Lok Sabha Question No. 3292 (UNSTARRED), answered on 2016-08-05
Subject: Sick Persons
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ASHOK MAHADEORAO NETE

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

## LOK SABHA UNSTARRED  QUESTION NO. 3292 TO BE ANSWERED ON 5 TH AUGUST, 2016

## SICK PERSONS

## 3292. SHRI ASHOK MAHADEORAO NETE:

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

- (a) the number of sick persons reported during the last three years and the current year, -wise;
- (b) whether the Government has conducted or proposes to conduct any assessment in this re and if so, t he details thereof;
- (c) whether the Government has put in place a monitoring mechanism to ensure that the f allocated under various health schemes to States/UTs are utilised for the said purpose; an
- (d) if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE ( SMT. ANUPRIYA PATEL )

- (a): Number of outpatient (OPD) and in - patient (IPD) cases reported by the States/ UTs on the Health Management Information System (HMIS) portal of the Ministry of Health and Fami Welfare in  2013 - 14, 2014 - 15, 2015 - 16 and 2016 -17( April -June)  are given in Annexure I .
- (b):  According  to  the    assessment    made    by  National  Sample  Survey  Office,  Ministry Statistics and  Programme Implementation based on NSS 71 st Round (January -June, 2014), about 9% of rural population and 12% of urban population reported ailment during a 15 days reference period. State/UT wise details are given in Annexure -II .

Contd……..

(c) & (d): Public health being a State subject, the primary responsibility of implement and monitoring of schemes supported under National Health Mission (NHM) rests with the St Governments. However following  mechanism is in place  to monitor these schemes:

In  order  to  identify  existing  gaps  and  facilitate  independent  monitoring  &  t interventions, the Controller & Auditor General (CAG), on the request of Ministry of Heal Family  Welfare,  initiated  annual  audit  and  performance  audit  under  National  Ru ral  Health Mission (NRHM)/NHM for the period from 2011 -12 to 2015 - 16  in the Ministry  as well as in 28 States/UTs.

The following steps have also been taken by Ministry of Health and Family Welfare ensure that the funds allocated is spent for the inte nded purpose under NHM:

- Examination of quarterly Financial Monitoring Reports by the States;
- Annual Statutory Audits by CAG empanelled major CA audit firms;
- Concurrent Audits;

Visits  by  the  teams  of  Financial  Management  Group  of  the  Ministry  of  He alth  and Family Welfare to States for periodical review;

Annual visits to States by Common Review Mission, which inter - alia, looks at financial systems and mechanisms.

Financial  review  by  Institute  of  Public  Auditors  of  India  (IPAI)  of  NHM  in  sev States.

Implementation  of  Public  Financial  Management  System  (PFMS)  developed  by  the office  of  Controller  General  of  Accounts  of  Ministry  of  Finance  for  monitoring management of funds on just in time basis.

- Integrated  monitoring  visits  by  senior officials  of  Ministry  of  Health  and  Family Welfare and National Health System Resource Centre.

