Lok Sabha Question No. 2376 (UNSTARRED), answered on 2016-03-11
Subject: Cumbersome Procurement Process
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KRISHNAN NARAYANASAMY RAMACHANDRAN

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

LOK SABHA UNSTARRED  QUESTION NO. 2376 TO BE ANSWERED ON 11 TH MARCH, 2016

## CUMBERSOME PROCUREME NT PROCESS

## 2376. SHRI K.N. RAMACHANDRAN:

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

- (a) whether the CGHS beneficiaries suffer due to cumbersome procurement process involved the procurement of ayurvedic, siddha, unani and other medicines in the CGHS, if so, the s thereof;
- (b) the details of the funds allocated and the expenditure incurred for ayurvedic, sidd and homoeopathic medicines separately under CGHS during each of the last three years, y -wise; and
- (c) the steps taken by the Government to ex pedite procurement and to minimise the sufferings of beneficiaries?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a): No such case has been reported.
- (b): Since funds are not allocated separately for Ayurveda, Unani, Sidha and Homeopathy in all cities except Delhi, information in this regard i.e. allocation is available only in respect of Delhi & NCR. The funds allocated and expenditure incurred for each system of medicine for Delhi NCR  is  at Annexure - I and  the  expendit ure  incurred  for  each  system  of  medicine  for  cities outside Delhi at Annexure - II.
- (c): Following steps have been taken to ensure regular supply / availability of medicines : -
- (i) Medicines manufactured by the Indian Medicine Pharmaceuticals Corporation Limited (A Government of India enterprise) are procured directly with the rates fixed by the C Accounts Division of Ministry of Finance.
- (iii) Ayurvedic  and  Unani  Medicines ,  which  are  not  available  at  the  Wellness  Centre  in Delhi  &  NCR  or  medicines  which  are  outside  the  formulary,  are  procured  through Authorized Local Chemists.
- (ii) The  medicines  which  are  not  manufactured  by  IMPCL  are  procured  through  open tender.
- (iv) In other cities, no Authorized Local Chemists are appointed and in case the medici are not avai lable at the Wellness Centre, Additional Director (AD) of the concerned ci procures them locally.
- (v) Beneficiaries  are  also  permitted  to  purchase  the  non - available  medicines  from  open market and claim reimbursement.

............

## Annexure - I

## Statement showing total budget allocation and expenditure under CGHS Delhi

| Year                     | 2012- 13                 |                          | 2013- 14                 |                          | 2014- 15                 |                          | 2015- 16                 |                                          |
|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|------------------------------------------|
|                          | Allotment                | Expenditure              | Allotment                | Expenditure              | Allotment                | Expenditure              | Allotment                | Expenditure ( Upto 29 th February 2016 ) |
| (In Thousands of Rupees) | (In Thousands of Rupees) | (In Thousands of Rupees) | (In Thousands of Rupees) | (In Thousands of Rupees) | (In Thousands of Rupees) | (In Thousands of Rupees) | (In Thousands of Rupees) | (In Thousands of Rupees)                 |
| Ayurvedic                | 39500                    | 34873                    | 34500                    | 33941                    | 20000                    | 19958                    | 51550                    | 31500                                    |
| Homeopathic              | 5500                     | 4825                     | 7700                     | 7102                     | 10000                    | 7654                     | 15000                    | 8500                                     |
| Unani                    | 6000                     | 5676                     | 4000                     | 3435                     | 10000                    | 6854                     | 15000                    | 9000                                     |
| Siddha                   | 1000                     | 440                      | 1100                     | 833                      | 5000                     | 985                      | 5,000                    | 4200                                     |

