Lok Sabha Question No. 3148 (UNSTARRED), answered on 2021-08-06
Subject: Prevention of Communicable Diseases
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pallab Lochan Das

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

## LOK SABHA UN-STARRED QUESTION NO. 3148 TO BE ANSWERED ON 06.08.2021

## PREVENTION OF COMMUNICABLE DISEASES

## 3148.   SHRI  PALLAB LOCHAN DAS:

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

(a)  whether  the  Government  proposes  to  introduce  programme  for  prevention  of  communicable diseases particularly COVID-19;

(b) if so, the details thereof;

(c) whether the Government has conducted any study regarding the gravity of communicable diseases in the country and the initiative taken for control of such diseases, if so, the details thereof

(d) the steps taken by the Government to create awareness among the citizens regarding food habits and healthy lifestyle so as to control such diseases; and

(e) the details of financial assistance given by the Government to the State/UTs for implementation of projects to control communicable diseases State/UT-wise?

## ANSWER

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

(a) to (e):  Health is a state subject.  Department of Health & Family is running National Vector Borne Diseases  Control  Programme  (NVBDCP),  National  TB  Elimination  Programme  (NTEP),  National Leprosy Eradication Programme (NLEP) and National Viral Hepatitis Control Programme (NVHCP) under  the  aegis  of  National  Health  Mission  (NHM)  to  prevent  and  control  various  communicable diseases, namely Vector Borne Diseases, Tuberculosis, Leprosy and Viral Hepatitis.

Technical and financial support is provided to the States/UTs for implementation of these programmes, on  the  basis  of  their  proposals  in  Programme  Implementation  Plans  (PIPs)  subject  to  the  resource envelope.

For  COVID-19  management,  Government  of  India  has  supported  the  States/UTs  and  undertaken  a series of actions including further strengthening of existing health infrastructure to ensure provisioning of sufficient hospital beds, drugs, medical oxygen and other consumables to aid proper clinical care of COVID-19 patients.

Some of the ongoing initiatives to strengthen hospital infrastructure include:

-  With the intent to reduce the risk of cross infection to non-COVID patients as well as to maintain continuity  of  non-COVID  essential  health  services  in  the  country,  a  three-tier  arrangement  of dedicated  COVID-19  health  facilities  [(i)  COVID  Care  Center  (CCC);  (ii)  Dedicated  COVID Health Centre (DCHC) and (iii) Dedicated COVID Hospital (DCH)] has been implemented in the country.
-  Government of India, to supplement the hospital facilities has roped in tertiary care hospitals under ESIC, Defence, Railways, paramilitary forces, Steel Ministry etc. Further, many large temporary treatment facilities were established by DRDO to manage surge in COVID-19 cases in the country.
-  The isolation bed capacity and ICU bed capacity which was only 10,180 and 2,168 before the first lockdown (as on 23 rd March 2020) is being enhanced continuously and is currently at 18,03,266 isolation beds and 1,24,598 ICU beds (as on 2 nd August 2021).
-  The daily liquid medical oxygen (LMO) supply, which was about 1292 MTs per day in February 2021 increased to 8593 MTs in April 2021. On 28 th May 2021, a total of 10,250 MTs of LMO was allocated to the states. This was done by enhancement of LMO production in steel plants as well as in other LMO plants. Restrictions were imposed on industrial use of oxygen.
-  A  dynamic  and  transparent  framework  for  allocation  of  medical  oxygen  in  consultation  with States/UTs and all the stakeholders such as relevant Ministries, manufacturers/suppliers of liquid oxygen etc. was prepared.
-  Online  digital  solutions  viz.  Oxygen  Demand  Aggregation  system  (ODAS)  and  Oxygen  Digital Tracking System (ODTS) have been developed to ascertain the demand for medical oxygen from all medical facilities and to track their transportation.
-  To avoid  wastage  of  medical  oxygen,  guidelines  on  rational  use  of  oxygen  were  issued  on  25 th September 2020, and further revised and disseminated to States on 25 th April 2021.
-  1,02,400  oxygen  cylinders  were  procured  in  April  and  May  of  2020  and  distributed  to  States. Further  orders  for  additional  1,27,000  cylinders  have  been  placed  on  21.04.2021  (54,000  jumbo cylinders (D type) and 73,000 regular cylinders (B type). Deliveries of the same have started and 73,352 (56,108 B-type and 14,244 D-type) cylinders have been delivered as on 3 rd August 2021.
-  To  generate  oxygen  at  the  health  facility  level,  PSA  plants  are  being  established  in  district hospitals, especially in far flung areas enabling the hospitals to become self-sufficient in generation of oxygen for their needs and thereby, reduce the burden on the medical oxygen supply grid across the country.
-  Further,  to  fast-track  the  availability  of  Medical  Oxygen  in  rural  and  Peri-urban  areas,  oxygen concentrators have been allocated to various States.
-  A COVID Drugs Management Cell (CDMC) has been set up in the Department of Pharmaceuticals (DoP) to oversee the management of smooth supply of drugs used in COVID-19 management.
-  A Drugs Coordination Committee (DCC) has been constituted as an institutional mechanism under Department  of  Pharmaceuticals  for  efficient  decision  making  on  all  the  issues  with  respect  to COVID-19 related drugs including availability through inter-departmental consultations.
-  Remdesivir is a patented drug, manufactured in India under voluntary licenses granted by Gilead Life  Sciences  USA  (the  patent  holder)  to  7  Indian  pharmaceutical  companies.  Manufacturing capacity was augmented from 38 lakh vials per month in March 2021 to nearly 122 lakh vials per month in June 2021. In addition, 40 additional manufacturing sites were approved by the CDSCO, thus increasing the manufacturing sites from 22 (in March 2021) to 62 (June 2021).
-  All States/UTs and State Drugs Controllers have been requested to verify stock of drugs and check other malpractices and take effective steps to curb hoarding and black marketing of some drugs like Remdesivir.
-  Department  of  Pharmaceuticals  (DoP)  and  the  Drug  Controller  General  of  India  (DCGI)  have actively  coordinated  with  the  industry  to  enhance  availability  of  Amphotericin  B  through identification  of  manufacturers,  alternate  drugs  and  expeditious  approvals  of  new  manufacturing facilities.
-  Besides  the  existing  five  manufacturers,  DCGI  had  issued  permissions  for  manufacturing  / marketing of Amphotericin B Liposomal Injection to six additional firms.
-  Ministry  of  Health  &  Family  Welfare  continues  to  provide  technical  guidance  for  managing various aspects of COVID-19. So far more than 150 guidelines/advisories/SoPs/plans have been provided  to  States/UTs.  Ministry  of  Health  and  Family  Welfare  continues  to  advise  States  to strictly  follow  five-fold  strategy  of  'Test-Track-Treat-Vaccination  and  adherence  to  COVID appropriate  behavior'.  States/UTs  have  been  accordingly  advised  the  same  through  formal communications, video conferences as well as through deployment of Central teams.
-  Taking note of ingress of COVID-19 pandemic in Peri-urban and rural areas, Ministry of Health & Family Welfare on 16 th May 2021 issued an SOP on COVID-19 Containment & Management in Peri-urban, Rural & Tribal areas.
-  Further  COVID-19  treatment  protocols  and  advisories  both  for  adults  as  well  as  pediatric  age groups were issued and widely disseminated to promote rational use of drugs and oxygen.
-  During  the  F.Y.  2019-20.  funds  to  the  tune  of  Rs.1113.21  crore  was  released  to  the  States/UTs under NHM towards management and containment of COVID-19 pandemic.
-  In September 2020, the Union Government further allowed use of SDRF by the States for oxygen generation  and  storage  plants  in  hospitals;  strengthening  ambulance  services  for  transport  of patients; and setting up containment zones, COVID-19 care centres. States were allowed to spend maximum  35%  of  annual  allocation  of  funds  under  SDRF  for  the  financial  year  2019-20.  The ceiling  was  further  enhanced  to  50%  during  the  financial  years  2020-21  and  2021-22  for containment measures of COVID-19.
-  During the FY 2020-21, funds to the tune of Rs.8257.88 crore has been released to the States/UTs towards  the  India  COVID-19  Emergency  Response  and  Health  System  Preparedness  Package (ECRP): Phase-I. States/UTs wise fund allocation is given at Annexure-I.
-  In  addition,  'India  COVID-19  Emergency  Response  &  Health  System  Preparedness  Package: Phase-II' has also been approved by the Cabinet with Rs 23,123 crores {(with Rs. 12185.30 Crore

