Lok Sabha Question No. 253 (UNSTARRED), answered on 2023-07-21
Subject: Telemedicine Service
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Amol Ramsing Kolhe, Manjulata Mandal, C.N. Annadurai, Kuldeep Rai Sharma, Subhash Ramrao Bhamre, Dhanush M Kumar, Supriya Sadanand Sule, Ganesan Selvam, DNV Senthilkumar. S.

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE

## DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION No-253 TO BE ANSWERED ON 21.07.2023

## TELEMEDICINE SERVICE

## 253 : DR. AMOL RAMSING KOLHE:

SHRIMATI MANJULATAMANDAL:

SHRI C.N. ANNADURAI:

SHRI KULDEEPRAI SHARMA:

DR. SUBHASH RAMRAO BHAMRE:

SHRI DHANUSH M. KUMAR:

SHRIMATI SUPRIYA SULE:

SHRI SELVAM G.:

DR. DNV SENTHILKUMAR S.:

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

- (a) the challenges faced by the Government while implementing the free telemedicine service in the country;
- (b) whether the free telemedicine service has clocked over 10 crore tele-consultation till date and if so, the constraints faced by the Government to achieve the target;
- (c) the number of beneficiaries among women and senior citizens who have availed teleconsultation under e-Sanjeevani scheme till date, State/UT-wise including Maharashtra, Tamil Nadu, Odisha, Andaman and Nicobar Islands;
- (d) whether the Government has achieved the objective for which e-Sanjeevani was launched and if so, the details thereof;
- (e) the number of people availing this service in rural areas as compared to urban areas and the necessary steps taken by the Government to promote such services in rural areas;
- (f) the number of Primary Health Centres (PHCs) that have been connected to telemedicine services in the country, State/UT-wise including Maharashtra, Tamil Nadu, Odisha, Andaman and Nicobar Islands; and
- (g) the steps being taken by the Government to provide tertiary healthcare facilities through telemedicine?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (PROF. SATYA PAL SINGH BAGHEL)

## (a) to (g)

Ministry of Health and Family Welfare (MoHFW) has developed a telemedicine application eSanjeevani which provides doctor to doctor and patient to doctor consultations.

This application works on a hub and spoke model wherein doctors including specialists provide services to Health and Wellness Centers (HWCs) in rural areas. Further people in remote and rural areas can also avail services through OPD module of eSanjeevani.

As on 19th July, 2023, a total of 13,91,61,458 teleconsultations have been completed, out of which 1,10,12,570 teleconsultations have been rendered to senior citizens and 5,22,15,224 to women. State-wise status is as available at Annexure A.

With an aim to support effective implementation of the digital health initiatives including telemedicine services across the country, Union Health Ministry provides financial assistance to all States/UTs under National Health Mission for strengthening of health IT infrastructure and internet connectivity. To aid the process of safe and secure implementation of telemedicine services, Union Health Ministry has also issued Telemedicine Practice guidelines on 25 th March 2020 .

As on 14 th July, 2023, a total of 2,08,569 spokes (including Health and Wellness Centres and Primary Health Centers ) have been connected to telemedicine services in the country. The State/UT-wise list is as available at Annexure B.

