Promoting Usage of Generic Medicines
Promoting Usage of Generic Medicines
A number of steps have been taken by the Government
to promote use of generic medicines. Circulars/ instructions have been issued
from time to time to all Central Government hospitals, CGHS dispensaries and
State Governments for encouraging prescription of generic medicines. Besides,
the Code of Medical Ethics under Indian Medical Council Regulations, 2002 also
mandates prescription of drugs with generic names. Further, vide Gazette
Notification No.570 (E) dated 07.08.2014, the application for grant of licence
for a drug formulation containing single active ingredient can be made only in
the proper name and the existing licencees manufacturing single active
ingredient drug formulation also have to apply for grant of licence for a drug
formulation containing single active ingredient in proper name within one year
of the commencement of these rules. Apart from this, the Government has
initiated a Jan Jagriti Abhiyan to encourage use of generic medicines to
increase their availability.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
*****
Measures for Detection of Early Stage Cancer
The Central Government supplements the efforts of
the State Governments for improving healthcare including prevention, diagnosis
and treatment of Cancer. At present, the objectives of the National Programme
for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and
Stroke (NPCDCS) being implemented under National Health Mission (NHM) for
interventions up to the district level include awareness generation for Cancer
prevention, screening, early detection and referral to an appropriate level institution
for treatment. The focus is on three sites namely breast, cervical and oral
Cancer. Screening guidelines have been provided to State Governments for
implementation. Suspected cases are to be referred for confirmatory diagnosis
by various tests including histopathological biopsy.
Cancer detection and treatment facilities are also available in Central Government Hospitals such as All India Institute of Medical Sciences, Safdurjung Hospital, Dr Ram Manohar Lohia Hospital, PGIMER Chandigarh, JIPMER Puducherry, CNCI, Kolkata etc.
Oncology in its various aspects has focus in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of 2nd campus of CNCI, Kolkata has also been approved.
Under Tertiary Care Cancer Centre (TCCC) Scheme under NPCDCS, the Central Government will assist to establish State Cancer Institute (SCI) and Tertiary Care Cancer Centres which will mentor all Cancer related activities including prevention and screening in their respective areas.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
Cancer detection and treatment facilities are also available in Central Government Hospitals such as All India Institute of Medical Sciences, Safdurjung Hospital, Dr Ram Manohar Lohia Hospital, PGIMER Chandigarh, JIPMER Puducherry, CNCI, Kolkata etc.
Oncology in its various aspects has focus in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of 2nd campus of CNCI, Kolkata has also been approved.
Under Tertiary Care Cancer Centre (TCCC) Scheme under NPCDCS, the Central Government will assist to establish State Cancer Institute (SCI) and Tertiary Care Cancer Centres which will mentor all Cancer related activities including prevention and screening in their respective areas.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
*****
Proper Monitoring of Dengue Control Initiative
Health being the state subject, the primary
responsibility for collecting data on Dengue cases and deaths lies with the
National Capital Territory (NCT) of Delhi. The South Delhi Municipal
Corporation (SDMC) has been notified as the nodal agency for Dengue Control in
NCT of Delhi.
The SDMC coordinates with other implementing agencies, various Hospitals (Govt. and Private) and collects data regarding dengue cases and deaths in Delhi and submits the weekly & monthly reports to the Dte. of National Vector Borne Disease Control Programme, Government of India.
A Control Room for Dengue Outbreak was established at Nirman Bhawan, Dte. General of Health Services, Emergency Medical Relief on 17.9.2015, as per the direction of Secretary (Health), Government of India to monitor the dengue situation in Delhi. The Control Room has been collecting the data about dengue cases and deaths from the 33 Sentinel Surveillance Hospitals (SSHs) and 1 Apex Referral Laboratory in Delhi on daily basis.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
The SDMC coordinates with other implementing agencies, various Hospitals (Govt. and Private) and collects data regarding dengue cases and deaths in Delhi and submits the weekly & monthly reports to the Dte. of National Vector Borne Disease Control Programme, Government of India.
