Union Minister of Health and Family Welfare Shri Ghulam Nabi Azad today
released a booklet on Achievements of the Ministry of Health and Family Welfare
(from 2009-2011) under various programmes of the Ministry. Addressing a press
conference in New Delhi
today Shri Azad elaborated on the initiatives taken by the Ministry aimed at
improving health infrastructure, medical education, regulatory oversight and
health awareness, among other steps. The Ministry of Health & Family
Welfare proposes that domestic funding should be increased to at least 2% of
the GDP in the 12th Plan period).
The highlights of the achievements are as follows:
in Medical Education during last two years
MBBS seats and 7470
PG seats have been added to the existing capacity.
25 ew medical colleges established.
on date, there are 314 medical colleges
(149 Govt & 165 Private) with more than 37,000 MBBS seats (33375 in 2008) and 20868 PG
seats (13398 in 2008)
Central Government provided Rs. 241 crores to 46 State Government owned medical colleges for:
strengthening and up-gradation,
Starting new PG Departments - resulting in creation of an additional 2384 PG seats.
initiatives in Medical Education during last two years
Rationalization of norms
relating to requirement of land and infrastructure, particularly in under-served,
remote and inaccessible areas.
The norm of 25 acres of land
relaxed to 20 acres throughout the country.
For hilly areas, notified
tribal areas, North Eastern States
and some Union Territories, 20 acres of land can be
in two pieces within a distance of 10 km’s.
In major cities, 10 acres of
land in one piece.
The requirement of bed
strength and patient occupancy relaxed from 80% to 60%.
For the first time, Companies registered in India have been
permitted to set up medical colleges.
To increase the availability
of doctors, MBBS seats increased from 150 to 250 seats depending on the
PG qualifications of five English
speaking countries (UK,
USA, Canada, Australia
and New Zealand)
have been recognized.
Teacher-Student ratio for PG
students has been relaxed from 1: 1 to 1: 2.
As a result of this, 5000 additional Post Graduate seats have been created in
two years in Government Medical Colleges.
Age increased from 65 to 70 years
DNB qualifications have been recognized for appointment as faculty.
The number of years of service
stipulated in the Medical Council of India (MCI) regulations reduced by one
year, i.e., from 4 years to 3 years.
No of years required previously
No of years required now
to Associate Professor
to Additional Professor
50% of seats in postgraduate
diploma courses reserved for government medical officers who have served in
remote, difficult and inaccessible areas for 3 consecutive years.
(b) For national entrance examinations to the
post-graduate courses, a weightage of 10% marks is given for each year of rural
posting, whether appointed on permanent, ad-hoc or contractual basis,
subject to a ceiling of 30%.
Achievements in Nursing Education during last
The Ministry of Health and
Family Welfare has sanctioned 269 GNM
and ANM colleges in underserved and difficult to access areas.
This will increase capacity by an additional 20,000
trained persons each year.
An amount of Rs 2030 crores
is being spent on the scheme.
In 2010-11, Government of India
released an amount of Rs 252 crores for opening 53 ANM and 45 GNM schools
across the country.
Rs 35.76 crores released for
upgrading 21 nursing schools to nursing colleges with central assistance of Rs
6 crores per institution.
Rs. 4 crores released for
strengthening 16 nursing schools and colleges (central assistance of Rs 25
lakhs per institution).
Rs. 5 crores released for
faculty development in the high focus States.
15 States have been given
central assistance of Rs. One crore each for establishing State Nursing Cells.
Initiatives in Para Medical Education during
last two years
To standardize paramedical education across
the country, the following Institutes
of Excellence are being set up:
One National Institute of Paramedical Sciences
(NIPS) at Delhi
8 Regional Institutes of Paramedical Sciences
Chandigarh, Lucknow, Bhopal, Hyderabad, Coimbatore, Bhubaneswar, Patna and in Maharashtra
will be set up at the cost of about Rs 1150 crore.