under Central Sponsored Scheme) + (Rs. 2814.70 Crore under Central Sector Scheme to Central Government Institute/Organisations)} as Central Component  &  Rs 8,123 Crore as State component) and is to be implemented from 1 st July 2021 to 31 st March 2022. So far as Rs. 1827.78 Crore  has  been  released  to  States/UTs  in  Financial  Year  2021-22  under  ECRP  Phase-II  in  FY 2021-22. States/UTs wise fund allocation is given at Annexure-II.

It  includes  support  to  States/UTs  level  for  ramping  up  Health  Infrastructure  including  those  in rural,  tribal  and  Peri-urban  areas  closer  to  the  community,  providing support for procurement of drugs and diagnostics to enhance service delivery at district and sub district levels for management of COVID-19 cases (including pediatric care) and for maintaining a buffer of drugs, support for IT Interventions such as implementation of Hospital Management Information System and expanding access to  tele-consultations  in  all  districts,  and  support  for  capacity  building  and  training  for  all aspects of management of COVID-19.

Further, under the National COVID Vaccination Program, Government of India is procuring vaccines and providing them free of cost to States and UTs. As on 2 nd August 2021, a total of about 49.86 Crore doses have been supplied to States/UTs from all sources i.e. Government of India's COVID vaccine supply  free  of  cost  to  all  States/UTs,  Procurement  of  COVID  vaccine  made  by  State/UTs  and Procurement of COVID vaccine made by Private Hospitals.

## National Tuberculosis Elimination Programme (NTEP).

The Ministry is implementing the National TB Elimination Programme (NTEP) for prevention, control and management of TB. The key focus areas are:

- Early  diagnosis  of  all  the  TB  patients,  prompt  treatment  with  quality  assured  drugs  and treatment regimens
- Engaging with the patients seeking care in the private sector.
- Prevention strategies including active case finding and contact tracing in high risk /vulnerable population
- Airborne infection control.
- Multi-sectoral response for addressing social determinants.

As  per  Global  TB  Report  2020,  India  has  reduced  the  estimated  incidence  of  TB  from  217  /  lakh population in 2015 to 193 / lakh population in 2019.

Ministry  of  Health  &  Family  Welfare  has  undertaken  communication  campaigns  aimed  at  creating awareness  among  the  citizens  on  prevention  of  TB.  In  addition,  the  State  Governments  have  also conducted several IEC campaigns on TB at the local level.

States/UTs wise fund allocation under NTEP is given at Annexure- III.

## National Leprosy Elimination Programme (NLEP)

The major initiatives being taken under NLEP for prevention, control and elimination of leprosy are as follows:

- i. Active Case Detection and Regular Surveillance, both in rural and urban areas, through ASHAs and Frontline  Workers in  order  to  ensure  detection  of  leprosy  cases  on  regular  basis  and  at  an early stage in order to prevent Grade II disabilities.
- ii. Leprosy screening for children from zero to eighteen years has been integrated with Rashtriya Bal Swasthya Karyakram (RBSK).
- iii. Leprosy  screening  of  people  above  30  years  of  age  has  been  integrated  with  Comprehensive Primary Health Care under Ayushman Bharat - Health & Wellness Centres.
- iv. Contact  tracing  is  done  and  Post  Exposure  Prophylaxis  (PEP)  is  administered  to  the  eligible contacts of index case (confirmed leprosy case) in order to interrupt the chain of transmission
- v. Various services are being provided under the programme for Disability Prevention and Medical Rehabilitation  (DPMR)  i.e.,  reaction  management,  provision  of  Microcellular  Rubber  (MCR) footwear, Aids & Appliances, self-care kits etc.
- vi. Reconstructive  Surgeries  (RCS)  are  conducted  at  District  Hospitals/Medical  Colleges/  Central Leprosy Institutes, and Welfare Allowance @ Rs 8000 is paid to each patient undergoing RCS.

States/UTs wise fund allocation under NLEP is given at Annexure- IV.

## National Vector Borne Diseases Control Programme (NVBDCP)

The major initiatives being taken under NVBDCP for prevention, control and elimination of various diseases are as follows:-

## 1) Malaria:

The  Government  has  launched  the  National  Framework  for  Malaria  Elimination  (NFME),  20162030 to eliminate malaria in India in a phased manner. The goal is to achieve zero indigenous cases of Malaria in the country by 2027, and to sustain elimination by 2030.

## Major Initiatives for control and elimination are as follows:-

-  Early  diagnosis  and  radical  treatment:  Use  of  Rapid  Diagnostic  Test  Kits,  ASHA  incentives  for diagnosis & ensuring complete treatment.
-  Case-based surveillance and rapid response
-  Integrated vector management (IVM)
-  Indoor  residual  spray  (IRS)-  2  rounds  of  IRS  for  vector  control  in  areas  with  Annual  Parasite Incidence >2.
- o Long-lasting insecticidal nets (LLINs) / Insecticide treated bed nets (ITNs): LLINs are being used in the programme to cover sub centres with Annual Parasite Incidence >1.
- o Larval source management (LSM)
-  Epidemic preparedness and early response
-  Behaviour Change Communication and community mobilization

## 2) Lymphatic Filariasis:

-  Mass Drug administration (MDA) for disease transmission control.
-  Morbidity Management & Disability Prevention (MMDP) for hydrocele surgery and home-based morbidity management services for lymphoedema cases.

## 3) Kala-Azar:

-  Uses of Single Dose Liposomal Amphotericin B (LAMB) for treatment.
-  Use of synthetic pyrethroid in place of DDT for Indoor Residual Spray (IRS) for vector control.
-  Introduction of hand compression pumps in place of stirrup pumps for convenience and quality of IRS
-  Revised incentives to PKDL patients from Rs. 2,000/- to 4,000/- and to ASHA from Rs.300/- to 500/- in 2018 in order to ensure completion of treatment.

States/UTs wise fund allocation under NVBDCP is given at Annexure- V.

## National Viral Hepatitis Control Programme (NVHCP)

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. The program envisages prevention through awareness generation on risk factors.

Diagnosis  and  treatment  services  are  provided  free  of  cost  under  the  programme  at  designated government treatment centres.

States/UTs wise fund allocation under NVHCP is given at Annexure- VI.

