Lok Sabha Question No. 3035 (UNSTARRED), answered on 2021-08-06
Subject: Community Health Centres and Primary Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Heena Vijaykumar Gavit, Shrikant Eknath Shinde, Nishikant  Dubey, Unmesh Bhaiyyasaheb Patil, Sambhajirao Mane Dhairyasheel, Sujay Radhakrishna Vikhepatil

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

## LOK SABHA UNSTARRED QUESTION NO. 3035

## TO BE ANSWERED ON 06 TH  AUGUST, 2021

## COMMUNITY HEALTH CENTRES AND PRIMARY HEALTH CENTRES

## 3035.    DR. HEENA GAVIT:

DR. SHRIKANT EKNATH SHINDE:

DR. NISHIKANT DUBEY:

SHRI UNMESH BHAIYYASAHEB PATIL:

SHRI DHAIRYASHEEL SAMBHAJIRAO MANE:

DR. SUJAY RADHAKRISHNA VIKHE PATIL:

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

- (a)   whether  it  is  a  fact  that  maximising  the  efficiency  of  Primary  Healthcare  Centres (PHCs) will result in a significant saving of funds;
- (b)   if  so,  the  steps  proposed  to  be  taken  to  strengthen  the  primary  healthcare  in  the country;
- (c)   whether  any  concrete  plan  is  being  chalked  out  for  improving  the  healthcare  at village/Panchayat  level  to  realize  the  New  India  vision  by  2022,  as  healthcare  at village level is languishing the most;
- (d)  the present status of Community Health Centres (CHCs) and Primary Health Centres (PHCs) in the country State/UT-wise including Maharashtra and Jharkhand;
- (e)  whether there are any studies to gauge the efficiency of the PHC in the country; and
- (f)  if so, the details thereof and if not, the reasons therefor?

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

- (a) to  (c):    The  National  Health  Policy,  2017  lays  down  the  objective  of  providing affordable,  equitable,  and  accessible  health  care  in  the  country.  To  meet  these objectives, technical and financial support is provided to States under National Health Mission(NHM)  for  strengthening  health  care  systems  based  on  proposals  received from the States/UTs. Public Health and Hospitals,being a State Subject, the primary responsibility of providing health care lies with the respective State/UT Governments,including in the states of Maharashtra and Jharkhand.

For providing comprehensive primary health care at the community level, the Government Of India has launched Ayushman Bharat-Health and Wellness Centres (AB-HWC) initiative, in the year 2018, whereby 1.5 lakh Sub-Health Centres(SHCs) / Primary  Health  Centres  are  being  upgraded  into  HWCs.A  package  of  12  health services are being provided at these HWCs, which  reduce the need for secondary and tertiary  treatment  as  well  as  lessen  the  burden  of  'out  of  pocket  expenditure',  for those  seeking  primary  health  care,    closer  to  their  homes.  Details  of  12  packages provided at HWCs is at Annexure-I

Also, the Fifteenth Finance Commission has recommended grants aggregating to  Rs.70,051  Crores,  over  the  period  of  five  years  (2021-2026)  through  local governments, for strengthening healthcare system at the primary health care level.

(d):  The  present  status  of  Community  Health  Centres  (CHCs)  and  Primary  Health Centres (PHCs)  in the country, State/UT-wise, including in Maharashtra and Jharkhandare at Annexure II

(e)  &  (f):  An  evaluation  study  on  the  functioning  of  the  AB-HWCs  has  been conducted.  The  Ministry  of  Health  conducts  regular  reviews  with  the  States/UTs regarding  the  functioning  of  the  Health  system  including  of  the  PHCs  &  the  ABHWCs. The Ministry also monitors the performance of the PHCs through the Health Management Information System(HMIS) & AB-HWC portal.

