Medical Colleges
Medical Colleges
Information in respect of Private Medical Collegesearingn more than thousand crores of rupeesper annum through admission in MBBSand Post Graduate medical courses is maintained centrally. However, in the case of private un-aided medical colleges the fee structure is decided by a Committee set up by the respective State Government under the chairmanship of retired High Court Judge in pursuance of the directions of the Hon’ble Supreme Court of India. It is for the Committee to decide whether the fee proposed by an institute is justified and the fee fixed by the Committee is binding on the institute.
The Medical Council of India after verifying the teaching and infrastructure facilities available at the medical colleges sends its recommendation to the Central Government, Ministry of Health & Family Welfare. Central Government issues approval/disapproval on the basis of MCI recommendation.
In the event of identification of fake faculty either on the basis of complaints or MCI’s own verification, the said college can be debarred for 2 years for making admissions in the MBBS course. The matter is also referred to Ethics Committee of the Council to investigate against the said fake faculty/Dean/Principal of college and action is taken against them as per the Code of Medical Ethics Regulation.
The Health Minister, Shri J P Nadda stated this in a written reply in the LokSabha here today.
*****
NRHM
The National Rural Health Mission (NRHM) was
launched in 2005 to improve the healthcare services, particularly in rural
areas. NRHM has been subsumed as a Sub Mission of the overarching National
Health Mission (NHM) with the National Urban Health Mission as the other Sub
Mission.Under NHM, support to States/UTs is provided for five key components:
(i) Health Systems Strengthening including
infrastructure, human resource, drugs & equipment, ambulances, MMUs, ASHAs
etc under NRHM and NUHM.
(ii) Reproductive, Maternal, Newborn, Child and Adolescent Health
Services (RMNCH + A).
(iii) Communicable
Disease Control Programme
(iv) Non-Communicable Diseases Control Programme interventions upto District
Hospital level.
(v) Infrastructure Maintenance- to support salary of ANMs and LHVs etc.
Public Health being a State subject, support
under NHM is provided to States/UTs based on requirements posed by the States
in their l Programme Implementation Plans (PIPs).
The State/UT wise allocation, release and
expenditure under NHM for the F.Y 2015-16 is given below:
|
Sl. No.
|
States
|
2015-16
|
||
|
Allocation
|
Release
|
Utilization
|
||
|
1
|
Andaman & Nicobar Islands
|
28.21
|
24.44
|
7.46
|
|
2
|
Andhra Pradesh
|
616.13
|
496.01
|
538.39
|
|
3
|
Arunachal Pradesh
|
160.01
|
121.77
|
110.70
|
|
4
|
Assam
|
941.29
|
690.99
|
823.19
|
|
5
|
Bihar
|
1108.61
|
980.49
|
812.80
|
|
6
|
Chandigarh
|
14.24
|
18.68
|
10.50
|
|
7
|
Chattisgarh
|
479.38
|
354.45
|
440.70
|
|
8
|
Dadra & Nagar Haveli
|
11.37
|
10.42
|
8.37
|
|
9
|
Daman & Diu
|
9.11
|
8.62
|
7.77
|
|
10
|
Delhi
|
142.81
|
135.65
|
82.29
|
|
11
|
Goa
|
19.41
|
14.13
|
19.24
|
|
12
|
Gujarat
|
677.65
|
605.17
|
713.18
|
|
13
|
Haryana
|
249.33
|
289.86
|
312.01
|
|
14
|
Himachal Pradesh
|
197.92
|
207.98
|
141.83
|
|
15
|
Jammu & Kashmir
|
368.00
|
353.65
|
230.12
|
|
16
|
Jharkhand
|
493.37
|
355.17
|
379.60
|
|
17
|
Karnataka
|
706.09
