Lok Sabha Question No. 5610 (UNSTARRED), answered on 2019-07-26
Subject: Healthcare Facilities in Bengal
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Raju Bista

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

## LOK SABHA UNSTARRED QUESTION NO. 5610 TO BE ANSWERED ON 26 TH JULY, 2019

## HEALTHCARE FACILITIE S IN BENGAL

## 5610. SHRI RAJU BISTA:

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

- (a) whether the Government is aware of the acute shortage of proper healthcare facilitie entire North Bengal region;
- (b)  if  so,  the  details  of  rural  primary  healthcare  facilities  in  North  Bengal  re gion  and its functioning;
- (c) the criteria put in place for a region to qualify for a centrally funded multispecia like AIIMS;
- (d) whether the Government proposes to develop health infrastructure through centrally fun hospitals in the North Bengal region; and
- (e) if so, the details thereof and the necessary steps taken in this regard?

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

- (a) & (b) : 'Public Health and Hospital' being a State Subject, the primary responsibility of constructing proper healthcare facilities including rural Primary Healthcare facilities respective S tate Governments.

However,  to  address  the  healthcare  challenges,  National  Health  Mission  (NHM) supplements  the  efforts  of  the  State/UT  governments  to  provide  accessible,  affordabl quality healthcare to all those who access public health facilities.

NHM support is provided to State/UTs for bridging the gap of infrastructure by sett of new facilities and upgradation of existing facilities based on the requirement posed b their  Programme  Implementation  Plan  (PIPs)  within  their  re source  envelop.  The  details  of healthcare facilities in various districts / region of the State with their functional maintained centrally.

However,  as  per  Rural  Health  Statistics  2017 - 18,  shortage/shortfall  in  health  facilities (Sub Healt h Centres, Primary Health Centres and Community Health Centres) and number of sub divisional hospital and district hospital available in the State of West Bengal i Annexure-I. Further, as per the information received from the State, West Bengal S tate has taken all actions to create required health facilities in North Bengal region which has 160 Health Centres and 2276 Sub Health Centres and district wise status is given in Annexure -II.

(c)  to (e):      Site  for  new  AIIMS  that  are  now  being  established  in  the  country  are  fin through Challenge Method. Details regarding Challenge Method are given at Annexure -III.

Under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), an AIIMS in Kalyani, Wes t Bengal has been approved at a cost of Rs. 1754 crore and is under construction; Upgradat following four (4) Medical Colleges have been undertaken under PMSSY:

- (a)  Kolkata Medical College, Kolkata (Phase -I)
- (b)  BS Medical College, Bankur a,
- (c) Govt. Medical College, Malda; and
- (d)  North Bengal Medical College, Darjeeling

(Phase - III).

Status of the above projects are given at Annexure -IV. As per the information received from  the  State  of  West  Bengal,  a  number  of  he althcare  facilities  including  Super  Speciality Hospitals and Medical Colleges and Hospitals have been created in North Bengal region.

## ANNEXURE-I

| SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31 st March, 2018)   |
|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------|
|                                                                                            |                                                                                            | Sub Centres                                                                                | Sub Centres                                                                                | Sub Centres                                                                                | Sub Centres                                                                                | PHCs                                                                                       | PHCs                                                                                       | PHCs                                                                                       | PHCs                                                                                       | CHCs                                                                                       | CHCs                                                                                       | CHCs                                                                                       | CHCs                                                                                       |
| S. No.                                                                                     | State/UT                                                                                   | R                                                                                          | P                                                                                          | S                                                                                          | % Shortfall                                                                                | R                                                                                          | P                                                                                          | S                                                                                          | % Shortfall                                                                                | R                                                                                          | P                                                                                          | S                                                                                          | % Shortfall                                                                                |
| 1                                                                                          | West Bengal                                                                                | 1308 3                                                                                     | 1035 7                                                                                     | 2726                                                                                       | 21                                                                                         | 2153                                                                                       | 913                                                                                        | 1240                                                                                       | 58                                                                                         | 538                                                                                        | 348                                                                                        | 190                                                                                        | 35                                                                                         |

Notes: The requirement is calculated using the prescribed norms on the basis of rural population form Census, 2011.

