New Delhi, Feb 3 : Minister of State (Health and Family Welfare), Faggan Singh Kulaste, on Friday, replied to a series of queries on the health sector, in the Lok Sabha.
He said that pursuant to announcement in Union Budget 2016-17 regarding starting of National Dialysis Programme under NHM, the Pradhan Mantri National Dialysis Programme was rolled out in 2016.

The Guidelines for Pradhan Mantri National Dialysis Programme envisage provision of dialysis services under NHM in PPP (Public Private Partnership) mode.

As per the guidelines, the private partner is to provide medical human resource, dialysis machine along with Reverse Osmosis (RO) water plant infrastructure, dialyzer and consumables, while the space, power, and water supply within district hospitals is to be provided by the state government.

Immediately after announcement in Union Budget 2016-17, based on study of relevant models on dialysis services being operated under PPP mode in states and consultation with experts in this field as well as private service providers, the guidelines including model Request for Proposal (RFP) were developed and released on April 7, 2016, itself.

He also said that Janani Suraksha Yojana (JSY) has led to increased utilisation of Health Services among all groups.

Faggan Singh Kulaste said that a study has been conducted by University of Maryland and National Council for Applied Economic Research to assess whether the JSY scheme has been successful in addressing disparities in providing maternal healthcare services to the marginalized and poorer communities, by utilizing the data from the India Human Development Survey-1 (IHDS-1, 2004-05) i.e. pre-JSY period and India Human Development Survey-2 (IHDS-2, 2011-12).

He said that the findings of the study establish that JSY has led to increased utilization of health services among all groups but especially among the poorer and underserved sections in the rural areas thereby reducing the disparities in maternal care.

The results of the study indicate that during the two IHDS rounds, institutional deliveries almost doubled, full ANC increased by 6 percentage points, proportion of deliveries being assisted by trained health personnel increased by 22.3 percentage points and post natal care check-ups (within 2 weeks) increased by 19 percentage points, the minister said.

The results of the study also indicate that the gap in access to healthcare between the marginalized group of women and those who are financially better-off has declined since the advent of the JSY program.

As per the study, the JSY scheme led to increase in utilization of maternal health care services by women with little or no education while the change in utilization of services was generally lowest among the highest asset households.

Talking about the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), which was announced in August 2003 and approved in March 2006, the minister said that the primary objective of PMSSY is to correct the region imbalances in availability of affordable/reliable tertiary level healthcare in the country in general, and, to augment facilities for quality medical education in under-served or backward States, in particular.

In addition to setting up of AIIMS, PMSSY also envisaged up-gradation of several existing Government Medical Colleges/Institutions in different states in the country.

Apart from declaration of six AIIMS in 2003, the PMSSY scheme has been enlarged to encompass setting up of many other AIIMS at different states and also upgradation of existing Government Medical Colleges/Institutions (GMCIs) in different states, the minister said.

At present, setting up of 19 AIIMS and upgradation of existing 71 GMCIs has been undertaken under PMSSY.

Under PMSSY scheme various activities have been undertaken since its inception without any discontinuation of the process, the minister said.

Recently Ministry has approved proposal for creation of a Super Specialty block in Institute of Medical Sciences, BHU at a cost of Rs 200 crore under PMSSY.

The Ministry has approved the site in Deoghar, offered by the Govt. of Jharkhand, for establishment of AIIMS in Jharkhand, subject to fulfillment of certain conditions.

As far as State of Jharkhand is concerned, Rajendra Institute of Medical Sciences (RIMS), Ranchi has been taken up for upgradation under Phase-I of PMSSY at a total cost of Rs. 120 crore (Central Share Rs.100 crore State Share Rs.20 crore).

Under the upgradation programme, 172 bedded Super Speciallity Block and 68 bedded Oncology Block was constructed at RIMS, Ranchi. The civilconstruction work was completed in June, 2013. An amount of Rs.95.36 crore has been released for upgradation of the institute so far.

In the third phase of PMSSY, Patliputra Medical College Hospital, Dhanbad has been taken up for upgradation under Phase-III of PMSSY at a total cost of Rs. 150 crore (Central Share Rs.120 crore State Share Rs.30 crore). The civil construction work has already been started and 17% of civil construction work has been completed. An amount of Rs.17.07 crore has been released for upgradation of the institute so far.

Image: NRHM website

(Posted on 03 February 2017, 1686136869 172O70O135O130)