Lok Sabha Question No. 3164 (UNSTARRED), answered on 2024-08-09
Subject: Health Care facilities in Maharashtra
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prof. Varsha Eknath Gaikwad, Shri Amar Sharadrao Kale, Shri Bajrang Manohar Sonwane, Shri Bhaskar Murlidhar Bhagare, Shri Nilesh Dnyandev Lanke, Shri Mohite Patil Dhairyasheel Rajsinh, Dr. Amol Ramsing Kolhe, Smt. Supriya Sule, Shri Aashtikar Patil Nagesh Bapurao, Shri Sanjay Dina Patil

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA

## UNSTARRED QUESTION NO. 3164 TO BE ANSWERED ON 09.08.2024

## HEALTH CARE FACILITIES IN MAHARASHTRA

## 3164. SHRI SANJAY DINA PATIL

DR. AMOLRAMSING KOLHE

SHRI AASHTIKAR PATIL NAGESH BAPURAO

PROF. VARSHA EKNATH GAIKWAD

SHRI MOHITE PATILDHAIRYASHEEL RAJSINH

SHRI NILESH DNYANDEV LANKE

SHRI AMAR SHARADRAO KALE

SHRI BHASKAR MURLIDHAR BHAGARE

SHRI BAJRANG MANOHAR SONWANE

SMT. SUPRIYA SULE

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government is implementing various schemes in the country including Maharashtra to provide better health care facilities to people and if so, the details thereof;
- (b) the details of fund allocation made to the State of Maharashtra under these schemes during the last three years till date;
- (c) whether the Government has assessed the number of hospital beds that are available in the country and if so, the details thereof;
- (d) whether it is a fact that there is a huge gap between number of hospital beds available and number of beds required in the hospitals in the country and if so, the details thereof;
- (e) whether the Government is aware that it needs to adequately supplement health care infrastructure requirements to meet the expanding health care requirements of the population and if so, the details thereof along with the steps taken by the Government in this regard;
- (f) whether the Government proposes to rope in private players having major share in health industry and encourage them to come forward and establish more hospitals in the country, if so, the details thereof and steps taken in this regard; and
- (g) the steps taken/proposed to be taken by the Government to address the challenges posed by the increasing prevalence of lifestyle disease?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SMT. ANUPRIYAPATEL)

(a): The various health programmes implemented by the Government of India in the country including Maharashtra under NHM includes operationalisation of Ayushman Arogya Mandir by transforming the existing Sub Centres and Primary Health Centre, support for engaging of health human resource on contractual basis, National Ambulance Services, Mobile Medical Units, ASHAs, Infrastructure strengthening, 24 x 7 Services and First Referral facilities, Mera Aspataal, Kayakalp Award Scheme, Prime Minister's National Dialysis Programme, National Quality Assurance Standards implementation and related Activities, LaQshya Certification, Biomedical Equipment Maintenance and Management Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative. Further, initiatives such as Mission Parivar Vikas, Adolescent Friendly Health Clinics (AFHCs), Weekly Iron Folic Acid Supplementation (WIFS), Menstrual Hygiene Scheme, Facility Based Newborn Care (FBNC), Home Based Newborn Care Program, Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS), Home Based Care for Young Child (HBYC), Rashtriya Bal Swasthya Karyakram (RBSK), Early Childhood Development (ECD), Comprehensive Abortion Care (CAC), Anemia Mukt Bharat (AMB) strategy, Nutrition Rehabilitation Centre (NRC) program and Universal Immunization Programme are supported to increase access to quality healthcare services.

(b): 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 National Health Mission. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources. The details of RoPs issued to States/UTs are available at following web link:

https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744

(c) & (d): As per National Health Profile, 2023, State/UT-wise availability of beds in Government Hospitals in Rural & Urban Areas in India is at Annexure .

(e): The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the health sector to the tune of Rs 70,051 crores and the same have been accepted by the Union Government. These grants for health through Local Governments are spread over the five-year period from FY 2021-22 to FY 2025-26 and will facilitate strengthening of health system at the grass-root level. Total amount of Rs.7067 crore has been allocated under FC-XV health grant for the State of Maharashtra for FY 2021-22 to FY2025-26.

PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched by Hon'ble Prime Minister of India for an amount of Rs.64,180 crore. The measures under the PMABHIM focus on developing capacities of health systems and institutions across the continuum of care at all levels, primary, secondary and tertiary, to prepare health systems in responding effectively to the current and future pandemics /disasters. Under PM-ABHIM, provision have been made for construction/strengthening of 730 Integrated Public Health Labs (IPHLs), 3382 Block Public Health Units (BPHU) and 602 Critical Care Blocks (CCBs) during the scheme period. Total amount of Rs. 1195.15 crore has been allocated under PMABHIM for the State of Maharashtra for FY 2021-22 to FY 2025-26.

(f): Public-Private Partnership (PPP) has been one of the mainstays and continues to be an integral part of health reforms in India. Under National Health Mission (NHM), the Government is encouraging PPP model to modernize the health ecosystem of district hospitals in the country. Under Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY), out of 29,281 empaneled hospitals, 12,625 private hospitals have been empaneled to provide healthcare benefits to approx. 55 crore scheme beneficiaries.

(g): Under National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD), 753 District NCD Clinics, 222 District Cardiac Care Units, 356 District Day Care Centres and 6238 Community Health Centre NCD Clinics have been set up so far to address the various diseases including life style diseases.

