Lok Sabha Question No. 3001 (UNSTARRED), answered on 2019-12-06
Subject: Rogi Kalyan Samitis
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kirit Premjibhai Solanki

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

## LOK SABHA UNSTARRED QUESTION NO. 3001 TO BE ANSWERED ON 6 TH DECEMBER, 2019

## ROGI KALYAN SAMITIS

## 3001. DR. (PROF.) KIRIT PREMJIBHAI SOLANKI:

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

- (a) the objectives and the rationale behind the constitution of Rogi Kalyan Samitis;
- (b) the total number of Rogi Kalyan Samitis that have been set up in the country, State/UT -wise;
- (c) the criteria for eligibility and selection of the members of a Rogi Kalyan Samiti; and
- (d) whether Rogi Kalyan Samitis have been successful in meeting their intended objectives so, the details thereof?

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

- (a):        The  Rogi  Kalyan  Samities  (RKSs)/  Hospital  Management  Society  (HMS)    were introduced in 2005, as a forum to improve the functioning and service provisio n in public health facilities, increase participation and enhance accountability. The broad objectives of are to serve as a consultative body to enable active citizen participation for the impro patient care and welfare in health facilitie s.
- (b):   A statement showing numbers of Rogi Kalyan Samitis registered, State/UT - wise, under National Health Mission, up to   June, 2019  is given at Annexure - I.
- (c  ):        The  Rogi  Kalyan  Samiti  (RKS)  comprises  of  a  Governing  Body  (GB),  which  i responsi ble for policy formulation and oversight, and an Executive Committee (EC), responsi for,  implementing  policy  decisions  and  facilitating  operation  of  patient  centric  servi members of these two bodies of RKS are selected according to their 'suggested composition' in the RKS Guidelines, which is given at Annexure II.
- (d): Under  National Health Mission every  year Common Review Mission (CRM) teams are directed  to  visit  public  health  facilities  to  oversee  the  functioning  of  RKS  alo implementati on  of  various  schemes  and  programmes  in  selected  States.    The  CRM  teams' observations indicate that RKS are receiving the untied funds every year and are making contributions towards improvements in provisions of healthcare services and patient amen ities. However  there  is  a  need  to  further  build  the  capacities  of  RKS  members  to  improve functioning of RKS. The findings of CRM are shared with States/UTs for corrective action.

Annexure-I Statement showing State/UT-wise  Rogi Kalyan Samitis registered, , under National Health Mission

| Sl.no.   | State                |   RKS registered |
|----------|----------------------|------------------|
| 1        | Bihar                |             2003 |
| 2        | Chhattisgarh         |              999 |
| 3        | Himachal Pradesh     |              667 |
| 4        | Jammu & Kashmir      |              795 |
| 5        | Jharkhand            |              582 |
| 6        | Madhya Pradesh       |             1617 |
| 7        | Orissa               |             1795 |
| 8        | Rajasthan            |             3008 |
| 9        | Uttar Pradesh        |             1710 |
| 10       | Uttarakhand          |              330 |
| 11       | Arunachal Pradesh    |              228 |
| 12       | Assam                |             1221 |
| 13       | Manipur              |              126 |
| 14       | Meghalaya            |              150 |
| 15       | Mizoram              |               85 |
| 16       | Nagaland             |              167 |
| 17       | Sikkim               |               30 |
| 18       | Tripura              |              153 |
| 19       | Andhra Pradesh       |             1385 |
| 20       | Goa                  |               36 |
| 21       | Gujarat              |             2200 |
| 22       | Haryana              |              640 |
| 23       | Karnataka            |             2930 |
| 24       | Kerala               |             1296 |
| 25       | Maharashtra          |             3535 |
| 26       | Punjab               |              670 |
| 27       | Tamil Nadu           |             2586 |
| 28       | Telangana            |             1074 |
| 29       | West Bengal          |             1223 |
| 30       | A&N Island           |               29 |
| 31       | Chandigarh           |                5 |
| 32       | D&N Haveli           |                6 |
| 33       | Daman & Diu          |                6 |
| 34       | Delhi                |               34 |
| 35       | Lakshadweep          |                9 |
| 36       | Puducherry All India |               48 |
|          |                      |            33378 |

Source: NHM-MIS report as on June 2019.

