Lok Sabha Question No. 8 (UNSTARRED), answered on 2023-12-04
Subject: Health Condition of Tribal People
Ministry: TRIBAL AFFAIRS
Asked by: Manickam Tagore B, Kotagiri Sridhar

## GOVERNMENT OF INDIA MINISTRY OF TRIBAL AFFAIRS

## LOK SABHA UNSTARRED QUESTION NO- 8

TO BE ANSWERED ON- 04/12/2023

## HEALTH CONDITION OF TRIBAL PEOPLE

## 8.   SHRI MANICKAM TAGORE B.: SHRI SRIDHAR KOTAGIRI:

## Will the Minister of TRIBAL AFFAIRS be pleased to state:

- (a) whether it is a fact that there exists no disaggregated data on the health conditions of tribal population in the country;
- (b) whether Government has any plan to collect disaggregated data on the health conditions of tribal population in the country;
- (c) if so, the details thereof, State and district- wise and if not, the reasons therefor;
- (d) whether the Government is considering allocating more funds for sectors such as health, education, nutrition, Skill Development and tribal welfare, if so, the details thereof;
- (e) whether several diseases such as sickle cell, anaemia and leprosy continue to be more prevalent in tribal populations, if so, the details thereof;
- (f) whether the Government proposes to prepare a central database for monitoring the health conditions of tribal women, if so, the details thereof; and
- (g) whether the Government has made any review in the allocation of Business Rules to plan resources for tribal welfare in different sectors and if so, the details thereof and if not, the reason therefor?

## ANSWER

## MINISTER OF STATE FOR TRIBAL AFFAIRS (SMT. RENUKA SINGH SARUTA)

- (a)  to  (c): 'Public  Health  &  Hospital'  being  a  state  subject,  the  primary  responsibility  of providing health care services in the tribal areas is that of respective State/ UT governments.

Further, under the National Health Mission (NHM), Government of India provides financial and technical support to States/UTs to strengthen their healthcare systems.

National Health Mission (NHM) envisages universal access to equitable, affordable & quality health care services that are accountable and responsive to people's needs by supporting the States/UTs in providing financial and technical support for accessible, affordable and quality healthcare, especially to the poor and vulnerable sections in urban, rural, and tribal/hilly areas. Thus, MoHFW maintains the universal data of the country. However, the National Family Health Survey (NFHS) which is conducted with a periodicity of around three years, provides disaggregated  data  on  important  demographic  and  health  indicators  for  general  population including STs.

The  State-wise  list  of  key  indicators  NFHS-5  may  be  extracted  from  below  mentioned link:  http://rchiips.org/nfhs/districtfactsheet\_NFHS-5.shtml

It is evident from the recent round of NFHS that there are significant improvements in the key health, family welfare and associated indicators for the tribal population across State/UTs.

(d): Government of India is implementing Tribal Sub Plan (TSP), now known as Development Action Plan for Scheduled Tribes (DAPST) as a strategy for development of Scheduled Tribes and areas having tribal concentration. Besides Ministry of Tribal Affairs, 41 Ministries/Departments are allocating certain percentage of their total scheme budget every year for tribal development under DAPST for various tribal development projects relating to education, health, agriculture, irrigation, roads, housing, electrification, employment generation, skill development etc.

Union Budget 2023-24, an amount of Rs. 1,17,943.73 crore has been allocated as DAPST funds out of the total scheme budgetary allocation of 42 Ministries/Departments which is about 35 % increase in DAPST budget than that of last financial year. Further, there is about five and half time increase in DAPST funds allocation in 2023-24 than that of the actuals of FY 201314. Ministry/Department-wise allocation (BE,RE) and expenditure from 2018-19 to 2022-23 is given at Annexure I .

(e): As per the information available at ICMR Sickle cell is more prevalent in tribal areas. The first case for SCD was found in Nilgiri hills in 1952.  Sickle cell disease is a genetic blood disease which affects the whole life of a patient. It is evident that it is more common in tribals but it also occurs in non-tribal communities. It not only causes anemia but also pain crises, reduced growth, and affects many organs like lungs, heart, kidney, eyes, bones and the brain.

While certain attempts had been made to ameliorate the suffering of the diseased population by  some  State  Governments  as  well  as  the  Central  Government,  a  national  Mission  for Elimination of Sickle Cell anaemia has been launched by Prime Minister from Madhya Pradesh on 1st July, 2023.  The Mission envisages to fulfil its aim through awareness creation, universal screening of 7 crore people in the age group of 0-40 years in affected districts of tribal areas, and counselling through collaborative efforts of central ministries and state government. Based on the proposal received from States, the funds have been approved by MoHFW under NHM.