A Control Room for Dengue Outbreak was established at Nirman Bhawan, Dte. General of Health Services, Emergency Medical Relief on 17.9.2015, as per the direction of Secretary (Health), Government of India to monitor the dengue situation in Delhi. The Control Room has been collecting the data about dengue cases and deaths from the 33 Sentinel Surveillance Hospitals (SSHs) and 1 Apex Referral Laboratory in Delhi on daily basis.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
*****
Increased Surveillance on Adulterated Food items
Milk and other food articles have been included in
the Surveillance Plan for states prepared by a Working Group of Food
Safety Commissioners taking into account various parameters including
consumption pattern. Food Safety Commissioners of States are sensitized about
enforcement of standards and use of the aforesaid plan to effectively curb
adulteration. The State is also at liberty to modify the
surveillance plan to suit local requirements.
While separate data on cases relating to adulteration/misleading
information on packaged food items is not maintained by FSSAI, based on
information made available by the States/UTs, details of food samples received,
analysed, found adulterated/misbranded, and action taken during 2014-15, are as
under :-
No. of samples received
|
83265
|
|
No. of Samples Analyzed
|
74010
|
|
No. of Samples found adulterated and Misbranded
|
14599
|
|
No. of Cases Launched
|
Criminal
|
2676
|
Civil
|
7860
|
|
No. of Convictions/ Penalties
|
Convictions
|
1402
|
Penalties/
Amount raised in Rupees
|
2795/ Rs.10,93,87,214
|
The Health Minister, Shri J P Nadda stated this in
a written reply in the Rajya Sabha here today.
Regularisation of E-Pharmacies
The sale and distribution of drugs in the country
is regulated as per the provisions under the Drugs & Cosmetics Act, 1940
and the Drugs and Cosmetics Rules, 1945 made thereunder. As per said Rules,
Drugs specified in Schedule H, H1 or Schedule X can’t be sold except on and in
accordance with the prescription of a Registered Medical Practitioner. The supply
of prescription drugs can be effected only by or under the personal supervision
of a registered pharmacist from a licensed premises. A number of
representations have been received from chemists and druggist associations
against the online sale of prescription drugs. Similarly, a number of
representations have also been received to permit such sales. The
representations received were discussed in detail in the 48th meeting of the
Drugs Consultative Committee (DCC), held on 24th July, 2015. The DCC has constituted
a seven member Sub-Committee to examine the issue of sale of drugs on the
internet, while taking care of the risks and concerns related to such sales.
The Government always follows the normal process of inviting objections and suggestions from the stakeholders before making any rules.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
The Government always follows the normal process of inviting objections and suggestions from the stakeholders before making any rules.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
*****
Funds Allocated under Malaria and Polio Control Programme
Under the National Health
Mission (NHM) which encompasses the National Rural Health Mission (NRHM) and the
National Urban Health Mission(NUHM) as its twosub-missions, support is provided
to States/UTs as per their resource envelope for strengthening their health
care systems based on requirements posed by the States/UTs in their Programme
Implementation Plan (PIPs). The details of the amount allocated and spent by
the States/UTs during the last 3 years under vector borne diseases (including
malaria) and polio control programmeare given below respectively.
State-wise Fund allocation & released under VBD including Malaria
(Rs. In Lakhs)
S. No.
|
States/UTs
|
2015-16 (prov. Upto 30.09.2015)
|
||
Allocation
|
Release
|
Expdt.
|
||
1
|
Andhra Pradesh.
|
858.00
|
403.88
|
83.63
|
2
|
Arunachal Pradesh
|
1273.00
|
989.34
|
338.06
|
3
|
Assam
|
2592.00
|
1426.71
|
379.75
|
4
|
Bihar
|
4085.00
|
4972.64
|
1345.61
|
5
|
Chhattisgarh
|
2545.00
|
311.70
|
174.11
|
6
|
Goa
|
98.00
|
47.50
|
44.62
|
7
|
Gujarat
|
1148.00
|
857.81
|
312.01
|
8
|
Haryana
|
255.00
|
191.25
|
0
|
9
|
Himachal Pradesh
|
104.00
|
0.00
|
12.17
|
10
|
Jammu and Kashmir
|
92.00
|
44.50
|
3.13
|
11
|
Jharkhand
|
5537.00
|
3053.37
|
264.88
|
12
|
Karnataka
|
1954.00
|
163.02
|
470.11
|
13
|
Kerala
|
726.00
|
544.50
|
79.11
|
14
|
Madhya Pradesh.
