Lok Sabha Question No. 3200 (UNSTARRED), answered on 2019-07-12
Subject: Health Facilities in Minority Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Badruddin Ajmal

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

LOK SABHA UNSTARRED QUESTION NO. 3200 TO BE ANSWERED ON 12 TH JULY, 2019

## HEALTH FACILITIES IN MINORITY AREAS

## 3200. SHRI M. BADRUDDIN AJMAL:

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

- (a) whether the Government is aware that the facilities available in Government hospitals sufficient for the poor, helpless and pregnant women in minorities dominated areas due to the women and the poor and the helpless face problem in gettin g admitted and proper treatment in hospitals;
- (b) if so, the details thereof and the remedial measures taken/being taken by the Govern this regard;
- (c) whether the Government proposes to bring improvement in medical facilities and to con enough hospitals in the minorities dominated areas, if so, the details thereof; and
- (d)  whether  such  areas  have  been  identified  which  are  minority  dominated and  faced  acute shortage of medical facilities, if so, the 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  and  Hospital'  being  a  State  subject  the  primary  responsibility  of ensuring  availability  of  sufficient  facilities  for  the  poor,  helpless  and  pregnant improvement  in  medical  facilities  and  construction  of  hospitals  including  in  the minorities dominated areas lies with respective State Governments.

As per the Rural Health Statistics 2017 - 18  the state - wise details of shortfall of health facilities is at Annexure.

To address the healthcare challenges, National Health Mission (NHM) supplements th efforts of the State/UT governments to provide accessible, affordable and quality health all those who access public health facilities including in minority dominate d a eas.

NHM support is provided to States/ UTs for setting up of new facilities/ upgrada of existing facilities for bridging the gap of infrastructure based on the requirement them.

NHM  support  is  also  provided  for provision  of  a  h ost  of  free s rvices related  to maternal  health,  child  health,  adolescent  health,  family  planning,  universal  immunis programme, and for major diseases such as Tuberculosis, HIV/ AIDS, vector borne diseas like Malaria, Dengue and Kala Azar, Leprosy e tc.

Other major initiatives include Janani Shishu Suraksha Karyakram (JSSK) (under which  free  drugs,  free  diagnostics,  free  blood  and  diet,  free  transport  from  ho institution,  between  facilities  in  case  of  a  referral  and  drop  back  home  is  pro vided), Rashtriya  Bal  Swasthya  Karyakram  (RBSK)  (which  provides  newborn  and  child  health screening  and  early  interventions  services  free  of  cost  for  birth  defects,  di deficiencies and developmental delays to improve the quality of survival), impleme ntation of Free Drugs and Free Diagnostics Service Initiatives, PM National Dialysis Program and implementation of National Quality Assurance Framework in all public health facili including those in minority dominated areas.

Mobile  Medical  Un its  (MMUs)  &  Telemedicine  are  also  being  implemented  with NHM support to improve healthcare access particularly in rural areas.

As  part  of  Ayushman  Bharat,  the  Government  is  supporting  the  States  for strengthening  Sub  Centres  and  Primary  Health  Cent res  as  Health  and  Wellness  Centres (AB - HWCs) for provision of comprehensive primary health care that includes preventiv and health promotion at the community level with continuum of care approach. Further, Ayushman  Bharat,  Pradhan  Mantri  Jan  Arogya  Yojana (AB - PMJAY)  provides  health coverage up to Rs. 5.00 lakh per family per year to around 10.74 crore poor and vulne families as per Socio Economic Caste Census (SECC).

