Lok Sabha Question No. 1850 (UNSTARRED), answered on 2021-07-30
Subject: Strengtheing Emergency Health Response
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Raja Amareshwara Naik, Vinod Kumar Sonkar, Bhola Singh, Jayanta Kumar Roy, Sukanta Majumdar, Sangeeta Kumari Singh Deo, Rajveer (Raju Bhaiya) Singh

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED Q. No 1850 th

## TO BE ANSWERED ON 30 JULY, 2021

## STRENGTHENING EMERGENCY HEALTH RESPONSE

## 1850    SHRI RAJA AMARESHWARA NAIK

SHRI VINOD KUMAR SONKAR

SHRI BHOLA SINGH :

DR. JAYANTA KUMAR ROY :

DR. SUKANTA MAJUMDAR :

SHRIMATI SANGEETA KUMARI SINGH DEO :

SHRI RAJVEER SINGH (RAJU BHAIYA) :

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

- ( a) whether  the  Government  has  approved  a  new  scheme  'India  COVID -19  Emergency Response and Health System Preparedness Package: Phase -II', if so, the details thereof;
- ( b) the details of physical and financial progress made under the Phase-I of the package so far, State/ UT -wise including Uttar Pradesh;
- ( c) whether the Government will provide support for implementation

of

Hospital

- Management Information System (HMIS) in all the District Hospitals of the country;
- ( d) if so, the details there of; and
- ( e) the other steps being taken by the Government to strengthen emergency health respo system in the country?

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

(DR. BHARTI PRAVIN PAWAR)

(a) to (e) : Although Health is a state subject, Government of India has provided the requ technical  support  and  has  also  supported  the  states  through  logistic  and  financial  su further strengthen the existing health infrastructure to tackle COVID - 19 pandemic.

## :

:

- 'India COVID - 19 Emergency Response & Health System Preparedness Package: Phase -II' has  been  approved  by  the  Cabinet  with  Rs  23,123  crores  (with  Rs.  15,000  Cr  as  Cent Component & Rs 8,123 as State component) and is to be implemented from 1st July 202  to 31 st March 2022.
- It includes support to State/UT level for ramping up Health Infrastructure including rural, tribal and peri - urban areas closer to the community, providing support for procuremen of drugs and diagnostics to enhance servic e delivery at district and sub district levels f management of COVID-19 cases (including pediatric care) and for maintaining a buffer drugs,  support  for  IT  Interventions  such  as  implementation  of  Hospital  Manageme Information  System  in  district  hosp itals  across  the  country  and  expanding  access  to  tele -consultations in all districts, and support for capacity building and training for al management of COVID-19.
- During  the  FY  2020 - 21,  funds  to  the  tune  of  Rs.8257.88  crore  has  been  released  t o  the States/UTs towards the India COVID - 19 Emergency Response and  Health System Preparedness Package. Details are given at Annexure - I .
- Apart from India COVID - 19 Emergency Response and Health System Preparedness Package Phase I & II, Union Government has a lso provided other financial support to States/UTs for ramping up Health Infrastructure and support all aspects of management of COVID - 19.
- During  the  F.Y.  2019 -20, funds  to  the  tune  of  Rs.1113.21  crore  was  released  to  the States/UTs under NHM.
- In September 2020, the Union Government allowed the states to spend maximum 35% of annual  allocation  of  funds  under  SDRF  for  the  financial  year  2019 - 20.  The  ceiling  was further enhanced to 50% during the financial years 2020 - 21  and  2021 - 22  for  containment measures of COVID - 19.

Some of the other ongoing initiatives to further strengthen healthcare infrastructure incl

