Lok Sabha Question No. 2962 (UNSTARRED), answered on 2023-03-17
Subject: Healthcare Infrastructure in Tribal Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prabhubhai Nagarbhai Vasava

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

## LOK SABHA UNSTARRED QUESTION NO. 2962 TO BE ANSWERED ON 17 TH  MARCH, 2023

## HEALTHCARE INFRASTRUCTURE IN TRIBAL AREAS

## 2962. SHRI PARBHUBHAI NAGARBHAI VASAVA:

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

- (a) whether the Government has assessed the healthcare infrastructure in the tribal areas of Gujarat;
- (b) if so, the details thereof;
- (c) if not, the reasons therefor;
- (d) whether the Government has taken any action to improve the healthcare infrastructure in the tribal areas of Gujarat;
- (e) if so, the details therof; and
- (f) if not, the reasons therefor?

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

(a) to (f): In February 2018, the Government of India announced 1,50,000 Ayushman Bharat Health and Wellness Centres (AB-HWCs) to be established across the country by December 2022.  The  existing  Sub-  Health  Centres  (SHC),  Primary  Health  Centres  (PHC)  and  Urban Primary Health Centres (UPHC) are transformed into AB-HWCs to deliver Comprehensive Primary  Health  Care  (CPHC)  that  includes  preventive,  promotive,  curative,  palliative  and rehabilitative services which are universal, free, and closer to the community including Tribal areas.

As on 28.02.2023 a total of  2,548 AB-HWCs have been operationalized in tribal district of Gujarat. District wise details is at Annexure.

Government of India has taken various steps to increase the healthcare infrastructure in Gujarat including the tribal areas are as under:

-  The expanded package comprising 12 services are aimed to be provided by AB-HWCs includes  screening,  prevention,  control  and  management  of  non-communicable diseases, care for common eye and ENT problems, basic oral health care, elderly and palliative health care services, emergency medical services and screening and basic management of mental health ailments.
-  Number  of  essential  medicines  and  essential  diagnostics  at  AB-HWCs  have  been increased.
-  HWCs are  connected  through  E-Sanjeevni  Tele-Consultation  to  provide  specialist consultation in case of need.
-  AB-HWCs ensure continuity of care through appropriate referrals and optimal home and community follow-up.
-  Wellness-related  activities  like  Yoga,  Zumba,  and  Meditation,  42  annual  health calendar days are celebrated by each AB-HWC.
-  All tribal majority districts, whose composite health index is below the State average, have been identified as High Priority Districts (HPDs). These districts are to receive higher per capita funding, relaxed norms, enhanced monitoring and focused supportive supervision and encouraged to adopt innovative approaches to address their peculiar health challenges.

National Health Mission (NHM) envisages achievement of universal access to equitable, affordable & quality health care services that are accountable and responsive to people's needs. The  Ministry  of  Health  and  Family  Welfare  provides  technical  and  financial  support  to  the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under National Health Mission. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

The details of RoPs issued to Gujarat are available at following web link.

https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744

## Annexure

| SN   | STATE   | DISTRICT     | HWCs Progressive as on 28.02.2023   | HWCs Progressive as on 28.02.2023   | HWCs Progressive as on 28.02.2023   | HWCs Progressive as on 28.02.2023   |
|------|---------|--------------|-------------------------------------|-------------------------------------|-------------------------------------|-------------------------------------|
|      |         |              | SHC                                 | PHC                                 | UPHC                                | TOTAL                               |
| 1    | Gujarat | Navsari      | 192                                 | 45                                  | 5                                   | 242                                 |
| 2    | Gujarat | Mahisagar    | 173                                 | 35                                  | 1                                   | 209                                 |
| 3    | Gujarat | Chhotaudepur | 157                                 | 50                                  | 1                                   | 208                                 |
| 4    | Gujarat | Tapi         | 160                                 | 38                                  | 1                                   | 199                                 |
| 5    | Gujarat | Valsad       | 293                                 | 51                                  | 7                                   | 351                                 |
| 6    | Gujarat | Panchmahals  | 218                                 | 50                                  | 4                                   | 272                                 |
| 7    | Gujarat | The Dangs    | 69                                  | 10                                  | -                                   | 79                                  |
| 8    | Gujarat | Bharuch      | 226                                 | 41                                  | 5                                   | 272                                 |
| 9    | Gujarat | Narmada      | 177                                 | 27                                  | 1                                   | 205                                 |
| 10   | Gujarat | Dahod        | 412                                 | 97                                  | 2                                   | 511                                 |