Lok Sabha Question No. 1080 (UNSTARRED), answered on 2019-02-08
Subject: Implementation of Schemes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRABHATSINH PRATAPSINH CHAUHAN, KIRTI (JHA) AZAD, BIDYUT BARAN MAHATO, NARANBHAI KACHHADIA, RAMESH CHANDER KAUSHIK

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

## LOK SABHA UNSTARRED QUESTION NO. 1080 TO BE ANSWERED ON 08 TH FEBRUARY, 2019

## IMPLEMENTATION OF SC HEMES

1080. SHRI P.P. CHAUHAN: SHRI KIRTI AZAD: SHRI BIDYUT BARAN MAHATO: SHRI NARANBHAI KACHHADIYA: SHRI RAMESH CHANDER KAUSHIK:

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

- (a)  the  year - wise  details  of  the schemes  launched  by  the  Government under  the  Ministry  of Health and Family Welfare since the year 2014 till date along with the details of the targets set and the achievements made under each of the said schemes;
- (b) the State - wise details of the proposals received from various States along with the proposals approved by the Union Government under the schemes sponsored by the Ministry of Health and Family Welfare;
- (c) the scheme -wise and State - wisedetails of the funds allocated and utilized for implementation of various schemes of this Ministry during each of the last four year s and the current year; and
- (d) whether the Government has set any time - limit for completing the pending schemes and, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a) to (d): The details of the majorschemes launched by the Government under the Ministry of  Health  and  Family  Welfare  since  the  year  2014  along  with  the  State - wise  details  of  the proposals rec eived from various States, proposals approved by the Union Go vernment under the schemes sponsored by the Minist ry of Health and Family Welfare including the scheme - wise and State - wise details of the funds allocated and utilized during the last four years and the current yearare annexed.

## 1. NationalHealth Mission (NHM)

Under NHM proposals are received from States/ UTs in the form Programme Implementation Plans (PIPs). PIPs are appraised and approvals are issued in the form of Record of Proce (RoPs).  The  PIPs  and  RoPs  of  the  respective  State/  U T  are  available  in  public  domain  at http://nhm.gov.in/nrhm - in - state/state - program- implementation - plans - pips.html .

## The new Scheme under National Health Mission are s below:

## (i)KAYAKALP:

- Launched in May, 2015 as a National Initiative to give Awards to those public he facilities  that  demonstrate  high  levels  of  cleanliness,  hygiene  and  infection focuses on promoting cleanliness in public spaces. The objecti ve is also to create and share sustainable practices related to improved cleanliness in public health facilit
- Approval of Rs.36.66 crore for Kayakalp has been given in 2015 - 16, Rs.107.99 crore in 2016- 17 and 133.22 crore in 2017 - 18.
- Over 30,000 facil ities assessed under Kayakalp Programme 2017 - 18, 2885 facilities had received  Kayakalp  awards  including  Commendation  awards,  which  include  271  DHs, 748 SDH/CHCs, 1724 PHCs and 142 urban health facilities. Out of which 48 Districts Hospitals have been adjudged as winners & runners up, 35 CHCs/SDHs and around 529 PHCs/UPHCs have been adjudged as winners.

## (ii) HEALTH AND WELLNESS CENTRES:

- Under Ayushman Bharat -Health and Wellness Centres, 1,50,000 Health and Welln ess Centres need to be operationalized by 2022. The Health and Wellness Centres would operationalized in phases as under:
- FY 2018- 19 = 15,000
- FY 2019- 20 = 25,000 (Cumulative 40,000)
- FY 2020- 21 = 30,000 (Cumulative 70,000)
- FY 2021- 2022 = 40,000 (Cumulative 1,10,000)
- Till 31st December 2022 = 40,000 (Cumulative 1,50,000)
- In the current year against target of 15000 Health and Wellness centres by March, 2 approval has been accorded to States/UTs for over 21000 Health & Wellness Centres t date .Out of those as reported by the States/ UTs on the HWC Portal, 7,846 Health & Wellness Centres are operationalized till 30 th January, 2019
- Health  &  Wellness  Centres  as  a  part  of  Ayushman  Bharat  seeks  to  undertake interventions to holistically address hea lth (covering prevention, promotion and ambulatory  care)  at  primary  level  for  comprehensive  Primary  health  Care  with continuum of care approach.
- In order to expand access to Comprehensive Primary Health Care (CPHC), Sub Health Centres (SHCs) and Primary Health Centres (PHCs) are being strengthened as Health and Wellness Centres (H&WCs).  The H&WCs  are expected to provide preventive, promotive, rehabilitative and curative care for an expanded range of serv encompassing  reproductive  and  child  health  ser vices,  communicable  diseases,  non -communicable diseases, palliative care and elderly care, oral health, ENT care, and emergency care.
- (iii) SWACHH SWASTH SARVATRA (SSS) , a joint initiative of Ministry of Health and Family Welfare (MoHFW) and Ministry of Drinking Water and Sanitation (MDWS) was launched on 29 th December 2016. Under SSS: -
- One Community  Health  Centre  (CHC) in  each  of  the  Open  Defecation  Free  (ODF) blocks to receive additional funding of Rs 10 lakhs under NHM to facilitate the CH achie ve Kayakalp certification with a minimum score of 70 in Kayakalp assessment an improve its Kayakalp score. Where there is no CHC in that block, the CHC catering the population of the ODF block may be taken up.
- MDWS  to  enable Gram  Panchayats  where  Kayakalp  awarded  PHCs  are  located  to become ODF. Further MDWS to build capacity through training in Water, Sanitation an Hygiene (WASH) to nominees from such CHCs and PHCs.
- A  list  of  498  Kayakalp  award  winning  PHCs  for  FY  2017 - 2018 mapped  with  their respective  Gram  Panchayat,  Blocks  and  District  as  desired  by  MDWS  shared  with MDWS.
- List of 2074 ODF declared blocks shared by MDWS shared with States/UTs to enable them to map CHCs in or nearest to the ODF declared block and propose sam e in PIP 2018- 19.
- Till date approvals of Rs 49.67 crore accorded to States under SSS for 853 CHCs i States, however further list of 773 CHCs as communicated by State based on approv for FY 2018 - 19 is communicated to MDWS.
- (iv) NHM  FREE  DRUGS  INITIATIVE: Pursuant to the Union budget announcement in 2014, Operational Guidelines along with Model RFPs for implementing the NHM Free Drug Service Initiative were developed and shared with the States on 2nd July, 2 Support under the NHM is provided not only f or drugs but also for various components necessary for effective implementation of Free Drug Service Initiative strengthening/setting  up  robust  systems  of  procurement,  quality  assurance,  IT  ba supply  chain  management  systems  like  Drugs  and  Vaccine s  Distribution  Management Systems  (DVDMS)  etc.  All  the  States/  UTs  have  reported  to  have  notified  policy provide  free  drugs  in  public  health  facilities. The  support  under  NHM  provided  to State/UTs for the last four years is as under:

(Rs. in crore)

| FY          | Total Approvals Cash Grants under NHM   | Kind Grants   |    Total |
|-------------|-----------------------------------------|---------------|----------|
| 2015- 16    | 2198.35                                 | 1017.97       |  3216.32 |
| 2016- 17    | 2619.75                                 | 1043.32       |  3663.07 |
| 2017- 18    | 3279.1                                  | 4655.47       |  7934.47 |
| 2018- 19    | 3350.94*                                | **            |  3350.94 |
| Grand Total | 11448.14                                | 6716.76       | 18164.9  |

The

- (v) NHM FREE DIAGNOSTICS SERVICE INITIATIVE: Pursuant to the Union budget announcement in 2014, G overnment of India under the National Health Mission launched the Free Diagnostics Service Initiative with an overall aim to Reduce high Out ofPocket Expenditure  (OOPE)incurred  by  patients  for  diagnostics  and  Improve  quality  of healthcare and patients experience as a result of availability of comprehensive hea in public health facilities. In order to streamline the processes and standards r lated to diagnostic services, the Ministry of Health and Family Welfare has formulated the N Free Diagnostic Services guidelines that were shared with the states on 2 nd July, 2015. The Guidelines provide an illustrative list of essential diagnostics t ests specific to various levels of care that includes 9 tests at Sub Centre level, 19 tests at PHC level, CHC level and 57 tests at SDH/ DH level. The tests encompass hematology, serology bio - chemistry, clinical pathology, microbiology, ogy,  radiol and cardiology. Guidelines  also  provide  model  RFP  (Request  for  Proposal)  documents  for  States engage with service providers for provision of diagnostic services. Free diagnostics has three  components:(1)  Diagnostic  lab  services  (2)  Tele  radiolo gy  services  (3)  CT  scan services.

## Status as on 1 st February, 2019:

- FDI - Lab  has  been  implemented  in  31  States,  In  9  States,  in  PPP  mode  and  in  2 States/UTs in In - house mode. The tender for outsourcing is in progress in 2 States.
- FDI - CT Scan has been implemented in 24 States, in 13 States in PPP mode and in 11 States in In - house mode. The tender for outsourcing is in progress in 1 State.
- FDI - Tele - radiology has been implemented in 10 States in PPP mode and the tender t outsourcing is in progress in 4 States.

## (vi) BIOMEDICAL EQUIPMENT MANAGEMENT & MAINTENANCE PROGRAM:

To  address  the  wastage  of  resource  and  unused  equipments  in  hospitals  and  Heal CentresBiomedical  Equipment  Management  &  Maintenance  Program  (BMMP)  was launched under NHM in 2015. Under BMMP , an extensive exercise was undertaken to map the inventory of all bio - med cal equipment including their functionality status. The inventory mapping has been completed in 29 State/UTs. Equipments in range of 13% to 34% were found to be dysfunctional ac ross States/UTs. Comprehensive guidelines along with RFP onBMMP linked with uptime of equipment (95% in District Hospital, 90% in Community Health Centres and 80% in Primary Health Centres) were released in 2015. Under  BMMP,  support is  being  provided  to  S ate  Governments  to  outsource  Medical Equipment  Maintenance  comprehensively  for  all  equipments  across  all  the  facilit Subsequent to inventory mapping, RFPs/ tenders were rolled out to award maintenan contract  for  these  respective  States. The  implemen tation  of  Biomedical  Equipment Management  &  Maintenance  Program  (BMMP)  has  helped  in  improving  Diagnostics Services in health facilities, thereby, reducing cost of care and improving the qu care in Public Health Facilities.

Status as on 1 st February, 2019: BMMP has been implemented in 27 States/UTs. 21 States/  UTs  in  PPP  mode  and  in  6  States/  UTs  in  In - House  mode.  The  tender  for outsourcing is in progress in 5 States/UTs.

