Lok Sabha Question No. 5000 (UNSTARRED), answered on 2022-04-01
Subject: Health projects/programmes in Haryana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dharambir Singh

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

## LOK SABHA UNSTARRED QUESTION NO. 5000 TO BE ANSWERED ON 1 st  APRIL, 2022

## HEALTH PROJECTS/PROGRAMMES IN HARYANA

## 5000.   SHRI DHARAMBIR SINGH

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

- (a)  the  details  of  major  health  projects  and  special  programmes  rolled  out  and  being implemented by the Government in Haryana;
- (b)  the  costs  of  major  health  projects  along  with  the  time  by  which  they  are  likely  to  be completed and the benefits to be accrued to the people therefrom; and
- (c) whether any zones have been earmarked in the State which require specific programmes for eradication of chronic local diseases and if so, the details thereof?

## MINISTER OF STATE FOR HEALTH AND FAMILY WELFARE

## ANSWER (DR. BHARATI PRAVIN PAWAR)

- (a) &(b ) 'Public  Health  and  Hospitals'  is  a  State  subject  and  the  primary  responsibility  for providing  healthcare  services  lies  with  the  respective  State  /  UT.  However,  the  Central Govt. supplements their efforts by providing financial and technical support.  The details of major Schemes/Projects of Ministry of Health & Family Welfare implemented in Haryana along with their cost, benefits etc. is mentioned at Annexure-I.
- (c)  Yes  Sir.  As  per  the  District-Level  HIV  Estimates  and  Prioritization  report  (2019)  of  the Government of India under the National AIDS and STD Control Programme (NACP), two districts have been identified as High and four as Moderate priority districts for intensified strategies to decrease new HIV infections. List of these High and Moderate priority districts is attached at Annexure-II.

## Annexure-I

1. AIIMS in Manethi : Cabinet has approved the proposal for establishment of an AIIMS in  Manethi ,  Haryana at a cost of Rs. 1299 Crore on 28.02.2019 under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY).
2. National  Health  Mission  (NHM) provides  technical  and  financial  support  to  the States/UTs including Haryana to strengthen their public healthcare system. Under NHM support  for  an  amount  of  Rs 1,117.83 Crore  has  been  approved  in  FY  2021-22  to  the State  of  Haryana.  The  details  of  PIPs  and  RoPs  for  the  past  years  i.r.o.  Haryana  are available at website of National Health Mission www.nhm.gov.in at https://nhm.gov.in/index4.php?lang=1&level=0&linkid=58&lid=71
3. Ayushman Bharat , the existing Sub-health Centres (SHCs) and Primary Health Centres (PHCs) are upgraded into Ayushman Bharat -  Health & Wellness Centres (AB-HWCs) to deliver twelve packages of Comprehensive Primary Health Care (CPHC) that includes preventive, promotive, curative, palliative and rehabilitative services which is universal, free and close to the community. As on date, 1,150 Health & Wellness Centres have been operationalized as on 28.03.2022 as reported by the State of Haryana on the AB-HWC Portal.
4. PM-Ayushman  Bharat  Health  Infrastructure  Mission  (PM-ABHIM) is  the  largest Health  Infrastructure  scheme in  the  Country  which  aims  to  address  the  critical  gaps  in health  infrastructural,  surveillance  and  health  research  -  spanning  both  the  urban  and rural areas. The scheme has Centrally Sponsored Scheme Components along with some Central Sector Components. Under the CSS components, States/UTs have been supported to  strengthen  the  States'  Health  Infrastructure.  Under  the  scheme,  State  of  Haryana  is allocated an amount of Rs 1048.84 Crore for implementation period of 2021-22 to 202526.  The  support  is  provided  for  Construction  of  Building-less  Sub  Health  Centres, operationalization  of  Urban  Health  &  Wellness  Centres,  establishment  of  District Integrated  Public  Health  laboratory,  100  bedded  Critical  Care  Blocks  and  50  bedded Critical Care Blocks during the scheme period.

## 5. Establishment  of  new  Medical  Colleges  attached  with  existing  district/referral hospitals :

| District   | Approved cost   | Central Share   | Total amount released   | Status         |
|------------|-----------------|-----------------|-------------------------|----------------|
| Bhiwani    | 189.00 crore    | 113.40 crore    | 113.40 crore            | Non-functional |

6. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular  disease  and  Stroke  (NPCDCS) is  implemented  under  the  National Health Mission (NHM). The Programme focuses on strengthening infrastructure, human resource  development,  early  diagnosis,  management  and  referral.  The  programme  also focuses  on  health  promotion  &  awareness  generation  for  common  NCDs  including prevention, early diagnosis, management and referral to an appropriate level of healthcare facility for treatment of the common Non-Communicable Diseases.

Under  NPCDCS,  in  the  State  of  Haryana,  22  District  NCD  Cells,  22  District  NCD Clinics,  8  District  Cardiac  Care  Units,  77  CHC  NCD  Clinics  and  5  District  Day  Care Centres have been established.

Under the Strengthening of Tertiary Cancer Care Centre facilities Scheme of NPCDCS, financial  assistance  is  provided  for  setting  up  of  State  Cancer  Institutes  (SCIs)  and Tertiary  Cancer  Care  Centres  (TCCCs)  in  different  parts  of  the  country.  Under  the scheme, there is provision of providing one time grant up to Rs. 120 crore for SCI and up to Rs. 45 crore for TCCC including State share. In Haryana, one TCCC is approved at Civil Hospital, Ambala Cantt.

7. Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) launched on 23 rd September 2018 provides health coverage up to Rs. 5 lakh per annum per beneficiary family  to  around  10.74  crore  poor  and  vulnerable  families  identified  from  Socio Economic  Caste  Census  (SECC)  data  of  2011  on  the  basis  of  select  deprivation  and occupational criteria across rural and urban areas respectively.  It is an entitlement based scheme. Beneficiary can directly visit any empanelled public or private hospital to avail cashless health benefits. It is the world's largest health insurance/assurance scheme fully financed by the Government. The scheme is designed to provide financial risk protection against catastrophic health expenditure and is implemented in insurance or trust or mixed mode as decided by State/UT.

In Haryana, a total of 15,45,936 families are eligible to avail benefits under the scheme as per SECC 2011 database. In Haryana, a total of 632 hospitals have been empanelled and 28,30,332  Ayushman  cards  have  been  issued  under  the  scheme.  A  total  of  4,30,894 hospital admissions worth Rs. 544 crore have been authorized under the scheme in the State of Haryana.

8. National  Viral  Hepatitis  Control  Program  (NVHCP) was  launched  in  2018  in alignment  with  sustainable  Development  Goal  (SDG)  offering  treatment  services  for Hepatitis  C  and  management  of  Hepatitis  A  and  E.  The  scope  of  the  program  was expanded to include management of Hepatitis B in 2019.

Total Budget approved in RoP 2021-22 is Rs.685.42 (in Lacs). The people benefited from the same are as follows:-

Hepatitis B Screening and treatment

| Year                    | Screening Target             | No. of persons screened   |   No. of persons found positive |   Eligible for treatment |   Put on treatment |
|-------------------------|------------------------------|---------------------------|---------------------------------|--------------------------|--------------------|
| 2021-22 (Till Feb 2022) | 4 lakh including 2 lakh ANCs | 4,16,764                  |                            3917 |                      777 |                642 |

| Year    | Screening target       | No. persons screened   |   No. of persons found positive |   Eligible for treatment |   Put on treatment |
|---------|------------------------|------------------------|---------------------------------|--------------------------|--------------------|
| 2021-22 | 2 lakh (Till Feb 2022) | 3,34,192               |                            8134 |                     4916 |               4612 |

9. National  Leprosy  Eradication  Programme (NLEP):  The  government  is  implementing  the NLEP with the goal of making India leprosy free.  NLEP is a centrally sponsored scheme under the  umbrella  of  National  Health  Mission  (NHM). This  programme is implemented in all the States/UTs  including  Haryana  State.  Under  NLEP,  it  is  aimed  to  ultimately  reduce  G2D percentage to ZERO among new cases of leprosy and ZERO new child cases. NLEP budget allocation for the Year 2021-22 for the State of Haryana is Rs. 0.47 crores.
10. National Vector Borne Diseases Control Programme (NVBDCP) for prevention and control of vector borne diseases namely Malaria, Japanese Encephalitis, Dengue, Chikungunya, Kalaazar and Lymphatic Filariasis.

The  State  of  Haryana  is  endemic  for  four  Vector  Borne  Diseases  (VBDs)  under  NVBDCP namely Malaria, Dengue, Chikungunya and Acute Encephalitis Syndrome / Japanese Encephalitis (AES/JE). Lymphatic Filariasis and Kala-Azar are non-endemic in the State. As per National Framework for Malaria Elimination (NFME), Haryana state is under category - 1 (low  endemic) as  Malaria  API  is  less  than  1.  The  Malaria  elimination  target  for  India  is  by 2030.

During 2021-22, a total of 1.70 Crore have been allocated to the state under Budget Estimates.

## 11. National AIDS and STD Control Programme (NACP)

In the State of Haryana, the NACP is implemented through Haryana State AIDS Control Society with  an  allocation  of  Rs.  3,470.78  lakh  during  the  financial  year  2021-22.  Allocation  for  the financial year 2022-23 for Haryana is 3,538.26 lakh.

Under NACP in Haryana, more than 1.25 lakh at-risk population are provided comprehensive package  of  services  for  prevention,  detection,  and  treatment  of  HIV  and  STD  free  of  cost. During  the  financial  year  2021-22,  around  7.6  lakh  HIV  testing  (including  around  4  lakh pregnant  women)  was  done  as  on  28 th February  2022  and  there  are  around  22,734  People Living  with  HIV  (PLHIV) being  provided  Antiretroviral  (ARV)  medicines  through  22  Antiretroviral Treatment (ART) Centres and Link ART Centres supported under the programme in Haryana.  Free  Viral  Load  testing  is  also  done  for  PLHIV  to  monitor  the  impact  of  the treatment.

## Annexure-II

List of High and Moderate priority Districts, Haryana (High Priority Districts= adult prevalence of ≥ 1% or PLHIV size of ≥ 5000 and Moderate priority districts = adult prevalence of 0.4% to ≤ 1% or PLHIV size of 2500 to ≤ 5000)

|   S.No. | District    | Categorisation under NACP   |
|---------|-------------|-----------------------------|
|       1 | Faridabad   | High                        |
|       2 | Hisar       | Moderate                    |
|       3 | Jind        | High                        |
|       4 | Kaithal     | Moderate                    |
|       5 | Kurukshetra | Moderate                    |
|       6 | Panipat     | Moderate                    |

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