Lok Sabha Question No. 4849 (UNSTARRED), answered on 2023-03-31
Subject: Performance under Janani Suraksha Yojana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ajay Kumar Mandal, Locket Chatterjee, Navneet Ravi Rana, Rama Devi, Ramesh Chander Kaushik

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

## LOK SABHA UNSTARRED QUESTION NO. 4849 TO BE ANSWERED ON 31 ST  MARCH, 2023

## PERFORMANCE UNDER JANANI SURAKSHA YOJANA

## 4849.   SHRI AJAY KUMAR MANDAL:

MS. LOCKET CHATTERJEE:

SHRIMATI NAVNEET RAVI RANA:

SHRIMATI RAMA DEVI:

SHRI RAMESH CHANDER KAUSHIK:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to State:

- (a)  the  fund  allocated  to  the  Low  Performing and High Performing States under the Janani Suraksha Yojana, State-wise;
- (b) the fund allocated to Bhagalpur Parliamentary Constituency under the said scheme during the last four years and the current year;
- (c) whether utilization rate of fund in Low Performing States continues to be low and if so, the reasons therefor;
- (d) whether the Government proposes to increase the incentive given to promote institutional delivery and if so, the details thereof;
- (e)  whether  the  Government  maintains  data  of  ASHA  workers  appointed  by  the  Ministry, district-wise and if so, the details thereof; and
- (f)  the  number  of  patients  benefitted  under  the  Ayushman  Bharat  Yojana  in  Bhagalpur Parliamentary Constituency during the last three years and the current year and the amount paid to the Government and private hospitals for treatment during the said period, year-wise?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(DR. BHARATI PRAVIN PAWAR)

- (a) Under National Health Mission (NHM), the funds allocation for the Janani Suraksha Yojana (JSY) is done as part of RCH Flexible Pool. Details of approvals under JSY to Low Performing States (LPS) and High Performance States (HPS) respectively in FY 2021-22 is attached at ANNEXURE-I .
- (b) The fund allocated to Bhagalpur Parliamentary Constituency under Janani Suraksha Yojana (JSY) during the last four years and current year as shared by the State of Bihar is given below:
- (c) The rate of utilisation in Low Performing States (LPS) is in accordance with the rate of utilization at National level under JSY. The details are given in the table below:
- (d) As of now, there is no such proposal to increase incentive given to promote institutional delivery under JSY.
- (e) Ministry of Health and Family Welfare, Government of India provides financial and technical support to the States/UTs for strengthening their healthcare systems based on the Programme  Implementation  Plans  (PIPs)  submitted  by  States/UTs  within  their  overall resource envelop.

| Financial Year   | Fund Allocation (In Rs.)   |
|------------------|----------------------------|
| 2018-19          | Rs. 6,81,32,620            |

| Financial Year         | Fund Allocation (In Rs.)   |
|------------------------|----------------------------|
| 2019-20                | Rs. 7,76,63,971            |
| 2020-21                | Rs. 8,53,11,535            |
| 2021-22                | Rs. 8,47,32,594            |
| 2022-23 (Current Year) | Rs. 8,56,03,062            |

| %age of Utilization against approvals   | %age of Utilization against approvals   | %age of Utilization against approvals   |
|-----------------------------------------|-----------------------------------------|-----------------------------------------|
| Financial Year                          | LPS                                     | National                                |
| FY 2019-20                              | 86%                                     | 87%                                     |
| FY 2020-21                              | 80%                                     | 82%                                     |
| FY 2021-22                              | 71%                                     | 72%                                     |

Source: FY 2019-20 & FY 2020-21 (As shared by States to NHM Finance

Division, MoHFW). FY 2021-22 (As shared by States  in Quarterly report)

As per NHM-MIS (as on 30.09.2022), State -Wise details of total number of ASHAs engaged by  States/UTs  under  National  Health  Mission(NHM)  all  over  country,  except  Goa  and Chandigarh, are given at ANNEXURE-II.

- (f) Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY) is the largest publicly funded health assurance scheme in the world which aims to provide health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to 12 Crore families.

The year-wise details of authorized hospital admission in Bhagalpur district is enclosed as ANNEXURE-III .

Further, the year-wise details of claim paid to public and private hospitals in Bhagalpur district is enclosed as ANNEXURE-IV .

.

