Lok Sabha Question No. 2163 (UNSTARRED), answered on 2021-12-10
Subject: Healthcare Schemes in Maharashtra
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Subhash Ramrao Bhamre

(a)

'Public  Health  and  Hospital'  is  a  State  subject,  the  primary  responsibility  of  ensuring availability  of  healthcare  facilities  lies  with  respective  State/UT  Governments  including Maharashtra.

Under  the  National  Health  Mission  (NHM),  Government  of  India  provides  financial  and technical  support  to  States/UTs  to  strengthen  their  health  care  systems  for  provision  of equitable, affordable healthcare to all its citizens based on requirements posed by the States in their Programme Implementation Plans (PIPs).

NHM support is provided for provision of a range of free services related to maternal health, child health, adolescent health, family planning, universal immunisation programme, and for

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

## LOK SABHA UNSTARRED QUESTION NO. 2163 TO BE ANSWERED ON THE 10 th DECEMBER, 2021

## 'HEALTHCARE SCHEMES IN MAHARASHTRA'

## 2163. DR. SUBHASH RAMRAO BHAMRE:

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

- a) the details of various healthcare schemes  being implemented  by the  Union Government in Maharashtra;
- b) whether  the  Government  has  assessed  the  quality  of  healthcare  services  in  the country especially in the State of Maharashtra and if so, the details along with the outcome thereof;
- c) the  estimated  number  of  doctors,  medical  colleges,  hospitals  and  hospital  beds available in Maharashtra; and
- d) the other steps taken by the Government to improve access to affordable and quality healthcare  services  in  Maharashtra  along  with  the  funds  earmarked,  allocated  and utilized during each of the last three years and the current year?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY

## WELFARE (DR. BHARATI PRAVIN PAWAR)

major  diseases  such  as  Tuberculosis,  vector  borne  diseases  like  Malaria,  Dengue  and  Kala Azar, Leprosy etc.

Other  major  initiatives  supported  under  NHM  include  JananiShishuSurakshaKaryakram (JSSK), Rashtriya Bal SwasthyaKaryakram (RBSK), implementation of Free Drugs and Free Diagnostics Service Initiatives, Mobile Medical Units (MMUs), Ambulance Services & Teleconsultation  services,  PM  National  Dialysis  Programme  and  implementation  of  National Quality Assurance Framework in all public health facilities.

As part of Ayushman Bharat - Health and Wellness Centres (AB-HWCs), 11981 HWCs have been  established  across  Maharashtra  (as  on  07.12.2021)  for  provision  of  comprehensive primary care that includes preventive healthcare and health promotion at the community level with continuum of care approach.

(b)

The public health facilities of Maharashtra are assessed pertaining to NQAS (National Quality Assurance  Standards)  certification  and  LaQshya  certification  under  the  ambit  of  National Quality Assurance Progarmme.

The details of assessment are enlisted below:

-  Total 56 health facilities were certified out of 67 received for assessment.
-  Total 67 Labour Rooms facilities were certified out of 107 received for assessment.
-  Total  62  Maternity  Operation  Theatres  (OT)  facilities  were  certified  out  of  113 received for assessment.

The estimated number of doctors, medical colleges, hospitals, and hospital beds available in the Maharashtra in public healthcare facilities are as under:

| Indicators                                                   | Maharashtra                                                                                                                                                         |
|--------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Doctors (National Health Profile (NHP)- 2020                 | 1,83,843                                                                                                                                                            |
| Medical colleges (National Health profile (NHP) -2019        | 54                                                                                                                                                                  |
| Hospitals (as per 31 st march 2020, Rural Health Statistics) | Sub Centres (SCs)- 10649, Primary Health Centres (PHCs)- 2675, Community Health Centres(CHCs)- 418, Sub District Hospitals (SDH)- 100, District Hospitals (DHs)- 49 |
| Hospital beds                                                | 7080 in Medical Colleges (NHP 2019) + 33028 (in Govt Hospitals both in rural and urban as on 31.08.20, NHP 2020)                                                    |

(c)

The other steps taken by Government to improve access to affordable and quality health care services in addition to support provided under NHM includes:

-  Ayushman Bharat, Pradhan Mantri Jan ArogyaYojana (AB-PMJAY) provides health coverage  up  to  Rs  5  Lakh  per  family  per  year  to  around  10.74  crore  poor  and vulnerable families across the country as per Socio Economic Caste Census (SECC).
-  Under PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) an amount of Rs.  3264.39  crores  in  addition  to  Central  Sector  components  till  2025-26  has  been provisioned for the State of Maharashtra to increase investments in public health and other health reforms and to safeguard against future resurgences of COVID-19, if any, and future public health emergencies.
-  The  Ministry  of  Health  &  Family  Welfare  is  implementing  a  Centrally  Sponsored Scheme (CSS) namely 'Establishment of new Medical Colleges attached with existing district/referral hospitals'.
- i. Under  Phase-I  of  'Establishment  of  new  medical  colleges  attached  with  existing district/referral hospitals', One medical college at Gondia was approved. An amount of Rs.113.40 crore has been released to the State Government. The college has become functional.
- ii. Under  Phase-III  of  'Establishment  of  new  medical  colleges  attached  with  existing district/referral  hospitals',  One  medical  college  at  Nandurbar  was  approved.  An amount of Rs.150 crore has been released to the State Government. The college has become functional.
- iii. Under  the  CSS  for  Strengthening  and  up-gradation  of  Govt.  Medical  Colleges  for Increase of PG seats, 11 medical colleges were approved for increasing a total of 692 seats.  An amount of Rs. 233.39 Cr has been released so far as Central Share in this scheme.
- iv. Under the Scheme for Upgradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country, an amount of Rs.72 crore has been  released  to  the  State  Government  till  date.  A  total  of  100  seats  have  been increased.
-  Under PM Swasthya Suraksha Yojana (PMSSY), six (6) existing Government Medical Colleges  in  Maharashtra  have  been  taken  up  for  upgradation.  Apart  from  this,  the Government is also setting up an AIIMS at Nagpur in Maharashtra.

Details  of  funds  released  and  utilised  Maharashtra  under  National  Health  Mission  (NHM) during the last three years and the current year is at Annexure .

## Annexure

## Central Release & Expenditure under National Health Mission (NHM) to the State of Maharashtra from FY 2018-19 to 2021-22

## (Rs. in crore)

|    F.Y. |   Central Release | Expenditure   |
|---------|-------------------|---------------|
| 1565.98 |           2714.86 | 2018-19       |
| 1724.99 |           3097.08 | 2019-20       |
| 1833.59 |           3300.32 | 2020-21       |
|  162.28 |           1013.22 | 2021-22       |

## Note:

1. Allocation for FY 2021-22 of Rs. 1938.87 crore is as per original outlay/BE.
2. Central Release for the F.Y. 2021-22 is updated upto 24.11.2021 and is provisional.
3. The above releases relate to Central Govt. Grants & do not include State share contribution.
4. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure for the F.Y. 2021-22 is as per the available Financial Management Report submitted by the State.