Lok Sabha Question No. 1241 (UNSTARRED), answered on 2017-12-22
Subject: Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: DHARAM VIRA GANDHI

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

## LOK SABHA UNSTARRED QUE STION NO. 1241 TO BE ANSWERED ON   22ND  DECEMBER, 2017

## HEALTH INFRASTRUCTUR E

## 1241. SHRI DHARAM VIRA:

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

- (a) whether the Government has carried out any study to estimate the percentage of popu dependant on private hospitals for healthcare needs;
- (b) if so, the details thereof indicating the proportion o f the population in the country dependant on Government hospitals for healthcare facilities;
- (c)  whether  the  Government  has  assessed  the  percentage  of  people  availing  inpatient outpatient facilitie
- (d) if so, the details thereof, State/ UT - wise; an d
- (e) whether the Government proposes to take specific measures to provide better Governm healthcare to citizens by establishing more healthcare institutions in the country and details thereof?

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

(a) & (b): Yes, a ccording to the report 'Health in India' brought out by National Sample Survey Office(NSSO), Ministry of Statistics & Programme Implementation (MOSPI) based on NSS 71 st Round (January -June, 2014), about 72 per cent spells of aliments in the rural areas and cent spells of ailments in the urban areas were treated in the private sector. Further, spells of ailments in the rural areas and 21 per cent spells of ailments in the urban areas treated in the Government hospitals .

(c)&(d): Statements containing State /UT wise percentage spells of ailment treated on medical advice  during  last  15  days  (including  hospit alisation)  and  per  thousand  distributions  of hospitalisation  cases  (Excluding  Childbirth)  during  the  last  365  days  by  public  and hospital in rural and urban areas from the reports   brought out by NSSO, MOSPI based on 71 st Round are given at An nexure I and II respectively.

Public health and hospitals being a State subject, the primary responsibility to healthcare including ambulance services lies with the respective State Governments. How under  the  National  Health  Mission  (NHM), technical  and  financial  support  is  provided  to States/UTs  to  strengthen  their  healthcare  systems  including  support  for  establishing healthcare  institutions,  based  on  the  proposals  made  by  the  States/UTs  in  their  Prog Implementation Plans (PIPs).

……………….

Annexure- I State/UT wise p ercentage spells of ailment treated on medical advice during last 15 (including hospitalisation) by public and private hospital in rural and urban areas.

| State/UT                  | Rural   | Rural   | Urban   | Urban   |
|---------------------------|---------|---------|---------|---------|
| State/UT                  | Public  | Private | Public  | Private |
| Andhra Pradesh            | 15.5    | 84.5    | 12.3    | 87.7    |
| Arunachal Pradesh         | 99.4    | 0.6     | 93.8    | 6.2     |
| Assam                     | 84.3    | 15.7    | 44.2    | 55.8    |
| Bihar                     | 13.9    | 86.1    | 12.3    | 87.7    |
| Chhattisgarh              | 30.5    | 69.5    | 15.7    | 84.3    |
| Delhi                     | 22.3    | 77.7    | 20.1    | 79.9    |
| Goa                       | 20.6    | 79.4    | 30.7    | 69.3    |
| Gujarat                   | 23.7    | 76.3    | 14.9    | 85.1    |
| Haryana                   | 10.6    | 89.4    | 8.5     | 91.5    |
| Himachal Pradesh          | 43.3    | 56.7    | 79.3    | 20.7    |
| Jammu & Kashmir           | 48.4    | 51.6    | 40.9    | 59.1    |
| Jharkhand                 | 32.1    | 67.9    | 14.6    | 85.4    |
| Karnataka                 | 26.0    | 74.0    | 14.5    | 85.5    |
| Kerala                    | 36.2    | 63.8    | 31.1    | 68.9    |
| Madhya Pradesh            | 29.4    | 70.6    | 24.0    | 76.0    |
| Maharashtra               | 20.2    | 79.8    | 14.5    | 85.5    |
| Manipur                   | 50.0    | 50.0    | 66.0    | 34.0    |
| Meghalaya                 | 83.8    | 16.2    | 13.8    | 86.2    |
| Mizoram                   | 86.7    | 13.3    | 43.6    | 56.4    |
| Nagaland                  | 83.1    | 16.9    | 55.2    | 44.8    |
| Odisha                    | 75.4    | 24.6    | 54.4    | 45.6    |
| Punjab                    | 16.8    | 83.2    | 22.6    | 77.4    |
| Rajasthan                 | 43.9    | 56.1    | 29.1    | 70.9    |
| Sikkim                    | 96.0    | 4.0     | 45.0    | 55.0    |
| Tamil Nadu                | 42.3    | 57.7    | 28.6    | 71.4    |
| Telangana                 | 18.6    | 81.4    | 8.7     | 91.3    |
| Tripura                   | 63.4    | 36.6    | 41.3    | 58.7    |
| Uttar Pradesh             | 14.4    | 85.6    | 16.0    | 84.0    |
| Uttarakhand               | 57.4    | 42.6    | 25.6    | 74.4    |
| West Bengal               | 22.5    | 77.5    | 14.8    | 85.2    |
| Andaman & Nicobar Islands | 75.0    | 25.0    | 70.9    | 29.1    |
| Chandigarh                | 34.9    | 65.1    | 40.7    | 59.3    |
| Dadra & NagarHaveli       | 43.2    | 56.8    | 60.6    | 39.4    |
| Daman & Diu               | 25.8    | 74.2    | 3.0     | 97.0    |
| Lakshadweep               | 84.0    | 16.0    | 71.3    | 28.7    |
| Puducherry                | 18.2    | 81.8    | 48.9    | 51.1    |

