Lok Sabha Question No. 3127 (UNSTARRED), answered on 2024-12-13
Subject: Central Health Schemes in Chhattisgarh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Santosh Pandey

## GOVERNMENTOFINDIA MINISTRY OFHEALTH & FAMILY WELFARE DEPARTMENTOFHEALTH & FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3127 TO BE ANSWERED ON 13 TH DECEMBER, 2024

## CENTRALHEALTHSCHEMES IN CHHATTISGARH

## † 3127. SHRI SANTOSH PANDEY:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details of the various health schemes implemented by the Union Government in Chhattisgarh, district-wise;
- (b) the total amount of funds allocated and utilised for the said schemes during the year 2023-24;
- (c) the details of the hospitals being set up from the central fund in Chhattisgarh, district-wise;
- (d) whether there is any provision for proportionate share of Union and State Governments funding to the said hospitals; and
- (e) if so, the details thereof ?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SMT ANUPRIYAPATEL)

(a) and (b) The Ministry of Health and Family Welfare through various Centrally Sponsored Schemes and Central Sector Schemes supplements the efforts of the States / UTs in the healthcare sector. The various Centrally Sponsored Schemes are implemented with separate budget lines for each component of the schemes under this Ministry. Government spending for these schemes are made for best output as per quarterly expenditure plan. The funds are released on the basis of Utilization Certificate to the States/UTs.

The details of various major Centrally Sponsored Schemes / programmes and Central Sector Schemes implemented through the States/UTs including Chhatisgarh alongwith details of funds released / utilized are as under:

- i. National Health Mission (NHM) and Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) at Annexure-I
- ii. Establishment of New Medical Colleges attached with existing District/Referral hospitals and up gradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country and Strengthening and up gradation of State Government Medical colleges for starting new PG disciplines and increasing PG seats including Chhatisgarh are at Annexure-II.
- iii. Augmenting Nursing Education and Development of Nursing Services at Annexure-III.
- iv. Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) at Annexure-IV.

(c) to (e) Public Health and Hospitals is a State Subject and the responsibility for strengthening of healthcare system lies with respective State/UT Governments. However, Ministry of Health and Family Welfare, Government of India, under National Health Mission (NHM), provide technical and financial support to States/UTs for strengthen the public healthcare system including health facilities upto the level of District Hospital based on the proposal received in the form of Programme Implementation Plans (PIPs). Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources. The details of approvals given to Chhattisgarh including for setting up of hospitals is available in public domain at: https://nhm.gov.in/index4.php?lang=1&level=0&linkid=44&lid=57

NHM fund sharing pattern is of 60:40 between Central Government and the States and UTs with Legislature (Delhi & Puducherry). For States of Jammu & Kashmir, Himachal Pradesh, Uttarakhand and North-Eastern States including Sikkim sharing pattern is 90:10 between Central Government and States. For UTs without Legislature, funding pattern is of 100% Central Share.

Annexure referred to in reply to points (a) to (b) of the Lok Sabha Unstarred Question no. 3127 for answer on 13.12.2024

## National Health Mission (NHM) and Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM)

Details of Central Releases and Expenditure under National Health Mission (NHM) and Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) for the State of Chhattisgarh for FY-2023-24 are as under:

(Rs. in Cr.)

|   S No. | Scheme   |   Central Releases | Expenditure   |
|---------|----------|--------------------|---------------|
|       1 | NHM      |             875.8  | 1,743.79      |
|       2 | PM-ABHIM |              32.23 | 19.64         |

Annexure referred to in reply to points (a) to (b) of the Lok Sabha Unstarred Question no. 3127 for answer on 13.12.2024

- (i) Establishment of New Medical Colleges attached with existing District/Referral hospitals
- (ii) Up gradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country and Strengthening and up gradation of State Government Medical colleges for starting new PG disciplines and increasing PG seats

'Establishment of new medical colleges attached with existing district/referral hospitals' with preference to underserved areas and aspirational districts, where there is no existing Government or private medical college. The fund sharing mechanism between the Centre and State Governments is in the ratio of 90:10 for North Eastern and Special Category States, and 60:40 for others. Under the scheme, all the envisaged 157 medical colleges have been approved out of which, 05 medical colleges have been approved in Chhattisgarh. The details is as under:

(Rs in Cr)

|    | District    |   Approved Cost |   Central Share (60%) |   Total | Status              |
|----|-------------|-----------------|-----------------------|---------|---------------------|
| 1  | Rajnandgaon |             189 |                 113.4 |   113.4 | Already inaugurated |
| 2  | Sarguja     |             189 |                 113.4 |   113.4 | Already inaugurated |
|    |             |             378 |                 226.8 |   226.8 |                     |

| S No   | District   |   Approved Amount |   Central Share (60%) |   Total released | Status                  | Remarks                                                                                   |
|--------|------------|-------------------|-----------------------|------------------|-------------------------|-------------------------------------------------------------------------------------------|
| 1      | Korba      |               325 |                   195 |               90 | Functional (AY 2022-23) | Functional in                                                                             |
| 2      | Mahasamund |               325 |                   195 |               90 | Functional (AY 2022-23) | temporary campus. DPRs have been                                                          |
| 3      | Kanker     |               325 |                   195 |               90 | Functional (AY 2021-22) | frozen and tender has been finalized. The foundation stone for these colleges can be laid |
| Total  | Total      |               975 |                   585 |              270 |                         |                                                                                           |

