REPORT NO. 126 PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE ONE HUNDRED AND TWENTY-SIXTH REPORT ON DEMANDS FOR GRANTS 2021-22 (DEMAND NO. 44) OF THE DEPARTMENT OF HEALTH AND FAMILY WELFARE (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 8th March, 2021) (Laid on the Table of Lok Sabha on 8th March, 2021) Rajya Sabha Secretariat, New Delhi March, 2021/ Phalguna, 1942 (SAKA) Website : http://rajyasabha.nic.in E-mail : [email protected] PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE ONE HUNDRED AND TWENTY-SIXTH REPORT On DEMANDS FOR GRANTS 2021-22 (DEMAND NO. 44) OF THE DEPARTMENT OF HEALTH AND FAMILY WELFARE (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 8th March, 2021) (Laid on the Table of Lok Sabha on 8th March, 2021) Rajya Sabha Secretariat, New Delhi March, 2021/ Phalguna, 1942 (SAKA) CONTENTS S.NO. Page Nos. 1. COMPOSITION OF THE COMMITTEE (i) 2. INRODUCTION (ii) - (iii) 3. *LIST OF ACRONYMS (NHM, HEALTH SECTOR) 4. REPORT 1 - 148 Chapter - I - Overview 1 - 5 Chapter - II - Macro Analysis of Budgetary Allocation 6 - 17 Chapter -III - Health Sector 18 - 101 Chapter -IV - National Health Mission 102 - 135 Chapter -V - Health Management and Budgeting Beyond 136 - 148 Pandemic Covid-19 Impasse 5. * OBSERVATIONS/RECOMMENDATIONS — AT A GLANCE (PART A and B) 6. *MINUTES 7. *ANNEXURES * To be appended at circulation stage COMPOSITION OF THE COMMITTEE (2020-21) 1. Prof. Ram Gopal Yadav - Chairman RAJYA SABHA 2. Shri A.K. Antony 3. Ms. Indu Bala Goswami 4. Dr. L. Hanumanthaiah 5. Shri Suresh Prabhu 6. Dr. Santanu Sen 7. Shri Bashistha Narain Singh 8. Shri K. Somaprasad 9. Dr. Subramanian Swamy 10. Shrimati Sampatiya Uikey LOK SABHA 11. Ms. Bhavana Gawali (Patil) 12. Ms. Ramya Haridas 13. Dr. Chandra Sen Jadon 14. Shrimati Maloth Kavitha 15. Dr. Amol Ramsing Kolhe 16. Dr. Sanghamitra Maurya 17. Shri Arjunlal Meena 18. Shrimati Pratima Mondal 19. Dr. Pritam Gopinath Munde 20. Dr. Mahendrabhai Kalubhai Munjpara 21. Shri K. Navaskani 22. Dr. Bharati Pravin Pawar 23. Adv. Adoor Prakash 24. Shri Haji Fazlur Rehman 25. Dr. Rajdeep Roy 26. Dr. Subhas Sarkar 27. Dr. D. N. V. Senthilkumar S. 28. Shri Anurag Sharma 29. Dr. Mahesh Sharma 30. Dr. Sujay Radhakrishna Vikhepatil 31. Dr. Krishna Pal Singh Yadav SECRETARIAT Shri P.P.K. Ramacharyulu Secretary Shri J. Sundriyal Joint Secretary Shri V.S.P.Singh Director Shri Bhupendra Bhaskar Additional Director Shrimati Harshita Shankar Under Secretary Shri Rajesh Kumar Sharma Assistant Committee Officer Ms. Monika Garbyal Assistant Committee Officer (i) 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 126th Report of the Committee on the Demands for Grants (Demand No.44) for the year 2021-22 of the Department of Health and Family Welfare, Ministry of Health and Family Welfare. 2. The Committee at its sitting held for examination of Demands for Grants (2021-22) of the Department of Health and Family Welfare on 17th February, 2021 heard the Secretary and other Officers of that Department. 3. The Committee considered the Draft Report and adopted the same in its meeting held on 2nd March, 2021. 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 2021-22; ii. Annual Report of the Department for the year 2020-21. iii. Detailed Explanatory Note on Demands for Grants of the Department of Health and Family Welfare for the year 2021-22; iv. Projection of outlays for the schemes to be undertaken by the Department during the Financial Year 2019-20; v. Written replies furnished by the Department to the Questionnaires sent to them by the Secretariat; vi. Presentation made by the Secretary (Ministry of Health and Family Welfare) and other concerned officers; vii. Economic Survey 2021-22; viii. Report of the 15th Finance Commission for 2021-26; ix. Budget