Lok Sabha Question No. 350 (STARRED), answered on 2021-03-19
Subject: Aspirational District Programme for Healthcare Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bhola Singh, Nisith Pramanik

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

## LOK SABHA STARRED QUESTION NO. 350 TO BE ANSWERED ON THE 19 TH MARCH , 2021 ASPIRATIONAL DISTRIC T PROGRAMME FOR HEAL THCARE FACILITIES

## *350. SHRI BHOLA SIN GH: SHRI NISITH PRAMANIK

## :

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

- (a) whether his Ministry has been implementing Aspirational District Progra improving healthcare facilities in the targeted distri cts;
- (b)  if  so,  the  details  thereof  including  achievements  under  the  programm district - wise;
- (c) the details of funds allocated for healthcare facilities under the prog district - wise;
- (d) whether health and nutrition constitute major weightage in Aspirational Districts in the country and if so, the details thereof;

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- (e) whether these districts are lagging behind from other parts of the coun of major health indi cators and if so, the reaction of the Government thereto; and
- (f)  the  remedial  steps  being  taken/proposed  to  be  taken  by  the  Government regard?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

- (a)to ( f )A Statement is lai d on the Table of the House.

## STATEME NT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 350* FOR 1 9 TH MARCH , 2021

(a) The Government  of India has launched the 'Transformation of Aspirational Districts (ADs)' initiative anchored at NITI Aayog in 112 ADs across  27  states.  Ministry  of  Health  and  Family  Welfare  (MoHFW supporting  the  States  in implementing  the  Health  initi ativesin  these districts.

(b)Since the inception of the programme in January 2018, ADs in ge have  shown  significant  improvement  with  respect  to  the  Health Nutrition indicators as highlighted under the AD program. While m the districts ha ve improved, some of the districts have shown very r progress.

District wise details about the achievement in health and nutritio per  Champions  of  Change  dashboard by  NITI  Aayog is  attached  as AnnexureI (District wise composite sc ore and D elta ranking as on May'18 and Jan' 21).

(c)As t he main strategy of the program is based on convergence of existing schemes which  have  their  own  funding  arrangement,  large  infusio additional fund is not envisaged. However, in orde r to foster competitive spirit and  for  addressing  the  critical  gaps,  additional  alloca challenge route is provided by NITI Aayog.

A s  of  February  2021,  a  total  of  approximately  Rs.  139  crores  ha disbursed to 53 Aspirational Districts during FY 2019 - 20 and FY 2020 - 21 for undertaking projects in the Health & Nutrition sector by NITI Aayog based on the challenge route. The district - wise detai ls of funds disbursed by NITI  Aayog funding  scheme  for  undertaking  projects  in  the  Healt Nutrition sector is attached as Annexure II .

(d) Yes, Health and Nutrition have been assigned maximum weightag 30%.

(e) NITI Aayog has identified these relatively underdeveloped dis by ranking them on deprivation and status of other critical sectors like and nutrition, education among others .

(f)To provide focused attention for overall development of these A government has nominated senior officers of the rank of J Secretary/Additional Secretary a s Central Prabhari Officers for each of 112  districts.  The  role  of  these  Prabhari  Officers  is  to  guide administration,  on  basis  of  their  long  experience,  for  progress the focus areas of the program. MoHFW has developed various tools such as Health Atlas , Operational guidelines and Supportive Supervision chec to  monitor  and  provide  technical  assistance  for  improving  the interventions across the ADs.

Special provisions for AD program under National Health Mission in extra  financial  resources  for  ADs,  relaxation  of  norms  for  h manpower, flexibility to hire specialists with top up allowances an sanctions of infrastructure development in ADs.

