Lok Sabha Question No. 3316 (UNSTARRED), answered on 2025-08-08
Subject: Lack of Healthcare Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Satpal Brahamchari

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3316 TO BE ANSWERED ON 08.08.2025

## LACK OF HEALTHCARE FACILITIES

## 3316. SHRI SATPAL BRAHAMCHARI:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- a) whether the Government has carried out any integrated assessment on the current lack of healthcare facilities such as absence of Radiology, MRI, Cath Lab etc., in Sonipat Lok Sabha Constituency in Haryana, particularly in Jind and Sonipat Civil Hospital and Kharkhoda block;
- b) the action taken by the Government to overcome the shortage of doctors, particularly specialists like gynaecologists, paediatricians, surgeons etc. during the last two years alongwith the number of vacancies in this sector;
- c) whether adequate availability of essential equipment such as lab machines, oxygen support, ventilators and medicines has been ensured at PHC, CHC and SDCH levels, if so, the details thereof and if not, the timeline for overcoming these shortages; and
- d) whether the Government has conducted any third party audit, impact evaluation or CAG level inspection to improve health services in Sonipat and Jind districts of the State, if so, the key findings and if not, the timeline for such evaluation?

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

(a): 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 (NHM). Government of India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available resources.

Under NHM, the performance of various health programmes is regularly monitored in all the States/UTs , through review meetings, mid-term reviews of key deliverables, field visits of senior officials, promoting performance by setting up benchmarks for service delivery &

rewarding achievements etc. Also, Common Review Missions (CRM) are conducted annually to assess and monitor the progress and implementation status under the scheme.

As per the information provided by the State of Haryana, in Sonipat, functional X-Ray plants are available at District Civil Hospital (DCH) Sonipat, Sub-Divisional Hospital (SDH) Kharkhoda, SDH Gohana, SDH Ganaur, Community Health Centre (CHC) Mundlana, CHC Firozpur Bangar, and CHC Juan. DCH Sonipat has Dialysis wing and CT Scan facilities under Public Private Partnership (PPP) mode.

In Jind, X-Ray services are functional at DCH Jind, SDH Narwana, SDCH Safidon, SDH Uchana, CHC Julana, and TB Hospital Jind. DCH Jind also has Dialysis wing and CT Scan facilities under PPP mode.

(b): Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an annual publication, based on healthcare administrative data reported by States/UTs. The State/UT-wise details of doctors and other healthcare professionals in rural healthcare facilities in the country, is available on the website of Ministry of Health and Family Welfare at Uniform Resources Locator (URL) as under:

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

Under NHM, following types of incentives and honorarium are provided for encouraging doctors to practice in rural and remote areas of the country:

-  Hard area allowance to specialist doctors for serving in rural and remote areas and for their residential quarters so that they find it attractive to serve in public health facilities in such areas.
-  Honorarium to Gynecologists/ Emergency Ob stetric Care (EmoC) trained, Pediatricians & Anesthetist/ Life Saving Anaesthesia Skills (LSAS) trained doctors is also provided to increase availability of specialists for conducting Cesarean Sections in rural & remote area.
-  Incentives like special incentives for doctors, incentive for Auxiliary Nurse and Midwife (ANM) for ensuring timely Antenatal Checkup (ANC) checkup and recording, incentives for conducting Adolescent Reproductive and Sexual Health activities.
-  States are also allowed to offer negotiable salary to attract specialist including flexibility in strategies such as 'You Quote We Pay'.
-  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.
-  Multi-skilling of doctors is supported under NHM to overcome the shortage of specialists. Skill upgradation of existing HR is another major strategy under NRHM for achieving improvement in health outcomes.

(c): The government has initiated various schemes/programmes to modernize and upgrade the medical equipment and technologies in public hospitals to provide accurate and efficient healthcare services:

-  Medical equipment is an integral part of healthcare service delivery and is crucial for instituting early diagnosis and prompt treatment leading to improved health outcomes. Indian Public Health Standards (IPHS)-2022 has laid down the minimum standards for equipment availability at each level of healthcare.
-  Under NHM, the Ministry provides support to the States/UTs for strengthening of diagnostic services including diagnostic equipment for health facilities as per IPHS norms based on the gap assessment done by the states/UTs.

(d): As per the information provided by the State of Haryana, a third-party audit of Health Department Sonipat was conducted by Principal Accountant General (Audit), Haryana from July 2019 to May 2025. The audit highlighted 17 vacancies out of 64 sanctioned posts in Health Department Sonipat. It also found that private hospitals were not de-empanelled despite directions, overpayment of ₹60,000 was made by CHC Bhainswal Kalan to a Bio-Medical Waste firm, physical verification of stores was not done at PHC Jakholi, and X-Ray machine was not available at CHC Bhainswal Kalan.

In District Jind, there is only one Gynecologist, one Pediatrician, and two Anaesthetists posted. Additionally, there is no Radiologist and no Skin Specialist posted in the district.

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