AIIMS-like institutions now closer to reality
In May/June, 2010, civil
construction work for medical college complex of all six AIIMS like
institutions at Bhubaneshwar, Patna, Jodhpur, Rishikesh, Raipur
started on fast track.
construction of medical colleges is expected to be completed by the end of
2011 and Hospitals by October 2012.
Ministry of Finance has
accorded approval in February, 2011 for creation of 1145 posts (Faculty & Staff)
for each institution to be filled up in the first phase of recruitment process.
Premier medical institutions
like AIIMS, New Delhi; PGIMER, Chandigarh; and JIPMER, Puducherry have been
designated as mentoring institutions for new six AIIMS-like institutions.
AIIMS will mentor Patna & Bhubaneswar;
PGIMER will mentor Rishikesh
& Jodhpur and
will mentor Bhopal and Raipur.
The cost of construction of all
six AIIMS-like institutions and upgradation of 13 existing medical college
institutions is Rs.9307.62 Crores.
Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular
Diseases & Stroke Programme (NPCDCS)
Cardiovascular Diseases (CVD), Diabetes &
New Initiatives during last two
In July 2010, 100 districts selected
for launching “National Programme for Prevention & Control of Cancer,
Diabetes, CVD and Stroke (NPCDCS)” and the “National Programme for Health Care
of Elderly (NPHCE)”
(Total cost: Rs.1230 crores).
A Cardiac Care
Unit at a cost of Rs. 1.5 crores will be established at 100 district hospitals.
NCD clinic will be established
at 100 district hospitals and 700 Community Health Centres (CHCs) for diagnosis
and management of Cardiovascular Diseases (CVD), Diabetes & Stroke.
For life saving drugs, Rs.
50,000 will be provided to each district hospital in 100 districts.
Opportunistic Screening for
diabetes and high blood pressure will be provided to all persons above 30
years, including pregnant women of all age groups at 20,000 Sub-Centres.
Home based care will be
provided for bed ridden cases in 100 districts.
Support will be provided for
contractual manpower and equipment at 100 district hospitals & 700 CHCs for
management of NCDs including health promotion activities.
Screening for Hypertension and Diabetes in Urban
Slums was initiated in 7 Metro Cities in 2010 (Delhi,
Mumbai, Kolkata, Chennai, Bangalore, Hyderabad and Ahmedabad)
Glucometer Strips and Lancets procured under the
national programme distributed to States for the purpose of Screening – Rs.
Cost of a Glucometer Strip approximately Rs.10 at
School health survey has been
initiated in selected districts, which includes screening for childhood
New Initiatives during last two years
services, basic surgery, chemotherapy and palliative care for cancer cases will
made available at 100 district hospitals.
Support for Chemotherapy drugs will be provided for
100 patients at each district hospital at a cost of Rs. 1.00 crore per annum.
Day care Chemotherapy
facilities will be established at 100 district
Facility for laboratory
investigations including Mammography will be provided at 100 district hospitals
and, if not available, this can be outsourced at government rates.
Home based palliative care will be provided for chronic, debilitating and progressive cancer patients at
Support will be provided for
contractual manpower and equipment for management of cancer cases at the 100
65 centres will be
strengthened as Tertiary Cancer Centres (TCCs) to provide comprehensive cancer
care services at a cost of Rs. 6.00 crores each.
In the year 2009-2010, the
Global Adult Tobacco Survey India
was conducted for systematically monitoring adult tobacco use (smoking and
smokeless) and tracking key tobacco control indicators.
One of the largest surveys of
this kind in the world, it was carried out in all the States and 2 UT’s of
Chandigarh & Puducherry.
The entire survey was funded by the Government of
India and was conducted by Indian Institute of Population Science (IIPS),
Mumbai in technical collaboration with WHO and CDC, Atlanta, USA.
The results were published in October, 2010.
survey revealed that more than one-third of adults (35%) use tobacco in some or
the other. Among them, 21% adults use only smokeless tobacco, 9% use only smoke
and 5% use smoke as well as smokeless tobacco.
prevalence of overall tobacco use among males is 48% and among females is 20%.
