Lok Sabha Question No. 951 (UNSTARRED), answered on 2023-12-08
Subject: Free Diagnostics Service Initiative
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Basanta Kumar Panda, Ranjeeta Koli, Rodmal Nagar, Chunni Lal Sahu, Sumedhanand Saraswati, Manoj Rajoria, Dushyant Singh, Sunil Baburao Mendhe, Bharatiben Dhirubhai Shyal, Shankar Lalwani, Arvind Kumar Sharma, Himadri Singh

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE

## DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 951

## TO BE ANSWERED ON THE 08th DECEMBER, 2023

## FREE DIAGNOSTICS SERVICE INITIATIVE

## 951. SHRI BASANTAKUMAR PANDA:

SHRIMATI RANJEETA KOLI:

SHRI RODMALNAGAR:

SHRI CHUNNI LALSAHU:

SHRI SUMEDHANAND SARASWATI:

DR. MANOJ RAJORIA:

SHRI DUSHYANT SINGH:

SHRI SUNIL BABURAO MENDHE:

DR. BHARATIBENDHIRUBHAI SHIYAL:

SHRI SHANKAR LALWANI:

DR. ARVIND KUMAR SHARMA:

SHRIMATI HIMADRI SINGH:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details and objectives of the Free Diagnostics Service Initiative rolled out by the Government;
- (b) the details of the dissemination of operational guidelines for the Initiative to the States/UTs along with the timeframe and essential guidelines laid down in this regard; and
- (c) the funds that were accorded approval during the FY 2021-22 and FY 2022-2023, State/UT-wise?

## ANSWER

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

- (a) and (b) The Free Diagnostic Service Initiative (FDSI) was launched in July 2015 to provide accessible and affordable pathological and radiological diagnostics services closer to the community, reducing Out-of-Pocket Expenditure (OOPE). It encompasses free laboratory services, free Tele Rediology Services and free CT Scan services. The objective of FDSI is to

provide free of cost diagnostic services, a minimum set of essential diagnostic tests as per the Essential Diagnostic List at each level of public health facility as (14 tests at Sub Centres (SCs), 63 tests at Primary Health Centres (PHCs), 97 tests at Community Health Centres (CHCs), 111 tests at Sub-District Hospitals (SDHs) and 134 tests at District Hospitals (DHs).

The operational guideline and the model tender document were shared with the States in July 2015. The detailed guidelines are available at the following link: - https://nhm.gov.in/images/pdf/NHM/NHM-Guidelines/Free\_Essential\_Diagnostics.pdf

Subsequently, in 2019, the Ministry of Health and Family Welfare launched a guidance document for implementing laboratory services. The guidelines were disseminated to the States/UTs in 2019. The same is available at the following link: - https://nhm.gov.in/New\_Updates\_2018/NHM\_Components/Health\_System\_Stregthening/Compr ehensive\_primary\_health\_care/letter/Guidance\_document\_for\_Free\_Laboratory\_Services.pdf

- c) State/UT wise SPIP Approvals for Free Diagnostics Service Initiative under National Health Mission from the FY 2021-22 to 2022-23 is given at Annexure.

