Lok Sabha Question No. 2042 (UNSTARRED), answered on 2018-12-21
Subject: Pradhan Mantri Swasthya Suraksha Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJEEV SHANKARRAO SATAV, HEENA VIJAYKUMAR GAVIT, DHANANJAY BHIMRAO MAHADIK, SUPRIYA SADANAND SULE, VIJAYSINH MOHITE PATIL, JAYAKUMAR JAYAVARDHAN, P.R. SUNDARAM, KIRIT PREMJIBHAI SOLANKI

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

## LOK SABHA UNSTARRED QUESTION NO. 2042 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## PRADHAN MANTRI SWAST HYA SURAKSHA YOJANA

## 2042. SHRI SATAV RAJEEV:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI DHANANJAY MAHADIK:

SHRIMATI SUPRIYA SULE:

SHRI MOHITE PATIL VIJAYSINH SHANKARRAO:

DR. J. JAYAVARDHAN:

SHRI P.R. SUNDARAM:

DR. KIRIT P. SOLANKI:

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

- (a) the salient features of the scheme and the current status of implementation of Pradhan Mantri  Swasthya  Suraksha Yojana  (PMSSY)  in  the  country  along  with the  total  funds allocated under the scheme in the current and previous financial year, State/UT - wise;
- (b) the Stat e- wise details of the works undertaken under PMSSY, including in the State of Gujarat;
- (c) whether the Government has conducted any assessment regarding works and performance of the PMSSY during the last four years, if so, the details thereof, if not, the reasons therefor;
- (d)  whether  the  Government  has developed  a  central  monitoring  system  to implement  its schemes properly and if so, the details thereof;
- (e) the details of the steps taken/being taken by the Government to enhance availability of affordable and reliable tertiary medical care services in the country, year - wise  since  2014, State/UT - wise;
- (f) the details of the percentage of healthcare budget spent on augmenting tertiary/medical care services, year - wisesince 2014, State/UT - wise; and
- (g) the percentage of Gross Domestic Product (GDP) spent on healthcare in total and tertiary healthcare in particular, year wisesince 2014, State/UT - wise?

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

(SHRI ASHWINI KUMAR CHOUBEY)

(a)& (b): Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) aims at correcting the regional imbalances in the availability of affordable healthcare facilities in the dif of  the  country  in  general,  and  augmenting  facilities  for  quality  m edical  education  in  the under - served States in particular. PMSSY, a Central Sector Scheme, has two components -

- (i)Setting up of AIIMS - like institutions; and
- (ii) Up - gradation of existing State Government Medical College/Institutions

PMSSY has been approved with a total outlay of Rs. 14,832 crore:

(Rs. In Crore)

| Year     | Capital cost   |   Recurring costs | Total   |
|----------|----------------|-------------------|---------|
| 2017- 18 | 2610           |               979 | 3589    |
| 2018- 19 | 5975           |               220 | 6195    |
| 2019- 20 | 4698           |               350 | 5048    |
| Total    | 13,283         |              1549 | 14,832  |

A State wise list of AIIMS and Govt. Medical Colleges being upgraded is given in Annexure -I

- (c) : Indian Institute of Public Administration has been given the task for evaluation PMSSY scheme.
- (d): A  Web  based  Dashboard  to  monitor  progress  of  all  PMSSY  projects  has  been developed.  The  dashboard  is  a vailable  to  all  senior  officers  in  the  Ministry  as  well  as Hon'ble HFM and also in PMO.
- (e) : Under PMSSY scheme, 21 new AIIMS are being set up and 73 Government Medical Colleges  are  being  upgraded  to  enhance  availability  of  affordable  and  reliable  t tiary medical care services in the country. List at annexure -I

(f) & (g) :

Healthcare Budget is as follows:

2013- 14 -

Rs. 1.39 lakh crore

2014- 15 -

Rs. 1.49 lakh crore

2015- 16 -

Rs. 1.52 lakh crore

2016- 17 (RE) -

Rs. 2.26 lakh crore

2017- 18 (BE) - Rs.  2.25 lakh crore

Health Expenditure to total expenditure is as follows:

2013- 14 -

4.6%

2014- 15 - 4.5%

2015- 16 -

4.5%

2016- 17 (RE) - 5.6%

2017- 18 (BE) - 5.1%

Health Expenditu re as percentage to GDP is as follows: 2013- 14 -1.2% 2014- 15 -1.2% 2015- 16 -1.1% 2016- 17(RE) -1.5% 2017- 18 (BE) 1.4%

Health Expenditure across 20 States can be seen at Annexure -II.