Annexure

|        |                   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   | SHORTFALL IN HEALTH FACILITIES AS PER 2011 POPULATION IN INDIA (As on 31st March, 2018)   |
|--------|-------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| S.No . |                   | Sub Centres                                                                               | Sub Centres                                                                               | Sub Centres                                                                               | Sub Centres                                                                               | PHCs                                                                                      | PHCs                                                                                      | PHCs                                                                                      | PHCs                                                                                      | CHCs                                                                                      | CHCs                                                                                      | CHCs                                                                                      | CHCs                                                                                      |
| S.No . | State/ UT         | R                                                                                         | P                                                                                         | S                                                                                         | % Sh or fal l                                                                             | R                                                                                         | P                                                                                         | S                                                                                         | % Sh orf all                                                                              | R                                                                                         | P                                                                                         | S                                                                                         | % Sho rfall                                                                               |
| 1      | Andhra Pradesh    | 7261                                                                                      | 7458                                                                                      | *                                                                                         | *                                                                                         | 1197                                                                                      | 1147                                                                                      | 50                                                                                        | 4                                                                                         | 299                                                                                       | 193                                                                                       | 106                                                                                       | 35                                                                                        |
| 2      | Arunachal Pradesh | 318                                                                                       | 312                                                                                       | 6                                                                                         | 2                                                                                         | 48                                                                                        | 143                                                                                       | *                                                                                         | *                                                                                         | 12                                                                                        | 63                                                                                        | *                                                                                         | *                                                                                         |
| 3      | Assam             | 5850                                                                                      | 4644                                                                                      | 1206                                                                                      | 21                                                                                        | 954                                                                                       | 946                                                                                       | 8                                                                                         | 1                                                                                         | 238                                                                                       | 172                                                                                       | 66                                                                                        | 28                                                                                        |
| 4      | Bihar             | 18637                                                                                     | 9949                                                                                      | 8688                                                                                      | 47                                                                                        | 3099                                                                                      | 1899                                                                                      | 1200                                                                                      | 39                                                                                        | 774                                                                                       | 150                                                                                       | 624                                                                                       | 81                                                                                        |
| 5      | Chhattisgarh      | 4885                                                                                      | 5200                                                                                      | *                                                                                         | *                                                                                         | 774                                                                                       | 793                                                                                       | *                                                                                         | *                                                                                         | 193                                                                                       | 169                                                                                       | 24                                                                                        | 12                                                                                        |
| 6      | Goa               | 122                                                                                       | 214                                                                                       | *                                                                                         | *                                                                                         | 19                                                                                        | 25                                                                                        | *                                                                                         | *                                                                                         | 4                                                                                         | 4                                                                                         | 0                                                                                         | 0                                                                                         |
| 7      | Gujarat           | 8008                                                                                      | 9153                                                                                      | *                                                                                         | *                                                                                         | 1290                                                                                      | 1474                                                                                      | *                                                                                         | *                                                                                         | 322                                                                                       | 363                                                                                       | *                                                                                         | *                                                                                         |
| 8      | Haryana           | 3301                                                                                      | 2589                                                                                      | 712                                                                                       | 22                                                                                        | 550                                                                                       | 368                                                                                       | 182                                                                                       | 33                                                                                        | 137                                                                                       | 113                                                                                       | 24                                                                                        | 18                                                                                        |
| 9      | Himachal Pradesh  | 1285                                                                                      | 2084                                                                                      | *                                                                                         | *                                                                                         | 212                                                                                       | 576                                                                                       | *                                                                                         | *                                                                                         | 53                                                                                        | 91                                                                                        | *                                                                                         | *                                                                                         |
| 10     | Jammu & Kashmir   | 2009                                                                                      | 2967                                                                                      | *                                                                                         | *                                                                                         | 327                                                                                       | 637                                                                                       | *                                                                                         | *                                                                                         | 81                                                                                        | 84                                                                                        | *                                                                                         | *                                                                                         |
| 11     | Jharkhand         | 6060                                                                                      | 3848                                                                                      | 2212                                                                                      | 37                                                                                        | 966                                                                                       | 298                                                                                       | 668                                                                                       | 69                                                                                        | 241                                                                                       | 171                                                                                       | 70                                                                                        | 29                                                                                        |
| 12     | Karnataka         | 7951                                                                                      | 9443                                                                                      | *                                                                                         | *                                                                                         | 1306                                                                                      | 2359                                                                                      | *                                                                                         | *                                                                                         | 326                                                                                       | 206                                                                                       | 120                                                                                       | 37                                                                                        |
| 13     | Kerala            | 3551                                                                                      | 5380                                                                                      | *                                                                                         | *                                                                                         | 589                                                                                       | 849                                                                                       | *                                                                                         | *                                                                                         | 147                                                                                       | 227                                                                                       | *                                                                                         | *                                                                                         |
| 14     | Madhya Pradesh    | 12415                                                                                     | 11192                                                                                     | 1223                                                                                      | 10                                                                                        | 1989                                                                                      | 1171                                                                                      | 818                                                                                       | 41                                                                                        | 497                                                                                       | 309                                                                                       | 188                                                                                       | 38                                                                                        |
| 15     | Maharashtra       | 13512                                                                                     | 10638                                                                                     | 2874                                                                                      | 21                                                                                        | 2201                                                                                      | 1823                                                                                      | 378                                                                                       | 17                                                                                        | 550                                                                                       | 361                                                                                       | 189                                                                                       | 34                                                                                        |
| 16     | Manipur           | 509                                                                                       | 429                                                                                       | 80                                                                                        | 16                                                                                        | 80                                                                                        | 91                                                                                        | *                                                                                         | *                                                                                         | 20                                                                                        | 23                                                                                        | *                                                                                         | *                                                                                         |
| 17     | Meghalaya         | 759                                                                                       | 443                                                                                       | 316                                                                                       | 42                                                                                        | 114                                                                                       | 108                                                                                       | 6                                                                                         | 5                                                                                         | 28                                                                                        | 28                                                                                        | 0                                                                                         | 0                                                                                         |
| 18     | Mizoram           | 172                                                                                       | 370                                                                                       | *                                                                                         | *                                                                                         | 25                                                                                        | 57                                                                                        | *                                                                                         | *                                                                                         | 6                                                                                         | 9                                                                                         | *                                                                                         | *                                                                                         |
| 19     | Nagaland          | 455                                                                                       | 396                                                                                       | 59                                                                                        | 13                                                                                        | 68                                                                                        | 126                                                                                       | *                                                                                         | *                                                                                         | 17                                                                                        | 21                                                                                        | *                                                                                         | *                                                                                         |
| 20     | Odisha            | 8193                                                                                      | 6688                                                                                      | 1505                                                                                      | 18                                                                                        | 1315                                                                                      | 1288                                                                                      | 27                                                                                        | 2                                                                                         | 328                                                                                       | 377                                                                                       | *                                                                                         | *                                                                                         |
| 21     | Punjab            | 3468                                                                                      | 2950                                                                                      | 518                                                                                       | 15                                                                                        | 578                                                                                       | 432                                                                                       | 146                                                                                       | 25                                                                                        | 144                                                                                       | 151                                                                                       | *                                                                                         | *                                                                                         |
| 22     | Rajasthan         | 11459                                                                                     | 14405                                                                                     | *                                                                                         | *                                                                                         | 1861                                                                                      | 2078                                                                                      | *                                                                                         | *                                                                                         | 465                                                                                       | 588                                                                                       | *                                                                                         | *                                                                                         |
| 23     | Sikkim            | 113                                                                                       | 147                                                                                       | *                                                                                         | *                                                                                         | 18                                                                                        | 24                                                                                        | *                                                                                         | *                                                                                         | 4                                                                                         | 2                                                                                         | 2                                                                                         | 50                                                                                        |
| 24     | Tamil Nadu        | 7533                                                                                      | 8712                                                                                      | *                                                                                         | *                                                                                         | 1251                                                                                      | 1421                                                                                      | *                                                                                         | *                                                                                         | 312                                                                                       | 385                                                                                       | *                                                                                         | *                                                                                         |

