Annual Report

2019-20

Department of Health & Family Welfare

Ministry of Health & Family Welfare
Government of India
ANNUAL REPORT
2019-2020

Department of Health & Family Welfare

Ministry of Health & Family Welfare
Government of India
Nirman Bhawan, New Delhi – 110011
Website : mohfw.nic.in
 CONTENTS
Chapter No. Chapter Name Page No.
Introduction i-iv
1. Organization & Infrastructure 1
2. National Health Mission (NHM) 11
3. Maternal & Adolescent Healthcare 27
4. Child Health Programme 41
5. Disease Control Programmes (NHM) 65
6. Family Planning 91
7. Other National Health Programmes 109
8. Population Stabilization 137
9. Training & Training Institutions 143
10. International Cooperation and International Health 149
11. Medical Services and Medical Supplies 157
12. Health Insurance 175
13. Food & Drugs 185
14. Medical Education Policy & Medical Education 205
15. Central Medical Institutions & New AIIMS 223
16. Other Health Institutions 243
17. Swastha Nagrik Abhiyan (SNA) 307
18. Health Budget and Expenditure 311
19. Progressive use of Hindi in Official work 327
20. E-Governance & Telemedicine 329
21. Facilities for Scheduled Castes & Scheduled Tribes 335
22. Activities in North East Region 343
23. Gender Issues 373
24. National AIDS Control Organization (NACO) 395
25. Organization Chart of Department of Health & Family Welfare 443
26. Organization Chart of Directorate General of Health Services 445
27. Summary of Important Audit Observations 447
Introduction

Department of Health & Family Welfare is inter-related components. The first component
committed to ensure the highest possible level of is the creation of 1,50,000 Health and Wellness
health and well-being of all at all ages, through a Centres (HWCs) by transforming PHCs/SCs to
preventive and promotive health care orientation provide Comprehensive Primary Health Care
in all developmental policies and universal access (CPHC). HWCs will enable a focus on wellness
to good quality health care services without and health promotion, and provide an expanded
anyone having to face financial hardship. Towards range of primary healthcare services, including
this end, Ministry of Health & Family Welfare is access to medicines and diagnostics, and be
implementing various schemes, programmes and delivered close to the community. So far, approvals
national initiatives to provide universal access to for more than 60,000 Ayushman Bharat-Health
the quality healthcare. The approach is to increase & Wellness Centres have been accorded to the
access to the decentralized public health system States/UTs (except Delhi) and as reported by the
by establishing new infrastructure in deficient States/UTs on the AB-HWC Portal, 27351 Health
areas and by upgrading the infrastructure in & Wellness Centres have been operationalized.
the existing institutions. There is also need to
The National Health Mission (NHM), which is
strengthen the role of public sector in social
our flagship health systems reform programme,
protection against the rising costs of health care
provides a robust platform for implementation of
and the need to provide a comprehensive package
a range of interventions focused on primary and
of services without reducing the prioritization
secondary health care in rural and urban areas.
given to women and children’s health.
NHM’s efforts at strengthening health systems in
There has been a significant improvement in States by allocating additional financial resources,
creations of new facilities and infrastructure, flexibility in design and implementation, ensured
though adequate staffing of these facilities by sharper focus on particularly marginalized and
qualified health personal remains problems. vulnerable populations and enabled us to achieve
Availability of drugs has improved at all levels and impressive improvements in several key indicators
the robust logistic arrangement for procurement of RMNCH+A and communicable diseases.
and storage of these drugs has been put in place.
Health promotion and wellness will be made a
Our work this year enabled progress towards Jan Andolan through multi-sectoral, convergent
the commitments of the National Health Policy, action, involving local self-government, Self Help
2017. The launch of Ayushman Bharat marked Groups and other community based platforms,
a significant landmark in the history of health and empower people to take health and wellness
in India. Ayushman Bharat is India’s road to in their own hands.  The regular practice of yoga
Universal Health Care, and when fully operational teaching sessions in HWC and the Eat Right
will ensure universal, accessible, equitable and Movement have already been launched. More
affordable health care for all. It comprises of two than 5.24 lakh Yoga sessions have been conducted

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 INTRODUCTION

at 23,500 functional AB-HWCs across the country than 15000 patients are visiting OPD daily besides
till 2nd January 2020.  Other Wellness activities more than 16000 patients getting treatment in IPD
like ZUMBA, Local Sports, Meditation (Tamil every month. Also, about 4000 major surgeries
Nadu & Odisha), Shirodhara (Gujarat) are being are getting performed every month in these six
undertaken. AIIMS. OPD services started in AIIMS Nagpur
and Bhatinda in addition to AIIMS Raebareli,
With a view to serve a large population of the
AIIMS Mangalagiri and AIIMS Gorakhpur. 1st
country and provide secondary, tertiary and super-
session of undergraduate MBBS course with
speciality care through the Central Government
50 seats has been started at six new AIIMS
Hospitals, special efforts have been made for
viz. Raebareli, Kalyani, Gorakhpur, Bathinda,
strengthening of such institutions. Safdarjung
Deoghar and Bibinagar in addition to academic
Hospital and Vardhman Mahavir Medical College
session for MBBS course at AIIMS Mangalagiri
has been upgraded with Super Specialty Block
and AIIMS Nagpur with 50 students.
having 555 beds, state of art Private Block and
Emergency Block with 500 beds and extension of To further strengthen health infrastructure an
Sports Injury Centre. Robotic Surgery facility has ambitious, Up-gradation programme which
been started in Urology Department recently. Lady broadly envisages improving tertiary health
Harding Medical College & Associated Hospitals infrastructure through construction of Super
(Smt. Sucheta Kriplani Hospital & Kalawati Saran Specialty Blocks/Trauma Care Centres etc.
Children’s Hospital) is also being upgraded with and procurement of medical equipment for
proposed Oncology Block, Academic Block, existing as well as new facilities on Centre and
Accident and Emergency Block, OPD Block and State share basis has been undertaken. Total 75
an IPD Block with Additional 560 Beds. In Atal Govt. Medical Colleges’ up-gradation projects
Bihari Vajpayee Institute of Medical Sciences & have been approved so far. Construction works
Dr. Ram Manohar Lohia Hospital, MBBS course of Super Specialty Block / Trauma Center has
has started from the session with intake of 100 been completed in 12 Govt. Medical Colleges
students. Hospital is in process to construct a new during this year in addition to 31 Projects already
600+ bedded Super Specialty Block. completed in previous years. The phase-III of the
Centrally Sponsored Scheme has been launched
The Pradhan Mantri Swasthya Suraksha Yojana
this year with the objectives for setting up of 75
(PMSSY)  aims at correcting the imbalances in
new Medical Colleges in the country to create
the availability of affordable healthcare facilities
7500 more MBBS seats in Government sector.
in different parts of the country in general,
Under the scheme, so far, 49 medical colleges
and augmenting facilities for quality medical
have been approved out of 75 medical colleges.
education in the underserved States in particular.
PMSSY, a Central Sector Scheme, has two Improving the health status of both mother and
components: Setting up of AIIMS Institutions; children is a key priority of the Government and
and Up-gradation of existing Government tremendous progress has been made towards this
Medical Colleges/Institutions and is being taken end. Maternal Mortality Ratio (MMR) for India
up in a phased manner. has now reached to 122 per lakh live births during
2015-17. The pace of decline in MMR since 1990
Total twenty two(22) new AIIMS have been
has been 78%, which is higher than the global
announced so far by the Government out of
decline of 45%. Further, the Under-Five Mortality
which six AIIMS under Phase-I are functional
Rate (U5MR) has now reduced to 37 per 1000 live
and another fifteen AIIMS have been approved.
births in 2017. Strategic investments have been
In the functional AIIMS on an average, more

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 INTRODUCTION

made to strengthen existing and new interventions conducted annually, including 2.5 crore among
such as Surakshit Matritva Aashwasan (SUMAN), pregnant women to ensure early detection among
Midwifery Initiatives, Home Based Care of both vulnerable populations and to prevent mother to
Newborn and Young Children and Anaemia child transmission of HIV. More than 14 lakh HIV
Mukt Bharat. infected people are on life saving anti-retroviral
treatment, to which now  a new, more effective
SUMAN (Surakshit Matritva Aashwasan) has been
drug, Dolutegravir (DTG) has been introduced. 
launched in October 2019, to provide assured,
Awareness generation and prevention continue to
dignified, respectful and quality healthcare at no
be the mainstay of the programme with targeted
cost and zero tolerance for denial of services, for
community outreach coupled with condoms, STI
every woman and newborn visiting the public
management, counseling and communication
health facility.
package for high risk group individuals.
Efforts of Mission Indradhanush are being
As an endeavour to improve the quality of
leveraged to achieve full immunisation coverage.
services and better upkeep of the health facilities,
Towards this end, GOI has expanded the basket of
as part of the Swachh Bharat Abhiyaan launched
vaccines and is providing free of cost vaccination
by the Prime Minister on 2nd October 2014, the
against 12 vaccine preventable diseases by
GoI launched “Kayakalp Award” for Public
inclusion of five new vaccines – Tetanus and
Health Facilities. This year 9 Central Government
adult Diphtheria (Td), Inactivated Poliovirus
hospitals, 395 district hospitals, 1,140, Community
Vaccine (IPV), Measles Rubella vaccine (MR)
Health Centres/ Sub-district hospitals, 2,723
and Rotavirus vaccine at the national level and
Primary Health Centres, 556 Urban Primary
Pneumococcal Conjugate Vaccine (PCV) at the
Health Centres, 6 Urban Community Health
subnational level. Expansion of Rotavirus vaccine
Centres have scored more than 70%. Total of 4829
to the entire nation in the current financial year
facilities have been awarded. This is for the first
will prevent an estimated 40,000 under-five deaths
time, private hospitals have also been included
annually.
this year and Kayakalp Certificates were given to
The Department of Health & Family Welfare 635 private health care facilities.
perseveres to prevent and control the HIV/AIDS
In line with the commitment to End TB by 2025,
through  State AIDS Control Societies under the
GoI is implementing an accelerated National
National AIDS Control Programme to achieve
Strategic Plan to ensure rapid decline of TB
the sustainable development goal of ending HIV/
incidents and mortality in India with renewed
AIDS as a public health threat by 2030. The Human
focus on active TB case finding, engaging
Immunodeficiency Virus & Acquired Immune
community, private sector and multi-sectoral
Deficiency Syndrome (Prevention & Control) Act,
stake holders, work place intervention, newer and
2017 towards protecting and securing the human
shorter regimens along with nutritional support to
rights of persons who are infected or affected
TB patients. TB Harega Desh Jeetega Campaign
by HIV/AIDS or are vulnerable to the disease is
– an Accelerator to National Strategic Plan and
one of its kind. The Act prohibits discrimination
National TB Prevalence Survey has been launched
or unfair treatment of HIV-infected people on
on 25th September 2019. With the efforts of the
any grounds. NACO has signed 18 Memoranda
government, significant strides have been made
of Understanding (MoUs) with key Ministries/
to address the challenge of Tuberculosis in the
Departments to catalyse the HIV/AIDS response
country. We achieved a 13% increase in TB case
under their mandate for meaningful multisectoral
notification compared to last year.
response. Around 5 crore HIV tests are

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 INTRODUCTION

During the year, there has been 15.85% reduction healthcare. Over the years, FSSAI has undertaken
in Malaria cases and 40.26% reduction in deaths various activities to enable people to have safe and
due to Malaria as compared to last year. Similarly, nutritious food. Eat Right India Movement, with
there has been considerable reduction in other ‘Sahi Bhojan Behtar Jeevan’ as its tagline has been
vector borne diseases such as Kala-azar, Lymphatic launched as a collaborative preventive healthcare
Filariasis, Dengue etc. strategy to promote consumption of safe and
whole some food. This involves strengthening
As a responsible government that is sensitive to
of regulatory compliance environment through
the health of our people, especially the children
collaboration of various stakeholders, both in
and youth, anticipating the danger in case of
Government and private sectors, besides focusing
spread of addiction due to e-cigarettes, decisive
on building a culture of self-compliance, capacity
pre-emptive action has taken by the Ministry
building through training, and developing a
to prevent the problem and ‘The Prohibition of
regime of inspection based on preponderance
Electronic Cigarettes (Production, Manufacture,
of risk. The movement would complement the
Import, Export, Transport, Sale, Distribution,
Government’s flagship programmes such as
Storage and Advertisement) Act, 2019” has been
‘Poshan Abhiyan’ and ‘Anemia-Mukt Bharat’ and
passed prohibiting electronic-cigarettes and like
would be natural extension of ‘Swachh Bharat
devices.
Abhiyan’ and the ‘Fit India’
A major reform in the medical education is on
The Department of Health & Family Welfare is
the anvil with the enactment of National Medical
committed to providing affordable and accessible
Commission Act, 2019, for setting up of a National
health care to all its citizens, particularly the
Medical Commission (NMC) repealing the
vulnerable sections, in an efficient and equitable
Indian Medical Council Act 1956. It provides for
manner. This vision can be achieved and
constitution of a National Medical Commission
sustained only by involving various stake holders.
and four Autonomous Boards, namely Under
There has been a renewed and sharpened focus
Graduate Medical Education Board (UGMEB),
on strengthening the health care system and the
Post Graduate Medical Education Board
Ministry is committed to achieve the targets set
(PGMEB), Medical Assessment and Rating Board
forth.
(MARB) and Ethics & Medical Registration
Board (EMRB). It will bring transparency,
accountability and quality in the governance of
medical education in the country.
During the period past 5 years, 158 new medical
colleges were established in the country. The (Preeti Sudan)
MBBS intake capacity increased substantially Secretary
and EWS reservation at MBBS level has also Department of Health & Family Welfare
been implemented. National Eligibility cum Ministry of Health & Family Welfare
Entrance Test (NEET) and common counselling Government of India
for admission to all medical seats in the country
was introduced by amending the Indian Medical
Council Act, 1956.
Safe and healthy food, along with the fitness, is
foundation for good health and key to preventive

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 CHAPTER -

Organization &
Infrastructure 01
1.1 MINISTER IN CHARGE the Department of Health and Family Welfare.
Aadhaar based biometric attendance system has
The Ministry of Health & Family Welfare is
been introduced in the Department. E-office is
headed by Minister of Health & Family Welfare –
also being implemented in a phased manner. All
Dr. Harsh Vardhan. He is assisted by Minister of
payments have been integrated into PFMS.
State, Shri Ashwini Kumar Choubey.
In order to expedite disposal of files, this Ministry
has started a motivational Scheme “Officer of the
Month” from month of September, 2018. After the
inception of this award scheme, the time taken by
the officers for disposal of files has reduced.
1.3.1 General Administration
Government e-Market place (GeM) is being
Dr. Harsh Vardhan Shri Ashwini Kumar
Hon’ble Union Minister for Choubey utilised in making procurement of goods and
Health & Family Welfare Hon’ble Union Minister of State for
Health & Family Welfare
services in the Ministry.

1.2 INTRODUCTION 1.4 CENTRAL HEALTH SERVICE(CHS)

Ministry of Health & Family Welfare comprises The Central Health Service, which was constituted
the following two departments, each of which is in 1963, was restructured in 1982 to provide
headed by a Secretary to the Government of India: medical manpower to various participating
units like Directorate General of Health Services
(a) Department of Health & Family Welfare (Dte. GHS), Central Government Health Service
(CGHS), Government of National Capital
(b) Department of Health Research
Territory (GNCT) of Delhi, Ministry of Labour,
1.3 ADMINISTRATION Department of Posts, etc. Since inception, a
number of participating units like ESIC, NDMC,
The Department has taken new initiatives and MCD, Himachal Pradesh, Manipur, Tripura, Goa,
steps to implement Government programmes and etc. have formed their own cadres. JIPMER,
policies in an efficient and time-bound manner Pondicherry which has become an autonomous
as part of Government’s commitment for better body w.e.f. 14th July, 2008 has gone out of CHS
health care for all its citizens. cadre. Govt. of NCT of Delhi, which has made
their own cadre namely Delhi Health Service
Administration division is responsible for (DHS) for Non-Teaching and GDMO doctors has
Personnel Management of the Department. It also also gone out of CHS cadre. At the same time,
attends to service related grievances of the staff in

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 CHAPTER - 01

units like CGHS have also expanded. The Central recommendations except unification of cadres
Health Service now consists of four Sub-cadres have been accepted by the Government and
and the present sanctioned strength of each Sub- accordingly the note for CoS has been forwarded
cadre is as under: to Cadre Review Division (CRD), DoPT after
approval of the Competent Authority. Thereafter,
i. General Duty Medical Officer - 2249
some information was sought by CRD, which
Sub- cadre
ii. Teaching Specialists sub-cadre - 1532 has also been forwarded to them. Presently the
iii. Non-Teaching Specialists sub- - 595 matter is pending with Department of Personnel
cadre & Training.
iv. Public Health Specialists sub- - 104
Amendment in CHS Rules
cadre
1.4.1 Recruitment in CHS CHS (Amendment) Rules, 2019 issued vide
Notification dated 28.06.2019.
On the basis of Combined Medical Services
Examination (CMSE) - 2018, dossiers of 449 Amendment in Dental Posts Recruitment
candidates were received from UPSC including Rules, 1997
Reserve List. These 449 candidates have been Dental Posts Recruitment Rules, 1997 have been
allocated cadres viz: Ministry of Defence, Ministry
amended and notified in June, 2019 in the Gazette
of Railways, MCD, NDMC and Central Health
of India.
Services on the basis of their rank, preference
and availability of vacancies. 178 candidates were 1.4.3 Promotions
allotted to CHS Cadre, Out of them 160 candidates
have been issued offer of appointment including During the period under review, the details of
revised offers of previous year CMSEs. Offer of promotions effected in respect of CHS officers to
appointment were issued to 17 candidates for the various grades is as under:
post of Assistant Professor in respect of Teaching
Sub-cadre Designation of posts. No.
Sub-cadre and two candidates of Specialists Gr.
GDMO Medical Officer to Senior Medical 27
III of Non-Teaching sub-cadre. Officer
Foundation Training Program Senior Medical Officer to Chief 23
Medical Officer
Fourth Foundation Training Programme for Chief Medical Officer to Chief 17
Central Health Service officers was conducted Medical Officer (NFSG)
from 16th December, 2019 to 25th January, 2020 at Chief Medical Officer (NFSG) to 06
NIHFW, New Delhi. Senior Administrative Grade
Assistant Professor to Associate 85
1.4.2 Cadre Review Professor
Teaching
The Central Health Service, which was constituted Associate Professor to Professor 8
in 1963, was restructured in 1982 & 1991 keeping in Professor to Director Professor 5
view the recommendations of 3rd Pay Commission Non- Promotion of SAG level officers 15
and other administrative consideration. In 2004- Teaching to Addl. DGHS (HAG) level post
05, a Part-Cadre review was done.
Specialist Grade-II to Specialist 16
A Cadre Review Committee was constituted Grade-I
on 20th March, 2015 under the Chairmanship Specialist Grade-III to Specialist 36
of Additional Secretary (Health). All Grade-II

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 CHAPTER - 01

Eligible Non-Medical scientists of S-4 Level were in CHS received during 2019 have been
considered for promotion to S-5 level in a DAB processed. 11 such posts have been encadred
meeting held in the UPSC on 30.10.2019. Proposal during the year.
has been submitted to Deptt. of Personnel &
(iv) CHS officers were posted to Andaman
Training for seeking approval of ACC.
and Nicobar Islands administration on
Non-Functional Upgradation rotational basis to cater patient care and also
CHS officers were posted to Medical Center
Non-Functional Upgradation to SAG level has
Parliament House Annexe.
been granted to 222 CHS Doctors of GDMO sub-
cadre and 02 doctors of Teaching Sub-cadre. NFU (v) RTI: The number of RTI applications
has been granted to 56 doctors of GDMO sub- received in CHS Division is more than 190
cadre to HAG level. and the same have been disposed of within
stipulated period of time.
1.4.4 Notifications of appointments in
CHS and Confirmation in Service: (vi) Court cases: Thirty Six Court Cases in CAT
Benches/High Courts/Supreme Court have
Notifications of appointment of 130 doctors of been disposed offupto 19.12.2019.
GDMO sub-cadre issued.Confirmation of 71
CHS doctors of GDMO sub-cadre and 30 doctors (vii) Consideration of the representations of
of Non-Teaching sub-cadre have been done. CHS officers for upgradation of ACRs/
APARs - In terms of the guidelines issued
1.4.5 Deputation in CHS by the Department of Personnel & Training
The details of offers/extension for deputation in vide O.M No. 21011/1/2005-Estt.(A)
CHS is as under: (pt. II) dated 14.05.2009 and O.M. No.
21011/1/2010-Estt. A dated 13.04.2010,
Type of Deputation No of deputation 50 representations have been processed
cases for consideration of competent authority
Against the Vacancy circular 05 during 2019.

On Spouse ground 02 1.5 ACCOUNTING ORGANIZATION

Ad-hoc basis 01 1.5.1 General Accounting Setup
Extension granted 10
The Secretary is the Chief Accounting Authority.
1.4.6 Miscellaneous issues This responsibility is discharged with the help of
the Chief Controller of Accounts (CCA) on the
(i) 4 officers of GDMO sub-cadre have been advice of the Financial Advisor of the Ministry.
granted study leave for pursuing higher The Secretary certifies the appropriation accounts
studies. and represents the Ministry in the Public
(ii) Clarification to other departments on the Accounts Committee and Standing Parliamentary
issues related to implementation of DACP Committee on Accounts.
Scheme issued from time to time. 1.5.2 Accounting setup in the Ministry
(iii) The requests received from other The Ministry has two Departments viz Department
departments for encadrement of their posts of Health and Family Welfare and Department of

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 CHAPTER - 01

Health Research. There is a common accounting 1.5.4 Bhavishya Pension Portal

wing for all the Departments of MoHFW and
It is a web responsive, pensioner’s service
Ministry of AYUSH. The Accounts wing functions
developed to provide single-point web solution
under the supervision of a Chief Controller of
for pensioners to obtain comprehensive
Accounts (CCA) who is assisted by a Controller
information relating to status of the pensions and
of Accounts (CA), Deputy Controller of Accounts
other retirement benefits. Department of Pension
(DCA), Assistant Controller of Accounts (ACA)
& Pensioners Welfare (P&PW) is working with
and 11 Pay and Accounts Offices(PAOs) (7 PAOs
a vision of ensuring active and dignified life for
in Delhi and one each at Chennai, Mumbai,
pensioner. The goal is to ensure payment of all
Kolkata and Puducherry). The responsibility
retirement dues and delivery of Pension Payment
of the Budget Division of the Ministry is also
Order (PPO) to retiring employees on the day of
entrusted to the CCA.
retirement itself. Towards this goal, the DoP&PW
1.5.3 Internal Audit Wing has launched an online Pension Sanction &
Payment Tracking System called ‘BHAVISHYA’.
The Internal Audit Wing of the Department of
The system provides for online tracing of pension
Health and Family Welfare handles the internal
sanction and payment process by the individual as
audit work of all the departments of MoHFW and
well as the administrative authorities. The system
Ministry of AYUSH. There are more than 1042
captures the pensioners personal and service
units of the Health and Family Welfare, 58 units
particulars. The forms for processing of pension
of AYUSH and 27 units of Department of Health
are submitted online. It keeps retiring employees
Research.
informed about the progress of pension sanction
The role of internal audit is growing and shifting through SMS/E-Mail. The system obviated delays
from compliance audit confined to examining the in payment of pension by ensuring complete
transaction with reference to government rules transparency. All the PAOs and DDOs of the
and regulations to more advanced technique of MoHFW have registered on the Bhavishya Portal.
examining the performance and risk factor of
1.5.5 Public Financial Management System
an entity. Internal Audit Wing had conducted
Audit of following schemes and Institutions
(PFMS)
implemented/working under MoHFW during Hon’ble Prime Minster has emphasized the
2018-19. need for improved financial management in the
implementation of Central Plan Schemes and also
Health & Family Welfare - 52
monitoring of the usage of funds up to the end
Health Research - 02 level beneficiaries including information on end
AYUSH - 09 use of the funds.
Total - 63 The Public Financial Management System (PFMS)
provides an end-to-end solution for processing
In 2018-19, 693 Audit Paras have been raised which
payments, tracking, monitoring, accounting,
highlighted financial propriety observations to the
reconciliation and reporting. It has been decided
tune of Rs. 125.13 Crore. A total number of 704
to universalize the use of PFMS to cover all
Paras were settled during 2018-19. Internal Audit
transactions/payments under the Central Sector
Wing had conducted Audit Adalats for settlement
Schemes. The office of the CCA keeps a close tab
of outstanding paras.
on these developments and implements them in a

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 CHAPTER - 01

pro-active manner. (DDO) working for different Departments/

Ministries of the Government of India.
All PAOs under the Chief Controller of Accounts
of this Ministry are already using PFMS portal for 1.5.11 General Provident Fund Module
all schemes. Herein e-payments are being released
All Pay and Accounts Offices and merged Drawing
through PFMS to all first level agencies.
and Disbursing Officers under MOHFW are on
1.5.6 Direct Benefit Transfer (DBT) board the GPF Module of PFMS. All the data
pertaining to GPF has been transferred to GPF
MoHFW is already implementing the scheme
Module on PFMS.
Janani Suraksha Yojna (JSY) under National
Health Mission (NHM) on Direct Benefit Transfer. 1.5.12 Dashboard
1.5.7 Non Tax Receipt Portal Module An online budget dashboard has been developed
in MoHFW on which daily pending bill reports
All PAOs under MoHFW are on board on Non
and weekly pending bill reports are also being
Tax Receipt Portal Module (NTRP) Module of
uploaded on regular basis.
PFMS.
1.5.13 Revision of Pension (7th CPC)
1.5.8 Implementation of Pension Module
After the implementation of 7th CPC, the total
To streamline pension related process, the
number of revision of Pension cases were 18,347
Controller General of Accounts has created a
out of which, PAOs have already revised 17,509
module of pension in PFMS and it is integrated
cases. The total percentage of Pension cases
with Bhavishya Portal. The data from Bhavishya
revised is 95.54%.
Portal is available with Pay & Accounts Offices
through PFMS online and there is no need 1.6 IMPLEMENTATION OF THE RIGHT
to download or upload the data for pension TO INFORMATION ACT, 2005
purpose. All the Pay and Accounts Offices under
MoHFW are on board the Pension Module and Under the Right to information Act, 2005, 50
all the pension related payments are being made Central Public Information Officers (CPIOs)
through PFMS. and 29 Appellate Authorities (A/As) have been
appointed in the Department of Health & Family
1.5.9 CDDO Module
Welfare.
Controller General of Accounts has introduced the
Cheque Drawings & Disbursing Office (CDDO) In the light of directions of DOP&T, Shri Ashish
Module for smooth and transparent functioning. V Gawai, Deputy Secretary has been nominated
All the 49 CDDOs under MOHFW are on board as Nodal Officer to receive the requests for
the CDDO Module of PFMS. information under RTI Act, 2005 on behalf of
all CPIOs for the Ministry of Health & Family
1.5.10 Employee Information System (EIS) Welfare.
Employee Information System (EIS) is a centralized
The facility of filing Application and 1st Appeal
module which is integrated with PFMS web based
under RTI Act, 2005 online through RTI online
system/Package for Personnel Information and
Web Portal developed by DOP&T has been
Payroll. It provides comprehensive structural
facilities for all Drawing and Disbursing Offices introduced in Department of Health & Family

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 CHAPTER - 01

Welfare w.e.f. 3rd June, 2013 and the general S.

public is sending their RTI applications through Particulars Number
No
this facility in a large number.
Charge Sheet Issued under
1 01
During the period from 01/04/2019 to 18/12/2019, Rule 14 of CCS (CCA) Rules
RTI applications 7186 (RTI applications received Examination of Inquiry
2 07
through R&I and online in the RTI Web-portal Report
) and 588 RTI appeals (RTI applications received Instances of Appointment of
through R&I and online in the RTI Web-portal ) 3 02
IOs/POs
have been received.
Advice given to the other
4 18
1.7 VIGILANCE Divisions of the Ministry
Instances of Suspension
Vigilance Wing of the Department of Health and 5 05
review/extension
Family Welfare is under the control of an officer of
the rank of Joint Secretary to the Government of No. of complaints received
from CVC for appropriate
India who also works as part time Chief Vigilance 6 39
action and which are under
Officer (CVO). The CVO is assisted by a Director examination/processed
(Vig.), an Under Secretary and Staff of Vigilance
No. of complaints received
Section.
from CVC for appropriate
7 141
The Vigilance Division of the Ministry deals with action and which are under
Vigilance cases and disciplinary cases having examination/processed
Vigilance angle in respect of the officers of Complaints received from
25
Ministry of Health and Family Welfare, Dte.GHS, 8 CBI for necessary action
CGHS of the Departments of Health and Family Complaints disposed off 10
Welfare and all autonomous Institutes under the
Complaints received from
administrative control of the Ministry where 88
other sources
there is no independent CVO. The Vigilance 9
Wing monitors vigilance enquiries, disciplinary Complaints disposed off
72
(including old cases)
proceedings having vigilance angle in respect of
doctors and non-medical/technical personnel 10 Cases sent to CVC for advice 06
borne on the Central Health Service (CHS) and 11 Cases sent to UPSC for advice 05
posted in CGHS Dispensaries and other institution
Matter referred to DOPT for
like Medical Stores Organizations, Port Health 12 01
advice
Organization, Labour Welfare Organization,
Cases referred to Law Ministry
etc. The vigilance cases of Department of Health 13 01
for advice
Research (DHR) are also being looked after by the
Chief Vigilance Officer of the Ministry. RTI application received and
14 27
disposed
In year 2019-2020, following actions have been
RTI appeal received and
taken/dealt with by Vigilance Division: 15 04
disposed

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 CHAPTER - 01

2019 with the theme for the year i.e. “Integrity a

No. of court cases processed
16 06 way of life” as per directions of Central Vigilance
during the period
Commission. Vigilance Awareness Week in the
Vigilance Clearance granted Ministry commenced with the Integrity Pledge
17 4315
during the period
administered to the officers/ staff of the Ministry
Cases of Appointment of  by Dr. Harsh Vardhan, Hon’ble Minister. He also
18 Chief Vigilance Officer/ 03 made a short speech to the Officers and staff of the
Vigilance Officer Ministry. The organizations under this Ministry
Penalty order prepared and were directed to organize activities during the
19 04
issued Vigilance Awareness Week 2019 (28th October
Finalization of  disciplinary to 2nd November 2019) by display of banners
20 03 at vantage points, administering of pledge,
case
interaction with public for redressal of their
Bias petitions received from grievances, usage of generic medicines, surprise
21 04
the charged officer
inspections, conducting seminars, workshops,
22 Prosecution sanction issued 01 debates among students, faculties, children of
Case of prosecution sanction staffs/ officers, poster competitions, essay writing,
23 01 quiz, painting competitions inculcating moral/
forwarded to DoP&T.
ethical values, and vigilance awareness among
The information relating to Probity software got the public in sync with the theme of the year
updated in Probity software developed by DoPT 2019. They were suggested to organize outreach
by coordinating with all concerned Divisions of activities in remote areas also. The focus of these
the Ministry dealing with cadres. programs was to generate vigilance awareness,
The Ministry observed Vigilance Awareness especially among students and children.The
Week 2019 during 28th October to 2nd November organizations were also requested to display the
activities on websites of respective organizations.

Dr. Harsh Vardhan, Hon’ble Minister of Health & Family Welfare administering the Integrity Pledge on
the occasion of Vigilance Awareness Week, 2019 on 28.10.2019.

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1.8 PUBLIC GRIEVANCE CELL Centralized Public Grievance Redress and

Monitoring System (CPGRAMS) is an online
The Welfare & PG Section comprises of three
web-enabled system over NICNET developed
cells viz. Public Grievances Cell, SCT Cell and
by NIC, in association with Directorate of
Information Facility Centre. The brief activities of
Public Grievances (DPG) and Department of
these cells are illustrated as below:-
Administrative Reforms and Public Grievances
Public Grievances Cell - Public Grievances (DARPG).  It is a web based portal wherein a
Redressal Mechanism is functioning in the citizen can register his grievance onlinedirectly
MoHFW as well as in Subordinate/Attached with the concerned Ministries/Departments. The
Offices of the Directorate General Health Services Joint Secretary dealing with W&PG Section is
and CGHS, Central Government Hospitals, designated as the nodal officer for the Department
Autonomous Bodies under the Ministry and of Health and Family Welfare and all Director/DS
PSUs as per various guidelines issued from time level officers have been made Nodal Officers for
to time by the Government of India through their respective Divisions within the Department. 
the Department of Administrative Reforms and Status of disposal of public grievances received
Public Grievances. during 2019-20 on CPGRAMS portal (as on
21.11.2019) is as follows:

Year Opening Grievance(s) received Grievance(s) disposed of Balance as    

Balance as on during during on
01-04-2019 01-04-2019 - 01-04-2019 - 21-11-2019
21-11-2019 21-11-2019
2019-20 2238 13283 14339 1182

Regular monitoring is conducted to ensure 3. Information and guidelines relating to

qualitative, quantitative and expeditious disposal CGHS and queries relating to the work of
of public grievances.  the Ministry.

1.9 INFORMATION & FACILITATION 4. Receiving petitions/suggestions on Public

CENTRE    Grievances.

To strengthen the Public Redressal Mechanism General queries relating to the Ministry that
in the MoHFW,  an Information & Facilitation were received in the Information and Facilitation
Centre is functioning adjacent to Gate No. 5, Centre were disposed of to the satisfaction of all
Nirman Bhawan. The Centre, inter-alia, provides concerned.
information on: 1.10
CENTRAL MEDICAL SERVICES
SOCIETY (CMSS)
1. Information and guidelines to avail financial
Central Medical Services Society (CMSS), set up
assistance from Rashtriya Arogya Nidhi and
as a Central Procurement Agency of Ministry
Health Minister’s Discretionary Grant.
of Health & Family Welfare, was registered as a
2. Guidelines and instructions regarding issue Society for procuring health sector goods in a
of ‘No Objection Certificate’ to Indian transparent and cost effective manner to ensure
Doctors to pursue higher medical studies uninterrupted supply of health sector goods to
abroad. State/UT Governments by setting up IT enabled

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 CHAPTER - 01

supply chain infrastructure including warehouses 3) Purchase order for RNTCP have been placed
at 50 locations. At present warehouses have been for the total value of Rs. 539.90 Crores
established at 20 locations and all States/UTs have 4) Purchase order for NACP have been placed
been covered from these warehouses. for the total value of Rs. 260.74 Crores
Having commenced operation in 2016, CMSS has 5) Purchase order for NVHCP have been
completed following procurements for centrally placed for the total value of Rs. 23.41 Crores
sponsored programs. 6) Purchase order for UIP have been placed for
Year Total Programme Covered the total value of Rs. 23.54 Crores
Procurement 1.11 EMPOWERED PROCUREMENT
2015-16 Rs. 52.85 FWP, NVBDCOP WING (EPW)
Crores EPW is acting as a nodal division of Ministry
2016-17 Rs. 240.75 FWP, NVBDCP, of Health and Family Welfare to implement
Crores RNTCP Government policies related to public
procurement. It coordinates Government
2017-18 Rs. 1391.78 FWP, NVBDCP,
policies related to implementation of GFR.
Crores RNTCP, NACP,
NVHCP & UIP Public Procurement Policy for Micro and Small
Enterprises (MSEs) order-2012, Government
2018-19 Rs. 2068.65 FWP, NVDCP, e-Marketplace (GeM), DIPP, Make in India order
Crores RNTCP, NACP,
inter alia.
NVHCP & UIP.
1.12 PERSONS WITH DISABILITIES
2019-20 Rs. 796 FWP, NVDCP,
Crores (Till RNTCP, NACP, The representation of Persons with Disabilities
date) NVHCP, UIP, NCDC (PwDs) and their welfare related issues are also
& NPSVH being dealt by Welfare & PG Section of this
Ministry. The representation of persons with
CMSS has placed stringent Quality Assurance
disabilities in D/o Health & Family Welfare and its
mechanism and is committed towards release of
attached & subordinate offices, as on 01.01.2019 is
timely payments to suppliers.The CMSS strives
as below:
hard to close procurement process in 3 months
time. Groups Total H H OH Other
Emplo- Disa-
During current financial year 2019-20, the yees bled
following major activities/achievements have
A 4214 0 0 65 0
been made:
1) Purchase order for Family Welfare B 1949 0 0 6 0
Programme (FWP) for Condoms, C 2944 4 12 44 0
Pregnancy Test Kit (PTK), Oral (Excluding
Contraceptive Pills (OCP), Emergency Sweeper)
Contraceptive Pills (ECP), Tubal Rings and C (Sweeper) 422 0 0 8 0
Condoms have been placed for the total Total 9529 4 12 123 0
value of Rs. 34.03 Crores.
Percentage   0.042 0.126 1.29 0
2) Purchase order for NVBDCP for total value
of Rs. 259.72 Crores *Information in r/o 52 Attached/Subordinate
offices is still awaited.

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National Health Mission

(NHM) 02
2.1 INTRODUCTION Ayushman Bharat (AB) marks a paradigm shift
to move from sectoral and selective approach
The National Health Mission (NHM) encompasses
of health service delivery to a comprehensive
its two Sub-Missions, the National Rural Health
range of health care service. Ayushman Bharat
Mission (NRHM) and the National Urban Health
aims to holistically address health (covering
Mission (NUHM). The main programmatic
prevention, promotion and ambulatory care), at
components include Health System Strengthening,
primary, secondary and tertiary level by adopting
Reproductive -Maternal-Neonatal-Child
a continuum of care approach. 
and Adolescent Health (RMNCH+A), andcontrol
of Communicable and Non-Communicable Ayushman Bharat comprises two components:
Diseases. The NHM envisages universal access to
a) The first component pertains to creation
equitable, affordable & quality health care services
of 1,50,000 Health and Wellness Centres (AB-
to all citizens through systems and institutions
HWCs) by upgrading the Sub Health Centres
that are accountable and responsive to people’s
(SHCs) and Primary Health Centres (PHCs) in
needs.
rural and urban areas which will bring healthcare
Continuation of the National Health Mission - closer to the community. These AB-HWCs will
with effect from 1stApril, 2017 to 31st March, 2020, provide Comprehensive Primary Health Care,
with a budgetary support of Rs 85,217 as Central by expanding and strengthening the existing
Share over this period, has been approved by Reproductive & Child Health (RCH) services
Cabinet in its meeting dated 21.03.2018. and Communicable Diseases services and by
including services related to Non-Communicable
NHM fund sharing pattern is of 60:40 between
Diseases, to begin with the common NCDs such
Central Government and most of the States and
as Hypertension, Diabetes and 3 common cancers
UTs with Legislature (Delhi & Puducherry).
of Oral, Breast and Cervix. It is also envisaged to
For Jammu & Kashmir, Himachal Pradesh,
incrementally add primary healthcare services for
Uttarakhand and North-Eastern States including
Mental health, ENT, Opthalmology, Oral health,
Sikkim sharing pattern is 90:10 between Central
Geriatric and Palliative health care and Trauma
Government and States. For UTs without
care as well as Health promotion and wellness
Legislature, funding pattern is of 100% Central
activities like Yoga. A few States/UTs have already
Share.
started rolling out these additional packages of
2.2 Major initiatives under NHM: services in a phased manner.

2.2.1
Comprehensive Primary Health Care b) The second component is the Ayushman
(CPHC) through Ayushman Bharat Health and Bharat - Pradhan Mantri Jan Arogya Yojana (AB-
Wellness Centres (HWCs) – Launched in 2018, PMJAY) which provides health coverage up to Rs.

11
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 CHAPTER - 02

5.00 lakh per family per year to around identified PSCs have been notified under the state
10.74 crore poor and vulnerable families identified specific Certificate Programme in the state
based on Socio Economic Caste Census (SECC) of Maharashtra, Tamil Nadu, Gujarat and
data. West Bengal, taking the total of Programme
Study Centres to 393 across the country.
Status update:
• Since the screening, prevention and
• The first Health and Wellness Centre was management of chronic illnesses including
inaugurated by Hon’ble Prime Minister NCDs, TB and Leprosy have been
on 14th April 2018 in Bijapur district of introduced at AB-HWCs, training and skill
Chhattisgarh. The roll out plan for AB- upgradation of the primary health team in
HWCs is as follows – all the functional AB-HWCs on NCDs and
use of IT application is being done.
FY FY FY FY FY Total till
2018- 2019- 2020- 2021- Dec December • To promote wellness and healthy lifestyle,
19 20 21 22 2022 2022 orientation of the public on wellness
15,000 25,000 30,000 40,000 40,000 1,50,000 activities for lifestyle modification like
increased physical activity (cyclathons and
• So far, approvals for more than 60,000 marathons), eating RIGHT and SAFE,
Ayushman Bharat-Health & Wellness cessation of Tobacco and drugs, meditation,
Centres have been accorded to the States / laughter clubs, open gyms, etc. is being
UTs (except Delhi) and as reported by the done. Beside these, Yoga Sessions are being
States/UTs on the AB-HWC Portal, 22,559 conducted at these centres on regular
Health & Wellness Centres have been basis. Through Annual Health Calendar,
operationalized till 22nd October 2019 which planned activities at these centres on the
includes 8074 SHC-HWCs, 11716 PHC- health condition of the day are resulting
HWCs and 2769 UPHC – HWCs. in increased awareness and preventive
• Primary healthcare team at the Sub measures to be adopted by the public.
Health Centre level AB-HWCs is headed • The telemedicine guidelines have also been
by Community Health Officers (CHO) - provided to the States to initiate specialist
who is a BSc/GNM Nurse or an Ayurveda consultations from the PHCs to the Hub
Practitioner trained in primary care Hospitals and the pilot of the application is
and public health skills and certified in being conducted in states - Andhra Pradesh,
a six months Certificate Programme in Tamil Nadu and Maharashtra.
Community Health. Other members of the
team being Multi-Purpose Workers (Male Expanded Service Packages planned to be
and Female) and Accredited Social Health provided at functional AB-HWCs are as
Activists (ASHAs). follows:
• The training programme is being carried 1. Care in Pregnancy and Child Birth.
out with support from IGNOU and State
2. Neonatal and Infant health care services.
specific Public/Health Universities. 282
IGNOU Programme Study Centres (PSCs) 3. Childhood and Adolescent health care
have been notified so far and another 111 services.