## Statement Showing State - wise Allocation, Release and Expenditure under NHM from the F.Y. 2014 - 15 to F.Y. 2018 - 19 is as under:

(Rs. in crore)

| S. No.   | State/UT                  | 2014-15        | 2014-15   | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18        | 2017-18   | 2018-19        | 2018-19   | 2018-19   |
|----------|---------------------------|----------------|-----------|-----------|-----------|-----------|-----------|----------------|-----------|----------------|-----------|-----------|
| S. No.   | State/UT                  | Release        | Exp       | Release   | Exp       | Release   | Exp       | Release        | Exp       | Allocation     | Release   | Exp       |
| 1        | Andaman & Nicobar Islands | 23.60          | 24.57     | 37.55     | 25.91     | 44.90     | 28.92     | 33.94          | 32.84     | 38.42          | 17.70     | 15.10     |
| 2        | Andhra Pradesh            | 560.73         | 943.92    | 659.04    | 1105.70   | 629.55    | 1287.04   | 875.06         | 1555.50   | 798.94         | 1018.46   | 740.27    |
| 3        | Arunachal Pradesh         | 140.75         | 70.84     | 163.80    | 147.41    | 160.60    | 165.42    | 261.70         | 165.75    | 217.18         | 152.18    | 74.25     |
| 4        | Assam                     | 898.15         | 936.90    | 997.59    | 1212.25   | 1046.09   | 1337.40   | 1392.66        | 1476.86   | 1285.43        | 1084.27   | 588.82    |
| 5        | Bihar                     | 1296.02        | 1575.09   | 1269.67   | 1731.85   | 1040.59   | 1619.20   | 1557.40        | 1820.14   | 1700.50        | 1127.68   | 610.32    |
| 6        | Chandigarh                | 12.60          | 15.71     | 24.66     | 21.75     | 21.47     | 24.57     | 20.35          | 31.64     | 22.11          | 23.38     | 9.65      |
| 7        | Chhattisgarh              | 512.13         | 727.76    | 423.31    | 769.33    | 586.97    | 999.33    | 825.76         | 1180.27   | 763.26         | 723.43    | 498.07    |
| 8        | Dadra & Nagar Haveli      | 8.75           | 8.91      | 14.63     | 15.79     | 17.12     | 17.36     | 19.14          | 19.76     | 22.16          | 17.99     | 11.22     |
| 9        | Daman & Diu               | 7.03           | 7.78      | 10.66     | 10.14     | 11.53     | 10.24     | 10.67          | 10.63     | 15.64          | 11.67     | 5.16      |
| 10       | Delhi                     | 167.77         | 236.38    | 176.56    | 150.05    | 241.98    | 155.15    | 268.39         | 251.37    | 163.55         | 129.21    | 57.97     |
| 11       | Goa                       | 28.33          | 31.81     | 17.30     | 25.44     | 26.13     | 37.38     | 26.07          | 43.28     | 30.90          | 25.71     | 19.92     |
| 12       | Gujarat                   | 940.17         | 980.98    | 714.39    | 1293.03   | 863.66    | 1395.67   | 1221.83        | 1593.16   | 1062.09        | 915.19    | 682.56    |
| 13       | Haryana                   | 331.28         | 495.86    | 318.21    | 519.47    | 335.55    | 535.09    | 384.25         | 637.75    | 433.60         | 516.43    | 295.77    |
| 14       | Himachal Pradesh          | 196.51         | 317.59    | 249.14    | 283.90    | 212.49    | 346.58    | 370.89         | 377.08    | 352.28         | 320.15    | 180.97    |
| 15       | Jammu & Kashmir           | 357.42         | 415.21    | 375.34    | 428.38    | 362.42    | 419.55    | 550.42         | 521.86    | 520.74         | 451.28    | 230.78    |
| 16       | Jharkhand                 | 384.15         | 396.54    | 423.93    | 602.61    | 454.64    | 633.54    | 735.99         | 753.03    | 676.50         | 430.51    | 282.89    |
| 17       | Karnataka                 | 803.86         | 964.80    | 772.15    | 1173.31   | 714.09    | 1291.49   | 1345.50        | 2016.65   | 1262.02        | 1208.31   | 675.57    |
| 18       | Kerala                    | 537.48         | 525.32    | 315.35    | 644.09    | 452.36    | 744.98    | 586.52         | 936.35    | 603.02         | 816.40    | 485.79    |
| 19       | Lakshadweep               | 5.10           | 1.38      | 5.72      | 2.75      | 3.83      | 4.33      | 5.54           | 6.20      | 7.70           | 6.15      | 2.18      |
| 20       | Madhya Pradesh            | 1203.94        | 1779.46   | 1156.95   | 2071.36   | 1490.75   | 2066.38   | 1696.56        | 2313.93   | 1831.75        | 1400.11   | 703.98    |
| 21       | Maharashtra               | 1472.25        | 1874.89   | 1142.64   | 1791.17   | 1252.55   | 1804.67   | 1707.60        | 2192.88   | 1866.85        | 1452.98   | 594.72    |
| 22       | Manipur                   | 129.58         | 87.68     | 115.19    | 108.55    | 79.07     | 81.40     | 163.05         | 110.51    | 148.87         | 104.02    | 46.70     |
| 23       | Meghalaya                 | 107.86         | 74.45     | 107.50    | 138.83    | 161.13    | 152.85    | 189.02         | 169.14    | 161.09         | 92.56     | 44.55     |
| 24       | Mizoram                   | 104.39         | 94.40     | 95.26     | 96.15     | 80.88     | 99.55     | 126.95         | 112.35    | 107.01         | 90.41     | 39.83     |
| 25       | Nagaland                  | 118.09         | 66.21     | 106.37    | 82.56     | 95.92     | 95.17     | 134.86         | 95.55     | 124.53         | 90.25     | 52.16     |
| 26       | Odisha                    | 687.60         | 964.54    | 669.77    | 1222.92   | 728.58    | 1299.27   | 1216.22        | 1514.45   | 861.51         | 691.03    | 599.86    |
| 27       | Puducherry                | 23.68          | 24.48     | 19.21     | 22.37     | 41.35     | 38.41     | 35.55          | 38.83     | 27.78          | 21.77     | 8.58      |
| 28       | Punjab                    | 391.13         | 472.37    | 305.97    | 660.24    | 292.55    | 695.31    | 483.74         | 639.53    | 534.77         | 473.42    | 325.16    |
| 29       | Rajasthan                 | 1168.46        | 1775.18   | 1329.48   | 1840.75   | 1234.18   | 1734.34   | 1615.29        | 1885.55   | 1549.92        | 1339.52   | 1055.25   |
| 31       | Tamil Nadu                |                | 2346.77   |           | 1650.45   | 788.68    | 1852.90   |                |           |                |           | 1086.50   |
|          |                           | 1051.46        |           | 1110.31   |           |           |           | 1293.97        | 2285.56   | 1213.54        | 1404.13   |           |
| 32       | Tripura                   | 126.29         | 133.33    | 138.71    | 121.20    | 125.76    | 143.14    | 158.99         | 202.79    | 174.16         | 151.70    | 65.38     |
| 33       | Uttar Pradesh             | 2653.83        | 3896.69   | 2964.93   | 4553.88   | 3314.75   | 5120.68   | 3967.46        | 6569.43   | 3482.86        | 2930.08   | 3039.82   |
| 34       | Uttarakhand               |                | 332.24    | 282.56    | 342.10    | 265.53    | 350.67    |                | 448.22    |                | 279.96    | 157.10    |
| 35       | West Bengal               | 278.38 1115.74 | 1253.90   | 1061.64   | 1589.75   | 806.98    | 1914.71   | 354.85 1305.37 | 2341.05   | 346.65 1112.47 | 837.30    | 1094.70   |

| S. No.    | State/UT   | 2014-15   | 2014-15   | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18   | 2017-18   | 2018-19    | 2018-19          | 2018-19   |
|-----------|------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|------------|------------------|-----------|
| S. No.    | State/UT   | Release   | Exp       | Release   | Exp       | Release   | Exp       | Release   | Exp       | Allocation | Release          | Exp       |
| 36        | Telangana  | 391.78    | 347.74    | 448.48    | 517.40    | 398.08    | 700.76    | 468.34    | 977.76    | 589.58     | 353.63           | 557.52    |
| Sub Total | Sub Total  | 18288.50  | 24243.63  | 18065.50  | 27024.09  | 18424.43  | 29254.07  | 25465.28  | 35370.74  | 24165.12   | 20740.0514960.80 |           |
| Others    | Others     | 35.83     | 0.00      | 92.82     | 0.00      | -         | -         | 76.42     |           | 183.98     |                  |           |
| Total     | Total      | 18324.33  | 24243.63  | 18158.32  | 27024.09  | 18424.43  | 29254.07  | 25541.70  | 35370.74  | 24349.10   | 20740.0514960.80 |           |

## Note:

- (i) Release for the F.Y. 2018 - 19 is updated upto 14.01.2019 and is provisional.
- (ii) The above releases relate to Central Govt. Grants & do not include State share contributio
- (iii)Expenditure includes expenditure against central Release, State release & unspent balanc the beginning of the year. Expenditure for the F.Y. 2018 - 19 (upto 30.09.2018 as per FMR) are provisional.
- (iv) Allocation is as per B.E. for the F.Y. 2018 - 19
- (v) After the close of the Financial year, allocation has no relevance.

## Scheme - wise Statement showing Allocation, Release and Expenditure from the F.Y. 2014 -15 to 2018 - 19

(Rs. in cror

| S. No.                         | Programme                                            | 2014-15   | 2014-15   | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18   | 2017-18   | 2018-19           | 2018-19   | 2018-19   |
|--------------------------------|------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-------------------|-----------|-----------|
| S. No.                         | Programme                                            | Release   | Exp       | Release   | Exp       | Release   | Exp       | Release   | Exp       | AllocationRelease |           | Exp       |
| A. NRHM -RCH Flexible Pool     | A. NRHM -RCH Flexible Pool                           | 10,823.67 | 16,989.86 | 10,617.53 | 17,845.32 | 11,091.92 | 19,114.37 | 15,901.96 | 25,301.42 | 14,901.95         | 13,198.95 | 10,220.59 |
| 1                              | RCH Flexible Pool                                    | 6,251.50  | 9,328.98  | 5,701.93  | 9,492.38  | 5,848.49  | 10,234.10 | 7,447.67  | 10,193.02 | 5,186.81          | 4,608.81  | 4,398.66  |
| a                              | Reproductive Child Health                            | 4,624.23  | 7,374.19  | 4,463.68  | 7,922.73  | 4,499.13  | 8,642.10  | 3,467.28  | 5,808.57  | 2,905.65          | 2,516.47  | 2,375.97  |
| b                              | Routine Immunization (Cash Grant)                    | 189.19    | 430.05    | 195.67    | 524.16    | 207.68    | 556.11    | 233.16    | 630.23    | 298.28            | 243.38    | 257.99    |
| c                              | Routine Immunization (Kind Grant)                    | 886.32    | 886.32    | 395.20    | 395.20    | 579.19    | 579.19    | 2,840.44  | 2,840.44  | 1,654.09          | 1,654.09  | 1,654.09  |
| d                              | Pulse Polio Immunisation (Cash Grant)                | 258.63    | 355.04    | 317.55    | 344.98    | 338.58    | 240.46    | 369.67    | 388.68    | 248.12            | 141.13    | 58.26     |
| e                              | Pulse Polio Immunisation (Kind Grant)                | 280.37    | 280.37    | 300.23    | 300.23    | 209.57    | 209.57    | 520.52    | 520.52    | 48.89             | 48.89     | 48.89     |
| f                              | National I.D.D. Control Programme                    | 12.76     | 3.00      | 29.60     | 5.07      | 14.34     | 6.68      | 16.61     | 4.58      | 31.80             | 4.85      | 3.46      |
| 2. Health System Strengthening | 2. Health System Strengthening                       | 4,572.17  | 7,660.88  | 4,915.60  | 8,352.94  | 5,243.44  | 8,880.27  | 8,454.29  | 15,108.40 | 9,715.14          | 8,590.14  | 5,821.93  |
| a                              | Other Health System Strengthening covered under NRHM | 4,572.17  | 7,660.88  | 4,915.60  | 8,352.94  | 5,243.44  | 8,880.27  | 8,454.29  | 15,108.40 | 8,719.94          | 7,774.19  | 5,784.26  |
| b                              | Comprehensive Primary Health Care under              | -         | -         | -         | -         | -         | -         | -         | -         | 995.20            | 815.95    | 37.67     |