Similarly, the elimination of Tuberculosis, which is highly prevalent in tribal areas, is also an area of priority for the Government.  The Ministry of Tribal Affairs had launched an active case finding campaign,  the Ashwasan Campaign, in 177 tribal Districts through the Tribal Health Collaborative in association with Ministry of Health & Family Welfare.

(f): Ministry  of  Tribal  Affairs  is  in the  process  of developing  a  portal  that  will  be  used  to maintain a database on health conditions of tribal communities.

MoHFW in association with the States/UTs has been implementing various programmes to provide universal access to primary health care services for all sections of society with effective linkages to secondary and tertiary health care in order to achieve an acceptable standard of good health amongst the general population in country including the tribals. The data captured on various health portals captures the health data without categorization of tribal or non-tribal etc.

(g): No sir.

## Statement referred to in reply to part (d) of the Lok Sabha Unstarred Question No. 8 for answer on 04.12.2023

## Ministries/Dept. wise DAPST Allocation (BE, RE), Expenditure w.r.t to RE during last five years and BE 2023-24

(Rs. in crore)

| Sr. No   | Ministry /Departmen t                                       | 2018-19   | 2018-19   | 2018-19   | 2019-20   | 2019-20   | 2019-20   | 2020-21   | 2020-21   | 2020-21   | 2021-22   | 2021-22   | 2021-22   | 2022-23            | 2022-23   | 2022-23   | 2023- 24   |
|----------|-------------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|--------------------|-----------|-----------|------------|
| Sr. No   | Ministry /Departmen t                                       | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE                 | RE        | Exp. *    | BE         |
| 1        | Department of Agricultural Research and Education           | 125.8 2   | 106.7 1   | 106.7 1   | 114.8 1   | 105.9 1   | 105.9 1   | 118.6 5   | 106.6 9   | 102.8 1   | 115.5     | 100.9 2   | 98.46     | 85.82              | 85.82     | 85.62     | 104.2 1    |
| 2        | Department of Agriculture, Cooperation and Farmers' Welfare | 3965. 37  | 5784. 72  | 3354. 76  | 1116 8.01 | 8717. 57  | 8434. 19  | 1150 7.65 | 9993. 11  | 9677. 81  | 1052 8.73 | 1008 9.35 | 1007 3.2  | 1060 6.04 9408. 92 |           | 8661. 49  | 9811. 05   |
| 3        | Department of Animal Husbandry &Dairying                    | 246.6 4   | 265.9 4   | 251.4 9   | 235.7 3   | 221.8 0   | 220.8 7   | 270.8 9   | 240.7 6   | 241.3 4   | 265.2 9   | 225.3 7   | 222.8 2   | 327.2 242.4        | 8         | 166.4     | 376.9 2    |
| 4        | Department of Commerce                                      | 25.00     | 25.01     | 25.01     | 25.01     | 29.01     | 24.99     | 25        | 15.45     | 15.45     | 25        | 25        | 15.53     | 25.51 26.01        |           | 23.67     | 25.37      |
| 5        | Department of Consumer Affairs                              | 3.00      | 2.58      | 2.58      | 2.66      | 1.72      | 1.00      | 2.58      | 1.83      | 1.71      | 1.92      | 1.92      | 1.92      | 1.08               | 0.75 0.97 |           | 0.8        |
| 6        | Department of Empowerme nt of Persons                       | 71.50     | 72.99     | 69.29     | 88.22     | 78.92     | 61.81     | 68.56     | 47.57     | 38.9      | 61.04     | 47.9      | 46.69     | 60.66              | 49.88     | 43.5      | 58.48      |

