Lok Sabha Question No. 1992 (UNSTARRED), answered on 2018-12-21
Subject: Health Grants for West Bengal
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ANUPAM HAZRA

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 1992 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## HEALTH GRANTS FOR WE ST BENGAL

## 1992. DR. ANUPAM HAZRA:

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

- (a) the details of funds granted and released to West Bengal during the financial year 2016 - 17 and 2017 - 18 for health and family welfare; and
- (b) the details of funds utilised and achievements made during th e said period?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT. ANUPRIYA PATEL )

- (a) to (b): The details of the funds granted, released and utilised along with achi under  major  schemes/programmes of  Department  of  Health  &  Family  Welfare,  being implemented in the State of West Bengal, are annexed.

## 1. National Health Mission (NHM)

- 1.1 National Health Mission (NHM) is the flagship programme of Department of Health & Family Welfare that is being implemented in various States of the country, u which financial and technical supports are given to States.
- 1.2 The  details  of fundsapproved  under  Record  of  Proceedings  for  the  State  of  West Bengal under NHM -Programme Implementation Plan (PIP) Process for the last two years are given as under:

| Year     | Approvals       |
|----------|-----------------|
| 2016- 17 | Rs.1813.51crore |
| 2017- 18 | Rs.2569.25crore |

Further, the details of fund released and expenditure for the State of West Bengal during the Financial Year 2016- 17 and 2017 - 18 under NHM is given as under:

| Release and Expenditure for the State of West Bengal under NHM   | Release and Expenditure for the State of West Bengal under NHM   | Release and Expenditure for the State of West Bengal under NHM   | Release and Expenditure for the State of West Bengal under NHM   | Release and Expenditure for the State of West Bengal under NHM   |
|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|
|                                                                  |                                                                  |                                                                  | [Rs. In                                                          | [Rs. In                                                          |
| National Health Mission                                          | 2016- 17 Sanctioned and Released                                 | Expenditure                                                      | 2017- Sanctioned and Released                                    | 18 Expenditure                                                   |
| Total                                                            | 806.98                                                           | 1,914.71                                                         | 1,305.37                                                         | 2,341.05                                                         |

## Note:

- (i) The  above  releases  relate  to  Central  Govt.  Grants  &  do  not  include  State  sh contribution,  whereas  Expenditure  includes  Central  Release,  State  share  &  Unspe balances at the beginning of the year .
- (ii) Expenditure is as per Financial Management Report (FMR) as reported by the States.
- (iii)The allocation amount is not provided as that has no relevance after closure of th
- 1.3 The details of achievements under NHM in the last two years are as under:

|   S.No | Indicators                                                      | Upto March, 2017   | Upto March, 2018   |
|--------|-----------------------------------------------------------------|--------------------|--------------------|
|      1 | Health Human Resources Augmentation (Contractual - In position) | 14,543             | 15,192             |
|      2 | Functional FRUs (First Referral Units)                          | 143                | 143                |
|      3 | Mobile Medical Units (MMUs) services in districts (operational) | 54                 | 54                 |
|      4 | Ambulances (operational)                                        | 2664               | 2960               |

## ANNEXURE

|   S.No | Indicators                                                                                    | Upto March, 2017                                   | Upto March, 2018                                    |
|--------|-----------------------------------------------------------------------------------------------|----------------------------------------------------|-----------------------------------------------------|
|      5 | Infrastructure strengthening/ upgradation                                                     | 2614-New constructions 946-Renovation/ upgradation | 3006-New constructions 946- Renovation/ upgradation |
|      6 | Accredited Social Health Activists (ASHAs)                                                    | 59,228                                             | 59,786                                              |
|      7 | Setting up RogiKalyanSamitis (Patient Welfare Societies) in health facilities                 | public 730                                         | 994                                                 |
|      8 | Constitution of Village Health Sanitation and Nutrition Commi ttees (VHSNCs) at village level | 44,594                                             | 46,823                                              |
|      9 | Holding Village Health & Nutrition Days (VHNDs)                                               | 2094209                                            | 2585388                                             |