| S. No.                                           | Programme                                            | 2014-15   | 2014-15   | 2015-16   | 2015-16   | 2016-17   | 2016-17   | 2017-18                     | 2017-18   | 2018-19           | 2018-19            | 2018-19   |
|--------------------------------------------------|------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------------------------|-----------|-------------------|--------------------|-----------|
| S. No.                                           | Programme                                            | Release   | Exp       | Release   | Exp       | Release   | Exp       | Release                     | Exp       | AllocationRelease |                    | Exp       |
|                                                  | HSS under NRHM                                       |           |           |           |           |           |           |                             |           |                   |                    |           |
| B. National Urban Health Mission - Flexible Pool | B. National Urban Health Mission - Flexible Pool     | 1,345.82  | 475.96    | 725.00    | 943.75    | 491.37    | 1,249.27  | 669.03                      | 1,428.15  | 852.94            | 648.98             | 605.25    |
| a                                                | Other Health System Strengthening covered under NUHM | 1,345.82  | 475.96    | 725.00    | 943.75    | 491.37    | 1,249.27  | 669.03                      | 1,428.15  | 656.74            | 480.31             | 605.25    |
| b                                                | Comprehensive Primary Health Care under              | -         | -         | -         | -         | -         | -         | -                           | -         | 196.20            | 168.67             | -         |
| C. Communicable Disease Control                  | C. Communicable Disease Control                      | 1,182.06  | 719.12    | 1,258.42  | 914.44    | 1,117.48  | 1,085.17  | 2,548.14                    | 1,012.12  | 1,908.80          | 1,119.18           | 290.87    |
| a                                                | National Vector Borne Diseases Control Programme     | 452.41    | 183.48    | 515.43    | 259.43    | 369.36    | 297.43    | 973.19                      | 277.96    | 474.21            | 154.29             | 78.57     |
| b                                                | Revised National Tuberculosis Control Programme      | 635.44    | 435.77    | 638.19    | 530.02    | 666.07    | 625.99    | 1,449.14                    | 578.84    | 1,323.57          | 907.86             | 179.79    |
| c                                                | National Leprosy Eradication Programme               | 42.36     | 42.01     | 40.48     | 55.45     | 21.84     | 82.15     | 55.87                       | 85.86     | 41.39             | 16.93              | 26.97     |
| d                                                | Integrated Disease Surveillance Project              | 51.84     | 57.87     | 64.33     | 69.54     | 60.21     | 79.61     | 69.95                       | 69.45     | 69.64             | 40.10              | 5.54      |
| D. Non                                           | D. Non                                               |           |           | 379.00    | 405.97    |           | 520.47    |                             |           |                   | 396.30             | 189.04    |
| Communicable Disease Programmes                  | Communicable Disease Programmes                      | 493.28    | 301.71    |           |           | 481.00    |           | 923.58                      | 455.09    | 998.47            |                    | 3,655.05  |
| E. Infrastructure Maintenance Grand Total        | E. Infrastructure Maintenance Grand Total            | 4,479.50  | 5,756.99  | 5,178.37  | 6,914.61  | 5,242.67  | 7,284.79  | 5,498.99                    | 7,173.95  | 5,686.93          | 5,376.65 20,740.05 |           |
| (A+B+C+D+E)                                      | (A+B+C+D+E)                                          | 18,324.33 | 24,243.63 | 18,158.32 | 27,024.09 |           |           | 18,424.4329,254.0725,541.70 | 35,370.74 | 24,349.10         |                    | 14,960.80 |

## Note:

- (i) Release for the F.Y. 2018 - 19 is updated upto 14.01.2019 and is provisional.
- (ii)The above releases relate to Central Govt. Grants & do not include State share contribution.
- (iii) Expenditure includes expenditure against central Release, State release & unspent balances at the be of the year. Expenditure for the F.Y. 2018 - 19 (upto 30.09.2018 as per FMR) are provisional.
- (iv)Allocation is as per B.E. for F Y. 2018 - 19.

## 2. National Urban Health Mission

National Urban Health Mission (NUHM) was launched as a sub - mis ion under an overarching National Health Mission (NHM) by the Cabinet on 1 st May 2013 for providing equitable and quality  primary  health  care  services  to  the  urban  population  with  special  focus  on  sl vulnerable sections of the society. Proposals of the State for any activities under NU submitted to Government of India through Annual/Supplementary Programme Implementation Plan (PIP). The details of state -wise proposals received from various states under NHM may be perused at the Web- link: nhm.gov.in/nrhm - in - state/state - program- implementation - plans pips.html' . S tate - wisedetails of funds allocated and utilized under NUHM during each of the l four years and the current year is as under:

(Rs. in crore)

| State /UT                 | 2013- 14 AllocationAllocation   | 2014- 15   | 2015- 16   | 2016- 17 AllocationAllocation   | 2017- 18   | 2018- 19 AllocationAllocationAudited   | 2013- 14   | 2014- 15 2015- 16   | 2014- 15 2015- 16   | 2016- 17 Audited Exp   | 2017- 18 Unaudited Exp   | 2018- 19 Unaudited Exp   |
|---------------------------|---------------------------------|------------|------------|---------------------------------|------------|----------------------------------------|------------|---------------------|---------------------|------------------------|--------------------------|--------------------------|
| State /UT                 | 2013- 14 AllocationAllocation   | 2014- 15   | 2015- 16   | 2016- 17 AllocationAllocation   | 2017- 18   | 2018- 19 AllocationAllocationAudited   | Exp        | Audited Exp         | Audited Exp         | 2016- 17 Audited Exp   | 2017- 18 Unaudited Exp   | 2018- 19 Unaudited Exp   |
| Andaman & Nicobar Islands | 0.36                            | 0.73       | 0.38       | 0.43                            | 0.33       | 0.40                                   |            | 0.00                | 0.08                | 0.42                   | 0.36                     | 0.28                     |
| Andhra Pradesh            | 81.59                           | 89.96      | 92.16      | 58.62                           | 46.78      | 42.40                                  |            | 17.92               | 24.19               | 40.00                  | 116.72                   | 68.83                    |
| Arunachal Pradesh         | 0.94                            | 5.37       | 1.61       | 1.10                            | 0.80       | 0.52                                   |            | 0.78                | 0.79                | 0.85                   | 2.71                     | 0.92                     |
| Assam                     | 11.57                           | 99.53      | 36.34      | 24.91                           | 17.95      | 11.79                                  | 0.03       | 6.16                | 11.09               | 13.71                  | 15.38                    | 6.54                     |
| Bihar                     | 24.60                           | 40.86      | 32.28      | 21.41                           | 17.08      | 15.63                                  |            | 0.12                | 6.45                | 8.62                   | 12.10                    | 3.41                     |
| Chandigarh                | 3.15                            | 6.47       | 3.10       | 3.53                            | 2.74       | 3.10                                   |            | 1.59                | 5.13                | 5.57                   | 6.17                     | 1.68                     |
| Chhattisgarh              | 19.22                           | 32.13      | 27.98      | 18.55                           | 14.80      | 13.42                                  | 2.02       | 13.93               | 17.17               | 29.61                  | 36.10                    | 11.03                    |
| Dadra & Nagar Haveli      | 0.35                            | 0.90       | 0.22       | 0.25                            | 0.20       | 0.15                                   |            | 0.03                | 0.48                | 0.50                   | 0.37                     | 0.19                     |
| Daman & Diu               | 0.29                            | 0.83       | 0.21       | 0.24                            | 0.18       | 0.15                                   |            | 0.00                | -                   | 0.03                   | 0.08                     | 0.08                     |
| Delhi                     | 38.65                           | 82.50      | 54.03      | 61.47                           | 47.65      | 25.69                                  |            | 66.24               | 50.23               | 34.33                  | 47.03                    | 11.61                    |
| Goa                       | 2.03                            | 2.70       | 0.98       | 0.65                            | 0.52       | 0.47                                   |            | 0.75                | 0.81                | 0.97                   | 1.27                     | 0.37                     |
| Gujarat                   | 59.15                           | 110.58     | 65.31      | 43.31                           | 34.56      | 31.76                                  | 6.12       | 54.47               | 94.88               | 99.75                  | 101.97                   | 38.74                    |
| Haryana                   | 29.37                           | 51.07      | 32.04      | 21.25                           | 16.96      | 15.44                                  | 0.03       | 22.69               | 37.38               | 29.37                  | 34.82                    | 15.16                    |
| Himachal Pradesh          | 1.38                            | 1.43       | 1.08       | 0.72                            | 0.57       | 0.52                                   |            | 1.16                | 0.26                | 0.95                   | 0.22                     | 0.07                     |
| Jammu & Kashmir           | 7.18                            | 12.71      | 12.02      | 7.97                            | 6.36       | 5.79                                   |            | 3.40                | 6.48                | 11.84                  | 7.81                     | 3.95                     |
| Jharkhand                 | 15.52                           | 27.97      | 17.34      | 11.50                           | 9.17       | 8.45                                   |            | 0.52                | 2.37                | 1.72                   | 8.38                     | -                        |
| Karnataka                 | 50.77                           | 90.52      | 74.80      | 49.60                           | 39.58      | 36.15                                  | 0.08       | 6.11                | 29.58               | 103.12                 | 103.35                   | 34.73                    |
| Kerala                    | 24.00                           | 30.50      | 35.55      | 23.57                           | 18.81      | 17.40                                  | 1.15       | 21.28               | 24.18               | 35.01                  | 36.42                    | 17.07                    |
| Lakshadweep               | 0.08                            | 0.22       | -          | -                               |            | -                                      |            | 0.00                |                     | -                      |                          | -                        |
| Madhya Pradesh            | 60.95                           | 104.06     | 88.17      | 58.46                           | 46.65      | 42.32                                  | 0.27       | 13.16               | 33.93               | 29.11                  | 31.07                    | 5.00                     |
| Maharashtra               | 164.92                          | 318.52     | 214.24     | 142.06                          | 113.36     | 103.15                                 |            | 11.26               | 64.84               | 84.94                  | 111.03                   | 51.08                    |
| Manipur                   | 1.49                            | 9.71       | 3.77       | 2.58                            | 1.86       | 1.22                                   |            | 0.28                | 0.50                | 1.45                   | 0.55                     | 0.20                     |
| Meghalaya                 | 1.89                            | 17.56      | 7.79       | 5.34                            | 3.85       | 2.53                                   |            | 3.23                | 5.58                | 4.46                   | 5.56                     | 1.72                     |
| Mizoram                   | 1.31                            | 10.55      | 8.85       | 6.07                            | 4.37       | 2.87                                   | 0.36       | 3.64                | 2.83                | 3.09                   | 3.95                     | 1.68                     |
| Nagaland                  | 1.21                            | 8.19       | 8.65       | 5.93                            | 4.27       | 2.80                                   |            | 0.51                | 1.68                | 2.71                   | 4.15                     | 1.74                     |
| Odisha                    | 18.60                           | 31.37      | 26.41      | 17.51                           | 13.97      | 12.70                                  |            | 1.93                | 12.55               | 35.23                  | 72.82                    | 28.62                    |
| Puducherry                | 1.86                            | 3.66       | 3.33       | 3.79                            | 2.93       | 1.70                                   | 0.07       | 0.60                | 2.05                | 2.94                   | 3.26                     | 0.70                     |
| Punjab                    | 28.81                           | 51.65      | 31.96      | 21.19                           | 16.91      | 15.43                                  |            | 5.88                | 47.58               | 57.03                  | 33.57                    | 18.90                    |
| Rajasthan                 | 43.21                           | 74.91      | 48.70      | 32.29                           | 25.77      | 23.54                                  |            | 8.06                | 28.85               | 59.40                  | 78.35                    | 40.85                    |
| Sikkim                    | 0.27                            | 1.34       | 3.07       | 2.11                            | 1.52       | 1.00                                   | -          | 0.39                | 0.56                | 0.47                   | 0.59                     | 0.19                     |
| Tamil Nadu                | 92.80                           | 156.38     | 111.99     | 74.26                           | 59.26      | 53.99                                  |            | 106.95              | 63.70               | 124.69                 | 142.28                   | 42.36                    |
| Telangana                 |                                 | 64.29      | 65.87      | 46.16                           | 36.84      | 4.52                                   |            | -                   | 6.92                | 40.54                  | 60.34                    | 0.51                     |
| Tripura                   | 1.98                            | 10.75      | 13.92      | 9.54                            | 6.88       | 65.95                                  |            | 0.07                | 0.56                | 1.55                   | 2.22                     | 78.81                    |
| Uttar Pradesh             | 117.41                          | 200.97     | 136.55     | 90.54                           | 72.26      | 4.72                                   |            | 47.88               | 125.65              | 151.98                 | 181.49                   | 0.10                     |
| Uttarakhand               | 8.54                            | 12.84      | 9.79       | 6.49                            | 5.18       | 55.62                                  |            | 3.47                | 6.42                | 8.60                   | 4.71                     | 50.63                    |
| West Bengal               | 84.55                           | 160.69     | 115.53     | 76.61                           | 61.13      | 33.46                                  |            | 6.88                | 36.62               | 110.42                 | 162.49                   | 67.52                    |
| Total                     | 1,000.00                        | 1,924.43   | 1,386.00   | 950.00                          | 752.05     | 656.74                                 | 10.12      | 431.34              | 752.38              | 1,134.97               | 1,429.69                 | 605.25                   |

