Lok Sabha Question No. 1320 (UNSTARRED), answered on 2024-02-09
Subject: Setting up of New Medical Colleges
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Devji Mansingram Patel, P. Velusamy, S.R. Parthiban

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE

## DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1320 TO BE ANSWERED ON 9 th FEBRUARY, 2024

## SETTING UPOF NEW MEDICALCOLLEGES

## 1320. SHRI DEVJI M. PATEL: SHRI VELUSAMY P.: SHRI PARTHIBAN S.R.:

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

- (a) the number of new medical colleges set up in the country during the last three years, State/ UT-wise including Rajasthan along with the total amount of budget sanctioned for the same;
- (b) whether the Government proposes to set up medical colleges and Post Graduate medical colleges in every district of the country;
- (c) if so, the details thereof, State/UT-wise and district-wise including Sanchore district of Rajasthan;
- (d) whether the Government is aware of the fact that the citizens are not getting quality healthcare facilities due to lack of Government medical college in the district; and
- (e) if so, the total amount of funds allocated for the development of health infrastructure in rural areas during the last three years?

## ANSWER

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

(a) to (e): The Government has increased number of medical colleges and subsequently increased MBBS seats. There is an increase of 82% in medical colleges from 387 before 2014 to 706 as of now. Further, there is an increase of 112% in MBBS seats from 51,348 before 2014 to 1,08,940 as of now, there is also an increase of 127% in PG seats from 31,185 before 2014 to 70,645 as of now.

The Ministry of Health & Family Welfare administers a Centrally Sponsored Scheme (CSS) for 'Establishment of new medical colleges attached with existing district/referral hospitals' with preference to underserved areas and aspirational districts, where there is no existing Government or private medical college. The fund sharing mechanism between the Centre and State Governments is in the ratio of 90:10 for North Eastern and Special Category States, and 60:40 for others.

Under the Scheme, 157 Government medical colleges have been approved in three phases including 23 medical colleges in Rajasthan. Out of these, 108 medical colleges have become functional. The phase wise details of medical colleges approved in the country are at Annexure-I. The state-wise details of medical colleges approved under the scheme during last three years and funds released to these colleges are at Annexure - II.

Under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) scheme, support has been provided to Government of Rajasthan for upgradation of 04 Government Medical Colleges at Bikaner, Udaipur, Kota and Jaipur by setting up of Super Specialty blocks and also 01 AIIMS at Jodhpur has been approved.

Under CSS for 'Strengthening and up-gradation of Govt. Medical Colleges for Increase of MBBS/PG seats', financial support has also been provided to the State of Rajasthan for increase of 750 MBBS seats in 11 Government Medical Colleges and 1467 PG seats in 14 Government Medical Colleges.

Under the Centrally Sponsored Scheme (CSS) for 'Augmenting Nursing Education Establishment of new College of Nursing (CoN) in co-location with Medical College' 157 nursing colleges have been approved of which 23 are in Rajasthan.

With the objective of attainment of universal access to equitable, affordable and quality health care services, the Ministry of Health & Family Welfare is implementing National Health Mission (NHM). Government provides technical and financial support to the States/UTs for improvement in health infrastructure, availability of adequate human resources to health facilities, to improve availability and accessibility to quality health care especially for the underserved and marginalized groups. The State/UT-wise details of SPIP Approval and Expenditure for the development of healthcare infrastructure in rural areas of the country under NHM during the last three years are at Annexure - III. The State/UT-wise details of SPIP Approval and Expenditure under Pradhan Mantri - Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) for the FY 2022-23 are at Annexure - IV.

Further, an amount of Rs. 435.32 Crore for 'India COVID-19 Emergency Response and Health System Preparedness Package (ECRP) - I and an amount of Rs. 883.37 crore under ECRP - II has been released to Government of Rajasthan. Under Fifteenth Finance Commission, Rs. 1634.35 Crore have been allocated to the Government of Rajasthan under NHM.

*****

## Annexure- I

## State-wise details of 157 Medical Colleges approved under the Centrally Sponsored scheme for 'Establishment of new medical colleges attached with existing district/referral hospitals'

