Lok Sabha Question No. 2803 (UNSTARRED), answered on 2023-03-17
Subject: Human Resource and Infrastructure Development in Healthcare
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kani K. Navas

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

## LOK SABHA UNSTARRED QUESTION NO. 2803 TO BE ANSWERED ON THE 17 TH  MARCH, 2023

## HUMAN RESOURCE AND INFRASTRUCTURE DEVELOPMENT IN HEALTHCARE

## 2803:  SHRI K. NAVASKANI

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

(a) whether the Government agrees with the view that capacities have to be built both in terms of human resource and infrastructure not just to respond to the pandemic but also for handling cutting edge newer technologies which make us future ready for tackling many other diseases and health care challenges.;

- (b) if so, the details of the initiatives that are proposed to be taken by the Government in this regard; and
- (c) 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) : Under National Health Mission, Ministry of Health & Family Welfare provides financial and technical support to States/UTs to strengthen their healthcare systems  which includes health infrastructure and recruitment, training and capacity building of HRH based on the requirements posed by them in their Programme Implementation Plans (PIPs) within their overall resource envelope.

Support for incentives and honorarium for health systems strengthening and enhancement of capacity of Human Recourses for Health are also provided under NHM, which are as under:

- o Hard area allowance to specialist doctors for serving in rural and remote areas
- o Honorarium  to Gynecologists/ Emergency  Obstetric Care (EmoC)  trained, Pediatricians & Anesthetist/ Life Saving Anaesthesia Skills (LSAS) trained doctors is  also  provided  to  increase  availability  of  specialists  for  conducting  Cesarean Sections in rural & remote area.
- o Incentives  like  special  incentives  for  doctors,  incentive  for  ANM  for  ensuring timely  ANC  checkup  and  recording,  incentives  for  conducting  Adolescent Reproductive and Sexual Health activities.
- o States  are  also  allowed  to  offer  negotiable  salary  to  attract  specialist  including flexibility in strategies such as 'You Quote We Pay'.
- o Non-Monetary incentives such as preferential admission in post graduate courses for staff serving in difficult areas
- o Multi-skilling  of  doctors  is  supported  under  NHM  to  overcome  the  shortage  of specialists. Skill upgradation of existing HR is another major strategy under NRHM for achieving improvement in health outcomes.

With the objective of strengthening the public health infrastructure by leveraging existing reforms undertaken over the last fifteen years, PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched on 25th October, 2021 with an outlay of Rs. 64,180 Crores for the period from FY 2021-22 to 2025-26. The scheme envisages a new generation of  reforms  to  integrate  and  strengthen  health  service  delivery  and  public  health  action including  health  research  so  that  the  communities  are  Atmanirbhar  in  managing  such pandemics or health crisis.

PM-AB-HIM  is a Centrally Sponsored Scheme with Central Sector Components. The measures under the scheme are aimed at strengthening health systems and institutions in order to provide a continuum of care at all levels, namely primary, secondary, and tertiary, as well as preparing health systems to respond effectively to current and future pandemics and disasters.

The components of the PM-ABHIM scheme are:

## Centrally Sponsored Components:

1. Support for 17,788 rural Health and Wellness Centres in 10 High Focus States.
2. Establishing 11,024 urban Health and Wellness Centres in all the States.
3. 3382 Block Public Health Units in 11 High Focus states.
4. Setting up of 730 Integrated Public Health Labs in all districts.
5. Establishing 602 Critical Care Hospital Blocks in all districts with population more than 5 lakhs.

## Central Sector Components

1. 12 Central  Institutions as training and mentoring sites with 150 bedded Critical Care Hospital Blocks;
2. Strengthening of the National Centre for Disease Control (NCDC), 5 New Regional NCDCs and 20 metropolitan health surveillance units;
3. Expansion of the Integrated Health Information Portal to all States/UTs to connect all public health labs;
4. Operationalisation of 17 new Public Health Units and strengthening of 33 existing Public Health Units at Points of Entry, that is at 32 Airports, 11 Seaports and 7 land crossings;
5. Setting up of 15 Health Emergency Operation Centres and 2 container based mobile hospitals; and Setting up of a national institution for One Health, 4 New National Institutes for Virology, a Regional Research Platform for WHO South East Asia Region and 9 Bio-Safety Level III laboratories.

In addition to the above, technology is also leveraged through various interventions such as:

- o Integrated Health Information Platform (IHIP) -  which is an electronic information system for managing disease outbreaks and related resources.
- o Health  Management  Information  System  (HMIS)  -  which  is  a  web-based Monitoring  Information  System  of  MOHFW  to  monitor  the  National  Health Mission, and other various other National Health Programmes of the Ministry.

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