Lok Sabha Question No. 97 (UNSTARRED), answered on 2024-02-02
Subject: Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sunil Dattatray Tatkare

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

## LOK SABHA UNSTARRED QUESTION NO. 97 TO BE ANSWERED ON THE 02 nd FEBRUARY, 2024

## HEALTH INFRASTRUCTURE

## 97. SHRI SUNIL DATTATRAY TATKARE:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Union Government has received proposals from the State of Maharashtra regarding financial assistance for improving the infrastructural and other facilities in Government hospitals and if so, the action taken in this regard;
- (b) whether the Government is implementing any Centre funded schemes for increasing health infrastructure in civil hospitals of States and if so, the total funds accrued to Maharashtra through these schemes in the last three years; and
- (c) whether the neglect of investments in public healthcare infrastructure and the promotion of private hospitals to fill the gap have created a dependency on the private sector and if so, the details thereof and the reaction of the Government thereto?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) to (c) Ministry of Health and Family Welfare (MoHFW), under NHM provides technical and financial support to the States/UTs to strengthen their public healthcare system. Proposal from State/ UT Governments are received in the form of Programme Implementation Plans (PIPs) and after appraisal approvals are given in the form of Record of Proceedings (RoPs) as per resource envelope of the State. The details of PIPs and RoPs for the past years are available at website of National Health Mission www.nhm.gov.in at the Uniform Resource Locator (URL) as under: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744

SPIP Approval to the State of Maharashtra for health infrastructure under NHM from FY 2020-21 to 2022-23 is as below:

(Rs. in Lakh)

| State       | 2020-21   | 2021-22   | 2022-23   |
|-------------|-----------|-----------|-----------|
| Maharashtra | 49,479.00 | 55,881.84 | 61,535.48 |

## Note:

1. The SPIP Approvals is as per the available Financial Management Reports reported by State.

Ministry administers Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) which aims at correcting regional imbalances in the availability of affordable tertiary healthcare services and to augment facilities for quality medical education in the country. The Scheme has two components, namely, (i) Setting up of All India Institute of Medical Sciences (AIIMS); and (ii) Up-gradation of existing Government Medical Colleges/Institutions (GMCIs). So far setting up of 22 new AIIMS and 75 projects of upgradation of GMCIs have been approved under the Scheme in various phases. The setting up of AIIMS contains Medical College, Nursing College, Hospital, Trauma Centre, Emergency, Blood Bank, ICU, Diagnostic & Pathology, Research etc. Up-gradation of GMCIs under PMSSY broadly involves construction of Super Specialty Block (SSB) and/or Trauma Centre / or other facilities and/or procurement of medical equipment. In Maharashtra, One AIIMS has been approved at Nagpur at an cost of Rs. 1,577 crore under the PMSSY, which is functional. Further, the following Government Medical Colleges have also been taken up for upgradation in Maharashtra under PMSSY

| Name of Govt. Medical College / Institute (GMCI)         | Phase   | Upto 2019-20   | Central Fund released (Rs. Crore)   | Central Fund released (Rs. Crore)   | Central Fund released (Rs. Crore)   | Central Fund released (Rs. Crore)   |
|----------------------------------------------------------|---------|----------------|-------------------------------------|-------------------------------------|-------------------------------------|-------------------------------------|
|                                                          |         |                | 2020-21                             | 2021-22                             | 2022-23                             | Total                               |
| Grant Medical College &Sir JJ Group of Hospitals, Mumbai | I       | 93.87          | -                                   | -                                   | -                                   | 93.87                               |
| Government Medical College, Nagpur                       | II      | 120.25         | -                                   | -                                   | -                                   | 120.25                              |
| Govt. Medical College, Aurangabad                        | III     | 102.64         | 0.06                                | 0.21                                | 0.02                                | 102.93                              |
| Govt. Medical College, Latur                             | III     | 100.81         | 0.04                                | 0.20                                | 0.10                                | 101.15                              |
| Govt. Medical College, Akola                             | III     | 91.83          | 6.02                                | 0.02                                | 0.14                                | 98.01                               |
| Shri Vasantrao Naik Govt. Medical College, Yavatmal.     | III     | 102.96         | 0.02                                | 0.05                                | 0.06                                | 103.09                              |

Further following Centrally Sponsored Schemes are administered for establishment, strengthening and upgradation of medical colleges, which are as follows:

- i) Establishment of new Medical Colleges attached with existing district/referral hospitals,
2. ii) Up gradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country and
3. iii) Strengthening and up gradation of State Government Medical colleges for starting new PG disciplines and increasing PG seats.
2. The details of these schemes is as under:-
5. (i) Under the centrally sponsored scheme for 'Establishment of new medical colleges attached with existing district/referral hospitals', two medical colleges at Gondia in Phase -I and Nandurbar in Phase-III . The details are as under:

| District   | Phase   | Date of Approval   |   Approved Cost |   Central Share (60%) |   Total amount released | Status                                                         |
|------------|---------|--------------------|-----------------|-----------------------|-------------------------|----------------------------------------------------------------|
| Gondia     | I       | 10.03.2015         |             189 |                 113.4 |                   113.4 | Functional in temporary campus. Tender is yet to be finalized. |
| Nandubar   | III     | 19.02.2020         |             325 |                 195   |                   150   | Functional in temporary campus. Tender is yet to be finalized. |

- (ii) Under the CSS for Strengthening and up-gradation of Govt. Medical Colleges for Increase of PG seats 11 medical colleges were approved for increasing a total of 692 seats. An amount of Rs. 233.3881 Cr has been released so far as Central Share in this scheme. Details are at Anneuxre - I
- (iii) Under the Scheme for Upgradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country, 700 MBBS seats have been approved in 14 colleges. An amount of Rs.180 crores has been released to the State Government till date. Details are at Annexure - II.