| S.No           | State/UT          | No. of colleges   | Districts                                                                                     |
|----------------|-------------------|-------------------|-----------------------------------------------------------------------------------------------|
| Phase-I (58)   | Phase-I (58)      | Phase-I (58)      | Phase-I (58)                                                                                  |
| 1              | A&NIslands        | 1                 | Port Blair                                                                                    |
| 2              | Arunachal Pradesh | 1                 | Naharlagun                                                                                    |
| 3              | Assam             | 4                 | Dhubri, Nagaon, North Lakhimpur, Diphu                                                        |
| 4              | Bihar             | 3                 | Purnia, Saran (Chhapara), Samastipur                                                          |
| 5              | Chhattisgarh      | 2                 | Rajnandgaon, Sarguja                                                                          |
| 6              | Himachal Pradesh  | 3                 | Chamba, Hamirpur, Nahan (Sirmour)                                                             |
| 7              | Haryana           | 1                 | Bhiwani                                                                                       |
| 8              | Jharkhand         | 3                 | Dumka, Hazaribagh, Palamu (Daltonganj)                                                        |
| 9              | Jammu &Kashmir    | 5                 | Anantnag, Baramulla, Rajouri, Doda, Kathua                                                    |
| 10             | Madhya Pradesh    | 7                 | Datia, Khandwa, Ratlam, Shahdol, Vidisha, Chindwara, Shivpuri                                 |
| 11             | Maharashtra       | 1                 | Gondia                                                                                        |
| 12             | Meghalaya         | 1                 | West Garo Hills (Tura)                                                                        |
| 13             | Mizoram           | 1                 | Falkawn                                                                                       |
| 14             | Nagaland          | 1                 | Naga Hospital (Kohima)                                                                        |
| 15             | Odisha            | 5                 | Balasore, Baripada (Mayurbhanj), Bolangir, Koraput, Puri                                      |
| 16             | Punjab            | 1                 | SAS Nagar                                                                                     |
| 17             | Rajasthan         | 7                 | Barmer, Bharatpur, Bhilwara, Churu, Dungarpur, Pali, Sikar                                    |
| 18             | Uttar Pradesh     | 5                 | Basti, Faizabad, Firozabad, Shahjahanpur, Bahraich                                            |
| 19             | Uttarakhand       | 1                 | Almora                                                                                        |
| 20             | West Bengal       | 5                 | Birbhum (Rampur Hat), Cooch behar, Diamond harbour, Purulia, Raiganj (North Dinajpur)         |
| Phase -II (24) | Phase -II (24)    | Phase -II (24)    | Phase -II (24)                                                                                |
| 1              | Bihar             | 5                 | Sitamarhi, Jhanjharpur, Siwan, Buxar, Jamui                                                   |
| 2              | Jharkhand         | 2                 | Koderma, Chaibasa (Singhbhum)                                                                 |
| 3              | Madhya Pradesh    | 1                 | Satna                                                                                         |
| 4              | Odisha            | 1                 | Jajpur                                                                                        |
| 5              | Rajasthan         | 1                 | Dholpur                                                                                       |
| 6              | Uttar Pradesh     | 8                 | Etah, Hardoi, Pratapgarh, Fatehpur, Siddharthnagar (Domariyaganj), Deoria, Ghazipur, Mirzapur |
| 7              | West Bengal       | 5                 | Barasat, Uluberia, Arambagh, Jhargram, Tamluk                                                 |
| 8              | Sikkim            | 1                 | Gangtok                                                                                       |
| Phase-III (75) | Phase-III (75)    | Phase-III (75)    | Phase-III (75)                                                                                |
| 1              | Andhra Pradesh    | 3                 | Piduguralla, Paderu, Machilipatnam                                                            |
| 2              | Assam             | 1                 | Kokrajhar                                                                                     |
| 3              | Chhattisgarh      | 3                 | Korba, Mahasamund, Kanker                                                                     |
| 4              | Gujarat           | 5                 | Narmada, Navsari, Panchmahal, Porbandar, Morbi                                                |
| 5              | Jammu &Kashmir    | 2                 | Udhampur, Handwara (Distt. Kupwara)                                                           |
| 6              | Karnataka         | 4                 | Chikkamagaluru, Haveri, Yadgiri, Chikkaballapura                                              |
| 7              | Ladakh            | 1                 | Leh                                                                                           |