Under CSS for 'Upgradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country. The funding pattern is 90:10 by Central and State Governments respectively for North Eastern States and Special Category States and 60:40 for other States with the upper ceiling cost pegged at Rs.1.20 crore per seat. Under the scheme, 150 UG seats in 03 medical colleges with an approved cost of Rs. 180 cr. The central share of Rs. 27 cr. has been released to the State of Chhattisgarh. The details is as under:

(Rs in Cr)

|   S.N o. | Name of Medical College                                                            | Seats increas ed   |   Approved cost |   Central Share (60%) |   Released in 2022-23 |   Total Release d |
|----------|------------------------------------------------------------------------------------|--------------------|-----------------|-----------------------|-----------------------|-------------------|
|        1 | Rajmata Shrimati Devendra Kumari Singhdeo, GMC, Ambikapur, Chhattisgarh 50         |                    |              60 |                    36 |                     9 |                 9 |
|        2 | Late Shri Lakhiram Agrawal Memorial Govt. Medical College Raigarh, Chhattisgarh 50 |                    |              60 |                    36 |                     9 |                 9 |
|        3 | Chhattisgarh Institute of Medical Sciences, Bilaspur 50                            |                    |              60 |                    36 |                     9 |                 9 |

Under Centrally Sponsored Scheme (CSS) for 'Strengthening and upgradation of State Government medical colleges for starting new PG disciplines and increasing PG seats', 79 PG seats in 01 medical college has been approved in Chhattisgarh with an approved cost of Rs 32.73 cr. The entire central share of Rs. 22.094 cr. has been released to Chhattisgarh. The details is as under:

(Rs in Cr)

| S No   | Name of the Medical College       | Total Cost   | Central Share   | No. of PG seats approved   | Fund Released   | Fund Released   | Total Released   |
|--------|-----------------------------------|--------------|-----------------|----------------------------|-----------------|-----------------|------------------|
| S No   | Name of the Medical College       | Total Cost   | Central Share   | No. of PG seats approved   | 2011-12         | 2017-18         | Total Released   |
| 1      | Pt J.N.M. Medical College, Raipur | 32.73        | 22.094          | 79                         | 12.275          | 9.819           | 22.094           |
|        | Total                             | 32.73        | 22.094          | 79                         | 12.275          | 9.819           | 22.094           |

## Annexure referred to in reply to points (a) to (b) of the Lok Sabha Unstarred Question no. 3127 for answer on 13.12.2024

## Augmenting Nursing Education and Development of Nursing Services

A. Under the Centrally Sponsored Scheme (CSS) 'Augmenting Nursing Education -Establishment of 157 Colleges of Nursing co-located with Medical Colleges, 05 Colleges of Nursing at Rajnandgaon, Sarguja, Korba, Mahasamund and Kanker districts, in Chhattisgarh have been allotted.

B. Under the Central Sector Scheme (CS) 'Development of Nursing Services', funds to the tune of Rs.7.00 crore is released for Upgradation of each School of Nursing into College of Nursing and strengthening of nursing infrastructure and also a financial assistance of Rs. 2,28,500/- per course has been provided for a duration of 7 days for 30 participants (nurses) from State Government/State Nursing Council/Central Government Institutions/TNAI to update their knowledge and skills in the different nursing specialty. No fund has been released to Chattisgarh for the FY 2023-24 under the Central Sector Scheme.

Annexure referred to in reply to points (a) to (b) of the Lok Sabha Unstarred Question no. 3127 for answer on 13.12.2024

## Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY)

Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY) is a flagship scheme of the Government which provides health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to approximately 55 Cr beneficiaries corresponding to 12.37 Crore families constituting economically vulnerable bottom 40% of India's population. Scheme in being implemented in 33 States/UT including Chhattisgarh State.

The funding of AB PM-JAY is entirely demand driven. NHA releases funds for scheme implementation to the State on the basis of the actual demand received from them. There is no State-wise allocation of funds. As per the process defined by NHA, States is required to furnish a Utilization Certificate of previously received funds prior to every new fund release.

The details of funds released and fund utilized by the State of Chhattisgarh under AB PM-JAY for FY 2023-24 is as follows :

:

|   Fund released to State of Chhattisgarh as Grant-In-Aid (in crores) |   Fund Utilized by the State of Chhattisgarh (in crores) |
|----------------------------------------------------------------------|----------------------------------------------------------|
|                                                               195.47 |                                                   192.08 |