Lok Sabha Question No. 1900 (UNSTARRED), answered on 2024-12-06
Subject: Healthcare Services through NQAS
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. Hemant Vishnu Savara, Shri Parbhubhai Nagarbhai Vasava, Shri Mukeshkumar Chandrakaant Dalal, Shri Biplab Kumar Deb, Shri Azad Kirti Jha, Smt. Kamaljeet Sehrawat, Shri Kanwar Singh Tanwar

## GOVERNMENTOFINDIA

## MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1900 TO BE ANSWERED ON 06.12.2024

## HEALTHCARE SERVICES THROUGH NQAS

## †1900. SHRI PARBHUBHAI NAGARBHAI VASAVA:

SHRI KANWAR SINGH TANWAR:

SHRI MUKESHKUMAR CHANDRAKAANT DALAL:

SMT. KAMALJEET SEHRAWAT:

SHRI AZAD KIRTI JHA:

SHRI BIPLAB KUMAR DEB:

DR. HEMANT VISHNU SAVARA:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the Ministry has made efforts to improve the quality of healthcare services in the country through the National Quality Assurance Standards (NQAS);
- (b) if so, the details along with the total number of health care facilities receiving certification from NQAS across the country including Uttar Pradesh, Tripura, Maharashtra and Palghar district, State and district-wise;
- (c) whether the Government is providing any assistance to various States for improving the quality of healthcare services in the country;
- (d) if so, the details thereof; and
- (e) the details of the funds sanctioned, released and utilised by various States particularly Uttar Pradesh so far to improve the quality of healthcare services?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILYWELFARE (SHRI PRATAPRAO JADHAV)

(a) The Government of India has implemented the National Quality Assurance Standards (NQAS) which is a comprehensive framework established by the Ministry of Health and Family Welfare (MoHFW), aimed at ensuring and enhancing the quality of healthcare services provided at public health facilities.

Initially, the Standards were applied for District Hospitals, aiming to ensure that services provided through public health facilities are safe, patient-centric, and of assured quality. Subsequently, these standards were extended to Sub-District Hospitals (SDH), Community Health Centers (CHCs), Ayushman Arogya Mandir -Urban Primary Health Centres (AAM-

UPHC), Ayushman Arogya MandirPrimary Health Centres (AAM-PHC), and Ayushman Arogya Mandirs Sub-Centers (AAM-SCs).

MoHFW has launched the virtual National Quality Assurance Standards (NQAS) assessment for Ayushman Arogya Mandirs (AAM) on 28 th June, 2024.

MoHFW has launched the National Quality Assurance Standards (NQAS) for Integrated Public Health Laboratories (IPHLs) to enhance the accuracy and precision of testing processes and results on 28 th June, 2024.

(b): The State/UT-wise details of NQAS certified healthcare facilities including Uttar Pradesh, Tripura, Maharashtra is at Annexure-I. There are 06 NQAS National certified facilities in Palghar district of Maharashtra.

(c) and (d): Public Health & Hospital is a State subject, hence, the responsibility of strengthening public healthcare system including improving the quality of health facilities, lies with the respective State/ UT Governments.

For improving the quality of healthcare services in the country through the National Quality Assurance Standards (NQAS), support is provided for capacity building for healthcare providers in NQAS-related activities and training, certification, and deployment of assessors for internal and external assessments at state and national levels. Financial aid is provided to address gaps in achieving NQAS certification, and public health facilities that attain NQAS certification are incentivized to sustain and improve quality standards. Furthermore, financial support is also extended for deploying dedicated human resources for quality, operationalizing State and District Quality Assurance Units, and conducting state and national-level NQAS assessments.

Additionally, NHM facilitates the sponsorship of candidates for the Post Graduate Diploma in Health Care Quality Management (PGDHQM) program offered by TISS, which is aligned with the objectives of NQAS.

(e) : Details of the fund approved and expenditure on Quality Assurance under National Health Mission (NHM) including Uttar Pradesh for the year 2023-24 at Annexure-II.