………………

## OPD and IPD cases reported by the States/UTS

| State/ UT                   | OPD Cases   | OPD Cases   | OPD Cases   | OPD Cases                  | IPD Cases   | IPD Cases   | IPD Cases   | IPD Cases                  |
|-----------------------------|-------------|-------------|-------------|----------------------------|-------------|-------------|-------------|----------------------------|
| State/ UT                   | 2013- 2014  | 2014- 2015  | 2015- 2016* | 2016- 2017* (April - June) | 2013- 2014  | 2014- 2015  | 2015- 2016* | 2016- 2017* (April - June) |
| A ndaman & N icobar Islands | 15,94,806   | 18,06,622   | 17,75,935   | 3,43,235                   | 49,817      | 50,398      | 50,005      | 9,569                      |
| Andhra Pradesh New@         |             | 483,68,464  | 596,40,093  | 135,35,935                 | -           | 18,00,128   | 25,05,860   | 6,86,635                   |
| Andhra Pradesh Old #        | 637,30,997  |             |             |                            | 23,37,043   | -           | -           | -                          |
| Arunachal Pradesh           | 13,25,519   | 14,04,260   | 13,00,845   | 3,34,966                   | 61,368      | 66,345      | 71,539      | 14,999                     |
| Assam                       | 296,77,957  | 281,59,886  | 280,18,340  | 80,45,573                  | 11,71,388   | 11,74,251   | 11,26,571   | 2,98,211                   |
| Bihar                       | 767,46,413  | 721,92,478  | 693,55,718  | 173,62,503                 | 42,99,557   | 40,64,960   | 39,04,623   | 8,38,592                   |
| Chandigarh                  | 50,37,613   | 53,24,591   | 59,41,496   | 15,69,580                  | 1,87,562    | 1,98,283    | 2,16,894    | 52,857                     |
| Chhattisgarh                | 115,21,567  | 137,42,328  | 163,40,511  | 38,05,917                  | 8,47,527    | 10,24,873   | 13,30,434   | 3,38,060                   |
| Dadra & NagarHaveli         | 9,13,931    | 11,88,807   | 13,68,229   | 3,46,628                   | 61,139      | 88,985      | 83,121      | 17,923                     |
| Daman & Diu                 | 6,47,424    | 6,69,663    | 7,33,333    | 1,97,179                   | 13,846      | 14,538      | 16,683      | 4,614                      |
| Delhi                       | 405,73,505  | 480,48,500  | 563,24,843  | 145,32,995                 | 11,99,016   | 15,45,056   | 17,28,327   | 4,20,264                   |
| Goa                         | 9,31,789    | 17,35,859   | 18,82,230   | 4,55,291                   | 81,705      | 83,463      | 88,956      | 22,647                     |
| Gujarat                     | 282,87,917  | 352,82,903  | 408,94,867  | 99,86,895                  | 20,40,193   | 30,77,529   | 37,47,563   | 8,89,257                   |
| Haryana                     | 203,03,855  | 247,08,625  | 288,41,512  | 67,66,963                  | 7,77,751    | 8,73,709    | 9,72,504    | 2,37,165                   |
| Himachal Pradesh            | 108,78,913  | 115,12,802  | 120,19,655  | 32,16,002                  | 4,50,737    | 4,38,686    | 5,90,312    | 1,62,634                   |
| Jammu & Kashmir             | 208,72,861  | 225,35,798  | 244,40,124  | 56,39,298                  | 9,07,262    | 10,21,256   | 10,57,067   | 2,50,085                   |
| Jharkhand                   | 116,24,460  | 122,53,398  | 129,91,633  | 29,73,890                  | 5,64,841    | 5,94,280    | 5,79,106    | 1,34,347                   |
| Karnataka                   | 580,00,760  | 612,24,566  | 711,50,088  | 183,77,939                 | 35,77,651   | 38,06,984   | 46,96,618   | 12,55,271                  |
| Kerala                      | 833,15,846  | 973,43,772  | 1110,00,504 | 223,84,255                 | 32,08,645   | 32,49,122   | 33,87,812   | 6,99,660                   |
| Lakshadweep                 | 4,27,280    | 4,34,762    | 4,61,377    | 97,099                     | 6,831       | 6,683       | 7,209       | 1,306                      |

