Lok Sabha Question No. 3510 (UNSTARRED), answered on 2025-03-21
Subject: Healthcare Infrastructure in Konaseema Andhra Pradesh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri G M Harish Balayogi

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3510 TO BE ANSWERED ON 21.03.2025

## HEALTHCARE INFRASTRUCTURE IN KONASEEMA ANDHRAPRADESH

## †3510. SHRI G M HARISH BALAYOGI:

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

(a) the number and details of healthcare centres/hospitals operational in Konaseema district in the State of Andhra Pradesh including Government, private and specialty hospitals, especially their capacity and facilities available;

(b) the number and details of medical personnel currently available across all healthcare centres/hospitals in Konaseema district, categorized health centre-wise, especially doctors (specialists and general), nurses, paramedics and other staff;

(c) the details regarding the current vacant positions across all healthcare centers/hospitals in Konaseema district including reasons for vacancies and steps being taken to fill them, health centre-wise and position-wise;

(d) the doctor-patient and nurse-patient ratio in Konaseema along with the steps undertaken to improve these ratios;

(e) the details regarding the availability of essential medical equipment, diagnostic facilities and critical care units in Government hospitals in Konaseema district;

(f) whether the Government has any plan to strengthen healthcare infrastructure in Konaseema district, if so, the details thereof; and

(g) the details regarding the availability and implementation of telemedicine and digital healthcare services in Konaseema district?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE

## (SHRI PRATAPRAO JADHAV)

(a) to (c) : Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an annual publication, based on healthcare administrative data reported by States/UTs. Details of Primary Health Centres (PHCs), Community Health Centres (CHCs), SubDistrict/Divisional Hospitals (SDHs), District Hospitals (DHs) and Medical Colleges (MC) functioning in rural and urban areas of Andhra Pradesh including Konaseema district along

with status of health manpower may be seen at the following link of HDI 2022-23:

https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastr ucture%20%26%20Human%20Resources%29%202022-23\_RE%20%281%29.pdf

Further, as informed by State Government, a total of 153 Private Hospitals are functioning in the State of Andhra Pradesh.

Details of health manpower sanctioned, in-position and vacant in Konaseema district is as follows:

|   S.No. | Name of Post                    |   Sanctioned |   Existing |   Vacant |
|---------|---------------------------------|--------------|------------|----------|
|       1 | Community health Officer (CHOs) |           23 |         18 |        5 |
|       2 | Staff Nurse                     |          138 |        126 |       12 |
|       3 | Public Health Nurse (NT)        |           29 |         20 |        9 |
|       4 | Pharmacist                      |           46 |         42 |        4 |
|       5 | Lab Technician                  |           47 |         45 |        2 |

(d): As informed by State, the Doctor-Patient and Nurse-Patient ratio in Konaseema district are 1:21279 and 1:13173 respectively. 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 healthcare especially for the under-served and marginalized groups in rural areas. The Ministry of Health and Family Welfare 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. The Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms and available resources.

The Government of India has taken number of initiatives in the form of incentives and honorarium to the medical professionals for encouraging better service delivery in rural and remote areas across the country, which include:

- i. Hard Area Allowance to specialist doctors for serving in rural and remote areas so that they find it attractive to serve in public health facilities in such areas.
- ii. States are also allowed to offer negotiable salary to attract specialist including flexibility in strategies such as 'You Quote We Pay'.
- iii. Non-monetary incentives such as preferential admission in postgraduate courses for staff serving in difficult areas and improving accommodation arrangement in rural areas have also been introduced under NHM.
- iv. Multi-skilling of doctors is supported under NHM to overcome the shortage of specialists such as Comprehensive Emergency Obstetric and Newborn Care (CEmONC) and Life Saving Anaesthesia Skills (LSAS).

(e) & (f) : This Ministry 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 Out of Pocket Expenditure (OOPE). Diagnostics services are provided free of cost at all levels of public health facilities across the country including Konaseema district of Andhra Pradesh [14 tests at SHCs, 63 at PHCs, 97 at CHCs, 111 test at SDH and 134 tests at District Hospitals].

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 various States including the Andhra Pradesh. A total amount of Rs 2601.32 crore has been allocated under FC-XV health grant for the State of Andhra Pradesh for FY 2021-22 to FY 2025-26. Under the XV-FC Grants, 7 BPHUs (Block Public Health Units) have been approved for Konaseema district for infrastructure strengthening.

(g): Digital interventions have been introduced for healthcare delivery, with eSanjeevaninational telemedicine service playing a key role in enhancing remote healthcare access through video consultations. E-Sanjeevani is implemented in two variants: eSanjeevani OPD, which enables direct patient-to-doctor video consultations and eSanjeevani AB-AAM (Ayushman Arogya Mandirs), which facilitates doctor-to-doctor teleconsultations, allowing primary healthcare providers to seek expert opinions from specialists in higher-level hospitals.

As on 06.03.2025, in Konaseema district of Andhra Pradesh, 13,16,692 tele-consultations have been conducted in eSanjeevani AAM through 42 Spoke cum Hub operational as Hub and 455 Spokes served by a team of 514 Medical practitioners and health workers.

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