## Annexure-I

| Central Release of Grants in aid through Agency NHMfor management and control COVID- 19 in F.Y. 2020-21   | Central Release of Grants in aid through Agency NHMfor management and control COVID- 19 in F.Y. 2020-21   | Central Release of Grants in aid through Agency NHMfor management and control COVID- 19 in F.Y. 2020-21   |
|-----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------|
| S. No.                                                                                                    | State/UT                                                                                                  | Central Release during 2020-21                                                                            |
| 1                                                                                                         | 2                                                                                                         | 3                                                                                                         |
| 1                                                                                                         | Andaman &Nicobar Islands                                                                                  | 14.80                                                                                                     |
| 2                                                                                                         | Andhra Pradesh                                                                                            | 422.67                                                                                                    |
| 3                                                                                                         | Arunachal Pradesh                                                                                         | 21.96                                                                                                     |
| 4                                                                                                         | Assam                                                                                                     | 216.69                                                                                                    |
| 5                                                                                                         | Bihar                                                                                                     | 193.94                                                                                                    |
| 6                                                                                                         | Chandigarh                                                                                                | 35.92                                                                                                     |
| 7                                                                                                         | Chhattisgarh                                                                                              | 109.21                                                                                                    |
| 8                                                                                                         | Dadra &Nagar Haveli &Daman and Diu                                                                        | 4.67                                                                                                      |
| 9                                                                                                         | Delhi                                                                                                     | 787.91                                                                                                    |
| 10                                                                                                        | Goa                                                                                                       | 17.65                                                                                                     |
| 11                                                                                                        | Gujarat                                                                                                   | 304.16                                                                                                    |
| 12                                                                                                        | Haryana                                                                                                   | 187.71                                                                                                    |
| 13                                                                                                        | Himachal Pradesh                                                                                          | 54.48                                                                                                     |
| 14                                                                                                        | Jammu &Kashmir                                                                                            | 194.58                                                                                                    |
| 15                                                                                                        | Jharkhand                                                                                                 | 70.84                                                                                                     |
| 16                                                                                                        | Karnataka                                                                                                 | 409.63                                                                                                    |
| 17                                                                                                        | Kerala                                                                                                    | 573.96                                                                                                    |
| 18                                                                                                        | Ladakh                                                                                                    | 44.77                                                                                                     |
| 19                                                                                                        | Lakshadweep                                                                                               | 0.79                                                                                                      |
| 20                                                                                                        | Madhya Pradesh                                                                                            | 286.57                                                                                                    |
| 21                                                                                                        | Maharashtra                                                                                               | 1,185.12                                                                                                  |
| 22                                                                                                        | Manipur                                                                                                   | 19.92                                                                                                     |
| 23                                                                                                        | Meghalaya                                                                                                 | 14.82                                                                                                     |
| 24                                                                                                        | Mizoram                                                                                                   | 8.86                                                                                                      |
| 25                                                                                                        | Nagaland                                                                                                  | 10.27                                                                                                     |
| 26                                                                                                        | Odisha                                                                                                    | 146.44                                                                                                    |
| 27                                                                                                        | Puducherry                                                                                                | 23.35                                                                                                     |
| 28                                                                                                        | Punjab                                                                                                    | 165.28                                                                                                    |
| 29                                                                                                        | Rajasthan                                                                                                 | 426.39                                                                                                    |
| 30                                                                                                        | Sikkim                                                                                                    | 7.16                                                                                                      |
| 31                                                                                                        | Tamil Nadu                                                                                                | 868.09                                                                                                    |
| 32                                                                                                        | Telangana                                                                                                 | 386.37                                                                                                    |
| 33                                                                                                        | Tripura                                                                                                   | 23.21                                                                                                     |
| 34                                                                                                        | Uttar Pradesh                                                                                             | 541.56                                                                                                    |
| 35                                                                                                        | Uttarakhand                                                                                               | 72.25                                                                                                     |
| 36                                                                                                        | Total                                                                                                     | 8,147.28                                                                                                  |
|                                                                                                           | Health Insurance                                                                                          | 110.60                                                                                                    |
|                                                                                                           | Grand Total                                                                                               | 8,257.88                                                                                                  |

