Lok Sabha Question No. 4887 (UNSTARRED), answered on 2023-03-31
Subject: National Oral Health Programme
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dhanush M Kumar, Sunil Dattatray Tatkare, C.N. Annadurai, Subhash Ramrao Bhamre, Kuldeep Rai Sharma, Ganesan Selvam, Manjulata Mandal, Supriya Sadanand Sule, Amol Ramsing Kolhe, DNV Senthilkumar. S.

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

## LOK SABHA UNSTARRED QUESTION NO. 4887 TO BE ANSERED ON 31.3.2023

## NATIONAL ORAL HEALTH PROGRAMME

## 4887.   SHRI DHANUSH M. KUMAR:

SHRI SUNIL DATTATRAY TATKARE:

SHRI C. N. ANNADURAI:

DR. SUBHASH RAMRAO BHAMRE:

SHRI KULDEEP RAI SHARMA:

SHRI SELVAM G.:

SHRIMATI MANJULATA MANDAL:

SHRIMATI SUPRIYA SULE:

DR. AMOL RAMSING KOLHE:

DR. DNV SENTHILKUMAR S.:

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

- (a) the present status of implementation of the National Oral Health Programme (NOHP) in the country, State/UT-wise;
- (b) the clinics/hospitals covered, the activities undertaken, the facilities provided along with the number of beneficiaries under the programme during each of the last three years and the current year, State/UT-wise;
- (c) the funds allocated and spent on various heads under this programme during each of the last three years and the current year, State/UT-wise;
- (d) whether the Government proposes to formulate a time bound action plan for extending the  reach  of  the  said  programme  to  all  the  medical  colleges  and  district  hospitals  in  the country and if so, the details thereof; and
- (e)  the  steps  taken/being  taken  by  the  Government  to  combine  preventive  measure  with emphasis on education to create oral health awareness among the various segments on the population.

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

- (a) to  (e)  National  Oral  Health  Programme  was  launched  in  India  in  2014.  The Programme  is  functional  across  36  States/UTs.  Under  the  programme,  financial support  for  equipment,  consumables,  training,  IEC  activities  and  recruitment  of manpower has been provided to States/UTs to establish dental care unit at the level of District  hospital  (DH),  Sub  District  Hospital  (SDH),  Community  Health  Centre (CHC), Primary Health Centre (PHC).

6023 dental care units have been established at 593 districts which includes 593 DH, 1056 Sub-District Hospital (SDH), 3229 Community Health Centre (CHC) and 1124 Primary Health Centre (PHC) as well as 21 Mobile Dental Units. The State/UT wise implementation status of the Programme is attached as Annexure A .

The facilities provided by the dental care units established through the Programme are :Screening for Oral diseases, root canal treatment, extraction, oral prophylaxis, restorations.  The  number  of  beneficiaries  State/UT  wise  under  the  Programme  is attached at Annexure B

The details of the funds allocated and spent at Central level is as under:-

|   Sl No. | Financial year   | BE                                                                                                                                                                         | Expenditure                                                                                                                                                                |
|----------|------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|        1 | 2019-20          | 5.3 crore                                                                                                                                                                  | 1.0491 crore                                                                                                                                                               |
|        2 | 2020-21          | 5.3 crore                                                                                                                                                                  | 1.8844 crore                                                                                                                                                               |
|        3 | 2021-22          | 2.2 crore                                                                                                                                                                  | 1.39 crore 11.61 crore (in supplementary)                                                                                                                                  |
|        4 | 2022-23          | The budget head for NOHP has been merged with Strengthening of National Programme Management Unit of theNHM Rs. 5.1410697 crore has been released in FY 2022-23 under NOHP | The budget head for NOHP has been merged with Strengthening of National Programme Management Unit of theNHM Rs. 5.1410697 crore has been released in FY 2022-23 under NOHP |

The details of the funds allocated and spent under this Programme during each of the last three years and current, State/UTwise has been attached as Annexure C.