|
727.37
|
740.74
|
|
18
|
Kerala
|
305.87
|
270.42
|
406.92
|
|
19
|
Lakshadweep
|
4.28
|
3.74
|
1.79
|
|
20
|
Madhya Pradesh
|
1085.37
|
997.25
|
1285.82
|
|
21
|
Maharashtra
|
1282.31
|
867.22
|
1088.92
|
|
22
|
Manipur
|
118.53
|
86.57
|
64.45
|
|
23
|
Meghalaya
|
131.00
|
90.19
|
69.02
|
|
24
|
Mizoram
|
97.87
|
68.74
|
69.47
|
|
25
|
Nagaland
|
108.75
|
75.10
|
48.87
|
|
26
|
Orissa
|
624.71
|
605.98
|
715.86
|
|
27
|
Puducherry
|
17.77
|
14.03
|
19.26
|
|
28
|
Punjab
|
284.75
|
185.17
|
434.85
|
|
29
|
Rajasthan
|
1069.38
|
1238.83
|
1242.42
|
|
30
|
Sikkim
|
45.86
|
31.16
|
33.89
|
|
31
|
Tamil Nadu
|
794.38
|
1030.25
|
1003.43
|
|
32
|
Tripura
|
139.08
|
93.52
|
77.80
|
|
33
|
Uttar Pradesh
|
2299.49
|
2501.89
|
2279.56
|
|
34
|
Uttarakhand
|
256.60
|
242.84
|
213.79
|
|
35
|
West Bengal
|
883.49
|
684.18
|
742.91
|
|
36
|
Telangana
|
440.58
|
352.55
|
229.32
|
|
Sub
Total
|
16213.00
|
14834.49
|
15407.24
|
|
|
Others
|
1100.00
|
0.00
|
0.00
|
|
|
Total
|
17313.00
|
14834.49
|
15407.24
|
|
|
1. Allocation is per Original outlay/B.E.
|
|
|
||
|
2. Release is only Central Grants and do not include State share.
Release for the F.Y. 2015-16 is updated up to 11.02.2016 and is
provisional.
|
||||
|
3. Utilisation includes expenditure against central Release, state
release & unspent balances at the beginning of the year.
Utilisation figures are as reported by States/UTs up to 31.12.2015.
|
||||
Statement showing component wise allocation,
release and expenditure is given below:
|
Component wise
Allocation, Release and Utilisation under NHM
|
|||||
|
[Rs. In crore]
|
|||||
|
Sl. No.
|
Programme
|
2015-16
|
|||
|
Allocation
|
Release
|
Utilization
|
|||
|
A. NRHM-RCH Flexible Pool
|
9818.56
|
8245.48
|
9943.28
|
||
|
1
|
RCH Flexible Pool
|
4348.32
|
3699.79
|
4899.06
|
|
|
2
|
Mission Flexible Pool
|
4926.09
|
4114.99
|
4647.21
|
|
|
3
|
Routine Immunization
|
200.00
|
158.20
|
278.83
|
|
|
4
|
Pulse Polio Immunisation
|
328.00
|
261.55
|
115.11
|
|
|
5
|
National I.D.D. Control Prog.
|
16.15
|
10.96
|
3.07
|
|
|
B. Infrastructure Maintenance
|
4420.40
|
4850.64
|
4281.27
|
||
|
C. Communicable Disease Control Programmes
|
1160.68
|
885.25
|
525.82
|
||
|
a
|
National Vector Borne Disease Control Prog DddDisea(MalarDiseases
Control Programme
|
463.13
|
316.85
|
135.84
|
|
|
b
|
Revised National Tuberculosis Control Prog.)
|
603.20
|
501.13
|
319.82
|
|
|
c
|
Natioinal Leprosy Eradication Prog.
|
35.50
|
20.80
|
27.41
|
|
|
d
|
Integrated Disease Surveillance Project
|
58.85
|
46.47
|
42.75
|
|
|
D. Non Communicable Disease Programmes -
National Programme for
Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases &
Stroke,National Programme for Control of Blindness, National Mental Health
programme, National programme for Healthcare of Elderly, National
Tobacco Control Programme
|
527.36
|
282.68
|
187.54
|
||
|
E. National Urban Health Mission-Flexible Pool
|
1386.00
|
570.44
|
469.34
|
||
|
Grand Total
|
17313.00
|
14834.49
|
15407.24
|
||
|
Note:
|
|
|
|
|
|
|
1. Allocation is per Original outlay/B.E.
|
|
|
|
||
|
2. Release is only Central Grants and do not include State share.
Release for the F.Y. 2015-16 is updated up to 11.02.2016 and is
provisional.
|
|||||
|
3. Utilisation includes expenditure against central Release, state
release & unspent balances at the beginning of the year.
