Lok Sabha Question No. 963 (UNSTARRED), answered on 2019-11-22
Subject: Betterment of Health Services
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pushpendra Singh Chandel

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

## LOK SABHA UNSTARRED QUESTION NO. 963 TO BE ANSWERED ON 22 ND NOVEMBER, 2019

## BETTERMENT OF HEALTH SERVICES

## 963. SHRI KUNWAR PUSHPENDRA SINGH CHANDEL:

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

- (a) whether various countries have signed agreements with India for the betterment of services;
- (b) if so, the details thereof;
- (c) the details of the priorities fixed for betterment of health services;
- (d) whether any special efforts have been made by the Government to provide health servi affordable rates in backward areas especially in Bundelkhand; and
- (e) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a)  &  (b): Yes. The  list  of  countries  with  whom  the  Ministry  had  signed  Agreements/ Memorandum  of  Understanding  (MoU)  /  Mem orandum  of  Cooperation  (MoC)  on  mutual cooperation in health sector is at Annex ure .
- (c):    The  bilateral  MoUs  /  MoCs  /  Agreements  primarily  aim  to  promote  and  develop  jo initiatives in human resource development, mutual exchange of health professionals, cooperation in the field of pharmaceuticals and foods regulatory practices, technical support in es laboratories/ hospitals and research in mutually identified areas.  It provides opportu sharing  and  emulating  best  practices  and  learnin g from each other on issues of public health related challenges.
- (d)  &  (e):  Public  Health  and  Hospital  being  a  State  Subject,  the  primary  responsibi provision of health services at affordable rates all over the country including in back lie s with respective State Governments.

To address the healthcare challenges, National Health Mission (NHM) supplements th efforts of the State/UT governments to provide accessible, affordable and quality healt all those who access public health facilities especially in rural areas.

N HM support is provided to States/ UTs for setting up of new facilities as per nor upgradation of existing facilities for bridging the infrastructure gaps and to fill up t of Human Resource on contractual basis based on the requirement pos ed by them.

As  per  the  budget  announcement  2017 - 18,  1.5  lakh  Health  Sub  Centres  and  Primary Health  Centres  are  to  be  transformed  into  Health  and  Wellness  Centres  (HWCs)  across country by December, 2022 under Ayushman Bharat for provision of comprehen sive primary care  that  includes  preventive  healthcare  and  health  promotion  at  the  community  level continuum  of  care  approach  for  all.  Services  at  AB - HWCs  are  free  and  universal  to  all individuals residing in the service area.

The  AB - HWCs  will provide  an  expanded  range  of  services  to  include  care  for  non -communicable diseases, palliative and rehabilitative care, Oral, Eye and ENT care, mental and  first  level  care  for  emergencies  and  trauma  as  well  as  Health  promotion  and  wel activi ties like Yoga apart from services already being provided for Maternal and Child H including immunization and communicable diseases.

……………

## Annexure

## (as on 21.11.2019)

Ministry of Health & Family Welfare has signed Agreements / Memorandum of Understanding (MoUs) / Memorandum of Cooperation (MoC) / Statement of Intent (SoI) with the following 57 countries in health sector

