Lok Sabha Question No. 335 (STARRED), answered on 2023-08-11
Subject: Health Projects in Maharashtra
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Arvind Ganpat Sawant, Omprakash Bhupalsinh alias Pawan Rajenimbalkar

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOKSABHA STARRED QUESTION NO. 335 TO BE ANSWERED ON THE 11 TH AUGUST, 2023

## HEALTH PROJECTS IN MAHARASHTRA

## †*335. SHRI ARVIND GANPAT SAWANT: SHRI OMPRAKASH BHUPALSINH ALIAS PAWAN RAJENIMBALKAR:

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

- (a) the details of major health projects and special programmes launched and being implemented by the Government in the country particularly in Maharashtra during the last five years and the current year;
- (b) the cost likely to be incurred on the said projects and the time by which the said projects are likely to be completed;
- (c) whether the Government has identified any area where specific programmes are required for eradication of chronic endemic diseases in the country including Maharashtra and if so, the details thereof;
- (d) whether the Government has reviewed the work done so far in this regard and if so, the details thereof;
- (e) the present status and details of the said projects being implemented in the aspirational districts of the country including Maharashtra particularly in Osmanabad district; and
- (f) the appropriate steps taken by the Government for further progress of the said projects?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to ( f) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 335 FOR 11 TH AUGUST, 2023

(a) & (b) National Health Mission (NHM) envisages achievement of universal access to equitable, affordable & quality health care services that are accountable and responsive to people's needs. The list of programmes/ schemes run by government under National Health Mission in States/UTs including Maharashtra is at Annexure-I.

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 including Maharashtra during the last five years are available at following web link:

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

As on 31.07.2023, a total of 1,60,816 Ayushman Bharat - Health and Wellness Centres (AB-HWCs) have been operationalized in India by upgrading existing SHCs and PHCs to deliver Comprehensive Primary Health Care (CPHC) that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community.

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 FY 2025-26.

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 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. Total amount of Rs. 1195.15 crore has been allocated under PM-ABHIM for the State of Maharashtra for FY 2021-22 to FY 2025-26.

(c) The National Center for Vector Borne Diseases Control (NCVBDC) administers an umbrella programme, namely, National Vector Borne Disease Control programme (NVBDCP) for prevention and control of six vector borne diseases (VBDs) namely Malaria, Kala-azar, Japanese Encephalitis, Dengue, Chikungunya and Lymphatic Filariasis in States/UTs including Maharashtra wherever these diseases are endemic.

Government of India is working towards achieving Measles and Rubella Elimination across india including Maharashtra. To eliminate these diseases, two doses of Measles and Rubella Vaccine are provided to children at 9 months and 16-24 months of age under Universal Immunization Programme. A nationwide Measles and Rubella Vaccination campaign has been conducted wherein children in the age group of 9 months to 15 years were vaccinated with an additional dose of MR vaccine.

(d) The Government reviews functionality of the health centers as well as implementation of various health programs in each State including the Aspirational District areas through Central and State level monitoring mechanisms. From Central level, Ministry of Health and Family Welfare undertakes Common Review Mission (CRM) to review the progress of National Health Mission (NHM) implementation. In addition to this, Health Management Information System (HMIS) data is updated by States which is available disaggregated up-to-the facility level. Similarly, aspirational district evaluation is also done by NITI Aayog based on the set indicators.

The reports of the CRM and performance evaluation of healthcare facilities, year-wise, from 2014 onwards can be accessed from the link https://nhsrcindia.org/php-crm-reports.

(e) & (f) Govt. of India has identified 112 Aspirational Districts based on their performance in 49 Key Performance Indicators (KPIs) across five themes namely Health & Nutrition, Education, Agriculture & Water Resources, Financial Inclusion & Skill Development and Basic Infrastructure. Among the 112 districts Maharashtra has four district namely Nandurbar, Washim, Gadchiroli and Osmanabad.

Projects sanctioned under Health and Nutrition for Aspirational Districts of Maharashtra and details of approved health projects under NHM,PM-ABHIM, FC-XV and ECRP-I & II for district Osmanabad is at Annexure-II.

The MoHFW has introduced a shortand long-term health plan aimed at implementing transformative changes across aspirational districts.

Activities covered under the Health Action plan are as follows:

-  Transformation of Sub Health Centers and Primary Health Centres into Ayushman Bharat- Health & Wellness Centers.
-  Institutionalizing AB-School Health Ambassadors in all Schools.
-  Strengthening of District Hospitals.
-  Improving Access and Quality services by Operationalization of FRUs, LaQshya Certification.
-  Strengthening Service Delivery under Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCH+N).
-  Athrust to POSHAN Abhiyaan (Home Based Newborn Care).
-  Ending TB by 2025 - 'TB Harega Desh Jeetega'.
-  Timely achievement of targets of vector borne diseases.

