Lok Sabha Question No. 3399 (UNSTARRED), answered on 2017-08-04
Subject: Free and Affordable Treatment for the Poor
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRATAPRAO GANPATRAO JADHAV, JAGDAMBIKA PAL, K. KAMARAAJ

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

## LOK SABHA UNSTARRED QUESTION NO. 3399 TO BE ANSWERED ON 4 TH AUGUST, 2017

## FREE AND AFFORDABLE TREATMENT FOR THE POOR

## 3399. SHRI PRATAPRAO JADHAV: SHRI JAGDAMBIKA PAL:

DR. K. KAMARAJ:

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

- (a) whether the Government has any scheme for providing free and affordable treatment for all diseases to the poor, if so, the details thereof;
- (b) the State - wise/region - wise,number  of  poor  persons  provided  proper treatment in hospital under the said scheme;
- (c)  whether  the  Government  has identified  Government/Private  hospitals  at block/panchayat level for the purpose of providing free and affordable treatment to the poor and if so, the details thereof; and
- (d) whether any complaint has been received in respect of quality of medicines being provided to the patients living below poverty line, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): 'Public  Health  &  Hospitals'  being  a  State  subject,  the  primary  responsibility  for providing free and affordable treatment for all diseases to the poor lies with respectiv T Governments.    Technical  and  financial  support  under  the  National  Health  Mission  (NHM) provided  to  States/  UTs  for  strengthening  their  health  system  including  support  for  p infrastructure, engaging health human resource on contractual basis, pro vision of free essential drugs and diagnostics, ambulances etc.

Under  theRashtriya  Swasthya  Bima  Yojana  (RSBY)  which  is  a  centrally  sponsored scheme, cashless treatment for hospitalisation cases is provided for family of five with insurance upto Rs. 30,000/ - per  annum for  BPL  and  11  specified  categories  of  u norganizedworkers. Further, Senior  Citizens  Health  Insurance  Scheme  (SCHIS)  as  top  up  over  existing  RSBY scheme  has  been  implemented  from  01.04.2016  for  senior  citizens  aged  60  years  and  abo which provides additional coverage of Rs. 30,000 per senior citizen in the family enrolled under RSBY.

- (b): As per Health Management Information System (HMIS), the State/UT wise details of OPD and IPD in public health facilities for the year 2016 - 17 is at Annexure -I. The state - wise details of hospitalization under RSBY during the year 2016 - 17 are at Annexure -II.
- (c): Public Health and hospitals being a State subject, implementation of NHM is carrie by  States/UTs.    Under  RSBY,  both  public  and  privat e  hospitals  are  empanelled  by  State Government. The state -wise details of hospitals empanelled under RSBY during the year 2016 -17 are at Annexure -III.
- (d): As  per  information  received  from  the Central  Drugs  Standard  Control  Organization (CDSCO) , they have not received any specific complaint on quality of medicines provided to patients  living  below  poverty  line.  However , as  and  when  i solated  complaints  from  various Hospitals Authorities on quality of medicines arerec ived, action isinitiated by CDSCO ,as per provisions of Drugs & Cosmetics Act, 1940 and Rules, 1945.

## Annexure - I

| State - wise OPD & IPD for 2016 - 17   | State - wise OPD & IPD for 2016 - 17   | State - wise OPD & IPD for 2016 - 17   | State - wise OPD & IPD for 2016 - 17   |
|----------------------------------------|----------------------------------------|----------------------------------------|----------------------------------------|
| S.No.                                  | State                                  | OPD attendance                         | IPD                                    |
| 1                                      | A & N Islands                          | 1772983                                | 51312                                  |
| 2                                      | Andhra Pradesh                         | 66471709                               | 3668196                                |
| 3                                      | Arunachal Pradesh                      | 1374569                                | 66552                                  |
| 4                                      | Assam                                  | 31577725                               | 1195338                                |
| 5                                      | Bihar                                  | 72832187                               | 3957263                                |
| 6                                      | Chandigarh                             | 6399946                                | 226396                                 |
| 7                                      | Chhattisgarh                           | 18287275                               | 1402011                                |
| 8                                      | Dadra & Nagar Haveli                   | 1702736                                | 76189                                  |
| 9                                      | Daman & Diu                            | 822711                                 | 18735                                  |
| 10                                     | Delhi                                  | 64619823                               | 1815873                                |
| 11                                     | Goa                                    | 2031514                                | 88990                                  |
| 12                                     | Gujarat                                | 48383941                               | 4208379                                |
| 13                                     | Haryana                                | 31706245                               | 1114213                                |
| 14                                     | Himachal Pradesh                       | 12833374                               | 511121                                 |
| 15                                     | Jammu & Kashmir                        | 25517429                               | 988430                                 |
| 16                                     | Jharkhand                              | 15046153                               | 649419                                 |
| 17                                     | Karnataka                              | 79446482                               | 4997156                                |
| 18                                     | Kerala                                 | 115511125                              | 3478153                                |
| 19                                     | Lakshadweep                            | 429019                                 | 6378                                   |
| 20                                     | Madhya Pradesh                         | 51468315                               | 4252372                                |
| 21                                     | Maharashtra                            | 96179427                               | 5103741                                |
| 22                                     | Manipur                                | 1359724                                | 89901                                  |
| 23                                     | Meghalaya                              | 4214485                                | 303792                                 |
| 24                                     | Mizoram                                | 1386885                                | 102190                                 |
| 25                                     | Nagaland                               | 1065468                                | 76771                                  |
| 26                                     | Odisha                                 | 41655372                               | 2888081                                |
| 27                                     | Puducherry                             | 7961722                                | 208843                                 |
| 28                                     | Punjab                                 | 22869298                               | 935922                                 |
| 29                                     | Rajasthan                              | 113828076                              | 5452314                                |
| 30                                     | Sikkim                                 | 1072278                                | 44133                                  |
| 31                                     | Tamil Nadu                             | 223510187                              | 7258789                                |
| 32                                     | Telangana                              | 43127933                               | 1845085                                |
| 33                                     | Tripura                                | 4153095                                | 426357                                 |
| 34                                     | Uttar Pradesh                          | 131488401                              | 5883823                                |
| 35                                     | Uttarakhand                            | 8578285                                | 393309                                 |
| 36                                     | West Bengal                            | 113605392                              | 5845914                                |
| 37                                     | All India                              | 1464291289                             | 69631441                               |