****

| State/UT wise details of SPIP Approvals for National Free Diagnostics Services underNHM during the period of F.Y. 2021-22 and 2022-23   | State/UT wise details of SPIP Approvals for National Free Diagnostics Services underNHM during the period of F.Y. 2021-22 and 2022-23   | State/UT wise details of SPIP Approvals for National Free Diagnostics Services underNHM during the period of F.Y. 2021-22 and 2022-23   | State/UT wise details of SPIP Approvals for National Free Diagnostics Services underNHM during the period of F.Y. 2021-22 and 2022-23   |
|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|
| Sl. No.                                                                                                                                 | Name of State/UT                                                                                                                        | FY2021-22                                                                                                                               | (Rs. in Lakhs) FY 2022-23                                                                                                               |
| 1                                                                                                                                       | Andaman &Nicobar Islands                                                                                                                | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 2                                                                                                                                       | Andhra Pradesh                                                                                                                          | 1678.35                                                                                                                                 | 10,368.97                                                                                                                               |
| 3                                                                                                                                       | Arunachal Pradesh                                                                                                                       | 0.00                                                                                                                                    | 1,489.25                                                                                                                                |
| 4                                                                                                                                       | Assam                                                                                                                                   | 7662.41                                                                                                                                 | 9,136.37                                                                                                                                |
| 5                                                                                                                                       | Bihar                                                                                                                                   | 0.00                                                                                                                                    | 17,566.93                                                                                                                               |
| 6                                                                                                                                       | Chandigarh                                                                                                                              | 32.00                                                                                                                                   | 0.00                                                                                                                                    |
| 7                                                                                                                                       | Chhattisgarh                                                                                                                            | 1154.00                                                                                                                                 | 3,180.00                                                                                                                                |
| 8                                                                                                                                       | Dadra & Nagar Haveli and Daman &Diu                                                                                                     | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 9                                                                                                                                       | Delhi                                                                                                                                   | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 10                                                                                                                                      | Goa                                                                                                                                     | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 11                                                                                                                                      | Gujarat                                                                                                                                 | 2317.13                                                                                                                                 | 32.50                                                                                                                                   |
| 12                                                                                                                                      | Haryana                                                                                                                                 | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 13                                                                                                                                      | Himachal Pradesh                                                                                                                        | 2516.35                                                                                                                                 | 2,000.00                                                                                                                                |
| 14                                                                                                                                      | Jammu & Kashmir                                                                                                                         | 1639.59                                                                                                                                 | 2,364.66                                                                                                                                |
| 15                                                                                                                                      | Jharkhand                                                                                                                               | 600.00                                                                                                                                  | 0.00                                                                                                                                    |
| 16                                                                                                                                      | Karnataka                                                                                                                               | 8386.69                                                                                                                                 | 11,989.39                                                                                                                               |
| 17                                                                                                                                      | Kerala                                                                                                                                  | 2873.32                                                                                                                                 | 1,813.12                                                                                                                                |
| 18                                                                                                                                      | Ladakh                                                                                                                                  | 63.00                                                                                                                                   | 87.88                                                                                                                                   |
| 19                                                                                                                                      | Lakshadweep                                                                                                                             | 0.00                                                                                                                                    | 0.00                                                                                                                                    |
| 20                                                                                                                                      | Madhya Pradesh                                                                                                                          | 8550.00                                                                                                                                 | 15,707.32                                                                                                                               |
| 21                                                                                                                                      | Maharashtra                                                                                                                             | 15055.23                                                                                                                                | 18,071.71                                                                                                                               |
| 22                                                                                                                                      | Manipur                                                                                                                                 | 875.00                                                                                                                                  | 1,050.00                                                                                                                                |
| 23                                                                                                                                      | Meghalaya                                                                                                                               | 732.75                                                                                                                                  | 0.00                                                                                                                                    |
| 24                                                                                                                                      | Mizoram                                                                                                                                 | 26.55                                                                                                                                   | 1,273.00                                                                                                                                |
| 25                                                                                                                                      | Nagaland                                                                                                                                | 169.36                                                                                                                                  | 163.00                                                                                                                                  |
| 26                                                                                                                                      | Odisha                                                                                                                                  | 7574.07                                                                                                                                 | 5,022.08                                                                                                                                |
| 27                                                                                                                                      | Puducherry                                                                                                                              | 8.00                                                                                                                                    | 7.63                                                                                                                                    |
| 28                                                                                                                                      | Punjab                                                                                                                                  | 2056.00                                                                                                                                 | 1,200.00                                                                                                                                |
| 29                                                                                                                                      | Rajasthan                                                                                                                               | 10961.41                                                                                                                                | 21,621.09                                                                                                                               |
| 30                                                                                                                                      | Sikkim                                                                                                                                  | 65.99                                                                                                                                   | 72.59                                                                                                                                   |
| 31                                                                                                                                      | Tamil Nadu                                                                                                                              | 13310.30                                                                                                                                | 11,208.84                                                                                                                               |
| 32                                                                                                                                      | Telangana                                                                                                                               | 4349.50                                                                                                                                 | 476.04                                                                                                                                  |
| 33                                                                                                                                      | Tripura                                                                                                                                 | 1319.64                                                                                                                                 | 1,643.00                                                                                                                                |
| 34                                                                                                                                      | Uttar Pradesh                                                                                                                           | 42336.82                                                                                                                                | 31,934.19                                                                                                                               |
| 35                                                                                                                                      | Uttarakhand                                                                                                                             | 542.00                                                                                                                                  | 2,235.00                                                                                                                                |
| 36                                                                                                                                      | West Bengal                                                                                                                             | 11921.18                                                                                                                                | 25,743.00                                                                                                                               |

Note: SPIP Approvals are as per FMR submitted by the States.