| Sr. No   | Ministry /Departmen t                           | 2018-19   | 2018-19   | 2018-19   | 2019-20   | 2019-20   | 2019-20   | 2020-21   | 2020-21   | 2020-21   | 2021-22   | 2021-22   | 2021-22   | 2022-23   | 2022-23   | 2022-23   | 2023- 24   |
|----------|-------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|------------|
| Sr. No   | Ministry /Departmen t                           | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp. *    | BE         |
|          | with Disabilities                               |           |           |           |           |           |           |           |           |           |           |           |           |           |           |           |            |
| 7        | Department of Fisheries                         | --        | --        | --        | 53.83     | 49.44     | 45.87     | 53        | 63        | 62.89     | 91.52     | 110.9 1   | 109.3 8   | 172.7 1   | 127.7 8   | 100.4 7   | 182.5 9    |
| 8        | Department of Food and Public Distribution      | 6.00      | 6.00      | 6.00      | 2.00      | 0.50      | --        | --        | 5421. 31  | 5421. 31  | 1081 4.48 | 1268 3.3  | 1238 9.97 | 9152. 54  | 1275 8.83 | 1275 8.54 | 9359. 15   |
| 9        | Department of Health and Family Welfare         | 3155. 08  | 3382. 32  | 3490. 82  | 4042. 09  | 4042. 09  | 3851. 10  | 4300      | 3997. 14  | 4005. 39  | 4260. 2   | 5574. 04  | 4262. 7   | 5400. 57  | 4924. 44  | 4709. 73  | 4830. 41   |
| 10       | Department of Higher Education                  | 1480. 00  | 1403. 93  | 1264. 48  | 1605. 00  | 1605. 00  | 1416. 99  | 1640      | 1304. 78  | 1294. 21  | 1963. 45  | 1689. 41  | 1459. 86  | 1986      | 1986      | 1850. 35  | 2061       |
| 11       | Department of Land Resources                    | 250.1 0   | 198.6 0   | 189.9 8   | 221.6 0   | 178.3 0   | 161.5 4   | 223.8 7   | 123.8 7   | 134.8 1   | 215.0 1   | 149.6     | 223.7 6   | 228.3 2   | 124.9 2   | 189.7 2   | 239.5 8    |
| 12       | Department of Rural Developmen t                | 5741. 93  | 5443. 79  | 5377. 64  | 5984. 12  | 5882. 27  | 5904. 17  | 5026      | 5823. 02  | 5167. 14  | 1512 7.24 | 1904 7.14 | 1865 2.6  | 1829 6.61 | 1798 7.91 | 1770 1.11 | 20400 .56  |
| 13       | Department of School Education and Literacy     | 4908. 31  | 4933. 38  | 4900. 56  | 5831. 51  | 5831. 61  | 5627. 30  | 5844      | 5709. 45  | 4099. 62  | 5297. 4   | 4809. 68  | 4199. 99  | 6093. 66  | 5556. 78  | 5289. 95  | 6824. 04   |
| 14       | Department of Science and Technology            | 104.8 5   | 104.8 5   | 99.03     | 115.7 8   | 111.8 4   | 108.5 3   | 137.6 9   | 97        | 87.76     | 125.4 5   | 93.43     | 93.63     | 124.3 7   | 82.8      | 71.18     | 119.4      |
| 15       | Department of Telecommun ications               | 677.0 0   | 676.1 8   | 504.4 7   | 800.5 7   | 140.7 5   | 83.28     | 357.8 9   | 322.7 5   | 290.2     | 401.0 1   | 370.9 1   | 411.7 3   | 408.5     | 158.0 9   | 156.7 1   | 453.6 5    |
| 16       | Department of Water Resources, River Developmen | 162.2 0   | 137.0 0   | 108.9 1   | 272.2 0   | 237.8 1   | 227.7 6   | 279.6 3   | 186.4 1   | 186.1 8   | 197.1 7   | 399.3     | 354.5 2   | 791.5     | 396.5     | 220.2 9   | 358        |

