opensansad/lok-sabha-qa huggingface dataset:
Lok Sabha Question No. 1938 (UNSTARRED), answered on 2024-08-02
Subject: Quality Assurance in Ayushman Arogya Mandirs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Bidyut Baran Mahato

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

## LOK SABHA UNSTARRED QUESTION NO. 1938 TO BE ANSWERED ON THE 2 nd AUGUST, 2024

## QUALITYASSURANCE IN AYUSHMAN AROGYAMANDIRS

## 1938: SHRI BIDYUT BARAN MAHATO:

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

the steps taken/proposed to be taken by the Government to assess the quality standards in Ayushman Arogya Mandirs and ensure compliance with Indian Public Health Standards ?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILYWELFARE (SMT. ANUPRIYAPATEL)

The National Quality Assurance Standards is a comprehensive framework established by the Ministry of Health and Family Welfare, Government of India in 2013, aimed at ensuring and enhancing the quality of healthcare services provided at public health facilities.

National Quality Assurance Standards for Ayushman Arogya MandirSub Centres (AAM-SC) were launched in 2020. To further instil a culture of continuous quality improvement and ease of compliance in healthcare sector, digital technology has been leveraged and 'Virtual Assessment for National Quality Assurance Standards (NQAS) Certification of Ayushman Arogya Mandir- Sub Health Centres' has been launched on 28 th June, 2024. 10% of the virtually assessed AAM- Sub Centres will be verified physically through onsite-assessment.

The Indian Public Health Standards (IPHS) are essential benchmarks that ensure the delivery of minimum essential services through public healthcare facilities, including District Hospitals, Sub-District Hospitals, Community Health Centers, Ayushman Arogya Mandir -Primary Health Centers (AAM-PHCs), and Ayushman Arogya Mandir - Sub Centres (AAMSCs). Developed in 2007 and revised in 2012 and 2022, these standards align with recent public health initiatives and are fundamental to our healthcare system.

The Ministry has developed a digital tool and a web-based dashboard (www.iphs.mohfw.gov.in) to facilitate selfassessment by all levels of facilities including Ayushman Arogya Mandirs. The IPHS Dashboard is designed to monitor public health facilities' compliance with the IPHS 2022 standards and offers real-time updates, enabling oversight and data-driven decision-making to identify gaps and facilitate timely interventions.

****
Lok Sabha Question No. 1934 (UNSTARRED), answered on 2024-08-02
Subject: Kidney Disease in Chhattisgarh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Roopkumari Choudhary

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

## LOK SABHA UNSTARRED QUESTION NO. 1934 TO BE ANSWERED ON 2 nd AUGUST, 2024

## KIDNEY DISEASE IN CHHATTISGARH

## 1934 SMT. ROOPKUMARI CHOUDHARY:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether Supebeda village of Gariaband district of Chhattisgarh is emerging as a major centre of kidney diseases due to the presence of fluoride in the water;
- (b) if so, the details thereof; and
- (c) the preventive measures taken/proposed to be taken by the Government in this regard?

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

(a) and (b): As per an article published in the Kidney International Report entitled 'CKD of Unknown Origin in Supebeda, Chhattisgarh, India', the cause of kidney diseases in cases found in Supebeda village of Gariaband district of Chhattisgarh is of unknown etiology.

- (c) The preventive measures taken/proposed by the Government are as follows:
- i. National Programme for Prevention and Control of Non-Communicable Diseases (NPNCD) gives financial support under NHM for awareness generation activities for noncommunicable diseases to be undertaken by the States/UTs as per their Programme Implementation Plans (PIPs).
- ii. For increasing public awareness about Non-Communicable Diseases (NCDs) including Chronic Kidney Disease (CKD) and for promotion of healthy lifestyle, National and International Health Days are observed and print, electronic and social media are also used for the purpose.
- iii. States/UTs celebrate ' World Kidney Day' in the second week of March every year to promote awareness regarding kidney health and adopt a healthy lifestyle.
- iv. Health camps are also organized for screening of CKD in the community and suspected cases are referred for diagnosis and put on treatment.
- v. Moreover, RO plant has also been established by Public Health Engineering Department (PHED), Government of Chhattisgarh to provide clean drinking water at Supebeda village.

