Lok Sabha Question No. 3415 (UNSTARRED), answered on 2016-08-05
Subject: Standards of District Hospital
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MURALI MOHAN MAGANTI, SUNIL KUMAR MONDAL, SANTOSH KUMAR, R.P. MARUTHARAJAA, KAMLESH  PASWAN, GAJENDRA SINGH SHEKHAWAT

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

## LOK SABHA UNSTARRED  QUESTION NO. 3415 TO BE ANSWERED ON 5 TH AUGUST, 2016

## STANDARDS OF DISTRIC T HOSPITAL

## 3415. SHRI M. MURALI MOHAN:

SHRI SUNIL KUMAR MONDAL:

SHRI SANTOSH KUMAR:

SHRI R.P..MARUTHARAJAA:

SHRI KAMLESH PASWAN:

SHRI GAJENDRA SINGHSHEKHAWAT:

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

- (a) whether the Government has received proposals from States/UTs upgradation/strengthening of hospitals and if so, the details thereof along with the number of proposals cleared/pending and the reasons for pendency, State/UT - wise;

for

- (b)  whether  the  Government  has  laid down  criteria  for  upgradation  of  district and  materni ty hospitals  and  has  accorded priority  for  upgradation  of  hospitals  in  the minority  and  dalit dominated areas of the country and if so, the details thereof; and
- (c) the steps taken by the Government for upgradation/strengthening of existing district hospi tals in the country along with the funds allocated/ released/utilised during the said period, State/UT -wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): Government  has  received  proposals  from  the  states  in  the  form  of  Programme Implementation Plans (PIPs) for financial assistance under National Health Mission (NHM) strengthening  their  healthcare  systems  including upgradation/strengthening  of  hospitals. The PIPs  submitted  by  States/UTs  and  approvals  issued  in  the  form  of  Records  of  Proceedi (RoPs) are available in public domain http://nhm.gov.in/nrhm - in - state/ state - programimplementation - plans - pips.html .
- (b): Public Health being a State subject, the Government of India has not laid down criteria for upgradation of district and maternity hospitals in the country. However, it has laid down Indian Public Health S tandards (IPHS) for different facilities including District Hospitals these facilities should aspire for. The government has identified High Priority Districts (HPDs), whose composite health index is in the lowest quartile of the State.  The HPDs are to receive higher per capita allocation and forward attention.

(c): Under National Health Mission (NHM), financial support is provided to States/UTs strengthening  their  health  care  system,  including  for  strengthening  and  upgradation existing  District  Hospitals.  This  is  based  on  the  demands  posed  by  States/UTs  in Programme  Implementation  Plans  (PIPs).  This  support  is  provided  for  addition  of  medi facilities such as creation/up - gradation of Maternal and Child Care (MCH) wings, Special New Born Care Units (SNCUs), labour rooms, operation theatres, skill labs, diagnostic labs infrastructure etc. The Government has also written to all States to take up Strengthening District Hospital (DH) for Multi - Specialty Care and dev eloping it as a Training Hub on priority so as to provide skill based in - service training and function as a clinical training site for nu and para - medical training programmes.

Apart from this, under National Health Mission (NHM), Untied Grant at an a verage of Rs 10 Lakhs is provided to District Hospitals which is utilized by the Rogi Kalyan Sam maintain and improve medical facilities and services. Further, these Rogi Kalyan Samit empowered  to  raise  resources  including  through  user  fees for  maintenance  of  the  District Hospitals and improving facilities for patients.

The  Statement  regarding  the  funds  allocated/utilized  for  the  strengthening  of  D Hospitals  during  2015 - 16  under  National  Health  Mission  (NHM),  State/UT - wise  is  placed at Annexure.

## Rs. In lakh

|                           |                           | B.4                    | B.4                    |
|---------------------------|---------------------------|------------------------|------------------------|
| S.No.                     | State                     | Hospital Strengthening | Hospital Strengthening |
|                           |                           | Approval               |                        |
| A. High Focus States      |                           |                        |                        |
| 1                         | Bihar                     | 4762.53                | 591.34                 |
| 2                         | Chattisgarh               | 2948.40                | 4079.67                |
| 3                         | Himachal Pradesh          | 1993.04                | 2245.21                |
| 4                         | Jammu & Kashmir           | 4930.77                | 6199.05                |
| 5                         | Jharkhand                 | 0.00                   | 8.21                   |
| 6                         | Madhya Pradesh            | 6310.00                | 10320.58               |
| 7                         | Orissa                    | 14105.97               | 17382.87               |
| 8                         | Rajasthan                 | 23471.05               | 21729.87               |
| 9                         | Uttar Pradesh             | 49049.33               | 48004.82               |
| 10                        | Uttarakhand               | 117.47                 | 239.49                 |
|                           | Sub Total                 | 107688.56              | 110801.11              |
| B. NE States              |                           |                        |                        |
| 11                        | Arunachal Pradesh         | 822.51                 | 2172.49                |
| 12                        | Assam                     | 9269.12                | 8963.11                |
| 13                        | Manipur                   | 431.87                 | 371.58                 |
| 14                        | Meghalaya                 | 1629.00                | 1049.34                |
| 15                        | Mizoram                   | 212.00                 | 39.94                  |
| 16                        | Nagaland                  | 740.45                 | 0.00                   |
| 17                        | Sikkim                    | 255.61                 | 4.76                   |
| 18                        | Tripura                   | 225.00                 | 270.60                 |
|                           | Sub Total                 | 13585.56               | 12871.82               |
| C. Non- High Focus States |                           |                        |                        |
| 19                        | Andhra Pradesh            | 0.00                   | 7409.32                |
| 20                        | Goa                       | 15.30                  | 1.02                   |
| 21                        | Gujarat                   | 0.00                   | 3301.47                |
| 22                        | Haryana                   | 577.92                 | 56.91                  |
| 23                        | Karnataka                 | 6600.43                | 8272.85                |
| 24                        | Kerala                    | 4473.00                | 4806.96                |
| 25                        | Maharashtra               | 4657.73                | 320.01                 |
| 26                        | Punjab                    | 3669.04                | 3009.34                |
| 27                        | Tamil Nadu                | 11577.35               | 13050.59               |
| 28                        | Telangana                 | 0.00                   | 2351.61                |
| 29                        | West Bengal               | 4112.93                | 11703.25               |
|                           | Sub Total                 | 35683.70               | 54283.34               |
| D. Small States/UTs       |                           |                        |                        |
| 30                        | Andaman & Nicobar Islands | 0.00                   | 0.00                   |
| 31                        | Chandigarh                | 0.00                   | 0.00                   |
| 32                        | Dadra & Nagar Haveli      | 10.00                  | 0.00                   |
| 33                        | Daman & Diu               | 4.56                   | 1.00                   |
| 34                        | Delhi                     | 180.00                 | 675.45                 |
| 35                        | Lakshadweep               | 0.00                   | 0.00                   |
| 36                        | Puducherry                | 0.00                   | 0.00                   |
|                           | Sub Total Grand Total     | 194.56 157152.38       | 676.45 178632.73       |

Note:

1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of  the ye is updated upto 31- 03- 2016, hence provisional.
2. The Above Figures are as per FMR reported by State/UTs.
3. The above data comprises of Hospital Strengtheining -Up -Gradation of CHCs, PHCs, Dist. Hospitals, Strengthening of Districts, Divisional Hospitals, CHCs,  PHCs and Sub Centre Rent and Contingencies.