|
2442.00
|
1703.77
|
459.35
|
15
|
Maharashtra
|
639.00
|
490.31
|
93.59
|
16
|
Manipur
|
917.00
|
645.00
|
29.69
|
17
|
Meghalaya
|
966.00
|
549.32
|
193.01
|
18
|
Mizoram
|
1220.00
|
757.65
|
355.32
|
19
|
Nagaland
|
1203.00
|
616.12
|
250.89
|
20
|
Orissa
|
3888.00
|
2583.75
|
482.38
|
21
|
Punjab
|
398.00
|
178.90
|
0.98
|
22
|
Rajasthan
|
2614.00
|
1454.93
|
385.29
|
23
|
Sikkim
|
53.00
|
31.73
|
0
|
24
|
Tamil Nadu
|
1619.00
|
1195.50
|
374.80
|
25
|
Telangana
|
487.00
|
423.76
|
123.59
|
26
|
Tripura
|
1400.00
|
652.03
|
441.26
|
27
|
Uttar Pradesh
|
4335.00
|
1704.26
|
41.78
|
28
|
Uttarakhand
|
205.00
|
122.78
|
0
|
29
|
West Bengal
|
1800.00
|
287.92
|
708.85
|
30
|
Delhi
|
170.00
|
0.00
|
1.33
|
31
|
Pondicherry
|
49.00
|
36.33
|
5.58
|
32
|
A&N Islands
|
352.00
|
242.62
|
4.03
|
33
|
Chandigarh
|
80.00
|
59.90
|
21.7
|
34
|
D and N Haveli
|
95.00
|
132.54
|
20.37
|
35
|
Daman and Diu
|
68.00
|
74.49
|
0
|
36
|
Lakshadweep
|
46.00
|
40.05
|
0
|
Total
|
46313.00
|
26989.88
|
7500.98
|
S.N.
|
States
|
2014-15
|
2015-16
|
||||
Allocation
|
Release
|
Exp
|
Allocation
|
Release
|
Exp
|
||
1
|
Andaman
& Nicobar Islands
|
0.24
|
0.24
|
0.23
|
0.24
|
0.18
|
|
2
|
Andhra
Pradesh
|
11.69
|
7.82
|
15.38
|
11.59
|
1.51
|
|
3
|
Arunachal
Pradesh
|
0.91
|
0.68
|
0.64
|
0.91
|
0.68
|
|
4
|
Assam
|
9.46
|
7.10
|
7.28
|
9.46
|
7.1
|
0.05
|
5
|
Bihar
|
29.12
|
28.87
|
56.87
|
29.12
|
21.84
|
3.76
|
6
|
Chandigarh
|
0.25
|
0.19
|
0.27
|
0.25
|
0.25
|
|
7
|
Chhattisgarh
|
4.94
|
3.71
|
4.95
|
4.94
|
3.71
|
0.12
|
8
|
Dadra
and Nagar Haveli
|
0.06
|
0.05
|
0.00
|
0.06
|
0.05
|
|
9
|
Daman
and Diu
|
0.04
|
0.04
|
0.04
|
0.04
|
0.03
|
|
10
|
Delhi
|
5.99
|
4.49
|
9.87
|
5.99
|
4.49
|
2.78
|
11
|
Goa
|
0.19
|
0.14
|
0.19
|
0.19
|
0.14
|
|
12
|
Gujarat
|
12.29
|
9.22
|
11.15
|
12.29
|
9.23
|
0.59
|
13
|
Haryana
|
7.67
|
5.75
|
10.50
|
7.67
|
5.75
|
3.36
|
14
|
Himachal
Pradesh
|
1.98
|
1.98
|
2.09
|
1.98
|
1.49
|
0.12
|
15
|
Jammu
and Kashmir
|
3.98
|
2.99
|
2.23
|
3.98
|
2.99
|
0.02
|
16
|
Jharkhand
|
8.32
|
6.24
|
8.62
|
8.32
|
6.24
|
|
17
|
Karnataka
|
10.36
|
7.77
|
9.69
|
10.36
|
7.77
|
0.26
|
18
|
Kerala
|
3.71
|
2.78
|
4.06
|
3.71
|
1.85
|
0.25
|
19
|
Lakshadweep
|
0.04
|
0.03
|
0.00
|
0.04
|
0.03
|
|
20
|
Madhya
Pradesh
|
15.72
|
11.79
|
11.38
|
15.72
|
7.86
|
1.34
|
21
|
Maharashtra
|
28.65
|
21.49
|
23.27
|
28.65
|
21.49
|
1.20
|
22
|
Manipur
|
1.30
|
0.98
|
1.10
|
1.3
|
0.98
|
|
23
|
Meghalaya
|
1.76
|
1.32
|
1.22
|
1.76
|
1.33
|
0.06
|
24
|
Mizoram
|
0.49
|
0.37
|
0.50
|
0.49
|
0.37
|
|
25
|
Nagaland
|
0.90
|
0.68
|
0.82
|
0.9
|
0.68
|
|
26
|
Orissa
|
6.38
|
4.79
|
5.72
|
6.38
|
4.79
|
0.18
|
27
|
Pondicherry
|
0.15
|
0.11
|
0.15
|
0.15
|
0.11
|
|
28
|
Punjab
|
5.82
|
4.37
|
6.07
|
5.82
|
4.37
|
2.09
|
29
|
Rajasthan
|
16.23
|
16.23
|
14.04
|
16.23
|
12.17
|
1.61
|
30
|
Sikkim
|
0.22
|
0.22
|
0.19
|
0.22
|
0.17
|
|
32
|
Tamil
Nadu
|
9.85
|
7.39
|
8.03
|
9.85
|
7.39
|
0.51
|
33
|
Tripura
|
1.46
|
1.10
|
0.01
|
1.46
|
1.1
|
0.03
|
34
|
Uttar
Pradesh
|
85.80
|
64.35
|
94.18
|
85.8
