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REPORT NO. 112 PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE ONE HUNDRED TWELFTH REPORT Action Taken by Government on the Recommendations/Observations contained in the One Hundred Sixth Report on Demands for Grants 2018-19 (Demand No. 42) of the Department of Health and Family Welfare (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 28th December, 2018) (Laid on the Table of Lok Sabha on 28th December, 2018) Rajya Sabha Secretariat, New Delhi December, 2018/Pausa, 1940 (Saka) Website : http://rajyasabha.nic.in E-mail : [email protected] Hindi version of this publication is also available PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE ONE HUNDRED TWELFTH REPORT Action Taken by Government on the Recommendations/Observations contained in the One Hundred Sixth Report on Demands for Grants 2018-19 (Demand No. 42) of the Department of Health and Family Welfare (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 28th December, 2018) (Laid on the Table of Lok Sabha on 28th December, 2018) Rajya Sabha Secretariat, New Delhi December, 2018/Pausa, 1940 (Saka) CONTENTS PAGES 1. COMPOSITION OF THE COMMITTEE............................................................................ (i)-(ii) 2. INTORDUCTION....................................................................................................... (iii) 3. ACRONYMS (NHM SECTOR AND HEALTH SECTOR)..................................................... (iv)-(viii) 4. REPORT-PART A (NHM)......................................................................................... 1-20 Chapter-I Recommendations/Observations in respect of which replies of the Government have been accepted by the Committee............................. 2-4 Chapter-II Recommendations/Observations which the Committee does not desire to pursue in view of the Government's replies.................................... 5-7 Chapter-III Recommendations/Observations in respect of which replies of the Government have not been accepted by the Committee....................... 8-19 Chapter-IV Recommendations/Observations in respect of which final replies of the Government are still awaited.............................................................. 20 REPORT - PART B (HEALTH SECTOR)....................................................................... 21-56 Chapter-I Recommendations/Observations in respect of which replies of the Government have been accepted by the Committee............................. 22-23 Chapter-II Recommendations/Observations which the Committee does not desire to pursue in view of the Government's replies.................................... 24 Chapter-III Recommendations/Observations in respect of which replies of the Government have not been accepted by the Committee....................... 25-55 Chapter-IV Recommendations/Observations in respect of which final replies of the Government are still awaited.............................................................. 56 5. RECOMMENDATIONS/OBSERVATIONS — AT A GLANCE................................................... 57-69 PART-A - NHM.................................................................................................... 57-60 PART-B - HEALTH SECTOR..................................................................................... 61-69 6. MINUTES.............................................................................................................. 71-74 7. ANNEXURES.......................................................................................................... 75-85 COMPOSITION OF THE COMMITTEE (2018-19) 1. Prof. Ram Gopal Yadav — Chairman RAJYA SABHA 2. Dr. R. Lakshmanan 3. Dr. Vikas Mahatme 4. Shri Jairam Ramesh 5. Dr. Santanu Sen 6. Shri Ashok Siddharth 7. Shri K. Somaprasad 8. Dr. C.P. Thakur 9. Shri Ronald Sapa Tlau 10. Shrimati Sampatiya Uikey LOK SABHA 11. Shri Thangso Baite 12. Shri Nandkumar Singh Chauhan 13. Dr. Heena Vijaykumar Gavit 14. Shri C.P. Joshi 15. Dr. K. Kamaraj 16. Shri Arjunlal Meena 17. Shri Anoop Mishra 18. Advocate Jayasingh Thyagaraj Natterjee 19. Dr. Mahendra Nath Pandey 20. Shri Chirag Paswan 21. Shri C.R. Patil 22. Shri M.K. Raghavan 23. Shri Janak Ram (i) 24. Dr. Shrikant Eknath Shinde 25. Shri Gyan Singh 26. Shri Bharat Singh 27. Shri Kanwar Singh Tanwar 28. Shrimati Rita Tarai 29. Shri Dasrath Tirkey *30. Shri Manohar Utawal 31. Shri Akshay Yadav SECRETARIAT Shri P.P.K. Ramacharyulu, Secretary Shri J. Sundriyal, Joint Secretary & Financial Advisor Shri Rakesh Naithani, Director Shri Bhupendra Bhaskar, Additional Director Shrimati Harshita Shankar, Under Secretary Shri Rajesh Kumar Sharma, Assistant Committee Officer Ms. Monika Garbyal Assistant, Committee Officer Shri Parth Gupta Assistant, Research Officer * Ceased to be member of the Committee w.e.f 21st December, 2018 (ii) INTRODUCTION I, the Chairman of the Department-related Parliamentary Standing Committee on Health and Family Welfare, having been authorized by the Committee to present the Report on its behalf, hereby present this One Hundred Twelfth Report of the Committee on Action Taken by Government on the Recommendations/Observations contained in the Committee's One Hundred Sixth Report on Demands for Grants 2018-19 (Demand No. 42) of the Department of Health and Family Welfare, Ministry of Health and Family Welfare for the year 2018-19. 