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LS18-S2-STARRED-280 | 18 | 2 | 280 | STARRED | 2024-08-09 | Role of NGOs in Welfare of Women and Children | WOMEN AND CHILD DEVELOPMENT | [
"Shri Manish Jaiswal"
] | ## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT
## LOK SABHA STARRED QUESTION NO.*280
TO BE ANSWERED ON 09.08.2024
## ROLE OF NGOS IN WELFARE OF WOMEN AND CHILDREN
*280. SHRI MANISH JAISWAL :
Will the Minister of WOMEN AND CHILD DEVELOPMENT be pleased to state :
- (a) the details of schemes being implemented for the empowerment of Women and development of Children through Non-Governmental Organizations (NGOs) in Jharkhand, district-wise including Hazaribagh;
- (b) whether the Government has put in place any mechanism to monitor the functioning of NGOs working in this region, if so, the details thereof;
- (c) whether it has been reported that some NGOs working in Jharkhand have misutilized the funds allocated to them to execute Centrally Sponsored Schemes;
- (d) if so, the details thereof and the instances reported in this regard during the last three years; and
- (e) the details of the measures taken/proposed to be taken to strengthen the role of NGOs in promoting the welfare of women and children in rural and tribal areas of Jharkhand?
## ANSWER
MINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI ANNPURNA DEVI)
(a) to (e) : A Statement is laid on the Table of the House.
****
## STATEMENT REFERRED TO IN REPLY TO PART (A) TO (E) OF THE LOK SABHA STARRED QUESTION NO.280 FOR ANSWER ON 09.08.2024 RAISED BY SHRI MANISH JAISWAL REGARDING ROLE OF NGOs IN WELFARE OF WOMEN AND CHILDREN
(a) to (e) : The Ministry of Women and Child Development implements various schemes and programmes for welfare of women and children under its major Umbrella schemes namely Mission Shakti, Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0) and Mission Vatsalya. The details of relevant schemes are as follows :
## Mission Shakti
Under the overarching Mission Shakti, Swadhar Greh for Women in difficult circumstances and Ujjawala for Prevention of Trafficking have been merged and known as Shakti Sadan which is an Integrated Relief and Rehabilitation Home for women in distress situations including trafficked women. It aims at creating a safe and enabling environment for the women in distress situations, to enable them to overcome the difficult circumstances. The Scheme is a demand driven centrally sponsored scheme, under which funds are released directly to the States/UTs for its implementation.
Further, the Sakhi Niwas Scheme (Working Women Hostel) under the overarching Mission Shakti, is a demand driven Centrally Sponsored Scheme, under which funds are released directly to the States/UTs for its implementation. The scheme aims to promote availability of safe and conveniently located accommodation for working women in urban, semi-urban and also in rural areas where employment opportunity for women exists.
Under the Scheme, financial assistance is provided for running of Sakhi Niwas in rented premises for working women and for those women who are under training for job. Provision of Day Care Centre for children of the residents of the Sakhi Niwas is an important aspect of the scheme.
The States/UTs assess their requirement as per local needs under Shakti Sadan and Sakhi Niwas and proposals are approved by the Programme Approval Board (PAB) after discussion with State/UTs.
## Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0):
Schemes for nutrition and health care and development of children are implemented through Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0).
Mission POSHAN 2.0 is an Integrated Nutrition Support Programme. The Poshan Abhiyaan, Anganwadi Services Scheme and the Scheme for Adolescent Girls have been aligned under this Mission. Poshan 2.0 seeks to optimize the quality and delivery of food under the Supplementary Nutrition Program. The Scheme is designed to address the issue of malnutrition through transparency, accountability, diet diversity and quality, food fortification, greater grassroots involvement and lastmile delivery of services supported by key strategies. Under Poshan 2.0, focus is also on leveraging traditional systems of knowledge and popularizing use of millets.
Under POSHAN Abhiyaan, for the first time, Anganwadi workers have been provided smart phones and Anganwadi Centres have been equipped with Growth Monitoring Devices to promote regular growth monitoring of children. Under the Abhiyaan, IT systems have been leveraged to strengthen and bring about transparency in nutrition delivery support systems through the Poshan Tracker.
The Ministry of Women and Child Development has introduced a Centrally Sponsored Scheme namely, 'Palna' for all States/UTs, for providing day care facilities and protection to children. Under Palna, Ministry has extended free services of childcare through Anganwadi-cum-Crèche (AWCC). The objective of Palna component is to provide quality creche facility in safe and secure environment for children (from ages 6 months - 6 years), nutritional support, health and cognitive development of children, growth monitoring, immunization and pre-primary education.
## Mission Vatsalya
Mission Vatsalya scheme is a Centrally Sponsored Scheme (CSS) which is implemented through States/Union Territories (UTs) to deliver services for Children in Need of Care and Protection (CNCP) and Children in Conflict with Law (CCL) which include services of Institutional Care and Non-Institutional Care. The fund sharing pattern is in the ratio of 60:40 for all States and UTs with legislature except the North-Eastern States and Hilly States - Himachal Pradesh and Uttarakhand and UT of Jammu & Kashmir, where the cost of sharing is 90:10. In UTs without legislature, the cost is 100% on the Central Government.
Under the Schemes of the Ministry, funds are released directly to the States/UTs. Further funds are disbursed by the respective State/UT Governments to the implementing agencies which are involved in implementation of scheme components at State level and include the Non-Governmental Organizations (NGOs) also. The funds are released through the Public Financial Management System (PFMS) portal on completion of the requisite requirements such as submission of Utilization Certificate, Statement of Expenditure etc. Further, NGOs are mandated to comply, inter-alia , with the provisions of The Juvenile Justice (Care and Protection of Children) Act, 2015 and Rules thereunder including registration under Mission Vatsalya.
The Ministry issues various guidelines and advisories from time to time for strengthening implementation of schemes under the Ministry including Mission Vatsalya by the States/UTs. The Ministry also regularly engages with the States/UTs with regards to Scheme implementation. The Ministry has held zonal conferences and sensitization/ dissemination workshops to promote and implement the scheme effectively.
***** | *280. SHRI MANISH JAISWAL :
Will the Minister of WOMEN AND CHILD DEVELOPMENT be pleased to state :
- (a) the details of schemes being implemented for the empowerment of Women and development of Children through Non-Governmental Organizations (NGOs) in Jharkhand, district-wise including Hazaribagh;
- (b) whether the Government has put in place any mechanism to monitor the functioning of NGOs working in this region, if so, the details thereof;
- (c) whether it has been reported that some NGOs working in Jharkhand have misutilized the funds allocated to them to execute Centrally Sponsored Schemes;
- (d) if so, the details thereof and the instances reported in this regard during the last three years; and
- (e) the details of the measures taken/proposed to be taken to strengthen the role of NGOs in promoting the welfare of women and children in rural and tribal areas of Jharkhand? | ## ANSWER
MINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI ANNPURNA DEVI)
(a) to (e) : A Statement is laid on the Table of the House.
****
## STATEMENT REFERRED TO IN REPLY TO PART (A) TO (E) OF THE LOK SABHA STARRED QUESTION NO.280 FOR ANSWER ON 09.08.2024 RAISED BY SHRI MANISH JAISWAL REGARDING ROLE OF NGOs IN WELFARE OF WOMEN AND CHILDREN
(a) to (e) : The Ministry of Women and Child Development implements various schemes and programmes for welfare of women and children under its major Umbrella schemes namely Mission Shakti, Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0) and Mission Vatsalya. The details of relevant schemes are as follows :
## Mission Shakti
Under the overarching Mission Shakti, Swadhar Greh for Women in difficult circumstances and Ujjawala for Prevention of Trafficking have been merged and known as Shakti Sadan which is an Integrated Relief and Rehabilitation Home for women in distress situations including trafficked women. It aims at creating a safe and enabling environment for the women in distress situations, to enable them to overcome the difficult circumstances. The Scheme is a demand driven centrally sponsored scheme, under which funds are released directly to the States/UTs for its implementation.
Further, the Sakhi Niwas Scheme (Working Women Hostel) under the overarching Mission Shakti, is a demand driven Centrally Sponsored Scheme, under which funds are released directly to the States/UTs for its implementation. The scheme aims to promote availability of safe and conveniently located accommodation for working women in urban, semi-urban and also in rural areas where employment opportunity for women exists.
Under the Scheme, financial assistance is provided for running of Sakhi Niwas in rented premises for working women and for those women who are under training for job. Provision of Day Care Centre for children of the residents of the Sakhi Niwas is an important aspect of the scheme.
The States/UTs assess their requirement as per local needs under Shakti Sadan and Sakhi Niwas and proposals are approved by the Programme Approval Board (PAB) after discussion with State/UTs.
## Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0):
Schemes for nutrition and health care and development of children are implemented through Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0).
Mission POSHAN 2.0 is an Integrated Nutrition Support Programme. The Poshan Abhiyaan, Anganwadi Services Scheme and the Scheme for Adolescent Girls have been aligned under this Mission. Poshan 2.0 seeks to optimize the quality and delivery of food under the Supplementary Nutrition Program. The Scheme is designed to address the issue of malnutrition through transparency, accountability, diet diversity and quality, food fortification, greater grassroots involvement and lastmile delivery of services supported by key strategies. Under Poshan 2.0, focus is also on leveraging traditional systems of knowledge and popularizing use of millets.
Under POSHAN Abhiyaan, for the first time, Anganwadi workers have been provided smart phones and Anganwadi Centres have been equipped with Growth Monitoring Devices to promote regular growth monitoring of children. Under the Abhiyaan, IT systems have been leveraged to strengthen and bring about transparency in nutrition delivery support systems through the Poshan Tracker.
The Ministry of Women and Child Development has introduced a Centrally Sponsored Scheme namely, 'Palna' for all States/UTs, for providing day care facilities and protection to children. Under Palna, Ministry has extended free services of childcare through Anganwadi-cum-Crèche (AWCC). The objective of Palna component is to provide quality creche facility in safe and secure environment for children (from ages 6 months - 6 years), nutritional support, health and cognitive development of children, growth monitoring, immunization and pre-primary education.
## Mission Vatsalya
Mission Vatsalya scheme is a Centrally Sponsored Scheme (CSS) which is implemented through States/Union Territories (UTs) to deliver services for Children in Need of Care and Protection (CNCP) and Children in Conflict with Law (CCL) which include services of Institutional Care and Non-Institutional Care. The fund sharing pattern is in the ratio of 60:40 for all States and UTs with legislature except the North-Eastern States and Hilly States - Himachal Pradesh and Uttarakhand and UT of Jammu & Kashmir, where the cost of sharing is 90:10. In UTs without legislature, the cost is 100% on the Central Government.
Under the Schemes of the Ministry, funds are released directly to the States/UTs. Further funds are disbursed by the respective State/UT Governments to the implementing agencies which are involved in implementation of scheme components at State level and include the Non-Governmental Organizations (NGOs) also. The funds are released through the Public Financial Management System (PFMS) portal on completion of the requisite requirements such as submission of Utilization Certificate, Statement of Expenditure etc. Further, NGOs are mandated to comply, inter-alia , with the provisions of The Juvenile Justice (Care and Protection of Children) Act, 2015 and Rules thereunder including registration under Mission Vatsalya.
The Ministry issues various guidelines and advisories from time to time for strengthening implementation of schemes under the Ministry including Mission Vatsalya by the States/UTs. The Ministry also regularly engages with the States/UTs with regards to Scheme implementation. The Ministry has held zonal conferences and sensitization/ dissemination workshops to promote and implement the scheme effectively. | 147 | 855 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS280_6OmUWJ.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS280_6OmUWJ.pdf?source=pqals | 3 |
LS18-S2-STARRED-279 | 18 | 2 | 279 | STARRED | 2024-08-09 | Health Care Facilities in Rural Areas | HEALTH AND FAMILY WELFARE | [
"Shri Sanatan Pandey"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 279 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## HEALTH CARE FACILITIES IN RURALAREAS
## †*279 SHRI SANATAN PANDEY:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether in spite of various schemes being implemented by the Government the basic healthcare facilities such as medicines for cold and fever and facilities of blood tests and other things, x-ray and ultrasound etc. are still not available in the rural areas and the patients have to travel 8 to 10 km. to avail these facilities;
- (b) if so, the details thereof;
- (c) whether the Government proposes to set up healthcare centres equipped with all the said basic facilities in each Gram Sabha along with at least one doctor/one pathologist and one pharmacist;
- (d) if so, the details thereof; and
- (e) if not, the manner in which the Government is likely to ensure basic healthcare facilities for every citizen?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE
## (SHRI JAGAT PRAKASH NADDA)
- (a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 279 FOR 9 TH AUGUST, 2024
(a) to (e) The healthcare system of the country involves a three-tier system with Sub Health Centre (Rural), Primary Health Centre (Urban and Rural) and Community Health Centre (Urban and Rural) as the three pillars of Primary Health Care System in India.
As per established norms, in rural areas, a Sub Health Centre for a population of 5,000 (in plain) and 3000 (in hilly and tribal area), a Primary Health Centre for a population of 30,000 (in plains) and 20,000 (in hilly and tribal areas) and Community Health Centre for a population of 1,20,000 (in plain) and 80,000 (in hilly and tribal area) is suggested. Further, District Hospital (DH), Sub-District Hospital (SDH) and First Referral Unit provide secondary care services for rural & urban area.
A total of 1,73,881 Ayushman Arogya Mandirs have been established and operationalized, till 31.07.2024, by transforming existing Sub-Health Centres (SHC) and Primary Health Centres (PHC) in rural and urban areas to deliver the expanded range of comprehensive primary healthcare services with complete 12 package of services that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community.
To ensure availability of essential drugs and reduce the out-of-pocket expenditure (OOPE) of the patients visiting the public health facilities, Government has rolled out the Free Drugs Service Initiative under NHM. Under this scheme, there is a provision of financial support to States/UTs for 106 drugs at SHC level, 172 at PHC level, 300 at CHC level, 318 at SDH level and 381 drugs at district Hospitals.
This Ministry supports ' Free Diagnostics Service Initiative ' programme under NHM with the aim to provide accessible and affordable pathological and radiological diagnostics services closer to the community which in turn reduces the OOPE. It encompasses free laboratory services, free Tele Rediology Services and free CT Scan services. Under this scheme, there is a provision of 14 tests at Sub Centers, 63 at Primary Health Centers, 97 at Community Health Centres, 111 tests at Sub District Hospitals and 134 tests at District Hospitals.
The teleconsultation services, available at operational AAMs, enables people to access the specialist services closer to their homes addressing concerns of physical accessibility, saving cost to care, shortage of service providers and to ensure continuum of care. Total teleconsultation conducted at Ayushman Arogya Mandir including Ayushman Melas are 26.39 cr as on 31.07.2024. | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 279 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## HEALTH CARE FACILITIES IN RURALAREAS
## †*279 SHRI SANATAN PANDEY:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether in spite of various schemes being implemented by the Government the basic healthcare facilities such as medicines for cold and fever and facilities of blood tests and other things, x-ray and ultrasound etc. are still not available in the rural areas and the patients have to travel 8 to 10 km. to avail these facilities;
- (b) if so, the details thereof;
- (c) whether the Government proposes to set up healthcare centres equipped with all the said basic facilities in each Gram Sabha along with at least one doctor/one pathologist and one pharmacist;
- (d) if so, the details thereof; and
- (e) if not, the manner in which the Government is likely to ensure basic healthcare facilities for every citizen? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE
## (SHRI JAGAT PRAKASH NADDA)
- (a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 279 FOR 9 TH AUGUST, 2024
(a) to (e) The healthcare system of the country involves a three-tier system with Sub Health Centre (Rural), Primary Health Centre (Urban and Rural) and Community Health Centre (Urban and Rural) as the three pillars of Primary Health Care System in India.
As per established norms, in rural areas, a Sub Health Centre for a population of 5,000 (in plain) and 3000 (in hilly and tribal area), a Primary Health Centre for a population of 30,000 (in plains) and 20,000 (in hilly and tribal areas) and Community Health Centre for a population of 1,20,000 (in plain) and 80,000 (in hilly and tribal area) is suggested. Further, District Hospital (DH), Sub-District Hospital (SDH) and First Referral Unit provide secondary care services for rural & urban area.
A total of 1,73,881 Ayushman Arogya Mandirs have been established and operationalized, till 31.07.2024, by transforming existing Sub-Health Centres (SHC) and Primary Health Centres (PHC) in rural and urban areas to deliver the expanded range of comprehensive primary healthcare services with complete 12 package of services that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community.
To ensure availability of essential drugs and reduce the out-of-pocket expenditure (OOPE) of the patients visiting the public health facilities, Government has rolled out the Free Drugs Service Initiative under NHM. Under this scheme, there is a provision of financial support to States/UTs for 106 drugs at SHC level, 172 at PHC level, 300 at CHC level, 318 at SDH level and 381 drugs at district Hospitals.
This Ministry supports ' Free Diagnostics Service Initiative ' programme under NHM with the aim to provide accessible and affordable pathological and radiological diagnostics services closer to the community which in turn reduces the OOPE. It encompasses free laboratory services, free Tele Rediology Services and free CT Scan services. Under this scheme, there is a provision of 14 tests at Sub Centers, 63 at Primary Health Centers, 97 at Community Health Centres, 111 tests at Sub District Hospitals and 134 tests at District Hospitals.
The teleconsultation services, available at operational AAMs, enables people to access the specialist services closer to their homes addressing concerns of physical accessibility, saving cost to care, shortage of service providers and to ensure continuum of care. Total teleconsultation conducted at Ayushman Arogya Mandir including Ayushman Melas are 26.39 cr as on 31.07.2024. | 175 | 439 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS279_sq1V1c.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS279_sq1V1c.pdf?source=pqals | 2 |
LS18-S2-STARRED-278 | 18 | 2 | 278 | STARRED | 2024-08-09 | Affordable Treatment of Cancer | HEALTH AND FAMILY WELFARE | [
"Shri M K Raghavan"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 278 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## AFFORDABLE TREATMENT OFCANCER
## *278 SHRI M K RAGHAVAN:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the Government plans to come out with a scheme in the country to make cancer treatment affordable to common man, if so, the details thereof;
- (b) whether the Government has conducted a study on various types, age groups and occurrence of cancer in the country, if so, the details thereof;
- (c) whether all district hospitals across the country are being equipped with treatment of life threatening diseases, if so, the details thereof;
- (d) whether the Government has observed any infrastructure shortage for Government hospitals in Kerala, if so, the details thereof; and
- (e) the steps and measures taken/proposed to be taken by the Government to ensure free treatment of senior citizens against all diseases across the country?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
(a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 278 FOR 9 TH AUGUST, 2024
(a) Cancer patients are getting treatment at various health facilities in the health care delivery system including Medical Colleges, different AIIMS institutions, etc. Department of Health & Family Welfare, Government of India has approved setting up of 39 tertiary institutions (19 State Cancer Institutes and 20 Tertiary Care Cancer Centres) under the scheme of ' Strengthening of Tertiary Cancer Care Centres Facilities ' . All new AIIMS and many upgraded existing Government Medical Colleges/Institutions under Scheme ' Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) ' have special focus areas of Oncology. Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction. Moreover, the Department of Atomic Energy has established cancer centres in Kharghar, Varanasi (two), Guwahati, Sangrur, Mullanpur, Visakhapatnam, Chandigarh and Muzaffarpur. The Tata Memorial Hospital in Mumbai is also providing services for cancer care.
The State of Assam has implemented a three level distributed Cancer Care Model to deliver standardised and affordable Cancer care.
The treatment in Government Hospitals is either free or highly subsidized for the poor and needy.
The Department of Pharmaceuticals has informed that the National Pharmaceutical Pricing Authority (NPPA) has fixed ceiling prices of 131 anti-cancer scheduled formulations included in Scheduled-I as per the provisions of DPCO, 2013. In addition, NPPA capped the Trade Margin of select 42 Anti-Cancer non-scheduled formulations.
Further, there are various schemes of Government of India to facilitate accessible and affordable healthcare and treatment, which are as follows:
i. Treatment of cancer is available under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY), health insurance coverage of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization is provided to over 55 crore poor and needy beneficiaries. National Health Authority (NHA) has approved the inclusion of diagnostic tests which are useful for staging and treatment planning in the confirmed cases of cancer. The diagnostic packages introduced are with respect to Breast, Cervical and Oral cancers.
ii. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) Scheme was launched to set up dedicated outlets known as Pradhan Mantri Bhartiya Janaushadhi Kendras (PMBJKs) to provide quality generic medicines at affordable prices. As on 30th June 2024, there are 12,616 PMBJKs in the country. Under PMBJP, 2047 types of medicines and 300 surgical devices have been brought under the basket of the scheme, of which 83 products are for cancer treatment.
iii. Affordable Medicines and Reliable Implants for Treatment (AMRIT), initiative launched by the Ministry of Health & Family Welfare provides affordable medicines for treatment of cancer, cardiovascular and other diseases. As on 15.07.2024 there are 210 AMRIT Pharmacies spread across 29 States/Union Territories, selling more than 5,200 drugs including Cancer at significant discounts.
