Lok Sabha Question No. 4290 (UNSTARRED), answered on 2017-08-11
Subject: Healthcare Facilities in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI NARAYAN RAJBHAR

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

LOK SABHA UNSTARRED QUESTION NO. 4290 TO BE ANSWERED ON   11 TH AUGUST, 2017

## HEALTHCARE FACILITIE S IN RURAL AREAS

## 4290. SHRI HARINARAYAN RAJBHAR:

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

- (a) whether the rural population do not have sufficient medical facilities till date in most of the rural areas in the country including Uttar Pradesh;
- (b) the extent to which National RuralHealth Mission has achieved its objectives;
- (c) whether the Government proposes to set up super speciality healthcare centres in rural areas;
- (d) if so, the details thereof during the last three years; and
- (e) if not, the reasons therefor?

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

(SHRI FAGGAN SINGH KULASTE)

- (a): As per Rural Health Statistics, 2016 the shortfall of health infrastructure in rura the country including Uttar Pradesh as on 31 st March, 2016 is as below:

(No.s in units)

| Health Infrastructure   | Required   | Present   | Shortfall   |
|-------------------------|------------|-----------|-------------|
| Sub - Centre            | 1,79,240   | 1,55,069  | 35,110      |
| Primary Health Centre   | 29,337     | 25,354    | 6,572       |
| Community Health Centre | 7,322      | 5,510     | 2,220       |

- (b): The targets of the National Rural Health Mission (NRHM) at the time of its continua in 2012 and achievements are as below:

achie

| Targets (2012 - 17)                                                             | Achievement                                                                         |
|---------------------------------------------------------------------------------|-------------------------------------------------------------------------------------|
| Reduce IMR to 25/1000 live births                                               | IMR reduced from 42 in 2012 Sample Registration Bulletin (SRS) to 37 in 2015 (SRS). |
| Reduce MMR to 100/100000 live births                                            | MMR reduced to 167 in 2011 - 13 (SRS).                                              |
| Reduce TFR to 2.1                                                               | TFR reduced to 2.3 in 2014 (SRS).                                                   |
| Reduce annual incidence and mortality Tuberculosis by half                      | from Annual total case notification of 101 lakh Cure rate up to March 2016.         |
| Reduce prevalence of Leprosy to <1/10000 and incidence to zero in all districts | population Leprosy Prevalence Rate reduced to less than 10,000 in March 2016.       |
| Annual Malaria Incidence to be <1/1000                                          | Annual Malaria Incidence is 0.67/1000 in March                                      |
| Less than 1 per cent microfilaria prevalence districts                          | in all Out of 256 districts, 222 districts have microfilaria rate to less than 1%.  |
| Kala- Azar Elimination by 2015, <1 case per population in all blocks            | 10000 Out of 628 endemic blocks, 492 have elimination.                              |

Although  goal  of  IMR,  MMR  and  TFR  were  not  achieved,  the  Infant  Mortality  Rate (IMR), Maternal Mortality Ratio (MMR) and Total Fertility Rate (TFR) have shown accelerat decline post launch of NRHM.

(c) to (e): The  mandate  of NRHM/ NHM , as  approved  by  C abinet , is  for  provision  of supportto States/UTs for primary and secondary care interventions upto D istrict Hospital level and does not include support for tertiary care .However, support under NHM is being provided to States/ UTs for District Hospital st rengthening including for adding specialities based on IPHS ordeveloping it as training hub for initiating Nursing /Paramedical/ DNB courses etc . About Rs 2382.69  lakhs has  been approved  for  District  Hospital Strengthening  under  NHM since  year 2016- 17.