Lok Sabha Question No. 95 (STARRED), answered on 2019-02-08
Subject: Medical Facilities in Remote Regions
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ABHISHEK SINGH

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

## LOK SABHA STARRED QUESTION NO. 95 TO BE ANSWERED ON THE 8 TH FEBRUARY ,2019 MEDICAL FACILITIES I N REMOTE REGIONS

## *95. SHRI ABHISHEK SINGH:

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

- (a) the details of steps taken by the Government to ensure availability of medical facilities in remote regions of the country;
- (b) the current status of the Ayushman Bharat Sch eme;
- (c) whether the Government is aware of the problems in the scheme faced du its complex software and if so, the remedial steps taken in this regard; and
- (d)  whether  Ayushman Bharat  health  protection  scheme  covers  the  lodging  and boarding charges required for the attendant accompanying the patient durin treatment period of the beneficiary and if not, the reasons therefor?

## THE MINISTER OF HEALTH AND FAMILY WELFARE

## ANSWER (SHRI JAGAT PRAKASH NADDA)

- (a)to ( d) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 95* FOR 8 TH FEBRUARY , 20 19

(a)  The  National  Rural  Health  Mission  (NRHM)  was  launched  in  2005  to supplement  the  efforts  of  the  State/UT  governments  to  provide  accessi affordable  and  quality  healthcare  to  all  especially  the  vulnerable  popu NRHM  has  been  subsumed  as  a  Sub  Mission  of  the  overarching  National Health Mission (NHM) with the Natio nal Urban Health Mission being the other Sub  Mission.  Under  NHM  support  is  being  provided  to  States/  UTs  for strengthening of their healthcare system including support for quality m facilities in remote regions of the country.

The  Government  has  lau nched  Ayushman  Bharat  Programme  to  address access to health holistically, including prevention, health promotion, p secondary  and  tertiary  care.    Ayushman  Bharat  Yojana  comprises  of  tw components  namely  (i)  Provision  of  Comprehensive  Primary  Health care (CPHC)  through  Health  and  Wellness  Centers  (HWCs)  and  (ii)  Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY).

Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PMJAY) provides hospitalisation coverage up to Rs.5.00 lakh per family per year for secondary and tertiary care procedures including certain defined pre and hospitalisation expenses to families eligible based on specified deprivat occupational criteria as per Socio Economic Caste Census Database.

Health and Wellness Centres are envisaged to provide an expanded packa of  primary  healthcare  services  encompassing  reproductive  and  child  hea services,  communicable  diseases,  non - communicable  disease,  palliative  care and  elderly  care,  oral  health  and  ENT care,  and  basic  emergency  care  in addition  to  preventive  care  and  health  promotion,  provision  of  point  o diagnostics, regular refills of essential drugs etc.

The  Central  Government  has  also  released  broad  guidelines  for  priv investment in settin g up of hospitals in tier 2 and tier 3 cities. These guid provide  for  interventions  like  land  allotment,  time  bound  clearances viability gap funding up to 40% of project cost.

82 district hospitals are being upgraded to government medical colleg es with Central  Government's  assistance  in  underserved  areas  of  the  country.  In addition  to  this,  new  super  specialities  are  being  set  up  in  73  gove medical colleges under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).

(b) As on 04.02.2019, Memoran dum of Understanding (MoU) for implementation of Ayushman Bharat PMJAY has been signed with 33 States and UTs with only exception of Delhi, Odisha and Telangana. Implementatio of PMJAY has already started in 29 States and UTs. As on 04.02.2019 the t number of hospitals empanelled under PMJAY is 14,440, out of these, 7118 a public hospitals.  The current status of ABPMJAY is provided at Annexure.

As regards Health and Wellness Centres (HWCs), approvals for over 21000 such Centres was accorded in 2018 - 19 against the target of 15000 in the current year. Out of these 8120 Health & Wellness Centres have been operationali so far.

(c)  No such issue has been reported to the Government.

(d) The lodging and boarding charges for attendant accompanying the p at ent during the treatment are not covered in the design of PMJAY.

