Lok Sabha Question No. 853 (UNSTARRED), answered on 2021-02-05
Subject: Health Schemes in Uttar Pradesh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vijay Kumar Dubey

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

## LOK SABHA UNSTARRED QUESTION NO. 853 TO BE ANSWERED ON 5 TH FEBRUARY, 2021

## HEALTH SCHEMES IN UT TAR PRADESH

## 853. SHRI VIJAY KUMA R DUBEY:

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

(a) the details of various health schemes being implemented by the Union government for Uttar Pradesh;

- (b)  whether  the  Government  has  assessed  the  quality of  healthcare  services  in  the  cou ntry especially in the state of Uttar Pradesh and if so, the details along with the outcome thereof;
- (c)  the  details  of  estimated  number  of  doctors, medical  colleges,  hospitals  and  hospital  beds available in Uttar Pradesh; and

(d)  the  other  steps  taken  by the  Government  to improve  access  to  affordable  and  quali ty healthcare services  in  the  Purvanchal  region  along  with  the  funds earmarked,  allocated  and utilized during each of the last three years and the current year?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

(a)  &  (b):    'Public  Health  &  Hospitals'  being  a  State  subject,  the  primary  responsibility  for ensuring healthcare services to all the citizens of the country e specially poor lies with respective State  Government  including  Uttar  Pradesh.  However, to  address  the  healthcare  challenges, particularly  in  rural  areas,  the  National  Health  Mission  (NHM)  is  being  implemented supplement  the  efforts  of  the  State/UT  gover nments  including  Uttar  Pradesh  to  provide accessible, affordable and quality healthcare to all those who access public health facil The main programmatic components include Health System Strengthening, Reproductive - Maternal Neonatal - Child and Adolesc ent Health (RMNCH+A), and control of Communicable and Non -Communicable Diseases.

Details of various initiatives taken under NHM to provide support to the States/UTs incl for Uttar Pradesh is given at Annexure -I:

(c):  Rural Health Statistics (RHS) i s an annual publication, based on Health care administrative data  reported  by  States/UTs.  RHS  provides  information  on  rural  health  infrastructure requirements of public health facilities in rural areas as reported by States. As per the RHS

2019,  the  de tails  of  doctors,  medical  colleges  and  hospitals  available  in  Uttar  Prades attached at Annexure -II.

(d):Primary responsibility of improving access to affordable and quality healthcare servi Purvanchal regional lies with State government of Uttar Pradesh and under NHM, technical and financial support is provided to the States to strengthen the public healthcare system the proposals received from the States subject to availability of resources.

- Ayushman Bharat - Health and Wellness Centres (AB-HWCs) - The first component pertains  to  creation  of  1,50,000  Health  and  Wellness  Centres (AB-HWCs) by upgrading  the  Sub  Health  Centres  (SHCs)  and  Primary  Health  Centres  (PHCs)  in rural and urban areas which will bring health care closer to the community.

(ii)  Under Free Drugs Service Initiative: Initiative, substantial funding is being given to States for provision of free drugs and setting up of systems for drug procurement, quality assurance, IT based supply chain management system, training and grievance redressal etc. (iii)  Free Diagnostics Service Initiative: To address the need of accessible and quality diagnostics  in  public  health  facilities, MoHFW launched  Operational  Guidelines  on  Free Diagnostics  Service  Initiative  which  enable  States/UTs  to  provide  essential  diagnosticslaboratory services and radiology services (Tele-radiology and CT Scan Services) at their public health facilities. (iv) Community Participation:

- The second component is the Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) which  provides  health  insurance  coverage  up  to  Rs.  5.00  lakh  per family  per  year  to  around  identified  10.74  crore  poor  and  vulnerable  families (nearly  50  crore  individuals)  identified  based  on  Socio  Economic  Caste  Census (SECC) data.
- Accredited Social Health Workers :  The ASHA program is a key component of the community  processes  element  of  National  Health  Mission  (NHM),  intended  to achieve  the  goal  of  increasing  community  engagement  with  the  health  system. ASHAs  are  honorary  volunteers  who  receive  performance-based  incentives  for  a varied  set  of  activities  (nearly  40  tasks  approved  at  the  national  level)  related  to maternal and child health, communicable diseases and non-communicable diseases for community level health interventions.
- Rogi  Kalyan  Samiti  (Patient  Welfare  Committee)  /  Hospital  Management Society is  a  simple  yet  effective  management  structure.  This  committee  is  a registered  society  that  acts  as  a  group  of  trustees  for  the  hospitals  to  manage  the affairs of the hospital. Financial assistance is provided to these Committee through untied fund to undertake activities for patient welfare.
- VHSNCs: Village  Health  Sanitation  and  Nutrition  Committees  (VHSNCs)  at  village level  have  been  constituted  across  the  country  to  facilitate  village  level  healthcare planning.