(b): The National Cancer Registry Programme (NCRP) is operated by the NCDIR (National Centre for Disease Informatics and Research), Bengaluru under Indian Council of Medical Research (ICMR). This provides the data on cancer incidence, mortality, pattern, trend and geo-pathological distribution of cancers. As per the ICMR-NCRP data, the estimated number of incidence of Cancer cases of various types of all age groups for the year 2023 in the country is 14,96,972. Further details on cancer statistics are accessible on the website https://ncdirindia.org/Publications.aspx
(c) to (e) The Government of India (GoI) implements the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) in all States/UTs with an aim to prevent and control major NCDs [Hypertension, Diabetes, Cardiovascular disease, Stroke, Chronic kidney disease, COPD/ Asthma, Non-Alcoholic Fatty Liver Disease, three common Cancers (Oral, Cervical and Breast)]. The focus of the programme is as follows:
- i. Strengthening infrastructure
- ii. Human resource development
- iii. Health promotion
- iv. Screening of 30 years and above population at Ayushman Arogya Mandir for common NCDs i.e. diabetes, hypertension and common cancers (oral, breast and cervical)
- v. Early diagnosis and management
- vi. Referral to an appropriate level of healthcare facility
Under NP-NCD, NCD Clinics have been set up at 753 District hospitals and 6238 Community Health Centers. Additionally, 356 District Day Care Centres for Chemotherapy have been set up in identified District hospitals.
In the State of Kerala, Government Medical College, Kozhikode (TCCC) and Regional Cancer Centre, Thiruvananthapuram (SCI) are approved and functional.
The ' National Programme for the Health Care of Elderly ' (NPHCE) has been launched & implemented to provide dedicated health care facilities to the senior citizens (above 60 years of age) at various level of primary, secondary and tertiary health care. These health facilities provide preventive, promotive, diagnostic, curative and rehabilitative services to the senior citizens. Tertiary care services are being provided through Regional Geriatric Centres (RGCs) located at 19 Medical colleges in 18 states of India and two National Centres of Aging (NCAs) one in AIIMS, Ansari Nagar, New Delhi and another in Madras Medical College, Chennai.
******* | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 278 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## AFFORDABLE TREATMENT OFCANCER
## *278 SHRI M K RAGHAVAN:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the Government plans to come out with a scheme in the country to make cancer treatment affordable to common man, if so, the details thereof;
- (b) whether the Government has conducted a study on various types, age groups and occurrence of cancer in the country, if so, the details thereof;
- (c) whether all district hospitals across the country are being equipped with treatment of life threatening diseases, if so, the details thereof;
- (d) whether the Government has observed any infrastructure shortage for Government hospitals in Kerala, if so, the details thereof; and
- (e) the steps and measures taken/proposed to be taken by the Government to ensure free treatment of senior citizens against all diseases across the country? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
(a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 278 FOR 9 TH AUGUST, 2024
(a) Cancer patients are getting treatment at various health facilities in the health care delivery system including Medical Colleges, different AIIMS institutions, etc. Department of Health & Family Welfare, Government of India has approved setting up of 39 tertiary institutions (19 State Cancer Institutes and 20 Tertiary Care Cancer Centres) under the scheme of ' Strengthening of Tertiary Cancer Care Centres Facilities ' . All new AIIMS and many upgraded existing Government Medical Colleges/Institutions under Scheme ' Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) ' have special focus areas of Oncology. Setting up of National Cancer Institute at Jhajjar (Haryana) and second campus of Chittaranjan National Cancer Institute, Kolkata are also steps in this direction. Moreover, the Department of Atomic Energy has established cancer centres in Kharghar, Varanasi (two), Guwahati, Sangrur, Mullanpur, Visakhapatnam, Chandigarh and Muzaffarpur. The Tata Memorial Hospital in Mumbai is also providing services for cancer care.
The State of Assam has implemented a three level distributed Cancer Care Model to deliver standardised and affordable Cancer care.
The treatment in Government Hospitals is either free or highly subsidized for the poor and needy.
The Department of Pharmaceuticals has informed that the National Pharmaceutical Pricing Authority (NPPA) has fixed ceiling prices of 131 anti-cancer scheduled formulations included in Scheduled-I as per the provisions of DPCO, 2013. In addition, NPPA capped the Trade Margin of select 42 Anti-Cancer non-scheduled formulations.
Further, there are various schemes of Government of India to facilitate accessible and affordable healthcare and treatment, which are as follows:
i. Treatment of cancer is available under Ayushman Bharat -Pradhan Mantri Jan Arogya Yojana (PMJAY), health insurance coverage of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization is provided to over 55 crore poor and needy beneficiaries. National Health Authority (NHA) has approved the inclusion of diagnostic tests which are useful for staging and treatment planning in the confirmed cases of cancer. The diagnostic packages introduced are with respect to Breast, Cervical and Oral cancers.
ii. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) Scheme was launched to set up dedicated outlets known as Pradhan Mantri Bhartiya Janaushadhi Kendras (PMBJKs) to provide quality generic medicines at affordable prices. As on 30th June 2024, there are 12,616 PMBJKs in the country. Under PMBJP, 2047 types of medicines and 300 surgical devices have been brought under the basket of the scheme, of which 83 products are for cancer treatment.
iii. Affordable Medicines and Reliable Implants for Treatment (AMRIT), initiative launched by the Ministry of Health & Family Welfare provides affordable medicines for treatment of cancer, cardiovascular and other diseases. As on 15.07.2024 there are 210 AMRIT Pharmacies spread across 29 States/Union Territories, selling more than 5,200 drugs including Cancer at significant discounts.
(b): The National Cancer Registry Programme (NCRP) is operated by the NCDIR (National Centre for Disease Informatics and Research), Bengaluru under Indian Council of Medical Research (ICMR). This provides the data on cancer incidence, mortality, pattern, trend and geo-pathological distribution of cancers. As per the ICMR-NCRP data, the estimated number of incidence of Cancer cases of various types of all age groups for the year 2023 in the country is 14,96,972. Further details on cancer statistics are accessible on the website https://ncdirindia.org/Publications.aspx
(c) to (e) The Government of India (GoI) implements the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD) in all States/UTs with an aim to prevent and control major NCDs [Hypertension, Diabetes, Cardiovascular disease, Stroke, Chronic kidney disease, COPD/ Asthma, Non-Alcoholic Fatty Liver Disease, three common Cancers (Oral, Cervical and Breast)]. The focus of the programme is as follows:
- i. Strengthening infrastructure
- ii. Human resource development
- iii. Health promotion
- iv. Screening of 30 years and above population at Ayushman Arogya Mandir for common NCDs i.e. diabetes, hypertension and common cancers (oral, breast and cervical)
- v. Early diagnosis and management
- vi. Referral to an appropriate level of healthcare facility
Under NP-NCD, NCD Clinics have been set up at 753 District hospitals and 6238 Community Health Centers. Additionally, 356 District Day Care Centres for Chemotherapy have been set up in identified District hospitals.
In the State of Kerala, Government Medical College, Kozhikode (TCCC) and Regional Cancer Centre, Thiruvananthapuram (SCI) are approved and functional.
The ' National Programme for the Health Care of Elderly ' (NPHCE) has been launched & implemented to provide dedicated health care facilities to the senior citizens (above 60 years of age) at various level of primary, secondary and tertiary health care. These health facilities provide preventive, promotive, diagnostic, curative and rehabilitative services to the senior citizens. Tertiary care services are being provided through Regional Geriatric Centres (RGCs) located at 19 Medical colleges in 18 states of India and two National Centres of Aging (NCAs) one in AIIMS, Ansari Nagar, New Delhi and another in Madras Medical College, Chennai. | 173 | 847 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS278_XuHD5U.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS278_XuHD5U.pdf?source=pqals | 4 |
LS18-S2-STARRED-277 | 18 | 2 | 277 | STARRED | 2024-08-09 | Saksham Anganwadi and Poshan 2.0 | WOMEN AND CHILD DEVELOPMENT | [
"Dr. Hemant Vishnu Savara",
"Shri Vishnu Datt Sharma"
] | ## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT
## LOK SABHA STARRED QUESTION NO. 277
## TO BE ANSWERED ON 09.08.2024
## SAKSHAM ANGANWADI AND POSHAN 2.0
- *277. DR. HEMANT VISHNU SAVARA: SHRI VISHNU DATT SHARMA:
Will the Minister of Women and Child Development be pleased to state:
- (a) whether Saksham Anganwadi and Poshan 2.0 is being implemented by the Government across the country;
- (b) if so, the details thereof;
- (c) the Central share of the scheme approved, released and utilized under the above said schemes during the last five years, State/UT-wise especially in Maharashtra and Palghar district;
- (d) the number of Anganwadi centres which were digitally empowered and Poshan Vatikas being set up in these centres along with the details of fortified rice and millets provided under the said scheme in the State of Madhya Pradesh particularly the districts of Panna, Katri and Chhatarpur of Khajuraho Parliamentary Constituency;
- (e) whether the Government has any plan for addressing infrastructure gaps, especially construction of Anganwadi Centres (AWCs) in rural and urban areas in the country; and
- (f) if so, the details thereof, State/UT-wise especially in Maharashtra and Palghar district?
## ANSWER
## MINISTRY OF WOMEN & CHILD DEVELOPMENT (SHRIMATI ANNPURNA DEVI)
(a) to (f): A Statement is laid on the Table of the House.
*****
## Statement referred to in reply to Part (a) to (f) of Lok Sabha Starred Question No. 277 to be answered on 09.08.2024 regarding 'Saksham Anganwadi and Poshan 2.0'
(a) & (b) In the 15 th Finance Commission, components of nutritional support for children below the age of 6 years, pregnant women and lactating mothers, Adolescent Girls (14-18 years in all aspirational districts and all districts of North Eastern States); Early Childhood Care and Education (ECCE) [3-6 years age]; Anganwadi infrastructure including modern and upgraded Saksham Anganwadi have been reorganised under Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0) for effective implementation of the scheme and for better nutritional delivery to end beneficiaries. Mission Poshan 2.0 seeks to address the challenge of malnutrition through improved nutrition content and delivery. It is a Centrally Sponsored Scheme, where the responsibility of implementation and administration of the scheme is under the ambit of States/UTs.
(c) Funds under Mission Poshan 2.0 are released to the States/UTs for implementation of various components under the scheme. The State/UT-wise details of funds released and utilized under the above said scheme during the last five years is placed at Annexure-I .
(d) Under the Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0), Ministry of Women and Child Development has leveraged Information Technology (IT) to enhance and bring transparency to the delivery support systems at Anganwadi Centres. On March 1, 2021, the Ministry launched the 'Poshan Tracker' application. This app serves as a crucial governance tool, aiming to improve the efficiency and accountability of service delivery in the mission to combat malnutrition and promote child development.
Anganwadi Workers have been digitally/technologically empowered with smartphones. The mobile application has digitized and automated the physical registers used by AWWs which has also helped in improving their quality of work. Out of 5267 Anganwadi Centres (AWCs) in Panna, Katri and Chhatarpur of Khajuraho Parliamentary Constituency, a total of 5263 AWCs are digitally empowered. A total of 11706 Anganwadi Centres have been approved for upgradation as Saksham Anganwadi upto FY 2023-24 for the State of Madhya Pradesh and funds to the tune of Rs. 6997.45 Lakh have been allocated for various components under Saksham Anganwadi. Total 35890 Poshan Vatikas are already set up in State of Madhya Pradesh which includes 2418 Poshan Vatikas in Panna, Katri and Chhatarpur districts.
During FY 2021-22, 2022-23 and 2023-24 a total of 103566.97 MTs of Fortified rice has been allocated to the State Government of Madhya Pradesh under Wheat Based Nutrition Programme (WBNP).
(e) & (f): Under Mission Saksham Anganwadi and Poshan 2.0, there is a provision of construction of 50000 AWCs building over a period of five years @10000 AWCs per year. The cost norms for construction of Anganwadi Centres in convergence with MGNREGS is Rs.12 Lakh per AWC wherein Rs.8.00 Lakh is provided under MGNREGS, Rs.2.00 Lakh under 15th FC (or any other untied funds) and Rs.2.00 Lakh by MWCD per AWC to be shared between Centre and States/UTs in the prescribed cost sharing ratio. Further, States/UTs have also been advised to continue to tap funds for construction of AWC buildings from various schemes such as Member of Parliament Local Area Development Scheme (MPLADS), Rural Infrastructure Development Fund (RIDF), Finance Commission Grants to Panchayati Raj Institutions, Multi Sectoral development Programme (MSDP) of Ministry of Minority Affairs, etc. A statement showing funds released for construction of Anganwadi Buildings under MGNREGS is placed at Annexure-II .
In various meetings, the Government of India has advised State Governments and UT Administrations to co-locate AWCs in primary schools. Further, States/UTs have also been advised to take necessary steps to ensure that AWCs operating in rented premises are equipped with all the basic amenities.
In order to improve the infrastructure facility of Anganwadi Centres (AWCs), the Ministry has enhanced the cost of construction of drinking water facilities at Anganwadi Centres to Rs.17,000/- and for construction of toilets to Rs.36,000/-. A statement showing funds released during FY 2022-23 & 2023-24 for construction of toilet, provision of drinking water facility is placed at Annexure-III .
During the 15th Finance Commission cycle, 2 lakh Anganwadi Centres @ 40,000 AWCs per year are upgraded as Saksham Anganwadis for improved nutrition delivery and for early childhood care and development. Saksham Anganwadis are provided with infrastructure better than the conventional Anganwadi Centres which includes internet/Wi-Fi connectivity, LED screens, water purifier/installation of RO Machine and smart learning equipment. A statement showing funds allocated during FY 2022-23 & 2023-24 for upgradation of AWCs as Saksham Anganwadi is placed at Annexure-IV .
******
Annexure-I
Annexure to part (c) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
The details of Central share released and utilized under mission Poshan 2.0 during the last five years
| (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) |
|----------------------|------------------------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|
| S/N | Name of the State/UT | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 |
| | | 2019-20 | 2019-20 | 2020-21 | 2020-21 | 2021-22 | 2021-22 | 2022-23 | 2022-23 | 2023- 24* |
| | | Funds released | Funds Utilized | Funds released | Fund utilised | Funds released | Fund utilised | Funds released | Fund utilised | Funds released |
| 1 | Andaman and Nicobar Islands | 14.98 | 13.34 | 16.37 | 6.37 | 19.71 | 13.36 | 3.85 | 5.17 | 12.15 |
| 2 | Andhra Pradesh | 825.24 | 686.20 | 701.82 | 763.99 | 744.60 | 749.91 | 827.79 | 721.45 | 705.68 |
| 3 | Arunachal Pradesh | 134.71 | 134.79 | 82.92 | 65.01 | 170.83 | 230.77 | 137.78 | 145.74 | 162.06 |
| 4 | Assam | 1365.53 | 1241.33 | 1109.75 | 1255.72 | 1319.90 | 1432.19 | 1651.63 | 1717.00 | 2233.31 |
| 5 | Bihar | 1539.37 | 1253.87 | 1288.98 | 1444.36 | 1574.43 | 1608.02 | 1740.09 | 1586.61 | 1859.29 |
| 6 | Chandigarh | 17.03 | 13.30 | 13.35 | 16.08 | 15.32 | 23.09 | 33.10 | 33.10 | 19.79 |
| 7 | Chattisgarh | 483.88 | 548.81 | 513.95 | 542.07 | 606.73 | 522.72 | 668.96 | 571.80 | 579.46 |
| 8 | Dadra& Nagar Haveli and Daman& Diu | 17.20 | 8.24 | 9.02 | 9.02 | 9.33 | 9.56 | 5.80 | 5.80 | 11.97 |
| 9 | Delhi | 133.06 | 140.49 | 102.70 | 139.84 | 133.11 | 125.52 | 182.77 | 142.84 | 161.81 |
| 10 | Goa | 16.02 | 17.02 | 20.44 | 17.46 | 10.84 | 12.92 | 14.71 | 16.83 | 13.95 |
| 11 | Gujarat | 854.00 | 725.25 | 633.13 | 873.79 | 839.86 | 757.92 | 912.64 | 552.30 | 1126.80 |
| 12 | Haryana | 181.00 | 149.87 | 185.29 | 232.54 | 173.03 | 146.99 | 195.25 | 150.24 | 225.78 |
| 13 | Himachal Pradesh | 251.82 | 295.25 | 258.55 | 295.89 | 247.99 | 386.68 | 270.24 | 247.76 | 301.09 |
| 14 | Jammu& Kashmir | 332.85 | 328.31 | 294.17 | 450.82 | 405.74 | 704.57 | 479.01 | 416.23 | 530.88 |
| 15 | Jharkhand | 436.10 | 455.87 | 464.33 | 348.68 | 352.98 | 183.30 | 430.91 | 596.03 | 664.30 |
|------|----------------|----------|----------|----------|----------|----------|----------|--------------------------------------------------------------------------|----------|----------|
| 16 | Karnataka | 861.87 | 916.51 | 697.17 | 1012.84 | 1003.70 | 984.62 | 765.87 | 885.65 | 912.96 |
| 17 | Kerala | 321.42 | 331.23 | 352.03 | 384.79 | 388.23 | 397.98 | 444.98 | 325.43 | 306.64 |
| 18 | Ladakh | 0.00 | 0.00 | 24.18 | 24.69 | 14.70 | 14.67 | 18.79 | 18.79 | 19.62 |
| 19 | Lakshadweep | 2.59 | 1.27 | 3.06 | 2.06 | 2.11 | 2.73 | 0.44 | 0.44 | 2.88 |
| 20 | Madhya Pradesh | 1225.60 | 1276.10 | 1238.06 | 1125.20 | 1085.47 | 1055.83 | 1011.57 | 1038.67 | 1123.11 |
| 21 | Maharashtra | 1669.40 | 1416.45 | 1205.99 | 1517.51 | 1713.39 | 1609.02 | 1646.17 | 1589.97 | 1699.52 |
| 22 | Manipur | 162.54 | 142.27 | 175.77 | 148.45 | 228.92 | 177.28 | 135.95 | 167.74 | 201.28 |
| 23 | Meghalaya | 225.66 | 181.19 | 177.92 | 185.25 | 173.33 | 177.86 | 192.39 | 200.24 | 269.69 |
| 24 | Mizoram | 63.26 | 56.45 | 74.60 | 64.67 | 59.32 | 61.57 | 42.81 | 46.65 | 100.27 |
| 25 | Nagaland | 178.92 | 169.55 | 167.23 | 169.19 | 159.80 | 160.21 | 199.30 | 190.47 | 262.91 |
| 26 | Odisha | 860.66 | 892.46 | 858.68 | 896.85 | 1065.98 | 871.20 | 923.92 | 884.92 | 968.80 |
| 27 | Puducherry | 9.86 | 8.45 | 4.38 | 3.50 | 2.78 | 6.13 | 0.12 | 6.68 | 4.48 |
| 28 | Punjab | 201.44 | 175.11 | 174.71 | 207.82 | 383.52 | 177.94 | 75.31 | 247.25 | 307.87 |
| 29 | Rajasthan | 673.95 | 665.42 | 641.77 | 702.90 | 682.65 | 771.64 | 974.02 | 936.17 | 1091.96 |
| 30 | Sikkim | 29.47 | 33.70 | 24.50 | 26.06 | 25.73 | 24.59 | 20.33 | 24.09 | 33.49 |
| 31 | TamilNadu | 764.73 | 652.94 | 619.43 | 695.85 | 655.38 | 681.28 | 766.81 | 741.30 | 880.79 |
| 32 | Telangana | 529.96 | 420.08 | 405.32 | 564.04 | 482.33 | 479.30 | 550.69 | 503.33 | 507.87 |
| 33 | Tripura | 166.47 | 164.05 | 154.16 | 177.85 | 186.72 | 171.66 | 150.52 | 186.55 | 244.22 |
| 34 | Uttar Pradesh | 2544.00 | 2480.79 | 2017.49 | 1925.75 | 2407.55 | 2341.91 | 2721.87 | 2622.64 | 2668.69 |
| 35 | Uttarakhand | 373.96 | 378.21 | 327.92 | 350.07 | 353.65 | 336.03 | 425.84 | 364.77 | 288.24 |
| 36 | West Bengal | 1165.26 | 1321.90 | 1066.64 | 897.89 | 668.35 | 1378.31 | 1227.59 | 1455.89 | 1237.56 |
| | Total | | | | | | | 18633.8117696.0716105.7817544.8718368.0118789.2819849.8219346.5421741.17 | | |
*-Utilisation of funds released to the States/UTs during FY 2023-24 is not due.
