Lok Sabha Question No. 4291 (UNSTARRED), answered on 2024-12-20
Subject: Health Infrastructure in Government Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Babu Singh Kushwaha

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4291 TO BE ANSWERED ON 20.12.2024

## HEALTH INFRASTRUCTURE IN GOVERNMENT HOSPITALS

## 4291. SHRI BABU SINGH KUSHWAHA:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state;

- (a) the steps taken/proposed to be taken by the Government to make available free medicines, diagnostic tests and emergency services to all patients in Government hospitals;
- (b) the new initiatives taken by the Government to strengthen health infrastructure, human resource and technology;
- (c) the progress made so far to upgrade primary health centres and sub-centres;
- (d) the details of schemes implemented by the Government to promote digital health and ensure care on constant basis; and
- (e) the details of major achievements made under the Rashtriya Swasthya Mission (NHM), Rashtriya Kishore Swasthya Karyakram (RKSK) and other schemes so far?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a) to (e): The National Health Mission (NHM) provides support for improvement in health infrastructure, availability of adequate human resources in health facilities, to improve availability and accessibility to quality health care especially for the under served and marginalized groups in rural areas. This Ministry provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under NHM. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

To ensure availability of essential drugs and reduce the Out of Pocket Expenditure (OOPE) of the patients visiting the public health facilities, Government has rolled out the Free Drugs Service Initiative under NHM. This includes financial support to States/UTs for 106 drugs at Sub-Health Centre (SHC) level, 172 at Primary Health Centre (PHC) level, 300 at Community Health Centre (CHC) level, 318 at Sub-District Hospitals (SDH) level and 381 drugs at district Hospitals.

This Ministry also supports 'Free Diagnostics Service Initiative' programme under NHM with the aim to provide accessible and affordable pathological and radiological diagnostics services closer to the community, which in turn reduces the OOPE. Diagnostics services are provided free of cost at all levels of public health facilities [14 tests at SHCs, 63 at PHCs, 97 at CHCs, 111 test at SDH and 134 tests at District Hospitals].

Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) with an outlay of Rs. 64,180 Crores aims to support for infrastructure development for Sub-Health Centres, Urban Health and Wellness Centres, Support for Block Public Health Units, Integrated District Public Health Laboratories and Critical Care Hospital Blocks.

XV-Finance Commission has recommended grants aggregating to Rs. 70,051 Crores over the period of five years (2021-2026) through local government to strengthen the healthcare system in states.

As on 30.11.2024, a total of 1,75,338 Ayushman Arogya Mandir (AAM) have been operationalized by upgrading existing SHCs and PHCs to deliver Comprehensive Primary Health Care (CPHC) that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community.

The teleconsultation services, available at operational AAMs, enables people to access the specialist services closer to their homes addressing concerns of physical accessibility, saving cost to care, shortage of service providers and to ensure continuum of care. Total teleconsultation conducted at AAM are 30.75 cr as on 30.11.2024.

The details of target set and achieved under NHM are listed below:

| Targets (as per NHMextension for 2021-26)                                            | Status                                  | Status                                   |
|--------------------------------------------------------------------------------------|-----------------------------------------|------------------------------------------|
| Reduce MMRto 87 per 1 lakh                                                           | 97 per 1 lakh live births (SRS 2018-20) | 113 per 1 lakh live births (SRS 2016-18) |
| Reduce IMR to 22 per thousand                                                        | 28 per thousand (SRS 2020)              | 32 per thousand (SRS 2018)               |
| Sustain TFR to 2.0 at national level                                                 | 2.0 (NFHS 5)                            | 2.2 (NFHS 4)                             |
| Achieve the operationalization of 1.5 lakh Ayushman Arogya Mandir (erstwhile AB-HWC) | 1,75,338 (as on 30.11.2024)             | 80,348 (as on 26.11.2021)                |

Rashtriya Kishor Swasthya Karyakram (RKSK) implemented since 2014 to provide information, commodities and services to meet the diverse needs of adolescents. The key achievements are as below:

-  8765 Adolescent Friendly Health Clinic (AFHC) have been established across the country.
-  Weekly Iron Folic Acid Supplementation Programme entails provision of weekly supervised IFA tablets to in-school boys and girls and out-of-school girls.
-  In FY 2024-25 up to Nov 24, 46.4 lakh adolescent girls were provided sanitary napkins every month.
-  School Health & Wellness Programme (SH&WP) reached to 484 districts in 35 States/ UTs with 10.56 lakh Health and wellness Ambassadors (HWAs) trained up to November'2024.

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