Lok Sabha Question No. 1842 (UNSTARRED), answered on 2019-11-29
Subject: Healthcare Facilities in Tribal Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Suresh Kodikunnil

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

LOK SABHA UNSTARRED QUESTION NO. 1842 TO BE ANSWERED ON 29 TH NOVEMBER, 2019

## HEALTHCARE FACILITIE S IN TRIBAL AREAS

## 1842. SHRI KODIKUNNIL SURESH:

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

- (a) whether the Government has special scheme for the development of healthcare faciliti Tribals in the country;
- (b) if so, the details thereof and action taken by the Government in this regard, item - wise, State -wise;
- (c) whether the Government is considering to set up health centres at tribal colonies for access to health centres and to improve the health condition and health awareness among t and
- (d) if so, t he details thereof and if not, the reasons therefor?

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

- (a)  to  (d)  'Public  Health  & Hospital'  being  a  State  subject,  the  primary  responsibility  of development of healthcare facility all over the country including in rural, tribal and h lies with State/UT Governments. To supplement the efforts of State Governments of improvi t he healthcare services, particularly in rural areas including hilly & tribal areas, Nati Health Mission (NRHM) was launched in 2005. NRHM has been subsumed as a Sub Mission of the overarching National Health Mission (NHM) with the National Urban He th Mission as the other Sub Mission.

Under the National Health Mission (NHM), financial and technical support is provide States/UTs  to  strengthen  their  health  care  systems  including  for  setting  up/upgrading health  facilities  and  augmenting health  human  resource  on  contractual  basis  for  provision  of equitable, affordable healthcare to all its citizens particularly the poor and vulnerable including  tribal  population  based  on  requirements  posed  by  the  States  in  their  Prog Implementation Plans (PIPs).

Under  NHM,  tribal  areas  already  enjoy  relaxed  norms  for  setting  up  public  hea facilities including 'time to care' norm for setting up sub health Centres in tribal areas within 30 minutes of walk from habitation and relaxed norm for Mobile Medical Units for tribal areas; extra one MMU if it exceeds 30 patients per day against 60 patients per day in plain a bringing healthcare delivery to the doorsteps of the population.

Further,  all  tribal  majority  districts  whose  composit e  health ndex  is  below  the  State average have been identified as High Priority Districts (HPDs) and these districts recei resources per capita under the NHM as compared to the rest of the districts in the Stat districts receive higher  per c apita funding, have enhanced monitoring and focused supportive supervision and are encouraged to adopt innovative approaches to address their peculiar challenges.

As per Rural Health Statistics the change in health facilities in Tribal areas v All India between 2005 and 2018 is given as below:

|                           | All India   | All India   | Tribal Areas   | Tribal Areas   |
|---------------------------|-------------|-------------|----------------|----------------|
| Type of Facility          | RHS 2005    | RHS 2018    | RHS 2005       | RHS 2018       |
| CHCs                      | 3222        | 5624        | 643            | 1017           |
| PHCs                      | 23109       | 25743       | 2809           | 3971           |
| SCs                       | 142655      | 158417      | 16748          | 28091          |
| Total                     | 168986      | 189784      | 20200          | 33079          |
| increase Total facilities | in 12.30%   | in 12.30%   | 63.75%         | 63.75%         |

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