| Sr. No   | Ministry /Departmen t                                                              | 2018-19   | 2018-19   | 2018-19   | 2019-20   | 2019-20   | 2019-20   | 2020-21   | 2020-21   | 2020-21   | 2021-22   | 2021-22   | 2021-22   | 2022-23   | 2022-23   | 2023- 24   |
|----------|------------------------------------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|------------|
| Sr. No   | Ministry /Departmen t                                                              | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | Exp. *    | BE         |
|          | Rejuvenatio n                                                                      |           |           |           |           |           |           |           |           |           |           |           |           |           |           |            |
| 17       | Department of Drinking Water and Sanitation                                        | 2234. 31  | 1997. 80  | 1852. 04  | 1999. 47  | 1833. 89  | 1833. 89  | 2149. 41  | 1700      | 1623. 4   | 5897. 18  | 4997. 8   | 4310. 62  | 6615. 8   | 6109. 97  | 7615. 9    |
| 18       | Ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopath y (AYUSH) | 26.00     | 26.00     | 4.00      | 35.00     | 26.00     | 26.00     | 37.7      | 31.7      | 31.7      | 35.8      | 34.91     | 34.71     | 72        | 43.42     | 71         |
| 19       | Ministry of Coal                                                                   | 30.53     | 30.53     | 30.53     | 94.35     | 95.16     | 98.75     | 70.52     | 73.67     | 83.66     | 36.11     | 73.62     | 72.59     | 27.05     | 41.62     | 48.46      |
| 20       | Ministry of Culture                                                                | 35.10     | 33.60     | 24.45     | 35.10     | 22.51     | 21.92     | 24.86     | 16.89     | 11.43     | 19.57     | 20.95     | 32.66     | 22.9      | 35.81     | 27.98      |
| 21       | Ministry of Developmen t of North Eastern Region                                   | 527.2 5   | 593.7 0   | 567.1 3   | 810.5 0   | 750.8 7   | 741.2 0   | 822.9 2   | 563.6 1   | 563.6     | 716.8 7   | 716.8 7   | 715.0 9   | 754.9 5   | 241.5 4   | 1690       |
| 22       | Ministry of Electronics and Information Technology                                 | 206.0 0   | 226.0 0   | 225.7 6   | 251.3 2   | 215.2 4   | 211.5 1   | 265.1 9   | 204       | 204       | 456.0 3   | 428       | 347.5 2   | 715.3     | 254.5 6   | 833.5      |
| 23       | Ministry of Environment , Forests and Climate Change                               | 70.35     | 83.45     | 78.41     | 102.5 0   | 95.35     | 93.23     | 127       | 99        | 96.59     | 152       | 127       | 123.5 4   | 165.2     | 106.8     | 159        |
| 24       | Ministry of Food Processing Industries                                             | 55.00     | 37.42     | 5.75      | 47.34     | 38.25     | 0.35      | 46.5      | 49.45     | 27.7      | 47.3      | 51.13     | 28.61     | 77.4      | 13.28     | 67.26      |
| 25       | Ministry of Housing and Urban Affairs                                              | 291.6 8   | 298.6 4   | 288.3 6   | 324.7 1   | 324.7 1   | 325.0 6   | 164.0 3   | 369.4 3   | 369.0 8   | 174.5     | 564.2 1   | 565.9 9   | 790.6 6   | 953.4 4   | 1204. 01   |

| Sr. No   | Ministry /Departmen t                                | 2018-19   | 2018-19   | 2018-19   | 2019-20   | 2019-20   | 2019-20   | 2020-21   | 2020-21   | 2020-21   | 2021-22   | 2021-22   | 2021-22   | 2022-23           | 2022-23   | 2023- 24   |
|----------|------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-----------|-------------------|-----------|------------|
| Sr. No   | Ministry /Departmen t                                | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE        | RE        | Exp.      | BE RE             | Exp. *    | BE         |
| 26       | Ministry of Labour and Employment                    | 607.7 4   | 776.9 8   | 748.6 2   | 929.0 6   | 929.0 6   | 845.4 5   | 977.9 5   | 1126. 13  | 1101. 6   | 1084. 12  | 1168. 23  | 1960. 57  | 1389. 69 1320. 86 | 1067. 18  | 1069. 42   |
| 27       | Ministry of Micro, Small and Medium Enterprises      | 587.7 4   | 607.3 6   | 826.9 2   | 560.3 9   | 618.9 6   | 773.5 4   | 634.1 3   | 382.3 4   | 553.8 7   | 350.5     | 1310. 57  | 1468. 58  | 1678. 87 1621. 22 | 2470. 35  | 1883. 09   |
| 28       | Ministry of Mines                                    | 9.63      | 10.43     | 10.59     | 25.55     | 25.55     | 23.80     | 23.23     | 23.23     | 23.13     | 15.03     | 17.5      | 17.48     | 20.7 20.7         | 20.76     | 18.4       |
| 29       | Ministry of New and Renewable Energy                 | 217.0 0   | 217.0 0   | 188.1 8   | 441.0 0   | 322.0 0   | 279.9 2   | 486       | 288       | 200.9 8   | 486       | 389       | 235.9 1   | 384 572           | 342.5 8   | 572        |
| 30       | Ministry of Panchayati Raj                           | 57.40     | 62.82     | 62.82     | 62.82     | 61.15     | 61.16     | 74.62     | 42.02     | 56.48     | 78.86     | 103.4 6   | 125.0 8   | 72 76.5           | 76.5      | 83.51      |
| 31       | Ministry of Petroleum and Natural Gas                | --        | --        | --        | 1570. 21  | 1619. 80  | 1619. 80  | 1840. 5   | 1652. 27  | 1134. 14  | 555.9 9   | 229       | 92.23     | 241 387.0 4       | 286.1 5   | 77.96      |
| 32       | Ministry of Power                                    | 976.3 0   | 913.3 0   | 496.0 2   | 803.7 9   | 803.7 8   | 706.1 1   | 857       | 516       | 391.9 9   | 765.6     | 660       | ...       | 584.0 8 388.7 4   | 194.7 3   | 957.2 3    |
| 33       | Ministry of Road Transport and Highways              | 2700. 00  | 2700. 00  | 2355. 56  | 2610. 00  | 2610. 00  | 2393. 57  | 2920      | 3430      | 3404. 57  | 4125      | 4525      | 4501. 1   | 4545 6395. 96     | 6281. 13  | 23375      |
| 34       | Ministry of Skill Developmen t and Entrepreneur ship | 251.6 8   | 215.5 3   | 219.1 1   | 214.5 9   | 172.7 1   | 172.4 1   | 209.6 5   | 189.5 5   | 187.8 4   | 191.8 3   | 186.8     | 146.1 6   | 203.3 3 122.9 3   | 84.48     | 251.2 9    |
| 35       | Ministry of Textiles                                 | 109.8 4   | 111.8 4   | 74.26     | 216.9 9   | 184.9 9   | 158.0 5   | 222.5 5   | 126.2 5   | 115.5 3   | 202.7 9   | 136.7 5   | 157.6 1   | 176.7 3 170.7     | 168.9 6   | 187        |
| 36       | Ministry of Tourism                                  | 87.57     | 87.57     | --        | 90.00     | 55.00     | 55.00     | 102       | 49        | 49        | 82        | 36.62     | ...       | 97.85 53          | 18.32     | 98.5       |
| 37       | Ministry of Women and Child                          | 1677. 19  | 1865. 71  | 1466. 55  | 2486. 64  | 2232. 83  | 1787. 30  | 2555. 95  | 1785. 23  | 1429. 8   | 2077. 93  | 2034. 19  | 1967. 27  | 2145 2111. 8      | 2111. 4   | 2166       |

