Lok Sabha Question No. 1056 (UNSTARRED), answered on 2015-12-04
Subject: Health Sector
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shrirang Appa Barne, DHARMENDRA YADAV, SHIVAJI ADHALRAO PATIL, ANANDRAO  ADSUL

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

## LOK SABHA UNSTARRED QUESTION NO. 1056 TO BE ANSWERED ON 4 TH DECEMBER, 2015

## HEALTH SECTOR

## 1056. SHRI SHRIRANG APPA BARNE:

SHRI DHARMENDRA YADAV:

SHRI ADHALRAO PATIL SHIVAJIRAO:

SHRI ANANDRAO ADSUL:

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

- (a) whether it is a fact that India's health sector needs sufficient attention and the Government has failed to make health a priority;
- ( b) if so, whether the Government has failed to make new policies, ideas, any significant public commitment and financial commitment to health sector across the country;
- (c) if so, whether there is a lack of investment in the public health system and growth of an unregulated private sector;
- (d) if so, the reaction of the Government thereto; and
- (e) the corrective steps taken by the Governm nt to meet the country's need in h alth sector?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (SHRI JAGAT PRAKASH NADDA)

(a) & (b): The focus of the Government is to provide accessible, affordable and accounta healthcare  facilities  to  all  sections  of  the  country.  Accordingly,  Government  of  Ind provides financial assistance to State/UT Governments for supplementing their efforts in this direction as the health is a State subject. The public expenditure on healthcare provisi increased  from  Rs.88,054  crore  in  2009 - 10  to  Rs.  1,54,567  crore  in  2014 - 15  (BE)  as  per Economic Survey 2014 - 15.

The Government of India has formulated the draft of National Health Policy 2015 in t light  of  the  changes  that  have  taken  place  in  the  country's  health  sector  scenario  since  the formulation of the National Health Policy 2002.

(c) &(d): The public expenditure on health as percentage of GDP stands at 1.2 percent for 2014- 15  (BE)  as  per  Economic  Survey  2014 - 15.    The  Twelfth  Five  Year  Plan  envisages increasing total public health funding on core health to 1.87 percent of GDP by the end Plan period.

The  primary  responsibility  to  regulate  the  private  health  care  sector  rests  wit State/UT  Governments.  The  Central  Government  has  enacted  the  Clinical  Establishment

(Registration and Regulation) Act, 2010, to provide a legislative framework for the reg istration and regulation of clinical establishments in the country and also seeks to improve the qu health services through the National Council for Standards by prescribing minimum standa of  facilities  and  services  which  may  be  provided.  The  Cl inical  Establishments  Act  has, however, been adopted only by the States of Sikkim, Mizoram, Arunachal Pradesh, Himachal Pradesh,  Uttar  Pradesh,  Bihar,  Jharkhand,  Rajasthan,  Uttarakhand  and  all  Union  Territo except Delhi.

Further, the Medical Council of India (MCI) grants recognition of medical qualifications gives accreditation to medical colleges, grants registration to medical practitioners, an medical practice in India, through the Indian Medical Council (Professional Conduct, Eti and  Ethics)  Regulations,  2002.  Complaints  against  medical  practitioners  with  regar professional misconduct fall within the ambit of the Medical Council of India or the co State Medical Council, as the case may be.

(e): In order to meet the co untry's needs in health sector, the Government has taken several steps which inter - alia include:

- Initiatives under the National Health Mission (NHM) for providing free of cost hea care in the public health facilities through a nationwide network of Community Hea Centres (CHCs), Primary Health Centres (PHCs) and Sub Centres (SCs) in both rural and  urban  areas.  Various  programs  such  as  National  AYUSH  Mission,  Rashtriya Kishor Swasthya Karyakram, Rashtriya Bal Swasthya Karyakram, National Deworming  day,  Weekly  Iron  Folic  Acid  supplementation  program,  Menstrual Hygiene  Program,  Mission  Indradhanush, Kayakalp  Abhiyan,    Free  Drugs  and Diagnostic  Initiative,  Free  care  for  family  welfare  services,  Janani  Shishu  Sura Karyakaram (JSSK), free medicines under the various national health programmes like Anti - Malaria and Anti - TB Programmes seek to strengthe n various health components.
- Making  available  tertiary health      care  services  in  the  public  sector  through strengthening of hospitals, establishment of AIIMS institutions in the States and -gradation of existing Government medical colleges across the country.
- Making  available  quality  generic  medicines  at  a ffordable  prices  to  all,  under  'Jan Aushadhi Scheme', in collaboration with the State Governments.
- Rashtriya  Swasthya  Bima  Yojana  (RSBY)  which  provides  for  smart  card  based cashless health insurance including maternity benefit on family floater basis

The Government have also taken several steps in the direction of preventive health which  inter -alia  include Universal  Immunization  of  children  against  seven  diseases;  Pulse Polio Immunization; Family Planning services; Maternal and Reproductive Healt h Services; Child  Health  services  that  include  both  home  based  and  facility  based  New  born  Car Adolescent Reproductive and Sexual Health (ARSH) services; Investigation/ screening  an treatment for Malaria; Kala - azar,  Filaria, Dengue; Japanese Encephalit is  and Chikungunya; Detection  and  treatment  for  Tuberculosis  including    MDR - TB;  Detection  and  treatment  for Leprosy; Detection, treatment and counseling for HIV/AIDs; Cataract surgery for Blindne control.

Further, under Rashtriya Bal Swasthya Karyakram (RBSK) support is being provided to States/UTs for child health screening and early intervention services through early detect early  management  of  common  health  conditions  classified  into  4  Ds  i.e.  Defects  at Diseases,  Deficiencies,  Develop ment  delays  including  disability.  A  comprehensive    National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases  and St (NPCDCS) for  activities including health promotion, early detection and treatment of C Diabetes , Cardiovascular diseases  and Stroke, has also been initiated.