Question : Government Hospitals in Tribal Dominated Areas

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

(a) the total number of Government hospitals in the tribal dominated areas as on date in the country, State/UT-wise;

(b) whether the Government has undertaken any survey regarding the health needs of tribal people in tribal dominated areas across the country considering the fact that the tribal people are confined to particular habitation which are generally far from cities/town/villages;

(c) if so, the details thereof and if not, the reasons therefor;

(d) whether the Government proposes to set up hospitals and healthcare centres equipped with all infrastructural facilities in the tribal dominated and far-flung areas with a view to mitigat the sufferings of the tribal people; and

(e) if so, the details thereof, State/ UT-wise and if not, the reasons therefor?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI ASHWINI KUMAR CHOUBEY)
(a): The state wise number of Sub Health Centres, Primary Health Centres (PHCs) & Community Health Centres (CHCs) in Tribal areas as per Rural Health Statistics Bulletin, 2017 is at Annexure-I.

(b) & (c): As per information received from Indian Council of Medical Research (ICMR) surveillance for different diseases in the tribal areas, especially in Madhya Pradesh, Chhattisgarh and Odisha are being routinely conducted for different diseases prevalent in tribes by the ICMR-National Institute for Research in Tribal Health. Brief description of surveillance activities in different diseases by the Institute is at Annexure-II. In addition, surveys like National Family Health Survey (NFHS), and District Level Household Survey (DLHS), conducted by the Ministry give estimates inter-alia for tribal health indicators.
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(d) & (e): “Public Health & Hospitals” being a state subject, the primary responsibility to set up hospitals and healthcare centres equipped with all infrastructural facilities in all areas including tribal dominated and far-flung areas is that of respective State Governments. Under the National Health Mission (NHM), financial and technical support is provided to States/UTs to strengthen their health care systems including for setting up/upgrading public health facilities, augmenting health human resource on contractual basis for provision of equitable, affordable healthcare to all its citizens particularly the poor and vulnerable population including tribal population based on requirements posed by the States in their Programme Implementation Plans. Under NHM, all tribal majority districts whose composite health index is below the State average have been identified as High Priority Districts (HPDs) and these districts are to receive more resources per capita under the NHM as compared to the rest of the districts in the State. These districts also receive focused attention and supportive supervision. Norms for infrastructure, Human resource, ASHAs, MMUs etc. under NHM are relaxed for tribal and hilly areas.
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