Lok Sabha Question No. 3389 (UNSTARRED), answered on 2021-12-17
Subject: Lack of facilities in District Hospitals and CHCs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dharmendra Kumar Kashyap

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

## LOK SABHA UNSTARRED QUESTION NO. 3389 TO BE ANSWERED ON THE 17 th  DECEMBER, 2021

## LACK OF FACILITIES IN DISTRICT HOSPITALS AND CHCs

## 3389.  SHRI DHARMENDRA KASHYAP:

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

- (a) the  facilities  that  a  Community  Health  Center  (CHC)  and  a  district  hospital  is mandated to be equipped with as per the norms;
- (b) the facilities that are available/actually being provided by all the district hospitals and CHC in Uttar Pradesh;
- (c) the details of the inadequacies with regard to healthcare facilities noticed in the district hospital of Bareilly and all the CHCs in Aonla Parliamentary Constituency; and
- (d) the necessary steps taken by the Government to provide all necessary facilities in said CHCs and district hospital in Aonla Constituency?

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

(a) to (d) Public Health & Hospital is a State subject, the responsibility of strengthening  public  healthcare  system  including  CHC  and  District  Hospitals  lies  with the respective State/ UT Governments including Uttar Pradesh. Under National Health Mission (NHM), Ministry of Health & Family Welfare (MoHFW) provides technical and financial support to States/UTs including Uttar Pradesh for strengthening their healthcare systems, based on the proposals received from the State/UT. The proposals from  State/UT  Governments  including  Uttar  Pradesh  are  received  in  the  form  of

Programme Implementation Plans (PIPs) under 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 has laid down Indian Public Health Standards (IPHS) under  MoHFW  which  includes  norms  for  services,  infrastructure,  human  resource, diagnostics,  equipment  and  medicines  at  public  health  facilities  including  Community Health Centres (CHCs) and District Hospitals (DH). The norms under IPHS have been defined under two categories i.e., essential and desirable. As per revised guidelines of IPHS 2012, the following facilities are available/ actually provided by the CHCs and DHs in all the States/ UTs:

## Facilities under CHCs

-  OPD  services  and  IPD  services  like  general  medicine,  surgery,  obstetrics  & gynecology, paediatrics, dental and Ayush.
-  Eye specialist services (at one for every 5 CHCs)
-  Emergency services
-  Laboratory services
-  National Health Programmes

## Facilities under DHs

-  The  services  include  OPD,  indoor  and  Emergency  service.  Besides  the  basic specialty services, due importance has been given to Newborn Care, Psychiatric services,  Physical  Medicine  and  Rehabilitation  services,  Accident  and  Trauma services, Dialysis services and Anti-retroviral therapy.
-  It  is  desirable  that  Super-specialties  and  related  diagnostic  facilities  be  made available, in more than 300 bedded hospitals.
-  Every  district  hospital  should  provide  facilities  of  Special  Newborn  Care  Units (SNCU) with specially trained staff.
-  Provisions for Patient Safety, infection control and Health Care workers Safety have been added.
-  It  is  desirable  that  every  District  Hospital  should  have  a  Post  Partum  Unit  with dedicated staff to provide Post natal services, all Family Planning Services, Safe Abortion services and immunization in an integrated manner.

As per information received from State Government of Uttar Pradesh, the State ensures that all the facilities are provided by all the DHs and CHCs in Uttar Pradesh as per norms and requirements. Further State has informed that there are no inadequacies exist in the District Hospital of Bareilly and  all CHCs  of  Aonla  Parliamentary Constituency.