Question : SECONDARY HEALTH SYSTEMS

(a) the names and member of States where State Health Systems Development Project with world Bank assistance aiming at improving, upgrading the secondary level Health System is not under implementation;

(b) The existing norms to include the States under Secondary Health System with World Bank assistance;

(c) whether the Government have received any request from the Bihar, Assam and Madhya Pradesh and other States regarding strengthening the secondary health system in the States;

(d) if so, the details thereof; and

(d) the steps taken by the Government regarding strengthening the secondary health system in states preferably in Bihar?

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE(INDEPENDENT CHARGE) (SHRI N.T. SHANMUGAM)

(a) State Health Systems Development Projects with World Bank assistance aiming at improving/upgrading the secondary level Health System is under implementation only in the States of Andhra Pradesh, West Bengal, Karnataka, Punjab, Orissa and Maharashtra.

(b) Each project is examined on its merits and the infrastructure available in the State.

(c) to (e) Project proposals have been received from the State of Rajasthan, Uttar Pradesh, Assam, Tamil Nadu, Kerala and Bihar. The project proposals of Rajasthan, Assam, Tamil Nadu and Kerala have already been appraised by the Technical experts and the comments have already been forwarded to the concerned State Governments to review the Project Report in the light of these comments and to submit the Report. As regards SHSDP, Uttar Pradesh, the same has already been posed to the World Bank. As regards, SHSDP, Bihar the proposal from the State Government has been received only recently.

However, such projects are developed through detailed discussions with the World Bank and past experience has shown that they take anywhere from 12 to 24 months to fructify, depending on the time taken on the design and formulation of the project by the State.