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4. Family planning, contraceptive services and

S. Month and Day
other reproductive health care services. No. Date
5. Management of communicable diseases: 1. 12th January National Youth Day
National Health programmes.
2. 31st January Anti-Leprosy Day
6. General out-patient care for acute simple
illnesses and minor ailments. 3. 4th February World Cancer Day
4. 11th February International Epilepsy Day
7. Screening, prevention, control and
management of non-communicable diseases 5. 8th March International Women’s Day
and chronic communicable diseases like 6. 24th March World Tuberculosis Day
tuberculosis and leprosy.
7. 7th April World Health Day
8. Basic oral health care.
8. 14th April Ayushman Bharat-Health
9. Screening and basic management of mental and Wellness Centre Day
Health ailments.
9. 12th May International Nurses Day
10. Care for common ophthalmic and ENT
10. 31st May Anti-Tobacco Day
problem.
11. 14th June World Blood Donor Day
11. Elderly and palliative health care services.
12. 21st June International YOGA Day
12. Emergency medical services including
burns and trauma. 13. 1st July Doctors Day
14. 11th July World Population Day
Expected Outcome
15. 01-07 World Breast Feeding Day/
• Increasing the trust of people on the service August Week
provision by public healthcare facilities
16. 15th August Independence Day
through health system strengthening and
improvement. 17. 01-07 Sept. National Nutrition Week
• Availability of assured healthcare services to 18. 29th Sept. World Heart Day
ensure continuum of care. 19. 1st October World Elderly Day
• Reduction in out of pocket expenditure of 20. 11th October World Mental Health Day
the common people.
21. 10th Nov. World Immunization Day
• Increased awareness among the people
22. 14th Nov. Children’s Day
about Preventive and promotive healthcare.
23. 1st December World AIDS Day
• Benefits of healthy lifestyle including
YOGA, and Eat Right & Eat SAFE etc. 24. 20th Dec. Food Safety Day

• Enabling environment to increase the health 2.2.2 Human Resources: Health care service
seeking behaviour of the poor people delivery requires intensive human resources.
There has been an enormous shortage of human
Health Calender for important days at HWCs is
resources in the public health care sector in the
as below:
country. NHM has attempted to fill the gaps in
human resources by providing nearly 2.51 lakh

13
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 CHAPTER - 02

additional health human resources to states SDH 273 147 1518 1205
including 10,767 GDMOs, 3062 Specialists, DH 197 130 2810 2407
61,660 Staff Nurses, 84,077 ANMs, 42,031 Others* 1549 2032 889 859
Paramedics, 414 Public Health Managers and
Total 33697 26255 45454 38614
17,265 Programme Management staffs appointed
on contractual basis. Apart from providing * These facilities are above SCs but below block level.
financial support for hiring human resources,
2.2.5 National Ambulance Services (NAS): As on
NHM has also focused on multi skilling of human
date, 32 States/UTs have the facility where people
resources and providing technical support for
can dial 108 or 102 telephone number for calling
human resources in health sector in the form of
an ambulance. Dial 108 is predominantly an
technical guidance and training.. NHM has also
emergency response system, primarily designed
focused on multiskilling of doctors at strategically
to attend to patients of critical care, trauma and
located facilities identified by the states where
accident victims etc. Dial 102 services essentially
there is shortage of specialists e.g. MBBS doctors
consist of basic patient transport aimed to cater
are trained in Emergency Obstetric Care (EmOC),
the needs of pregnant women and children though
Life Saving Anaesthesia Skills (LSAS) and
other categories are also taking benefit and are not
Laparoscopic Surgery. Similarly, due importance
excluded. JSSK entitlements e.g. free transport
is given to capacity building of nursing staff and
from home to facility, inter facility transfer in case
auxiliary workers such as ANMs. NHM also
of referral and drop back for mother and children
supports co-location of AYUSH services in health
are the key focus of 102 service. This service can be
facilities such as PHCs, CHCs and DHs. A total of
accessed through a toll-free call to a Call Centre.
27,493 AYUSH doctors have been deployed in the
states with NHM funding support. Presently, 9,344 Dial-108, 605 Dial-104 and
10,017 Dial-102 Emergency Response Service
2.2.3 Mainstreaming of AYUSH: Mainstreaming
Vehicles are supported under NHM, beside 5,484
of AYUSH has been taken up by allocating
empaneled vehicles for transportation of patients,
AYUSH services in 7,620 PHCs, 2,758 CHCs,
particularly pregnant women and sick infants
495DHs, 3,923 health facilities above Sub Centre
from home to public health facilities and back.
but below block level and 364 health facilities
other than CHC at or above block level but below 2.2.6 National Mobile Medical Units (NMMUs):
district level. Support has been provided to 426 out of 701
districts for 1627 MMUs under NHM in the
2.2.4 Infrastructure: Up to 33% of NHM funds
country. To increase visibility, awareness and
in High Focus states can be used for infrastructure
accountability, all Mobile Medical Units have
development. Details of new construction/
been positioned as “National Mobile Medical
renovation as on October, 2019 undertaken across
Unit Service” with universal colour and design.
the country under NHM are as follows:
2.2.7 Free Drugs Service Initiative: Under this
 Facility New Construction Renovation/
Upgradation Initiative, substantial funding is being given
Sanctioned Completed Sanctioned Completed to States for provision of free drugs and setting
SC 28229 21329 18225 15494
up of systems for drug procurement, quality
assurance, IT based supply chain management
PHC 2739 2091 14210 12239
system, training and grievance redressal etc.
CHC 710 526 7802 6410
Detailed Operational Guidelines for NHM-Free

14
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 CHAPTER - 02

Drugs Service Initiative were developed and in 13 States/UTs and In-house mode in 10 States/
released to the States on 2nd July, 2015. All the UTs) and  FDI Teleradiology services have been
States and UTs have notified policy to provide implemented in 10 States in PPP mode.
essential drugs free in health facilities. Drugs
2.2.9 Biomedical Equipment Maintenance
procurement, quality system and distribution
and Management Programme:  To address
has been streamlined through IT based Drug
the issue of non-functional equipments across
Distribution Management Systems in 29 States,
public health facilities, comprehensive guidelines
32 States/ UTs have centralized procurement
were designed on Biomedical Equipment
through a corporation / procurement body, 28
Management & Maintenance Program (BMMP)
States/ UTs have NABL accredited labs to ensure
and disseminated among States in 2015. Recently,
quality of drugs provided, 31 States/ UTs have
the technical manual for BMMP was released
facility wise EDL, 14 States/ UTs have prescription
and circulated to States/ UTs in August 2019. In
audit mechanism and 20 States have established
FY 2019-20, an approval of Rs. 287.85 crores was
call center based grievance redressal mechanism
approved for 33 States/ UTs. As on 1st November
with dedicated toll free number.
2019, BMMP has been implemented in 30 States/
2.2.8 Free Diagnostics Service Initiative: This UTs (24 States/ UTs in PPP mode and in 6 States/
initiative was launched to address the high UTs in In-House mode). The implementation of
out of pocket expenditure on diagnostics and BMMP has improved Diagnostics Services in
improve quality of healthcare services. In this health facilities by making equipment available
regard, the Ministry developed the guidelines for with 95% uptime, thereby reducing cost of care
operationalising the Free Diagnostics Initiative and improving the quality of care in Public Health
and shared with the States in July, 2015. The Facilities.
Guidelines provide list of essential diagnostics
2.2.10 Community Participation:
tests specific to various levels of care and RFP
for engagement of service providers. Recently, a) Accredited Social Health Workers: There
the Guidance document for implementation of are 10.42 lakh ASHAs across the country in rural
Free Laboratory Services in States/ UTs has been and urban areas under the NHM who act as a link
released in August 2019 to guide States/ UTs on between the community and the public health
planning and implementing Labs services in Hub system. The Union Cabinet has approved increase
and Spoke model, and  the range of diagnostics in amount of routine and recurring incentives
tests has been expanded from 7  to 14 tests at under National Health Mission for ASHAs that
Sub Centre/ Health & Wellness Centre level, 19 will now enable ASHAs to get at least Rs 2000/-
tests to 63 tests at PHC level, 39 tests to 97 tests per month against Rs 1000 earlier. The cabinet
at CHC level and 56 tests to 134 tests at District has also approved proposal to cover all ASHAs
Hospital level. The tests encompass hematology, and ASHA facilitators meeting eligibility criteria
serology, bio-chemistry, clinical pathology, under Pradhan Mantri Jeevan Jyoti Bima Yojana
microbiology, radiology, and cardiology.  and Pradhan Mantri Suraksha BimaYojana which
would be fully funded by Government of India.
As on 1st November  2019, FDI Laboratory
services have been implemented in 33 States/UTs Under the Pradhan Mantri Shram Yogi Maandhan
(PPP mode in 11 States/UTs and In-house mode (PM-SYM) PM-SYM which has been rolled
in 22 States/UTs);  FDI CT Scan services have out nation-wide on 15th February,2019 and is a
been implemented in 23 States/UTs (PPP mode voluntary contributory pension scheme to ensure

15
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 CHAPTER - 02

old age protection for unorganized workers representation from women and weaker sections
between 18 and 40 years of age with a monthly of the society. The VHSNC acts as a subcommittee
income of Rs.15000/- or below ,the ASHAs and or statutory body of the Gram Panchayat. The
ASHA Facilitators in the specified age group are same institutional mechanism is also mandated in
invariably eligible under the scheme. The scheme urban areas. VHSNCs are provided an Untied fund
requires self-certification, 50% of the monthly of Rs 10,000 on annual basis which are topped up
contribution for the pension scheme will be based on expenditure of previous year. More than
contributed by the Central Government while 5.49 lakh VHSNC have been set up across the
the remaining 50% is to be contributed by the country till June, 2019. The capacity building of
beneficiary. The amount varies with the age of the VHSNC members with regards to their roles and
beneficiary and it will be auto-deducted from the responsibilities for maintaining the health status
bank account of the beneficiary. The Ministry of of the village is being done in many states.
Labour and Employment has made the provision
2.2.11 24 X 7 Services and First Referral
of bulk enrollment facility as well through CSC-
facilities: To ensure service provision for Maternal
SPV. The beneficiaries under the scheme will
and Child Health, 24x7 services at the PHCs have
receive minimum assured pension of Rs 3000/-
been made available. 9,393 PHCs have been made
per month after attaining the age of 60 years.
24x7 PHCs and 3057 facilities (including 732DH,
b) Rogi Kalyan Samiti (Patient Welfare 734 SDH and 1591 CHCs & other level) have been
Committee) / Hospital Management Society operationalized as First Referral Units (FRUs)
is a simple yet effective management structure. under NHM.
This committee is a registered society that acts
2.2.12 MeraAspataal: This initiative launched
as a group of trustees for the hospitals to manage
in September 2016 with a mandate to integrate
the affairs of the hospital. Financial assistance is
with Central Government Hospitals and District
provided to these Committee through untied
Hospitals is currently functioning in 17 States and
fund to undertake activities for patient welfare.
5 UTs. In 2018-19, 1698 facilities were integrated
33,378 Rogi Kalyan Samitis (RKS) have been set
into Mera Aspataal.
up involving the community members in almost
all District Hospitals, Sub- divisional Hospitals, 2.2.13 Kayakalp: As part of contribution
Community Health Centres and PHCs till date. towards the Swachh Bharat Abhiyaan launched
by the Prime Minister on 2nd October 2014, the
c) VHSNCs: 5.49 lakh Village Health Sanitation
Ministry launched “Kayakalp - Award to Public
and Nutrition Committees (VHSNCs) have been
Health Facilities. As on 1st Oct 2019, 9 Central
constituted at village level across the country to
Government, 395 DHs, 1,140, CHCs/SDHs, 2,723
facilitate village level healthcare planning. 11.19
PHCs, 556 UPHCs,6 Urban Community Health
crore Village Health & Nutrition Days (VHNDs)
Centres (UCHCs) have scored more than 70%.
were held so far during the Mission period.
4829 facilities have been awarded under this
d) Untied Grants to Sub-Centres (SCs): At scheme in FY 2018-19.
the Village level, the Village Health, Sanitation
2.2.14 Swachh Swasth Sarvatra: Swachh Swasth
and Nutrition Committee (VHSNC) monitors
Sarvatra is a joint initiative of Ministry of Health
the services provided by the Anganwadi Worker,
& Family Welfare and Ministry of Drinking
the ASHA and the sub-centre. These Committees
Water and Sanitation launched during December
are envisaged to function under the ambit of
2016 to achieve better health outcomes through
the Panchayati Raj Institution with adequate

16
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improved sanitation and increase awareness on of public health facilities. National Quality
healthy lifestyle. Under this initiative, one-time Assurance Program is an NHM initiative for
grant of Rs 10 lakhs is provided to the non- providing quality health services at public health
Kayakalp awardee CHC located in the ODF facilities. Launched in November 2013, the
block as a resource for improving the deficiencies initiative is being implemented in all the States and
found in the Kayakalp assessment, so that at least UTs. Under the programme, there are National
in the next assessment, they become Kayakalp Quality Assurance Standards (NQAS), separately
awardee. Health functionaries of PHCs, located for district hospitals, community health centres,
in non-ODF blocks are expected to help the local primary health centres and urban-primary health
panchayat in attaining ODF status. centres. The quality standards and assessor
training programme have received international
2.2.15 Prime Minister’s National Dialysis
accreditation form ISQua (International Society
Programme (PMNDP) : The programme was
for Quality in Healthcare). Currently, 461 health
launched during the year 2016-17 to support
facilities are quality certified nationally and 490
dialysis facilities in all district hospitals in PPP
health facilities at the State level.
mode under NHM. Guidelines of National
Dialysis Programme including the Model Request 2.2.17 National Health System Resource Centre
for Proposal (RFP) for PPP were developed and (NHSRC) was set up in 2007 to provide technical
released on 7th April 2016. All States/UTs were support to the Ministry of Health & Family
requested to incorporate proposals for roll out Welfare on policy issues and development of
of National Dialysis Programme in Programme strategy besides taking up capacity building of
Implementation Plans and approval was provided States. The NHSRC functions under the guidance
to all States in 2016-17 and 2017-18 for provision of a Governing Board headed by the Secretary,
of free dialysis services to poor. Based on the Ministry of Health & Family Welfare, Government
proposals received from the states, over Rs. 153 of India and an Executive Committee headed by
Crore was approved in 2016-17; over Rs. 178 the Additional Secretary & Mission Director,
Crore in 2017-18 and Rs. 194 Crore for FY 2018- National Health Mission (NHM), Ministry of
19 and Rs. 251 Crore in FY 2019-20. Health & Family Welfare. The Regional Resource
Centre, North East (RRC-NE), a Branch of
PMNDP has been implemented in total  34
the NHSRC, serves as the technical support
States / UT in 465 Districts in 796Dialysis
organisation for the States in the North East.
Centres  deploying  4702 machines.  Total
of  5.39  lakh patients availed Dialysis services 2.3
NATIONAL URBAN HEALTH
and 54.1 Lakh Hemo-dialysis Sessions held as on MISSION (NUHM)
30th Sept, 2019. Under PMNDP, peritoneal dialysis
has been introduced and guidelines for peritoneal National Urban Health Mission (NUHM) was
dialysis have been launched on 10.10.2019.With approved on 1st May, 2013 as a sub-mission
the introduction of peritoneal dialysis, home under National Health Mission (NHM), NRHM
based dialysis services will start benefitting being the other sub-mission. NUHM envisages
many end stage renal failure and chronic kidney strengthening the primary health care delivery
diseases patients through reduction in transport systems in urban areas and for providing
and hospitalization costs. equitable and quality primary health care services
to the urban population with special focus on
2.2.16 National Quality Assurance Programme: slum dwellers and vulnerable population. It
MoHFW is focusing on quality improvement

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also seeks to de-congest secondary and tertiary healthcare needs of urban poor and provides:
health care facilities (District Hospitals/Sub-
 Urban – Primary Health Centre (U-PHC):
District Hospitals/Community Health Centre) by
U-PHCs to be established as per norm of
providing robust comprehensive Primary health
one U-PHC for approximately 30,000 to
care services in urban areas.
50,000 urban population. The U-PHCs are
NUHM covers all cities and towns with more preferably be located within or near a slum
than 50,000 populations and district headquarters for providing preventive, promotive and
and State headquarters with more than 30,000 OPD (consultation), basic lab diagnosis,
population. The remaining cities/ towns continue drug /contraceptive dispensing services,
to be covered under National Rural Health apart from counselling for all communicable
Mission (NRHM). As part of Ayushman Bharat, and non- communicable diseases. 
the existing UPHCs are being strengthened as
 Urban-Community Health Centre
Health & Wellness Centres (HWCs) to provide
(U-CHC) and Referral Hospitals:  One
preventive, promotive and curative services in
U-CHC to be established for every 2.5
cities closer to the communities.
lakh population (in non-metro cities above
Under NUHM, the Centre-State funding pattern 5 lakh population) and for every 5 lakh
is 60:40 for all the states w.e.f. FY 2015-16, except population in metro cities. It would provide
all North-Eastern states and other hilly States in patient services and would be a 30-50
viz. Jammu & Kashmir, Himachal Pradesh and bedded facility. For the metro cities, the
Uttarakhand, for which the Centre-State funding U-CHCs may be established for every 5 lakh
pattern is 90:10. In the case of UTs, from FY population with 100 beds. 
2017-18, the funding pattern of UT of Delhi and
 Outreach services:  NUHM also supports
Puducherry has been revised to 60:40 and rest of
engagement of ANMs for conducting
the UTs without legislature are fully funded by
outreach services for targeted groups
Central Government.
particularly slum dwellers and the vulnerable
Implementation of NUHM is  through the State population for providing preventive and
Health Department or the  Urban Local Bodies promotive healthcare services at the
(ULBs). In seven metropolitan cities, viz., Mumbai, household and community level.
New Delhi, Chennai, Kolkata, Hyderabad,
B. Community Process: Following targeted
Bengaluru and Ahmedabad the implementation
interventions are envisaged under NUHM
is through the ULBs. For the other cities, the State
for the slum dwellers and urban poor
Health Department decides whether the NUHM
population: 
is to be implemented through them or the other
urban local bodies. So far, 1067 cities have been  One ASHA per 1,000 – 2,500 population
covered under NUHM in 35 States/UTs. covering approximately 200-500 households
to serve as an effective, demand–
2.3.1 Components Of NUHM
generating link between the health facility
A. Service Delivery Infrastructure: NUHM and the urban slum population.
envisages setting up of service delivery
 Mahila Arogya Samiti (MAS)  per 250 –
infrastructure which is largely absent
500 population covering approximately
in cities/towns to specially address the
50 – 100 households to act as community

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based peer education group in slums. Technicians and 540 Public Health Managers.
They would be involved in community About 70,000 ASHAs and 97,000 MAS have
mobilization, monitoring and referral with been approved for effective community
focus on preventive and promotive care. participation activities. Training & capacity
building activities have also been approved
C. Comprehensive Primary Health
for building and strengthening Institutional
Care through Health And Wellness
Capacity. Trainings for strengthening health
Centres (HWCs): To ensure delivery of
management capacities at state level have
Comprehensive Primary Health Care
been conducted through Indian Institute
(CPHC) services under Health and Wellness
of Management (Ahmedabad). States like
Centre component of Ayushman Bharat,
Haryana, Rajasthan were also provided
the existing UPHCs are being strengthened
support for carrying out trainings on
as Health and Wellness Centres (HWCs). 
mapping and other such areas.
Support for training of PHC staff (Medical
Officers, Staff Nurses, Pharmacist, and Lab Kayakalp and Swachh Swasth Sarvatra (SSS)
Technicians), necessary IT infrastructure have been expanded to cover urban areas
and the resources required for upgrading also and U-PHCs have been awarded
laboratory and diagnostics for expanded Kayakalp awards. Various other training
ranges of services is being provided to the and capacity building activities for officials
States. Approvals have been conveyed for of both the State and ULB officials have
transformation of more than 3500 UPHCs been held with support of institutions as
as HWCs. Training and review workshops IIM, NHSRC, SHSRC etc. 
were conducted for roll-out of CPHC-
b. Financial Progress:
HWC in urban areas in collaboration with
NHSRC. Since the launch of NUHM in FY 2013-14
till the 2nd  quarter of FY 2019-20, funds
2.3.2    Achievements Of NUHM tothe tune of Rs. 6838.48 Crore and Rs.
a. Physical Progress: 5385.02 Crore have been allocated and
released respectively to the States/ UTs
The programme is being implemented in for implementation of the programme
the States/UTs for more than 5 years period activities. Overall, the States have reported
and accounts for presence of augmented more than 70% of the expenditure till the
infrastructure and human resources 2nd Quarter of FY 2019-20.
dedicated towards urban areas. The June
quarterly progress data shows more than 2.3.3     Guidelines/Brochures
4800 facilities in urban areas have been
The guidelines shared with the States/UTs
strengthened and construction of about
include  NUHM Implementation Framework,
800 new UPHCs and UCHCs have been
Community Process Guidelines in the Urban
approved.
context, Induction Module for MAS, Induction
The Human resource approved under the Module for ASHAs in Urban areas, Capacity
programme include around 3100 Medical building framework, Vulnerability Mapping
Officers, 350 Specialists, 16000 ANMs, 8600 & Assessment, ANM Handbook, Quality
Staff Nurses, 3600 Pharmacists, 3700 Lab standards for U-PHCs, Extension of Kayakalp

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in urban areas, Extension of SSS in urban areas, Rate (CDR) has also experienced a fall from 25.1
Orientation Training Module, NUHM Brand deaths per 1000 population in 1951 to 8.4 in
module, Outreach session in urban areas, NUHM 2001 and further to 6.3 deaths in 2017 indicating
Financial Management guideline, Framework on India has prevented around 19 deaths per 1000
Convergence, NUHM Innovation Framework. population since 1951.
Also, brochures developed and shared with the The Total Fertility Rate (TFR) of India has
States/UTs viz. Thrust areas under NUHM, experienced a remarkable decline from 6
Community Process, Quality Assurance, IEC/ children per woman in 1951 to 3.1 in 2001 and
BCC, Strengthening Human Resource under further to 2.2 in 2017 indicating fast approach
NUHM, Collaboration with Medical Colleges of the country towards the replacement level of
and Inter-sectoral Convergence under NUHM. fertility. In recent years, India has also witnessed
a notable improvement in maternal health by
2.4 IMPROVEMENT IN THE QUALITY bringing down the Maternal Mortality Ratio to
OF HEALTH CARE 122 maternal deaths per 100000 live births in
The improvement in the status of health care is 2015-17, from 301 during (2001-03). Similarly,
reflected through some of the basic demographic India has also experienced notable improvement
indicators. The movement of such indicators since in infant health by reducing the Infant Mortality
1951 and in particular, 2001 onwards is evident Rate (IMR) from 146 infant deaths per 1000 live
from the estimates from the Sample Registration births during 1951-61 to 66 in 2001 which further
System (SRS) of Registrar General & Census halved down to 33 in 2017. During the last fifteen
Commissioner, India (RGI), in Table 1. The years, India has added more than five years to the
Crude Birth Rate (CBR) of the country has halved life expectancy at birth of its population from 63.4
from 40.8 births per 1000 population in 1951 to years in 1999-2003 (mid-year 2001) to 69 years in
20.2 births in 2017. Similarly, the Crude Death 2013-17 (mid-year 2015).

Table 2.4: Achievements of Health & Family Welfare Programme

Sl. Parameter 1951 2001 2005 2010 2015 2017
No.
Crude Birth Rate 40.8 25.4 23.8 22.1 20.8 20.2
1
(Per 1000 Population)
Crude Death Rate (Per 25.1 8.4 7.6
2 7.2 6.5 6.3
1000 Population)
3 Total Fertility Rate (Per 6.0 3.1 2.9 2.5 2.3 2.2
women)
4 Maternal Mortality NA 301 254 178 130 122
Ratio(Per 100,000 live (2001-03) (2004-06) (2010-12) (2014-16) (2015-
births) S.R.S. S.R.S. S.R.S. S.R.S. 17) S.R.S.
5 Infant Mortality Rate 146 66 58 47 37 33
(Per 1000 live births) (1951-61)
6 Expectation of life at - 63.4 65.0 67.0 69.0
Birth (1999-03) (2003-07) (2008-12) (2013-17)
Mid- Mid- Mid- Mid-year 2015
year-2001 year-2005 year-2010 (Latest available)
Source: Office of Registrar General & Census Commissioner, India, Ministry of Home Affairs.

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2.5 HEALTH MANAGEMENT These major heads are further subdivided into
INFORMATION SYSTEM (HMIS) specific modules such as Ante Natal care, Child
immunisation, Family Planning etc. which
Health Management Information System (HMIS) capture data related to that particular area.
is a Government to Government (G2G) web-based
Monitoring Information System that has been put II. Quarterly Training : The quarterly format
in place by this Ministry to monitor the National captures data on Trainings imparted to
Health Mission and other Health programmes Medicals and Paramedics staff at District
and provide key inputs for policy formulation and State level data and other NHM
and appropriate programme interventions. components. The entire format is divided
HMIS was launched in October 2008 with initial into 3 parts
objective to upload district wise consolidated • Status of Health Infrastructure
figures. Subsequently in 2011, the facility based • Trainings Conducted ( in various NHM
reporting was initiated in the HMIS. The current components for medical, para medical and
HMIS is developed in .Net and MS SQL. Around other staff of PMU)
2 lakh health facilities (across all States/UTs) are
uploading facility-wise service delivery data on • Additional NRHM components
monthly basis, training data on quarterly basis III. Annual Infrastructure: Here data on
and infrastructure related data on annual basis Manpower, Equipment, Cleanliness,
on HMIS web portal (https://nrhm-mis.nic.in/ Building, Availability of Medical Services
SitePages/Home.aspx). Out of these 2 lakh health such as Surgery etc., Super Specialties
facilities 95% of the facilities are public health services such as Cardiology etc., Diagnostics,
facilities. Para Medical and Clinical Services etc. is
HMIS Data collected on annual basis. The format is
divided into 9 parts
HMIS captures facility-wise information • Services
on formats that have been framed in close
• Physical Infrastructure
consultation with various programme divisions
of this Ministry & Other Stakeholders like other • Manpower
ministries etc. Various HMIS formats are as • Operation theatre
follows: • Blood Bank/ Storage
I. Monthly Service Delivery: HMIS is • Investigative & Laboratory Services
currently capturing data on around 300 • Capacity Building
data items which cover most of the health
• Equipment Drugs & Furniture
programmes / schemes run by Ministry of
Health & Family Welfare. The entire HMIS • Quality Control
format is divided into 5 parts Current HMIS System is user friendly & reliable.
• Reproductive and Child Health, The system has the facility of Geo tagging of
• Health facility Services, health facilities and is NIN compliant. The system
is easy to use & provides the facility to upload data
• Mortality,
through
• Monthly Inventory and
• Other programmes.

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• Online based on HMIS data including CHC/ SDH

• Offline mode. Grading are a part of State Health Index.

On the basis of the data uploaded by States/ UTs, The HMIS system also provides features such
the system makes available the data for use by as inbuilt Dashboards, Automatic Alerts and
various stakeholders in the form of standard & embedded analytical tools like SAS.
customized reports, factsheets, score-cards etc. Capacity building
Mainly three types of reports are available in the
system Periodic trainings are conducted to discuss latest
developments including new reports, features etc.
• Standard Report: Pre defined reports in
available on the portal.
ready to use excel formats (https://nrhm-
mis.nic.in/hmisreports/frmstandard_ National Workshop cum TOT on new HMIS:
reports.aspx National workshop cum TOT on new HMIS was
• Live Reports: User Defined / Query Based conducted at NOHFW Munirka during May –
reports June 2019
• Analytical Reports: Reports based on the
concept data triangulation (https://nrhm-
mis.nic.in/hmisreports/analyticalreports.
aspx)
Use of HMIS data
HMIS data is being utilised in grading of Health
Facilities, identifications of aspirational districts,
review of State Programme Implementation Plan
(PIPs), etc. It is being widely used by the Central
National Level workshop cum TOT on New HMIS
/ State Government officials for monitoring and
supervision purposes. The data is being used by Regional Review cum TOT
various ministries like MoHFW, NITI Aayog,
WCD, Ministry of Power, Ministry of Water & 4 Regional workshop cum ToT on new HMIS
Sanitation etc. were conducted at

• Grading of PHC: PHC Grading for the year 1. Punjab

2018-19 has been used for incentivising the 2. Kerala
states in State PIP. 3. Gujarat
• DH Ranking: Relevant data for DH ranking 4. Guwahati
has been shared with NITI Ayyog. NITI has New HMIS
got the field verification of this data done
through third party. Video conferences have With the change of technology over years
been conducted with states/ UTs to discuss and requirements of real time data reporting,
these findings where all the stakeholders interactive dashboards etc, there was an urgent
were present. need to revamp the existing HMIS system. To
strengthen HMIS web portal and Ministry’s view of
• State Health Index: Many indicators bringing all health information system at a single

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platform; it has been decided to integrate HMIS to ASHAs, wherever possible.

with Integrated Health Information Platform
RCH portal has been implemented in 34 States /
(IHIP). MoHFW in collaboration with WHO has
UTs and remaining two States (Rajasthan & Tamil
developed a new HMIS application, which will be
Nadu) are sending data in MCTS. A total of 17.47
integrated with IHIP. The new HMIS application
crore pregnant women and 14.90 crore children
would have the following strengths along with the
were registered in MCTS / RCH portal as on 6th
features of existing HMIS:-
November, 2019.​
• LGD compliant
RCH portal is playing a vital role in key decision
• Web services (APIs) for Data Integration making and monitoring the implementation of
with other portal health schemes in the country. RCH portal has
helped Health worker in planning for service
• Daily reporting of important indicators
delivery and identification of beneficiary due for
• Interactive dashboards, Various Alerts and Antennal Check-up, Post Natal Check-up and
embedded analytical tools Immunisation Services. It helps in identification
of high-risk pregnant women and tracking of
2.6 MOTHER AND CHILD TRACKING health conditions and assistance during the
SYSTEM (MCTS) / REPRODUCTIVE delivery of Pregnant Women. Data of children’s
AND CHILD HEALTH (RCH) immunisation requirement is also helping Health
PORTAL AND ANM ONLINE Worker in generation of work plan for delivery of
(ANMOL) immunisation service.

To facilitate timely delivery of healthcare services ANM On Line (ANMOL)

to all the pregnant women, lactating mothers
ANMOL is a tablet-based application which
and children, a web-based name-based tracking
empowers ANMs - the frontline health workers
system called Mother & Child Tracking System
in carrying out their day to day work efficiently
(MCTS) was introduced across all the States &
and effectively by entering and updating service
UTs to provide ready reference about the status
records of beneficiaries on real / near real time
of services/vaccination delivered to pregnant
basis. Further, ANMOL also acts as a job aid
women and children. The Ministry has rolled out
to the ANMs by providing them with readily
an upgraded version of MCTS, called RCH Portal
available information such as due list, dashboard
which is designed for early identification and
and guidance based on data entered etc. This
tracking of the individual beneficiary throughout
standardizes the maternal and child care services
the reproductive lifecycle and promote, monitor
provided by ANMs who can also plan the Village
and support the reproductive, maternal, new
Health and Nutrition Day (VHND) along with
born and child health (RMNCH+A) schemes/
vaccines and logistics required. Audio and video
programme delivery and reporting. 
counselling facility of ANMOL helps in creating
MCTS/RCH portal is capturing data of awareness among beneficiaries about the various
beneficiaries, which is used by multiple government schemes and facilitates beneficiaries
applications like ANMOL, MCTFC, Kilkari and are getting authentic knowledge about family
Mobile Academy, RBSK. RCH Portal data is also planning, pregnancy and child care. ANMOL is
used for direct transfer of Janani Suraksha Yojana presently operational in 9 States/UTs: Andhra
(JSY) benefits to pregnant women and payments Pradesh, Telangana, Madhya Pradesh, Odisha,

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Himachal Pradesh, Haryana, Chhattisgarh, lakh calls were made to beneficiaries through
Chandigarh and Karnataka in three languages MCTFC for data validation, and promotion and
i.e. English, Hindi and Kannada. The ANMOL facilitation in availing maternal and child health
app is being used by more than 15,000 ANMs. To services and government schemes. More than
enhance the performance of ANMOL, an ANMOL 2.79 lakh calls were made to ANMs and ASHAs
Intermediate Server (AIS) for ANMOL has been for data validation and resolution of their queries,
implemented for seamless data integration and and more than 1.03 crore voice messages on
synchronization. Maternal and Child care have been delivered to
the beneficiaries. 
2.7 MOTHER AND CHILD TRACKING
FACILITATION CENTRE (MCTFC) MCTFC in making calls in 20 States/UT,
which include Andhra Pradesh, Assam, Bihar,
The Centre is operational at NHFW, Delhi with Chandigarh, Chhattisgarh, Delhi, Gujarat,
86 Helpdesk Agents (HAs) 2 Medical Specialist, Haryana, Himachal Pradesh, Jammu & Kashmir,
2 Supervisors and few more administrative and Jharkhand, Madhya Pradesh, Orissa, Punjab,
IT staff. MCTFC is a tool for providing relevant Rajasthan, Uttar Pradesh, Uttarakhand, West
information and guidance directly to the pregnant Bengal, Telangana and Nagaland. MCTFC is
women, parents of children and to community presently supporting calling in Hindi, English,
health workers, thus creating awareness among Telugu, Bengali, Gujarati, Odiya and Assamese
them about health services and promoting healthy languages.
practices and behaviour. The Centre contacts the
service providers and recipients of mother and 2.8
SURVEYS AND EVALUATION
child care services to get their feedback on various ACTIVITIES
mother and child care services, programmes and
National Family Health Surveys (NFHS)
initiatives like JSSK, JSY, RBSK and contraceptive
distribution by ASHAs etc. MCTFC also validates The National Family Health Surveys (NFHS) are
and verifies records of beneficiaries and health conducted periodically under the stewardship
workers. The feedback helps the MoHFW/ of the MoHFW, to generate data on important
State/UT Governments to easily and quickly demographic and health indicators. The first round
evaluate the programme interventions and plan of NFHS was conducted in 1992-93 followed by
appropriate corrective measures to improve the NFHS-2 in 1998-99 and NFHS-3 in 2005-06. In
health service delivery. addition to NFHS, the Ministry had also been
conducting District Level Household and Facility
Inbound calling has been implemented with
Survey (DLHS) with varying periodicity.
short code 10588 to resolve the queries of
beneficiaries and health workers. At MCTFC, To meet the requirement of National, State and
the helpdesk agents also check with ASHAs and District level information needed to monitor
ANMs regarding availability of essential drugs performance of health programmes/ schemes
and supplies like Iron Folic Acid, ORS packets, at closer interval, the Ministry had taken a
contraceptives etc. Information relating to decision to conduct one integrated survey with
upcoming programmes, initiatives, validation of a periodicity of three years in place of different
data, etc. is also provided to the beneficiaries and surveys of similar nature (National Family Health
health workers. Survey, District Level Household and Facility
Survey etc.) being carried out by the Ministry.
As on  31st October 2019, more than 53.91

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In line with this decision, the fourth round of carrying out tests for Malaria, HbA1C, Vitamin-D
National Family Health Survey (NFHS-4) was and measurement of waist/ hip circumferences.
conducted in 2015-16 as an integrated survey with The Main Survey Training of Trainers (ToT) for
with six fold increase in sample size for providing Phase-I States Part of States/Group of States/UTs
estimates of key family welfare and health was held during 22nd April to 12th May, 2019 at
indicators at the National, State and District levels Goa. The field work for the Phase I States/ UTs of
beside information on the levels of fertility, infant NFHS-5 is nearing completion and the factsheet
and child mortality by background characteristics for Phase-I States/UTs based on the finding of
at State / National level. NFHS-5 would be released by December,2019.
The Mapping and Listing (M&L) fieldwork for
The earlier NFHS (i.e. NFHS-1, NFHS-2 &
Phase II is in progress in sample PSUs and the main
NFHS-3) provided only National and State level
survey field work for Phase-II is to commence in
estimates. However, for NFHS-4, National/
December, 2019.
State reports and National/ State/UT/ District
factsheets are available in the public domain. The Mapping and Household Listing Training of
Trainers for Phase II States/ UTs of NFHS-5 has
The activities of next round of NFHS (NFHS-
been held in August, 2019 at Mumbai. The Main
5) are in progress with the specific goals of
Survey Training of Trainers (ToT) for Phase-
providing essential data on nutrition, health
II States Part of States/Group of States/UTs was
and family welfare needed by the Central and
held during 5th October to 24th October, 2019
State Governments and other stake holders, for
at Chandigarh. Mapping and Listing is under
policy formulation, tracking progress and also
progress in all the Phase II States/ UTs.
for acquiring information on important emerging
health and family welfare issues.
As in the case of previous rounds of NFHS,
International Institute for Population Sciences
(IIPS) is the Nodal Agency for conducting NFHS-
5. NFHS-5 field work is planned in two phases
covering about half of the country in each phase.
In NFHS-5, district level estimates for most of the
indicators would be generated for 707 districts
including new 67 districts created up to March, 2.8 : Team of field staff of PRC Delhi for the main
2017 (after Census 2011), as against estimates survey training of NFHS-5 (Phase-II)
provided for 640 districts in NFHS-4. The scope of
NFHS-5 has been modified wherever required to 2.9 POPULATION RESEARCH CENTERS
make the target population ranges, age references (PRCs)
align with those of Sustainable Development Goals The Ministry of Health and Family Welfare
(SDGs). Thus expanded age range of 15+ years is (MoHFW), Government of India, has established
being considered for diabetes, hypertension and 18 Population Research Centres (PRCs) in
also for their risk factors. various universities and research institutions in
The scope of NFHS-5 has also been expanded the country with the mandate to provide critical
by including questions inter-alia on disability, research based input on the field of demography,
collection of Dried Blood Sample (DBS) for especially concerning the Health and Family

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Welfare Programs and Policies at the National and a two-day workshop on ‘Orientation of Population
State levels. At present there are 18 PRCs, spread Research Centre’s on 30th and 31st May 2019
over 16 major states of India, 12 of which are at Vigyan Bhawan, New Delhi. The workshop
located in universities and 6 in reputed research was inaugurated by Ms. Preeti Sudan, Secretary,
institutions. PRC is a central sector scheme and Health and Family Welfare and Shri Manoj
MoHFW provides 100% grants-in-aid for meeting Jhalani, Additional Secretary & Mission Director
expenditure towards salary, allowances, approved (AS&MD). Participants included other senior
research studies, infrastructure development, officers of the Ministry, officials of 18 Population
non-recurring expenditure etc. These PRCs are Research Centres and other officials.
autonomous in nature, governed by the rules and
During 2018-19, PRCs have completed 82
regulations of the universities/research institutes
Research Studies and monitoring of Programme
(host organizations) in which these are located
Implementation Plan of National Health Mission
but following broad guidelines provided by the
(NHM) in respect of 177 districts. For the year
MoHFW from time to time.
2019-20, the PRCs have been assigned 43 research
Ministry of Health and Family Welfare organised studies and 492 districts for PIP Monitoring.

2.9 : The Compendium of the research studies conducted by PRCs in the year 2017-18 titled “The Contemporary
Issues of Health & Development in India“ was released by Secretary(HFW) during the workshop held on
30th -31st May, 2019 at Vigyan Bhawan, New Delhi.

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Maternal & Adolescent

Healthcare 03
3.1 MATERNAL HEALTH births by 2030).

Women are strong pillars of any vibrant society. • Globally, the World’s MMR fell by nearly
Sustained development of the country can thus be 45% over the past 27 years, to an estimated
achieved only if we take holistic care of our women 211 maternal deaths per 1,00,000 live births
and children. Maternal health is an important in 2017, from an MMR of 385 in 1990 at
aspect for development of any country in terms an average annual decline of 1.7%, while
of increasing equity and reducing poverty. The India recorded a decline of 78% reduction
survival and wellbeing of mothers is not only in maternal deaths over 27 years.
important in their own right but are also central
to solving large broader, economic, social and
developmental challenges.

3.2 MATERNAL MORTALITY RATIO

(MMR)
Maternal Mortality Ratio (MMR) in India was
exceptionally high in 1990 with 556 women
Source “Trends in Maternal Mortality: 1990 to 2017”
dying during child birth per 1,00,000 live births. - UN Inter–Agency Expert Group’s & RGI -SRS
Approximately, 1.38 lakh women were dying
every year on account of complications related 3.3 DECLINING MATERNAL
to pregnancy and child birth. The global MMR MORTALITY RATIO (MMR)
at the time was much lower at 385. There has
The data on maternity related deaths is made
however, been an accelerated decline in MMR
available by Registrar General of India (RGI)
in India. MMR in the country has declined from
through its Sample Registration System (SRS) in
130 in 2014-16 to 122 in 2015-17. The number of
the form of Maternal Mortality Ratio (MMR).
maternal deaths stands reduced by 78%. India’s
As per the latest report of the Registrar General
share among global maternal deaths has declined
of India, Sample Registration System (RGI-SRS),
significantly as per the MMEIG report.
MMR of India has shown a decline from 130 per
• Sustainable Development Goal (SDG) 3 1,00,000 live births in the period 2014- 16 to 122
pertains to Maternal Health where target per 1,00,000 live births in the period 2015-17.
is to reduce the Maternal Mortality Ratio
(MMR to less than 70 per 1,00,000 live

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Accelerated pace of decline in MMR for India the same period.

