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GOVERNMENT OFINDIA
MINISTRYOFHEALTHAND FAMILYWELFARE
DEPARTMENT OFHEALTHAND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 4828
TO BE ANSWERED ON20thMARCH 2026
UPGRADATION OFDISTRICT HOSPITAL
4828. SHRISUKANTAKUMAR PANIGRAHI:
Willthe Ministerof HEALTH AND FAMILYWELFARE be pleasedtostate:
(a) whether the Government under the Centrally Sponsored Scheme for the establishment of new
medicalcollegesattached toexisting district/referral hospitals hasreceived andconsidered anyproposal
from the Government of Odisha for the upgradation of District Headquarters Hospital, Boudh into a
Government Medical College,if so, the detailsthereof;
(b) the details of the eligibility criteria, minimum bed strength, funding pattern and approval process
underthe said scheme;
(c) whether the Government has assessed the healthcare gaps, doctor-population ratio and regional
imbalanceinwestern Odisha, particularlyinBoudh district, if so, the detailsthereof;
(d) whether the Government proposes to extend financial and technical support for establishing a
Medical College at Boudh to improve tertiary healthcareservices andincrease MBBS seats inthe State;
and
(e)if so, the detailsthereof?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILYWELFARE
(SMT.ANUPRIYAPATEL)
(a) to (e): The Ministry of Health & Family Welfare administers a Centrally Sponsored Scheme (CSS)
for ‘Establishment of new medical colleges attached with existing district/referral hospitals’ with
preference to underserved areas and aspirational districts, where there is no existing Government or
private medical college. The fund sharing mechanism between the Centre and State Governments is in
the ratio of 90:10 for North Eastern and Special Category States, and 60:40 for others. Under the
Scheme, all the envisaged 157 Government Medical Colleges have been approved including seven (07)
medicalcolleges(Balasore, Baripada (Mayurbhanj), Bolangir,Koraput, PuriinPhase-I,Jajpur inPhase-
II & Kalahandi in Phase-III) in Odisha. All the medical colleges are functional. However, no proposal
for setting upof Medical College at Boudh hasbeenreceived from the Stateof Odisha.
Further, the Government has recently approved Phase-III and extension of the CSSs for
StrengtheningandUpgradationof existing State/CentralGovernment Medical Colleges, Standalone PG
Institutes and Government Hospitals for creation of 5000 PG seats and 5023 MBBS seats with an
enhancedcost ceiling of Rs.1.50crore perseat.
Public health and hospitals being a State subject, the primary responsibility forstrengthening the healthcare system, including expansion of human resources, rests with the
respective State/UT Governments. However, the Central Government has undertaken several
initiativestoimprove the availabilityof healthcareprofessionals inthe country,including:
The Family Adoption Programme (FAP) has been incorporated into the MBBS curriculum
to provide equitable healthcare access to rural population. FAP involves medical colleges
adoptingvillages, andMBBS students adoptingfamilieswithin these villages.
Under District Residency Program of National Medical Commission (NMC) second/third
yearPGstudents of medical collegesare posted indistrict hospitals.
Hard area allowance is provided to specialist doctors for serving in rural and remote areas
andfor theirresidential quarters.
Honorarium to Gynaecologists/Emergency Obstetric Care (EmoC) trained, Paediatricians &
Anesthetist/ Life Saving Anaesthesia Skills (LSAS) trained doctors is provided to increase
availabilityof specialists for conductingCesarean Sectionsinrural & remote area.
Special incentives for doctors and incentive for Auxiliary Nurse Midwife (ANM) for
ensuring timely checkup and recording for antenatal care and adolescent reproductive and
sexual healthare available.
States are allowed to offer negotiable salary to attract specialists including flexibility in
strategiessuch as “YouQuote We Pay”.
Non-Monetary incentives such as preferential admission in postgraduate courses for staff
serving indifficult areasandimprovingaccommodationarrangement inrural areashave also
beenintroducedunderNHM.
Multi-skilling of doctors is supported under NHM to overcome the shortage of specialists.
Skill upgradation of existing HR is another major strategy under NRHM for achieving
improvementinhealth outcomes.
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