## STATE-WISE LIST OF PMSSY PROJECTS

| Sl.   | State           | New AIIMS                                 | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   | UPGRADATION OF STATE GOVT. MEDICAL COLLEGES / HOSPITALS   |
|-------|-----------------|-------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|-----------------------------------------------------------|
| Sl.   | State           | New AIIMS                                 | Phase I                                                   | Phase II                                                  | Phase III                                                 | Phase IV                                                  | Phase V(A)                                                |
| 1     | Andhra Pradesh  | AIIMS Mangalapuri (Ph-IV)                 | SVIMS, Tirupati                                           |                                                           | SMC,Vijayawada GMC, Anantpur                              |                                                           |                                                           |
| 2     | Assam           | AIIMS Guwahati (Ph-V)                     |                                                           |                                                           | GMC, Guwahati AMC, Dibrugarh                              |                                                           |                                                           |
| 3     | Bihar           | AIIMS Patna (Ph-I) AIIMS Declared (Ph-V)  |                                                           |                                                           | SMC, Muzaffarapur GMC, Darbhanga                          | PMCH, Patna GMC, Bhagalpur GMC, Gaya                      |                                                           |
| 4     | Chhattisgarh    | AIIMS, Raipur (Ph- I)                     |                                                           |                                                           |                                                           | GMC, Bilaspur, GMC Jagdalpur                              |                                                           |
| 5     | Goa             |                                           |                                                           |                                                           | GMC, Panaji                                               |                                                           |                                                           |
| 6     | Gujarat         | AIIMS, Gujarat (Ph-VI)                    | BJMC, Ahmedabad                                           |                                                           | GMC, Rajkot                                               | GMC, Surat GMC, Bhavnagar                                 |                                                           |
| 7     | Haryana         |                                           |                                                           | PDSIMS, Rohtak                                            |                                                           |                                                           |                                                           |
| 8     | Him. Pradesh    | AIIMS, Bilaspur (Ph-V)                    |                                                           | GMC Tanda                                                 | I.G. GMC, Shimla                                          |                                                           |                                                           |
| 9     | Jammu & Kashmir | AIIMS, Jammu (Ph-V) AIIMS, Kashmir (Ph-V) | GMC, Jammu GMC, Kashmir                                   |                                                           |                                                           |                                                           |                                                           |
| 10    | Jharkhand       | AIIMS, Deoghar (Ph-VI)                    | RIMS, Ranchi                                              |                                                           | PMC, Dhanbad                                              |                                                           |                                                           |
| 11    | Karnataka       |                                           | BMC, Bangalore                                            |                                                           | VMC, Bellary KIMS, Hubli                                  |                                                           |                                                           |
| 12    | Kerala          |                                           | MC, Thiruvanant hapuram                                   |                                                           | MC, Kozhikode TDMC, Alappuzha                             |                                                           | SCTIMST, Trivandrum                                       |
| 13    | Madhya Pradesh  | AIIMS, Bhopal (Ph- I)                     |                                                           |                                                           | GMC, Rewa NSCB, MC, Jabalpur GRMC,, Gwalior               | GMC, Indore                                               |                                                           |
| 14    | Maharashtra     | AIIMS, Nagpur (Ph-IV)                     | Grants, MC + JJ Hospitals                                 | GMC, Nagpur                                               | GMC, Aurangabad GMC, Latur GMC, Akola SVK, GMC, Yavatmal. |                                                           |                                                           |
| 15    | Odisha (Orissa) | AIIMS, Bhubaneshwar (Ph-I)                |                                                           |                                                           | MKCG MC, Behrampur VSS MC, Burla                          | GMC, Cuttack                                              |                                                           |

## Annexure - I

| 16   | Punjab        | AIIMS, Bhatinda (Ph-V)                              |                                  | GMC, Amritsar      | GMC, Patiala                                                 |                       |                    |
|------|---------------|-----------------------------------------------------|----------------------------------|--------------------|--------------------------------------------------------------|-----------------------|--------------------|
| 17   | Rajasthan     | AIIMS, Jodhpur (Ph-I)                               |                                  |                    | SP MC, Bikaner RNT MC, Udaipur GMC, Kota                     | GMC, Jaipur           |                    |
| 18   | Tamil Nadu    | AIIMS Declared (Ph-V)                               | GMC, Salem                       | GMC, Madurai       | TMC, Thanjavur TMC, Tirunelveli                              |                       |                    |
| 19   | Telangana     | AIIMS Telangana (Phase-VII)                         | NIMS, Hyderabad                  |                    | R.G. IMS, Adilabad KMC, Warangal                             |                       |                    |
| 20   | Tripura       |                                                     |                                  |                    | AMC, Agartala                                                |                       |                    |
| 21   | Uttar Pradesh | AIIMS, Rae Bareli (Ph-II) AIIMS, Purvanchal (Ph-IV) | S.G.PGIMS, Lucknow IMS, Varanasi | JNMC, AMU, Aligarh | GMC, Jhansi GMC, Gorakhpur MLN MC, Allahabad LLR MC, Meerut. | GMC, Agra GMC, Kanpur | IMS, BHU, Varanasi |
| 22   | Uttarakhand   | AIIMS, Rishikesh (Ph-I)                             |                                  |                    |                                                              |                       |                    |
| 23   | West Bengal   | AIIMS, Kalyani (Ph-IV)                              | KMC, Kolkata                     |                    | BS MC, Bankura GMC, Malda NBMC, Darjeeling                   |                       |                    |
| 24   | Delhi         |                                                     |                                  |                    |                                                              | UCMS-GTB Hospital     |                    |
|      |               | 21 AIIMS                                            | 13                               | 06                 | 39                                                           | 13                    | 2                  |

