Lok Sabha Question No. 3351 (UNSTARRED), answered on 2021-12-17
Subject: Health Schemes in North-Eastern Region
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rebati Tripura

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

## LOK SABHA UNSTARRED QUESTION NO. 3351 TO BE ANSWERED ON THE 17 th  DECEMBER, 2021

## HEALTH SCHEMES IN NORTH-EASTERN REGION

## 3351.     SHRI REBATI TRIPURA;

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

- (a) The details of various health schemes being implemented by the Government for the welfare of North Eastern Region (NER) especially in Tripura;
- (b) Whether  the  Government  has  assessed  the  quality  of  healthcare  services  in  the NER especially in Tripura and if so, the details along with the outcome thereof;
- (c) the  details  of  estimated  number  of  doctors,  medical  colleges,  hospitals  and hospital beds available in the NER; and
- (d) the  other  steps  taken  by  the  Government  to  improve  access  to  affordable  and quality healthcare services in the NER along with the funds earmarked, allocated and utilized during each of the last three years and the current year?

## ANSWER

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

(a) 'Public Health and Hospital' is a State subject, the primary responsibility of ensuring availability  of  healthcare  facilities  lies  with  respective  State/UT  Governments  including Tripura.

Under  the  National  Health  Mission  (NHM),  Government  of  India  provides  financial  and technical  support  to  States/UTs  to  strengthen  their  health  care  systems  for  provision  of equitable, affordable healthcare to all its citizens based on requirements posed by the States in their Programme Implementation Plans (PIPs).

NHM support is provided for provision of a range of free services related to maternal health, child health, adolescent health, family planning, universal immunization programme and for major  diseases  such  as  Tuberculosis,  vector  borne  diseases  like  Malaria,  dengue  and  Kala Azar, Leprosy, etc.

Other  major  initiatives  supported  under  NHM  include  Janani  Shishu  Suraksha  Karyakram (JSSK), Rashtriya Bal SwasthyaKaryakram (RBSK), implementation of Free Drugs and Free

Diagnostics Service Initiatives, Mobile Medical Units (MMUs), Ambulance Services & Teleconsultation  services,  PM  National  Dialysis  Programme  and  implementation  of  National Quality Assurance Framework in all public health facilities.

As part of Ayushman Bharat - Health and Wellness Centres (AB-HWCs) launched in 2018, 3876  HWCs  (out  of  which  324  HWCs  are  in  Tripura)  have  been  made  functional  across North Eastern Region (as on13.12.2021) for provision of comprehensive primary care that includes preventive healthcare and health promotion at the community level.

(b) Public  health  facilities  of  all  North  Eastern  States  including  Tripura  are  assessed pertaining  to  NQAS  (National  Quality  Assurance  Standards)  Certification  and  LaQshya Certification  under  the  ambit  of  National  Quality  Assurance  Programme.  The  details  of assessment are enlisted below :

-  Out  of  27  applications  received  for  assessment  in  North  Eastern  Region,  25 Healthcare  facilities  are  Nationally  NQAS  certified.    It  includes  8  Healthcare facilities Nationally NQAS  certified in Tripura against 8 applications for assessment.
-  Out  of  24  applications  received  for  assessment  in  North  Eastern  Region,  17 Labour  Room  facilities  are  LaQshya  certified.    It  includes  3    Labour  Room facilities in Tripura against 3 applications for assessment.
-  Out  of  18    applications  received  for  assessment  in  North  Eastern  Region,  13 Maternity  Operation  Theatres  (OTs)  are  LaQshya  certified. It includes 1 Maternity OT in Tripura against 3 applications for assessment.

