Executive Summary:
The Ministry of Health and Family Welfare addresses Lok Sabha question 1024 regarding the eradication of chronic endemic diseases. Financial and technical support is provided to States/UTs under the National Health Mission (NHM). The Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM) aims to develop health infrastructure. The National Vector Borne Disease Control Programme (NVBDCP) manages vector-borne diseases.
Key Points / Main Content:
National Health Mission (NHM):
* Financial and technical support is provided to States/UTs to strengthen healthcare systems up to District Hospitals, based on their Programme Implementation Plans (PIPs).
* Approvals are provided as per available resources, detailed in the Record of Proceedings (RoPs).
* Details of health projects for all States/UTs, including Bihar, are available at https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744.
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM):
* An outlay of Rs. 64,180 crore supports infrastructure development, including in aspirational districts.
* Includes Sub-Health Centres, Urban Health and Wellness Centres, Block Public Health Units, Integrated Public Health Laboratories (IPHL), and Critical Care Blocks (CCB).
* 744 IPHL and 621 CCB are approved in the country, including 38 IPHL and 38 CCB in Bihar.
XV Finance Commission Grants:
* Recommended grants aggregating to Rs. 70,051 crore (2021-2026) through Local Governments to strengthen healthcare systems in states.
* 605 buildingless Community Health Centres (CHC) are approved, including 103 in Bihar.
National Vector Borne Disease Control Programme (NVBDCP):
* Administered by the National Center for Vector Borne Diseases Control (NCVBDC).
* Focuses on prevention and control of Malaria, Kala-azar, Japanese Encephalitis, Dengue, Chikungunya, and Lymphatic Filariasis in endemic States/UTs, including Bihar.
* Bihar is endemic for Kala Azar (KA) and Lymphatic Filariasis (LF).
* All 633 KA endemic blocks in Bihar achieved elimination targets in 2023.
* Lymphatic Filariasis is endemic in 345 districts across 20 states/UTs, including Bihar.
* An enhanced five-pronged strategy is in place for LF elimination, including bi-annual Mass Drug Administration (MDA) campaigns on February 10th and August 10th, covering 159 LF endemic districts.
Monitoring and Assessment:
* Implementation and progress of health programs are assessed through review meetings, field visits, Annual Program Planning and Review by National Programme Coordination Committee (NPCC), Common Review Missions (CRMs), Health Monitoring Information System (HMIS), Reproductive Child Health (RCH) portal, Ayushman Arogya Mandir (AAM) portal, and Non-Communicable Diseases (NCD) portal.
Impact Analysis:
States/Union Territories:
* Impact: Receiving financial and technical support to strengthen their healthcare systems.
* Action Required: Develop and submit Programme Implementation Plans (PIPs) based on their requirements and utilize allocated resources effectively.
Local Governments:
* Impact: Will receive grants to strengthen local healthcare systems.
* Action Required: Effectively utilize the grants to improve local healthcare infrastructure and services.
Health Officials and Program Managers:
* Impact: Responsible for implementing and monitoring health programs.
* Action Required: Regularly assess program progress, participate in review meetings, and utilize data from HMIS, RCH portal, AAM portal, and NCD portal to improve program performance.
Key Entities Referenced
National Health Mission NHM: A centrally sponsored scheme of the Government of India that provides financial and technical support to states/UTs to strengthen their healthcare systems.
Bihar: A state in India, specifically mentioned as a focus area for health programs and disease eradication efforts.
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission PMABHIM: A Government of India initiative aimed at developing healthcare infrastructure in the country.
National Center for Vector Borne Diseases Control NCVBDC: The central agency responsible for the control and prevention of vector borne diseases in India.
National Vector Borne Disease Control Programme NVBDCP: An umbrella program administered by NCVBDC for the prevention and control of vector borne diseases.
Kala Azar KA: Also known as Visceral Leishmaniasis, it is a vector-borne disease endemic in certain parts of India, including Bihar.