| Sl.No       | Name of country                                    | Date of signing (Agreement)                                       |
|-------------|----------------------------------------------------|-------------------------------------------------------------------|
|             | Afghanistan                                        |                                                                   |
| 1.          | Australia                                          | 28-08-2005                                                        |
| 2.          |                                                    | 10-04-2017 (MoU) (Agreement)                                      |
| 3.          | Austria Bangladesh Brazil                          | 17-02-2005 12-02-2013 (MoU) 05-05-1998                            |
| 4. 5. 6.    |                                                    | (Agreement)                                                       |
| 7.          | Brunei                                             | 02-02-2016 (MoU)                                                  |
|             |                                                    | (Agreement)                                                       |
|             | Bulgaria                                           | 28-11-2011 18-09-2012 (MoU) 15-07-2018 (MoU)                      |
| 8.          | Burundi Bahrain                                    | 06-12-2017 (MoU)                                                  |
| 9.          |                                                    | 08-10-2002                                                        |
| 10. 11. 12. | Cuba Cyprus                                        | (Agreement)                                                       |
|             | China Colombia                                     | 03-09-1994 (Agreement)                                            |
| 13.         |                                                    | 19-01-2010 (Agreement) (Agreement)                                |
| 14. 15.     | Croatia Comoros Egypt                              | 09-06-2010 11-10-2019 (MoU) 18-11-2008                            |
| 16.         | Islands                                            | (MoU) (Agreement)                                                 |
| 17.         | Fiji Germany                                       | 10-10-2005                                                        |
| 18.         | Iran                                               | 01-06-2017 (JDI)                                                  |
| 19. 20. 21. | Japan                                              | 17-02-2018 (MoU) 01-09-2014 (MoC) 29-10-18 (MoC) 01-03-2018 (MoU) |
|             | Jordan                                             | of Cooperation)                                                   |
| 22. 23. 24. | Hungary India-Brazil-South Africa (IBSA) Indonesia | 18-01-2008 (Plan 17-10-2007 (MoU)                                 |
| 25.         | Israel                                             | 09-10-2018 (MoU) 09-09-2003                                       |
| 26.         | Italy                                              | (Agreement)                                                       |
| 27.         |                                                    | 29-11-2017 (MoU) 16-04-2011                                       |
|             | Kazakhstan Kuwait                                  | (Agreement)                                                       |
|             |                                                    | 23-04-2012 (MoU)                                                  |
| 28. 29. 30. |                                                    | (Agreement)                                                       |
| 31.         | Latvia Malawi                                      | 28-02-2012 03-11-2010 (MoU) 08-06-2019 (MoU)                      |
| 32.         | Maldives Mauritius                                 | 12-03-2013 (MoU)                                                  |

33.

Mongolia

14-09-2009 (Agreement)

34.

57.

Morocco

Zambia

14-12-2017 (MoU)

21-08-2019 (MoU)

|             | Mozambique                                 | (Agreement)                                                        |
|-------------|--------------------------------------------|--------------------------------------------------------------------|
| 35.         |                                            | 22-02-2004                                                         |
| 36.         | Myanmar Netherlands Oman                   | 06-09-2017 (MoU) (MoU)                                             |
| 37.         |                                            | 30-01-2014 11-02-2018 (MoU) 16-05-2017 (MoU)                       |
| 38. 39. 40. |                                            | 29-04-2016 (MoU)                                                   |
| 41.         | Palestine Papua New Guinea Philippines     | 05-10-2007 (MoU)                                                   |
| 42.         | Poland                                     |                                                                    |
|             | Qatar                                      | 24-04-2009 (Agreement) 05-06-2016 (MoU)                            |
| 43. 44.     | Rwanda                                     |                                                                    |
|             | Arabia                                     | 12-11-2010 (MoU) 20-11-2006 (Executive Programme) 10-09-2003 (MoU) |
| 45.         | Saudi                                      |                                                                    |
| 46.         | Seychelles South Africa Swaziland          | (Agreement) (MoU)                                                  |
| 47. 48. 49. |                                            | 04-01-2006 09-04-2018 24-02-2009                                   |
|             | Sweden                                     | (MoU) (Agreement) (Agreement)                                      |
| 50. 51. 52. | Tajikistan Tanzania (Zanzibar) Timor-Leste | 03-09-2012 (MoU)                                                   |
| 53.         |                                            | 16-12-2002 07-04-2018 19-05-2013                                   |
| 54.         | United Kingdom Uzbekistan                  |                                                                    |
| 55.         | Vietnam                                    | (MoU) 01-10-2018 (MoU) 03-09-2016 (MoU)                            |
|             |                                            | (Agreement)                                                        |
| 56.         | Yemen                                      | 09-06-2013                                                         |