Lok Sabha Question No. 413 (STARRED), answered on 2025-03-28
Subject: Health Facilities under NHM in Gorakhpur
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Ravindra Shukla Alias Ravi Kishan

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. +*413 TO BE ANSWERED ON 28 TH MARCH, 2025

## HEALTH FACILITIES UNDER NHM IN GORAKHPUR

## +*413. SHRI RAVINDRA SHUKLA ALIAS RAVI KISHAN:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the status of improved healthcare facilities under the National Health Mission (NHM) in Gorakhpur district of Uttar Pradesh;
- (b) the steps taken/proposed to be taken by the Government to reduce maternal and infant mortality rate in the said district;
- (c) whether the Government has launched mobile medical units and telemedicine services in the rural areas of Gorakhpur, if so, the details thereof;
- (d) the status of availability of specialist doctors and health professionals in Government hospitals of the said district; and
- (e) the overall impact of the NHM on improving access to healthcare and the outcome thereof in Gorakhpur?

## ANSWER THE MINISTER OF HEALTH AND FAMILYWELFARE (SHRI JAGAT PRAKASH NADDA)

- (a) to (e): A statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHASTARRED QUESTION NO. +* 413 FOR REPLY ON 28 TH MARCH, 2025

…..

- (a) As per Health Dynamics of India (HDI), as on 31st March 2023, Gorakhpur district in Uttar Pradesh has 595 rural Sub Centres, 66 Primary Health Centres (PHCs), 23 Urban PHCs, 21 Community Health Centres (CHCs), 2 District hospitals, and one Medical College. Health is a state subject, and the responsibility for improving healthcare facilities lies with the respective State/UT Governments. The Ministry of Health and Family Welfare (MoHFW) supplements the efforts of all States/UTs through various Central Schemes.
- (b) The Government of India, through the National Health Mission (NHM), has implemented various programs to improve maternal and child health services and outcomes in Gorakhpur district. These initiatives to reduce Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) include Janani Suraksha Yojana (JSY), Janani Shishu Suraksha Karyakram (JSSK), Surakshit Matritva Aashwasan (SUMAN), Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), Mothers' Absolute Affection (MAA), Setting up of Maternal and Child Health (MCH) Wings, Birth Waiting Homes (BWH), Anaemia Mukt Bharat (AMB), Facility-Based Newborn Care, Kangaroo Mother Care (KMC), Community-based care of Newborn and Young Children, STOP Diarrhoea initiative, Nutrition Rehabilitation Centres (NRCs), and Universal Immunization Programme (UIP).
- (c) Mobile Medical Units (MMUs) and teleconsultation services are implemented to improve access to healthcare, particularly in rural areas. As of 30th June 2024, there are 170 MMUs in Uttar Pradesh, with 5 MMUs functioning in Gorakhpur District. The Ayushman Arogya Mandir (AAM) provides e-Sanjeevani teleconsultation services, connecting Community Health Officers (CHOs), Medical Officers, and specialists in secondary and tertiary centres. As of 11th March 2025, a total of 7,99,927 teleconsultations have been conducted, with 462 spokes and 80 hubs operating in Gorakhpur District.

## (d) As informed by State Govt. of Uttar Pradesh, the status of availability of specialist doctors and health professionals in government hospitals in Gorakhpur is as follows:

| Posts                          | Posts       |   In - position |
|--------------------------------|-------------|-----------------|
| Doctor (including Specialists) | Regular     |             124 |
| Doctor (including Specialists) | Contractual |              80 |
| Doctor (including Specialists) | Total       |             204 |
| Pharmacist                     | Regular     |             137 |
| Pharmacist                     | Contractual |              36 |

| X-ray Technician, Senior/Lab Technician, Lab Assistant   | Regular     |   91 |
|----------------------------------------------------------|-------------|------|
| X-ray Technician, Senior/Lab Technician, Lab Assistant   | Contractual |   43 |
| Staff Nurse, Staff Nurse JE, AES                         | Regular     |   57 |
| Staff Nurse, Staff Nurse JE, AES                         | Contractual |  292 |
| ANM                                                      | Regular     |  438 |
| ANM                                                      | Contractual |  253 |
| CHO                                                      | Contractual |  460 |
| ASHAWorker                                               | Volunteer   | 4057 |

- (e) The NHM has significantly contributed to improving public health outcomes in Gorakhpur District. Since its launch in 2005-06, NHM has driven substantial progress in expanding human resources, addressing critical health issues, and fostering an integrated response to health emergencies. Key indicators show positive trends in Uttar Pradesh which is given at Annexure :

ANNEXURE PERFORMANCE OFKEYINDICATORS IN UTTAR PRADESH SINCE INCEPTION OFNHM

| Status of Neonatal, Infant and Child Mortality Rates for the State of Uttar Pradesh   | Status of Neonatal, Infant and Child Mortality Rates for the State of Uttar Pradesh   | Status of Neonatal, Infant and Child Mortality Rates for the State of Uttar Pradesh   | Status of Neonatal, Infant and Child Mortality Rates for the State of Uttar Pradesh   |
|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| Year                                                                                  | Neonatal Mortality Rate (NMR)                                                         | Infant Mortality Rate (IMR)                                                           | Under 5 Mortality Rate (U5MR)                                                         |
| 2005                                                                                  | 45                                                                                    | 73                                                                                    | NA                                                                                    |
| 2006                                                                                  | 46                                                                                    | 71                                                                                    | NA                                                                                    |
| 2007                                                                                  | 48                                                                                    | 69                                                                                    | NA                                                                                    |
| 2008                                                                                  | 45                                                                                    | 67                                                                                    | 91                                                                                    |
| 2009                                                                                  | 45                                                                                    | 63                                                                                    | 85                                                                                    |
| 2010                                                                                  | 42                                                                                    | 61                                                                                    | 79                                                                                    |
| 2011                                                                                  | 40                                                                                    | 57                                                                                    | 73                                                                                    |
| 2012                                                                                  | 37                                                                                    | 53                                                                                    | 68                                                                                    |
| 2013                                                                                  | 35                                                                                    | 50                                                                                    | 64                                                                                    |
| 2014                                                                                  | 32                                                                                    | 48                                                                                    | 57                                                                                    |
| 2015                                                                                  | 31                                                                                    | 46                                                                                    | 51                                                                                    |
| 2016                                                                                  | 30                                                                                    | 43                                                                                    | 47                                                                                    |
| 2017                                                                                  | 30                                                                                    | 41                                                                                    | 46                                                                                    |
| 2018                                                                                  | 32                                                                                    | 43                                                                                    | 47                                                                                    |
| 2019                                                                                  | 30                                                                                    | 41                                                                                    | 48                                                                                    |
| 2020                                                                                  | 28                                                                                    | 38                                                                                    | 43                                                                                    |
| Sample Registration System (SRS)                                                      | Sample Registration System (SRS)                                                      | Sample Registration System (SRS)                                                      | Sample Registration System (SRS)                                                      |