Lok Sabha Question No. 536 (UNSTARRED), answered on 2022-12-09
Subject: Centrally Sponsored Health Programmes
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Geeta Kora, Locket Chatterjee, Gopal Jee Thakur, Dileshwar Kamait, Jugal Kishore Sharma, Ram Kripal Yadav, Ajay Kumar Mandal, Navneet Ravi Rana, Ramesh Chander Kaushik, Riti Pathak, Rama Devi

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

## LOK SABHA UNSTARRED QUESTION NO. 536 TO BE ANSWERED ON 9 TH  DECEMBER, 2022

## CENTRALLY SPONSORED HEALTH PROGRAMMES

## 536. SHRIMATI GEETA KORA:

MS. LOCKET CHATTERJEE:

SHRI GOPAL JEE THAKUR:

SHRI DILESHWAR KAMAIT:

SHRI JUGAL KISHORE SHARMA:

SHRI RAM KRIPAL YADAV:

SHRI AJAY KUMAR MANDAL:

SHRIMATI NAVNEET RAVI RANA:

SHRI RAMESH CHANDER KAUSHIK:

SHRIMATI RITI PATHAK:

SHRIMATI RAMA DEVI:

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

- (a) the  details  of  the  major  projects  and  special  programmes  being  run  by  the Government in health sector, State/UT-wise;
- (b) whether the Government proposes to set up any sickle cell centre for the treatment of fatal diseases in the tribal-dominated area of Amravati, Maharashtra and if so, the details thereof;
- (c) whether  there  is  any  provision  of  Mobile  Medical  Unit  under  National  Health Mission and if so, the number of such Mobile Medical Units functioning across the  country  along  with  the  funds  allocated  for  the  same  district,  State/UT-wise; and
- (d) whether  the  Government  has  rolled  out  any  plan  to  provide  doctors  as  per  the demand in the States/UTs and if so, the details thereof along with the number of States/UTs which have received the benefits of the said Scheme till date?

## ANSWER

## MINISTER OF STATE FOR HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) The  Ministry  of  Health  and  Family  Welfare  through  various  Centrally  Sponsored Schemes and Central Sector Schemes supplements the efforts of the States/UTs in the healthcare sector. The major Schemes/Programmes implemented through the States/UTs are as under:
- i) National Health Mission (NHM)
- ii) Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY)
- iii) Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM)
- iv) Establishment of New Medical Colleges
- v) National Progaramme of Prevention and Control of Cancer, Diabetes, CVDs and Stroke (NPCDCS)
- vi) National Vector Borne Disease Control Programme (NVBDCP)
- vii) Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)

Under  PMSSY,  16  major  projects  for  new  AIIMS  in  various  States  of  the  country  i.e.  Uttar Pradesh,  Maharashtra,  Andhra  Pradesh,  West  Bengal,  Punjab,  Himachal  Pradesh,  Assam, Jharkhand, Gujarat, Telangana, Jammu & Kashmir, Bihar, Haryana and Tamil Nadu are running.

(b)  Integrated Centre  for Haemophilia and Hemoglobinopathy (ICHH) is already established / functional at Civil  Hospital,  Amravati  for  management  of  Thalassemia,  Sickle  Cell  & Haemophilia  which  all  are  genetic  disorders.  Dharni  and  Chikhaldara  are  tribal  dominated Talukas of Amravati District. Treatment of Sickle cell crisis (fatal) is available at Sub District Hospital, Dharni and Rural hospital, Chikhaldara. The State Government has not proposed to set up any new Sickle Cell centre. Sickle Cell disease control program is conducted in 21 Districts of Maharashtra including Amravati District and in this program, services provided are screening, confirmation  of  diagnosis,  treatment,  prevention  of  disease  transmission,  counselling,  card distribution and pre-natal diagnosis regarding sickle cell at free of cost.

(c) The State/UT wise approvals towards National Mobile Medical Units (MMUs) under NHM from Financial Year 2019-20 to 2021-22 is given at Annexure.

(d) The Government of India has taken many steps to increase the availability of doctors in the country which include:-

- i. Centrally  Sponsored  Scheme  for  establishment  of  new  medical  college  by  upgrading district/ referral hospital under which 157 new medical colleges have been approved and 93 are already functional.
- ii. Centrally Sponsored Scheme for strengthening/ upgradation of existing State Government/Central Government Medical Colleges to increase MBBS and PG seats.
- iii. Central Sector Scheme for upgradation of Government Medical Colleges by construction of Super Specialty Blocks. A total of 75 projects have been approved and 58 have been completed.
- iv. Under  Central  Sector  Scheme  for  setting  up  of  new  AIIMS,  22  AIIMS  have  been approved. Undergraduate courses have started in 19 AIIMS.
- v. Relaxation in the norms for setting up of Medical College in terms of requirement for faculty, staff, bed strength and other infrastructure.
- vi. DNB  qualification  has  been  recognized  for  appointment  as  faculty  to  take  care  of shortage of faculty.
- vii.  Enhancement  of  age  limit  for  appointment/  extension/  re-employment  against  posts  of teachers/dean/principal/ director in medical colleges upto 70 years.
- viii. The  tenure  of  Senior  Residency  for  appointment  of  Assistant  Professor  have  reduced from three years to one year.
- ix. To  enhance  healthcare  facilities  at  District/  Rural  level  and  to  address  the  issue  of shortage of specialists in the country, the Government has approved District Residency Program where second/third year PG students of medical colleges are to be posted in the District Hospitals for a period of three months.