| Annexure                                                                      | Annexure                                                                      | Annexure                                                                      | Annexure                                                                      | Annexure                                                                      | Annexure                                                                      | Annexure                                                                      | Annexure                                                                      |
|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) | Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) | Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) | Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) | Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) | Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) | Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) | Status of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (As on 04.02.2019) |
| State                                                                         | Beneficiary families covered (in lakhs)*                                      | Hospitals Empanelled                                                          | E-Cards Issued                                                                | Beneficiaries Admitted in Hospital                                            | Amount Authorized for Admissions                                              | Claims Submitted                                                              | Claims Submitted Amount                                                       |
| Andaman And Nicobar Islands                                                   | 0.78                                                                          | 3                                                                             | 2,677                                                                         | 8                                                                             | 26,600                                                                        | 6                                                                             | 23000                                                                         |
| Arunachal Pradesh                                                             | 0.89                                                                          | 2                                                                             | 88                                                                            | 164                                                                           | 3,252,800                                                                     | 49                                                                            | 884300                                                                        |
| Assam                                                                         | 27.02                                                                         | 153                                                                           | 25                                                                            | 15533                                                                         | 233,981,535                                                                   | 8567                                                                          | 117679946                                                                     |
| Bihar                                                                         | 108.95                                                                        | 631                                                                           | 438,254                                                                       | 10386                                                                         | 87,744,976                                                                    | 8899                                                                          | 72573664                                                                      |
| Chandigarh                                                                    | 0.71                                                                          | 10                                                                            | 17,839                                                                        | 243                                                                           | 3,700,375                                                                     | 205                                                                           | 3115135                                                                       |
| Chhattisgarh                                                                  | 41.46                                                                         | 1323                                                                          | 377,564                                                                       | 198447                                                                        | 1,391,711,017                                                                 | 180762                                                                        | 1278106472                                                                    |
| Dadra And Nagar Haveli                                                        | 3.4                                                                           | 4                                                                             | 196,979                                                                       | 2726                                                                          | 7,955,930                                                                     | 2422                                                                          | 6770020                                                                       |
| Daman And Diu                                                                 | 2.4                                                                           | 4                                                                             | 58,372                                                                        | 899                                                                           | 2,971,300                                                                     | 775                                                                           | 2774200                                                                       |
| Goa                                                                           | 0.37                                                                          | 4                                                                             | 5,333                                                                         | 2829                                                                          | 95,269,222                                                                    | 1818                                                                          | 65894655                                                                      |
| Gujarat                                                                       | 44.85                                                                         | 2676                                                                          | 1,875,506                                                                     | 199128                                                                        | 2,772,819,539                                                                 | 145228                                                                        | 2108200798                                                                    |
| Haryana                                                                       | 15.51                                                                         | 357                                                                           | 464,599                                                                       | 5228                                                                          | 78,653,078                                                                    | 4473                                                                          | 66436726                                                                      |
| Himachal Pradesh                                                              | 4.8                                                                           | 198                                                                           | 231,950                                                                       | 4317                                                                          | 43,749,344                                                                    | 2250                                                                          | 24414494                                                                      |
| Jammu And Kashmir                                                             | 6.13                                                                          | 150                                                                           | 1,052,001                                                                     | 1125                                                                          | 10,868,250                                                                    | 854                                                                           | 7986480                                                                       |
| Jharkhand                                                                     | 57                                                                            | 595                                                                           | 2,095,697                                                                     | 50996                                                                         | 486,774,593                                                                   | 45277                                                                         | 435197902                                                                     |
| Karnataka                                                                     | 115                                                                           | 880                                                                           | 0                                                                             | 85299                                                                         | 2,325,504,770                                                                 | 65172                                                                         | 1699590222                                                                    |
| Kerala (implementing RSBY)                                                    | 34.84                                                                         | 446                                                                           | 0                                                                             | 188193                                                                        | 790345935                                                                     | 86630                                                                         | 338018759                                                                     |
| Lakshadweep                                                                   | 0.01                                                                          | 1                                                                             | 8                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| Madhya Pradesh                                                                | 118                                                                           | 211                                                                           | 1,749,974                                                                     | 25321                                                                         | 249,033,975                                                                   | 19273                                                                         | 173805022                                                                     |
| Maharashtra                                                                   | 83.63                                                                         | 488                                                                           | 115,919                                                                       | 65942                                                                         | 1,597,329,169                                                                 | 57758                                                                         | 1368333707                                                                    |
| Manipur                                                                       | 2.77                                                                          | 15                                                                            | 46,564                                                                        | 931                                                                           | 15,781,450                                                                    | 667                                                                           | 11055183                                                                      |
| Meghalaya                                                                     | 8.37                                                                          | 152                                                                           | 14,138                                                                        | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| Mizoram                                                                       | 1.95                                                                          | 104                                                                           | 54,847                                                                        | 3758                                                                          | 28,096,613                                                                    | 3125                                                                          | 22351474                                                                      |
| Nagaland                                                                      | 2.5                                                                           | 59                                                                            | 11,684                                                                        | 126                                                                           | 1,299,880                                                                     | 116                                                                           | 1149680                                                                       |
| NHA Empanelled Hospitals                                                      | -                                                                             | 21                                                                            | 0                                                                             | 968                                                                           | 37177992                                                                      | 593                                                                           | 23418837                                                                      |
| Puducherry                                                                    | 1.04                                                                          | 1                                                                             | 6                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| Punjab                                                                        | 42                                                                            | -                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| Rajasthan                                                                     |                                                                               | -                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             | 0                                                                             |
| Sikkim                                                                        | 0.4                                                                           | 7                                                                             | 867                                                                           | 8                                                                             | 126,200                                                                       | 7                                                                             | 111200                                                                        |
| Tamil Nadu                                                                    | 157                                                                           | 2180                                                                          | 0                                                                             | 117490                                                                        | 2,753,223,921                                                                 | 110835                                                                        | 1929602573                                                                    |
| Tripura                                                                       | 4.9                                                                           | 64                                                                            | 210,403                                                                       | 2987                                                                          | 15,132,200                                                                    | 2505                                                                          | 12510700                                                                      |
| Uttar Pradesh                                                                 | 118.04                                                                        | 1618                                                                          | 1,439,746                                                                     | 29532                                                                         | 313,236,756                                                                   | 25592                                                                         | 266247262                                                                     |
| Uttarakhand                                                                   | 19.68                                                                         | 182                                                                           | 1,492,703                                                                     | 4723                                                                          | 44,843,238                                                                    | 2822                                                                          | 23750270                                                                      |
| West Bengal                                                                   | 112                                                                           |                                                                               | 0                                                                             | 17636                                                                         |                                                                               | 14777                                                                         |                                                                               |
| Overall                                                                       |                                                                               | 1240                                                                          |                                                                               |                                                                               | 170,981,470                                                                   |                                                                               | 141452393                                                                     |
|                                                                               | 1,136                                                                         | 13,779                                                                        | 11,953,743                                                                    | 1,034,943                                                                     | 13,561,592,128                                                                | 791,457                                                                       | 10,201,455,074                                                                |