|   S.No | State/UT       |   No. of colleges | Districts                                                                                                                                               |
|--------|----------------|-------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------|
|      8 | Madhya Pradesh |                 6 | Rajgarh, Mandla, Neemuch, Mandsaur, Sheopur, Singrauli                                                                                                  |
|      9 | Maharashtra    |                 1 | Nandurbar                                                                                                                                               |
|     10 | Manipur        |                 1 | Churachandpur                                                                                                                                           |
|     11 | Nagaland       |                 1 | Mon                                                                                                                                                     |
|     12 | Odisha         |                 1 | Kalahandi                                                                                                                                               |
|     13 | Punjab         |                 2 | Kapurthala, Hoshiarpur                                                                                                                                  |
|     14 | Rajasthan      |                15 | Alwar, Baran, Bansawara, Chittorgarh, Jaisalmer, Karauli, Nagaur, Shri Ganganagar, Sirohi, Bundi, SawaiMadhopur, Tonk, Hanumangarh, Jhunjhunu, Dausa    |
|     15 | Uttarakhand    |                 3 | Rudrapur (Distt. Udham Singh Nagar), Pithoragarh, Haridwar                                                                                              |
|     16 | Uttar Pradesh  |                14 | Bijnaur, Kushinagar, Sultanpur, Gonda, Lalitpur, LakhimpurKheri, Chandauli, Bulandshahar, Sonbhadra, Pilibhit, Auraiya, Kanpur Dehat, Kaushambi, Amethi |
|     17 | Tamil Nadu     |                11 | Tiruppur, Nilgiris, Ramanathapuram, Namakkal, Dindigul, Virudhunagar, Krishnagiri, Tiruvallur, Nagapattinam, Ariyalur, Kallakurichi                     |
|     18 | West Bengal    |                 1 | Jalpaiguri                                                                                                                                              |

Annexure- II Details of medical colleges approved and funds released under Centrally Sponsored Scheme for 'Establishment of new Medical Colleges attached with existing District/Referral Hospitals' in the last three years.

(Rs. in Cr)

| S.No   | State/UT       | S   | Districts                          | Approval   | Amount Released   | Amount Released   | Amount Released   |
|--------|----------------|-----|------------------------------------|------------|-------------------|-------------------|-------------------|
| S.No   | State/UT       | No. |                                    | Date       | 2019-20           | 2020-21           | 2021-22           |
| 1      | Andhra Pradesh | 1   | Piduguralla                        | 19.02.2020 | 0                 | 50                | 50                |
| 1      | Andhra Pradesh | 2   | Paderu                             | 19.02.2020 | 3.04              | 50                | 50                |
| 1      | Andhra Pradesh | 3   | Machilipatnam                      | 19.02.2020 | 0                 | 50                | 50                |
| 2      | Assam          | 4   | Kokrajhar                          | 19.02.2020 | 0                 | 163               | 79.5              |
| 2      | Assam          | 5   | Korba                              | 19.02.2020 | 0                 | 50                | 40                |
| 3      | Chhattisgarh   | 6   | Mahasamund                         | 19.02.2020 | 0                 | 50                | 40                |
| 3      |                | 7   | Kanker                             | 19.02.2020 | 0                 | 50                | 40                |
| 4      | Gujarat        | 8   | Narmada                            | 13.01.2020 | 0                 | 48.42             | 87.58             |
| 4      | Gujarat        | 9   | Navsari                            | 13.01.2020 | 0                 | 48.42             | 87.58             |
| 4      | Gujarat        | 10  | Panchmahal                         | 28.07.2020 | 0                 | 50                | 86                |
| 4      | Gujarat        | 11  | Porbandar                          | 13.01.2020 | 4.74              | 48.42             | 82.84             |
| 4      | Gujarat        | 12  | Morbi                              | 26.11.2020 | 0                 | 20                | 86                |
| 5      | Karnataka      | 13  | Chikkaballapura                    | 19.02.2020 | 0                 | 100               | 95                |
| 6      | Madhya Pradesh | 14  | Singrauli                          | 19.02.2020 | 0                 | 50                |                   |
| 7      | Maharashtra    | 15  | Nandurbar                          | 19.02.2020 | 0                 | 50                | 100               |
| 8      | Manipur        | 16  | Churachandpur                      | 19.02.2020 | 2.37              | 163               | 77.13             |
| 9      | Nagaland       | 17  | Mon                                | 28.07.2020 | 0                 | 155               | 87.5              |
| 10     | Odisha         | 18  | Kalahandi                          | 19.02.2020 | 3.54              | 46.46             | 50                |
| 11     | Punjab         | 19  | Hoshiarpur                         | 13.01.2020 | 0                 | 50                |                   |
| 12     | Tamil Nadu     | 20  | Ariyalur                           | 13.01.2020 | 0                 | 50                | 145               |
| 12     | Tamil Nadu     | 21  | Kallakurichi                       | 13.01.2020 | 0                 | 50                | 145               |
| 13     | Uttar Pradesh  | 22  | Amethi                             | 09.03.2020 | 0                 | 50                | 50                |
| 14     | Uttarakhand    | 23  | Rudrapur, Distt. Udham Singh Nagar | 13.01.2020 | 0                 | 75                | 50                |
| 14     | Uttarakhand    | 24  | Pithoragarh                        | 19.02.2020 | 0                 | 75                | 50                |
| 14     | Uttarakhand    | 25  | Haridwar                           | 19.02.2020 | 3.04              | 75                | 46.96             |
| 15     | West Bengal    | 26  | Uluberia                           | 02.09.2020 | 0                 | 100               | 50                |
| 15     | West Bengal    | 27  | Jalpaiguri                         | 13.01.2020 | 0                 | 50                | 20.53             |