Speech of the Finance Minister; x. Presidential Address on 29th January, 2021; and xi. WHO (Global Health Expenditure DataBase) etc. (ii) 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 2, 2021 Chairman, Phalguna ....., 1942 (Saka) Department - related Parliamentary Standing Committee on Health and Family Welfare (iii) LIST OF ACRONYMS (NHM SECTOR) AFHCs - Adolescent Friendly Health Clinics ANM - Auxiliary Nurse and Midwife ASHAs - Accredited Social Health Activists AWWs - Anganwadi Workers BE - Budget Estimate CDs - Communicable Diseases COTs - Clinical Outreach Teams CHCs - Community Health Centres CPHC - Comprehensive Primary Health Care EAC - Externally Aided Component EAG - Empowered Action Group ECP - Emergency Contraceptive Pill 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 TFR - 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 - 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 NHP - National Health Policy NHPS - National Health Protection Scheme NSS - National Service Scheme NPS - National Strategic Plan NPCDCS - National Programme for Prevention and Control of Cancer, Diabetes, Cardio-Vascular Diseases and Stroke NSS - National Sample Survey OCP - Oral Contraceptive Pill OOP - Out of Pocket 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 Undertaking 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 SIPV - 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 LIST OF ACRONYMS (HEALTH SECTOR) AIIMS - All India Institute of Medical Sciences AERB - Atomic Energy Regulatory Board AE - Actual Expenditure AIDS - Acquired Immune Deficiency Syndrome ART - Anti Retroviral Therapy AYUSH - Ayurveda, Yoga, Unani, Siddha and Homoeopathy BASLP - Bachelor of Audiology and Speech Language Pathology BPAP - Bilevel Positive Airway Pressure BDS - Bachelor of Dental Surgery BE - Budget Estimate BIS - Bureau of Indian Standard CE - Conformite’ Europe’enne CDSCO - Central Drugs Standard Control Organization CGHS - Central Government Health Scheme CPAP - Continuous Positive Airway Pressure CHS - Central Health Services CPWD - Central Public Works Department DPRs - Detailed Project Reports DUSIB - Delhi Urban Shelter Improvement Board ETP - Effluent Treatment Plant EFC - Expenditure Finance Report FYP - Five Year Plan FSSAI - Food Safety and Standards Authority of India FY - Financial Year GDP - Gross Domestic Product GMCs - Government Medical Colleges GDMOs - General Duty Medical Officers HEFA - Higher Education Funding Agency HSCC - Hospital Services Consultancy Corporation HSCCL - Hospital Services Consultancy Corporation Limited IIFCL - India Infrastructure Finance Corporation Limited IPD - In Patient Department ICU - Intensive Care Unit IVF - In Vitro Fertilization MBB - Metro Blood Bank MBBS - Bachelor of Medicine and Bachelor of Surgery MDG - Millennium Development Goal MoH&FW - Ministry of Health and Family Welfare MoUD - Ministry of Urban Development MRI - Magnetic Resonance Imaging NHP - National Health Policy NACO - National AIDS Control Programme NCT - National Capital Territory NDMC - New Delhi Municipal Council NE - North East NITs - National Institutes of Technology NEIGRIHMS - North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences NUT - Nephrology Urology and Transplantation OBC - Other Backward Class OPD - Out Patient Department OT - Operation Theatre PCs - Project Consultants PAO - Pay & Accounts Office PGIMER - Post-Graduate Institute of Medical Education and Research PFMS - Public Financial Management System PLHIV - People Living with HIV PRO - Public Relations Officer PG - Post Graduate PSA - Procurement Support Agent PMSSY - Pradhan Mantri Swasthya Suraksha Yojana PSUs - Public Sector Undertakings RE - Revised Estimate RISE - Revilalizing Infrastructure