Annexure to part (e) & (f) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
A statement showing funds released for construction of Anganwadi Buildings under MGNREGS :
(Rupees in lakhs)
| S.No | Name of State/UT | Funds released during FY 2022-23 | Funds released during FY 2023-24 |
|--------|--------------------|------------------------------------|------------------------------------|
| 1 | BIHAR | 4440 | 0 |
| 2 | CHHATTISGARH | 4680 | 0 |
| 3 | GUJRAT | 120 | 0 |
| 4 | HARYANA | 0 | 186 |
| 5 | JHARKHAND | 1776 | 0 |
| 6 | KARNATAKA | 960 | 0 |
| 7 | KERALA | 168 | 0 |
| 8 | MADHYA PRADESH | 240 | 0 |
| 9 | ODISHA | 720 | 0 |
| 10 | PUNJAB | 0 | 187.2 |
| 11 | RAJASTHAN | 900 | 0 |
| 12 | TAMIL NADU | 1440 | 1431.6 |
| 13 | TELANGANA | 1800 | 0 |
| 14 | HIMACHAL PRADESH | 900 | 0 |
| 15 | UTTARAKHAND | 7092 | 0 |
| 16 | PUDUCHERRY | 10.8 | 0 |
| 17 | MANIPUR | 0 | 900 |
| 18 | MEGHALAYA | 0 | 871.2 |
| 19 | MIZORAM | 0 | 918 |
| 20 | NAGALAND | 0 | 266.4 |
| 21 | TRIPURA | 0 | 468 |
| | Total | 25246.8 | 5228.4 |
Annexure-III
Annexure to part (e) & (f) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
A statement showing funds released during FY 2022-23 & 2023-24 for construction of toilet, provision of drinking water facility:
(Rupees in lakhs)
| S.No | Name of State/UT | 2022-23 | 2022-23 | 2023-24 | 2023-24 |
|--------|--------------------|-------------------------|---------------------------|-------------------------|---------------------------|
| S.No | Name of State/UT | Construction of Toilets | Drinking water facilities | Construction of Toilets | Drinking water facilities |
| 1 | ANDHRA PRADESH | 1915.34 | 1127.52 | 0 | 0 |
| 2 | CHHATTISGARH | 385.78 | 904.52 | 0 | 0 |
| 3 | GOA | 9.94 | 3.13 | 0 | 0 |
| 4 | GUJARAT | 297.22 | 0 | 0 | 0 |
| 5 | HARYANA | 0 | 0 | 435.53 | 0 |
| 6 | JHARKHAND | 1000.94 | 1349.12 | 0 | 0 |
| 7 | KERALA | 0 | 0 | 2.16 | 0 |
| 8 | MADHYA PRADESH | 1074.38 | 34.93 | 0 | 0 |
| 9 | MAHARASHTRA | 510.34 | 0 | 2132.28 | 1782.24 |
| 10 | ODISHA | 1206.43 | 0 | 1252.36 | 652.53 |
| 11 | PUNJAB | 0 | 0 | 372.89 | 0 |
| 12 | RAJASTHAN | 0 | 1061.07 | 0 | 0 |
| 13 | TAMIL NADU | 0 | 0 | 1272.89 | 665.75 |
| 14 | TELANGANA | 1381.25 | 87.82 | 0 | 0 |
| 15 | UTTAR PRADESH | 1216.37 | 1272.18 | 0 | 0 |
| 16 | UTTARAKHAND | 0 | 308.88 | 0 | 0 |
| 17 | WEST BENGAL | 0 | 418.92 | 0 | 0 |
| 18 | ARUNACHAL PRADESH | 772.53 | 0.00 | 0.00 | 0.00 |
| 19 | ASSAM | 0 | 0.00 | 9516.20 | 3419.18 |
| 20 | MANIPUR | 1612.87 | 0.00 | 0.00 | 288.09 |
| 21 | MEGHALAYA | 0 | 0.00 | 243.32 | 217.26 |
| 22 | MIZORAM | 0 | 0.00 | 65.77 | 96.24 |
| 23 | NAGALAND | 136.51 | 0.00 | 707.94 | 204.26 |
| 24 | TRIPURA | 100.66 | 0.00 | 541.72 | 280.44 |
| | Grand Total | 11620.56 | 6568.09 | 16543.06 | 7605.99 |
Annexure-IV
Annexure to part (e) & (f) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
A statement showing funds allocated during FY 2022-23 & 2023-24 for upgradation of AWCs as Saksham Anganwadi:
(Rupees in lakhs)
| S.No | State/UT | FY 2022-23 | FY 2022-23 | FY 2023-24 | FY 2023-24 |
|--------|-------------------|--------------------------------------|----------------|--------------------------------------|----------------|
| S.No | State/UT | No. of AWCs approved for upgradation | Fund allocated | No. of AWCs approved for upgradation | Fund allocated |
| 1 | Andhra Pradesh | 1105 | 525.58 | 1763 | 1057.8 |
| 2 | Bihar | 3566 | 1697.77 | 3550 | 2130 |
| 3 | Chhattisgarh | 4750 | 1957.92 | 1740 | 1044 |
| 4 | Gujarat | 1250 | 750.00 | 0 | 0 |
| 5 | Haryana | 10 | 3.56 | 0 | 0 |
| 6 | Himachal Pradesh | 100 | 72.86 | 25 | 22.5 |
| 7 | Jammu &Kashmir | 86 | 69.66 | 50 | 45 |
| 8 | Jharkhand | 6850 | 3028.88 | 0 | 0 |
| 9 | Karnataka | 100 | 47.39 | 178 | 106.8 |
| 10 | Kerala | 250 | 116.12 | 1710 | 1026 |
| 11 | Madhya Pradesh | 2220 | 1305.85 | 9486 | 5691.6 |
| 12 | Maharashtra | 1150 | 520.47 | 589 | 353.4 |
| 13 | Odisha | 6000 | 2920.92 | 1084 | 650.4 |
| 14 | Punjab | 100 | 56.88 | 0 | 0 |
| 15 | Rajasthan | 213 | 102.93 | 340 | 204 |
| 16 | Tamil Nadu | 800 | 395.76 | 5590 | 3354 |
| 17 | Telangana | 500 | 278.16 | 3529 | 2117.4 |
| 18 | Uttar Pradesh | 2349 | 1015.80 | 17845 | 10707 |
| 19 | Uttrakhand | 350 | 306.04 | 213 | 191.7 |
| 20 | West Bengal | 4750 | 2308.19 | 609 | 365.4 |
| 21 | Arunachal Pradesh | 100 | 71.51 | 0 | 0 |
| 22 | Assam | 3963 | 3285.58 | 815 | 733.5 |
|------|------------------|--------|-----------|-------|---------|
| 23 | Manipur | 30 | 20.25 | 0 | 0 |
| 24 | Meghalaya | 100 | 68.9 | 8 | 7.2 |
| 25 | Mizoram | 100 | 64.13 | 988 | 889.2 |
| 26 | Nagaland | 100 | 72.14 | 49 | 44.1 |
| 27 | Sikkim | 100 | 64.13 | 335 | 301.5 |
| 28 | Tripura | 200 | 146.25 | 245 | 220.5 |
| 29 | Andaman &Nicobar | 0 | 0 | 86 | 86 |
| 30 | Goa | 0 | 0 | 24 | 14.4 |
| 31 | Puducherry | 0 | 0 | 65 | 39 |
| | Total | 41192 | 21273.6 | 50916 | 31402.4 |
***** | ## GOVERNMENT OF INDIA MINISTRY OF WOMEN AND CHILD DEVELOPMENT
## LOK SABHA STARRED QUESTION NO. 277
## TO BE ANSWERED ON 09.08.2024
## SAKSHAM ANGANWADI AND POSHAN 2.0
- *277. DR. HEMANT VISHNU SAVARA: SHRI VISHNU DATT SHARMA:
Will the Minister of Women and Child Development be pleased to state:
- (a) whether Saksham Anganwadi and Poshan 2.0 is being implemented by the Government across the country;
- (b) if so, the details thereof;
- (c) the Central share of the scheme approved, released and utilized under the above said schemes during the last five years, State/UT-wise especially in Maharashtra and Palghar district;
- (d) the number of Anganwadi centres which were digitally empowered and Poshan Vatikas being set up in these centres along with the details of fortified rice and millets provided under the said scheme in the State of Madhya Pradesh particularly the districts of Panna, Katri and Chhatarpur of Khajuraho Parliamentary Constituency;
- (e) whether the Government has any plan for addressing infrastructure gaps, especially construction of Anganwadi Centres (AWCs) in rural and urban areas in the country; and
- (f) if so, the details thereof, State/UT-wise especially in Maharashtra and Palghar district? | ## ANSWER
## MINISTRY OF WOMEN & CHILD DEVELOPMENT (SHRIMATI ANNPURNA DEVI)
(a) to (f): A Statement is laid on the Table of the House.
*****
## Statement referred to in reply to Part (a) to (f) of Lok Sabha Starred Question No. 277 to be answered on 09.08.2024 regarding 'Saksham Anganwadi and Poshan 2.0'
(a) & (b) In the 15 th Finance Commission, components of nutritional support for children below the age of 6 years, pregnant women and lactating mothers, Adolescent Girls (14-18 years in all aspirational districts and all districts of North Eastern States); Early Childhood Care and Education (ECCE) [3-6 years age]; Anganwadi infrastructure including modern and upgraded Saksham Anganwadi have been reorganised under Mission Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0) for effective implementation of the scheme and for better nutritional delivery to end beneficiaries. Mission Poshan 2.0 seeks to address the challenge of malnutrition through improved nutrition content and delivery. It is a Centrally Sponsored Scheme, where the responsibility of implementation and administration of the scheme is under the ambit of States/UTs.
(c) Funds under Mission Poshan 2.0 are released to the States/UTs for implementation of various components under the scheme. The State/UT-wise details of funds released and utilized under the above said scheme during the last five years is placed at Annexure-I .
(d) Under the Saksham Anganwadi and Poshan 2.0 (Mission Poshan 2.0), Ministry of Women and Child Development has leveraged Information Technology (IT) to enhance and bring transparency to the delivery support systems at Anganwadi Centres. On March 1, 2021, the Ministry launched the 'Poshan Tracker' application. This app serves as a crucial governance tool, aiming to improve the efficiency and accountability of service delivery in the mission to combat malnutrition and promote child development.
Anganwadi Workers have been digitally/technologically empowered with smartphones. The mobile application has digitized and automated the physical registers used by AWWs which has also helped in improving their quality of work. Out of 5267 Anganwadi Centres (AWCs) in Panna, Katri and Chhatarpur of Khajuraho Parliamentary Constituency, a total of 5263 AWCs are digitally empowered. A total of 11706 Anganwadi Centres have been approved for upgradation as Saksham Anganwadi upto FY 2023-24 for the State of Madhya Pradesh and funds to the tune of Rs. 6997.45 Lakh have been allocated for various components under Saksham Anganwadi. Total 35890 Poshan Vatikas are already set up in State of Madhya Pradesh which includes 2418 Poshan Vatikas in Panna, Katri and Chhatarpur districts.
During FY 2021-22, 2022-23 and 2023-24 a total of 103566.97 MTs of Fortified rice has been allocated to the State Government of Madhya Pradesh under Wheat Based Nutrition Programme (WBNP).
(e) & (f): Under Mission Saksham Anganwadi and Poshan 2.0, there is a provision of construction of 50000 AWCs building over a period of five years @10000 AWCs per year. The cost norms for construction of Anganwadi Centres in convergence with MGNREGS is Rs.12 Lakh per AWC wherein Rs.8.00 Lakh is provided under MGNREGS, Rs.2.00 Lakh under 15th FC (or any other untied funds) and Rs.2.00 Lakh by MWCD per AWC to be shared between Centre and States/UTs in the prescribed cost sharing ratio. Further, States/UTs have also been advised to continue to tap funds for construction of AWC buildings from various schemes such as Member of Parliament Local Area Development Scheme (MPLADS), Rural Infrastructure Development Fund (RIDF), Finance Commission Grants to Panchayati Raj Institutions, Multi Sectoral development Programme (MSDP) of Ministry of Minority Affairs, etc. A statement showing funds released for construction of Anganwadi Buildings under MGNREGS is placed at Annexure-II .
In various meetings, the Government of India has advised State Governments and UT Administrations to co-locate AWCs in primary schools. Further, States/UTs have also been advised to take necessary steps to ensure that AWCs operating in rented premises are equipped with all the basic amenities.
In order to improve the infrastructure facility of Anganwadi Centres (AWCs), the Ministry has enhanced the cost of construction of drinking water facilities at Anganwadi Centres to Rs.17,000/- and for construction of toilets to Rs.36,000/-. A statement showing funds released during FY 2022-23 & 2023-24 for construction of toilet, provision of drinking water facility is placed at Annexure-III .
During the 15th Finance Commission cycle, 2 lakh Anganwadi Centres @ 40,000 AWCs per year are upgraded as Saksham Anganwadis for improved nutrition delivery and for early childhood care and development. Saksham Anganwadis are provided with infrastructure better than the conventional Anganwadi Centres which includes internet/Wi-Fi connectivity, LED screens, water purifier/installation of RO Machine and smart learning equipment. A statement showing funds allocated during FY 2022-23 & 2023-24 for upgradation of AWCs as Saksham Anganwadi is placed at Annexure-IV .
******
Annexure-I
Annexure to part (c) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
The details of Central share released and utilized under mission Poshan 2.0 during the last five years
| (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) | (Rupees in crores) |
|----------------------|------------------------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|----------------------|
| S/N | Name of the State/UT | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 | Mission Poshan 2.0 |
| | | 2019-20 | 2019-20 | 2020-21 | 2020-21 | 2021-22 | 2021-22 | 2022-23 | 2022-23 | 2023- 24* |
| | | Funds released | Funds Utilized | Funds released | Fund utilised | Funds released | Fund utilised | Funds released | Fund utilised | Funds released |
| 1 | Andaman and Nicobar Islands | 14.98 | 13.34 | 16.37 | 6.37 | 19.71 | 13.36 | 3.85 | 5.17 | 12.15 |
| 2 | Andhra Pradesh | 825.24 | 686.20 | 701.82 | 763.99 | 744.60 | 749.91 | 827.79 | 721.45 | 705.68 |
| 3 | Arunachal Pradesh | 134.71 | 134.79 | 82.92 | 65.01 | 170.83 | 230.77 | 137.78 | 145.74 | 162.06 |
| 4 | Assam | 1365.53 | 1241.33 | 1109.75 | 1255.72 | 1319.90 | 1432.19 | 1651.63 | 1717.00 | 2233.31 |
| 5 | Bihar | 1539.37 | 1253.87 | 1288.98 | 1444.36 | 1574.43 | 1608.02 | 1740.09 | 1586.61 | 1859.29 |
| 6 | Chandigarh | 17.03 | 13.30 | 13.35 | 16.08 | 15.32 | 23.09 | 33.10 | 33.10 | 19.79 |
| 7 | Chattisgarh | 483.88 | 548.81 | 513.95 | 542.07 | 606.73 | 522.72 | 668.96 | 571.80 | 579.46 |
| 8 | Dadra& Nagar Haveli and Daman& Diu | 17.20 | 8.24 | 9.02 | 9.02 | 9.33 | 9.56 | 5.80 | 5.80 | 11.97 |
| 9 | Delhi | 133.06 | 140.49 | 102.70 | 139.84 | 133.11 | 125.52 | 182.77 | 142.84 | 161.81 |
| 10 | Goa | 16.02 | 17.02 | 20.44 | 17.46 | 10.84 | 12.92 | 14.71 | 16.83 | 13.95 |
| 11 | Gujarat | 854.00 | 725.25 | 633.13 | 873.79 | 839.86 | 757.92 | 912.64 | 552.30 | 1126.80 |
| 12 | Haryana | 181.00 | 149.87 | 185.29 | 232.54 | 173.03 | 146.99 | 195.25 | 150.24 | 225.78 |
| 13 | Himachal Pradesh | 251.82 | 295.25 | 258.55 | 295.89 | 247.99 | 386.68 | 270.24 | 247.76 | 301.09 |
| 14 | Jammu& Kashmir | 332.85 | 328.31 | 294.17 | 450.82 | 405.74 | 704.57 | 479.01 | 416.23 | 530.88 |
| 15 | Jharkhand | 436.10 | 455.87 | 464.33 | 348.68 | 352.98 | 183.30 | 430.91 | 596.03 | 664.30 |
|------|----------------|----------|----------|----------|----------|----------|----------|--------------------------------------------------------------------------|----------|----------|
| 16 | Karnataka | 861.87 | 916.51 | 697.17 | 1012.84 | 1003.70 | 984.62 | 765.87 | 885.65 | 912.96 |
| 17 | Kerala | 321.42 | 331.23 | 352.03 | 384.79 | 388.23 | 397.98 | 444.98 | 325.43 | 306.64 |
| 18 | Ladakh | 0.00 | 0.00 | 24.18 | 24.69 | 14.70 | 14.67 | 18.79 | 18.79 | 19.62 |
| 19 | Lakshadweep | 2.59 | 1.27 | 3.06 | 2.06 | 2.11 | 2.73 | 0.44 | 0.44 | 2.88 |
| 20 | Madhya Pradesh | 1225.60 | 1276.10 | 1238.06 | 1125.20 | 1085.47 | 1055.83 | 1011.57 | 1038.67 | 1123.11 |
| 21 | Maharashtra | 1669.40 | 1416.45 | 1205.99 | 1517.51 | 1713.39 | 1609.02 | 1646.17 | 1589.97 | 1699.52 |
| 22 | Manipur | 162.54 | 142.27 | 175.77 | 148.45 | 228.92 | 177.28 | 135.95 | 167.74 | 201.28 |
| 23 | Meghalaya | 225.66 | 181.19 | 177.92 | 185.25 | 173.33 | 177.86 | 192.39 | 200.24 | 269.69 |
| 24 | Mizoram | 63.26 | 56.45 | 74.60 | 64.67 | 59.32 | 61.57 | 42.81 | 46.65 | 100.27 |
| 25 | Nagaland | 178.92 | 169.55 | 167.23 | 169.19 | 159.80 | 160.21 | 199.30 | 190.47 | 262.91 |
| 26 | Odisha | 860.66 | 892.46 | 858.68 | 896.85 | 1065.98 | 871.20 | 923.92 | 884.92 | 968.80 |
| 27 | Puducherry | 9.86 | 8.45 | 4.38 | 3.50 | 2.78 | 6.13 | 0.12 | 6.68 | 4.48 |
| 28 | Punjab | 201.44 | 175.11 | 174.71 | 207.82 | 383.52 | 177.94 | 75.31 | 247.25 | 307.87 |
| 29 | Rajasthan | 673.95 | 665.42 | 641.77 | 702.90 | 682.65 | 771.64 | 974.02 | 936.17 | 1091.96 |
| 30 | Sikkim | 29.47 | 33.70 | 24.50 | 26.06 | 25.73 | 24.59 | 20.33 | 24.09 | 33.49 |
| 31 | TamilNadu | 764.73 | 652.94 | 619.43 | 695.85 | 655.38 | 681.28 | 766.81 | 741.30 | 880.79 |
| 32 | Telangana | 529.96 | 420.08 | 405.32 | 564.04 | 482.33 | 479.30 | 550.69 | 503.33 | 507.87 |
| 33 | Tripura | 166.47 | 164.05 | 154.16 | 177.85 | 186.72 | 171.66 | 150.52 | 186.55 | 244.22 |
| 34 | Uttar Pradesh | 2544.00 | 2480.79 | 2017.49 | 1925.75 | 2407.55 | 2341.91 | 2721.87 | 2622.64 | 2668.69 |
| 35 | Uttarakhand | 373.96 | 378.21 | 327.92 | 350.07 | 353.65 | 336.03 | 425.84 | 364.77 | 288.24 |
| 36 | West Bengal | 1165.26 | 1321.90 | 1066.64 | 897.89 | 668.35 | 1378.31 | 1227.59 | 1455.89 | 1237.56 |
| | Total | | | | | | | 18633.8117696.0716105.7817544.8718368.0118789.2819849.8219346.5421741.17 | | |
*-Utilisation of funds released to the States/UTs during FY 2023-24 is not due.
