Lok Sabha Question No. 623 (UNSTARRED), answered on 2022-02-04
Subject: Healthcare Facilities in Rural, Backward and Hilly Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nishikant  Dubey, Mansukhbhai Dhanjibhai Vasava, Chhatar Singh Darbar

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

## LOK SABHA UNSTARRED QUESTION NO. 623 TO BE ANSWERED ON 04.02.2022

## HEALTHCARE FACILITIES IN RURAL, BACKWARD AND HILLY AREAS

## 623. DR. NISHIKANT DUBEY: SHRI CHHATAR SINGH DARBAR: SHRI MANSUKHBHAI  DHANJIBHAI  VASAVA:

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

- (a) whether the Government has conducted any survey to ascertain the healthcare facilities  in  rural,  backward,  tribal  and  hilly  areas  of  the  country  including Madhya Pradesh, Gujarat and Jharkhand;
- (b) if so, the details and the fundings thereof along with necessary corrective steps taken thereon, State/UT wise;
- (c) whether  the  Government  proposes  to  provide  advance  medical  facilities  and  to construct super speciality hospitals in such areas of the country and if so, the details thereof;
- (d) the details of centrally sponsored health projects/ schemes being implemented in the country, State/UT-wise; and
- (e) the details of allocation and utilization of funds and targets achieved under each such project/scheme during the last three years?

## ANSWER

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

(a) to (e) : The status of availability of health care facilities in rural areas including tribal areas are compiled based on information received from States/UTs every year and is published as Rural Health Statistics. The status of availability of rural health infrastructure, including for the states of Madhya Pradesh, Gujarat and Jharkhand is given at Annexure I .

Public  Health  &  Hospitals  is  a  State  subject,  the  primary  responsibility  for  ensuring  the availability  of  healthcare  facilities  lies  with  respective  State/UT  Government.  Further,  the Ministry of Health and Family Welfare (MoHFW), Government of India provides financial and technical support to the States/UTs under various health schemes/projects for strengthening the healthcare facilities for provision of equitable, affordable healthcare to all citizens based on the requirements posed by the States/UTs in their Programme Implementation  Plans  (PIPs).  Further,  as  on  date,  establishment  of  22  AIIMS  and  75 upgradation  projects  of  GMCs/Institutes  have  been  sanctioned,  out  of  which6  AIIMS  are fully  functional.  Support  is  also  envisaged  to  the  States  for  construction  of  Critical  Care Blocks  (CCBs)  at  district  level.  These  CCBs  are  envisaged  to  have  advanced  medical facilities. However, construction of super specialty hospitals in such areas lies in the domain of the respective State Government.

The details regarding allocation and utilization of funds under various Centrally Sponsored Schemes (CSS), implemented by MoHFW in the country during the last three years is given at Annexure-II .

The effects of the innovative policies and programmes of MoHFW, Government of India for the inclusive growth of its population and the efficient implementation at the grass-root level are evident from the findings of NFHS-5 (2019-21). The Total Fertility Rate (TFR) of the  country  has  reached  below  the  replacement  level  of  fertility.  The  contraception prevalence  rate,  antenatal  care  coverage,  institutional  deliveries,  immunisation  coverage have  increased  since  the  last  round  of  NFHS  (2015-16).  Further,  the  infant  and  child mortality rates, unmet need for family planning and child malnutrition indicators, etc. have also declined compared to NFHS-4 estimates.

