REPORT NO. 106 PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE ONE HUNDRED SIXTH REPORT 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 8th March, 2018) (Laid on the Table of Lok Sabha on 8th March, 2018) Rajya Sabha Secretariat, New Delhi March, 2018/Phalguna, 1939 (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 SIXTH REPORT 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 8th March, 2018) (Laid on the Table of Lok Sabha on 8th March, 2018) Rajya Sabha Secretariat, New Delhi March, 2018/Phalguna, 1939 (Saka) CONTENTS PAGES 1. COMPOSITION OF THE COMMITTEE............................................................................ (i) 2. INTORDUCTION....................................................................................................... (iii) 3. ACRONYMS (NHM, HEALTH SECTOR)....................................................................... (iv)-(viii) 4. REPORT................................................................................................................ 1-57 PART-A (NHM).................................................................................................... 1-23 PART-B (HEALTH SECTOR)...................................................................................... 24-57 5. RECOMMENDATIONS/OBSERVATIONS — AT A GLANCE (PART A AND B) ......................... 58-73 6. MINUTES.............................................................................................................. 75-84 7. ANNEXURES........................................................................................................... 85-105 COMPOSITION OF THE COMMITTEE (2017-18) 1. Prof. Ram Gopal Yadav — Chairman RAJYA SABHA 2. Shri Manas Ranjan Bhunia 3. Dr. R. Lakshmanan 4. Dr. Vikas Mahatme 5. Shri Jairam Ramesh 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 Chouhan (Nandu Bhaiya) 13. Dr. (Ms.) Heena Vijaykumar Gavit 14. Dr. Sanjay Jaiswal 15. Dr. K. Kamaraj 16. Shri Arjun Lal Meena 17. Shri Anoop Mishra 18. Shri J.J.T. Natterjee 19. Shri Mahendra Nath Pandey 20. Shri Chirag Paswan 21. Shri C. R. Patil 22. Shri M.K. Raghavan 23. Dr. Manoj Rajoria 24. Dr. Shrikant Eknath Shinde 25. Shri Gyan Singh (i) 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, Additional Secretary Shri J. Sundriyal, Joint Secretary Shri Rakesh Naithani, Director Shri Dinesh Singh, Additional Director Shri Bhupendra Bhaskar, Additional Director Shrimati Harshita Shankar, Under Secretary Shri Pratap Shenoy, Committee Officer Shrimati Gunjan Parashar, Research Officer (ii) INTRODUCTION I, the Chairman of the Department-related Parliamentary Standing Committee on Health and Family Welfare, having been authorised by the Committee to present the Report on its behalf, hereby present this 106th Report of the Committee on the Demands for Grants (Demand No.42) of the Department of Health and Family Welfare, Ministry of Health and Family Welfare, for the year 2018-19. 2. The Committee held two sittings on 12th and 13th February, 2018 for examination of Demands for Grants (2018-19) of the Department of Health and Family Welfare and heard the Secretary (Ministry of Health and Family Welfare) and other Officers thereon. 3. The Committee considered the Draft Report and adopted the same in its meeting held on 6th March, 2018. 4. The Committee while making its observations/recommendations has mainly relied upon the following documents:- (i) Detailed Demands for Grants of the Department of Health and Family Welfare for the year 2018-19; (ii) Annual Report of the Department for the year 2017-18. (iii) Detailed Explanatory Note on Demands for Grants of the Department of Health and Family Welfare for the year 2018-19; (iv) Projection of outlays for the schemes to be undertaken by the Department during the Financial Year 2018-19; (v) Written replies furnished by the Department to the Questionnaires sent to them by the Secretariat; and (vi) Presentation made by the Secretary (Ministry of Health and Family Welfare) and other concerned officers. 