Antibiotic Resistance
Antibiotic Resistance
Antibiotic drug resistance is
developed in the micro-organisms. ICMR is carrying out surveillance of drug
resistance to antibiotics through its Antimicrobial Resistance Surveillance
Research Network (AMRSN) in six pathogenic groups
(i) Diarrhoeagenic bacterial
organisms (ii) Enteric fever pathogens (iii) Enterobacteriaceae causing
sepsis (iv) Gram negative Non-fermenters (v) Gram positives including
MRSA (vi) Fungal infections. The data is being collected from CMC,
Vellore, JIPMER, Puducherry, PGIMER Chandigarh and AIIMS, New Delhi. The
significant findings from last 2 years indicate that Salmonella typhi multidrug
resistance (MDR) to ampicillin, chloramphenicol and trimethoprim–sulfamethoxazole is
showing a downward trend. However, more than 50% of bacterial isolates of Klebsiella spp.
and E. coli were found to be resistant to the currently used 3rd generation cephalosporins,
but they are sensitive to carbapenams and colistin. There is no
data available regarding fatalities reported due to antibiotic
resistance.
As informed by ICMR, according
to a WHO survey, public health awareness about antimicrobial resistance is very
low. The Government’s Programme on containment of Antimicrobial
Resistance (AMR) includes the component of increasing awareness on rational use
of antibiotics.
Government of India has signed
a Memorandum of Understanding/Agreement for
cooperation in health with several countries. AMR has been identified as one of
the areas of cooperation in Agreements/ MOUS with some of these countries
including Sweden, Netherland and U.K.
During the World Health
Assembly in May 2015, the Member States have adopted a Global plan for action
on AMR. Further, Indian Council of Medical Research (ICMR) has signed a
Memorandum of Understanding (MoU) with the Research Council of Norway (RCN),
and also initiated collaboration with National Institute of Health, USA (NIH)
and Centers for Disease Control, Atlanta, USA (CDC) regarding
antimicrobial resistance.
In order to strengthen the
surveillance of antimicrobial resistance (AMR) in the country, Indian
Council of Medical Research (ICMR) has set up a National Anti-Microbial
Resistance Research and Surveillance Network (AMRRSN) to enable compilation of
National Data of AMR at different levels of Health Care.
The Drugs and Cosmetic Rule,
1945 were amended in 2013 to incorporate a new Schedule H1 under the said rules
containing 46 drugs which include IIIrd and IVth generation
antibiotics, anti TB drugs and certain habit forming drugs for having strict
control over the sale of these drugs. The Drugs falling under Schedule H1 are
required to be sold in the country with the following conditions:
(1) The supply of a drug specified
in Schedule H1 shall be recorded in a separate register at the time of the
supply giving the name and address of the prescriber, the name of the patient,
the name of the drug and the quantity supplied and such records shall be
maintained for three years and be open for inspection.
(2) The drug specified in Schedule
H1 shall be labeled with the symbol Rx which shall be in red and conspicuously
displayed on the left top corner of the label, and shall also be labeled with
the following words in a box with a red border:-
|
“Schedule H1
Drug-Warning:
-It is dangerous to take
this preparation except in accordance with the medical advice.
-Not to be sold by retail
without the prescription of a Registered Medical Practitioner.”
|
Further, Government of India
has formulated a national policy for containment of antimicrobial resistance in
2011. A NationalProgramme for Containment of AMR has also been initiated
in 12th Five Year Plan with the following objectives:-
§ To establish a laboratory
based surveillance system by strengthening laboratories for AMR in the country
and to generate quality data on antimicrobial resistance for pathogens of
public health importance.
§ To generate awareness among
healthcare providers and in the community regarding rational use of
antibiotics.
§ To strengthen infection
control guidelines and practices and promote rational use of antibiotics.
The Health Minister, Shri J
P Nadda stated this in a written reply in the Lok Sabha here
today.
1.
*****
Assistance To APL Category
Patients
Under the scheme “Health
Minister’s Discretionary Grant (HMDG)” of Ministry of Health and Family
Welfare, financial assistance is provided to patients having annual family
income up to Rs.1,00,000/- and below, to defray a part of the expenditure on
Hospitalization/treatment in Government Hospital as per guidelines of the
scheme.