Key strategies for accelerating the pace of

decline in MMR
States’ progress on MMR
i. For bringing pregnant women to health
a. Assam continues to be the State with the facilities, ensuring safe delivery and
highest MMR (229) followed by Uttar Pradesh emergency obstetric care, Janani Suraksha
(216), Madhya Pradesh (188) and Rajasthan Yojana (JSY), a demand generation scheme
(186). was launched in April, 2005. From a modest
figure of 7.39 lakhs beneficiaries in 2005-
b. States which have reduced MMR to 100 per
06, the scheme currently provides benefit
1,00,000 live-births in 2015-17 are Kerala, Tamil
to more than one crore beneficiaries every
Nadu, Maharashtra, Telangana, Gujarat, Andhra
year. The expenditure of the scheme has
Pradesh, Jharkhand, Uttarakhand, Karnataka and
increased from Rs.38 crores in FY 2005-06
Haryana. The States of Kerala, Maharashtra and
to Rs 1786.69 crores in FY 2018-19. In the
Tamil Nadu have reached the SDG-3 target of
financial year 2019-20, (up to September,
MMR <70 per 1,00,000 live births.
2019) the expenditure reported is Rs.796.13
c. Additional efforts will be required for crores (provisional). Under NHM,
lowering the MMR, especially, in the states of institutional delivery has increased from
Assam (229), Uttar Pradesh (216), Madhya 40.8% in FY 2005-06 (NFHS-3) to 78.9%
Pradesh (188), Rajasthan (186), Odisha (168), (NFHS-4) FY 2015-16.
and Bihar (165), which have quite high MMR as
ii. Building on the phenomenal progress of
compared to the national level, if the SDG target
the JSY scheme, MOHFW had launched
is to be achieved in an equitable manner.
Janani Shishu Suraksha Karyakaram (JSSK)
d. India has committed itself to the latest UN on 1st June, 2011. The initiative entitles all
target for the Sustainable Development Goals pregnant women delivering in public health
(SDGs) for MMR at 70 per 1,00,000 live births by institutions to have absolutely free and
2030. As per NHP (National Health Policy) 2017, no expense delivery, including caesarean
the target for MMR is 100 per 1,00,000 live births section. The entitlements include free
by 2020. drugs, consumables, free diet during stay,
free diagnostics and free blood transfusion
3.4 INSTITUTIONAL DELIVERY if required. This initiative also provides free
transport from home to institution, between
Institutional hospital deliveries in India have
facilities in case of a referral and drop back
risen sharply from 47% in 2007-08 to over 78.9%
home. Similar entitlements were put in place
in 2015-16 (NFHS4) while Safe delivery has
for all sick newborns accessing public health
simultaneously climbed from 52.7% to 81.4% in

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institutions for treatment till 30 days after morbidities and provide a positive birthing
birth. In 2013, the scheme was expanded experience.
to cover complications during ante-natal
The expected outcome of this new initiative is
and post-natal period and also sick infants
“Zero Preventable Maternal and Newborn
up to 1 year of age. Utilization of public
Deaths and high quality of maternity care
health infrastructure by pregnant women
delivered with dignity and respect”.
has increased significantly as a result of
JSY & JSSK. More than 1.34 crore women v. LaQshya Program
delivered in Government health facilities in
MOHFW launched “LaQshya program” to
last financial year (2018-19).
improve quality of care in labour room and
iii. Pradhan Mantri Surakshit Matritva Maternity OTs in public health facilities in
Abhiyan (PMSMA) 2017. The LaQshya programme is evidence
based approach to improve quality of
The Pradhan Mantri Surakshit Matritva
maternal and newborn care and provide
Abhiyan (PMSMA) has been launched by
respectful care, particularly during the
the Ministry in June, 2016. Under PMSMA,
intrapartum and postpartum periods, which
all pregnant women in the country are
are the most vulnerable periods for a woman
provided fixed day, free of cost assured
and contribute to a significant proportion of
and quality Antenatal Care. As part of the
maternal deaths.
campaign, a minimum package of antenatal
care services (including investigations and Its implementation involves improving
drugs) is being provided to the beneficiaries infrastructure upgradation, ensuring
th
on the 9 day of every month. The Abhiyan availability of essential equipment,
also involves Private sector’s health care providing adequate human resources,
providers as volunteers to provide specialist capacity building of health care workers,
care in Government facilities. about 2.20 and adherence to clinical guidelines and
crore ANC check-ups were conducted by improving quality processes in labour room
about 6000 volunteers in more than 17000 and maternity OT.
Government facilities. Also, more than
LaQshya program is being implemented at
11.66 lakh high risk pregnancy cases were
District Hospital (DH), Sub district Hospital
identified across the country.
(SDH), high case load Community Health
iv. SUMAN (SURAKSHIT MATRITVA Centre (CHC) and First referral units (FRUs)
AASHWASAN): and medical colleges. 2445 public health
facilities including 193 medical colleges
Ministry has launched a new initiative
have been identified under LaQshya. Out
namely “SUMAN-Surakshit Matritva
of these, 441 Labour rooms and 392 OTs
Aashwasan” on 10th October, 2019 with an
have achieved State certification. National
aim to provide assured, dignified, respectful
certification for LaQshya has been achieved
and quality healthcare at no cost and zero
by 152 labour rooms and 127 OTs till
tolerance for denial of services for every
October, 2019.
woman and newborn visiting the public
health facility in order to end all preventable Regional trainings of trainers have been
maternal and newborn deaths and completed for all States/UTs across country

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to build a critical mass of trainers who to accelerate process of certification in

took this training cascade further. State medical colleges. LaQshya portal has been
orientation and baseline assessment have finalized and operationalized. Data upload
been conducted for all State/UTs. Based on LaQshya portal has been initiated to
on the gaps, the States have prepared gap aid digitization of all LaQshya related data,
closure plan. Onsite mentoring is being readily available results and visualization
conducted in 24 identified medical colleges through dashboard.
Table No.3.1

State Wise LaQshya status update 14th November 2019

Sl. State No of Number of Facilities State Number of Facilities
No. facilities Certified National Certified
identified
Labour Operation LR OT
for
rooms (LR) Theatre
LaQshya
(OT)
Medical

Medical

Medical

Medical
College

College

College

College
Others

Others

Others

Others
Andaman Nicobar
1 6 0 0 0 0 0 0 0 0
Islands
2 Andhra Pradesh 98 0 10 0 10 0 2 0 1
3 Arunachal Pradesh 6 0 6 0 6 0 0 0 0
4 Assam 128 1 19 1 19 0 6 0 7
5 Bihar 426 0 19 0 5 0 2 0 1
6 Chandigarh 4 0 4 0 4 0 3 0 4
7 Chhattisgarh 58 0 15 0 13 0 6 0 3
8 Dadra N Haveli 4 0 2 0 0 0 2 0 0
9 Daman & Diu 2 0 1 0 1 0 0 0 0
10 Delhi 18 0 4 0 3 0 0 0 0
11 Goa 5 0 4 0 3 1 1 0 1
12 Gujarat 153 12 33 12 33 9 19 9 17
13 Haryana 48 0 9 0 4 0 5 0 1
14 Himachal Pradesh 20 0 2 0 2 0 2 0 0
15 Jammu & Kashmir 23 0 2 0 2 0 0 0 0
16 Jharkhand 74 1 6 1 6 0 2 0 1
17 Karnataka 123 3 5 2 4 0 0 0 0
18 Kerala 44 0 3 0 3 0 3 0 3

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19 Lakshdweep 1 0 0 0 0 0 0 0 0
20 Madhya Pradesh 79 0 14 0 14 0 10 0 10
21 Maharashtra 195 0 115 0 115 0 34 0 31
22 Manipur 6 0 1 0 1 0 0 0 0
23 Meghalaya 4 0 2 0 1 0 0 0 0
24 Mizoram 9 0 8 0 1 0 0 0 0
25 Nagaland 4 0 1 0 0 0 0 0 0
26 Odisha 98 0 6 0 6 0 6 0 6
27 Pudducherry 3 1 2 1 2 0 1 0 1
28 Punjab 25 0 6 0 1 0 4 0 0
29 Rajasthan 72 0 11 0 9 0 9 0 7
30 Sikkim 1 0 0 0 0 0 0 0 0
31 Tamil Nadu 188 19 48 19 48 0 9 0 9
32 Telangana 75 0 26 0 26 0 11 0 11
33 Tripura 12 0 1 0 1 0 0 0 0
34 Uttar Pradesh 285 0 15 0 10 0 4 0 3
35 Uttarakhand 35 0 4 0 3 0 1 0 1
36 West Bengal 110 0 0 0 0 0 0 0 0
  Total 2442 37 404 36 356 10 142 9 118

Total LR State certification 441 Total LR National certification 152

Total OT State certification 392 Total OT National certification 127

Total State Certification 833 Total National certification 279

vi. Midwifery Initiative by the International Confederation of

Midwives (ICM) and are knowledgeable
The Government of India has taken
and capable of providing compassionate
a landmark policy decision to roll
women-centered, reproductive, maternal
out  midwifery  services in the country in
and newborn health care services. In order
order to improve the  quality of care and
to create a cadre of Nurse Practitioner
ensure respectful care  to pregnant women
Midwives, eighteen months training
and newborns. The initiative was launched
would be provided to GNM/BSc nurses
in December 2018.
having 2 years’ experience in conducting
The initiative aims to create a cadre of Nurse deliveries. Training Curriculum would be
Practitioners in Midwifery who are skilled based on the ‘Essential Competencies for
in accordance to competencies prescribed Midwifery Practice defined by International

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Confederation of Midwife. x. Obs HDU & ICU- Operationalization of

Obstetric ICU/HDU in a high case load
vii. State of the art Maternal and Child Health
tertiary care facilities across country to
Wings (MCH wings) have been sanctioned
handle complicated pregnancies. Total 259
at District Hospitals/District Women’s
Obstetric HDUs/ICUs have been approved.
Hospitals and other high case load facilities
at sub-district level, as integrated facilities xi. The process of Maternal Death Surveillance
for providing quality obstetric and neonatal and Response (MDSR) has been
care. Over 600 dedicated Maternal and institutionalized across the country both at
Child Health Wings (MCH Wings) with facilities and in the community to identify
more than 42,000 additional beds have been not just the medical causes, but also some of
sanctioned. the socio-economic, cultural determinants,
as well as the gaps in the system which
viii. More than 25000 Delivery points have
contribute to the delays causing such deaths.
been identified across the country based on
This is with the objective of taking corrective
performance. These are being strengthened
action at appropriate levels and improving
in terms of infrastructure, equipment,
the quality of obstetric care. The States are
trained manpower for provision of
being monitored closely on the progress
comprehensive reproductive, maternal and
made in the implementation of MDSR and
newborn child health services along with
Maternal Near Miss (MNM). According
service for Adolescent and Family planning
to the State Reports, 68% of the estimated
etc. and are being monitored for service
maternal deaths have been reported in
delivery.
2018-19. Out of these, 61% deaths have been
ix. Setting up of Skill Labs has been done reviewed by the District MDR Committees.
with earmarked skill stations for different
training programmes to strengthen the
xii. Comprehensive Abortion Care is being
provided in the reproductive health
quality of capacity building of different
component of the RMNCH+A strategy as
cadres of service providers in the States.
8% (2001-03 SRS) of maternal deaths in
Guidelines and training modules of skill
India are attributed to unsafe abortions.
labs have been disseminated to the States.
Revised guidelines have been issued for
Five National Skills labs are now operational
service delivery in India in Feb 2019. More
for conducting training of trainers. 104
than 14,000 MOs have been trained in CAC
stand-alone skills labs have been established
trainings.
at different States such as Gujarat, Haryana,
Maharashtra, Madhya Pradesh, West Bengal, xiii. Screening and care for Sexually Transmitted
Odisha, Tamil Nadu, Tripura, Jammu & Infections (STIs) and Reproductive Tract
Kashmir, Meghalaya, Kerala, Nagaland, Infections (RTIs) are being provided
Sikkim, Andhra Pradesh, Manipur, at health facilities as they constitute an
Himachal Pradesh, Arunachal Pradesh, important public health problem in India. A
Uttrakhand, Punjab, Delhi, Telangana, policy decision has been taken for universal
Puducherry, Assam and Karnataka. Till date testing of HIV and syphilis in pregnant
1184 health personnel have been trained in women. As per HMIS report for FY 2018-
National Skill Lab & 2,213 participants in 19, over 80.18 lakh pregnant women are
State Skill Labs.

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screened for syphilis and approximately 1.86 in 5 newer States such as Bihar, Jammu &
crore pregnant women have been screened Kashmir, Nagaland ,Meghalaya, Assam
for HIV. and Kerala. Till October, 2019, 743 health
institutions have been saturated.
xiv. Capacity building involves training of
MBBS doctors in Anaesthesia (Life Saving xvii. Pre-Service Education for strengthening
Anesthesia Skills - LSAS) and Emergency Nursing Midwifery Cadre: Five National
Obstetric Care including C-section Nodal Centres (NNCs) at College of
(EmOC) skills to overcome the shortage of Nursing, Vadodara; Kasturba Nursing
specialists in these disciplines, particularly College, Sewagram, Wardha; Regional
in rural areas and Skilled Birth Attendants College of Nursing, Guwahati; College of
(SBA) training of SNs/ANMs/ LHVs for Nursing, Kanpur; and College of Nursing and
improving quality of care during delivery MMC, Chennai and 10 State Nodal Centres in
and childbirth. About 2,412 doctors have Dehradoon, Meerut, Varanasi, Kota, Udaipur,
been trained in Emergency Obstetric Care Jabalpur, Ujjain, Patna, Ranchi, Berhampur
including C-sections and 2,683 doctors in have been strengthened achieving above 70%
LSAS. Over 3,30,000 SNs/LHVs/ANMs have of performance standards.
been trained as SBAs as per State reports.
xviii. Maternal Health Tool Kit has been
xv. “Prevention of Post-Partum Hemorrhage developed as a ready reckoner/handbook
(PPH) through Community based advance for programme managers to plan,
distribution of Misoprostol” by ASHAs/ implement and monitor services at health
ANMs has been launched for >20% facilities. It focuses on the Delivery Points,
home delivery districts. Operational which includes setting up adequate physical
Guidelines and Reference Manual have infrastructure, ensuring logistics & supplies
been disseminated to the States. However, and recording/reporting & monitoring
guidelines on the above are explicit in saying systems with the objective of providing
that during the counselling sessions with good quality comprehensive RMNCH
the pregnant women conducted by ASHAs services.
and ANMs, emphasis is laid on the need to
xix. Monthly Village Health and Nutrition
register for ANC and delivery at institutions.
Days (VHNDs) is an outreach activity
xvi. To bring down the Maternal Mortality at Anganwadi centers for provision of
Ratio (MMR) and Neonatal Mortality maternal and child care including nutrition
Rate (NMR), the Ministry has launched in convergence with the ICDS.
Dakshata in 2015 in 7 States with an
xx. Mother and Child Protection (MCP)
objective to improve the quality of care at
Card is being used by all States as a tool
the time of birth through by focusing on
for monitoring and improving the quality
delivering high impact, evidence based
of MCH and Nutrition interventions. New
practices. Till date 16,419 healthcare
Mother and Child Protection (MCP) Card
providers have been trained in Dakshata
have been developed.
trainings. Dakshata planning meeting done
in 6 newer States Bihar, Jammu & Kashmir, xxi. Web Enabled Mother and Child Tracking
Nagaland, Meghalaya. Assam, Kerala, System (MCTS) is being implemented to
and Delhi and 13 ToT batches completed

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register and track every pregnant woman, xxvi. To further accelerate the pace of
neonate, infant and child by name for quality decline in MMR, operational guidelines
ANC, INC, PNC, FP, Immunization services for obstetric HDU & ICU, Screening for
etc. Diagnosis & Management of Gestational
xxii. Anemia Mukt Bharat: Launched recently to Diabetes Mellitus, Hypothyroidism during
combat wide spread anaemia in the country, pregnancy, Calcium supplementation
the Anaemia Mukt Bharat-Intensified during pregnancy and lactation, De-
Iron Plus Initiative aims to strengthen the worming during pregnancy, Maternal Near
existing mechanisms and foster newer Miss Review, Screening for Syphillis during
strategies of tackle anemia, focused on pregnancy and Dakshata guidelines for
six target beneficiary groups, through strengthening intra-partum care have been
six interventions and six institutional disseminated to all States/UTs.
mechanisms, to achieve 2% annual decline
3.4 JANANI SURAKSHA YOJANA (JSY)
in prevalence of anemia.
Janani Suraksha Yojana (JSY) is a safe motherhood
xxiii. Engagement of more than 10 lakh Accredited
intervention under the National Health Mission
Social Health Activists (ASHAs) to facilitate
(NHM). It is being implemented with the objective
accessing of health care services by the
of reducing maternal and neonatal mortality by
community, particularly pregnant women.
promoting institutional delivery among pregnant
xxiv. Regular IEC/BCC is done for early women. JSY is a Centrally Sponsored Scheme,
registration for ANC, regular ANC, which integrates cash assistance with delivery
institutional delivery, nutrition and care and post-delivery care. The Scheme has identified
during pregnancy etc. Funds are being Accredited Social Health Activists (ASHAs) as
provided to the States through PIPs for an effective link between the government and
comprehensive IEC/BCC on Maternal and pregnant women.
Newborn Health. Standardized IEC/BCC
packages have been prepared at national 3.4.1 Important Features of JSY
level and have been disseminated to the The scheme focuses on pregnant woman with
States. a special dispensation for States that have low
institutional delivery rates, namely, the States of
xxv. To sharpen the focus on the low performing Uttar Pradesh, Uttarakhand, Bihar, Jharkhand,
districts, 256 High Priority Districts (HPDs) Madhya Pradesh, Chhattisgarh, Assam, Rajasthan,
& 117 aspirational Districts have been Orissa, and Jammu and Kashmir. While these
identified. These districts would receive States have been named Low Performing States
30% higher per capita funding, have relaxed (LPS), the remaining States have been categorised
norms, enhanced monitoring and focused as High Performing States (HPS).
supportive supervision and are encouraged
to adopt innovative approaches to address 3.4.2 Eligibility for Cash Assistance
their peculiar health challenges. The eligibility for cash assistance under JSY is as
shown below:

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LPS All pregnant women delivering in government health centres, such as Sub Centers (SCs)/
Primary Health Centers (PHCs)/Community Health Centers (CHCs)/First Referral
Units (FRUs)/general wards of district or State hospitals
HPS All BPL/Scheduled Caste/Scheduled Tribe (SC/ST) women delivering in a government
health centre, such as SC/PHC/CHC/FRU/general wards of district or State hospital
LPS & HPS BPL/SC/ST women in accredited private institutions
Cash Assistance for Institutional Delivery (in Rs)
The cash entitlement for different categories of mothers is as follows:

Category Rural area Total Urban area Total

Mother’s ASHA’s Mother’s ASHA’s (Amount in
package package* package package** Rs.)
LPS 1400 600 2000 1000 400 1400
HPS 700 600 1300 600 400 1000
*ASHA package of Rs. 600 in rural areas include Rs. 300 for ANC component and Rs. 300 for facilitating
institutional delivery.
**ASHA package of Rs. 400 in urban areas include Rs. 200 for ANC component and Rs. 200 for facilitating
institutional delivery.
Subsidizing cost of Caesarean Section 3.4.4 Direct Benefits Transfer under JSY
The JSY Scheme has a provision to hire the services Payments under the Janani Suraksha Yojana
of a private specialist to conduct Caesarean are being made through Direct Benefit Transfer
Section or for the management of Obstetric (DBT) mode. Under this initiative, eligible
complications, in the Government Institutions, pregnant women are entitled to get JSY benefit
where Government specialists are not in position. directly into their Aadhaar linked bank accounts/
Electronic funds transfer.
Cash assistance for home delivery
3.4.5 Physical & Financial progress
BPL pregnant women, who prefer to deliver at
home, are entitled to a cash assistance of Rs 500 JSY has been a phenomenal success both in terms
per delivery regardless of her age and any number of number of mothers covered and expenditure
of children. incurred on the scheme. From a modest figure of
7.39 lakhs beneficiaries in 2005-06, the scheme
3.4.3 Accrediting private health institutions currently provides benefit to more than one crore
beneficiaries every year. Also the expenditure of
In order to increase the choice of delivery care the scheme has increased from Rs 38 crores in
institutions, States are encouraged to accredit at FY 2005-06 to Rs 1786.69 crores in FY 2018-19.
least two willing private institutions per block to In the financial year 2019-20, (up to September,
provide delivery services. 2019) the expenditure reported is Rs.796.13
crores (provisional). In terms of achievement, JSY

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is considered to be one of the important factors 3.5 RASHTRIYA KISHOR SWASTHYA

in increased utilization of public health facilities KARYAKRAM (RKSK)
by the pregnant women for delivery care services
which are reflected in the following: In order to ensure holistic development of
adolescent population, the Ministry of Health and
• Increase in institutional deliveries which Family Welfare is implementing Rashtriya Kishor
has gone up from 47% (District Level Swasthya Karyakram (RKSK) since January
Household Survey-III, 2007-08) to 78.9% 2014 to reach out to 253 million adolescents,
(NFHS-4, 2015-16) male and female, rural and urban, married and
unmarried, in and out-of-school. The programme
• Maternal Mortality Rate (MMR) which
has expanded the scope of adolescent health
declined from 254 maternal deaths per
programme in India from being limited to sexual
1,00,000 live births in 2004-06 to 130
and reproductive health. It now includes in its
maternal deaths per 1,00,000 live births
ambit nutrition, injuries and violence (including
during 2014-16;
gender-based violence), non-communicable
• IMR has declined from 58 per 1000 live diseases, mental health and substance misuse. It
births in 2005 to 34 per 1000 live births in is a paradigm shift from the clinic-based services
2016; to promotion and prevention and reaching
adolescents in their own environment, such as
• Neo-Natal Mortality Rate (NMR) has
schools, families and communities.
declined from 37 per 1000 live births in
2006 to 24 per 1000 live births in 2016. The interventions under RKSK can be broadly
grouped as:
Table No.3.4
A. Community-based interventions
State/UT-wise and year-wise physical and
B. Facility-based interventions
financial progress of JSY is as under:
C. School-based interventions
Financial No. of Expenditure
(A) Community-based interventions:
Year beneficiaries (in crores)
(in lakhs) Peer Education Programme
2013-14 106.48 1764.33 The Peer Education (PE) programme aims to
2014-15 104.38 1777.04 ensure that adolescents or young people between
2015-16 104.16 1708.72 the ages of 10-19 years benefit from regular and
sustained peer education covering nutrition,
2016-17 104.59 1788.10 sexual and reproductive health, conditions for
2017-18 110.21 1835.06 NCDs (Non-Communicable Diseases), substance
misuse, injuries and violence (including Gender
2018-19 100.41 1786.69
Based Violence ) and mental health. Under the PE
2019-20 48.21 796.13 programme, four Peer Educators (two boys and
(Provisional*) (Up to (Up to two girls) are selected per village/1000 population/
September, September,
ASHA habitation to reach out to adolescents. Peer
2019) 2019)
Educators form a group of 15-20 boys and girls in
* Figures are provisional for FY 2019-20 the community and conduct weekly one to two
hours participatory sessions on adolescent health.

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Adolescent Health Day (AHD) is conducted at Current Status:

the village level on quarterly basis to increase
33.8% of in-school beneficiaries and 21% of out-
awareness among adolescents, parents, families
of-school beneficiaries were covered under WIFS
and stakeholders about the issues and needs
programme every month up to September 2019.
of adolescents and the services available. PEs
facilitate organization of Adolescent Health Day Scheme for Promotion of Menstrual Hygiene
(AHD) and also refer adolescents to Adolescent among Adolescent Girls in Rural India
Friendly Health Clinics (AFHCs), if needed.
Scheme for Promotion of Menstrual Hygiene is
Current Status: being implemented by MOHFW since 2011 to
promote Menstrual Hygiene among adolescent
As on September 2019, 2.69 lakh Peer Educators
girls in the age group of 10-19 years primarily in
have been selected out of which about 70%
rural areas as a component of Rashtriya Kishor
have been trained. Across the States, 15,845
Swasthya Karyakram.
Adolescent Health Days (AHDs) were celebrated
up to September 2019. The major objectives of the scheme have been:
Weekly Iron Folic Acid Supplementation • To increase awareness among adolescent
programme girls on menstrual hygiene.
• To increase access to and use of high quality
WIFS entails provision of weekly supervised IFA
sanitary napkins by adolescent girls in rural
tablets to in-school adolescent boys and girls areas.
and out-of-school adolescent girls for prevention
• To ensure safe disposal of sanitary napkins
of iron and folic acid deficiency anaemia, and
in an environmentally friendly manner.
biannual albendazole tablets for helminthic
control. The programme is being implemented Since 2015-16, the scheme had been decentralized.
across the country in both rural and urban areas, Based on proposals received from the States in
covering government and government aided their Programme Implementation Plans, funds
schools and Anganwadi centres. Screening of are approved for decentralized procurement
of sanitary napkin packs, for safe storage and
targeted adolescents population for moderate/
disposal and for training of ASHA, AWW and
severe anaemia and referral of cases to an
nodal teachers. The States have been instructed to
appropriate health facility and information and
undertake procurement of sanitary napkins packs
counselling for prevention of nutritional anaemia at prices reached through competitive bidding.
are also included in the programme.
The 6th meeting of Mission Steering Group (MSG)
The programme is implemented through held on 2nd March 2019 recommended expansion
convergence with key stakeholder Ministries viz. of Menstrual Hygiene Scheme in urban slums in
Ministry of Women and Child Development and all the cities of India in a phased manner starting
Ministry of Human Resource Development, with with 25% of adolescent girls in slums in 15 States
joint programme planning, capacity building and where the number of Urban ASHAs is sufficient
communication activities. The programme aims viz. Andhra Pradesh, Assam, Chattisgarh, Delhi,
to cover a total of 11.9 crore beneficiaries which Gujarat, Haryana, Jharkhand, Kerala, Madhya
include 9.4 crore in-school and 2.5 crore out-of- Pradesh, Manipur, Odisha, Punjab, Tripura, Uttar
school beneficiaries. Pradesh and Uttarakhand. In the first phase,

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7.98 lakh girls and 15,000 Urban ASHAs will be and Family Welfare, Department of School
reached. Education & Literacy and Ministry of Human
Resource & Development.
Current Status: Rs.6461 lakhs have been
allocated to 14 States in 2019-20 for decentralized Two teachers, preferably one male and one
procurement of sanitary napkins under Menstrual female, in every school designated as “Health
Hygiene Scheme (MHS). and Wellness Ambassadors” will be trained to
transact health promotion and disease prevention
(B) Facility-Based interventions :
information in the form of interesting activities
Adolescent Friendly Health Clinics (AFHC ) for one hour every week. These health promotion
messages will also have bearing on improving
Adolescent Friendly Health Clinics (AFHCs) act
health practices in the country as students will act
as the first level of contact of primary health care
as Health and Wellness Messengers in the society.
services with adolescents. The broad objectives of
Every Tuesday may be dedicated as Health and
AFHCs are provision of counseling and clinical
Wellness Day in the schools.
services to adolescents. AFHCs are established
at Medical Colleges, District Hospitals, Sub- Current status: With finalization of the training
Divisional Hospitals, Community Health curriculum of the teachers, the programme aims
Centres, Primary Health Centres and Urban to be implemented in about 200 districts across
Health Centres to cater to diversified health and the country.
counselling needs of adolescent girls and boys.
Other Activities
Dedicated space, trained Medical Officer, ANMs
RKSK Regional Review Workshop: Workshops
and Counsellors, availability of equipment,
were conducted between March to Sept 2019
commodities and comprehensive IEC material
in Himachal Pradesh, Bihar, Delhi, Tripura,
are prerequisites for the establishment of AFHCs.
Odisha, Rajasthan, Karnataka and West Bengal
Current status for handholding of the States, review of RKSK
implementation and reorientation of the newly
Total 7917 AFHCs have been established across
appointed State and District officials.
the country. 24.96 lakh adolescents availed
counseling and clinical services from AFHCs up The participants included State and district level
to September 2019 for FY 2019-20. officials of Health, Representatives from WCD
and Education Departments.
(C) School-based interventions :
The process adopted for the workshop were
School-based health promotion activities have
presentations on current status of activities,
been incorporated as a part of the Health and
discussion on achievements and challenges,
Wellness component of the Ayushman Bharat
orientation on newer initiatives and collaborative
Program of the Government of India. These
decision making regarding the  further
activities will combine health education, health
interventions. The review reports comprising of
promotion, disease prevention and improve
actionable points with timelines have been shared
access to health services in an integrated, systemic
with the States/UTs.
manner at the school level. The School Health
Promotion Activities under Ayushman Bharat
Program is a joint initiative of Ministry of Health

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 Table No.3.2
Trends in Maternal Mortality Ratio (per 100,000 live births)

Maternal Mortality Ratio (per 100,000 live % Compound Rate of Annual Decline
births)
India /States

1997-98
1999-01
2001-03
2004-06
2007-09
2010-12
2011-13
2014-16
1999-01
2001-03
2004-06
2007-09
2010-12
2011-13
2014-16

2015 - 17
India 398 327 301 254 212 178 167 130 122 -7.6 -4.1 -5.5 -5.8 -5.7 -6.2 -8.01
Andhra Pradesh 197 220 195 154 134 110 92 74 74 4.5 -5.9 -7.6 -4.5 -6.4 -16.4 -7
Assam 568 398 490 480 390 328 300 237 229 -13.3 11.0 -0.7 -6.7 -5.6 -8.5 -7.56
Bihar/ Jharkhand 531 400 371 312 261 219 208 165 165 -10.7 -3.7 -5.6 -5.8 -5.7 -5.0 -7.43
Jharkhand - - - - - - - - 76
Gujarat 46 202 172 160 148 122 112 91 87 80.7 -7.7 -2.4 -2.6 -6.2 -8.2 -6.69
Haryana 136 176 162 186 153 146 127 101 98 10.9 -4.1 4.7 -6.3 -1.5 -13.0 -7.35
Karnataka 245 266 228 213 178 144 133 108 97 3.3 -7.4 -2.2 -5.8 -6.8 -7.6 -6.71
Kerala 150 149 110 95 81 66 61 46 42 -0.3 -14.1 -4.8 -5.2 -6.6 -7.6 -8.98
Madhya Pradesh/ Chhattisgarh 441 407 379 335 269 230 221 173 188 -3.2 -3.5 -4.0 -7.1 -5.1 -3.9 -7.84
Chhattisgarh - - - - - - - - 141
Maharashtra 166 169 149 130 104 87 68 61 55 0.7 -6.1 -4.4 -7.2 -5.8 -21.8 -3.56

ANNUAL REPORT 2019-2020

Odisha 346 424 358 303 258 235 222 180 168 8.5 -8.1 -5.4 -5.2 -3.1 -5.5 -6.75
Punjab 280 177 178 192 172 155 141 122 122 -16.8 0.3 2.6 -3.6 -3.4 -9.0 -4.71
Rajasthan 508 501 445 388 318 255 244 199 186 -0.6 -5.8 -4.5 -6.4 -7.1 -4.3 -6.57
Tamil Nadu 131 167 134 111 97 90 79 66 63 10.2 -10.4 -6.1 -4.4 -2.5 -12.2 -5.82
Uttar Pradesh/ Uttarakhand* 606 539 517 440 359 292 285 201 216 -4.6 -2.1 -5.2 -6.6 -6.7 -2.4 -10.99
Uttarakhand - - - - - - - - 89
West Bengal 303 218 194 141 145 117 113 101 94 -12.3 -5.7 -10.1 0.9 -6.9 -3.4 -3.67
CHAPTER - 03

39
Source: Registrar General of India, Ministry of Home Affairs (SRS Estimates)
 CHAPTER -

Child Health Programme 04

4.1 INTRODUCTION (U5MR) in India is 37/1000 live births,
Infant Mortality Rate is 33/1000 live births
The Child Health programme under the
and Neonatal Mortality Rate is 23/1000 live
Reproductive, Maternal, Newborn, Child and
Adolescent (RMNCH+A) Strategy of the National births. This translates into an estimated 9.05
Health Mission (NHM) comprehensively lakh under-5 child deaths annually.
integrates interventions that improve child • The U5MR has declined at a faster pace in the
health and nutrition status and addresses period 2008-2017, registering a compound
factors contributing to neonatal, infant, under-
annual decline of 6.5% per year, compared
five mortality and malnutrition. The National
to 3.3% compound annual decline observed
Population Policy (NPP) 2000, the National
Health Policy 2002, Twelfth Five Year Plan (2007- over 1990-2007.
12), National Health Mission (NRHM/NHM • Four States together contribute to 58% of all
- 2005 – 2017), Sustainable Development Goals child deaths in the country namely, Uttar
(2016-2030) and New National Health Policy, Pradesh (2.38 lakhs), Bihar (1.12 lakhs),
2017 have laid down the goals for child health.
Madhya Pradesh (0.99 lakh) and Rajasthan
Table No.4.1 (0.71 lakh).

Child Health Goals under NHP-2017 • About 20% of under-five deaths take place
and SDG-2030 on the day of birth, 49% within the first
7 days of birth, and 62% within first one
Child Health Current NHP SDG
Indicator status 2017 2030 month of birth.
Neonatal 16 by 4.2.2 Status Of Child Mortality In India
23 <12
Mortality rate 2025
Infant Mortality 28 by Table No.4.2
33 -
Rate 2019
Indicators Rate / Estimated
Under-5 23 by 1000 live number of
37 ≤25
Mortality Rate 2025 births deaths
Source: Sample Registration System (SRS) 2017 Early- NMR (within 1
18 4.4 lakhs
week)
4.2 CHILD MORTALITY
NMR (within first four
23 5.62 lakhs
weeks)
4.2.1 Situation Of Child Mortality In India
IMR (within 1 year) 33 8.07 lakhs
• As per latest Sample Registration System,
2017 Report; the Under-5 Mortality Rate Under-5 mortality rate 37 9.05 lakhs

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 CHAPTER - 04

Table No.4.3
State-wise status of Neonatal, Infant and Child Mortality Rate are shown in the table below:

State-wise Early Neo-natal, Neonatal, Infant and Under-5 Mortality Rates (SRS, 2017)
States/UTs U5MR (2017) IMR (2017) NMR (2017) Early-NMR (2017)
India 37 33 23 18
Andaman & Nicobar - 14 - -
Andhra Pradesh 35 32 23 17
Arunachal Pradesh - 42 - -
Assam 48 44 22 16
Bihar 41 35 28 21
Chandigarh - 14 - -
Chhattisgarh 47 38 26 21
Dadra & Nagar Haveli - 13 - -
Daman & Diu - 17 - -
Delhi 21 16 14 11
Goa - 9 - -
Gujarat 33 30 21 16
Haryana 35 30 21 15
Himachal Pradesh 25 23 14 10
Jammu & Kashmir 24 23 17 13
Jharkhand 34 29 20 16
Karnataka 28 25 18 13
Kerala 12 10 5 4
Lakshadweep - 20 - -
Madhya Pradesh 55 47 33 24
Maharashtra 21 19 13 11
Manipur - 12 - -
Meghalaya - 39 - -
Mizoram - 15 - -
Nagaland - 7 - -
Odisha 47 41 32 24
Puducherry - 11 - -
Punjab 24 21 13 9
Rajasthan 43 38 27 21

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 CHAPTER - 04

Sikkim - 12 - -
Tamil Nadu 19 16 11 8
Telangana 32 29 20 14
Tripura - 29 - -
Uttar Pradesh 46 41 30 23
Uttarakhand 35 32 24 18
West Bengal 26 24 17 13

4.2.3 Causes of Child Mortality in India approach which strategies continuum of care
across life stages is the over-arching umbrella
• The major causes of child mortality in India
under which these child health interventions have
as per SRS reports (2010-13) are: Prematurity
been built in.
& low birth weight (29.8%), Pneumonia
(17.1%), Diarrhoeal diseases (8.6%), Other 4.3.1 NEWBORN HEALTH
non-communicable diseases (8.3%), Birth
asphyxia & birth trauma (8.2%), Injuries • Newborn Mortality Rate in India is 23/1000
(4.6%), Congenital anomalies (4.4%), Ill- live births (SRS 2017) which translates into
defined or cause unknown (4.4%), Acute approximately 5.6 lakhs deaths annually.
bacterial sepsis and severe infections (3.6%), • Newborn deaths contribute to 62% of
Fever of unknown origin (2.5%), All Other Under-5 deaths in the country.
Remaining Causes (8.4%).
• Beside these, malnutrition is a contributory
factor in 50% child deaths.

4.3 INTERVENTIONS UNDER CHILD

HEALTH

3. Interventions to
1. Newborn health 2. Nutrition related
address pneumonia
Interventions interventions
and diarrhoea

4. Interventions to
address birth defects, 5. Immunization
disabilities, delays activities • The major causes of newborn deaths in
and deficiencies
India are: Prematurity & LBW (48%), Birth
Asphyxia & trauma (13%), Pneumonia
Based on the identified causes of mortality, five (12%), Sepsis (5.4%), Congenital anomalies
major strategic areas have been identified to (4%) and Diarrhoea (3%).
improve child health outcomes. These are:
• India Newborn Action Plan (INAP) was
Besides, maternal health and family planning launched in 2014 to make concerted efforts
interventions are also linked inextricably to child towards attainment of the goals of “Single
health outcomes. Therefore, RMNCH+A strategic Digit Neonatal Mortality Rate” and “Single

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ANNUAL REPORT 2019-2020
 CHAPTER - 04

Digit Stillbirth Rate”, by 2030. addressing this gap in health system contact
is crucial. Therefore, under Home Based
• Strategic interventions under newborn
Care for Young Child (HBYC) programme,
health are as under:
additional five home visits will be carried out
 Promotion of Institutional Deliveries and by ASHAs with the support of Anganwadi
Essential Newborn Care - Since ante-natal workers from 3rd month of birth onwards
and intra-partum events have a bearing on to ensure exclusive and continued breast
newborn health, institutional deliveries are feeding, adequate complementary feeding,
being promoted with cash incentives in age appropriate immunization and early
the form of Janani Suraksha Yojana (JSY). childhood development.
Newborn Care Corners (NBCCs) have been
 Facility Based Newborn Care (FBNC)
operationalized at delivery points to provide
is being scaled up for care of small or sick
essential newborn care at the time of birth.
newborns. 844 Special Newborn Care
In order to reduce out-of-pocket expenses,
Units (SNCUs) have been set up in District
Janani Shishu Swasthya Karyakram (JSSK)
hospitals and medical colleges to provide
entitlements have been provided to ensure
round-the-clock services for sick newborns.
cashless diagnosis and treatment of pregnant
More than 10.0 lakh newborns are treated in
woman and her child till one year of age in
SNCUs each year. SNCU Online Reporting
public health facilities. This also includes
System has been established and more than
free referral transport.
750 facilities are reporting online. 2,421
 Home Based Newborn Care and Home Newborn Stabilization Units (NBSUs) at
Based Care of Young Children (HBNC/ the level of FRUs and 20,336 Newborn Care
HBYC) is for promotion of essential Corners (NBCCs) at delivery points have
newborn care including breastfeeding been operationalized in the continuum of
practices, early identification and referral care.
of neonatal illnesses by ASHAs. ASHAs are
 Newer interventions to reduce newborn
paid an incentive for visiting each newborn
mortality have also been implemented,
and post-partum mother in the first six
including Vitamin K injection at birth,
weeks of life as per defined schedule. More
Antenatal corticosteroids in preterm labour,
than 1.2 Crore newborn are visited by
Kangaroo Mother Care and empowering
ASHAs each year.
ANMs to provide Injection Gentamycin to
 Considering the importance of Diarrhoea, young infants for possible serious bacterial
Pneumonia, under-nutrition and the infection.
importance of water, sanitation and
 Stillbirth Surveillance is being rolled out.
hygiene (WASH) related interventions on
The guidelines for same have been released.
overall child survival and development,

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 CHAPTER - 04

Table No.4.4

State / UT Wise Newborn Facilities under National Health Mission

Sr. No State/UTs No. of SNCUs / No. of NBSUs No. of NBCCs
NICUs
1 Bihar 42 41 708
2 Chhattisgarh 22 157 1249
3 Himachal Pradesh 13 6 124
4 Jammu & Kashmir 29 67 281
5 Jharkhand 18 42 594
6 Madhya Pradesh 54 62 1303
7 Odisha 39 45 730
8 Rajasthan 61 287 2065
9 Uttar Pradesh 80 180 1820
10 Uttarakhand 5 29 129
11 Arunachal Pradesh 5 4 112
12 Assam 28 146 922
13 Manipur 3 4 78
14 Meghalaya 5 17 130
15 Mizoram 7 1 124
16 Nagaland 2 16 131
17 Sikkim 2 3 44
18 Tripura 6 8 109
19 Andhra Pradesh 36 95 1306
20 Goa 3 1 10
21 Gujarat 41 150 1641
22 Haryana 22 66 318
23 Karnataka 41 165 1070
24 Kerala 21 68 101
25 Maharashtra 37 180 1511
26 Punjab 23 56 208
27 Telangana 25 49 562
28 Tamil Nadu 73 147 2267

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 CHAPTER - 04

29 West Bengal 69 307 577

30 A & N Islands 1 6 20
31 Chandigarh 3 3 7
32 Dadra & Nagar Haveli 1 1 7
33 Daman & Diu 1 0 2
34 Delhi 16 0 61
35 Lakshadweep 2 8 5
36 Puducherry 8 4 10
India Total 844 2421 20336

4.3.2 NUTRITION RELATED promoted. Mother’s Absolute Affection

INTERVENTIONS (MAA) programme was launched in
2016 to promote breastfeeding and infant
• Malnutrition is considered to be the feeding practices by building the capacity of
underlying cause of 45% of child deaths. frontline health workers and comprehensive
• 35.8% of Under-5 children are underweight, IEC campaign.
38.4% are stunted and 21.0% are acutely  Establishment of Nutritional
malnourished (wasted). More importantly, Rehabilitation Centres (NRCs) - 1075
7.5% of children are suffering from severe NRCs have been set up at facility level to
acute malnutrition, as per the latest available provide medical and nutritional care to
national survey (NFHS 4, 2015-16). Severe Acute Malnourished (SAM) children
• Only 41.6% newborns initiated on under 5 years of age who have medical
breastfeeds within one hour of birth while, complications. In addition, the mothers
54.9% children breastfed exclusively till 6 are also imparted skills on child care and
months of age (NFHS 4, 2015-16). feeding practices so that the child continues
to receive adequate care at home.
• Complementary feeding started for only
42.7% children on time (more than 6  Anaemia Mukt Bharat (AMB) -To address
months of age) (NFHS 4, 2015-16). anaemia, National Iron Plus Initiative (NIPI)
has been launched which includes provision
• 58.6% of children in age group 6 months-59 of supervised biweekly iron folic acid (IFA)
months are anaemic (NFHS 4, 2015-16). supplementation by ASHA for all under-five
The strategic nutrition related interventions are as children, weekly IFA supplementation for
under: 5-10 years old children and annual/biannual
Deworming. The Anemia Mukt Bharat
 Promotion of Infant and Young Child strategy- Intensified Iron Plus Initiative,
feeding practices (IYCF) - Exclusive which aims to strengthen the existing
breastfeeding for first six months, mechanisms and foster newer strategies
complementary feeding beginning at six of tackle anemia, focused on six target
months and appropriate infant and young beneficiary groups, through six interventions
child feeding practices (IYCF) are being

46
ANNUAL REPORT 2019-2020
 CHAPTER - 04

and six institutional mechanisms; to achieve annually on 10th February targeting all
the envisaged target under the POSHAN children in the age group of 1-19 years (both
Abhiyaan. The operational guidelines of school enrolled and non-enrolled). A total
the strategy were released by Hon’ble PM of 25 Crore (tentatively) children received
on 14th April 2018 in Chhattisgarh. The Deworming tablet (Albendazole) during
strategy focuses on testing & treatment August 2019 NDD Round.
of anemia in school going adolescents &
 Biannual Vitamin-A Supplementation is
pregnant women using newer technologies,
being done for all children below five years
establishing institutional mechanisms
of age.
for advanced research in anemia and a
comprehensive communication strategy  Village Health and Nutrition Days
including mass/mid media communication (VHNDs) are also being organized for
material (Radio spots, TVCs, posters, job- imparting nutritional counselling to
aids, IPC materials, etc). mothers and to improve child care practices.
Ministry of Health and Family Welfare and
 National Deworming Day (NDD) -
Ministry of Women and Child Developed
Recognising worm infestation as an
jointly released revised VHND Guidelines
important cause of anaemia, National
in the month of October, 2019.
Deworming Day (NDD) is being observed
Table No.4.5

Status of Nutritional Rehabilitation Centers (NRCs)

Sr. No State/UTs No. of NRCs No. of Children admitted in
NRCs (2018-19)
1 Bihar 39 10127
2 Chhattisgarh 88 15341
3 Himachal Pradesh 3 1035
4 Jammu & Kashmir 6 603
5 Jharkhand 96 11868
6 Madhya Pradesh 315 71372
7 Odisha 64 9578
8 Rajasthan 40 7452
9 Uttar Pradesh 76 13679
10 Uttarakhand 4 292
11 Arunachal Pradesh 1 3
12 Assam 16 1863
13 Manipur 1 33
14 Meghalaya 6 454