| State/UT wise details of Approvals of National Mobile Medical Units (MMU) including expenditure under NHMduring FY 2019-20 to 2021-22   | State/UT wise details of Approvals of National Mobile Medical Units (MMU) including expenditure under NHMduring FY 2019-20 to 2021-22   | State/UT wise details of Approvals of National Mobile Medical Units (MMU) including expenditure under NHMduring FY 2019-20 to 2021-22   | State/UT wise details of Approvals of National Mobile Medical Units (MMU) including expenditure under NHMduring FY 2019-20 to 2021-22   | State/UT wise details of Approvals of National Mobile Medical Units (MMU) including expenditure under NHMduring FY 2019-20 to 2021-22   | State/UT wise details of Approvals of National Mobile Medical Units (MMU) including expenditure under NHMduring FY 2019-20 to 2021-22   |
|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                         |                                                                                                                                         |                                                                                                                                         | Expenditure (Rs. in lakhs)                                                                                                              | Expenditure (Rs. in lakhs)                                                                                                              | Expenditure (Rs. in lakhs)                                                                                                              |
| Sl. No.                                                                                                                                 | State/UT                                                                                                                                | No. of MMU                                                                                                                              | 2019-20                                                                                                                                 | 2020-21                                                                                                                                 | 2021-22                                                                                                                                 |
| 1                                                                                                                                       | Andaman &Nicobar Islands                                                                                                                | 0                                                                                                                                       | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 2                                                                                                                                       | Andhra Pradesh                                                                                                                          | 67                                                                                                                                      | 2249.04                                                                                                                                 | 1293.00                                                                                                                                 | 1246.20                                                                                                                                 |
| 3                                                                                                                                       | Arunachal Pradesh                                                                                                                       | 16                                                                                                                                      | 120.20                                                                                                                                  | 70.00                                                                                                                                   | 180.00                                                                                                                                  |
| 4                                                                                                                                       | Assam                                                                                                                                   | 130                                                                                                                                     | 4832.63                                                                                                                                 | 4832.54                                                                                                                                 | 3607.13                                                                                                                                 |
| 5                                                                                                                                       | Bihar                                                                                                                                   | 0                                                                                                                                       | 764.08                                                                                                                                  | 152.00                                                                                                                                  | 111.60                                                                                                                                  |
| 6                                                                                                                                       | Chandigarh                                                                                                                              | 0                                                                                                                                       | 0.00                                                                                                                                    |                                                                                                                                         | 0.00                                                                                                                                    |
| 7                                                                                                                                       | Chhattisgarh                                                                                                                            | 30                                                                                                                                      | 558.00                                                                                                                                  | 558.00                                                                                                                                  | 558.00                                                                                                                                  |
| 8                                                                                                                                       | Dadra &Nagar Haveli                                                                                                                     | 3                                                                                                                                       | 2.50                                                                                                                                    | 6.00                                                                                                                                    | 2.50                                                                                                                                    |
| 9                                                                                                                                       | Daman &Diu                                                                                                                              |                                                                                                                                         | 0.00                                                                                                                                    |                                                                                                                                         |                                                                                                                                         |
| 10                                                                                                                                      | Delhi                                                                                                                                   | 2                                                                                                                                       | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 11                                                                                                                                      | Goa                                                                                                                                     | 0                                                                                                                                       | 12.00                                                                                                                                   | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 12                                                                                                                                      | Gujarat                                                                                                                                 | 74                                                                                                                                      | 700.00                                                                                                                                  | 386.53                                                                                                                                  | 488.40                                                                                                                                  |
| 13                                                                                                                                      | Haryana                                                                                                                                 | 59                                                                                                                                      | 107.24                                                                                                                                  | 383.20                                                                                                                                  | 1087.43                                                                                                                                 |
| 14                                                                                                                                      | Himachal Pradesh                                                                                                                        | 12                                                                                                                                      | 264.26                                                                                                                                  | 215.40                                                                                                                                  | 189.70                                                                                                                                  |
| 15                                                                                                                                      | Jammu &Kashmir                                                                                                                          | 10                                                                                                                                      | 46.00                                                                                                                                   | 76.20                                                                                                                                   | 60.00                                                                                                                                   |
| 16                                                                                                                                      | Jharkhand                                                                                                                               | 56                                                                                                                                      | 2592.00                                                                                                                                 | 2826.20                                                                                                                                 | 2639.82                                                                                                                                 |
| 17                                                                                                                                      | Karnataka                                                                                                                               | 8                                                                                                                                       | 2642.24                                                                                                                                 | 1588.80                                                                                                                                 | 1574.40                                                                                                                                 |
| 18                                                                                                                                      | Kerala                                                                                                                                  | 31                                                                                                                                      | 196.00                                                                                                                                  | 281.02                                                                                                                                  | 309.12                                                                                                                                  |
