Lok Sabha Question No. 3199 (UNSTARRED), answered on 2019-12-06
Subject: Upgradation of Medical Colleges/ Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Krupal Balaji Tumane

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

LOK SABHA UNSTARRED QUESTION NO. 3199 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## UPGRADATION OF MEDIC AL COLLEGES/ HOSPITALS

## 3199. SHRI KRUPAL BALAJI TUMANE:

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

- (a) whether the Government has requested the States/UTs to send proposals for strengthening of district hospitals and upgrading them to medical colleges;
- (b) if so, the details thereof a nd the number of such proposals received, State/ UT - wise;
- (c) the details of district hospitals upgraded to medical colleges and the financial assistance provided during the last three years and the current year under the scheme, State/UT - wise;
- (d) whether  the  Government  is providing  financial  assistance  to  the  States/ UTs  for development of emergency medical units in Government hospitals, if so, the details thereof; and
- (e) the funds allocated by the Government for setting up of state - of - theart emergency medical units during the last three years?

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

- (a): The Ministry of Health & Family Welfare administers a Centrally Sponsored Scheme for 'Establishm ent  of  new  Medical  Colleges  attached  with  existing  district/referr hospitals'. The Phase -III of the Scheme has been approved by the Cabinet on 28.8.2019 to establish 75 more new medical colleges. The State/UT Governments have been requested t send their proposals under this Scheme along with Detailed Project Report as per Scheme guidelines for consideration by the Ministry.
- (b): As  on  date,  proposals  of  64  medical  colleges  have  been  received.  Details  are Annexure - I .
- (c): Under Phase - I of the Scheme, 58 districts in 20 States/UT have been identified a approved. Total cost of establishment of one Medical College is Rs.189 crore to be s between Centre and State in the ratio of 90:10 for NE/Special Category States and 6 0:40 for other  States.  Funds  to  the  tune  of  Rs.7507.70  crore  have  been  released  to  the  Sta Governments  for  the  approved  medical  colleges  under  the  Scheme.  Out  of  58  approved medical  colleges,  so  far  42  medical  colleges  have  become  functional.  Details are  at Annexure - II .

Further, under Phase -II of the Scheme, 24 new medical colleges in 8 States have been identified.  The total cost of establishment of one Medical College under this is  Rs.250  crore.  The  State  Governments  have  identified  the  locat ions  on  Challenge mode. Out of 24 medical colleges, 22 have been approved till date and funds to the of  Rs.2254.59  crore  have  been  released  to  the  State  Governments.  Details  are Annexure - III.

(d) & (e): Under National Health Mission, technical and financial support is provided States/ Union Territories for strengthening their healthcare system including strengthe district hospitals. More than 22,000 delivery points have been identified and addit ional funds for strengthening these facilities have been provided.

Further,  Pradhan  Mantry  Swasthya  Suraksha  Yojna(PMSSY)  is  a  Central  Sector Scheme that has two components:

- i. Setting up of new AIIMs; and
2. ii.Up - gradation of existing Government Medical Col leges/ Institutions (GMCIs)

Upgradation  of  existing  GMCIs  under  PMSSY  involves  construction  of  Super Speciality  Block  (SSB)/  Trauma  Centre  and  procurement  of  Medical  Equipments. Under PMSSY, construction of Trauma Centre/ Emergency Ward has been a pproved at the following existing GMCIs:

- a. Government Medical College, Salem, Tamil Nadu
- b. IMS, BHU, Varanasi, Uttar Pradesh
- c. Jawaharlal  Nehru  Medical  College  of  Aligarh  Muslim  University,  Aligarh,  Uttar Pradesh
- d. Nizam Institute of Medical Sciences, Hyderabad, T elangana
- e. Government Medical College, Srinagar, Jammu and Kashmir
- f. Vijayanagar Institute of Medical Sciences, Bellary
- g. Kozhikode Medical College, Kerala
- h. Govt. Medical College, Malda, West Bengal

PMSSY is being implemented by the Ministry  directly through  Executive  Agencies and Procurement Support Agency. Funds are released directly to these agencies.