|
64.35
|
24.07
|
35
|
Uttarakhand
|
5.99
|
4.49
|
6.98
|
5.99
|
4.49
|
2.30
|
36
|
West
Bengal
|
27.78
|
20.84
|
31.14
|
27.78
|
20.84
|
9.12
|
37
|
Telangana
|
8.36
|
6.27
|
6.19
|
8.36
|
4.18
|
1.17
|
|
GRAND
TOTAL
|
328.10
|
256.83
|
355.04
|
328.00
|
230.49
|
56.50
|
38
|
Others
|
1.90
|
1.80
|
||||
|
GRAND
TOTAL
|
330.00
|
258.63
|
355.04
|
328.00
|
230.49
|
56.50
|
The
Health Minister, Shri J P Nadda stated this in a written reply in the
RajyaSabha here today.
*****
Report of FSSAI on Seized Items
As per information made
available by the States/Union Territories to the Food Safety and Standards
Authority of India, 74010 food samples were analyzed during 2014-15. Out of
these, 14599 food samples were found to be adulterated or misbranded.
Details of action taken by the
State Government concerned are as under:-
No. of Cases Launched
|
No. of Convictions/ Penalties
|
||
Criminal
|
Civil
|
Convictions
|
Penalties/ Amount raised in Rupees
|
2676
|
7860
|
1402
|
2795/
Rs.10,93,87,214
|
The data regarding
cancellation of licences by States/UTs and arrests made are not maintained
centrally by the food Safety and Standards Authority of India or the Department
of Health and Family Welfare.
The
Health Minister, Shri J P Nadda stated this in a written reply in the Rajya
Sabha here today.
*****
Funding for Improving Services in Hospitals
Approved and utilized amount under the flagship scheme of National Health
Mission (NHM) under the head of Hospital Strengthening and New Constructions/
Renovation and Setting up in various states during the last two years and in
the current year is given below:-
SPIP- State Programme Implementation Plan.
Above mentioned utilization figures are as reported
by States/UTs up to 30.09.2015.
Utilization is inclusive of previous year unspent
balance.
Under the above heads, following activities are
supported:-
(i) Hospital
Strengthening:-
· Up gradation of Dist. Hospitals, Sub-Divisional Hospitals(SDHs),
Community Health Centres(CHCs), Primary Health Centres(PHCs), Health Sub
Centres(HSCs) and other health institutions .
· Rent and Contingencies of Health Sub centres
(ii) New Constructions/
Renovation and Setting up:-
· New Constructions/ Renovation of Community Health Centres
(CHCs), Primary Health Centres (PHCs), Health Sub Centres (HSCs) and Govt.
Dispensaries/ others renovations,
· Setting up Infrastructure wing for Civil works,
· Construction of Basic Emergency Obstetric Care
(BEmOC) and Comprehensive Emergency Obstetric
Care (CemOC) centres,
· Construction of Sick Newborn Care Units (SNCUs) / New Born Stabilisation unit (NBSUs) / Newborn Care Corner
(NBCCs),
· Carry forward / spill over from previous year's sanction for Sick Newborn Care Units (SNCUs), New Born Stabilisation unit (NBSUs) and Newborn Care Corner
(NBCCs),
· Major civil works for operationalization of First Referral Units and
24 hour services at Primary Health Centres s
· Civil Works for Operationalising Infection Management & Environment
Plan at health facilities and
· Other civil works.