Source: HMIS

| RSBY Scheme: State- wise Hospitalization data for the 2016- 17   | RSBY Scheme: State- wise Hospitalization data for the 2016- 17   | RSBY Scheme: State- wise Hospitalization data for the 2016- 17   |
|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|
| S.No.                                                            | State                                                            | Total Hospitalised Persons                                       |
| 1                                                                | Assam                                                            | 25677                                                            |
| 2                                                                | Bihar                                                            | 84417                                                            |
| 3                                                                | Chhattisgarh                                                     | 729562                                                           |
| 4                                                                | Gujarat                                                          | 55577                                                            |
| 5                                                                | Himachal P radesh                                                | 37135                                                            |
| 6                                                                | Karnataka                                                        | 65679                                                            |
| 7                                                                | Kerala                                                           | 387344                                                           |
| 8                                                                | Manipur                                                          | 261                                                              |
| 9                                                                | Meghalaya                                                        | 30175                                                            |
| 10                                                               | Mizoram                                                          | 20600                                                            |
| 11                                                               | Nagaland                                                         | 63                                                               |
| 12                                                               | Odisha                                                           | 212568                                                           |
| 13                                                               | Tripura                                                          | 31555                                                            |
| 14                                                               | Uttarakhand                                                      | 54                                                               |
| 15                                                               | West Bengal                                                      | 524931                                                           |
|                                                                  | Total                                                            | 2205598                                                          |

Annexure - II

Annexure - II I

| RSBY Scheme: Hospitals empanelled under RSBY during Financial year 2016- 17   | RSBY Scheme: Hospitals empanelled under RSBY during Financial year 2016- 17   | RSBY Scheme: Hospitals empanelled under RSBY during Financial year 2016- 17   | RSBY Scheme: Hospitals empanelled under RSBY during Financial year 2016- 17   |
|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| S.No.                                                                         | State                                                                         | No. of Pvt Hospitals                                                          | No. of Public Hospitals                                                       |
| 1                                                                             | Assam                                                                         | 47                                                                            | 141                                                                           |
| 2                                                                             | Bihar                                                                         | 1001                                                                          | 151                                                                           |
| 3                                                                             | Chhattisgarh                                                                  | 640                                                                           | 395                                                                           |
| 4                                                                             | Gujarat                                                                       | 1251                                                                          | 638                                                                           |
| 5                                                                             | Himachal P radesh                                                             | 21                                                                            | 155                                                                           |
| 6                                                                             | Karnataka                                                                     | 541                                                                           | 653                                                                           |
| 7                                                                             | Kerala                                                                        | 271                                                                           | 278                                                                           |
| 8                                                                             | Manipur                                                                       | 8                                                                             | -                                                                             |
| 9                                                                             | Meghalaya                                                                     | 15                                                                            | 170                                                                           |
| 10                                                                            | Mizoram                                                                       | 21                                                                            | 80                                                                            |
| 11                                                                            | Nagaland                                                                      | 9                                                                             | 11                                                                            |
| 12                                                                            | Odisha                                                                        | 211                                                                           | 424                                                                           |
| 13                                                                            | Tripura                                                                       | 2                                                                             | 100                                                                           |
| 14                                                                            | Uttarakhand                                                                   | 66                                                                            | 94                                                                            |
| 15                                                                            | West Bengal                                                                   | 822                                                                           | 481                                                                           |
|                                                                               | Total                                                                         | 4926                                                                          | 3771                                                                          |