The quantum of financial assistance granted is as follows:-
I. Rs.50,000/-, if the estimated cost of treatment is up to Rs.1,00,000/-;
II. Rs.75,000/- if the estimated cost of treatment is above Rs.1,00,000/- and up to Rs.1,50,000/-
III. Rs.1, 00,000/- if the estimated cost of treatment is above Rs.1, 50,000/-.
At present, no proposal to raise the ceiling of annual family income for availing assistance under HMDG scheme is under consideration of the Government.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
The quantum of financial assistance granted is as follows:-
I. Rs.50,000/-, if the estimated cost of treatment is up to Rs.1,00,000/-;
II. Rs.75,000/- if the estimated cost of treatment is above Rs.1,00,000/- and up to Rs.1,50,000/-
III. Rs.1, 00,000/- if the estimated cost of treatment is above Rs.1, 50,000/-.
At present, no proposal to raise the ceiling of annual family income for availing assistance under HMDG scheme is under consideration of the Government.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
*****
National Population Policy
As per the latest World Population Prospects released by United Nations
(revision 2015), the estimated population
of India will be
1419 million approximately
whereas China’s population will be approximately 1409
million, by 2022. In spite of the perceptible decline in Total Fertility Rate
(TFR) from 3.6 in 1991 to 2.3 in 2013, India is yet to achieve replacement
level of 2.1. Twenty four states/UTs have already achieved replacement level of
TFR by 2013, while states like UP and Bihar with large population base still
have TFR of 3.1 and 3.4 respectively. The other states like Jharkhand (TFR
2.7), Rajasthan (TFR 2.8), Madhya Pradesh (TFR 2.9), and Chhattisgarh (TFR 2.6)
continue to have higher levels of fertility and contribute to the growth of
population.
The National Population Policy 2000, is uniformly applicable to the
whole country. In pursuance of this policy, Government has taken a number of
measures under Family Planning Programme and as a result, Population Growth
Rate in India has reduced substantially which is evident from the
following:-
i.
The percentage decadal growth
rate of the country has declined significantly from 21.5% for the period
1991-2001 to 17.7% during 2001-2011.
ii. Total Fertility Rate (TFR) was
3.2 at the time when National Population Policy, 2000 was adopted and the same
has declined to 2.3 as per Sample registration Survey (SRS) 2013 conducted by
the Registrar General of India.
As the existing NPP-2000 is uniformly applicable to all irrespective of
religions and communities etc., therefore no proposal is under consideration of
the Government to formulate new uniform population policy. The steps taken by
the Government under various measures/programme are given below:-
Steps/Measures to Control the
Population Growth of India by
the Government of India
On-going interventions:
· More
emphasis on Spacing methods like IUCD.
· Availability
of Fixed Day Static Services at all facilities.
· A
rational human resource development plan is in place for provision of IUCD,
minilap and NSV to empower the facilities (DH, CHC, PHC, SHC) with at least one
provider each for each of the services and Sub Centres with ANMs trained in IUD
insertion.
· Quality
care in Family Planning services by establishing
Quality Assurance Committees at state and district levels.
· Improving
contraceptives supply management up to peripheral facilities.
· Demand
generation activities in the form of display
of posters, billboards and other audio and video materials in the various
facilities.
· National
Family Planning Indemnity Scheme’ (NFPIS) under which
clients are insured in the eventualities of deaths, complications and failures
following sterilization and the providers/ accredited institutions are
indemnified against litigations in those eventualities.
· Compensation
scheme for sterilization acceptors - under the scheme MoHFW provides compensation
for loss of wages to the beneficiary and also to the service provider (&
team) for conducting sterilisations.
· Increasing male participation
and promotion of Non Scalpel Vasectomy.
· Emphasis on Miniap Tubectomy
services because of its logistical simplicity and requirement of only MBBS
doctors and not post graduate gynecologists/surgeons.
· Accreditation of more
private/NGO facilities to increase the provider base for family planning
services under PPP.
· Strong political will and
advocacy at the highest level, especially, in States with high fertility rates.
New Interventions under Family Planning Programme
1. Scheme
for Home delivery of contraceptives by ASHAs at doorstep of beneficiaries: The
govt. has launched a scheme to utilize the services of ASHA to deliver
contraceptives at the doorstep of beneficiaries.
2. Scheme
for ASHAs to ensure spacing in births: The scheme is operational from 16th May,
2012, under this scheme, services of ASHAs to be utilised for counselling newly
married couples to ensure delay of 2 years in birth after marriage and couples
with 1 child to have spacing of 3 years after the birth of 1st child.
ASHAs are to be paid the following incentives under the scheme:-
a. Rs.
500/- to ASHA for ensuring spacing of 2 years after marriage.
b. Rs.