Nearly 2 in 5 adults (38%) in rural areas and 1 in 4 adults (25%) in urban
areas use tobacco in some form. The extent of use of smokeless tobacco products
among males (33%) is higher than among females (18%).
results of the survey are being used to formulate policies aimed at
mainstreaming tobacco control strategies with other national health programmes,
within the overall framework of the National Rural Health Mission (NRHM). The
initiative will strengthen the Ministry’s efforts to prevent any further
increase in the prevalence of tobacco use, especially among the vulnerable
groups such as youth, children and females.
Rural Health Mission
during last two years
Since the launch of NRHM, Rs. 63,268.43 crores have been
released to the States/UTs.
During 2009-10, Rs. 13261 crores were
provided, which was an increase of 12% over the previous year.
During 2010-11, Rs. 14,652 crores were provided which shows further increase of 12% over the releases
During the last two years, 6500 new health facilities such as District Hospital / Sub-Divisional Hospitals /
Community Health Centres and Primary Health Centres were constructed.
In addition, 4828 health centers were renovated/ upgraded
the last 2 years, 2243 more PHCs were made functional round-the-clock ( 24 X 7 )
623 facilities were operationalized as First
Referral Units (FRUs)
2009-11, additional 70,830 personnel
were added to the health system on contractual basis which include:
6193 AYUSH doctors,
12913 Staff Nurses,
18379 Para-medics and
this, additional human resources added to the health system under NRHM have
increased to 1.4 lakhs.
In addition, to overcome the shortage of Male
Health Workers, the Government of India has approved engagement of 50,000 Male
Health Workers on contractual basis in 235 districts having high disease burden
for a period of 3 years.
2009-11, 1.46 lakhs, ASHAs were added.
The total number of ASHAs engaged by
States/UTs is now 8.05 lakh.
6.5 lakh ASHAs provided with drug
Mobile Medical Units (MMUs) introduced in 214 districts in the country.
out of 642 districts now have operational MMUs rendering services to
11624 new Rogi Kalyan Samitis (RKS) registered
1.37 lakh VHSCs constituted.
delivery: Under Janani Suraksha Yojana (JSY), the number of beneficiaries has
gone up from 7.39 laks in 2005-06 to over
1 crore per year, both during 2009-10 and 2010-11.
Initiatives during last two years in NRHM
Free Care to Mothers and Children
Government of India has asked all the States to
ensure free and cashless services to all pregnant women delivering in
government health institutions as well as to sick neonates. This includes
Provision of free drugs,
Free Consumables and
Free Diet during stay and
Free transport to health
facility and drop back home.
(ii) Special focus on backward districts
high focus districts in 21 States, which
are difficult, inaccessible, backward and under-served, having poor health
indicators on a perpetual basis, have been identified by the Government of
India to give focused attention.
district plans have been prepared for these
districts keeping their special needs in view.
Facilities in these districts at three
levels will be developed as mother and
child health centres.
Besides providing additional resources, teams
to monitor progress in these districts on a regular basis have been set up.
(iii) Tracking of mother and children
For effective implementation of vaccination,
Government of India provides vaccines and also meets operational costs for
immunization of children.
Support is also provided for ante-natal and
post-natal care of the mothers.
To ensure full immunization of children,
registration of all pregnant mothers and children and to monitor the ante-natal
and post-natal checkup of mothers,
Government of India has introduced name, address and telephone based Mother and Child
Tracking System to provide complete data.
A BPO type system is being set up in
the Ministry to verify the authenticity
and accuracy of data provided by state governments and follow up on the needed interventions.
As the system evolves, it would also
provide a platform for effective IEC activities, including awareness on
emerging non-communicable diseases for improving health seeking behaviour.
Interventions in Polio eradication
In January 2010, Bivalent oral polio
vaccine was introduced for the first time to control Polio.
this, as well as focus on improving quality of vaccination, an unprecedented
achievement has been made towards polio eradication.
After the introduction of this vaccine, new
polio cases have come down to 42 in 2010 as against 741 in 2009.
