Lok Sabha Question No. 197 (STARRED), answered on 2022-07-29
Subject: District Hospitals on PPP Mode
Ministry: HEALTH AND FAMILY WELFARE
Asked by: A. Ganeshamurthi

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

## LOK SABHA STARRED QUESTION NO. 197 TO BE ANSWERED ON THE 29 TH  JULY, 2022

## DISTRICT HOSPITALS ON PPP MODE

## *197. SHRI A. GANESHAMURTHI:

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

- (a)  whether  NITI  Aayog  recently  recommended  for  running  district  hospitals  on Public-Private-Partnership (PPP) mode;
- (b) if so, the details thereof;
- (c) whether the said proposal is likely to adversely affect the poor people in getting healthcare facilities and if so, the details thereof; and
- (d) the manner in which the Government is contemplating to provide best medical care to the poor  without  expanding  infrastructural  facilities and  addressing shortage of medical professionals and medicines in the country?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to (  d) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 197* FOR 29 TH  JULY, 2022

(a) to (d) As per the information received from NITI Aayog, no such recommendation  has  been  made  for  running  district  hospitals  on  Public  Private Partnership (PPP) mode.

Ministry  of  Health  &  Family  Welfare  has  taken  following  initiatives  to provide good quality medical care to the poor:

-  Under Ayushman  Bharat-Health  and  Wellness  Centres  (AB-HWC), the existing Sub-health Centres (SHCs) and Primary Health Centres (PHCs) are being transformed into AB-HWCs to deliver twelve packages of Comprehensive  Primary  Health  Care  (CPHC)  that includes preventive, promotive, curative, palliative and rehabilitative services which is universal, free and close to the community. As reported by the States/UTs on the ABHWC  Portal,  as  on  30 th June,  2022,  total  1,20,112  AB-HWCs  have  been operationalized against the target of 1,50,000 AB-HWCs by December, 2022.
-  PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) with an outlay of Rs. 64,180 crores till 2025-26 to provide better access to health in rural areas by i) Strengthening of Health and Wellness Centres in villages and cities ii) Addition of new critical care-related beds at district level hospitals; iii)  Support  for Block Public Health Units (BPHU) in 11 high focus States; and iv) Integrated district public health laboratories in all districts.
-  An amount of Rs 70,051 crores has been allocated for the period 2020-21 to 2025-26 to address the gaps in Primary  Healthcare infrastructure as per the recommendations of 15 th Finance Commission (FC-XV) w.r.t Health Grants through Local Governments.
-  The Pradhan  Mantri  Swasthya  Suraksha  Yojana  (PMSSY) aims  at providing affordable tertiary healthcare services and quality medical education in the country through two components, namely, (i) Setting up of All  India  Institute  of  Medical  Sciences  (AIIMS);  and  (ii)  Upgradation  of existing Government Medical Colleges/ Institutions (GMCIs). So far setting up  of  22  new  AIIMS  and  75  projects  of  upgradation  of  GMCIs  have  been approved under the Scheme in various phases.
-  Under the scheme ' Establishment of new Medical Colleges attached with existing  district/referral  hospitals', establishment  of  157  medical  colleges has been approved in three phases and 72 are already functional.
-  Under Ayushman  Bharat-  Pradhan  Mantri  Jan  Arogya  Yojana  (ABPMJAY), health coverage of up to Rs 5.00 lakh per family per year to around 10.74  crore  poor  and  vulnerable  families  in  the  country  as  per  Socio Economic Caste Census (SECC).
-  'E-Sanjeevani' platform provides telemedicine services for the communities, especially in the rural areas, through a hub and spoke model.
-  Under Free Drugs  Service Initiative ,  essential  drugs  at  different  levels  of public health facilities are provided free to all citizens of India.
-  Similarly, under Free Diagnostics Services Initiative , support is provided to States / UTs for provision of medical equipment to enables access and use of high-quality diagnostic services
-  Under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) about 8,700  dedicated  outlets  known  as  Pradhan  Mantri  Bhartiya  Janaushadhi Kendras  (PMBJKs)  have  been  opened  to  provide  generic  medicines  at affordable prices
-  Under National TB Elimination Programme-NTEP (Revised RNTCP), free treatment services are available for TB at all public health facilities.
-  Free provision of services for maternal health, child health, family planning and  the  universal  immunization  program  has  been  strengthened  through initiatives such as Janani Shishu Suraksha Karyakram  (JSSK), Janani Suraksha  Yojana  (JSY),  Rashtriya  Bal  Swasthya  Karyakram  (RBSK)  and Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA).
-  National  Ambulance  Services  (NAS) is  designed  to  provide  transport  to patients  of  critical  care,  trauma  and  accident  victims  and  basic  patient transport aimed to cater the needs of pregnant women and children and others.
-  Pradhan Mantri National Dialysis Program was rolled out in 2016 wherein quality dialysis services are provided 'Free' to BPL patients and at nominal costs to others.
-  The  number  of  UG  seats  have  been  increased  from  51,348  before  2014  to 91,927 seats as of date which is an increase of 79%. The number of PG seats have been increased by 93% from 31,185 seats before 2014 to 60,202 seats .
-  DNB qualification has been recognized for appointment as faculty to take care of shortage of faculty.
-  Hard  area  allowance  is  paid  to  specialist  doctors  for  serving  in  rural  and remote areas and for their residential quarters.

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