Annexure - III State-wise SPIP and Expenditure on Infrastructure Strengthening under National Health Mission (NHM) from FY 2020-21 to FY 2023-24

(Rs. in Lakhs)

|         |                                    | 2020-21        | 2020-21   | 2021-22        | 2021-22   | 2022-23        | 2022-23   |
|---------|------------------------------------|----------------|-----------|----------------|-----------|----------------|-----------|
| Sl. No. | States                             | SPIP Approvals | Exp       | SPIP Approvals | Exp       | SPIP Approvals | Exp       |
| 1       | Andaman and Nicobar Islands        | 133.00         | 59.76     | 159.00         | 2.52      | 2.00           | 3.70      |
| 2       | Andhra Pradesh                     | 14,399.00      | 44,164.00 | 2,332.75       | 2,462.75  | -              | -         |
| 3       | Arunachal Pradesh                  | 2,828.89       | 1,893.17  | 5,634.45       | 4,386.79  | 4,727.02       | 6,559.11  |
| 4       | Assam                              | 32,971.23      | 18,041.83 | 23,372.48      | 15,506.43 | 35,806.76      | 9,406.43  |
| 5       | Bihar                              | 36,045.62      | 22,938.18 | 37,358.15      | 12,848.02 | 98,944.23      | 35,877.90 |
| 6       | Chandigarh                         | -              | -         | -              | -         | -              | -         |
| 7       | Chhattisgarh                       | 14,343.63      | 10,010.36 | 14,665.83      | 3,809.60  | 7,549.77       | 6,767.11  |
| 8       | Dadra &Nagar Haveli and Daman &Diu | 5.76           | 2.39      | 2.88           | -         | 2.88           | -         |
| 9       | Delhi                              | -              | 0.62      | 500.00         | 34.31     | -              | 257.53    |
| 10      | Goa                                | 115.80         | 12.85     | 124.75         | 54.06     | 232.06         | 108.66    |
| 11      | Gujarat                            | 1,075.17       | 1,096.30  | 675.30         | 328.43    | 4,599.10       | -         |
| 12      | Haryana                            | 16,762.37      | 803.45    | 12,613.42      | 611.35    | 8,295.83       | 8,719.42  |
| 13      | Himachal Pradesh                   | 8,731.00       | 3,067.99  | 3,547.39       | 3,149.75  | -              | -         |
| 14      | Jammu and Kashmir                  | 4,363.21       | 2,086.11  | 3,368.53       | 560.09    | 1,535.16       | 451.73    |
| 15      | Jharkhand                          | 10,493.20      | 4,948.99  | 2,352.00       | 2,370.65  | 9,200.00       | 3,645.07  |
| 16      | Karnataka                          | 16,083.05      | 20,908.13 | 15,103.25      | 15,441.70 | 7,113.93       | 4,917.32  |
| 17      | Kerala                             | 10,734.71      | 6,156.16  | 5,837.16       | 4,472.99  | 12,632.88      | 5,270.20  |
| 18      | Lakshadweep                        | -              | -         | -              | -         | -              | -         |
| 19      | Madhya Pradesh                     | 53,115.51      | 29,182.37 | 22,886.44      | 13,001.87 | 18,058.74      | 21,048.57 |
| 20      | Maharashtra                        | 47,508.02      | 39,002.64 | 54,147.40      | 20,219.84 | 58,844.37      | 23,395.90 |
| 21      | Manipur                            | 2,602.17       | 262.77    | 2,858.45       | 680.94    | 1,779.93       | 44.62     |
| 22      | Meghalaya                          | 1,282.00       | 628.34    | 1,609.04       | 209.92    | 1,002.97       | 755.75    |
| 23      | Mizoram                            | 557.00         | 205.91    | 18.00          | 4.30      | 3.30           | 3.30      |
| 24      | Nagaland                           | 3,855.33       | 557.28    | 1,005.04       | 1,367.04  | 3,068.98       | 1,110.37  |
| 25      | Odisha                             | 20,665.69      | 35,920.28 | 32,219.80      | 34,479.62 | 60,725.53      | 81,628.87 |
| 26      | Puducherry                         | 4.00           | 116.60    | 22.80          | -         | -              | 5.44      |
| 27      | Punjab                             | 8,925.00       | 6,541.42  | 5,141.90       | 3,499.20  | 799.50         | 21.32     |
| 28      | Rajasthan                          | 94,252.62      | 31,238.99 | 82,158.82      | 13,969.16 | 55,662.72      | 26,254.00 |
| 29      | Sikkim                             | 376.68         | 360.78    | 371.20         | 224.27    | 31.17          | 5.30      |
| 30      | Tamil Nadu                         | 32,950.88      | 30,750.18 | 24,531.73      | 26,263.31 | 51,962.61      | 38,407.81 |
| 31      | Telangana                          | 13,970.07      | 9,798.65  | 7,512.13       | 12,838.82 | 11,386.59      | 15,419.39 |
| 32      | Tripura                            | 4,491.00       | 3,426.15  | 4,874.00       | 4,206.21  | 4,828.00       | 4,080.46  |