## Delta Ranking of Aspirational Districts (Health & Nutrition) from Champions of Change Dashboard. (http://championsofchange.gov.in/site/coc-home/)

| Andhra Pradesh                                 | Visakhapatnam                              | Composite Score   | Composite Score   | Delta Ranking   | Delta Ranking   |
|------------------------------------------------|--------------------------------------------|-------------------|-------------------|-----------------|-----------------|
| State Name                                     | District Name                              | May-18 72.1       | Jan-21            | May-18 32       | Jan-21          |
| Andhra Pradesh                                 |                                            |                   |                   |                 | 19 98           |
|                                                | Vizianagaram Y.S.R.                        |                   | 73.9 85.4 82.1    |                 |                 |
|                                                |                                            | 80.4              |                   | 99              |                 |
| Andhra Pradesh Arunachal Pradesh Assam         | Namsai Baksa                               | 81.8 47.4 63.9    |                   | 79 112 98       | 62              |
| Assam                                          |                                            | 57.6              | 69                | 7               | 36 15 69        |
|                                                |                                            |                   | 68.6              |                 |                 |
| Assam Assam                                    | Barpeta Darrang Dhubri                     | 56.9 58.7         | 65.8              |                 | 109 107         |
| Assam                                          |                                            | 59.3              | 69.9              | 16              | 67              |
|                                                |                                            | 67.1              | 62.7 72.2 73.8    | 94 25 20        |                 |
|                                                | Goalpara Hailakandi Udalguri               |                   | 58.1              |                 |                 |
| Assam Assam                                    |                                            |                   |                   |                 | 76 105          |
|                                                |                                            | 51.6              | 57.7              | 16              |                 |
| Bihar Bihar Bihar                              | Araria Aurangabad Banka                    | 46.5              |                   | 93 91 36        | 29 112          |
|                                                |                                            | 55.7 58.5 62.5    | 62.3 54.1 66.2    | 75              | 62 90           |
|                                                | Begusarai Gaya                             |                   |                   |                 |                 |
| Bihar Bihar Bihar                              |                                            | 48.9              |                   |                 | 9               |
| Bihar                                          |                                            |                   | 55.9              | 97              | 110             |
| Bihar                                          | Jamui                                      | 49.8 63.6 57.9    | 50.1 71.5         | 46 101          |                 |
| Bihar                                          | Katihar                                    |                   |                   |                 | 7 104 13        |
| Bihar                                          | Khagaria Muzaffarpur Nawada                |                   | 53.4 65.2         | 52 58           |                 |
|                                                |                                            | 52.9              |                   | 9               |                 |
|                                                |                                            | 67.3 52.4 60.8    | 68 57.4 64.8      | 106             | 2               |
| Bihar Bihar                                    | Purnia Sheikhpura Sitamarhi                | 58.6              |                   |                 | 45 87 42        |
|                                                | Bastar                                     |                   |                   | 72 26 50        |                 |
| Bihar Chhattisgarh Chhattisgarh                |                                            | 62.6 71.4         | 58 70.9 76.8      | 82              |                 |
|                                                |                                            |                   |                   |                 | 86 72 98        |
| Chhattisgarh Chhattisgarh                      | Bijapur Dakshin Bastar Dantewada Kondagaon | 72.4 66.2         |                   | 15 53           | 94              |
| Chhattisgarh                                   |                                            |                   | 74.4 71.3         |                 |                 |
| Chhattisgarh Chhattisgarh                      | Korba Mahasamund Narayanpur                | 71.2              | 75.4              | 69 94           | 62 7            |
| Chhattisgarh                                   |                                            | 67.5 61.6 67.6    | 73.1 68.1         |                 |                 |
|                                                | Rajnandgaon                                | 43                |                   | 50 42 66        | 83 72           |
|                                                |                                            |                   | 75 73.3 71.6      |                 | 102             |
| Chhattisgarh Chhattisgarh Gujarat              | Sukma Uttar Bastar Kanker Dohad            | 60.9 81           | 82.1              | 106             | 20 79           |
|                                                | Narmada                                    | 70.4              | 74.8              | 61              |                 |
| Gujarat                                        |                                            |                   |                   | 64              | 91              |
| Haryana                                        | Mewat                                      | 53.1              | 54.6              | 39              | 44              |
| Himachal Pradesh Jammu &Kashmir Jammu &Kashmir | Chamba Baramula Kupwara                    | 60.4 72.2 65.2    | 73.1 77.8 81.9    | 72              | 18 45 14        |
| Jharkhand                                      | Bokaro                                     | 68.5              |                   | 89 58 79        | 79              |
| Jharkhand                                      | Chatra                                     |                   | 70.1 64.5         |                 |                 |
|                                                |                                            | 66.6              |                   | 110             | 6               |

