Lok Sabha Question No. 1925 (UNSTARRED), answered on 2021-07-30
Subject: Tackling Diseases other than COVID-19
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Krupal Balaji Tumane

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

## LOK SABHA UNSTARRED QUESTION NO. 1925 TO BE ANSWERED ON THE 30 th JULY, 2021

## 'TACKLING DISEASES OTHER THAN COVID -19'

## †1925. SHRI KRUPAL BALAJI TUMANE:

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

- a) whether the Government has allocated funds to States/UTs to deal with the various h issues arising out of Coronavirus;
- b) if so, the details thereof, State/UT - wise;
- c) the details of mort ality rates of diseases other than COVID - 19 in the country; and
- d) the steps taken by the Government during COVID - 19 period to tackle the same?

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

(a) and (b):

'Public  Health  and  Hospitals'  being  a  State  subject,  the  primary  responsibility  of strengthening  public  healthcare  system  lies  with  the  respective  State  Governments. However, the  Ministry  of  Health  and  Family  Welfare  has  been  providing technical  and financial support to the States/UTs to strengthen the public healthcare system to manage the COVID-19 pandemic.

During  the  FY  2019-20,  funds  to  the  tune  of  Rs.  1113.21  crore  was  released  to  the States/UTs under NHM towards management and containment of COVID-19 pandemic. Further, support has been provided to States/UT under the 'India  COVID-19 Emergency Response & Health System Preparedness Package' for the containment and management of pandemic, including for augmentation of infrastructure, oxygen supported beds, isolation beds,  ICUs  &  Human  Resources,  supply  of  drugs,  etc.  During  the  financial  year  2020-21, Rs.8147.28 Crs. has been released to States under this package. In addition, Rs.110.60 Crs has  been  made  available  for  insurance  of  Health  Care  workers.  Thus,  a  total  amount  of Rs.8257.88 Crs has been provisioned for the States/ UTs. MOHFW has also provided inkind  support  to  the  States/UTs,  by  procuring  and  distributing  oxygen  cylinders,  Trunat COVID  Test  Cartridges,  X-pert  COVID  cartridges,  N  95  masks,  PPE  kits,  Remdesivir  and ventilators. The Cabinet has also approved the scheme, 'India Covid-19 Emergency Response and Health Systems Preparedness Package - Phase-II' (ECRP-Phase-II) on 8.07.2021 for an amount of Rs.23,123 crores. The scheme is a Centrally Sponsored Scheme (CSS) with some Central Sector (CS) components. The Scheme is aimed to prevent, detect and respond to the continuing threat  posed by COVID-19  and  strengthen  national  health systems for preparedness in India. Under  CSS  components  of  ECRP-II,  support  is  being  provided  to  the  States/UTs  for provision for establishing District Paediatric Units (42 or 32 bedded units including Oxygen Supported beds and ICU beds) in all the Districts of the Country. Besides, support is also provided  to  increase  the  availability  of  ICU  beds  in  Government  health  facilities  and  to create  pre -fabricated  structures  for  augmenting  beds  at      Sub  Health  Centres,  Primary Health  Centres  &  Community  Health  Centres  in  rural,  peri-urban  and  tribal  areas. Maintaining, buffer stock for essential medicines required for effective COVID management, in  addition  to  provision  for  required  drugs  and  diagnostics,  is  also  being supported. Support is also available for establishing field hospitals, (100 bedded or 50 bedded units) wherever required.

The  ECRP-II  has  also  a  Central  Sector  component  of  Central  Procurement  of  essential medicines (including the emerging drugs, based on the needs) for effective management of COVID-19. In  order to  ensure  implementation  of  critical  activities  at  the  State/District  levels  to prepare the public healthcare system in response to the evolving pandemic, 15% of Central Share  of  Resource  Envelope  of  the  State/UT,  has  been  released  in-advance  to  the States/UTs . State-wise release of funds during FY 19-20, 20-21 and 21-22 (till July 2021) for COVID-19 management is given at Annexure. For  making  oxygen  available  in  Health  Care  Facilities,  Government  has  sanctioned  1573 Pressure Swing Adsorption Oxygen generation plants.   Out of these, as on 20th July, 2021, 316 plants have been commissioned. 1,14,000 Oxygen Concentrators are also being supplied to the States/UTs for deployment in rural, peri urban & tribal areas.

(c) and (d): Further,  to  ensure  that  essential  health  services  including  treatment  for  non-COVID patients  should  not  suffer,  MoHFW  has  issued  guidance  note  for  enabling  Delivery  of Essential  Health  Services  during  the  COVID  19  Outbreak  on  14 th April,  2020.  Also  a guidance  note  was  issued  on  21 st May,  2020  for  Immunization  services.  Further  a guidance  note  on  Essential  Reproductive,  Maternal,  Newborn,  Child.  Adolescent  Health Plus  Nutrition  (RMNCAH+N)  Services  during  and  post  COVID  was  issued  on  27 th May, 2020.

