Lok Sabha Question No. 1092 (UNSTARRED), answered on 2022-07-22
Subject: Health Projects in Jharkhand
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Chandra Prakash Choudhary

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

## LOK SABHA UNSTARRED QUESTION NO. 1092 TO BE ANSWERED ON 22 nd  JULY, 2022

## HEALTH PROJECTS IN JHARKHAND

## 1092. SHRI CHANDRA PRAKASH CHOUDHARY:

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 Jharkhand;
- (b) the  cost  of  major  health  projects  along  with  the  time  by  which  they  are  likely  to  be completed and the benefits likely to be accrued to the people there from; and
- (c) whether any zones have been earmarked in the State which require specific programmes for the eradication of chronic local diseases and if so, the details thereof?

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

(a)  to  (c):  Ministry  of  Health  and  Family  Welfare,  Government  of  India  under  the  National Health  Mission  (NHM),  provides  financial  and  technical  support  to  States/UTs  to  strengthen their health care systems including setting-up/upgrading public health facilities and augmenting health human resource on contractual basis for provision of equitable, affordable healthcare to all its citizens based on requirements posed by the States in their Programme Implementation Plans (PIPs). The list of programmes/ schemes run by government under National Health Mission in States/UTs including Jharkhand is at Annexure-I .

The following funds are sanctioned to the State of Jharkhand for implementing and Strengthening  of  Public  health  programmes/  schemes  run  by  the  government  under  National Health Mission.

-  Under the National Health Mission , for the FY 2021-22- Rs 1827.88 Cr, FY 22-23- Rs. 2737.53 Cr and FY 23-24- Rs 2316.52 Cr has been approved in ROP by the GOI for Public  health  programs  like  Reproductive,  Maternal,  Neonatal,  Child  and  Adolescent health, Communicable diseases, Non-communicable diseases and Health System Strengthening.
-  Under the Fifteenth Finance Commission , health grants of Rs 444.39 Cr for FY 202122  and  Rs  446.33  Cr  for  FY  2022-23  has  been  approved  for  upgrading  the  health facilities  in  both  rural  and  urban  areas  like  Building  less  Sub-Centres,  Block  Public

Health Units, Urban Health & Wellness Centres and diagnostic infrastructure for Primary Health Centres & Sub-centres.

-  Under the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission , health grant of Rs. 298.08 Crores for FY 2021-22 has been approved to support infrastructure of health facilities like Building-less Sub Health Centres and Critical Care Hospital Blocks.
-  Under Emergency COVID Response Package II , health grant of Rs. 653.94 Crore has been  approved  to  support  Health  infrastructure  with  focus  on  Paediatric  Units,  drugs, diagnostics, Teleconsultation, Hospital Management  Information system, Capacity Building and enhancement of Human resources for Health.

The benefits likely to be accrued to the people from major health projects are as follows:

-  Affordable, equitable and quality healthcare at primary, secondary & tertiary level.
-  Reduced Out of Pocket expenditure.
-  Universal Health Coverage.

As  per  information  received  from  Govt.  of  Jharkhand,  no  specific  zone  has  been  earmarked which requires specific programme for eradication of chronic local disease.

Government of India launched Kala-azar Elimination (KAE) programme in four endemic States including Jharkhand. Kala-azar is targeted for elimination by 2023. Target of elimination is to reduce the number of Kala-azar cases to <1 case per 10,000 population at block level. At the end of 2021 out of 33 Kala-azar endemic blocks, only six blocks reported >1 case per 10,000 population,  however,  in  2022  till  June,  none  of  the  blocks  has  reported  >1  case  per  10,000 population. List of endemic districts and blocks is given in Annexure-II .

Government  of  India  launched  Elimination  of  Lymphatic  Filariasis  (ELF)  programme  in  20 States/UTs  including  Jharkhand.  Lymphatic  Filariasis  is  targeted  for  elimination  by  2030.  In Jharkhand, 22 districts of are earmarked for LF elimination. List of endemic districts is given in Annexure-III .

During 2022-23 and 2023-24, an amount of Rs. 71.05/- Crore has been allocated under NHM for all six vector borne diseases (including KA and LF). Under this programme, all the services are  free  of  cost  for  the  targeted  communities  to  prevent  morbidity  and  mortality  due  to  the disease.  Elimination  of  KA  is  targeted  for  elimination  by  2023  and  LF  is  targeted  for elimination by 2030.

