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Policy Matters

Centrally Sponsored Health Schemes/Programmes

New Delhi (PIB): The details of important Centrally Sponsored Health Schemes/Programmes of Ministry of Health & Family Welfare presently in operation in the country are as follows:

1.         National Rural Health Mission (NRHM) – The National Rural Health Mission(NRHM) is a Centrally sponsored programme of this Ministry.  The NRHM launched in April, 2005 (for seven years i.e. 2005 to March 2012) seeks to provide accessible, affordable and quality health care to the rural population, especially the vulnerable sections, with special focus on 18 states, including Jammu and Kashmir, Himachal Pradesh and North-Eastern states.  The mission proposes to facilitate increased access and utilization of quality health services.  This has been carried out by increasing the spending on health and improving the health care services at the community level.  The mission undertakes several architectural corrections of the health system to enable and promote policies that strengthen public health management and service delivery within the country. It also envisages revitalizing the local health traditions and attempts to mainstream AYUSH into the public health system by effectively integrating health concerns through decentralized management at local levels.  The mission also addresses issues on sanitation and hygiene nutrition, safe drinking water, gender, social concerns, and inter-state as well inter-district disparities in health care provision.

Objectives of NRHM – The main objectives of NRHM are as follows:

i)      Reduction in Child and maternal mortality

ii)     Universal access to public services like food and nutrition, sanitation and hygiene and also access to public health care services with emphasis on services addressing women and children health and universal immunization.

iii)    Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.

iv)    Access to integrated complete primary health care.

v)     Population stabilization, gender and demographic balance.

vi)    Regenerate local health traditions & mainstream AYUSH.

vii)   Promotion of healthy life styles.

2.         Revised National Tuberculosis Control Programme(RNTCP) – The programme is being implemented in the entire country among the urban as well as rural areas to address the problem of Tuberculosis, based on WHO recommended strategy of Directly Observed Treatment Short Course Chemotherapy,.

Under the programme, diagnosis and treatment facilities including anti TB drugs are provided free of cost to all TB patients. For quality diagnosis, designated microscopy centers have been established for every one lac population in the general areas and for every 50,000 population in the tribal, hilly and difficult areas. More than 13000 microscopy centers have been established in the country. Drugs are provided under direct observation and the patients are monitored so that they complete their treatment.

3.         Janani Suraksha Yojana (JSY) –           Janani Suraksha Yojana (JSY) is a nationwide, centrally sponsored scheme being implemented with the objectives of reduction in infant and maternal mortality by improving coverage of institutional delivery among pregnant women. Under the scheme, cash assistance is provided to pregnant women for giving birth in a health facility.

4.   Janani Shishu Suraksha Karyakaram (JSSK) – Under National Rural Health Mission, the Government of India has launched Janani Shishu Suraksha Karyakaram (JSSK) on 1st June, 2011, which entitles all pregnant women delivering in public health institutions to absolutely free and no expense delivery including Caesarean section.  The initiative stipulates free drugs, diagnostics, blood and diet, besides free transport from home to institution, between facilities in case of a referral and drop back home.  Similar entitlements have been put up in place for all sick newborns accessing public health institutions for treatment till 30 days after birth.

In the current financial year i.e. 2011-12, based on the request received from the States, funds to the tune of Rs 1437 crores have been approved for the States to implement the scheme.

5.         Routine Immunization Programme and Pulse Polio Immunization Programme – Routine Immunization Programme and Pulse Polio Immunization Programme are under operation in the country.

6.         National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) – National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) is a new initiative in the 11th Five Year Plan. The NPCDCS aims at reducing the burden of Non-Communicable Diseases (NCDs) such as cancer, diabetes, cardiovascular diseases and stroke which are major factors  reducing potentially productive years of human life, resulting in huge economic loss.  The NPCDCS has been approved at a total outlay of Rs.1230.90 crore for the remaining period of the 11th Five Year Plan. This includes Rs.499.38 crore for DCS component of NPCDCS and Rs.731.52 core for Cancer Control Programme.  The expenditure will be met on cost sharing basis with the participating States at ratio of 80:20.   The programme has been initiated in 100 Districts of 21 States during 2010-11 & 2011-12. The objective of the programme include prevention and control of diabetes at various levels viz. Sub-centres, Community Health Centre (CHC), District Hospital etc. through screening of all persons above 30 years of age and all pregnant women for diabetes and hypertension, awareness generation on healthy life style and management of non-communicable diseases by strengthening / establishing Cardiac Care Units, Day-care cancer facilities at District Hospitals and specialised clinics (Non Communicable Diseases Clinic) at District Hospitals and Community Health Centres.

During 2010-11, a sum of Rs. 28.67 crore was released to 19 States for implementation of the programme in 27 Districts.  During 2011-12, Rs.92.97 crore has been released to 20 States covering 91 Districts on signing of Memorandum of Understanding by the State Governments.

7.         National Programme for Control of Blindness (NPCB) – National Programme for Control of Blindness (NPCB) is one of the Centrally Sponsored Schemes  in operation in the country for control of blindness.

