Lok Sabha Question No. 2011 (UNSTARRED), answered on 2019-11-29
Subject: Upgradation of Hospitals in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Manoj Rajoria

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

## LOK SABHA UNSTARRED QUESTION NO. 2011 TO BE ANSWERED ON 29 TH NOVEMBER, 2019

## UPGRADATION OF HOSPI TALS IN RURAL AREAS

## 2011. DR. MANOJ RAJORIA:

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

- (a) whether the Government proposes to upgrade facilities in hospitals/wellness centres in the country;
- (b) if so, the details thereof;
- (c) whether the Government has taken steps for mo dernisation of the hospitals especially the hospitals of rural areas of the country including Rajasthan; and
- (d) if so, the State - wise details thereof along with the funds allocated for the same including Rajasthan?

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

- (a)& (b) : Under Ayushman Bharat -Health & Wellness Centres (AB - HWCs), 1.5 lakh Health  Sub  Centres  and  Primary  Health  Centres  are  to  be  transformed  into  Healt h  and Wellness  Centres  across  the  country  for  provision  of  comprehensive  primary  care  t includes preventive healthcare and health promotion at the community level with contin of care approach by December, 2022. The roll out plan of AB -HWCs is givenas below:
- FY 2018- 19 = 15,000
- FY 2019- 20 = 25,000 (Cumulative 40,000)
- FY 2020- 21 = 30,000 (Cumulative 70,000)
- FY 2021- 2022 = 40,000 (Cumulative 1,10,000)
- Till 31st December 2022 = 40,000 (Cumulative 1,50,000 )

(c) & (d): 'Public Health & Hospital' being a state subject ,the primary responsibility of modernisation of Government hospitals all over the country including in rural areas is that of respective State Government. Under National Health Mission (NHM), the central government provides technical and fin ancial support to States/UTs support for equipment, use of modern technologies  &  upgradation  of  infrastructure based on proposals  received  from  respective States/UTs  in  their  Programme  Implementation  Plan  (PIPs) .  The  state  wise  details  of approvals for u pgradation of Hospitals, New Construction including AB - HWCs under NHM forthe FY 2017 - 18 to 2019 - 20 is at Annexure.

Annexure

| S.No.                    | State                    | 2017-18        | 2018-19        | 2019-20        |
|--------------------------|--------------------------|----------------|----------------|----------------|
| A. High Focus States     | A. High Focus States     | SPIP Approvals | SPIP Approvals | SPIP Approvals |
| 1                        | Bihar                    | 22461.79       | 57961.54       | 49415.51       |
| 2                        | Chattisgarh              | 16951.04       | 28843.07       | 25418.40       |
| 3                        | Himachal Pradesh         | 6825.84        | 7404.80        | 8989.49        |
| 4                        | Jammu & Kashmir          | 3102.48        | 7196.84        | 15714.79       |
| 5                        | Jharkhand                | 4385.79        | 16043.55       | 21928.16       |
| 6                        | Madhya Pradesh           | 27977.88       | 41055.41       | 42582.35       |
| 7                        | Orissa                   | 34469.48       | 43862.36       | 33612.80       |
| 8                        | Rajasthan                | 33653.38       | 31997.34       | 65693.65       |
| 9                        | Uttar Pradesh            | 37907.30       | 171023.86      | 100354.60      |
| 10                       | Uttarakhand              | 3345.66        | 7647.83        | 11343.71       |
|                          | Sub Total                | 191080.64      | 413036.60      | 375053.46      |
| B. NE States             | B. NE States             |                |                |                |
| 11                       | Arunachal Pradesh        | 2489.80        | 5390.71        | 3278.53        |
| 12                       | Assam                    | 18220.79       | 18609.58       | 24099.54       |
| 13                       | Manipur                  | 503.43         | 2565.64        | 4243.26        |
| 14                       | Meghalaya                | 2108.50        | 1781.60        | 2394.32        |
| 15                       | Mizoram                  | 420.35         | 673.65         | 1316.00        |
| 16                       | Nagaland                 | 990.08         | 2768.74        | 2628.33        |
| 17                       | Sikkim                   | 517.01         | 489.59         | 1015.91        |
| 18                       | Tripura                  | 5673.60        | 4041.60        | 9552.01        |
|                          | Sub Total                | 30923.56       | 36321.11       | 48527.90       |
| C. Non-High Focus States | C. Non-High Focus States |                |                |                |
| 19                       | Andhra Pradesh           | 7275.90        | 17287.62       | 8472.50        |
| 20                       | Goa                      | 147.90         | 263.93         | 204.87         |
| 21                       | Gujarat                  | 8449.60        | 11657.05       | 19138.80       |
| 22                       | Haryana                  | 1560.80        | 12727.03       | 15812.56       |
| 23                       | Karnataka                | 30678.19       | 41680.98       | 33124.04       |
| 24                       | Kerala                   | 3757.39        | 25528.00       | 28083.82       |
| 25                       | Maharashtra              | 19850.76       | 53099.22       | 93121.57       |
| 26                       | Punjab                   | 5692.24        | 19940.40       | 14156.10       |
| 27                       | Tamil Nadu               | 15789.48       | 29448.07       | 42578.84       |
| 28                       | Telangana                | 19831.12       | 14407.73       | 11561.06       |
| 29                       | West Bengal              | 10582.05       | 22635.35       | 31375.57       |