Lymphatic Filariasis LF: A neglected tropical disease targeted for elimination in India, including mass drug administration campaigns.
XV Finance Commission: The fifteenth Finance Commission of India, which recommended grants to local governments for strengthening healthcare systems.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1024
TO BE ANSWERED ON 25th JULY,2025
ERADICATIONOFCHRONICENDEMIC DISEASES
1024.SHRIJANARDAN SINGH SIGRIWAL:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) the details of major health projects/special programmes launched/being implemented
bythe Government inthe country particularlyinBihar during the last five years;
(b) the cost likely to be incurred on the said projects along with the time by which the
said projectsare likely tobe completed;
(c) whether the Government has identified any area where specific programmes are
required for eradication of chronic endemic diseases in the country including the said
state andif so, the details thereof;
(d) the current status along with the details of the said projectsbeing implemented in the
aspirational districts of the countryincludingthe said State;and
(e) the appropriate steps taken/proposed to be taken by the Government for further
progress of the said projects?
ANSWER
THE MINISTER OFSTATE INTHE MINISTRYOFHEALTH & FAMILY
WELFARE
(SHRIPRATAPRAOJADHAV)
(a) to (e): Public Health and Hospital is a State subject. Under National Health Mission
(NHM), financial and technical support is provided to the States/UTs to strengthen their
healthcare systems upto District Hospitals based on the requirements posed by
States/UTs in their Programme Implementation Plans (PIPs) within their overall
Resource Envelope. Government of India provides approval for the proposals in the
form of Record of Proceedings(RoPs) as pernorms & available resources. All details of
health projects launched, cost incurred, specific programme for eradication of chronic
endemic diseases to all States/UTs including Bihar is accessible and can be downloaded
from the linkhttps://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744.
The Pradhan Mantri Ayushman Bharat HealthInfrastructure Mission (PM-ABHIM) with
an outlay of Rs.64,180 crore aims to support for infrastructure development in the
country including aspirational districts for Sub-Health Centres, Urban Health and
Wellness Centres, Support for Block Public Health Units, Integrated Public Health
Laboratories (IPHL) and Critical Care Blocks (CCB). Atotal of 744 IPHL and621 CCBare approvedinthe countryincluding 38IPHLand38 CCB in Bihar.
The XV-Finance Commission has recommended grants aggregating to Rs.70,051 crore
over the period of five years (2021-2026) through Local Governments to strengthen the
healthcaresystem instates. Atotalof 605buildinglessCommunityHealthCentre (CHC)
are approvedinthe countryincluding 103CHC inBihar.
The National Center for Vector Borne Diseases Control (NCVBDC) administers an
umbrella programme, namely, National Vector Borne Disease Control programme
(NVBDCP) for prevention and control of six vector borne diseases (VBDs) namely
Malaria, Kala-azar, Japanese Encephalitis, Dengue, Chikungunya and Lymphatic
FilariasisinStates/UTs includingBihar wherever these diseases are endemic.
Bihar state is endemic for Kala Azar (KA) and Lymphatic Filariasis (LF). In Bihar, KA
is endemic in 485 blocks of 33 districts. All 633 KA endemic blocks have already
achievedthe elimination targetin2023.
Lymphatic Filariasis is endemic in 345 districts in the country across 20 states and UTs
including Bihar. India has taken several measures in the recent past for accelerating the
progress towards the goal of elimination of Lymphatic Filariasis with the launch of
Enhanced five -pronged strategy for the elimination of LF and one of the important
strategies is on a mission mode namely pan India Mass Drug Administration (MDA)
campaign, twice a year on 10th February and 10th August covering 159 LF endemic
districts.
The implementation, progress and performance of various health programmes are
regularly assessed through review meetings, field visits as well as through Annual
Program Planning and Review by National Programme Co-ordination Committee
(NPCC), Common Review Missions (CRMs), Health Monitoring Information System
(HMIS), Reproductive Child Health (RCH) portal, Ayushman Arogya Mandir (AAM)
portal andNon Communicable Diseases (NCD)portal.
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