Annexure to part (e) & (f) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
A statement showing funds released for construction of Anganwadi Buildings under MGNREGS :
(Rupees in lakhs)
| S.No | Name of State/UT | Funds released during FY 2022-23 | Funds released during FY 2023-24 |
|--------|--------------------|------------------------------------|------------------------------------|
| 1 | BIHAR | 4440 | 0 |
| 2 | CHHATTISGARH | 4680 | 0 |
| 3 | GUJRAT | 120 | 0 |
| 4 | HARYANA | 0 | 186 |
| 5 | JHARKHAND | 1776 | 0 |
| 6 | KARNATAKA | 960 | 0 |
| 7 | KERALA | 168 | 0 |
| 8 | MADHYA PRADESH | 240 | 0 |
| 9 | ODISHA | 720 | 0 |
| 10 | PUNJAB | 0 | 187.2 |
| 11 | RAJASTHAN | 900 | 0 |
| 12 | TAMIL NADU | 1440 | 1431.6 |
| 13 | TELANGANA | 1800 | 0 |
| 14 | HIMACHAL PRADESH | 900 | 0 |
| 15 | UTTARAKHAND | 7092 | 0 |
| 16 | PUDUCHERRY | 10.8 | 0 |
| 17 | MANIPUR | 0 | 900 |
| 18 | MEGHALAYA | 0 | 871.2 |
| 19 | MIZORAM | 0 | 918 |
| 20 | NAGALAND | 0 | 266.4 |
| 21 | TRIPURA | 0 | 468 |
| | Total | 25246.8 | 5228.4 |
Annexure-III
Annexure to part (e) & (f) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
A statement showing funds released during FY 2022-23 & 2023-24 for construction of toilet, provision of drinking water facility:
(Rupees in lakhs)
| S.No | Name of State/UT | 2022-23 | 2022-23 | 2023-24 | 2023-24 |
|--------|--------------------|-------------------------|---------------------------|-------------------------|---------------------------|
| S.No | Name of State/UT | Construction of Toilets | Drinking water facilities | Construction of Toilets | Drinking water facilities |
| 1 | ANDHRA PRADESH | 1915.34 | 1127.52 | 0 | 0 |
| 2 | CHHATTISGARH | 385.78 | 904.52 | 0 | 0 |
| 3 | GOA | 9.94 | 3.13 | 0 | 0 |
| 4 | GUJARAT | 297.22 | 0 | 0 | 0 |
| 5 | HARYANA | 0 | 0 | 435.53 | 0 |
| 6 | JHARKHAND | 1000.94 | 1349.12 | 0 | 0 |
| 7 | KERALA | 0 | 0 | 2.16 | 0 |
| 8 | MADHYA PRADESH | 1074.38 | 34.93 | 0 | 0 |
| 9 | MAHARASHTRA | 510.34 | 0 | 2132.28 | 1782.24 |
| 10 | ODISHA | 1206.43 | 0 | 1252.36 | 652.53 |
| 11 | PUNJAB | 0 | 0 | 372.89 | 0 |
| 12 | RAJASTHAN | 0 | 1061.07 | 0 | 0 |
| 13 | TAMIL NADU | 0 | 0 | 1272.89 | 665.75 |
| 14 | TELANGANA | 1381.25 | 87.82 | 0 | 0 |
| 15 | UTTAR PRADESH | 1216.37 | 1272.18 | 0 | 0 |
| 16 | UTTARAKHAND | 0 | 308.88 | 0 | 0 |
| 17 | WEST BENGAL | 0 | 418.92 | 0 | 0 |
| 18 | ARUNACHAL PRADESH | 772.53 | 0.00 | 0.00 | 0.00 |
| 19 | ASSAM | 0 | 0.00 | 9516.20 | 3419.18 |
| 20 | MANIPUR | 1612.87 | 0.00 | 0.00 | 288.09 |
| 21 | MEGHALAYA | 0 | 0.00 | 243.32 | 217.26 |
| 22 | MIZORAM | 0 | 0.00 | 65.77 | 96.24 |
| 23 | NAGALAND | 136.51 | 0.00 | 707.94 | 204.26 |
| 24 | TRIPURA | 100.66 | 0.00 | 541.72 | 280.44 |
| | Grand Total | 11620.56 | 6568.09 | 16543.06 | 7605.99 |
Annexure-IV
Annexure to part (e) & (f) of Lok Sabha Starred Question No. 277 on 'Saksham Anganwadi and Poshan 2.0' due for answer on 09.08.2024:
A statement showing funds allocated during FY 2022-23 & 2023-24 for upgradation of AWCs as Saksham Anganwadi:
(Rupees in lakhs)
| S.No | State/UT | FY 2022-23 | FY 2022-23 | FY 2023-24 | FY 2023-24 |
|--------|-------------------|--------------------------------------|----------------|--------------------------------------|----------------|
| S.No | State/UT | No. of AWCs approved for upgradation | Fund allocated | No. of AWCs approved for upgradation | Fund allocated |
| 1 | Andhra Pradesh | 1105 | 525.58 | 1763 | 1057.8 |
| 2 | Bihar | 3566 | 1697.77 | 3550 | 2130 |
| 3 | Chhattisgarh | 4750 | 1957.92 | 1740 | 1044 |
| 4 | Gujarat | 1250 | 750.00 | 0 | 0 |
| 5 | Haryana | 10 | 3.56 | 0 | 0 |
| 6 | Himachal Pradesh | 100 | 72.86 | 25 | 22.5 |
| 7 | Jammu &Kashmir | 86 | 69.66 | 50 | 45 |
| 8 | Jharkhand | 6850 | 3028.88 | 0 | 0 |
| 9 | Karnataka | 100 | 47.39 | 178 | 106.8 |
| 10 | Kerala | 250 | 116.12 | 1710 | 1026 |
| 11 | Madhya Pradesh | 2220 | 1305.85 | 9486 | 5691.6 |
| 12 | Maharashtra | 1150 | 520.47 | 589 | 353.4 |
| 13 | Odisha | 6000 | 2920.92 | 1084 | 650.4 |
| 14 | Punjab | 100 | 56.88 | 0 | 0 |
| 15 | Rajasthan | 213 | 102.93 | 340 | 204 |
| 16 | Tamil Nadu | 800 | 395.76 | 5590 | 3354 |
| 17 | Telangana | 500 | 278.16 | 3529 | 2117.4 |
| 18 | Uttar Pradesh | 2349 | 1015.80 | 17845 | 10707 |
| 19 | Uttrakhand | 350 | 306.04 | 213 | 191.7 |
| 20 | West Bengal | 4750 | 2308.19 | 609 | 365.4 |
| 21 | Arunachal Pradesh | 100 | 71.51 | 0 | 0 |
| 22 | Assam | 3963 | 3285.58 | 815 | 733.5 |
|------|------------------|--------|-----------|-------|---------|
| 23 | Manipur | 30 | 20.25 | 0 | 0 |
| 24 | Meghalaya | 100 | 68.9 | 8 | 7.2 |
| 25 | Mizoram | 100 | 64.13 | 988 | 889.2 |
| 26 | Nagaland | 100 | 72.14 | 49 | 44.1 |
| 27 | Sikkim | 100 | 64.13 | 335 | 301.5 |
| 28 | Tripura | 200 | 146.25 | 245 | 220.5 |
| 29 | Andaman &Nicobar | 0 | 0 | 86 | 86 |
| 30 | Goa | 0 | 0 | 24 | 14.4 |
| 31 | Puducherry | 0 | 0 | 65 | 39 |
| | Total | 41192 | 21273.6 | 50916 | 31402.4 | | 197 | 3,024 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS277_JCogq2.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS277_JCogq2.pdf?source=pqals | 9 |
LS18-S2-STARRED-276 | 18 | 2 | 276 | STARRED | 2024-08-09 | Regulation of Drugs | HEALTH AND FAMILY WELFARE | [
"Shri Arvind Ganpat Sawant",
"Shri Shrirang Appa Chandu Barne"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 276 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## REGULATION OFDRUGS
## *276 SHRI SHRIRANG APPA CHANDU BARNE: SHRI ARVIND GANPAT SAWANT:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) the position of India as drugs producer and exporter of drugs in the world;
- (b) whether there is a need for world-class drugs regulations to draw a roadmap to achieve global standards, if so, the details thereof along with the response of the Central Government thereto and the action taken in this regard;
- (c) whether States are an integral part of the regulatory value chain and there is also a need to work together to enhance the skills and capabilities of the States, if so, the details thereof, State/UT-wise;
- (d) the steps taken/proposed to be taken by the Central Government to align with the quality standards of the Central Government; and
- (e) whether the Central Government has reviewed the regulation of drugs, cosmetics, and medical devices with a view to achieve global standards in India ' s pharmaceutical industry and if so, the details thereof, State/UT-wise?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE
## (SHRI JAGAT PRAKASH NADDA)
- (a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 276 FOR 9 TH AUGUST, 2024
(a) Indian Pharmaceuticals Industry is 3rd largest by volume and 13 th largest by value in the world producing more than 60,000 generic drugs across 60 therapeutic categories.
(b) & (d) Under Drugs and Cosmetics Act, 1940 and Rules made thereunder, the regulatory control over the drugs imported into the country is exercised by the Central Government through the Central Drugs Standard Control Organization (CDSCO).
Under the said Act and Rules the regulatory control over the manufacture and sale of drugs is exercised through a system of licensing and inspection by the State Licensing Authorities appointed by the State Governments. Licensee is required to comply with all the conditions of license including Good manufacturing practices (GMP) as prescribed under Drugs Rules, 1945. State Licensing Authorities are empowered to take action on violation of any conditions of such licenses including prosecution in appropriate Court of law.
CDSCO and Ministry of Health and Family Welfare have taken various regulatory measures to have a robust drug regulatory system in the country. The key measures are as stated below;
- (i). Central Government has amended the Drugs Rules 1945 vide G.S.R. 922 (E) dated 28-12-2023 to revise the schedule M to the said rules related to Good Manufacturing Practices and requirements of premises, plant and equipment for pharmaceutical products.
- (ii). On 17-11-2022, the Drugs Rules, 1945 were amended vide G.S.R. 823(E) which has come into force from 1st of August, 2023 providing that the manufacturers of top 300 brands of drug formulation products, as specified in Schedule H2, shall print or affix Bar Code or Quick Response Code on its primary packaging label or, in case of inadequate space in primary package label, on the secondary package label that store data or information legible with software application to facilitate authentication.
- (iii). On 18-01-2022, the Drugs Rules, 1945 were amended vide G.S.R. 20 (E) providing that every Active Pharmaceutical Ingredient (bulk drug) manufactured or imported in India shall bear Quick Response Code on its label at each level of packaging that store data or information readable with software application to facilitate tracking and tracing. The stored data or information shall include the minimum particulars including unique product identification code, Batch Number, Manufacturing date, Expiry Date etc.
- (iv). On 11-02-2020, the Drugs Rules, 1945 were amended vide G.S.R. 101 (E), providing that with effect from 01-03-2021 any marketer who sells or distributes any drug shall be responsible for quality of that drug as well as other regulatory compliances along with the manufacturer under these Rules.
- (v). The Drugs and Cosmetics Act, 1940 was amended under Drugs & Cosmetics (Amendment) Act 2008 to provide stringent penalties for manufacture of spurious and adulterated drugs. Certain offences have also been made cognizable and non-bailable.
- (vi). States/ UTs have set up special Courts for trial of offences under the Drugs and Cosmetics Act for speedy disposal.
- (vii). Thenumberofsanctioned posts in CDSCO hasbeen significantly increased in last 10 years.
- (viii). To ensure efficacy of drugs, the Drugs and Cosmetics Rules, 1945 have been amended providing that applicant shall submit the result of bioequivalence study along with the application for grant of manufacturing license of oral dosage form of some drugs.
- (ix). The Drugs and Cosmetics Rules, 1945 have been amended making it mandatory that before the grant of manufacturing license, the manufacturing establishment is to be inspected jointly by the Drugs Inspectors of Central Government and State Government.
- (x). The Drugs and Cosmetics Rules, 1945 have been amended, making it mandatory that the applicants shall submit evidence of stability, safety of excipients etc. to the State Licensing Authority before grant of manufacturing license by the Authority.
(c) Yes, States are an integral part of the regulatory value chain. Central regulator coordinates activities of State Drug Control Organisations and provides expert advice through the Drugs Consultative Committee (DCC) meetings held with State Drugs Controllers for uniformity in administration of the Drugs and Cosmetics Act.
For strengthening the drug regulatory system in the country both at the Central and State level, the Government had approved Rs.1750 Crore. Out of this, Rs. 900 Crore was for strengthening the central drug regulatory structures and Rs. 850 Crore is for the Centrally Sponsored Scheme 'Strengthening of States ' Drug Regulatory System (SSDRS) which envisages to strengthen the laboratory infrastructure and up-gradation of existing State Drug Controller offices in States. So far under the SSDRS scheme, funds to the tune to Rs. 699.28 Crore have been released as part of the Central Share.
Central government has also conducted 22 training programs for CDSCO and State Drug Control officials in the Financial Year 2023-24.
(e) The Central Government reviews the regulation of Drugs, Cosmetics and medical devices, from time to time, for appropriate amendments to ensure Quality, Safety, Efficacy of Drugs, Cosmetics and Medical Device manufactured and imported in the country.
****** | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 276 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## REGULATION OFDRUGS
## *276 SHRI SHRIRANG APPA CHANDU BARNE: SHRI ARVIND GANPAT SAWANT:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) the position of India as drugs producer and exporter of drugs in the world;
- (b) whether there is a need for world-class drugs regulations to draw a roadmap to achieve global standards, if so, the details thereof along with the response of the Central Government thereto and the action taken in this regard;
- (c) whether States are an integral part of the regulatory value chain and there is also a need to work together to enhance the skills and capabilities of the States, if so, the details thereof, State/UT-wise;
- (d) the steps taken/proposed to be taken by the Central Government to align with the quality standards of the Central Government; and
- (e) whether the Central Government has reviewed the regulation of drugs, cosmetics, and medical devices with a view to achieve global standards in India ' s pharmaceutical industry and if so, the details thereof, State/UT-wise? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE
## (SHRI JAGAT PRAKASH NADDA)
- (a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 276 FOR 9 TH AUGUST, 2024
(a) Indian Pharmaceuticals Industry is 3rd largest by volume and 13 th largest by value in the world producing more than 60,000 generic drugs across 60 therapeutic categories.
(b) & (d) Under Drugs and Cosmetics Act, 1940 and Rules made thereunder, the regulatory control over the drugs imported into the country is exercised by the Central Government through the Central Drugs Standard Control Organization (CDSCO).
Under the said Act and Rules the regulatory control over the manufacture and sale of drugs is exercised through a system of licensing and inspection by the State Licensing Authorities appointed by the State Governments. Licensee is required to comply with all the conditions of license including Good manufacturing practices (GMP) as prescribed under Drugs Rules, 1945. State Licensing Authorities are empowered to take action on violation of any conditions of such licenses including prosecution in appropriate Court of law.
CDSCO and Ministry of Health and Family Welfare have taken various regulatory measures to have a robust drug regulatory system in the country. The key measures are as stated below;
- (i). Central Government has amended the Drugs Rules 1945 vide G.S.R. 922 (E) dated 28-12-2023 to revise the schedule M to the said rules related to Good Manufacturing Practices and requirements of premises, plant and equipment for pharmaceutical products.
- (ii). On 17-11-2022, the Drugs Rules, 1945 were amended vide G.S.R. 823(E) which has come into force from 1st of August, 2023 providing that the manufacturers of top 300 brands of drug formulation products, as specified in Schedule H2, shall print or affix Bar Code or Quick Response Code on its primary packaging label or, in case of inadequate space in primary package label, on the secondary package label that store data or information legible with software application to facilitate authentication.
- (iii). On 18-01-2022, the Drugs Rules, 1945 were amended vide G.S.R. 20 (E) providing that every Active Pharmaceutical Ingredient (bulk drug) manufactured or imported in India shall bear Quick Response Code on its label at each level of packaging that store data or information readable with software application to facilitate tracking and tracing. The stored data or information shall include the minimum particulars including unique product identification code, Batch Number, Manufacturing date, Expiry Date etc.
- (iv). On 11-02-2020, the Drugs Rules, 1945 were amended vide G.S.R. 101 (E), providing that with effect from 01-03-2021 any marketer who sells or distributes any drug shall be responsible for quality of that drug as well as other regulatory compliances along with the manufacturer under these Rules.
- (v). The Drugs and Cosmetics Act, 1940 was amended under Drugs & Cosmetics (Amendment) Act 2008 to provide stringent penalties for manufacture of spurious and adulterated drugs. Certain offences have also been made cognizable and non-bailable.
- (vi). States/ UTs have set up special Courts for trial of offences under the Drugs and Cosmetics Act for speedy disposal.
- (vii). Thenumberofsanctioned posts in CDSCO hasbeen significantly increased in last 10 years.
- (viii). To ensure efficacy of drugs, the Drugs and Cosmetics Rules, 1945 have been amended providing that applicant shall submit the result of bioequivalence study along with the application for grant of manufacturing license of oral dosage form of some drugs.
- (ix). The Drugs and Cosmetics Rules, 1945 have been amended making it mandatory that before the grant of manufacturing license, the manufacturing establishment is to be inspected jointly by the Drugs Inspectors of Central Government and State Government.
- (x). The Drugs and Cosmetics Rules, 1945 have been amended, making it mandatory that the applicants shall submit evidence of stability, safety of excipients etc. to the State Licensing Authority before grant of manufacturing license by the Authority.
(c) Yes, States are an integral part of the regulatory value chain. Central regulator coordinates activities of State Drug Control Organisations and provides expert advice through the Drugs Consultative Committee (DCC) meetings held with State Drugs Controllers for uniformity in administration of the Drugs and Cosmetics Act.
For strengthening the drug regulatory system in the country both at the Central and State level, the Government had approved Rs.1750 Crore. Out of this, Rs. 900 Crore was for strengthening the central drug regulatory structures and Rs. 850 Crore is for the Centrally Sponsored Scheme 'Strengthening of States ' Drug Regulatory System (SSDRS) which envisages to strengthen the laboratory infrastructure and up-gradation of existing State Drug Controller offices in States. So far under the SSDRS scheme, funds to the tune to Rs. 699.28 Crore have been released as part of the Central Share.
Central government has also conducted 22 training programs for CDSCO and State Drug Control officials in the Financial Year 2023-24.
(e) The Central Government reviews the regulation of Drugs, Cosmetics and medical devices, from time to time, for appropriate amendments to ensure Quality, Safety, Efficacy of Drugs, Cosmetics and Medical Device manufactured and imported in the country. | 205 | 858 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS276_EQvi9W.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS276_EQvi9W.pdf?source=pqals | 4 |
LS18-S2-STARRED-275 | 18 | 2 | 275 | STARRED | 2024-08-09 | Migration Agreements for Welfare of Students | EXTERNAL AFFAIRS | [
"Dr. Pradeep Kumar Panigrahy"
] | ## GOVERNMENT OF INDIA
## MINISTRY OF EXTERNAL AFFAIRS LOK SABHA
STARRED QUESTION NO- 275
ANSWERED ON 09.08.2024
## MIGRATION AGREEMENTS FOR WELFARE OF STUDENTS
*275. DR. PRADEEP KUMAR PANIGRAHY
Will the Minister of External Affairs be pleased to state :-
(a) the details of measures undertaken by the Government for the welfare and assistance of students and young professionals going abroad for education; and
(b) the list of countries whom the Government has signed migration agreements along with the benefits of the agreements accruing to young professionals, workers and students?
## ANSWER
MINISTER OF EXTERNAL AFFAIRS
(DR. SUBRAHMANYAM JAISHANKAR)
(a & b) A statement is laid on the Table of the House.
*****
Statement referred to in reply to parts (a) to (b) in respect of Lok Sabha Starred Question No. 275 for reply on 09.08.2024 regarding 'Migration Agreements for Welfare of Students'.
(a) Safety and welfare of Indian students and young professionals going abroad for education are the top most priorities of Government of India. Indian Missions/Posts abroad maintain regular contacts with Indian students enrolled in Universities abroad. New Indian students enrolled in foreign Universities, are invited to participate in events organised by Indian Missions/Posts abroad. Senior Embassy officials also visit foreign Universities and Educational Institutions in their respective countries of accreditation to regularly interact with Indian students and Indian Students' Associations.
Indian Missions/Posts abroad also encourage Indian students and young professionals travelling abroad for higher studies to register with them. Indian Missions/Posts abroad also encourage them to remain connected on a regular basis and make all possible efforts to respond to the outstanding issues faced by them on a priority basis. The grievances of the students and young professionals are responded to almost on a real time basis through telephone calls, walk-ins, emails, social media, 24x7 emergency helplines, open houses and the MADAD Portal. Any complaint received from the Indian students and young professionals abroad are
taken up with the concerned University/Institution and the host Government, to ensure that they are properly investigated and the perpetrators are punished. During emergencies or crisis situations, Indian Missions/Posts abroad pro-actively help distressed/stranded Indians overseas by providing them food, shelter, medicines and ensure their return/evacuation to India as soon as possible. Shelter homes for distressed Indian nationals have also been set up at some Missions/Posts. Financial assistance to distressed Indians, if necessary, is provided through the Indian Community Welfare Fund (ICWF). Most recently, stranded Indian nationals were evacuated to India through the Vande Bharat Mission, Operation Ganga (Ukraine), Operation Kaveri (Sudan) and Operation Ajay (Israel) from countries around the world. The return of many Indian students and young professionals from Bangladesh was also facilitated by our High Commission.
