THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (INDEPENDENT CHARGE) (SHRI N.T. SHANMUGAM)
(a) Yes, Sir. There is some shortage in the number of Health Care Centres in the country.
(b) & (c) State health systems development projects with World Bank assistance for improving the secondary level health
system are under implementation in Andhra Pradesh, West Bengal, Orissa, Punjab and Maharashtra. Two World Bank
assisted projects namely VIII India Population project and IX India population Projet are under implementation. A World bank
assisted VII India Population Project is also under implementation in 5 states of Punjab, Haryana, Bihar, Gujarat and Jammu &
Kashmir. Reproductive and Child Health Programme under the joint funding of World Bank, UNICEF, UNFPA. EC and
other bilateral donors is being implemented in all the states.
Under India population projects VII, IPP-VIII and IPP-IX the World Bank has agreed for a total credit of $64 millions, $ 79
millions and $88.6 millions respectively. The amount received from the World Bank under State health systems development
projects (project outlay), IPP-VII project. IPP-VIII project and IPP-IX project and the expenditure incurred on the last 3
projects is placed at Annexure-I.
As far as Reproductive and Child health Programme is concerned the assistance from World Bank is in the form of soft loan
against the actual expenditure. Since, 1997-98 reimbursement of Rs. 232.56 crores has been filed with the World Bank.
For implementing Revised National TB Control Programme in 102 districts of the country, the World Bank has agreed to
provide assistance of US $142 million (equivalent to Rs.604 crores). Funds released from 1996-97 to 1998-99 are at
Annexure-II.
As regards National AIDS Control Programme the position of funds released to various states/UTs etc. is indicated at
Annexure-III.
A World Bank assisted Enhanced Malaria Control Project (EMCP) with 85% share from World bank and remaining 15%
from Government of India with a total cost of Rs.891.04 crores is implemented in seven core project states namely; Andhra
Pradesh, Bihar, Gujarat, Madhya Pradesh, Maharashtra, Orissa and Rajasthan.
(d) & (e) Yes, Sir. Under State Health systems development projects, proposals have been received from the States of
Rajasthan, Uttar Pradesh, Assam, Tamil Nadu, Kerala and Bihar. A proposal on immunization strengthening is under process
for the assistance by the World bank on the pattern of Reproductive and Child Health Programme.
(f) to (h) Yes, Sir. The States have been given targets to establish Sub-Centres, PHCs and CHCs under Ninth Plan
(1997-2002) and under Annual Plan (1999-2000). The details are placed at Annexure-IV. Under Reproductive and Child
health Programme the Central Government is providing funds for strengthening of primarily Health Care Services, provision of
medicines, contractual staff and in-service training. A proposal on immunization strengthening is also under process for the
assistance by the World Bank on the similar pattern as that of Reproductive and Child Health Programme.
LOK SABHA UNSTARRED QUESTION NO. 2979 FOR 14.03.2000
ANNEXURE-I
( Rs. In crores)
A.STATE HEALTH SYSTEMS DEVELOPMENT PROJECTS:
NAME OF THE STATE PROJECT OUTLAY
Andhra Pradesh 608.00
West Bengal 698.00
Karnataka 546.00
Punjab 425.00
Orissa 415.57
Maharashtra 727.00
B. IPP-VII PROJECTS:
NAME OF THE STATE AMOUNT RELEASED EXP. INCURRED
Punjab - 14.42
Haryana 6.00 12.86
Bihar - 26.88
Gujarat 9.00 19.05
J&K - 33.95
C. IPP-VII PROJECTS:
Name of the States Amount released Exp. incurred
Karnataka 5.40 28.33
West Bengal 35.34 47.33
Delhi 14.50 22.71
Andhra Pradesh 1.12 20.50
UP(Logistic)@
TN(Logistic)@
@ = Projects since approved is January 2000. Release of funds is in process.
