Lok Sabha Question No. 1797 (UNSTARRED), answered on 2022-02-11
Subject: Health facilities in Aspirational Districts
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rattan Lal Kataria

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

## LOK SABHA UNSTARRED QUESTION No. 1797 TO BE ANSWERED ON 11 th  FEBRURARY 2022

## HEALTH FACILITIES IN ASPIRATIONAL DISTRICTS

## 1797. RATTAN LAL KATARIA

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

- (a) Whether the Government has adopted a focused approach to improve the healthcare facilities in Aspirational Districts
- (b) If so, the details thereof; and
- (c) The budgetary allocations made and targets set in this regard in the budget of 2021-22 and the achievements made there under?

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

(a)  to  (c)  NITI  Aayog  has  been  implementing  the  Aspirational  District  (AD)  Programme since  January  2018  for  improving  socio-economic  indicators  in  the  selected  backward districts. There are 112 Aspirational Districts, across 26 States and one union territory (UT), under the program.

The broad strategy of the Aspirational Districts Programme rests on the 3 Cs - Convergence (between  Central and State Schemes),  Collaboration (between  Centre, State, District Administration, Development Partners and Citizens) and Competition (between Districts).

Health  and  Nutrition  has  been  given  maximum  weightage  of  30%  for  ranking  of  districts under AD program with 13 core and 35 sub-core indicators/data points for monitoring the progress.

MoHFW  provides  hand-holding  and  support  to  the  districts  for  improving  the  Health component  under  the  AD  program.  MoHFW  prioritizes  the  implementation  of  the  Health programs  in  the  Aspirational  Districts by  allocation of additional resources.  Regular monitoring and Supportive Supervision are done for these districts.

Since  the  launch  of  the  program,  districts  have  made  significant  progress  on  the  key performance indicators monitored under the program, which is available in public domain on the  above-mentioned  Champions  of  Change  Dashboard  (maintained  by  NITI  AAYOG) (http://championsofchange.gov.in/site/coc-home/).

Districts wise details of achievements in Health and Nutrition sector is attached at Annexure1

The main strategy of the Aspirational District program is based on convergence of existing schemes which have their own funding arrangement. However, in order to foster competitive spirit and for addressing the critical gaps, additional allocation via challenge route is provided by NITI Aayog. Every month, districts are assessed on basis of monthly progress and the best performing Districts in overall terms and in each of the five sectors are identified.

The  first  and  second  rankers  in  overall  terms  are  awarded  Rs.  10  crores  and  Rs.  5  crores respectively. The first ranker from each of the five sectors taken up in ADs including Health & Nutrition sector is awarded Rs. 3 crores each.