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 CHAPTER - 04

15 Mizoram 0 0
16 Nagaland 1 78
17 Sikkim 0 0 
18 Tripura 0 0 
19 Andhra Pradesh 18 5196
20 Goa 0 0 
21 Gujarat 139 24215
22 Haryana 11 1468
23 Karnataka 30 5491
24 Kerala 3 166
25 Maharashtra 46 6688
26 Punjab 0 0 
27 Tamil Nadu 5 662
28 Telangana 12 2958
29 West Bengal 51 6378
30 A & N Islands 0  0
31 Chandigarh 1 142
32 D&N Haveli 1 40
33 Daman & Diu 0 0 
34 Delhi 2 1076
35 Lakshadweep 0 0 
36 Puducherry 0 0 
INDIA 1075 1.98 Lakhs
Table No.4.6

Status of Institutional Deliveries and Initial Breastfeeding Coverage as per NFHS IV (2015-16)
Sr. No State/UTs Institutional Delivery Initial Breastfeeding
1 Bihar 63.8 34.9
2 Chhattisgarh 70.2 47.1
3 Himachal Pradesh 76.4 41.1
4 Jammu & Kashmir 85.6 46
5 Jharkhand 61.9 33.1

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 CHAPTER - 04

6 Madhya Pradesh 80.8 34.4

7 Odisha 85.3 68.5
8 Rajasthan 84 28.4
9 Uttar Pradesh 67.8 25.2
10 Uttarakhand 68.6 27.8
11 Arunachal Pradesh 52.2 58.6
12 Assam 70.6 64.4
13 Manipur 69.1 65.4
14 Meghalaya 51.4 60.6
15 Mizoram 79.7 70.3
16 Nagaland 32.8 53.1
17 Sikkim 94.7 66.5
18 Tripura 79.9 44.4
19 Andhra Pradesh 91.5 40
20 Goa 96.9 73.3
21 Gujarat 88.5 49.9
22 Haryana 80.4 42.4
23 Karnataka 94 56.3
24 Kerala 99.8 64.3
25 Maharashtra 90.3 57.5
26 Punjab 90.5 30.7
27 Tamil Nadu 98.9 54.7
28 Telangana 91.5 36.9
29 West Bengal 75.2 47.4
30 A & N Islands 96.6 41.9
31 Chandigarh 91.6 33.5
32 D&N Haveli 88 47.8
33 Daman & Diu 90.1 55.8
34 Delhi 84.4 28
35 Lakshadweep 99.3 57.7
36 Puducherry 99.9 64.6
INDIA 78.9 41.6

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 CHAPTER - 04

4.3.3 PNEUMONIA & DIARRHOEA Zinc in Diarrhoea - In order to increase

RELATED INTERVENTIONS awareness about the use of ORS and Zinc in
diarrhoea, an Intensified Diarrhoea Control
• Pneumonia and Diarrhoea are leading Fortnight (IDCF) is being observed during
childhood killers which are responsible July-August every year, with the ultimate
for 17% and 9% of child (0-5 years) deaths aim of ‘zero child deaths due to childhood
respectively. Diarrhoea’. During fortnight health workers
• As per available survey data, only 50.6% visit the households of under-five children,
children with Diarrhoea episode in conduct community level awareness
preceding 2 weeks received ORS. generation activities and distribute ORS
packets to the families with children under-
• As per available survey data, 2.7% children five years of age. During IDCF 2019 round
reportedly suffered from an episode of (May-June, 2019) more than 10 Crore
Acute Respiratory Illness in preceding two under-5 children were visited by ASHAs
weeks and only 73.2% sought treatment for and given ORS packets.
this.
• Integrated Action Plan for Pneumonia and
Diarrhoea (IAPPD) has been formulated 4.3.4 INTERVENTIONS TO ADDRESS
for four States with highest child mortality BIRTH DEFECTS, DISEASES,
(UP, MP, Bihar and Rajasthan) to address DELAYS AND DEFICIENCIES
the two biggest killers of children, namely
• Birth defects account for 9.6% of all newborn
pneumonia and diarrhoea.
deaths and 4% of under-five mortality.
The strategic interventions targeting pneumonia
• Development delays affect at least 10%
and diarrhoea are as below:
children and these delays, if not intercepted
 Promotion of Integrated Management of timely, may lead to permanent disabilities.
Neonatal and Childhood Illnesses (IMNCI)
Rashtriya Bal Swasthya Karyakram (RBSK)
- Early diagnosis and case management of
provides child health screening and early
common ailments of children with special
interventions services by expanding the reach of
emphasis on pneumonia, diarrhoea and
mobile health teams at Block level. These teams
malnutrition is being promoted for care of
also carry out screening of all the children in the
children at community as well as facility
age group 0-6 years enrolled at Anganwadi Centres
level.
twice a year. RBSK covers 30 common health
 Promotion of early detection and prompt conditions. The States/UTs may incorporate a
referral of children with common ailments few more conditions based on high prevalence/
like Pneumonia and Diarrhoea by ASHAs - endemicity. Estimated 32.8 Crore children in the
ASHAs are being trained in Modules 6&7 to age group of 0-18 years are expected to be covered
aid them in identifying common childhood in a phased manner.
illnesses like diarrhoea, pneumonia and
The strategic interventions to address birth
provide first level of care and refer the baby
defects, diseases, delays and deficiencies are:
to an appropriate health facility.
 Screening of children under RBSK - Child
 Increase awareness about use of ORS and

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ANNUAL REPORT 2019-2020
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health screening and early intervention tool for identifying congenital anomalies. It
services are provided with an aim to improve is as a collaborative effort between MoHFW,
the overall quality of life of children through WHO and CDC. It is envisaged to establish
early detection of birth defects, diseases, at least one surveillance centre in each State /
deficiencies, development delays (4 Ds) and UT, preferably in medical college. Currently,
reduce out of pocket expenditure for the 55 medical colleges are a part of the birth
families. Dedicated mobile medical health defects surveillance.
teams (for screening purpose)  at Block level,
 Early Childhood Development (ECD) –
comprising of four health personnel viz. two
ECD is a continuum of care process that
AYUSH doctors (One Male, One Female),
begins with planning for pregnancy and
ANM/Staff Nurse and a Pharmacist.
must continue for at least the first two years
 During FY 2017-18, more than 19.7 Crore of a child’s life. Ministry of Health and
children were screened, 1.1 Crore were Family Welfare earlier published a user-
identified with any of 4 Ds, 91.3 lakhs friendly resource on Journey of the First
children were refereed for 4 Ds and 58.8 One Thousand Days for communication
lakhs children received secondary or tertiary with pregnant women and care givers with
treatment. information.
 Under this intervention, in FY 2018-19,  To make this information available for
19.3 Crore children were screened, 1.35 within the every family and caregiver, the
Crore children were identified with any Maternal and Child Protection (MCP) card
of 4 Ds, 99.0 lakhs children were referred which targets every pregnant woman and
to secondary/tertiary facilities, 53.0 lakhs the child till the age of first 2 years of age
children availed services in secondary has been revised to include information in
tertiary facilities. an age appropriate pictorial description. 8
lakhs ASHAs would use this card to support
 In FY 2019-20 (upto June, 2019), 4.77 Crore
families in 5 visits at 3, 6, 9, 12 and 15 months
children were screened, 41.9 Lakhs children
of the child under Home Based Young Child
were identified with any of 4 Ds, 28.1 lakhs
and qualitatively using the MCP cards as
children were referred to secondary tertiary
ready reckoner. The card now specifically
facilities, 22.2 lakhs children availed services
included information on what the child
in secondary tertiary facilities.
does by a specific age, what the parents
 Establishment of District Early should do to stimulate the child and engage
Intervention Centres (DEICs) – DEICs are with the child and red flag signs in child
to be made operational in the Districts of development as guidance when to seek help.
the country for providing management of Ministry of Health and Family Welfare has
cases referred from the Blocks and link these introduced a mobile app “Ayushman Bhava”
children with tertiary level health services in Hindi based on the same information of
in case surgical management is required. 92 the MCP card for wider use.
DEICs have been fully functional.
4.3.5 UNIVERSAL IMMUNIZATION
 Establishment of Birth Defects Surveillance PROGRAMME(UIP)
System (BDSS)– BDSSs are to serve as a
• Universal Immunization Programme

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 CHAPTER - 04

(UIP) in India is one of the largest public Pneumococcal Conjugate vaccine is

health programmes in the world. It targets in the process of expansion while JE
around 2.9 crore pregnant women and vaccine is provided only in endemic
2.67 crore newborn annually. More than Districts.
1.2 crore immunization sessions are
conducted annually. • A child needs 7 contacts till the age of 5
years to complete immunization under
• It is one of the most cost effective Universal Immunization Programme. The
public health interventions and largely detailed immunization schedule age-wise
responsible for reduction of vaccine as well as vaccine-wise is given on another
preventable Under-5 mortality rate. page.
• Launched in 1978 as an expanded • A child is said to be fully immunized if
programme on immunization, it got its he/she receives all due vaccines as per
present name of Universal Immunization national immunization schedule within
Programme in 1985 when its reach was 1st year of the age of the child.
expanded beyond urban areas. In 1992,
it became part of Child Survival and • There are three main systems to measure
Safe Motherhood Programme and in full immunization coverage:
1997 and it came under the ambit of i) Online web-based Health Management
National Reproductive and Child Health Information System (HMIS) portal
Programme. Since the launch of National wherein administrative coverage is being
Rural Health Mission in 2005, Universal reported through health facilities across
Immunization Programme is an integral the country. As per HMIS data for 2018-
part of it. 19, full immunization coverage of the
• Under UIP, the Government of India is country stands at 91.76%.
providing vaccination free of cost against ii) Periodic surveys like National Family
twelve vaccine preventable diseases, of Health Survey (NFHS), District Level
which: Household Survey (DLHS), Rapid
 10 are provided across the country Survey on Children (RSOC), Integrated
against Diphtheria, Pertussis, Child Health and Immunization Survey
Tetanus, Polio, Measles, Rubella, (INCHIS) etc. As per the latest available
severe form of Childhood survey, which is NFHS-4 conducted in
Tuberculosis, Rota virus Diarrhea, 2015-16, the full immunization coverage
Hepatitis B and Meningitis & in the country stands at 62%.
Pneumonia caused by Hemophilus iii) Concurrent monitoring of the Universal
Influenza type B. Immunization Programme is conducted
 Two are provided in selected through session as well as community
States/endemic Districts against, monitoring. As per concurrent monitoring
Pneumococcal Pneumonia and data, full immunization coverage in the
Japanese Encephalitis (JE); of which country stands at 83%.

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The trends in Full Immunization coverage (FIC) phases (from April 2015 to December
over the past years is as follows: 2018) covering 681 districts wherein:
 3.39 crore children were reached,
Survey NFHS DLHS CES RSOC NFHS
-3 -3 -4  81.79 lakh children fully immunized,
Time 2005-06 2007-08 2009 2013-14 2015-16  87.18 lakh pregnant women
FIC (%) 43.5 53.5 61.0 65.3 62.0 immunized.

A system of cold chain equipment is utilized • The detailed phase-wise coverage of

to store vaccine and deliver the immunization Mission Indradhanush is given in Table
services from fixed centres or out-reach sessions No.4.7.
utilizing the following infrastructure: • As per the report of Integrated Child
 Sub-centres: around 1.5 lakhs, Health and Immunization Survey
 Cold Chain Points: around 29,000 – (INCHIS), the first two phases of Mission
vaccine storage points (Hospital, CHCs, Indradhanush have led to an increase of
PHCs, Health facilities) 6.7% in full immunization coverage in
one year as compared to 1% increase/
 ILRs & Deep Freezers: around 83,000
year in the past. This increase was more in
equipment to store vaccines,
rural areas (7.9%) as compared to urban
 District Vaccine Stores: around 736 areas (3.1%) thus shifting the focus of the
vaccine stores programme towards urban areas.
 WIC & WIF: 258 – cold and freezer rooms
B. Intensified Mission Indradhanush:
to store vaccines at bulk storage locations.
• During the review of Mission
4.4 ROUTINE IMMUNIZATION Indradhanush in Pro-Active Governance
STRENGTHENING and Timely Implementation (PRAGATI)
A. Mission Indradhanush meeting on 26th April 2017, directions
were received to achieve the goal under
• To increase the rate of increase of full the mission by December, 2018.
immunization coverage, the Government
of India launched Mission Indradhanush • Accordingly, MoHFW identified 121
in December 2014 with an aim to increase districts, 17 urban areas and 52 districts of
the full immunization coverage to at least North Eastern States (total 190 districts/
90% by 2020, which was preponed to urban areas across 24 States) where
2018. Intensified Mission Indradhanush was
conducted. The list of districts and urban
• Mission Indradhanush is a targeted areas is given at Table No.4.7.
approach focused on pockets of low
immunization coverage (like hard to • The activity lauched by PM on 8th
reach areas, vacant sub- centres, areas with Oct, 2017 at Varadnagar, Gujarat, was
recent outbreaks of vaccine preventable monitored closely by Prime Minister of
diseases, resistance pockets etc.). India and Cabinet Secretary.

• Mission Indradhanush has completed six • Intensified Mission Indradhanush

involved intensive preparation,

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implementation and integration of IMI months to 15 years in a phased manner

sessions into Routine Immunization (covering ⅓ of the total population of the
microplans. country), followed by 2 doses in routine
immunization at 9-12 months and 16- 24
• Focus was on urban slum areas and
months, replacing the Measles vaccine.
districts with slowest progress, completion
of due-list of beneficiaries on the basis of • MR campaign started in February, 2017
head-count surveys & greater convergence from 5 States/UTs (Karnataka, Tamil Nadu,
with other ministries/ departments with Goa, Lakshadweep and Puducherry),
defined roles. where 3.34 crore children were vaccinated
against the target of 3.43 crore with a
• Intensified Mission Indradhanush 2.0 is
coverage of 97%.
planned from December 2019 to March
2020. A total of 272 districts have been • MR campaign has been completed
identified in states (excluding UP & Bihar) in 33 States (Karnataka, Tamil Nadu,
based on full immunization coverage Goa, Puducherry, Lakshadweep, Andhra
(FIC), burden of vaccine preventable Pradesh, Chandigarh, Daman & Diu, Dadra
diseases and other factors. In UP & & Nagar Haveli, Telangana, Himachal
Bihar, block prioritization to identify Pradesh, Kerala, Uttarakhand, Odisha,
high priority blocks based on concurrent Arunachal Pradesh, Manipur, Mizoram,
monitoring data and tally sheet analysis Andaman & Nicobar, Punjab, Haryana,
(FIC less than 80%) has been done and Gujarat, Nagaland, Assam, Tripura, Jammu
650 blocks have been selected across 109 & Kashmir, Jharkhand, Chhattisgarh, Uttar
districts. 4 rounds of IMI 2.0 are planned Pradesh, Maharashtra, Bihar, Meghayala,
to be conducted. The list of districts and Sikkim and Madhya Pradesh) so far and
blocks identified for IMI 2.0 is placed at ongoing in one State (Rajasthan), wherein
Table No.4.8. 32.36  crore children have been vaccinated
against the target of 33.35 crore with a
C. New Vaccines coverage of 97.04%.
i. Measles-Rubella (MR)vaccine • The remaining States/UTs are planned for
• WHO’s regional goal for South-East Asia MR campaign subsequently.
region is Measles elimination and rubella/ ii. Pneumococcal Vaccine (PCV)
Congenital Rubella Syndrome control by
2020. • PCV was launched in May, 2017 for
reducing Infant mortality and morbidity
• The goal of Measles elimination was also caused by Pneumococcal Pneumonia.
reiterated by Hon’ble Union Finance
Minister during the budget speech of FY • The vaccine has been introduced in
2017-18 along with reduction in Under-5 Himachal Pradesh, Bihar, Madhya
Mortality. Pradesh, Haryana (State initiative),
selected districts of Uttar Pradesh and
• MR vaccine is being introduced Rajasthan.
through campaign, targeting around
41 crore children in the age group of 9 • Till September 2019, around 192.49 lakh

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doses of PCV have been administered to across the country by June, 2016.
children in the above mentioned areas,
• Currently, two dose fractional schedule
since introduction.
is being followed in the country with
iii. Rotavirus vaccine (RVV) vaccination at 6 weeks and 14 weeks of
age.
• RVV has been introduced to reduce
mortality and morbidity caused by • Till September 2019, around 10.98 crore
Rotavirus diarrhea. doses of IPV have been administered
to children across the country since its
• Till 2018, RVV was introduced in 11 states
introduction.
(Andhra Pradesh, Haryana, Himachal
Pradesh, Jharkhand, Odisha, Assam, v. Japanese Encephalitis (JE) vaccine
Tripura, Rajasthan, Tamil Nadu, Madhya
• Japanese Encephalitis (JE) vaccination
Pradesh and Uttar Pradesh).
under UIP was started in India in 2006.
• As per the expansion plan, all remaining
• NVBDCP carries out Acute Encephalitis
25 States/UTs have introduced RVV now,
Syndrome (AES) surveillance including
thus, now RVV is available across the entire
JE burden and based on this surveillance
country
they identify endemic districts and
• Currently, around 6.45 crore doses have communicate the same to immunization
been administered to children till September division which plays limited role of
2019.   providing JE vaccination in these districts.
iv. Inactivated Polio Vaccine (IPV) • Campaign: In the newly identified
districts, one-time JE vaccination
• There are three types of Polio viruses
campaign is carried out in children aged
namely Type-1, 2 and 3 for which the
1-15years to knock out the susceptible
vaccine was provided under Universal
cohort.
Immunization Programme as trivalent
oral Polio vaccine. • Routine Immunization: Subsequent to
completion of the campaign, JE vaccine
• Since last case of wild Polio virus Type-
is introduced in Universal Immunization
2 was reported in 1999, therefore, Global
Programme as two doses provided at 9-12
Polio Eradication Initiative (GPEI) has
months and 16-24 months.
recommended switch from trivalent OPV
to bivalent OPV (containing only type-1 • A total of 268 JE endemic districts have
& 3). been identified of which JE vaccination
campaign has been completed in 230
• The tOPV to bOPV switch happened in
districts. A total of 15.5 crore children
India on 25thApril, 2016.
were vaccinated against JE in vaccination
• As part of Global Polio end-game strategy, campaign carried out in these districts.
to mitigate the risk associated with tOPV
• Adult JE vaccination: Endemic districts
to bOPV switch, MoHFW has introduced
are also identified by NVBDCP where
Inactivated Polio Vaccine (IPV) in UIP
high numbers of JE cases are reported in
in November, 2015, which was expanded

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people aged 15-65 years. In these districts, tohave real time view of the vaccine
one time campaign for JE vaccination stock position and their storage
is carried out in adults to knock out the temperature across all the cold chain
susceptible cohort. points providing a detailed overview
of the vaccine cold chain logistics
• Till August 2017, 35 districts have been
system across the entire country.
identified for JE vaccination in adults in
which the campaign activity has been • eVIN system has been rolled out across
completed. A total of 3.3 crore people all the 505 districts in 21 States – Uttar
aged 15-65 years were vaccinated for JE in Pradesh, Madhya Pradesh, Rajasthan,
these campaigns. Odisha, Bihar, Jharkhand, Chhattisgarh,
Assam, Manipur, Nagaland, Gujarat,
D. New Initiatives in Vaccine Logistics & Himachal Pradesh, Maharashtra,
Cold Chain Management Tripura, Karnataka, Andhra Pradesh,
a) Capacity building Uttrakahnd, Telangana, Goa, Daman
and Diu and D&H Haveli. National
• National Cold Chain Resource Centre Cold Chain Management Information
(NCCRC), Pune and National Cold Chain System (NCCMIS) to track the cold
&Vaccine Management Resource Centre chain equipment availability, functional
(NCCVMRC), New Delhi have been status, inventory and critical cold chain
established to provide technical training indicators.
to cold chain technicians in repair &
maintenance of cold chain equipment. • To augment the cold chain space &
These centres also impart training to strengthen the cold chain system in the
program managers on immunization country, in 2016-17, 16 Walk-in coolers
supply chain system, capacity building, (WICs), 6 Walk-in freezers (WIFs), 13250
supportive supervision along with ILRs, 10567 DFs, have been procured &
conducting various studies to evaluate the supplied to the States.
system which pave the ways for corrective
E.
Adverse Events Following
measures.
Immunization (AEFI) System
b) System strengthening
a) The AEFI surveillance programme of the
• Electronic Vaccine Intelligence Network Immunization Division was assessed by
(eVIN) rollout : the WHO as part of the Indian National
Regulatory Authority (NRA) Assessment
 The Government of India has
in 2017. The pharmaco-vigilance function
rolled out an Electronic Vaccine
of NRA which includes vaccine safety and
Intelligence Network (eVIN) system
AEFI surveillance received the maximum
that digitizes the entire vaccine stock
possible maturity level rating of 4.
management, their logistics and
temperature tracking at all levels of b) The AEFI surveillance programme has
vaccine storage – from national to been quality certified for its national level
the Sub- District. processes as per National Quality Assurance
Standards for AEFI Surveillance Programme.
 This enables programme managers

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Scoping for State level implementation is in 2012-2019 (data till 9th September 2019).
progress in two States.
i) To reduce mortality and morbidity due
c) Surveillance and Action for Events following to anaphylaxis following vaccination, a
Vaccination (SAFE-VAC) , the online policy has been approved wherein Health
reporting software for reporting of severe worker/ ANM is authorized to use a single
and serious AEFI cases was developed in injection of age appropriate Injection
collaboration with WHO and has been Adrenaline for management of suspected
implemented in 23 states (as on 15th Anaphylaxis in field settings. National level
Oct’19)- Kerala, Bihar, Chandigarh, Delhi, launch of Operational Guideline for initial
Goa, Gujarat, Karnataka, Madhya Pradesh, management of Anaphylaxis using injection
Maharashtra, Tamil Nadu, Uttar Pradesh Adrenaline by health worker was completed
West Bengal Andhra Pradesh, Dadra & in the month of October 2018.
Nagar Haveli, Daman & Diu, Jharkhand,
j) States/UTs are being ranked based on
Mizoram, Nagaland, Puducherry (3
performance of key AEFI surveillance
districts), Punjab, Tripura, Odisha, and
process indicators. These are shared with
Himachal Pradesh. All States/UTs to start
the States/UTs every quarter with specific
online reporting of cases by December 2019,
actionable points for improvement. This has
d) Reporting of serious and severe AEFIs has led to improved AEFI surveillance processes
significantly increased from 1521 cases in in States/UTs owing to healthy competition.
2017-18 to 2989 cases in 2018-19 and 1539
(as on 30th September 2019). 4.5 PULSE POLIO IMMUNIZATION
(PPI)
e) As a step to further improve vaccine safety,
the line-listing of minor AEFIs in PHC AEFI With the global initiative of eradication of Polio
registers has been initiated in all States. following World Health Assembly resolution in
1988, Pulse Polio Immunization programme was
f) AEFI surveillance job aids for HWs and launched in India in 1995. Children in the age
MOs have been developed in English and group of 0-5 years were administered Polio drops
Hindi and shared with some States for during National and Sub-national immunization
dissemination. Some States e.g. Maharashtra, rounds (in high risk areas) every year. There are
Gujarat, etc. have translated job aids in local 24 lakh vaccinators and 1.5 lakh supervisors
languages too. involved in the successful implementation of the
g) While 40 State AEFI committee meetings Pulse Polio Programme across the country. About
were conducted by 25 States in 2017-18, 88 172 million children are immunized across the
State AEFI committee meetings were held country during each National Immunization Day
in 27 States in 2018-19 and 39 State AEFI (NID) and 77 million in SNIDs.
committee meetings were held in 24 States 4.5.1 Progress
in 2019-20 (as on September 2019).
On 24th February, 2012, WHO removed India
h) Since 2017, all the National AEFI Committee from the list of countries with active endemic
Meetings are being held on quarterly basis wild Polio virus transmission after reporting
and a total of 4450 cases have been causally of last case of Poliovirus in country in January,
assessed by National AEFI committee from 2011. Subsequently, on 27th March, 2014, India

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along with 10 other countries of South-East Asia

2015 00 00
Region was declared Polio-free by the Regional
Certification Commission (RCC) of WHO. The 2016 00 00
issued certificate stated that “The Commission 2017 00 00
concludes, from the evidence provided by the
2018 00 00
National Certificate Committees of the 11 Member
States, that the transmission of indigenous wild 2019 00 00
Polio virus has been interrupted in all countries
Data as on: October 2019
of the Region”.
4.5.2 Steps to maintain Polio free status
India has maintained Polio-free status as no wild
Poliovirus case has been reported for more than To maintain the Polio free status, the country is
8 years after last case reported on 13th January, implementing the following strategies:
2011.
• Maintaining community immunity
Last Reported Polio Case through high quality of National and Sub
National Polio rounds each year, apart
Polio Date of last case Location
from routine immunization.
Virus
Type • Polio vaccination is provided to all eligible
P1 13 January, 2011 Howrah (Panchla), children round the clock through special
West Bengal booths set up at international borders
(both Rail and Road routes) those shares
P2 24 October, 1999 Aligarh, Uttar
Pradesh with India i.e. Pakistan, Bangladesh,
Bhutan, Nepal and Myanmar. In these
P3 22 October, 2010 Pakur (Pakur), border posts 1.40 crore children were
Jharkhand vaccinated as on 15 October, 2019.
The total number of cases and number of affected • Travel advisory has been issued for Polio
districts during past 10 years is as below: vaccination of international travellers
travelling between India and 8 other
Year Cases of Polio Number of
countries i.e. Pakistan, Afghanistan,
districts
Nigeria, Kenya, Ethiopia, Somalia, Syria
2006 676 114 and Cameroon. Till, September, 2019
2007 874 99 more than 2.98 lakh travellers have been
vaccinated with OPV.
2008 559 90
2009 741 56 • An Emergency Preparedness and
Response Plan (EPRP) have been put in
2010 42 17 place under which Rapid Response Teams
2011 01 01 (RRT) are set up in every State/UTs for
timely action in case of any occurrence of
2012 00 00
a Polio case in the country.
2013 00 00
• As a part of Polio Endgame Strategy, India
2014 00 00
has introduced Inactivated Polio Vaccine

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(IPV) across the country to provide in India for primary isolation of Polio
double protection against Polio. virus (wild Polio virus and vaccine derived
Polio virus), followed by Intratypic
• Strengthening Acute Flaccid Surveillance
Differentiation (ITD) of isolates from
(AFP) across the country and
AFP cases, if indicated.
Environmental Surveillance at Mumbai,
Delhi, Patna, Kolkata, Punjab, Hyderabad, • These laboratories are: BJMC Ahmedabad,
Lucknow, West Bengal and Gujarat which NIV Bengaluru, ERC Mumbai, IoS
acts as surrogate indicator for Polio virus Kolkata, NCDC Delhi, CRI Kasauli,
transmission. KIPM Chennai, and SGPGI Lucknow.
• The lessons learnt from Polio programme • Currently, India is maintaining highest
is being implemented for strengthening standards as indicated by AFP rate of 8.90,
of routine immunization by carrying out Non-Polio AFP rate of 8.10 (against the
Immunization weeks and also the same global minimum recommendation of 2)
learnings are being used for implementing and Stool adequacy rate (% with 2 stool
“Mission Indradhanush” and recently specimens within 14 days) of 87% (data
Intensified Mission Indradhanush– A till 26th October 2019).
drive toward 90% full immunization
• To supplement AFP surveillance,
coverage of India by year 2018.
environmental surveillance is established
4.5.3 Vaccine Preventable Diseases (VPDs) at 51 sites spread over in 9 States.
Surveillance B. Measles-Rubella (MR) Surveillance
Currently, the following surveillance systems are With the country making significant progress
present in India for VPD surveillance: towards the goal of Measles elimination and
A. AFP (Acute Flaccid Paralysis) Surveillance: rubella/CRS (congenital rubella syndrome)
control, all core elimination strategies are being
• AFP (Acute Flaccid Paralysis) surveillance accelerated across the country. Four key strategies
is the gold standard for detecting cases of for Measles and rubella elimination include:
Poliomyelitis. This is done to identify all
reservoirs of wild Poliovirus and vaccine • 95% coverage with Measles and rubella
derived Polio virus transmission. This vaccination
includes reporting of all AFP cases, • Case-based Measles-rubella surveillance
investigating them and laboratory testing with adequate laboratory support
of all stool specimens collected from
such cases for Polio viruses in specialized • Linkages with other child health
laboratories. Nearly 40,000 health interventions
facilities report children with AFP to
• Increased public confidence and demand
the surveillance system. In 2018, 35990
for immunization
AFP cases were reported and in 2019 (till
26thOctober 2019), 32515 AFP cases were Lab-supported outbreak-based Measles-rubella
reported in the country. (MR) surveillance which started in 2005 was
subsequently expanded across the country in
• There are 8 WHO accredited laboratories
2015. As part of key elimination strategies, country

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is transitioning to a MR case-based surveillance • Congenital Rubella Syndrome (CRS)

system, where all states and union territories surveillance is being conducted by ICMR
move from the outbreak surveillance mode to a
more intense and sensitive case-based Measles- C. Laboratory supported vaccine
rubella surveillance system. Transitioning to case- preventable diseases (VPD)
based MR surveillance has been completed in 34 surveillance
states/UTs.
• WHO has established a case-based
A sensitive case-based surveillance system is laboratory supported VPD surveillance
essential to monitor progress toward elimination system based on the operational knowledge
and to sustain Measles elimination and rubella acquired from AFP surveillance system in
control. The objective of case-based surveillance country which would be in collaboration
is to detect, investigate, and classify all suspected with other surveillance systems
cases; and to respond to confirmed outbreaks. like Integrated Disease Surveillance
This will help in timely detection of even low levels Programme (IDSP) and Central Bureau
of Measles and rubella transmission, and also in of Health Intelligence (CBHI).
responding timely on the ground, like active cases
• VPD surveillance started from three
search and case management with vitamin A, for
States (Haryana, Kerala and Bihar) in
reducing morbidity and mortality. In addition,
2015 and has been rolled out in 9 more
MR surveillance data generated on state specific
states, namely Gujarat, Himachal Pradesh,
epidemiology will guide future immunization
Jharkhand, Karnataka, Madhya Pradesh,
strategies across the country including planning
Maharashtra, Punjab, Uttar Pradesh
for supplementary immunization activities.
and Uttarakhand. These 12 states are
There are >40,000 reporting sites across the approximately 62% of India’s population.
country in the reporting network, which includes Three more states namely Chhattisgarh,
private sector, non-formal sector, temples in Tamil Nadu and West Bengal have
addition to government health facilities. MR Lab completed their VPD surveillance state
Network comprises of 19 WHO accredited, AFP workshop, and initiate reporting by
linked laboratories which classify outbreaks and January 2020. VPD surveillance is in the
cases based on serological confirmation. Annual process of expansion to remaining other
accreditation of labs in the network is done by States by 2020.
WHO to ensure quality results.
• WHO has established a national
Summary of Measles & Rubella outbreaks in the reference laboratory for standardization
country: of laboratory procedures and
quality assurance, identification and
Measles Rubella Mixed strengthening of laboratories acrossnation
outbreak outbreaks outbreaks for diagnosis of Diphtheria, Pertussis and
2016 803 294 76 Neonatal Tetanus.
2017 787 141 21 • For this purpose, CMC Vellore has been
2018 952 120 24 designated as reference laboratory for
VPD surveillance. In addition, 6 network
2019 206 85 12 laboratories have been established. These

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are BMC Bangalore, Choithram Hospital weekly basis,

Indore, KGMC Lucknow, MVIDH
o Lab reports are also shared,
Delhi, PGI Chandigarh and SPHL
Thiruvananthapuram. o Joint VPD outbreak investigations
by WHO and IDSP,
• Integration of WHO and IDSP
surveillance system is being undertaken o Preparation of joint outbreak report
for the following:- for VPDs to be shared with both the
systems.
o Information of cases is shared on
National Immunization Schedule (Age-wise)

Age Vaccines given

Birth BCG, Oral Polio vaccine (OPV)-0 dose, Hepatitis B birth dose
6 Weeks OPV-1, Pentavalent-1, Rotavirus vaccine (RVV)-1, fIPV-1, PCV-1#
10 weeks OPV-2, Pentavalent-2, RVV-2
14 weeks OPV-3, Pentavalent-3, fIPV-2, RVV-3,PCV-2#
9-12 months Measles-1 or MR-1, JE-1* , PCV-B#
16-24 months Measles-2 or MR-2, JE-2*, DPT-Booster-1, OPV–Booster
5-6 years DPT-Booster-2
10 years Td
16 years Td
Pregnant Mother Td1, 2 or Td Booster**
* In endemic districts only (at present in 231districts).
** One dose if previously vaccinated within 3years.
# PCV in selected States/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Haryana (State initiative), Uttar
Pradesh (19 districts) & Rajasthan (18 districts).

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National Immunization Schedule (NIS) for Infants,

Children and Pregnant Women (Vaccine-wise)

Vaccine When to give Dose Route Site

For Pregnant Women
Tetanus Toxoid Early in pregnancy 0.5 ml Intra-muscular Upper Arm
(TT)/Tetanus &
adult Diphtheria
(Td)-1
TT/Td-2 4 weeks after TT-1 0.5 ml Intra-muscular Upper Arm
TT/td- Booster If received 2 TT doses in a 0.5 ml Intra-muscular Upper Arm
pregnancy within the last 3 yrs*
For Infants
Bacillus At birth or as early as possible till 0.1ml Intra-dermal Left Upper
Calmette Guerin one year of age (0.05ml Arm
(BCG) until 1
month age)
Hepatitis B - At birth or as early as possible 0.5 ml Intra-muscular Antero-lateral
Birth dose within 24 hours side of mid-
thigh
Oral Polio At birth or as early as possible 2 drops Oral Oral
Vaccine (OPV)-0 within the first 15 days
OPV 1, 2 & 3 At 6 weeks, 10 weeks & 14 weeks 2 drops Oral Oral
(OPV can be given till 5 years of
age)
Pentavalent At 6 weeks, 10 weeks & 14 weeks 0.5 ml Intra-muscular Antero-lateral
1, 2 & 3 (can be given till one year of age) side of mid-
thigh
Pneumococcal Two primary doses at 6 and 14 0.5 ml Intra-muscular Antero-lateral
Conjugate weeks followed by Booster dose at side of mid-
Vaccine 9-12 months. thigh
(PCV)^bgh
Rotavirus (RVV) At 6 weeks, 10 weeks & 14 3 Oral Oral
weeks(can be given till one year
of age)
Inactivated Polio Two fractional dose at 6 and 14 0.1 ml ID Intra dermal Intra-dermal:
Vaccine (IPV) weeks of age two fractional Right upper
dose arm

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Measles Rubella 9 completed months-12 months. 0.5 ml Sub-cutaneous Right upper

(MR) 1st dose (Measles can be given till 5 years Arm
of age)
Japanese 9 completed months-12 months. 0.5 ml Sub-cutaneous Left upper
Encephalitis (JE) Arm
- 1**
Vitamin A At 9 completed months with 1 ml Oral Oral
(1st dose) Measles-Rubella ( 1 lakh IU)

For Children
Diphtheria, 16-24 months 0.5 ml Intra-muscular Antero-lateral
Pertussis & side of mid-
Tetanus (DPT) thigh
booster-1
MR 2nd dose 16-24 months 0.5 ml Sub-cutaneous Right upper
Arm
OPV Booster 16-24 months 2 drops Oral Oral
JE-2 16-24 months 0.5 ml Sub-cutaneous Left Upper
Arm
Vitamin A*** 16-18 months. Then one dose 2 ml Oral Oral
(2nd to 9th dose) every 6 months up to the age of 5 (2 lakh IU)
years.
DPT Booster-2 5-6 years 0.5 ml. Intra-muscular Upper Arm
TT/Td 10 years & 16 years 0.5 ml Intra-muscular Upper Arm
*One dose if previously vaccinated within 3 years
**JE Vaccine is introduced in select endemic districts after the campaign.
*** 2nd to 9th doses of Vitamin A can be administered to children 1-5 years old during biannual rounds,
in collaboration with ICDS.
^PCV in selected States/districts: Bihar, Himachal Pradesh, Madhya Pradesh, Haryana (State initiative),
Uttar Pradesh (19 districts) & Rajasthan (18 districts).

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Table No.4.7
Mission Indradhanush (All Phases) Coverage Report
(As on 12th April 2019)
(Figures in lakhs)

S. Indicator Ph-1 Ph-2 Ph-3 Ph-4 IMI MI- MI- Ph-6 Total
No GSA* EGSA*
1 No. of sessions held 9.61 11.55 7.44 6.30 6.04 0.97 41.91
2 No. of antigen 190.09 172.84 151.56 118.46 158.44 14.56 805.95
administered
3 No. of pregnant 20.95 16.83 17.83 13.18 11.86 1.13 4.29 1.13 87.18
women immunized
4 No. of pregnant 11.13 8.94 9.56 7.13 6.66 0.62 44.04
women completely
immunized
5 No. of children 75.75 70.30 62.08 46.65 59.49 4.97 15.26 4.94 339.44
immunized
6 No. of children fully 19.81 18.17 16.34 12.25 14.01 1.21 81.79
immunized
7 No. of children 0.00 9.31 12.06 6.84 8.55 0.62 37.39
vaccinated for the
first time
8 No. of Vit A doses 19.85 20.53 17.98 15.13 18.46 1.44 93.39
administered
9 No. of ORS packets 16.93 13.62 21.38 16.64 11.17 1.07 80.81
distributed
10 No. of zinc tablets 57.03 44.85 80.70 52.10 39.18 0.84 274.70
distributed
*Data taken from GSA/EGSA Portal

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Disease Control
Programmes (NHM) 05
5.1
NATIONAL VECTOR BORNE services, epidemic preparedness and rapid
DISEASE CONTROL PROGRAMME response.
(NVBDCP) o Supportive Interventions aim at Behaviour
The National Vector Borne Disease Control Change Communication (BCC), Inter-
Programme (NVBDCP) is an umbrella sectoral Convergence and Human Resource
programme for prevention and control of Development through capacity building.
vector borne diseases namely Malaria, Japanese o Vaccination only against Japanese
Encephalitis (JE), Dengue, Chikungunya, Kala- Encephalitis
azar and Lymphatic Filariasis. Out of these
six diseases, three diseases namely Kala-azar , o Annual Mass Drugs Administration
Lymphatic Filariasis and Malaria are targeted (MDA) against Lymphatic Filarias
for elimination. The States/UTs are responsible
for implementation of programme, whereas the 5.1.1 Malaria:
Directorate of NVBDCP, Delhi provides technical Malaria is a potentially life threatening parasitic
assistance, policies and assistance to the States/ disease caused by parasites known as Plasmodium
UTs in the form of cash & commodities, as per vivax (P.vivax), Plasmodium falciparum
approved pattern. (P.falciparum), Plasmodium malariae (P.malariae)
Strategies for prevention and control of Vector and Plasmodium ovale (P.ovale). It is transmitted
Borne Diseases (VBDs) under NVBDCP are as by the infective bite of female Anopheles
follows: mosquito. Two types of parasites of human
malaria, Plasmodium vivax and P. falciparum are
o Integrated Vector Management includes commonly reported from India. P.falciparum is
Indoor Residual Spraying (IRS) in selected the cause for complications and leads to death, if
high risk areas, Long Lasting Insecticidal not treated immediately.
Nets (LLINs) in high malaria endemic areas,
use of larvivorous fish, anti-larval measures Epidemiological Situation
in urban areas including bio-larvicides India has made substantial progress in reducing
and minor environmental engineering and malaria burden. The country has achieved a
source reduction for prevention of breeding. reduction of 79% in malaria morbidity and 90%
o Disease Management involves early case in malaria mortality between 2000 and 2018.
detection with active, passive and sentinel Malaria elimination efforts were intensified after
surveillance followed by complete and the launch of National Framework for Malaria
effective treatment, strengthening of referral Elimination (NFME) in 2016. If we compare
the malaria decline in 2015 and 2018, there was

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decline of nearly 63.23% in malaria cases and cases, 25.34% in Pf cases and 51.04 % in deaths as
75% in malaria deaths. In 2019 (provisional till compared to 2018. Twenty Five States reported
December), there is a decline of 23 % in malaria ‘Zero’ malaria deaths in 2019.
Trend of malaria, pf cases and deaths, 2014 to 2019* (provisional)

Trend of malaria in states, 2012 to 2019* (provisional)

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Malaria has declined in the high burden States Achievements

like NE States, Odisha, Chhattisgarh, MP and
• High Burden and High Impact (HBHI)
Jharkhand. The graph shows the pattern of
initiative of WHO has been started in
malaria cases in high burden states from 2012 to
four states i.e. West Bengal, Jharkhand,
2019* (provisional till December). Chhattisgarh and Madhya Pradesh in July,
Government of India envisages eliminating 2019. One consultant in each of the states
malaria by 2030 in a phased manner with 15 states was appointed by WHO for three months to
targeted for sub-national elimination by 2022, conduct situation analysis for prepration of
another 11 States by 2024 and 10highest burden ‘state strategic plans’ for malaria elimination
states by 2027. Thus the entire country is envisaged in these states, who have completed their
to attain the status of ‘Zero indigenous cases’ by tenure and submitted the report to WHO. Dr.
2027, maintain this status upto 2030 and get the Leonard Ortega, Head of Capacity Building
at WHO HQ, Geneva, as a part of his field
WHO certification of malaria free India by 2030.
posting, supported NVBDCP for the HBHI
The National Framework for Malaria Elimination
approach. States have prepared the strategic
(NFME), 2016-2030 and National Strategic Plan,
plans and projected the budget in the PIPs
2017-2022 was launched in February 2016 and
of 2020-2021 for implementation.
July 2017 respectively, and are being implemented
in all 36 states of India. • Cash Award to districts/states for
achieving ‘Zero indigenous case status’ and
Significant progress has been made by the country
maintaining it for three consecutive years on
after the launch of the NFME in 2016. The diagnosis attaining sub-national malaria elimination,
and treatment at community level has been have been instituted for Year 1 and Year 3.
strengthened by making Rapid Diagnostic Tests
(RDTs) available to ASHAs. Malaria microscopy, • Recently launched World Malaria Report
the gold standard for malaria elimination has also (WMR) 2019 by WHO, which gives the
been strengthened by National Refresher trainings estimated cases for malaria, indicates that
and certification of a core group of Laboratory among the 10 highest burden malaria
Technicians from different States. Interruption countries apart from Uganda, India has
of transmission is being ensured by scaling up reported 28 percent reduction of Malaria
cases in 2018 compared to 2017. Rest of the
vector control measures and distribution of
countries, either have reported increase in
LLINs to cover the entire at risk population living
cases or it remained same as 2017.
in the high malaria endemic areas with an annual
parasite incidence API of 1 and above through • Malaria has been made notifiable in 23
community distribution of LLINs . So far, almost states/UTs (Andhra Pradesh, Assam, Goa,
5 Crore LLINs have been distributed and another Gujarat, Haryana, Himachal Prasesh,
2.25 Crore are under distribution during 2019- Jharkhand, Karnataka, Kerala, Maharashtra,
20. Use of LLINs has been highly accepted by the Manipur, Mizoram, Nagaland, Odisha,
community at large and has been one of the main Punjab, Puducherry, Sikkim, Tripura, Tamil
contributors to the drastic malaria decline in the Nadu, Uttarakhand, Lakshadweep, Daman
country. &Diu, D&N Haveli ).

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Commemoration of ‘World Malaria Day’ in presence of Ms.Preeti Sudan, Secretary Health & Family
Welfare on April 25, 2019.

