ANSWER
THE MINISTER OF HEALTH AND FAMILY WELFARE
(SHRI JAGAT PRAKASH NADDA)
(a) & (b): National surveys such as National Family Health Survey (NFHS), District Level
Contd……
-2-
Household Survey (DLHS), Annual Health Survey (AHS), National Sample Survey (NSSO), Sample Registration System (SRS), and Rural Health Statistics (RHS) and the Population Census undertaken by the Government capture some information on tribal health.
The information regarding some health indicators including nutrition and utilisation of ante-natal and post-natal services by scheduled tribes are at Annexure-I-A and IB respectively.
(c): Public Health being a State subject, the primary responsibility to provide affordable health care services to the people including tribal population lies with State/UT Governments. However, under the National Health Mission (NHM), support is provided to States/UTs to strengthen their health 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.
(d): The number of Sub-Centres, Primary Health centres (PHCs) and Community Health Centres (CHCs) functioning in tribal areas as per Rural Health Statistics, 2015 is at Annexure-II.
The State/UT wise details of funds sanctioned, released and utlilized for upgradation/strengthening of CHCs, PHCs, District Hospitals, & New Constructions/ Renovation during each of the last three years and the current year is at Annexure –III.
(e): As mentioned above, Public Health being a State subject, the primary responsibility to provide affordable health care services to the people including tribal population lies with State/UT Governments. However, under the National Health Mission (NHM), support is provided to States/UTs to strengthen their health systems for provision of free and affordable healthcare to all its citizens including tribal population based on requirements posed by the States in their Programme Implementation Plans.
……………
Annexure-I-A
Information regarding Various Health Indicators of Scheduled Tribes
(I) Proportion of children 12-23 months receiving full immunization
Total ST
NFHS-III (2005-06) 43.5 31.3
DLHS-III(2007-08) 53.5 45.5
CES (2009) 61.0 49.8
(II) Proportion of 12-23 months old children immunised against measles
Total ST
NFHS-III (2005-06) 58.8 46.1
DLHS-III(2007-08) 69.1 65.0
CES (2009) 74.1 67.0
(III) Proportion of delivery attended by skilled health personnel
Total ST
NFHS-III (2005-06) 46.6 25.4
DLHS-III(2007-08) 52.3 37.6
CES (2009) 76.2 61.3
(IV) Proportion of institutional deliveries
Total ST
NFHS-III (2005-06) 38.7 17.7
DLHS-III(2007-08) 46.9 32.5
CES (2009) 72.9 57.0
NFHS - III (2005-06) Total ST
Infant Mortality Rate 57.0 62.1
Under 5 Mortality Rate 74.3 95.7
DLHS-III (2007-08) Total ST
Any ante-natal check-up 75.1 65.9
Number of ANC visits (3+) 49.7 42.2
Annexure -IB
Nutritional Status, prevalence of anaemia among children and women, place and assistance during delivery and post-natal Care - India and ST
(I) Nutritional Status of Children India ST
Prevalence of stunting in children under (5) years of age (%) 48.0 53.9
Prevalence of wasted children under (5) years of age (%) 19.8 27.6
Prevalence of underweight children under (5) years of age (%) 42.5 54.5
(II) Nutritional Status of Women
Percentage of women age 15-49 below 145 cm whose "Body Mass Index (BMI) is below 18.5 (total thin) 35.6 46.6
(III) Prevalence of anaemia among children and women
Percentage of children age 6-59 months having any anaemia (<11.0 g/dl) 69.5 76.8
Percentage of women age 15-49 having any anaemia (<12.0 g/dl) 56.2 68.5
(IV) Place and assistance during delivery
(a) Proportion of delivery attended by skilled health personnel,
NFHS-III (2005-06) 46.6 25.4
(b) Proportion of institutional deliveries
NFHS-III (2005-06) 38.7 17.7
(V) Mother''s first postnatal check-up
(c) Percent distribution of women giving birth in the five years preceding the survey received post-natal check-up
NFHS-III (2005-06) (first postnatal check-up within 2 days 37.3 23.0
Source: National Family Health Survey, 2005-06
Annexure-II
#:States are predominently tribal areas
++ State informed that there are 23 other hospitals functioning in tribal area which are equal to PHCs level facilities