## List of programmes/ schemes run by government under National Health Mission in States/UTs including Maharashtra

## (I) Reproductive, Maternal, Neonatal, Child and Adolescent health

-  Janani Shishu Suraksha Karyakaram (JSSK)
-  Rashtriya Kishor Swasthya Karyakram(RKSK)
-  Rashtriya Bal Swasthya Karyakram (RBSK)
-  Universal Immunisation Programme
-  Mission Indradhanush (MI)
-  Janani Suraksha Yojana (JSY)
-  Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)
-  Navjaat Shishu Suraksha Karyakram (NSSK)
-  National Programme for Family planning
-  LaQshya' programme (Labour Room Quality Improvement Initiative)

## (II) National Nutritional Programmes

-  National Iodine Deficiency Disorders Control Programme
-  MAA(Mothers' Absolute Affection) Programme for Infant and Young Child Feeding
-  National Programme for Prevention and Control of Fluorosis (NPPCF)
-  National Iron Plus Initiative for Anaemia Control

## (III) Communicable diseases

-  Integrated Disease Surveillance Programme (IDSP)
-  Revised National Tuberculosis Control Programme (RNTCP)
-  National Leprosy Eradication Programme (NLEP)
-  National Vector Borne Disease Control Programme (NVBDCP)
-  National AIDS Control Programme (NACP)
-  Pulse Polio Programme
-  National Viral Hepatitis Control Program (NVHCP)
-  National Rabies Control Programme
-  National Programme on Containment of Anti-Microbial Resistance (AMR)

## (IV) Non-communicable diseases

-  National Tobacco Control Programme(NTCP)
-  National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)
-  National Programme for Control Treatment of Occupational Diseases
-  National Programme for Prevention and Control of Deafness (NPPCD)
-  National Mental Health Programme
-  National Programme for Control of Blindness & Visual Impairment (NPCB&VI)
-  Pradhan Mantri National Dialysis Programme (PMNDP)
-  National Programme for the Health Care for the Elderly (NPHCE)
-  National Programme for Prevention & Management of Burn Injuries (NPPMBI)
-  National Oral Health programme

## (V) National Urban Health Mission

## (VI) Health System Strengthening

-  Comprehensive Primary Healthcare (CPHC)
-  Blood Services & Disorders
-  Sickle Cell Anemia Elimaination
-  Public Health Institutions as per IPHS norms
-  Referral Transport
-  Quality Assurance
-  Inventory management
-  Human resource for health
-  IT interventions and systems

(VII) Besides these mentioned above, various National level programs & schemes to strengthen the activities in rural health sector like:

-  Ayushman Bharat Pradhan Mantri- Jan Arogya Yojana (AB-PMJAY)
-  Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-AB-HIM)
-  15th Finance Commission and
-  Emergency Response and Health System Preparedness Package (ECRP)

Annexure-II Projects sanctioned under Health and Nutrition for Aspirational Districts of Maharashtra

| District   | Projects sanctioned under Health and Nutrition theme                                                                                                                         | Funds disbursed under the competitive method   |
|------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------|
| Washim     | Procurement 15 ambulances for all PHCs to Improve timely medical treatment and increased access to medical emergency services.                                               | 7,26,18,000                                    |
| Washim     | Procuring examination/Labor table (Portable) ( 120 units) , Fetal Doppler (153 units), Digital Hemoglobin meter with stripe (183 units), Fingertip Pulse oximeter (32 units) | 7,26,18,000                                    |
| Washim     | Construction of Kangaroo Mother Care (KMC) Rooms at 30 PHCs and Rural Hospitals and procurement of 3520 KMCbags                                                              | 7,26,18,000                                    |
| Washim     | Procurement of Portable X-Ray machine with Mobile Van, CBNAAT Machine for TB patients                                                                                        | 7,26,18,000                                    |
| Washim     | Strengthening of Secondary health care Delivery System                                                                                                                       | 7,26,18,000                                    |
| Washim     | Strengthening learning and playing infrastructure in Anganwadis                                                                                                              | 7,26,18,000                                    |
| Washim     | Health - Strengthening secondary healthcare delivery system                                                                                                                  | 7,26,18,000                                    |
| Washim     | Health and Wellness for All: Strengthening Primary Health Facilities in Washim                                                                                               | 7,26,18,000                                    |
| Nandurbar  | Motorcycle Ambulance                                                                                                                                                         | 3,66,11,700                                    |
| Nandurbar  | Solar power system and Television sets for 70 AWCs                                                                                                                           | 3,66,11,700                                    |
| Nandurbar  | Height/length and weight measurement devices for growth monitoring at AWCs                                                                                                   | 3,66,11,700                                    |
| Nandurbar  | Construction of 5 AWCs in Akkalkuwa and Dhadgaon tribal blocks                                                                                                               | 3,66,11,700                                    |
| Gadchiroli | Muskan: Battling Anaemia in Gadchiroli                                                                                                                                       | 1,00,00,000                                    |
| Osmanabad  | Multispecialty Diagnostics-Mobile Mini Hospital for the district Osmanabad                                                                                                   | 2,95,00,000                                    |

(Source: As received from NITI AAYOG)

Details of approved health projects under NHM,PM-ABHIM, FC-XV and ECRP-I & II for district Osmanabad are as follows:

## Under NHM RoP 2022-24

1. New Construction of 50 bedded Sub District Hospital at Vashi & Bhoom.
2. New Construction of 100 bedded Sub District Hospital & 100 bedded Women hospital at Paranda.
3. New Construction of 30 bedded Rural Hospital at Valvad, Tal. Bhoom.
4. New Construction of 01nos. PHC main building.
5. New construction of 3nos. PHC staff quarters.
6. New construction of 6nos. Subcentre.

Under PM-ABHIM, 1 nos. Integrated District Public Health Lab & 1 nos. Critical Care Block is approved in FY22-23.

Under 15th FC, 22 UHWC are approved and 8 are functional, 7 Building Less Sub Centre are approved and under construction, 7 BPHU are approved and under Construction.

Under ECRP-I Covid Testing and Lab strengthening, Covid IEC, Additional HR engaged for Covid-19 and under ECRP-IIRTPCR testing, Essential drugs for Covid-19 Management, Support for LMO Plants.