Utilisation figures are as reported by States/UTs up to 31.12.2015.
|
|||||
Public Health being a State subject, the
implementation of NHM is done by the respective State/ UT Governments.
Approvals under the NHM are provided to States/UTs for health systems
strengthening including for infrastructure, human resources for health and
programme managements, drugs and equipment, ambulances, Mobile Medical Units
etc. So, most of the benefits flow to the people
through healthcare services supported under NHM and not directly to the people.
However, for beneficiary oriented schemes such as Janani Suraskha Yojana,
payments are being made through Public Finance Management System (PFMS)
directly into bank account of the beneficiary or through account payee cheques.
Public Financial Management System (PFMS) is also being has been implemented in
all the States /UTs to track the flow of funds under NHM.
The Health Minister, Shri J P Nadda stated this in
a written reply in the Lok Sabha here today.
Deworming Programme
As per World Health Organization (WHO) database (2012), it is estimated
that 241 million children (68%) between the ages of 1 – 14 years in India are
at risk of parasitic intestinal worms.
In 2015, the Government of India launched National Deworming Day in 11
States/UT with a target of 10.31 crore children between ages of 1 – 19
years, against which a total of 8.98 crore children received
deworming tablet (Albendazole), during the National Deworming Day 2015
with 85 percent coverage. State/UT wise details are given below:
|
Coverage for National Deworming Day (2015)
|
||||
|
S. N.
|
State /
UT
|
Target No. of children targeted
|
No. of children covered
|
Percent Coverage
|
|
1
|
Assam
|
72,43,398
|
41,70,211
|
58 %
|
|
2
|
Bihar
|
2,04,38,215
|
1,87,18,184
|
92 %
|
|
3
|
Chhattisgarh
|
9,78,008
|
9,16,596
|
94 %
|
|
4
|
Dadra
Nagar Haveli
|
1,15,097
|
1,09,317
|
95 %
|
|
5
|
Haryana
|
29,04,534
|
25,59,886
|
88 %
|
|
6
|
Karnataka
|
85,49,700
|
74,92,685
|
88 %
|
|
7
|
Madhya
Pradesh
|
2,08,51,407
|
1,84,90,500
|
89 %
|
|
8
|
Maharashtra
|
1,31,86,599
|
1,24,59,894
|
95 %
|
|
9
|
Rajasthan
|
1,31,74,518
|
1,11,75,137
|
85 %
|
|
10
|
Tamil
Nadu
|
1,40,32,770
|
1,26,73,933
|
90 %
|
|
11
|
Tripura
|
16,55,313
|
10,75,434
|
65 %
|
|
Pooled Coverage
|
10,31,29,559
|
8,98,41,777
|
85 %
|
|
In 2016, the Government of India has launched National Deworming Day
which has been observed on 10th February 2016 across the
States/UTs, with the target of covering approximately 27 crore children. State/UT
wise details are given below:
National Deworming Day 2016
|
Name of State/UT
|
No. of children targeted
|
|
Andaman & Nicobar Islands
|
106891
|
|
Andhra Pradesh
|
10500000
|
|
Arunachal Pradesh
|
529580
|
|
Assam
|
10028003
|
|
Bihar
|
43561977
|
|
Chandigarh
|
252786
|
|
Chattisgarh
|
2360937
|
|
Dadra & Nagar Haveli
|
118372
|
|
Daman & Diu
|
38690
|
|
Delhi
|
3594400
|
|
Goa
|
326378
|
|
Gujarat
|
5046955
|
|
Haryana
|
2853093
|
|
Himachal Pradesh
|
2314011
|
|
Jammu Kashmir
|
5310784
|
|
Jharkhand
|
12685756
|
|
Karnataka
|
14963173
|
|
Kerala
|
7602314
|
|
Lakshadweep
|
19000
|
|
Madhya Pradesh
|
15101901
|
|
Maharashtra
|
14947315
|
|
Manipur
|
1067247
|
|
Meghalaya
|
1166350
|
|
Mizoram
|
258463
|
|
Nagaland
|
851659
|
|
Odisha
|
16800000
|
|
Puducherry
|
437418
|
|
Punjab
|
9500000
|
|
Rajasthan
|
24968744
|
|
Sikkim
|
197518
|
|
Tamil Nadu
|
24317457
|
|
Telangana
|
8100000
|
|
Tripura
|
1084575
|
|
Uttar Pradesh
|
10500408
|
|
Uttarakhand
|
2292603
|
|
West Bengal
|
16032263
|
|
Total
|
269837021
|
placed at annexure II.