## Annexure-I

List of proposals received under Phase-III of the Centrally Sponsored Scheme for 'Establishment  of  new  Medical  Colleges  attached  with  existing  district/referral hospitals'

| S. No.   | State/UT          |         | Name of the Districts     |
|----------|-------------------|---------|---------------------------|
| 1.       | Jammu and         | 1.      | Udhampur                  |
|          | Kashmir(2)        | 2.      | Handwara (Distt. Kupwara) |
| 2.       | Ladakh(1)         | 3.      | Leh                       |
| 3.       | Rajasthan(16)     | 4.      | Alwar                     |
|          |                   | 5.      | Baran                     |
|          |                   | 6.      | Bansawara                 |
|          |                   | 7.      | Chittorgarh               |
|          |                   | 8.      | Jaisalmer                 |
|          |                   | 9.      | Karauli                   |
|          |                   | 10.     | Nagaur                    |
|          |                   | 11.     | Shri Ganganagar           |
|          |                   | 12.     | Sirohi                    |
|          |                   | 13.     | Bundi                     |
|          |                   | 14.     | Sawai Madhopur            |
|          |                   | 15.     | Tonk                      |
|          |                   | 16.     | Hanumangarh               |
|          |                   | 17.     | Jhunjhunu                 |
|          |                   | 18.     | Dausa                     |
|          |                   | 19.     | Jalore                    |
| 4.       | Uttar Pradesh(14) | 20.     | Bijnaur                   |
|          |                   | 21.     | Kushinagar                |
|          |                   | 22.     | Sultanpur                 |
|          |                   | 23.     | Gonda                     |
|          |                   | 24.     | Lalitpur                  |
|          |                   | 25.     | Lakhimpur Kheri           |
|          |                   | 26.     | Chandauli (AD)            |
|          |                   | 27.     | Bulandshahar              |
|          |                   | 28.     | Sonbhadra (AD)            |
|          |                   | 29.     | Pilibhit                  |
|          |                   | 30.     | Auraiya                   |
|          |                   | 31.     | Kanpur Dehat              |
|          |                   | 32.     | Kaushambi                 |
|          |                   | 33.     | Amethi                    |
| 5.       | Tamil Nadu(9)     | 34.     | Tiruppur                  |
|          |                   | 35.     | Nilgiris                  |
|          |                   | 36.     | Ramanathpuram             |
|          |                   | 37.     | Namakkal                  |
|          |                   | 38.     | Dindigul                  |
|          |                   | 39.     | Virudhunagar              |
|          |                   | 40.     | Krishnagiri               |
|          |                   | 41. 42. | Tiruvallur Nagapattinam   |
| 6.       | Karnataka(4)      | 43.     | Chikkamagaluru            |
|          |                   | 44.     | Haveri                    |
|          |                   | 45.     | Yadgiri                   |
|          |                   | 46.     | Chikkaballapura           |
| 7.       | Madhya            | 47.     | Rajgarh                   |

|     | Pradesh(11)     |   48. | Mandla                       |
|-----|-----------------|-------|------------------------------|
|     |                 |    49 | Neemuch                      |
|     |                 |    50 | Mandsaur                     |
|     |                 |    51 | Sheopur                      |
|     |                 |    52 | Maheshwar, Khargone District |
|     |                 |    53 | Singrauli                    |
|     |                 |    54 | Guna                         |
|     |                 |    55 | Betul                        |
|     |                 |    56 | Balaghat                     |
|     |                 |    57 | Chhatarpur                   |
| 8.  | Punjab(1)       |    58 | Kapurthala                   |
| 9.  | Gujarat (3)     |    59 | Navsari                      |
|     |                 |    60 | Narmada                      |
|     |                 |    61 | Porbandar                    |
| 10. | Chattisgarh (3) |    62 | Kanker                       |
|     |                 |    63 | Korba                        |
|     |                 |    64 | Mahasamund                   |

Funds  released  under the  Centrally  Sponsored  Scheme  for  Establishment  of  new medical colleges attached with existing district/referral hospitals

(in Rs. Crore)

