Lok Sabha Question No. 67 (STARRED), answered on 2016-11-21
Subject: Shortage of Doctors/Staff in ESI Hospitals
Ministry: LABOUR AND EMPLOYMENT
Asked by: B.V. NAYAK, NALIN KUMAR KATEEL

## MINISTRY OF LABOUR AND EMPLOYMENT

## GOVERNMENT OF INDIA LOK SABHA STARRED QUESTION NO. 67 TO BE ANSWERED ON 21.11.2016

## SHORTAGE OF DOCTORS/STAFF IN ESI HOSPITALS

- *67. SHRI B.V. NAIK:

SHRI NALIN KUMAR KATEEL:

Will  the  Minister  of  LABOUR  AND  EMPLOYMENT  be  pleased  to state:

- (a)whether  there  is  a  shortage  of  doctors,  including  specialists/ superspecialists,  medical  and  para-medical  staff  in  the  hospitals run by the Employees' State Insurance Corporation (ESIC) in various States and if so, the details thereof, State/UT wise;
- (b)the  total  number  of  posts  sanctioned,  in  position  and  existing vacancies of the said categories in these hospitals, State/UT-wise and  the  reasons  for  shortfall  and  the  steps  taken  to  fill  up  the vacancies;
- (c)whether  there  is  also  a  shortage  of  hospital  beds  and  medical equipment in these hospitals and if so, the details thereof, and the reasons therefor along with the corrective steps being taken by the Government in this regard; and
- (d)the  steps  taken/being  taken  by  the  Government  to  ensure  timely and better delivery of healthcare services to ESI beneficiaries?

## ANSWER

MINISTER OF STATE (IC) FOR LABOUR AND EMPLOYMENT (SHRI BANDARU DATTATREYA)

- (a) to (d): A statement is laid on the Table of the House.

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STATEMENT REFERRED TO IN REPLY TO PARTS (a) TO (d)   OF LOK SABHA STARRED QUESTION NO.67 FOR 21.11.2016 BY SHRI B.V. NAIK AND SHRI NALIN KUMAR KATEEL REGARDING SHORTAGE OF DOCTORS/STAFF IN ESI HOSPITALS.

.

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(a)& (b)It is true that vacancies in the grade of General Duty Medical Officers(GDMOs), Specialists, Nursing and Para-medical posts exist.  State / UT-wise & hospital-wise details of sanctioned, in-position and existing vacancies is at annexure I. Primary reasons for these vacancies are :

1. General shortage of doctors particularly in the specialists cadre in the country.
2. Some doctors/specialists do not apply for the job as private practice is not allowed in ESI Corporation.
3. Leaving the job for better opportunities or for pursuing higher studies.

In  order  to  fill  up  the  vacancies,  the  Employees'  State  Insurance  Corporation (ESIC) has taken a number of steps like-

1. 40% of the sanctioned posts under the GDMO sub cadre in ESIC hospitals are being filled with Senior Residents by Medical Superintendents at local level.
2. In addition, 10 Senior Residents posts per 100 beds have also been sanctioned over and  above  the  sanctioned  post  of  GDMOs.    These  are  also  filled  by  Medical Superintendents locally.
3. The Medical Superintendents have been authorized to recruit super specialists and specialists on contract basis till the regular incumbents become available.
4.  Medical  Superintendents  of  ESIC  hospitals  authorized  to  engage,  under  certain situations,  retired  Nursing  and  Para-Medical  staff  or  to  hire  such  personnel  through agencies on short term basis.
5. Regular recruitment process of Nursing & Para-Medical cadre initiated.
6.  ESIC  has  since  decided  to  engage  the  services  of  EdCIL  INDIA  (a  PSU  under administrative  control  of  Ministry  of  HRD,  Govt.  of  India)  Limited,  for  expeditiously completing the recruitment process.
7.  Process  for  recruitment  of  450  GDMOs  and  304  Specialists  initiated.  Offer  of appointments to 91 Doctors (GDMOs) and 41 specialists have already been issued.
8.  Examinations for recruitment  of 2488 posts of Nursing & Para-Medical cadre have been conducted.
9.  Entering  into  tie-up  arrangement  with  private  /  public  hospitals  for  the  medical services, which are not available in ESIC hospitals.

(c)ESI Corporation in its 167 th meeting has granted in-principal approval for increasing hospital bed strength of ESI Hospitals by 50%, if the bed occupancy of the concerned hospital has been consistently more than 70% in last three financial years. List of such ESIC/ESI State hospitals is at ANNEXURE-II .

