Lok Sabha Question No. 278 (STARRED), answered on 2021-08-06
Subject: Special Health Packages for COVID-19
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kaushalendra Kumar, Satyadev Pachauri

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO.278

## TO BE ANSWERED ON THE 6 TH  AUGUST, 2021 SPECIAL HEALTH PACKAGES FOR COVID-19

## *278. SHRI KAUSHALENDRA KUMAR: SHRI SATYADEV PACHAURI:

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

- (a) the amount of special health packages announced and the amount released so far during COVID-19 pandemic period, date and State/UT-wise;
- (b)  the  details  of  the  funds  utilised  from  the  above  said  packages  along  with  the outcome thereof;
- (c) whether these special packages are sufficient for boosting health infrastructure in rural as well as urban areas; and
- (d) if so, the details thereof?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI MANSUKH MANDAVIYA)

- (a) to (d) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 278* FOR 6 TH  AUGUST, 2021

'Public Health and Hospitals' being a State subject, the primary responsibility of strengthening public healthcare system lies with the respective State Governments. However, the Ministry of Health and Family Welfare provides technical and financial support  to  the  States/UTs  to  strengthen  public  healthcare  system  including  for  the management of the COVID-19 public health challenge from time to time.

The Support has been provided to States/UT under the following packages:-

1. In  FY  20-21,  an  amount  of  Rs.1,113.21  Cr  has  been  released  to  States/UTs under  NHM  for  COVID-19  management  and  State-wise  details  are  given  at Annexure-I.
2. 'India  COVID-19  Emergency  Response  &  Health  System  Preparedness Package' for the containment and management of the pandemic, including for augmentation of infrastructure, oxygen supported beds, isolation beds, ICUs & Human  Resources,  supply  of  drugs,  etc.  During  the  financial  year  2020-21, Rs.8147.28  Crs.  has  been  released  to  States  under  this  package.  In  addition, Rs.110.60 Crs has been made available for insurance of Health Care workers. Thus,  a  total  amount  of  Rs.8257.88  Crs  has  been  provisioned  for  the  States/ UTs.State-wise details are given at Annexure-I.

MOHFW has also provided in-kind support to the States/UTs, by procuring and distributing  oxygen  cylinders,  Trunat  COVID  Test  Cartridges,  X-pert  COVID cartridges, N 95 masks, PPE kits, Remdesivir and ventilators.

The outcomes from this package are at Annexure-II.

3. The  Cabinet  has  also  approved  the  scheme , 'India  Covid-19  Emergency Response  and  Health  Systems  Preparedness  Package  -  Phase-II'  (ECRPPhase-II) on  8.07.2021  for  an  amount  of  Rs.23,123  crores.  The  scheme  is  a Centrally Sponsored Scheme (CSS) with some Central Sector (CS) components. The  Scheme  is  aimed  to  prevent,  detect  and  respond  to  the  continuing  threat posed by COVID-19 and strengthen national health systems for preparedness in India.

Under CSS components of ECRP-II, support is being provided to the States/UTs for  provision  for  establishing  District  Paediatric  Units  (including  Oxygen Supported  beds  and  ICU  beds)  in  all  the  Districts  of  the  Country.  Besides, support is also provided to increase the availability of ICU beds in Government health facilities and to create pre -fabricated structures for augmenting beds at Sub Health Centres, Primary Health Centres & Community Health Centres in rural, peri-urban  and  tribal areas. Maintaining,  buffer  stock  for essential medicines required for effective COVID management, in addition to provision for  required  drugs  and  diagnostics,  is  also  being  supported.      Support  is  also available  for  establishing  field  hospitals,  (100  bedded  or  50  bedded  units) wherever required. Support is further extended to the  States to utilize the UG and  PG  Residents,  Final  Year  MBBS,  BSc  and  GNM  Nursing  students  for effective COVID-19 management and for Strengthening district level laboratories for RT-PCR testing.