500/- to ASHA for ensuring spacing of 3 years after the birth of 1st child.
c. Rs.
1000/- in case the couple opts for a permanent limiting method up to 2 children
only. The scheme is being implemented in 18 States of the country (8 EAG,
8 NE Gujarat and Haryana).
3. Boost
to spacing methods by introduction of new method PPIUCD (Post-Partum Intra
Uterine Contraceptives Device.
4. Introduction
of the new device Cu IUCD 375, which is effective
for 5 years.
5. Emphasis
on Postpartum Family Planning (PPFP) services with introduction of
PPIUCD and promotion of minilap as the main mode of providing sterilisation in
the form of post-partum sterilisation to capitalise on the huge cases coming in
for institutional delivery under JSY.
Assured
delivery of family planning services for both IUCD and
sterilisation.
6. Compensation for sterilisation
acceptors has been enhanced for 11 High Focus States with high TFR.
7. Compensation scheme for PPIUCD
under which the service provider as well as the ASHAs who escorts the clients
to the health facility for facilitating the IUCD insertion are compensated.
8. Scheme for provision of
pregnancy testing kits at the sub-centres as well as in the drug kit of the
ASHAs for use in the communities to facilitate the early detection and decision
making for the outcome of pregnancy.
9. RMNCH Counselors (Reproductive
Maternal New Born and Child Health) availability at the high case facilities to
ensure counseling of the clients visiting the facilities.
10. Celebration
of World Population Day 11th July & Fortnight: The
event is observed over a month long period, split into fortnight of
mobilization/sensitization followed by a fortnight of assured family planning
service delivery and has been made a mandatory activity from 2012-13 and starts
from 27th June each year.
11. FP
2020- Family Planning Division is working on the national and state wise action
plans so as to achieve FP 2020 goals. The key commitments of FP 2020 are as
under :
· Increasing
financial commitment on Family Planning whereby India commits an allocation of
2 billion USD from 2012 to 2020.
· Ensuring
access to family planning services to 48 million (4.8 crore) additional women
by 2020 (40% of the total FP 2020 goal).
· Sustaining
the coverage of 100 million (10 crore) women currently using contraceptives.
Reducing the unmet need by an improved access to voluntary family planning
services, supplies and information. In
addition to above, Jansankhya Sthirata Kosh/National Population Stabilization
Fund has adopted the following strategies as a population control measure:-
Prerna Strategy:- JSK has launched this
strategy for helping to push up the age of marriage of girls and delay in first
child and spacing in second child the birth of children in the interest of
health of young mothers and infants. The couple who adopt this strategy awarded
suitably. This helps to change the mindsets of the community.
Santushti Strategy:- Under this strategy,
Jansankhya Sthirata Kosh, invites private sector gynaecologists and vasectomy
surgeons to conduct sterilization operations in Public Private Partnership
mode. The private hospitals/nursing home who achieved target to 10 or more are suitably
awarded as per strategy.
National Helpline: - JSK also running a call
centers for providing free advice on reproductive health, family planning,
maternal health and child health etc. Toll free no. is 1800116555.
Advocacy & IEC activities:- JSK as a part of its
awareness and advocacy efforts on population stabilization, has established
networks and partnerships with other ministries, development partners, private
sectors, corporate and professional bodies for spreading its activities
through electronic media, print media, workshop, walkathon, and other
multi-level activities etc. at the national, state, district and block level.