## 3. Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana

AB - PMJAY earlier known as National Health Protection Mission (NHPM) has been launched on 23.09.2018to provide health coverage up to Rs. 5 lakh per family per year for secondar tertiary hospitalization to around 10.74 crore poor and vulnerable families. The State wi of the funds released for PMJAY from April, 2018 until 04.02.2019 is give n as under:

| S. No.   | States/UTs              |   Rs.in crore |
|----------|-------------------------|---------------|
| 1        | Andaman Nicobar Islands |          0.05 |
| 2        | Arunachal Pradesh       |          2.31 |
| 3        | Assam                   |         21.08 |
| 4        | Bihar                   |         88.27 |
| 5        | Chandigarh              |          0.33 |
| 6        | Chhattisgarh            |        114.44 |
| 7        | Dadra & Nagar Haveli    |          0.94 |
| 8        | Daman and Diu           |          0.29 |
| 9        | Goa                     |          0.64 |
| 10       | Gujarat                 |         77.5  |
| 11       | Haryana                 |         26.81 |
| 12       | Himachal Pradesh        |          7.18 |
| 13       | Jammu and Kashmir       |         20.64 |
| 14       | Jharkhand               |         48.48 |
| 15       | Karnataka               |         34.31 |
| 16       | Lakshadweep             |          0    |
| 17       | Madhya Pradesh          |         27.57 |
| 18       | Maharashtra             |         22.55 |
| 19       | Manipur                 |          7.18 |
| 20       | Mizoram                 |          8.73 |
| 21       | Nagaland                |          4.72 |
| 22       | Puducherry              |          0.31 |
| 23       | Sikkim                  |          1.03 |
| 24       | Tamil Nadu              |         86.66 |
| 25       | Tripura                 |         12.81 |
| 26       | Uttar Pradesh           |         32.71 |
| 27       | Uttarakhand             |         10.12 |
| 28       | West Bengal             |        193.35 |
|          | Grand Total             |        851.02 |

## 4. Senior Citizen Health Insurance Scheme

Senior Citizen Health Insurance Scheme (SCHIS) has been implemented as top up of Rashtriya Swasthya Bima Yojana (RSBY) w.e.f. 01.04.2016 to provide additional health insurance cove Rs.  30,000/ - to  the  senior  citizens  belonging  to  RSBY  beneficiary  families.  The  RSBY  an SCHIS got subsumed i nto Pradhan Mantri Jan Arogya Yojana w.e.f. 23.09.2018. No amount has been released under SCHIS. The State wise details of the funds released for RSBY are gi under:

(Rs. in crore)

| Sr. No.     | State /UT        | 2014- 15   | 2015- 16   |   2016- 17 |   2017- 18 |   2018- 19 |   TOTAL |
|-------------|------------------|------------|------------|------------|------------|------------|---------|
| 1           | Assam            | 1.06       | 23.24      |      54.72 |       0    |       0    |   79.02 |
| 2           | Bihar            | 34.07      | -          |       0    |       0    |       0    |   34.07 |
| 3           | Chhattisgarh     | 58.81      | 88.77      |     114.09 |     171.38 |       0    |  433.05 |
| 4           | Gujarat          | 18.47      | 74.24      |      22.34 |      15.07 |      23.52 |  153.64 |
| 5           | Haryana          | 5.38       | 4.67       |       0.6  |       0    |       0    |   10.65 |
| 6           | Himachal Pradesh | 3.75       | 13.90      |      12.3  |       6.15 |       0    |   36.11 |
| 7           | Jharkhand        | 5.51       | -          |       0    |       0    |       0    |    5.51 |
| 8           | Karnataka        | -          | 94.99      |      45.89 |       7.39 |      21.93 |  170.19 |
| 9           | Kerala           | 110.43     | 112.37     |      73.29 |      77.53 |      86.9  |  460.52 |
| 10          | Madhya Pradesh   | 8.21       | 1.00       |       0    |       0    |       0    |    9.21 |
| 11          | Manipur          | 1.73       | 1.17       |       2.2  |       0    |       0    |    5.1  |
| 12          | Meghalaya        | 1.25       | 4.10       |       4.1  |       0    |      11.08 |   20.53 |
| 13          | Mizoram          | 10.35      | 9.43       |      14.13 |      12.96 |       5.48 |   52.35 |
| 14          | Nagaland         | 4.66       | -          |       0    |       4.87 |       0    |    9.53 |
| 15          | Odisha           | 93.64      | 59.55      |      31.7  |      55.75 |      55.76 |  296.4  |
| 16          | Puducherry       | -          | 0.17       |       0    |       0    |       0    |    0.17 |
| 17          | Punjab           | 2.59       | 2.80       |       0    |       0    |       0    |    5.39 |
| 18          | Rajasthan        | 32.10      | 53.57      |       0    |       0    |       0    |   85.67 |
| 19          | Tripura          | 14.29      | 15.64      |      10.83 |       0.04 |       0    |   40.8  |
| 20          | Uttar Pradesh    | 36.47      | 11.91      |       0    |       0    |       0    |   48.38 |
| 21          | Uttarakhand      | -          | 10.20      |       0    |       9.15 |       0    |   19.34 |
| 22          | West Bengal      | 101.65     | 93.38      |      50.47 |      95.01 |       8.9  |  349.41 |
| Grand Total | Grand Total      | 544.42     | 675.10     |     436.66 |     455.3  |     213.56 | 2325.05 |

## 5. Establishment of new Medical Colleges attached with district/referral hospitals :

existing

The  Government  is  implementing  a  Centrally  Sponsored  Scheme  for  'Establishment  of  new medical colleges by upgrading district/referral hospitals' with fund sharing between the Central Government and States in the ratio of 90:10 for NE/special category states and 60:40 fo states.

## PHASE - 1:

- The Phase I of the scheme was approved by CCEA in its meeting held on 2 nd January, 2014 to establish 58 new medical colleges at a total cost of Rs.10,962 crore (consi Central share of Rs.7541.10 crore) by 2019 - 20.    The  total cost of establishment of one Medical College under the scheme is Rs.189 crore. 58 dis tricts in 20 States/UT have been identified under this Scheme to establish new Medical Colleges attached with exi district/referral hospitals. Out of these, 57 have been approved till date.
- Funds to the tune of Rs.7125.45 crore have been released to the State/UT Governments for the approved districts under the Scheme.
- Out of 57 approved medical colleges, 22 have become functional.
- State wise and year wise details of fund released and utiliz ed under the above scheme is give overleaf :

(Rs. in crore)

| Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   |
|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
| S. No.                                                                                                           | States/UT                                                                                                        | Amount released (2014 -15)                                                                                       | Amount released (2015 -16)                                                                                       | Amount released (2016 -17)                                                                                       | Amount released (2017 -18)                                                                                       | Amount released (2018 -19)                                                                                       | Total Amount Released                                                                                            | Utilization Certificate received                                                                                 |
| 1                                                                                                                | Andaman and Nicobar Islands                                                                                      | 0                                                                                                                | 28                                                                                                               | 40                                                                                                               | 45                                                                                                               | 0.4                                                                                                              | 113.4                                                                                                            | 16.0948                                                                                                          |
| 2                                                                                                                | Arunachal Pradesh                                                                                                | 0                                                                                                                | 42.5                                                                                                             | 10                                                                                                               | 50                                                                                                               | 67.6                                                                                                             | 170.1                                                                                                            | 0                                                                                                                |
| 3                                                                                                                | Assam                                                                                                            | 0                                                                                                                | 30                                                                                                               | 143.97                                                                                                           | 161                                                                                                              | 277                                                                                                              | 611.97                                                                                                           | 140.6                                                                                                            |
| 4                                                                                                                | Bihar                                                                                                            | 0                                                                                                                | 8                                                                                                                | 44                                                                                                               | 56                                                                                                               | 118.80                                                                                                           | 226.80                                                                                                           | 0                                                                                                                |
| 5                                                                                                                | Chhattisgarh                                                                                                     | 14                                                                                                               | 39.02                                                                                                            | 83                                                                                                               | 60.78                                                                                                            | 30                                                                                                               | 226.8                                                                                                            | 0                                                                                                                |
| 6                                                                                                                | Himachal Pradesh                                                                                                 | 12.53                                                                                                            | 67.98                                                                                                            | 123                                                                                                              | 119                                                                                                              | 187.79                                                                                                           | 510.3                                                                                                            | 0                                                                                                                |
| 7                                                                                                                | Haryana                                                                                                          | 0                                                                                                                | 0                                                                                                                | 14.05                                                                                                            | 54                                                                                                               | 45.35                                                                                                            | 113.40                                                                                                           | 0                                                                                                                |
| 8                                                                                                                | Jharkhand                                                                                                        | 0                                                                                                                | 0                                                                                                                | 78                                                                                                               | 186                                                                                                              | 76.20                                                                                                            | 340.20                                                                                                           | 199.0618                                                                                                         |
| 9                                                                                                                | Jammu & Kashmir                                                                                                  | 0                                                                                                                | 0                                                                                                                | 108                                                                                                              | 247                                                                                                              | 495.5                                                                                                            | 850.50                                                                                                           | 173.32                                                                                                           |
| 10                                                                                                               | Madhya Pradesh                                                                                                   | 14                                                                                                               | 24                                                                                                               | 111                                                                                                              | 429.5                                                                                                            | 215.3                                                                                                            | 793.8                                                                                                            | 461.07                                                                                                           |
| 11                                                                                                               | Maharashtra                                                                                                      | 6                                                                                                                | 7                                                                                                                | 55                                                                                                               | 20                                                                                                               | 25.4                                                                                                             | 113.4                                                                                                            | 0                                                                                                                |
| 12                                                                                                               | Meghalaya                                                                                                        | 0                                                                                                                | 0                                                                                                                | 0                                                                                                                | 76                                                                                                               | 77                                                                                                               | 153                                                                                                              | 0                                                                                                                |
| 13                                                                                                               | Mizoram                                                                                                          | 0                                                                                                                | 30                                                                                                               | 21.02                                                                                                            | 90.5                                                                                                             | 28.58                                                                                                            | 170.1                                                                                                            | 12.5071                                                                                                          |

