respecti Government  including  in  the  state  of  Haryana.  However,  under  the  Nation al  Health  Mission (NHM),  financial  and  technical  support  is  provided  to  States/UTs  including  Haryana strengthen their healthcare systems including support for insourcing or engagement of spe on contractual basis, based on the requirements posed by the States/UTs in their Programme Implementation Plans (PIPs) within their overall resource envelope. Implementation of including filling up of vacant positions of human resource including  Specialist  is do State Government

(e): As per in formation obtained from the Public Health Foundation of India (PHFI), the have  undertaken  collaborations  with  leading  public  health  institutions  in  different  c These  collaborations  include  training  and  capacity  building  of  public  health  facul nd researchers in India.