## Packages provided under AB-HWC

1.  Care in Pregnancy and Child Birth.
2.  Neonatal and Infant health care services.
3.  Childhood and Adolescent health care services.
4.  Family planning, contraceptive services and other reproductive health care services
5.  Management of communicable diseases: National Health programmes
6.  General out-patient care for acute simple illnesses and minor ailments
7.  Screening, prevention, control and management of noncommunicable diseases and chronic communicable diseases like tuberculosis and leprosy
8.  Basic oral health care
9.  Screening and basic management of mental Health ailments
10. Care for common ophthalmic and ENT problem
11. Elderly and palliative health care services
12. Emergency medical services including burns and trauma.

Annexure-I

The present status CHCs and PHCs  in the country, State wise including Maharashtra and Jharkhand is as under :

| S.No.   | State/UT                           | PHCs   | PHCs   | CHCs   | CHCs   |
|---------|------------------------------------|--------|--------|--------|--------|
| S.No.   | State/UT                           | Rural  | Urban  | Rural  | Urban  |
| 1       | Andhra Pradesh                     | 1142   | 243    | 141    | 57     |
| 2       | Arunachal Pradesh                  | 119    | 5      | 60     | 0      |
| 3       | Assam                              | 946    | 56     | 190    | 2      |
| 4       | Bihar                              | 1702   | 325    | 57     | 7      |
| 5       | Chandigarh                         | 792    | 45     | 170    | 4      |
| 6       | Goa                                | 55     | 4      | 6      | 0      |
| 7       | Gujrat                             | 1477   | 318    | 348    | 14     |
| 8       | Haryana                            | 385    | 100    | 118    | 13     |
| 9       | Himachal Pradesh                   | 564    | 24     | 85     | 7      |
| 10      | Jharkhand                          | 291    | 60     | 171    | 6      |
| 11      | Karnataka                          | 2176   | 358    | 189    | 19     |
| 12      | Kerala                             | 784    | 148    | 211    | 16     |
| 13      | Madhya Pradesh                     | 1199   | 277    | 309    | 21     |
| 14      | Maharashtra                        | 1829   | 846    | 278    | 140    |
| 15      | Manipur                            | 85     | 8      | 17     | 0      |
| 16      | Meghalaya                          | 119    | 24     | 28     | 0      |
| 17      | Mizoram                            | 57     | 8      | 9      | 0      |
| 18      | Nagaland                           | 130    | 7      | 21     | 0      |
| 19      | Odisha                             | 1288   | 89     | 377    | 7      |
| 20      | Punjab                             | 427    | 100    | 143    | 12     |
| 21      | Rajasthan                          | 2094   | 383    | 548    | 66     |
| 22      | Sikkim                             | 24     | 1      | 2      | 0      |
| 23      | Tamil Nadu                         | 1420   | 464    | 385    | 15     |
| 24      | Telangana                          | 636    | 249    | 85     | 10     |
| 25      | Tripura                            | 107    | 5      | 22     | 0      |
| 26      | Uttarakhand                        | 257    | 38     | 56     | 12     |
| 27      | Uttar Pradesh                      | 2880   | 593    | 711    | 12     |
| 28      | West Bengal                        | 913    | 456    | 348    | 0      |
| 29      | Andaman& Nicobar Islands           | 22     | 5      | 4      | 0      |
| 30      | Chandigarh                         | 0      | 48     | 0      | 2      |
| 31      | Dadra &Nagar Haveli and Daman& Diu | 10     | 3      | 4      | 0      |
| 32      | Delhi                              | 5      | 541    | 0      | 23     |
| 33      | Jammu &Kashmir                     | 923    | 49     | 77     | 0      |
| 34      | Ladakh                             | 32     | 0      | 7      | 0      |
| 35      | Lakshadweep                        | 4      | 0      | 3      | 0      |
| 36      | Puduchery                          | 24     | 15     | 3      | 1      |
|         | All India                          | 24918  | 5895   | 5183   | 466    |

Source : RHS 2019-20