REPORT NO. 99 PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE NINETY-NINTH REPORT Demands for Grants 2017-18 (Demand No.42) of the Department of Health and Family Welfare (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 20th March, 2017) (Laid on the Table of Lok Sabha on 20th March, 2017) Rajya Sabha Secretariat, New Delhi March, 2017/Phalguna, 1938 (Saka) Website : http://rajyasabha. nic. in E-mail : [email protected]. in Hindi version of this publication is also available PARLIAMENT OF INDIA RAJYA SABHA DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON HEALTH AND FAMILY WELFARE NINETY-NINTH REPORT Demands for Grants 2017-18 (Demand No.42) of the Department of Health and Family Welfare (Ministry of Health and Family Welfare) (Presented to the Rajya Sabha on 20th March, 2017) (Laid on the Table of Lok Sabha on 20th March, 2017) Rajya Sabha Secretariat, New Delhi March, 2017/Phalguna, 1938 (Saka) CONTENTS PAGES 1. COMPOSITION OF THE COMMITTEE............................................................................ (i)-(ii) 2. INTRODUCTION....................................................................................................... (iii)-(iv) 3. ACRONYMS (NHM, Health Sector).......................................................................... (V)-(X) 4. REPORT................................................................................................................ 1-66 Part-A (NHM)............................................................................................. 1-33 Part-B (Health Sector)................................................................................. 34-66 5. RECOMMENDATIONS/OBSERVATIONS — AT A GLANCE.................................................... 67-89 (Part A and B)............................................................................................ 6. MINUTES............................................................................................................... 91-97 7. ANNEXURES .......................................................................................................... 99-128 COMPOSITION OF THE COMMITTEE (2016-17) 1. Prof. Ram Gopal Yadav — Chairman RAJYA SABHA 2. Shrimati Renuka Chowdhury 3. Shri Rajkumar Dhoot 4. Dr. R. Lakshmanan 5. Dr. Vikas Mahatme 6. Shri Jairam Ramesh 7. Shri Ashok Siddharth 8. Shri Gopal Narayan Singh 9. Shri K. Somaprasad 10. Dr. C. P. Thakur LOK SABHA 11. Shri Thangso Baite $12. Shrimati Ranjanaben Bhatt %13. Shri Gyan Singh 14. Shri Nandkumar Singh Chauhan *15. Dr. Ratna De (Nag) ^16. Shri Dasrath Tirkey 17. Dr. (Smt.) Heena Vijay Gavit 18. Dr. Sanjay Jaiswal 19. Dr. K. Kamaraj 20. Shri Arjunlal Meena 21. Shri Anoop Mishra 22. Shri J. Jayasingh Thiyagaraj Natterjee 23. Shri Chirag Paswan $ ceased to be member of the Committee w.e.f 20th October, 2016. % nominated as a member of the Committee w.e.f. 02nd January, 2017. * ceased to be member of the Committee w.e.f 02nd January, 2017. ^ nominated as a member of the Committee w.e.f. 02nd January, 2017. (i) 24. Shri C. R. Patil 25. Shri M.K. Raghavan 26. Dr. Manoj Rajoria 27. Dr. Shrikant Eknath Shinde 28. Shri R.K. Singh (Arrah) 29. Shri Bharat Singh 30. Shri Kanwar Singh Tanwar 31. Shrimati Rita Tarai 32. Shri Manohar Untwal SECRETARIAT Shri P.P.K. Ramacharyulu, Additional Secretary Shrimati Arpana Mendiratta, Director Shri Rakesh Naithani, Joint Director Shri Dinesh Singh, Joint Director Shrimati Harshita Shankar, Assistant Director 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 authorized by the Committee to present the Report on its behalf, hereby present this 99th 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 2017-18. 2. The Committee held one sitting on 2nd March, 2017 for examination of Demands for Grants (2017-18) 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 17th March, 2017. 