Under Central Component of ECRP-II, support is provided to Central Government Hospitals for re-purposing the beds for COVID-19 and to NCDC to strengthen surveillance activities including for the Genome Sequencing related work. The ECRP-II has also Central Sector components of Central Procurement of  essential  medicines  (including  the  emerging  drugs, based on the needs) for effective management of COVID-19 and Strengthening surveillance at Points of Entry.

In order to ensure implementation of critical activities at the State/District levels to prepare the public healthcare system in response to the evolving pandemic,15% of Central Share of Resource Envelope of the State/UT, has been released in-advance to the States/UTs.

State/UT wise release of funds during FY 19-20, 20-21 and 21-22 (till July 2021) for COVID-19 management is given at Annexure-I.

Annexure-I State/UT wise details of Central Release of Grants-in-aid through NHM Framework in F.Y.  2019-20  and  FY  2020-21  and  Allocation  and  Central  Release  in  F.Y.  2021-22  for

management and control COVID-19. (Rs. in crore)

| S. No.   | State/UT                          | Central Release in 2019-20   |   Central Release in 2020-21 under ECRP-I | Central Allocation in 2021-22 under ECRP-II   |   Central Release under ECRP-II in 2021-22 as on 31st July 2021 |
|----------|-----------------------------------|------------------------------|-------------------------------------------|-----------------------------------------------|-----------------------------------------------------------------|
| 1        | Andaman &Nicobar Islands          | 0.74                         |                                     14.8  | 14.22                                         |                                                            2.13 |
| 2        | Andhra Pradesh                    | 37.11                        |                                    422.67 | 417.91                                        |                                                           62.69 |
| 3        | Arunachal Pradesh                 | 8.91                         |                                     21.96 | 127.75                                        |                                                           19.16 |
| 4        | Assam                             | 72.73                        |                                    216.69 | 731.22                                        |                                                          109.68 |
| 5        | Bihar                             | 66.79                        |                                    193.94 | 1,032.87                                      |                                                          154.93 |
| 6        | Chandigarh                        | 1.04                         |                                     35.92 | 5.68                                          |                                                            0.85 |
| 7        | Chhattisgarh                      | 25.97                        |                                    109.21 | 376.07                                        |                                                           56.41 |
| 8 9      | Dadra &Nagar Haveli Daman and Diu | 0.52 0.45                    |                                      4.67 | 9.52                                          |                                                            1.43 |
| 10       | Delhi                             | 22.26                        |                                    787.91 | 30.21                                         |                                                            4.53 |
| 11       | Goa                               | 1.48                         |                                     17.65 | 11.78                                         |                                                            1.77 |
| 12       | Gujarat                           | 29.69                        |                                    304.16 | 479.22                                        |                                                           71.88 |
| 13       | Haryana                           | 37.11                        |                                    187.71 | 182.42                                        |                                                           27.36 |
| 14       | Himachal Pradesh                  | 18.55                        |                                     54.48 | 216.51                                        |                                                           32.48 |
| 15       | Jammu &Kashmir                    | 29.69                        |                                    194.58 | 257.64                                        |                                                           38.65 |
| 16       | Jharkhand                         | 25.97                        |                                     70.84 | 383.34                                        |                                                           57.5  |
| 17       | Karnataka                         | 59.37                        |                                    409.63 | 504.04                                        |                                                           75.61 |
| 18       | Kerala                            | 74.21                        |                                    573.96 | 173.89                                        |                                                           26.08 |
| 19       | Ladakh                            | 0.00                         |                                     44.77 | 62.51                                         |                                                            9.38 |
| 20       | Lakshadweep                       | 0.22                         |                                      0.79 | 1.49                                          |                                                            0.22 |
| 21       | Madhya Pradesh                    | 55.66                        |                                    286.57 | 874.35                                        |                                                          131.15 |
| 22       | Maharashtra                       | 74.21                        |                                   1185.12 | 820.77                                        |                                                          123.12 |