| State Name Jharkhand                           | District Name Garhwa                     | Composite Score     | Composite Score     | Delta Ranking   | Delta Ranking   |
|------------------------------------------------|------------------------------------------|---------------------|---------------------|-----------------|-----------------|
| State Name Jharkhand                           | District Name Garhwa                     | May-18              | Jan-21              | May-18          | Jan-21          |
| Jharkhand                                      |                                          |                     |                     | 55              | 35 45           |
|                                                | Giridih Godda                            | 69.7                | 74.9                |                 | 106             |
|                                                |                                          | 56.9                | 68.6                | 46              |                 |
| Jharkhand Jharkhand Jharkhand                  |                                          | 65.9 61.8 67.5      | 70.4 68.4 71.9      | 33 109          |                 |
| Jharkhand                                      | Gumla Hazaribagh Khunti                  | 72.6                | 65.3                | 36 3            | 54 62 87        |
|                                                |                                          |                     |                     | 4               | 4               |
| Jharkhand Jharkhand Jharkhand                  | Latehar Lohardaga Pakur                  | 65.3 65.4           | 71.6 68.6 67.8      |                 | 21 29           |
|                                                |                                          |                     | 64.5                | 53              | 11              |
|                                                |                                          | 68.5 62.4 66.3      |                     | 105 96 108      | 54              |
| Jharkhand                                      | Palamu Singhbhum Singhbhum               |                     |                     |                 |                 |
| Jharkhand Jharkhand                            | Pashchimi Purbi Ramgarh                  |                     | 81.9 79.2 67        | 71 16           |                 |
|                                                |                                          | 77.4 72.4           |                     |                 | 52 97           |
| Jharkhand                                      |                                          |                     | 67.2                | 2 7             |                 |
| Jharkhand Jharkhand Jharkhand                  | Ranchi Sahibganj                         | 51.9 67.7 76.8      |                     | 1               | 45              |
| Karnataka                                      | Simdega                                  |                     | 56.4                |                 | 94 111          |
|                                                |                                          |                     | 75.3 82.7 83.9      |                 |                 |
|                                                | Raichur                                  | 78.6 74.4 61.7      |                     | 68              | 76              |
| Karnataka Kerala Madhya Pradesh Madhya Pradesh | Yadgir Wayanad                           |                     | 74.7                | 33 61           | 36 36 108       |
|                                                | Barwani Chhatarpur Damoh                 | 50.3 68.4 74.4      | 67.6 60.7 76.5      | 31              | 26              |
| Madhya Pradesh Madhya Pradesh                  |                                          |                     |                     | 30 58 46        | 36 29           |
|                                                |                                          |                     |                     | 103             | 36              |
|                                                | Guna Khandwa (East Nimar) Rajgarh        | 59.7 68.5 61.9      | 85.5 70.2           |                 |                 |
| Madhya Pradesh                                 | Singrauli                                |                     |                     | 36              | 29 92 27        |
| Madhya Pradesh Madhya Pradesh Madhya Pradesh   |                                          |                     | 75                  |                 |                 |
| Maharashtra                                    |                                          | 54.1 61.7 74.9      | 67.8 76.1 74.8      | 63 22 21        | 56              |
|                                                | Vidisha Gadchiroli                       | 58.7                |                     | 82              |                 |
|                                                | Osmanabad                                | 75.5                |                     |                 |                 |
| Manipur                                        | Nandurbar Washim Chandel                 | 53.2                |                     |                 |                 |
| Maharashtra Maharashtra Maharashtra            |                                          | 76.6                | 75.6 79.8           | 65 23 5         | 83 56 87 11     |
|                                                |                                          |                     |                     | 85              | 100 45          |
| Meghalaya                                      | Ribhoi                                   | 52.3                | 82.1 58.6 60.8      |                 |                 |
| Mizoram Nagaland                               |                                          | 57.6 50.2           | 64 60.3 69.6        | 44              |                 |
|                                                | Mamit                                    |                     |                     |                 |                 |
| Odisha Odisha                                  | Kiphire                                  |                     |                     | 99 75 5         | 1               |
|                                                | Balangir Dhenkanal Gajapati              | 57 63.9             |                     |                 | 79 3            |
|                                                |                                          | 72.4 57.5           | 77 78               |                 |                 |
| Odisha Odisha                                  | Kalahandi                                |                     | 75.6 75.7           | 89              | 83 72 67        |
|                                                | Koraput                                  |                     | 75                  |                 | 56              |
|                                                | Kandhamal                                |                     |                     | 72 45 82        |                 |
| Odisha Odisha                                  |                                          | 64.1 61.2           |                     |                 |                 |
| Odisha                                         |                                          |                     |                     |                 | 15              |
| Odisha Odisha Odisha                           | Malkangiri Nabarangapur Nuapada Rayagada | 72.9 60.4 67.4 66.4 | 73.3 63.4 76.6 76.6 | 103 85 11 55    | 93 56 10        |
|                                                | Firozpur                                 |                     | 65                  | 111             | 22              |
| Punjab                                         |                                          | 44.7                |                     |                 |                 |