|   33 | Uttar Pradesh   | 1,44,397.66   | 25,405.50   | 1,22,539.96   | 11,687.43   | 37,590.00   | 17,040.72   |
|------|-----------------|---------------|-------------|---------------|-------------|-------------|-------------|
|   34 | Uttarakhand     | 10,428.68     | 7,933.71    | 12,955.74     | 14,889.74   | 9,544.10    | 4,820.47    |
|   35 | West Bengal     | 17,727.50     | 10,424.84   | 7,851.58      | 1,604.29    | 9,298.13    | 612.80      |
|   36 | Ladakh          | 3,240.67      | 518.06      | 3,125.00      | 470.95      | 2,680.95    | 1,215.87    |

Note: The above figures are as per FMR reported by State/UTs.

Annexure-IV State-wise SPIP Approval and Expenditure for Pradhan Mantri Ayushman Bharat Health

## Infrastructure Mission (PM-ABHIM) for the FY 2022-23

| S.No.   | State/UT                           | 2022-23       | 2022-23     |
|---------|------------------------------------|---------------|-------------|
| S.No.   | State/UT                           | SPIPApprovals | Expenditure |
| 1       | Andaman &Nicobar Islands           | -             | -           |
| 2       | Andhra Pradesh                     | 2,500.00      | 625.00      |
| 3       | Arunachal Pradesh                  | 250.00        | -           |
| 4       | Assam                              | 37,436.75     | 116.00      |
| 5       | Bihar                              | -             | -           |
| 6       | Chandigarh                         | 1,200.00      | 173.43      |
| 7       | Chhattisgarh                       | 12,610.91     | 1,100.52    |
| 8       | Dadra &Nagar Haveli and Daman& Diu | 75.00         | -           |
| 9       | Delhi                              | -             | -           |
| 10      | Goa                                | -             | -           |
| 11      | Gujarat                            | 18,611.00     | 3,223.78    |
| 12      | Haryana                            | 8,641.50      | -           |
| 13      | Himachal Pradesh                   | 7,494.20      | 997.80      |
| 14      | Jammu &Kashmir                     | 10,047.03     | -           |
| 15      | Jharkhand                          | 37,225.84     | 24,087.00   |
| 16      | Karnataka                          | 20,626.00     | 1,875.00    |
| 17      | Kerala                             | 2,500.00      | 471.50      |
| 18      | Ladakh                             | -             | -           |
| 19      | Lakshadweep                        | 125.00        | -           |
| 20      | Madhya Pradesh                     | 30,442.15     | 9,942.95    |
| 21      | Maharashtra                        | -             | -           |
| 22      | Manipur                            | 2,026.00      | 456.00      |
| 23      | Meghalaya                          | 4,517.00      | 880.00      |
| 24      | Mizoram                            | 2,674.05      | 27.36       |
| 25      | Nagaland                           | 125.00        | -           |
| 26      | Odisha                             | 32,805.85     | 25,855.07   |
| 27      | Puducherry                         | 725.00        | 62.28       |
| 28      | Punjab                             | 14,562.10     | -           |
| 29      | Rajasthan                          | 49,203.00     | 10,850.00   |
| 30      | Sikkim                             | 125.00        | 25.63       |
| 31      | Tamil Nadu                         | 21,630.00     | 18,335.00   |
| 32      | Telangana                          | 23,690.55     | 8,375.00    |
| 33      | Tripura                            | 282.13        | 37.90       |
| 34      | Uttar Pradesh                      | 178,403.74    | 25,404.44   |
| 35      | Uttarakhand                        | 6,501.32      | 160.00      |
| 36      | West Bengal                        | 15,019.00     | 975.45      |

Note: The above figures are as per FMR reported by State/UTs.

(Rs. in Lakh)