The Government of India is seeking technical assistance from WHO and an
international organisation, namely, “Evidence Action, Deworm the World
Initiative” for the effective implementation of National Deworming Day.
The Health Minister, Shri J P Nadda stated this in a written reply in
the LokSabha here today.
************
Online Appointment Facility in AIIMS
Online Registration System has been launched in All India Institute of Medical Sciences (AIIMS), New Delhi on 04th July, 2015. The Online Registration System has linked all Departments of AIIMS, New Delhi on the Aadhar enabled software platform. The software can be utilised online or through a web-kiosk or through a call centre. As on 22/02/2016, 1.49 lac patients have benefitted by this facility.
Online appointment facility has already been started in AIIMS, Bhubaneshwar, Raipur and Jodhpur. In AIIMS, Patna, online appointment facility has been started on trial basis.
In some of the clinical departments for elective or non-emergency procedures there is a waiting time of up to 3-6 months. To reduce the waiting time, the Government has taken a number of steps i.e. recruitment of more faculties/Para medical/Nursing Staff, additional operation theatres/IPD wards and augmentation of patient care facilities.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
*****
Malaria Elimination Programme
The National Framework for Malaria Elimination in India (2016-2030) has been launched. This framework has been developed with a vision to eliminate malaria from the country and contribute to improved health and quality of life. The new framework encourages all Indian States with different levels of malaria transmission to interrupt indigenous transmission of malaria in all States/UTs ahead of 2030.
The Accredited Social Health Activists (ASHAs) have already been trained and have been provided rapid diagnostic test kits (RDT) for diagnosis of Malaria.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
*****
Inspection Of Medical Colleges
The Medical Council of India (MCI) with the previous sanction of the Central Government made regulations prescribing minimum requirements in terms of infrastructure, faculty and clinical material for establishment of medical colleges. The requirements are indicated phase-wise and have to be met by the Medical Colleges for getting approval. The MCI adheres to these regulations for causing inspection of Medical Colleges.
The Delhi High Court vide its order dated 29.12.2015 in WP (C) No.9663/2015 (RKDF Medical College Hospital And Research Centre &Anr. Versus Union of India & Ors.)held that MCI should submit inspection reports in all cases in the prescribed form. The Court further directed that in examining the deficiencies, both the MCI and the Central Government should bear in mind the observations made by the Supreme Court inPriyadarshini Dental College and Hospital case and in Rajiv Memorial case and added that refusal of permission, inter alia, ought not to be “for insignificant or technical violations.”
The MCI gives an opportunity to the applicant/college to rectify the deficiencies noticed during the inspection. The MCI thereafter causes compliance verification before making recommendation to the Central Government. In the cases where the MCI recommends disapproval, the Central Government also gives a reasonable opportunity of being heard to the such applicant/College before taking a decision.
The Health Minister, Shri J P Nadda stated this in a written reply in the LokSabha here today.
