Lok Sabha Question No. 3309 (UNSTARRED), answered on 2019-07-12
Subject: Upgradation of District Hospitals and Maternity Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ajay Nishad

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

## LOK SABHA UNSTARRED QUESTION NO. 3309 TO BE ANSWERED ON 12 TH JULY, 2019

## UPGRADATION OF DISTR ICT HOSPITALS AND MATERNITY CENTRES

## 3309. SHRI AJAY NISHAD:

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

- (a) the parameters for upgradation of d strict hospitals and maternity centres;
- (b)  whether  the  Government  accords preference  to  the  upgradation  of  hospitals located  at minorities and dalit (SC/ST) dominated areas;
- (c) if so, the details thereof;
- (d) whether the Government has received any proposal for upgradation of district and maternity centres; and
- (e) if so, the details thereof along with the steps taken by the Government in this regard?

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

(a) Public health and hospitals is a State Subject. However, under the National Health M (NHM), financial and technical support is provided to States for strengthening their he systems including for strengthening districts hospitals for multi - spe cialty  care  and  as  sites  for skill based training and teaching, particularly for clinical learning for different lev care workers.

Similarly, District Hospitals having more than 70% bed occupancy can be upgraded with an additional Maternal & Child Health wing or maternity center.

(b)&(c)As  stated  above,  Public  health  and  hospitals  being  a  State  subject,  the  stat encouraged to prioritize the upgradation of hospitals in High Priority Districts (HPDs) f financial and technical as sistance is provided under NHM based on requirements projected by the States/UTs in their Program Implementation Plans. Districts at the bottom 25% level on composite health index, all Left Wing Extremism (LWE) affected districts and district m ajority tribal population, whose composite health index is below 50% are categorized as There are 184 High Priority Districts (HPDs).

(d)  &  (e) Under  National  Health  Mission,  technical  and  financial  support  is  provided States/UTs  for  strengthening  their  healthcare  system  including upgradation  of  district  and maternity centres. More than 22,000 delivery points have been identified and additiona l funds for strengthening these facilities have been provided. The approvals conveyed through Record of Proceeding(RoPs) for the States/UTs for the last three years are available in the publi and accessible at https://nhm.gov.in/index4.php?lang=1&level=0&linkid=449&lid=53 .

Funds approved for the last three years from 2016 - 17  to  2018 - 19  for  District Hospital strengthening is placed at Annexure.

## Annexure

Statement Showing the State/UTs wise Funds Approval & Utilization under Hospital Strengthening and New Constructions/ Renovation and Setting (District Hospitals) from the F.Y. 2016-17 to 2018-19

Rs. In Lakhs

| S.No.                    | State/UT          | 2016-17   | 2017-18   | 2018-19   |
|--------------------------|-------------------|-----------|-----------|-----------|
| A. High Focus States     |                   |           |           |           |
| 1                        | Bihar             | 577.46    | 4628.47   | 531.46    |
| 2                        | Chattisgarh       | 1229.45   | 532.62    | 1397.86   |
| 3                        | Himachal Pradesh  | 0.00      | 0.00      | 0.00      |
| 4                        | Jammu& Kashmir    | 945.65    | 78.15     | 0.00      |
| 5                        | Jharkhand         | 0.00      | 158.40    | 0.00      |
| 6                        | Madhya Pradesh    | 2520.00   | 8479.31   | 12379.81  |
| 7                        | Orissa            | 1970.52   | 763.93    | 691.00    |
| 8                        | Rajasthan         | 630.00    | 1201.00   | 2795.55   |
| 9                        | Uttar Pradesh     | 0.00      | 611.00    | 14140.21  |
| 10                       | Uttarakhand       | 62.00     | 0.00      | 0.00      |
|                          | Sub Total         | 7935.08   | 16452.88  | 31935.89  |
| B. NE States             |                   |           |           |           |
| 11                       | Arunachal Pradesh | 142.00    | 309.85    | 660.00    |
| 12                       | Assam             | 707.01    | 387.83    | 238.62    |
| 13                       | Manipur           | 42.26     | 0.00      | 0.00      |
| 14                       | Meghalaya         | 9.75      | 885.00    | 0.00      |
| 15                       | Mizoram           | 0.00      | 0.00      | 8.40      |
| 16                       | Nagaland          | 41.00     | 47.73     | 315.80    |
| 17                       | Sikkim            | 20.00     | 25.00     | 0.00      |
| 18                       | Tripura           | 0.00      | 0.00      | 0.00      |
|                          | Sub Total         | 962.02    | 1655.41   | 1222.82   |
| C. Non-High Focus States |                   |           |           |           |

| 19                  | Andhra Pradesh           | 1243.09   | 504.00   | 1497.02   |
|---------------------|--------------------------|-----------|----------|-----------|
| 20                  | Goa                      | 0.00      | 6.00     | 0.00      |
| 21                  | Gujarat                  | 0.00      | 210.00   | 0.00      |
| 22                  | Haryana                  | 0.00      | 2.43     | 0.00      |
| 23                  | Karnataka                | 0.00      | 1850.00  | 2938.83   |
| 24                  | Kerala                   | 720.00    | 118.00   | 3074.86   |
| 25                  | Maharashtra              | 0.00      | 0.00     | 0.00      |
| 26                  | Punjab                   | 1200.00   | 1100.00  | 500.00    |
| 27                  | Tamil Nadu               | 872.00    | 435.00   | 435.00    |
| 28                  | Telangana                | 900.78    | 0.00     | 0.00      |
| 29                  | West Bengal              | 0.00      | 0.00     | 0.00      |
|                     | Sub Total                | 4935.87   | 4225.43  | 8445.71   |
| D. Small States/UTs |                          |           |          |           |
| 30                  | Andaman& Nicobar Islands | 10.00     | 15.00    | 0.00      |
| 31                  | Chandigarh               | 0.00      | 0.00     | 0.00      |
| 32                  | Dadra& Nagar Haveli      | 0.00      | 0.00     | 0.00      |
| 33                  | Daman& Diu               | 0.00      | 0.00     | 0.00      |
| 34                  | Delhi                    | 3500.00   | 0.00     | 0.00      |
| 35                  | Lakshadweep              | 3.84      | 0.00     | 0.00      |
| 36                  | Puducherry               | 0.00      | 0.00     | 0.00      |
|                     | Sub Total                | 3513.84   | 15.00    | 0.00      |
|                     | Grand Total              | 17346.81  | 22348.72 | 41604.42  |

Note:

1. Above mentioned Utilization figures are as reported by States/UTs and includes expenditure against Central Release, State share & unspent balances, updated up to 31-03-2019.
2. The above data comprises of Hospital Strengtheining and New Constructions/Setting up- District Hospitals (As per the DH Strengthening Guidelines).
3. The above data is as per the FMRs provided by the State, hence provisional.