Apart from above, Pradhan Mantri Swasthya Suraksha
Yojana (PMSSY) is a central scheme and it envisages two components i.e.
(i) Setting up of AIIMS-like institutions and
(ii) Up-gradation of existing State Government Medical College/Institutions (SGMC).
PMSSY Accounts Statement (Phase-I), Rs. in crores
Statement showing funds released in last two years
and current F.Y. to Other Institutions
Name of Site
|
2013-14
|
2014-15
|
2015-16
|
|
BMC, Bangalore
|
||||
Civil HLL
|
-
|
-
|
-
|
|
M&E HLL
|
2.76
|
-
|
-
|
|
M&E Institute
|
-
|
-
|
-
|
|
Consultancy (Civil)
|
0.02
|
-
|
1.00
|
|
Total
|
2.78
|
-
|
1.00
|
|
TMC, Trivandrum
|
||||
Civil HLL
|
-
|
-
|
-
|
|
M&E HLL
|
-
|
-
|
-
|
|
M&E Institute
|
-
|
-
|
-
|
|
Consultancy
|
0.02
|
-
|
-
|
|
Total
|
0.02
|
-
|
-
|
|
SMC, Salem
|
||||
Civil HLL
|
-
|
-
|
-
|
|
M&E HLL
|
-
|
-
|
-
|
|
Consultancy
|
-
|
-
|
-
|
|
Total
|
-
|
-
|
-
|
|
SVIMS, Tirupati
|
||||
M&E Institute
|
-
|
-
|
-
|
|
M&E HLL
|
14.69
|
-
|
-
|
|
Consultancy
|
0.19
|
-
|
-
|
|
Total
|
14.88
|
-
|
-
|
|
KMC, Kolkata
|
||||
Civil (HSCC)
|
2.07
|
-
|
-
|
|
M&E HSCC
|
-
|
-
|
-
|
|
M&E HLL
|
-
|
-
|
-
|
|
Consultancy
|
-
|
-
|
-
|
|
Total
|
2.07
|
-
|
-
|
|
SGPGI, Lucknow
|
||||
Civil (HSCC)
|
-
|
-
|
-
|
|
M&E HLL
|
-
|
-
|
-
|
|
M&E Institute
|
-
|
9.76
|
-
|
|
Consultancy (Civil)
|
-
|
-
|
-
|
|
Total
|
-
|
9.76
|
-
|
|
NIIMS, Hyderabad
|
||||
Civil (HSCC)
|
-
|
-
|
-
|
|
M&E Institute
|
7.68
|
-
|
-
|
|
Consultancy
|
-
|
-
|
-
|
|
Total
|
7.68
|
-
|
-
|
|
GMC, Mumbai
|
||||
M&E HLL
|
2.53
|
-
|
-
|
|
M&E Institute
|
-
|
-
|
-
|
|
Consultancy
|
0.18
|
-
|
-
|
|
Total
|
2.71
|
-
|
-
|
|
BJMC, Ahmedabad
|
||||
Civil (HSCC)
|
-
|
-
|
-
|
|
M&E HLL
|
1.02
|
1.79
|
-
|
|
M&E Institute
|
-
|
-
|
-
|
|
M&E HSCC
|
-
|
-
|
-
|
|
Consultancy
|
0.10
|
-
|
-
|
|
Total
|
1.12
|
1.79
|
-
|
|
JMC, Jammu
|
||||
Civil
|
1.16
|
-
|
-
|
|
M&E HLL
|
0.12
|
1.45
|
-
|
|
M&E CPWD
|
-
|
-
|
-
|
|
Consultancy
|
0.19
|
-
|
-
|
|
Total
|
1.47
|
1.45
|
-
|
|
Srinagar Medical College, Srinagar
|
||||
Civil
|
10.14
|
-
|
-
|
|
M&E CPWD
|
0.80
|
0.48
|
-
|
|
M&E HLL
|
-
|
-
|
-
|
|
Consultancy
|
0.08
|
-
|
-
|
|
Total
|
11.02
|
0.48
|
-
|
|
IMS, Varanasi
|
||||
Civil
|
1.66
|
-
|
-
|
|
M&E Institute
|
-
|
6.38
|
-
|
|
M&E HLL
|
1.53
|
-
|
-
|
|
Consultancy
|
0.05
|
-
|
-
|
|
Total
|
3.24
|
6.38
|
-
|
|
RIMS, Ranchi
|
||||
Civil
|
-
|
-
|
-
|
|
M&E HLL
|
3.63
|
-
|
-
|
|
M&E Institute
|
-
|
-
|
-
|
|
Consultancy
|
0.03
|
-
|
-
|
|
Total
|
3.66
|
-
|
-
|
|
||||
PMSSY Accounts
Statement (Phase-II),
Rs. in crores
|
||||
Statement
showing funds released in F.Y.s 2013-14 to 2015-16 to Other
Institutions
|
||||
Name of College
|
2013-14
|
2014-15
|
2015-16
|
|
AMU, Aligarh
|
|
|
|
|
|
Civil (HLL)
|
-
|
8.06
|
9.05
|
|
M&E (HLL)
|
3.50
|
-
|
-
|
|
Consultancy
|
4.64
|
0.09
|
0.01
|
|
Total
|
8.14
|
8.15
|
9.06
|
|
State Govt.
