Question : Setting up of new Hospitals and Maternity Centres

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

(a) whether the Government proposes to set up new hospitals, maternity centres and medical colleges in the country and if so, the details thereof, State-wise including Jharkhand and Rajasthan;

(b) the time by which the said institutions are likely to be functional;

(c) whether a large number of people die due to shortage of hospitals/medical facilities in tribal areas of the country and if so, the details thereof; and

(d) the steps taken by the Government in this regard?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND
FAMILY WELFARE
(SHRI ASHWINI KUMAR CHOUBEY)
(a) & (b): Public Health and hospitals is a State Subject and therefore the primary responsibility of providing health care services to the citizens including setting up of new hospitals, maternity centres lies with the respective State/UT Governments. However, under National Health Mission (NHM), support is extended to States/UTs to strengthen their healthcare system for provision of accessible, affordable and quality health care to all the citizens based on proposals submitted by the States / UTs in their Programme Implementation Plans within their overall resource envelope. The PIPs submitted by States/UTs and approvals issued in the form of Records of Proceedings (RoPs) are available in public domain at URL http://nhm.gov.in/nrhm-in-state/state-programimplementation-plans-pips.html, including for Jharkhand and Rajasthan.
Further, under “Establishment of new medical colleges attached with existing district/referral hospitals” scheme, 56 new Medical Colleges have been approved till date whose details are at Annexure-I.
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Under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), new AIIMS-like institutions (including Hospital) at 20 places have been sanctioned. Their State/UT-wise details are at Annexure-II.
(c ) & (d): As stated above, Public health and hospitals being a State subject, the primary responsibility to provide healthcare including establishing adequate number of hospitals/medical facilities in tribal areas lies within the jurisdiction of the respective State/UT Governments. The data regarding number of people who died due to shortage of hospitals/medical facilities in tribal areas of the country is not maintained centrally. However, the support provided under NHM includes support for establishing adequate healthcare facilities including in the tribal areas based on proposals submitted by the States / UTs in their Programme Implementation Plans within their overall resource envelope.
Further, under NHM, the norms for infrastructure, Human resource, ASHAs, Mobile Medical Units etc. are relaxed for tribal and hilly areas. All tribal majority districts whose composite health index is below the State average have been identified as High Priority Districts (HPDs) for which States/UTs can allocate more resources per capita under NHM as compared to the rest of the districts in the State. These districts also receive focused attention and supportive supervision. Hard area allowance can also be provided to health professionals for serving in such remote and tribal areas, if so proposed by the State in its PIP.
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