Lok Sabha Question No. 3300 (UNSTARRED), answered on 2022-08-05
Subject: Free Diagnostics Service Initiative
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kotagiri Sridhar

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

## LOK SABHA UNSTARRED QUESTION NO. 3300 TO BE ANSWERED ON 5 st  AUGUST, 2022

## FREE DIAGNOSTICS SERVICE INITIATIVE

## 3300. SHRI SRIDHAR KOTAGIRI:

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

- (a) the current status of implementation of Free Diagnostics Service Initiative?
- (b) the details of the different  models adopted to provide free diagnostics under the scheme for both laboratory and radiology services, State/UT-wise; and
- (c) the  total  number  of  beneficiaries  covered  and  the  funds  spent  under  the  scheme,  State/UTwise?

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

(a)  to  (c):  The  Ministry  of  Health  and  Family  Welfare,  Government  of  India  supports  'Free Diagnostics  Service  Initiative'  (FDSI)  programme  under  National  Health  Mission.  The  programme was  launched  in  July  2015  with  the  aim  to  provide  accessible  and  affordable  pathological  and radiological  diagnostics  services  closer  to  the  community  which  in  turn  reduces  the  Out-of-Pocket Expenditure (OOPE). A minimum set of essential diagnostic tests has been recommended as per the Essential Diagnostic List at each level of public health facility.

A guidance document for implementing laboratory services has been shared with all states and UTs. The guidelines also recommend expanded range of diagnostics at all levels of public health facilities (14 tests  at  Sub  Centres  (SCs),  63  tests  at  Primary  Health  Centres  (PHCs),  97  tests  at  Community Health Centres (CHCs), 111 tests at Sub-District Hospitals (SDHs) and 134 tests at District Hospitals (DHs).

Under  NHM,  'Free  Diagnostic  Service  initiative'  is  delivered  through  in-house,  Public  Private Partnership (PPP) and Hybrid mode by the States/UTs in the country.

Free Laboratory service is operational in 33 States, out of which 11 States/UTs (Arunachal Pradesh, Assam, Delhi, Himachal Pradesh, Jharkhand, Maharashtra, Manipur, Meghalaya, Odisha, Tripura, and Uttarakhand)  are  providing  the  services  through  PPP/hybrid  mode  and  22  States/UTs  (Andhra Pradesh, A&N Island, Bihar, Chandigarh, Chhattisgarh, D&N Haveli-Daman & Diu, Goa, Gujarat, Haryana, Jammu  &  Kashmir,  Karnataka,  Kerala, Lakshadweep,  Madhya  Pradesh,  Nagaland, Puducherry,  Punjab,  Sikkim,  Tamil  Nadu,  Telangana,  Uttar  Pradesh,  West  Bengal)  provide  the services through In-house mode.

Free  Tele-Radiology  (Tele-reporting  of  X-rays)  service  is  operational  in  13  states/UTs  (Andhra Pradesh,  Assam,  Bihar,  Himachal  Pradesh,  Jammu  &  Kashmir,  Maharashtra,  Meghalaya,  Odisha, Rajasthan, Uttarakhand, Uttar Pradesh, and West Bengal, Tripura).

Free CT Scan service is operational in 27 States/UTs out of which 17 States (Andhra Pradesh, Assam, Chandigarh,  Chhattisgarh,  Delhi,  Haryana,  Himachal  Pradesh,  Jharkhand,  Karnataka,  Madhya Pradesh,  Meghalaya,  Maharashtra,  Odisha,  Rajasthan,  Tripura,  Uttar  Pradesh,  West  Bengal)  are providing it in PPP mode and 10 states (A&N island, Bihar, D&N Haveli-Daman & Diu, Goa, Jammu & Kashmir,  Lakshadweep,  Kerala,  Puducherry,  Tamil  Nadu,  Telangana)  provide  through  In-house mode.

The funds spent under the scheme, State/UT wise is at Annexure.

## State/UT wise Utilisation under Free Diagnostic Services under NHM for the FY 2021-22

(Rs. In Lakhs)

|   S. No. | State/UTs                          | Utilisation   |
|----------|------------------------------------|---------------|
|        1 | Andaman &Nicobar Islands           | *             |
|        2 | Andhra Pradesh                     | 3445.06       |
|        3 | Arunachal Pradesh                  | 5.11          |
|        4 | Assam                              | 8541.22       |
|        5 | Bihar                              | 575.52        |
|        6 | Chandigarh                         | *             |
|        7 | Chattisgarh                        | 926.29        |
|        8 | Dadra &Nagar Haveli and Daman &Diu | 1.16          |
|        9 | Delhi                              | 261.13        |
|       10 | Goa                                | 11.26         |
|       11 | Gujarat                            | 1843.44       |
|       12 | Haryana                            | 505.81        |
|       13 | Himachal Pradesh                   | 3033.16       |
|       14 | Jammu &Kashmir                     | 748.64        |
|       15 | Jharkhand                          | 882.03        |
|       16 | Karnataka                          | 11163.37      |
|       17 | Kerala                             | 2233.54       |
|       18 | Ladakh                             | 11.73         |
|       19 | Lakshadweep                        | 22.91         |
|       20 | Madhya Pradesh                     | 8331.68       |
|       21 | Maharashtra                        | 16104.47      |
|       22 | Manipur                            | 927.75        |
|       23 | Meghalaya                          | 1130.05       |
|       24 | Mizoram                            | 7.72          |
|       25 | Nagaland                           | 196.77        |
|       26 | Orissa                             | 5407.22       |
|       27 | Puducherry                         | 20.32         |
|       28 | Punjab                             | 7450.53       |
|       29 | Rajasthan                          | 9174.48       |
|       30 | Sikkim                             | 54.30         |
|       31 | Tamil Nadu                         | 14447.06      |
|       32 | Telangana                          | 4394.57       |
|       33 | Tripura                            | 1602.69       |
|       34 | Uttar Pradesh                      | 5648.80       |
|       35 | Uttarakhand                        | 1000.35       |
|       36 | West Bengal                        | 8587.49       |

## Note:

1.  The above figures are as per available FMRs reported by States/UTs. It is updated upto 31.03.2022.
2. Expenditure includes central release, state release & unspent balances at the beginning of the year.
3.  The  above  data  comprises  of  IEC/BCC-  Free  Diagnostic  Service  Initiative  (Pathology  &  Radiology), National Free Diagnostic services, Free Diagnostic services under RMNCH+A (Free Diagnostics for Pregnant women under JSSK) and Free Diagnostic services under RMNCH+A (Free Diagnostics for Sick infants under JSSK).