|   S. N. | State/UT          |    | Districts              |   Total amount |   Central Share 60% (90% for NE) |   Total amount Released |
|---------|-------------------|----|------------------------|----------------|----------------------------------|-------------------------|
|       1 | A & N Islands     |  1 | Port Blair             |            189 |                            113.4 |                   113.4 |
|       2 | Arunachal Pradesh |  2 | Naharlagun             |            189 |                            170.1 |                   170.1 |
|       3 | Assam             |  3 | Dhubri                 |            189 |                            170.1 |                   170.1 |
|       3 | Assam             |  4 | Nagaon                 |            189 |                            170.1 |                   170.1 |
|       3 | Assam             |  5 | North Lakhimpur        |            189 |                            170.1 |                   170.1 |
|       3 | Assam             |  6 | Diphu                  |            189 |                            170.1 |                   170.1 |
|       4 | Bihar             |  7 | Purnia                 |            189 |                            113.4 |                   113.4 |
|       4 | Bihar             |  8 | Saran (Chhapara)       |            189 |                            113.4 |                   113.4 |
|       4 | Bihar             |  9 | Samastipur             |            189 |                            113.4 |                    80   |
|       5 | Chhattisgarh      | 10 | Rajnandgaon            |            189 |                            113.4 |                   113.4 |
|       5 | Chhattisgarh      | 11 | Sarguja                |            189 |                            113.4 |                   113.4 |
|       6 | Himachal Pradesh  | 12 | Chamba                 |            189 |                            170.1 |                   170.1 |
|       6 | Himachal Pradesh  | 13 | Hamirpur               |            189 |                            170.1 |                   170.1 |
|       6 | Himachal Pradesh  | 14 | Nahan (Sirmour)        |            189 |                            170.1 |                   170.1 |
|       7 | Haryana           | 15 | Bhiwani                |            189 |                            113.4 |                   113.4 |
|       8 | Jharkhand         | 16 | Dumka                  |            189 |                            113.4 |                   113.4 |
|       8 | Jharkhand         | 17 | Hazaribagh             |            189 |                            113.4 |                   113.4 |
|       8 | Jharkhand         | 18 | Palamu (Daltonganj)    |            189 |                            113.4 |                   113.4 |
|       9 | Jammu & Kashmir   | 19 | Anantnag               |            189 |                            170.1 |                   170.1 |
|       9 | Jammu & Kashmir   | 20 | Baramulla              |            189 |                            170.1 |                   170.1 |
|       9 | Jammu & Kashmir   | 21 | Rajouri                |            189 |                            170.1 |                   170.1 |
|       9 | Jammu & Kashmir   | 22 | Doda                   |            189 |                            170.1 |                   170.1 |
|       9 | Jammu & Kashmir   | 23 | Kathua                 |            189 |                            170.1 |                   170.1 |
|      10 | Madhya Pradesh    | 24 | Datia                  |            189 |                            113.4 |                   113.4 |
|      10 | Madhya Pradesh    | 25 | Khandwa                |            189 |                            113.4 |                   113.4 |
|      10 | Madhya Pradesh    | 26 | Ratlam                 |            189 |                            113.4 |                   113.4 |
|      10 | Madhya Pradesh    | 27 | Shahdol                |            189 |                            113.4 |                   113.4 |
|      10 | Madhya Pradesh    | 28 | Vidisha                |            189 |                            113.4 |                   113.4 |
|      10 | Madhya Pradesh    | 29 | Chindwara              |            189 |                            113.4 |                   113.4 |
|      10 | Madhya Pradesh    | 30 | Shivpuri               |            189 |                            113.4 |                   113.4 |
|      11 | Maharashtra       | 31 | Gondia                 |            189 |                            113.4 |                   113.4 |
|      12 | Meghalaya         | 32 | West Garo Hills (Tura) |            189 |                            170.1 |                   170.1 |
|      13 | Mizoram           | 33 | Falkawn                |            189 |                            170.1 |                   170.1 |

| 14   | Nagaland      | 34   | Naga Hospital           |   189.00 |   170.10 |   170.10 |
|------|---------------|------|-------------------------|----------|----------|----------|
| 15   | Odisha        | 35   | Balasore                |      189 |    113.4 |    113.4 |
| 15   | Odisha        | 36   | Baripada (Mayurbhanj)   |      189 |    113.4 |    113.4 |
| 15   | Odisha        | 37   | Bolangir                |      189 |    113.4 |    113.4 |
| 15   | Odisha        | 38   | Koraput                 |      189 |    113.4 |    113.4 |
| 15   | Odisha        | 39   | Puri                    |      189 |    113.4 |    113.4 |
| 16   | Punjab        | 40   | SAS Nagar               |      189 |    113.4 |    113.4 |
| 17   | Rajasthan     | 41   | Barmer                  |      189 |    113.4 |    113.4 |
| 17   | Rajasthan     | 42   | Bharatpur               |      189 |    113.4 |    113.4 |
| 17   | Rajasthan     | 43   | Bhilwara                |      189 |    113.4 |    113.4 |
| 17   | Rajasthan     | 44   | Churu                   |      189 |    113.4 |    113.4 |
| 17   | Rajasthan     | 45   | Dungarpur               |      189 |    113.4 |    113.4 |
| 17   | Rajasthan     | 46   | Pali                    |      189 |    113.4 |    113.4 |
| 17   | Rajasthan     | 47   | Sikar                   |      189 |    113.4 |    113.4 |
| 18   | Uttar Pradesh | 48   | Basti                   |      189 |    113.4 |    113.4 |
| 18   | Uttar Pradesh | 49   | Faizabad                |      189 |    113.4 |    113.4 |
| 18   | Uttar Pradesh | 50   | Firozabad               |      189 |    113.4 |    113.4 |
| 18   | Uttar Pradesh | 51   | Shahjahanpur            |      189 |    113.4 |    113.4 |
| 18   | Uttar Pradesh | 52   | Bahraich                |      189 |    113.4 |    113.4 |
| 19   | Uttarakhand   | 53   | Almora                  |      189 |    170.1 |    170.1 |
| 20   | West Bengal   | 54   | Birbhum (Rampur Hat)    |      189 |    113.4 |    113.4 |
| 20   | West Bengal   | 55   | Cooch behar             |      189 |    113.4 |    113.4 |
| 20   | West Bengal   | 56   | Diamond harbour         |      189 |    113.4 |    113.4 |
| 20   | West Bengal   | 57   | Purulia                 |      189 |    113.4 |    113.4 |
| 20   | West Bengal   | 58   | Raiganj, North Dinajpur |      189 |    113.4 |    113.4 |
|      | Total         |      |                         |    10962 |   7541.1 |   7507.7 |