| Sr. No   | Ministry /Departmen t                | 2018-19   | 2018-19   | 2018-19   | 2019-20         | 2019-20   | 2019-20   | 2020-21   | 2020-21   | 2020-21   | 2021-22           | 2021-22   | 2021-22   | 2022-23             | 2022-23   | 2023- 24   |
|----------|--------------------------------------|-----------|-----------|-----------|-----------------|-----------|-----------|-----------|-----------|-----------|-------------------|-----------|-----------|---------------------|-----------|------------|
| Sr. No   | Ministry /Departmen t                | BE        | RE        | Exp.      | BE              | RE        | Exp.      | BE        | RE        | Exp.      | BE                | RE        | Exp.      | BE RE               | Exp. *    | BE         |
|          | Developmen t                         |           |           |           |                 |           |           |           |           |           |                   |           |           |                     |           |            |
| 38       | Ministry of Youth Affairs and Sports | 164.6 5   | 148.3 0   | 121.2 0   | 161.1 7 182.8 2 |           | 182.3 5   | 201.3 5   | 117.9 2   | 116.3 2   | 121.2 5 138.0 8   |           | 102.1 6   | 161.1 5 135.6       | 126.7 3   | 165.1      |
| 39       | Department of Fertilizers            | --        | --        | --        | -- --           |           | --        | -- --     | --        |           | 3592. 57 6409. 35 | 83        | 6782.     | 4395. 03 9824. 37   | 1066 1.18 | 7699. 72   |
| 40       | Department of Pharmaceuti cals       | --        | --        | --        | --              | --        | --        | --        | 18.49     | 18.49     | 17                | 26.79     | --        | 18.17 20.52         | 23.35     | 26.45      |
| 41       | Ministry of Cooperation              | --        | --        | --        | --              | --        | --        | --        | --        | --        | --                | --        | --        | 62.79 85.4          | 4.3       | 4.74       |
|          | Total                                | 3184 5.76 | 3358 7.98 | 2939 7.99 | 4443 5.64       | 4045 5.17 | 3868 5.68 | 4466 8.47 | 4630 8.32 | 4262 2.43 | 7077 2.24         | 7980 4.01 | 7640 5.07 | 7917 7.74 8553 4.85 | 8376 8.32 | 10555 7.73 |

## Note: * Provisional

Data Source: Expenditure as per Statement 10B, Expenditure Profile of Union Budget from 2018-19 to 2021-22 and STC MIS portal (https://stcmis.gov.in) for year 2022-23