*********

## Annexure-I

| NUMBER   | State/UT                             | SUB-CENTRES, PHCs, CHCs FUNCTIONING IN RURAL AREAS   | SUB-CENTRES, PHCs, CHCs FUNCTIONING IN RURAL AREAS   | SUB-CENTRES, PHCs, CHCs FUNCTIONING IN RURAL AREAS   |
|----------|--------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|
| NUMBER   | State/UT                             | (As Sub centre                                       | 31st March PHCs                                      | CHCs Rural                                           |
| 1        | Andhra Pradesh                       | Rural 7437                                           | Rural 1142                                           | 141                                                  |
| 2        | Arunachal Pradesh                    | 356                                                  | 119                                                  | 60                                                   |
| 3        | Assam                                | 4659                                                 | 946                                                  | 190                                                  |
| 4        | Bihar                                | 9112                                                 | 1702                                                 | 57                                                   |
| 5        | Chhattisgarh                         | 5205                                                 | 792                                                  | 170                                                  |
| 6        | Goa                                  | 218                                                  | 55                                                   | 6                                                    |
| 7        | Gujarat                              | 9162                                                 | 1477                                                 | 348                                                  |
| 8        | Haryana                              | 2617                                                 | 385                                                  | 118                                                  |
| 9        | Himachal Pradesh                     | 2092                                                 | 564                                                  | 85                                                   |
| 10       | Jharkhand                            | 3848                                                 | 291                                                  | 171                                                  |
| 11       | Karnataka                            | 9188                                                 | 2176                                                 | 189                                                  |
| 12       | Kerala                               | 5410                                                 | 784                                                  | 211                                                  |
| 13       | Madhya Pradesh                       | 10226                                                | 1199                                                 | 309                                                  |
| 14       | Maharashtra                          | 10647                                                | 1829                                                 | 278                                                  |
| 15       | Manipur                              | 418                                                  | 85                                                   | 17                                                   |
| 16       | Meghalaya                            | 440                                                  | 119                                                  | 28                                                   |
| 17       | Mizoram                              | 311                                                  | 57                                                   | 9                                                    |
| 18       | Nagaland                             | 395                                                  | 130                                                  | 21                                                   |
| 19       | Odisha                               | 6688                                                 | 1288                                                 | 377                                                  |
| 20       | Punjab                               | 2950                                                 | 427                                                  | 143                                                  |
| 21       | Rajasthan                            | 13480                                                | 2094                                                 | 548                                                  |
| 22       | Sikkim                               | 147                                                  | 24                                                   | 2                                                    |
| 23       | Tamil Nadu                           | 8713                                                 | 1420                                                 | 385                                                  |
| 24       | Telangana                            | 4744                                                 | 636                                                  | 85                                                   |
| 25       | Tripura                              | 965                                                  | 107                                                  | 22                                                   |
| 26       | Uttarakhand                          | 1839                                                 | 257                                                  | 56                                                   |
| 27       | Uttar Pradesh                        | 20778                                                | 2880                                                 | 711                                                  |
| 28       | West Bengal                          | 10357                                                | 913                                                  | 348                                                  |
| 29       | Andaman & Nicobar Islands            | 124                                                  | 22                                                   | 4                                                    |
| 30       | Chandigarh                           | 0                                                    | 0                                                    | 0                                                    |
| 31       | Dadra & Nagar Haveli and Daman & Diu | 94                                                   | 10                                                   | 4                                                    |
| 32       | Delhi                                | 12                                                   | 5                                                    | 0                                                    |
| 33       | Jammu & Kashmir                      | 2470                                                 | 923                                                  | 77                                                   |
| 34       | Ladakh                               | 238                                                  | 32                                                   | 7                                                    |
| 35       | Lakshadweep                          | 11                                                   | 4                                                    | 3                                                    |
| 36       | Puducherry                           | 53                                                   | 24                                                   | 3                                                    |

Notes: Chandigarh UT is not having rural and tribal areas, therefore the facility count is Zero.