*****
No Shortage Of Blood
Banks
There is no shortage of Blood Banks in the country, and there are a
total of 2708 Blood Banks in the country. There are 81 districts in the country
that do not have a Blood Bank. The list of these districts is given
below:
|
S. No
|
State
|
Districts without Blood Bank with names
|
|
|
1
|
Andaman & Nicobar
|
Total 2 districts UT
(Nicobar Group, Middle & North Andaman)
|
|
|
2
|
Arunachal Pradesh
|
Total 9 district of State
(East Kameng, West Kameng, KurungKumey, KraDaadi, Siang, Dibang
Valley, Namsai, Tirap, Longding)
|
|
|
3
|
Assam
|
Total 9 districts of State
(Udalguri,Baksa,
Chirang, Kamrup (Rural ), BiswnathChariali, South
Salmara& Mankasar,
Hojai,vi
Charaidaow, West Karbi, Anglong)
|
|
|
4
|
Bihar
|
Total 5 districts of State
(
Araria, Arwal, Banka
Sheohar&Supaul
) |
|
5
|
Chhattisgarh
|
Total 11 districts of State
(Gariyaband, Balodabazar, Balod, Bemetara, Janjgir, Surajpur, Balrampur, Jashpur, Kondagaon, Sukma, Bijapur ) |
|
|
6
|
Gujarat
|
Total 1 district of State
(Ahwa-Dang)
|
|
|
7
|
Himachal Pradesh
|
Total 1 district of State
(Lahaul&Spiti)
|
|
|
8
|
Jammu & Kashmir
|
Total 5 districts of State
(Reasi, Samba, Shopian, Ganderbal&Bandipora) |
|
|
9
|
Jharkhand
|
Total 6 districts of State
(Khunti, Ramgarh, Godda, Jamtara, Seraikela, Bokaro)
|
|
|
10
|
Madhya Pradesh
|
Total 2 districts of State
(Anuppur, Agar)
|
|
|
11
|
Manipur
|
Total 5 districts of State
(Tamenglong, Ukhrul, Bishnupur, Senapati and Chandel)
|
|
|
12
|
Meghalaya
|
Total 8 districts of State
( West Khasi Hills District, South-West Khasi Hills District, RiBhoi
District, East Jaintia Hills District, North Garo Hills District, East Garo
Hills District, South Garo Hills District, South- West Garo Hills District)
|
|
|
13
|
Nagaland
|
Total 3 districts of State
(Peren, Longleng&Kiphire)
|
|
|
14
|
Sikkim
|
Total 3 districts of State
DH, Mangan(N), Singtam(E) &Gyalsing(W)
|
|
|
15
|
Tripura
|
Total 3 districts of State (Khowai, Sepahijala, South Tripura)
|
|
|
16
|
Uttar Pradesh
|
Total 4 districts of State
(Amethi, Hapur, Shambhal&Shamli)
|
|
|
17
|
Uttarakhand
|
Total 4 districts of State
Tehri, Rudraprayag, Champawat and Bageshwar
|
|
|
|
Total =
|
81
|
A large number of these districts are new and have recently been crafted
out. The number of the Blood Banks in the country, State/UT-wise is given
below:
Number of licensed blood bank in India State / UT wise up to Nov. 2015
|
S.NO
|
NAME OF STATE
|
Public including Govt. Blood
Banks
|
Private including charitable
trust Blood Bank
|
TOTAL
|
|
1.
|
Andaman & Nicobar
|
02
|
01
|
03
|
|
2.
|
Andhra Pradesh
|
32
|
93
|
125
|
|
3.
|
Arunachal Pradesh
|
09
|
01
|
10
|
|
4 *
|
Assam
|
37
|
28
|
65
|
|
5 *
|
Bihar
|
32
|
35
|
67
|
|
6
|
Chandigarh
|
03
|
01
|
04
|
|
7
|
Chhattisgarh
|
19
|
30
|
49
|
|
8
|
Dadra & Nagar Haveli
|
-
|
01
|
01
|
|
9
|
Daman & Diu
|
01
|
01
|
02
|
|
10
|
NCT of Delhi
|
22
|
47
|
69
|
|
11.