- A three - tier arrangement of dedicated COVID - 19 health facilities [(i) COVID Care Center (CCC); (ii) Dedicated COVID Health Centre (DCHC) and (iii) Dedi cated COVID Hospital (DCH)] has been implemented in the country to reduce the risk of cross infection to -COVID patients as well as to maintain continuity of non - COVID essential health services in the country.
- Government of India has roped in tertiary care hospitals under other ministries to supplement the hospital facilities. Further, many large temporary treatment facilities were estab DRDO to manage surge in COVID - 19 cases in the country. The isolation bed capacity and ICU bed capacity was a lso enhanced continuously.
- The  daily  liquid  medical  oxygen  (LMO)  supply  was  increased  by  enhancement  of  LMO production  in  steel  plants  as  well  as  in  other  LMO  plants.  Further,  restrictions  w imposed on industrial use of oxygen.
- Online  digital  sol utions  viz.  Oxygen  Demand  Aggregation  system  (ODAS)  and  Oxygen Digital Tracking System (ODTS) have been developed to ascertain the demand for medica oxygen from all medical facilities and to track their transportation.
- To  generate  oxygen  at  the  health  fa cility  level,  PSA  plants  are  being  established  in  each district hospitals to reduce the burden on the medical oxygen supply grid across the co
- Further, to fast - track the availability of Medical Oxygen in rural and peri - urban areas, more than 39,000 o xygen concentrators have been allocated to various States.
- A  COVID  Drugs  Management  Cell  (CDMC)  has  been  set  up  in  the  Department  of Pharmaceuticals  (DoP)  to  oversee  the  management  of  smooth  supply  of  drugs  used  i COVID - 19 management.
- Action is initiate d at the National level to augment production of critical drugs inclu import besides support in terms of equitable distribution of the critical supplies.
- All States/UT and State Drugs Controllers have been requested to verify stock of drug check other malpractices and take effective steps to curb hoarding and black marketi some drugs like Remdesivir.
- Ministry of Health & Family Welfare continues to provide technical guidance for manag various aspects of COVID - 19. So far more than 150 guid elines/advisories/SoPs/plans have been provided to States/UTs.
- Further COVID- 19 treatment protocols and advisories both for adults as well as pediatri groups were issued and widely disseminated to promote rational use of drugs and oxygen.
- Ayushman Bh arat PM - JAY provides free health cover up to Rs. 5 lakhs per year per famil Beneficiaries of Ayushman Bharat PM - JAY can avail free treatment of COVID - 19 as well as post - COVID related complications including Mucormycosis, etc. under the scheme.
- Under the National COVID Vaccination Program, Government of India is procuring vaccines and providing them free of cost to States and UTs. As on 25th July 2021, a total of 44.91  crore  doses  have  been  supplied  to  States/UTs  from  all  sources  i.e  Government In dia's Covid vaccine supply free of cost to all States/UTs, State/UTs and Private Hospitals procured Covid vaccine.

## Central Release of Grants in aid under the India COVID - 19 Emergency Response and Health System Preparedness Package during the FY 2020 - 21

| S. No.   | Name of the State /UTs            | Central Releases   |
|----------|-----------------------------------|--------------------|
| 1        | Andaman & Nicobar Islands         | 14.80              |
| 2        | Andhra Pradesh                    | 422.67             |
| 3        | Arunachal Pradesh                 | 21.96              |
| 4        | Assam                             | 216.69             |
| 5        | Bihar                             | 193.94             |
| 6        | Chandigarh                        | 35.92              |
| 7        | Chhattisgarh                      | 109.21             |
| 8        | Dadra & NagarHaveli & Daman & Diu | 4.67               |
| 9        | Delhi                             | 787.91             |
| 10       | Goa                               | 17.65              |
| 11       | Gujarat                           | 304.16             |
| 12       | Haryana                           | 187.71             |
| 13       | Himachal Pradesh                  | 54.48              |
| 14       | Jammu & Kashmir                   | 194.58             |
| 15       | Jharkhand                         | 70.84              |
| 16       | Karnataka                         | 409.63             |
| 17       | Kerala                            | 573.96             |
| 18       | Ladakh                            | 44.77              |
| 19       | Lakshadweep                       | 0.79               |
| 20       | Madhya Pradesh                    | 286.57             |
| 21       | Maharashtra                       | 1,185.12           |
| 22       | Manipur                           | 19.92              |
| 23       | Meghalaya                         | 14.82              |
| 24       | Mizoram                           | 8.86               |
| 25       | Nagaland                          | 10.27              |
| 26       | Orissa                            | 146.44             |
| 27       | Puducherry                        | 23.35              |
| 28       | Punjab                            | 165.28             |
| 29       | Rajasthan                         | 426.39             |
| 30       | Sikkim                            | 7.16               |
| 31       | Tamil Nadu                        | 868.09             |
| 32       | Telangana                         | 386.37             |
| 33       | Tripura                           | 23.21              |
| 34       | Uttar Pradesh                     | 541.56             |
| 35       | Uttarakhand                       | 72.25              |
| 36       | West Bengal                       | 295.28             |
|          | Total                             | 8,147.28           |
|          | Health Insurance                  | 110.6              |