If there is shortage of equipment in ESIC Hospitals, the Medical Superintendent has been authorized/delegated power of up to 25 lakh at his level for procurement of medical equipment. For State run ESI hospitals, the concerned Medical Superintendent can place his demand for medical  equipment  to  the  Hospital  Development  Committee  (HDC)  which    can  send  the proposal to the State Medical Commissioner, ESIC for sanction and release of funds.

- (d)- The steps taken/being taken by ESI Corporation/Government to ensure timely and better delivery of health care services to ESI beneficiaries is place at ANNEXURE-III .

Annexure-I

STATEMENT REFERRED TO IN REPLY TO PARTS (a) TO (b)   OF LOK SABHA STARRED QUESTION NO.67 FOR 21.11.2016 BY SHRI B.V. NAIK AND SHRI NALIN KUMAR KATEEL REGARDING SHORTAGE OF DOCTORS/STAFF IN ESI HOSPITALS.

| STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   | STATE & HOSPITAL WISE VACANCY POSITON OF ESI CORPORAITON   |
|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|
| S NO                                                       | NAME OF THE REGION                                         | NAME OF HOSPITAL                                           | GENERAL DUTY MEDICAL OFFICERS                              | GENERAL DUTY MEDICAL OFFICERS                              | GENERAL DUTY MEDICAL OFFICERS                              | SPECIALISTS                                                | SPECIALISTS                                                | SPECIALISTS                                                | NURSING & PARA- MEDICAL                                    | NURSING & PARA- MEDICAL                                    |
| S NO                                                       | NAME OF THE REGION                                         | NAME OF HOSPITAL                                           | SANC TIONE D                                               | IN- POSITIO N                                              | VACANC Y                                                   | SANCTI ONED                                                | IN- POSIT ION VACA NCY                                     | SANCTI ONED                                                | IN- POSIT ION                                              | VACA NCY                                                   |
| 1                                                          | ASSAM                                                      | Beltola                                                    | 26                                                         | 25                                                         | 1                                                          | 12                                                         | 10 2                                                       | 103                                                        | 87                                                         | 16                                                         |
| 2                                                          | BIHAR                                                      | Phulwarisharif                                             | 31                                                         | 31                                                         | 0                                                          | 12                                                         | 10 2                                                       | 101                                                        | 62                                                         | 39                                                         |
| 3                                                          | CHHATISGARH                                                | SMC*                                                       | 0                                                          | 1                                                          | -1                                                         | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          | 0                                                          |
| 4                                                          | DELHI                                                      | DMD                                                        | 638                                                        | 465                                                        | 173                                                        | 154 106                                                    | 48                                                         | 3704                                                       | 2857                                                       | 847                                                        |
| 5                                                          | GUJARAT                                                    | Bapunagar                                                  | 28                                                         | 49                                                         | -21                                                        | 28                                                         | 18 10                                                      | 415                                                        | 265                                                        | 150                                                        |
| 6                                                          | GUJARAT                                                    | Naroda                                                     | 14                                                         | 9                                                          | 5                                                          | 18                                                         | 5 13                                                       | 214                                                        | 30                                                         | 184                                                        |
| 7                                                          | GUJARAT                                                    | Vapi                                                       | 31                                                         | 10                                                         | 21                                                         | 18                                                         | 5 13                                                       | 204                                                        | 44                                                         | 160                                                        |
| 8                                                          | GUJARAT                                                    | SMC*                                                       | 0                                                          | 2                                                          | -2                                                         | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 9                                                          | GUJARAT                                                    | MR*                                                        | 9                                                          | 0                                                          | 9                                                          | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 10                                                         |                                                            | Gurgaon                                                    | 47                                                         | 27                                                         | 20                                                         | 30                                                         | 17 13                                                      | 252                                                        | 148                                                        | 104                                                        |
| 11                                                         |                                                            | Manesar                                                    | 40                                                         | 18                                                         | 22                                                         | 18                                                         | 12 6                                                       | 208                                                        | 105                                                        | 103                                                        |
| 12                                                         | HARYANA                                                    | Faridabad                                                  | 1                                                          | 1                                                          | 0                                                          | 0                                                          | 0 0                                                        | 499                                                        | 34                                                         | 465                                                        |
| 13                                                         |                                                            | SMC*                                                       | 0                                                          | 3                                                          | -3                                                         | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 14                                                         |                                                            | MR*                                                        | 1                                                          | 1                                                          | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          | 0                                                          |
| 15                                                         | HIMACHAL PRADESH                                           | Baddi                                                      | 40                                                         | 19                                                         | 21                                                         | 18                                                         | 11 7                                                       | 213                                                        | 109                                                        | 104                                                        |