2. The One Hundred Sixth Report of the Department-related Parliamentary Standing Committee on Health and Family Welfare was presented to Rajya Sabha and laid on the Table of Lok Sabha on 8th March, 2018. Replies of the Government on the recommendations contained in the Report, received from the Department of Health and Family Welfare were considered by the Committee at its meeting held on the 27th December, 2018. 3. The Committee considered the Draft Report and adopted the same in its meeting held on the 27th December, 2018. 4. The Recommendations/Observations of the Committee are printed in bold letters. NEW DELHI; PROF. RAM GOPAL YADAV 27th December, 2018 Chairman, Pausa 6, 1940 (Saka) Department-related Parliamentary Standing Committee on Health and Family Welfare, Rajya Sabha. (iii) ACRONYMS (NHM SECTOR) AB-NHPM : Ayushman Bharat – National Health Protection Mission ANM : Auxiliary Nurse Midwife CHCs : Community Health Centres eVIN : Electronic Vaccine Intelligence Network HWCs : Health and Wellness Centres INCHIS : Integrated Child Health and Immunization Survey JSSK : Janani Shishu Suraksha Karyakram JSY : Janani Suraksha Yojana MoHFW : Ministry of Health and Family Welfare MR : Measles-Rubella NCCMIS : National Cold Chain Management Information System NCDs : Non Communicable Diseases NFHS : National Family Health Survey NHM : National Health Mission NHP : National Health Policy NHPM : National Health Protection Mission NHPS : National Health Protection Scheme NIHFW : National Institute of Health and Family Welfare NRHM : National Rural Health Mission NUHM : National Urban Health Mission NSS : National Service Scheme OOP : Out of Pocket Expenses PCV : Pneumococcal Vaccine PFMS : Public Financial Management System PHCs : Primary Healthcare Centres PIPs : Programme Implementation Plans PMMVY : Pradhan Mantri Matru Vandana Yojana (iv) RCH : Reproductive and Child Health RE : Revised Estimate RNTCP : Revised National TB Control Programme RSBY : Rastriya Swasthya Bima Yojana RVV : Rotavirus Vaccine SBA : Skilled Birth Attendance SDG : Sustainable Development Goals SHS : State Health Society SIPV : Sabin Strains Inactivated Polio Vaccine SRS : Sample Registration System TOT : Training of Trainers ULBs : Urban Local Bodies UTs : Union Territories (v) ACRONYMS (HEALTH SECTOR) AIIMS : All India Institute of Medical Sciences BE : Budget Estimate BJMC : B.J. Medical College BIS : Bureau of Indian Standard CDSCO : Central Drugs Standard Control Organization C-DAC : Centre for Development of Advanced Computing CE : Conformité Européene CGHS : Central Government Health Scheme CHS : Central Health Service CMO : Chief Medical Officer CPWD : Central Public Work Department CTVS : Cardiothoracic and Vascular Surgeons DG : Director General DGHS : Director General of Health Services DUSIB : Delhi Urban Shelter Improvement Board EA : Executing Agencies FSSAI : Food Safety and Standards Authority of India FY : Financial Year GDP : Gross Domestic Product GDMO : General Duty Medical Officer GMC : Government Medical Colleges GIA : Grants In Aid GFR : General Financial Rules HEFA : Higher Education Financing Agency HITES : HLL Infra Tech Services Ltd. HLL : Hindustan Latex Limited HSCC : M/S Hospital Services Consultancy Corporation (vi) ICU : Intensive Care Unit IIFCL : India Infrastructure Finance Company Limited IVF : In Vitro Fertilization JICA : Japan International Cooperation Agency JR : Junior Resident L&T : Larsen & Toubro Limited LDC : Lower Division Clerk MoA : Memorandum of Agreement MoH&FW : Ministry of Health and Family Welfare MoHRD : Ministry of Human Resource and Development MoU : Memorandum of Undertaking NACO : National Aids Control Organization NBCC : National Buildings Construction Corporation NCT : National Capital Territory NDMC : New Delhi Municipal Council NEIGRHIMS : North-Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong NER : North-Eastern Region OBC : Other Backward Classes OPD : Out Patient Department OT : Operation Theatre PG : Post Graduate PGIMER : Post-Graduate