(b) List of countries with which Migration & Mobility Agreements and Labour Mobility Agreements have been signed from 2014 till date is appended at Annexure-A. Government of India has signed diverse MoUs/Agreements such as Migration and Mobility Partnerships, Labour Mobility and Labour Welfare with various countries to establish a robust framework for strengthening regular migration pathways. These Agreements/MoUs seek to promote people-to-people ties, streamline
visa procedures, tackle irregular migration, reinforce bilateral relations, and encourage skilled labour mobility. The Migration & Mobility Partnership Agreements , inter alia, include provisions for facilitating the mobility of Indian students, young professions etc. abroad such as the extended post-study stays, intra-corporate secondment etc. The Labour Welfare & Mobility Agreements, while facilitating mobility of Indian skilled workforce, contain safeguards and provisions for ensuring the welfare of Indian workers employed overseas.
*****
## Annexure-A
## Migration & Mobility Agreements Signed since 2014
| S. No. | MMPA signed with | Signed on |
|----------|--------------------|---------------------|
| 1 | France | 10 th March 2018 |
| 2 | United Kingdom | 4 th May 2021 |
| 3 | Germany | 5 th December 2022 |
| 4 | Austria | 13 th May 2023 |
| 5 | Australia | 23 rd May 2023 |
| 6 | Italy | 2 nd November 2023 |
| 7 | Denmark | 22 nd February 2024 |
## Labour Mobility Agreements Signed since 2014
| S. No. | LMA signed with | Signed on |
|----------|----------------------|----------------------|
| 1 | Saudi Arabia | 3 rd April 2016 |
| 2 | United Arab Emirates | 11 th February 2018 |
| 3 | Jordan | 1 st March 2018 |
| 4 | Japan | 18 th January 2021 |
| 5 | Kuwait | 10 th June 2021 |
| 6 | Portugal | 13 th September 2021 |
| 7 | Mauritius | 10 th May 2023 |
| 8 | Israel | 3 rd November 2023 |
| 9 | Taiwan | 16 th February 2024 |
***** | *275. DR. PRADEEP KUMAR PANIGRAHY
Will the Minister of External Affairs be pleased to state :-
(a) the details of measures undertaken by the Government for the welfare and assistance of students and young professionals going abroad for education; and
(b) the list of countries whom the Government has signed migration agreements along with the benefits of the agreements accruing to young professionals, workers and students? | ## ANSWER
MINISTER OF EXTERNAL AFFAIRS
(DR. SUBRAHMANYAM JAISHANKAR)
(a & b) A statement is laid on the Table of the House.
*****
Statement referred to in reply to parts (a) to (b) in respect of Lok Sabha Starred Question No. 275 for reply on 09.08.2024 regarding 'Migration Agreements for Welfare of Students'.
(a) Safety and welfare of Indian students and young professionals going abroad for education are the top most priorities of Government of India. Indian Missions/Posts abroad maintain regular contacts with Indian students enrolled in Universities abroad. New Indian students enrolled in foreign Universities, are invited to participate in events organised by Indian Missions/Posts abroad. Senior Embassy officials also visit foreign Universities and Educational Institutions in their respective countries of accreditation to regularly interact with Indian students and Indian Students' Associations.
Indian Missions/Posts abroad also encourage Indian students and young professionals travelling abroad for higher studies to register with them. Indian Missions/Posts abroad also encourage them to remain connected on a regular basis and make all possible efforts to respond to the outstanding issues faced by them on a priority basis. The grievances of the students and young professionals are responded to almost on a real time basis through telephone calls, walk-ins, emails, social media, 24x7 emergency helplines, open houses and the MADAD Portal. Any complaint received from the Indian students and young professionals abroad are
taken up with the concerned University/Institution and the host Government, to ensure that they are properly investigated and the perpetrators are punished. During emergencies or crisis situations, Indian Missions/Posts abroad pro-actively help distressed/stranded Indians overseas by providing them food, shelter, medicines and ensure their return/evacuation to India as soon as possible. Shelter homes for distressed Indian nationals have also been set up at some Missions/Posts. Financial assistance to distressed Indians, if necessary, is provided through the Indian Community Welfare Fund (ICWF). Most recently, stranded Indian nationals were evacuated to India through the Vande Bharat Mission, Operation Ganga (Ukraine), Operation Kaveri (Sudan) and Operation Ajay (Israel) from countries around the world. The return of many Indian students and young professionals from Bangladesh was also facilitated by our High Commission.
(b) List of countries with which Migration & Mobility Agreements and Labour Mobility Agreements have been signed from 2014 till date is appended at Annexure-A. Government of India has signed diverse MoUs/Agreements such as Migration and Mobility Partnerships, Labour Mobility and Labour Welfare with various countries to establish a robust framework for strengthening regular migration pathways. These Agreements/MoUs seek to promote people-to-people ties, streamline
visa procedures, tackle irregular migration, reinforce bilateral relations, and encourage skilled labour mobility. The Migration & Mobility Partnership Agreements , inter alia, include provisions for facilitating the mobility of Indian students, young professions etc. abroad such as the extended post-study stays, intra-corporate secondment etc. The Labour Welfare & Mobility Agreements, while facilitating mobility of Indian skilled workforce, contain safeguards and provisions for ensuring the welfare of Indian workers employed overseas.
*****
## Annexure-A
## Migration & Mobility Agreements Signed since 2014
| S. No. | MMPA signed with | Signed on |
|----------|--------------------|---------------------|
| 1 | France | 10 th March 2018 |
| 2 | United Kingdom | 4 th May 2021 |
| 3 | Germany | 5 th December 2022 |
| 4 | Austria | 13 th May 2023 |
| 5 | Australia | 23 rd May 2023 |
| 6 | Italy | 2 nd November 2023 |
| 7 | Denmark | 22 nd February 2024 |
## Labour Mobility Agreements Signed since 2014
| S. No. | LMA signed with | Signed on |
|----------|----------------------|----------------------|
| 1 | Saudi Arabia | 3 rd April 2016 |
| 2 | United Arab Emirates | 11 th February 2018 |
| 3 | Jordan | 1 st March 2018 |
| 4 | Japan | 18 th January 2021 |
| 5 | Kuwait | 10 th June 2021 |
| 6 | Portugal | 13 th September 2021 |
| 7 | Mauritius | 10 th May 2023 |
| 8 | Israel | 3 rd November 2023 |
| 9 | Taiwan | 16 th February 2024 | | 66 | 696 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS275_Irxt18.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS275_Irxt18.pdf?source=pqals | 5 |
LS18-S2-STARRED-274 | 18 | 2 | 274 | STARRED | 2024-08-09 | Tenders in DCI | PORTS, SHIPPING AND WATERWAYS | [
"Dr. Kalanidhi Veeraswamy"
] | ## GOVERNMENT OF INDIA MINISTRY OF PORTS, SHIPPING AND WATERWAYS
## LOK SABHA STARRED QUESTION NO-*274
ANSWERED ON - 09/08/2024
## TENDERS IN DCI
## *274. DR. KALANIDHI VEERASWAMY:
Will the Minister of PORTS, SHIPPING AND WATERWAYS be pleased to state: पƣन , पोत पǐरवहन और जलमाग[ मंğी
- (a) the features of the Dredging Corporation of India (DCI); (b) whether the Government has made policy decision that DCI will be required to compete in tenders even for Government Ports, if so, the details thereof and if not, the reasons therefor; (c) whether the DCI lacks machinery to compete with private players and if so, the reasons therefor; and (d) the manner in which DCI would be able to compete with private players despite the lack of machinery and the steps taken/proposed to be taken by the Government to
- overcome this drawback of DCI?
## ANSWER
## MINISTER OF PORTS, SHIPPING AND WATERWAYS (SHRI SARBANANDA SONOWAL)
- (a) to (d). A statement is laid on the Table of the House.
STATEMENT REFERRED TO IN REPLY TO PARTS (a) TO (d) OF LOK SABHA STARRED QUESTION NO.*274 ANSWERED ON 09 TH AUGUST 2024 RAISED BY DR. KALANIDHI VEERASWAMY REGARDING 'TENDERS IN DCI'.
(a) Dredging Corporation of India Limited (DCI) was established in the year 1976 to provide dredging services to the Indian Major Ports. DCI is currently under the administrative control of four Indian Major Ports viz., Visakhapatnam Port Authority, Paradip Port Authority, Deendayal Port Authority and Jawaharlal Nehru Port Authority with shareholding of 19.47%, 18%, 18% & 18% respectively.
The DCI is specialized in the field of Dredging and Land Reclamation of Maritime Sector.
The DCI undertakes Capital Dredging, Maintenance Dredging, Beach Nourishment, Land Reclamation, Shallow water Dredging, Project Management Consultancy and Marine Construction for Major Ports, Indian Navy etc.
No, sir. The Ministry of Ports, Shipping and Waterways has promulgated in 2021 Dredging Guidelines for Major Ports with Standard Operating Procedure (SOP) for
(b) undertaking Capital and Maintenance Dredging at Major Ports.
As per the Dredging Guidelines, the Major Ports having management control of Ports Owned Dredging Company may award the dredging works of the respective ports to the company on nomination basis on approval of Board of Trustees/ Directors of the Port. Whenever this route for award is followed the principle of competitive market price discovery for the same quality and conditions shall be followed (to ensure high efficiency in cost, time and quality in execution of dredging projects).
The Major Ports may invite open competitive bidding for dredging projects after obtaining the approval of Board of Trustees/ Directors.
The Ministry of Ports, Shipping and Waterways reserves the right to assign in public interest, any contract for dredging work in any Major Port on nomination basis to Ports owned dredging company following due settlement process.
The DCI has vessels fleet consisting of ten (10) Trailer Suction Hopper Dredgers of 59,513 cubic meter cumulative hopper capacity, two Cutter Suction Dredgers, one Backhoe Dredger and other ancillary crafts. The detail craft census of DCI is having major market share in the field of maintenance dredging in India. DCI is carrying out maintenance dredging at Major Ports
The owning and maintaining of capital & inland dredging fleet is expensive and
(c) and (d): DCI is provided at Annexure-I. and has been participating in bidding process of dredging contracts. DCI's expertise is limited in capital & inland dredging works.
In order to augment capacity of dredgers, Dredging Corporation of India Limited (DCI)is in the process of procuring a new Trailing Suction Hopper Dredger of 12,000 cubic meter hopper capacity, the first Make in India Project of construction of a dredger at Cochin Shipyard Limited. This is the first Beagle Series 12 Trailing Suction Hopper Dredger of 12000 Cubic Meter Hopper Capacity to be built under Atma Nirbhar Bharat Scheme and same is expected to be delivered by September, 2025.
*****
## Annexure-I
## CRAFT CENSUS OF DREDGING CORPORATION OF INDIA LIMITED
## 1. TRAILING SUCTION HOOPER DRDGERS
| Sl No. | Dredger | Year Built | Hooper Capacity in Cu.M | Maximum Dredging Depth in Mtrs |
|----------|-------------------|--------------|---------------------------|----------------------------------|
| 01 | DCI DREDGE - VIII | 1977 | 6500 | 25 |
| 02 | DCI DREDGE - XI | 1986 | 4500 | 25 |
| 03 | DCI DREDGE - XII | 1990 | 4500 | 22 |
| 04 | DCI DREDGE - XIV | 1991 | 4500 | 22 |
| 05 | DCI DREDGE - XV | 1999 | 7671 | 25 |
| 06 | DCI DREDGE - XVI | 2001 | 7671 | 25 |
| 07 | DCI DREDGE - XVII | 2001 | 7671 | 25 |
| 08 | DCI DREDGE - XIX | 2012 | 5500 | 25 |
| 09 | DCI DREDGE - XX | 2013 | 5500 | 25 |
| 10 | DCI DREDGE - XXI | 2014 | 5500 | 25 |
2. CUTTER SUCTION DREDGERS
| Sl No. | Dredger | Year Built | Designed Output in Cu.M/Hr | Maximum Dredging Depth in Mtrs |
|----------|-----------------------------------|--------------|------------------------------|----------------------------------|
| 01 | DCI DREDGE -XVIII (NON PROPELLED) | 2009 | 2000 | 25 |
| 02 | DCI ID GANGA | 2016 | 1000 | 14 |
3. OTHER VESSELS
| Sl No. | Dredger | Year Built | Designed Output in Cu.M/Hr | Maximum Dredging Depth in Mtrs |
|----------|-----------------------------|--------------|------------------------------|----------------------------------|
| 01 | DCI BACKHOE - I | 2011 | 370 | 21.50 |
| 02 | DCI MULTICAT-I | 2015 | -- | -- |
| 03 | DCI SURVEY LAUNCH -I | 1999 | -- | -- |
| 04 | DCI SURVEY LAUNCH -II & III | 2009 | -- | -- |
*****
5 | ## *274. DR. KALANIDHI VEERASWAMY:
Will the Minister of PORTS, SHIPPING AND WATERWAYS be pleased to state: पƣन , पोत पǐरवहन और जलमाग[ मंğी
- (a) the features of the Dredging Corporation of India (DCI); (b) whether the Government has made policy decision that DCI will be required to compete in tenders even for Government Ports, if so, the details thereof and if not, the reasons therefor; (c) whether the DCI lacks machinery to compete with private players and if so, the reasons therefor; and (d) the manner in which DCI would be able to compete with private players despite the lack of machinery and the steps taken/proposed to be taken by the Government to
- overcome this drawback of DCI? | ## ANSWER
## MINISTER OF PORTS, SHIPPING AND WATERWAYS (SHRI SARBANANDA SONOWAL)
- (a) to (d). A statement is laid on the Table of the House.
STATEMENT REFERRED TO IN REPLY TO PARTS (a) TO (d) OF LOK SABHA STARRED QUESTION NO.*274 ANSWERED ON 09 TH AUGUST 2024 RAISED BY DR. KALANIDHI VEERASWAMY REGARDING 'TENDERS IN DCI'.
(a) Dredging Corporation of India Limited (DCI) was established in the year 1976 to provide dredging services to the Indian Major Ports. DCI is currently under the administrative control of four Indian Major Ports viz., Visakhapatnam Port Authority, Paradip Port Authority, Deendayal Port Authority and Jawaharlal Nehru Port Authority with shareholding of 19.47%, 18%, 18% & 18% respectively.
The DCI is specialized in the field of Dredging and Land Reclamation of Maritime Sector.
The DCI undertakes Capital Dredging, Maintenance Dredging, Beach Nourishment, Land Reclamation, Shallow water Dredging, Project Management Consultancy and Marine Construction for Major Ports, Indian Navy etc.
No, sir. The Ministry of Ports, Shipping and Waterways has promulgated in 2021 Dredging Guidelines for Major Ports with Standard Operating Procedure (SOP) for
(b) undertaking Capital and Maintenance Dredging at Major Ports.
As per the Dredging Guidelines, the Major Ports having management control of Ports Owned Dredging Company may award the dredging works of the respective ports to the company on nomination basis on approval of Board of Trustees/ Directors of the Port. Whenever this route for award is followed the principle of competitive market price discovery for the same quality and conditions shall be followed (to ensure high efficiency in cost, time and quality in execution of dredging projects).
The Major Ports may invite open competitive bidding for dredging projects after obtaining the approval of Board of Trustees/ Directors.
The Ministry of Ports, Shipping and Waterways reserves the right to assign in public interest, any contract for dredging work in any Major Port on nomination basis to Ports owned dredging company following due settlement process.
The DCI has vessels fleet consisting of ten (10) Trailer Suction Hopper Dredgers of 59,513 cubic meter cumulative hopper capacity, two Cutter Suction Dredgers, one Backhoe Dredger and other ancillary crafts. The detail craft census of DCI is having major market share in the field of maintenance dredging in India. DCI is carrying out maintenance dredging at Major Ports
The owning and maintaining of capital & inland dredging fleet is expensive and
(c) and (d): DCI is provided at Annexure-I. and has been participating in bidding process of dredging contracts. DCI's expertise is limited in capital & inland dredging works.
In order to augment capacity of dredgers, Dredging Corporation of India Limited (DCI)is in the process of procuring a new Trailing Suction Hopper Dredger of 12,000 cubic meter hopper capacity, the first Make in India Project of construction of a dredger at Cochin Shipyard Limited. This is the first Beagle Series 12 Trailing Suction Hopper Dredger of 12000 Cubic Meter Hopper Capacity to be built under Atma Nirbhar Bharat Scheme and same is expected to be delivered by September, 2025.
*****
## Annexure-I
## CRAFT CENSUS OF DREDGING CORPORATION OF INDIA LIMITED
## 1. TRAILING SUCTION HOOPER DRDGERS
| Sl No. | Dredger | Year Built | Hooper Capacity in Cu.M | Maximum Dredging Depth in Mtrs |
|----------|-------------------|--------------|---------------------------|----------------------------------|
| 01 | DCI DREDGE - VIII | 1977 | 6500 | 25 |
| 02 | DCI DREDGE - XI | 1986 | 4500 | 25 |
| 03 | DCI DREDGE - XII | 1990 | 4500 | 22 |
| 04 | DCI DREDGE - XIV | 1991 | 4500 | 22 |
| 05 | DCI DREDGE - XV | 1999 | 7671 | 25 |
| 06 | DCI DREDGE - XVI | 2001 | 7671 | 25 |
| 07 | DCI DREDGE - XVII | 2001 | 7671 | 25 |
| 08 | DCI DREDGE - XIX | 2012 | 5500 | 25 |
| 09 | DCI DREDGE - XX | 2013 | 5500 | 25 |
| 10 | DCI DREDGE - XXI | 2014 | 5500 | 25 |
2. CUTTER SUCTION DREDGERS
| Sl No. | Dredger | Year Built | Designed Output in Cu.M/Hr | Maximum Dredging Depth in Mtrs |
|----------|-----------------------------------|--------------|------------------------------|----------------------------------|
| 01 | DCI DREDGE -XVIII (NON PROPELLED) | 2009 | 2000 | 25 |
| 02 | DCI ID GANGA | 2016 | 1000 | 14 |
3. OTHER VESSELS
| Sl No. | Dredger | Year Built | Designed Output in Cu.M/Hr | Maximum Dredging Depth in Mtrs |
|----------|-----------------------------|--------------|------------------------------|----------------------------------|
| 01 | DCI BACKHOE - I | 2011 | 370 | 21.50 |
| 02 | DCI MULTICAT-I | 2015 | -- | -- |
| 03 | DCI SURVEY LAUNCH -I | 1999 | -- | -- |
| 04 | DCI SURVEY LAUNCH -II & III | 2009 | -- | -- |
*****
5 | 121 | 817 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS274_dlHc7I.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS274_dlHc7I.pdf?source=pqals | 5 |
LS18-S2-STARRED-273 | 18 | 2 | 273 | STARRED | 2024-08-09 | Immunization of Children | HEALTH AND FAMILY WELFARE | [
"Shri Pradyut Bordoloi"
] | ## GOVERNMENTOFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE
## LOK SABHA STARRED QUESTION NO. 273 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## IMMUNIZATION OFCHILDREN
## *273 SHRI PRADYUT BORDOLOI:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) the corrective measures being taken by the Government to ensure immunization of children who have not received a vaccination ever and those who have received a first dose to receive follow-up doses as well;
- (b) the details of specific strategies employed to target States with low immunization coverage;
- (c) whether collaborations with International organisations are in place to improve immunization coverage and if so, the details thereof; and
- (d) the details of central funds allocated towards increasing immunization coverage and utilisation rates for the same, State-wise?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to (d) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 273 FOR 9 TH AUGUST, 2024
(a) &(b)
1 . India ' s Immunization Programme is the largest Public Health Initiative globally, with an annual target of 2.6 crore children and 2.9 crore pregnant women through 1.3 crore Vaccination session. With a Full Immunization Coverage of 93.5%, India has consistently maintained very high Full Immunization coverage of >90% since FY 2019-20.
2. Given the large population size, India has the highest number of vaccinated children globally across the countries. 2.5 crore out of the target of 2.6 crore children have been fully immunized in FY 2023-24.
3 . The following steps are taken by the government in coordination with the States/UTs to ensure that all eligible children receive missed /due doses of vaccines.
- Zero Dose Implementation Plan 2024, has been developed for 143 districts in 11 states that have a high number of unvaccinated children.
- The Ministry of Health and Family Welfare (MoHFW) has developed the UWIN portal for the registration and recording of all vaccination events of children and pregnant women.
- Mission Indradhanush (MI)/ Intensified Mission Indradhanush (IMI), a special vaccination campaign, has been done in collaboration with states having high number of unvaccinated children. Till 2023 the country has done 12 phases of MI/IMI where a total of 5.46 crore children and 1.32 crore pregnant women have been vaccinated Nationwide.
- National Immunization days (NIDs)and Sub National Immunization days (SNIDs) for Pulse Polio program are special vaccination campaign carried out every year. India has been maintaining polio free status since 2014 onwards.
- Hosting of VHND (Village Health and Nutrition Day) on designated days for Immunization activities.