Annexure-III Funds released under Phase-II of CSS for Establishment of new medical colleges attached

(in Rs. Crore)

|   S N | State          |         | Location Selected by State Government   | Status                                                                                   | Approved Cost   | Central Share   | Total funds released   |
|-------|----------------|---------|-----------------------------------------|------------------------------------------------------------------------------------------|-----------------|-----------------|------------------------|
|     1 | Bihar          | 1       | Sitamarhi                               | Approved                                                                                 | 250.00          | 150.00          | 50                     |
|     1 | Bihar          | 2       | Jhanjharpur                             | Approved                                                                                 | 250.00          | 150.00          | 50                     |
|     1 | Bihar          | 3       | Siwan                                   | Not approved (land not available)                                                        | 250.00          | 150.00          | -                      |
|     1 | Bihar          | 4       | Buxar                                   | Approved                                                                                 | 250.00          | 150.00          | 50                     |
|     1 | Bihar          | 5       | Jamui                                   | Approved                                                                                 | 250.00          | 150.00          | 50                     |
|     2 | Jharkhand      | 6       | Koderma                                 | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     2 | Jharkhand      | 7       | Chaibasa (Singhbhum)                    | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     3 | Madhya Pradesh | 8       | Satna                                   | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     4 | Odisha         | 9       | Jajpur                                  | Approved                                                                                 | 250.00          | 150.00          | 50                     |
|     5 | Rajasthan      | 10      | Dholpur                                 | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     6 | Uttar Pradesh  | 11      | Etah                                    | Approved                                                                                 | 250.00          | 150.00          | 95.14                  |
|     6 | Uttar Pradesh  | 12      | Hardoi                                  | Approved                                                                                 | 250.00          | 150.00          | 95.14                  |
|     6 | Uttar Pradesh  | 13      | Pratapgarh                              | Approved                                                                                 | 250.00          | 150.00          | 95.14                  |
|     6 | Uttar Pradesh  | 14      | Fatehpur                                | Approved                                                                                 | 250.00          | 150.00          | 95.14                  |
|     6 | Uttar Pradesh  | 15      | Siddharthnagar (Domariyaganj)           | Approved                                                                                 | 250.00          | 150.00          | 95.14                  |
|     6 | Uttar Pradesh  | 16      | Deoria                                  | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     6 | Uttar Pradesh  | 17      | Ghazipur                                | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     6 | Uttar Pradesh  | 18      | Mirzapur                                | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     7 | West Bengal    | 19      | Barasat                                 | Approved                                                                                 | 250.00 250.00   | 150.00 150.00   | 127.59 -               |
|     7 | West Bengal    | 20      | Uluberia                                | Conditionally approved by EC subject to submission of land documents by State Government | 250.00          | 150.00          | 127.59                 |
|     7 | West Bengal    | 21 22   | Arambagh Jhargram                       | Approved Approved                                                                        | 250.00          | 150.00          | 127.59                 |
|     7 | West Bengal    | 23      | Tamluk                                  | Approved                                                                                 | 250.00          | 150.00          | 127.59                 |
|     8 | Sikkim         | 24      | Gangtok                                 | Approved                                                                                 | 250.00          | 225.00          | 125.4                  |
|  6000 | 6000.00        | 6000.00 | 6000.00                                 | 6000.00                                                                                  | 6000.00         | 3675.00         | 2254.59                |

## with existing district/referral hospitals