Lok Sabha Question No. 1702 (UNSTARRED), answered on 2022-12-16
Subject: Health facilities in Community Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: K. Muraleedharan, Faizal P.P. Mohammed, Behanan Benny

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

## LOK SABHA UNSTARRED QUESTION NO. 1702 TO BE ANSWERED ON THE 16 th  DECEMBER, 2022

## HEALTH FACILITIES IN COMMUNITY HEALTH CENTRES

1702:  SHRI K. MURALEEDHARAN: SHRI MOHAMMED FAIZAL P.P.: SHRI BENNY BEHANAN:

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

- (a)  whether  the  Government  has  conducted  an  audit  of  the  quality  of  health  facilities  in  the Community Health Centres (CHCs) across the country;
- (b) if so, the details thereof since 2020 till date, State/UT-wise and if not, the reasons therefor;
- (c)  whether  the  Government has taken note of  the incidents  that have  been reported recently regarding  medical  negligence  and  mistreatment  of  pregnant  women  in  various  Government hospitals and medical colleges;
- (d) if so, the details thereof along with the necessary steps taken/being taken by the Government to revaluate healthcare workers and facilities, specifically for pregnant women; and
- (e)  whether  the  Government  also  proposes  to  ascertain  the  reasons  behind  the  increasing number of incidents of labour room violence and if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) to (b): The National Health Mission (NHM) envisages achievement of universal access to  equitable,  affordable  &  quality  health  care  services  that  are  accountable  and  responsive  to people's needs. The main programmatic components include Health System Strengthening in rural and urban areas, Reproductive-MaternalNeonatal-Child and Adolescent Health (RMNCH+A), and Communicable and Non-Communicable Diseases.

Under NHM, technical and financial support is provided to States/UTs for strengthening  of  their  healthcare  systems  based  on  the  proposals  submitted  by  them  in  their Program Implementation Plans (PIPs), subject to availability of resources.

National Quality Assurance Standards (NQAS) was launched by Ministry of Health for  Primary  and  Secondary  cared  public  health  facilities.  As  per  NQAS  guidelines  for improving  quality  in  public  healthcare  facilities  all  the  institutions  would  undergo  internal assessments, State assessment (once in year) and national assessment (once facility get 70% and more in State assessments).

The State/UT wise details of CHC quality assessed since 2020 till 30 th November 2022 is as attached at Annexure-I.

'LaQshya' is  a  quality  improvement  initiative,  launched  in  2017  by  MoHFW  which aims  to  accelerate  the  efforts  toward  the  reduction  of  preventable  maternal  mortality  and morbidity  by  aiming  to  improve  in  Quality  of  Care  during  the  delivery  and  immediate  postpartum  period.  The  initiative  specifically  focuses  on  the  care  around  birth  provided  in  the Labour  room  and  Maternity  OT.  It  has  been  initiated  in  all  government  medical  college hospitals,  district  hospitals  &  equivalent  health  facilities,  all  designated  FRUs  and  high  case load CHCs.

The MusQan scheme  was  launched  in  2021  to  provide  high-quality  and  safe  ChildFriendly  Services  in  Public  Health  Facilities  and  contribute  to  preventable  new-born  child mortality and morbidity. It makes the child-friendly services accessible and available to patients and their parents, as well as provide a child-friendly environment, promote, protect, and support breastfeeding, and provide respectful and dignified care to the mother/parent-attendant.

(c) to (e): No incidents regarding medical negligence and mistreatment of pregnant women in various Government hospitals and medical colleges have been recently reported to Ministry of Health and Family Welfare.

The  Government  of  India  has  implemented  the  following  programmes/schemes  for  ensuring assured, dignified, respectful and quality healthcare services for every pregnant woman.

-  Surakshit Matritva Aashwasan (SUMAN) provides assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services for every woman and newborn visiting public health facilities to end all preventable maternal and newborn deaths.
-  Janani Suraksha Yojana (JSY) , a demand promotion and conditional cash transfer scheme for promoting institutional delivery.
-  Under Janani  Shishu  Suraksha  Karyakram  (JSSK), every  pregnant  woman  is entitled  to  free  delivery,  including  caesarean  section,  in  public  health  institutions along with the provision of free transport, diagnostics, medicines, other consumables & diet
-  Pradhan  Mantri  Surakshit  Matritva  Abhiyan  (PMSMA) provides  pregnant women  a  fixed  day,  free  of  cost  assured  and  quality  antenatal  check  up  by  a Specialist/Medical Officer on the 9th day of every month.
-  Monthly Village Health, Sanitation and Nutrition Day (VHSND) is  an outreach activity  at  Anganwadi  centers  for  provision  of  maternal  and  child  care  including nutrition in convergence with the ICDS.
-  Delivery  Points -  Over  25,000  'Delivery  Points'  across  the  country  have  been strengthened  in  terms  of  infrastructure,  equipment,  and  trained  manpower  for provision of comprehensive RMNCAH+N services
-  MCP Card and Safe Motherhood Booklet are distributed to the pregnant women for  educating  them  on  diet,  rest,  danger  signs  of  pregnancy,  benefit  schemes  and institutional deliveries.
-  Reproductive  and  child  health  (RCH)  portal is  a  name-based  web-enabled tracking  system  for  pregnant  women  and  new  born  so  as  to  ensure  seamless provision  of  regular  and  complete  services  to  them  including  antenatal  care, institutional delivery and post-natal care.

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## The State/UT wise details of CHC quality assessed since 2020 till

## 30 th November 2022

| Name of State     | Assessed   |
|-------------------|------------|
| A&N Islands       | -          |
| Andhra Pradesh    | 115        |
| Arunachal Pradesh | -          |
| Assam             | 6          |
| Bihar             | -          |
| Chandigarh        | -          |
| Chhattisgarh      | 13         |
| DNH &DD           | 6          |
| Delhi             | -          |
| Goa               | 2          |
| Gujarat           | 112        |
| Haryana           | 24         |
| Himachal Pradesh  | 2          |
| Jammu &Kashmir    | 3          |
| Jharkhand         | -          |
| Karnataka         | 48         |
| Kerala            | 8          |
| Ladakh            | -          |
| Lakshadweep       | -          |
| Madhya Pradesh    | 23         |
| Maharashtra       | 3          |
| Manipur           | -          |
| Meghalaya         | -          |
| Mizoram           | -          |
| Nagaland          | -          |
| Odisha            | 10         |
| Puducherry        | -          |
| Punjab            | 14         |
| Rajasthan         | 30         |
| Sikkim            | -          |
| Tamil Nadu        | 148        |
| Telangana         | 12         |
| Tripura           | -          |
| Uttar Pradesh     | 107        |
| Uttarakhand       | 9          |
| West Bengal       | 50         |
| Total             | 745        |