Under the tertiary care central component of the Programme, various activities with emphasis  on  information  and  education  to  create  oral  health  awareness  among  the various segments of the population is conducted with the help of following:-

- i) National Centre of Excellence for implementation of NOHP at Centre for Dental Education and Research (CDER), AIIMS.
2. ii) National Resource Centre for  Oral Potentially  pre-malignant Disorders  at  Lady Hardinge Medical College (LHMC) and Associated Hospitals, New Delhi.
3. iii) National Resource Centre for Tobacco Cessation and Oral Health at Maulana Azad Institute for Dental Sciences (MAIDS), New Delhi
4. iv) Oral health of children and elderly at Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh
- v) Collaborative oral health promotion and prevention activities with NOHP dental care units at States/UTs, Dental Colleges (through Dental Council of India), Indian Dental Association

## Annexure-A

| State             |   No. of Dental Clinics (NHM+State) at District Hospital |   No. Of Dental Clinics (NHM+State) at SDH |   No. of Dental Clinics (NHM+State) at CHC/UCHC |   No. of Dental Clinics (NHM+State) at PHC/UPHC |   No. Of Dental Clinics (NHM+State) at Mobile Dental Unit |   TOTAL Dental care unit |
|-------------------|----------------------------------------------------------|--------------------------------------------|-------------------------------------------------|-------------------------------------------------|-----------------------------------------------------------|--------------------------|
| Andaman &Nicobar  |                                                        3 |                                          0 |                                               4 |                                               4 |                                                         0 |                       11 |
| Andhra Pradesh    |                                                       17 |                                         51 |                                             177 |                                              17 |                                                         2 |                      264 |
| Arunachal Pradesh |                                                       36 |                                          0 |                                              32 |                                               7 |                                                         0 |                       75 |
| Assam             |                                                       32 |                                         17 |                                              76 |                                               2 |                                                         0 |                      127 |
| Chandigarh        |                                                        1 |                                          1 |                                               2 |                                               9 |                                                         0 |                       13 |
| Chattisgarh       |                                                       26 |                                         19 |                                             181 |                                               5 |                                                         0 |                      231 |
| Daman &Diu        |                                                        3 |                                          1 |                                               4 |                                               5 |                                                         1 |                       14 |
| Goa               |                                                        2 |                                          2 |                                               6 |                                              24 |                                                         0 |                       34 |
| Gujrat            |                                                       19 |                                         42 |                                             304 |                                               0 |                                                         2 |                      367 |
| Jammu             |                                                        7 |                                         13 |                                              24 |                                             131 |                                                         0 |                      175 |
| Jharkhand         |                                                       24 |                                          5 |                                             110 |                                               0 |                                                         0 |                      139 |
| Karnataka         |                                                       19 |                                        146 |                                             202 |                                               0 |                                                         0 |                      367 |
| Kashmir           |                                                        7 |                                         43 |                                             200 |                                               0 |                                                         0 |                      250 |
| Kerala            |                                                       36 |                                         85 |                                              67 |                                              17 |                                                         1 |                      206 |
| Ladakh            |                                                        8 |                                          0 |                                               7 |                                              22 |                                                         0 |                       37 |
| Maharashtra       |                                                       23 |                                         71 |                                               1 |                                               0 |                                                         0 |                       95 |
| Manipur           |                                                        9 |                                          2 |                                              17 |                                              30 |                                                         0 |                       58 |
| Madhya Pradesh    |                                                       51 |                                         10 |                                              73 |                                               0 |                                                         0 |                      134 |
| Meghalaya         |                                                        8 |                                          3 |                                              25 |                                              15 |                                                         0 |                       51 |
| Nagaland          |                                                       11 |                                          0 |                                              23 |                                               0 |                                                         0 |                       34 |
| Delhi             |                                                       20 |                                          0 |                                               0 |                                               0 |                                                         6 |                       26 |
| Odisha            |                                                       62 |                                         34 |                                             363 |                                               0 |                                                         0 |                      459 |
| Puducherry        |                                                        4 |                                          0 |                                               4 |                                               4 |                                                         1 |                       13 |
| Punjab            |                                                       23 |                                         41 |                                             156 |                                              95 |                                                         0 |                      315 |
| Rajasthan         |                                                       43 |                                         53 |                                             290 |                                               0 |                                                         7 |                      393 |
| Tamil Nadu        |                                                       20 |                                        277 |                                             424 |                                              25 |                                                         0 |                      746 |
| Tripura           |                                                        6 |                                         14 |                                              21 |                                              56 |                                                         0 |                       97 |
| Mizoram           |                                                       12 |                                          2 |                                               2 |                                               2 |                                                         0 |                       18 |
| Bihar             |                                                       36 |                                         45 |                                             256 |                                             533 |                                                         0 |                      870 |
| Himachal Pradesh  |                                                       12 |                                         58 |                                             100 |                                             118 |                                                         1 |                      289 |
| Uttarakhand       |                                                       13 |                                         21 |                                              78 |                                               3 |                                                         0 |                      115 |