with attached

| Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   | Funds released under the Scheme for Establishment of new Medical Colleges District/Referral Hospital till date   |
|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------|
| S. No.                                                                                                           | States/UT                                                                                                        | Amount released (2014 -15)                                                                                       | Amount released (2015 -16)                                                                                       | Amount released (2016 -17)                                                                                       | Amount released (2017 -18)                                                                                       | Amount released (2018 -19)                                                                                       | Total Amount Released                                                                                            | Utilization Certificate received                                                                                 |
| 14                                                                                                               | Nagaland                                                                                                         | 0                                                                                                                | 36.5                                                                                                             | 14.53                                                                                                            | 25                                                                                                               | 77                                                                                                               | 153.03                                                                                                           | 0                                                                                                                |
| 15                                                                                                               | Odisha                                                                                                           | 35                                                                                                               | 85                                                                                                               | 50                                                                                                               | 371                                                                                                              | 26                                                                                                               | 567                                                                                                              | 340                                                                                                              |
| 16                                                                                                               | Punjab                                                                                                           | 0                                                                                                                | 0                                                                                                                | 0                                                                                                                | 0                                                                                                                | 113.40                                                                                                           | 113.40                                                                                                           | 0                                                                                                                |
| 17                                                                                                               | Rajasthan                                                                                                        | 41                                                                                                               | 89.2                                                                                                             | 103                                                                                                              | 502.2                                                                                                            | 58.4                                                                                                             | 793.8                                                                                                            | 233.2                                                                                                            |
| 18                                                                                                               | Uttar Pradesh                                                                                                    | 0                                                                                                                | 16                                                                                                               | 154.1                                                                                                            | 330                                                                                                              | 66.9                                                                                                             | 567                                                                                                              | 227.46                                                                                                           |
| 19                                                                                                               | Uttarakhand                                                                                                      | 6                                                                                                                | 8                                                                                                                | 37.02                                                                                                            | 102.02                                                                                                           | 17.06                                                                                                            | 170.1                                                                                                            | 21                                                                                                               |
| 20                                                                                                               | West Bengal                                                                                                      | 0                                                                                                                | 20                                                                                                               | 104                                                                                                              | 375                                                                                                              | 68                                                                                                               | 567                                                                                                              | 116.3608                                                                                                         |
|                                                                                                                  | TOTAL                                                                                                            | 128.53                                                                                                           | 531.2                                                                                                            | 1293.69                                                                                                          | 3300                                                                                                             | 2071.68                                                                                                          | 7325.10                                                                                                          | 1861.578                                                                                                         |

with

PHASE - II: In  phase  II  of  the  scheme  was  approved  by  CCEA  in  its  meeting  held  on  7 th February, 2018 with the objective is to ensure the availability of one medical college for Parliamentary Constituencies and at least 1 Government Medical College in every State o country, 24 new medical colleges in 8 States have been identified under th is Scheme to establish new Medical Colleges attached with existing district/referral hospitals by 2021 - 22. Out of these, 17 Medical Colleges have been approved till date. The total cost of establishment of one College under the scheme is Rs.250 cro re. Funds to the tune of Rs.850 crore have been released to the State Governments for the approved medical colleges under the Scheme. State wise year wise details of fund released and utilized under the above scheme is as under:

| State          |   Funds released during (2018 - 19)(Rs. in crore ) |
|----------------|----------------------------------------------------|
| Bihar          |                                                  0 |
| Jharkhand      |                                                100 |
| Madhya Pradesh |                                                 50 |
| Odisha         |                                                  0 |
| Rajasthan      |                                                 50 |
| Uttar Pradesh  |                                                400 |
| West Bengal    |                                                200 |
| Sikkim         |                                                 50 |
| Total          |                                                850 |

## 6. Up - gradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country

The scheme was approved by Cabinet Committee of Economic Affairs in its meeting held on 9 th January, 2014 with the objective of creating 10,000 MBBS seats in Government Colleges in country by 2020 - 21. The funding pattern is 90 :10 by Central and State Governments respectively for North Eastern States and Special category States and 60:40 for other States with t ceiling cost pegged at Rs.1.20 crore per seat. 36 Medical Colleges have been approved und scheme to incre ase 2615 UG seats, out of which 920 MBBS seats have been increased in 15 medical colleges till date.  Funds to the tune of Rs.1471.30 crore have been released to the State Governments till date under this Scheme. State wise and year wise details of fund re leased and utilized under the above scheme is as under:

(Rs. in crore)

| S. No.   | States/UT      |   Amount released (2015-16) |   Amount released (2016-17) |   Amount released (2017-18) |   Amount released (2018-19) till date |   Total | Utilization Certificate received   |   No of MBBS Seats to be created | No. of MBBS Seats created   |
|----------|----------------|-----------------------------|-----------------------------|-----------------------------|---------------------------------------|---------|------------------------------------|----------------------------------|-----------------------------|
| 1        | Andhra Pradesh |                         6   |                       15.51 |                       27.96 |                                 40.53 |   90    |                                    |                              150 | 50                          |
| 2        | Gujarat        |                         4.5 |                       15.6  |                       20.7  |                                 50    |   90.8  | 24.74                              |                              170 | 170                         |
| 3        | Jharkhand      |                         0   |                        0    |                        0    |                                 39    |   39    |                                    |                              100 |                             |
| 4        | Madhya Pradesh |                        12   |                       38.33 |                       57.67 |                                135    |  243    |                                    |                              450 |                             |
| 5        | Odisha         |                         5   |                       16.56 |                       53.38 |                                 45    |  119.94 |                                    |                              200 | 200                         |
| 6        | Punjab         |                         4   |                       10.34 |                       36.6  |                                 21.06 |   72    |                                    |                              100 | 100                         |
| 7        | Rajasthan      |                         7   |                       21.73 |                       44.74 |                                109.53 |  183    |                                    |                              350 | 50                          |
| 8        | Tamil Nadu     |                         9.5 |                       31.76 |                       41.3  |                                105    |  187.56 | 56.65*                             |                              345 |                             |
| 9        | Uttarakhand    |                         2   |                        5.17 |                        8.83 |                                 20    |   36    |                                    |                               50 |                             |
| 10       | West Bengal    |                         0   |                        0    |                       24    |                                 30    |   54    |                                    |                              100 |                             |
| 11       | Manipur        |                         0   |                        0    |                       12    |                                 28    |   40    |                                    |                               50 |                             |
| 12       | Karnataka      |                         0   |                        0    |                      152.82 |                                163.18 |  316    | 19.55                              |                              550 | 350                         |
|          | TOTAL          |                        50   |                      155    |                      480    |                                786.3  | 1471.3  | 100.94                             |                             2615 | 920                         |

## 7. Strengthening and up - gradation of State Government Medical colleges for starting new PG disciplines and increasing PG seats

Phase- I: The Phase - I of the scheme was approved by CCEA in its meeting held on 18 th February, 2010 with the objective to strengthen and upgrade State/Central Government Medical Colleg create  4058  new  PG  seats  by  2018 - 19.  A  total  of  72  Government  Medical  colleges  in  21 States/UTs have been approved under the scheme for increasing 405 8 PG seats. Funds to the tune of  Rs.  1063.0218  crore  (including  administrative  approval  of  Rs.13.664  crore  issued  to Medical College, Chandigarh) have been released under the scheme till date. State wise an wise details of fund released and uti lized under the scheme is as under:

(Rs. in crore)

| State/UT         |   2009- 10 |   2010- 11 |   2011- 12 |   2012- 13 |   2013- 14 |   2014- 15 |   2016- 17 |   2017- 18 |   2018- 19 |   Total Released amount |   UC Received |   PG seats to be created |   PG seats created |
|------------------|------------|------------|------------|------------|------------|------------|------------|------------|------------|-------------------------|---------------|--------------------------|--------------------|
| Assam            |       0    |      17.71 |      0     |       0    |       0    |          0 |       3    |     6.9344 |    10.701  |                 38.3454 |       15.4529 |                      143 |                 95 |
| Andhra Pradesh   |       0    |       0    |     46.075 |       0    |       0    |          0 |       0    |    28.655  |     7.9391 |                 82.6691 |       39.8615 |                      410 |                173 |
| Bihar            |       1.4  |      26.32 |      0     |       1.34 |       0    |          0 |       0    |     7.047  |    14.3583 |                 50.4653 |       27.4114 |                      199 |                 38 |
| Chandigarh       |       0    |      17.09 |      0     |       0    |       0    |          0 |       0    |     0      |    13.664  |                 30.754  |       20.88   |                       48 |                 32 |
| Chhattisgarh     |       0    |       0    |     12.275 |       0    |       0    |          0 |       0    |     9.819  |     0      |                 22.094  |       17.54   |                       79 |                 31 |
| Goa              |       0    |       3.83 |      0     |      12.24 |       0    |          0 |       0    |     0      |     0.4241 |                 16.4941 |       13.75   |                      124 |                 22 |
| Gujarat          |       0    |       6.25 |      0     |      15.97 |       0    |          0 |       0    |     0      |     0      |                 22.22   |       15.36   |                       86 |                 68 |
| Himachal Pradesh |       0    |       5.44 |      0     |       4.61 |       0    |          0 |       0    |     0      |     0.99   |                 11.04   |       10.05   |                       17 |                 17 |
| Jammu & Kashmir  |       0    |       0    |     14.08  |       0    |       0    |          0 |       0    |     8      |     8.9185 |                 30.9985 |       16.8174 |                      127 |                 29 |
| Jharkhand        |       0    |       0    |     16.49  |       0    |       0    |          0 |       3    |     5      |     5.813  |                 30.303  |       14.81   |                      102 |                  0 |
| Kerala           |       0    |       5.63 |     15.825 |       0    |       0    |          0 |       0    |    11      |     4.5071 |                 36.9621 |       30.6253 |                      150 |                 90 |
| Madhya Pradesh   |       0    |      26.91 |      0     |       0    |       0    |          5 |       1.94 |    12.7535 |    12.8219 |                 59.4254 |       41.27   |                      203 |                 77 |
| Maharashtra      |       0    |       0    |    129.57  |       0    |       0    |          0 |       0    |    59.0851 |    44.733  |                233.388  |      106.344  |                      692 |                192 |
| Orissa           |       5.54 |       0    |      0     |       0    |       0    |          0 |       4.06 |     0.5    |     3.6374 |                 13.7374 |        5.69   |                      107 |                 80 |
| Punjab           |       0    |       8.09 |      0     |       4.99 |      30.92 |          0 |       0    |     0      |     0      |                 44      |       42.36   |                       87 |                 48 |
| Rajasthan        |       0    |      51.91 |      0     |      51.63 |       0    |          0 |       0    |     0      |     0.144  |                103.684  |       90.48   |                      297 |                212 |
| Telangana        |       0    |       0    |     23.565 |       0    |       0    |          0 |       2    |     0      |    17.1856 |                 42.7506 |       21.14   |                      279 |                151 |
| Tripura          |       0    |       7.29 |      0     |       0    |       0    |          0 |       6    |     5      |     1.1448 |                 19.4348 |        7.9    |                      115 |                 25 |
| Uttarakhand      |       0    |       2.65 |      0     |       0    |       0    |          5 |       0    |     0      |     2.1126 |                  9.7626 |        2.65   |                       62 |                 62 |
| Uttar Pradesh    |       9.06 |      10.19 |      0     |      18.12 |       0    |          0 |       0    |     0      |     3.1444 |                 40.5144 |       20.05   |                      265 |                 35 |
| West Bengal      |       0    |      35.69 |      2.12  |      74.96 |       0    |          0 |       0    |    11.206  |     0.003  |                123.979  |       85.0833 |                      466 |                233 |
| Total            |      16    |     225    |    260     |     183.86 |      30.92 |         10 |      20    |   165      |   152.242  |               1063.02   |      645.526  |                     4058 |               1710 |