## Annexure - II

| City- wiseExpenditure Statement - other than Delhi as on 29.2.2016 (in rupees)   | City- wiseExpenditure Statement - other than Delhi as on 29.2.2016 (in rupees)   | City- wiseExpenditure Statement - other than Delhi as on 29.2.2016 (in rupees)   | City- wiseExpenditure Statement - other than Delhi as on 29.2.2016 (in rupees)   | City- wiseExpenditure Statement - other than Delhi as on 29.2.2016 (in rupees)   |
|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|----------------------------------------------------------------------------------|
| CITY                                                                             | Ayurvedic                                                                        | Homeopathy                                                                       | Unani                                                                            | Siddha                                                                           |
| AHMEDABAD                                                                        |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         | 3,90,000                                                                         | 1,05,000                                                                         |                                                                                  |                                                                                  |
| 2013- 14                                                                         | 9,38,000                                                                         | 1,88,000                                                                         |                                                                                  |                                                                                  |
| 2014- 15                                                                         | 10,27,000                                                                        | 1,69,000                                                                         |                                                                                  |                                                                                  |
| 2015- 16                                                                         | 5,95,000                                                                         | no expenditure                                                                   |                                                                                  |                                                                                  |
| ALLAHABAD                                                                        |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         | 26,47,846                                                                        | 85,068                                                                           |                                                                                  |                                                                                  |
| 2013- 14                                                                         | 24,95,289                                                                        | 12,11,677                                                                        |                                                                                  |                                                                                  |
| 2014- 15                                                                         | 29,75,637                                                                        | 3,64,470                                                                         |                                                                                  |                                                                                  |
| 2015- 16                                                                         | 35,15,690                                                                        | 3,58,470                                                                         |                                                                                  |                                                                                  |
| BANGALURU                                                                        |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         | 30,17,266                                                                        | 1,36,737                                                                         | 4,65,392                                                                         |                                                                                  |
| 2013- 14                                                                         | 22,81,519                                                                        | 3,08,457                                                                         | 5,65,285                                                                         |                                                                                  |
| 2014- 15                                                                         | 55,27,612                                                                        | 59,151                                                                           | 3,85,006                                                                         |                                                                                  |
| 2015- 16                                                                         | 25,15,617                                                                        | 2,52,731                                                                         | 5,81,724                                                                         |                                                                                  |
| BHUBANESHWAR                                                                     |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         | 2,31,964                                                                         |                                                                                  |                                                                                  |                                                                                  |
| 2013- 14                                                                         | 2,55,373                                                                         |                                                                                  |                                                                                  |                                                                                  |
| 2014- 15                                                                         | 3,00,479                                                                         |                                                                                  |                                                                                  |                                                                                  |
| 2015- 16                                                                         | 2,74,988                                                                         |                                                                                  |                                                                                  |                                                                                  |
| CHENNAI                                                                          |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         | 18,13,138                                                                        | 63,462                                                                           |                                                                                  | 14,04,456                                                                        |
| 2013- 14                                                                         | 16,00,531                                                                        | 1,65,634                                                                         |                                                                                  | 4,40,654                                                                         |
| 2014- 15                                                                         | 18,48,087                                                                        | 1,08,502                                                                         |                                                                                  | 28,04,141                                                                        |
| 2015- 16                                                                         | 18,00,255                                                                        | 1,40,189                                                                         |                                                                                  | 19,39,107                                                                        |
| GUWAHATI                                                                         |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         |                                                                                  | 2,02,247                                                                         |                                                                                  |                                                                                  |
| 2013- 14                                                                         |                                                                                  | 4,51,698                                                                         |                                                                                  |                                                                                  |
| 2014- 15                                                                         |                                                                                  | 1,32,154                                                                         |                                                                                  |                                                                                  |
| 2015- 16                                                                         |                                                                                  | 2,73,830                                                                         |                                                                                  |                                                                                  |
| HYDERABAD                                                                        |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         | 97,70,760                                                                        | 12,56,084                                                                        | 40,18,719                                                                        |                                                                                  |
| 2013- 14                                                                         | 1,02,10,648                                                                      | 17,36,312                                                                        | 39,31,659                                                                        |                                                                                  |
| 2014- 15                                                                         | 48,91,563                                                                        | 6,33,886                                                                         | 33,78,750                                                                        |                                                                                  |
| 2015- 16                                                                         | 64,13,046                                                                        | 10,33,845                                                                        | 13,82,115                                                                        |                                                                                  |
| JAIPUR                                                                           |                                                                                  |                                                                                  |                                                                                  |                                                                                  |
| 2012- 13                                                                         | 12,47,562                                                                        | 69,054                                                                           |                                                                                  |                                                                                  |
| 2013- 14                                                                         | 1,99,826                                                                         | 3,86,667                                                                         |                                                                                  |                                                                                  |
| 2014- 15                                                                         | 7,81,048                                                                         | 2,22,114                                                                         |                                                                                  |                                                                                  |
| 2015- 16                                                                         | 5,32,253                                                                         | 17,509                                                                           |                                                                                  |                                                                                  |