- State task force on Immunization (STFI), District task force on Immunization (DTFI) and Block task force on immunization (BTFI) ensure effective implementation of the drives which are regularly taken.
- Regular information education and communication campaigns are undertaken.
(c) Government of India collaborates with International Organizations to provide technical assistance for improving immunization coverage.
(d) The details of state wise expenditure towards immunization for FY 2023-24 is given in the annexure 1.
## Annexure 1 State/UT-wise Expenditure on Immunization under National Health Mission (NHM) for FY 2023-24 (Rs. in Lakhs)
| Sl No | States/UTs | Expenditure |
|---------|-------------------------------|---------------|
| 1 | Andaman and Nicobar Islands | 10.76 |
| 2 | Andhra Pradesh | 4,090.56 |
| 3 | Arunachal Pradesh | 376.66 |
| 4 | Assam | 5,020.41 |
| 5 | Bihar | 10,631.42 |
| 6 | Chandigarh | 25.39 |
| 7 | Chhattisgarh | 1,862.78 |
| 8 | Dadra Nagar Haveli &Daman Diu | 14.79 |
| 9 | Delhi | 963.11 |
| 10 | Goa | 61.75 |
| 11 | Gujarat | 7,632.67 |
| 12 | Haryana | 2,226.99 |
| 13 | Himachal Pradesh | 372.58 |
| 14 | Jammu and Kashmir | 355.39 |
| 15 | Jharkhand | 6,566.44 |
| 16 | Karnataka | 2,741.05 |
| 17 | Kerala | 1,295.72 |
| 18 | Lakshadweep | 14.05 |
| 19 | Madhya Pradesh | 9,154.97 |
| 20 | Maharashtra | 7,044.62 |
| 21 | Manipur | 139.05 |
| 22 | Meghalaya | 640.21 |
|------|---------------|-----------|
| 23 | Mizoram | 69.83 |
| 24 | Nagaland | 187.66 |
| 25 | Odisha | 3,429.89 |
| 26 | Puducherry | 50.12 |
| 27 | Punjab | 2,644.97 |
| 28 | Rajasthan | 5,319.58 |
| 29 | Sikkim | 50.9 |
| 30 | Tamil Nadu | 993.88 |
| 31 | Telangana | 1,429.79 |
| 32 | Tripura | 348.63 |
| 33 | Uttar Pradesh | 29,967.26 |
| 34 | Uttarakhand | 1,165.85 |
| 35 | West Bengal | 7,027.15 |
| 36 | Ladakh | 26.54 |
## Note:
1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year.
2. Expenditure is as per the available Financial Management Reports submitted by State/UTs and are provisional | ## GOVERNMENTOFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE
## LOK SABHA STARRED QUESTION NO. 273 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## IMMUNIZATION OFCHILDREN
## *273 SHRI PRADYUT BORDOLOI:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) the corrective measures being taken by the Government to ensure immunization of children who have not received a vaccination ever and those who have received a first dose to receive follow-up doses as well;
- (b) the details of specific strategies employed to target States with low immunization coverage;
- (c) whether collaborations with International organisations are in place to improve immunization coverage and if so, the details thereof; and
- (d) the details of central funds allocated towards increasing immunization coverage and utilisation rates for the same, State-wise? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to (d) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 273 FOR 9 TH AUGUST, 2024
(a) &(b)
1 . India ' s Immunization Programme is the largest Public Health Initiative globally, with an annual target of 2.6 crore children and 2.9 crore pregnant women through 1.3 crore Vaccination session. With a Full Immunization Coverage of 93.5%, India has consistently maintained very high Full Immunization coverage of >90% since FY 2019-20.
2. Given the large population size, India has the highest number of vaccinated children globally across the countries. 2.5 crore out of the target of 2.6 crore children have been fully immunized in FY 2023-24.
3 . The following steps are taken by the government in coordination with the States/UTs to ensure that all eligible children receive missed /due doses of vaccines.
- Zero Dose Implementation Plan 2024, has been developed for 143 districts in 11 states that have a high number of unvaccinated children.
- The Ministry of Health and Family Welfare (MoHFW) has developed the UWIN portal for the registration and recording of all vaccination events of children and pregnant women.
- Mission Indradhanush (MI)/ Intensified Mission Indradhanush (IMI), a special vaccination campaign, has been done in collaboration with states having high number of unvaccinated children. Till 2023 the country has done 12 phases of MI/IMI where a total of 5.46 crore children and 1.32 crore pregnant women have been vaccinated Nationwide.
- National Immunization days (NIDs)and Sub National Immunization days (SNIDs) for Pulse Polio program are special vaccination campaign carried out every year. India has been maintaining polio free status since 2014 onwards.
- Hosting of VHND (Village Health and Nutrition Day) on designated days for Immunization activities.
- State task force on Immunization (STFI), District task force on Immunization (DTFI) and Block task force on immunization (BTFI) ensure effective implementation of the drives which are regularly taken.
- Regular information education and communication campaigns are undertaken.
(c) Government of India collaborates with International Organizations to provide technical assistance for improving immunization coverage.
(d) The details of state wise expenditure towards immunization for FY 2023-24 is given in the annexure 1.
## Annexure 1 State/UT-wise Expenditure on Immunization under National Health Mission (NHM) for FY 2023-24 (Rs. in Lakhs)
| Sl No | States/UTs | Expenditure |
|---------|-------------------------------|---------------|
| 1 | Andaman and Nicobar Islands | 10.76 |
| 2 | Andhra Pradesh | 4,090.56 |
| 3 | Arunachal Pradesh | 376.66 |
| 4 | Assam | 5,020.41 |
| 5 | Bihar | 10,631.42 |
| 6 | Chandigarh | 25.39 |
| 7 | Chhattisgarh | 1,862.78 |
| 8 | Dadra Nagar Haveli &Daman Diu | 14.79 |
| 9 | Delhi | 963.11 |
| 10 | Goa | 61.75 |
| 11 | Gujarat | 7,632.67 |
| 12 | Haryana | 2,226.99 |
| 13 | Himachal Pradesh | 372.58 |
| 14 | Jammu and Kashmir | 355.39 |
| 15 | Jharkhand | 6,566.44 |
| 16 | Karnataka | 2,741.05 |
| 17 | Kerala | 1,295.72 |
| 18 | Lakshadweep | 14.05 |
| 19 | Madhya Pradesh | 9,154.97 |
| 20 | Maharashtra | 7,044.62 |
| 21 | Manipur | 139.05 |
| 22 | Meghalaya | 640.21 |
|------|---------------|-----------|
| 23 | Mizoram | 69.83 |
| 24 | Nagaland | 187.66 |
| 25 | Odisha | 3,429.89 |
| 26 | Puducherry | 50.12 |
| 27 | Punjab | 2,644.97 |
| 28 | Rajasthan | 5,319.58 |
| 29 | Sikkim | 50.9 |
| 30 | Tamil Nadu | 993.88 |
| 31 | Telangana | 1,429.79 |
| 32 | Tripura | 348.63 |
| 33 | Uttar Pradesh | 29,967.26 |
| 34 | Uttarakhand | 1,165.85 |
| 35 | West Bengal | 7,027.15 |
| 36 | Ladakh | 26.54 |
## Note:
1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year.
2. Expenditure is as per the available Financial Management Reports submitted by State/UTs and are provisional | 139 | 723 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS273_cPZvrm.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS273_cPZvrm.pdf?source=pqals | 5 |
LS18-S2-STARRED-272 | 18 | 2 | 272 | STARRED | 2024-08-09 | Jan Aushadhi Kendras in Tamil Nadu | CHEMICALS AND FERTILIZERS | [
"Shri Selvam G"
] | ## GOVERNMENT OF INDIA MINISTRY OF CHEMICALS AND FERTILIZERS DEPARTMENT OF PHARMACEUTICALS
LOK SABHA STARRED QUESTION No. 272
TO BE ANSWERED ON 9 TH AUGUST, 2024
## Jan Aushadhi Kendras in Tamil Nadu
## *272 Shri Selvam G:
Will the Minister of CHEMICALS AND FERTILIZERS be pleased to state:
- (a) the number of Jan Aushadhi Kendras (JAKs) functioning in the State of Tamil Nadu;
- (b) whether the Government has set any mechanism to assess the medicines supplied through JAKs and if so, the details thereof;
- (c) whether it is a fact that many of the medicines supplied through JAKs are substandard and if so, the corrective steps taken/proposed to be taken in this regard;
- (d) whether it is a fact that many poor people belonging to SC/ST and other weaker sections are not aware about the facility provided in JAKs; and
- (e) if so, the steps taken/proposed to be taken by the Government to launch awareness campaign among people about the same?
## ANSWER
THE MINISTER IN THE MINISTRY OF CHEMICALS AND FERTILIZERS (SHRI JAGAT PRAKASH NADDA)
- (a) to (e): A Statement is laid on the Table of the House.
## Statement referred to in reply to the LOK SABHA STARRED Q.NO. 272 (12 TH POSITION) for answer on 09.08.2024 raised by Shri Selvam G regarding Jan Aushadhi Kendras in Tamil Nadu
(a): Under the Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), 1156 Janaushadhi Kendras (JAKs) have been opened till 31.07.2024 in the state of Tamil Nadu .
(b) & (c): Medicines supplied under PMBJP are procured from World Health Organization Good Manufacturing Practices (WHO-GMP) certified suppliers only, for ensuring quality of the products. Each batch of drugs, after its receipt at the warehouses, is tested at laboratories accredited by 'National Accreditation Board for Testing and Calibration Laboratories' (NABL). Only after passing the quality tests, the medicines are dispatched to Jan Aushadhi Kendras. Any batch not meeting the quality parameters is returned back to the supplier. Only quality medicines are supplied through JAKs.
(d) & (e): Pharmaceuticals & Medical Devices Bureau of India (PMBI), the implementing agency of Pradhan Mantri Bhartiya Janaushadhi Pariyojana is spreading awareness about the features of PMBJP and benefits of Jan Aushadhi generic medicines through various types of advertisements such as Print Media, Radio advertisements, TV advertisements, Cinema Advertisements and Outdoor publicity like Hoardings, Bus Queue Shelter branding, Bus branding, Auto wrapping, etc. In addition to this, PMBI is also educating the public about the benefits of Jan Aushadhi generic medicines through social media platforms like Facebook, Twitter, Instagram, YouTube, etc. regularly.
Furthermore, PMBI is also educating citizens of the country about the benefits of Jan Aushadhi generic medicines by organizing Jan Aushadhi Diwas every year on 7 th March. Workshops and seminars are organized during various event celebrations such as Azadi Ka Amrit Mahotsav, National Unity Day week, etc. to educate the consumers about PMBJP Scheme.
The sales of medicines and other items sold through Jan Aushadhi Kendras has increased from Rs. 7.29 cr. in 2014 to Rs. 1470 cr. by July 2024. Number of JAKs has increased from 80 in 2014 to 13113 till 31.07.2024, which shows the popularity of the Scheme. Over the last 10 years, sale of medicines worth Rs. 5,600 crores have been made through JAKs, which has led to estimated savings of Rs. 30,000 crore to the consumers.
Till 31.07.2024, 912 Jan Aushadhi Kendras have been opened in aspirational districts, which covers backward and SC/ST dominated areas.
***** | ## GOVERNMENT OF INDIA MINISTRY OF CHEMICALS AND FERTILIZERS DEPARTMENT OF PHARMACEUTICALS
LOK SABHA STARRED QUESTION No. 272
TO BE ANSWERED ON 9 TH AUGUST, 2024
## Jan Aushadhi Kendras in Tamil Nadu
## *272 Shri Selvam G:
Will the Minister of CHEMICALS AND FERTILIZERS be pleased to state:
- (a) the number of Jan Aushadhi Kendras (JAKs) functioning in the State of Tamil Nadu;
- (b) whether the Government has set any mechanism to assess the medicines supplied through JAKs and if so, the details thereof;
- (c) whether it is a fact that many of the medicines supplied through JAKs are substandard and if so, the corrective steps taken/proposed to be taken in this regard;
- (d) whether it is a fact that many poor people belonging to SC/ST and other weaker sections are not aware about the facility provided in JAKs; and
- (e) if so, the steps taken/proposed to be taken by the Government to launch awareness campaign among people about the same? | ## ANSWER
THE MINISTER IN THE MINISTRY OF CHEMICALS AND FERTILIZERS (SHRI JAGAT PRAKASH NADDA)
- (a) to (e): A Statement is laid on the Table of the House.
## Statement referred to in reply to the LOK SABHA STARRED Q.NO. 272 (12 TH POSITION) for answer on 09.08.2024 raised by Shri Selvam G regarding Jan Aushadhi Kendras in Tamil Nadu
(a): Under the Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), 1156 Janaushadhi Kendras (JAKs) have been opened till 31.07.2024 in the state of Tamil Nadu .
(b) & (c): Medicines supplied under PMBJP are procured from World Health Organization Good Manufacturing Practices (WHO-GMP) certified suppliers only, for ensuring quality of the products. Each batch of drugs, after its receipt at the warehouses, is tested at laboratories accredited by 'National Accreditation Board for Testing and Calibration Laboratories' (NABL). Only after passing the quality tests, the medicines are dispatched to Jan Aushadhi Kendras. Any batch not meeting the quality parameters is returned back to the supplier. Only quality medicines are supplied through JAKs.
(d) & (e): Pharmaceuticals & Medical Devices Bureau of India (PMBI), the implementing agency of Pradhan Mantri Bhartiya Janaushadhi Pariyojana is spreading awareness about the features of PMBJP and benefits of Jan Aushadhi generic medicines through various types of advertisements such as Print Media, Radio advertisements, TV advertisements, Cinema Advertisements and Outdoor publicity like Hoardings, Bus Queue Shelter branding, Bus branding, Auto wrapping, etc. In addition to this, PMBI is also educating the public about the benefits of Jan Aushadhi generic medicines through social media platforms like Facebook, Twitter, Instagram, YouTube, etc. regularly.
Furthermore, PMBI is also educating citizens of the country about the benefits of Jan Aushadhi generic medicines by organizing Jan Aushadhi Diwas every year on 7 th March. Workshops and seminars are organized during various event celebrations such as Azadi Ka Amrit Mahotsav, National Unity Day week, etc. to educate the consumers about PMBJP Scheme.
The sales of medicines and other items sold through Jan Aushadhi Kendras has increased from Rs. 7.29 cr. in 2014 to Rs. 1470 cr. by July 2024. Number of JAKs has increased from 80 in 2014 to 13113 till 31.07.2024, which shows the popularity of the Scheme. Over the last 10 years, sale of medicines worth Rs. 5,600 crores have been made through JAKs, which has led to estimated savings of Rs. 30,000 crore to the consumers.
Till 31.07.2024, 912 Jan Aushadhi Kendras have been opened in aspirational districts, which covers backward and SC/ST dominated areas. | 167 | 415 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS272_L2W9M8.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS272_L2W9M8.pdf?source=pqals | 2 |
LS18-S2-STARRED-271 | 18 | 2 | 271 | STARRED | 2024-08-09 | New Virus Strain | HEALTH AND FAMILY WELFARE | [
"Shri Manickam Tagore B",
"Shri Vijayakumar Alias Vijay Vasanth"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH RESEARCH
## LOKSABHA STARRED QUESTION NO. 271 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## NEWVIRUS STRAIN
## *271 SHRI MANICKAM TAGORE B: SHRI VIJAYAKUMAR ALIAS VIJAYVASANTH:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
(a) the details regarding the nature and characteristics of the new virus strain detected in the country along with the specific risks associated with this variant;
(b) whether the Government has taken any measures to monitor and contain the spread of this new virus strain across different States and regions of the country, if so, the details thereof, State/UT-wise;
(c) whether the Government has issued any advisories or guidelines to the public, healthcare professionals, and other stakeholders regarding precautions and preventive measures against this new virus strain in the country, if so, the details thereof and the measures taken thereon;
(d) whether the Government has taken any steps to ramp up testing and genomic surveillance capabilities to identify and track the spread of this new variant effectively in the country, if so, the details thereof alongwith the steps taken/proposed to be taken in this regard; and
(e) the details of preparedness of healthcare facilities including hospitals and medical infrastructure, to handle potential surges in cases due to this new virus strain in the country?
## ANSWER
## THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
(a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 271 FOR 9 TH AUGUST, 2024
(a) The COVID-19 pandemic has witnessed the emergence of various strains of the SARS-CoV-2 virus. Indian Council of Medical Research (ICMR) and National Centre for Disease Control (NCDC) have informed that two strains, namely KP.1 and KP.2, have been responsible for recent surges in COVID-19 cases. These strains have evolved from JN1 Omicron variant. It is highly transmissible that causes the symptoms such as fever, cold, cough, sore throat, body ache, and fatigue which were generally not severe. There is no associated increase in hospitalizations or severe cases reported thus far.
(b) Government has taken the measures to monitor the spread of new strain across the country. National Centre for Disease Control (NCDC) has informed that the Integrated Disease Surveillance Program (IDSP) is an important program under National Health Mission that does the disease surveillance in the country. IDSP is implemented in all 36 States/UTs. The program is responsible for the surveillance of 40 plus epidemic prone diseases. A continuous watch and monitoring is maintained for emerging and re-emerging diseases situation. The information pertaining to cases of KP mutant strain detected in different states and UTs is given at Annexure.
Further, the Department of Health Research (DHR) has sanctioned a total 163 Viral Research and Diagnostic Laboratories (VRDLs) across India to improve virus detection and research
(c) The Government has taken various actions to face the challenge in the regard of surge in fresh COVID-19 cases in the country. Various steps as listed below are taken to improve the healthcare infrastructure in States/UTs to meet the challenges:
(i) Centre has issued advisories to States in view of the detection of COVID-19 variants in India like JN.1 etc.
(ii) States were advised to ensure adequate testing in all district as per COVID-19 testing Guidelines.
(iii) States urged to maintain a state of constant vigil over the COVID situation.
(iv) States advised to ensure adequate testing including higher number of RT-PCR tests; and send positive samples for genome sequencing to INSACOG laboratories.
(v) States also to promote community awareness to seek their continued support in managing COVID-19, including adherence to respiratory hygiene.
(d) Government has taken steps to ramp up testing and genomic surveillance capabilities to identify and track the spread of this new variant effectively. NCDC has informed that the Indian SARS-CoV-2 Genome Sequencing (INSACOG) network conducts Whole Genomic Sequencing for timely detection of new SARS-CoV-2 variants. INSACOG is a consortium of 67 laboratories and 400+ sentinel sites to monitor the genomic variations in the SARS-CoV-2.
The NCDC acts as the lead agency for Indian SARS CoV2 Genomics Consortium (INSACOG). In this regard, IDSP is coordinating flow of samples from States to Regional Genome Sequencing Labs (RGSLs) and in providing feedback to the States. IDSP is also collating the Whole Genome Sequencing (WGS) results and reporting it to respective States/UTs for necessary action along with key epidemiological inputs. Till 15th June 2024, India has sequenced 336,892 SARS-CoV-2 viral genomes out of which 301,451 have been sequenced by INSACOG.
(e) With the long-term goal to prepare the country against public health emergencies like new and emerging disease outbreaks, Pradhan Mantri - Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) has been launched to enhance the capacity of primary, secondary and tertiary health care facilities and institutes for identifying and managing any new and emerging diseases. Some of the key activities under this initiative directed towards preparedness against future pandemics include establishment of Critical Care hospital blocks, strengthening of National Centre for Disease Control (NCDC), establishment of regional NCDCs, setting up of a network of Bio-Safety Level-3 (BSL-3) laboratories, strengthening of public health units at Points of Entry, establishment of Health Emergency Operation Centres, Bio-security preparedness and strengthening pandemic research for One Health etc.