During 2011, only one polio case has been
identified till 1st April as compared to 19 cases during the same
period in 2010.
For improvement of the menstrual hygiene
among adolescent girls, a new scheme
for supply of sanitary napkins at subsidized rate to rural adolescent girls has
been taken up.
the first phase, nearly 1.4 million girls in the age group of 10-19 in 152
districts of 20 States will be covered.
supply will be made through ASHAs @ Rs. 6 per pack of 6 sanitary napkins.
During the last 2 years, special efforts
were made to reposition family planning and population stabilization as
integral part of improvement in maternal and child health.
During 2010, a population week was observed
coinciding with World Population Day to generate awareness on population
After nearly 3 decades, Parliament discussed population issues for about
6 hours to give a thrust on population stabilization.
Emphasis has been given by Government on the following:
(a) Promotion of fixed day family planning services at
(b) Promotion of IUDs as short and long term spacing
(c) Distribution of contraceptives through
THE CLINICAL ESTABLISHMENTS (REGISTRATION & REGULATION) ACT, 2010.
new law has been enacted in 2010-11
to register and regulate all hospitals
including single doctor and Super-speciality hospitals in the private and public sectors in the
law will enable the Central Government/State Governments to know the exact
number of hospitals/clinics and bed capacity, human resource, equipment and
type of treatment available in each of such hospitals/clinics across the
data base will help the Central Government/State Governments to plan creation
of more healthcare facilities across the country.
a data base will also ensure greater involvement of hospitals/clinics in
management of calamity/crisis situations.
law will enable the general public to access appropriate and affordable treatment
in all such registered hospitals/clinics.
OF HEALTH RESEARCH
during last two years:
The number of testing labs for
communicable diseases increased from the existing 2 to 44
Initiatives during last two years:
First Indigenous Reagents
for H1N1 diagnostics: Development and evaluation of three kits in India was
completed in one years’ time.
Indigenous H1N1 vaccine was
developed in 2010 in collaboration with private manufacturers:
Institute for Research on Environmental Health (31st
Institute of the ICMR) was established at Bhopal
on 11th October, 2010, to focus on long-term effects of M.I.C.
exposure; health hazards due to chemical exposures and environmental pollution.
Centre for Diseases Informatics and Research was
established at Bangalore
during 2010-11. This centre has the mandate to develop and sustain a national
research data-base on cancer, diabetes, CVD and stroke.
Rural Health Research Units: Proposals from five States (Himachal Pradesh,
Rajasthan, Bihar, Tamil Nadu and Maharashtra)
have been approved to establish model rural research health units. These units
are being established to transfer new technology for early diagnosis and
management of various diseases to state health services on a continued basis.
Eight viral and infectious disease laboratories located at Lucknow, Jaipur, Bhubaneswar,
Port Blair, Manipal, Trivandrum, Allapuzha and Raipur, respectively have
These are in addition to five
BSL II plus laboratories for H1N1 as well as five BSL II labs at Patna, Bhubaneshwar, Jabalpur,
Jodhpur & Port Blair and one BSL III laboratory at Agra for tuberculosis established in ICMR
Institutes in different parts of the country during this period.
During 2010-11, a programme has
been initiated for the development of affordable diagnostic methods for diabetes.
Department of AIDS
Achievements during last two years
Recent HIV estimations show that the annual new HIV infections in India have
declined by more than 50% during the last decade. India continues to be a low
prevalence country (Adult HIV Prevalence – 0.31%) with an estimated 23.9 lakh
persons living with HIV.
Prevention through focused
interventions amongst High Risk Groups
and General Population is the main strategy under National AIDS Control
Programme (NACP) Phase-III, along with Care, Support & Treatment for
persons living with HIV/AIDS.
As of March 2011, nearly
12.5 lakh persons living with HIV/AIDS have registered and 4.07 lakh clinically
eligible patients, including 23,854 children, are currently receiving free Anti
Retroviral Treatment (ART) at 300 ART centres and 580 Link ART Centres.