Annexure II

| State/UT wise allocation of funds under NHMfor ECRP- II(Rs. in Core)   | State/UT wise allocation of funds under NHMfor ECRP- II(Rs. in Core)   | State/UT wise allocation of funds under NHMfor ECRP- II(Rs. in Core)   |
|------------------------------------------------------------------------|------------------------------------------------------------------------|------------------------------------------------------------------------|
| S. No                                                                  | States                                                                 | Central Share                                                          |
| 1                                                                      | Andhra Pradesh                                                         | 417.91                                                                 |
| 2                                                                      | Bihar                                                                  | 1,032.87                                                               |
| 3                                                                      | Chhattisgarh                                                           | 376.07                                                                 |
| 4                                                                      | Goa                                                                    | 11.78                                                                  |
| 5                                                                      | Gujarat                                                                | 479.22                                                                 |
| 6                                                                      | Haryana                                                                | 182.42                                                                 |
| 7                                                                      | Himachal Pradesh                                                       | 216.51                                                                 |
| 8                                                                      | Jharkhand                                                              | 383.34                                                                 |
| 9                                                                      | Karnataka                                                              | 504.04                                                                 |
| 10                                                                     | Kerala                                                                 | 173.89                                                                 |
| 11                                                                     | Madhya Pradesh                                                         | 874.35                                                                 |
| 12                                                                     | Maharashtra                                                            | 820.77                                                                 |
| 13                                                                     | Odisha                                                                 | 517.18                                                                 |
| 14                                                                     | Punjab                                                                 | 198.89                                                                 |
| 15                                                                     | Rajasthan                                                              | 883.37                                                                 |
| 16                                                                     | Tamil Nadu                                                             | 479.59                                                                 |
| 17                                                                     | Uttar Pradesh                                                          | 1,879.88                                                               |
| 18                                                                     | Uttarakhand                                                            | 244.56                                                                 |
| 19                                                                     | West Bengal                                                            | 604.76                                                                 |
| 20                                                                     | Telangana                                                              | 298.68                                                                 |
| 21                                                                     | Delhi                                                                  | 30.21                                                                  |
| 22                                                                     | Puducherry                                                             | 5.42                                                                   |
| 23                                                                     | Jammu &Kashmir                                                         | 257.64                                                                 |
| 24                                                                     | Chandigarh                                                             | 5.68                                                                   |
| 25                                                                     | Andaman &NicobarIslands                                                | 14.22                                                                  |
| 26                                                                     | Daman &Diu &dadraNagar &Haveli                                         | 9.52                                                                   |
| 27                                                                     | Lakshadweep                                                            | 1.49                                                                   |
| 28                                                                     | Ladakh                                                                 | 62.51                                                                  |
|                                                                        | NE States                                                              | 1,218.53                                                               |
| 29                                                                     | Arunachal Pradesh                                                      | 127.75                                                                 |
| 30                                                                     | Assam                                                                  | 731.22                                                                 |
| 31                                                                     | Manipur                                                                | 77.35                                                                  |
| 32                                                                     | Meghalaya                                                              | 82.74                                                                  |
| 33                                                                     | Mizoram                                                                | 39.87                                                                  |
| 34                                                                     | Nagaland                                                               | 56.22                                                                  |
| 35                                                                     | Sikkim                                                                 | 19.67                                                                  |
| 36                                                                     | Tripura                                                                | 83.72                                                                  |
|                                                                        | G-Total                                                                | 12,185.30                                                              |

Annexure-III State/UTs wise Allocation of funds under National TB Elimination Programme for the year 2020-21. (Rs. in crores)