| SNo.   | State/UT                  | 2021-22 SPIP Approvals (Rs. In Lakhs)   |
|--------|---------------------------|-----------------------------------------|
| 2      | Andhra Pradesh            | 3861.90                                 |
| 3      | Arunachal Pradesh         | 345.38                                  |
| 4      | Assam*                    | 6872.87                                 |
| 5      | Bihar*                    | 39358.20                                |
| 6      | Chandigarh                | 3.02                                    |
| 7      | Chattisgarh*              | 6981.45                                 |
| 8      | D&N Haveli and Daman &Diu | 31.31                                   |
| 9      | Delhi                     | 142.00                                  |
| 10     | Goa                       | 3.80                                    |
| 11     | Gujarat                   | 3149.66                                 |
| 12     | Haryana                   | 435.20                                  |
| 13     | Himachal Pradesh          | 196.50                                  |
| 14     | Jammu &Kashmir*           | 2972.025                                |
| 15     | Jharkhand*                | 9014.25                                 |
| 16     | Karnataka                 | 4720.20                                 |
| 17     | Kerala                    | 1178.04                                 |
| 18     | Ladakh*                   | 79.27                                   |
| 19     | Lakshadweep               | 13.00                                   |
| 20     | Madhya Pradesh*           | 22107.75                                |
| 21     | Maharashtra               | 4280.79                                 |
| 22     | Manipur                   | 168.53                                  |
| 23     | Meghalaya                 | 485.00                                  |
| 24     | Mizoram                   | 166.33                                  |
| 25     | Nagaland                  | 161.82                                  |
| 26     | Odisha*                   | 9208.38                                 |
| 27     | Puducherry                | 57.55                                   |
| 28     | Punjab                    | 1032.00                                 |
| 29     | Rajasthan*                | 19867.67                                |
| 30     | Sikkim                    | 30.43                                   |
| 31     | Tamil Nadu                | 3371.88                                 |
| 32     | Telangana                 | 1542.77                                 |
| 33     | Tripura                   | 388.00                                  |
| 34     | Uttar Pradesh*            | 52920.67                                |
| 35 36  | Uttarakhand* West Bengal  | 1540.21 8043.33                         |

Note: * Are the Low Performing States (LPS), others are the High Performing States (HPS)

ANNEXURE-II Details of ASHAs under National Health Mission (NHM)

| SNo                                       | State /UTs            | No. of ASHAs    |
|-------------------------------------------|-----------------------|-----------------|
| 1                                         | Bihar                 | 93812           |
| 2                                         | Chhattisgarh          | 72007           |
| 3                                         | Himachal Pradesh      | 7964            |
| 4                                         | Jammu &Kashmir        | 12686           |
| 5                                         | Jharkhand             | 47291           |
| 6                                         | Madhya Pradesh        | 83371           |
| 7                                         | Odisha                | 49027           |
| 8                                         | Rajasthan             | 53598           |
| 9                                         | Uttar Pradesh         | 167899          |
| 10                                        | Uttarakhand           | 12018           |
| 11                                        | Arunachal Pradesh     | 4143            |
| 12                                        | Assam                 | 32670           |
| 13                                        | Manipur               | 4114            |
| 14                                        | Meghalaya             | 7079            |
| 15                                        | Mizoram               | 1091            |
| 16                                        | Nagaland              | 2038            |
| 17                                        | Sikkim                | 676             |
| 18                                        | Tripura               | 7663            |
| 19                                        | Andhra Pradesh        | 43767           |
| 20                                        | Gujarat               | 49825           |
| 21                                        | Haryana               | 24005           |
| 22                                        | Karnataka             | 41318           |
| 23                                        | Kerala                | 26448           |
| 24                                        | Maharashtra           | 69453           |
| 25                                        | Punjab                | 20139           |
| 26                                        | Tamil Nadu            | 5647            |
| 27                                        | Telangana             | 32854           |
| 28                                        | West Bengal           | 67053           |
| 29                                        | A &NIslands           | 422             |
| 30                                        | D &NHaveli Daman &Diu | 715             |
| 31                                        | Delhi                 | 8958            |
| 32                                        | Laddak                | 608             |
| 33                                        | Lakshadweep           | 110             |
| 34                                        | Puducherry            | 315             |
|                                           | Total                 | 1050784         |
| Note: ASHAs exist in all States/UTs       | except                | Goa Chandigarh. |
| th                                        |                       | and             |
| Source: NHM-MIS as on 30 September, 2022. |                       |                 |

ANNEXURE-III

Authorized Hospital admission count and amount in Bhagalpur District

## under PM-JAY

| Parameters                                   | FY 2019-20   | FY 2020-21   | FY 2021-22   | FY 2022-23   |
|----------------------------------------------|--------------|--------------|--------------|--------------|
| Authorized hospital admission count          | 5040         | 6702         | 6626         | 9075         |
| Authorized hospital admission amount (In Rs) | 4,69,34,588  | 5,67,94,850  | 6,23,70,610  | 7,29,74,560  |

## ANNEXURE-IV

## Claim paid count and amount to Private and Public Hospitals in Bhagalpur District under PM-JAY

| Parameters                | FY 2019-20   | FY 2019-20   | FY 2020-21   | FY 2020-21   | FY 2021-22   | FY 2021-22   | FY 2022-23   | FY 2022-23   |
|---------------------------|--------------|--------------|--------------|--------------|--------------|--------------|--------------|--------------|
|                           | Public       | Private      | Public       | Private      | Public       | Private      | Public       | Private      |
| Claim Paid Count          | 3691         | 260          | 880          | 5657         | 586          | 5812         | 912          | 5822         |
| Claim Paid Amount (In Rs) | 34462473     | 2928000      | 11264759     | 43630200     | 9022938      | 49879325     | 10262399     | 48294725     |

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