*****
*****
## ANNEXURE
| State/UTs wise Covid-19 KPmutant strain Cases as on 5.8.2024 | State/UTs wise Covid-19 KPmutant strain Cases as on 5.8.2024 | State/UTs wise Covid-19 KPmutant strain Cases as on 5.8.2024 |
|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|
| S.no | State/UTs | Cases |
| 1 | Maharashtra | 417 |
| 2 | West Bengal | 157 |
| 3 | Uttarakhand | 64 |
| 4 | Rajasthan | 48 |
| 5 | Gujarat | 42 |
| 6 | Goa | 27 |
| 7 | Chhattisgarh | 24 |
| 8 | Odisha | 17 |
| 9 | Karnataka | 12 |
| 10 | Uttar Pradesh | 12 |
| 11 | Tripura | 3 |
| 12 | Haryana | 1 |
| Total | Total | 824 |
(Data provided by NCDC) | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH RESEARCH
## LOKSABHA STARRED QUESTION NO. 271 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## NEWVIRUS STRAIN
## *271 SHRI MANICKAM TAGORE B: SHRI VIJAYAKUMAR ALIAS VIJAYVASANTH:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
(a) the details regarding the nature and characteristics of the new virus strain detected in the country along with the specific risks associated with this variant;
(b) whether the Government has taken any measures to monitor and contain the spread of this new virus strain across different States and regions of the country, if so, the details thereof, State/UT-wise;
(c) whether the Government has issued any advisories or guidelines to the public, healthcare professionals, and other stakeholders regarding precautions and preventive measures against this new virus strain in the country, if so, the details thereof and the measures taken thereon;
(d) whether the Government has taken any steps to ramp up testing and genomic surveillance capabilities to identify and track the spread of this new variant effectively in the country, if so, the details thereof alongwith the steps taken/proposed to be taken in this regard; and
(e) the details of preparedness of healthcare facilities including hospitals and medical infrastructure, to handle potential surges in cases due to this new virus strain in the country? | ## ANSWER
## THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
(a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 271 FOR 9 TH AUGUST, 2024
(a) The COVID-19 pandemic has witnessed the emergence of various strains of the SARS-CoV-2 virus. Indian Council of Medical Research (ICMR) and National Centre for Disease Control (NCDC) have informed that two strains, namely KP.1 and KP.2, have been responsible for recent surges in COVID-19 cases. These strains have evolved from JN1 Omicron variant. It is highly transmissible that causes the symptoms such as fever, cold, cough, sore throat, body ache, and fatigue which were generally not severe. There is no associated increase in hospitalizations or severe cases reported thus far.
(b) Government has taken the measures to monitor the spread of new strain across the country. National Centre for Disease Control (NCDC) has informed that the Integrated Disease Surveillance Program (IDSP) is an important program under National Health Mission that does the disease surveillance in the country. IDSP is implemented in all 36 States/UTs. The program is responsible for the surveillance of 40 plus epidemic prone diseases. A continuous watch and monitoring is maintained for emerging and re-emerging diseases situation. The information pertaining to cases of KP mutant strain detected in different states and UTs is given at Annexure.
Further, the Department of Health Research (DHR) has sanctioned a total 163 Viral Research and Diagnostic Laboratories (VRDLs) across India to improve virus detection and research
(c) The Government has taken various actions to face the challenge in the regard of surge in fresh COVID-19 cases in the country. Various steps as listed below are taken to improve the healthcare infrastructure in States/UTs to meet the challenges:
(i) Centre has issued advisories to States in view of the detection of COVID-19 variants in India like JN.1 etc.
(ii) States were advised to ensure adequate testing in all district as per COVID-19 testing Guidelines.
(iii) States urged to maintain a state of constant vigil over the COVID situation.
(iv) States advised to ensure adequate testing including higher number of RT-PCR tests; and send positive samples for genome sequencing to INSACOG laboratories.
(v) States also to promote community awareness to seek their continued support in managing COVID-19, including adherence to respiratory hygiene.
(d) Government has taken steps to ramp up testing and genomic surveillance capabilities to identify and track the spread of this new variant effectively. NCDC has informed that the Indian SARS-CoV-2 Genome Sequencing (INSACOG) network conducts Whole Genomic Sequencing for timely detection of new SARS-CoV-2 variants. INSACOG is a consortium of 67 laboratories and 400+ sentinel sites to monitor the genomic variations in the SARS-CoV-2.
The NCDC acts as the lead agency for Indian SARS CoV2 Genomics Consortium (INSACOG). In this regard, IDSP is coordinating flow of samples from States to Regional Genome Sequencing Labs (RGSLs) and in providing feedback to the States. IDSP is also collating the Whole Genome Sequencing (WGS) results and reporting it to respective States/UTs for necessary action along with key epidemiological inputs. Till 15th June 2024, India has sequenced 336,892 SARS-CoV-2 viral genomes out of which 301,451 have been sequenced by INSACOG.
(e) With the long-term goal to prepare the country against public health emergencies like new and emerging disease outbreaks, Pradhan Mantri - Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) has been launched to enhance the capacity of primary, secondary and tertiary health care facilities and institutes for identifying and managing any new and emerging diseases. Some of the key activities under this initiative directed towards preparedness against future pandemics include establishment of Critical Care hospital blocks, strengthening of National Centre for Disease Control (NCDC), establishment of regional NCDCs, setting up of a network of Bio-Safety Level-3 (BSL-3) laboratories, strengthening of public health units at Points of Entry, establishment of Health Emergency Operation Centres, Bio-security preparedness and strengthening pandemic research for One Health etc.
*****
*****
## ANNEXURE
| State/UTs wise Covid-19 KPmutant strain Cases as on 5.8.2024 | State/UTs wise Covid-19 KPmutant strain Cases as on 5.8.2024 | State/UTs wise Covid-19 KPmutant strain Cases as on 5.8.2024 |
|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|
| S.no | State/UTs | Cases |
| 1 | Maharashtra | 417 |
| 2 | West Bengal | 157 |
| 3 | Uttarakhand | 64 |
| 4 | Rajasthan | 48 |
| 5 | Gujarat | 42 |
| 6 | Goa | 27 |
| 7 | Chhattisgarh | 24 |
| 8 | Odisha | 17 |
| 9 | Karnataka | 12 |
| 10 | Uttar Pradesh | 12 |
| 11 | Tripura | 3 |
| 12 | Haryana | 1 |
| Total | Total | 824 |
(Data provided by NCDC) | 227 | 804 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS271_5RIG75.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS271_5RIG75.pdf?source=pqals | 4 |
LS18-S2-STARRED-270 | 18 | 2 | 270 | STARRED | 2024-08-09 | Budget for Health Infrastructure | HEALTH AND FAMILY WELFARE | [
"Shri Ananta Nayak"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 270 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## BUDGET FOR HEALTH INFRASTRUCTURE
## *270 SHRI ANANTA NAYAK:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether it is true that India has the lowest health budget compared to other countries of the world and if so, the details thereof;
- (b) whether Indian Medical Association (IMA) has requested the Government for increasing the health budget to strengthen the health infrastructure in the country;
- (c) if so, the details thereof and the response of the Government thereto;
- (d) whether the Government is aware that low health budget is putting more financial burden on pockets of patients, particularly from poor background and if so, the details thereof; and
- (e) whether the Government has made any road map to increase the health budget by 5 percent of GDP by year 2030 and if so, the details thereof?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 270 FOR 9 TH AUGUST, 2024
(a) As per the National Health Policy, 2017, public investment in health is envisioned to reach 2.5% of GDP by 2025. Government initiatives in this direction is evident from the National Health Accounts Estimates in India, where there has been significant increase in Government spending on health as percentage of Total Health Expenditure (THE), which was 29.0% in 2014-15 and 41.4% in 2019-20. Correspondingly, Government Health Expenditure (GHE) as percentage of GDP has increased from 1.13% in 2014-15 to 1.35% in 2019-20. Further as per Economic Survey 2023-24, the Health Expenditure as percentage of GDP has increased from 1.4% in 2017-18 to 1.9% in 2023-24(BE).
The budget allocation of Ministry of Health and Family Welfare (Department of Health & Family Welfare & Department of Health Research) and Ministry of AYUSH are given as under:
(Rs.in crore)
| Allocation (BE) | 2020-21 | 2021-22 | 2022-23 | 2023-24 | 2024-25 |
|---------------------------------------|-----------|-----------|-----------|-----------|-----------|
| Department of Health & Family Welfare | 65012 | 71269 | 83000 | 86175 | 87657 |
| Department of Health Research | 2100 | 2663 | 3201 | 2980 | 3002 |
| Ministry of AYUSH | 2122 | 2970 | 3050 | 3648 | 3712 |
| Total | 69234 | 76902 | 89251 | 92803 | 94371 |
Further, the 15 th Finance Commission has also provided Rs. 70,051 crore Grants for health through the Local Government.
(b) & (c) Allocation of budget is linked to, inter-alia, fiscal health of the Government and capacity of the State Governments to utilize the resources.
(d) As per available National Health Accounts Estimates, the Out of Pocket Expenditure (OOPE) has been continuously declining from 62.6% in 2014-15 to 47.1 % in 2019-20. For providing the affordable healthcare to people, the Government has launched four mission mode projects, namely PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Arogya Mandir (erstwhile ABHWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY) and Ayushman Bharat Digital Mission (ABDM). Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY) aims to provide health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to approximately 55 Crore beneficiaries corresponding to 12.34 Crore families constituting the bottom 40% of India's population. States/UTs implementing AB PM-JAY have further expanded the beneficiary base, at their own cost. Around 7.37 crore hospital admissions worth over one lakh crore have been authorized under the scheme.
Other notable initiatives are National Health Mission (NHM), setting up of new AIIMS, upgrading of Government medical colleges under the Pradhan Mantri Swasthya Suraksha Yojna (PMSSY), support to States/UTs for setting up of new medical colleges as well as for increasing UG and PG medical seats. Free Drugs Service Initiative and Free Diagnostic Service Initiative under National Health Mission have been rolled out to ensure the availability of essential drugs and diagnostic facilities and reduce the Out of Pocket Expenditure (OOPE) of the patients visiting public health facilities.
Besides, quality generic medicines are made available at affordable prices to all under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. As on 30.6.2024, 12616 Janaushadhi Kendras are functional across the country. Product basket of PMBJP comprises 2047 drugs and 300 surgical items.
(e) As per the National Health Policy, 2017, public investment in health is envisioned to reach 2.5% of GDP by 2025. The Department of Health and Family Welfare (DoHFW) has also taken up with States to prioritize allocation to health sector and enhance their health budgets at least by 8% of total State budget to reach the goal as envisaged.
*** | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 270 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## BUDGET FOR HEALTH INFRASTRUCTURE
## *270 SHRI ANANTA NAYAK:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether it is true that India has the lowest health budget compared to other countries of the world and if so, the details thereof;
- (b) whether Indian Medical Association (IMA) has requested the Government for increasing the health budget to strengthen the health infrastructure in the country;
- (c) if so, the details thereof and the response of the Government thereto;
- (d) whether the Government is aware that low health budget is putting more financial burden on pockets of patients, particularly from poor background and if so, the details thereof; and
- (e) whether the Government has made any road map to increase the health budget by 5 percent of GDP by year 2030 and if so, the details thereof? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to (e) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 270 FOR 9 TH AUGUST, 2024
(a) As per the National Health Policy, 2017, public investment in health is envisioned to reach 2.5% of GDP by 2025. Government initiatives in this direction is evident from the National Health Accounts Estimates in India, where there has been significant increase in Government spending on health as percentage of Total Health Expenditure (THE), which was 29.0% in 2014-15 and 41.4% in 2019-20. Correspondingly, Government Health Expenditure (GHE) as percentage of GDP has increased from 1.13% in 2014-15 to 1.35% in 2019-20. Further as per Economic Survey 2023-24, the Health Expenditure as percentage of GDP has increased from 1.4% in 2017-18 to 1.9% in 2023-24(BE).
The budget allocation of Ministry of Health and Family Welfare (Department of Health & Family Welfare & Department of Health Research) and Ministry of AYUSH are given as under:
(Rs.in crore)
| Allocation (BE) | 2020-21 | 2021-22 | 2022-23 | 2023-24 | 2024-25 |
|---------------------------------------|-----------|-----------|-----------|-----------|-----------|
| Department of Health & Family Welfare | 65012 | 71269 | 83000 | 86175 | 87657 |
| Department of Health Research | 2100 | 2663 | 3201 | 2980 | 3002 |
| Ministry of AYUSH | 2122 | 2970 | 3050 | 3648 | 3712 |
| Total | 69234 | 76902 | 89251 | 92803 | 94371 |
Further, the 15 th Finance Commission has also provided Rs. 70,051 crore Grants for health through the Local Government.
(b) & (c) Allocation of budget is linked to, inter-alia, fiscal health of the Government and capacity of the State Governments to utilize the resources.
(d) As per available National Health Accounts Estimates, the Out of Pocket Expenditure (OOPE) has been continuously declining from 62.6% in 2014-15 to 47.1 % in 2019-20. For providing the affordable healthcare to people, the Government has launched four mission mode projects, namely PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Arogya Mandir (erstwhile ABHWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY) and Ayushman Bharat Digital Mission (ABDM). Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY) aims to provide health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to approximately 55 Crore beneficiaries corresponding to 12.34 Crore families constituting the bottom 40% of India's population. States/UTs implementing AB PM-JAY have further expanded the beneficiary base, at their own cost. Around 7.37 crore hospital admissions worth over one lakh crore have been authorized under the scheme.
Other notable initiatives are National Health Mission (NHM), setting up of new AIIMS, upgrading of Government medical colleges under the Pradhan Mantri Swasthya Suraksha Yojna (PMSSY), support to States/UTs for setting up of new medical colleges as well as for increasing UG and PG medical seats. Free Drugs Service Initiative and Free Diagnostic Service Initiative under National Health Mission have been rolled out to ensure the availability of essential drugs and diagnostic facilities and reduce the Out of Pocket Expenditure (OOPE) of the patients visiting public health facilities.
Besides, quality generic medicines are made available at affordable prices to all under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. As on 30.6.2024, 12616 Janaushadhi Kendras are functional across the country. Product basket of PMBJP comprises 2047 drugs and 300 surgical items.
(e) As per the National Health Policy, 2017, public investment in health is envisioned to reach 2.5% of GDP by 2025. The Department of Health and Family Welfare (DoHFW) has also taken up with States to prioritize allocation to health sector and enhance their health budgets at least by 8% of total State budget to reach the goal as envisaged. | 173 | 639 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS270_J0zoip.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS270_J0zoip.pdf?source=pqals | 3 |
LS18-S2-STARRED-269 | 18 | 2 | 269 | STARRED | 2024-08-09 | National Immunization Coverage | HEALTH AND FAMILY WELFARE | [
"Shri Subbarayan K",
"Com. Selvaraj V"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE
## DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 269 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## NATIONALIMMUNIZATION COVERAGE
- *269 COM. SELVARAJ V: SHRI SUBBARAYAN K:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the Government is aware that 2023 report of World Health
- Organization/UNICEF Estimates of National Immunisation Coverage (WUENIC) indicating India as having the second largest number of kids who did not receive any vaccine at all in 2023, that is 1.6 million, just after Nigeria with 2.1 million zero dose children; and
- (b) if so, the details thereof alongwith the Government's reaction thereto?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) & ( b) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 269 FOR 9 TH AUGUST, 2024
(a) & (b) The Government is aware of the 2023 report of World Health Organization / UNICEF estimates of National immunization coverage (WUENIC) on India ' s position on zero dose children.
However, there has been a flawed comparison with countries having high burden zero dose children as it has not taken into consideration India ' s population and high vaccination coverage.
As a percentage, Zero Dose children account for 0.11% of the country ' s total population. With continued efforts, there has been a commensurate decrease in drop out percentage from DTP-1 to DTP-3 from 7% in 2013 to 2% in 2023 and increased coverage of Measles from 83% in 2013 to 93% in 2023.
From a figure of 26 lakh zero dose children in 2013, the number of unvaccinated children (zero-dose children) has dropped to 16 lakh zero dose children in 2023(WUENIC report).
The vaccination coverage of over 90% for most antigens covered under the program is also at par with many high-income countries. India ' s 83.46% exceeds the global vaccine coverage average (72.77%) for WHO recommended vaccines.
Comparatively, Nigeria has achieved a DPT1 coverage of only 70% as against 93% for India (WUENIC 2023).
Given the large population size, our country has the highest cohort of vaccinated children, 2.5 crore children out of the cohort of 2.6 crore with Full Immunization Coverage at 93.5% for FY 2023-24 and 1.3 crore vaccination sessions. The Immunization Program of our Nation is the largest Public Health Initiative globally.
The Government has taken several measures in coordination with the States/UTs to ensure that all eligible children receive missed /due doses of vaccines.
- I. Zero Dose Implementation Plan 2024, has been developed for 143 districts in 11 states with a high number of unvaccinated children.
- II. Mission Indradhanush (MI)/ Intensified Mission Indradhanush (IMI) are special vaccination campaigns conducted in collaboration with states having high number of unvaccinated children. Till 2023, 12 phases of MI/IMI have been conducted where 5.46 crore children and 1.32 crore pregnant women have been vaccinated.
- III. National Immunization days (NIDs) and Sub National Immunization days (SNIDs) for Pulse Polio program are special vaccination campaigns carried out every year. India has been maintaining polio free status since 2014 onwards.
- IV. Hosting of VHND (Village Health and Nutrition Day) on designated days for Immunization activities are done.
- V. State task force on Immunization (STFI), District task force on Immunization (DTFI) and Block task force on immunization (BTFI) ensure effective implementation of the drives that are regularly taken.
- VI. Regular information education and communication campaigns are held.
- VII. TheMinistryof Health and Family Welfare has also developed the UWIN portal for the registration and recording of all vaccination events of children and pregnant women.
***** | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE
## DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 269 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## NATIONALIMMUNIZATION COVERAGE
- *269 COM. SELVARAJ V: SHRI SUBBARAYAN K:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the Government is aware that 2023 report of World Health
- Organization/UNICEF Estimates of National Immunisation Coverage (WUENIC) indicating India as having the second largest number of kids who did not receive any vaccine at all in 2023, that is 1.6 million, just after Nigeria with 2.1 million zero dose children; and
- (b) if so, the details thereof alongwith the Government's reaction thereto? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) & ( b) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 269 FOR 9 TH AUGUST, 2024
(a) & (b) The Government is aware of the 2023 report of World Health Organization / UNICEF estimates of National immunization coverage (WUENIC) on India ' s position on zero dose children.
However, there has been a flawed comparison with countries having high burden zero dose children as it has not taken into consideration India ' s population and high vaccination coverage.
As a percentage, Zero Dose children account for 0.11% of the country ' s total population. With continued efforts, there has been a commensurate decrease in drop out percentage from DTP-1 to DTP-3 from 7% in 2013 to 2% in 2023 and increased coverage of Measles from 83% in 2013 to 93% in 2023.
From a figure of 26 lakh zero dose children in 2013, the number of unvaccinated children (zero-dose children) has dropped to 16 lakh zero dose children in 2023(WUENIC report).
The vaccination coverage of over 90% for most antigens covered under the program is also at par with many high-income countries. India ' s 83.46% exceeds the global vaccine coverage average (72.77%) for WHO recommended vaccines.
Comparatively, Nigeria has achieved a DPT1 coverage of only 70% as against 93% for India (WUENIC 2023).
Given the large population size, our country has the highest cohort of vaccinated children, 2.5 crore children out of the cohort of 2.6 crore with Full Immunization Coverage at 93.5% for FY 2023-24 and 1.3 crore vaccination sessions. The Immunization Program of our Nation is the largest Public Health Initiative globally.
The Government has taken several measures in coordination with the States/UTs to ensure that all eligible children receive missed /due doses of vaccines.
- I. Zero Dose Implementation Plan 2024, has been developed for 143 districts in 11 states with a high number of unvaccinated children.
- II. Mission Indradhanush (MI)/ Intensified Mission Indradhanush (IMI) are special vaccination campaigns conducted in collaboration with states having high number of unvaccinated children. Till 2023, 12 phases of MI/IMI have been conducted where 5.46 crore children and 1.32 crore pregnant women have been vaccinated.
- III. National Immunization days (NIDs) and Sub National Immunization days (SNIDs) for Pulse Polio program are special vaccination campaigns carried out every year. India has been maintaining polio free status since 2014 onwards.
- IV. Hosting of VHND (Village Health and Nutrition Day) on designated days for Immunization activities are done.
- V. State task force on Immunization (STFI), District task force on Immunization (DTFI) and Block task force on immunization (BTFI) ensure effective implementation of the drives that are regularly taken.
- VI. Regular information education and communication campaigns are held.
- VII. TheMinistryof Health and Family Welfare has also developed the UWIN portal for the registration and recording of all vaccination events of children and pregnant women. | 118 | 506 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS269_KEeQwK.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS269_KEeQwK.pdf?source=pqals | 3 |
LS18-S2-STARRED-268 | 18 | 2 | 268 | STARRED | 2024-08-09 | Eradication of Malaria | HEALTH AND FAMILY WELFARE | [
"Shri Raja A"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 268 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## ERADICATION OFMALARIA
## *268 SHRI RAJA A:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether as per the report of WHO, India accounted for 66 percent of malaria cases in South East Asia region, if so, the details thereof;
- (b) the details of schemes being implemented by the Ministry for eradication of malaria cases with the amount spent thereon during the last three years, year-wise;
- (c) the efforts made by the Ministry in expanding access to insecticide-treated nets and medicines to help prevent malaria among young children and pregnant women in the country; and
- (d) whether any special drive with increased allocation of funds would be launched to bring down the cases in the country, if so, the details thereof?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to ( d) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 268 FOR 9 TH AUGUST, 2024
(a) As per World Malaria Report (WMR) 2023, India accounted for 66% malaria cases in 2022 in South East Asia Region (SEAR). However, as per the National Centre Vector Borne Diseases Control (NCVBDC) Annual report 2022, a total of 1,76,522 malaria cases were reported in India which comes to approximately 8.89% of the estimated burden in South East Asia Region (SEAR). Accordingly, Government of India has written a letter to World Health Organisation(WHO) stating that India has well organised survellience system in which data is collected from States/UTs.