| 16                                                         | JAMMU & KASHMIR                                            | Jammu                                                      | 33                                                         | 20                                                         | 13                                                         | 12                                                         | 7 5                                                        | 136                                                        | 54                                                         | 82                                                         |
| 17                                                         | JHARKHAND                                                  | Namkum                                                     | 30                                                         | 25                                                         | 5                                                          | 12                                                         | 10 2                                                       | 106                                                        | 81                                                         | 25                                                         |
| 18                                                         |                                                            | Adityapur                                                  | 27                                                         | 19                                                         | 8                                                          | 18                                                         | 7 11                                                       | 114                                                        | 72                                                         | 42                                                         |
| 19                                                         |                                                            | SMC*                                                       | 0                                                          | 2                                                          | -2                                                         | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 20                                                         |                                                            | MR*                                                        | 2                                                          | 1                                                          | 1                                                          | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 21                                                         |                                                            | Rajajinagar                                                | 87                                                         | 97                                                         | -10                                                        | 51                                                         | 30 21                                                      | 844                                                        | 710                                                        | 134                                                        |
| 22                                                         |                                                            | Peenya                                                     | 40                                                         | 34                                                         | 6                                                          | 18                                                         | 12 6                                                       | 208                                                        | 187                                                        | 21                                                         |
| 23                                                         | KARNATAKA                                                  | SMC*                                                       | 0                                                          | 6                                                          | -6                                                         | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 24                                                         |                                                            | MR*                                                        | 3                                                          | 1                                                          | 2                                                          | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 25                                                         |                                                            | Asramam                                                    | 57                                                         | 30                                                         | 27                                                         | 25                                                         | 16 9                                                       | 342                                                        | 253                                                        | 89                                                         |
| 26                                                         |                                                            | Ezhukone                                                   | 60                                                         | 28                                                         | 32                                                         | 19                                                         | 5 14                                                       | 249                                                        | 171                                                        | 78                                                         |
| 27                                                         |                                                            | Parippally                                                 | 40                                                         | 20                                                         | 20                                                         | 18                                                         | 6 12                                                       | 486                                                        | 173                                                        | 313                                                        |
| 28                                                         | KERALA                                                     | Udyogamandal                                               | 40                                                         | 12                                                         | 28                                                         | 18                                                         | 7 11                                                       | 211                                                        | 181                                                        | 30                                                         |
| 29                                                         |                                                            | SMC*                                                       | 0                                                          | 2                                                          | -2                                                         | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 30                                                         |                                                            | MR*                                                        | 4                                                          | 4                                                          | 0                                                          | 0                                                          | 0 0                                                        | 0                                                          | 0                                                          | 0                                                          |
| 31                                                         | MADHYA PRADESH                                             | Indore Andheri                                             | 53 83                                                      | 31 30                                                      | 22 53                                                      | 41                                                         | 18 23                                                      | 440                                                        | 161 323                                                    | 279 168                                                    |
| 32                                                         | MAHARASHTRA                                                |                                                            |                                                            |                                                            |                                                            | 50                                                         | 23 27                                                      | 491                                                        |                                                            |                                                            |
| 33                                                         | ODISHA                                                     | Rourkela                                                   | 28                                                         | 17                                                         | 11                                                         | 12                                                         | 7 5                                                        | 92                                                         | 63                                                         | 29                                                         |
| 34                                                         | PUNJAB                                                     | Ludhiana                                                   | 53                                                         | 20                                                         | 33                                                         | 31                                                         | 13 18                                                      | 449                                                        | 195                                                        | 254                                                        |

