Lok Sabha Question No. 377 (UNSTARRED), answered on 2017-02-03
Subject: Cardiac/Trauma Care in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Adhikari Dibyendu

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

## LOK SABHA UNSTARRED QUESTION NO. 377 TO BE ANSWERED ON 03 RD FEBRUARY , 201 7

## CARDIAC/TRAUMA CARE IN RURAL AREAS

## 377. SHRI DIBYENDU ADHIKARI:

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

- (a) whether the Government proposes to set up coronary cardiac unit/dialysis unit and trauma centre in all the block levels of the country to take care of the patients of local areas;
- (b) if so, the details of proposals taken by the Government to set up such units in the remote areas and the conditions therein;
- (c) the details of finance proposals and budget with Centre - State participations therefor; and
- (d) the proposal of PPP model in this regard if any and the conditions imposed therein?

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

(a)to (d): Public Health being a State subject, it is primarily the responsibility of t Governments to provide health care to the people. However, financial and technical assist being  provided  to  the  States/UTs  under  NCD  Flexipool  for  strengthening  exi sting  healthcare facilities including setting up of infrastructure, training of doctors and para medical s per State specific Programme Implementation Plans (PIPs).

Government of India is implementing National Programme for Prevention and Con trol of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions up to Dis level under the National Health Mission. It has focus on providing better healthcare ser strengthening the existing healthcare facilities, awaren ess generation for behaviour and life - sty e changes,  screening  and  early  diagnosis  of  persons  with  high  level  of  risk  factors  an treatment  and  referral  (if  required)  to  higher  facilities  for  appropriate  management -communicable  Diseases  inclu ding  Cardiovascular  Diseases.  Under  NPCDCS,  diagnosis  and treatment facilities for major NCDs are provided through different levels of healthcare b up of NCD Clinics and CCUs in District Hospitals and Community Health Centres (CHCs).

The  Government  has  initiated  a  scheme  namely - Assistance  for  capacity  building  for developing trauma care facilities in Govt. Hospitals on National Highways from 11th Five Plan (FYP).  During the 11th FYP, under the scheme, the Government identified and funded 6 Hospital in 17 States along the National Highways for setting up of Trauma Care Faciliti of  the  116  identified,  99  have  already  become  functional  and  3  are  under  constructio addition to the above, during the 12th Five year Plan, it is envisa ged to establish Trauma Care Facilities  in  85  Hospitals/Medical  Colleges.  So  far  62  Hospitals/Medical  Colleges  have identified and approved for establishing Trauma Care Facilities.

Pursuant  to  announcement  in  Union  Budget  2016 - 17  regarding  starting  o f  'National Dialysis Programme' to be supported in all district hospitals in a PPP mode  under the National Health Mission (NHM), guidelines for implementation of the National Dialysis Programme we developed  and  shared  with  States  on  7.4.2016.    The  Guide lines  also  include  Request  for Proposals (RFP).  As per the Guidelines, the private partner is envisaged to provide human resource, dialysis machine along  with Reverse Osmosis (RO) water plant infrastruc dialyzer  and  consumables,  while  the  sp ace,  power  and  water  supply  within  District  Hospital would be provided by the State Governments.  Support under the NHM would be provided t States  for  provision  of  dialysis  services  free  of  cost  to  the  poor.    So  far,  approva provided to all Stat es based on proposals received from them.

Financial Assistance is provided to the States with a cost sharing ratio of 60:40 Centre and State except North - Eastern and Hilly States where the ratio is 90:10.