2 The population is less than the norm (CHC) of 80,000.
^ Data for 2013-14 repeated
+ Data for 2010 repeated
NA - Data not available
NUMBER OF SUB CENTRES, PHCs & CHCs IN TRIBAL AREAS
S. No. State/UT As on 31st March, 2015
Sub centre PHCs CHCs
1 Andhra Pradesh 691 130 11
2 Arunachal Pradesh # 286 117 52
3 Assam 1283 283 31
4 Bihar+ 23 6 0
5 Chhattisgarh 2950 411 85
6 Goa 66 8 1
7 Gujarat 2775 382 70
8 Haryana * 0 0 0
9 Himachal Pradesh 104 43 10
10 Jammu & Kashmir 307 48 11
11 Jharkhand 2333 160 104
12 Karnataka 321 64 7
13 Kerala 831 137 12
14 Madhya Pradesh 2952 332 104
15 Maharashtra 2057 315 67
16 Manipur^ 226 45 7
17 Meghalaya # 428 110 27
18 Mizoram # 370 57 9
19 Nagaland # 396 128 21
20 Odisha++ 2689 426 135
21 Punjab * 0 0 0
22 Rajasthan 1574 210 63
23 Sikkim 48 12 0
24 Tamil Nadu 564 66 20
25 Telangana 698 93 23
26 Tripura 499 45 7
27 Uttarakhand 176 10 8
28 Uttar Pradesh NA NA NA
29 West Bengal 3195 304 108
30 A&N Island 41 4 1
31 Chandigarh * 0 0 0
32 D&N Haveli # 56 7 1
33 Daman & Diu 5 0 0
34 Delhi * 0 0 0
35 Lakshadweep#(2) 14 4 3
36 Puducherry * 0 0 0
India 27958 3957 998
#:States are predominently tribal areas
++ State informed that there are 23 other hospitals functioning in tribal area which are equal to PHCs level facilities
2 The population is less than the norm (CHC) of 80,000.
^ Data for 2013-14 repeated
+ Data for 2010 repeated
NA - Data not available
Annexure-III
Statement showing the Allocation of funds & utilization by the State/UTs from the F.Y. 2012-13 to 2015-16 (30/10/2015)
Rs. In crore
Sl. No. State 2012-13 2013-14 2014-15 2015-16
Allocation (Approval as per SPIP) Utilization Allocation (Approval as per SPIP) Utilization Allocation (Approval as per SPIP) Utilization Allocation (Approval as per SPIP) Utilization
1 Bihar 9505.11 1610.19 3753.02 1503.11 7112.39 3987.45 1005.82 224.82
2 Chattisgarh 7366.57 896.69 12132.06 648.73 8545.62 11692.57 3103.70 1588.23
3 Himachal Pradesh 8356.57 1548.36 2505.40 1886.06 4290.72 3139.61 2148.34 328.15
4 Jammu & Kashmir 11754.82 2645.30 9107.57 10463.92 15367.75 14906.61 5086.07 334.76
5 Jharkhand 7839.43 791.38 5694.64 3883.86 4448.72 3019.21 155.30 230.05
6 Madhya Pradesh 17461.82 4512.59 7879.40 1924.04 7195.39 6139.88 5840.30 2174.28
7 Orissa 28743.15 7071.80 14465.02 10638.17 17098.42 21072.32 10029.27 6983.69
8 Rajasthan 7366.57 558.36 24502.80 16737.50 29638.44 23850.44 23416.30 11614.62
9 Uttar Pradesh 36194.66 7048.32 37664.02 2577.67 4925.25 31119.88 48454.63 15778.17
10 Uttarakhand 8765.03 1012.80 1842.27 1203.54 4653.99 3660.40 272.77 242.09
11 Arunachal Pradesh 7366.57 858.36 2544.72 735.82 5682.25 3596.34 977.81 519.25
12 Assam 7466.57 658.36 18264.40 4948.96 11652.79 7280.54 10134.42 2424.05