******
Lok Sabha Question No. 1932 (UNSTARRED), answered on 2024-08-02
Subject: Healthcare related Proposals from Maharashtra
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Tatkare Sunil Dattatrey

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

## LOK SABHA UNSTARRED QUESTION NO. 1932 TO BE ANSWERED ON 02.08.2024

## HEALTHCARE RELATED PROPOSALS FROM MAHARASHTRA

## 1932. SHRI TATKARE SUNIL DATTATREY:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the total number of Healthcare related proposals recommended to the Union Government by the State Government of Maharashtra for approval during the last three years, year-wise;
- (b) the total number of proposals received/approved/pending and the time limit of approval of these pending proposals;
- (c) whether it is a fact that healthcare facilities in the rural areas are still inadequate; and
- (d) if so, the steps taken/proposed to be taken by the Government to start a centrally sponsored scheme especially in rural areas?

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

## (SMT. ANUPRIYAPATEL)

(a) & (b): To address the healthcare challenges, particularly in rural areas, the National Rural Health Mission (NRHM) was launched in 2005 to supplement the efforts of the State/UT governments to provide accessible, affordable and quality healthcare to all those who access public health facilities. Under National Health Mission (NHM), financial and technical support is provided to States/UTs to strengthen their healthcare systems, based on the requirements posed by them within their overall resource envelope. Proposals are received from all States/ UTs in the form of Programme Implementation Plans (PIPs). Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

The PIPs submitted by the State Government of Maharashtra and RoPs for the last three years under NHM are available at https://nhm.gov.in/index4.php?lang=1&level=0&linkid=55&lid=68.

- (c) & (d) 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.

PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched by Hon'ble Prime Minister of India in financial year 2021-22 for an amount of Rs. 64,180 crore. The measures under the PM-ABHIM 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.

****
Lok Sabha Question No. 1931 (UNSTARRED), answered on 2024-08-02
Subject: Renunciation of Indian Citizenship
Ministry: EXTERNAL AFFAIRS
Asked by: Shri Khalilur Rahaman

## GOVERNMENT OF INDIA

## MINISTRY OF EXTERNAL AFFAIRS LOK SABHA

## UNSTARRED QUESTION NO-1931

ANSWERED ON- 02/08/2024

## RENUNCIATION OF INDIAN CITIZENSHIP

## 1931. SHRI KHALILUR RAHAMAN

Will the Minister of EXTERNAL AFFAIRS be pleased to state :-

(a) whether the Government has maintained any data relating to the renunciation of citizenship by Indian Citizens during the last five years and if so, the details thereof, year-wise, State-wise;

(b)   the   details   of   the   State   that   saw   the   largest   number   of   people renouncing their citizenship;

- (c) whether the Government has conducted any study in this regard and if so, the details thereof; and

(d) whether the Government has made a study regarding the amount of financial drainage due to renunciation of citizenship, if so, the details thereof and if not, the reasons therefor?

## ANSWER

THE MINISTER OF STATE IN THE MINISTRY OF EXTERNAL AFFAIRS (SHRI KIRTI VARDHAN SINGH)

(a to d) As per the information available with the Ministry, the number of Indians who renounced their Indian citizenship was 1,44,017 (in 2019); 85,256 (in 2020); 1,63,370 (in 2021); 2,25,620 (in 2022) and 2,16,219 (in 2023). For reference purpose, data was 1,22,819 (in 2011); 1,20,923 (in 2012); 1,31,405 (in 2013); 1,29,328 (in 2014); 1,31,489 (in 2015); 1,41,603 (in 2016); 1,33,049 (in 2017); 1,34,561 (in 2018) . State-wise distribution of people who renounced Indian citizenship for foreign citizenships is not available. The   reasons   for   renouncing/taking   citizenship   are   personal.   The

Government recognizes the potential of the global workplace in an era of a knowledge economy. It has also brought about a transformational change   in   its   engagement   with   Indian   diaspora.   A   successful, prosperous, and influential diaspora is an asset for India. India stands to gain a lot from tapping its diaspora networks and productive utilization of the soft power that comes from having such a flourishing diaspora. The Government's efforts are also aimed at harnessing the diaspora potential   to   its   fullest   including   through   sharing   of   knowledge   and expertise.