| 35                                                      |                                                         | Chandigarh-UT                                           | 33                                                      | 22                                                      | 11                                                      | 15                                                      | 13                                                      | 2                                                       | 144                                                     | 120                                                     | 24                                                      |
|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| 36                                                      |                                                         | SMC*                                                    | 0                                                       | 2                                                       | -2                                                      | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 37                                                      |                                                         | MR*                                                     | 1                                                       | 1                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 38                                                      | RAJASTHAN                                               | Bhiwadi                                                 | 27                                                      | 14                                                      | 13                                                      | 12                                                      | 5                                                       | 7                                                       | 110                                                     | 84                                                      | 26                                                      |
| 39                                                      | RAJASTHAN                                               | Jaipur                                                  | 52                                                      | 42                                                      | 10                                                      | 32                                                      | 17                                                      | 15                                                      | 475                                                     | 257                                                     | 218                                                     |
| 40                                                      | RAJASTHAN                                               | SMC*                                                    | 0                                                       | 3                                                       | -3                                                      | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 41                                                      |                                                         | MR*                                                     | 1                                                       | 1                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 42                                                      | TAMIL NADU                                              | Coimbatore                                              | 2                                                       | 2                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 43                                                      | TAMIL NADU                                              | K. K. nagar                                             | 52                                                      | 57                                                      | -5                                                      | 32                                                      | 16                                                      | 16                                                      | 602                                                     | 450                                                     | 152                                                     |
| 44                                                      | TAMIL NADU                                              | Tirunelveli                                             | 27                                                      | 14                                                      | 13                                                      | 12                                                      | 3                                                       | 9                                                       | 110                                                     | 87                                                      | 23                                                      |
| 45                                                      | TAMIL NADU                                              | SMC*                                                    | 0                                                       | 4                                                       | -4                                                      | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 46                                                      |                                                         | MR*                                                     | 5                                                       | 3                                                       | 2                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 47                                                      | TELANGANA                                               | Nacharam                                                | 56                                                      | 27                                                      | 29                                                      | 32                                                      | 16                                                      | 16                                                      | 300                                                     | 205                                                     | 95                                                      |
| 48                                                      | TELANGANA                                               | Sanathnagar                                             | 22                                                      | 13                                                      | 9                                                       | 22                                                      | 11                                                      | 11                                                      | 289                                                     | 184                                                     | 105                                                     |
| 49                                                      | TELANGANA                                               | SMC*                                                    | 0                                                       | 5                                                       | -5                                                      | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 50                                                      |                                                         | MR*                                                     | 2                                                       | 0                                                       | 2                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 51                                                      | WEST BENGAL                                             | Joka                                                    | 82                                                      | 56                                                      | 26                                                      | 40                                                      | 8                                                       | 32                                                      | 582                                                     | 381                                                     | 201                                                     |
|                                                         | TOTAL                                                   |                                                         | 1908                                                    | 1326                                                    | 582                                                     | 830                                                     | 444                                                     | 386                                                     | 12693                                                   | 8133                                                    | 4560                                                    |
| *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee | *SMC - State Medical Commissioner, MR - Medical Referee |

STATEMENT REFERRED TO IN REPLY TO PARTS (c) OF LOK SABHA STARRED QUESTION NO.67 FOR 21.11.2016 BY SHRI B.V. NAIK AND SHRI NALIN KUMAR KATEEL REGARDING SHORTAGE OF DOCTORS/STAFF IN ESI HOSPITALS.

## ESIC/ESIS HOSPITALS HAVING 70% AND ABOVE BED OCCUPANCY

| State/UT        | Sl. No.   | Name of Hospital   | %of Bed Occupancy   | %of Bed Occupancy   | %of Bed Occupancy   |
|-----------------|-----------|--------------------|---------------------|---------------------|---------------------|
|                 |           |                    | 2012-13             | 2013-14             | 2014-15             |
| Andhra Pradesh  | 1         | Visakhapatnam      | 78%                 | 78%                 | 89%                 |
| Assam           | 2         | Beltola *          | 139%                | 128%                | 120%                |
| Delhi           | 3         | Basaidarapur *     | 99%                 | 100%                | 91%                 |
|                 | 4         | Jhilmil *          | 87%                 | 93%                 | 87%                 |
|                 | 5         | Rohini *           | 75%                 | 77%                 | 71%                 |
| Gujarat         | 6         | Rajpur Hirpur      | 111%                | 91%                 | 70%                 |
| Haryana         | 7         | Ballabgarh         | 95%                 | 85%                 | 86%                 |
|                 | 8         | Gurgaon *          | 82%                 | 90%                 | 81%                 |
| Karnataka       | 9         | Rajajinagar *      | 84%                 | 76%                 | 78%                 |
|                 | 10        | Devangare          | 79%                 | 76%                 | 74%                 |
| Kerala          | 11        | Asramam *          | 92%                 | 84%                 | 85%                 |
|                 | 12        | Ernakulam *        | 99%                 | 82%                 | 80%                 |
|                 | 13        | Ezhukone *         | 81%                 | 78%                 | 75%                 |
| Tamil Nadu      | 14        | ODC K.K. Nagar *   | 75%                 | 72%                 | 74%                 |
|                 | 15        | Sivakasi           | 93%                 | 100%                | 80%                 |
|                 | 16        | Salem              | 96%                 | 96%                 | 98%                 |
| Uttar Pradesh   | 17        | Noida *            | 104%                | 134%                | 122%                |
| West Bengal     | 18        | Asansol            | 80%                 | 76%                 | 82%                 |
|                 | 19        | Bellur Belly       | 91%                 | 89%                 | 85%                 |
|                 | 20        | Baltikuri          | 75%                 | 76%                 | 72%                 |
|                 | 21        | Gourhati           | 96%                 | 102%                | 105%                |
|                 | 22        | Budge-Budge        | 76%                 | 77%                 | 79%                 |
|                 | 23        | Kalyani            | 76%                 | 76%                 | 74%                 |
|                 | 24        | Manicktola         | 93%                 | 91%                 | 92%                 |
|                 | 25        | Kamarhati          | 84%                 | 81%                 | 83%                 |
|                 | 26        | Sealdah            | 86%                 | 75%                 | 78%                 |
|                 | 27        | Uluberia           | 88%                 | 87%                 | 81%                 |
|                 | 28        | Serampore          | 74%                 | 77%                 | 79%                 |
|                 | 29        | Bandel             | 76%                 | 77%                 | 80%                 |
|                 | 30        | ODC Thakurpur *    | 106%                | 99%                 | 96%                 |
|                 | 31        | Durgapur           | 100%                | 91%                 | 85%                 |
| Jammu & Kashmir | 32        | Bari Brahma        | 77%                 | 77%                 | 72%                 |
| Telangana       | 33        | Nacharam *         | 96%                 | 77%                 | 92%                 |
|                 | 34        | Ramachandrapur am  | 87%                 | 87%                 | 105%                |
|                 | 35        | Sanathnagar *      | 120%                | 120%                | 78%                 |