(b) The National Center for Vector Borne Diseases Control (NCVBDC) administers an umbrella programme, namely, National Vector Borne Diseases Control Programme (NVBDCP) for prevention and control of vector borne diseases including Malaria. The detailed activities implemented under the scheme for elimination of Malaria are as under:
- i. Disease Management involving early case detection with active, passive and sentinel surveillance followed by complete and effective treatment, strengthening of referral services, epidemic preparedness and rapid response.
- ii. Integrated Vector Management, including Indoor Residual Spraying (IRS), in selected high risk areas, Long Lasting Insecticidal Nets (LLINs) in high malaria endemic areas, use of larvivorous fish, anti-larval measures in urban areas including bio-larvicides and minor environmental engineering and source reduction for prevention of breeding.
- iii. Supportive interventions aiming at Behaviour Change Communication (BCC), Inter-Sectoral Convergence and Human Resource Development through capacity building.
The amount spent by the States and UTs on National Vector Borne Disease Control Programme (NVBDCP) including Malaria during 2021-22, 2022-23 and 2023-24 are Rs. 31,003.55 lakh , Rs. 37,318.07 lakh and Rs. 43,020.28 lakh respectively, under National Health Mission(NHM).
(c) For prevention and control of malaria, the entire population at risk including pregnant women and children in sub-centers with API>1 (Annual Parasite Incidence of more than one case per thousand population) have been covered with appropriate vector control intervention including Long Lasting Insecticidal Nets (LLINs). Malaria diagnostics and medicines for the treatment have been made available free of cost to all including young children and pregnant women at the health facilities across the country.
(d) Sufficient funds under National Health Mission (NHM) have been provided to the States/UTs for effective implementation of activities under NVBDCP. Also, since April 2024, Intensified Malaria Elimination Project-3 is implemented with GFATM support in 12 states [7 North-Eastern States (Arunachal Pradesh, Assam, Meghalaya, Mizoram, Nagaland, Manipur & Tripura), Odisha, Jharkhand, Chhattisgarh, Maharashtra and Madhya Pradesh] covering 159 districts, for the period 2024-27.
**** | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 268 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## ERADICATION OFMALARIA
## *268 SHRI RAJA A:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether as per the report of WHO, India accounted for 66 percent of malaria cases in South East Asia region, if so, the details thereof;
- (b) the details of schemes being implemented by the Ministry for eradication of malaria cases with the amount spent thereon during the last three years, year-wise;
- (c) the efforts made by the Ministry in expanding access to insecticide-treated nets and medicines to help prevent malaria among young children and pregnant women in the country; and
- (d) whether any special drive with increased allocation of funds would be launched to bring down the cases in the country, if so, the details thereof? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to ( d) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 268 FOR 9 TH AUGUST, 2024
(a) As per World Malaria Report (WMR) 2023, India accounted for 66% malaria cases in 2022 in South East Asia Region (SEAR). However, as per the National Centre Vector Borne Diseases Control (NCVBDC) Annual report 2022, a total of 1,76,522 malaria cases were reported in India which comes to approximately 8.89% of the estimated burden in South East Asia Region (SEAR). Accordingly, Government of India has written a letter to World Health Organisation(WHO) stating that India has well organised survellience system in which data is collected from States/UTs.
(b) The National Center for Vector Borne Diseases Control (NCVBDC) administers an umbrella programme, namely, National Vector Borne Diseases Control Programme (NVBDCP) for prevention and control of vector borne diseases including Malaria. The detailed activities implemented under the scheme for elimination of Malaria are as under:
- i. Disease Management involving early case detection with active, passive and sentinel surveillance followed by complete and effective treatment, strengthening of referral services, epidemic preparedness and rapid response.
- ii. Integrated Vector Management, including Indoor Residual Spraying (IRS), in selected high risk areas, Long Lasting Insecticidal Nets (LLINs) in high malaria endemic areas, use of larvivorous fish, anti-larval measures in urban areas including bio-larvicides and minor environmental engineering and source reduction for prevention of breeding.
- iii. Supportive interventions aiming at Behaviour Change Communication (BCC), Inter-Sectoral Convergence and Human Resource Development through capacity building.
The amount spent by the States and UTs on National Vector Borne Disease Control Programme (NVBDCP) including Malaria during 2021-22, 2022-23 and 2023-24 are Rs. 31,003.55 lakh , Rs. 37,318.07 lakh and Rs. 43,020.28 lakh respectively, under National Health Mission(NHM).
(c) For prevention and control of malaria, the entire population at risk including pregnant women and children in sub-centers with API>1 (Annual Parasite Incidence of more than one case per thousand population) have been covered with appropriate vector control intervention including Long Lasting Insecticidal Nets (LLINs). Malaria diagnostics and medicines for the treatment have been made available free of cost to all including young children and pregnant women at the health facilities across the country.
(d) Sufficient funds under National Health Mission (NHM) have been provided to the States/UTs for effective implementation of activities under NVBDCP. Also, since April 2024, Intensified Malaria Elimination Project-3 is implemented with GFATM support in 12 states [7 North-Eastern States (Arunachal Pradesh, Assam, Meghalaya, Mizoram, Nagaland, Manipur & Tripura), Odisha, Jharkhand, Chhattisgarh, Maharashtra and Madhya Pradesh] covering 159 districts, for the period 2024-27. | 158 | 453 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS268_NB5m5I.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS268_NB5m5I.pdf?source=pqals | 3 |
LS18-S2-STARRED-267 | 18 | 2 | 267 | STARRED | 2024-08-09 | HPV Vaccination Programme | HEALTH AND FAMILY WELFARE | [
"Shri Rao Rajendra Singh"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOKSABHA STARRED QUESTION NO. 267 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## HPVVACCINATIONPROGRAMME
## *267 SHRI RAO RAJENDRA SINGH:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the State of Rajasthan is a part of the selected States through which HPV Vaccination is being rolled out in the country under the Universal Immunization Programme and if so, the details thereof;
- (b) whether the Government intends to include Rajasthan in the HPV Vaccination Programme so that cervical cancer can be prevented among the women living in the State and if so, the details thereof;
- (c) whether the Government has any data on the number of people living in the State of Rajasthan who have been diagnosed and/or are currently undergoing treatment for cervical cancer; and
- (d) if so, the details thereof alongwith the gender distribution?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE
## (SHRI JAGAT PRAKASH NADDA)
- (a) to ( d) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 267 FOR 9 TH AUGUST, 2024
(a) & (b) Under Universal Immunization Programme (UIP), 11 vaccines are provided against 12 Vaccine Preventable Diseases (VPDs). HPV vaccine is not a part of the Universal Immunisation Programme (UIP).
(c) & (d) In the State of Rajasthan, as per National NCD portal as on 31 st July 2024, a total of 2,156 women have been diagnosed for cervical cancer and 1,712 are currently undergoing treatment in Government facilities.
**** | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOKSABHA STARRED QUESTION NO. 267 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## HPVVACCINATIONPROGRAMME
## *267 SHRI RAO RAJENDRA SINGH:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the State of Rajasthan is a part of the selected States through which HPV Vaccination is being rolled out in the country under the Universal Immunization Programme and if so, the details thereof;
- (b) whether the Government intends to include Rajasthan in the HPV Vaccination Programme so that cervical cancer can be prevented among the women living in the State and if so, the details thereof;
- (c) whether the Government has any data on the number of people living in the State of Rajasthan who have been diagnosed and/or are currently undergoing treatment for cervical cancer; and
- (d) if so, the details thereof alongwith the gender distribution? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE
## (SHRI JAGAT PRAKASH NADDA)
- (a) to ( d) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 267 FOR 9 TH AUGUST, 2024
(a) & (b) Under Universal Immunization Programme (UIP), 11 vaccines are provided against 12 Vaccine Preventable Diseases (VPDs). HPV vaccine is not a part of the Universal Immunisation Programme (UIP).
(c) & (d) In the State of Rajasthan, as per National NCD portal as on 31 st July 2024, a total of 2,156 women have been diagnosed for cervical cancer and 1,712 are currently undergoing treatment in Government facilities. | 159 | 116 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS267_fnABbv.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS267_fnABbv.pdf?source=pqals | 2 |
LS18-S2-STARRED-266 | 18 | 2 | 266 | STARRED | 2024-08-09 | Health Insurance for People with Disabilities | HEALTH AND FAMILY WELFARE | [
"Shri Karti P Chidambaram",
"Shri Bhartruhari Mahtab"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 266 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## HEALTH INSURANCE FOR PEOPLE WITH DISABILITIES
## *266 SHRI KARTI P CHIDAMBARAM: SHRI BHARTRUHARI MAHTAB:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether there is any data on the number of people with disabilities availing health insurance under the Ayushman Bharat Scheme; and
- (b) if so, the details of the number of people across different disabilities/sex/age thereof and if not, the reasons therefor?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) & (b) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 266 FOR 9 TH AUGUST, 2024
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is the largest publicly funded health assurance scheme in the world, which provides health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to approximately 55 crore beneficiaries corresponding to 12.34 crore families, constituting the bottom 40% of India ' s population.
The beneficiaries under AB-PMJAY are not categorized on the basis of disability and hence the information on the number of people with disabilities availing health insurance under the scheme is not available.
**** | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 266 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## HEALTH INSURANCE FOR PEOPLE WITH DISABILITIES
## *266 SHRI KARTI P CHIDAMBARAM: SHRI BHARTRUHARI MAHTAB:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether there is any data on the number of people with disabilities availing health insurance under the Ayushman Bharat Scheme; and
- (b) if so, the details of the number of people across different disabilities/sex/age thereof and if not, the reasons therefor? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) & (b) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 266 FOR 9 TH AUGUST, 2024
Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) is the largest publicly funded health assurance scheme in the world, which provides health cover of Rs. 5 lakh per family per year for secondary and tertiary care hospitalization to approximately 55 crore beneficiaries corresponding to 12.34 crore families, constituting the bottom 40% of India ' s population.
The beneficiaries under AB-PMJAY are not categorized on the basis of disability and hence the information on the number of people with disabilities availing health insurance under the scheme is not available. | 99 | 134 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS266_AHDWZ8.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS266_AHDWZ8.pdf?source=pqals | 2 |
LS18-S2-STARRED-265 | 18 | 2 | 265 | STARRED | 2024-08-09 | Drug Regulatory Body for Veterinary Medicines | HEALTH AND FAMILY WELFARE | [
"Shri K Gopinath",
"Dr. M K Vishnu Prasad"
] | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE
## DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 265 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## DRUG REGULATORYBODYFOR VETERINARYMEDICINES
## *265 SHRI K GOPINATH: DR. M K VISHNU PRASAD:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the Union Government has taken any action in consultation with State Governments to set up a separate regulatory body for veterinary medicines, given the various advantages of having a distinct Drug Regulator for veterinary medicines in the country;
- (b) if so, the details thereof; and
- (c) whether the regulatory body is functioning in the States, if so, the details thereof, State/UTwise?
## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to (c) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 265 FOR 9 TH AUGUST, 2024
- (a) Drugs including veterinary drugs are regulated under the provisions of Drugs and Cosmetics Act, 1940 and Rules made thereunder. License for manufacture, sale and distribution of drugs is granted by the respective State Licensing Authorities appointed by the respective State Government, while the Central Drugs Standard Control Organization (CDSCO) is responsible for regulation of import of veterinary Drugs and approval of New Drugs.
- (b) CDSCO has no such proposal to set up a separate regulatory body for Veterinary medicines.
- (c) Details of State/U.T Drug Licensing Authorities, which also regulate veterinary Drugs, are available at the link.
https://cdsco.gov.in/opencms/opencms/en/State-Drugs-Control/
****** | ## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE
## DEPARTMENTOFHEALTH AND FAMILYWELFARE
## LOKSABHA STARRED QUESTION NO. 265 TO BE ANSWERED ON THE 9 TH AUGUST, 2024
## DRUG REGULATORYBODYFOR VETERINARYMEDICINES
## *265 SHRI K GOPINATH: DR. M K VISHNU PRASAD:
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
- (a) whether the Union Government has taken any action in consultation with State Governments to set up a separate regulatory body for veterinary medicines, given the various advantages of having a distinct Drug Regulator for veterinary medicines in the country;
- (b) if so, the details thereof; and
- (c) whether the regulatory body is functioning in the States, if so, the details thereof, State/UTwise? | ## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)
- (a) to (c) A Statement is laid on the Table of the House.
## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 265 FOR 9 TH AUGUST, 2024
- (a) Drugs including veterinary drugs are regulated under the provisions of Drugs and Cosmetics Act, 1940 and Rules made thereunder. License for manufacture, sale and distribution of drugs is granted by the respective State Licensing Authorities appointed by the respective State Government, while the Central Drugs Standard Control Organization (CDSCO) is responsible for regulation of import of veterinary Drugs and approval of New Drugs.
- (b) CDSCO has no such proposal to set up a separate regulatory body for Veterinary medicines.
- (c) Details of State/U.T Drug Licensing Authorities, which also regulate veterinary Drugs, are available at the link.
https://cdsco.gov.in/opencms/opencms/en/State-Drugs-Control/ | 120 | 146 | https://sansad.in/getFile/loksabhaquestions/annex/182/AS265_5Tnuts.pdf?source=pqals | https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS265_5Tnuts.pdf?source=pqals | 2 |
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OpenSansad — Lok Sabha Q&A Dataset
Structured parliamentary question-and-answer records from India's Lok Sabha
Dataset Summary
This dataset contains 25,900+ parliamentary Q&A records from the 18th Lok Sabha (India's lower house of Parliament), spanning sessions 2 through 7 (July 2024 — February 2026).
Each record contains the full question posed by a Member of Parliament, the government minister's official answer, and rich metadata including the responsible ministry, subject, date, and links to the original source PDFs on Digital Sansad.
This dataset is part of the OpenSansad initiative by Sammit Jain — a project to make the workings of Sansad (Indian Parliament) more accessible and transparent through open data and open-source tooling.
Supported Tasks
- Question Answering / RAG: The question-answer pairs can be used directly for retrieval-augmented generation over Indian parliamentary proceedings. See the companion lok-sabha-rag project for a working RAG pipeline built on this data.
- Text Classification: Classify questions by ministry, topic, or question type (starred vs. unstarred).
- Summarization: Generate concise summaries of verbose government responses.
- Information Extraction: Extract structured data such as schemes, statistics, and policy details from answer text.
- Multilingual NLP: Some records contain Hindi text, useful for Hindi/English code-mixed NLP tasks.
Languages
The dataset is primarily in English (en), with a subset of records in Hindi (hi). Some records contain a mix of both languages.
Dataset Structure
Data Instance
{
"id": "LS18-S2-STARRED-280",
"lok_no": 18,
"session_no": 2,
"ques_no": 280,
"type": "STARRED",
"date": "2024-08-09",
"subject": "Role of NGOs in Welfare of Women and Children",
"ministry": "WOMEN AND CHILD DEVELOPMENT",
"members": ["Shri Manish Jaiswal"],
"full_text": "## GOVERNMENT OF INDIA ...",
"question_text": "*280. SHRI MANISH JAISWAL :\n\nWill the Minister of WOMEN AND CHILD DEVELOPMENT be pleased to state ...",
"answer_text": "## ANSWER\n\nMINISTER OF WOMEN AND CHILD DEVELOPMENT (SHRIMATI ANNPURNA DEVI)\n\n(a) to (e) : A Statement is laid ...",
"question_word_count": 147,
"answer_word_count": 855,
"pdf_url": "https://sansad.in/getFile/loksabhaquestions/annex/182/AS280_6OmUWJ.pdf?source=pqals",
"pdf_url_hindi": "https://sansad.in/getFile/loksabhaquestions/qhindi/182/AS280_6OmUWJ.pdf?source=pqals",
"num_pages": 3
}
Data Fields
| Field | Type | Description |
|---|---|---|
id |
string |
Unique identifier following the pattern LS{lok_no}-S{session}-{type}-{ques_no} |
lok_no |
int |
Lok Sabha number (currently 18) |
session_no |
int |
Parliamentary session number |
ques_no |
int |
Question serial number within the session |
type |
string |
STARRED (oral answer in Parliament) or UNSTARRED (written answer) |
date |
string |
Date the question was answered, in YYYY-MM-DD format |
subject |
string |
Subject or topic of the question |
ministry |
string |
Government ministry responsible for answering |
members |
list[string] |
Name(s) of the MP(s) who asked the question |
full_text |
string |
Complete text extracted from the source PDF |
question_text |
string |
The question portion, separated from the answer |
answer_text |
string |
The government's answer portion (null for ~0.05% unsplit records) |
question_word_count |
float |
Word count of the question text |
answer_word_count |
float |
Word count of the answer text |
pdf_url |
string |
URL to the original English PDF on Digital Sansad |
pdf_url_hindi |
string |
URL to the Hindi PDF on Digital Sansad |
num_pages |
float |
Number of pages in the source PDF |
Data Splits
The dataset is provided as a single train split. Users can create custom splits by session, date, ministry, or question type as needed.
| Session | Period | Starred | Unstarred | Total |
|---|---|---|---|---|
| 2 | Jul — Aug 2024 | 280 | 3,219 | 3,499 |
| 3 | Nov — Dec 2024 | 380 | 4,369 | 4,749 |
| 4 | Feb — Mar 2025 | 500 | 5,750 | 6,250 |
| 5 | Jul — Aug 2025 | 419 | 4,829 | 5,248 |
| 6 | Nov — Dec 2025 | 280 | 3,219 | 3,499 |
| 7 | Jan — Feb 2026 | 218 | 2,511 | 2,729 |
| Total | 2,077 | 23,897 | 25,974 |
Dataset Creation
Curation Rationale
Indian parliamentary Q&A records are a rich source of information about government policy, public spending, and administrative decisions. However, this data is only available as individual PDF files on the Digital Sansad portal, making it difficult to search, analyze, or use programmatically. This dataset aims to make this information accessible in a structured, machine-readable format.
Source Data
All data is sourced from Digital Sansad (sansad.in), the official portal of the Indian Parliament. The source documents are publicly available PDF files containing parliamentary questions and their official government responses.
Collection process:
- Question metadata (subject, ministry, members, dates) is scraped from the Digital Sansad search API
- PDF documents are downloaded from official URLs
- Text is extracted from PDFs using Docling
- Question and answer portions are separated using a multi-strategy regex-based splitter (15 strategies covering English, Hindi, and various OCR artifacts)
Personal and Sensitive Information
This dataset contains only publicly available parliamentary records. The names of Members of Parliament and government ministers appear as part of the official record. No private or sensitive personal information is included.
Considerations for Using the Data
Known Limitations
- OCR artifacts: Text is extracted from PDFs, some of which have corrupted embedded text layers. This can result in garbled characters in a small number of records (~0.05% remain unsplit due to severe OCR issues).
- Q/A separation: The question-answer split is automated and may occasionally include header/footer text or split at imprecise boundaries.
- Coverage: Currently covers only the 18th Lok Sabha (2024–2026), sessions 2–7. Session 1 and earlier Lok Sabhas are not yet included.
- Hindi records: A small subset of records are in Hindi. The Q/A separation for Hindi text relies on Hindi-specific markers and may be less reliable than for English records.
Future Improvements
- Earlier sessions & Lok Sabhas: Expand coverage to include historical parliamentary data
- OCR fallback: Re-extract garbled PDFs using image-based OCR for the remaining unsplit records
- Minister extraction: Extract and normalize the answering minister's name as a structured field
- Rajya Sabha: Extend to India's upper house of Parliament
- Enrichments: Add MP party affiliation, constituency, and other metadata from external sources
Usage
from datasets import load_dataset
ds = load_dataset("opensansad/lok-sabha-qa")
# Filter by ministry
health = ds["train"].filter(lambda x: "HEALTH" in x["ministry"])
# Filter by session
session_4 = ds["train"].filter(lambda x: x["session_no"] == 4)
# Starred questions only (answered orally in Parliament)
starred = ds["train"].filter(lambda x: x["type"] == "STARRED")
# Search by subject keyword
education = ds["train"].filter(lambda x: "education" in x["subject"].lower())
Use for RAG
This dataset pairs well with retrieval-augmented generation. See the companion lok-sabha-rag project for a complete RAG pipeline that uses this data to answer questions about Indian parliamentary proceedings.
Additional Information
Dataset Curators
This dataset is created and maintained by Sammit Jain as part of the OpenSansad initiative.
Licensing
The dataset is released under CC-BY-4.0. The underlying parliamentary records are public documents of the Government of India.
Citation
@dataset{opensansad_lok_sabha_qa,
title = {OpenSansad Lok Sabha Q&A Dataset},
author = {Sammit Jain},
year = {2026},
url = {https://huggingface.co/datasets/opensansad/lok-sabha-qa},
license = {CC-BY-4.0},
}
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