13 Manipur 8139.00 614.66 1536.88 332.77 4332.72 3557.69 587.17 266.44
14 Meghalaya 7804.07 1086.39 2343.40 759.29 5366.96 3556.08 1634.30 552.10
15 Mizoram 7366.57 801.80 1554.47 816.57 4380.22 2922.44 155.30 214.25
16 Nagaland 7444.57 566.26 3015.69 1224.72 4969.38 2931.94 895.75 214.25
17 Sikkim 7707.77 572.74 1568.22 422.10 4614.14 3077.14 354.56 214.38
18 Tripura 8510.10 1681.79 3742.56 1678.23 4421.72 3367.28 380.30 412.46
19 Andhra Pradesh 30958.21 9813.64 9052.40 3068.02 12276.47 10648.09 155.30 214.25
20 Goa 7371.37 558.75 1540.20 313.78 13041.78 8714.44 170.60 215.00
21 Gujarat 12716.33 2440.59 9033.99 10286.99 4344.85 2930.04 155.30 1039.98
22 Haryana 7527.85 641.48 3782.33 392.39 6155.52 8306.39 733.22 237.80
23 Karnataka 9348.61 2318.39 15268.37 7406.53 4857.78 3354.46 6635.73 2583.52
24 Kerala 11621.63 2312.68 9232.73 3342.67 14113.33 11862.78 4628.30 1957.95
25 Maharashtra 23505.92 16250.15 12641.59 10932.97 9363.75 6121.25 2781.49 243.28
26 Punjab 11048.64 4193.18 7981.40 3281.82 9043.10 5711.15 3824.34 1660.05
27 Tamil Nadu 17724.37 4555.59 21430.31 22573.19 4950.72 5228.01 5685.15 4605.04
28 Telangana 7366.57 558.36 1505.40 311.06 24156.28 37355.83 155.30 214.25
29 West Bengal 16349.48 8715.19 6707.10 12332.56 10114.05 8216.38 2001.38 1430.54
30 Andaman & Nicobar Islands 7636.39 611.70 1505.40 461.45 4305.72 3012.25 155.30 214.25
31 Chandigarh 7366.57 558.36 1505.40 311.06 4290.72 2922.44 155.30 214.25
32 Dadra & Nagar Haveli 7366.60 564.28 1505.40 311.06 4290.72 2922.44 165.30 214.25
33 Daman & Diu 7370.07 558.85 1508.40 312.02 4293.96 2922.98 159.86 214.68
34 Delhi 7379.57 565.93 2151.30 329.81 10290.72 8360.73 335.30 214.25
35 Lakshadweep 7366.87 558.36 1505.70 311.06 4290.72 2922.44 155.30 214.25
36 Puducherry 7366.57 558.36 1505.40 311.06 4290.72 2922.44 155.30 214.25
Total 412550.57 90869.99 263479.36 138974.54 297167.78 287312.37 142839.88 60217.88
Note:
1. Utilization is inclusive of previous years unspent balance.
2. The above data comprises of Hospital Strengthening - Up gradation of CHCs, PHCs, Dist. Hospitals, Strengthening of Districts , Sub Divisional Hospitals, CHCs, PHCs and Sub Centre Rent and Contingencies & New Constructions/ Renovation and Setting up - CHCs, PHCs, SHCs/Sub Centres, Setting up Infrastructure wing for Civil works, Govt. Dispensaries/ others renovations and Construction of BHO, Facility improvement, civil work, BemOC and CemOC centres, Major civil works for operationalization of FRUS, Major civil works for operationalization of 24 hour services at PHCs, Civil Works for Operationalising Infection Management & Environment Plan at health facilities, Infrastructure of Training Institutions, SDH, DH and Civil work of DEIC (RBSK)
Download PDF Files