*****
Lok Sabha Question No. 1930 (UNSTARRED), answered on 2024-08-02
Subject: Cashless treatment for CGHS Patients
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri S Venkatesan

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

## LOK SABHA UNSTARRED QUESTION NO. 1930 TO BE ANSWERED ON 2 ND AUGUST, 2024

## CASHLESS TREATMENTFORCGHS PATIENTS

## 1930. SHRI S VENKATESAN:

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

(a) whether the Government is aware of the issues/difficulties being faced by Central Government Pensioners in getting Cashless treatment under CGHS;

(b) whether it is true that Empanelled Private Hospitals are reluctant to give treatment on Cashless basis for CGHS patients forcing them to remit the Charges and get it reimbursed later through CGHS and if so, the details thereof alongwith the reasons therefor; and

(c) the steps/measures taken/proposed to be taken by the Government to ensure Cashless treatment for employees/pensioners under CGHS and the details of action taken against errant hospitals in the matter?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILYWELFARE (SMT. ANUPRIYAPATEL)

(a) to (c) As per MoU signed between CGHS and empanelled Health Care Organizations (HCOs), all Central Government pensioners and other eligible beneficiaries along with their dependents having a CGHS Card can avail cashless health services through NHA ' s IT platforms at CGHS empanelled hospitals and diagnostic centres. Central Government Pensioners facing difficulties in getting cashless treatment have been provided facility to submit their grievances through various means like email to authorities, PG portal, Local Advisory Committees/ Zonal Advisory Committee meetings with Additional Directors of CGHS cities.

Several steps have been taken to ensure Cashless treatment for employees/pensioners under CGHS, which are:

- i. The steps taken by the department are primarily focused on the timely payment of Empanelled Hospitals. In the month of September 2023, the Department had decided to
2. make all CMO Incharges as Sanctioning Authorities (Three Hundred Forty-Six in total). This decision has enabled the department to reduce the pendency of payments from 5-6 months to the current payment times of 20-25 days.
- ii. A committee was constituted with the task for the revision of CGHS package rates. The committee has submitted the report.
- iii. Upon receiving any complaint, CGHS officials expeditiously resolve the issue by intervening in the matter through nodal officers appointed at every CGHS empanelled HCOs.
- iv. The show cause notices are issued and penalties are imposed on errant HCOs, as per the provision of MoA like forfeiting 15% of PBG, recovery of overcharged amount from pending bills etc.
- v. HCOs are directed to attend regularly held Zonal Advisory Committee (ZAC) meetings to discuss and resolve the outstanding issues.
- vi. Instructions are issued to HCOs for strict compliance with CGHS guidelines/rules issued by Ministry/ Department from time to time.

*****
Lok Sabha Question No. 1921 (UNSTARRED), answered on 2024-08-02
Subject: Promotion of Domestic Manufacturing of Medicines
Ministry: CHEMICALS AND FERTILIZERS
Asked by: Shri Vishnu Datt Sharma

## GOVERNMENT OF INDIA MINISTRY OF CHEMICALS AND FERTILIZERS DEPARTMENT OF PHARMACEUTICALS

## LOK SABHA

UNSTARRED QUESTION No. 1921

TO BE ANSWERED ON THE 02 ND  AUGUST, 2024

## Promotion of Domestic Manufacturing of Medicines

## 1921 Shri Vishnu Datt Sharma:

## Will the Minister of CHEMICALS AND FERTILIZERS be pleased to state:

- (a) whether the Government is making efforts to promote domestic manufacturing of medicines for  rare  genetic  disorders  considering  their  scarce  availability  and  prohibitive  cost  in  the country;
- (b) if so, the details of the efforts made and outcomes achieved in this regard; and
- (c) if not, the reasons therefor?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF CHEMICALS & FERTILIZERS

(SMT. ANUPRIYA PATEL)

(a) to (c): The Department of Pharmaceuticals is implementing the Production Linked Incentive (PLI) Scheme for Pharmaceuticals with a total financial outlay of Rs. 15,000 crore and scheme tenure up to FY 2027-28. The scheme provides for financial incentive to 55 selected applicants for manufacturing of identified products under three categories for a period of six years. The product Category 1 covers drugs such as bio-pharmaceuticals, complex generics, gene therapy drugs, complex excipients, orphan drugs etc. Orphan drugs are those drugs which are used for treatment of rare diseases. Under the scheme, total 8 orphan drugs have been approved for manufacturing. The orphan drugs approved under the PLI scheme for Pharmaceuticals are as follows:

|   S. No.Name of the | product                 | Usage                                       |
|---------------------|-------------------------|---------------------------------------------|
|                   1 | Nitisinone              | Treatment of Hereditary Tyrosinemia Type 1  |
|                   2 | Nusinersen              | Treatment of Spinal Muscular Atrophy        |
|                   3 | Rufinamide              | Treatment of Lennox-Gastaut syndrome.       |
|                   4 | Sodium Phenyl Butyrate  | Treatment of Urea Cycle Disorders           |
|                   5 | Tiopronin               | Prevention of Cystine Nephrolithiasis       |
|                   6 | Trientine Hydrochloride | Treatment of Wilson's disease               |
|                   7 | Eliglustat              | Treatment of Gaucher's disease              |
|                   8 | Cannabidiol             | Treatment of Dravet-Lennox Gastaut syndrome |

*****
Lok Sabha Question No. 1920 (UNSTARRED), answered on 2024-08-02
Subject: Prevention of Malaria
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Sukanta Kumar Panigrahi

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QESTION NO. 1920 TO BE ANSWERED ON 02.08.2024

## 'PREVENTION OF MALARIA'

## 1920: SHRI SUKANTA KUMAR PANIGRAHI:

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

- (a) whether the Government is taking any measures/steps to prevent malaria in affected areas, if so, the details thereof;
- (b) the details of malaria-affected people treated in Kandhamal district of Odisha during the last five years; and
- (c) whether the Government has any plan to stop this, if so, the details thereof?

## ANSWER MINISTER OFSTATE FOR MINISTRY OFHEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

- (a) Ministry of Health & Family Welfare provides technical and financial assistance to States/UTs to prevent malaria across the country. Measures/steps taken by the Government for prevention of malaria in affected areas are as follows:
- i. Disease Management involving early case detection with active, passive and sentinel surveillance followed by complete and effective treatment, strengthening of referral services, epidemic preparedness and rapid response.
- ii. Integrated Vector Management, including Indoor Residual Spraying (IRS), in selected high risk areas, Long Lasting Insecticidal Nets (LLINs) in high malaria endemic areas, use of Larvivorous fish, anti-larval measures in urban areas including bio-larvicides and minor environmental engineering and source reduction for prevention of breeding.
- iii. Supportive Interventions aiming at Behaviour Change Communication (BCC), Inter-Sectoral Convergence and Human Resource Development through capacity building.
- (b) As per the information received from National Center for Vector Borne Disease Control (NCVBDC), the number of Malaria cases in Kandhamal district of Odisha State during the last five years is given as below:
- (c) The Government has launched the National Framework for Malaria Elimination (NFME) 2016 -2030 to achieve zero indigenous cases of Malaria in the country by 2027 and to sustain elimination by 2030.

|   Year |   Kandhamal District |
|--------|----------------------|
|   2019 |                 2978 |
|   2020 |                 3800 |
|   2021 |                 4209 |
|   2022 |                 2338 |
|   2023 |                 5062 |

*****
Lok Sabha Question No. 1919 (UNSTARRED), answered on 2024-08-02
Subject: Use of Drones for Soil Testing
Ministry: CHEMICALS AND FERTILIZERS
Asked by: Shri Sribharat Mathukumilli

## GOVERNMENT OF INDIA MINISTRY OF CHEMICALS AND FERTILIZERS

## DEPARTMENT OF FERTILIZERS LOK SABHA

## UNSTARRED QUESTION NO. 1919 TO BE ANSWERED ON: 02.08.2024

## USE OF DRONES FOR SOIL TESTING

## 1919  SHRI SRIBHARAT MATHUKUMILLI :

Will the Minister of CHEMICALS AND FERTILIZERS be pleased to state:

- (a) the  current  status  of  the  utilization  of  drones  for  soil  testing  in  the  State  of Andhra Pradesh, particularly through Rythu Bharosa Kendras (RBKs);
- (b)      the details of the initiatives taken/proposed to be taken to deploy drones for soil testing  including  the  number  of  Rythu  Bharosa  Kendras  equipped  with  drones  and their operational effectiveness;
- (c)        the  training  programmes  conducted  for  farmers  on  operating  drones  for  soil testing,  including  the  number  of  farmers  trained  along  with  the  outcome  of  the  pilot project;
- (d)      the  measures  taken/proposed  to  be  taken  by  the  Government  to  ensure compliance with safety regulations and DGCA-certification standards for drones used in agricultural activities in the State of Andhra Pradesh; and
- (e)    whether the Government has any plan to expand the use of drones beyond soil testing to enhance agricultural productivity and sustainability in the said State and if so, the details thereof?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF CHEMICALS AND FERTILIZERS (SMT. ANUPRIYA PATEL)

