Lok Sabha Question No. 357 (UNSTARRED), answered on 2023-07-21
Subject: Free Diagnostics Service Initiative under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sanjay(Kaka) Ramchandra Patil, Reddeppa Nallakonda Gari

## G OVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION No-357 TO BE ANSWERED ON 21 ST JULY 2023

## 'FREE DIAGNOSTICS SERVICE INITIATIVE UNDER NHM'

## 357 SHRI SANJAY KAKA PATIL SHRI N. REDDEPPA

## Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government has rolled out the Free Diagnostics Service Initiative (FDSI) under the aegis of National Health Mission in July, 2015 and if so, the details thereof;
- (b) whether it is a fact that it encompasses three components viz., Free Laboratory services, Free Teleradiology Services and Free CT Scan services and if so, the details thereof;
- (c) whether the Government has allocated funds/extended support for the creation of facilities to provide such services;
- (d) if so, the details thereof, particularly for Maharashtra and Andhra Pradesh and if not, the reasons thereof; and
- (e ) the details of the measures being taken to reduce the Out-of-Pocket Expenditure (OOPE) on healthcare on account of high cost of diagnostics?

## ANSWER

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

(a) to (e)

Ministry of Health and Family Welfare, Government of India has launched the 'Free Diagnostics Service Initiative' (FDSI) programme under National Health Mission (NHM) in 2015 with an objective to provide accessible and affordable, pathological and radiological diagnostics services closer to the community encompassing Free Laboratory Services, Free Tele radiology Services and Free CT Scan Services. The detailed operational guidelines are available at https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=1218&lid=192.

Under NHM, financial support is provided for the implementation of FDSI based on the requirements proposed by States/UTs in their Programme Implementation Plans (PIPs) within their overall resource allocation. Based on the PIP proposal received from the States/UTs, GOI has provided financial support as follows for FDSI:

(Rs. in Crore)

| Financial Year   |   Amount |
|------------------|----------|
| 2015-16          |   352.47 |
| 2016-17          |   679.76 |
| 2017-18          |   786.06 |
| 2018-19          |   944.25 |
| 2019-20          |  1002.04 |
| 2020-21          |  1555.05 |
| 2021-22          |  1487.77 |

Note: SPIP Approvals are as per FMR submitted by the States.

Details of allocations provided to the States of Andhra Pradesh and Maharashtra under NHM in FDSI in their Record of Proceedings (ROPs) are as follows:

(Rs. in Crore)

| Financial Year   |   Maharashtra |   Andhra Pradesh |
|------------------|---------------|------------------|
| 2015-16          |         61.77 |           150    |
| 2016-17          |         43.82 |           147.35 |
| 2017-18          |        138.53 |           136.11 |
| 2018-19          |        161.99 |           119.86 |
| 2019-20          |        137.83 |           121.05 |
| 2020-21          |        215.55 |           121.05 |
| 2021-22          |        150.55 |            16.78 |
| 2022-23          |        180.72 |           103.69 |

Note: SPIP Approvals are as per FMR submitted by the States.

Ministry of Health and Family Welfare, Government of India has taken several initiatives for supplementing the efforts of the State for providing quality and affordable healthcare services to the people and reduce the out of pocket expenditure (OOPE) like National Health Mission (NHM), Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), Establishment of New Medical Colleges & increase of seats in existing Government Medical Colleges, Pradhan Mantri - Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) etc. and also executing Central Sector Schemes like Pradhan Mantri Swasthya Suraksha Yojana(PMSSY) to provide affordable and quality tertiary health care facilities.

The objective of FDSI is to provide expanded range of diagnostics free of cost at all levels of public health facilities (14 tests at Sub Centers, 63 at Primary Health Centers, 97 at Community Health Centres , 111 test at Sub District Hospitals and 134 tests at District

Hospitals) thereby reducing high out of pocket expenditure incurred by patients for diagnostics.