Phase- II: The  Phase - II  of  the  scheme  was  approved  by  CCEA  in  its  meeting  held  on  7 th February,  2018  with  the  objective  of  creating  4000  PG  seats  in  Government  Colleges  in country by 2020 - 21. The funding pattern is 90:10 by Central and State Governments respectiv for North Eastern States and Special category States and 60:40 for oth er States with the upper ceiling  cost  pegged  at  Rs.1.20  crore  per  seat.  Under  the  scheme  proposals  received  fr States of Rajasthan, Punjab, Karnataka, Madhya Pradesh and Gujarat for increasing PG sea under consideration in the Ministry of Healt h and Family Welfare.

## 8. National Medical College Network (NMCN)

- Under the Centrally Sector Scheme, the e - Classroom project of NMCN scheme has been launched on 15 th January, 2019 by Ministry of Health and Family Welfare. In the firs phase,  50  Govern ment  Medical  colleges  are  being  networked  riding  over  National Knowledge Network. Digital Medical Lecture theatre has already been created in ea college under e - Classroom project and it is ready to be utilized for remote lecture sh with other 50 med ical colleges.
- Till  date,  payment  of  Rs.  13,73,84,049/ - has  been  made  to  System  Integrator  (SI)  for implementation of e - Classroom project in 50 Medical Colleges.

## 9. Population  Level  Initiative  for  prevention,  control  &  screening  fo common NCDs (Diabetes, Hypertension and common cancers viz. Oral, Breast and Cervical Cancer)

A new Population Level Initiative for prevention, control & screening for common NC (Diabetes, Hypertension and common cancers viz. Oral, Breast and Cervical Cancer) was rolled outin over 100 districts of the country during 2017 - 18 as a part of comprehensive primary health care. Screening has been initiated in 215 districts and till 1 st October, 2018, more than 96 lakh persons have been screened under the programme in the States.

## 10. AMRIT (Affordable Medicines and Reliable Implants for Treatment)

A novel initiative was launched by Ministry of Health and Family. AMRIT pharmacie are being opened and operated by M/s. HLL Lifecare Ltd., a Central Public Sector Underta (CPSU)  of Ministry  of  Health  &  Family  Welfare,  with  an  objective  to provide  affordable medicines for treatment of Cancer, Cardiovascular and other diseases, stents, implants, disposables  and  other  consumables,  thereby  reducing  the  out  of  pocket  expenses.  Th e  first AMRIT retail pharmacy was opened on 15 th November, 2015at AIIMS, New Delhi campus. As informed  by  HLL  Lifecare  Ltd., t ill  15 th December,  2018,  148  AMRIT  pharmacies  are operational in 23 States across the country.

## 11. National Dialysis Programme

National Dialysis Programme was launched during year 2016 - 17  to  support all district hospitals  in  a  Public  Private  Partnership  (PPP)  mode  under  NHM.  Guidelines  of  Natio Dialysis Programme including the Model Request for Proposal (RFP) for PPP were deve loped and released on 7 th April, 2016. All States/UTs were requested to incorporate proposals for out  of  National  Dialysis  Programme  in  Programme  Implementation  Plans  and  approval  was provided to all States in 2016 - 17  and  2017 - 18  for  provision of free dialysis services to poor. Based on the proposals received from the states, over Rs. 153 crore was approved in 201 - 17; over Rs. 178 Crore in FY 2017 - 18 and Rs.194 Crore for FY 2017 - 18.

## 12. Kayakalp Award Scheme

In order to fulfil the directions of Hon'ble Prime Minister on Clean India (Swatch Bharat), the Ministry  of  Health  &  Family  Welfare,  Government  of  India  has  launched  a  scheme  namely 'Kayakalp'  in  the  year  2015  for  Tertiary  Care  Hospitals  of  Central  Government  and  under National  Health  Mission (NHM)  for  public  health  facilities  in  States/UTs  with  the  followi objectives:

- (i) To promote high degree of cleanliness, hygiene and infection control practices in Health Care facilities.
- (ii) To incentivize and recognize such public healthcare acilities  f (Central hospitals/institutions) that show exemplary performance in adhering to standard pro of cleanliness and infection control.
- (iii) To inculcate a culture of on - going assessment and external review of performance related to hygiene, cl eanliness and sanitation in central hospitals/institutions.
- (iv) To  create  and  share  sustainable  practices  related  to  improved  cleanliness  in  c hospitals/institutions linked to positive health outcomes.

Under this scheme, for the year 2015 - 16, initially, 10 Central Government Hospitals/ Institute were identified. In the year 2016 - 17, the number of Hospitals was increased from 10 to 16. For the year 2017 - 18, the number of participating Institutions/ Hospi tals was increased from 16 to 21 Hospitals/Institutions. Currently, in 2018 - 19, 24 hospitals/Institutes are being participated i this Scheme. The selection criteria for award is based on internal assessment, peer ass and  external  evaluation  which  i s  evaluated  by  the  Selection  Committee/Jury.  Ministry  has proposed  to  distribute  the  Kayakalp  awards  to  tertiary  care  facilities  during  the  S Pakhwada. An amount of Rs. 10.00 crore is given as award prizes to better performing Ce Government  Hospitals/Institutes. A  fund  of  Rs.  10.00  crore  is  allotted  every  year  under  th Scheme for awarding the hospitals.

The  distribution  of  awards  is  based  on  the  performance  of  the  facility  on  the  fol parameters:

- i) Hospital Upkeep Level of Illumination, Ho spital Appearance - Painting & Whitewashing,  Landscaping,  Gardening  &  Greenery,  Maintenance  of  Open  Areas and  availability  of  adequate  dustbins,  Infrastructure  Maintenance,  Maintenance Furniture & Fixture, Water Sanitation and conservation practices,
2. ii) Sanitation and hygiene -Cleanliness of Circulation Area /compound wall outside & Inside, wards, labour room/OT, OPD, emergency, Lab/ICU/CCU, Toilets, Auxiliary Area, etc., Drainage and Sewage Management
3. iii) Support Services -Laundry Services, Kitchen Services, Sec urity Services, Outsource Services Management.
4. iv) Waste Management -Segregation practice of Biomedical Waste, Collection Storage and Transportation of Bio - Medical  Waste,  Disposal  of  Bio - medical  waste,  General Solid  Waste  Management,  Liquid  Waste  Management,  Ma nagement  of  Hazardous waste, Recycling of Waste & statutory compliances.
- v) Infection Control -Hand Hygiene facilities, Personal Protective Equipments, Decontamination  and  Cleaning  of  Instruments,  Isolation  and  Barrier  Nursing Environment Control Disinfection & Sterilization of instruments.
6. vi) Hygiene Promotion Community Monitoring & Patient Participation, Availability of Information Education and Communication devices /Material/signage, Training and capacity building, Staff Hygiene and Dress Code.
7. vii) Feedback  Mecha nism  from  Public  on  Cleanliness -Mechanism  in  place  to  get feedback from public on cleanliness, Monitoring mechanism of follow up on suc feedback  received,  Mechanism  to  Incentivize  sanitation  staff  showing  exempla devotion to duty, Mechanism to respond t o public on the feedback received.

## 13. Setting up of Institutions of Para - Medical Sciences in States and Setting up of College of Para - medical Education

The schemes are approved upto 2019 - 20.State wise financial release on the proposal received and accepted by this Ministry during last 4 years are as under:

| State             | Financial Year 2014 - 5 to till date as on 05.02.2019   | Financial Year 2014 - 5 to till date as on 05.02.2019   | Financial Year 2014 - 5 to till date as on 05.02.2019   |
|-------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| State             | Allocation                                              | Release                                                 | Expenditure                                             |
| Rajasthan         | Not applicable                                          | Rs. 1.3 crore (approximate)                             | UC is pending                                           |
| Tripura           | Not applicable                                          | Rs. 6.165 (approximate)                                 | UC is pending                                           |
| Arunachal Pradesh | Not applicable                                          | Rs. 6.165 (approximate)                                 | UC is pending                                           |
| Jharkhand         | Not applicable                                          | Rs. 4.11 crore (approximate)                            | UC is pending                                           |
| Karnataka         | Not applicable                                          | Rs. 4.11 crore (approximate)                            | UC is pending                                           |
| Madhya Pradesh    | Not applicable                                          | Rs 8.22 crore (approximate)                             | UC is pending                                           |
| Kerala            | Not applicable                                          | Rs. 4.11 crore (approximate)                            | UC is pending                                           |

## 14. Strengthening/Up gradation of Pharmacy Institutions medical Education

The schemes are approved upto 2019 - 20.State wise financial release on the proposal received and accepted by this Ministry during last 4 years are as under:

| State         | Financial Year 2014 - 5 to till date as on 05.02.2019   | Financial Year 2014 - 5 to till date as on 05.02.2019   | Financial Year 2014 - 5 to till date as on 05.02.2019   |
|---------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
|               | Allocation                                              | Release                                                 | Expenditure                                             |
| Kerala        | Not applicable                                          | Rs. 0 .7046 crore approximately                         | UC is pending                                           |
| Odisha        | Not applicable                                          | Rs. 0.8992 crore (approximate)UC                        | is pending                                              |
| Tamil Nadu    | Not applicable                                          | Rs. 0.8670 crore (approximate)UC                        | is pending                                              |
| Uttar Pradesh | Not applicable                                          | Rs. 0.8967 crore (approximate)UC                        | is pending                                              |
| Uttarakhand   | Not applicable                                          | Rs. 0.8230 crore (approximate)UC                        | is pending                                              |
| West Bengal   | Not applicable                                          | Rs. 1.1154 crore (approximate)UC                        | is pending                                              |
| Assam         | Not applicable                                          | Rs. 1.2655 crore (approximate)UC                        | is pending                                              |