Public  includes  Health  Sub  Centre,  Primary  Health  Centre  etc.  and  Private  includes  pri Doctor/clinic

Source: NSS Report No. 574: Health in India.

Annexure-II State/UT wise per thousand distributions of hospitalisation cases (Excluding Childbirth) the last 365 days by public and private hospital in rural and urban areas.

| State/UT                  | Rural   | Rural   | Urban   | Urban   |
|---------------------------|---------|---------|---------|---------|
| State/UT                  | Public  | Private | Public  | Private |
| Andhra Pradesh            | 225     | 775     | 218     | 782     |
| Arunachal Pradesh         | 886     | 114     | 876     | 124     |
| Assam                     | 892     | 108     | 515     | 485     |
| Bihar                     | 426     | 574     | 388     | 612     |
| Chhattisgarh              | 494     | 506     | 294     | 706     |
| Delhi                     | 631     | 369     | 450     | 550     |
| Goa                       | 510     | 490     | 668     | 332     |
| Gujarat                   | 234     | 766     | 233     | 767     |
| Haryana                   | 333     | 667     | 183     | 817     |
| HimachalPradesh           | 758     | 242     | 718     | 282     |
| Jammu & Kashmir           | 939     | 61      | 854     | 146     |
| Jharkhand                 | 396     | 604     | 264     | 736     |
| Karnataka                 | 268     | 732     | 183     | 817     |
| Kerala                    | 347     | 653     | 333     | 667     |
| Madhya Pradesh            | 535     | 465     | 417     | 583     |
| Maharashtra               | 192     | 808     | 200     | 800     |
| Manipur                   | 888     | 112     | 786     | 214     |
| Meghalaya                 | 891     | 109     | 473     | 527     |
| Mizoram                   | 860     | 140     | 601     | 399     |
| Nagaland                  | 731     | 269     | 399     | 601     |
| Odisha                    | 813     | 187     | 580     | 420     |
| Punjab                    | 293     | 707     | 302     | 698     |
| Rajasthan                 | 542     | 458     | 544     | 456     |
| Sikkim                    | 727     | 273     | 553     | 447     |
| Tamil Nadu                | 404     | 596     | 293     | 707     |
| Telangana                 | 286     | 714     | 212     | 788     |
| Tripura                   | 933     | 67      | 892     | 108     |
| Uttar Pradesh             | 302     | 698     | 283     | 717     |
| Uttarakhand               | 508     | 492     | 397     | 603     |
| West Bengal               | 772     | 228     | 526     | 474     |
| Andaman & Nicobar Islands | 941     | 59      | 822     | 178     |
| Chandigarh                | 772     | 228     | 849     | 151     |
| Dadra & Nagar Haveli      | 700     | 300     | 199     | 801     |
| Daman & Diu               | 253     | 747     | 175     | 825     |
| Lakshadweep               | 628     | 372     | 685     | 315     |
| Puducherry                | 318     | 682     | 622     | 378     |

NSS KI (71/25.0): Key Indicators of Social Consumption in India: Health.