|        |                           |          |          | Annexure       |
|--------|---------------------------|----------|----------|----------------|
|        |                           |          |          | (Rs. in crore) |
| S. No. | State/UT                  | 2019- 20 | 2020- 21 | 2021- 22       |
| 1      | Andaman & Nicobar Islands | 0.74     | 14.80    | 2.13           |
| 2      | Andhra Pradesh            | 37.11    | 422.67   | 62.69          |
| 3      | Arunachal Pradesh         | 8.91     | 21.96    | 19.16          |
| 4      | Assam                     | 72.73    | 216.69   | 109.68         |
| 5      | Bihar                     | 66.79    | 193.94   | 154.93         |
| 6      | Chandigarh                | 1.04     | 35.92    | 0.85           |
| 7      | Chhattisgarh              | 25.97    | 109.21   | 56.41          |
| 8      | Dadra & Nagar Haveli      | 0.52     | 4.67     | 1.43           |
| 9      | Daman and Diu             | 0.45     | 4.67     | 1.43           |
| 10     | Delhi                     | 22.26    | 787.91   | 4.53           |
| 11     | Goa                       | 1.48     | 17.65    | 1.77           |
| 12     | Gujarat                   | 29.69    | 304.16   | 71.88          |
| 13     | Haryana                   | 37.11    | 187.71   | 27.36          |
| 14     | HimachalPradesh           | 18.55    | 54.48    | 32.48          |
| 15     | Jammu & Kashmir           | 29.69    | 194.58   | 38.65          |
| 16     | Jharkhand                 | 25.97    | 70.84    | 57.50          |
| 17     | Karnataka                 | 59.37    | 409.63   | 75.61          |
| 18     | Kerala                    | 74.21    | 573.96   | 26.08          |
| 19     | Ladakh                    | 0.00     | 44.77    | 9.38           |
| 20     | Lakshadweep               | 0.22     | 0.79     | 0.22           |
| 21     | Madhya Pradesh            | 55.66    | 286.57   | 131.15         |
| 22     | Maharashtra               | 74.21    | 1185.12  | 123.12         |
| 23     | Manipur                   | 5.94     | 19.92    | 11.60          |
| 24     | Meghalaya                 | 5.94     | 14.82    | 12.41          |
| 25     | Mizoram                   | 3.71     | 8.86     | 5.98           |

| 26                                                                                       | Nagaland                                                                                 | 3.71                                                                                     | 10.27                                                                                    | 8.43                                                                                     |
|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------|
| 27                                                                                       | Odisha                                                                                   | 37.11                                                                                    | 146.44                                                                                   | 77.58                                                                                    |
| 28                                                                                       | Puducherry                                                                               | 0.74                                                                                     | 23.35                                                                                    | 0.81                                                                                     |
| 29                                                                                       | Punjab                                                                                   | 40.82                                                                                    | 165.28                                                                                   | 29.83                                                                                    |
| 30                                                                                       | Rajasthan                                                                                | 85.35                                                                                    | 426.39                                                                                   | 132.51                                                                                   |
| 31                                                                                       | Sikkim                                                                                   | 2.98                                                                                     | 7.16                                                                                     | 2.95                                                                                     |
| 32                                                                                       | Tamil Nadu                                                                               | 48.24                                                                                    | 868.09                                                                                   | 71.94                                                                                    |
| 33                                                                                       | Telangana                                                                                | 33.40                                                                                    | 386.37                                                                                   | 44.80                                                                                    |
| 34                                                                                       | Tripura                                                                                  | 7.42                                                                                     | 23.21                                                                                    | 12.56                                                                                    |
| 35                                                                                       | Uttar Pradesh                                                                            | 132.09                                                                                   | 541.56                                                                                   | 281.98                                                                                   |
| 36                                                                                       | Uttarakhand                                                                              | 18.55                                                                                    | 72.25                                                                                    | 36.68                                                                                    |
| 37                                                                                       | West Bengal                                                                              | 44.53                                                                                    | 295.28                                                                                   | 90.71                                                                                    |
|                                                                                          | Total                                                                                    | 1113.21                                                                                  | 8147.28                                                                                  | 1827.78                                                                                  |
|                                                                                          | Insurance of Health Workers                                                              | 0.00                                                                                     | 110.60                                                                                   | 0.00                                                                                     |
|                                                                                          | Grand Total                                                                              | 1113.21                                                                                  | 8257.88                                                                                  | 1827.78                                                                                  |
| Note:                                                                                    |                                                                                          |                                                                                          |                                                                                          |                                                                                          |
| 1. Release for the FY 2019 - 20 is as per the approved Centre - State funding under NHM. | 1. Release for the FY 2019 - 20 is as per the approved Centre - State funding under NHM. | 1. Release for the FY 2019 - 20 is as per the approved Centre - State funding under NHM. | 1. Release for the FY 2019 - 20 is as per the approved Centre - State funding under NHM. | 1. Release for the FY 2019 - 20 is as per the approved Centre - State funding under NHM. |
| 2. Release for the FY 2020- 21 and 2021 - 22 is 100% Centrally funded.                   | 2. Release for the FY 2020- 21 and 2021 - 22 is 100% Centrally funded.                   | 2. Release for the FY 2020- 21 and 2021 - 22 is 100% Centrally funded.                   | 2. Release for the FY 2020- 21 and 2021 - 22 is 100% Centrally funded.                   | 2. Release for the FY 2020- 21 and 2021 - 22 is 100% Centrally funded.                   |