## 15. Strengthening  of  Food  Testing  System  in  the  Country  Including Provision of Mobile Food Testing Labs

- Food Safety and Standards Authority of India (FSSAI) is implementing Central Sect Scheme for 'Strengthening of Food Testing System in the Country Including Provision of Mobile  Food  Testing  Labs' with an  outlay  of  Rs.  481.95  crore with  the  approval  of Ministry  of  Health  and  Family  Welfare.  The  scheme  was  launched  in  2016 - 17  for implementation upto 2018 - 19. The Scheme has the following six major components:
- (i) Strengthening of State Food Testing labs;
- (ii) Stre ngthening of Referral Food Testing Labs;
- (iii) Support for Mobile Food labs;
- (iv) Capacity Building of Food Testing Laboratories;
- (v) Incentivising  States  to  utilise  the  testing  facilities  available  in  FSSAI Labs; and
- (vi) School Food & Hygiene Programme
- There is a n Empowered Committee (EC) under the chairmanship of Hon'ble Chairperson of FSSAI to oversee and guide implementation of this scheme. EC has met five times, far. In so far States are concerned, component no. (i) and (iii) are being impleme States /UTs, as per their readiness.
- Under component no. (i) above, nearly 44 State Food Testing Labs across the country would be taken up for upgradation, at least one in each State and two in larger Under this, FSSAI is providing a grant of around Rs. 1 0 Crore for upgradation of a state food  laboratory  towards  procurement  of  3  major  equipments  namely,  ICP - MS,  GC MSMS  and  LC - MSMS  (including  consumables,  CAMC  and  manpower),  creation  of Infrastructure  for  these  sophisticated  equipments  and  setting  up  of  mic robiological laboratory, besides some recurring grant towards Professional services and Continge as per the requirement of the respective state laboratory. Further, for those No States which do not have any Food Testing Laboratory, a grant of Rs. 3 crore would be provided towards setting up of a new food testing laboratory there.
- So  far,  p roposals  from  32  States/UTs  for  the  upgradation  of  44  State  Food  Testin Laboratories (SFTLs) have been received. Out of these, 31 SFTLs from 25 States/UT have  been  taken  up  for  upgradation  and  a  total  grant  of  Rs.  127.45  crore  has released. State - wise details of the proposals received, approved, and grant released, s is as under:

(Rs. in crore)

| S. No.   | Name of State/UTs   | No. of laboratories                                    | No. of laboratories      | No. of laboratories   | Grant                 | Grant    |
|----------|---------------------|--------------------------------------------------------|--------------------------|-----------------------|-----------------------|----------|
| S. No.   | Name of State/UTs   | Proposals received from States for upgradation of labs | Approved for upgradation | Under consideration   | Allocated (estimated) | Released |
| 1        | Andaman & Nicobar   | 1                                                      | 0                        | 1                     | 10.00                 | 0.00     |
| 2        | Andhra Pradesh      | 2                                                      | 1                        | 1                     | 19.95                 | 0.50     |
| 3        | Arunachal Pradesh*  | 1                                                      | 0                        | 1                     | 10.00                 | 0.00     |
| 4        | Assam               | 1                                                      | 1                        | 0                     | 9.95                  | 4.00     |
| 5        | Bihar               | 1                                                      | 0                        | 1                     | 10.00                 | 0.00     |
| 6        | Chhattisgarh        | 1                                                      | 1                        | 0                     | 9.95                  | 6.50     |

| S. No.   | Name of State/UTs   | No. of laboratories                                    | No. of laboratories      | No. of laboratories   | Grant                 | Grant    |
|----------|---------------------|--------------------------------------------------------|--------------------------|-----------------------|-----------------------|----------|
| S. No.   | Name of State/UTs   | Proposals received from States for upgradation of labs | Approved for upgradation | Under consideration   | Allocated (estimated) | Released |
| 7        | Delhi               | 1                                                      | 1                        | 0                     | 9.90                  | 7.00     |
| 8        | Goa                 | 1                                                      | 1                        | 0                     | 9.95                  | 5.25     |
| 9        | Gujarat             | 2                                                      | 2                        | 0                     | 19.85                 | 7.95     |
| 10       | Haryana             | 2                                                      | 1                        | 1                     | 19.95                 | 6.50     |
| 11       | Himachal Pradesh    | 1                                                      | 1                        | 0                     | 9.95                  | 0.50     |
| 12       | J & K               | 2                                                      | 2                        | 0                     | 13.00                 | 13.00    |
| 13       | Jharkhand           | 1                                                      | 0                        | 1                     | 10.00                 | 0.00     |
| 14       | Karnataka           | 2                                                      | 1                        | 1                     | 19.85                 | 9.50     |
| 15       | Kerala              | 2                                                      | 2                        | 0                     | 16.95                 | 10.00    |
| 16       | Madhya Pradesh      | 1                                                      | 1                        | 0                     | 9.95                  | 0.50     |
| 17       | Maharashtra         | 2                                                      | 1                        | 1                     | 19.95                 | 0.50     |
| 18       | Manipur             | 1                                                      | 1                        | 0                     | 9.95                  | 6.50     |
| 19       | Meghalaya           | 1                                                      | 1                        | 0                     | 9.95                  | 0.50     |
| 20       | Mizoram*            | 1                                                      | 0                        | 1                     | 10.00                 | 0.00     |
| 21       | Nagaland            | 1                                                      | 1                        | 0                     | 9.95                  | 6.50     |
| 22       | Odisha              | 1                                                      | 1                        | 0                     | 9.95                  | 6.50     |
| 23       | Puducherry          | 1                                                      | 1                        | 0                     | 9.95                  | 0.50     |
| 24       | Punjab              | 1                                                      | 1                        | 0                     | 6.50                  | 4.25     |
| 25       | Sikkim              | 1                                                      | 0                        | 1                     | 10.00                 | 0.00     |
| 26       | Rajasthan           | 3 #                                                    | 3                        | 0                     | 20.90                 | 1.00     |
| 27       | Tamil Nadu          | 2                                                      | 2                        | 0                     | 17.50                 | 7.00     |
| 28       | Telangana           | 1                                                      | 1                        | 0                     | 9.95                  | 7.00     |
| 29       | Tripura             | 1                                                      | 0                        | 1                     | 9.95                  | 0.00     |
| 30       | Uttar Pradesh       | 2                                                      | 1                        | 1                     | 19.45                 | 6.00     |
| 31       | Uttarakhand         | 1                                                      | 1                        | 0                     | 9.95                  | 0.50     |
| 32       | West Bengal         | 2                                                      | 1                        | 1                     | 19.95                 | 9.50     |
|          | Total               | 44                                                     | 31                       | 13                    | 413.05                | 127.45   |

* No SFTL is available in these States and new SFTL is to be established.

# In  Rajasthan,  3  SFTLs  have  been  taken  up  for  the  upgradation  i.e.  SFTLs  located Jodhpur,  Udaipur  and  Jaipur.  However,  SFTL, Jaipur  is  approved  only  for  setting  up  of microbiological laboratory.

- Under component no. (iii) nearly 60 Mobile Food Tes ting Laboratories (MFTLs) would be provide to States/UTs across the country (one in every 20 districts, with at l MFTL in each State/UT). Under this, a fully fabricated vehicle (along with equipm costing around Rs. 38.5 lakh (approx.), includin g GST, are being provided to States/UTs, besides  a  recurring  grant  of  Rs.  5  lakh/year  towards  petrol,  oil,  lubrican consumables  for  each  MFTL.  So  far,  42  Food  Safety  on  Wheels  (FSWs)  have  been sanctioned to 30 States/UTs out of which 39 FSWs has been deliv red to 29 States/UTs. State wise details of FSW established, so far, is as under:

| S. No.   | Name of the State/UT   | Number of FSWs   | Number of FSWs   | Number of FSWs   |
|----------|------------------------|------------------|------------------|------------------|
| S. No.   | Name of the State/UT   | Proposed         | sanctioned       | delivered        |
| 1.       | Andhra Pradesh         | 1                | 0                | 0                |
| 2.       | Arunachal Pradesh      | 1                | 1                | 1                |
| 3.       | Assam                  | 2                | 1                | 1                |
| 4.       | Bihar                  | 2                | 1                | 1                |
| 5.       | Chhattisgarh           | 2                | 2                | 2                |
| 6.       | Goa                    | 1                | 1                | 1                |
| 7.       | Gujarat                | 2                | 2                | 2                |
| 8.       | Haryana                | 2                | 2                | 2                |
| 9.       | Himachal Pradesh       | 2                | 2                | 2                |
| 10.      | Jammu and Kashmir      | 2                | 2                | 2                |
| 11.      | Jharkhand              | 2                | 1                | 1                |
| 12.      | Karnataka              | 2                | 1                | 1                |
| 13.      | Kerala                 | 1                | 1                | 1                |
| 14.      | Madhya Pradesh         | 3                | 2                | 2                |
| 15.      | Maharashtra            | 2                |                  |                  |
| 16.      | Manipur                | 2                | 1                | 1                |
| 17.      | Meghalaya              | 2                | 1                | 1                |
| 18.      | Mizoram                | 2                |                  |                  |
| 19.      | Nagaland               | 2                | 1                | 1                |
| 20.      | Odisha                 | 2                | 1                | 1                |
| 21.      | Punjab                 | 2                | 2                | 2                |
| 22.      | Rajasthan              | 2                | 1                | 1                |
| 23.      | Sikkim                 | 1                | 1                | 1                |
| 24.      | Tamil Nadu             | 2                | 1                | 1                |
| 25.      | Telangana              | 1                | 1                | 1                |
| 26.      | Tripura                | 2                |                  |                  |
| 27.      | Uttarakhand            | 1                | 1                | 1                |
| 28.      | Uttar Pradesh          | 4                | 4                | 4                |
| 29.      | West Bengal            | 1                | 1                | 1                |
| 30.      | Andaman & Nicobar      | 1                | 1                | 1                |
| 31.      | Chandigarh             | 1                | 1                | 1                |
| 32.      | Lakshadweep            | 0                | 0                | 0                |
| 33.      | Dadra Nagar & Haveli   | and 1            | 1                | 1                |
| 34. 35.  | Daman & Diu Delhi      | 3                | 3                | 0                |
| 36.      | Puducherry             | 1                | 1                | 1                |
| Total    | Total                  | 60               | 42               | 39               |

## 16. National Programme for Control of Blindness & Visual Impairment

National Programme for Control of Blindnes s & Visual Impairment (NPCB&VI) is an ongoing scheme under Ministry of Health & Family Welfare since 1976 for Control of Blindness. The scheme is  approved  for  period  2017 - 20. The  targets  and  achievements  under  the  Programme since 2014 till date are given as under:

## Cataract operations

| Year      | Target    | No. of Cataract operations   |
|-----------|-----------|------------------------------|
| 2014- 15  | 66,00,000 | 64,19,933                    |
| 2015- 16  | 66,00,000 | 63,04,177                    |
| 2016- 17  | 66,00,000 | 64,81,435                    |
| 2017- 18  | 66,00,000 | 64,41,487                    |
| 2018- 19* | 66,00,000 | 35,74,000                    |

## School Eye Screening Programme

| Year      | No. of Children Screened for   | No. of Children found with   | No. of free spectacles provided to children suffering from refractive   | No. of free spectacles provided to children suffering from refractive   |
|-----------|--------------------------------|------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|
|           | Refractive Error               | Refractive Errors            | Target                                                                  | Achievement                                                             |
| 2014- 15  | 2,99,85,309                    | 11,53,639                    | 9,00,000                                                                | 7,36,572                                                                |
| 2015- 16  | 3,44,50,657                    | 13,45,390                    | 9,00,000                                                                | 8,30,620                                                                |
| 2016- 17  | 3,27,79,542                    | 11,48,033                    | 9,00,000                                                                | 7,57,906                                                                |
| 2017- 18  | 1,18,02,231                    | 13,87,593                    | 9,00,000                                                                | 7,98,411                                                                |
| 2018- 19* | 1,84,29,594                    | 66,0445                      | 9,00,000                                                                | 3,28,349                                                                |