D. IPP-IX PROJETS:
Name of States Amount released Expn. Incurred
Karnataka 4.00 46.79
Assam 58.00 63.36
Rajasthan 38.43
ANNEXURE-II
REVISED NATIONAL TB CONTROL PROGRAMME (RNTPC) FROM 1996-97 TO 1998-1999
STATE AMOUNT RELEASED (Rs. In lakhs) TOTAL
Andhra Pradesh 71.17
Assam 34.94
Bihar 357.98
Delhi 1434.24
Gujarat 697.13
Haryana 95.36
Himachal Pradesh 141.14
Karnataka 344.23
Kerala 491.40
Madhaya Pradesh 101.56
Maharashtra 394.3
Manipur 32.733
Rajasthan 432.83
Tamil nadu 537.33
Uttar Pradesh 350.17
West Bengal 1132.59
TOTAL : 6649.10
ANNEXURE-III
NATIONAL AIDS CONTROL PROGRAMME
Sl.No State/UT 1996-97 1997-98 1998-99 Funds Released Funds Released Funds Released
1 Andhra Pradesh 425.00 425.00 650.00
2 Arunachal Pra 80.00 25.00 30.00
3 Assam 100.00 100.00 100.00
4 Bihar 25.00 50.00 110.00
5 Goa 25.00 50.00 35.00
6 Gujarat 300.00 250.00 230.00
7 Haryana 130.00 75.00 160.00
8 Himachal Pr 115.00 225.00 115.00
9 Jammu & Kashmir 25.00 25.00 25.00
10 Karnataka 350.00 175.00 335.00
11 Kerala 225.00 100.00 65.00
12 Madhya Pradesh 425.00 150.00 315.00
13 Maharashtra 900.00 950.00 800.00
14 Manipur 200.00 150.00 245.00
15 Meghalaya 35.00 25.00 30.00
16 Mizoram 150.00 100.00 100.00
17 Nagaland 190.00 155.00 227.00
18 Orissa 50.00 75.00 150.00
19 Punjab 225.00 75.00 150.00
20 Rajasthan 375.00 225.00 100.00
21 Sikkim 50.00 50.00 50.00
22 Tamil Nadu 1700.00 2000.00 800.00
23 Tripura 50.00 50.00 20.00
24 Uttar Pradesh 450.00 95.00 200.00
25 West Bengal 600.00 100.00 350.00
26 Pondicherry 7.00 0.00 40.00
27 A&N Islands 45.91 31.09 20.00
28 Chandigarh 46.93 28.00 60.00
29 D&N Haveli 17.00 16.00
30 Daman & Diu 19.00 24.22 15.00
31 Delhi 400.00 25.00 110.00
32 Lakshadweep 16.71 15.42
33 MDACS, Mumbai 350.00
34 Ahemadabad, MC 5.00
35 Chennai, MC
Total: 7752.55 6239.73 5942.00
ANNEXURE-IV
Ninth Plan (1997-2002) and Annual Targets for the year 1999-2000 for the establishment
of Sub-Centres, PHCs and CHCs.
Sl.No States/UTs Sub-Centres PHCs CHCs
9th Plan 9th Plan 9th Plan Target Annual Target Annual Target Annual Target Target Target (1999-00) (1999-00) (1999-00)
1 Andhra Pradesh 0 0 372 93 220 55
2 Arnachal Pr 0 0 0 0 0 0
3 Assam 0 0 107 27 76 18
4 Bihar 1026 257 428 107 511 128
5 Goa 0 0 5 1 1 0
6 Gujarat 0 0 68 17 71 18
7 Haryana 183 46 16 4 39 10
8 Himachal Pra. 0 0 0 0 0 0
9 Jammu & Kashmir 0 0 0 0 4 1
10 Karnataka 0 0 0 0 0 26
11 Kerala 0 0 0 0 100 25
12 Madhya Pradesh 184 46 206 52 207 79
13 Maharashtra 808 202 61 15 135 85
14 Manipur 0 0 0 0 0 0
15 Meghalaya 87 22 0 0 6 2
16 Mizoram 0 0 0 0 0 0
17 Nagaland 81 20 21 5 9 2
18 Orissa 447 112 0 0 108 27
19 Punjab 6 1 0 0 14 4
20 Rajasthan 0 0 0 0 51 13
21 Sikkim 0 0 0 0 2 1
22 Tamil Nadu 0 0 0 0 237 59
23 Tripura 42 11 40 10 13 3
24 Uttar Pradesh 2184 546 0 0 621 155
25 West Bengal 2483 621 170 43 342 86
26 A&N Islands 0 0 0 0 0 0
27 Chandigarh 1 0 2 1 0 0
28 D&N Haveli 6 2 1 0 2 1
29 Daman & Diu 0 0 0 0 0 0
30 Delhi 148 37 24 6 8 2
31 Lakshadweep 0 0 0 0 0 0
32 Pondicherry 0 0 0 0 0 0
All India 7686 1923 1521 380 2903 729