Annexure-I

| Sl.No.   | State/UT                              |   Total NQAS Certified Facilities as on 31st October, 2024 |
|----------|---------------------------------------|------------------------------------------------------------|
| 1.       | Andaman &Nicobar Islands              |                                                          0 |
| 2.       | Andhra Pradesh                        |                                                       2238 |
| 3.       | Arunachal Pradesh                     |                                                         12 |
| 4.       | Assam                                 |                                                        588 |
| 5.       | Bihar                                 |                                                         35 |
| 6.       | Chandigarh                            |                                                         14 |
| 7.       | Chhattisgarh                          |                                                        295 |
| 8.       | Daman and Diu &Dadar and Nagar Haveli |                                                        104 |
| 9.       | Delhi                                 |                                                         28 |
| 10.      | Goa                                   |                                                         16 |
| 11.      | Gujarat                               |                                                       1584 |
| 12.      | Haryana                               |                                                        326 |
| 13.      | Himachal Pradesh                      |                                                        102 |
| 14.      | Jammu &Kashmir                        |                                                         33 |
| 15.      | Jharkhand                             |                                                        219 |
| 16.      | Karnataka                             |                                                        913 |
| 17.      | Kerala                                |                                                        247 |
| 18.      | Ladakh                                |                                                          9 |
| 19.      | Lakshadweep                           |                                                          0 |
| 20.      | Madhya Pradesh                        |                                                       1997 |
| 21.      | Maharashtra                           |                                                        104 |
| 22.      | Manipur                               |                                                          6 |
| 23.      | Meghalaya                             |                                                          2 |
| 24.      | Mizoram                               |                                                         18 |
| 25.      | Nagaland                              |                                                         23 |
| 26.      | Odisha                                |                                                        866 |
| 27.      | Puducherry                            |                                                          6 |
| 28.      | Punjab                                |                                                        296 |
| 29.      | Rajasthan                             |                                                        674 |
| 30.      | Sikkim                                |                                                         18 |
| 31.      | Tamil Nadu                            |                                                        965 |
| 32.      | Telangana                             |                                                        645 |
| 33.      | Tripura                               |                                                         64 |
| 34.      | Uttar Pradesh                         |                                                        967 |
| 35.      | Uttarakhand                           |                                                         22 |
| 36.      | West Bengal                           |                                                       3152 |
|          | Total                                 |                                                      16588 |

## State/UT-wise State Programme Implementation Plans (SPIP) Approval and Expenditure on Quality Assurance under National Health Mission (NHM) for the FY 2023-24

(Rs. in Cr.)

| Sl. No.   | States/UT's                        | SPIPApproval   |   Expenditure |
|-----------|------------------------------------|----------------|---------------|
| 1         | Andaman and Nicobar Islands        | 0.14           |         0     |
| 2         | Andhra Pradesh                     | 49.44          |        16.69  |
| 3         | Arunachal Pradesh                  | 3.51           |         0.4   |
| 4         | Assam                              | 32.27          |        22.91  |
| 5         | Bihar                              | 22.73          |        16.1   |
| 6         | Chandigarh                         | 1.47           |         0.75  |
| 7         | Chhattisgarh                       | 16.67          |        10.04  |
| 8         | Dadra &Nagar Haveli and Daman &Diu | 1.28           |         0.06  |
| 9         | Delhi                              | 18.06          |         2.27  |
| 10        | Goa                                | 2.92           |         1.21  |
| 11        | Gujarat                            | 41.43          |        42.96  |
| 12        | Haryana                            | 10.68          |         9.89  |
| 13        | Himachal Pradesh                   | 15.16          |         5.94  |
| 14        | Jammu and Kashmir                  | 8.31           |         3.69  |
| 15        | Jharkhand                          | 11.26          |        23.78  |
| 16        | Karnataka                          | 36.29          |        21.32  |
| 17        | Kerala                             | 49.04          |         7.77  |
| 18        | Lakshadweep                        | 0.32           |         0     |
| 19        | Madhya Pradesh                     | 129.59         |       115.28  |
| 20        | Maharashtra                        | 56.09          |        13.41  |
| 21        | Manipur                            | 5.81           |         0.69  |
| 22        | Meghalaya                          | 3.31           |         0.25  |
| 23        | Mizoram                            | 3.46           |         1.47  |
| 24        | Nagaland                           | 5.52           |         0.51  |
| 25        | Odisha                             | 40.63          |        24.02  |
| 26        | Puducherry                         | 2.35           |         0.39  |
| 27        | Punjab                             | 16.31          |        16.31  |
| 28        | Rajasthan                          | 154.59         |        75.22  |
| 29        | Sikkim                             | 2.68           |         2.06  |
| 30        | Tamil Nadu                         | 116.25         |        28.65  |
| 31        | Telangana                          | 33.62          |         6.68  |
| 32        | Tripura                            | 8.76           |         6.48  |
| 33        | Uttar Pradesh                      | 463.47         |       260.14  |
| 34        | Uttarakhand                        | 9.01           |         3.58  |
| 35        | West Bengal                        | 36.61          |        23.4   |
| 36        | Ladakh                             | 1.84           |         0.88  |
| Total     | Total                              | 1,410.901      |       765.188 |

Note:

1. SPIP Approval is as per the available Financial Management Reports submitted by State/UTs and are provisional.