## List of programmes/ schemes run by government under National Health Mission in States/UTs including Jharkhand

## (I) Reproductive, Maternal, Neonatal, Child and Adolescent health

-  Janani Shishu Suraksha Karyakaram (JSSK)
-  Rashtriya Kishor Swasthya Karyakram(RKSK)
-  Rashtriya Bal Swasthya Karyakram (RBSK)
-  Universal Immunisation Programme
-  Mission Indradhanush (MI)
-  Janani Suraksha Yojana (JSY)
-  Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
-  Navjaat Shishu Suraksha Karyakram (NSSK)
-  National Programme for Family planning
-  LaQshya' programme (Labour Room Quality Improvement Initiative)

## (II) National Nutritional Programmes

-  National Iodine Deficiency Disorders Control Programme
-  MAA (Mothers' Absolute Affection) Programme for Infant and Young Child Feeding
-  National Programme for Prevention and Control of Fluorosis (NPPCF)
-  National Iron Plus Initiative for Anaemia Control

## (III) Communicable diseases

-  Integrated Disease Surveillance Programme (IDSP)
-  Revised National Tuberculosis Control Programme (RNTCP)
-  National Leprosy Eradication Programme (NLEP)
-  National Vector Borne Disease Control Programme (NVBDCP)
-  National AIDS Control Programme (NACP)
-  Pulse Polio Programme
-  National Viral Hepatitis Control Program (NVHCP)
-  National Rabies Control Programme
-  National Programme on Containment of Anti-Microbial Resistance (AMR)

## (IV) Non-communicable diseases

-  National Tobacco Control Programme(NTCP)
-  National  Programme  for  Prevention  and  Control  of  Cancer,  Diabetes,  Cardiovascular Diseases & Stroke (NPCDCS)
-  National Programme for Control Treatment of Occupational Diseases
-  National Programme for Prevention and Control of Deafness (NPPCD)
-  National Mental Health Programme
-  National Programme for Control of Blindness & Visual Impairment (NPCB&VI)
-  Pradhan Mantri National Dialysis Programme (PMNDP)
-  National Programme for the Health Care for the Elderly (NPHCE)
-  National Programme for Prevention & Management of Burn Injuries (NPPMBI)
-  National Oral Health programme

## (V) National Urban Health Mission

## (VI) Health System Strengthening

-  Comprehensive Primary Healthcare (CPHC)
-  Blood Services & Disorders
-  Public Health Institutions as per IPHS norms
-  Referral Transport
-  Quality Assurance
-  Inventory management
-  Human resource for health
-  IT interventions and systems
- (VII) Besides  these  mentioned  above,  various National  level  programs  &  schemes to strengthen the activities in rural health sector like:
-  Ayushman Bharat Pradhan Mantri- Jan Arogya Yojana (AB-PMJAY)
-  Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-AB-HIM)
-  15th Finance Commission and
-  Emergency Response and Health System Preparedness Package (ECRP)

## Kala Azar endemic districts and blocks in Jharkhand

| Sl. No.                                                           | District                                                          | Blocks                                                                                               |
|-------------------------------------------------------------------|-------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|
| 1                                                                 | Sahibganj                                                         | Sahibganj, Borio, Mandro, Barhait, Pathna, Barharwa , Rajmahal, Udhwa, Taljhari                      |
| 2                                                                 | Godda                                                             | Godda, Poraiyahat, Pathargama, Meharma, Mahagama, Boarijore, Sundarpahari, Thakurgangti              |
| 3                                                                 | Pakur                                                             | Maheshpur, Pakuria, Pakur, Hiranpur*, Littipara*, Amrapara*                                          |
| 4                                                                 | Dumka                                                             | Dumka*, Jama*, Shikaripara, Raneshwar, Masalia, Kathikund*, Gopikandar, Ramgarh, Jarmundi, Saraiahat |
| *blocks reported >1 case per 10,000 population at the end of 2021 | *blocks reported >1 case per 10,000 population at the end of 2021 | *blocks reported >1 case per 10,000 population at the end of 2021                                    |

## Annexure-III

## Lymphatic Filariasis endemic districts (22) in Jharkhand

Bokaro,  Deoghar,  Dhanbad,  East  Singhbhum,  Garhwa,  Giridih,  Gumla,  Hazaribagh,  Khunti, Lohardaga, Ramgarh, Ranchi, Sehebganj and West Singhbum, Chatra, Dumka, Godda, Jamtara, Latehar, Palamu,Saraikela, Simdega

********