| Sl. No.   | State / UT          | National TB Elimination Programme (NTEP)   |
|-----------|---------------------|--------------------------------------------|
| 1         | Andhra Pradesh      | 55.87                                      |
| 2         | Andaman &Nicobar    | 2.06                                       |
| 3         | Arunachal Pradesh   | 17.83                                      |
| 4         | Assam               | 48.28                                      |
| 5         | Bihar               | 41.18                                      |
| 6         | Chandigarh          | 4.18                                       |
| 7         | Chhattisgarh        | 38.32                                      |
| 8         | Dadra& Nagar Haveli |                                            |
| 9         | Daman &Diu          | 3.23                                       |
| 10        | Delhi               | 17.96                                      |
| 11        | Goa                 | 3.22                                       |
| 12        | Gujarat             | 57.55                                      |
| 13        | Haryana             | 44.54                                      |
| 14        | Himachal Pradesh    | 16.62                                      |
| 15        | Jammu &Kashmir      | 23.00                                      |
| 16        | Jharkhand           | 42.57                                      |
| 17        | Karnataka           | 69.92                                      |
| 18        | Kerala              | 41.63                                      |
| 19        | Ladakh              | 3.90                                       |
| 20        | Lakshadweep         | 0.62                                       |
| 21        | Madhya Pradesh      | 77.67                                      |
| 22        | Maharashtra         | 104.92                                     |
| 23        | Manipur             | 23.59                                      |
| 24        | Meghalaya           | 11.28                                      |
| 25        | Mizoram             | 14.14                                      |
| 26        | Nagaland            | 19.09                                      |
| 27        | Orissa              | 52.37                                      |
| 28        | Puducherry          | 4.17                                       |
| 29        | Punjab              | 41.34                                      |
| 30        | Rajasthan           | 40.02                                      |
| 31        | Sikkim              | 9.41                                       |
| 32        | Tamilnadu           | 64.97                                      |
| 33        | Tripura             | 11.35                                      |
| 34        | Uttar Pradesh       | 135.17                                     |
| 35        | Uttarakhand         | 22.27                                      |
| 36        | West Bengal         | 79.40                                      |
| 37        | Telangana           | 52.15                                      |
|           | Total               | 1295.79                                    |

## Annexure-IV

## State/UTs wise Allocation of funds under National Leprosy Elimination Programme (NLEP) for the Year 2020-21

| Sl. No   | Name of State / UT                 |   Central Allocation |
|----------|------------------------------------|----------------------|
| 1        | Andaman &Nicobar Islands           |                 0.09 |
| 2        | Andhra Pradesh                     |                 1.6  |
| 3        | Arunachal Pradesh                  |                 0.95 |
| 4        | Assam                              |                 1.2  |
| 5        | Bihar                              |                 2.63 |
| 6        | Chandigarh                         |                 0.09 |
| 7        | Chattisgarh                        |                 1.53 |
| 8        | Dadra &Nagar Haveli and Daman &Diu |                 0.1  |
| 9        | Delhi                              |                 0.85 |
| 10       | Goa                                |                 0.05 |
| 11       | Gujarat                            |                 1.32 |
| 12       | Haryana                            |                 0.47 |
| 13       | Himachal Pradesh                   |                 0.26 |
| 14       | Jammu &Kashmir                     |                 0.28 |
| 15       | Jharkhand                          |                 1.9  |
| 16       | Karnataka                          |                 0.88 |
| 17       | Kerala                             |                 0.25 |
| 18       | Lakshadweep                        |                 0.09 |
| 19       | Madhya Pradesh                     |                 1.98 |
| 20       | Maharashtra                        |                 4.3  |
| 21       | Manipur                            |                 0.2  |
| 22       | Meghalaya                          |                 0.35 |
| 23       | Mizoram                            |                 0.25 |
| 24       | Nagaland                           |                 0.75 |
| 25       | Orissa                             |                 2.19 |
| 26       | Puducherry                         |                 0.05 |
| 27       | Punjab                             |                 0.66 |
| 28       | Rajasthan                          |                 0.62 |
| 29       | Sikkim                             |                 0.35 |
| 30       | Tamil Nadu                         |                 1.65 |
| 31       | Tripura                            |                 0.22 |
| 32       | Uttar Pradesh                      |                 4.2  |
| 33       | Uttarakhand                        |                 0.16 |
| 34       | West Bengal                        |                 1.95 |
| 35       | Telangana                          |                 1.32 |
| 36       | Ladakh                             |                 0.02 |
|          | Total                              |                35.76 |