Inauguration of New NVBDCP building by Hon’ble HFM and Hon’ble Minister of State of HF&W
Important Reviews, National and International • Asia Pacific Malaria Elimination Network
Meetings attended during 2019: (APMEN) Annual General meeting at
Bangkok, Thailand on 22-23 April, 2019.
• Malaria Policy Advisory Committee
(MPAC) and Global Management Team • Asia Pacific Leaders Malaria Alliance
meeting from 9-11 April, 2019 at WHO HQ (APLMA) Senior Officials Meeting (SOM)
Geneva, Switzerland. at Bangkok , Thailand on 24-25 April, 2019.
• Annual review meeting of the ICMR- • Malaria Elimination Research Alliance
FDEC collaborative PPP mode Malaria India (Mera India) Stakeholder’s meeting on
Elimination Demonstration (M-MEDP) of 24 April, 2019 at ICMR New Delhi.
Mandla, MP.

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• WHO meeting on Artemisinin Resistance • Prevention of re-establishment of malaria

29 April-1 May 2019. workshop for Global Fund Supported
Countries in the SEARO Region on 28-30
• Review of Implementation of Global Fund
August, 2019 at Paro, Bhurtan.
Supported Project in 7 North Eastern States
(RRM) from 8-10 May, 2019 at Imphal, • Cross Border Bilateral Meeting from 2-3
Manipur. September, 2019 at Gelephu, Bhutan.
• WHO supported Regional Review meeting • Review and training workshop for 15 low
and implementation of “High Burden to malaria endemic states with WHO support
High Impact (HBHI)” initiative in four was held by NVBDCP from 2-5 September,
States i.e. West Bengal and Jharkhand, M.P 2019 at Hotel Lalit, New Delhi .
and Chhattisgarh in July, 2019.from 13-16
• Stakeholder meeting of Centre for the Study
May, 2019 at Bhopal, Madhya Pradesh.
of Complex Malaria in India (CSCMI),NY
• Inception meeting of the UN Environment University, USA, at Radisson Blue hotel
component of the project Development and Guwahati, Assam from 9-10 September,
promoting of non-POPs alternative to DDT 2019.
at “We the people Hall” on17 May, 2019 at
• WHO informal Consultation to reconsider
UN House, Lodhi Road New Delhi.
the formulation of Malaria Policy Guidance’
• Meeting of 10 high endemic blocks of at Geneva from 17-18 September, 2019.
Tripura to fine tune the surveillance, early
• 30th National Congress of Parasitology &
diagnosis and complete treatment (EDCT)
Global Summit on Malaria Elimination at
and other strategies from 6-8 June, 2019 at
Jawaharlal Nehru University, New Delhi
Agartala Tripura.
held on 26-27 September, 2019 .
• Review of VBDs status in the Country
• Meeting of the Bangladesh, Bhutan, India,
(Tripura & Assam) under the
Nepal and Sri Lanka (BBINS) Malaria Drug
Chairpersonship of Secretary, Health &
Resistance Monitoring Network at New
Family Welfare on 2nd July, 2019 at Nirman
Delhi from 15-16 October, 2019.
Bhawan, New Delhi.
• Meeting of Asia Pacific Malaria Elimination
• Review of Malaria, Dengue and other VBDs
Network (APMEN) Vivax working group
in all 33 districts of Telangana and briefing
VxWG) at Kathmandu Nepal to attend from
of Spl. Secretary, Health, Principal Secretary,
15-18 October, 2019.
Comissioner, NHM, Addl. Comissioner,
GHMC, Director Health Services and other • Meeting on Cross border collaboration for
senior officers of Telangana State on malaria malaria elimination along the Indo-Bhutan
elimination from 16-19 July, 2019. border at Guwahati, Assam with WHO
support from 3-6 November .
• Review of the status of Malaria in four states
namely Bihar, Chhattisgarh, Telangana and • Review of Implementation of Global Fund
Uttar Pradesh under the Chairmanship Support Projects in 7 North Eastern States
of Director NVBDCP at Directorate of from 13-17 November, 2019 at Cherrapunji,
NVBDCP on 26 August, 2019. Meghalaya .

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• 6th National Summit on Good, Replicable is 78% reduction in cases, 77% reduction
Practices and Innovations in Public Health in Pf cases and 82% reduction in deaths.
Care Systems in India at Gandhinagar, In 2019 (Provisional till December) , there
Gujarat from 15-18 November, 2019. is reduction of 15.86% in Malaria cases,
15.46% in Pf cases and 71% in deaths
• 68th Annual meeting of High Burden High
compared to 2018.
Impact approach at American Society of
Tropical Medicine and Hygine at Maryland, • Presently, under IMEP - being implemented
USA from 19-24 November,2019. for 39 months from January 2018 - GF has
provided 96.5 Lakh LLINs for Madhya
• RBM Orientation Meeting on the Global
Pradesh (MP) and Tripura. 66 Lakh LLINs
Fund Application Process 2021-2023, 10-12
are under distribution in 7 NE States during
December, 2019 at Nairobi, Kenya.
2019-20.
• Atraining on Integrated Health Information
Trend of malaria in 7 NE states, 2015 to 2019*
Platform (IHIP) was held in Odisha on
supported by GFATM
12th -13th December 2019.
Global Fund Supported Malaria Elimination
Project
• The Global Fund to fight AIDS, Tuberculosis
& Malaria (GFATM) is supporting malaria
control in India since 2005. GF supported
Intensified Malaria Control Projects
(IMCP) I to III were implemented from
July 2005 - December 2017. Presently, 1.1.2 Kala-azar
Intensified Malaria Elimination Project
(IMEP) from January 2018 - March 2021 Kala-azar or Visceral Leishmaniasis is a
is being implemented in 7 North-Eastern complex disease, caused by the parasite
States, (Arunachal Pradesh, Assam, Leishmaniadonovani and is transmitted by female
Meghalaya, Mizoram, Nagaland, Manipur& sand fly Phlebotomineargentipus. In India, Kala-
Tripura) and Madhya Pradesh, covering a azar cases are mainly reported from 54 districts
population of 127 million in 147 districts of 4 states i.e. Bihar (33 districts), West Bengal
within the existing framework of National (11 districts), Uttar Pradesh (6 districts) and
Vector Borne Diseases Control Programme Jharkhand (4 districts). Government of India
(NVBDCP). has targeted Kala-azar elimination with a target
to reduce the annual KA case incidence to <1 per
• Global Fund support for LLINs; human 10,000 population at block level.
resource; capacity building; monitoring &
supervision including mobility support; In order to achieve this goal of the National
incentives to ASHAs for early diagnosis Kala-azar Elimination Programme has outlined
and complete treatment (EDCT) has helped following strategies-
in substantial reduction in morbidity and Strategy:
mortality in 7 NE states as shown in Fig. • Early diagnosis & complete treatment
1. Till 2018 in comparison to 2015, there (EDCT)

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• Integrated Vector Management including achievement of elimination target at block

Indoor residual spraying (IRS) level etc. While the final report is awaited,
• Advocacy, Communication for Behavioral programme has already started working upon the
Impact and Inter-sectoral convergence recommendation.
• Capacity Building. Achievements in 2019
• Supervision, Monitoring and Evaluation • 29% reduction in KA and 34% reduction
To achieve Kala-azar elimination, an action plan in Post Kala-azar Dermal Leishmaniasis
till 2020 was chalked out in July 2019, with the (PKDL) cases in 2019, as compared to 2018.
consultation of state and other stakeholders. This • 94% Kala-azar endemic blocks have
action plan defines the role and responsibility of all achieved the elimination target of <1 KA
the stakeholders involved in the programme, with case per 10,000 population at block level. 38
clear timeline for activities. Importance has been blocks (Bihar-22 and Jharkhand- 16 blocks)
given to strengthening of surveillance activities, 6 are yet to achieve the target.
rounds of active case detection to be carried out
in endemic areas, with special focus on villages
persistently showing cases over few years.
NVBDCP conducted an independent assessment
of Kala-azar through WHO from 9th -20th
December 2019. The assessment was carried
out by teams of international & national experts
through desk review of available reports, engaging
with National & state programme, field visit in
the affected districts, blocks and community. The
assessment team consisted of 35 independent
experts and was facilitated by national and state New Initiative
programme officers. The team visited 19 districts
in 4 states, covering 46 blocks and 77 villages. • Independent assessment of Kala-azar in
Team also interacted with Kala-azar and PKDL December 2019.
cases, Panchayati Raj Institute Members, private • Action plan of activities for Kala-azar
practitioners, block and district health officials. elimination till December 2020, clearly
Following the visits, a debriefing meeting was defining roles, responsibility and timeleine
held in respective states, which was attended by for activities.
Principal Seceratries (Health) of the 4 States and
other senior health officials. • Field visits and review meetings in Bihar,
Jharkhand & West Bengal. While the
A national level debriefing meeting was organized programme activities are being monitored
on 20th December 2020 at New Delhi. The by regular field visits, Director (NVBDCP)
team applauded the commitment of GoI for & JS (VBD) visited high endemic blocks/
ensuring the availability of necessary resources villages of Bihar & Jharkhand and reviewed
and review of programme at the highest level. the programme activities with Principal
The team acknowledged the progress made in Secretaries (Health).
the programme i.e. reduction in the case load,

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• Two rounds of House to House case search clinical pathological consequence of chronic
were conducted in all 4 endemic states. bancroftianfilariasis. Normal daily activities
Special focus was given on 277 villages become difficult due to frequent infections.
of Bihar & Jharkhand, which have been
Disease Burden:
showing cases consistently since 5 years.
The disease is endemic in 257 districts (1 district
1.1.3 Filariasis included in 2019) in 21 States/UTs (16 States & 5
UTs). The population at risk is about 650 million.
State-wise Situation of ELF (as on December,
2019):
A total of 13,18,15,8 Lymphatic Filariasis cases
were reported from 16 States and 5 UTs, wherein,
Lymphoedema and Hydrocele cases are 9,21,357
and 3,96,801 respectively. Till December 2019,
a total of 1,5,7458Hydroceletomy operation are
reported under morbidity management from 16
States and 5 UTs.

Filariasis is the common term for a group of

diseases caused by parasitic nematodes belonging
to super family Filarioidea. The adult worms of
these parasites live in the lymphatic system and
cause disease - Lymphatic Filariasis (LF). The
three nematode parasites causing LF in human
are Wuchereriabancrofti, Brugiamalayi and
Brugiatimori, of these, only Wuchereriabancrofti
and Brugiamalayi are found in India. In mainland Lymphoedema and Hydrocele cases in India
India, Wuchereriabancrofti, transmitted by the (As on Dec 2019)
vector, Culexquinquefasciatus, has been the
predominant infection contributing to 99.4%
of the problem in the country. The infection is
prevalent in both urban and rural areas. The
vector species breeds preferably in dirty and
polluted water.
Lymphatic Filariasis (LF), commonly known as
elephantiasis is a disfiguring, disabling disease,
usually acquired in childhood. In the early
stages, there are no symptoms.  Lymphoedema
or elephantiasis and hydrocele are the main

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Strategy for Elimination of Lymphatic Filariasis HFM as the chief guest. India’s commitment to
Elimination of Lymphatic Filariasis was reiterated
India adopted the twin pillars strategy for
by Senior GoI officials from different ministries
elimination of LF as per recommendation of
during their addresses. The symposium was
WHO. This strategy includes:
addressed by Ms Preeti Sudan (Secretary,
• Transmission control – Interruption of MoHFW), Shri Manoj Jhalani (SS & MD, NHM),
transmission through annual Mass Drug Ms RekhaShukla (Joint Secretary), Dr Sanjay
Administration (MDA): To prevent the Tyagi (DGHS), Prof Vinod Paul (Member, NITI
occurrence of new infection and disease by Aayog), Vaidya Rajesh Kotecha (Secretary,
administration of annual single dose (Mass Ministry of AYUSH), Prof BalramBhargava (DG,
Drug Administration – MDA) of anti- ICMR), M HariMenon (Country Director India,
filarial drug i.e. DEC + Albendazole (DA)/ BMGF) and Dr Payden (Deputy Head, WHO).
Ivermectin + DEC + Albendazole (IDA) The day long deliberations brought over 300
participants including global and national public
• Disability Prevention and Management
health experts, representatives from 21 endemic
–for those individuals who already have
states and union territories including Principal
the disease. Home based management
Secretaries from the LF high-burden states of
for lymphoedema and surgical correction
Uttar Pradesh, Jharkhand, Maharashtra and the
for hydrocele in hospital/camps are being
Mission Director – National Health Mission of
provided.
the state of Bihar; partners & donors; research
Achievements : organizations; global and national pharmaceutical
• Total Lymphatic Filariasis endemic districts: companies to deliberate on building a common
257. vision towards achieving the elimination of LF by
2021.
• Districts cleared 1st Transmission
Assessment Survey (TAS) and Stopped New Initiative:
MDA: 97.
• As a pilot phase Triple drug (IDA), (DEC
• Districts conducted MDA in 2019: 151. + Albendazole+ Ivermectin) Therapy was
• Districts cleared 2nd Transmission implemented in following four districts in
Assessment Survey (TAS): 81. 2019:Simdega, Jharkhand, Varanasi, Uttar
• Districts cleared 3rd Transmission Pradesh, Nagpur, Maharashtra and Yadgir
Assessment Survey (TAS): 32. Karnataka.
• Hydrocelectomy conducted in 2019 (as on • In order to accelerate elimination of LF,
December 2019): 8581. Triple Drug Therapy (IDA) has been
National Symposium for Elimination of implemented in 11 districts of Uttar Pradesh
Lymphatic Filariasis: NVBDCP organized a in December 2019.
national symposium on accelerating India’s • India has been the first country in the world
resolve elimination of Lymphatic Filariasis on to implement Triple Drug Therapy (IDA) at
October 30, 2019. Theme - ‘United to Eliminate large scale in programme mode.
Lymphatic Filariasis’, with Dr. Harsh Vardhan,

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1.1.4 Dengue &Chikungunya During 2018, a total of 101192 cases and 172
deaths were reported from 29 States and 6 UTs,
Dengue
whereas, in 2019 (Prov. till 31st December),
Dengue is the fast spreading outbreak prone a total of 155637 cases and 148 deaths were
arbo-viral disease. Dengue Fever is transmitted reported from 29 States and 5 UTs. Maximum
by Aedesmosquito which is a day biting mosquito cases were reported from Gujarat (17415)
and prefers to rest in hard to find dark areas inside followed by Karnataka (16827), Maharashtra
the houses. Aedesaegyptiis the principal vector; (14907), Rajasthan (13686),Telangana (13331),
however, at present Ae. albopictus, has also been Uttrakhand (10622), Uttar Pradesh (10557),Tamil
reported to play a role in Southern and NE states. Nadu (8495) and Bihar (6561). Maximum deaths
There is no drug available to cure the dengue are reported from Maharashtra (29), followed
infection. by Uttar Pradesh (26), Gujarat (17), Kerala (16)
Karnataka (13), Uttarakhand (8) Telangana (7),
Tamil Nadu (5) and 2 each from Daman & Diu,
D&N Haveli and Puducherry. Case Fatality Rate
(CFR, deaths per 100 cases) which was 3.3 % in
1996 has come down to 0.3% in 2014, 0.2% in
2015, 2016, 2017, 2018 and 0.1% in 2019 because
of better management of Dengue cases.
Dengue situation in the country since 2010 to
2019* (Provisional)

Disease Burden
Dengue is endemic in 29 States and 6 UTs (except
Lakshadweep). Recurring outbreaks of Dengue
Chikungunya
have been reported from Andhra Pradesh, Assam,
Delhi, Goa, Haryana, Gujarat, Karnataka, Kerala, Chikungunya is a debilitating viral illness caused
Maharashtra, Odisha, Puducherry, Punjab, by Chikungunya virus. The disease re-emerged in
Rajasthan, Tamil Nadu, Telangana, Uttar Pradesh the country after a gap of almost three decades.
and West Bengal. This disease is also transmitted by Aedesmosquito,
both Ae. aegyptiand Ae. albopictus can transmit
Every year during the period of July-November,
the disease. Symptoms of Chikungunya fever
there is an upsurge in the cases of Dengue in
are most often clinically indistinguishable from
northern parts of the country. However, in the
those observed in dengue fever. It is characterized
Southern and Western parts of the country, the
by fever with severe joint pain (arthralgia) and
disease has become perennial.

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rash. Joint pains sometimes persist for a long the Chikungunya and the cases are managed
time even after the disease is cured. There is symptomatically.
neither any vaccine nor drugs available to cure

Disease Burden is endemic in 26 States and 6 UTs. During 2018 a

total of 57813 suspected Chikungunya cases were
After re-emergence of Chikungunya in 2006, the
reported from 29 States/UTs, whereas in 2019
cases of Clinically Suspected Chikungunya cases
(till 31st December), a total no. of 79929 clinically
reported every year but gradually declined till
suspected Chikungunya cases were reported from
2014. However, due to the report of increased
24 States/UTs. The maximum cases were reported
numbers of cases by few States, the disease shows
from Karnataka (43258 followed by) Gujarat
an upward trend in 2015 (Karnataka) and 2016
(7647), Puducherry (7084), Telangana (5352) and
(Delhi and nearby States). Currently, Chikungunya
Maharashtra (5146).

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Chikungunya situation in the country since • Joint Secretary (VBD) reviewed on 7th
2010 to 2019 (Provisional) January and 2nd May.
• Joint Secretary (VBD) quarterly review
meeting on 19th-20th September.
• DGHS reviewed on 31st July.
• Director, NVBDCP reviewed the Odisha
state preparedness at Bhubaneswar on 8th
Jan.
• Director, NVBDCP reviewed VBDs on 5th
August.
• Regional Review Meeting for high burden
States held at Bhopal on 13th -16th May.
Activities carried out by Government of India o Diagnosis
in 2019
Strengthening of diagnostic facilities:
During 2019, for prevention and control of
Dengue and Chikungunya in the Country For augmenting diagnostic facilities,
following activities were undertaken: numbers of Sentinel Surveillance Hospitals
(SSHs) with laboratory support has been
o Advisory issued to the States/UTs increased to 680 across the country in 2019
• Secretary, H&FW, to all States for Prevention (till date) from 110 in 2007 and linked with
and Control of Vector Borne Diseases 16 Apex Referral laboratories (ARLs) with
including Dengue on 8th May. advanced diagnostic facilities for back up
• Director, NVBDCP to DHS/SPO of all support for Dengue and Chikungunya.
States on for prevention and control on 27th Kit supply: IgM test kits are provided to
March, 29th April, 6th May, 6th June, 20th these institutes through National Institute of
June, 14th& 27th August, 2nd September and Virology, Pune. Cost is borne by NVBDCP.
27th September. In 2019 (till 31st December), a total no. of
• Director, NVBDCP to Secretary (Medical 7981 Dengue (1 kit= 96 tests) and 2462
HFW), Uttarakhand on 10th September. Chikungunya kits were provided by GoI to
• Director, NVBDCP to Special Chief the SSHs and ARLs across the country.
Secretary (Medical HFW) Telangana on 16th
ELISA based NS1 test for early detection of
September.
cases from 1st day of disease, is a decentralized
• Joint Director, NVBDCP to all States for item, for which funds are provided to the
ensuring functioning of all diagnostic states under PIP for procurement as per the
facilities on 18th January and for monitoring technical guidelines provided by NVBDCP.
of logistic for vector control on 9th May.
Funding to SSHs and ARLs: Annual
o Reviews Contingency grants to each SSH (@ Rs.
• Hon’ble HFM reviewed on 4th July. 1.00 Lakh) and ARL (@ Rs. 3.00 Lakhs)
• Secretary HFW reviewed on 2nd July. are provided through State to meet the
operational cost.

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Dengue notifiable disease: States have Punjab, Puducherry, Rajasthan, Sikkim,

been requested to declare Dengue as Tripura, Tamil Nadu, Uttarakhand, Uttar
notifiable disease by MOHFW vide letter Pradesh and West Bengal).
No.7-165/2016/NVBDCP/DEN dated 9th
• IEC/BCC
June 2016 and the same has been uploaded
on the NVBDCP website for taking action Focused IEC/BCC activities were carried
accordingly by all the states and UT’s. out to generate awareness of the community:
Dengue is notifiable at present in 23 states
o Intensive social mobilization/ IEC/
(Andhra Pradesh, Chandigarh, D&N
BCC have been carried out by various
Haveli, Goa, Gujarat, Haryana, Himachal
States/ UTs involving political/ opinion
Pradesh, Jharkhand, Karnataka, Kerala,
leaders, decision makers, local leaders
Maharashtra, Manipur, Meghalaya, Odisha,
and community during MDA rounds.

o Mega Awareness Campaign under the o Sensitization of Residential Welfare

leadership Hon’ble HFM carried out in Delhi Associations, Councilors of South Delhi
jointly by Central Govt. and Municipalities Municipal Corporation in presence of
on 17th to 19th July, 2019 involving 286 teams. Mayors & Addl. Commissioners on 12th
June.
o As a follow up of Mega Awareness Campaign,
activities are being carried out in Delhi NCR o Community connect activities are jointly
jointly by NVBDCP and Municipalities conducted by NVBDCP and South Delhi
from 21st August. Municipal Corporation for specific target
groups in various localities in Delhi since
o ‘National Dengue Day’ observed across the
22nd June.
country emphasizing on initiation of pre-
monsoon preventive activities on 16th May. o Animation film on Dengue has been
At National level, observed at AIIMS, New uploaded on Health and Wellness
Delhi. Centre (HWC) department website.
o Officers from NVBDCP participated in o Twitter post and message uploaded
LokSabha TV/Doordarshanprogramme on on Ministry of health (@MoHFW_
Dengue on 10th May, 22nd June and 28th June. INDIA) twitter.

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o Developed audio spots in 19 regional areas. JE is reported under Acute Encephalitis

languages through National Film Syndrome (AES) which is characterized by rapid
Development Corporation of India (NDFC). onset of high grade fever, headache, neck stiffness,
disorientation, coma, seizures, and ultimately
death. The other causes of AES may be wide
variety of viruses, bacteria, protozoa, etc. Safe and
effective vaccines are available to prevent JE.
Epidemiological Situation: JE is endemic in 275
districts of 24 states and every year the disease
is spreading to newer districts. Around 55% of
disease burden is contributed by Assam, Bihar,
Tamil Nadu, Uttar Pradesh and West Bengal. High
case fatality and disability are major concerns
associated with the JE.
JE and AES cases since 2013 to 2019*
Mega Awareness Campaign under the leadership
Hon’ble HFM carried out in Delhi jointly by Central
Govt. and Municipalities on 17th to 19th July, 2019
involving 286 teams.
5.1.5 Japanese Encephalitis
Japanese Encephalitis (JE) is an outbreak prone
arbo-viral disease transmitted by infected
Culexvishnui group of mosquitoes which * Provisional
primarily breeds in rice fields mainly in rural
JE case burden in different state in 2018 & 2019*

2018 2019

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Achievements: • 143 JE Sentinel Sites.

JE Vaccination: • 15 Apex Laboratories.
• 932 JE IgMMc ELISA Kits Supplied in 2019.
Out of Six Vector Borne disease JE is the only
disease against which vaccination is available. Strengthening of Critical Care services:
This is most effective preventive tool available
The intervention resulted in around 42% decline
for JE. Two doses of SA-14-14-2 live attenuated
in case fatality rate in AES/JE cases from 17.6% in
JE vaccines are recommended under routine
2014 to 10.2% in 2019.
Immunization.
• Early Referral of AES/JE cases: To
• 234 JE endemic districts of 21 states covered
strengthen early referral services, provisions
under JE Vaccination Campaign.
have been made to incentivize ASHA with
• 41 more districts being covered JE Rs.300/- per case for the referral of AES/JE
Vaccination Campaign in children 1-15 Yrs. cases to the higher center.

• Adult vaccination completed in all 31 • Establishment of Pediatric ICUs (PICUs):

identified districts in the State of Assam,
36 PICUs have been made functional in identified
Uttar Pradesh & West Bengal. 25 blocks of
districts.
9 districts of West Bengal and 9 blocks of 3
more districts of Assam have been identified Strengthening of rehabilitative services;
for adult JE vaccination campaign. Establishment of Physical Medicine &
Rehabilitation (PMR):
Funds have been provided for establishment of
identified 10 Physical Medicine & Rehabilitation
(PMR) Department in identified 10 Medical
Colleges of five high burdened states. Presently,
3 PMR Department are functional (1 in Tamil
Nadu and 2 in Uttar Pradesh).

5.2 NATIONAL LEPROSY

ERADICATION PROGRAMME
(NLEP)
National Leprosy Eradication Programme (NLEP),
India is a Centrally Sponsored Programme
under the umbrella of National Health Mission
(NHM). The programme provides technical
and financial assistance to states for all activities
related to detection, diagnosis, treatment and
Strengthening of Diagnostic Services:
post treatment care of persons affected by leprosy.
JE test kit (MAC ELISA) supplied free of cost to The Programme also aims at spreading awareness
the endemic states. Following achievements have about the disease, and at reducing stigma attached
been made in this area: with the disease.

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The major concern of the Programme is to detect timely treatment and management, G2D per
the cases of leprosy at an early stage, and to million populationwas 2.65 per million population
provide complete treatment, free of cost, in order and number of child patients with disability were
to prevent the occurrence of Grade II Disability in 84 as on 31st March, 2019.
the affected persons.
With a view to scale up the screening, leprosy has
In view of the above mentioned goals, several been added toRashtriyaBalSwasthyaKaryakram
initiatives have been taken under the Programme (RBSK) for screening of children (0-18 years).
to encourage early case detection, to ensure Besides, population based screening of women
complete treatment, and to contain the onset and men of age 30 years and above has been
of disease in close contacts of the index cases included in Comprehensive Primary Health
(persons diagnosed with leprosy).  Briefly, the Care under Ayushman Bharat at the Health and
activities conducted are as follows: Wellness Centres.
• For enhanced active & early case detection:  EPIDEMIOLOGICAL STATUS
Leprosy Case Detection Campaigns
The year 2018-19 started with 0.90 lakh leprosy
(LCDCs) (specific for high endemic
cases on record as on 31st March, 2018, with
districts), Focused Leprosy Campaigns
Prevalence Rate (PR) 0.67/10,000 population.
(for hot spots i.e., rural and urban areas
As on 31st March, 2019,32 States/ UTs reported
wherever G2D is detected in low endemic
the level of leprosy elimination i.e., PR <1 case
districts), ASHA based Surveillance for
of leprosy/10,000 population . 588 districts
Leprosy Suspects (ABSULS) to promote
(83.05%) out of total 708 districts reported PR at
regular screening at community level.
elimination level.
• To stop discrimination against people
Based on the reports received from all the States
suffering from leprosy:  Sparsh Leprosy
and UTs for the year of 2018 – 19, leprosy situation
Awareness Campaigns (SLAC) at village
in the country is as below:
level
• During year 2018 – 19, the country reported
• For prevention of leprosy amongst
1, 20,334 new cases with Annual New Case
contacts: Post Exposure chemoprophylaxis
Detection Rate (ANCDR) of 8.69 per 1,
administration
00,000 population, as against 1, 26,164 cases
In addition, various services are being provided in 2017 - 18.
under the programme for Disability Prevention
• A total of 85,302 leprosy cases are on record
and Medical Rehabilitation (DPMR) i.e., reaction
as on 31st March, 2019, giving a Prevalence
management, provision of MCR footwear, Aids
Rate (PR) of 0.62 per 10,000 population,
& Appliances, referral services for management
as against  90,709 cases as on31st March,
of cases and reconstructive surgery at District
2018 with a Prevalence Rate of 0.67/10,000
Hospitals and Medical Colleges/Central leprosy
population.
Institutions.
• Detailed information on new leprosy
Under NLEP, it is aimed to reduce G2D per million
cases detected during 2018 – 19 indicates
population to less than 1 per million population
the proportion of MB (52.28%), Female
and zero G2D among new child cases. As a result
(38.96%), Child (7.67%), and Grade II
of focus on early case detection combined with

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Deformity (3.05%). Haryana, Himachal Pradesh, Jharkhand, Jammu

& Kashmir, Karnataka, Kerala, Madhya Pradesh,
• A total of 3,666 Gr. II disability cases
Maharashtra, Odisha, Punjab, Rajasthan, Tamil
weredetected amongst the New Leprosy
Nadu, Telangana , Uttar Pradesh, West Bengal,
Cases during 2018-19, indicating the Gr. II
Chandigarh, Daman & Diu,have reported the
Disability at 2.65/ million population.
G2D rate varying from 1% to 10%. Further,
• A total of 9,227 child cases were recorded, 6 States/UTs, namely Arunachal Pradesh,
indicating the Child Case rate at 7.67%. Manipur, Nagaland, A & N Islands, Delhi and
Puducherryhave reported the G2D rate from
Status in the States/UTs
10% to 20%. One State, Meghalaya have reported
One State (Chhattisgarh) and one U.T. (Dadra the G2D rate more than 20%, but less than 50%.
& Nagar Haveli) have not so far achieved Tripura reported G2D rate more than 50%, i.e.
elimination. Two States/UTs,namely Odisha and 53.85%.
Chandigarh,where elimination was achieved
The map indicating State-wise status of Grade II
earlier, have again reported PR>1/10,000
Disability (G2D) rate as on 31st March, 2019 is as
population, as on 31st March 2019.
below:
The map indicating State-wise status of PR/10,000
population as on 31st March, 2019 is as below:

 
Seven States/ UTs, namely Jammu & Kashmir,
Manipur, Meghalaya, Mizoram, Tripura, A & N
Five States and UTs,namely Mizoram, Sikkim,
Islands and Lakshadweep reported proportion
Uttarakhand, D & N Haveli and Lakshadweep
of Child cases less than 1% of new cases detected
out of 36 States/ UTs have reported ZERO Grade
during 2018 – 19. 24 States/UTs showed the same
II Disability (G2D) percentage as on 31st March,
from 1% to 10%. Puducherry reported the highest
2019. 23 States/UTs, namely Andhra Pradesh,
child cases proportion at 31.25%. 
Assam, Bihar, Chhattisgarh, Goa, Gujarat,

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The map indicating State-wise status of Child cases

>50-100 12 11
proportion as on 31st March, 2019 is as below:
1 (Dang, 1 (Dang,
>100
Gujarat) Gujarat)
Total 705 708

District wise situation on basis of PR as on 31st

March 2019 is below:
A total of 588 districts (83.05%), out of total
708 districts showed PR<1/10,000 population.
The numbers of districts with PR from 1 to
2/10,000 population have decreased from 83 to
82. Further, 38 districts of 11 States/UTs reported
PR > 2/10,000 namely Bihar (3), Chhattisgarh (9),
Gujarat (3), Jharkhand (2), MP (1), Maharashtra
(4), Odisha (11), Telangana (1), West Bengal (1),
D&N Haveli (1) and Delhi (2).
Comparison of number of districts on the basis
of PR/ 10,000 populationof last two years is
given in table below:
Status in the Districts PR/10,000 2017-18 2018-19
District wise situation on the basis of Annual New <1 572 588
Case Detection Rate (ANCDR) for the year 2018
1-2 83 82
- 2019 is as below:
>2-5 47 36
514 (72.59%) districts out of total 708 have
ANCDR < 10 per 100,000 population. 72 districts 3 (Raigarh, 2 (Bemetara
showed ANCDR > 20/100,000. Only 12 districts Mahasamund (Chhatisgarh),
>5-10
reported the ANCDR> 50/1, 00,000population (Chhatisgarh), Dang
Dang (Gujarat) (Gujarat))
which are spread in Chhattisgarh (3), Gujarat (1),
Maharashtra (2), Odisha (5) and Dadra & Nagar >10 0 0
Haveli (1). Total 705 708
Comparison of number of districts on the basis
District wise situation on basis of Grade II
of ANCDR/ 1, 00,000populationof last two
Disability % as on 31st March 2019 is below:
years is given in table below:
A total of 543 districts (76.69%), out of total
ANCDR/ 2017-18 2018-19 708 districts showed G2D % among new cases
100,000
detected from 0 to 5. The numbers of districts
<10 510 514 with G2D % among new cases detected from >5
>10-20 114 122 to 10 have decreased from 109 to 96. Further, 43
districts reported G2D% >10 to 20 and 26 districts
>20-50 68 60 reported G2D% >20.

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B. ASHA Involvement: ASHA based

Grade II 2017-18 2018-19
Disability % Surveillance for Leprosy Suspects (ABSULS),
in order to screen the population at the
0-5 494 543 village level for any signs of leprosy and
>5 - 10 109 96 for referral of suspects to designated health
>10 - 20 59 43 centres, was introduced from 1st July, 2017.
Out of the total 1, 20,334 new confirmed
>20 43 26 cases detected during 2018 – 19, ASHAs had
Total 705 708 referred 98,256 suspects.  

251 districts (35.45%) reported Gr. II disability MAJOR ACTIVITIES AND ACHIEVEMENTS
more than 2/million population. OF YEAR 2019 – 20

A total of 1,14,058 cases (95.44%) completed their  23 States/UTs detected around 22,042
treatment within the specified period and were hidden leprosy cases during LCDC, 2019.
released from treatment (RFT) as cured during  446 districts of 25 States/UTs have started
2018-19. the implementation of ABSULS in India.
Other Programme aspects  On martyrdom day of Mahatma Gandhi
A. DPMR Services: Information pertaining i.e., 30th January, 2019 Sparsh Leprosy
to the Disability Prevention and Medical Awareness Campaigns (SLACs) were
Rehabilitation (DPMR) as received from the observed, wherein Nationwide Gram /
States/UTs is given as below: Ward Sabhas were organised. During Gram/
Ward Sabha meetings, role plays by school
• During the year 2018 – 19, a total of children as Mahatma Gandhi were enacted
2,283 RCS (Govt. – 458 and NGO – in which contribution of “Bapu” for leprosy
1825) were conducted. affected persons was showcased. Oath and
• A total of 436 relapse cases were messages regarding stigma reduction against
confirmed. Leprosy and mainstreaming of Persons
affected by Leprosy were also administered/
• 96,641 MCR foot wears were provided disseminated. As per the reports submitted
to Leprosy Affected Persons in year by the States/ UTs, 4.41 Lakhs villages
2018 – 19. observed SLAC in Jan 2019out of 6.5 Lakhs
villages i.e., 67%. 

Physical examination during Leprosy Case Detection Campaign

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5.3 REVISED NATIONAL Mortality of 0.25

TUBERCULOSIS CONTROL 9,700 4%
HIV-TB million
PROGRAMME (RNTCP) 0.5
MDR-TB 130,000 24%
The Government of India (GoI) launched the million
National TB Programme in 1962 to fight against India is highest TB burden country in the world.
Tuberculosis disease. The Revised National TB Out of the estimated global annual incidence
Control Programme (RNTCP), based on the of 10 million TB cases; the estimated burden in
internationally recommended Directly Observed India is 2.69 million. The estimated Incidence of
Treatment Short-course (DOTS) strategy, was Tuberculosis is 199 cases per 100,000 population
launched in 1997 and expanded across the and the mortality rate is 33 per 100,000 populations
country by 2006. In 2007, GoI introduced the as per the Global TB Report 2019.
Programmatic Management of Drug Resistant TB
(PMDT) to combat drug resistance and achieved Goal of the Programme:
full geographical coverage by 2013.
The goal of Revised National TB Control
The program has come a long way since then Programme is to achieve a rapid decline in burden
and has undergone major changes over the past of TB, morbidity and mortality while working
few years. Much effort is being made to make towards elimination of TB in India by 2025.
the program more patient-centric and provide
Major objectives of the programme:
comprehensive treatment care and support. The
Ministry has developed and is implementing the • Reduce incidence & mortality due to TB.
National Strategic Plan (NSP) for Tuberculosis
• Prevent drug resistance & effectively manage
Elimination (2017-25) which builds on the success
drug-resistance TB cases.
and learnings of the last NSP and encapsulates the
bold and innovative steps required to eliminate • Improve outcomes among HIV-infected TB
TB in India by 2025, five years ahead of the patients.
global targets. It is in line with other health sector
• Involve private sector on a scale
strategies and global efforts, such as the National
commensurate with their dominant
Health Policy 2017, World Health Organization’s
presence in health care services.
(WHO) End TB Strategy, and the Sustainable
Development Goals (SDGs) of the United Nations Actions initiated under the National Strategic
(UN). Plan (NSP) to End TB in India:
Estimated TB Burden in India: Currently TB incidence is declining by about
2-3% per year. To achieve targets under NSP, we
Estimates of TB India Global % of need to have a decline in TB incidence by about
Burden Global 10 to 15% per year.
Incidence of TB 2.69 10.0
27% Targets for TB under NSP (2017-25)
cases million million
0.44 1.2 • 80% reduction in TB incidence (i.e.
Mortality of TB 31%
million million reduction from 217 per lakh to 44 per lakh)
Incidence HIV 0.86 • 90% reduction in TB mortality (i.e.
92,000 9%
TB million
reduction from 32 per lakh to 3 per lakh)

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• Zero catastrophic costs for affected families TB Notification

due to TB.
• It is estimated that 26.9 lakh incident TB
TB Elimination Initiatives: patients occur in India (199/lakh/year)
• More than 20 million TB patients treated & • In 2019, 18.2 lakh TB patients were notified
saved more than 3.5 million additional lives till 30th September 2019, of which 5.1 lakh
in India. were form the private sector.
• Treatment success rates have tripled from • MoU has been signed on 10th October
25% in pre-RNTCP era to 81% presently & 2019 with Indian Academy of Paediatrics
TB death rates have reduced from 29% to (IAP) for training 20,000 doctors, including
4%. 18,000 Paediatricians on Standards of
TB Care of India through district level
• TB has been a notifiable disease in India
seminars and motivate them to be involved
and Standards for TB Care in India (STCI)
under the program through offering
developed to ensure uniform standards of
access to diagnostics and drugs under the
care across all sector of health care providers.
programme.
• Implemented through more than 20,045
• Using GoI funds, public private support
designated microscopy Centres& treatment
agency (PPSA) interventions are being
available in every village through more than
scaled up to 125 large cities, in addition to
400,000 Treatment Support Centres (DOT
the 48 JEET (Joint Effort for Elimination of
Centres).
TB) implementing sites.
• Gazette on mandatory TB notification
Active Case Finding (ACF)
published in March 2018 with punitive
actions to providers who do not notify TB Active TB Case Finding activities began under
patients. Revised National TB Control Programme in 2017
for systematic active TB screening among high
•  A case-based notification system has been
risk population. Nearly 80Mobile TB Diagnostic
established through online mechanism –
Vans have been provided to the States for active
NIKSHAY.
TB case finding which enables reaching too hard
• Country achieved Millennium Development to reach area for early detection of TB.Till 15th
Goals related to Tuberculosis in 2016. November 2019, 5.14 crore population has been
screened and 15196 cases have been diagnosed.
• Daily Regimen for treatment of TB has
been launched to cover entire country from Drug Resistant TB Services
October 2017 onwards.
Newer drug – Bedaquiline and shorter regimen
• Digital tools are expanded with expansion for treatment of drug resistant TB has been rolled
IT enabled adherence support system like out in entire country in 2018. It is estimated that
99 DOTs, MERM and SMS reminders to there are 1.3 lakh drug resistant TB patients in
TB patients, introduction of NIKSHAY India. 50,980 TB patients have been diagnosed as
Aushadhi (drug distribution management MDR/RR till end of September 2019 out of which
system), 20000 handheld tablet computers 41,617 have been put on treatment.
to staff for online monitoring mechanism.

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Universal drug susceptibility testing (DST) also been established.

Expansions of rapid molecular diagnostics have b. A standardized curriculum has been
been scaled up to 1180 Cartridge Based Nucleic developed to support TB Survivors/
Acid Amplification Test (CBNAAT), covering to become effective Community TB
all districts for decentralized diagnosis of drug Mobilizers/Champions.
resistant TB services. Nearly 55% of all notified TB
c. The first National training for 40 TB
cases were offered Universal Drug Susceptibility
Survivors from 11 States conducted at
testing in 3rd Quarter 2019.
NIHFW, Delhi during 10-12, October 2019
a. Shorter Regimen and Bedaquiline: In using the new curriculum.
2018, Shorter Regimen and Bedaquiline
d. More than 1.5 lakh community members
for treatment of drug resistant TB patients
including TB survivors have been sensitized
have been expanded to the entire country.
by 305 trained TB Champions in 140
Currently, 526 districts DR-TB centres
districts in collaboration with REACH.
including 151 Nodal DR-TB Centres are
established across the country. From 2018, e. These TB Champions have also provided
more than 46,129 DR-TB patients have patient support services to more than 12000
been initiated on Shorter regimen and 7,973 TB patients
DR-TB patients on newer drug containing
f. Capacity-building for peer learning,
regimen.
counselling, advocacy, service delivery,
NIKSHAY PoshanYojana (NPY): monitoring etc
Financial assistance for Nutrition support to g. Establishment of patient support groups for
all TB patients at rate of Rs.500 per month till those affected by TB
completion of treatment has been started from
Multi-stakeholder Involvement
April 2018 through Direct Benefit Transfer. So far,
30.10 lakh eligible TB patients have been provided • MoHFW has signed three Memorandum of
incentive from April 2018 amounting to a total of Understanding (MoUs) with the Ministry of
Rs. 448.9 Crore. AYUSH, Ministry of Railways and Ministry
of Defence on 18th July 2019 at New Delhi.
Community engagement in TB response:
• Consultations have been held with various
For patient centric and community led response to
stakeholders including public sector
TB, National, State and District level TB Forums
enterprises, corporates, civil society
have been established to engage community
advocates and experts to begin the process
and create a network of TB Champions. Some
of generating accountability among various
Institutional level and key community engagement
sectors towards TB prevention and control.
activities being undertaken include:
• In collaboration with Ministry of Labour&
a. A National TB forum with representation
Employment and the International Labour
from various stakeholders including cured
Organization (ILO), a workplace policy
patients, civil society etc to empower
framework on TB has been developed and
communities has been established, all State
shared with Employer Organizations in the
TB forums and 675 District TB forums have
country.

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• In collaboration with the Department of • Ministry of Health and Family Welfare has
Posts, a MoU has been signed between India conducted two meetings of Inter-Ministerial
Postal Payment Bank (IPPB) and Central Coordination Committee (IMCC) under
TB Division (CTD) to facilitate payment the Chairpersonship of Secretary, Health
of NikshayPoshanYojana (NPY) to TB & Family Welfare as part of Multi-sectoral
Patients. coordination between MoHFW and different
Ministries/concerned departments.
• Ministry of Women and Child Development
has given a commitment for joint efforts IEC Activities:
towards active screening of Tuberculosis
“TB HaregaDeshJeetega Campaign”:
amongst women and children and also to
address gender-based issues of TB patients. “TB HaregaDeshJeetega Campaign” was launched
by Hon’ble Minister of Health & Family Welfare
• Ministry of Panchayati Raj (MoPR) is
on 25th September 2019 in which highest level
engaged for involvement of strategies of
commitment has been flagged off to make the
TB-Free India in the Gram Panchayat
campaign as people’s movement.
Development Plans (GPDP) in selected
Gram Sabhas.