Share
|
-
|
-
|
-
|
|
G. Total
|
8.14
|
8.15
|
9.06
|
GMC, Amritsar
|
|
|
|
|
|
Civil (HSCC)
|
5.00
|
2.00
|
1.47
|
|
M&E
(Institute)
|
-
|
-
|
-
|
|
M&E (HLL)
|
15.19
|
-
|
-
|
|
Consultancy
|
0.11
|
0.04
|
-
|
|
Total
|
20.30
|
2.04
|
1.47
|
|
State Govt.
Share
|
-
|
-
|
-
|
|
G. Total
|
20.30
|
2.04
|
1.47
|
R.P. Medical
College, Tanda
|
|
|
|
|
|
Civil (HSCC)
|
8.70
|
-
|
-
|
|
Hostels/Lecture
theatre Institute
|
10.00
|
-
|
-
|
|
M&E
(Institute)
|
-
|
-
|
-
|
|
M&E (HLL)
|
2.00
|
-
|
-
|
|
Gas Pipe Line
(HSCC)
|
-
|
15.00
|
-
|
|
Consultancy
|
0.52
|
0.03
|
-
|
|
Total
|
21.22
|
15.03
|
-
|
|
State Govt.
Share
|
-
|
-
|
-
|
|
G. Total
|
21.22
|
15.03
|
-
|
GMC, Nagpur
|
|
|
|
|
|
Civil (State
Govt.)
|
|
|
|
|
M&E (Institute)
|
37.81
|
-
|
-
|
|
Consultancy
|
-
|
-
|
-
|
|
Total
|
37.81
|
-
|
-
|
|
State Govt.
Share
|
-
|
-
|
-
|
|
G. Total
|
37.81
|
-
|
-
|
Rothak Medical
College
|
|
|
|
|
|
Civil HLL
|
5.00
|
8.00
|
10.00
|
|
M&E
(Institute)
|
-
|
-
|
-
|
|
Consultancy
|
0.25
|
0.24
|
-
|
|
Total
|
5.25
|
8.24
|
10.00
|
|
State Govt.
Share
|
-
|
-
|
-
|
|
G. Total
|
5.25
|
8.24
|
10.00
|
Madurai Medical
|
|
|
|
|
|
Civil HLL
|
8.10
|
10.00
|
-
|
|
M&E (HLL)
|
-
|
-
|
-
|
|
Consultancy
|
1.45
|
-
|
1.82
|
|
Total
|
9.55
|
10.00
|
1.82
|
|
State Govt.
Share
|
-
|
-
|
-
|
The Health Minister, Shri J P Nadda stated this in
a written reply in the Rajya Sabha here today.
*****
Expansion of Healthcare Services
Public health being a State subject, the primary
responsibility of providing health care services to the population including
women and children in rural areas is that of respect State/UT Government. Under
National Health Mission (NHM) support is being provided to States/ UTs to
supplement the efforts of the States/UTs to strengthen their health care system
for provision of accessible and affordable health care to all those who access
public health facilities.