|                                           |                                                                                     | Composite Score   | Composite Score   | Delta Ranking   | Delta Ranking   |
|-------------------------------------------|-------------------------------------------------------------------------------------|-------------------|-------------------|-----------------|-----------------|
| State Name                                | District Name                                                                       | May-18            | Jan-21            | May-18 102      | Jan-21          |
| Rajasthan Rajasthan                       | Dhaulpur Jaisalmer                                                                  |                   |                   |                 |                 |
|                                           | Karauli                                                                             | 67.1              | 72.7              |                 | 52              |
| Rajasthan Rajasthan                       |                                                                                     | 64.6 66.2 64.8    | 70.3              | 88              | 72 33 62        |
|                                           |                                                                                     |                   | 79.3 73.8 77.1    | 81 27 13        | 69              |
|                                           | Sirohi West District                                                                | 82.3 77.5         |                   | 28              |                 |
| Sikkim Tamil Nadu Tamil Nadu              | Ramanathapuram                                                                      |                   | 80.6 86.1         | 46              |                 |
|                                           |                                                                                     | 77.8 70.6         |                   | 14              | 33 56 15        |
| Telangana                                 | Virudhunagar                                                                        |                   | 74.7              |                 |                 |
|                                           | Asifabad (Adilabad) Bhadradri-Kothagudem (Khammam-earlier) Bhoopalapalli (Warangal) |                   | 68.8              | 43              | 76 45           |
| Telangana Telangana Tripura               | Dhalai                                                                              | 64.7              |                   |                 | 43              |
|                                           |                                                                                     | 72.3 59.1 54.2    | 75.1 67.6 69.2    | 39 78 70        | 22              |
| Uttar Pradesh                             | Bahraich                                                                            | 49                | 75.2              | 28              | 82              |
|                                           | Balrampur                                                                           |                   |                   |                 |                 |
| Uttar Pradesh                             |                                                                                     |                   |                   |                 |                 |
| Uttar Pradesh Uttar Pradesh Uttar Pradesh | Chandauli Chitrakoot                                                                | 57.2 62.1 56.8    | 77                | 19              | 36              |
|                                           |                                                                                     | 50.3              | 79.5 77.9         | 12 41           | 45 22           |
|                                           | Fatehpur                                                                            |                   |                   |                 |                 |
| Uttar Pradesh Uttar Pradesh Uttar Pradesh | Shrawasti Siddharthnagar Sonbhadra                                                  |                   | 66.9 72.8 67.7    | 92 75 24        | 5 27            |
|                                           |                                                                                     | 45.3 52.5 57.2    |                   | 35              | 103 22          |
|                                           | Hardwar                                                                             |                   | 70.4              |                 |                 |
| Uttarakhand                               |                                                                                     |                   |                   |                 |                 |