Union Health Minister Dr. Harsh Wardhan launching the special campaing against TB in Delhi
High Profile engagement:
Central TB Division has published Central TB
“A Handbook on TB for Elected Division has
Representatives” specially to engage organized a side
elected representatives proactively meeting “India
to make their constituency TB-Free. Mahasabha” at
Orientation on tuberculosis to all 50th Union World
elected representatives is being planned during Lung  Health
winter parliament session 2019. States may follow Conference, Hyderabad on 31st October 2019
the same plan during State assemblies. Progress in which the Vice President of India, Shri M.
on TB is being also reviewed by State Minister of Venkaiah Naidu was the Chief Guest for the
Health on quarterly basis in DISHA meetings. inauguration of the session.

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Two radio spots namely PMJAY Hindi and TB • Under the initiative, Indigenous Nucleic
(Direct Benefit Transfer) along with tag line of 5 Acid Amplification Test (NAAT) is under
seconds “TB HaregaDeshJeetega” in the start/end global validation, nine anti-TB drugs are in
of match innings. advanced phases of clinical development and
2 vaccines (VPM1002 and MIP) undergoing
• Media campaign has been initiated in
Phase III trials
digital, social and mass media
Financial Allocation to RNTCP:
 Release of new sets of Outdoor
creatives on TB during the “Launch of Sl. Year Allocation Expenditure
TB HaregaDeshJeetega” Campaign by No. (Rs. in (Rs. in Crore)
Hon’ble Minister of Health & Family Crore)
Welfare on 25th September 2019 at
1 2015-16 1340.00 1339.86
PravasiBhartiya Kendra, New Delhi.
2 2016-17 1677.78 1433.60
 Participation in 26th Perfect Health
Mela” held from 18th-20th October 3 2017-18 2791.00 2759.45
2019 at JawaharLal Nehru Stadium 4 2018-19 3140.00 2237.79
under the theme of “Fit India”. 1733.04 (till 30th
 A special platform has been provided 5 2019-20 3333.21 Sep. 2019)
for showcasing the best practices of
Community Participation in spreading 5.5 NATIONAL IODINE DEFICIENCY
awareness on TB at 50th Union DISORDERS CONTROL
World Lung  Health Conference, in PROGRAMME (NIDDCP)
Hyderabad from 29th October – 2nd “National Iodine Deficiency Disorders Control
November 2019. Programme” (NIDDCP)
Research & Development: In order to prevent and control the problem of
• India TB Research Consortium has been Goitre in the country, GOI launched National
formed to achieve elimination of TB from Goitre Control Programme (NGCP) in 1962.
India by investing in new tools - drugs, Subsequently, the Programme was renamed as
diagnostics, vaccines - as well as provide National Iodine Deficiency Disorders Control
these solutions to the world. Programme (NIDDCP) in 1992 so as to cover
all Iodine Deficiency Disorders and is being
• The India Tuberculosis Research implemented in all States/UTs. The Objectives
Consortium (ITRC) brings together diverse of NIDDCP are to bring down the prevalence of
stakeholders to develop new tools to enable IDD to below 5% in the country and to ensure
India to take a leadership role in fast- 100% consumption of adequately iodated salt
tracking translational TB research and find (>15ppm) at the household level. No State /UT is
solutions for the world free from IDD.
• Government of India also is conducting a Activities under NIDDCP: 
National TB Prevalence survey across the
country to estimate the disease burden at • Surveys to assess the magnitude of the
central & state level. Iodine Deficiency Disorders in Districts.

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• Monitoring supply of Iodized salt in place of and analyzed by States/UTs during 2019-
common salt. 20 (up to August/September), out of which
22832 (90%) salt samples were found to be
• Resurveys to assess Iodine Deficiency
conforming to the standard (iodine content
Disorders and the impact of iodized salt
> 15 ppm).
consumption after every 5 years in Districts.
8. For estimation of Urinary Iodine Excretion
• Laboratory monitoring of Iodized salt and
(UIE) for bio-availability of iodine, a total
Urinary Iodine Excretion.
of 9338 urine samples were collected and
• Health education and publicity (IEC). analyzed by States/UTs during 2019-20 (up
to August/September), out of which 8338
• Monitoring quality of Iodized salt by Salt
(89%) samples were found confirming to
Testing Kit through ASHAs at Community/
the standard (UIE > 100µg/L) .
household level.
9. For ensuring the quality of iodized salt
Significant achievements of NIDDCP:       
at consumption level, a total of 6922558
1. A statement on “Sustaining the Elimination salt samples were tested by Salt Testing
of IDDs in India” was sent to WHO for Kit by ASHA in all the States/UTs except
submission to 72nd World Health Assembly Lakshadweep during 2019-20 (up to
held in May, 2019. August/September), out of which 6406567
(93%) salt samples quality was good i.e salt
2. The production and supply of Iodized salt having iodine >15ppm.
during 2018-19 was 67.38 Lakh Tonnes and
66.98 Lakh Tonnes respectively. 10. Three days workshop of State Programme
Officers (NIDDCP) is proposed to be held
3. For effective implementation of National during 2019-20.
Iodine Deficiency Disorders Control
Programme, 35 States/UTs have established Information Education & Communication
Iodine Deficiency Disorders Control Cells Activities
in their State Health Directorate.
 Activities through All India Radio
4. In order to monitor the quality of Iodized
IDD spots containing messages on major
salt and Urinary Iodine excretion 35 States/
consequences of Iodine Deficiency Disorders
UTs have set up Iodine Deficiency Disorders
and benefits of consuming iodated salt are
monitoring laboratories.
being broadcast through All India Radio
5. A stakeholders meeting on priority stations (VividhBharati, FM, National News
movement of Iodized Salt (Refined & Non- and Primary Channels).
Refined) was held on 14th October, 2019 at
 Activities through DAVP
NirmanBhavan, New Delhi.
• Mobile SMS on IDD and importance
6. Global IDD Prevention day was observed
of Iodized salt in Hindi & English was
throughout the country on 21st  October,
released on the occasion of Global
2019.
IDD Prevention Day on 21st October,
7. For estimation of iodine content in salt, a 2019.
total of 25291 salt samples were collected

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• Messages on IDD and importance of activities at the local level in their

iodized salt in prevention and control regional languages to make the impact
of IDD are being published in National of IEC activities more effective including
& Regional Newspapers during the celebration of Global IDD Prevention
year through Bureau of Outreach Day in all districts.  States/UTs have been
Communications (formerly DAVP). conducting IEC activities throughout the
year apart from Global IDD Prevention Day
 IEC Activities through the State Health
celebrations.
Directorates
State/UT Governments have also been
provided grants for undertaking IEC

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Family Planning 06
6.1 INTRODUCTION 2 Total Fertility Rate 2.2 (NFHS
Initiated in the year 1952, the Family Planning IV)
program was the first of its kind National level 3 Unmet Need for Family 12.9%
program with a focus on population stabilization. Planning (NFHS IV)
Over the decades the program has evolved to 4 Contraceptive Prevalence 47.8%
the current holistic and target free approach. Rate (NFHS IV)
The National Population Policy 2000 redefined
the program as a medium of intervention for 5 Healthy spacing between 50.3% (SRS
births (>36 months) 2017)
promoting reproductive and child health. The
Family Planning program focuses on assuring 6 Teenage Marriages 26.8%
complete knowledge and access to reproductive (NFHS IV)
rights and services and enables women and men 7 Teenage Births 7.9%
to make individual reproductive choice. (NFHS IV)
The objectives, strategies and activities of Over the years, the program has been expanded
the Family Planning programme have been to reach every nook and corner of the country
meticulously designed in line with goals and and has penetrated into PHCs and SCs in rural
objectives of various policies (National Population areas, Urban Family Welfare Centers in the urban
Policy 2000, National Health Policy 2002 and areas. Technological advances, improved quality
National Health policy 2017) and compliments and coverage for health care have resulted in a
India’s commitment at International Forums fall in the total fertility rate and growth rate (2011
(viz. International Conference on Population and Census showed the steepest decline in the decadal
Development-ICPD, Sustainable Development growth rate.).
Goals-SDG, FP2020 and others).

6.2 Factors That Influence Population

Growth
Population growth is influenced by both socio
demographic as well as family planning indicators:

S. Key Indicator Current

No. Status Population increase and growth rate

1 Crude Birth Rate 20.2 (SRS Total Fertility Rate: India is on the verge of
2017) achieving replacement fertility levels. 24 states

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and UTs have already achieved the replacement

fertility level. 16 states out of 22 have shown a
decline of 0.1 points in SRS 2017:
Table No.6.1

States SRS 2016 SRS 2017 Points

change

IN 2.3 2.2 0.1

AP 1.7 1.6 0.1

BH 3.3 3.2 0.1

CG 2.5 2.4 0.1

DL 1.6 1.5 0.1

HR 2.3 2.2 0.1

HP 1.7 1.6 0.1

JK 1.7 1.6 0.1

JH 2.6 2.5 0.1

KN 1.8 1.7 0.1 Modern Contraceptive Prevalance:

KL 1.8 1.7 0.1

MP 2.8 2.7 0.1

MH 1.8 1.7 0.1

OD 2.0 1.9 0.1

PB 1.7 1.6 0.1

RJ 2.7 2.6 0.1

UP 3.1 3.0 0.1 There has been a substantial decline in traditional

methods by 2.1% which can be well correlated
India has witnessed a significant improvement with the provision for quality FP services. As
in various other indicators. There has been a per NFHS III figures, 10.1% of female non-users
substantial decline in Teenage marriages and reported that Health worker has talked to them
Teenage births from NFHS III to NFHS IV. about FP methods. This percentage has increased
to 17.7% in NFHS IV.

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12 states have shown an increase in modern

contraceptive usage.

The largest increase is in Punjab followed by

Assam, Rajasthan, West Bengal and Jharkhand.

‘Demand Satisfied’ by modern contraceptives:

‘Demand Satisfied’ calculates the need satisfied

by modern methods out of total demand in the
community (includes the cohort using modern 6.3 Current Family Planning Efforts
contraceptive and traditional method and having The past few years have seen a paradigm shift in
unmet need for contraception). India’s demand family planning programme. Family Planning has
satisfied shows an increase from 69.1% in NFHS a significant role in mitigating the impact of high
III to 72% in NFHS IV. population growth by helping women achieve
desired family size and avoid unintended and
mistimed pregnancies. Studies show that if the
current unmet need for family planning could
be fulfilled over the next 5 years, we can avert
35,000 maternal deaths, 1.2 million infant death,
save more than Rs. 4450 crores and save Rs. 6500
crores, if safe abortion services are coupled with
increased family planning services.
The focus of the program is towards meeting the
unmet need of contraceptives and increasing
The graph below shows the state wise demand the use of modern contraceptive use which are
satisfied and modern contraceptive usage. 12 directly linked to reducing maternal and child
mortality across the nation.
states show ‘demand satisfied’ of more than 75%.
The modus operandi is to enable both men and
women to make responsible choices and thus help
in averting unintended and mistimed pregnancies,

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achieve desired family size and promote the health ii. Non scalpel vasectomy (no
of the mother and child. incision no stitches)
Services under the National Family Welfare C) Emergency Contraceptive Pills
Programme
OTHER COMMODITIES - Pregnancy
Currently the Family Planning methods in India testing kits:
can be broadly classified in two categories - • Helps to detect pregnancy as early
Spacing Methods and Limiting/Permanent as one week after the missed period,
Methods. thus providing an early opportunity
for medical termination of pregnancy,
A) Spacing Methods: These are reversible thus saving lives lost to unsafe
methods which can be adopted and abortions.
discontinued as per an individual’s
• These are available at the subcentre
choice.
level and also carried by ASHA.
a) Oral contraceptive pills (Combined
oral Contraceptive pill (Mala N), SERVICE DELIVERY POINTS:
Centchroman (Chhaya) • All the spacing methods, viz. IUCDs,
b) Condoms Injectables, OCPs and condoms are available
c) Intrauterine Contraceptive Devices at the public health facilities beginning from
(IUCD 380A – effective for 10 years, the sub-centre level. Additionally, OCPs
IUCD 375- effective for 5 years) condoms, and emergency contraceptive
pills are available at the village level also
d) Contraceptive Injectable MPA (Antara
through trained ASHAs.
Program)
• Permanent methods are generally available
B) Permanent Method : These methods are
at primary health centre level or above. They
irreversible in nature
are provided by MBBS doctors who have
a) Female Sterilization been trained to provide these services.
i. Minilap
• These services are provided to around 20
ii. Laparoscopic crores eligible couples;
b) Male Sterilization
• Details of services provided at different level
i. Conventional of:

FP Method Service Provider Service Location

SPACING METHODS:
Trained & certified ANMs, LHVs,
IUD 380 A/IUCD 375 Subcentre & higher levels
SNs and doctors
Trained & certified ANMs, LHVs,
Injectable MPA Subcentre & higher levels
SNs and doctors
Oral Contraceptive Pills Trained ASHAs, ANMs, LHVs, SNs Village level
(OCPs) and doctors Subcentre & higher levels

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Trained ASHAs, ANMs, LHVs, SNs Village level

Condoms
and doctors Subcentre & higher levels
LIMITING METHODS:
Trained & certified MBBS doctors &
Minilap PHC & higher levels
Specialist Doctors
Trained & certified MBBS doctors &
Laparoscopic Sterilization Usually CHC & higher levels
Specialist Doctors
NSV: No Scalpel Trained & certified MBBS doctors &
PHC & higher levels
Vasectomy Specialist Doctors
EMERGENCY CONTRACEPTION:
Emergency Contraceptive Trained ASHAs, ANMs, LHVs, SNs Village level, Subcentre & higher
Pills (ECPs) and doctors levels
Progress under Family Planning Programme (Source: HMIS)

2016-17 2017-18 2018-19 2019-20 (till Oct. 2019)

Sterilization 39.3 lakh 35.7 lakh 35.4 lakh 12.3 lakh
Total IUCD 59.7 lakh 58.7 lakh 56.6 lakh 28.8 lakh
PPIUCD 16.9 lakh 20.9 lakh 22.9 lakh 11.9 lakh
PPIUCD Acceptance 12.8% 15.2% 16.4% 16.5%
Injectable MPA - 1.5 lakh 9.9 lakh 10.2 lakh
Centchroman 4.8 lakh 10 lakh 14.1 lakh 14.5 lakh
State wise Performance is placed below
Table No.6.2
State wise Family planning performance for 2019 (till October):

States/UTs Total IUCD PPIUCD Injectable

Sterilization Contraceptive MPA
Bihar 93,296 194118 88,874 190496
Chhattisgarh 23,148 82781 31,077 9953
Himachal Pradesh 1,924 6681 1,624 2715
Jammu & Kashmir 3,178 9421 2,017 13719
Jharkhand 13,244 82756 42,111 31745
Madhya Pradesh 53,032 216728 116,670 65089
Orissa 29,969 89176 50,132 30446

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Rajasthan 85,829 268429 123,245 98840

Uttar Pradesh 63,048 449480 161,295 196372
Uttarakhand 2,751 21255 4,317 2033
Arunachal Pradesh 732 1461 328 552
Assam 20,161 91327 41,173 52474
Manipur 311 2366 423 189
Meghalaya 1,403 1651 275 7737
Mizoram 777 1024 156 145
Nagaland 805 2889 120 118
Sikkim 32 333 184 729
Tripura 1,059 367 105 767
Andhra Pradesh 87,350 32799 2,163 1995
Goa 1,153 513 74 464
Gujarat 92,613 291910 34,627 28109
Haryana 32,471 101722 40,956 24510
Karnataka 152,787 119717 49,915 28197
Kerala 38,714 19604 2,038 1944
Maharashtra 162,316 198028 62,017 21932
Punjab 18,389 65373 19,744 5511
Telangana 38,747 23713 3,224 3133
Tamil Nadu 119,688 155571 106,596 15051
West Bengal 73,666 294183 171,826 158863
A &N Islands 95 316 183 1930
Chandigarh 1,220 2627 1,448 1937
Dadra & Nagar Haveli 397 243 37 1037
Daman & Diu 133 135 32 171
Delhi 8,273 48062 26,175 17305
Lakshadweep 43 4 0 1
Puducherry 3,274 1568 1,195 1546
All India 1,226,028 2,878,331 1,186,376 1,017,755

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6.4 Key Strategies under Family Planning increased to12.4% in 2018-19 from
and Achievements 9.8% in 2016-17 (27% increase). In Non
MPV districts the increase has been slow
• Introduction of new contraceptive choices
(from 6.7% in 2017-18 to 7.1% in 2018-19,
 The new contraceptives Injectable 22% increase). MPV districts contribute
MPA (under Antara programme) and higher share for PPIUCD services as
Centchroman (Chhaya) were recently added compared to Non MPV districts.
in the contraceptive basket and are available PAIUCD Acceptance: 6.8 % in 2018-19 as
across the country. compared to 4.9% in 2017-18

 In 2019-20, 10.2 lakh doses of Injectable o Augmentation of Sterilization services

MPA have been administered and 14.47 lakh through HFD compensation Scheme.
Centchroman tablets have been distributed
o Condom boxes at strategic locations in
all over the country.
health facilities: Condom Boxes have been
 All over India, 15,435 Medical 44,409 installed in 60% facilities across 146 MPV
Nursing Personnel (staff nurses/ LHV/ districts with reported distribution of 33.8
ANM) have received training on Injectable lakh pieces (in 2018-19).
contraceptives.
o Mission Parivar Vikas campaigns
• Mission Parivar Vikas
 Promotional Schemes:
Mission Parivar Vikas (MPV) was launched
o New Contraceptives have been made
in 2016 for substantially increasing access to
available till the Sub-center level
contraceptives and family planning services
in 146 high fertility districts of seven o Nayi Pehel Kit (NP Kit): A family
high focus States (Uttar Pradesh, Bihar, planning kit to the newlywed couple is
Rajasthan, Madhya Pradesh, Chhattisgarh, being distributed through ASHA. NP
Jharkhand and Assam) with TFR of 3 and kits distribution has increased by 6 times in
above. 2018- 19 as compared to 2017-18.

The following Key Strategic Initiatives have been 185,797 Nayi pehel kits have already been
undertaken in MPV Districts: distributed in the year 2019-20.

 Delivering Assured Services: o Saas Bahu Samelans (SBS): It facilitates

and encourages communication
o Roll out of Injectable Contraceptive: In
between young married women and their
Injectable services MPV contributed 77.2
mother-in-laws, to freely discuss matters
% share in 2018-19 as compared to 50.5% in
related to family planning and reproductive
2017-18
health. 70% increase in conduction of SBS
o Augmentation of PPIUCD services across in 2018-19 as compared to 2017-18.
all delivery points:
Average participant increased from 19 to 25
In MPV districts PPIUCD acceptance has from 2017-18 to 2018-19.

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Further there was 70% increase in average  A dedicated Family Planning Logistic
SBS per district (increased from 756 in Management Information Systems
2017-18 in 1281 in 2018-19). 77,352 Saas (FP-LMIS) to manage distribution of
bahu Samelans have been organized in t h e contraceptives and strengthen the supply
year 2019-20 till October. chain management system is operational.
o Saarthi: Family planning mobile van  FP-LMIS is a web, mobile App and SMS
offering information and services based application developed to manage
at community doorstep. The awareness supply chain operations, reduce the supply
activities have increased tremendously. disparities and to regulate the flow of family
Distribution of pamphlets has increased 4 planning commodities from national level
times and number of client counselled h a s to the end user.
increased by 6 times from 2017-18 to 2018-
 The software connects over 8 lakh ASHAs,
19
1.5 lakhs ANMs and over 46,000 facilities
The Saarthi vans have helped in counselling across all States and Union Territories in
around 8.8 lakh beneficiaries on India.
Family planning and distributed 22.4 lakh
 All State/UTs have submitted their annual
pieces of condoms and 3.4 lakh oral
demand for the year 2019-20 and interim
pill cycles in MPV Districts in 2019-20 till
indenting through FP-LMIS.
October.
 All GMSDs and Suppliers have used FP-
 Ensuring Commodity Security through
LMIS for delivery of contraceptives to the
Family Planning Logistic Management
State/UTs based on the Purchase Order and
Information System (FP-LMIS).
Release Order of MoHFW during the year
 Increasing Service delivery through 2019-20.
clinical outreach teams (COT)
 84% district warehouses, 75% CHCs, 55%
o The scheme is operational in 146 Mission PHCs, 68% DHs, 77% SDHs, 16% Sub
Parivar Vikas districts for providing Family Centers and 5% ASHAs have submitted
planning services through mobile teams their indent through FPLMIS during the
from accredited organizations in far-flung, year 2018-19.
underserved and geographically difficult
• Sterilization Services
areas.
 In 2019-20 there have been over 12.3 lakh
o Robust advocacy has been undertaken and
sterilizations. Interval female sterilization
guidelines have been released for assigning
contributes to the maximum share of total
clinical outreach teams for providing
sterilizations.
services in Mission Parivar Vikas districts.
 In 2019-20, 28,583 post abortion
• Strengthening Logistics and Supply chain
sterilizations were reported.
Systems for Family Planning Commodities
(FP-LMIS)  In 2019-20, 357,732 Post-partum

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sterilizations were reported. partum period. The acceptance of PPIUCD

is on the rise across the country. At present
• Post pregnancy Contraception:
India is a global leader in PPIUCD services.
o Post-Partum IUCD (PPIUCD) Services A total of 78.4 lakhs plus insertions have
been reported across the country since its
The program was initiated in 2010 as a
inception. In 2019-20 there have been 11.86
strategy to meet the unmet need of family
lakh PPIUCD insertions.
planning specifically in the immediate post-

o Post-Abortion IUCD (PAIUCD) Services Scheme:

MoHFW is laying considerable emphasis The service provider as well as ASHA who
on Post Abortion Family Planning. Post escorts the clients to the health facility for
pregnancy contraception services, covering facilitating the IUCD insertion is paid
both post-partum and post abortion Rs. 150 each per insertion. The scheme
contraception, has been strengthened. has helped in providing a thrust to the
In line with the PPIUCD services an PPIUCD/PAIUCD program. The scheme
incentive package has also been conceived also includes beneficiary incentive of Rs.
for PAIUCD services, which covers 300/insertion/client.
service provider and ASHA incentive, and
• Compensation Scheme for Sterilization
beneficiary compensation.
services
PAIUCD services are available in all States
The Compensation Scheme revised in
and UTs. Training and orientation of both
the year 2014 facilitates and augments
nurses and doctors is also being carried out.
sterilization services in 11 high focus States
All over India, 3,882 Medical 15,881 Nursing
(Uttar Pradesh, Bihar, Madhya Pradesh,
Personnel (staff nurses/ LHV/ANM) have
Rajasthan, Chhattisgarh, Jharkhand,
received training on Post Abortion IUCD
Uttarakhand, Odisha, Assam, Haryana and
(PAIUCD) in 2018-19.
Gujarat) for addressing concerns due to
45,377 PAIUCD insertions have been increase in cost of living and transport while
reported across the country in 2019-20. simultaneously mitigating the loss of wages
incurred by the beneficiaries.
• Post partum IUCD (PPIUCD) and Post
abortion IUCD (PAIUCD) Incentive

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Table No.6.3
For Public health facilities:

States Acceptor ASHA/ Others Total

Health
Worker
11 High focus states (UP, VASECTOMY 2000 300 400 2700
BH, MP, RJ, CG, JH, OD, TUBECTOMY 1400 200 400 2000
UK, AS, HR, GJ)
POST PARTUM 2200 300 500 3000
STERILIZATION
Mission Parivar Vikas VASECTOMY 3000 400 600 4000
Districts TUBECTOMY 2000 300 500 2800
POST PARTUM
3000 400 600 4000
STERILIZATION
Other High focus states VASECTOMY 1100 200 200 1500
(NE states, J&K, HP) TUBECTOMY 600 150 250 1000
Non High focus states VASECTOMY 1100 200 200 1500
TUBECTOMY 600 150 250 1000
(BPL + SC/ ST only)
TUBECTOMY (APL) 250 150 250 650
For accredited private/NGO facilities:

States Acceptor ASHA/ Facility Total

Health
Worker
11 High focus states (UP, VASECTOMY (All) 1000 2000 3000
BH, MP, RJ, CG, JH, OD, TUBECTOMY (All) 1000 2000 3000
UK, AS, HR, GJ)
Mission Parivar Vikas VASECTOMY 1000 2500 3500
Districts TUBECTOMY 1000 2500 3500
POST PARTUM 1000 3000 4000
STERILIZATION
Clinical Outreach Teams VASECTOMY 3000 400 1600 5000
(COT) in MPV States TUBECTOMY 2000 300 2200 4500
Other High focus states VASECTOMY (All) 200 1300 1500
(NE states, J&K, HP) TUBECTOMY (All) 150 1350 1500
Non High focus states VASECTOMY (All) 200 1300 1500
TUBECTOMY 150 1350 1500
(BPL + SC/ ST only)

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• Family Planning Indemnity Scheme the States provision for the drop back to
sterilization clients.
The scheme indemnifies clients with a
compensation amount in the unlikely events • Observation of World Population
of deaths, complications or failure following Fortnight:
a sterilization process. The providers/
 The World Population Fortnight is held
accredited institutions are indemnified
across all the States, Districts and Blocks
against litigations in those eventualities. The
every year from 27th June to 24th July.
scheme was revised in 2013 and is now being
operated by the State governments directly  This year the theme for World Population
with NHM funding. As per Hon’ble Supreme Day 2019 was “Parivar niyojan se nibhaen
court directives the indemnity coverage has zimmedari, Ma aur bachche ke swasthya ki
been doubled with the additional amount poori taiyari”.
being paid by the State government funds.
 A total of 1.52 lakh sterilizations, 3.15
• ASHA Schemes lakh IUD insertions, 1.12 lakh PPIUCD
insertions were done and 2.2 lakh injectable
 Ensuring Spacing at Birth
MPAs were administered during the WPD
• The scheme promotes spacing between the 2018.
birth of first child and between two children
 In WPD 2019 there was an increasing shift
through the medium of ASHAs. The scheme
towards uptake of spacing methods, post
is for ensuring delay in 1st birth and spacing
additions of new spacing methods like
of 2 years after marriage, ensuring spacing
PPIUCD, Injectable Contraceptive MPA
of 3 years between 1st and 2nd births and
(Antara programme) and Centchroman
adoption of limiting method after 1st or 2nd
(Chhaya)
child.
 Home Delivery of Contraceptives
 The scheme ensures doorstep delivery of
contraceptives to eligible couples through
the medium of ASHAs.
 Pregnancy Testing Kit
 The aim of the scheme is to make available
the Pregnancy Testing Kits (PTKs) with
ASHAs at the sub-centre level for early
detection of pregnancy and availing of other
RCH services. The PTKs are a part of ASHA
drug kit and are distributed free of cost to Dr. Harsh Vardhan, Hon’ble Minister of Health
the clients in field by ASHAs. and Family Welfare, addressing the audience on
• Scheme for ensuring drop back services to WPD 2019
sterilization clients:  A National Workshop on “ICPD @25-
 The scheme was launched in 2015 whereby Leveraging Partnerships” was organised by

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the Ministry on the occasion of the World services, IEC mobile vans will be deployed,
Population Day at Vigyan Bhawan on 11th sensitization meetings at district and block
July 2019. The occasion was presided over level will be organised, vasectomies will be
by Dr. Harsh Vardhan, Hon’ble Union conducted, condom boxes will be installed
Minister of Health and Family Welfare, Shri and condoms pieces will be distributed.
Ashwini Kumar Choubey, Hon’ble Minister
of State, Shri Sanjeeva Kumar, AS&DG, Dr. • New Family Planning Media Campaign:
S.Venkatesh, DGHS, Shri Manoj Jhalani,  Phase 2 of a 360 degree holistic Family
AS&MD and Dr. Manohar Agnani, Joint Planning campaign of media campaign
Secretary (Policy). is being implemented across States. The
The event also marked the launch of series multimedia campaign consists of TVC/
of new television commercials developed TV spots, hoardings, posters and whatsapp
for promotion and uptake of Injectable messages. These are being played across the
Contraceptive MPA, Oral Contraceptives States for improving demand generation.
and condoms by the Hon’ble Health
 A website named www.humdo.nhp.gov.
Minister.
in has been developed for imparting
information on Family Planning to the
public.
 In order to boost demand for Condoms and
Oral contraceptive pills government came
up with Category revival campaign. Apart
from TV commercials radio spots for oral
contraceptive pills, condoms and injectables
Oral Contraceptive pills TV commercial launched were developed
during WPD 2019
• Quality assurance in Family Planning
• Observation of Vasectomy Fortnight for
promotion of male engagement in Family Ensuring adherence to quality standards is one
Planning: of the prime strategies under Family Planning
Program. The FP division has augmented efforts
 National level workshop for male for improving quality in sterilization service
engagement in Family Planning is provision. In 2014, FP division updated the
organized every year to deliberate upon manual on Standards and Quality Assurance in
strategies to enhance male engagement and Sterilization Services. The Quality Assurance
participation. Vasectomy fortnights were Committees have been established across all
initiated and organized across States in India States and districts.
in the month of November. The theme for
this year’s Fortnight is “Purushon ki ab hai As per the directives of the Hon’ble Supreme
baari, parivar niyojan main bhagidaari” Court, detailed State and district wise reviews and
orientation are being undertaken by FP Division.
 During the Fortnight, facilities will be The State level reviews have been conducted in all
operationalized for rendering vasectomy states with active participation of state officials,

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district officials as well as state development Kits) are procured and supplied free of cost to the
partners in 2019-20. Various steps have been States/UTs.
undertaken by Government of India post mishaps
Procurement procedures: Orders for 75% of
and violations of SOPs to strengthen the service
the requirement in case of condoms and 55%
delivery under family planning in compliance
of requirement for other contraceptives are
with Hon’ble Supreme Court directives. One of the
placed on HLL Lifecare Ltd. (a PSU under the
mandates was to undertake annual State review
Ministry of Health & FW) for procurement of
and strengthen quality assurance mechanisms in
contraceptives being manufactured by them as
the country. In the light of the above mandates,
per captive status awarded to them. In case of
monitoring visits and State reviews were
OCPs 15% is procured from IDPL for nomination
undertaken by the Family Planning Division since
basis. For the remaining quantities, open tenders
last 3 years and the efforts are visible in the form
are floated through Advertised Tender Enquiries
of declining trends for adverse events attributable
for procurement from private firms. In case of
to sterilization.
Injectable Contraceptives 100% is procured from
It is observed that significant decline of 0.55 private firms through open tender.
points and 62.5 points been observed for death
Quality Assurance: Manufacturers do in-
and failure rates attributable to sterilization from
house testing of stores before offering them for
its preceding year (from 2017-18 to 2018-19)
inspection. At the time of acceptance of stores,
respectively.
random samples from all the batches are picked
6.5 PROCUREMENT AND SUPPLY OF up and tested in certified lab and on receipt
CONTRACEPTIVES of positive reports stores are supplied to the
consignees.
Contraceptives in the National Family Welfare
Programme Free Supply Scheme: Under Free Supply
Scheme, contraceptives viz. Condoms, Oral
The Department of Health and Family Welfare is Contraceptives Pills (OCPs) (Mala-N), Intra
responsible for implementation of the National Uterine Device (Copper-T), Tubal Rings,
Family Welfare Programme by, interalia, Emergency Contraceptive Pills (ECPs), Injectable
encouraging the utilization of contraceptives and Contraceptive, Centchroman Contraceptive Pill,
distribution of the same to the States/UTs under Pregnancy Testing Kits (PTKs) are procured and
Free Supply Scheme and through Public-Private supplied to the States with the objective of making
Partnership (PPP) under Social Marketing them available free of cost to those who cannot
Scheme. Family planning allows people to have afford to pay for it. These are supplied free of
desired number of children and determine the cost to the users through dispensaries, hospitals,
spacing of pregnancies which is achieved through PHCs, Sub Centres etc.
use of contraceptive methods. Under Free Supply
Scheme, contraceptives, namely, Condoms, Oral Approximately following quantities of condoms
Contraceptive Pills (OCPs), Intra Uterine Device (brand name Nirodh) and Oral Contraceptive
(Cu-T), Emergency Contraceptive Pills (ECPs), Pills (OCPs) (brand name Mala-N)were procured
Tubal Rings, Injectable Contraceptive (Antara for supply to States during 2018-19 and 2019-20
Programme), Centchroman Contraceptive Pill (Including procurement by CMSS):
viz. Chhaya and Pregnancy Testing Kits (P.T.

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Item 2018-19 2019-20 (upto 31st Tubal Ring

Oct., 19) Approximately following quantities of Tubal Ring
Quantity Value Quantity Value were procured for supply to States during the year
(Rs. in (Rs. in 2018-19 and 2019-20(Including procurement by
Crore) Crore) CMSS):
Condoms 00.00* 00.00* 378.12 60.28
(Million Item 2018-19 2019-20 (upto
Pieces) 31st Oct., 19)
OCPs 394.37 15.88 384.30 17.04 Quantity Value Quantity Value
(Lakh (Rs. in (Rs. in
Cycles) Crore) Crore)
Tubal 12.39 2.24 10.34 1.87
*Sufficient stock was available at GMSDs and
Ring
CMSS Warehouses to meet the requirement for (Lakh
the year 2018-19. Pairs)
Copper-T (IUD) Emergency Contraceptive Pills (ECP) (brand
Under the National Family Welfare Programme, name Ezy Pill)
Cu-T-200B was being supplied to the States/ Department of Health & Family Welfare
UTs. From 2003-04, advanced version of introduced ‘Emergency Contraceptive Pills’ (E-
Intra Uterine Device i.e.Cu-T-380-A has been Pills) in the National Family Welfare Programme
introduced in the Programme. This Cu.-T has during the year 2012-13.This contraceptive is to
longer life of placement in the body and thus be used within 72 hours of un-protected sex and
provides protection from pregnancy for a period is supplied free of cost to the State/UTs.
of about 10 years. From the year 2012-13 IUD
375(improved version) are also procured by this Approximately following quantities of EC Pills
Ministry for supplies to the States/UTs. were procured for supply to States during the years
2018-19 and 2019-20((Including procurement by
Approximately following quantity of Copper–T CMSS):
(IUD) was procured for supply to States during the
year 2018-19 and 2019-20(Including procurement Item 2018-19 2019-20 (upto
by CMSS): 31st Oct., 19)
Quantity Value Quantity Value
Item 2018-19 2019-20 (upto 31st
Oct., 19) (Rs. in (Rs. in
Crore) Crore)
Quantity Value Quantity Value
(Rs. in (Rs. in ECP 128 2.89 117.76 2.81
Crore) Crore) (Lakh
Copper – 88.50 21.16 48.26 11.77
Packs)
T (Lakh
pcs.) Centchroman Contraceptive Pill (brand name
(IUD Chhaya)
380A,IUD
375) The Centchroman Contraceptive Pill viz. Chhaya
has been introduced in 2016-17 under Free Supply

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Scheme under the National Family Planning Programme)

Programme. It is best known as a non-hormonal,
The Injectable Contraceptive has been introduced
non-steroidal oral contraceptive which is taken
in 2016-17 under Free Supply Scheme under the
once per week.
National Family Planning Programme. Injected
Approximately following quantities of into a muscle (usually buttock or upper arm) to
Centchroman Contraceptive were procured for stop pregnancy by releasing progestogen into the
supply to States during the year 2018-19 and body. It works for three months at a time.
2019-20(Including procurement by CMSS):
Approximately following quantities of Injectable
Item 2018-19 2019-20 (upto 31st Contraceptive were procured for supply to States
October) during the year 2018-19 and 2019-20:
Quantity Value Quantity Value
(Rs. in (Rs. in Item 2018-19 2019-20 (upto 31st
Crore) Crore) October)

Centchroman 170.27 41.85 110.25 28.63 Quantity Value Quantity Value

Contraceptive (Rs. in (Rs. in
Pill (Lakh Crore) Crore)
Strips) Injectable 00.00 * 00.00 * 13.50 3.71
Contraceptive
Injectable Contraceptive (brand name Antara (Lakh Doses)
* Sufficient stock was available at GMSDs to meet the requirement for the year 2018-19.
Pregnancy Test Kits (PTKs) (brand name of Planning Commission (Now NITI Aayog) and
Nishchay) Ministry of Finance, a study was conducted by
UNFPA to evaluate the Social Marketing Scheme
The pregnancy Test Kits are supplied free of cost
which submitted the report in December, 2015.
for timely and early detection of pregnancy. The
The recommendations of UNFPA were examined
kits are home based and easy to use.
in the Ministry and the Social Marketing
Approximately following quantities of PTKs were Programme was rejuvenated. The price of the
procured for supply to States during the year SMO brand contraceptives i.e. Deluxe Nirodh
2018-19 and 2019-20 (Including procurement by (Govt. Brand) was revised from Rs. 3/- for a pack
CMSS): of 5 pieces to Rs.5/- for a pack of 5 pieces and
SMO brand condoms from Rs. 2.00 for one piece
Item 2018-19 2019-20 (upto 31st to a maximum of Rs. 3.33 per piece ( Rs. 10.00 for
October)
a pack of 3 pieces). The price of the oral pills of
Quantity Value Quantity Value Govt. Brand and SMO brand has also been revised
(Rs. in (Rs. in
Crore) Crore) i.e. Mala –D (Govt. Brand) from Rs.3.00 per cycle
to Rs. 5.00 per cycle while the SMO brand price
PT Kits 187.01 7.98 205.83 9.02
(Lakh Kits) range was retained at a maximum price of Rs.
10.00 per cycle. SMOs have the flexibility to fix
Social Marketing Scheme the price of branded condoms and OCPs within
the range fixed by the Government. Condoms
The National Family Welfare Programme initiated
and Oral Pills are made available to the people at
the Social Marketing Programme of Condoms in
highly subsidized rates, through diverse outlets.
1968 and that of Oral Pills in 1987. On the advice

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Promotional and Packaging incentives which

3. Janani, Patna 24.33 18.26
were being reimbursed to the SMOs has been
withdrawn after revision of prices of Condoms 4. Population Health 70.00 14.00
and Oral Contraceptive Pills (OCPs).The issue services (I) Hyderabad
price of both condom and OCP has been retained 5. Pashupati Chemical 05.00 1.00
at Rs.0.40 per condom and Rs.1.60 per cycle of Pharmaceutical Ltd.,
OCPs which can be remitted by the SMOs by Kolkata
paying 35% at the time of placement of orders 6 DKT (I), Mumbai 41.81 23.60
and balance 65% at the time of issue of release
Total 459.51 149.51
orders to reduce financial burden on SMOs. The
agreements with the SMOs are now signed for a * Figures are Provisional
period of three years to facilitate to SMOs to plan
their activities for a longer period. The extent Sale of Oral Contraceptive Pills (Quantity in Lakh
of subsidy ranges from 70% to 85% depending Cycles)
upon the procurement price in a given year. Both
Sl. Social Marketing 2018-19 2019-
these contraceptives are distributed through
No. Organisation 20 *
Social Marketing Organizations (SMOs). There (Upto
are presently six SMOs registered viz. M/s HLL Oct.,
Lifecare Ltd., M/s PHS(I), M/s PCPL, M/s Janani, 19)
M/s DKT(I), M/s PSS.
1 HLL Lifecare Ltd., 110.52 10.29
Presently, one Government brand (Deluxe Thiruvananthapuram
Nirodh) and different SMOs brands of condoms 2 Parivar Seva Sanstha, 11.56 7.65
(i.e. Rakshak, Ustad, Josh, Mithun, Style, Thril, Delhi
Kamagni, Sawan, Milan, Bliss, Ahsaas and Zaroor)
3 Janani, Patna 19.86 8.80
are sold in the market through SMOs. Similarly
for Oral Pills, one Government brand (Mala-D) 4 Population Health 17.25 8.00
and different SMOs brands of Pills (i.e. Ecroz, Services, Hyderabad
Apsara and Smartt Cycle) are sold. 5 PCPL, Kolkata - -
SMOs have sold the following quantities during Total 159.19 34.74
2018-19 and 2019-20:
* Figures are Provisional
Sale of Condoms (Quantity in Mpcs.)
Centchroman (Oral Pills)
Sl. Social Marketing 2018- 2019-
Since December 1995, a non-steroidal weekly
No. Organization 19 20 *
Oral Contraceptive Pill, Centchroman (Popularly
(Upto
Oct., known as Saheli & Novex), to prevent pregnancy is
19) also being subsidized under the Social Marketing
Programme. The weekly Oral pill is the result of
1. HLL Lifecare Ltd, 310.37 87.56 indigenous research of CDRL, Lucknow. The pill
Thiruvananthapuram
is now available in the market at Rs.3.125 per tablet
2. Parivar Seva Sanstha, 08.00 5.09 (Rs. 25/- per strip of 8 tablets). The Government
Delhi of India provides a subsidy of Rs.2.51 per tablet

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towards product and promotional subsidy. Kanagala Factory, Belagavi, Karnataka. The
production of Saheli was stopped for executing
Performance of Social Marketing Programme
the Chhaya (FW&ASHA) order for MoHFW.
in the sale of contraceptives
The composition of Chhaya is as same as Saheli
Item 2018-19 2019-20 * i.e. Centchroman

Condoms(Million Pieces) 459.51 122.57 Central Medical Services Society (CMSS)

Oral Pills(Social 159.19 34.74 With a view to assure smooth and on time
Marketing) (Lakh Cycles) procurement and distribution of supplies an
SAHELI (Lakh Tablets) 77.52 00.00# autonomous agency viz. Central Medical Services
Society (CMSS) has been setup. A statement
* Figures are Provisional
showing the quantities of contraceptives
# The production of Saheli and Chhaya is procured from private manufacturers during
manufactured in the same Production unit i.e. 2018-19 and 2019-20 by CMSS is given below:

Sl. Item 2018-19 2019-20

No. (upto 31st October
2019
Quantity Value Quantity Value
Procured (Rs. in Procured (Rs. in
Crore) in 2018-19 Crore)
1. Condoms (Million Pieces)
i Free Supply 00.00 00.00 94.53 15.07
ii Deluxe Nirodh 06.00 00.85 00.00 00.00
iii SMO Brand 20.00 02.80 00.00 00.00
iv Free Supply for NACO 37.78 05.17 38.32 05.86
2. OCP (Lakh Cycles)
i Free Supply 115.96 05.14 58.89 02.61
ii Mala-D 00.00 00.00 00.00 00.00
iii SMO Brand 00.00 00.00 00.00 00.00
3. EC Pills (Lakh Packs) 20.18 00.49 10.09 0.24
4. IUCDs/Copper–T (in Lakh Pieces) 72.50 17.28 00.00 00.00
5. Tubal Rings (in Lakh Pairs) 05.57 01.01 00.00 00.00
6. Pregnancy Test Kits (PTK) (in Lakh 72.41 03.17 44.53 01.95
Pieces /Kits)
7. Centchroman Contraceptive Pill 49.43 12.85 32.01 8.29
8. Injectable Contraceptive 00.00 00.00 00.00 00.00

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Other National Health

Programmes 07
7.1 NATIONAL PROGRAMME FOR share in ratio of 60:40 (except for NE and Hilly
PREVENTION AND CONTROL States, where the share is 90:10).
OF CANCER, DIABETES, CARDIO STRATEGY
VASCULAR DISEASE AND STROKE
(NPCDCS) The strategies of the NPCDCS are as follows:

India is experiencing a rapid health transition with a) Health promotion through behavior change
a rising burden of Non-Communicable Diseases with involvement of community, civil
(NCD) surpassing the burden of Communicable society, community based organizations,
diseases like water-borne or vector-borne media etc.
diseases, TB, HIV, etc. The Non-Communicable b) Outreach camps are envisaged for
Diseases like Cardiovascular diseases, Cancer, opportunistic screening at all levels in the
Chronic Respiratory Diseases, Diabetes and health care delivery system from sub-centre
other NCDs are estimated to account for over and above for early detection of diabetes,
60% of all deaths, thus making them the leading hypertension and common cancers.
causes of death. NCDs cause considerable loss in
potentially productive years of life. Losses due to c) Management of chronic Non-
premature deaths related to heart diseases, stroke Communicable diseases, especially Cancer,
and Diabetes are also projected to increase over Diabetes, CVDs and Stroke through early
the years. diagnosis, treatment and follow up through
setting up of NCD clinics.
In order to prevent and control major NCDs,
Government of India is implementing the d) Build capacity at various levels of health
National Programme for Prevention and Control care for prevention, early diagnosis,
of Cancer, Diabetes, Cardiovascular Diseases and treatment, IEC/BCC, operational research
Stroke (NPCDCS) in all States across the country and rehabilitation.
with focus on strengthening infrastructure, e) Provide support for diagnosis and cost
human resource development, health promotion, effective treatment at primary, secondary
early diagnosis, management and referral. For and tertiary levels of health care.
activities up to district level and below, States
are given financial support under the umbrella f) Provide support for development of database
of NHM. The funds are being provided to States of NCDs through a robust Surveillance
under NCD Flexi-Pool through State PIPs of System and to monitor NCD morbidity,
respective States/UTs, with the Centre to State mortality and risk factors.