Ayushman Arogya Mandir (AAM), aim at providing Comprehensive Primary Health Care (CPHC) inclusive of NCD services, closer to community. Preventive aspect of NCDs is strengthened under Comprehensive Primary Health Care by promotion of wellness activities and targeted communication at the community level.

****

Annexure referred to in reply to parts (c) & (d) of Lok Sabha Unstarred Question number 3164 for answer on 09.08.2024.

## Annexure

## State/UT wise Number of Government Hospitals and Beds in Rural & Urban Areas In India

| Sl. No.   | State/UT/Division       | Rural Hospitals (Govt.)   | Rural Hospitals (Govt.)   | Urban Hospitals (Govt.)   | Urban Hospitals (Govt.)   | Total Hospitals (Govt.)   | Total Hospitals (Govt.)   |
|-----------|-------------------------|---------------------------|---------------------------|---------------------------|---------------------------|---------------------------|---------------------------|
| Sl. No.   | State/UT/Division       | No.                       | Beds                      | No.                       | Beds                      | No.                       | Beds                      |
| 1         | Andhra Pradesh          | 1276                      | 11840                     | 691                       | 28012                     | 1967                      | 39852                     |
| 2         | Arunachal Pradesh       | 113                       | 465                       | 71                        | 2198                      | 184                       | 2663                      |
| 3         | Assam                   | 1262                      | 10070                     | 78                        | 13115                     | 1340                      | 23185                     |
| 4         | Bihar                   | 1761                      | 12125                     | 101                       | 14393                     | 1862                      | 26518                     |
| 5         | Chhattisgarh            | 198                       | 9200                      | 49                        | 410                       | 247                       | 9610                      |
| 6         | Goa                     | 25                        | 1926                      | 21                        | 1452                      | 46                        | 3378                      |
| 7         | Gujarat                 | 1822                      | 22092                     | 478                       | 27059                     | 2300                      | 49151                     |
| 8         | Haryana                 | 527                       | 6042                      | 128                       | 8188                      | 655                       | 14230                     |
| 9         | Himachal Pradesh        | 727                       | 7123                      | 76                        | 9467                      | 803                       | 16590                     |
| 10        | Jharkhand               | 4344                      | 10517                     | 84                        | 3089                      | 4428                      | 13606                     |
| 11        | Karnataka               | 2357                      | 19317                     | 629                       | 52086                     | 2986                      | 71403                     |
| 12        | Kerala                  | 1073                      | 16285                     | 214                       | 22240                     | 1287                      | 38525                     |
| 13        | Madhya Pradesh          | 330                       | 13410                     | 135                       | 21206                     | 465                       | 34616                     |
| 14        | Maharashtra             | 364                       | 10920                     | 148                       | 16417                     | 512                       | 27337                     |
| 15        | Manipur                 | 5                         | 437                       | 6                         | 2017                      | 11                        | 2454                      |
| 16        | Meghalaya               | 146                       | 2080                      | 15                        | 2470                      | 161                       | 4550                      |
| 17        | Mizoram                 | 72                        | 935                       | 22                        | 1050                      | 94                        | 1985                      |
| 18        | Nagaland                | 152                       | 921                       | 19                        | 967                       | 171                       | 1888                      |
| 19        | Odisha                  | 1671                      | 6995                      | 179                       | 18641                     | 1850                      | 25636                     |
| 20        | Punjab                  | 461                       | 4608                      | 214                       | 14412                     | 675                       | 19020                     |
| 21        | Rajasthan               | 2267                      | 13602                     | 969                       | 44878                     | 3236                      | 58480                     |
| 22        | Sikkim                  | 24                        | 260                       | 12                        | 1550                      | 36                        | 1810                      |
| 23        | Tamil Nadu              | 2003                      | 49197                     | 641                       | 67536                     | 2644                      | 116733                    |
| 24        | Telangana               | 701                       | 5020                      | 400                       | 29288                     | 1101                      | 34308                     |
| 25        | Tripura                 | 145                       | 2170                      | 25                        | 3173                      | 170                       | 5343                      |
| 26        | Uttar Pradesh           | 3929                      | 44505                     | 1013                      | 35047                     | 4942                      | 79552                     |
| 27        | Uttarakhand             | 579                       | 3394                      | 117                       | 5024                      | 696                       | 8418                      |
| 28        | West Bengal             | 1293                      | 25664                     | 217                       | 71336                     | 1510                      | 97000                     |
| 29        | A&N Island              | 27                        | 821                       | 3                         | 588                       | 30                        | 1409                      |
| 30        | Chandigarh              | NA                        | NA                        | 54                        | 4035                      | 54                        | 4035                      |
| 31        | D&N Haveli & Daman &Diu | 13                        | 543                       | 2                         | 695                       | 15                        | 1238                      |
| 32        | Delhi                   | NA                        | NA                        | 114                       | 31492                     | 114                       | 31492                     |
| 33        | Jammu &Kashmir          | 1596                      | 5979                      | 214                       | 3955                      | 1810                      | 9934                      |
| 34        | Ladakh                  | 42                        | 338                       | 2                         | 464                       | 44                        | 802                       |
| 35        | Lakshadweep             | 10                        | 250                       | NA                        | NA                        | 10                        | 250                       |
| 36        | Puducherry              | 86                        | 341                       | 51                        | 2965                      | 137                       | 3306                      |
| Total     | Total                   | 30125                     | 307552                    | 6501                      | 532903                    | 36626                     | 840455                    |

Source : National Health Profile 2023