## Treatment/management of other eye diseases (Diabetic retinopathy, glaucoma, childhood blindness, keratoplasty etc.)

| Year      | Target   | Achievement   |
|-----------|----------|---------------|
| 2014- 15  | 72,000   | 2,42,830      |
| 2015- 16  | 72,000   | 3,12,925      |
| 2016- 17  | 72,000   | 4,04677       |
| 2017- 18  | 72,000   | 5,48,448      |
| 2018- 19* | 72,000   | 3,18,575      |

## Collection of donated Eyes for corneal transplantation

| Year      | No. of donated eyes collected   | No. of donated eyes collected   |
|-----------|---------------------------------|---------------------------------|
|           | Target                          | Achievement                     |
| 2014- 15  | 50,000                          | 58,757                          |
| 2015- 16  | 50,000                          | 59,810                          |
| 2016- 17  | 50,000                          | 65,135                          |
| 2017- 18  | 50,000                          | 71,711                          |
| 2018- 19* | 55,000                          | 42,233                          |

The details of funds released under tertiary Care Component of the Programme during last three years and current years are as under:

(Rs.in crore)

| Year     | Allocation    | Expenditure   |
|----------|---------------|---------------|
| 2015- 16 | No allocation | -             |
| 2016- 17 | 15.00         | 13.58         |
| 2017- 18 | 25.00         | 24.73         |
| 2018- 19 | 17.00         | 1.84          |

## 17. Revised National TB Control Programme

Revised National TB Control Programme (RNTCP) is an on -going scheme under the National Health  Mission  and  no  new  scheme  has  been  launched  after  2014.  As  far  as  RNTCP  is concerned, it is a part of Programme Implementation Plan (PIP) under NHM and is appraised the National Program Coordinatio n Committee (NPCC) on an annual basis. For the year 2019 - 20 NPCC meetings are on - going and the approvals are being accorded by NHM and details may be sought from NHM.Financial Allocation and Utilization is given as under:

(Rs. in crores)

| Funds Allocated 2015- 16   | Funds Allocated 2016- 17   | Funds Allocated 2017- 18   | Funds Allocated 2018- 19   |
|----------------------------|----------------------------|----------------------------|----------------------------|
| 640.00                     | 677.68                     | 2791.00                    | 2840.00                    |
| Funds Utilised 2015 - 16   | Funds Utilised 2016 - 17   | Funds Utilised 2017 - 18   | Funds Utilised 2018 - 19   |
| 639.86                     | 677.78                     | 2759.44                    | 1929.15                    |

## 18. Scheme Upgradation/ Strengthening of Nursing Services (ANM/GNM) and Development of Nursing Services

Services

- No new schemes have been launched since 2014. Further, no State - wise allocation has been made under the Scheme Upgradation/ Strengthening of Nursing (ANM /GNM) and Development of Nursing Services' during the last four years.
- The State - wise details of the funds utilized for implementation of schemes during eac the last four years and the current year is as under:

(Rs. in crore)

| 2014- 15                                                                           | 2014- 15                                                                           | 2014- 15                                                                           |
|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme |
| 1.                                                                                 | Andhra Pradesh                                                                     | 10.13625                                                                           |
| 2.                                                                                 | Arunachal Pradesh                                                                  | 11.062                                                                             |
| 3.                                                                                 | Assam                                                                              | 8.40225                                                                            |
| 4.                                                                                 | Bihar                                                                              | 10.13625                                                                           |
| 5.                                                                                 | Chhattisgarh                                                                       | 3.349                                                                              |
| 6.                                                                                 | Haryana                                                                            | 3.349                                                                              |
| 7.                                                                                 | Gujarat                                                                            | 1.6745                                                                             |
| 8.                                                                                 | Jammu & Kashmir                                                                    | 25.66875                                                                           |
| 9.                                                                                 | Madhya Pradesh                                                                     | 3.672                                                                              |
| 10.                                                                                | Maharashtra                                                                        | 3.37875                                                                            |
| 11.                                                                                | Rajasthan                                                                          | 1.6745                                                                             |
| 12.                                                                                | Telangana                                                                          | 3.37875                                                                            |
| 13.                                                                                | Odisha                                                                             | 5.0235                                                                             |
| 14.                                                                                | Punjab                                                                             | 11.7875                                                                            |
| 15.                                                                                | Rajasthan                                                                          | 9.8919                                                                             |
|                                                                                    | Total                                                                              | 112.5849                                                                           |
| Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            |
| Training of Nurses                                                                 | Training of Nurses                                                                 | Training of Nurses                                                                 |
| 1                                                                                  | Arunachal Pradesh                                                                  | 0.08265                                                                            |
|                                                                                    | Total                                                                              | 0.08265                                                                            |
| 2015- 16                                                                           | 2015- 16                                                                           | 2015- 16                                                                           |
| Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme |
| 1.                                                                                 | Jharkhand                                                                          | 5.05325                                                                            |
| 2.                                                                                 | J&K                                                                                | 10.07675                                                                           |
| 3.                                                                                 | Bihar                                                                              | 3.349                                                                              |
| 4.                                                                                 | Tripura                                                                            | 1.6745                                                                             |
| 5.                                                                                 | Uttarakhand                                                                        | 3.37875                                                                            |
| 6.                                                                                 | Andhra Pradesh                                                                     | 5.0235                                                                             |
| 7.                                                                                 | Rajasthan                                                                          | 3.37875                                                                            |
|                                                                                    | Total                                                                              | 31.9345                                                                            |
| Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            |
| Training of Nurses                                                                 | Training of Nurses                                                                 | Training of Nurses                                                                 |
| 1                                                                                  | Tamil Nadu                                                                         | 0.08265                                                                            |

| 2                                                                                  | Puducherry                                                                         | 0.08265                                                                            |
|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| 3                                                                                  | Delhi                                                                              | 0.13220                                                                            |
| 4                                                                                  | Kerala                                                                             | 0.13220                                                                            |
|                                                                                    | Total                                                                              | 0.4298                                                                             |
| 2016- 17                                                                           | 2016- 17                                                                           | 2016- 17                                                                           |
| Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme |
| 1.                                                                                 | Nagaland                                                                           | 8.40225                                                                            |
| 2.                                                                                 | Odisha                                                                             | 22.2205                                                                            |
| 3.                                                                                 | Mizoram                                                                            | 11.259                                                                             |
| 4.                                                                                 | Chhattisgarh                                                                       | 14.80825                                                                           |
| Total 56.69                                                                        | Total 56.69                                                                        | Total 56.69                                                                        |
| Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            |
| Training of Nurses                                                                 | Training of Nurses                                                                 | Training of Nurses                                                                 |
| 1.                                                                                 | Maharashtra                                                                        | 0.08265                                                                            |
| 2.                                                                                 | Mizoram                                                                            | 0.08265                                                                            |
| 3.                                                                                 | Tamil Nadu                                                                         | 0.08265                                                                            |
| 4.                                                                                 | Delhi                                                                              | 0.24795                                                                            |
| 5.                                                                                 | Manipur                                                                            | 0.08265                                                                            |
| 6.                                                                                 | Puduchery                                                                          | 0.06612                                                                            |
| 7.                                                                                 | Gujarat                                                                            | 0.08265                                                                            |
| 8.                                                                                 | Himachal Pradesh                                                                   | 0.08265                                                                            |
| 9.                                                                                 | West Bengal                                                                        | 0.08265                                                                            |
| 10.                                                                                | Kerala                                                                             | 0.18183                                                                            |
| 11.                                                                                | Bihar                                                                              | 0.08265                                                                            |
| 12.                                                                                | Andhra Pradesh                                                                     | 0.08265                                                                            |
| Total 1.23975                                                                      | Total 1.23975                                                                      | Total 1.23975                                                                      |
| Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme |
| 1.                                                                                 | West Bengal                                                                        | 10.03                                                                              |
| 2.                                                                                 | Uttarakhand                                                                        | 4.5075                                                                             |
| 3.                                                                                 | Odisha                                                                             | 13.515                                                                             |
| 4.                                                                                 | West Bengal                                                                        | 10.03                                                                              |
| 5.                                                                                 | Bihar                                                                              | 10.026                                                                             |
| Total 48.1085 Central Sector Scheme                                                | Total 48.1085 Central Sector Scheme                                                | Total 48.1085 Central Sector Scheme                                                |
| Training of Nurses                                                                 | Training of Nurses                                                                 | Training of Nurses                                                                 |
| 1.                                                                                 | Kerala                                                                             | 0.08265                                                                            |
| 2.                                                                                 | West Bengal                                                                        | 0.08265                                                                            |
| 3.                                                                                 | Bihar                                                                              | 0.08265                                                                            |
| 4.                                                                                 | Delhi                                                                              | 0.04959                                                                            |
| 5.                                                                                 | Mizoram                                                                            | 0.08265                                                                            |
| 6.                                                                                 | Manipur                                                                            | 0.06612                                                                            |
| 7.                                                                                 | Maharashtra                                                                        | 0.08265                                                                            |
| Total 0.52896                                                                      | Total 0.52896                                                                      | Total 0.52896                                                                      |

| Strengthening of Existing School of Nursing                                        | Strengthening of Existing School of Nursing                                        | Strengthening of Existing School of Nursing                                        |
|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|------------------------------------------------------------------------------------|
| 1.                                                                                 | Rajasthan                                                                          | 2.40                                                                               |
| 2.                                                                                 | Jharkhand                                                                          | 1.00                                                                               |
|                                                                                    | Total                                                                              | 3.40                                                                               |
| 2018- 19                                                                           | 2018- 19                                                                           | 2018- 19                                                                           |
| Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme | Upgradation/strengthening of Nursing Services (ANM/GNM) - Central Sponsored Scheme |
| 1.                                                                                 | Himachal Pradesh                                                                   | 5.5525                                                                             |
| 2.                                                                                 | Meghalaya                                                                          | 15.105                                                                             |
| 3.                                                                                 | Jammu & Kashmir                                                                    | 25.4545                                                                            |
|                                                                                    | Total                                                                              | 46.112                                                                             |
| Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            | Development of Nursing Services - Central Sector Scheme                            |
| Training of Nurses                                                                 | Training of Nurses                                                                 | Training of Nurses                                                                 |
| 1.                                                                                 | Arunachal Pradesh                                                                  | 0.1653                                                                             |
| 2.                                                                                 | Chandigarh (UT)                                                                    | 0.1653                                                                             |
| 3.                                                                                 | Delhi                                                                              | 0.4794                                                                             |
| 4.                                                                                 | Karnataka                                                                          | 0.331                                                                              |
| 5.                                                                                 | Mizoram                                                                            | 0.1653                                                                             |
| 6.                                                                                 | Sikkim                                                                             | 0.13224                                                                            |
|                                                                                    | Total                                                                              | 1.058                                                                              |
| Strengthening of Existing School of Nursing                                        | Strengthening of Existing School of Nursing                                        | Strengthening of Existing School of Nursing                                        |
| 1.                                                                                 | Jharkhand                                                                          | 4.04                                                                               |
| 2.                                                                                 | Rajasthan                                                                          | 5.96                                                                               |
|                                                                                    | Total                                                                              | 10.00                                                                              |

******