Total of 21 AIIMS and 73 State Govt. Medical Colleges / Hospitals under different phases of PMSSY

Annexure-II

|                  | 2014- 15                       | 2014- 15                       | 2014- 15                            | 2014- 15                            | 2015- 16                       | 2015- 16                       | 2015- 16                            | 2015- 16                            |
|------------------|--------------------------------|--------------------------------|-------------------------------------|-------------------------------------|--------------------------------|--------------------------------|-------------------------------------|-------------------------------------|
|                  | Total Health Expenditure (THE) | Total Health Expenditure (THE) | Government Health Expenditure (GHE) | Government Health Expenditure (GHE) | Total Health Expenditure (THE) | Total Health Expenditure (THE) | Government Health Expenditure (GHE) | Government Health Expenditure (GHE) |
|                  | In Rs. Crore                   | %GSDP                          | In Rs. Crore                        | %GSDP                               | In Rs. Crore                   | %GSDP                          | In Rs. Crore                        | %GSDP                               |
| Assam            | 6556                           | 3.3                            | 1927                                | 1                                   | 7874                           | 4                              | 2992                                | 1.5                                 |
| Andhra Pradesh   | 23064                          | 4.3                            | 3551                                | 0.7                                 | 26133                          | 4.3                            | 5814                                | 1                                   |
| Bihar            | 22317                          | 6                              | 3689                                | 1                                   | 24901                          | 6.5                            | 4756                                | 1.2                                 |
| Chhattisgarh     | 8509                           | 3.6                            | 2376                                | 1                                   | 9112                           | 3.5                            | 2871                                | 1.1                                 |
| Gujarat          | 18970                          | 2.1                            | 6446                                | 0.7                                 | 20990                          | 2                              | 7808                                | 0.8                                 |
| Haryana          | 9878                           | 2.2                            | 2410                                | 0.5                                 | 11015                          | 2.3                            | 3033                                | 0.6                                 |
| Himachal Pradesh | 3183                           | 3                              | 1411                                | 1.4                                 | 3448                           | 3.1                            | 1621                                | 1.4                                 |
| Jammu& Kashmir   | 4219                           | 4.1                            | 1461                                | 1.4                                 | 4960                           | 4.2                            | 1993                                | 1.7                                 |
| Jharkhand        | 6813                           | 3.1                            | 1631                                | 0.8                                 | 7889                           | 3.4                            | 2339                                | 1                                   |
| Karnataka        | 27995                          | 3                              | 6011                                | 0.7                                 | 32083                          | 3.2                            | 8227                                | 0.8                                 |
| Kerala           | 23805                          | 4.5                            | 4229                                | 0.8                                 | 25090                          | 4.5                            | 5694                                | 1                                   |
| Madhya Pradesh   | 18829                          | 3.9                            | 4799                                | 1                                   | 20373                          | 3.8                            | 5662                                | 1.1                                 |
| Maharashtra      | 53122                          | 3                              | 9009                                | 0.5                                 | 56806                          | 2.8                            | 13443                               | 0.7                                 |
| Odisha           | 15052                          | 4.9                            | 3233                                | 1                                   | 16579                          | 5                              | 3354                                | 1                                   |
| Punjab           | 15138                          | 4.1                            | 2578                                | 0.7                                 | 16234                          | 4.1                            | 3245                                | 0.8                                 |
| Rajasthan        | 21188                          | 3.5                            | 6511                                | 1.1                                 | 23869                          | 3.5                            | 7980                                | 1.2                                 |
| Tamil Nadu       | 30761                          | 2.8                            | 7696                                | 0.7                                 | 32975                          | 2.8                            | 9378                                | 0.8                                 |
| Uttar Pradesh    | 64256                          | 6.2                            | 12209                               | 1.2                                 | 69036                          | 6.2                            | 14283                               | 1.3                                 |
| Uttarakhand      | 4233                           | 2.6                            | 1534                                | 0.9                                 | 4299                           | 2.4                            | 1607                                | 0.9                                 |
| Telangana        | 11868                          | 2.3                            | 2650                                | 0.5                                 | 13710                          | 2.4                            | 5148                                | 0.9                                 |