Under PM- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM CSS component), so far in F.Y 2021-22, 2022-23 and FY 2023-24, support has been provided to the State of Maharashtra for establishment of 18 Integrated Public Health laboratories for an amount of Rs 27.89 crore and 18 Critical Care Hospital Blocks at District Hospital & Government Medical College level for an amount of Rs. 480.85 crore.

15th Finance Commission (FC-XV): 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 will be 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.

The Pradhan Mantri Swasthya Suraksha Yojana (PMSSY): It aims at correcting regional imbalances in the availability of affordable tertiary healthcare services and to augment facilities for quality medical education in the country. The Scheme has two components, namely, (i) Setting up of All India Institute of Medical Sciences (AIIMS); and (ii) Up-gradation of existing Government Medical Colleges/Institutions (GMCIs). So far setting up of 22 New AIIMS and 75 projects of upgradation of GMCIs have been approved under the Scheme in various phases.

*****

## Annexure-I

( Rs. in crore)

| SN   | Name of the Medical College                         |   Total Cost |   Central Share |   No. of PG seats approved |   Total Released |
|------|-----------------------------------------------------|--------------|-----------------|----------------------------|------------------|
| 1.   | Dr. Shankarao Chavan Govt. Medical College Nanded   |      44.603  |         30.1059 |                         62 |          30.1059 |
| 2    | Govt. Medical College Akola                         |      39.97   |         26.981  |                         54 |          26.981  |
| 3    | Govt. Medical College Latur                         |      24.14   |         16.292  |                         64 |          16.292  |
| 4    | Dr. V.M. Govt. Medical College, Solapur             |      26.5605 |         17.9282 |                         69 |          17.9282 |
| 5    | Govt. Medical College, Miraj                        |      18.08   |         12.184  |                         39 |          12.184  |
| 6    | Govt. Medical College Aurangabad                    |      15.76   |         10.638  |                         86 |          10.638  |
| 7    | Govt. Medical College Yavatmal                      |       7.92   |          5.346  |                         67 |           5.346  |
| 8    | B.J. Medical College &Sasoon General Hospital, Pune |      39.84   |         26.892  |                         89 |          26.892  |
| 9    | Govt. Medical College Dhule                         |      47.89   |         32.327  |                         62 |          32.327  |
| 10   | Indira Gandhi Govt. Medical College, Nagpur         |      48.55   |         32.77   |                         52 |          32.77   |
| 11   | Swami Ram Teerath Rural Medical College, Ambajogai  |      32.48   |         21.924  |                         48 |          21.924  |
|      | Total                                               |     345.793  |        233.388  |                        692 |         233.388  |

Annexure-II

( Rs. in crore)

| S.No.   | Name of Medical College                                              |   No. of Seats to be increased |   Initial Approved cost |   Central share (60%) |   Total released amount |
|---------|----------------------------------------------------------------------|--------------------------------|-------------------------|-----------------------|-------------------------|
| 1.      | Govt. Medical College, Yavatmal                                      |                             50 |                   60    |                 36    |                      36 |
| 2.      | Indira Gandhi Govt.Medical College, Nagpur                           |                             50 |                   60    |                 36    |                      36 |
| 3.      | Government Medical College, Nagpur                                   |                             50 |                   60    |                 36    |                       9 |
| 4.      | Grant Government Medical College, Mumbai                             |                             50 |                   60    |                 36    |                       9 |
| 5.      | Byramjee Jeejeebhoy Government Medical College, Pune                 |                             50 |                   59.98 |                 35.98 |                       9 |
| 6.      | Government Medical College, Aurangabad                               |                             50 |                   59.9  |                 35.94 |                       9 |
| 7.      | Government Medical College, Miraj                                    |                             50 |                   59.99 |                 35.99 |                       9 |
| 8.      | Dr. V.M. Government Medical College, Solapur                         |                             50 |                   60    |                 36    |                       9 |
| 9.      | Government Medical College, Akola                                    |                             50 |                   60    |                 36    |                       9 |
| 10.     | Dr. Shankarrao Chavan Government Medical College, Vishnupuri, Nanded |                             50 |                   60    |                 36    |                       9 |
| 11.     | Sri Bhausaheb Hire Govt. Medical College, Dhule                      |                             50 |                   60    |                 36    |                       9 |
| 12.     | Government Medical College, Chandrapur                               |                             50 |                   60    |                 36    |                       9 |
| 13.     | Swami Ramanand Teerth Rural Govt. Medical College Ambajogai, Beed    |                             50 |                   59.99 |                 35.99 |                       9 |
| 14.     | Government Medical College, Jalgaon                                  |                             50 |                   60    |                 36    |                       9 |
|         | Total                                                                |                            700 |                  839.86 |                503.9  |                     180 |