Lok Sabha Question No. 2161 (UNSTARRED), answered on 2023-12-15
Subject: Shortage of Beds in Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shrirang Appa Barne, Sudheer Gupta, Dayanidhi Maran, Sanjay Sadashivrao Mandlik, Prataprao  Jadhav, Sambhajirao Mane Dhairyasheel

## GOVERNMENTOFINDIA

## MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION NO. 2161 TO BE ANSWERED ON 15.12.2023

## SHORTAGE OF BEDS IN HOSPITALS

2161 # SHRI SHRIRANG APPA BARNE SHRI SUDHEER GUPTA SHRI DAYANIDHI MARAN SHRI SANJAY SADASHIVRAO MANDLIK SHRI PRATAPRAO JADHAV SHRI DHAIRYASHEEL SAMBHAJIRAO MANE

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

- (a) the recommended ratio and the existing ratio of beds per 1000 persons in the hospitals in the country;
- (b) whether it is a fact that there is a huge gap between number of hospital beds available and number of beds required in the hospitals in the country and if so, the details thereof;
- (c) whether the Government is aware that it needs to adequately supplement healthcare infrastructure requirements to meet the expanding healthcare requirements of the population and if so, the details thereof and the steps taken by the Government in this regard;
- (d) whether the Government proposes to rope in private players having major share in health industry and encourage them to come forward and establish more hospitals in the country, if so, the details thereof and steps taken in this regard; and

(e)the steps taken/ proposed to be taken by the Government to address the challenges posed by the increasing prevalence of lifestyle disease?

## ANSWER

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

## (DR. BHARATI PRAVIN PAWAR)

(a) to (d): Health is a state subject, it is primary responsibility of the State Governments/ Union Territories to make efforts for increasing bed strength in the hospitals under their jurisdiction in accordance with requirement and fund availability. However the Central Government provides assistance to the State Governments in their efforts to provide better health care facilities to people through various schemes such as National Health Mission (NHM). State/UT wise Number of Government Hospitals and Beds in Rural & Urban Areas in India may be seen at Annexure.

Further, under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), which aims to provide health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization, various private hospitals have also been empanelled to augment healthcare requirements of the population. As on 02.12.2023 a total of 26775 hospitals including 11734 private hospitals have been empanelled across the country under the AB-PMJAY scheme.

ECRP-I: The 'India COVID-19 Emergency Response and Health System Preparedness Package-I' (ECRP-I) of Rs.15,000 crore has been approved by the Cabinet on 22nd April 2020 with an objective to prevent, detect and respond to the threat posed by COVID-19. It is 100% centrally funded.

ECRP-II: The Cabinet has also approved the scheme, 'India Covid-19 Emergency Response and Health Systems Preparedness Package-II' (ECRP-II) on 08th July 2021 for an amount of Rs.23,123 crore for the F.Y. 2021-22. The scheme aims to accelerate health system preparedness for immediate responsiveness for early prevention, detection and management of COVID-19, with the focus on health infrastructure development including for Pediatric Care and with measurable outcomes.

15th Finance Commission (FC-XV): The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the health sector to the tune of Rs. 70,051 crores and the same have been accepted by the Union Government. These grants for health through Local Governments will be spread over the five-year period from FY 2021-22 to FY 2025-26 and will facilitate strengthening of health system at the grass -root level.

The Pradhan Mantri Swasthya Suraksha Yojana (PMSSY): It aims at correcting regional imbalances in the availability of affordable tertiary healthcare services and to augment facilities for quality medical education in the country. The Scheme has two components, namely, (i) Setting up of All India Institute of Medical Sciences (AIIMS); and (ii) Upgradation of existing Government Medical Colleges/Institutions (GMCIs). So far setting up of 22 New AIIMS and 75 projects of up-gradation of GMCIs have been approved under the Scheme in various phases.

PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM): It is one of the largest Pan-India scheme with an outlay of Rs. 64,180/- crores for strengthening health care infrastructure to effectively manage and respond to any future pandemics and outbreaks across the country. The CSS components of the scheme are implemented by following the existing Framework, institutions and mechanisms of the National Health Mission by leveraging the existing institutional structures available at central and State levels. Under PM -ABHIM, an amount of Rs 584.04 crores was released to the states/UTs during FY 2021-22.

(e): Apopulation-based initiative for prevention, control and screening for common NonCommunicabe Diseases (NCDs) has been rolled out in the country under National Health Mission (NHM) and also as a part of Comprehensive Primary Health Care. Under the initiative, persons more than 30 years of age are targeted for their screening for the common

NCDs i.e. Diabetes, Hypertension and three common cancers i.e oral, breast and cervical. Screening of these common NCDs is an integral part of service delivery under Ayushman Arogya Mandir (erstwhile Ayushman Bharat Health & Wellness Centre).

Preventive aspect of lifestyle diseases is strengthened under Comprehensive Primary Health Care through Ayushman Arogya Mandir scheme, by promotion of wellness activities and targeted communication at the community level. Other initiatives for increasing public awareness about NCDs promotion of healthy lifestyle includes observation of Health Days pertains to NCDs & use of print, electronic and social media for continued community awareness. Furthermore, healthy eating is also promoted through Food Safety and Standards Authority of India (FSSAI). Fit India movement is implemented by Ministry of Youth Affairs and Sports, and various Yoga related activities are carried out by Ministry of AYUSH. In addition, National Programme for Prevention and Control of Non Communicable Diseases (NP-NCD) gives financial support under NHM for awareness generation activities for NCDs to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).

## ANNEXURE FOR UNSTARRED QUESTION NO. 2161 TO BE ANSWERED ON 15.12.2023.

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