Some of the special measures taken under
NHM for the expansion of health services after May, 2014 are given below:-
New initiatives for expansion of health services
1) Launch of India Newborn Action Plan (INAP): INAP was launched in September 2014, for accelerating the reduction
of preventable newborn deaths and stillbirths in the country - with the goal of
attaining ‘Single Digit Neo-natal Mortality Rate (NMR) by 2030’ and ‘Single
Digit Still Birth Rate (SBR) by 2030’. Currently, there are estimated 7.47 lakh
neonatal deaths annually.The neo-natal deaths are expected to reduce to below
2.28 lakh annually by 2030, once the goal is achieved.
2) Intensified Diarrhoea Control Fortnight was observed
in July- August 2014 and 2015 focusing on ORS and Zinc distribution for
management of diarrhoea and improved feeding practices.
3) Integrated Action Plan for Pneumonia and Diarrhoea (IAPPD) launched in four states with highest infant mortality (UP, MP, Bihar
and Rajasthan).
4) National Deworming day was observed in
eleven States/UTs, namely- Assam, Bihar, Chhattisgarh, Dadra & Nagar
Haveli, Haryana, Karnataka, Maharashtra, Madhya Pradesh, Rajasthan, Tamil Nadu
and Tripura.
5) Launch of Mission Indradhanush: Mission
Indradhanush was launched in December 2014 to reach 90 Lakh unimmunized/partially
immunized children by 2020. It has been implemented in 201 districts in 1st Phase,
297 additional Districts are to be covered in 2nd Phase.
About 20 lakh children received full immunization during the Phase-1 of Mission
Indradhanush.
6) New vaccines: launch of new vaccines has been announced of
which Inactivated Polio Vaccine (IPV) has already been launched on 30th November,
2015 and Rotavirus vaccine is planned to be launched on first quarter of 2016.
In addition, NVBDCP has recently identified 21 adult JE vaccination districts
in Assam, Uttar Pradesh and West Bengal. Adult JE vaccination campaign has been
completed in three districts of Assam, selected blocks of three districts of
West Bengal and ongoing in selected blocks of six districts of Uttar Pradesh.
7) Launch of Nationwide Anti-TB drug resistance survey: Drug resistant survey for 13 TB drugs was launched to provide a better
estimate on the burden of Multi-Drug Resistant Tuberculosis in the community.
This is the biggest ever survey in the world with a sample size of 5214
patients. Results are expected by 2016.
8) Kala Azar Elimination Plan : Kala-Azar
elimination Plan was rolled out to reduce the annual incidence of Kala-Azar to
less than one per 10,000 population at block PHC level by the end of
2015, which inter-alia includes,
· New thrust areas launched for UP, Bihar, West Bengal and Jharkhand.
· New Action Plan to include active search, new drug regimen, coordinated
Indoor Residual Spray (IRS) etc.
· New non-invasive Diagnostic kit launched.
9) Kayakalp –Award to Public Health facilities has been launched on 15th May 2015, as a national initiative to
promote cleanliness, hygiene and infection control practices in public health
facilities. Under this initiative public healthcare facilities shall be
appraised and such public healthcare facilities that show exemplary performance
meeting standards of protocols of cleanliness, hygiene and infection control
will receive awards and commendation.
10) Operational Guidelines have been issued under NHM on :
(i) NHM Free Drugs Service Initiative
(ii) NHM Free Diagnostic Services Initiative
(iii) Mobile Medical Units
(iv) Swachhta Guidelines for public Health Facilities
11) New Guidelines: The following new
guidelines to strengthen capacities of States to effectively treat women in
rural and urban areas of the country have been prepared:
(i) National Guidelines for deworming in pregnancy
(ii) Engaging General Surgeons for performing C-Sections and Managing Obstetric
complications
(iii) Maternal Near Miss Review Operational Guidelines
(iv) National Guidelines for Diagnosis and Management of Gestational Diabetes
(v) National Guidelines for calcium supplementation during pregnancy and
lactation
(vi) National Guidelines for screening of hypothyroidism during pregnancy
(vii) Screening for Syphilis during pregnancy
(viii) DAKSHATA – A strategic initiative to strengthen quality of intra and
immediate postpartum care empowering providers for improved MNH care during
institutional deliveries
(ix) Daksh Skills Lab for RMNCH+A services (training manual for facilitators)
(x) Daksh Skills Lab for RMNCH+A services (training manual for participants)
The Health Minister, Shri J P Nadda stated this in
a written reply in the Rajya Sabha here today.
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