## Annexure-II

## Scheme-wise Statement of RE & Actuals Expenditure for last 3  years

| Sl. No.     | Scheme/Programme/Institute                                                                                             | RE 2018-19   | Actuals 2018-19   | RE 2019-20   | Actuals 2019-20   | RE 2020-21   | Actual 2020-21   |
|-------------|------------------------------------------------------------------------------------------------------------------------|--------------|-------------------|--------------|-------------------|--------------|------------------|
|             | Centrally Sponsored Scheme (CSS)                                                                                       |              |                   |              |                   |              |                  |
| a           | NRHM-RCH Flexible Pool                                                                                                 | 5728.51      | 5425.51           | 5703.52      | 5902.05           | 6241.02      | 6719.51          |
| b           | Health System Strengthening under NRHM                                                                                 | 10187.75     | 10185.31          | 12026.61     | 13079.86          | 13098.09     | 13523.07         |
| c           | Flexible Pool for Communicable Diseases                                                                                | 1829.20      | 2626.04           | 2156.00      | 3357.44           | 2110.14      | 3243.32          |
| d           | Flexible Pool for Non-Communicable Diseases, Injury & Trauma                                                           | 566.26       | 546.77            | 708.00       | 674.78            | 403.51       | 365.21           |
| e           | Infrastructure Maintenance                                                                                             | 6200.82      | 6241.76           | 6993.41      | 6737.60           | 6343.41      | 6333.27          |
| f           | Strengthening of State drug regulatory system                                                                          | 206.00       |                   |              |                   |              |                  |
| g           | Human Resources for Health                                                                                             | 0.00         | 0.00              | 0.00         | 0.00              | 0.00         | 0.00             |
| h           | Forward Linkages to NRHM                                                                                               | 101.30       | 75.61             | 0.00         | 0.00              | 0.00         | 0.00             |
| i           | Other Health Schemes(PILOT)                                                                                            | 35.00        | 26.19             | 25.00        | 18.38             | 25.00        | 19.87            |
| j           | Prime Minister's Development Plan for Jammu & Kashmir                                                                  | 273.71       | 273.71            | 63.36        | 63.36             | 0.00         | 0.00             |
| k           | Strengthening of National Programme Management of the NHM                                                              | 100.00       | 93.88             | 124.20       | 118.86            | 125.00       | 121.59           |
| l           | JanasankhyaSthirthaKosh (JSK)                                                                                          | 14.50        | 0.00              | 33.50        | 34.49             | 20.58        | 20.44            |
| Total - NHM | Total - NHM                                                                                                            | 25243.05     | 25494.78          | 27833.60     | 29986.82          | 28366.75     | 30346.28         |
| 2           | National Urban Health Mission-Flexble Pool                                                                             | 875.00       | 868.46            | 950.00       | 850.06            | 950.00       | 949.87           |
| 3           | Strengthening of State drug regulatory system                                                                          |              | 179.27            | 206.00       | 206.00            | 130.00       | 114.67           |
| 4           | Tertiary Care Programme/Schemes                                                                                        |              |                   |              |                   |              |                  |
| a           | National Mental Health Programme                                                                                       | 5.50         | 2.01              | 5.00         | 2.51              | 27.36        | 20.46            |
| b           | Assistance for Capacity Building for Trauma Centres i) Trauma Centers                                                  | 30.00        | 7.37              | 10.00        | 2.14              | 20.00        | 20.34            |
|             | ii) Prevention of Burn Injury Total-Assistance for Capacity Building                                                   | 30.00        | 7.37              | 10.00        | 2.14              | 20.00        | 20.34            |
| c           | National Programme for prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and stroke (NPCDCS)           | 100.50       | 98.18             | 160.00       | 150.02            | 133.86       | 139.16           |
| d           | National Programme for Health care for Elderly                                                                         | 80.00        | 74.71             | 25.00        | 9.92              | 15.00        | 14.35            |
| e           | National Programme for Control of Blindness                                                                            | 17.00        | 2.82              | 5.00         | 1.82              | 5.00         | 4.91             |
| f           | Tobacco Control Programme& DDAP                                                                                        | 67.00        | 61.55             | 65.00        | 23.14             | 65.00        | 56.59            |
| g           | Telemedicine                                                                                                           | 45.00        | 42.04             | 30.00        | 51.58             | 45.28        | 44.71            |
|             | Total - Tertiary Care Programme/Schemes                                                                                | 345.00       | 288.68            | 300.00       | 241.13            | 311.50       | 300.52           |
| 5           | Human Resources for Health & Medical Education                                                                         |              |                   |              |                   |              |                  |
| a           | Upgradation/Strengthening of Nursing Services (ANM/GNM).                                                               | 66.00        | 58.71             | 32.00        | 3.06              | 0.00         | 0.00             |
| b           | Strengthening/upgradation of Pharmacy School/Colleges.                                                                 | 0.00         | 1.00              | 0.00         | 0.00              | 0.00         | 0.00             |
| c           | District Hospitals-Upgradation of State Govt. Medical Colleges (PG Seats)                                              | 172.25       | 172.24            | 600.00       | 600.00            | 0.00         | 0.00             |
| d           | Strengthening Govt. Medical Colleges (UG Seats) and Central Govt. Health Institutions                                  | 794.07       | 794.07            | 761.00       | 761.00            | 0.00         | 0.00             |
| e           | Establishing new Medical Colleges (Upgrading District Hospitals).                                                      | 3167.68      | 3167.68           | 3087.00      | 2000.00           | 0.00         | 0.00             |
| f           | Setting up State Institutions of Para-Medical Sciences in States and Setting up of Colleges of Para-Medical Education. | 20.00        | 20.00             | 20.00        | 11.46             | 0.00         | 0.00             |
| g           | Establishment of New Medical Colleges and Increase of Seats in existing Government Medical Colleges (NIF).             |              |                   |              |                   | 5386.00      | 5386.00          |

(Rs. in crore)

|    | Total - Human Resources for Health & Medical Education    | 4220.00   |   4213.70 | 4500.00   |   3375.52 | 5386.00   |   5386.00 |
|----|-----------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|
| 6  | RashtriyaSwasthyaBimaYojna (RSBY) - RSSY                  | 300.00    |    226.55 | 114.00    |     56.61 | 29.00     |      0.46 |
| 7  | Ayushman Bharat - Pradhan Mantri Jan ArogyaYojana (PMJAY) | 2400.00   |   1997.92 | 3200.00   |   3200    | 3100.00   |   2680.57 |
| 8  | Senior Citizens Health Insurance Scheme                   | 0.00      |      0    | 0.00      |      0    | 10.00     |      0    |
|    | Deduct Recoveries                                         |           |   -323.82 |           |   -253.26 |           |   -209.3  |
|    | Total - NHM                                               | 33383.05  |  32945.5  | 37103.60  |  37662.9  | 38283.25  |  39569.1  |