(c ) The  estimated  number  of  doctors,  medical  colleges,  hospitals  and  hospital  beds available in the NER  are as under :

| Indicators                                                                             | Estimated Number in North East Region                                                                                                                               |
|----------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Doctors ( (GDMOs + Specialists + Ayush) (Source : Rural Health Statistics, March 2020) | 5307                                                                                                                                                                |
| Medical Colleges (Source: National Health Profile - 2020 )                             | 15                                                                                                                                                                  |
| Hospitals (Source : Rural Health Statistics, March 2020)                               | Sub Centres (SCs) - 7843 Primary Health Centres (PHCs) - 1701 Community Health Centres (CHCs) - 351 Sub District Hospitals (SDH) - 30 District Hospitals (DHs) - 90 |
| Hospital Beds (Source: National Health Profile - 2020)                                 | 10,125 Beds in Medical Colleges (NHP 2020) + 47764 (in Govt. Hospitals both in rural and urban as per NHP 2020)                                                     |

(d) The other steps taken by the Government to improve access to affordable and quality health  care  services    in  the  country  including  NERin  addition  to  support  provided  under NHM includes:

-  Ayushman Bharat, Pradhan Mantri Jan ArogyaYojana (AB-PMJAY) provides health coverage  up  to  Rs  5  Lakh  per  family  per  year  to  around  10.74  crore  poor  and vulnerable families across the country as per Socio Economic Caste Census (SLCC).
-  Under  PM  Ayushman  Bharat  Health  Infrastructure  Mission  (PM-ABHIM),    an amount of Rs. 2463.01 Crores till FY 2025-26 has been provisioned for NE Region to  increase  investment  in  public  health  and  other  health  reforms  and  to  safeguard against future resurgences of COVID-19, if any, and future public health emergencies.
-  The Ministry of Health and Family Welfare is implementing  a Centrally Sponsored Scheme (CSS) namely 'Establishment of new Medical Colleges attached with existing district/referral hospital'.
- i. Under 'Establishment of new  medical colleges attached with existing district/referral hospitals', a total of 157 medical colleges have been approved in  the  country  in  three  phases  including  13  Medical  Colleges  in  North  East Region.
- ii. Under the CSS for Strengthening and Up-gradation of Govt. Medical Colleges for  Increase of PG seats , 4 medical colleges were approved for increasing a total  of  258  seats  in  North  Eastern  Region  including  Agartala  Medical College, Agartala, Tripura.
- iii. Under  the  Scheme  for  Upgradation  of  existing  State  Government/Central Government  medical  colleges  to  increase  MBBS  seats  in  the  country,  one Medical College has been approved in North East Region.
-  The Ministry of Health and Family Welfare is implementing Pradhan MantriSwasthya  Suraksha  Yojana  (PMSSY)  with  the  objectives  of  correcting regional  imbalances  in  the  availability  of  affordable/reliable  tertiary  healthcare services  and  also  to  augment  facilities  for  quality  medical  education  in  the country.    PMSSY  has  two  components  i.e  (i)Setting  up  of  new  AIIMS  like institutions and (ii) Upgradation of Government Medical Colleges/Institutions.
-  For  upgradation/strengthening  Trauma  Care  Facilities  in  identified  Government Hospitals/Medical  Colleges,  a  total  of  41  Trauma  Care  Facilities  and  3  Burn Unitshave been approved in North Eastern States including 5 TCFs in the State of Tripura.

Detail  of  funds  released  and  utilized  by  the  North  Eastern  Region  under  National  Health Mission (NHM) during the last three years and the current year, is as under :

| FY      |   Central Release (Rs. in Crore) |   Expenditure (Rs. in Crore) |
|---------|----------------------------------|------------------------------|
| 2018-19 |                          2372.79 |                      2573.8  |
| 2019-20 |                          2805.5  |                      2904.12 |

| 2020-21   |   3070.62 | 2896.85                    |
|-----------|-----------|----------------------------|
| 2021-22   |   1132.08 | 1285.24 (as on 24.11.2021) |

Note: (i). Allocation for FY 2021-22 of Rs.1938.87 Crore is as per original outlay/BE. (ii)The above releases  relates  to  Central  Government  grants  and  do  not  include  State  share  contribution.  (iii) Expenditure  includes  expenditure  against  Central  release,  State  release  &  unspent  balances  at  the beginning of the year.