|                     | Sub Total                 | 123615.43   | 248675.38   | 297629.73   |
|---------------------|---------------------------|-------------|-------------|-------------|
| D. Small States/UTs | D. Small States/UTs       |             |             |             |
| 30                  | Andaman & Nicobar Islands | 282.68      | 445.12      | 733.21      |
| 31                  | Chandigarh                | 27.30       | 14.69       | 10.80       |
| 32                  | Dadra & Nagar Haveli      | 20.37       | 55.87       | 63.09       |
| 33                  | Daman & Diu               | 19.20       | 34.06       | 59.51       |
| 34                  | Delhi                     | 134.00      | 208.00      | 90.00       |
| 35                  | Lakshadweep               | 25.96       | 35.74       | 6.00        |
| 36                  | Puducherry                | 117.63      | 225.65      | 165.33      |
|                     | Sub Total                 | 627.14      | 1019.13     | 1127.94     |
|                     | Grand Total               | 346246.77   | 699052.22   | 722339.03   |

## Note:

1. SPIP means State Programme Implementation Plan.
2. The  above  data  comprises  of  (1)  Hospital  Strengtheining - Up - Gradation  of  CHCs, PHCs,  Dist.  Hospitals,  Strengthening  of  Districts,  Sub  Divisional  Hospitals,  C PHCs and Sub Centre Rent and Contingencies. (2) New Constructions/ Renovation and Setting u p - CHCs, PHCs, SHCs/Sub Centres, Setting up Infrastructure wing for Civil works,  Govt.  Dispensaries/  others  renovations  and  Construction  of  BHO,  Facili improvement,  civil  work,  BemOC  and  CemOC  centres,  Major civil  works  for operationalization of FRUS, M ajor civil works for operationalization of 24 hour service at PHCs, Civil Works for Operationalising Infection Management & Environment Plan a health facilities, Infrastructure of Training Institutions, SDH, DH and Civil work o (RBSK). (3) Untied F unds/Annual Maintenance Grants /Corpus Grants to HMS/RKS -District  Hospitals,  SDH,  CHCs,  PHCs,  SC,  VHSC,  Others.  (4)  AB - HWC  (NRHM) -ASHA incentives for Health & Wellness Centres (H&WC), Infrastructure strengthening of  SC  to  H&WC,  IEC  activities  for  Healt h  &  Wellness  centre  (H&WC),  Printing activities  for  H&WC,  Strengthening  of  diagnostic  services  of  H&WC  through  PPP, Telemedicine/  teleconsultation  facility  at  H&WC,  Independent  Monitoring  Cost  fo performance assessment of Health & Wellness Centre (H&WC), Tablets; software for H&WC and ANM/ MPW, Drugs & Supplies for Health & Wellness Centres (H&WC), Staff  for  Health  &  Wellness  Centre  (H&WC),  Team  based  incentives  for  Health  & Wellness Centers (H&WC). (5) AB - HWC (NUHM) - Training of MO and Staff Nurse for  H&WC,  Infrastructure  strengthening  of  UPHC  to  H&WC,  Drugs  &  Supplies  for Health & Wellness Centres (H&WC), Telemedicine/ teleconsultation facility at H&WC, Tablets/ software for IT support of H&WC, ASHA incentives for Health & Wellness Centres (H&WC), Indepe ndent Monitoring Cost for performance assessment of Health & Wellness Centre (H&WC), IEC activities for Health & Wellness centre (H&WC), Team based incentives for Health & Wellness Centers (H&WC), Strengthening of diagnosti services of H&WC through PPP, O thers H&WC.
3. The above data is as per FMRs submitted by States, hence is provisional.
4. The funding for Ayushman Bharat -Health and Wellness Centres has been initiated from 2018- 19.