Lok Sabha Question No. 155 (UNSTARRED), answered on 2017-12-15
Subject: Setting up of New AIIMS
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ANANDRAO  ADSUL, MOHAMMAD SALIM, Shrirang Appa Barne, SHIVAJI ADHALRAO PATIL, SHRIKANT EKNATH SHINDE, VINAYAK BHAURAO RAUT

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

## LOK SABHA UNSTARRED QUESTION NO. 155 TO BE ANSWERED ON   15 TH DECEMBER, 2017

## SETTING UP OF NEW AI IMS

## 155. SHRI ANANDRAO ADSUL:

SHRI MOHD. SALIM:

SHRI SHRIRANG APPA BARNE:

SHRI ADHALRAO PATIL SHIVAJIRAO:

DR. SHRIKANT EKNATH SHINDE:

SHRI VINAYAK BHAURAO RAUT:

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

- (a)  whether  the  Government  has recently  approved  setting  up  of  three  more AIIM S  like institutions in the country including in West Bengal and Maharashtra;
- (b)  if  so,  the  details  thereof,  locationwise along  with  the  expenditure  likely  to be  incurred thereon;
- (c) the target fixed for completion of the said institutions;
- (d) out of the total existing AIIMS, the number of institutions functioning in full capacity in the country and the reasons for the rest not functioning in full capacity and the steps taken in this regard; and
- (e) whether the Government has taken effective steps for strengthening primary health care in the country and if so, the details thereof, State -wise?

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

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): Cabinet has recently approved setting up of AIIMS, which were announced in Budge speech  of  2014 - 15  and  2015 - 16,  at  Mangalagiri  (Andhra  Pradesh),  Kalyani  (West  Bengal), Nagpur (Maharashtra), Gorakhpur (Uttar Pradesh), Bathinda (Punjab) and Guwahati (Assam) . Details are given in Annexure -I.
- (d) : AIIMS  set  up  at  six  places  viz.  Bhopal,  Bhubaneswar,  Jodhpur,  Patna,  Raipur  a Rishikesh, approved under 1st Phase of PMSSY scheme, are functioning at varying capacity.

There  has  been  some  delay  in  construction  of  AIIMS  like  institutions  at  Bhop Bhubaneswar,  Patna,  Jodhpur,  Raipur,  Rishikesh  and  Rae  Bareli.  The  delay  can  mainly attributed to site - specific issues and unforeseen circumstances. These mainly relate to delays in supply of drawings by Design DPR Consultants (DDPRC), non - performance and abandonment by  Project  Consultants  (PCs)  during  execution  of  project,  poor  performance  by  constru contractors, delay in making availability of land by the State Governm ent and inadequate bid responses in some cases.

The  deficiency  of  faculty  and  doctors  has  also  created  an  impediment  in  achieving functionality  of  AIIMS.  These  institutes  have  been  designated  as  Institutes  of  Na Importance (INIs) and need to r ecruit finest quality of faculty and doctors which have not be available in sufficient numbers inspite of several rounds of recruitment exercises. Howev recently concluded recruitment exercises of the first six AIIMS, the overall faculty st is expected to reach 45% of sanctioned strength.

To address the above  issues w.r.t six AIIMS, the following steps have been taken :

- i. AIIMS  have  been  authorized  to  take  required  technical  inputs  from  the  near RECs/NITs/IITs in case the DDPRCs do not re spond.
- ii. The Ministry had assigned the job of Project Consultant (PC) for speeding up the balance construction work to its two PSUs, viz. M/s HSCC and M/s HLL.
- iii. The procedure for procurement of medical equipments has been simplified for fas pro curement.
- iv. To facilitate expeditious filling of Faculty post upper age limit for direct re against  the  posts  of  Professor  and  Additional  Professor  in  the  six  AIIMS  has raised from present 50 years to 58 years. Contractual appointment of facul y is also permitted  as  a  stop  gap  arrangement.  The  upper  age  limit  for  the  contrac appointment of the faculty has been raised to 70 years which will enable tappi large pool of retired faculty from AIIMS, Delhi, PGI, Chandigarh and other Insti s of National Importance (INIs), as well as from various Government Medical College Provisions for taking faculty on deputation basis in six new AIIMS have been made.
- v. Review meetings are being held at highest level and all stakeholders involved been  instructed  to  complete  the  balance  work  and  manpower  deployment  for functioning of these Institutes in full capacity.

