Lok Sabha Question No. 2263 (UNSTARRED), answered on 2020-09-23
Subject: Objectives of National Rural Health Mission
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Veena Devi, Vinayak Bhaurao Raut

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

## LOK SABHA UNSTARRED QUE STION NO. 2263 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## OBJECTIVES OF NATION AL RURAL HEALTH MISS ION

## 2263. SHRIMATI VEENA DEVI: SHRI VINAYAK RAUT:

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

- (a) whether the rural population do not have sufficient medical facilities in most of the rural are inthe country including Bihar;
- (b) the extent to which National Rural Health Mission (NRHM) has achieved its objectives;
- (c)  whether  the  Government  proposes  to  set  up super  specialty  healthcare  centres  in  rural areas; and
- (d) if so, the details thereof?

## ANSWER

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

- (a):    As  per  Rural  Health  Statistics - 2019,  as  on  31.03.2019,  a  total  of  1,57,411  Sub - centres, 24,855 Primary Health Centres (PHCs) and 5,335 Community Health Centres (CHCs) have been functional in the rural areas of the country. Out of this, 9,949 Sub - centres, 1,899 PHCs and 150 CHCs have been functional in Bihar.
- (b):  The National Rural Health Mission (NRHM) was launched to provide accessible, afford and qualit y healthcare to the rural population, especially the vulnerable groups. Key feat the Mission include making the public health delivery system fully functional and account the  community,  human  resources  management,  community  involvement,  decen tralization, rigorous  monitoring  &  evaluation  against  standards,  convergence  of  health  and  rel programmes from village level upwards, innovations and flexible financing and a interventions for improving the health indicators. Performance of the Nati onal Health Mission on major indicators is given in Annexure.

(c) & (d): To provide major thrust for creation of advanced tertiary healthcare infrastru super specialty health care facilities, Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) is implemented for expanding/ augmenting tertiary healthcare capacity in the underserved are the country. 25 new All India Institute of Medical Science (AIIMS) and 73 Government Medi Colleges  (GMCs)  with  Super  Specialty  Hospitals/  Trauma  C entres  have  been  built  under  the scheme and equipped with modern healthcare facilities including Intensive Care Units (I throughout  the  country  including  in  rural  areas.  States  generally  considered  'backward'  with respect  to  the  broad  socio - economic  in dicators  are  given  priority  while  finalising  projects Further,  to  augment  tertiary  healthcare  facilities  including  ICUs  across  the  country, Government is also establishing 157 new Medical Colleges by up -gradation of District Hospitals.

## Achievements  during  the  period  of  2005 - 06  to  2019 - 20  under  National  Health  Mission (NHM)

|   S. No. | INDICATORS                                                                               | 2005- 06 1            | 2019 - 20 2        |
|----------|------------------------------------------------------------------------------------------|-----------------------|--------------------|
|        1 | Maternal Mortality Rate (MMR)                                                            | 254 (SRS 2004- 06)    | 113 (SRS 2016- 18) |
|        2 | Infant Mortality Rate (IMR)                                                              | 58 (SRS 2005)         | 32 (SRS: 2018)     |
|        3 | Neonatal Mortality rate (NMR)                                                            | 37 (SRS 2005)         | 23 (SRS 2018)      |
|        4 | Under 5 Mortality rate (U5MR)                                                            | 69 (SRS 2008)         | 36 (SRS 2018)      |
|        5 | Total Fertility Rate (TFR)                                                               | 2.9 (SRS 2005)        | 2.2 (SRS 2018)     |
|        6 | Health Human Resources Augmentation 3                                                    | 26,475                | 2.59 lakh          |
|        7 | Accredited Social Health Activists (ASHAs)                                               | 4.6 lakh              | 10.56 lakh         |
|        8 | No of PHCs working on 24X7 basis                                                         | 6,550                 | 9,468              |
|        9 | Functional First Referral Units (FRUs)                                                   | 901                   | 3,122              |
|       10 | Mobile Medical Units (MMUs) operational                                                  | NA 4                  | 1,669              |
|       11 | Ambulances services (Operational)                                                        | NA 4 {11,661 in 2013} | 26,489             |
|       12 | Setting up Rogi Kalyan Samitis (Patient Societies) in public health facilities           | Welfare 13,445        | 33,376             |
|       13 | Constitution of Village Health Sanitation Nutrition Committees (VHSNCs) at village level | and 17,318            | 5.54 lakh          |
|       14 | Holding Village Health & Nutrition Days (VHNDs)                                          | 19.6 lakh             | 11.65 crore        |

## Note:-

1 Cumulative figures as on NHM - MIS report 2005 - 06.

2 Cumulative figures as on NHM - MIS report 2019 - 20.

3 Includes include GDMOs, ANMs, Staff Nurses, Specialists, AYUSH Doctors and Paramedics.

4 Data not available for year 2005 - 06.