| 23    | Manipur                     | 5.94    | 19.92   | 77.35     | 11.60   |
|-------|-----------------------------|---------|---------|-----------|---------|
| 24    | Meghalaya                   | 5.94    | 14.82   | 82.74     | 12.41   |
| 25    | Mizoram                     | 3.71    | 8.86    | 39.87     | 5.98    |
| 26    | Nagaland                    | 3.71    | 10.27   | 56.22     | 8.43    |
| 27    | Odisha                      | 37.11   | 146.44  | 517.18    | 77.58   |
| 28    | Puducherry                  | 0.74    | 23.35   | 5.42      | 0.81    |
| 29    | Punjab                      | 40.82   | 165.28  | 198.89    | 29.83   |
| 30    | Rajasthan                   | 85.35   | 426.39  | 883.37    | 132.51  |
| 31    | Sikkim                      | 2.98    | 7.16    | 19.67     | 2.95    |
| 32    | Tamil Nadu                  | 48.24   | 868.09  | 479.59    | 71.94   |
| 33    | Telangana                   | 33.40   | 386.37  | 298.68    | 44.80   |
| 34    | Tripura                     | 7.42    | 23.21   | 83.72     | 12.56   |
| 35    | Uttar Pradesh               | 132.09  | 541.56  | 1,879.88  | 281.98  |
| 36    | Uttarakhand                 | 18.55   | 72.25   | 244.56    | 36.68   |
| 37    | West Bengal                 | 44.53   | 295.28  | 604.76    | 90.71   |
|       | Total                       | 1113.21 | 8147.28 | 12,185.30 | 1827.78 |
|       | Insurance of Health Workers | 0.00    | 110.60  | 0.00      | 0.00    |
|       | Grand Total                 | 1113.21 | 8257.88 | 12,185.30 | 1827.78 |
| Note: | Note:                       | Note:   | Note:   | Note:     | Note:   |

## Improvement  in  the  Healthcare  Infrastructure  with  the  support  of 'India  COVID-19

## Emergency Response & Health System Preparedness Package'

## for COVID-19 Management

1. Augmentation of Healthcare Infrastructure : Since April 2020, exponential growth has been made in the establishment of Health infrastructure. As of 02 nd August 2021, the progress made is as follows:
2. o Dedicated COVID Hospitals increased from 163 to 4416 - 27 fold increase
3. o Dedicated COVID Health Centres increased from 0 to 8485
4. o Dedicated COVID Centre increased from 0 to 10,150
5. o Oxygen supported beds increased from 50,583 to 4,35,077 - 9 fold increase
6. o Total  isolation  beds  (excluding  ICU  beds)  increased  from  41,000  to  18,08,040  -  44  fold increase
7. o Total ICU beds increased from 2,500 to 124,755 - 50 fold increase
8. o 2.2 million health workers including ASHAs are insured to fight COVID-19
9. o Additional  HR  deployed  in  States/  UTs:  Specialists  -  3720,  Medical  Officers  -  7030,  Staff Nurses - 36,303
2. Phenomenal progress in  Testing :  The  testing  capacity  i.e.,  of  30,000  per  day  from  April 2020 has been increased to more than 20.60 lakhs samples per day. Cumulatively, over 46.96  Crore  tests  for  COVID-19  through  2808  testing  labs  in  the  country  (1,299 government laboratories  and  1,509  private  laboratories),  have  been  conducted  and  the daily testing capacity has got a substantial boost.

ICMR has also supplied 85 RT-PCR machines, 125 automated RNA extraction machines, 4 COBAS machines to the States/UTs to strengthen the testing capacity for COVID.

3. MoHFW has also provided in-kind support to the states by procuring and distributing 4.23 Crore  -  N95  masks,  1.77  crore  -  PPE  kits,  11.16  Crore  -  HCQ  tablets,  48,232  -Ventilators, 14,000  10ltr  Oxygen  Concentrators,  102,400-  Oxygen  cylinders,  1,00,000  -  SARS  COV2 cartridges, 12 lakhs- COVID-19 PCR chip, 1.0 Crore - Remdesivir injections (as on 14 th July 2021).
4. Ministry of Railways also converted 5601 train coaches into COVID Care Centres and are being deployed as per demand by State Government.  Testing capacity for COVID-19 for Railways was also augmented by the addition of 5 RTPCR Machines (including Truenat Machines).