Lok Sabha Question No. 2894 (UNSTARRED), answered on 2018-12-28
Subject: Shortage of Equipments and Technicians in District Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BODH SINGH BHAGAT

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

## LOK SABHA UNSTARRED QUESTION NO. 2894 TO BE ANSWERED ON 28 TH DECEMBER, 2018

## SHORTAGE OF EQUIPMEN TS AND TECHNICIANS IN DISTR ICT HOSPITALS

## 2894. SHRI BODHSINGH BHAGAT:

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

(a)  the  steps  taken  by  the  Government to  make  available  CT  scan  machine, sonography machine and Digital X - raymachine in each civil Hospital of the country including in Madhya Pradesh;

(b) the time by which MRI machines and technicians are likely to be made available in each District Hospital of the country including in Madhya Pradesh;

(c) whether the Government proposes to open hospitals having all latest equipments i n the Divisional Headquarters of the States for cancer patients;

(d) if so, the time by which it is likely to be done;

(e)  whether  there  is  any  plan  to appoint  Dentist  in  the  Rural  Community Hospital  under NRHM by the Government; and

(f) if so, the time by which it is likely to be done?

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

(a) & (b): Public Health and hospitals being a State subject, the primary responsibil providing accessible, affordable and quality healthcare to its citizens including set hospitals and equipping them with equipment like CT Scan machine, sonography ma chine, X - Ray  machine and MRI machine based on requirement lies with the State Governments. Financial  and  technical  support  under  NHM  is  provided  to  States/UTs  for  hiring  he human resource including technicians as well as procuring equipment as cited ab ove, based on the requirement posed by the States/UTs in their Programme Implementation Plans (PIP State/UT - wise funds  approved under NMH for procurement of equipment, including to the State of  Madhya Pradesh, for the last three years is given at Ann exure.

(c) & (d): Under National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular  Disease  &  Stroke  (NPCDCS)  which  is  implemented  under  NHM,  Non -Communicable Diseases clinics are set up at district hospitals. Government of India also implementing a programme for strengthening of tertiary care for cancer under which cancer institute and tertiary cancer care centres are set up. 35 proposals for setting cancer institute and tertiary cancer care centres have been ap proved so far.

(e)& (f): Financial and technical support is provided under NHM to states/UTs to set Dental  Care  Units  at  District  Hospitals  &  below  and  for  Human  Resources.  Proposals States/UTs are considered including support for Dentists, based on gap analysis projected in the annual Programme Implementation Plan.

Further, under NHM, the States may seek support for mobile dental vans to ren preventive,  promotive  and  basic  curative  oral  health  services  in  rural/hard  to  reac While the s ame has not yet been proposed by the State of Madhya Pradesh, mobile denta vans have been approved for Puducherry, Haryana, Delhi and Gujarat. Some states like G Maharashtra and Daman & Diu are operating state sponsored mobile dental vans.

## ANNEXURE

Details of SPIP Approval for Procurement of Equipment under NHM from FY 2015-16 to 2017-18 Rs. In lakhs

| S. No.                   | State/UT                  | 2015-16   | 2016-17   | 2017-18   |
|--------------------------|---------------------------|-----------|-----------|-----------|
| A. High Focus States     |                           |           |           |           |
| 1                        | Bihar                     | 7160.64   | 4401.43   | 2493.98   |
| 2                        | Chattisgarh               | 451.24    | 2913.85   | 4133.56   |
| 3                        | Himachal Pradesh          | 902.99    | 308.57    | 868.57    |
| 4                        | Jammu & Kashmir           | 620.98    | 1738.78   | 1336.64   |
| 5                        | Jharkhand                 | 1388.80   | 391.91    | 1787.62   |
| 6                        | Madhya Pradesh            | 2363.55   | 8337.85   | 5091.44   |
| 7                        | Orissa                    | 1588.95   | 854.04    | 668.95    |
| 8                        | Rajasthan                 | 5427.58   | 3506.38   | 4988.28   |
| 9                        | Uttar Pradesh             | 8455.38   | 1434.12   | 4372.94   |
| 10                       | Uttarakhand               | 354.84    | 73.82     | 309.02    |
|                          | Sub Total                 | 28714.95  | 23960.74  | 26051.00  |
| B. NE States             |                           |           |           |           |
| 11                       | Arunachal Pradesh         | 214.81    | 120.65    | 283.26    |
| 12                       | Assam                     | 5876.89   | 5753.08   | 7316.27   |
| 13                       | Manipur                   | 41.20     | 713.56    | 692.53    |
| 14                       | Meghalaya                 | 301.79    | 73.39     | 644.17    |
| 15                       | Mizoram                   | 93.41     | 851.31    | 1844.93   |
| 16                       | Nagaland                  | 115.56    | 168.56    | 658.46    |
| 17                       | Sikkim                    | 565.34    | 68.59     | 212.40    |
| 18                       | Tripura                   | 286.01    | 167.60    | 1241.73   |
|                          | Sub Total                 | 7495.01   | 7916.74   | 12893.75  |
| C. Non-High Focus States |                           |           |           |           |
| 19                       | Andhra Pradesh            | 1719.18   | 2747.03   | 4551.32   |
| 20                       | Goa                       | 67.61     | 82.81     | 144.79    |
| 21                       | Gujarat                   | 1268.94   | 1437.13   | 2104.45   |
| 22                       | Haryana                   | 713.32    | 96.57     | 259.03    |
| 23                       | Karnataka                 | 652.27    | 1825.07   | 3400.49   |
| 24                       | Kerala                    | 1262.94   | 1668.28   | 1729.67   |
| 25                       | Maharashtra               | 5173.52   | 8691.88   | 8555.82   |
| 26                       | Punjab                    | 531.85    | 389.78    | 7720.72   |
| 27                       | Tamil Nadu                | 4788.46   | 3064.26   | 4562.67   |
| 28                       | Telangana                 | 2410.18   | 657.49    | 2572.35   |
| 29                       | West Bengal               | 1102.33   | 7277.21   | 2350.60   |
|                          | Sub Total                 | 19690.60  | 27937.51  | 37951.91  |
| D. Small States/UTs      |                           |           |           |           |
| 30                       | Andaman & Nicobar Islands | 27.22     | 20.16     | 20.01     |
| 31                       | Chandigarh                | 19.87     | 20.75     | 166.31    |
| 32                       | Dadra & Nagar Haveli      | 26.44     | 28.05     | 27.21     |
| 33                       | Daman & Diu               | 17.14     | 15.57     | 26.84     |
| 34                       | Delhi                     | 0.00      | 0.00      | 125.00    |
| 35                       | Lakshadweep               | 5.01      | 5.63      | 22.83     |
| 36                       | Puducherry                | 105.70    | 222.53    | 516.55    |
|                          | Sub Total                 | 201.38    | 312.69    | 904.75    |
|                          | Grand Total               | 56101.94  | 60127.68  | 77801.41  |

Note:

1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of  the year. It is updated upto 30-09-2018, hence provisional.
2. The Above Figures are as per FMR reported by State/UTs.
3. SPIP stands for State Programme Implementation Plan.