R: Required; P: In Position; S: Shortfall

| NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
|                                                                     |                                                                     | As on 31 st March 2018                                              | As on 31 st March 2018                                              |
| S.No.                                                               | State/UT                                                            | Sub Divisional Hospital (SDH)                                       | District Hospitals (DH)                                             |
| 1                                                                   | West Bengal                                                         | 36                                                                  | 23                                                                  |

PHC and Sub Centres in North Bengal region

| Sl.No.   | Name of District   |   No. of PHCs |   No. of Sub Centres |
|----------|--------------------|---------------|----------------------|
| 1        | Alipurduar         |            13 |                  236 |
| 2        | Cooch Behar        |            29 |                  406 |
| 3        | Dashshin Dinajpur  |            18 |                  248 |
| 4        | Darjiling [GTA]    |            12 |                  118 |
| 5        | Darjiling [SMP]    |             4 |                   63 |
| 6        | Kalimpong          |             6 |                   49 |
| 7        | Jalpaiguri         |            25 |                  301 |
| 8        | Maldah             |            34 |                  511 |
| 9        | Uttar Dinajpur     |            19 |                  344 |
|          | Total              |           160 |                 2276 |

ANNEXURE-II

## Challenge Method

Cabinet  Secretariat  has  circulated  guidelines  for  selection  of  site  for  AIIMS  through  the  'Challenge Method' vide D.O.  no.  272/1/3/2016-CA.V  dated  20.09.2017.  Guidelines  recommended  by  GoS  have been finalized in consultation with NITI Aayog who have also consulted the various States/UTs. These guidelines  provide  a  generic  framework  for  adopting  the  challenge  Method  in  site  selection.  The guidelines also include an indicative list of sectors and projects wherein the Challenge Method can be adopted.  Further, it  lays  down  the  process  to  be  followed  along  with  the  indicative  criteria  for evaluation of proposals. Illustrative parameters along with suggested weights have also been suggested. The indicative parameter and weightage for setting up of AIIMS is as follows:

| Parameters                                                                                         |   Weightage |
|----------------------------------------------------------------------------------------------------|-------------|
| Early availability of suitable area/land                                                           |          20 |
| Provision of utilities (Power, water supply, Drainage                                              |          15 |
| Gaps in Tertiary Health Care Facilities                                                            |          15 |
| Financial Contribution by States/Innovation                                                        |          10 |
| Availability of school/college & medical facilities and employment opportunities for family nearby |          10 |
| Connectivity (Road/Rail/Airport)                                                                   |          15 |
| Per capita income& literacy level of State/UT                                                      |           5 |
| Fast track single window for clearances (including environment &forest)                            |          10 |
| Total                                                                                              |         100 |

## Project under Phase-I of PMSSY

| SL.   | STATE       | MED. COLLEGE    |         | PHASE   | PROJ. CONS   | COST OF   | COST OF   | COST OF   | BEDS   | S. SPEC   | OTHER FACILITIES   | STATUS                 |
|-------|-------------|-----------------|---------|---------|--------------|-----------|-----------|-----------|--------|-----------|--------------------|------------------------|
|       |             |                 |         |         |              | CENTRE    | STATE     | TOTAL     |        | **        |                    |                        |
| 1     | West Bengal | Kolkata College | Medical | Phase I | HSCC         | 100.00    | 60.73     | 160.73    | 235    | 7         | 3                  | Construction completed |

Project under Phase-III of PMSSY

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|     |             | Govt. Med. College      | Executing Agency   | No. of Beds   | No. of Beds   | No. of Beds   | MOT   | No. of Dept. upgraded   | Post Graduate Seats   | Date    | % Progress   |
|-----|-------------|-------------------------|--------------------|---------------|---------------|---------------|-------|-------------------------|-----------------------|---------|--------------|
| Sl. |             | Govt. Med. College      | Executing Agency   | S.Sp.         | ICU           | Total         | MOT   | No. of Dept. upgraded   | Post Graduate Seats   | Start   | Work         |
| 1   | West Bengal | BS Med. Coll., Bankura  | CPWD               | 185           | 75            | 260           | 6     | 9                       | 27                    | 22.9.16 | 90           |
| 2   | West Bengal | Govt. Med. Coll., Malda | CPWD               | 161           | 40            | 201           | 9     | Trauma centre           | Trauma centre         | Dec. 16 | 94           |
| 3   | West Bengal | NBMC, Darjeeling        | HSCC               | 166           | 89            | 255           | 8     | 8                       | 21                    | 2.7.16  | 62           |

## Project under Phase-IV of PMSSY

| Cabinet approved setting up of AIIMS at Kalyani in West Bengal at the cost of Rs 1754 crore on 07.10.2015                                 |
|-------------------------------------------------------------------------------------------------------------------------------------------|
| HSCC(I) appointed as executing agency for the project.                                                                                    |
| The work for Comprehensive Planning & Designing of AIIMS has been awarded to M/s Perkins E astman &M/s Edifice Consultant by HSCC(I) Ltd. |
| Masterplan and Concept plan has been finalized.                                                                                           |
| Design of OPD and Residential Block and BOQ finalized.                                                                                    |
| Construction work in progress:                                                                                                            |
| Phase I - OPD Block& Residential Complex: 52.5%                                                                                           |
| Phase II - Hospital and Academic Campus: 31%                                                                                              |