The funds released under these programmes/schemes are given below:-
|
State
|
2014-15
|
2015-16
|
|
SPIP
Approval
|
SPIP
Approval
|
|
|
Bihar
|
5,936.19
|
10,892.01
|
|
Chhattisgarh
|
2,221.53
|
1,309.51
|
|
Himachal Pradesh
|
480.00
|
464.55
|
|
Jammu & Kashmir
|
384.97
|
358.13
|
|
Jharkhand
|
3,662.94
|
4,214.20
|
|
Madhya Pradesh
|
6,460.46
|
9,629.27
|
|
Orissa
|
1,956.81
|
3,301.23
|
|
Rajasthan
|
7,417.61
|
9,242.44
|
|
Uttar Pradesh
|
7,815.66
|
11,774.84
|
|
Uttarakhand
|
539.31
|
732.14
|
|
Sub
Total
|
36,875.48
|
51,918.31
|
|
|
|
|
|
Arunachal Pradesh
|
99.68
|
85.74
|
|
Assam
|
1,680.41
|
2,231.97
|
|
Manipur
|
65.76
|
73.32
|
|
Meghalaya
|
67.90
|
84.90
|
|
Mizoram
|
79.67
|
-
|
|
Nagaland
|
94.18
|
90.00
|
|
Sikkim
|
22.32
|
11.71
|
|
Tripura
|
148.56
|
139.82
|
|
Sub
Total
|
2,258.48
|
2,717.46
|
|
|
|
|
|
Andhra Pradesh
|
2,902.31
|
2,872.13
|
|
Goa
|
29.39
|
27.66
|
|
Gujarat
|
4,390.48
|
5,051.60
|
|
Haryana
|
825.00
|
1,494.15
|
|
Karnataka
|
2,680.00
|
2,527.80
|
|
Kerala
|
468.34
|
467.60
|
|
Maharashtra
|
3,979.91
|
4,496.69
|
|
Punjab
|
773.17
|
743.22
|
|
Tamil Nadu
|
1,921.09
|
2,800.77
|
|
Telangana
|
2,139.63
|
2,120.22
|
|
West Bengal
|
3,047.04
|
1,651.71
|
|
Sub
Total
|
23,156.36
|
24,253.55
|
|
|
|
|
|
Andaman and Nicobar Islands
|
31.50
|
34.45
|
|
Chandigarh
|
27.06
|
25.14
|
|
Dadra and Nagar Haveli
|
44.55
|
31.24
|
|
Daman and Diu
|
7.91
|
10.10
|
|
Delhi
|
364.69
|
411.79
|
|
Lakshadweep
|
2.64
|
1.99
|
|
Puducherry
|
94.97
|
49.37
|
|
Sub
Total
|
573.32
|
564.08
|
|
Grand
Total
|
62,863.64
|
79,453.40
|
The Health Minister, Shri J P Nadda stated this in a written reply in the
Lok Sabha here today.
*****
Drug Regulations
In case of export
of drugs, Indian pharmaceutical companies are required to comply with the
regulatory provisions of the importing country. Isolated reports of the drugs
not meeting the prescribed standards have appeared in the media and on the
websites of the regulatory authorities of foreign countries etc. from time to
time. As per recent media reports, regulatory action has been taken by USFDA
against nine Indian pharmaceutical companies. Such instances impact our exports
only marginally.
The gaps and weaknesses of our regulatory structures have been identified and the Government has, with a view to strengthen the regulatory regime, approved a proposal to strengthen the drug regulatory structures both at the Centre and in the States at a total cost of Rs.1750/- crore. The strengthening will include construction of new offices and laboratories, re-equipping existing laboratories, additional manpower, training, e-governance modules and IT infrastructure.
With a view to raise the credibility of our drugs, the Department of Commerce has introduced bar coding on secondary and tertiary packs for exports for tracking and tracing the medicines. Once fully implemented, it will remove the chances of someone else selling medical products that are not genuine.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
The gaps and weaknesses of our regulatory structures have been identified and the Government has, with a view to strengthen the regulatory regime, approved a proposal to strengthen the drug regulatory structures both at the Centre and in the States at a total cost of Rs.1750/- crore. The strengthening will include construction of new offices and laboratories, re-equipping existing laboratories, additional manpower, training, e-governance modules and IT infrastructure.
With a view to raise the credibility of our drugs, the Department of Commerce has introduced bar coding on secondary and tertiary packs for exports for tracking and tracing the medicines. Once fully implemented, it will remove the chances of someone else selling medical products that are not genuine.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
*******
Rashtriya Swasthya Bima Yojana
The Rashtriya Swasthya Bima Yojana (RSBY) a centrally sponsored health
insurance scheme was launched in 2007 and operationalized in April, 2008. This
scheme has been transferred from Ministry of Labour and Employment to Ministry
of Health and Family Welfare on “as is where is” basis with the effect from
01.04.2015. At present the Rashtriya Swasthya Bima Yojana (RSBY) is being
implemented in 19 States/UTs through insurance mode. The scheme is being
funded, both by Centre as well as by the implementing State, on the approved
premium. Funds allocation during the last three years and current year i.e.
