Lok Sabha Question No. 984 (UNSTARRED), answered on 2021-12-03
Subject: Healthcare facilities in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Alok Kumar Suman

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

## LOK SABHA UNSTARRED QUESTION NO. 984 TO BE ANSWERED ON THE 3 RD  DECEMBER, 2021

## HEALTHCARE FACILITIES IN RURAL AREAS

## 984. DR. ALOK KUMAR SUMAN:

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

- a)  whether the Government has any plan to expedite the process of starting or creating more hospitals/care taking centres in backward rural areas of the country and if so, the details thereof:
- b)  the progress of new hospitals to be opened in Bihar particularly in Gopalganj district;
- c)  whether the Government has also provided adequate funds to various States/Union Territories  in  the  country  to  start  such  hospitals  and  if  so,  the  details  thereof, State/UT-wise; and
- d)  the  necessary  measures  taken  by  the  Government  to  improve  overall  healthcare facilities of the country including establishment of oxygen plants in Bihar particularly in Gopalganj district?

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

- a) Public  Health  &  Hospital  is  a  State  subject,  the  responsibility  of  strengthening public healthcare system including setting up of new hospitals/ care taking centres in rural  areas,  up  gradation  and  strengthening  of  existing  health  facilities  lies  with  the respective  State/  UT  Governments.  The  proposals  from  State/UT  Governments  are received in the form of Programme Implementation Plans (PIPs) under National Health

Mission (NHM) and Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per available resources.

Government  of  India  extends  supports  to  states  to  expedite  the  process  of creating health infrastructure as per Indian Public Health Standards. These standards include  norms  for  services,  infrastructure,  human  resource,  diagnostics,  equipment, medicines etc. They are used as the reference point for public health care infrastructure planning  and  up-gradation  in  the  States  and  UTs  for  all  areas  including  backward  & rural  areas. States are supported for increasing the number of diagnostic tests at the Sub Health Centre and Primary Health Centre level Health & Wellness Centres (HWCs) in order to provide the 12 expanded range of services of Comprehensive Primary Health Care, closer to the public.

Further, PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) with an outlay  of  Rs.  64,180  crores  till  2025-26  envisages  increased  investments  in  public health and other health reforms to provide better access to health in rural areas by:

- o Strengthening of Health and Wellness Centres in villages and cities for early detection of diseases.
- o Addition of new critical care-related beds at district level hospitals.
- o Support for Block Public Health Units (BPHU) in 11 high focus States
- o Integrated district public health laboratories in all districts
- b) As per report received from State Government of Bihar construction of no. of new hospitals  has  started  in  the  State  of  Bihar.  As  far  as  district  Gopalganj  is  concerned; construction  of  Community  Health  Centres  at  7  places  namely  Thawe,  Sidhwaliya, Manjha,  Kuchai  Kot,  Vijaypur,  Baikunthpur  and  Uchkapur;  Construction  of  level  -III Trauma  Centre  at  District  Hospital  and  Construction  of  Special  Newborn  Care  Units (SNCU)  at  District  Hospital  has  been  completed  in  recent  past.  Apart  from  it;  the administrative approval for upgradation of district hospital Gopalganj into Model District Hospital has been accorded.
- c) Under  NHM,  allocations  to  State/  UTs  are  made  in  flexible  pools.  Whereas, approvals under NHM are given activity wise to provide greater flexibility to States/ UTs to utilize the funds as per their felt need and priorities.

In view of above, approvals under 'Hospital Strengthening and New Construction/ Renovation and Setting up' under NRHM during last three years and the current year i.e. from FY 2018-19 to 2021-22 is placed at Annexure-I.

- d) As  per  report  received  from  State  Government  of  Bihar,  in  order  to  enhance oxygen generation and supply capacity, State Government is establishing 122 Pressure Swing Absorption (PSA) Oxygen Generation Plants in the State of Bihar. 62 Plants are being established by Central Government. Out of 122, 107 plants have already been commissioned and the commissioning of rest 15 plants is expected to be completed in month's time.

PSA Oxygen Generation Plants have been established in following  two  health facilities of Gopalganj districts, Bihar.

| Name of the facility      |   Capacity (in LPM) | Status       |
|---------------------------|---------------------|--------------|
| Sadar Hospital, Gopalganj |                1000 | Commissioned |
| SDH Hathua Gopalganj      |                 250 | Commissioned |

