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Parliament of India Rajya Sabha REPORT NO. 106 PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE 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 8th March, 2018) (Laid on the Table of Lok Sabha on 8th March, 2018) Rajya Sabha Secretariat, New Delhi March, 2018/ Phalguna, 1939 (SAKA) 1 PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE 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 8th March, 2018) (Laid on the Table of Lok Sabha on 8th March, 2018) Rajya Sabha Secretariat, New Delhi March, 2018/ Phalguna, 1939 (SAKA) 2 CONTENTS PAGES 1. COMPOSITION OF THE COMMITTEE ............................................................................... (i) 2. INRODUCTION................................................................................................................. (i)-(ii) *3. LIST OF ACRONYMS (NHM, HEALTH SECTOR) ................................................ 4. REPORT ...................................................................................................................... Part-A (NHM)...................................................................................................... Part-B (HEALTH SECTOR).................................................................................. *5. OBSERVATIONS/RECOMMENDATIONS — AT A GLANCE (PART A and B) ........ *6. MINUTES ) ........................................................................................................ *7. ANNEXURES ………………………………………………………………………. * to be appended at printing stage. 3 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 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 (i) 4 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 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 (ii) 5 REPORT PART-A National Health Mission (NHM) INTRODUCTION 1.1 The National Health Mission (NHM) encompasses two sub-missions, the National Rural Health Mission (NRHM) and the National Urban Health Mission (NUHM). The main programmatic components inclufde Health System Strengthening in rural and urban areas, Reproductive-Maternal–Neonatal-Child and Adolescent Health (RMNCH+A) and Communicable and Non-Communicable Diseases. The NHM envisages achievement of universal access to equitable, affordable and quality health care services that are accountable and responsive to people’s needs. National Rural Health Mission (NRHM): 1.2 As per information given in the Annual Report 2017-18 of the Ministry of Health and Family Welfare, NRHM seeks to provide accessible, affordable and quality health care to the rural population, especially the vulnerable groups. Under the NRHM, the Empowered Action Group (EAG) States as well as North Eastern States, Jammu and Kashmir and Himachal Pradesh have been given special focus. The thrust of the Mission is to establish a fully functional, community owned, decentralized health delivery system with inter-sectoral convergence at all levels and to ensure simultaneous action on a wide range of determinants of health such as water, sanitation, education, nutrition, social and gender equality. National Urban Health Mission (NUHM): 1.3 NUHM seeks to improve the health status of the urban population particularly urban poor and other vulnerable sections by facilitating the access to quality 6 primary health care. NUHM covers all State capitals, district headquarters and other cities / towns with a population of 50,000 and above (as per Census 2011) in a phased manner. Cities and towns with population below 50,000 will continue to be covered under NRHM. II. BUDGETARY ALLOCATION 2.1 Rs 30129.61 crore has been provided in BE 2018-19 in Demand No. 42 for the National Health Mission. This consists of Rs. 30126.61 crore under revenue account and Rs. 3.00 crore under capital account. 2.2 An allocation of Rs. 30801.56 crore had been made in RE 2017-18 for the National Health Mission. This consisted of Rs. 30,786 crore under revenue account and Rs. 15.00 crore under capital account. 2.3 Allocation made for the various components of NHM for 2018-19 is as below:- Budget 2018-19 Revenue Capital Total National Health Mission 47. National Rural Health Mission 47.01RCH Flexible Pool including Routine 7411.40 -- 7411.40 Immunization Programme, Pulse Polio Immunization Programme, National Iodine -2157.89 -- -2157.89 Deficiency Disorders Control Progrmme etc. Net 5253.51 -- 5253.51 47.02 Health System Strengthening under 9752.82 -- 9752.82 NRHM(Support from National Investment Funds) 47.03 Flexible Pool for Communicable Diseases 4779.20 -- 4779.20 -2851.20 -2851.20 Net 1928.00 1928.00 47.04 Flexible Pool for Non-Communicable 1004.67 -- 1004.67 Diseases, Injury and Trauma 47.05 Infrastructure Maintenance 5693.41 -- 5693.41 47.06 Forward Linkages to NRHM 27.49 -- 27.49 47.07 Strengthening of State Drug Regulatory 206.00 -- 206.00 System 7 47.08 Pilot Schemes(Sports Medicine, Deafness, 40.00 -- 40.00 Leptospirosis Control, Control of Human Rabies, Medical Rehabilitation, Oral Health, Fluorosis) 47.09 Human Resources for Health -- -- -- 47.10 Prime Minister's Development Plan for 273.71 273.71 Jammu and Kashmir 47.11 Strenghtening the National Programme 100.00 100.00 Management of the NRHM Total- National Rural Health Mission 24279.61 -- 24279.61 48.NationalUrban Health Mission 875.00 -- 875.00 49. Tertiary Care Programs 49.01 National Mental Health Programme 50.00 -- 50.00 49.02 Capacity Building for Trauma Centres 150.00 -- 150.00 49.03 National Programme for prevention and 295.00 -- 295.00 control of Cancer, Diabetes, cardio-vascular Disease and Stroke 49.04 National Programme for Health Care for the 105.00 -- 105.00 Elderly 49.05 National Programme for Control of 30.00 -- 30.00 Blindness 49.06 Telemedicine 55.00 -- 55.00 49.07 Tobacco Control Programme and Drug De- 62.00 3.00 65.00 addiction Programme Total- Tertiary Care Programs 747.00 3.00 750.00 50. Human Resources for Health and Medical Education 50.01 Upgradation/Strengthening of Nursing 66.00 -- 66.00 Services (ANM/GNM) 50.02 Strengthening/Upgradation of Pharmacy 5.00 -- 5.00 School/College 50.03 District Hospital -Upgradation of State 452.25 -- 452.25 Government Medical Colleges (PG Seats) 50.04 Strengthening Government Medical 794.07 -- 794.07 Colleges(UG Seats) and Central Government Health Institutions 50.05 Establishing New Medical Colleges 2887.68 -- 2887.68 (upgrading District Hospitals) 50.06 Setting up of State Institutions of Para- 20.00 -- 20.00 medical Sciences in States and Setting
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