2012-13 to 2015-16 for release of central share on premium under RSBY is as
given below:-
|
Sl. No.
|
Year
|
Budget Estimate (In crore)
|
|
|
1
|
2012-13
|
1568.56
|
|
|
2
|
2013-14
|
1265.00
|
|
|
3
|
2014-15
|
1319.30
|
|
|
4
|
2015-16
|
700.00
|
|
|
Total
|
4852.86
|
||
An evaluation study was made by GIZ when RSBY was being implemented by the
Ministry of Labour and Employment. Key findings are given below:-
Findings
of Evaluation Study by Gesellchaft Fur Internationale Zusammenarbeit (GIZ) on
Implementation of RBSY
i. High levels of awareness on
eligibility. However, detailed information about the scheme was found to
be lacking.
ii. The non-enrolees had to spend
more that Rs.17, 000/ per year on an average for hospitalization while RSBY
enrolled have spent very less out of pocket payment.
iii. Access to private hospitals
was noted in more than 70 percent of the respondents, both enrolees and
non-enrolees.
iv. 90% of the respondents
mentioned being highly satisfied with the RSBY Scheme.
Total 3, 68, 36,005 beneficiary families have been covered under RSBY
Scheme against the target of 7, 30, 56,515 families in the states implementing
RSBY. Reasons for low enrolment in some States are due to
implementation of the scheme by the States in phased manner. The Health Insurance
Scheme for weavers by using RSBY platform is implemented only in the State of
Tamil Nadu and the budget allocation for the same is made by Ministry of
Textiles.
Approval for continuation of RSBY has been granted to the implementing
states as required by them. Approval has also been granted to the states for
floating of fresh tenders wherever required. All implementing states have been
directed to take necessary action in claiming release of central share on
premium so that there is no delay in release of central share.
The Health Minister, Shri J P Nadda stated this in a written reply in the
Lok Sabha here today.
*****
Rural Health Research
The Department of Health Research has launched a scheme for establishment
of Model Rural Health Research Units (MRHRUs) for promoting rural health
research. The scheme entails setting up of 15 MRHRUs during
the 12th Plan period at a total cost of Rs. 67.67 crores.
Detailed guidelines have been formulated for establishment of MRHRUs. The
scheme has a provision to provide non- recurring grant of Rs. 2.075 crore for
construction of building and Rs.1.00 crore for procurement of equipments.
Besides, recurring grant of Rs.50.00 lakhs per annum is provisioned to meet
expenditure on staffing, consumables, training, contingencies, etc.
So far, one MRHRU each have been sanctioned in 12 States,
namely, Assam, Himachal Pradesh, Rajasthan,
Tamil Nadu, Tripura, Karnataka, Punjab, Maharashtra, Andhra Pradesh, Odisha,
Madhya Pradesh and Chhattisgarh.
The
State-wise position of funds released and expenditure incurred on each MRHRU is
given below:-
(Rs in Lakhs)
|
S.
No.
|
State
|
Location
of MRHRU
|
Amount
Released
|
Expenditure
Incurred up to 30.11.2015
|
|
|
1
|
Assam
|
Primary
Health Centre, Chabua
|
250.00
|
112.77
|
|
|
2.
|
Himachal
Pradesh
|
Community
Health Centre, Haroli
|
300.00
|
153.79
|
|
|
3.
|
Rajasthan
|
Bhanpur
Kala, Government Health Clinic, Jaipur
|
350.00
|
156.74
|
|
|
4.
|
Tamil
Nadu
|
State
Rural Health Centre at Tirunelveli
|
350.00
|
255.18
|
|
|
5.
|
Tripura
|
Kherengbar
Hospital Khumulwung
|
250.00
|
110.16
|
|
|
6.
|
Karnataka
|
Primary
Health Centre, Sirwar, Manvi Taluk, Raichur
|
200.00
|
147.04
|
|
|
7.
|
Punjab
|
Community
Health Centre Bhunga (Hoshiarpur)
|
200.00
|
137.68
|
|
|
8.
|
Maharashtra
|
Sub
District Hospital (SDH), Dahanu (Thane)
|
200.00
|
126.40
|
|
|
9.
|
Andhra
Pradesh
|
Old
Rural Health Training Centre Premises Chandragiri
|
200.00
|
21.24
|
|
|
10.
|
Odisha
|
Block
Community Health Centre, Tigeria
|
200.00
|
100.00
|
|
|
11.
|
Madhya
Pradesh
|
Primary
Health Centre, Badoni, Datia
|
150.00
|
0.01
|
|
|
12.
|
Chhattisgarh
|
Primary
Health Centre, Lekhram Block (Bilaspur)
|
150.00
|
0.08
|
|
|
13.
|
Administrative
Grant to I.C.M.R.
|
40.00
|
34.00
|
|
|
|
|
|
Total
|
2840.00
|
1355.09
|
|
The MoS (Health), Shri Shripad Yasso Naik stated this in a written reply in
the Lok Sabha here today.