## Annexure-I

| State/UT wise Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 2018-19 to 2021-22   | State/UT wise Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 2018-19 to 2021-22   | State/UT wise Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 2018-19 to 2021-22   | State/UT wise Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 2018-19 to 2021-22   | State/UT wise Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 2018-19 to 2021-22   | State/UT wise Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up from the F.Y. 2018-19 to 2021-22   |
|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                         |                                                                                                                                         | 2018-19                                                                                                                                 | 2019-20                                                                                                                                 |                                                                                                                                         | Rs. In Lakhs                                                                                                                            |
| S.No. State 2020-21 2021-22 A. High Focus States                                                                                        | S.No. State 2020-21 2021-22 A. High Focus States                                                                                        | S.No. State 2020-21 2021-22 A. High Focus States                                                                                        | S.No. State 2020-21 2021-22 A. High Focus States                                                                                        | S.No. State 2020-21 2021-22 A. High Focus States                                                                                        | S.No. State 2020-21 2021-22 A. High Focus States                                                                                        |
| 1                                                                                                                                       | Bihar                                                                                                                                   | 48052.46                                                                                                                                | 52056.00                                                                                                                                | 36045.62                                                                                                                                | 37358.39                                                                                                                                |
| 2                                                                                                                                       | Chhattisgarh                                                                                                                            | 17331.84                                                                                                                                | 12783.53                                                                                                                                | 14343.63                                                                                                                                | 14665.83                                                                                                                                |
| 3                                                                                                                                       | Himachal Pradesh                                                                                                                        | 4842.91                                                                                                                                 | 5516.00                                                                                                                                 | 8731.00                                                                                                                                 | 3070.39                                                                                                                                 |
| 4                                                                                                                                       | Jammu & Kashmir                                                                                                                         | 3339.64                                                                                                                                 | 6694.80                                                                                                                                 | 4363.21                                                                                                                                 | 3368.53                                                                                                                                 |
| 5                                                                                                                                       | Jharkhand                                                                                                                               | 6585.40                                                                                                                                 | 11191.91                                                                                                                                | 10493.20                                                                                                                                | 2352.00                                                                                                                                 |
| 6                                                                                                                                       | Madhya Pradesh                                                                                                                          | 29191.08                                                                                                                                | 28839.82                                                                                                                                | 53115.51                                                                                                                                | 22886.44                                                                                                                                |
| 7                                                                                                                                       | Odisha                                                                                                                                  | 26259.56                                                                                                                                | 42639.59                                                                                                                                | 20665.69                                                                                                                                | 32219.80                                                                                                                                |
| 8                                                                                                                                       | Rajasthan                                                                                                                               | 24640.87                                                                                                                                | 53445.75                                                                                                                                | 94252.62                                                                                                                                | 36932.16                                                                                                                                |
| 9                                                                                                                                       | Uttar Pradesh                                                                                                                           | 120083.85                                                                                                                               | 43521.56                                                                                                                                | 144397.66                                                                                                                               | 122429.96                                                                                                                               |
| 10                                                                                                                                      | Uttarakhand                                                                                                                             | 2741.93                                                                                                                                 | 7061.34                                                                                                                                 | 10428.68                                                                                                                                | 12955.74                                                                                                                                |
| B. NE States                                                                                                                            | B. NE States                                                                                                                            | B. NE States                                                                                                                            | B. NE States                                                                                                                            | B. NE States                                                                                                                            | B. NE States                                                                                                                            |
| 11                                                                                                                                      | Arunachal Pradesh                                                                                                                       | 3587.42                                                                                                                                 | 2539.94                                                                                                                                 | 2828.89                                                                                                                                 | 5634.45                                                                                                                                 |
| 12                                                                                                                                      | Assam                                                                                                                                   | 9163.29                                                                                                                                 | 17637.22                                                                                                                                | 32971.23                                                                                                                                | 23372.48                                                                                                                                |
| 13                                                                                                                                      | Manipur                                                                                                                                 | 1061.70                                                                                                                                 | 1666.57                                                                                                                                 | 2602.17                                                                                                                                 | 2858.45                                                                                                                                 |
| 14                                                                                                                                      | Meghalaya                                                                                                                               | 610.30                                                                                                                                  | 895.50                                                                                                                                  | 1282.00                                                                                                                                 | 1609.04                                                                                                                                 |
| 15                                                                                                                                      | Mizoram                                                                                                                                 | 115.90                                                                                                                                  | 412.00                                                                                                                                  | 557.00                                                                                                                                  | 18.00                                                                                                                                   |
| 16                                                                                                                                      | Nagaland                                                                                                                                | 2229.48                                                                                                                                 | 1087.31                                                                                                                                 | 3855.33                                                                                                                                 | 1005.04                                                                                                                                 |
