Lok Sabha Question No. 4071 (UNSTARRED), answered on 2019-01-04
Subject: Upgradation of Government Hospitals in Jharkhand and UP
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NISHIKANT  DUBEY, RAJESH PANDEY

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

## LOK  SABHA UNSTARRED QUESTION NO. 4071 TO BE ANSWERED ON 04 TH JANUARY, 2019

## UPGRADATION OF GOVER NMENT HOSPITALS IN JHARKHAND AND UP

## 4071. SHRI NISHIKANT DUBEY: SHRI RAJESH PANDEY:

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

- (a) whether the condition of Government hospitals in Jharkhand and Uttar Pradesh has improved duringlast three years and if so, the details ther of;
- (b) whether the Government has taken steps to modernise/upgrade hospitals especially in rural parts of the country;
- (c) if so, the details thereof, State - wiseincluding Jharkhand and Uttar Pradesh; and
- (d) if not, the reasons therefor?

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

- (a): There is marked improvement in the conditions of Government hospitals in Jharkhand Uttar  Pradesh.  Under  National  Quality  Assurance  Program,  there  is 24.9%  and  4.49% improvement in median scores of District Hospitals of UP and Jharkhand respectively in th 2018.

Under the Kayakalp, in the state of Jharkhand, Sadar Hospital Gumla had qualified the  Kayakalp  award  in  the  Year  2015 - 16.  In  the  next year  (2016 - 17),  number  of  Kayakalp winner facilities rose to 6 facilities (3 District hospitals, 1 CHCs and 2 PHCs). In th (2017- 18), number of Kayakalp awardee facilities became 15 (DH - 2, CHC- 4, PHC- 9).

In the State of Uttar Pradesh also, the re has b en increasing trends in number of facilities winning the Kayakalp awards, from 11 District Hospitals in 2015 - 16 to 37 Health facilities (DH -12, CHC- 11, PHC- 14) in the FY 2016 - 17. In the FY (2017 - 18), 116 health facilities (37 District hospitals, 25 CHCs and 54 PHCs) were Kayakalp Awardees.

(b) to (d): 'Public  Health  &  Hospital'  being  a  state  subject,  the  primary  responsibility  of improving  the  conditions  and  modernisation/  upgradation  of  Government  hospitals  includ rural areas i  that of respe ctive State Government. Under National Health Mission (NHM), the central  government  provides  technical  and  financial  support  to  States/UTs support  for equipment,  use  of  modern  technologies  &  upgradation  of  infrastructure  based  on  propo received from re spective States/UTs in their Programme Implementation Plan (PIPs) .

As  per  the  Rural  Health  Statistics  (RHS)  2018,  as  on  31.3.2018,  the  status  of health facilities functioning in the country is as under:

- 1, 58,417 Sub Centres (SCs)
- 25,743 Primary Health Centres (PHCs)
- 5,624 Community Health Centres (CHCs)
- 1130 Sub - divisional Hospitals (SDHs) & 764 Districts Hospitals (DH).
- 3369 First Referral Units (FRUs).

The  state  wise  details  of  public  health  facilities  in  rural  areas  of  the Country  is  given  in Annexure-I.

Also under Ayushman Bharat, Sub Health Centres and Primary Health Centres are being strengthened  as  Health  and  Wellness  Centres.  The  state  wise  list  of  approvals  for  Hea Wellness Centres upto 2018 - 19 is at Annexure -II .

