Lok Sabha Question No. 1103 (UNSTARRED), answered on 2019-02-08
Subject: Healthcare Infrastructure Development under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: P.K.SREEMATHI TEACHER

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

## LOK SABHA UNSTARRED QUESTION NO. 1103 TO BE ANSWERED ON 08 TH FEBRUARY, 2019

## HEALTHCARE INFRASTRU CTURE DEVELOPMENT UNDER NH M

## 1103. SHRIMATI P.K. SREEMATHI TEACHER:

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

- (a)  the  details  of  districts  identified n  Kerala  as  the  High  Priority  Districts  for developing healthcare infrastructure;
- (b)  if  so,  the  measures  taken  by  the Government  under  NHM  to  strengthen  the healthcare infrastructure in Kerala;
- (c) the details of funds allocated, sanc ioned, released and spent on healthcare infrastructure in Kerala and physical targets set and achieved so far; and
- (d) the details of districts identified for the purpose in Kerala and status of each district?

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

(a)to (d) : Kasaragode, Malappuram, Alappuzha & Wayanad Districts of Kerala have been identified as High Priority Districts (HPDs) in Kerala. District - wise detail of healthcare status is not maintained centrally. However, as per the information received from the State Govern of Kerala, General Profile of H PDs of Kerala is at Annexure -I.

Under National Health Mission (NHM), Government of India supports the States/ UTs for strengthening of their healthcare system including healthcare infrastructure on the proposals received from them in their Progra mme Implementation Plans.

Under  NHM,  HPDs  receive  higher  per  capita  funding  as  compared  to  other  district enhanced monitoring, focussed supportive supervision and are encouraged to adopt innova approaches to address their peculiar health challenges

In  order  to  expand  access  to  Comprehensive  Primary  Health  Care  (CPHC),  under Ayushman Bharat, Sub Health Centres (SHCs) and Primary Health Centres (PHCs) are being strengthened as Health and Wellness Centres (HWCs). In the current FY for the State of Ke ala, approval has been accorded for 671 HWCs.

The  details  of  approval  &  expenditure  under  NHM  for  Kerala  under  Hospital Strengthening and New Constructions/ Renovation and Setting up for the F.Y. 2015 - 16 to 2018 -19 is at Annexure -II.

## General Profile of High Priority Districts (HPDs) of Kerala.

|    | Sl.No.Particulars                                             | Kasaragode   | Wayanad   | Malappuram   | Alappuzha   |
|----|---------------------------------------------------------------|--------------|-----------|--------------|-------------|
|  1 | Total Population                                              | 1,307,375    | 817,420   | 41,12,920    | 21,27,789   |
|  2 | Under-five population                                         | 110718       | 65082     | 410106       | 134233      |
|  3 | Population in the 30+ age group                               | 616858       | 403916    | 1703672      | 1234113     |
|  4 | Population in the 60+ age group                               | 127814       | 78062     | 341779       | 322246      |
|  5 | Full immunisation coverage                                    | 97           | 95        | 92%          | 98%         |
|  6 | Number of delivery points in public sector                    | 3            | 5         | 8            | 7           |
|  7 | Number of first referral units (FRU) in public sector         | 2            | 2         | 7            | 5           |
|  8 | Tribal population                                             | 83,865       | 156,526   | 15976        | 6,574       |
|  9 | No. of operational mobile medical units (State+NHM+KMSCL)     | 3            | 7         | 5            | 3           |
| 10 | Total No. of PHCs                                             | 40           | 23        | 84           | 59          |
| 11 | Total No. of CHCs                                             | 6            | 9         | 21           | 16          |
| 12 | Total No. of Subdistrict (Taluk/Taluk Headquarters) Hospitals | 5            | 2         | 7            | 6           |
| 13 | Total No. of District/General Hospitals                       | 2            | 2         | 4            | 3           |
| 14 | Total No. of Women & Children Hospitals                       | 0            | 0         | 1            | 1           |
| 15 | Number of functional cardiac care units (CCU) district        | in the 0     | 0         | 1            | 2           |

Statement Showing the  State Programme Implementation Plan (SPIP) Approval & Expenditure for Kerala Stat e under Hospital Strengthening and New Constructions/ Renovation and Setting up for the F.Y. 2015 - 16 to 2018 - 19

Rs. In Lakhs

| S. No .   | Name of the State   | 2015-16         | 2015-16      | 2016-17         | 2016-17      | 2017-18         | 2017-18      | 2018-19        | 2018-19      |
|-----------|---------------------|-----------------|--------------|-----------------|--------------|-----------------|--------------|----------------|--------------|
| S. No .   | Name of the State   | SPIP Approv als | Expendi ture | SPIP Approv als | Expendi ture | SPIP Approv als | Expendit ure | SPIP Approvals | Expen diture |
| 1         | Kerala              | 4,631.50        | 4,883.99     | 3,522.64        | 3,722.04     | 1,872.64        | 1,284.01     | 12,519.06      | 455.05       |

## Note:

1.  Above  mentioned  Utilization  figures  are  as  reported  by  States/UTs  and  includes  expenditure Central Release, State share & unspent balances.
2.  The  above  data  comprises  of Hospital  Strengtheining  i.e. - Up - Gradation  of  CHCs,  PHCs,  Dist. Hospitals,  Strengthening  of  Districts,  Sub  Divisional  Hospitals,  CHCs,  PHCs  and  Sub  Centre  Re Contingencies. The above data also comprises of New Constructions/ Renovation and Setting up -CHCs, PHCs,  SHCs/Sub  Centres,  Setting  up  Infrastructure  wing  for  Civil  works,  Govt.  Dispensaries/ renovations  and  Construction  of  BHO,  Facility  improvement,  civil  work,  BemOC  and  CemOC  centre Major  civil  works  fo r  operationalization  of  FRUS,  Major  civil  works  for  operationalization  of  24 services at PHCs, Civil Works for Operationalising Infection Management & Environment Plan at h facilities, Infrastructure of Training Institutions, SDH, DH and Civil wo rk of DEIC (RBSK).
3. Funds are released in pools.