Lok Sabha Question No. 2070 (UNSTARRED), answered on 2019-11-29
Subject: Expansion of CGHS Coverage
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sangeeta Kumari Singh Deo, Raja Amareshwara Naik, Bhola Singh, Sukanta Majumdar

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

## LOK SABHA UNSTARRED QUESTION NO. 2070 TO BE ANSWERED ON 29 TH NOVEMBER, 2019

## EXPANSION OF CGHS COVERAGE

## 2070. SHRIMATI SANGEETA KUMARI SINGH DEO: SHRI RAJA AMARESHWARA NAIK: SHRI BHOLA SINGH: DR. SUKANTA MAJUMDAR:

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

- (a)  whether  the  Government  proposes to  introduce  Central  Government  Health Scheme (CGHS) Services in 29 more cities in India by 2022, if so, the details thereof;
- (b)  whether  the  Government  is  aware about  the  shortage  of  child  vaccines  in  the CGHS dispensaries of Delhi;
- (c) whether the Government proposes to make it mandatory to procure certain amount of patented/generic medicines from Government Pharma PSUs;
- (d) if so, the details thereof and the medicines procured by CGHS during last three years, State/UT - wise; and
- (e) the other steps taken by the Government to reduce rural - urban gap in access to quality healthcare and advancedtreatment and diagnostic facilities in the country?

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

- (a) : No .
- (b): Vaccines  for  Immunization  programme in  Central  Government  Health  Scheme (CGHS) Wellness Centres in Delhi are supplied by the Government of NCT of Delhi and there are, at times, delay in the supplies.
- (c) & (d) : Pharmaceutical Purchase Policy, 2013 mandates procurement of 103 medicines fr om Central Public Sector Enterprises (CPSEs). A statement showing State/ UT -wise medicines procured by CGHS from CPSEs is at Annexure .

(e): 'Public Health & Hospital' being a State subject, the primary responsibility to provide healthcare  to  the  people lies  with  the  State  Governments.  To  address  the  healthcare challenges,  particularly  in  rural  areas,  the  National  Rural  Health  Mission  (NRHM) launched  in  2005  to  supplement  the  efforts  of  the  State/UT  governments  to  prov accessible, affordable and q uality healthcare to all those who access public health facili Currently, NRHM is a sub - mission of National Health Mission (NHM).

This  support  under  NHM  includes  provision  of  a  host  of  free  services  such maternal  health,  child  health,  adolescent health,  family  planning,  universal  immunisation programme, and for major diseases such as Tuberculosis, HIV/ AIDS, vector borne disea like Malaria, Dengue and Kala Azar, Leprosy etc.

Other major initiatives include Janani Shishu Suraksha Karyakram (under which free drugs, free diagnostics, free blood and diet, free transport from home to institution facilities  in  case  of  a  referral  and  drop  back  home  is  provided),  Rashtriya  Bal  S Karyakram  (which  provides  newborn  and  child  health  sc reening  and  early  interventions services  free  of  cost  for  birth  defects,  diseases,  deficiencies  and  developmental  d improve the quality of survival), implementation of Free Drugs and Free Diagnostics Se Initiatives,  Pradhan  Mantri  National  Dia lysis  Programme  and  implementation  of  National Quality Assurance Framework.

Mobile  Medical  Units  &  Telemedicine  are  also  being  implemented  with  NHM support to improve healthcare access particularly in rural areas.

Annexure Statement showing medicines procured by CGHS during last three years

| State / Union Territory (AD s of CGHS procure for the Cities under their administrative control)   | Procurement through C entral PublicSectorEnterprise s (in Rupees)   | Procurement through C entral PublicSectorEnterprise s (in Rupees)   | Procurement through C entral PublicSectorEnterprise s (in Rupees)   | Procurement through C entral PublicSectorEnterprise s (in Rupees)   |
|----------------------------------------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| State / Union Territory (AD s of CGHS procure for the Cities under their administrative control)   | 2016- 17                                                            | 2017- 18                                                            | 2018- 19                                                            | 2019- till date                                                     |
| Assam                                                                                              | 1158008                                                             | 359433                                                              | 2503659                                                             | 99993                                                               |
| Bihar                                                                                              | 0                                                                   | 0                                                                   | 2338480                                                             | 1730327                                                             |
| Delhi & Satellite towns of NCR                                                                     | 424100                                                              | 2756068                                                             | 36017787                                                            | 24923773                                                            |
| Gujarat                                                                                            | 0                                                                   | 513834                                                              | 3432555                                                             | 877499                                                              |
| Jharkhand                                                                                          | 6690593                                                             | 22155840                                                            | 10367905                                                            | 0                                                                   |
| Karnataka                                                                                          | 0                                                                   | 0                                                                   | 5390786                                                             | 5432285                                                             |
| Kerala                                                                                             | 0                                                                   | 0                                                                   | 0                                                                   | 267703                                                              |
| Madhya Pradesh                                                                                     | 8291636                                                             | 2442858                                                             | 69443543                                                            | 1903546                                                             |
| Maharashtra                                                                                        | 0                                                                   | 0                                                                   | 6423044                                                             | 2353098                                                             |
| Meghalaya                                                                                          | 0                                                                   | 123303                                                              | 463597                                                              | 458937                                                              |
| Odisha                                                                                             | 0                                                                   | 0                                                                   | 0                                                                   | 3712616                                                             |
| Rajasthan                                                                                          | 0                                                                   | 337654                                                              | 3608340                                                             | 3945994                                                             |
| Tamil Nadu                                                                                         | 0                                                                   | 397006                                                              | 1658506                                                             | 3306592                                                             |
| Telangana and A ndhraPradesh                                                                       | 0                                                                   | 6812307                                                             | 258935                                                              | 183153                                                              |
| Uttrakhand                                                                                         | 2190                                                                | 96849                                                               | 850201                                                              | 232419                                                              |
| Uttar Pradesh                                                                                      | 0                                                                   | 4671914                                                             | 13222512                                                            | 1825256                                                             |
| West Bengal                                                                                        | 0                                                                   | 26703891                                                            | 83089288                                                            | 10973179                                                            |
| Chandigarh (UT) (incl. Punjab, J&K Haryana except NCR Towns)                                       | 0                                                                   | 0                                                                   | 0                                                                   | 605520                                                              |
| Total                                                                                              | 16566527                                                            | 67370957                                                            | 239069138                                                           | 62831890                                                            |