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Up To District Level Interventions Comparative Position of infrastructure in past 5

Years is as under:
In order to prevent and control major NCDs, the
National Programme for Prevention and Control S. Type of facility Cumulative no. of
of Cancer, Diabetes, Cardiovascular Diseases and N. facilities established
Stroke (NPCDCS) is being implemented with As on As on
focus on strengthening infrastructure, human 01.04.2014 30.09.19
resource development, health promotion, early
1 State NCD Cell 21 36
diagnosis, management and referral. Under the
programme, NCD Clinics are being set up at District NCD
2 96 644
Cells
District and CHC levels, to provide services for
common NCDs. In identified districts, Cardiac District NCD
3 95 616
Care Units (CCU) and Day Care Centres are also Clinics
being set up for providing facilities for emergency Cardiac Care
4 61 175
Cardiac Care and Cancer Chemotherapy Units (CCU)
respectively. Intervention on COPD and CKD District Day
5 38 214
are also included in the programme. In regard to Care Centres
Cancer, focus is on Oral, Breast and cervical. CHC NCD
6 204 3827
Clinics
During the year 2019-20 (up to 30/09/19): 101
District NCD Cells, 31 District NCD Clinics, 7 During the year 2019-20 (up to 30/09/2019),
district Cardiac Care Units, 46 District Day Care 3,32,77,060 number of the persons got screened
Centre, 743 CHC NCD Clinics were established. though opportunistic screening.
Comparative position of persons attended the NCD Clinics and screened under NPCDCS for following
years is as below:

Year Total Number of persons diagnosed with

Number
Screened Diabetes Hypertension CVDs Common
Cancer

2014-15 59,24,567 5,59,718 7,15,382 61,302 11,385

(9.45%) (12.02%) (1.03%) (0.19%)

2015-16 1,29,00,368 10,67,774 14,92,996 89,922 13,262

(8.28%) (11.57%) (0.70%) (0.10%)

2016-17 2,24,27,125 21,75,145 27,12,204 1,04,633 39,081

(9.70%) (12.10%) (0.47%) (0.17%)

2017-18 4,65,75,176 37,28,436 27,12,204 104,633 39,081

(8.00%) (5.28%) (0.22%) (0.08)

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2018-19 6,79,62,186 4148681 5067912 177112 145430

(6.1%) (7.4%) (0.26%) (0.21%)

2019-20
22,34,560 26,37,603 96,689 45,545
(April- 3,32,77,060
(6.7%) (7.92%) (0.29%) (0.13%)
September 2019)

During the year 2019-20 (up to 30/09/19), 2,73,12,457 persons got screened though Outreach Camps.
Comparative position of Outreach Activities (Including Population Based Screening) data: At Camps/
PHCs/Sub-centres for last 5 years is as below:

Year Total Number Number of persons suspected with

Screened
Diabetes Hypertension Common Cancer
2014-15 4,42,458 4,36,095 -
47,77,998 (9.26%) (9.12%)
2015-16 7,27,673 8,46,354 -
96,36,084 (7.55%) (8.78%)
2016-17 1,77,69,369 14,92,332 15,59,189 41,058
(8.40%) (8.77%) (0.23%)
2017-18 28,64,126 33,50,647 4,10,714
3,12,58,756 (9.16%) (10.72%) (1.31%)
2018-19 4,51,63,114 36,84,718 44,25,907 6,66,702
(8.2%) (9.8%) (1.5%)
2019-20
19,45,029 1,77,665
(April- September 2,73,12,457 24,68,556 (9.03%)
(7.12%) (0.65%)
2019)

Other Achievements under NPCDCS:

I. Screening and awareness generation
activity was undertaken for Diabetes,
Hypertension & Common Cancer during
India International Trade Fair at New Delhi
during 14-27 November 2019 wherein
suspected cases were referred to hospitals
for further management. More than 50,243
people were screened during the 14 days
event. Awareness was also generated among
lakhs of visitors using social electronic
media.
Testing for Blood Glucose

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by NPCDCS under NHM and  improve

the linkages between  population based
screening initiative  with health care,
India Hypertension Control Initiative
(IHCI), a collaborative project of ICMR,
MoHFW, State Governments and WHO
has been rolled out in 25 districts in 5
states namely Punjab, Madhya Pradesh,
Kerala, Telangana& Maharashtra.  The
initiative mainly focuses on five critical
components of effective hypertensive care
which include standard treatment protocol,
continuous medication supply, community-
Counseling session on Cancer prevention
based treatment, patient centered care,
II. Pilot project on ‘Integration of AYUSH with and strengthened information system to
NPCDCS is being implemented in eight (8) ensure follow up and patient tracking.
districts of the country. AYUSH facilities Till 30th September 2019, IHCI has been
and methodologies are being integrated implemented in nearly 1085 health facilities
with NPCDCS services for prevention and with over 4,95,990 patients being registered
management of common NCDs, wherein across five states. These patients are being
the practice of Yoga is an integral part of the continuously tracked to determine their
intervention. Up to 30th September, 2019 control rates.  Based on the best practices
-17,71,749 persons have been screened and and lessons learnt in the implementation in
10,115 awareness camps organized. 5 states, MoHFW has decided to scale up the
project to cover a total of 100 districts across
III. “National Framework for Joint Tuberculosis- the country which is to be operationalized
Diabetes collaborative activities” has been soon.  A National level workshop was held at
developed to articulate a national strategy ICMR headquarters, New Delhi on 31stJuly
for ‘bi-directional screening’, early detection 2019 to sensitize the remaining States/UTs
and better management of Tuberculosis and in this regard.
Diabetes co-morbidities.
IV. To leverage mobile technology, an
application called m-Diabetes is being used
to generate awareness, to promote adherence
to treatment and inculcate healthy habits
among the masses with special focus on
target groups. This application is being
integrated with national software for NCD
service delivery under Comprehensive
Primary Health Care (CPHC).
V. To leverage and strengthen the ongoing
efforts of hypertensive control interventions

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VI. Implementation of ST Elevation been approved for Assam, Chhattisgarh, Goa,

Myocardial Infarction (STEMI) Protocol: Gujarat, Jharkhand, Karnataka, Madhya Pradesh,
Of the total mortality due to NCDs, Maharashtra, Nagaland, Punjab, Telangana and
mortality caused by Cardio Vascular Uttar Pradesh.
Diseases (CVDs) stands the highest. It is
Diabetes, Hypertension and Common Cancers
estimated that about 26 lakh people die due
(Oral, Breast and Cervical) Initiative (PBS):
to CVDs in a year. Further, Ischemic Heart
Diseases and Strokes account for 80% of all Population based prevention and control,
CVDs. Contribution of CVDs to Disability screening and management initiative for
Adjusted Life Years (DALYs) is also highest common NCDs (PBS) (Diabetes, Hypertension
at 14.1%, including 8.7% DALYs caused by and cancer viz. Oral, Breast and Cervical Cancer)
Ischemic Heart Diseases. is being implemented in 219 districts as a part
of comprehensive primary health care under
Myocardial infarctions are generally clinically
National Health Mission (NHM).   Under this
classified into ST elevation MI (STEMI) and non-
initiative, persons more than 30 years of age
ST elevation MI (NSTEMI), based on changes in
are targeted.   Prevention, control & screening
ECG. For STEMI condition, timely intervention
services are being provided through trained
is critical in order to save lives by restoring blood
frontline workers (ASHA & ANM), and the
flow to the heart. Therefore, interventions such
referral support and continuity of care is ensured
as Percutaneous Coronary Interventions (PCI)
though PHC, CHC, District Hospitals and other
are required in the shortest possible time. In Hub
tertiary care institutions. PBS can help in better
and Spoke model, health facilities at lower levels
management of diseases by the way of early stage
act as spoke and have facilities for taking ECG,
of detection, follow up, treatment adherence. It
Thrombolysis, and have defibrillator inter alia.
will also generate awareness on the risk factors of
Thrombolysing the patient in time gives a wider
NCDs. The initiative has Linkages with NPCDCS
window to manage patient at higher level facility
and Tertiary care institutions like SCIs and
including Hub having cathlab, wherein PCI
TCCCs.
interventions can be performed on the patient.
To overcome the problems of non-availability of Training Modules have been developed for training
specialists at health facility, strategy of task shifting of various categories of health staff viz. Nurses,
and training of Medical Officers/ Cardiologist / ANMs, ASHAs and MOs. Currently, Universal
Staff nurses and cath lab technicians in STEMI Screening for common NCDs is being rolled out
management protocol is adopted. Protocol based in 24,016 SCs across 219 districts. (as per data
care for STEMI and NSTEMI patients improve shared by states). So far, 1,55,084 ASHAs, 37,584
treatment outcomes. ANM/MPWs, 10,135 Staff nurses and 11,024
Medical officers have been trained on Universal
The Govt. of Tamil Nadu and Goa have
screening of common NCDs. (as reported HWC
successfully implemented the STEMI protocol.
portal). NCD Module for the Comprehensive
Some more State Governments have come
Primary Health Care IT application is in use
forward to implement the STEMI protocol and
across 8288 Health care facilities (3256- SHC,
based on proposal received from them financial
4254 – PHC, 778 UPHC) (as reported on HWC
assistance under National Health Mission has
portal).

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Development of NCD Software National Multi-Sectoral Action Plan (NMAP):

Software has been developed in collaboration with National Multi-sectoral Action Plan (NMAP)
CSR initiative of M/s. Dell India & Tata Trusts for for prevention and control of NCDs has been
implementation of PBS for prevention, control, developed through series of consultations with
Screening and management of the population various stakeholders including other Ministries/
based screening of common NCDs. It has tablet Departments. The plan offer a road map and menu
based application for ANM and web based software of policy options to guide multi-sectoral efforts
for PHC and above facilities. National level towards attaining the NCD targets mentioned
training of trainers for software was conducted in the National Health Policy, 2017 and National
in April, 2018, followed by state level training. NCD Monitoring Framework. The action plan
Since the launch of the Application, states have has identified action points for 39 Ministries/
started procuring the tablets. Till 14th November Departments.An Inter-Ministerial Committee
2019: 1,19,817 tablets have been procured, trained (IMC), to coordinate the multi-sectoral actions
21,208 Health Professionals on NCD Application has been setup. Nodal Officers have been
across Pan India, total enrolment through NCD appointed in many Ministries for NMAP.
application is 10.17 crore and 2.38 crore were
Pradhan Mantri National Dialysis Program
screened and their record maintained in NCD
(PMNDP)
application (including state NCD Application).
Strengthening of Tertiary Care Cancer facilities
scheme under NPCDCS.
Under the Strengthening of Tertiary Cancer
Centre facilities Scheme of NPCDCS, financial
assistance is provided for setting up of State
Cancer Institutes (SCIs) and Tertiary Care Cancer
Centres (TCCCs) in different parts of the country.
Under the scheme, there is provision of providing
one time grant up to Rs. 120 crore for SCI and up
to Rs. 45 crore for TCCC including State share.
This grant is meant for procurement of equipment
and building construction. The funds, sharing
ratio between Centre and State is 60:40 while for
NE and Hilly States the ratio is 90:10.
Under the programme, 15 SCIs and 20 TCCCs
were approved upto March, 2018 in different
states/UTs. Continuation of the scheme till 2020
has been approved by the CCEA in February 2019.
As per the approval, support for already approved
15 SCIs and 20 TCCCs will be continued, besides
support of setting up of four new SCIs. Three more National Dialysis Programme was launched during
SCIs – at Jabalpur, Haldwani and Jammu – have year 2016-17 to support all district hospitals in
been approved during the current financial year. PPP mode under NHM. Guidelines of National

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Dialysis Programme including the Model Request diseases, cancers and chronic lung diseases are
for Proposal (RFP) for PPP were developed and directly attributable to tobacco use.
released on 7th April 2016. All States/UTs were
The Government has been putting tremendous
requested to incorporate proposals for roll out
efforts to discourage the use of tobacco products
of National Dialysis Programme in Programme
in order to reduce the prevalence of tobacco
Implementation Plans and approval was provided
use amongst the population. There is an Act
to all States in 2016-17 and 2017-18 for provision
called Cigarettes and Other Tobacco Products
of free dialysis services to poor. Based on the
(Prohibition of Advertisement and Regulation of
proposals received from the states, over Rs. 153
Trade and Commerce, Production, Supply and
Crore was approved in 2016-17; over Rs. 178
Distribution) Act, 2003 COTPA 2003 under which
Crore in FY 2017-18 and Rs.194 Crore for FY
sale of cigarettes or any other tobacco products
2018-19.
to and by persons below the age of 18 years and
Under Public Private Partnership for within 100 yards of educational institutions;
Haemodialysis services, the roles are defined as promotion/advertisement of cigarettes or any
under: other tobacco products; and smoking in public
places are banned. There is a provision to display
• Service Provider should provide medical
large specified health warning covering 85% of the
human resource, dialysis machine along
principal display area of tobacco product packs
with RO water plant infrastructure, dialyzer
along with Quitline number on tobacco packs.
and consumables.
National Tobacco Control Programme (NTCP)
• Payer Government should provide space in
was launched in the year 2007-08 to facilitate
District Hospitals, Drugs, Power and water
effective implementation of the Tobacco Control
supply and pay for the cost of dialysis for the
Laws - COTPA 2003 - in the country and to bring
poor patients.
about greater awareness about the harmful effects
PMNDP has been implemented in total 34 States of tobacco use and about the Tobacco Control
/UTs in 465 Districts in 798 Centres  deploying  Laws. NTCP is being implemented through a
4727 machines. Total 5.60 lakh patient availed three-tiered structure i.e., the National Tobacco
dialysis services and 56.11 Lakhs Hemo-dialysis Control Cell, the State Tobacco Control Cells, and
Sessions held- as on 31st October, 2019. (Source: the District Tobacco Control Cells. The National
DVDMS) Tobacco Control Programme (NTCP) is being
implemented in 632 districts across 36 States/UTs.
7.2 NATIONAL TOBACCO CONTROL
PROGRAMME (NTCP) Major Achievements

Tobacco is the foremost preventable cause of death World No Tobacco Day 2019: A National
and disease in the world today, killing half of the Consultation on “Tobacco and Lung Health” was
people who use it. 26.7 crore adults (15 years and organized on World No Tobacco Day 2019 on 31st
above) in India use tobacco in some form or the May, 2019 which was attended by Dr V.K. Paul,
other with the overall prevalence of tobacco use Member, NITI Aayog; stakeholder Ministries/
is 28.6% wherein overall tobacco use among men Departments; State TB Officers; Experts; WHO
is 42.4% and that among women is 14.2%. The Representatives, etc, wherein various technical
tobacco-attributable deaths are about 13.00 lakh issues viz. the health and other associated risks of
per year in India. Majority of the cardiovascular vaping; collaborative approach towards tobacco

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control and related co-morbidities: progress and from tobacco use to quit tobacco.
challenges; best practices in implementing TB-
The following two documents were also released;
Tobacco collaborative framework at Sub-National
level; and leveraging technology for expanding i. Guidelines for Tobacco Free Educational
access to services: mCessation and Tobacco Institutions (ToFEI)
Quitline Services were discussed. The tobacco
ii. Operational Guidelines for National
users who quit tobacco use through tobacco
Tobacco Testing Laboratories (NTTL)
Quitline services also shared their experience

Release of revised Guidelines for Tobacco Free Educational Institutions

The Guidelines educational institution, including schools at all
for Tobacco Free levels, colleges for higher or professional education
Educational Institutions and universities, both in public and private sector.
[ToFEI] have been The Guidelines also include a self-assessment tool
developed with the key to enable educational institutions to develop a
objective to provide healthy and tobacco free environment and also
a fresh momentum get certified as tobacco free if the assessment score
to implementation is more than 90%.
of tobacco control
A dedicated portal for National Tobacco Control
initiatives in educational
Programme (www.ntcp.nhp.gov.in) has been
institutions. These
guidelines may be launched to provide comprehensive information
implemented by any on tobacco control activities.

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Every year, WHO recognizes individuals or cigarettes and like devices through promulgation
organizations in each of the six WHO Regions of ‘The Prohibition of Electronic Cigarettes
for their exceptional accomplishments in the (Production, Manufacture, Import, Export,
area of tobacco control. For this year ‘World Transport, Sale, Distribution, Storage and
No Tobacco Day Award for 2019’ was awarded Advertisement) Ordinance, 2019’ on 18th
to Department of Medical, Health and Family September, 2019. The decision to prohibit
Welfare, Government of Rajasthan and Prof Raj e-cigarettes will help protect population, especially
Kumar, Director, V.P Chest Institute, University the youth and children, from the risk of addiction
of Delhi for Quitline Services. or initiation of psychoactive substances including
nicotine through E-cigarettes. The Ordinance
Training of Trainers (ToTs):The trainings for
will complement government’s efforts for tobacco
Trainers for capacity building of States/UTs
control and will help in reduction of tobacco use
have been undertaken by NIHFW on behalf of
and reduction in associated economic and disease
Ministry. Master Trainers from states trained at
burden.
Central level shall become the trainers at State
level and facilitate the State/District Tobacco National Tobacco Testing Laboratories Notified:
Control Cell for organizing training for NTCP Government of India has established and notified
staff. Out of the 6 phases of the training, 5 phases three National Tobacco Testing Laboratories at
have been completed and 140 Master trainers National Institute for Cancer Prevention and
have been trained upto October, 2019. Research (NICPR), Noida, Central Drug Testing
Laboratory (CDTL), Mumbai and Regional Drug
Rotation of Specified Health Warning: The
Testing Laboratory (RDTL), Guwahati. These labs
Image-2 of the new
are the only tobacco product testing laboratories
set of specified
in Government Sector, not just in India but also
health warnings
in the entire South East Asia Region, which will
notified on 3rd April
cater to the needs for tobacco product testing to
2018 has come into
provide scientific evidences for public health.
effect on 1st
September, 2019. Tobacco Cessation Centres in Dental Institutes:
One of the most The global trends of oral diseases are witnessing
important key a paradigm shift with the rising number of
features of the new oral cancers. Considering that Dental Health
set of specified Care providers have an immense potential in
health warnings is prevailing & controlling this rise that needs to be
the inclusion of channelized strategically; the Dental Institutes
telephone Quitline number (1800-11-2356). This can be instrumental in rendering behavioural
is creating awareness among tobacco users, and and pharmacological interventions along with
giving them access to counseling services to effect dental care to facilitate changes in tobacco users’
behavior change which is increasing the demand behaviour and in order to provide effective
for tobacco cessation. treatment to all tobacco users, Tobacco Cessation
Centres have been established in 302 Dental
Prohibition of Electronic Cigarettes:
Colleges / hospitals in collaboration with Dental
Government of India prohibited electronic-
Council of India.

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7.3 NATIONAL MENTAL HEALTH of the country for detection, management and
PROGRAMME (NMHP) treatment of mental disorders/illness with the
major components of counselling in schools and
The Mental Healthcare Act, 2017: Government colleges, work place stress management, life skills
enacted the Mental Healthcare Act, 2017. In training, suicide prevention services and IEC
pursuance of the provisions of the Act, the activities for generation of awareness and removal
following Rules were framed by the Government: of stigma associated with Mental Illness.
o Central Mental Health Authority and
Mental Health Review Boards Rules. 7.4 NATIONAL PROGRAMME FOR
o State Mental Health Authority Rules. CONTROL OF BLINDNESS AND
VISUAL IMPAIRMENT (NPCB&VI)
o Rights of Persons with Mental Illness Rules.
National Programme for Control of Blindness
To augment the existing mental healthcare
and Visual Impairment (NPCBVI) was launched
manpower in the country, through NIMHANS,
in the year 1976 as a 100% centrally sponsored
Bangalore, CIP, Ranchi and LGBRIMH, Tezpur,
scheme (now 60:40 in all States and 90:10 in NE
Assam the Government has established a Digital
States and hilly States) with the goal of reducing
Academy, as a virtual university. The Digital
the prevalence of blindness from 1.38% to 0.3%
Academy was inaugurated by Hon’ble HFM on
by 2020. The Survey (2015-19) conducted under
26/06/2018. Through this method of Blended
NPCBVI showed reduction in the prevalence of
digital learning, NIMHANS, LGBRIMH & CIP
blindness from 1% (2007) to 0.36% (2019).
are conducting large scale training for service
providers across the country to deliver quality Prevalence rate of blindness and targets
mental health care in the country. By way of • Prevalence of Blindness - 1.1%. (Survey
virtual learning, Medical Officers, Psychologists, 2001-02).
Psychiatric Social Workers and Psychiatric Nurses
• Prevalence of Blindness - 1 %. (Survey 2006-
are being trained to deliver mental health services.
07).
To address the burden of mental disorders, • Current rate of Prevalence of Blindness -
the Government of India is supporting 0.36% as per blindness Survey (2015-18)
implementation of the District Mental Health report released on 10.10.2019.
Programme (DMHP) under the National Mental
• Target to reduce Prevalence of Blindness -
Health Programme (NMHP) in 608 districts
0.25% (by the year 2025).

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Main Causes of blindness(PVA<3/60 better eye) PHYSICAL PROGRESS

• Cataract (66.2%). Cataract operations
• Corneal opacity (7.4%).
Year Target No. of Cataract
• Cataract surgical complications (7.2%).
operations performed
• Posterior segment disorders excluding DR
and ARMD (5.9%). 2014-15 66,00,000 64,19,933

• Glaucoma (5.5%). 2015-16 66,00,000 63,04,177

2016-17 66,00,000 64,81,435
Main objectives
2017-18 66,00,000 64,41,487
• To reduce the backlog of avoidable blindness
through identification and treatment of 2018-19 66,00,000 66,90,823
curable blind at primary, secondary and 2019-20* 67,00,000 26,37,746
tertiarylevels, based on assessment of the
overall burden of visual impairment in the School Eye Screening Programme
country.
Year No. of free spectacles provided to
• Develop and strengthen the strategy of school children suffering from
NPCBVI for “Eye Health for All” and refractive errors
prevention of visual impairment through Target Achievement
provision of comprehensive universal eye-
2014-15 9,00,000 7,36,572
care services and quality service delivery.
2015-16 9,00,000 8,30,620
• Strengthening and upgradation of Regional
Institutes of Ophthalmology (RIOs) to 2016-17 9,00,000 7,57,906
become Centre of Excellence in various 2017-18 9,00,000 7,98,411
sub-specialities of ophthalmology and also 2018-19 9,00,000 8,81,929
other partners like Medical College, District
Hospitals, Sub-district Hospitals, Vision 2019-20* 10,00,000 2,12,731
Centres, NGO Eye Hospitals. Treatment/management of other eye diseases
• Strengthening the existing infrastructure (Diabetic retinopathy, glaucoma, childhood
facilities and developing additional human blindness, keratoplasty etc.)
resources for providing high quality
comprehensive Eye Care in all Districts of Year Target Achievement
the country.
2014-15 72,000 2,42,830
• To enhance community awareness on eye 2015-16 72,000 3,12,925
care and lay stress on preventive measures;
2016-17 72,000 4,04677
• Increase and expand research for prevention
2017-18 72,000 5,48,448
of blindness and visual impairment;
2018-19 2,00,000 6,14,433
• To secure participation of Voluntary
Organizations/Private Practitioners in 2019-20* 6,00,000 3,47,700
delivering eye Care.

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Collection of donated Eyes for corneal • Eye banking Services: Strengthening of eye
transplantation banking services and collection of donated
eyes.
Year No. of donated eyes collected
• Strengthening and developing eye care
Target Achievement
infrastructure at various levels to improve
2014-15 50,000 58,757 the quality and quantity of services.
2015-16 50,000 59,810 • Use of Tele-ophthalmology network to
2016-17 50,000 65,135 increase the reach of the programme in hard
to reach areas.
2017-18 50,000 71,709
2018-19 55,000 68,409 • IEC activities to promote eye health care
services and eye donation.
2019-20* 70,000 33,860
• Capacity Building: Continuous
*the data for 2019-20 is provisional (upto development of human resources for
September, 2019), as reported by States. providing quality of services.
Major activities New Initiatives/ Focus Areas
• Cataract surgeries: Reduction in the backlog Revision of the financial norms for grant in aid
of cataract by performing cataract surgeries for the various activities under the programme
in Governmental, Non-Governmental Eye e.g. cataract surgery reimbursement, support
Hospitals and private practitioners. for procurement of eye equipment at District
• Screening for Refractive errors and Hospitals and Eye banks
Distribution of free Spectacles: Screening • Revision of NPCBVI guidelines to provide
of Children for identification and treatment Comprehensive eye health care through
refractive errors and distribution of Health and Wellness centers.
spectacles to those who are suffering
from refractive errors through school eye • Award/incentives for cataract backlog
screening programme. free States/Districts: to clear backlog of
Cataract blind cases in a phased manner
• Distribution of free spectacles to old with emphasis on quality of surgery awards/
persons suffering from presbyopia to incentives for achieving cataract blindness
enable them for undertaking near work as a backlog free status in each district.
new initiative under the programme.
• Focus on other causes of Visual impairment
• Management of Visual impairment: The besides Cataract reimbursement for
programme is now geared to take care of all treatment/management of other eye
categories of visual impairment including diseases like Diabetic retinopathy (DR),
low vision cases. Apart from cataract, now ROP, Corneal Blindness and glaucoma have
the focus of the programme is on treatment been increased. DR screening and glaucoma
and management of other eye diseases clinics have been made compulsory at
like glaucoma, diabetic retinopathy, vitreo district and sub-district hospitals.
retinal diseases, Corneal blindness and
childhood blindness. • Training and Sensitization of Govt.

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Ophthalmologists for early diagnosis and • In order to achieve elimination of

treatment of Glaucoma. trachoma by the year 2020 as per WHO
global action plan, surveillance, case
• Incollaboration with Dr. R.P. Centre for
detection and treatment of Trachoma
Ophthalmic Sciences, training has been
Trichiasis (TT) followed by TT only survey
given to ophthalmologists from all 19
in previously trachoma endemic districts is
RIOs to start low vision clinics in their
being executed.
departments.

7.5 NATIONAL PROGRAMME FOR • To strengthen the existing inter-sectoral

PREVENTION AND CONTROL OF linkages for continuity of the rehabilitation
DEAFNESS program, for persons with deafness.
Hearing loss is the fourth leading cause for • To develop institutional capacity for ear care
‘Years lived with Disability’ (YLD), affecting 1.27 services by providing support for equipment
billion people (GBD study, 2016) globally. WHO and material and training personnel.
estimated that 63 million people in India are
Strategies
suffering from auditory impairment. National
Programme for Prevention and Control of • To strengthen the service delivery for ear
Deafness was launched in 2006-07 with following care.
objectives:
• To develop human resource for ear care
• To prevent the avoidable hearing loss on services.
account of disease or injury.
• To promote public awareness through
• Early identification, diagnosis and treatment appropriate and effective IEC strategies with
of ear problems responsible for hearing loss special emphasis on prevention of deafness.
and deafness.
• To develop institutional capacity of the
• To medically rehabilitate persons of all age district hospitals, CHCs and PHCs selected
groups, suffering with deafness. under the Programme.

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Components management of such cases is possible and to

remove the stigma attached to deafness.
• Manpower Training & Development -
for prevention, early identification and Program status:
management of hearing impaired and
The program is being implemented in 558 districts.
deafness cases, training would be provided
The funds are being provided to the States under
from medical college level specialists (ENT
NCD Flexi-Pool through State PIPs, with the
and Audiology) to grass root level workers.
Centre to State share in ratio of 60:40 (except for
• Capacity building - for the district hospital, NE and Hilly States, where the share is 90:10).
CHCs and PHC for ENT/Audiology
The data for FY 2018-19 are given below:
infrastructure.
• Total number of cases examined with
• Service provision – Early detection and
Deafness - 302,186
management of hearing and speech impaired
cases and rehabilitation at different levels of • Total number of ENT Surgeries performed -
health care delivery system. 16,381
• Awareness generation through IEC/BCC • Total number of hearing aids fitted - 17,747
activities – for early identification of hearing
• Total number of person referred for
impaired, especially children so that timely
rehabilitation - 52,074

NPPCD Review Meeting at Tawang, Arunachal Pradesh, February, 2019

7.6 NATIONAL PROGRAMME FOR dental Fluorosis, skeletal Fluorosis and non-
PREVENTION AND CONTROL OF skeletal Fluorosis.
FLUOROSIS (NPPCF)   The National Programme for Prevention and
Fluorosis is a public health problem caused by Control of Fluorosis (NPPCF) was initiated in
excess intake of Fluoride through drinking water/ the 11th five Year Plan (2008-09) with the aim
food products/industrial pollutants over a long to prevent and control Fluorosis in the affected
period. It results in major health disorders like States.

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The Objectives of the programme are (i) assess  Broadcast of Audio Spots on Fluorosis
and use the baseline survey data of Fluorosis to generate awareness about fluoride
of Ministry of Drinking water & Sanitation; contaminated water and its ill-effects on
(ii) comprehensive management of Fluorosis health is proposed during the year 2019-20.
in the selected areas; (iii) capacity building
for prevention, diagnosis and management of 7.7 NATIONAL PROGRAMME FOR
Fluorosis cases. HEALTH CARE OF THE ELDERLY
(NPHCE)
The Strategy followed under the Programme
is(i) Surveillance of Fluorosis in the community; MOHFW had launched the “National Programme
(ii) Capacity building (Human Resource) in for the Health Care of Elderly” (NPHCE) during
the form of training and manpower support; 2010-11 to address various health related problems
(iii) Establishment of diagnostic facilities in the of elderly people. The National Programme for
district; (iv) Health education for prevention and the Health Care for the Elderly (NPHCE) is an
control of Fluorosis cases and (v) Management articulation of the International and national
of Fluorosis cases including supplementation, commitments of the Government as envisaged
surgery and rehabilitation etc. under the UN Convention on the Rights of
Persons with Disabilities (UNCRPD), National
Prevalence: As per the latest data from Integrated
Policy on Older Persons (NPOP) adopted by the
Management Information System from Ministry
Government of India in 1999 & Section 20 of “The
of Jal Shakti, with respect to excess Fluoride, there
Maintenance and Welfare of Parents and Senior
are 8,415 habitations in 174 districts which are yet
Citizens Act, 2007” dealing with provisions for
to be provided with safe drinking water. About 60
medical care of Senior Citizen. The programme is
lakh population is at risk (as on 1.04.2019).
State oriented and basic thrust of the programme
Presently 157 districts of 19 States have been is to provide dedicated health care facilities to the
covered under the Programme in a phased senior citizens (>60 year of age) at various level of
manner in the Country. primary, secondary and tertiary health care.

Achievements during 2019-20:- Objectives of Program:

 At present, 157 Districts of 19 States have • To provide an easy access to promotional,

been covered under NPPCF. preventive, curative and rehabilitative
services to the elderly through community
 One Training Programme for Lab based primary health care approach
Technicians (Fluorosis) was organized
under NPPCF at NIN, Hyderabad during • To identify health problems in the elderly
the year 2019-20. and provide appropriate health interventions
in the community with a strong referral
 A meeting of Technical Advisory Committee backup support.
of NPPCF is being proposed to be held
during the year 2019-20. • To build capacity of the medical and
paramedical professionals as well as the
 Training modules for ASHAs, Lab care-takers within the family for providing
Technicians, Medical Officers and Training health care to the elderly.
of Trainers (TOT) under NPPCF have been
finalized. • To provide referral services to the elderly

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patients through district hospitals, regional (iii) IEC: Various Audio/Video spots, print
medical institutions material-folder, posters etc. Have been
developed, however a comprehensive IEC
• Convergence with National Rural
package including an action plan is yet to be
Health Mission, AYUSH and other line prepared.
departments like Ministry of Social Justice
and Empowerment. Progress in Operationalization of the
Programme activities
Components of the Program:
As on date 713 districts have been sanctioned for
I. National Health Mission (NHM) geriatric care services of OPD, IPD, Physiotherapy
Component: Primary & Secondary care and laboratory, including 114 districts sanctioned
service delivery through District Hospitals in 2019-20. The Regional Geriatric centers which
(DH), Community Health Centres (CHC), provide tertiary level of geriatric care services
Primary Health Centres (PHC), Sub- along with training, research have been established
Centre/Health & Wellness Centres. in 18 out of the 19 sanctioned medical colleges.
II. Tertiary Component: These services are The two national centers for aging at AIIMS
being provided though Regional Geriatric Delhi and MMC Chennai are in the process of
Centres (RGCs) located at 19 Medical development. MMC Chennai is in the advanced
colleges in 18 states of India and two National stage of construction.
Centres of Aging (NCAs) one in AIIMS, Financial Progress (FY 2019-20 till Quarter 2):
Ansari Nagar, New Delhi and another in
Madras Medical College, Chennai. S. Components Funds Funds
III. Central Component: No. released Utilized
(Rs. In (Rs. In
(i) Research: A Longitudinal Ageing Study Crore) Crore)
in India (LASI) project:- The LASI is a 1 NHM Funds 277.97 # 9.96*
nationally representative survey of older
persons in India is being undertaken 2 RGCs 0.00 ## 2.96
through International Institute of 3 NCAs 0.00 22.59
Population Sciences (IIPS), Mumbai with
emphasis on their health, social factor and 4 LASI - IIPS 0.00 1.12
economic situation. It involves 61,000 non- # Release for the F.Y. 2019-20 is updated
institutionalized Indian residents aged 45 upto 31.10.2019 and is provisional. This release
and older and their spouses (irrespective is under NCD Flexible Pool which includes 5
of age) in 30 states and 6 union territories programmes i.e. NPHCE, NPCBVI, NPCDCS,
covering 640 districts.
NMHP & NPTC
(ii) Monitoring & Evaluation: Regular
* This figure is of NPHCE and as per
monitoring through quarterly and annual
FMR reported by State/UTs and updated upto
progress reports analysis is carried out
30.09.2019, hence provisional.
along with regional and National Level
Review meetings. A web based MIS has ## Due to non-receipt of reimbursement
been developed for real time monitoring proposals from the RGCs, no funds have so far
purpose. been released in this financial year.

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Physical Progress:
(As per Progress Report- April to September, 2019-20)

Sl. Institutions operationalised OPD Indoor Physiotherapy Laboratory

No wards services services
1 RGCs 18 16 14 13
2 District hospitals 525 463 414 494
3 CHCs 1,936 - 920 1735
4 PHCs 5,368  -  -  -
SCs providing Screening of elder &home
5 10,954
based care & supportive appliances
Geriatric care service provision in 2019-20 (As per Progress Report- April to September, 2019-20)

S.N. Services RGCs Distt. CHCs PHCs SCs Total

Hospitals
1 OPD care services 77,411 23,15,024 23,27,883 32,49,366 13,03,241 92,72,925
2 In-door admissions 7,506 2,56,961 98,714 - - 3,63,181
3 Physiotherapy care 28,382 2,50,834 1,89,940 - - 4,69,156
4 Lab Tests 1,21,396 12,37,561 82,4905 950,209 - 31,34,071
No of Elderly Screened
- 2,66,745 3,03,769 1,78,002 1,33,954 8,82,470
5 & given Health card
No of Elderly Provided
- 1,812 13,672 23,443 37,817 76,744
6 Home care services
No of Elderly Provided
- 1,096 5,305 2,215 9,301 17,917
7 supportive devices
8 Cases referred - 12,583 22,725 29,205 23,018 87,531
9 Cases died in hospitals - 7,190 1,000 92 - 8,282

Geriatric patients have been provided health care based workers to deliver comprehensive
services through 92.73 lakhs OPD, 3.63 lakhs geriatric care have been developed in
Indoor admissions, 4.69 lakhs Rehabilitation 2018. ToT to identify state level master
and 31.34 lakhs Leb. services respectively by all trainers and facilitate below district level
the operational District Hospitals. In addition, trainings are being conducted. State level
8.82 lakhs of elderly people were provided Health Training of Trainers of Medical Officers for
Screening, 0.76 lakhs home based care and 0.18 Comprehensive Geriatric Care has already
lakhs of elderly provided supportive devices. been conducted at Chhattisgarh, Meghalaya,
Haryana and Punjab, generating approx 150
Achievements:-
Master Trainers.
 Modules: Three sets of Training modules for
 NPHCE Website: - An interactive and
Medical Officers, Nurses and community
dynamic website cum MIS of the NPHCE

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program has been initiated through Center (PPP) for achieving public health goals
for Health Infomatics (CHI) to provide
The program has two components as under:
comprehensive information along with data
regarding Geriatric facilities and services NHM Component: support is provided to States
available through-out the country. The to set up Dental Care Units at District Hospitals
website cum MIS shall be launched soon. or below. Support is provided for the following
components:
 IEC: Audio/Video spots on different topics
of elder care, print material-folder, posters • Manpower support [Dentist, Dental
etc. have been developed. The regional Hygienist, Dental Assistant].
language version of IEC material is being
• Equipments including dental Chair.
developed.
• Consumables for dental procedures.
 Regional Review cum capacity building
Workshop: Four Regional Review Workshop Tertiary Component: For central level activities
(West Zone, North East Zone, East Zone & such as:
South Zone) were conducted to review the
functioning, Physical & financial progress • Designing IEC materials like Posters, TV,
of RGC’s & States/UT Nodal Officers. Radio Spots, Training Modules.
• Organizing national, regional nodal officers
7.8
NATIONAL ORAL HEALTH training program to enhance the program
PROGRAMME (NOHP) management skills, review the status of the
National Oral Health Programme (NOHP) is program.
an initiative of the 12th Plan period launched • Preparing State/District level Trainers by
in the year 2014-15 to strengthen the public conducting national, regional workshops to
health facilities of the country for an accessible, train the paramedical health functionaries
affordable & quality oral health care delivery. The associated in health care delivery.
objectives of NOHP are as:
Achievements in 2019-20:-
• Improvement in the determinants of
oral health e.g. healthy diet, oral hygiene • Through its NHM component, NOHP has
improvement etc and to reduce disparity approved 703 dental care units across 36
in oral health accessibility in rural & urban States and UTs.
population. • eDantSeva, an interactive website and
• Reduce morbidity from oral diseases by mobile application for oral health has been
strengthening oral health services at Sub developed and launched under NOHP in
district/district hospital to start with. collaboration with CDER, AIIMS, New
Delhi.
• Integrate oral health promotion and
preventive services with general health care • Braille booklet on Oral Health along with
system and other sectors that influence oral Voice Over has been released for visually
health; namely various National Health impaired population.
Programs. • Oral health posters for mothers and Infants
• Promotion of Public Private Partnerships have been released.

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• Establishment of Tobacco Cessation Centres (TCFs) in the  Government Hospitals along the
in 301 Dental Colleges out of 313 Colleges. Golden Quadrilateral highway corridor as well as
North-South & East-West Corridors. Under this
• Oral health training for School Teachers programme, 116 TCFs were approved in 17 States
held at CDER, AIIMS, New Delhi under on 100% Central assistance.
NOHP.
The scheme was extended to the 12th FYP as
7.9 NATIONAL PROGRAMME FOR “Capacity Building for Developing Trauma
PREVENTION AND MANAGEMENT Care Facilities in Govt. Hospitals on National
OF TRAUMA AND BURN INJURIES Highways” wherein 80 Hospitals/Medical
(NPPMTBI) Colleges were approved for financial assistance.
The scheme has been extended up-to 31st March
A. Trauma Care component: 2020 for continuing support to already approved
Worldwide, accidental trauma is a major yet TCFs as per the norms of the scheme.
unrecognized public health problem. According to Following are the objectives of the programme:
World Health Organization (WHO), the number
of road traffic deaths continue to mount, reaching • To establish a network of Trauma Care
1.35 million in 2016. Road traffic injuries are one Facilities on National/State Highways in
of the leading causes of mortality in people aged order to reduce the incidence of preventable
5-29 years. It is the 8th leading cause of death for deaths and disabilities due to road traffic
all age groups surpassing HIV/AIDS, tuberculosis accidents by observing golden hour
and diarrheal diseases. It has also been projected principle.
by WHO that by 2020, road traffic accidents would • To develop proper referral and
be the third major cause of disability adjusted life communication network between
years (DALY) lost. ambulances/ Heli ambulances and TCFs
In India too, road traffic crashes are one of and within the TCFs, for optimal utilization
the major causes of disability, morbidity and of the available services.
mortality. As per Ministry of Road Transport and • To develop National Injury Surveillance,
Highways (MoRTH), road injuries are one of the Trauma Registry and Capacity Building
top four leading causes of death and health loss Centre for collection, compilation, analysis
among persons of age group 15-49 years. During and dissemination of information for policy
2017 (report of MoRTH), the total number of formulation and preventive interventions.
road accidents are reported to be 4,64,910 causing
injuries to 4,70,975 persons and claiming 1,47,913 • To develop trauma registry centres for
lives in the country, translating, on an average, ensuring delivery of quality services to the
into 53 accidents and 16 deaths every hour. victims.

The programme for trauma care started during • To develop a National Trauma System Plan
9thand 10th Five Year Plans as “Pilot Project for by adopting a bottom to top approach.
Strengthening Emergency Facilities along the • To improve the awareness about trauma care
Highways”. During the 11th FYP, the programme among the general masses and vulnerable
was approved as “Assistance for Capacity groups by developing and disseminating
Building for Developing Trauma Care Facilities IEC material.
in Government Hospitals on National Highways”
for developing a network of trauma care facilities • A Review Meeting was held under the

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Chairmanship of Economic Advisor in • IEC Action Plan for 2019-20 finalized.