| 25   | Telangana        |   4708 |   4744 | *     | *   |   768 |   643 | 125   | 16   |   192 |   91 | 101   | 53   |
|------|------------------|--------|--------|-------|-----|-------|-------|-------|------|-------|------|-------|------|
| 26   | Tripura          |    691 |   1020 | *     | *   |   109 |   108 | 1     | 1    |    27 |   22 | 5     | 19   |
| 27   | Uttarakhand      |   1442 |   1847 | *     | *   |   238 |   257 | *     | *    |    59 |   67 | *     | *    |
| 28   | Uttar Pradesh    |  31200 |  20521 | 10679 | 34  |  5194 |  3621 | 1573  | 30   |  1298 |  822 | 476   | 37   |
| 29   | West Bengal      |  13083 |  10357 | 2726  | 21  |  2153 |   913 | 1240  | 58   |   538 |  348 | 190   | 35   |
| 30   | A & N Islands    |     50 |    123 | *     | *   |     8 |    22 | *     | *    |     2 |    4 | *     | *    |
| 31   | Chandigarh       |      5 |     17 | *     | *   |     0 |     0 | 0     | 0    |     0 |    0 | 0     | 0    |
| 32   | D & N Haveli     |     56 |     71 | *     | *   |     8 |     9 | *     | *    |     2 |    2 | 0     | 0    |
| 33   | Daman & Diu      |     13 |     26 | *     | *   |     2 |     4 | *     | *    |     0 |    2 | *     | *    |
| 34   | Delhi            |     83 |     12 | 71    | 86  |    13 |     5 | 8     | 62   |     3 |    0 | 3     | 100  |
| 35   | Lakshadweep      |      4 |     14 | *     | *   |     0 |     4 | *     | *    |     0 |    3 | *     | *    |
| 36   | Puducherry       |     79 |     54 | 25    | 32  |    13 |    24 | *     | *    |     3 |    3 | 0     | 0    |
|      | All India/ Total | 179240 | 158417 | 32900 | 18  | 29337 | 25743 | 6430  | 22   |  7322 | 5624 | 2188  | 30   |

Notes: The requirement is calculated using the prescribed norms on the basis of rural population from Census, 2011.  A a shortfall is derived by adding state - wise figures of shortfall ignoring the existing surplus in some of the states.

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