8.         National Mental Health Programme (NMHP) – Under National Mental Health Programme (NMHP), the objective is to provide treatment and care to the mentally ill patients in the country. Following provisions have been made under National Mental Health Programme:

i)      Strengthening of State run Mental Hospitals.

ii)     Upgrdation of Psychiatric Wings of Govt. Medical Colleges/ General Hospitals

iii)    District Mental Health Programme.

iv)    Manpower Development Schemes

9.         National Tobacco Control Programme (NTCP)- The National Tobacco Control Programme (NTCP) has been launched in 42 Districts of 21 States in order to implement the various provisions made under Tobacco Control Act (COTPA), 2003 and to create awareness about the harmful effects of tobacco consumption.  The programme broadly envisages-

i)      Public awareness/mass media campaigns for awareness building & for behavioral change.

ii)     Establishment of tobacco product testing laboratories, to build regulatory capacity, as required under COTPA, 2003.

iii)    Mainstream Research & Training – on alternate crops and livelihoods with other nodal Ministries.

iv)    Monitoring and Evaluation including surveillance e.g. Adult Tobacco Survey.

v)     Dedicated tobacco control cells for effective implementation and monitoring of Anti Tobacco Initiatives.

vi)    Training of health and social workers, NGOs, school teachers etc.

vii)   Setting up tobacco cessation centres.

10 .       National Vector Borne Disease Control Programme (NVBDCP) – The National Vector Borne Disease Control Programme (NVBDCP) is an ongoing centrally sponsored scheme which is implemented in all the states/UTs for prevention and control of six vector borne diseases, namely Malaria, Dengue, Chikungunya, Japanese Encephalitis, Kala-Azar and Lymphatic Filariasis. The Govt. of India provides technical support as well as cash and commodity assistance as per the approved pattern.

11.        National Leprosy Eradication Programme(NLEP)

12.        Capacity building for Trauma Care – Under the Centrally sponsored Scheme-Assistance for capacity building for Trauma Care, funds have been released to 117 Government Hospitals situated along the Golden Quadrilateral, North-South and East-West Corridors of the national highways in 16 States, as per laid down norms of level of Trauma Center, in phases, towards construction, equipments, manpower, communication and Legal Service, after signing of Memorandum of Understanding (MOU) with the respective state Governments.

13.        Upgradation of facilities in the Department of Physical Medicine & Rehabilitation in Medical Colleges

Under the Centrally Sponsored Scheme for “Upgradation of facilities in the Department of Physical Medicine & Rehabilitation in Medical Colleges”, funds have been released to 18 Medical Colleges under Central/State Governments after signing of Memorandum of Understanding (MOU) with the respective State Governments.

14.        Reproductive and Child Health programme (RCH) – Reproductive and Child Health programme is a comprehensive sector wide flagship programme, which is being implemented under Government of India’s (GoI) National Rural Health Mission (NRHM), to achieve the targets for reduction of maternal and infant mortality and total fertility rates.

15.        National Programme for the Health Care of Elderly (NPHCE)The National Programme for the Health Care of Elderly (NPHCE) has been initiated in 100 identified districts of 21 States during the 11th Plan period (2010-12) in order to provide comprehensive health care facilities to the elderly people of the country.  Eight selected Regional Medical Institutions (Regional Geriatric Institutions) in different regions of the country have also been identified.

16.        Strengthening and Upgradation of State Government medical colleges  – The Medical Education Division is implementing a Centrally Sponsored Scheme for strengthening and upgradation of State Government medical colleges by way of a one-time grant of Rs.1350 crores with funding pattern of 75% by Central Government and 25% by State Government for starting new Post Graduate disciplines and increasing PG seats. So far, the Centrl Government has released first instalments of Rs. 501.00 crores to the 72 medical collges during the financial year 2009-10, 2010-11 & 2011-12.

17.        National AIDS Control Programme -Department of AIDS Control is implementing National AIDS Control Programme-IV as a 100% centrally sponsored scheme/programme is implemented in all States/UTs.

 18.        Centrally Sponsored Scheme for Development of AYUSH Hospitals and Dispensaries A Centrally sponsored Scheme for Development of AYUSH Hospitals and Dispensaries is under implementation. The Department of AYUSH is providing funds to all States/UTs Government under the following components:

i)      Establishment  of OPD at PHC’s

ii)     Establishment of IPD at CHC’s

iii)    Establishment of AYUSH wings at DH’s

iv)    Upgradation of AYUSH Hospital and Dispensaries

v)     Establishment of PMU

vi)    Essential drugs to AYUSH Hospital & Dispensaries

These programmes are constantly monitored and assessed through multiple monitoring mechanisms including analysis of structured monthly, quarterly and annual reports, officials’ visits by concerned programme Divisions, periodical review meetings/Joint Monitoring Missions, External Surveys, Health Management Information System (HMIS), Performance Audit by CAG, Mid-Term Appraisal by Planning Commission etc.  The progress and efficiency of the schemes are reviewed with the States in various national review meetings and forums like Dissemination workshop, internal review meetings at the State/District level. Some programmes are also reviewed by other mechanism such as Expert Group, External Agencies, external agencies, funding agencies and technical partners, independent Impact Assessment studies.

This information was given in written reply by the Union Minister for Health & Family Welfare Shri Ghulam Nabi Azad in Lok Sabha today.

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