STATEMENT REFERRED TO IN REPLY TO PARTS (d)   OF LOK SABHA STARRED QUESTION NO.67 FOR 21.11.2016 BY SHRI B.V. NAIK AND SHRI NALIN KUMAR KATEEL REGARDING SHORTAGE OF DOCTORS/STAFF IN ESI HOSPITALS.

## A.  Reform  measures  which  have  been  taken  in  ESIC  hospitals  and  dispensaries under ESIC 2.0, are as under:

-  Electronic Health records i.e. prescriptions and laboratory records to beneficiary through internet.
-  Upgradation of dispensaries into 6 bedded & 30 bedded hospital, in a phased manner.
-  Using VIBGYOR colour pattern, day-wise, for bedsheets in all Hospitals of ESIC.
-  Medical  Helpline  facility  through  which  Insured  Person    can  directly  talk  to  Doctors  in case of any emergency and seek guidance.
-  Special  OPDs  in  the  afternoon  from  3.00  PM  to  5.00  PM  for  senior  citizens  and Differently-abled Patients.
-  Cancer detection/treatment facilities at different level of hospitals.
-  Cardiology treatment facilities at different level of hospitals.
-  Provision of all possible pathological facilities in all hospitals premises by installation of required equipment either by upgradation or outsourcing.
-  Dialysis facilities in all ESIC Model Hospitals on PPP Model.
-  Queue Management System in every hospital for helping in registration and pharmacy. Through this online registration can also be done using mobile phones.
-  Tracking each and every pregnant mother and newly born child in the families of IPs so that complete immunization as well as safe delivery is achieved.
-  Facility of yoga in ESIC hospitals.
-  Tele-medicine facilities for the beneficiaries in a phased manner.
-  Extension of AYUSH facilities up to the dispensary level.
- B.  Steps  taken  by  ESI  Corporation  so  as  to  facilitate  /  incentivize  the  delivery  of medical services through various State  Government  run ESIS hospitals and dispensaries:-
-  with a  view to improve  the  functioning of  State  Govt.  run  ESIS  hospitals  and dispensaries,  ESIC  has  asked  state  ESI  scheme  to  implement  ESIC  2.0  reform measures  and  prescribed  certain  minimum  facilities/  parameters  to  be  maintained  in ESIS health establishments viz.:
1. Availability of doctors and para-medical staff as per sanctioned strength.
2. Minimum number of medicines available.
3. Pathological and X-ray services.
4. Monitoring  of  general  cleanliness  and  up  keep  of  dispensary/  hospital,  biometric  attendance  and  change  of  hospital  bed  sheets  as  per  VIBGYOR mission.
-  Regular monitoring and supervision of ESIS hospitals and dispensaries.
-  Creation  of  subsidiary  corporation/  society  at  State  level  for  medical  services  wherein State Govt. are to receive 100% expenditure on the ESI scheme, up to the ceiling for the first two Financial Years on adopting this model.

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