Lok Sabha Question No. 1235 (UNSTARRED), answered on 2024-02-09
Subject: Diseases among Women in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Dattatray Tatkare

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1235 TO BE ANSWERED ON 9 th FEBRUARY, 2024

## DISEASES AMONGWOMENINRURALAREAS

## 1235. SHRI SUNIL DATTATRAY TATKARE:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government has taken note of rural women getting affected by various diseases due to ill health in the country, if so, the details thereof;
- (b) the details of the schemes being implemented for improving the health of rural women particularly in the State of Maharashtra;
- (c) whether the Government has also launched any healthcare scheme specially focusing on SC/ST category women and their children in the country especially Maharashtra and if so, the details thereof; and
- (d) the details of the financial support extended under such scheme during the last three years particularly in Maharashtra, year-wise?

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

(a) to (c): The National Health Mission (NHM) is a Centrally Sponsored Scheme which envisages achievement of universal access to equitable, affordable & quality health care services that are accountable and responsive to people's needs, including women, across the country. The main programmatic components include Health System Strengthening in rural and urban areas, Reproductive-Maternal-Neonatal-Child and Adolescent Health (RMNCH+A), Communicable and Non-Communicable Diseases.

Various works/initiatives carried out under NHM in the country including Maharashtra are as below:

-  In February 2018, the Government of India announced establishment of 1,50,000 Ayushman Bharat Health and Wellness Centres (AB-HWCs) [now renamed as Ayushman Arogya Mandirs (AAMs)] across the country by December 2022. As updated by the States/UTs in AAM portal, a total of 1,64,478 Ayushman Arogya Mandirs have been established and operationalized, till 31.01.2024, by transforming existing Sub-Health Centres (SHC) and Primary Health Centres (PHC) in rural and

urban areas to deliver the expanded range of comprehensive primary healthcare services with complete 12 package of services that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community.

-  Under National Free Drugs Initiative, States/UTs are supported to provide essential drugs based on the level of public health facilities free of cost to all who access these facilities.
-  Under Free Diagnostics Initiatives, support provided to States/UTs to provide a set of essential diagnostics in States/UTs at various levels of care, free of cost.
-  Under the NHM, technical and financial support is provided for emergency medical services in States/UTs through a functional National Ambulance Service (NAS) network linked with a centralized toll-free number 108/102.

Under NHM, tribal areas have following relaxed norms addressing the need-based intervention in terms of healthcare infrastructure and human resources:

-  The population norms for setting up health facilities in tribal areas has been relaxed from 5,000, 30,000, and 1,20,000 to 3000, 20,000 and 80,000 for setting up of Sub Centre, Primary Health Centres (PHC) and Community Health Centres (CHC) in tribal and hilly areas.
-  Against norm of one ASHA per 1000 population in normal area, one ASHA per habitation in Tribal/hilly and difficult areas.
-  Against the norm of 2 Mobile Medical Units (MMUs) per district in plains, 4 MMUs per district in tribal/ hilly/ inaccessible/ remote and hard to reach areas.

The various programmes and schemes under National Health Mission implemented by States/ UTs focusing on women and children, including SC/ST women and children, throughout the country including Maharashtra are Surakshit Matritva Aashwasan (SUMAN), Janani Suraksha Yojana (JSY), Janani Shishu Suraksha Karyakram (JSSK), Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) Extended Pradhan Mantri Surakshit Matritva Abhiyan (EPMSMA), LaQshya, Facility Based New-born Care, Community Based care of New-born and Young Children, Mothers ' Absolute Affection (MAA), Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS), Intensified Diarrhoea Control Fortnight (IDCF), Universal Immunization Programme (UIP), Rashtriya Bal Swasthya Karyakram (RBSK), Nutrition Rehabilitation Centres (NRCs), Anaemia Mukt Bharat (AMB) and Capacity Building.

(d): Details of fund allocated under Nation Health Mission during the last three years for the State of Maharashtra is as under:

| Financial Year            |   2020-21 |   2021-22 |   2022-23 |
|---------------------------|-----------|-----------|-----------|
| Allocation (in Rs. crore) |   1790.69 |   1938.87 |   2006.38 |

Note: Allocation is as per original outlay/B.E