## State/UTs wise Allocation of funds under National Vector Borne Diseases Control

Annexure-V Programme  (NVBDCP) for the Year 2020-21

Rs. in Crore

| Sl. No.   | State/UT          | 2020-2021   |
|-----------|-------------------|-------------|
| 1         | Andhra Pradesh    | 4.88        |
| 2         | Arunachal Pradesh | 10.60       |
| 3         | Assam             | 40.13       |
| 4         | Bihar             | 40.23       |
| 5         | Chattisgarh       | 9.42        |
| 6         | Goa               | 0.00        |
| 7         | Gujarat           | 0.00        |
| 8         | Haryana           | 0.72        |
| 9         | Himachal Pradesh  | 0.00        |
| 10        | J&K               | 7.56        |
| 11        | Jharkhand         | 17.63       |
| 12        | Karnataka         | 1.07        |
| 13        | Kerala            | 1.55        |
| 14        | Madhya Pradesh    | 3.77        |
| 15        | Maharashtra       | 5.36        |
| 16        | Manipur           | 9.41        |
| 17        | Meghalaya         | 19.20       |
| 18        | Mizoram           | 7.74        |
| 19        | Nagaland          | 15.58       |
| 20        | Odisha            | 211.43      |
| 21        | Punjab            | 11.84       |
| 22        | Rajasthan         | 6.14        |
| 23        | Sikkim            | 0.00        |
| 24        | Tamil Nadu        | 3.68.00     |
| 25        | Telangana         | 0.91        |
| 26        | Tripura           | 28.62       |
| 27        | Uttar Pradesh     | 39.14       |
| 28        | Uttarakhand       | 1.19        |
| 29        | West Bengal       | 13.71       |
| 30        | Delhi             | 0.54        |
| 31        | Puducherry        | 0.13        |
| 32        | A&N Islands       | 1.70        |
| 33        | Chandigarh        | 0.23        |
| 34        | D &NHaveli        |             |
| 35        | Daman &Diu        | 1.10        |
| 36        | Lakshadweep       | 0.25        |
| 37        | Ladakh            | 0.16        |
| Total     | Total             |             |

## State/UTs wise Allocation of funds under National Viral Hepatitis Control Programme  (NVHCP) for the Year 2020-21

Rs. in Crore

| Sl. No.   | State/UT                                   |   2020-2021 |
|-----------|--------------------------------------------|-------------|
| 1         | Andhra Pradesh                             |        3.44 |
| 2         | Arunachal Pradesh                          |        1.37 |
| 3         | Assam                                      |        6.12 |
| 4         | Bihar                                      |        3.57 |
| 5         | Chhattisgarh                               |        8.37 |
| 6         | Goa                                        |        0.78 |
| 7         | Delhi                                      |        1.33 |
| 8         | Gujarat                                    |       14.26 |
| 9         | Haryana                                    |        6.43 |
| 10        | Himachal Pradesh                           |        1.81 |
| 11        | Jammu &Kashmir                             |        3.44 |
| 12        | Jharkhand                                  |        9.51 |
| 13        | Karnataka                                  |        5.88 |
| 14        | Kerala                                     |        1.96 |
| 15        | Madhya Pradesh                             |        7.12 |
| 16        | Maharashtra                                |       16.21 |
| 17        | Manipur                                    |        5.28 |
| 18        | Meghalaya                                  |        1.33 |
| 19        | Mizoram                                    |        1.74 |
| 20        | Nagaland                                   |        1.33 |
| 21        | Odisha                                     |        6.16 |
| 22        | Puducherry                                 |        0.34 |
| 23        | Ladakh                                     |        0.38 |
| 24        | Punjab                                     |       15.6  |
| 25        | Rajasthan                                  |        8.97 |
| 26        | Sikkim                                     |        0.91 |
| 27        | Tamil Nadu                                 |        1.64 |
| 28        | Telangana                                  |        2.65 |
| 29        | Tripura                                    |        1.75 |
| 30        | Uttar Pradesh                              |       10.38 |
| 31        | Uttarakhand                                |        2.42 |
| 32        | West Bengal                                |       11.53 |
| 33        | Dadra &Nagar Haveli &Daman Diu& Daman &Diu |        0.73 |
| 34        | Lakshadweep                                |        0.25 |
| 35        | Chandigarh                                 |        0.3  |
| 36        | Andaman& Nicobar                           |        0.51 |
|           | Total                                      |      165.8  |