5. For facility of reference and convenience, observations and recommendations of the Committee have been printed in bold letters in the body of the Report. NEW DELHI; PROF. RAM GOPAL YADAV March 8, 2018 Chairman, Phalguna 17, 1939 (Saka) Department-related Parliamentary Standing Committee on Health and Family Welfare, Rajya Sabha. (iii) LIST OF ACRONYMS (NHM SECTOR) AFHCs : Adolescent Friendly Health Clinics ANMs : Auxiliary Nurse and Midwife ASHAs : Accredited Social Health Activists AWWs : Anganwadi Worker BE : Budget Estimate CDs : Communicable Diseases COTs : Clinical Outreach Teams CHCs : Community Health Centres CHPC : Comprehensive Primary Health Care EAC : Externally Aided Component EAG : Empowered Action Group ECP : Emergency Contraceptive Pills EPC : Empowered Programme Committee FP-LMIS : Family Planning Logistic Management and Information System FY : Financial Year GDP : Gross Domestic Product GoI : Government of India HMIS : Health Management Information System H&WC : Health and Wellness Centre ICMR : Indian Council of Medical Research IFR : Total Fertility Rate IMR : Infant Mortality Rate IUCD : Intrauterine Contraceptive Device IPV : Inactivated Polio Vaccine IGNOU : Indira Gandhi National Open University JE : Japanese Encephalitis JSY : Janani Suraksha Yojana LINs : Long Lasting Inseticidal Nets MCH : Model Maternal and Child Health MPV : Mission Parivar Vikas MMR : Maternal Mortality Ratio MoHFW : Ministry of Health and Family Welfare NACO : National AIDS Control Mission NCDC : National Centre for Disease Control NCDs : Non Communicable Diseases NBSUs : New Born Stabilization Units NHM : National Health Mission NRHM : National Rural Health Mission NUHM : National Urban Health Mission (iv) NHP : National Health Policy NHPS : National Health Protection Scheme NSS : National Service Scheme NCD : Non-Communicable Disease NPS : National Strategic Plan NPCDCS : National Programme for Prevention and Control Cancer, Diabetes, Cardio-Vascular Diseases and Stroke OCP : Oral Contraceptive Pill OOP : Out of Pocket Expenses PFMS : Public Financial Management System PHCs : Primary Healthcare Centres PMMVY : Pradhan Mantri Matru Vandana Yojana POP : Progesterone Only Pills PPFP : Post Partum Family Planning PPIUCD : Post Partum Intrauterine Contraceptive Device PSU : Public Sector Unit RCH : Reproductive and Child Health RKS : Rogi Kalyan Samitis RMNCH+A : Reproductive Maternal Newborn Child and Adolescent Health RNTCP : Revised National Tuberculosis Control Programme RSBY : Rastriya Swasthya Bima Yojana RE : Revised Estimate SHS : State Health Societies S1PV : Sabin Strains Inactivated Polio Vaccine SCIs : State Cancer Institutes TCCCs : Tertiary Care Cancer Centres UIP : Universal Immunization Programme UHCs : Universal Health Coverage UTs : Union Territories VHSNCs : Village Health and Nutrition Committees WHO : World Health Organisation (v) ACRONYMS (HEALTH SECTOR) AIIMS : All India Institute of Medical Sciences AIDS : Acquired Immuno Deficiency Syndrome AD (HQ) : Additional Director (Headquarters) ART : Anti Retroviral therapy BCG : Bacillus Calmette-Guerin BCGVL : Bacillus Calmette-Guerin Vaccine Laboratory BE : Budget Estimate CRI : Central Research Institute CDL : Central Drug Laboratory CD4 : Cluster of differentiation 4 cGMP : Current Good Manufacturing Practice CoE : Centre of Excellence CPWD : Central Public Works Department CDSCO : Central Drugs Standard Control Organization CNCI : Chittaranjan National Cancer Institute DPT : Diptheria, Pertusis and Tetanus DCG (I) : Drug Controller General of India DNIT : Detailed Notice Inviting Tender DoNER : Ministry for Development of North Eastern Region DoPT : Department of Personnel & Training DoE : Department of Expenditure DUAC : Delhi Urban Art Commission DFG : Demands for Grants Dr. RML : Dr. Ram Manohar Lohia Hospital DGHS : Director General of Health Services DHR : Department of Health Research DMRC : Delhi Metro Rail Corporation ETP & STP : Effluent Treatment Plant and Sewage Treatment Plant ECG : Electro Cardiography EFC : Expenditure Finance Committee EPF : Employees’ Provident Fund FWSs : Family Welfare Schemes FSWs : Female Sex Workers FSSAI : Food Safety and Standards Authority of India GAVI : Global Alliance for Vaccines and Immunization GIAs : Grant-in-aids GNCTD : Government of National Capital Territory of Delhi HVPI : Haemo-Vigilance Programme of India (vi) HVAC : Heating, Ventilation and Air Conditioning HSCC : Hospital Services Consultancy Corporation HSSC : Healthcare Section Skill Council HIV : Human Immunodeficiency Virus HLL : Hindustan Latex Limited HITES : HLL Infra Tech Services Ltd. HSS : HIV Sentinel Surveillance IUCD : Intra uterine Contraceptive Device INI : Institutions of National Importance IUI : Intra uterine Insemination IBBS : Integrated Behavioural and Biological