## Annexure-I

## District wise achievement in Health and Nutrition through Champions of Change

1 Also available on the Champions of Change Dashboard (http://championsofchange.gov.in/site/coc-home/).

| State Name        | District Name            | Composite Score   | Composite Score   | Delta Ranking   | Delta Ranking   |
|-------------------|--------------------------|-------------------|-------------------|-----------------|-----------------|
| State Name        | District Name            | Dec-18            | Dec-21            | Dec-18          | Dec-21          |
| Andhra Pradesh    | Visakhapatnam            | 75                | 73.6              | 25              | 92              |
| Andhra Pradesh    | Vizianagaram             | 82.7              | 86.5              | 67              | 66              |
| Andhra Pradesh    | Y.S.R.                   | 82                | 85.3              | 32              | 12              |
| Arunachal Pradesh | Namsai                   | 64                | 77.3              | 38              | 111             |
| Assam             | Baksa                    | 61.8              | 71.4              | 43              | 19              |
| Assam             | Barpeta                  | 62.4              | 65.2              | 95              | 99              |
| Assam             | Darrang                  | 62.8              | 76.7              | 46              | 29              |
| Assam             | Dhubri                   | 58.5              | 62.9              | 91              | 70              |
| Assam             | Goalpara                 | 66.8              | 72.9              | 82              | 85              |
| Assam             | Hailakandi               | 68.3              | 74.1              | 10              | 25              |
| Assam             | Udalguri                 | 55.5              | 57.1              | 99              | 70              |
| Bihar             | Araria                   | 47.6              | 54.5              | 74              | 47              |
| Bihar             | Aurangabad               | 59.8              | 63.1              | 76              | 70              |
| Bihar             | Banka                    | 53.1              | 60.7              | 109             | 8               |
| Bihar             | Begusarai                | 53.9              | 61.3              | 110             | 15              |
| Bihar             | Gaya                     | 49.6              | 49.5              | 98              | 2               |
| Bihar             | Jamui                    | 57                | 47.7              | 48              | 105             |
| Bihar             | Katihar                  | 57                | 65.1              | 107             | 17              |
| Bihar             | Khagaria                 | 55.1              | 46.5              | 108             | 109             |
| Bihar             | Muzaffarpur              | 50.8              | 63.7              | 111             | 46              |
| Bihar             | Nawada                   | 67                | 69.9              | 63              | 1               |
| Bihar             | Purnia                   | 47.5              | 58.9              | 106             | 24              |
| Bihar             | Sheikhpura               | 68.1              | 69.7              | 73              | 56              |
| Bihar             | Sitamarhi                | 60.2              | 63.4              | 16              | 4               |
| Chhattisgarh      | Bastar                   | 60.6              | 73.1              | 101             | 70              |
| Chhattisgarh      | Bijapur                  | 63.7              | 73.3              | 20              | 70              |
| Chhattisgarh      | Dakshin Bastar Dantewada | 71.4              | 77.6              | 78              | 5               |
| Chhattisgarh      | Kondagaon                | 68.1              | 68.5              | 1               | 61              |
| Chhattisgarh      | Korba                    | 70.3              | 75.5              | 55              | 56              |
| Chhattisgarh      | Mahasamund               | 67.4              | 75.4              | 22              | 106             |
| Chhattisgarh      | Narayanpur               | 61                | 67.5              | 82              | 110             |
| Chhattisgarh      | Rajnandgaon              | 68                | 72.7              | 5               | 87              |
| Chhattisgarh      | Sukma                    | 63.3              | 75.1              | 3               | 87              |
| Chhattisgarh      | Uttar Bastar Kanker      | 66.8              | 77.3              | 27              | 7               |
| Gujarat           | Dohad                    | 78.6              | 81.6              | 60              | 66              |
| Gujarat           | Narmada                  | 77.2              | 75                | 85              | 11              |
| Haryana           | Mewat                    | 57.4              | 58.6              | 12              | 10              |

| Himachal Pradesh   | Chamba               |   69.8 |   74.8 |   105 |   36 |
|--------------------|----------------------|--------|--------|-------|------|
| Jammu& Kashmir     | Baramula             |   75   |   81.4 |    40 |   20 |
| Jammu& Kashmir     | Kupwara              |   79.2 |   81   |    48 |   79 |
| Jharkhand          | Bokaro               |   60.4 |   69.3 |    30 |  101 |
| Jharkhand          | Chatra               |   56.4 |   67.7 |    18 |   98 |
| Jharkhand          | Dumka                |   66.9 |   79.2 |    61 |  106 |
| Jharkhand          | Garhwa               |   67.1 |   75.1 |    15 |   64 |
| Jharkhand          | Giridih              |   55.2 |   70.1 |    13 |   27 |
| Jharkhand          | Godda                |   58.9 |   72.6 |     9 |   97 |
| Jharkhand          | Gumla                |   59   |   65.8 |    80 |   91 |
| Jharkhand          | Hazaribagh           |   67.8 |   69.1 |     6 |   58 |
| Jharkhand          | Khunti               |   67.7 |   64.2 |     8 |  108 |
| Jharkhand          | Latehar              |   65.3 |   72.8 |    93 |   34 |
| Jharkhand          | Lohardaga            |   70.4 |   72.2 |    22 |   39 |
| Jharkhand          | Pakur                |   63.7 |   68.2 |     4 |   87 |
| Jharkhand          | Palamu               |   67.9 |   63.9 |    37 |  102 |
| Jharkhand          | Pashchimi Singhbhum  |   55.9 |   73.3 |    21 |   36 |
| Jharkhand          | Purbi Singhbhum      |   69.2 |   79.1 |     2 |   58 |
| Jharkhand          | Ramgarh              |   62.2 |   67.8 |     7 |   93 |
| Jharkhand          | Ranchi               |   69.6 |   74.2 |    31 |   13 |
| Jharkhand          | Sahibganj            |   59.3 |   62.9 |    11 |   14 |
| Jharkhand          | Simdega              |   79.8 |   86.8 |    63 |    3 |
| Karnataka          | Raichur              |   81.3 |   82.2 |    67 |   87 |
| Karnataka          | Yadgir               |   81.4 |   83.9 |    33 |   39 |
| Kerala             | Wayanad              |   63.6 |   76.4 |    39 |   26 |
| Madhya Pradesh     | Barwani              |   61.3 |   57.9 |    63 |   58 |
| Madhya Pradesh     | Chhatarpur           |   68.8 |   71.5 |    67 |   66 |
| Madhya Pradesh     | Damoh                |   65.2 |   81.9 |    70 |   85 |
| Madhya Pradesh     | Guna                 |   60.5 |   86.8 |    63 |   44 |
| Madhya Pradesh     | Khandwa (East Nimar) |   67.9 |   75.9 |    62 |   79 |
| Madhya Pradesh     | Rajgarh              |   69.2 |   72.8 |    85 |   30 |
| Madhya Pradesh     | Singrauli            |   65.6 |   64   |    29 |   21 |
| Madhya Pradesh     | Vidisha              |   72.1 |   70.4 |    52 |   16 |
| Maharashtra        | Gadchiroli           |   60.9 |   73.5 |    89 |   66 |
| Maharashtra        | Nandurbar            |   51.1 |   71.2 |    92 |   23 |
| Maharashtra        | Osmanabad            |   70.8 |   82.5 |    55 |   52 |
| Maharashtra        | Washim               |   60.3 |   82.9 |    71 |   43 |
| Manipur            | Chandel              |   65.2 |   72.9 |    44 |   70 |
| Meghalaya          | Ribhoi               |   49   |   60.7 |    34 |   96 |
| Mizoram            | Mamit                |   42.6 |   73.6 |    58 |   93 |
| Nagaland           | Kiphire              |   41.4 |   63.9 |    89 |   63 |
| Odisha             | Balangir             |   65.6 |   70.5 |    96 |   70 |
| Odisha             | Dhenkanal            |   71.3 |   78.3 |    74 |   83 |