Uttarakhand

Udham Singh Nagar

62.6

74.6

57

69

## DISTRICT-WISE LIST OF FUNDS DISBURSED TO ASPIRATIONAL DISTRICTS FOR HEALTH & NUTRITION SECTOR THROUGH NITI AAYOG *

| District           | State             |   Amount (in Rs. crores ) |
|--------------------|-------------------|---------------------------|
| YSR Kadapa         | Andhra Pradesh    |                      5    |
| Namsai             | Arunachal Pradesh |                      1.9  |
| Hailakandi         | Assam             |                      2.5  |
| Baksa              | Assam             |                      2.99 |
| Udalguri           | Assam             |                      1.54 |
| Barpeta            | Assam             |                      3.1  |
| Dhubri             | Assam             |                      2.99 |
|                    | Total             |                     13.13 |
| Begusarai          | Bihar             |                      5    |
| Gaya               | Bihar             |                      2.92 |
| Jamui              | Bihar             |                      1.16 |
| Katihar            | Bihar             |                      1.96 |
| Purnia             | Bihar             |                      2.63 |
| Araria             | Bihar             |                      0.97 |
|                    | Total             |                     14.65 |
| Kondagaon          | Chhatisgarh       |                      2.35 |
| Bijapur            | Chhattisgarh      |                      0.61 |
| Mahasamund         | Chhattisgarh      |                      3    |
|                    | Total             |                      5.96 |
| Chamba             | Himachal Pradesh  |                      3    |
| Kupwara            | Jammu & Kashmir   |                      2    |
| Purbi Singhbhum    | Jharkhand         |                      2.99 |
| Sahibganj          | Jharkhand         |                      9.92 |
| Dumka              | Jharkhand         |                      1.26 |
| Simdega            | Jharkhand         |                      1.01 |
| Godda              | Jharkhand         |                      1.42 |
| Gumla              | Jharkhand         |                      0.96 |
| Bokaro             | Jharkhand         |                      1.5  |
| Paschimi Singhbhum | Jharkhand         |                      1.31 |
| Garhwa             | Jharkhand         |                      4.8  |
| Latehar            | Jharkhand         |                      4.89 |
| Pakur              | Jharkhand         |                      1.38 |
|                    | Total             |                     31.48 |

| Yadgir                | Karnataka      |   0.47 |
|-----------------------|----------------|--------|
| Damoh                 | Madhya Pradesh |   2.75 |
| Khandwa               | Madhya Pradesh |   2.1  |
| Guna                  | Madhya Pradesh |   1.77 |
|                       | Total          |   6.63 |
| Washim                | Maharashtra    |   2.35 |
| Nandurbar             | Maharashtra    |   0.66 |
|                       | Total          |   3.01 |
| Chandel               | Manipur        |   2.63 |
| Ribhoi                | Meghalaya      |   1.69 |
| Mamit                 | Mizoram        |   1.5  |
| Nabrangpur            | Odisha         |   1.06 |
| Dhenkanal             | Odisha         |   1.45 |
|                       | Total          |   2.51 |
| Ferozepur             | Punjab         |   2.99 |
| Jaisalmer             | Rajasthan      |   1.34 |
| Dhaulpur              | Rajasthan      |   5.24 |
| Karauli               | Rajasthan      |   2.09 |
|                       | Total          |   8.68 |
| West Sikkim           | Sikkim         |   3.26 |
| Asifabad              | Telangana      |   4.36 |
| Bhadadri - Kothegudem | Telangana      |   1.36 |
| Bhupalapally          | Telangana      |   1.36 |
|                       | Total          |   7.08 |
| Dhalai                | Tripura        |   9.05 |
| Chandauli             | Uttar Pradesh  |   3.14 |
| Bahraich              | Uttar Pradesh  |   2.1  |
| Chitrakoot            | Uttar Pradesh  |   1.83 |
|                       | Total          |   7.08 |
| Haridwar              | Uttarakhand    |   5.41 |

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