| 19                                                                                                                                      | Ladakh                                                                                                                                  | 1                                                                                                                                       | -                                                                                                                                       | 15.00                                                                                                                                   | 6.00                                                                                                                                    |
| 20                                                                                                                                      | Lakshadweep                                                                                                                             | 0                                                                                                                                       | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 21                                                                                                                                      | Madhya Pradesh                                                                                                                          | 0                                                                                                                                       | 3509.31                                                                                                                                 | 3716.00                                                                                                                                 | 0.00                                                                                                                                    |
| 22                                                                                                                                      | Maharashtra                                                                                                                             | 30                                                                                                                                      | 1320.73                                                                                                                                 | 1114.66                                                                                                                                 | 1338.00                                                                                                                                 |
| 23                                                                                                                                      | Manipur                                                                                                                                 | 9                                                                                                                                       | 58.00                                                                                                                                   | 69.25                                                                                                                                   | 37.00                                                                                                                                   |
| 24                                                                                                                                      | Meghalaya                                                                                                                               | 4                                                                                                                                       | 50.62                                                                                                                                   | 184.97                                                                                                                                  | 256.69                                                                                                                                  |
| 25                                                                                                                                      | Mizoram                                                                                                                                 | 9                                                                                                                                       | 101.22                                                                                                                                  | 100.99                                                                                                                                  | 105.39                                                                                                                                  |
| 26                                                                                                                                      | Nagaland                                                                                                                                | 11                                                                                                                                      | 17.23                                                                                                                                   | 82.30                                                                                                                                   | 75.24                                                                                                                                   |
| 27                                                                                                                                      | Odisha                                                                                                                                  | 9                                                                                                                                       | 139.35                                                                                                                                  | 69.60                                                                                                                                   | 31.80                                                                                                                                   |
| 28                                                                                                                                      | Puducherry                                                                                                                              | 4                                                                                                                                       | 7.20                                                                                                                                    | 9.20                                                                                                                                    | 40.77                                                                                                                                   |
| 29                                                                                                                                      | Punjab                                                                                                                                  | 33                                                                                                                                      | 256.16                                                                                                                                  | 174.24                                                                                                                                  | 174.24                                                                                                                                  |
| 30                                                                                                                                      | Rajasthan                                                                                                                               | 299                                                                                                                                     | 3672.23                                                                                                                                 | 4444.24                                                                                                                                 | 5714.98                                                                                                                                 |
| 31                                                                                                                                      | Sikkim                                                                                                                                  | 0                                                                                                                                       | 3.60                                                                                                                                    | 1.68                                                                                                                                    | 0.00                                                                                                                                    |
| 32                                                                                                                                      | Tamil Nadu                                                                                                                              | 425                                                                                                                                     | 662.30                                                                                                                                  | 488.45                                                                                                                                  | 513.50                                                                                                                                  |
| 33                                                                                                                                      | Telangana                                                                                                                               | 0                                                                                                                                       | 0.00                                                                                                                                    | 40.00                                                                                                                                   | 0.00                                                                                                                                    |
| 34                                                                                                                                      | Tripura                                                                                                                                 | 0                                                                                                                                       | 34.93                                                                                                                                   | 14.67                                                                                                                                   | 0.00                                                                                                                                    |
| 35                                                                                                                                      | Uttar Pradesh                                                                                                                           | 170                                                                                                                                     | 7585.77                                                                                                                                 | 8788.55                                                                                                                                 | 6585.13                                                                                                                                 |
| 36                                                                                                                                      | Uttarakhand                                                                                                                             | 16                                                                                                                                      | 420.00                                                                                                                                  | 207.54                                                                                                                                  | 418.20                                                                                                                                  |
| 37                                                                                                                                      | West Bengal                                                                                                                             | 49                                                                                                                                      | 794.57                                                                                                                                  | 1471.59                                                                                                                                 | 1060.20                                                                                                                                 |

## Note:

1. The above data comprises of Capital expenditure, Operational expenditure, Training/orientation, etc.
2.  The  above  data  is  as  per  available  Financial  Management  Reports  (FMRs)  reported  by  the States/UTs.