4. The Committee while making its observations/recommendations has mainly relied upon the following documents:- (i) Address by the President of India to both Houses of Parliament assembled together on 31st January, 2017; (ii) Speech of Finance Minister on 1st February, 2017 while presenting the Union Budget 2017-18; (iii) Implementation of Budget Announcements 2016-17; (iv) Detailed Demands for Grants of the Department of Health and Family Welfare for the year 2017-18; (v) Annual Report of the Department for the year 2016-17; (vi) Detailed Explanatory Note on Demands for Grants of the Department of Health and Family Welfare for the year 2017-18; (vii) Physical and financial targets fixed and achievements made so far during the Twelfth Plan period; (viii) Projection of outlays for the schemes to be undertaken by the Department during the Financial Year 2017-18; (ix) Details of under-utilization of the allocations made under different heads during the Twelfth Plan period; (x) Written replies furnished by the Department to the Questionnaires sent to them by the Secretariat; (iii) (xi) Presentation made by the Secretary (Ministry of Health and Family Welfare) and other concerned officers; and (xii) Written clarifications furnished by the Department, on the points/issues raised by the Members during the deliberations of the Committee. 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 17 March, 2017 Chairman, Phalguna 26, 1938 (Saka) Department-related Parliamentary Standing Committee on Health and Family Welfare Rajya Sabha (iv) ACORONYMS (NHM Sector) AES : Acute Encephalitis Syndrome ANM : Auxiliary Nurse Midwife ASHAs : Accredited Social Health Activists BPL : Below Poverty Line BRICS : Brazil, Russia, India, China and South Africa CDs : Communicable Diseases CDSCO : Central Drugs Standard Control Organisation CEmOC : Comprehensive Emergency Obstetric Care CHCs : Community Health Centres DOTS : Directly Observed Treatment Short-course EAG : Empowered Action Group ECPs : Emergency Contraception Pills EFC : Expenditure Finance Committee FIPV : Fractional Inactivated Polio Vaccine GDP : Gross Domestic Product Gol : Government of India GNM : General Nursing and Midwifery HMIS : Health Mangement Information System IEC : Information, Education, Communication IMR : Infant Mortality Rate IPHS : Indian Public Health Standards IDSP : Integrated Disease Surveillance Programme IPV : Inactivated Polio Vaccine IUCD : Intrauterine Contraceptive Device JE : Japanese Encephalitis JSSK : Janani Shishu Suraksha Karyakaram JSY : Janani Suraksha Yojana LF : Lymphatic Filarisis MDA : Mass Drug Administration MMR : Maternal Mortality Ratio (v) MoHFW : Ministry of Health and Family Welfare MDGs : Millennium Development Goals MO : Medical Officer MoU : Memorandum of Understanding MMEIG : Maternal Mortality Estimation Inter-Agency Group MSG : Mission Steering Group NACO : National AIDS Control Mission NE : North East NCDs : Non Communicable Diseases NHM : National Health Mission NRHM : National Rural Health Mission NGO : Non-Government Organization NLEP : National Leprosy Elimination Progaramme NMR : Neonatal Mortality Ratio NNMR : Neo Natal Mortality Rates NMSAP : National Multi-Sectoral Action Plan NTCP : National Tobacco Control Programme NUHM : National Urban Health Mission NPHCE : National Programme for health Care of Elderly NIDDCP : National Iodine Deficiency Disorders Control Programme NSSO : National Sample Survey Organisation NOHP : National Oral Health Programme NVBCP : National Vector Borne Disease Control Programme NTBCP : National Trachoma and Blindness Control Programme NPCDCS - : National Programme for Prevention and Control of Cancer, Diabetes, Cardio-Vascular Diseases and Stroke NVBDCP - : National Vector Borne Disease Control Programme OCPs : Oral Contraceptive Pills OOPE : Out of Pocket Expenditure PG : Post Graduate PHCs, : Primary Healthcare Centres PIPs : Programme Implementation Plans (vi) POP : Progrsterone Only Pills PPFP : Post Partum Family Planning PPIUCD : Post Partum Intrauterine Contraceptive Device PPP : Public Private Partnership RBSK : Rashtriya Bal Swasthya Karyakaram RGI - SRS - : Registrar General of India - Sample Registration System RKSK : Rashtriya Kishore Swasthya Karyakaram RMNCH+A - : Reproductive Maternal Newborn Child and Adolescent Health RNTCP : Revised National Tuberculosis Control Programme RCH : Reproductive Child Health RHS : Rural Health Statistics RSBY : Rastriya Swasthya Bima Yojana SDGs : Sustainable Development Goals SHCs : Sub Health Centres SCs : Sub-Centres SHCs : Sub-Health Centres SHS : State Health Societies SN : Staff Nurse SPIP : State Programme Implementation Plan TB : Tuberculosis TFR : Total Fertility Rate TSP : Tribal Sub Pan U5MR : Under 5 Mortality Rate UIP : Universal Immunization Programme UCs : Utilization Certificates UHC : Universal Health Coverage ULBs : Urban Local Bodies UCHCs : Urban Community Health Centres UNICEF : United Nations International Children Education Fund UPHCs : Urban Primary Health Centres UTs : Union Territories WHO