*****
Setting Up of Medical Colleges
Details regarding number of government and private
medical colleges established during the last three years including current year
with intake capacity of MBBS seats are given at below:-
|
Medical Colleges set up
during the year 2013-14
|
|||||
|
S. No
|
State
|
No. of Medical
Colleges
set up
|
No. of MBBS involved
|
||
|
Govt.
|
Pvt.
|
Govt.
|
Pvt.
|
||
|
1
|
Andhra Pradesh
|
1
|
2
|
100
|
300
|
|
2
|
Bihar
|
2
|
-
|
200
|
-
|
|
3
|
Chhattisgarh
|
1
|
1
|
50
|
150
|
|
4
|
Delhi
|
1
|
-
|
50
|
-
|
|
5
|
Haryana
|
1
|
-
|
100
|
-
|
|
6
|
Himachal Pradesh
|
-
|
1
|
-
|
150
|
|
7
|
Karnataka
|
1
|
2
|
100
|
300
|
|
8
|
Kerala
|
1
|
1
|
100
|
150
|
|
9
|
Maharashtra
|
-
|
1
|
-
|
100
|
|
10
|
Odisha
|
-
|
1
|
-
|
100
|
|
11
|
Tamil Nadu
|
2
|
1
|
200
|
150
|
|
12
|
Uttar Pradesh
|
2
|
1
|
200
|
100
|
|
13
|
West Bengal
|
1
|
1
|
100
|
150
|
|
|
Total
|
13
|
12
|
1200
|
1650
|
|
Medical Colleges set up
during the year 2014-15
|
|||||
|
S. No
|
State
|
No. of medical Colleges set
up
|
No. of MBBS seats involved
|
||
|
Govt.
|
Pvt.
|
Govt.
|
Pvt.
|
||
|
1
|
Andhra Pradesh
|
2
|
1
|
250
|
150
|
|
2
|
Assam
|
1
|
-
|
100
|
-
|
|
3
|
Chhattisgarh
|
1
|
-
|
100
|
-
|
|
4
|
Karnataka
|
-
|
1
|
-
|
150
|
|
5
|
Kerala
|
2
|
3
|
150
|
400
|
|
6
|
Madhya Pradesh
|
-
|
1
|
-
|
150
|
|
7
|
Maharashtra
|
-
|
1
|
-
|
150
|
|
8
|
Rajasthan
|
1
|
1
|
100
|
150
|
|
9
|
Uttar Pradesh
|
-
|
2
|
-
|
300
|
|
|
Total
|
7
|
10
|
700
|
1450
|
|
Medical Colleges set up
during the year 2015-16
|
|||||
|
S. No
|
State
|
No. of medical Colleges set
up
|
No. of MBBS seats involved
|
||
|
Govt.
|
Pvt.
|
Govt.
|
Pvt.
|
||
|
1
|
Andaman and Nicobar Islands
|
1
|
-
|
100
|
-
|
|
2
|
Andhra Pradesh
|
-
|
1
|
-
|
150
|
|
3
|
Gujarat
|
2
|
-
|
300
|
-
|
|
4
|
Haryana
|
1
|
-
|
100
|
-
|
|
5
|
Karnataka
|
3
|
-
|
450
|
-
|
|
6
|
Madhya Pradesh
|
-
|
1
|
-
|
150
|
|
7
|
Maharashtra
|
2
|
1
|
100
|
250
|
|
8
|
Rajasthan
|
-
|
1
|
-
|
150
|
|
9
|
Tamil Nadu
|
1
|
-
|
100
|
-
|
|
10
|
Uttar Pradesh
|
1
|
3
|
100
|
450
|
|
|
Total
|
11
|
7
|
1250
|
1150
|
To meet the shortfall of human resources/facilities in
health sector, a Centrally Sponsored Scheme for establishment of New Medical
Colleges by upgrading district/referral hospitals has been introduced with
focus on underserved areas of the country. 58 districts under the scheme in 20
States/UTs have been identified.
As per the laid down
procedure, Detailed Project Reports (DPRs) submitted by the State/UTs are
required to be evaluated by a Technical Evaluation Committee (TEC) before they
are approved by the Empowered Committee (EC). Implementation is to be carried
out by the respective States/UTs.
The Health Minister, Shri J P
Nadda stated this in a written reply in the Lok Sabha here today.
*****
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