Source-NHM - MIS

- Ayushmaan  Bharat -Health  and  Wellness  Centre :  During  2017 - 18,  250  Sub -Health  Centres  were  approved  to  be  converted as Health  &  Wellness  Centre.  For FY 2018- 19, 510 Sub - Health Centre and 250 Primary Health Centre were approved to be converted asHealth & Wellness Centre.
- Under National Free Diagnostic Initiative , Rs. 96.62 crore , Rs. 60.00 croreand Rs. 40.00crorewere approved for FY 2016 - 17, 2017 - 18 and 2018 - 19 respectively. Basic diagnostic services are available till Sub - Health Centre whereas Radiological services are available at District Hospital .
- Free Drugs Service Initiative : Rs. 100.00 crore ,  Rs.  100.00 croreand Rs. 133.00 crorewere approved for FY 2016 - 17,  2017 - 18  and  2018 - 19  respectively. State has independent  centralised  procurement  agency.  IT  enabled  procurement  and  supply chain management system i.e. Drugs and Vaccines Distribution Management System (e - aushadhi) is rolled out in State. S tate has tied - up with National Accreditation Board for Testing and Calibration Laboratories (NABL) accredited labs for ensuring quality of drugs supplied in public health facility.
- Under National Ambulance Services, Rs. 4.00 crore , Rs. 54.15 croreand Rs. 50.00 crorewere  approved  for  FY  2016 - 17,  2017 - 18  and  2018 - 19  respectively.  National Ambulance Services is operational in the State since FY 2017 - 18.
- Mobile Medical Unit : 50 MMUs are supported to provide services in the underserved areas. Support of Rs. 12 .00crore , Rs. 15.00 croreand Rs. 16.00 crorewere approved for FY 2016 - 17, 2017 - 18 and 2018 - 19 respectively.
- Specialised Boat Clinic : 7 Specialised Boat Clinics are supported to provide service in the underserved areas such as Sundurban Delta. Support of Rs. 1.92 crore , Rs. 2.10 croreand  Rs.  2.24 crorewere  approved  for  FY  2016 - 17,  2017 - 18  and  2018 - 19 respectively.

## 2. National Urban Health Mission (NUHM)

- 2.1 The details of funds granted (allocated), released and utilised in respect of state of West Bengal during the financial years 2016 - 17 and 2017 - 18 in respect of NUHM are as under:

(Rs. in crore)

| Year     |   Allocation | Released   |   Utilised |
|----------|--------------|------------|------------|
| 2016- 17 |        76.61 | NIL        |     110.42 |
| 2017- 18 |        61.13 | 55.02      |     162.66 |

- 2.2 According  to  the  Quarterly Progress  Report  (QPR)  submitted  by  the  States  as  on 30.06.2018, the information regarding progress/ achievements of activities appr under NUHM is as follows:

## Coverage

- 88 cities/ towns covered under NUHM

## Human Resource

- 296 Medical Officers in -position against 434 approved.
- 206 Staff Nurse in - position against 936 approved.
- 374 Pharmacist in - position against 444 approved.
- 208 Lab Technician in - position against 430 approved.
- 91 Auxiliary Nurse Midwife (ANM) in - position against 110 approved.

## Urban Prima ry Health Centres (U -PHCs)

- 445 U- PHCs operationalized against 459 approved.

## Community Process

- 5076 Accredited  Social  Health  Activists  (ASHAs) engaged  against  6403 approved. (One ASHA covers 200 to 500 households).
- 8421 Mahila Arogya Samiti (MAS) formed ag ainst 11709 approved. (One MAS covers 50 - 100 households) for slum habitation.

## Infrastructure

- 170 New construction approved for U - PHCs.
- 5 Mobile Health Units approved.

## 3. Rashtriya Swasthya Bima Yojana (RSBY)

- 3.1 Under Rashtriya Swasthya  Bima Yojana (RSBY) there is no State/Union Territory wise allocation/target of funds. Central Government releases its share of premi State Governments on the receipt oftheir proposals. 62 9 lakh families were enrolled during the year 2016 - 17 and 2017 - 18 under R SBY.

## 3.2 The details of the funds released to State Government of West Bengal during the 2016- 17 and 2017 - 18 are as under:

| Year     | Amount released   |
|----------|-------------------|
| 2016- 17 | Rs.50.47crore     |
| 2017- 18 | Rs.95.01crore     |

## 4. Medical Education

## 4.1 Establishment  of  new  medical colleges  attached  with  existin g  district/referral hospitals

- 5 districts have been approved namely Birbhum (Rampur Hat), Cooch Behar, Purulia, Uttar Dinajpur (Distt. Hosp. Raiganj) and Diamond Harbour (South 24 Paraganas).
- An amount of Rs.547.00 crore has been released to the State Government till date. Out of which Rs.479.00 Crore has been released during the year 2016 - 17 and 2017 -18.  College -wise  detail is as under:

(In Rs. crore)

| District                | Approved   | Central Share   | Amount Released   | Amount Released   |
|-------------------------|------------|-----------------|-------------------|-------------------|
|                         | Cost       | (60%)           | 2016- 17          | 2017- 18          |
| Birbhum (Rampur Hat)    | 189.00     | 113.40          | 21.00             | 75.00             |
| Cooch Behar             | 189.00     | 113.40          | 21.00             | 75.00             |
| Diamond Harbour         | 189.00     | 113.40          | 21.00             | 75.00             |
| Purulia                 | 189.00     | 113.40          | 21.00             | 75.00             |
| Raiganj, North Dinajpur | 189.00     | 113.40          | 20.00             | 75.00             |
|                         | 945.00     | 567.00          | 104.00            | 375.00            |

- Utilization Certificate for Rs.96.36 crore received from the State Government fo year 2016 - 17 only .