(v) 24  X  7  Services  and  First  Referral  facilities : To  ensure  service  provision  for Maternal and Child Health, 24x7 services at the PHCs have been made available.

- The Untied Grants to Sub-Centres (SCs): At  the  Village  Level,  the  Village  Health, Sanitation and Nutrition Committee (VHSNC) monitors the services provided by the Anganwadi Worker, the ASHA and the sub-centre. These Committees are envisaged to  function  under  the  ambit  of  the  Panchayati  Raj  Institution  with  adequate representation from women and weaker sections of the society. The VHSNC acts as a sub-committee or statutory body of the Gram Panchayat.

(vi) Mera  Aspataal: 'Mera  Aspataal'  is  a  patient  feedback  system  launched  with  a mandate to integrate Central Government Hospitals & District Hospitals on the feedback portal.  It  has  now  been  extended  upto  CHC,  Rural  &  Urban  PHC  and  private  medical colleges.

(viii) National  Quality  Assurance  Standards  (NQAS)  Implementation  and  related activities Quality  in  delivery  health  care  services  is  important  for  improving  the  health status of the population. It enhances accessibility, increases efficiency, strengthens clinical effectiveness and improves user satisfaction. With the aim of improving quality of care, the MoHFW launched the National Quality Assurance Standards (NQAS) for District Hospitals in  2013  and  subsequently  for  other  health  facilities.  These  standards  are accredited  by ISQua (International Society for Quality in Healthcare). These standards are also recognized by IRDA and NHA.

(vii) Kayakalp: Kayakalp  Award  Scheme  was  launched  under  the  'Swachh  Bharat Abhiyaan'. The scheme encourages the public health facilities to demonstrate high levels of cleanliness,  adherence  to  hygiene,  sanitation  and  infection  control  practices.  Exemplary performances are recognized through cash prizes and citation.

## Annexure-II

## Details of doctors, medical colleges and hospitals available in Uttar Pradesh

| DOCTORS AT DISTRICT HOSPITAL ANDSUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | DOCTORS AT DISTRICT HOSPITAL ANDSUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | DOCTORS AT DISTRICT HOSPITAL ANDSUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | DOCTORS AT DISTRICT HOSPITAL ANDSUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | DOCTORS AT DISTRICT HOSPITAL ANDSUB DISTRICT/ SUB DIVISIONAL HOSPITAL   |
|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|-------------------------------------------------------------------------|
|                                                                         | (As on 31 st March, 2019)                                               | (As on 31 st March, 2019)                                               | (As on 31 st March, 2019)                                               | (As on 31 st March, 2019)                                               |
| State/UT                                                                | DISTRICT HOSPITAL                                                       | DISTRICT HOSPITAL                                                       | SUB DISTRICT/ SUB DIVISIONAL HOSPITAL                                   | SUB DISTRICT/ SUB DIVISIONAL HOSPITAL                                   |
|                                                                         | Sanctioned                                                              | In Position                                                             | Sanctioned                                                              | In Position                                                             |
| Uttar                                                                   |                                                                         |                                                                         |                                                                         |                                                                         |

Pradesh

2671

1059

N App

N App

| NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL, MOBILE MEDICAL UNITS &MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL, MOBILE MEDICAL UNITS &MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL, MOBILE MEDICAL UNITS &MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL, MOBILE MEDICAL UNITS &MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL, MOBILE MEDICAL UNITS &MEDICAL COLLEGES FUNCTIONING   |
|------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|
|                                                                                                            | As on 31 st March 2019                                                                                     | As on 31 st March 2019                                                                                     | As on 31 st March 2019                                                                                     | As on 31 st March 2019                                                                                     |
| State                                                                                                      | Sub Divisional Hospital (SDH)                                                                              | District Hospital (DH)                                                                                     | Mobile Medical Units (MMU)                                                                                 | Medical Colleges                                                                                           |
| Uttar                                                                                                      | 0                                                                                                          | 157                                                                                                        | 0                                                                                                          | 18                                                                                                         |

Pradesh