| Odisha        | Gajapati                 |   75.4 |   75.1 |   72 |   31 |
|---------------|--------------------------|--------|--------|------|------|
| Odisha        | Kalahandi                |   68.3 |   80   |  100 |   70 |
| Odisha        | Kandhamal                |   71.6 |   76   |   94 |   34 |
| Odisha        | Koraput                  |   73.5 |   73.4 |   55 |  103 |
| Odisha        | Malkangiri               |   68.9 |   75.7 |   78 |   52 |
| Odisha        | Nabarangapur             |   55   |   73   |   81 |   70 |
| Odisha        | Nuapada                  |   50.3 |   76.2 |   87 |   22 |
| Odisha        | Rayagada                 |   66.4 |   75.5 |   45 |   79 |
| Punjab        | Firozpur                 |   58.7 |   54.7 |   50 |  112 |
| Punjab        | Moga                     |   61.6 |   74.2 |   34 |  103 |
| Rajasthan     | Baran                    |   64.3 |   67.3 |   97 |   47 |
| Rajasthan     | Dhaulpur                 |   62.5 |   74.3 |   88 |   31 |
| Rajasthan     | Jaisalmer                |   68.6 |   67.9 |   14 |   99 |
| Rajasthan     | Karauli                  |   72.4 |   82.6 |  102 |   64 |
| Rajasthan     | Sirohi                   |   74.4 |   76.5 |   82 |   50 |
| Sikkim        | West District            |   72.9 |   87.8 |  112 |   93 |
| Tamil Nadu    | Ramanathapuram           |   76.8 |   84.7 |   52 |   28 |
| Tamil Nadu    | Virudhunagar             |   83.4 |   87.7 |   16 |    6 |
| Telangana     | Asifabad (Adilabad)      |   55.5 |   74.5 |   77 |    9 |
| Telangana     | Bhadradri- Kothagudem    |   75.6 |   73.1 |   41 |   17 |
| Telangana     | Bhoopalapalli (Warangal) |   55.6 |   73.5 |   46 |   39 |
| Tripura       | Dhalai                   |   83.5 |   67.3 |   22 |   83 |
| Uttar Pradesh | Bahraich                 |   63.2 |   71.4 |   54 |   39 |
| Uttar Pradesh | Balrampur                |   65.5 |   74.1 |   42 |   31 |
| Uttar Pradesh | Chandauli                |   60.5 |   86.1 |  104 |   52 |
| Uttar Pradesh | Chitrakoot               |   70.1 |   81.8 |   26 |   47 |
| Uttar Pradesh | Fatehpur                 |   54   |   80.6 |  103 |   36 |
| Uttar Pradesh | Shrawasti                |   63.6 |   73.9 |   59 |   52 |
| Uttar Pradesh | Siddharthnagar           |   64.1 |   71.8 |   36 |   44 |
| Uttar Pradesh | Sonbhadra                |   56.4 |   74.8 |   19 |   61 |
| Uttarakhand   | Hardwar                  |   65   |   76.5 |   27 |   50 |
| Uttarakhand   | Udham Singh Nagar        |   68   |   79   |   51 |   79 |