## 4.2 Upgradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country

- An amount of Rs.54.00 crore has been released to the State Government till date. Out of which Rs. 24.00 crore has been released during 2017 - 18.

(Rs. in Crore)

| Name of Medical College   | No. of seats be increased   |   to Initial Approved Amount |   Central Share (60%) |   Amount released in 2017- 18 |
|---------------------------|-----------------------------|------------------------------|-----------------------|-------------------------------|
| Calcutta Medical College  | 50 (150 to 200)             |                           60 |                    36 |                            12 |
| Midnapore Medical College | 50 (100 to 150)             |                           60 |                    36 |                            12 |
| Total                     | 100 seats                   |                          120 |                    72 |                            24 |

- Utilization Certificate has not been received from the State Government.

## 4.3 Funds  released  under  the Centrally  Sponsored  Scheme for  Strengthening  and up-gradation of Govt. Medical Colleges for Increase of postgraduateseats is as below: (XI Plan Scheme)

- Under the scheme for increasing 466 PG seats, 8 Government Medical colleges h ave been approved in West Bengal namely NRS Medical College and Hospital, Kolkata, BS Medical College, Bankura, RG Kar Medical College, Kolkata, Kolkata National Medical  College,  Kolkata,  Burdwan  Medical  College,  Burdwan,  Institute  of  Pos Graduate  Medical Education  &  Research,  Kolkata,  School  of  Tropical  Medicine, Kolkata and North Bengal Medical College & Hospital, Darjiling.
- An amount of Rs.123.979 crore has been released to the State Government till dat respect of these 8 colleges. No grant was rel eased for the year 2016 - 17.  For the year 2017- 18, Rs.11.206 crore has been released only to one college viz. Kolkata Nati Medical College, Kolkata.
- Utilization Certificate has not been received for the said period.

## 5. Janani Suraksha Yojana (JSY)

The details of funds granted and released to West Bengal during the financial year 2016 - 17 and 2017 - 18 for JSY are as under :

SPIP: State Programme Implementation Plan

| FY            | FY 2016- 17    | FY 2017-18                                  | 2018- 19       |
|---------------|----------------|---------------------------------------------|----------------|
| Rs. 5640 lakh | Rs. 7758 lakh  | Rs. 7985 lakh                               | SPIP Approvals |
| Rs. 7811 lakh | Rs. 10567 lakh | Rs. 2827 lakh (provisional September, 2018) | Expenditure    |

## 6. Development of Nursing Services -Training of Nurses

| FY       | Name of Agency to whom funds were released                                           | Amount released ( actuals )   | FundUtilized   | Achievements                                                 |
|----------|--------------------------------------------------------------------------------------|-------------------------------|----------------|--------------------------------------------------------------|
| 2016- 17 | Govt. College of Nursing, R.G. Kar Medical College & Hospital Kolkata, West Bengal   | Rs.8,26,500/ -                | Rs.8,26,500/ - | 5 Short - term courses ha ve been conducted to train nurses  |
| 2017- 18 | Govt. College of Nursing, R.G. Kar Medica l College & H ospital Kolkata, West Bengal | Rs.8,26,500/ -                | Rs.8,26,500/ - | 5 Short - term courses have been conducted to train nurses . |

training training

## 7. Upgradation/  Strengthening of  Nursing  Services  [ANM / General Nursing and Midwifery -(GNM)]

| FY       | Name of Agency to whom funds were released   | Amount released (actuals)   | FundUtilized                                                             | Achievements                                                             |
|----------|----------------------------------------------|-----------------------------|--------------------------------------------------------------------------|--------------------------------------------------------------------------|
| 2016- 17 | -                                            | -                           |                                                                          | -                                                                        |
| 2017- 18 | Government of West Bengal                    | Rs.10,03,00,000/ -          | Utilisation Certificate from the State Government has not been received. | Out of 8GNM Schools, GNM schools ha ve completed and bec ome functional. |

## 8. Integrated Disease Surveillance Programme (IDSP)

- 8.1 IDSP is  centrally  sponsored  scheme  under National  Health  Mission established  in districts  of  all  States/UTs  of  the  country  with  the  obj ective  of  early  detection  and response  to  outbreaks  caused  by  epidemic  prone  diseases  including  seasona l influenza. The fund allocated, released and utilised during the FY 2016- 17 and 2017 -18 is as under:

(Rs. in lakh )

| FY       |   Granted (allocated) |   Released |   Utilized* |
|----------|-----------------------|------------|-------------|
| 2016- 17 |                   200 |        200 |      283.46 |
| 2017- 18 |                   200 |        190 |       15.57 |

- 8.2 The achievements made in IDSPare as under:
- 70% District reporting data in IDSP portal.
- 80%, 91% and 89% of Syndromic (S), Presumptive (P) & Lab (L) reporting Units data reporting respectively.
- 206, 43 and 29 (as on week ending 07.10.2018) outbreaks reported by West Bengal CSU in year 2016, 2017 and 2018 resp ectively.
- All of the 9 sanctioned district labs (Malda, Murshidabad, PurbaMedinipur, Birbh Purulia,  Jalpaiguri,  Krishnanagar,  Nadia,  Hooghly  and  North  24  Parganas)  a functional.

## 9. Strengthening  of  Food  Testing  System  in  the  Country  including provision of Mobile Food Testing Labs (SoFTeL)

- A  Central  Sector  Scheme  ' Strengthening  of  Food  Testing  System  in  the  Country including provision of Mobile Food Testing Labs (SoFTeL)' with a total outlay of Rs. 481.95 crore is under implementation with time lines of 2016 - 17 to 2018 - 19.
- Under this scheme, in the State of West Bengal, State food lab West Bengal ,Kolkata, West Bengal has to be strengthened. So far, Rs.50 lakh in March 2017, Rs.8.50 cr in November ,2017 and Rs.50 lakh in August ,2018 have bee n released to the State.
- A  proposal  for  setting  up  of  Microbiological  Laboratory  has  been  approved  a mobilization advance of Rs.50 lakh has been released to the State.
- One Mobile Food Testing Laboratory (MFTL) has been delivered to the State in th mon th of July, 2018.

## 10. Strengthening/ Upgradation of Pharmacy Institutions

The details of funds released under the scheme of Strengthening/ upgradation of pharmac institutions is give as under:

| FY       | Amount Released   |
|----------|-------------------|
| 2016- 17 | NIL               |
| 2017- 18 | Rs. 1.115 crore   |

## 11. Revised National Tuberculosis Control Programme (RNTCP)

The details of the funds released to and utilized by the State Government of West B under the schemes of RNTCP is given as under:

| FY       | Released         | Utilized         |
|----------|------------------|------------------|
| 2016- 17 | Rs. 3217.15 lakh | Rs. 3821.46 lakh |
| 2017- 18 | Rs. 3142.00 lakh | Rs. 3088.37 lakh |

## 12. National Organ Transplant Programme (NOTP)

National Organ Transplant Programme is a Central Sector Scheme, under which Grants - in aid  General  (recurring)  amounting  to  Rs.  76,30,000/ - and  Grants - in - aid  G eneral  (non -recurring) amounting to Rs. 67,20,000/ -was provided to Institute of Post Graduate Medical Education and Research (IPGMER), Kolkata, West Bengal for setting up of Regional Orga & Tissue Transplant Organization (ROTTO) in 2016 - 17.

## 13. Strength ening of Tertiary Care Cancer facilities scheme of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)

Under  the  Strengthening  of  Tertiary  Care  Cancer  facilities  scheme  of  NPCDCS,  fund released t o West Bengal for setting up of Tertiary Care Cancer Centres (TCCCs) during t financial year 2016 - 17 and 2017 - 18 is given as under :

(Rs. in crore)

| S No.   | Name of the Institute                                           | Funds released   | Funds released   | Total   |
|---------|-----------------------------------------------------------------|------------------|------------------|---------|
|         |                                                                 | 2016- 17         | 2017- 18         |         |
| 1       | Murshidabad Medical College & Hospital, Berhampore, Murshidabad | 10.9793          | 0.005            | 10.9843 |
| 2       | Sagore Dutta Memorial Medical College and Hospital, Kolkata     | -                | 20.25            | 20.25   |
| Total   | Total                                                           | 10.9793          | 20.255           | 31.2343 |

The Utilization Certificates for the funds released has not yet been furnished by t State Government.

## 14. National AIDS Control Organization (NACO)

The detail s of the funds granted and released by National AIDS Control Organization to an utilized by the State Government of West Bengal is give as under:

(Rs. in lakh)

| FY       |   Allocation |   Released |   Utilisation |
|----------|--------------|------------|---------------|
| 2016- 17 |      3834.56 |    3834.56 |       3780.86 |
| 2017- 18 |      3747.14 |    3747.14 |       2509.36 |

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