## 1. (a) Composition of Governing Body (GB) at District Hospital

- (i) GB  chairperson:  in - charge  Minister/  local  MP/  president  Zila  Panchayat/  Distric Magistrate
- (ii) Member Secretary: Medical Superintendent/Civil Surgeon/Hospital -in -charge
- (iii) Members (ex - offcio)
- District Magistrate, (if not chairperson)
- Local MLA, in whose jurisdiction the health facility is located
- Chairperson of Zilla Panchayat
- Mayor/Chairperson of the Urban Local Body at the District Hospital headquarters.
- Chief Executive Officer, District Panchayat
- Commissioner/Chief Municipal Officer, Municipal Corporation/Council.
- Chief Medical and Health Officer
- Medical Superintend ent In - charge of DH - Member Secretary
- District AYUSH Officer
- District  Officer  of  Departments  of  Women and  Child  Development,  Water  and Sanitation, Education, Social Welfare, Public Health Engineering Department, Pub Works Department, (including El ectrical and Mechanical), Electricity Board.
- Individuals/ institutional donors who contribute equal to or more than the stip amount for associate membership
- (iv) Nominated  Members  (names  to  be  recommended  by  Member  Secretary  /  District Magistrate)
- Three  eminent  citizens,  of  whom  one  must  be  a  female,  nominated  by  the Chairperson from the names recommended by Member Secretary/ District Magistrate
- Two Civil society representatives
- One Representative of local medical college, if any. The senior sp ecialists in - charge of different wards and DPHN/Nurse Matron should be invited as permanent special invitees.

## (b) Composition of Executive Committee at District Hospitals -

- (i) Chairperson -District Magistrate
- (iii) Members (ex - officio)
- (ii) Member Secretary -Civil Surgeon/Hospital in Charge.
- Chairperson of Standing Committee on Health of Zila Panchayat
- Chief Executive Officer, District Panchayat
- Commissioner/Chief Municipal Officer, Municipal Corporation/ Council.
- Chief Medical and Health Officer
- District AYUSH Officer

## Annexure-II

- District Officer of Departments of Women and Child Development, Water and Sanitation,  Education,  Social  Welfare,  Public  Health  Engineering  Departmen Public  Works  Department  (including  Electrical  and  Mechanical),  Electricit Board.
- Individuals/  institut ional  donors  who  contribute  equal  to  or  more  than  the stipulated amount for associate membership
- Senior specialists in - charge of different wards and DPHN/Nurse Matron

## (iv) Nominated Members

- Three  eminent  citizens,  of  whom  one  must  be  a  female,  nominated  by  the Chairperson
- Two Civil society representatives
- One Representative of local medical college, if any.

## 2. (a) Composition of Governing Body (GB) at Sub District Hospital (SDH)/CHC

(i ) Chairperson: Member of Legislative assembly/ Sub District Magistrate / Block Developm officer Panchayat Samiti

(ii) Member Secretary: Medical Superintendent/MO in - charge of the facility.

(iii) Members:

- Block Medical Officer,
- AYUSH doctor from CHC,
- Block Development Officer, Programme Officer,
- ICDS, Block Education Officer, block level representatives of Education, Drinking Wa and Sanitation, Social Welfare
- Two eminent citizens and two civil society representatives.

## (b)Composition of Executive Committee at SDH / CHC -

- Chairperson  should  be  Sub - District  Magistrate  and  Member  Secretary  should  be  the Medical Superintendent/MO in - charge of the facility
- Members would include one PRI representative who should be Chairperson of the Healt sub-Commi ttee of the Janpad Panchayat /Block Panchayat.
- Block Medical Officer, Block level of cers of ICDS, Water and Sanitation and Educat
- Two eminent citizens and two civil society representatives that are GB members.
- Individuals/  institutional  donors  w ho  contribute  equal  to  or  more  than  the  stipulated amount for associate membership
- Chairperson may call such other Officer/person as special invitee.
3. Composition of Governing Body (GB) at Primary Health Centre (PHC):

(a)  Composition of Governing Body at PHC: Members would include AYUSH Medical Officer, Anganwadi Supervisor, two eminent citizens, two civil society representat Chairperson/member of Janpad Health Sub - Committee, School headmaster

## (b) Composition of Executive Committee at PHC -

- Chairperson  should  be  Medical  Officer  and  Member  Secretary,  AYUSH  MO  or  staff nurse nominated by MO I/C.
- Members would include one nominated Pharmacist, the CDPO,  block staff Department of Drinking Wate r and Sanitation and Department of Education, Chairperson/Member, Janpad Panchayat -Health Sub -committee

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