## State / UT wise functional healthcare facilities as per RHS 2018

| State/UT          |   No. of Sub Centre |   No. of PHCs |   No. of CHCs |   Total No of district hospital | Total No of sub divisional hospital   | Total No of FRU   |
|-------------------|---------------------|---------------|---------------|---------------------------------|---------------------------------------|-------------------|
| Andhra Pradesh    |                7458 |          1147 |           193 |                               8 | 31                                    | 235               |
| Arunachal Pradesh |                 312 |           143 |            46 |                              18 | NA                                    | 14                |
| Assam             |                4644 |           946 |           172 |                              25 | 14                                    | 80                |
| Bihar             |                9949 |          1899 |           150 |                              36 | 55                                    | 150               |
| Chhattisgarh      |                5200 |           793 |           169 |                              26 | 19                                    | 75                |
| Goa               |                 214 |            25 |             4 |                               2 | 2                                     | 33                |
| Gujarat           |                9153 |          1474 |           363 |                              22 | 37                                    | 132               |
| Haryana           |                2589 |           368 |           113 |                              22 | 21                                    | 51                |
| Himachal Pradesh  |                2084 |           576 |            91 |                              12 | 71                                    | 17                |
| Jammu & Kashmir   |                2967 |           637 |            84 |                              22 | NA                                    | 99                |
| Jharkhand         |                3848 |           298 |           171 |                              23 | 13                                    | 76                |
| Karnataka         |                9443 |          2359 |           206 |                              15 | 146                                   | 230               |
| Kerala            |                5380 |           849 |           227 |                              18 | 81                                    | 13                |
| Madhya Pradesh    |               11192 |          1171 |           309 |                              51 | 66                                    | 148               |
| Maharashtra       |               10638 |          1823 |           361 |                              23 | 89                                    | 245               |
| Manipur           |                 429 |            91 |            23 |                               8 | 1                                     | 7                 |
| Meghalaya         |                 443 |           108 |            28 |                              12 | 1                                     | 7                 |
| Mizoram           |                 370 |            57 |             9 |                               9 | 2                                     | 9                 |
| Nagaland          |                 396 |           126 |            21 |                              11 | NA                                    | 16                |
| Odisha            |                6688 |          1288 |           377 |                              32 | 33                                    | 89                |
| Punjab            |                2950 |           432 |           151 |                              22 | 41                                    | 254               |
| Rajasthan         |               14405 |          2078 |           588 |                              27 | 19                                    | 153               |
| Sikkim            |                 147 |            24 |             2 |                               4 | NA                                    | 3                 |
| Tamil Nadu        |                8712 |          1421 |           385 |                              31 | 278                                   | 544               |
| Telangana         |                4744 |           643 |            91 |                               6 | 31                                    | 135               |
| Tripura           |                1020 |           108 |            22 |                               7 | 12                                    | 10                |
| Uttarakhand       |                1847 |           257 |            67 |                              18 | 18                                    | 51                |
| Uttar Pradesh     |               20521 |          3621 |           822 |                             171 | NA                                    | 334               |
| West Bengal       |               10357 |           913 |           348 |                              23 | 36                                    | 141               |
| A& N Islands      |                 123 |            22 |             4 |                               3 | NA                                    | 1                 |
| Chandigarh        |                  17 |             0 |             0 |                               1 | 1                                     | 5                 |
| D & N Haveli      |                  71 |             9 |             2 |                               1 | 1                                     | 2                 |
| Daman & Diu       |                  26 |             4 |             2 |                               2 | NA                                    | 4                 |
| Delhi             |                  12 |             5 |             0 |                              47 | 9                                     | NA                |
| Lakshadweep       |                  14 |             4 |             3 |                               1 | 2                                     | 2                 |
| Puducherry        |                  54 |            24 |             3 |                               5 | NA                                    | 4                 |
| All India/Total   |              158417 |         25743 |          5624 |                             764 | 1130                                  | 3369              |

## Annexure-I

State-wise details of approval of HWCs:

| State/UT                  | Approval   |
|---------------------------|------------|
| High Focus                | s          |
| Bihar                     | 534        |
| Chhattisgar               | 800        |
| h Jharkhand               | 776        |
| MP                        | 690        |
| Odisha                    | 1148       |
| Rajasthan                 | 679        |
| UP                        | 3058       |
| Uttarkhand                | 426        |
| North East                |            |
| Arunachal                 | 132        |
| Pradesh Assam             | 878        |
| Manipur                   | 103        |
| Meghalaya                 | 42         |
| Mizoram                   | 32         |
| Nagaland                  | 63         |
| Sikkim                    | 39         |
| Tripura                   | 46         |
| Non High                  |            |
| Focus AP                  | 1050       |
| Gujarat                   | 1645       |
| Goa                       | 5          |
| Haryana                   | 408        |
| HP                        | 137        |
| J&K                       | 380        |
| Maharashtra               | 1841       |
| Karnataka                 | 1142       |
| Kerala                    | 671        |
| Punjab                    | 1033       |
| Tamil Nadu                | 1915       |
| Telangana                 | 590        |
| West                      | 1010       |
| Bengal Union              |            |
| Territories Andaman &     | 34         |
| Nicobar Chandigarh        | 34         |
| Daman and                 | 22         |
| Diu Delhi                 | 0          |
| Dadar and                 | 24         |
| Nagar Lakshadwee          | 3          |
| Haveli p Puducherry Total | 21 21411   |

Annexure-II