The targets of NACP-III for
providing access to free ART have already been exceeded and wider access to ART has resulted in a decline
in the estimated number of people dying due to AIDS related causes.
Access to safe blood has been ensured through a network of 1,127 blood
banks, including 155 Blood Component Separation Units, 795 district level blood
banks and 28 Model Blood Banks.
blood units through voluntary blood donation has increased from 62% in 2008-09
to 79.5% in 2010-11. During 2010-11, 54,271 VBD camps were conducted and
overall 79.2 lakh blood units were collected.
New Initiatives in NACO during
last two years:
access of second line ART: The Second Line ART introduced
in 2008 has been expanded to 10 centres in 2009. Currently, 1,929 patients are
receiving free Second Line ART.
New initiatives under Blood
Safety programme include setting up of four
Metro Blood Banks as Centres of
Excellence in Transfusion Medicine with capacity to process more than 100,000 units of blood
each annually in New Delhi, Mumbai, Kolkata and Chennai, and a Plasma Fractionation Centre with a processing capacity of more than 1,50,000
litres of plasma, which can fulfill the country‘s demand.
State Governments of Delhi,
Maharashtra, Tamil Nadu and West Bengal have
identified land for the construction of these centres. Design DPR Consultants
for these sites have been identified to initiate work. Lay-out plans and
detailed Project report have been received for all four sites, and equipment
requirement has been planned.
during last two years
During 2009-10 and 2010-11,
for Mainstreaming of AYUSH under National Rural Health Mission, grants-in-aid
amounting to Rs. 467.26 crore was given to the State/UT Governments for
establishment of new AYUSH facilities in 800
Additional Primary Health Centres/Primary Health Centres, 111 Community
Health Centres, 23 District Hospitals and for up-gradation of 378
exclusive AYUSH hospitals and 415 dispensaries
A total number of 11,485 AYUSH doctors and 4,810 AYUSH
para-medics have been appointed on contract basis at Primary
Health Centres and Community Health Centres with the assistance from National
Rural Health Mission flexipool.
During 2009 and 2010, 8 new Ayurveda medical colleges and 4
new Homoeopathy medical colleges have been granted permission.
360 under graduate additional seats and 640 new post
graduate seats have been permitted in the existing 71 Ayurveda, Siddha and Unani
Sales of Indian Medicine
Pharmaceutical Corporation Ltd. increased from Rs. 13.94 crore during 2008-09
to Rs. 19.90 crore during 2009-10 and Rs.
24 crore during 2010-11.
During 2009-10 and 2010-11,
assistance amounting to Rs.117 crores was provided to 26 States for cultivating medicinal plants on additional
44,598 hectares, establishing 538
nurseries under Centrally Sponsored Scheme of National Mission on Medicinal Plants which supports market driven
cultivation of medicinal plants.
New Initiatives in AYUSH during last two years
The existing Indian systems of
medicine (namely Ayurveda, Yoga, Unani, Siddha and Homoeopathy) have been
expanded to include Sowa Rigpa as a recognized system of medicine
through an amendment to the Indian Medicine Central Council Act which
was passed by the Parliament in September, 2010.
A separate research council for Siddha system
of medicine has been established by bi-furcating the Central Council for
Research in Ayurveda and Siddha. This was registered in July, 2010 under the
Tamil Nadu Societies Act, 1975.
2010, a Pharmacopoeia Commission for Indian Medicine having autonomous status
was set up to give greater impetus to the ongoing work of the Pharmacopoeia
Committees in respect of Ayurveda, Siddha and Unani drugs.
2009-10, a Centre for Research in Indian System of Medicine (CRISM) was set up
under National Centre for Natural Products Research (NCNPR), University of
Mississippi (USA) to facilitate collaborative research and dissemination of
information on Ayurveda, Siddha and Unani medicines.
the Prime Minister’s visit to Malaysia
in October, 2010 a Memorandum of Understanding was signed between India and Malaysia
for cooperation on traditional medicine to promote AYUSH systems in Malaysia.