(e) : Public  Health  and  Hospitals  being  a  State  s ubject,  the  primary  responsibility  of strengthening primary health care lies with respective State Governments. Under the Nat Health Mission support is being provided to States/UTs to strengthen their healthcare s based  on  requirements  posed  by the  States  in  their  Programme  Implementation  Plans.  The recently approval National Health Policy, 2017 advocates allocating major proportion (upt -thirds  or  more)  of  resources  to  primary  care.  To  provide  comprehensive  primary  care, Government has a nnounced transforming 1.5 lakh Sub Health centres to Health and Wellness centres  in  Budget  2017 - 18.    Accordingly,  the  Government  is  strengthening  Sub  health centres/Primary  Health  Centres  as  Health  and  Wellness  centres  (HWCs)  for  provision comprehensiveprimary  care  that  includes  preventive,  promotive  care  and  a  comprehensiv package of primary care services that include Non Communicable Diseases,, Ophthalmology Ear Nose Throat (ENT), Dental, Mental, Geriatric care, and emergency & trauma services al with  an  effective  referral  mechanism  for  continuum  of  care  in  addition  to    existin Reproductive  Maternal  Neonatal,  Child  Health  +  Adolescent  services  and  communicable diseases such as free treatment for TB, Malaria, and Leprosy etc.  In a step towar ds provision f comprehensive  primary  care,  the  Government  has  initiated  universal  screening  for  comm NCDs such as Diabetes, Hypertension and three common cancers -breast, cervix and oral at the sub- centre/Primary Health Centre. 4000 Sub - Centres/Primary Health Centres are targeted to be upgraded to HWCs by Mar 2018 and so far approvals have been given for 3871 Health and Wellness Centres. The State wise approvals is attached at Annexure -II.

## List of AIIMS approved under PMSSY

|   Sl. No. | Institute               | Finalized site                                                               | Amount allocated / proposed to be allocated   | Timeline for completion as approved by the Cabinet   |
|-----------|-------------------------|------------------------------------------------------------------------------|-----------------------------------------------|------------------------------------------------------|
|         1 | AIIMS at Gorakhpur      | Site finalized at Mahadev Jharkhandi                                         | Approved at a total cost of Rs. 1011 cr.      | March 2020                                           |
|         2 | AIIMS at Andhra Pradesh | Site finalized at Mangalagiri                                                | Approved at a total cost of Rs. 1618 cr.      | October 2020                                         |
|         3 | AIIMS at West Bengal    | Site finalized at Kalyani                                                    | Approved at a total cost of Rs.1754 cr.       | October 2020                                         |
|         4 | AIIMS at Maharashtra    | Site finalized at Nagpur                                                     | Approved at a total cost of Rs. 1577 cr.      | October 2020                                         |
|         5 | AIIMS at Assam          | Site finalized at Village Jalah, Mouza Sila Sinduri Ghopa in Kamrup District | Approved at a total cost of Rs. 1123 cr.      | April 2021                                           |
|         6 | AIIMS at Punjab         | Site finalized at Bathinda                                                   | Approved at a total cost of Rs. 925 cr.       | June 2020                                            |

## Annexure-I

## Annexure-II

## State /Ut wise approval for  Health& Wellness Centres (HWCs) 2017-18 (as on November,2017)

| S.No   | State             |   No. of HWCs Approved |
|--------|-------------------|------------------------|
| 1      | A & N Islands     |                     12 |
| 2      | Andhra Pradesh    |                    156 |
| 3      | Arunachal Pradesh |                     12 |
| 4      | Assam             |                    123 |
| 5      | Bihar             |                      0 |
| 6      | Chandigarh        |                      0 |
| 7      | Chhattisgarh      |                    119 |
| 8      | D & N Haveli      |                      3 |
| 9      | Daman & Diu       |                      5 |
| 10     | Delhi             |                      0 |
| 11     | Goa               |                      0 |
| 12     | Gujarat           |                      0 |
| 13     | Haryana           |                     55 |
| 14     | Himachal Pradesh  |                     45 |
| 15     | Jammu & Kashmir   |                     75 |
| 16     | Jharkhand         |                     16 |
| 17     | Karnataka         |                    466 |
| 18     | Kerala            |                    172 |
| 19     | Lakshadweep       |                      0 |
| 20     | Madhya Pradesh    |                    100 |
| 21     | Maharashtra       |                    280 |
| 22     | Manipur           |                     20 |
| 23     | Meghalaya         |                     32 |
| 24     | Mizoram           |                      0 |
| 25     | Nagaland          |                      4 |
| 26     | Odisha            |                     22 |
| 27     | Puducherry        |                      3 |
| 28     | Punjab            |                    200 |
| 29     | Rajasthan         |                    505 |
| 30     | Sikkim            |                      4 |
| 31     | Tamil Nadu        |                   1096 |
| 32     | Telangana         |                      0 |
| 33     | Tripura           |                      0 |
| 34     | Uttar Pradesh     |                    300 |
| 35     | Uttarakhand       |                     46 |
| 36     | West Bengal       |                      0 |
| Total  | Total             |                   3871 |