****

Annexure-A

| eSanjeevani Teleconsultations   | eSanjeevani Teleconsultations   | eSanjeevani Teleconsultations             | eSanjeevani Teleconsultations        |
|---------------------------------|---------------------------------|-------------------------------------------|--------------------------------------|
| Sl.N0.                          | State Name                      | Teleconsultations rendered to Sr. Citizen | Teleconsultation s rendered to Women |
|                                 | Total                           | 11012570                                  | 52215224                             |
| 1                               | Andaman And Nicobar Islands     | 27                                        | 107                                  |
| 2                               | Andhra Pradesh                  | 3417706                                   | 13786141                             |
| 3                               | Arunachal Pradesh               | 111                                       | 823                                  |
| 4                               | Assam                           | 85758                                     | 604677                               |
| 5                               | Bihar                           | 355211                                    | 3335413                              |
| 6                               | Chandigarh                      | 3390                                      | 27223                                |
| 7                               | Chhattisgarh                    | 126413                                    | 653683                               |
| 8                               | DNH & DD                        | 5567                                      | 37462                                |
| 9                               | Delhi                           | 4524                                      | 10113                                |
| 10                              | Goa                             | 86                                        | 334                                  |
| 11                              | Gujarat                         | 221676                                    | 1170727                              |
| 12                              | Haryana                         | 23995                                     | 156393                               |
| 13                              | Himachal Pradesh                | 47302                                     | 187867                               |
| 14                              | Jammu & Kashmir                 | 36687                                     | 241258                               |
| 15                              | Jharkhand                       | 60829                                     | 470606                               |
| 16                              | Karnataka                       | 617173                                    | 3231645                              |
| 17                              | Kerala                          | 78967                                     | 269983                               |
| 18                              | Ladakh                          | 6815                                      | 23913                                |
| 19                              | Lakshadweep                     | 85                                        | 307                                  |
| 20                              | Madhya Pradesh                  | 256809                                    | 2000043                              |
| 21                              | Maharashtra                     | 699201                                    | 2319499                              |
| 22                              | Manipur                         | 8538                                      | 26448                                |
| 23                              | Meghalaya                       | 9444                                      | 58773                                |
| 24                              | Mizoram                         | 1123                                      | 3520                                 |
| 25                              | Nagaland                        | 211                                       | 520                                  |
| 26                              | Odisha                          | 140974                                    | 634802                               |
| 27                              | Puducherry                      | 412                                       | 934                                  |
| 28                              | Punjab                          | 58320                                     | 247623                               |
| 29                              | Rajasthan                       | 79424                                     | 429241                               |
| 30                              | Sikkim                          | 3713                                      | 11493                                |
| 31                              | Tamil Nadu                      | 1327268                                   | 6294506                              |
| 32                              | Telangana                       | 575559                                    | 3740027                              |
| 33                              | Tripura                         | 4684                                      | 16925                                |
| 34                              | Uttar Pradesh                   | 397042                                    | 3307987                              |
| 35                              | Uttarakhand                     | 78707                                     | 397366                               |

## Annexure-B

| S. No.   | State/UTs                   |   Total Spokes (HWCs/PHCs) |
|----------|-----------------------------|----------------------------|
|          | Total                       |                     208569 |
| 1        | ANDAMAN AND NICOBAR ISLANDS |                         59 |
| 2        | ANDHRA PRADESH              |                      21236 |
| 3        | ARUNACHAL PRADESH           |                        154 |
| 4        | ASSAM                       |                       4638 |
| 5        | BIHAR                       |                      18209 |
| 6        | CHANDIGARH                  |                         94 |
| 7        | CHHATTISGARH                |                       6850 |
| 8        | DNH & DD                    |                        140 |
| 9        | DELHI                       |                          0 |
| 10       | GOA                         |                         17 |
| 11       | GUJARAT                     |                      15553 |
| 12       | HARYANA                     |                       2054 |
| 13       | HIMACHAL PRADESH            |                       2489 |
| 14       | JAMMU & KASHMIR             |                       2918 |
| 15       | JHARKHAND                   |                       2894 |
| 16       | KARNATAKA                   |                      15107 |
| 17       | KERALA                      |                       2952 |
| 18       | LADAKH                      |                        339 |
| 19       | LAKSHADWEEP                 |                         11 |
| 20       | MADHYA PRADESH              |                      16930 |
| 21       | MAHARASHTRA                 |                      14153 |
| 22       | MANIPUR                     |                        376 |
| 23       | MEGHALAYA                   |                        831 |
| 24       | MIZORAM                     |                        258 |
| 25       | NAGALAND                    |                        129 |
| 26       | ODISHA                      |                       9675 |
| 27       | PUDUCHERRY                  |                         93 |
| 28       | PUNJAB                      |                       2728 |
| 29       | RAJASTHAN                   |                       8440 |
| 30       | SIKKIM                      |                        284 |
| 31       | TAMIL NADU                  |                      12801 |
| 32       | TELANGANA                   |                      10996 |
| 33       | TRIPURA                     |                        809 |
| 34       | UTTAR PRADESH               |                      24935 |
| 35       | UTTARAKHAND                 |                       1432 |
| 36       | WEST BENGAL                 |                       7985 |