## Annexure - I

| Madhya Pradesh    | 309,94,397          | 429,23,079          | 490,06,139          | 108,89,509         | 31,42,757       | 37,15,504       | 41,20,916       | 10,47,018     |
|-------------------|---------------------|---------------------|---------------------|--------------------|-----------------|-----------------|-----------------|---------------|
| Maharashtra       | 676,51,068          | 809,10,427          | 863,39,516          | 195,05,965         | 43,27,346       | 44,59,116       | 49,64,110       | 12,47,543     |
| Manipur Meghalaya | 10,93,393 32,94,129 | 11,57,197 34,08,512 | 12,52,464 36,56,740 | 3,63,493 11,66,108 | 67,913 2,19,210 | 72,233 2,54,297 | 87,987 2,67,371 | 27,858 79,779 |
| Mizoram           | 12,20,318           | 12,00,096           | 12,58,208           | 3,42,735           | 1,03,885        | 1,03,879        | 1,05,171        | 24,872        |
| Nagaland          | 9,01,391            | 10,04,629           | 10,40,429           | 2,82,205           | 76,222          | 77,442          | 78,139          | 20,485        |
| Odisha            | 321,51,586          | 354,48,932          | 385,28,339          | 87,20,140          | 24,14,481       | 26,85,474       | 27,16,458       | 7,08,016      |
| Puducherry        | 55,57,041           | 75,51,685           | 78,82,189           | 11,45,917          | 1,23,152        | 2,00,725        | 2,12,275        | 37,387        |
| Punjab            | 163,31,061          | 186,94,564          | 186,18,327          | 50,93,701          | 8,24,038        | 8,62,729        | 8,68,314        | 2,35,782      |
| Rajasthan         | 814,17,688          | 927,02,247          | 1006,05,850         | 236,19,553         | 33,43,354       | 37,95,827       | 45,65,988       | 14,49,355     |
| Sikkim            | 9,46,204            | 9,47,902            | 10,11,941           | 3,09,882           | 39,972          | 40,744          | 57,394          | 13,496        |
| Tamil Nadu        | 1639,84,606         | 1739,39,351         | 2082,41,486         | 478,44,382         | 35,86,330       | 37,42,785       | 53,91,174       | 13,17,136     |
| Telangana         |                     | 335,89,272          | 416,95,143          | 96,84,371          | -               | 13,73,904       | 17,55,043       | 4,51,394      |
| Tripura           | 33,67,203           | 36,92,804           | 41,71,642           | 10,82,835          | 3,93,095        | 4,65,246        | 4,56,037        | 1,16,097      |
| Uttar Pradesh     | 724,04,996          | 897,42,604          | 1145,98,357         | 268,11,246         | 39,03,851       | 44,88,807       | 52,28,853       | 12,40,784     |
| Uttarakhand       | 73,27,061           | 80,29,265           | 88,97,423           | 20,99,794          | 3,66,491        | 3,69,843        | 3,65,580        | 94,398        |
| West Bengal       | 944,62,244          | 992,13,816          | 1004,20,388         | 240,00,497         | 41,01,190       | 44,03,303       | 49,56,045       | 13,28,214     |

Note: after bifurcation

Proportion (number per 1000) of ailing persons during

Annexure - II last 15 days by State/UT, and rural ,urban

|                             | Per 1000 persons report ed ailment   | Per 1000 persons report ed ailment   |
|-----------------------------|--------------------------------------|--------------------------------------|
| State/UT                    | Rural                                | Urban                                |
| Andhra Pradesh              | 155                                  | 204                                  |
| Arunachal Pradesh           | 95                                   | 49                                   |
| Assam                       | 31                                   | 47                                   |
| Bihar                       | 57                                   | 62                                   |
| Chhattisgarh                | 40                                   | 44                                   |
| Delhi                       | 15                                   | 41                                   |
| Goa                         | 160                                  | 194                                  |
| Gujarat                     | 92                                   | 103                                  |
| Haryana                     | 56                                   | 75                                   |
| Himachal Pradesh            | 82                                   | 51                                   |
| Jammu & Kashmir             | 64                                   | 41                                   |
| Jharkhand                   | 52                                   | 96                                   |
| Karnataka                   | 93                                   | 103                                  |
| Kerala                      | 310                                  | 306                                  |
| Madhya Pradesh              | 53                                   | 71                                   |
| Maharashtra                 | 80                                   | 70                                   |
| Manipur                     | 26                                   | 4                                    |
| Meghalaya                   | 32                                   | 26                                   |
| Mizoram                     | 26                                   | 31                                   |
| Nagaland                    | 31                                   | 19                                   |
| Odisha                      | 103                                  | 97                                   |
| Punjab                      | 161                                  | 170                                  |
| Rajasthan                   | 54                                   | 83                                   |
| Sikkim                      | 34                                   | 67                                   |
| Tamil Nadu                  | 146                                  | 184                                  |
| Telangana                   | 97                                   | 95                                   |
| Tripura                     | 35                                   | 51                                   |
| Uttar Pradesh               | 68                                   | 91                                   |
| Uttarakhand                 | 77                                   | 111                                  |
| West Bengal                 | 161                                  | 179                                  |
| A ndaman & N icobar Islands | 188                                  | 156                                  |
| Chandigarh                  | 109                                  | 135                                  |
| Dadra & NagarHaveli         | 56                                   | 165                                  |
| Daman & Diu                 | 39                                   | 186                                  |
| Lakshadweep                 | 159                                  | 219                                  |
| Puducherry                  | 175                                  | 227                                  |
| A ll                        | 89                                   | 118                                  |

Source: NSS KI (71/25.0): key Indicators of Social Consumption in India: Health