| KANPUR                                                              |                                                                     |                                                                     |                                                                     |                                                                     |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| 2012- 13                                                            | 39,22,443                                                           | nil                                                                 |                                                                     |                                                                     |
| 2013- 14                                                            | 23,36,766                                                           | 14,59,391                                                           |                                                                     |                                                                     |
| 2014- 15                                                            | 10,38,745                                                           | nil                                                                 |                                                                     |                                                                     |
| 2015- 16                                                            | 22,37,679                                                           | 18,05,681                                                           |                                                                     |                                                                     |
| KOLKATA                                                             |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 39,61,883                                                           | 96,758                                                              | NA                                                                  |                                                                     |
| 2013- 14                                                            | 50,11,108                                                           | 2,93,097                                                            | NA                                                                  |                                                                     |
| 2014- 15                                                            | 8,89,031                                                            | 6,21,974                                                            | 10,74,817                                                           |                                                                     |
| 2015- 16                                                            | 31,35,327                                                           | 5,000                                                               | 7,75,737                                                            |                                                                     |
| LUCKNOW                                                             |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 32,58,661                                                           | NA                                                                  | 9,63,317                                                            |                                                                     |
| 2013- 14                                                            | 22,31,526                                                           | 363775                                                              | 90,021                                                              |                                                                     |
| 2014- 15                                                            | 3,48,213                                                            | NA                                                                  | 24,28,293                                                           |                                                                     |
| 2015- 16                                                            | 21,17,540                                                           | 7,63,539                                                            |                                                                     |                                                                     |
| MEERUT                                                              |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 35,64,670                                                           | 4,82,656                                                            |                                                                     |                                                                     |
| 2013- 14                                                            | 26,59,635                                                           | 7,51,718                                                            |                                                                     |                                                                     |
| 2014- 15                                                            | 17,69,315                                                           | 8,08,877                                                            |                                                                     |                                                                     |
| 2015- 16                                                            | 28,98,856                                                           | 5,68,207                                                            |                                                                     |                                                                     |
| MUMBAI                                                              |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 69,96,758                                                           | *                                                                   | nil                                                                 |                                                                     |
| 2013- 14                                                            | 4,38,958                                                            | *                                                                   | nil                                                                 |                                                                     |
| 2014- 15                                                            | 32,40,098                                                           | *                                                                   | nil                                                                 |                                                                     |
| 2015- 16                                                            | 88,48,559                                                           | *                                                                   | nil                                                                 |                                                                     |
| NAGPUR                                                              |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 17,98,832                                                           | 92,701                                                              |                                                                     |                                                                     |
| 2013- 14                                                            | 23,39,876                                                           | 2,53,024                                                            |                                                                     |                                                                     |
| 2014- 15                                                            | 27,36,025                                                           | 4,45,028                                                            |                                                                     |                                                                     |
| 2015- 16                                                            | 12,78,268                                                           | 18,13,475                                                           |                                                                     |                                                                     |
| PUNE                                                                |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 26,68,023                                                           | 1,68,257                                                            |                                                                     |                                                                     |
| 2013- 14                                                            | 1,949,411                                                           | 4,24,751                                                            |                                                                     |                                                                     |
| 2014- 15                                                            | 1293675                                                             | 1,78,628                                                            |                                                                     |                                                                     |
| 2015- 16                                                            | 12,73,525                                                           | 1,62,382                                                            |                                                                     |                                                                     |
| PATNA                                                               |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 9,11,018                                                            | 1,71,567                                                            |                                                                     |                                                                     |
| 2013- 14                                                            | 12,07,549                                                           | 2,83,144                                                            |                                                                     |                                                                     |
| 2014- 15                                                            | 14,37,175                                                           | 2,08,228                                                            |                                                                     |                                                                     |
| 2015- 16                                                            | 5,70,725                                                            | 5,77,774                                                            |                                                                     |                                                                     |
| TRIVANDRUM                                                          |                                                                     |                                                                     |                                                                     |                                                                     |
| 2012- 13                                                            | 24,96,709                                                           | 0                                                                   |                                                                     |                                                                     |
| 2013- 14                                                            | 72,71,129                                                           | 2,27,598                                                            |                                                                     |                                                                     |
| 2014- 15                                                            | 24,97,806                                                           | 6,44,019                                                            |                                                                     |                                                                     |
| 2015- 16                                                            | 27,27,542                                                           | 1,60,732                                                            |                                                                     |                                                                     |
| * No Homeopathy medicine procured after 2008 also no doctor posted. | * No Homeopathy medicine procured after 2008 also no doctor posted. | * No Homeopathy medicine procured after 2008 also no doctor posted. | * No Homeopathy medicine procured after 2008 also no doctor posted. | * No Homeopathy medicine procured after 2008 also no doctor posted. |