Lok Sabha Question No. 2475 (UNSTARRED), answered on 2018-03-09
Subject: Availability of Medicines under NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: AJAY NISHAD

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

LOK SABHA UNSTARRED QUESTION NO. 2475 TO BE ANSWERED ON 9 TH MARCH, 2018

## AVAILABILITY OF MEDI CINES UNDER NRHM

## 2475. SHRI AJAY NISHAD:

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

- (a) the present status of the National Rural Health Mission (NRHM) in the country;
- (b) whether the Government is aware of non availability of essential medicines, diagnostic test kits and non - functioning of medical equipments in various Government hospitals of the country;
- (c) if so, the details thereof along with the corrective measures taken in this regard;
- (d) whether the progress and implementation of medical health facilities/ schemes/programmes under the NRHM in different States of the country has been review d recently; and
- (e) if so, the outcome thereof along with the corrective measures taken by the Government to address the shortcomings ?

## ANSWER THE MINISTER OF STATE IN T HE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): The National Rural Health Mission (NRHM) now subsumed under National Health Mission(NHM)  as  one  of  its  sub - mission  with  NUHM  being  other  sub - mission)      is implemented in all the States/UTs. Present status is at Annexure.
- (b) & (c): Pubic Health and Hospital being a State subject, the primary responsibili ensure  the availability  of  essential  medicines,  diagnostic  kits  and  functioning  of medical equipment fall within the ju risdiction of respective State/ UT Governments. However, Under NHM, support is being provided to States/ UTs for strengthening of their healthcare fa including  support  for  NHM  Free  Drugs  Service  and  NHM  Free  Diagnostics  Service Initiatives for prov isi n of essential medicines and diagnostics free of cost in public h facilities  based  on  the  Programme  Implementation  Plans  submitted  by  the  States/U Support under NHM is also provided to States/UTs for implementing the comprehensive bio -medicalequipment maintenance to ensure functionality of biomedical equipment in publ health  facilities.  State/UT - wise  approvals  under  NHM  detailing  the  activitiesand  funds approved for them - are available at URL -http://nhm.gov.in/nrhm - in - state/state - programimplementation - plans - pips.html .

facilities/

(d) & (e): The progress and implementation of medical health schemes/programmes  under  the  NRHM  in  different  States  is reviewed  through  the mechanism ofCommon Review Mission (CRM).

Apart  from  above,  the  programme  is  also  monitored  through  video  conferences programme specific reviews and     integrated monitoring visits are also undertaken by officers of the Mini stry and other representatives. Theme based consultations are also h with the States/UTs regarding various activities under NHM. Further, during the proce appraisal and discussions on Programme Implementation Plans submitted by the States/UT thei r performance under NHM during the previous year is reviewed.

Further,  the  impact  of  NHM  is  also  monitored  through  external  surveys  such  a National Family Health Survey (NFHS), District Level Household Survey (DLHS), Annual Health  Survey  (AHS)  and  Sampl e  Registration  System  (SRS)  and  evaluation  study  on NRHM by erstwhile Planning Commission. Based on the assessment, the States are advise to address the gaps and technical & financial support under NHM is provided for this on proposals received from States/UTs, with overall resource envelope.

SRS: Sample Registration System

## Annexure

| Indicators                            | Present status                                                                                                                                                                         |
|---------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Maternal Mortality Rate (MMR)         | 167(SRS: 2011-13)                                                                                                                                                                      |
| Infant Mortality Rate (IMR)           | 34 (SRS: 2016)                                                                                                                                                                         |
| Neonatal Mortality rate (NMR)         | 24 (SRS 2016)                                                                                                                                                                          |
| Under 5 Mortality rate (U5MR)         | 39 (SRS 2016)                                                                                                                                                                          |
| Total Fertility Rate (TFR)            | 2.3 (SRS 2016)                                                                                                                                                                         |
| Tuberculosis Prevalence and Mortality | The incidence of TB reduced to 211/ lakh population in 2016 from 217/ lakh population in 2015. Mortality also reduced to 32/ lakh population in 2016 from 36/ lakh population in 2015. |
| Leprosy Prevalence rate               | Prevalence rate of Leprosy reduced to Less than 1/10000 population in 554 Districts in March 2017.                                                                                     |
| Annual Malaria Incidence              | Annual Malaria Incidence is 0.53 up to Sept. 2017                                                                                                                                      |
| Kala-Azar Elimination                 | Out of 633 endemic blocks, 565 (85%) Blocks are reporting less than 1 case per 10,000 population as on November 2017                                                                   |
| Microfilaria Prevalence               | Out of 256 LF endemic districts, 222 districts have reported Mf rate less than 1% as per reports of 2016.                                                                              |