Lok Sabha Question No. 883 (UNSTARRED), answered on 2021-02-05
Subject: Conversion of Medical Colleges into COVID Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: N.K. Premachandran

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

LOK SABHA UNSTARRED QUESTION NO. 883 TO BE ANSWERED ON 5 TH FEBRUARY, 2021

## CONVERSION OF MEDICA L COLLEGES INTO COVI D HOSPITALS

## 883. SHRI N.K.PREMACHANDRAN:

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

- (a) the details regarding the additional infrastructure facility provided by each State/UTs for the management of COVID - 19;
- (b) the details of financial assistance given by theUnion Government to each States/UTs for the management of COVID-19;
- (c)  whether  the  Government  gave  direction  for conversion  of  existing  medical  colleges  into COVID - 19 hospitals, if so, the details thereof;
- (d) the number of medical colleges in each State/ UTs converted into Covid hospitals;
- (e) whether the Government is aware that the patients who require super specialty treatment are suffering due to conversion of the medical colleges, hospitals and super specialty hospitals into Covid hospitals, if so, the details thereof; and
- (f) the alternate arrangements made by each State/ UTs and the details regarding the rate of death ofpatients other than Covid patients in each State/UTs during the last one year?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): For appropriate management of suspect/confirmed COVID - 19 cases, a three tier arrangement of health facilities has been implemented in consultation with th e State Governments:
- COVID Care Center (CCC) that shall offer care for mild cases.
- Dedicated COVID Health Centre (DCHC) that shall offer care for all cases that have b clinically assigned as moderate.
- Dedicated COVID Hospital (DCH) that shall offer comp rehensive care primarily for those who have been clinically assigned as severe.

Tertiary  care  hospitals  under  ESIC,  Defence,  Railways,  paramilitary  forces,  S Ministry etc. are also being leveraged for case management.

In addition, States have opted for public private partnership with many private hospitals to work as stand - alone COVID hospitals. DRDO has set up large field hospitals with capaciti ranging from 1000 to 10,000 isolation beds.

(b): Under the 'India COVID19 Emergency Response and Health System Preparedness package' of Rs 15,000 crores has been approved by the Cabinet on 22 nd April 2020 with an objective to prevent, detect and respond to the threat posed by COVID - 19. As up to 15 th January 2021, Rs 11, 361.67 Crores have been utilized for the same. Of this, Rs.6309.90 crore has been released to the States/UTs through National Health Mission (NHM). The details are given at Annexure .

(c):  As  per  Guidance  document  on  appropriate  management  of  suspect/confirmed  cases  o COVID - 19 (available :on https://www.mohfw.gov.in/pdf/FinalGuidanceonMangaementofCovidcasesversion2.pdf), Dedicated COVID Hospitals that are required to have comprehensive care may either be a hospital or a separate block in a hospital with preferably separate entry \ exit (a v ilable at most hospitals attached to medical colleges) primarily for those COVID - 19 cases who are clinically assigned as severe.

(d):  'Health'  being  a  State  subject,  the  States  have  designated  various  medical  colleges  as different types of COVID Dedicat ed Facilities. While in some cases, in view of suspension o regular classes, the hostels facilities have been utilized as COVID care centers for mild  cases,  others  States  have  designated  a  specific  block  of  attached  hospitals  a Dedicated COVID Health Center or Dedicated COVID hospital.

The States/UTs have accordingly utilized medical college infrastructure as per requirements  and  trajectory  of  cases  in  different  points  in  time.  No  centralized  data maintained by Union Minist ry of Health & Family Welfare in this regard.

(e) & (f): Provisioning of COVID - 19 dedicated facilities ensured that while non - COVID cases will continue to get treatment in non - COVID facilities, the risk of healthcare associated COVID -19 infections, could be restricted to dedicated COVID facilities alone.

However,  taking  note  of  need  to  resume  non -COVID  specialty  services,  Ministry  of Health &Family Welfare issued multiple advisories and guidelines to ensure safe resumptio services in areas like ophthalmology, ENT, Dental, renal dialysis, etc.

In order to ensure delivery of non - COVID essential health services, MoHFW also issued a  guidancenote  on  enabling  Delivery  of  Essential  Health  Services  during  the  COVID - 19 Outbreak on 14th April, 2020 that called for alternate models for outreach services like activities  for  immunization,  antenatal  care,  screening  for    common    NCDs/communica ble diseases  etc.

Additionally, Ministry of Health & Family Welfare on 27th May, 2020 issued a guidance note Essential Reproductive, Maternal, Newborn, Child, Adolescent Health Plus Nutriti (RMNCAH+N) Services during and post - COVID.

All guidelines made available at: https://www.mohfw.gov.in/

## Annexure

## Central  Release  of  Grants  in  aid  under  the  India  COVID -19  Emergency  Response  and  Health System Preparedness Package during the FY 2020 - 21 (As on 15th January 2021)

| S. No.   | State/UT                             | Fund release (In. Rs. Crore)   |
|----------|--------------------------------------|--------------------------------|
| 1        | Andaman & Nicobar Islands            | 11.57                          |
| 2        | Andhra Pradesh                       | 324.27                         |
| 3        | Arunachal Pradesh                    | 19.13                          |
| 4        | Assam                                | 180.04                         |
| 5        | Bihar                                | 164.92                         |
| 6        | Chandigarh                           | 17.14                          |
| 7        | Chhattisgarh                         | 74.21                          |
| 8        | Dadra & Nagar Haveli and Daman & Diu | 2.46                           |
| 9        | Delhi                                | 651.46                         |
| 10       | Goa                                  | 11.49                          |
| 11       | Gujarat                              | 273.46                         |
| 12       | Haryana                              | 157.35                         |
| 13       | Himachal Pradesh                     | 47.9                           |
| 14       | Jammu & Kashmir                      | 167.52                         |
| 15       | Jharkhand                            | 57.53                          |
| 16       | Karnataka                            | 303.69                         |
| 17       | Kerala                               | 453.56                         |
| 18       | Ladakh                               | 36.52                          |
| 19       | Lakshadweep                          | 0.4                            |
| 20       | Madhya Pradesh                       | 256.94                         |
| 21       | Maharashtra                          | 592.82                         |
| 22       | Manipur                              | 14.99                          |
| 23       | Meghalaya                            | 12.46                          |
| 24       | Mizoram                              | 8.11                           |
| 25       | Nagaland                             | 8.21                           |
| 26       | Orissa                               | 109.13                         |
| 27       | Puducherry                           | 7.06                           |
| 28       | Punjab                               | 143.46                         |
| 29       | Rajasthan                            | 285.01                         |
| 30       | Sikkim                               | 5.44                           |
| 31       | Tamil Nadu                           | 773.24                         |
| 32       | Telangana                            | 353.13                         |
| 33       | Tripura                              | 17.58                          |
| 34       | Uttar Pradesh                        | 474.78                         |
| 35       | Uttarakhand                          | 61.46                          |
| 36       | West Bengal                          | 231.46                         |
|          | Grand Total                          | 6,309.90                       |

## Note:

1. For the FY 2020 - 1, the UT of Dadra & Nagar Haveli and Daman & Diu have been combined.
2. Release  for the F.Y. 2020 - 21 is updated upto 21.01.2021 and is provisional.
3. The above releases are 100% Centrally funded.