|
Goa
|
03
|
01
|
04
|
|
12
|
Gujarat
|
30
|
106
|
136
|
|
13
|
Haryana
|
26
|
50
|
76
|
|
14
|
Himachal Pradesh
|
19
|
03
|
22
|
|
15
|
Jammu & Kashmir
|
29
|
04
|
33
|
|
16
|
Jharkhand
|
26
|
18
|
44
|
|
17
|
Karnataka
|
40
|
153
|
193
|
|
18
|
Kerala
|
43
|
140
|
183
|
|
19
|
Lakshadweep
|
01
|
00
|
01
|
|
20
|
Madhya Pradesh
|
54
|
90
|
144
|
|
21
|
Maharashtra
|
74
|
236
|
310
|
|
22
|
Manipur
|
04
|
01
|
05
|
|
23
|
Meghalaya
|
05
|
02
|
07
|
|
24
|
Mizoram
|
08
|
02
|
10
|
|
25 *
|
Nagaland
|
05
|
-
|
05
|
|
26 *
|
Odisha
|
63
|
20
|
83
|
|
27
|
Pondicherry
|
03
|
10
|
13
|
|
28 *
|
Punjab
|
48
|
53
|
101
|
|
29 *
|
Rajasthan
|
48
|
54
|
102
|
|
30
|
Sikkim
|
02
|
01
|
03
|
|
31
|
Tamil Nadu
|
102
|
198
|
300
|
|
32 *
|
Telangana
|
27
|
113
|
140
|
|
33
|
Tripura
|
06
|
02
|
08
|
|
34 *
|
Uttar Pradesh
|
100
|
142
|
242
|
|
35
|
Uttarkhand
|
20
|
08
|
28
|
|
36
|
West Bengal
|
81
|
39
|
120
|
|
|
Total
|
1024
|
1684
|
2708
|
The National Blood Transfusion Council (NBTC) has vide reference No.
S12015/1/2013-NACO (NBTC) dated 22nd December 2015 issued an
order by which blood banks have been asked to put their stock availability
status online on National Health Portal with following objectives:
(i) To ease the access of
blood for patients.
(ii) To increase
transparency by display of stocks of blood & blood components in public
domain.
National Health Portal provides platform for display of stock status of
blood in blood banks. All the National AIDS Control Organization-supported
Blood Banks in the country have been linked to the National Health Portal.
The Minister of State (Health and FW), ShriShripadYessoNaikstated this
in a written reply in the LokSabha here today.
*****
Guidelines Regarding Availability of Ventilator Beds
Since health is a State subject, it is the responsibility of the State Government to issue guidelines for providing ventilator bed facility in an emergency situation on immediate basis to seriously ill persons including accident victims in all Government/private hospitalsand take action against the hospitals, who refuse to provide treatment to seriously ill persons including accident victims.
However, in pursuance of judgement of the Hon’ble Supreme Court in Writ Petition No. 235 of 2012, Ministry of Health and Family Welfare have issued guidelines in August 2015 to all States/UTs on Good Samaritans in which, inter alia, it has been mentioned that “Lack of response by a doctor in an emergency situation pertaining to road accidents, where he is expected to provide care, shall constitute “professional Misconduct” under Chapter 7 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulation, 2002 and disciplinary action shall be taken against such doctors under Chapter 8 of the said Regulations.” It is the responsibility of the respective State Government/UT to take action against the said hospitals.
In so far as the three central Govt. Hospitals viz. Safdarjung Hospital, Dr. RML Hospital and LHMC are concerned, they have adequate number of ventilator bed facilities in an emergency situation.
The Health Minister, Shri J P Nadda stated this in a written reply in the LokSabha here today.
*****
Import of Medical Devices and Implants
Globally, diseases of heart valve constitute a major cause of cardiovascular morbidity and mortality with rheumatic heart disease being the dominant Valvular Heart Disease (VHD) in developing countries including India. Indian Council of Medical Research (ICMR) has informed that as per experts, around 15-20% of total patients attending the hospitals with heart disease suffer from VHD.
A position paper published by Federation of Indian Chambers of Commerce & Industry (FICCI) (2014-15) informs that Indian medical device industry is primarily import driven with imports contributing close to 75% of the market. Medical electronics and Hospital equipments and surgical instruments form more than 50% of sale with 87% being imported as per the document on “Recommendations of Task Force on the Medical Devices sector in India – 2015”.
As informed by Department of Pharmaceuticals, the Government of India had taken up the issue with leading manufacturer of stents to reduce the prices voluntarily. As an outcome one manufacturer has reduced the prices of coronary stents by 10%. Further, a few other manufacturers have informed that there has been substantive reduction in prices of coronary stents manufactured by them.
As informed by Drug Controller General of India, the Drugs & Cosmetics Act and Rules there under do not mandate that maximum retail price (MRP) should be indicated on the label.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.
*****
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