Lok Sabha Question No. 3405 (UNSTARRED), answered on 2022-08-05
Subject: Initiatives under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kanakmal Katara, Keshari Devi Patel

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

## LOK SABHA UNSTARRED QUESTION NO. 3405 TO BE ANSWERED ON 05 th  AUGUST, 2022

## INITIATIVES UNDER NHM

## †3405. SHRI KANAKMAL KATARA: SHRIMATI KESHARI DEVI PATEL:

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

- (a) the details of various works/initiatives being carried out under National Health Mission in the country, State/UT-wise including Rajasthan and Uttar Pradesh;
- (b) the  details  of  steps  taken  by  the  Government  for  smooth  functioning  and  grass-root implementation and monitoring of the said scheme;
- (c) whether the Government has received complaints of irregularities against senior doctors and other  medical  professionals  in  the  country  and  if  so,  the  State/UT-wise  details  thereof including Rajasthan and Uttar Pradesh; and
- (d) the details of necessary action taken thereupon?

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

(a) to (d): The primary responsibility to strengthen the public healthcare facilities and to ensure availability of human healthcare professionals - doctors and other medical professionals in the public health facilities and to take disciplinary actions regarding any complaints of irregularities against  them  lies  with  the  respective  State/UT  Governments  including  Rajasthan  and  Uttar Pradesh. Under the National Health Mission (NHM), Ministry of Health and Family Welfare, Government of India provides financial and technical support to States/UTs to strengthen their health care systems including augmenting health human resource on contractual basis including support for in-sourcing or engagement of doctors, specialist doctors and other health professionals for provision of equitable, affordable healthcare based on requirements posed by the  States  in  their  Programme  Implementation  Plans  (PIPs)  and  within  their  overall  resource envelope. Various works/initiatives carried out under NHM in the country including Rajasthan and Uttar Pradesh is as below:

-  Ayushman Bharat - Health & Wellness Centres (AB-HWCs): 1,50,000 Sub- Health Centres  (SHC),  Primary  Health  Centres  (PHC)  and  Urban  Primary  Health  Centres (UPHC)  are  transformed  into  Ayushman  Bharat-  Health  and  Wellness  Centres  (ABHWCs) 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.
-  National  Free  Drugs  Initiative :  States/UTs  are  supported  to provide  essential  drugs based on the level of public health facilities free of cost to all who access these facilities.
-  Free Diagnostics Initiatives. (FDI): Under the initiative, support provided to States/UTs to  provide  a  set  of  essential  diagnostics  (14  tests  at  Sub  Centre/  Health  and  Wellness Centre level, 63 tests at PHC/ PHC-HWC level, 97 tests at CHC level, 111 tests at SDH level and 134 tests at DH level) at various levels of care, free of cost.
-  National Ambulance Services (NAS) -  Under the NHM, technical and financial support is  provided for emergency medical services in States/UTs through a functional National Ambulance Service (NAS) network linked with a centralised toll-free number 108/102.
-  National Mobile Medical Units (NMMU) -  are supported to facilitate access to public health care at the doorstep particularly to people living in remote, difficult, under-served and unreached areas to provide primary care services.
-  The Janani  Suraksha  Yojana  (JSY) promotes  institutional  delivery  among  pregnant women especially with weak socio-economic status i.e. women from Scheduled Castes, Scheduled Tribes and BPL households.
-  Further, initiatives such as Mission Parivar Vikas, Adolescent Friendly Health Clinics (AFHCs),  Weekly  Iron  Folic  Acid  Supplementation  (WIFS),  Menstrual  Hygiene Scheme,  Facility  Based  Newborn  Care  (FBNC),  Home  Based  Newborn  Care Program,  Social  Awareness  and  Actions  to  Neutralize  Pneumonia  Successfully (SAANS),  Home  Based  Care  for  Young  Child  (HBYC),  Rashtriya  Bal  Swasthya Karyakram (RBSK), Early Childhood Development (ECD), Comprehensive Abortion Care (CAC), Anemia Mukt Bharat (AMB) strategy, Nutrition Rehabilitation  Centre  (NRC)  program are  supported  to  increase  access  to  quality healthcare  services.  Support  is  also  provided  to  strengthen Universal  Immunization programme , introduction of new vaccines.
-  In  addition  to  NHM, Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (ABPMJAY), provides health coverage of up to Rs 5 lakh per family per year to around 10.74 crore  poor  and  vulnerable  families in  the  country  as  per  Socio  Economic  Caste  Census (SECC).

Various mechanisms exist to assess the grass-root implementation and monitoring of NHM as below:

-  Review of key deliverables of Record of Proceedings of previous financial year during the NPCC meetings,
-  Annual visits to States by Common Review Mission which looks at financial systems and mechanisms.
-  Implementation of Public Financial Management System for monitoring and management of funds.
-  Monitoring visits by senior officials of the Ministry.

Further,  Government  of  India  also  monitors  the  implementation  of  NHM  through  external surveys such as, National Family Health Survey, Annual Health Survey and Sample Registration System.

At  the  District  Level,  the  DISHA  Committees,  under  the  Chairmanship  of  Member  of Parliament, monitor the progress of implementation of NHM. Rogi Kalyan Samitis (RKS) set up at  Public  Health  Facilities  from  Primary  Health  Centre  (PHC)  upwards,  as  an  accountability measure to ensure high quality patient care. Mahila Arogya Samitis for rural and urban areas, facilitate  an  active  role  for  communities  in  action  for  addressing  social  and  environmental determinants of health.

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