Lok Sabha Question No. 190 (STARRED), answered on 2022-07-29
Subject: One District One Hospital plan
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prathap Simha, L.S. Tejasvi Surya

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

## LOK SABHA STARRED QUESTION NO. 190 TO BE ANSWERED ON THE 29 TH  JULY, 2022

## ONE DISTRICT ONE HOSPITAL PLAN

## *190. SHRI PRATHAP SIMHA: SHRI L.S. TEJASVI SURYA:

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

- (a) whether the Government proposes to roll out One District, One Hospital plan in the country;
- (b)  if  so,  the  details  thereof  along  with  the  present  status  thereof,  State/UT-wise including Karnataka;
- (c)  whether  the  centres  for  primary,  secondary  and  tertiary  care,  prenatal  and postnatal  care  are  also  proposed  to  be  set  up  under  the  said  plan  and  if  so,  the details thereof;
- (d) the number of districts/cities with a fully functional hospital till 2014 and the number of districts/cities where new hospitals have been set up thereafter; and
- (e) the time by which said plan is likely to be fully implemented?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to (  e) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 190* FOR 29 TH  JULY, 2022

(a)  &  (b):  There  are  IPHS  2022  Guidelines  laid  down  by  the  government  to provide  guidance  on  the  infrastructure, human  resources,  drugs,  diagnostic, equipment, quality and governance requirements for delivering health services at various  level  of  facilities-SHCs,  PHCs,  CHCs,  Sub  district  hospital  and  DH. According to IPHS 2022- 'Every district should have at least one district hospital which should be comprehensively functional for providing secondary care services'.

Rural Health Statistics (RHS) is an annual publication, based on Health care administrative data reported by States/UTs. As per the RHS 2020-21, there are 764 District Hospitals functioning in the country which are catering to both rural and urban  areas  in  the  States/UTs  including  Karnataka.  The  norms  for  primary  and secondary care facilities have been laid down as per IPHS 2022. As per RHS 202021,  the  State/UT-wise  details  of  primary  and  secondary  care  facilities  are  at Annexure-I .

(c) to (e): Ministry of Health and Family Welfare provides technical and financial support  to  the  States/UTs  to  strengthen  the  public  healthcare  delivery  at  public healthcare facilities. Under National Health Mission (NHM), the central government provides technical and financial support to States/UTs support based on proposals received from respective States/UTs in their Programme Implementation Plan (PIPs). The proposals are appraised in National Programme Coordination Committee (NPCC) meetings and approvals are accorded to States/ UTs in the form of Record of Proceedings (RoPs). The State PIPs are envisaged to be an aggregate of the district/city health action plans, and include activities to be carried out at the state level.  The  District  specific  RoPs  are  released  and implemented by respective States/ UTs. Central share under NHM is released to the respective States, which in turn releases to the Districts.

Further, as per Rural Health Statistics 2014-15 and 2020-21, the state-wise number of district hospitals is at Annexure-II .

## State/UT-wise details of primary and secondary care facilities as per RHS 2020-21

|   S.No. | State/UT                           |   SCs |   PHCs |   CHCs |   SDH |   (DH) |
|---------|------------------------------------|-------|--------|--------|-------|--------|
|       1 | Andhra Pradesh                     |  7458 |   1401 |    198 |    28 |     14 |
|       2 | Arunachal Pradesh                  |   347 |    127 |     57 |     0 |     19 |
|       3 | Assam                              |  4678 |   1001 |    199 |    14 |     24 |
|       4 | Bihar                              | 10258 |   2034 |    306 |    45 |     36 |
|       5 | Chattisgarh                        |  5485 |    821 |    169 |    12 |     27 |
|       6 | Goa                                |   219 |     27 |      6 |     2 |      2 |
|       7 | Gujarat                            |  9162 |   1799 |    360 |    54 |     20 |
|       8 | Haryana                            |  2626 |    484 |    137 |    23 |     22 |
|       9 | Himachal Pradesh                   |  2115 |    572 |     98 |    83 |      9 |
|      10 | Jharkhand                          |  3848 |    350 |    176 |    13 |     23 |
|      11 | Karnataka                          |  9441 |   2531 |    212 |   150 |     22 |
|      12 | Kerala                             |  5414 |    924 |    229 |    87 |     47 |
|      13 | Madhya Pradesh                     | 10189 |   1518 |    320 |    92 |     51 |
|      14 | Maharashtra                        | 10673 |   2490 |    402 |    92 |     23 |
|      15 | Manipur                            |   416 |     95 |     17 |     1 |      7 |
|      16 | Meghalaya                          |   451 |    145 |     28 |     0 |     11 |
|      17 | Mizoram                            |   377 |     68 |      9 |     2 |     12 |
|      18 | Nagaland                           |   445 |    138 |     21 |     0 |     11 |
|      19 | Odisha                             |  6688 |   1378 |    384 |    33 |     32 |
|      20 | Punjab                             |  2951 |    522 |    160 |    42 |     22 |
|      21 | Rajasthan                          | 13581 |   2394 |    657 |    25 |     28 |
|      22 | Sikkim                             |   153 |     26 |      2 |     1 |      4 |
|      23 | Tamil Nadu                         |  8713 |   1886 |    400 |   282 |     20 |
|      24 | Telangana                          |  5000 |    863 |     95 |    37 |      5 |
|      25 | Tripura                            |   999 |    116 |     22 |    12 |      7 |
|      26 | Uttarakhand                        |  1843 |    287 |     72 |    19 |     13 |
|      27 | Uttar Pradesh                      | 20778 |   3516 |    816 |     0 |    168 |
|      28 | West Bengal                        | 10357 |   1369 |    348 |    60 |     18 |
|      29 | Andaman &Nicobar Islands           |   124 |     27 |      4 |     0 |      3 |
|      30 | Chandigarh                         |     0 |     43 |      2 |     1 |      1 |
|      31 | Dadra &Nagar Haveli and Daman &Diu |    97 |     14 |      4 |     1 |      2 |
|      32 | Delhi                              |    15 |    549 |      0 |     9 |     37 |
|      33 | Jammu &Kashmir                     |  2471 |    973 |     79 |     0 |     16 |
|      34 | Ladakh                             |   289 |     32 |      7 |     0 |      2 |
|      35 | Lakshadweep                        |     7 |      4 |      3 |     2 |      1 |
|      36 | Puducherry                         |    81 |     39 |      4 |     3 |      5 |