Note:- The data has not been received from the State of Uttar Pradesh, Telangana, West Bengal, Haryana, Sikkim and Lakshwadeep.

| State             |   Beneficiary (Total no. of Patients since April 22 to January 2023 ) |
|-------------------|-----------------------------------------------------------------------|
| Andaman &Nicobar  |                                                                 15924 |
| Andhra Pradesh    |                                                                429893 |
| Arunachal Pradesh |                                                                  2387 |
| Chandigarh        |                                                                 23809 |
| Chattisgarh       |                                                                456782 |
| Daman &Diu        |                                                                 55696 |
| Goa               |                                                                 84361 |
| Gujrat            |                                                                533186 |
| Jammu             |                                                                446940 |
| Jharkhand         |                                                                172175 |
| Karnataka         |                                                                957792 |
| Kashmir           |                                                                660584 |
| Kerala            |                                                                883375 |
| Ladakh            |                                                                 46696 |
| Lakshwadeep       |                                                                 17517 |
| Maharashtra       |                                                                386450 |
| Manipur           |                                                                 44109 |
| Meghalaya         |                                                                 56724 |
| Nagaland          |                                                                 33788 |
| Delhi             |                                                                 19365 |
| Odisha            |                                                                522851 |
| Puducherry        |                                                                 32569 |
| Punjab            |                                                                 81266 |
| Rajasthan         |                                                               1125753 |
| Sikkim            |                                                                 24778 |
| Tamil Nadu        |                                                               1572892 |
| Tripura           |                                                                 83460 |
| Uttarakhand       |                                                                 39531 |

Note:- The data has not been received from the State of Uttar Pradesh, Telangana, West Bengal, Haryana, Madhya Pradesh, Assam, Mizoram, Bihar, and Himachal Pradesh.

State/UT wise details of SPIP Approvals and Expenditure for National Oral Health Programme under NHM during the period of F.Y. 2019-20 to 2022-23

(Rs. In lakhs)

| S.No.   | State/UT                 | 2019-20       | 2019-20     | 2020-21       | 2020-21     | 2021-22       | 2021-22     | 2022- 23      | 2022- 23    |
|---------|--------------------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|
| S.No.   | State/UT                 | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure |
| 1       | Andaman& Nicobar Islands | 22.24         | 0.00        | 0.00          | 0.00        | 10.04         | 9.24        | 10.16         | 0.00        |
| 2       | Andhra Pradesh           | 310.20        | 310.20      | 0.00          | 0.00        | 3636.60       | 186.60      | 677.08        | 79.51       |
| 3       | Arunachal Pradesh        | 95.00         | 0.00        | 53.00         | 40.89       | 106.50        | 0.00        | 90.70         | 0.00        |
| 4       | Assam                    | 134.95        | 1.98        | 156.48        | 5.04        | 161.65        | 80.51       | 421.42        | 7.46        |
| 5       | Bihar                    | 315.00        | 4.51        | 1863.85       | 1573.17     | 55.50         | 6.23        | 400.31        | 7.71        |
| 6       | Chandigarh               | 0.00          | 0.00        | 0.00          | 0.00        | 4.00          | 0.24        | 8.32          | 1.02        |
| 7       | Chattisgarh              | 0.00          | 72.08       | 14.60         | 21.81       | 1078.10       | 255.04      | 400.00        | 56.95       |
| 8       | Dadra &Nagar Haveli      | 0.00          | 0.00        | 9.00          | 0.00        | 0.00          | 0.00        | 0.75          | 0.00        |