| 17                                                                                                                                      | Sikkim                                                                                                                                  | 412.27                                                                                                                                  | 692.81                                                                                                                                  | 376.68                                                                                                                                  | 371.20                                                                                                                                  |
| 18                                                                                                                                      | Tripura                                                                                                                                 | 3455.28                                                                                                                                 | 5050.54                                                                                                                                 | 4491.00                                                                                                                                 | 4874.00                                                                                                                                 |
| C. Non-High Focus States                                                                                                                | C. Non-High Focus States                                                                                                                | C. Non-High Focus States                                                                                                                | C. Non-High Focus States                                                                                                                | C. Non-High Focus States                                                                                                                | C. Non-High Focus States                                                                                                                |
| 19                                                                                                                                      | Andhra Pradesh                                                                                                                          | 7680.76                                                                                                                                 | 43234.00                                                                                                                                | 14399.00                                                                                                                                | 2332.75                                                                                                                                 |
| 20                                                                                                                                      | Goa                                                                                                                                     | 122.70                                                                                                                                  | 34.92                                                                                                                                   | 115.80                                                                                                                                  | 124.75                                                                                                                                  |
| 21                                                                                                                                      | Gujarat                                                                                                                                 | 1060.55                                                                                                                                 | 2530.00                                                                                                                                 | 1075.17                                                                                                                                 | 675.30                                                                                                                                  |
| 22                                                                                                                                      | Haryana                                                                                                                                 | 6122.73                                                                                                                                 | 7306.01                                                                                                                                 | 16762.37                                                                                                                                | 12613.30                                                                                                                                |
| 23                                                                                                                                      | Karnataka                                                                                                                               | 26997.24                                                                                                                                | 23030.02                                                                                                                                | 16083.05                                                                                                                                | 15103.25                                                                                                                                |
| 24                                                                                                                                      | Kerala                                                                                                                                  | 12519.06                                                                                                                                | 13668.61                                                                                                                                | 10734.71                                                                                                                                | 5837.16                                                                                                                                 |
| 25                                                                                                                                      | Maharashtra                                                                                                                             | 29932.97                                                                                                                                | 78537.33                                                                                                                                | 47508.02                                                                                                                                | 53943.69                                                                                                                                |
| 26                                                                                                                                      | Punjab                                                                                                                                  | 10070.00                                                                                                                                | 6950.00                                                                                                                                 | 8925.00                                                                                                                                 | 5141.90                                                                                                                                 |
| 27                                                                                                                                      | Tamil Nadu                                                                                                                              | 15882.34                                                                                                                                | 26455.98                                                                                                                                | 32950.88                                                                                                                                | 24531.73                                                                                                                                |
| 28                                                                                                                                      | Telangana                                                                                                                               | 5988.31                                                                                                                                 | 31449.78                                                                                                                                | 13970.07                                                                                                                                | 7512.13                                                                                                                                 |
| 29                                                                                                                                      | West Bengal                                                                                                                             | 11622.86                                                                                                                                | 16269.00                                                                                                                                | 17727.50                                                                                                                                | 7848.49                                                                                                                                 |
| D. Small States/UTs                                                                                                                     | D. Small States/UTs                                                                                                                     | D. Small States/UTs                                                                                                                     | D. Small States/UTs                                                                                                                     | D. Small States/UTs                                                                                                                     | D. Small States/UTs                                                                                                                     |
| 30                                                                                                                                      | Andaman & Nicobar Islands                                                                                                               | 78.00                                                                                                                                   | 340.00                                                                                                                                  | 133.00                                                                                                                                  | 159.00                                                                                                                                  |
| 31                                                                                                                                      | Dadra & Nagar Haveli                                                                                                                    | 0.00                                                                                                                                    | 0.00                                                                                                                                    | 5.76                                                                                                                                    | 2.88                                                                                                                                    |
| 32                                                                                                                                      | Daman & Diu                                                                                                                             | 4.80                                                                                                                                    | 5.76                                                                                                                                    | -                                                                                                                                       | -                                                                                                                                       |
| 33                                                                                                                                      | Delhi                                                                                                                                   | 208.00                                                                                                                                  | 590.00                                                                                                                                  | 0.00                                                                                                                                    | 500.00                                                                                                                                  |

|   34 | Lakshadweep   |   3.24 |   0.00 |    0.00 |   0.00 |
|------|---------------|--------|--------|---------|--------|
|   35 | Puducherry    |     66 |     49 |    4    |   22.8 |
|   36 | Ladakh        |      0 |      0 | 3240.67 | 3125   |

Note:

1. The above data comprises of inter alia Hospital Strengthening - Up- Gradation of CHCs, PHCs, Dist. Hospitals, Rent and Contingencies, etc. and New Constructions/ Renovation and  Setting  up  -  CHCs,  PHCs,  SHCs/Sub  Centres,  Setting  up  Infrastructure  wing  for Civil works, Facility improvement, Civil Works for Operationalising Infection Management & Environment Plan at health facilities, Infrastructure of Training Institutions, SDH, DH and Civil work of DEIC (RBSK), etc.
2. The above data is as per the available Financial Management Report (FMR) submitted by the States/UTs.