Annexure-II State/UT-wise details of number of District Hospitals (as per RHS 2014-15 and 2020-21)

| State/UT                         | No of Districts (RHS 2014- 2015)   | District Hospital (DH) (RHS 2014-2015, Data as on 31st March 2015)   |   No. of Districts (RHS 2020-21) |   District Hospital (DH) (RHS 2020-21) |
|----------------------------------|------------------------------------|----------------------------------------------------------------------|----------------------------------|----------------------------------------|
| Andhra Pradesh                   | 13                                 | 8                                                                    |                               13 |                                     14 |
| Arunachal Pradesh                | 17                                 | 14                                                                   |                               25 |                                     19 |
| Assam                            | 27                                 | 25                                                                   |                               33 |                                     24 |
| Bihar                            | 38                                 | 36                                                                   |                               38 |                                     36 |
| Chattisgarh                      | 27                                 | 27                                                                   |                               28 |                                     27 |
| Goa                              | 2                                  | 2                                                                    |                                2 |                                      2 |
| Gujarat                          | 33                                 | 21                                                                   |                               33 |                                     20 |
| Haryana                          | 21                                 | 20                                                                   |                               22 |                                     22 |
| Himachal Pradesh                 | 12                                 | 12                                                                   |                               12 |                                      9 |
| Jharkhand                        | 24                                 | 24                                                                   |                               24 |                                     23 |
| Karnataka                        | 30                                 | 32                                                                   |                               30 |                                     22 |
| Kerala                           | 14                                 | 16                                                                   |                               14 |                                     47 |
| Madhya Pradesh                   | 51                                 | 51                                                                   |                               52 |                                     51 |
| Maharashtra                      | 33                                 | 23                                                                   |                               36 |                                     23 |
| Manipur                          | 9                                  | 7                                                                    |                               16 |                                      7 |
| Meghalaya                        | 11                                 | 12                                                                   |                               11 |                                     11 |
| Mizoram                          | 9                                  | 8                                                                    |                               11 |                                     12 |
| Nagaland                         | 11                                 | 11                                                                   |                               11 |                                     11 |
| Odisha                           | 30                                 | 32                                                                   |                               30 |                                     32 |
| Punjab                           | 22                                 | 22                                                                   |                               22 |                                     22 |
| Rajasthan                        | 33                                 | 34                                                                   |                               33 |                                     28 |
| Sikkim                           | 4                                  | 4                                                                    |                                4 |                                      4 |
| Tamil Nadu                       | 32                                 | 31                                                                   |                               38 |                                     20 |
| Telangana                        | 10                                 | 7                                                                    |                               33 |                                      5 |
| Tripura                          | 8                                  | 6                                                                    |                                8 |                                      7 |
| Uttarakhand                      | 13                                 | 19                                                                   |                               13 |                                     13 |
| Uttar Pradesh                    | 75                                 | 160                                                                  |                               75 |                                    168 |
| West Bengal                      | 18                                 | 22                                                                   |                               23 |                                     18 |
| Andaman &Nicobar Islands         | 3                                  | 3                                                                    |                                3 |                                      3 |
| Chandigarh                       | 1                                  | 1                                                                    |                                1 |                                      1 |
| Dadra &Nagar Haveli Daman &Diu * | 3                                  | 3                                                                    |                                3 |                                      2 |
| Delhi                            | 11                                 | 41                                                                   |                               11 |                                     37 |
| Jammu &Kashmir                   | 22                                 | 23                                                                   |                               20 |                                     16 |
| Ladakh                           |                                    |                                                                      |                                2 |                                      2 |
| Lakshadweep                      | 1                                  | 1                                                                    |                                1 |                                      1 |
| Puducherry                       | 4                                  | 5                                                                    |                                4 |                                      5 |

*in RHS 2020-21, Data for Daman and Diu and Dadar Nagar Haveli are together