|    | Daman &Diu       |   0.00 |   0.00 |        |        |        |        |        |        |
|----|------------------|--------|--------|--------|--------|--------|--------|--------|--------|
|  9 | Delhi            |   35   |   0    | 323    |   0    | 205.4  |   0    | 572    |  24.61 |
| 10 | Goa              |    0   |   4.16 |  37    |  19.24 |  58.6  |  37.62 |  82.4  |  76.83 |
| 11 | Gujarat          |   31.5 |  31.77 | 145.75 |  31.08 | 152.06 |  82.5  | 118.07 |   8.64 |
| 12 | Haryana          |    0   |  49.5  |   3    |   0    | 190.5  |  12.12 | 307.05 | 361.55 |
| 13 | Himachal Pradesh |   20   |   0    |   0    |  28.51 | 112.01 |  93.29 | 114.1  |  14.59 |
| 14 | Jammu& Kashmir   |   39   |   7.5  |  69    |  25    | 208.58 |  81.55 | 201    |   6.52 |
| 15 | Jharkhand        |    0   |   0.15 |  12    |   6.82 | 791.86 |  69.48 | 320    |  80.63 |
| 16 | Karnataka        |   29.5 |  60.6  | 152.2  |  99.92 | 391.02 | 199.08 | 379.3  | 211.72 |
| 17 | Kerala           |  196   |  12.79 | 240.6  |  22.7  | 266    |  93.78 | 397.41 |  94.42 |
| 18 | Ladakh           |    0   |   0    |   8.4  |   0    |  44.9  |   0    |  65.5  |   0    |
| 19 | Lakshadweep      |    0   |   0    |   2.5  |   0    |   4.5  |   0    |   4.58 |   0    |
| 20 | Madhya Pradesh   |  202   |  54.24 | 529.5  | 218.23 | 402.8  | 375.42 | 684.76 | 317.6  |

|   21 | Maharashtra   |   431.00 |   7.96 |   1487.93 |   88.39 |   459.06 |   985.94 |   1417.00 |   239.49 |
|------|---------------|----------|--------|-----------|---------|----------|----------|-----------|----------|
|   22 | Manipur       |     0    |   0    |     34.8  |    0    |   137    |    22.43 |     92.92 |    26.47 |
|   23 | Meghalaya     |    14.6  |   9.62 |     67.05 |    4.31 |   378.84 |    65.19 |    134.4  |   163.56 |
|   24 | Mizoram       |     1.86 |   2.31 |      3.16 |    2.02 |   182.25 |   136.6  |     83.56 |     0    |
|   25 | Nagaland      |     0    |   0    |     37.15 |    2.25 |   553.94 |    28.8  |    127.15 |    22.16 |
|   26 | Odisha        |     0    |   3.29 |     41.9  |   11.45 |   146.5  |    76.15 |   1216.04 |   228.57 |
|   27 | Puducherry    |    12.5  |   5.94 |     10.7  |    0    |    28.2  |     9.54 |     14.9  |     2.92 |
|   28 | Punjab        |     4    |   6.05 |      8    |    1.77 |    10    |     0    |    250.93 |    51.71 |
|   29 | Rajasthan     |   406    |   0    |     34    |   19.27 |   458.27 |   131.61 |    429.3  |   231.97 |
|   30 | Sikkim        |     0    |   0    |      3.55 |    0.7  |   110.5  |     0    |     13.75 |     0    |
|   31 | Tamil Nadu    |    37.5  | 295.89 |    184.09 |  204.37 |  1157.1  |   299.46 |    680.7  |   339.06 |
|   32 | Telangana     |   180    |   0    |      0    |    0    |   524.31 |   629.81 |    136.6  |     5.58 |
|   33 | Tripura       |    10    |   6.49 |      1.6  |   36.37 |    76.8  |    53.74 |    105.3  |    70.45 |

|   34 | Uttar Pradesh   |   112.10 |   67.51 |   1057.25 |   14.98 |   214.79 |   54.66 |   1494.00 |   343.14 |
|------|-----------------|----------|---------|-----------|---------|----------|---------|-----------|----------|
|   35 | Uttarakhand     |        2 |    1.26 |      92.3 |   65.38 |    27.3  |  158.22 |    358.5  |     6.67 |
|   36 | West Bengal     |        0 |    0    |     163.6 |    4.1  |   186.69 |   66.24 |    110.39 |    17.07 |

## Note:

1. Utilisation includes Utilisation against Central Release, State release & unspent balances at the beginning of  the year.
2. The above data is as per the available Financial Management Reports (FMRs) reported by the States/Uts and are updated upto 31.12.2022 hence provisional.
3. After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHM funds to the UT of Ladakh were