(a) to (e):   Government of India has launched a Central Sector Scheme 'Namo Drone Didi  (NDD)'  with  an  aim  to  promote  the  usage  of  drone  in  agriculture  sector  for spraying  of  Nano  fertilizers  and  pesticides.  In  this  scheme,15000  drones  will  be provided  to  the  selected  Women  Self  Help  Groups  (SHGs)  for  giving  business opportunity in Agriculture Sector.  The scheme will help in infusing advance technology in agriculture for improved efficiency, enhance crop yield and reduce cost of operation for the benefits of farmers. However, Drone Technology for Soil Testing has not been developed in India including State of Andhra Pradesh.

As informed by State Government of Andhra Pradesh, under NDD scheme, 108 women  from  various  SHGs  as  a  Drone  Pilot  and  Assistant  Drone  Pilot  have  been trained  by  provided  authorized  RPTOs  which  is  certified  by  DGCA.  The  Pilots  were trained on the DGCA safety regulations and DGCA- certification standards.

*******
Lok Sabha Question No. 1918 (UNSTARRED), answered on 2024-08-02
Subject: Homeless Children
Ministry: WOMEN AND CHILD DEVELOPMENT
Asked by: Smt. Delkar Kalaben Mohanbhai

## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT

## LOK SABHA UNSTARRED QUESTION NO.1918

TO BE ANSWERED ON 02.08.2024

## HOMELESS CHILDREN

## 1918. SMT. DELKAR KALABEN MOHANBHAI:

Will  the  Minister  of  WOMEN  AND  CHILD  DEVELOPMENT  be  pleased  to state:

- (a) whether the Government has conducted any study to ascertain the number of homeless children across various States/UTs in the country;
- (b) if so, the details thereof, State/UT-wise during the last five years; and
- (c) the measures taken/proposed to be taken by the Government to rehabilitate the said children, State/UT-wise and district-wise for Dadra and Nagar Haveli and Daman and Diu?

## ANSWER

## MINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI ANNPURNA DEVI)

(a) to (c): The Juvenile Justice (Care and Protection of Children) Act, 2015 (JJ Act) is the primary law for care and protection of children in the country. As per Section 2 (14) (vi) of the JJ Act, a child who does not have parents and no one is willing to take care of and protect or who is abandoned or surrendered is included as a 'child in need of care and protection.' The Act provides a security net of service delivery structures including measures for institutional and non-institutional care to ensure comprehensive well-being of children in distress situations.

Mission  Vatsalya  scheme  is  a  Centrally  Sponsored  Scheme  (CSS)  which  is implemented through States/Union Territories (UTs) to deliver services for Children in  Need of Care and Protection (CNCP) and Children in Conflict with Law (CCL) which include Institutional Care and Non-Institutional Care.  The fund sharing pattern is in the ratio of 60:40 for all States and UTs with legislature except the North-Eastern States and Hilly States - Himachal Pradesh and Uttarakhand and UT of Jammu & Kashmir, where the cost of sharing is 90:10. In Union Territory without legislature, the cost is 100 % on the Central Government. Under the scheme Institutional Care is provided through Child Care Institutes (CCIs), as a rehabilitative measure. The programmes and activities in Homes inter-alia include age-appropriate education, access to vocational training, recreation, health care, counselling etc. Under the NonInstitutional Care component, support is extended for Adoption, Foster Care, After Care  and  Sponsorship.  Further  Mission  Vatsalya  also  provides  for  'After  care' services after the age of 18 years to help sustain them during the transition from institutional to independent life. The data for homeless children is not maintained centrally  by  the  Ministry.  The  primary  responsibility  of  execution  of  the  Act  and implementation  of  Scheme  lies  with  the  States/UTs.   There  are  04  Child  Care Institutions, 03 Child Welfare Committees and 03 Juvenile Justice Boards in Dadra & Nagar Haveli and Daman & Diu.

*****