April, 2019 with 19 States to reviewing the Activities of dissemination of IEC material
progress of implementation of Trauma and developed on awareness of Good Samaritan
Burn Programme in the States. and First Aid on trauma care, including
telecast, broadcast, publicity through
• Technical inputs under the Chairmanship of hoardings, audio-advertisement, digital
DDG(P) provided to NHSRC for finalizing cinema campaigns, to be undertaken
Operational Guidelines for Emergency through DAVP. Audio-visuals and print
services at Sub Centres, Health and Wellness material on prevention and first aid on
Centres, PHC, CHC and District Hospitals. drowning are also being developed.
• Medical First Aid training was imparted to B. BURN INJURIES COMPONENT
50 Airport Rescue & Firefighting (ARFF)
personnel and Airport Health Organization Globally, burns are a serious public health problem.
staff in May, 2019 at Delhi International An estimated 265 000 deaths occur each year
Airport, apart from 250 ARFF personnel from fires alone, with more deaths from scalds,
trained previously, and to 120 ANM electrical burns, and other forms of burns, for
students & staff at RHTC Najafgarh, in which global data are not available. Over 96% of
batches during May-June, 2019. fatal fire-related burns occur in low- and middle-
income countries. In addition to those who die,
millions more are left with lifelong disabilities and
disfigurements, often with resulting stigma and
rejection. (World Health Organization).
India has one of the largest burdens of burns with
an estimated 70 lakh burn injuries per year, and an
estimated 1.4 lakh deaths and 2.4 lakh disabilities,
making burn injuries the second largest group
of injuries after road accidents. (National Health
Portal, India) These figures translate to a mortality
rate of over 8.3/100,000 population, disfigurement
and permanent disability in 250,000 people
annually, and a loss of 5 million disability-adjusted
life years.
(First-aid training at IGI Airport)
A pilot project for prevention of Burn injuries
• Coordination of technical activities
(PPPBI) started in 2010, continued as full-fledged
undertaken with NITI Aayog and AIIMS for
programme during the 12th Five Year Plan period.
drafting a documenton National Accident
The financial assistance towards District Hospital
and Emergency Care System in India
component was undertaken under National
• A one-day workshop organized for Health Mission (NHM).  The programme has
various Ministries and key stakeholders in now been extended up-to 31st March 2020 for
collaboration with WHO for collecting data continued support to already approved Burn
on drowning related injuries for drafting Units.
WHO’s bi-regional drowning report for The objectives of the scheme are as under:
India.
• To establish a network of burn units with

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adequate infrastructural facility for burn been trained so far. A draft TOT module
management and rehabilitation in all has been developed to de-centralize the
identified Govt. Medical Colleges and training and develop a pool of trainers for
District Hospitals. imparting the training at the State/ Regional
level.
• To improve the awareness among the general
masses and vulnerable groups especially the • IEC Action Plan for 2019-20 has been
women, children, industrial and hazardous finalized. Activities of production and
occupational workers. dissemination of IEC material developed on
prevention and first aid on burn injuries and
• To establish Burn data registry under
acid burns to be undertaken through DAVP.
NPPMBI with integration with National
Injury Surveillance Centre for collection, 7.10 NATIONAL ORGAN TRANSPLANT
compilation and analysis of burn injury data
PROGRAM (NOTP)
to bring down the incidence of burn injury
cases. The gap between the demand for organsrequired
for transplant and the organs that are available
• To carry out Research for assessing
behavioral, social and other determinants is huge in our country. Government of India
of Burn Injuries in the country to facilitate is implementing National Organ Transplant
effective need based program planning, Programme (NOTP) which aims to bridge the
monitoring and evaluation. gap between demand and supply of organs and/or
tissues for transplantation, improve access to the
• To organize burn Injury training transplantation for needy citizens by promoting
Programmes for doctors, nurses and deceased organ/tissue donation, organize
paramedical staff associated in management an efficient mechanism for organ and tissue
of burn injuries from the identified District procurement/retrieval from deceased donors
Hospitals and Govt. Medical Colleges. and its distribution for transplantation, establish
Achievements new organ and tissue retrieval and transplant
facilities and strengthen existing facilities and
• A Review Meeting was held under the train required manpower.
Chairmanship of Economic Advisor in
April, 2019 with 19 States to reviewing the NOTTO: National Organ and Tissue Transplant
progress of implementation of Trauma and Organisation (NOTTO) is an Apex National
Burn Programme in the States. Networking Organization established under
the DGHS, MOHFW as a mandate of the
• Project on “Situational Analysis of Burn Transplantation of Human Organs (Amendment)
Injuries in India” is being undertaken Act, 2011. NOTTO is currently performing the
through AIIMS, New Delhi. A 2-day functions of the National Human Organs and
Workshop was held in May, 2019 to orient Tissues Removal and Storage Network, as specified
the participating Hospitals (around 20) for by the Act. NOTTO was set up as an initiative to
this project. The tool for the project has been meet the need of organs for transplant in end stage
finalized and 60% data has been collected by organ failure patients as a huge number of people
the participating Institutes. are dying every year due to organ failure in India.
• For capacity building, 6-days practical NOTTO offices have been established at the 4th&
training provided to Medical Officers in 5th floor, NIOP building, VMMC &Safdarjung
Burn Injury management; 80 doctors have Hospital Campus, New Delhi-110029.

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Major Mandates of the NOTTO: • Sawai Man Singh Medical College (SMS),
Jaipur, Rajasthan.
• To Create National Networking with
Regional and State Level Organisations & • Mahatma Gandhi Medical College
National Registry. (MGMC), Indore, Madhya Pradesh.
• To provide a system for procurement & • Goa Medical College (GMC), Bambolim,
distribution of organs & tissues. Goa.
• To promote deceased organ and tissue • Government Medical College (GMC),
donation. Jammu, J & K.
Regional Organ and Tissue Transplant • PanditBhagwatDayal Sharma PGIMS,
Organisations (ROTTOs): Rohtak, Haryana.
In order to ensure proper networking, maintain • Sriram Chand Bhanj Medical College (SCB),
registries, create public awareness and training Cuttack, Odisha.
of requisite manpower, 5 regional centers
• Institute of Kidney Diseases and Research
named Regional Organ and Tissue Transplant
Centre (IKDRC), Ahmedabad, Gujarat.
Organisations (ROTTOs) have been established
at the following institutes, which also function as • Sanjay Gandhi Post Graduate Institute of
State Organ and Tissue Transplant Organisations Medical Sciences (SGPGIMS), Lucknow,
(SOTTOs) for the states in which they are located:- UP.
• Government Multi Specialty Hospital, • Indira Gandhi Institute of Medical Sciences
Omandurar Estate, Chennai in Tamil Nadu. (IGIMS), Patna, Bihar.
• King Edward Memorial Hospital (KEM), • Government Medical College, Patiala,
Mumbai in Maharashtra. Punjab.
• Post Graduate Institute of Medical Education Networking: Registration, Allocation &
& Research (PGIMER), Chandigarh. Distribution
• Gauhati Medical College (GMC), Guwahati Registration of Hospitals with NOTTO Website:
in Assam.
Online facility for registration of hospitals for
• Institute of Post Graduate Medical networking and data collection for National
Education & Research (IPGMER), Kolkata registry has been made functional. So far 425
in West Bengal. Hospitals doing organ/tissue transplantation have
been registered with the NOTTO website and
State Organ and Tissue Transplant
allocated a unique ID.
Organisations (SOTTOs):
Allocation Policy:
SOTTOs have been established inthe states
ofKerala, Rajasthan, Madhya Pradesh, Goa, • Policies for allocation of organs, viz., Kidney,
Jammu & Kashmir, Haryana, Odisha, Gujarat, Liver, Heart& Lung have been approved
Uttar Pradesh, Bihar and Punjab in the following by the DGHS. Similarly, for tissues such
institutions:- as Cornea, the allocation policy has been
approved. Approved organ allocation
• Government Medical College,
policies are available on the NOTTO website
Thiruvananthapuram, Kerala.
https://notto.gov.in/guidelines.htm.

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Transplant Data (01st April 2019 to 31st December 2019)

States Recipient
Kidney Liver Donors
Transplanted

Pancreas
Heart

Lung
Cadaver

Cadaver

Cadaver

Cadaver
Live

Live

Live

Live
Andaman Nicobar Island 0 0 0 0 0 0 0 0 0 0 0
Andhra Pradesh 114 24 1 11 4 0 0 115 16 115 39
Arunachal Pradesh 0 0 0 0 0 0 0 0 0 0 0
Assam 23 0 1 0 0 0 0 24 0 24 0
Bihar 24 0 0 0 0 0 0 24 0 24 0
Chandigarh 118 44 0 4 1 0 2 118 22 118 49
Chhatisgarh 0 0 0 0 0 0 0 0 0 0 0
Dadra Nagar Haveli 0 0 0 0 0 0 0 0 0 0 0
Daman and Diu 0 0 0 0 0 0 0 0 0 0 0
Delhi 1091 20 363 8 3 0 0 1454 15 1454 31
Goa 1 0 0 0 0 0 0 1 0 1 0
Gujarat 453 80 19 40 1 0 2 472 47 472 123
Haryana 265 1 130 0 0 0 0 399 (4 cases of 1 395 1
dual donation)
Himachal Pradesh 3 0 0 0 0 0 0 3 0 0 0
Jammu and Kashmir 26 0 0 0 0 0 0 26 0 26 0
Jharkhand 59 0 0 0 0 0 0 59 0 59 0
Karnataka 303 123 100 67 17 25 3 403 80 403 234
Kerala 533 22 93 11 2 0 2 626 14 626 37
Lakshwdeep 0 0 0 0 0 0 0 0 0 0 0
Madhya Pradesh 136 7 4 3 0 0 0 140 140 11
Maharashtra NA NA NA NA NA NA NA NA NA NA NA
Manipur 8 0 0 0 0 0 0 8 0 8 0
Meghalaya 0 0 0 0 0 0 0 0 0 0 0
Mizoram 0 0 0 0 0 0 0 0 0 0 0
Nagaland 0 0 0 0 0 0 0 0 0 0 0
Odisha 40 0 0 0 0 0 0 40 0 40 0
Puducherry 25 6 0 0 2 0 0 25 3 25 6
Punjab 360 0 5 0 0 0 0 360 0 360 0
Rajasthan 273 8 2 2 0 0 0 237 4 237 12
Sikkim 0 0 0 0 0 0 0 0 0 0 0
Tamil Nadu (till 30th
November 2019) NA 127 NA 66 48 85 2 NA 77 NA 328
Telangana 171 125 152 84 11 5 1 323 92 323 226
Tripura 0 0 0 0 0 0 0 0 0 0 0
Uttar Pradesh 244 3 32 2 0 0 0 276 2 276 5
Uttrakhand 0 0 0 0 0 0 0 0 0 0 0
West Bengal 562 19 4 9 5 0 0 566 12 516 32
Total 4832 609 906 307 94 115 12 5699 385 5642 1134

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Coordination for Allocation of Organs: • 6th Batch of Training for Transplant

NOTTO has coordinated 123 donors across India Coordinators was organized by NOTTO
for vital organs and 87 Cornea transplanted from from 3rd to 7th September 2019. A total of 55
01st April 2019 to 15th January, 2020. Transplant Coordinators (TCs) were trained
during this time, making a total of 630 TCs
NOTTO Call Centre 24x7:
trained under the aegis of NOTTO till date.
A 24x7 call centre has been made operational Total TCs trained and working in India are
with provision of a Toll Free Helpline No. 1800- 1413 till date.
11-4770.
• 8th July 2019 marked 25 completed years
NOTTO call centre had received 3,494calls since the Transplantation of Human Organs
approximately from April 2018 to March 2019. Act, 1994 came into existence. An event
These calls help in spreading awareness and marking this Silver Jubilee was organized
clearing myths and misconceptions regarding by NOTTO in Nirman Bhawan New Delhi.
Organ donation to general public all over India. Delegates and officials from across the
country participated and discussed how
Website: A dedicated website with the provision
we could take the field of organ donation
of registering hospitals maintaining waiting list,
and transplantation further in India.
allocation policy, SOPs, Updated news and trends
Hon’ble MoS for Health & Family Welfare
are available.
Sh Ashwini Kumar Choubey graced the
Total visitor Counts: More than 1789792. occasion as the Chief Guest and unveiled
the limited edition copies of the Bare Act of
Achievements of NOTTO: the Transplantation of Human Organs and
• Total pledges received by NOTTO through Tissues Act, 1994.
online & offline modes is 1415670 (till date)

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• 10th Indian Organ Donation Day was SOTTOs, Best Hospitals, Best Transplant
celebrated on 30th November 2019 at Vigyan Coordinators, Dr V Rama Devi – the
Bhawan, New Delhi. HFM Dr Harsh surgeon who performed the first bilateral
Vardhan graced the occasion as the Chief hand transplant in a government centre,
Guest and Minister of State, Shri Ashwini Indian representatives at the WTG and Best
Kumar Choubey was the Guest of Honour. NGO. The children of Tagore International
The Hon’ble Health Minister of Tamil School, Vasant Vihar, presented a sensitive
Nadu, Dr C Vijaya Bhaskar was the Special yet impactful nukkadnatika based on the
Guest. Chief Guest Dr Harsh Vardhan theme of deceased organ donation and
felicitated the families of deceased organ received accolades for their efforts. There
donors hailing from different corners of the was a gathering of around 1200. Everybody
country for their contribution to society. He took an oath with the Chief Guest Dr Harsh
also presented the awards for the Best State, Vardhan to pledge their organs and tissues
State with maximum uploading of data into after death.
the National Registry, Best ROTTOs, Best

Indian Organ Donation Day on 30th November 2019

• Organothon: Run/ Walk for Saving Lives was inside Nehru Park at 8:30AM. The Director
organized on 1st December, 2019 at Nehru General of Health Services, Dr Prof Sanjay
Park, Chanakyapuri, New Delhi. Dr Harsh Tyagi, Special Secretary Shri Arun Singhal
Vardhan flagged off the event at Yoga Sthala and Joint Secretary Dr Mandeep Kumar

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Bhandari were also present during the organized a stall in Exposition Hall at the
flagging off and ribbon cutting ceremonies. CAST and saw a great number of delegates
The enthusiastic gathering of around 400 interested in the cause.
participants from various medical colleges
• On September 29th, 2019, NOTTO organized
and hospitals of Delhi, representatives from
a Multi-Organ Retrieval Workshop in
the Ministry of Health & Family Welfare,
collaboration with AIIMS. Nominated and
personnel from CRPF, Army Research
interested surgeons from various hospitals
& Referral, Delhi Police, Haryana Police
were trained by experienced transplant
actively proceeded from Gate No. 1 along
surgeons in kidney, pancreas, liver, heart
the periphery of Nehru Park back to Yoga
and lung retrieval on human cadavers.
Sthala, continuously chanting the slogans of
“Angdaan Jeevandaan”, “AngdaanMahadaan”, • During CAST 2019, NOTTO organized a
“Mahadaan Mahakalyan”, “Donate Organs, National Level Intensivists’ Workshop on
Save Lives”, and “ Be an Organ Donor, Be 30th September 2019, with priceless inputs
a Hero” to promote the cause of deceased from experienced National and International
organ donation. Everybody took an oath Faculty to train the intensivists to take over
with the Chief Guest Dr Harsh Vardhan to as the leaders of Transplant Coordination.
pledge their organs and tissues after death. A total of 45 intensivists from tertiary care
centres across India took part in this one-of-
• Cyclothon: Cycling for Saving Lives - A
its-kind workshop.
cycle ride to promote organ donation from
NOTTO office to India Gate was organized • During CAST 2019, the 1st Annual
by NOTTO on 2nd November 2019 from Transplant Coordinators’ Conference was
6:30AM to 8:30AM. The ride was flagged organized by NOTTO in collaboration with
off by Mr Manjunath Nagaraj, an engineer IATC from 30th September to 1st October
from Bengaluru, who has undertaken 2019. This one-of-a-kind conference was
countrywide lone cycle expeditions to attended by 120 delegates, not only from
promote the noble cause of organ donation across India but also from other Asian
and Dr Vasanthi Ramesh, Director NOTTO. Countries. The national and international
It was an enthusiastic experience with faculty gave valuable inputs from their own
cyclists chanting Angdaan Jeevandaan”, experiences to the delegates, strengthening
“Angdaan Mahadaan”, “Mahadaan their confidence and giving them the skill
Mahakalyan”, “Donate Organs, Save Lives”, set to be better Transplant Coordinators.
and “ Be an Organ Donor, Be a Hero” to
• Poster making competition on 25th
support this noble cause. After completion
November, 2019 in collaboration with Organ
of the cycle ride, Mr Manjunath was invited
India (NGO) and Nehru Planetarium.
by Hon’ble HFM Dr Harsh Vardhan to his
Approximately 46 Schools participated
residence and felicitated by him for his great
from 9th to 12th standard students. The
contribution to the cause of organ donation.
award-winning paintings and posters made
• NOTTO co-organized the 16th Conference of by the children will be incorporated in the
the Asian Society of Transplantation (CAST) NOTTO Diaries and Calendars for the year
alongside ISOT, from 29th September to 2nd 2020.
October 2019 in IELM, Greater Noida. We

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• Approx 60 awareness activities on organ • Provision of safe blood and blood products
donation facilitated across the country
• Injection Safety by Use of only RUP syringes
7.11
NATIONAL VIRAL HEPATITIS in all government HCFs
CONTROL PROGRAM (NVHCP) • Safe socio-cultural practices
National Viral Hepatitis Control Program was The program is targeting to reach more than five
launched in July, 2018. crore persons possibly harboring the infection. 
India is one of the few countries which is providing
Aims:
drugs free to all in need not only for Hepatitis C
• Elimination of Hepatitis C by 2030 which is a 12-24 weeks regimen but also lifelong
drugs for Hepatitis B to prevent its progression.
• Achieve significant reduction in the infected
Standard guidelines have also been developed
population, morbidity and mortality
by group of experts for laboratory and care
associated with Hepatitis B and C viz.
support and treatment along with the operational
Cirrhosis and Hepato-cellular carcinoma
components for maintaining standardization of
(liver cancer)
diagnoses and management.
• Reduce the risk, morbidity and mortality
Efforts are being made to integrate the intervention
due to Hepatitis A and E.
within the existing health systems framework
Key Objectives: under NHM rather than adopting a vertical
approach. Coordination and collaboration with
• Enhance community awareness on hepatitis
other ministries and national programs and
• lay stress on preventive measures among schemes to provide a promotive, preventive and
general population  curative package of services is another highlight
of the program. Emphasis is being made to build
•  high-risk groups
capacities at all levels of healthcare facility such
• Provide early diagnosis and management of that there is access to diagnosis and management
viral hepatitis at all levels of healthcare till health and wellness center in a phased manner.

• Develop standard diagnostic and treatment Achievements:

protocols for management of viral hepatitis
Guidelines/Documents Released: 
and its complications.
National Guidelines for Diagnosis & Management
Key Interventions:
of Viral Hepatitis, National Laboratory
• Awareness generation & BCC Guidelines for Testing of Viral Hepatitis, National
Viral Hepatitis Control Program Operational
• Immunization for hepatitis B Guidelines, Technical Guidelines for Diagnosis &
• Screening of pregnant women to promote management of Hepatitis B, National Action Plan
institutional deliveries and ensure birth - Combating Viral Hepatitis in India.
dose vaccination Procurement and Supply Chain:
• Screening of high risk groups/vulnerable o Drugs and diagnostic kits for Hepatitis C
populations and health care workers are procured centrally to achieve economies

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of scale and supply to all states is under under M&E framework:

process.
o A web portal launched on 28th July 2019 at
Trainings and Capacity Building: Mumbai for paperless data recording and
reporting
o A pool of about 435 master trainers created
through national level Training of Trainers National Helpline Number- (1800-11-6666)
(TOT)for diagnosis and Care, support and
o A toll-free number launched on 28th  July
treatment of viral hepatitis and monitoring
2019 by Hon’ble MOS(H&FW) at Mumbai
and evaluation.
on the occasion of World Hepatitis Day
Model Treatment Centres and State Reference 2019
Laboratories-
• Till Sept., 2019, approximately 20,000
o Treatment centres for management of patients  have been put on treatment for
hepatitis C established in 22 states across Hepatitis C infection.
95 districts and 24 Model treatment
• A consultation meeting was held to address
centres(MTC) have become functional in
on the issue of stigma and discrimination in
22 states (till Sept 2019).
persons infected with viral hepatitis B and
NVHCP- Management Information System C.

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Population Stabilization 08
8.1 POPULATION STABILIZATION The average annual population growth rate shot
up from around 1.25% during 1941-51 to very
India’s population as per 2011 census was 1.21
close to 2 % during 1951-61 and to an all-time
billion, second only to China in the world. India
high of more than 2.2% during 1971-81. After
accounts for 2.4% of the world’s surface area
1981, the trend in the population growth rate was
yet it supports more than 17.5% of the world’s
reversed. The decline was slow during 1981-91
population.
but accelerated during 1991-2000.
A look at the census figures of the last four decades
indicates a perceptible decline in the growth Census Population Decadal Average
Year (In Crores) Growth Annual
rate of the population of India: Though India’s
(%) Exponential
population has increased from 36 crore in 1951 Growth (%)
to 121.01 crore in 2011, the country has witnessed
1971 54.82 24.80 2.20
significant decline in both fertility and mortality.
The crude birth rate, which was recorded at 40.8 1981 68.33 24.66 2.22
per 1000 in 1951, has declined to 20.4 in 2016, 1991 84.64 23.87 2.16
as per the estimates available from the Sample 2001 102.87 21.54 1.97
Registration System (SRS). Total Fertility rate has 2011 121.02 17.64 1.64
come down from 6.0 in 1951 to 2.2 in 2017 (SRS).
A population growth rate of 2% per year doubles
Trend in Population Growth- India
itself in a period of about 35 years. This has, in fact
been the case with India, between 1951 and 1986,
India’s population more than doubled from 361
million to 763 million. There has been a slowdown
in the population growth in the recent past but
the net addition to the population continued
to increase. From 2001 to 2011 the population
growth rate declined from 1.97% to 1.64%.
Population Stabilization is a stage when the
Growth of Population in India size of the population remains unchanged. It is
also called the stage of zero population growth.
The growth of India’s population since Country level population stabilization occurs
independence may be termed as “RAPID” as the when births plus in-migration equals deaths
average annual population growth rate hovered plus out-migration. Thus, there is often a gap of
around 2% per year for almost four decades. a few decades between achieving replacement

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level fertility i.e. TFR of 2.1 (two children per to address the increasing population.
couple) and population stabilization. As per
The National Population Policy (NPP) was
National Population Policy, India has set itself
devised in the year 2000 with the immediate
the goal of achieving the larger goal of population
objective to address the unmet needs for
stabilization by 2045.
contraception, health care infrastructure, and
Population Momentum refers to the tendency of health personnel, and to provide integrated service
the population to continue growing beyond the delivery for basic reproductive and child health
time when the replacement fertility is achieved. care. The medium-term objective was to bring
Due to the population momentum, there is a the TFR to replacement levels by 2010, through
time lag between achieving replacement fertility vigorous implementation of inter-sectoral
and achieving population stabilization. A delay in operational strategies. The long-term objective is
the onset of child bearing and an increase in the to achieve a stable population by 2045, at a level
interval between births can decrease the impact consistent with the requirements of sustainable
of population momentum on population growth. economic growth, social development, and
environmental protection.
Factors that influence population growth
The National Commission on Population
Key indicators that influence population growth
(NCP) was constituted in May 2000, to fulfil
are Crude Birth rate, Total Fertility rate, Unmet
the objectives of the National Population Policy
need for Family Planning, Contraceptive Use,
2000. The objectives of this commission are
Spacing between Births, Age at marriage and first
to review, monitor and give directions for the
Child Birth. The current status, as per the latest
implementation of the National Population
available data, is as follows:
Policy (NPP) 2000. It aims to work in tandem
• Unmet need for Family Planning has with the goals outlined in the policy to promote
declined from 13.9% (NFHS III) to 12.9% inter-sectoral co-ordination, involve the civil
(NFHS IV). society in planning and implementation, and
facilitate initiatives to improve performance in
• Age at marriage has substantially declined
the demographically weaker states in the country
from 47.4% (NFHS III) to 26.8% (NFHS
and to explore the possibilities of international
IV). Moreover, out of the total deliveries,
cooperation in support of the goals set out in the
7.9% are among teenagers i.e. 15-19 years
National Population Policy.
which has also substantially declined from
16% (NFHS III). In April 2005, the National Commission on
Population was reconstituted with 40 members
• Healthy Spacing between two childbirths
under the Chairmanship of the Hon’ble Prime
(recommended period of 3 years or more)
Minister and Vice Chairmenship of Minister
has increased from 42.6% (SRS 2012) to
of Health and Family Welfare and the Deputy
50.3% (SRS 2017).
Chairman of the Planning Commission (now
8.1.1 India’s Intensified Efforts To Stabilize NITI Aayog). The Commission also included
Population Chief Ministers of the States of Uttar Pradesh,
Madhya Pradesh, Rajasthan, Bihar, Jharkhand,
India was the first country to have a National Kerala and Tamil Nadu as members. Several
Program on Family Planning in 1952. Various programmatic interventions along with inter
policy interventions were taken from time to time

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sectoral coordination with various ministries like The Government is also focusing on fertility
Ministry of Women and Child Development, districts and a special strategy has been designed
Ministry of Panchayati Raj, Ministry of Human for 146 high fertility districts under Mission
Resource Development as well as within Ministry Parivar Vikas.
of Health and Family Welfare were suggested in
Stabilizing population is an essential requirement
the meetings of the commission.
for promoting sustainable development.
Government of India has been implementing the Making reproductive health care accessible is
National Health Mission (NHM) in line with the foundation for stabilizing population. In
the policy framework of population stabilization addition to various other parameters, population
as envisaged in NPP-2000, by helping to create a stabilization helps in strengthening human
robust service delivery mechanism to address the capital by focusing on health inclusive of sexual
unmet need for family planning. Government of and reproductive rights of the masses. Moreover,
India is also addressing the social determinants increased investments in Family Planning will
of health, paramount among which are female help in mitigating the impact of population growth
literacy, women’s empowerment and age at by helping couples achieve desired family size and
marriage. avoid unintended and mistimed pregnancies.
The government is committed to give focused 8.1.2 Perceptible Decline in Population
attention to demographically weak performing and related indicators (over the last 5
states through provisioning of all kinds of support decades)
including public awareness program under
NHM, for which the states are free to project their The improved quality and coverage of health care
priorities depending on the local needs to further coupled with technologically advanced care and
the task of population stabilization in the state the penetration of various health programmes
specific project implementation plans. Further to across the country, both rural and urban, have
ensure equity 184 high priority districts have been resulted in a rapid fall in the crude birth rate
identified and each year 30% additional budget is (CBR), total fertility rate (TFR) and growth rate.
sanctioned for the same.
Figure 2: Declining Fertility and Birth Rate

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The last 5 decades have seen significant focus in aiding the process of Population
improvements in the indicators: Stabilization:
- Crude birth rate has declined from 40.8 per - Reduction of TFR to 2.1 by 2025.
1000 in 1951 to 20.2 in 2017.
- Reduction in MMR from current level to
- Infant mortality rate has decreased from 100 by 2020.
146 in 1951-61 to 33 in 2017.
- Reduction in infant mortality to 28 by 2019.
- Total Fertility rate has declined from 6.0 in
The Government of India, through its multiple
1951 to 2.2 in 2017.
programs and policies, is well on the way to
- Steepest decline in growth rate was recorded attaining population stabilization in a reasonable
between 2001 and 2011 from 21.54% to time.
17.64%.
8.2 JANSANKHYA STHIRATA KOSH
- Decline in 0-6 population by 3.08% (JSK)
compared to 2001.
The Cabinet in its meeting held on 07.02.2018,
- 18.14 crores population was added during while considering the recommendations of the
2001-2011 as compared to 18.23 crores Committee to review the Autonomous Bodies,
during 1991-2001. inter-alia, decided that the JSK Society, which
- After decades of stagnation, there was a is an autonomous body, may be closed within a
4.1 percentage point fall in the growth period of one year and its functions be vested in
rate of population, from 24.99% in 2001 to the Department of Health and Family welfare.
20.92% in 2011 among the EAG States of In pursuance to the Cabinet decision, the
Uttar Pradesh, Bihar, Jharkhand, Madhya General Body Meeting of JSK was held under the
Pradesh, Chhattisgarh, Rajasthan, Orissa Chairmanship of Hon’ble HFM on 25th January,
and Uttaranchal. 2019 and decided to close the society w.e.f.
08.02.2019. Accordingly, JSK has been closed as
The following commitments have been earmarked an Autonomous Body w.e.f. 08.02.2019 and the
in the NHP 2017, highlighting the governments functions of JSK will be carried out as under:

S. Existing Scheme Way Forward

No.
1. Prerna Under the Scheme, couples who have The Scheme would be discontinued;
Scheme broken the stereotypes of early marriage however, it will be continued under
and repeated childbirth are recognized NHM.
and awarded.
2. Santushti Under the Scheme, JSK invited private The Scheme has been discontinued as
Scheme sector Gynecologists/ Vasectomy it is now superfluous in the wake of
surgeons to conduct sterilization the revised compensation scheme of
operations under PPP mode in states MoHFW
with high population.

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3. National JSK implemented a national helpline Still functional under RCH Division
Helpline 1800-11-6555 on ‘Reproductive Health, of MoHFW.
Family Planning and Infant Health’
4. Social Is a PPP scheme to enhance uptake of This would henceforth be taken up
Franchising family planning services by contracting under innovation head of NHM.
Scheme with reputed agencies. It was functional
in Uttar Pradesh through SIFPSA.

National Commission on Population (NCP) has Division of the Ministry to carryout activities
been relocated from MoHFW to NITI Aayog as pertaining to National Helpline (Serial No. 3) and
per decision of Cabinet dated 02.01.2019. also matters pertaining to Serial No. 1 and 4 of
above table and other activities i.e. observation of
JSK Unit is functioning under Family Planning
World Population Day on 11th July.
Table 8.1
STATE WISE DECADAL GROWTH RATE

State/UT India/State/Union Territory Percentage decadal growth

Code
1991-2001 2001-2011
  INDIA 21.54 17.64
1 Jammu & Kashmir 29.43 23.71
2 Himachal Pradesh 17.54 12.81
3 Punjab 20.10 13.73
4 Chandigarh 40.28 17.10
5 Uttarakhand 20.41 19.17
6 Haryana 28.43 19.90
7 NCT of Delhi 47.02 20.96
8 Rajasthan 28.41 21.44
9 Uttar Pradesh 25.85 20.09
10 Bihar 28.62 25.07
11 Sikkim 33.06 12.36
12 Arunachal Pradesh 27.00 25.92
13 Nagaland 64.53 0.47
14 Manipur 24.86 18.65
15 Mizoram 28.82 22.78
16 Tripura 16.03 14.75

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17 Meghalaya 30.65 27.82

18 Assam 18.92 16.93
19 West Bengal 17.77 13.93
20 Jharkhand 23.36 22.34
21 Orissa 16.25 13.97
22 Chhattisgarh 18.27 22.59
23 Madhya Pradesh 24.26 20.30
24 Gujarat 22.66 19.17
25 Daman & Diu 55.73 53.54
26 Dadra & Nagar Haveli 59.22 55.50
27 Maharashtra 22.73 15.99
28 Andhra Pradesh 14.59 11.10
29 Karnataka 17.51 15.67
30 Goa 15.21 8.17
31 Lakshadweep 17.30 6.23
32 Kerala 9.43 4.86
33 Tamil Nadu 11.72 15.60
34 Puducherry 20.62 27.72
35 Andaman & Nicobar Islands 26.90 6.68

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Training &
Training Institutions 09
9.1 NATIONAL INSTITUTE OF HEALTH students facilitated by Partners in Population
AND FAMILY WELFARE and Development (PPD). Nineteen students
have enrolled for the year 2019-20.
The National Institute of Health and Family
Welfare (NIHFW), an autonomous organization (ii) Apart from the regular courses, a total of
under the Ministry of Health & Family Welfare, 171 students are pursuing the following
was established on March 9, 1977 to serve as an three distance learning diploma courses
‘Apex Technical Institution’ for the promotion in Hospital Management, Health and
of health and family welfare programmes in the Family Welfare Management and Health
country through education & training, research Promotion recognised by the All India
& evaluation, advisory, consultancy and other Council of Technical Education.
specialized services.
(iii) The Institute also offers E-Learning
(A) Educational Activities Certificate Courses in Programme
Management for Public Healthcare
(i) The regular courses conducted by the (PMSU), Professional Development in
Institute are as follows: Public Health and Health Sector
 MD (Community Health Administration) Reforms (PDC). Currently, 42 students are
– The three-year PG degree affiliated to pursuing these courses.
University of Delhi and recognized by (iv) Under Ph.D. Programme, four students
Medical Council of India (MCI) was started are pursuing their Doctoral work from
in 1969 and seven students have taken different Universities in various
admission in this course in 2019-20. disciplines of Public Health/Biomedical
 Diploma in Health Administration (DHA) Research.
– The two-year PG diploma also affiliated (v) Summer Training Programme: Twenty-
to University of Delhi and recognized by three students from various Universities
MCI was started in 1993 and this year completed their summer-training from the
two students have taken admission in this Institute in 2019-20.
course.
(B) Training Activities
 Diploma in Public Health Management
- NIHFW in collaboration with Public In order to enhance the capacity of health
Health Foundation of India and supported personnel across the country, a total of 695 health
by MoHFW, started to offer the PG Diploma personnel were trained in thirty-four courses and
in 2008. Apart from national candidate, two workshops on various specialized areas in
GOI gives fellowships for ten international public health and family welfare in year 2019-20.

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(C) Other Important activities of approximately 84293 Cold-Chain

Equipment in about 28414 Cold-Chain
 The Centre for Health Informatics (CHI)
Points in the country. NCCVMRC, in
- Centre for Health Informatics, established
collaboration with the National Cold-
under NIHFW, has been managing
Chain Resource Centre (NCCRC),
the activities of the  National Health
Pune, has trained more than 300 cold-
Portal  (NHP), launched in November,
chain technicians in repair of cold-chain
2014, for providing authenticated health
equipment.
information to citizens, students, healthcare
professionals and researchers. The main NCCVMRC facilitates online indenting and
initiatives undertaken by CHI are as follows: issuing of cold-chain spare parts at all levels. The
centre has developed Mobile application for the
i. Developed  various portals/website/
supportive supervision, Mission Indradhanush
dashboards viz Comprehensive Health
monitoring and communication monitoring.
Care-Non communicable diseases, National
Recently, the national effective vaccine
Programme for Health Care of Elderly,
management (EVM) assessment has been carried
International Health Division Portal, Budget
out.
Dashboard, Digital Transaction,  National
Identification Number to Health Facilities The NCCVMRC organized 2nd International
of India, Pradhan Mantri Surakshit Matritva Training Course on Vaccine and Cold Chain
Abhiyan (PMSMA) and Mera Aspataal. Management in collaboration with UNICEF-
Regional Office for South Asia (ROSA) and
ii. Implemented the project for monitoring
WHO- South East Asia Regional Office (SEARO)
Health and Wellness Centers (HWCs)
from 14th to 18th July 2019 at Male, Maldives.
under Ayushman Bharat Scheme.
The training was attended by 36 participants
iii. Launched SUMAN portal on 10th October, (Immunization planners and program managers)
2019 under the Surakshit Matritva from the 8 countries (Afghanistan, Bangladesh,
Aashwasan (SUMAN) initiative of MOHFW Bhutan, Maldives, Pakistan, Malaysia, Philippines
to provide assured delivery of maternal and and Thailand).
newborn healthcare services by providing
 The National Technical Advisory Group on
free ANC, delivery and postnatal care,
Immunization (NTAGI): The NTAGI Secretariat
free management of sick neonates, assured
was established in 2013, to provide techno-
deliver plan for the high risk pregnancies,
managerial support to NTAGI and STSC and its
ensured quality standards at all levels of
working groups. In April, 2016, it was decided
delivery points.
that the NTAGI Secretariat would be completely
 The National Cold Chain Vaccine supported by the Government of India and a
Management Resource Centre proposal to establish the NTAGI Secretariat at the
(NCCVMRC): The NCCVMRC was set National Institute of Health and Family Welfare
up on 9th March 2015 with the objective (NIHFW) was approved. In NIHFW, Secretariat
of building capacity of all the district resumed its functioning since May, 2017.
level cold-chain technicians involved in
During 2019-2020, one meeting of Vaccine
Universal Immunization Programme
Preventable Disease Surveillance and Research
(UIP) to undertake repair and maintenance
and Capacity Building Working Groups, one

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meeting of Leprosy Working Group, one meeting Tracking Facilitation Centre have been
of Japanese Encephalitis Working Group, two functioning at the Institute since 29th April,
STSC meetings and one NTAGI Meeting have 2014 under the National Health Mission
been facilitated by NTAGI Secretariat Country. to improve the maternal and child health
services. It is currently catering to 20 States/
 Public Health System Capacity Building
UTs which are Andhra Pradesh, Assam,
Initiative (PHSCBI): The NIHFW in
Bihar, Chandigarh, Chhattisgarh, Delhi,
collaboration with Centers for Disease
Gujarat, Haryana, Himachal Pradesh,
Control and Prevention (CDC), Atlanta,
Jammu & Kashmir, Jharkhand, Madhya
USA, has initiated capacity building of
Pradesh, Orissa, Punjab, Rajasthan, Uttar
health personnel in India for improving
Pradesh, Uttarakhand, West Bengal,
the skills of health care providers in early
Telangana and Nagaland. MCTFC presently
recognition, investigation and effective
supports calling in Hindi, English, Telugu,
management of public health problems.
Bengali, Gujarati, Odia and Assamese.
The project envisages to cover one hundred
Districts of India through various training As on 31st October, 2019, more than 14.22
programmes. lakh calls have been made to the beneficiaries
(pregnant women and parents of new born child)
Four batches of Frontline Epidemiology Training
through MCTFC for data validation, promotion
courses in the States of Madhya Pradesh (from
and facilitation in availing maternal and child
13-17 May, 2019 & 9-12 July, 2019) and Karnataka
health services and government schemes. More
(3-7 September, 2019 & 26-27 September 2019)
than 2.55 lakh calls were made to ANMs and
were conducted. One batch of Rapid Response
ASHAs for data validation and resolution of their
Team Training of Trainers (RRT-TOT) from 27-
queries. Till 31st October, 2019, more than 13.96
31 May, 2019 for the participants from eight States
lakh voice messages on maternal and child care
(Assam, Andhra Pradesh, Bihar, Chhattisgarh,
were also delivered to the beneficiaries.
Jammu & Kashmir, Odisha, Rajasthan, and Tamil
Nadu) was held at NIHFW. The project has been (D) Clinical Services: In the diagnosis and
given extension on no cost basis up to March 2020 management of Maternal and Child
to complete the activities. Health and other reproductive disorders,
newer approaches are underway in the
 Skill Up-gradation Initiative through
Institute. Services on Ante-natal Care,
DAKSH Project: The main function of Skill
Immunization, Iron and Folic Acid, Vitamin
Lab is to handhold and guide the States/UTs
A Supplementation, Adolescent Clinic,
in creating skills labs as well as to train the
Menopausal Clinic, etc. are provided to the
state trainers. The skill lab training covers
patients by the Institute.
training requirements of ANMs, Staff
Nurses, Medical Officers and Obstetricians. 9.2 National Institute of Public Health
Eight batches of para-medics from seven Training and Research (erstwhile
states have undergone this training during Family Welfare Training & Research
2019-20, a total of seventy personnel were
Centre)
trained.
National Institute of Public Health Training &
 Mother and Child Tracking Facilitation
Research (NIPHTR) erstwhile Family Welfare
Centre (MCTFC): Mother and Child
Training & Research Centre (FWT&RC), Mumbai

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is the first Family Planning Training Centre under i) Social and Behaviour Change
the Union Ministry of Health & Family Welfare Communication (SBCC): A consultation
established in June 1957. As a Central Training meet was organized by NIPHTR in
Institute, it conducts in-service training for collaboration with UNICEF to implement
Medical and Para-medical personnel across the SBCC in Municipal Corporation of Greater
country in key Public Health Issues to enhance Mumbai (MCGM) and Medical colleges.
their knowledge and skill for better delivery of Preparation of modules for Training of
health care services. NIPHTR is also involved Trainers (ToT) has been completed at
in capacity building of Public Health workforce NIPHTR in collaboration with UNICEF.
in Primary Health Care, Family Welfare, A two days pilot training programme on
Reproductive & Child Health, HIV/AIDS and SBCC was organized by NIPHTR along with
other National Health Programmes. MCGM & UNICEF for CHV of MCGM
at MDACS Wadala. 2 faculty members
Training Courses
Mr. Sanjay Bhonge and Mrs. Rosy Joseph
NIPHTR conducts two courses namely Diploma participated as National Lead Trainer for
in Health Promotion Education (DHPE) and Post 2 days ToT for Bridge course on SBCC for
Graduate Diploma in Community Health Care Medical officers and PHNOs at 4 districts of
(PGDCHC) affiliated to International Institute Maharashtra and 2 districts of Kerala.
for Population Sciences (IIPS), Mumbai (Deemed
ii) IEC activities: IEC activities on various
University under MoHFW).
diseases like Diabetes, Dengue, Effects
a) Diploma in Health Promotion Education of tobacco, Domestic Accidents and
(DHPE): Twenty one trainees admitted Environmental Sanitation were carried out
in the course for the academic year 2019- in the community with participation of the
20 from states of Maharashtra, Orissa, trainees.
Telangana, Nagaland and Madhya Pradesh.
iii) Internship: Students from various
The course will be completed by May 2020.
government institutes/NGOs were placed
b) Post-graduate Diploma in Community for internship programme at NIPHTR.
Health Care (PGDCHC): The 10thbatch of
iv) International Health Days: Important
PGDCHC with 10 trainees from Madhya
International Health Days were being
Pradesh was started from June 2019 and the
observed regularly at NIPHTR and seminars,
course will complete by May 2020.
talk by eminent speakers, symposiums were
Skill development training courses organized. Poster exhibition for faculty and
general public were also arranged.
Two batches of Sanitary (Health) Inspector
course has been completed in May 2018 and third Research/Evaluation activities:
batch (20 students) commenced from July 2019.
i) Training needs assessment of sanitary
In addition, sixteen batches of First Responder
inspectors in Municipal Corporation
course have been conducted so far in which 295
of greater Mumbai- Sanitary Inspectors
personnel have been trained at NIPHTR.
placed at each municipal ward in greater
Trainings/Workshops/Seminars/International Mumbai has a wide range of responsibility
Health Days for maintain the health and sanitation of the

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population. They have an important role in Renovation of existing building of NIPHTR:

Swachh Bharat Abhiyan (SBA), a significant
The existing (old) building of NIPHTR at
cleanliness campaign launched by the Prime
Khetwadi is being renovated as per the energy
Minister of India, for which their Capacity
efficient norms. Work of renovation of the
Building is vital in terms of additional
building has been awarded to CPWD and is under
knowledge and skills required. Thus a study
progress. The work is expected to be completed by
was conducted by NIPHTR on training
December 2019.
needs assessment of sanitary inspectors in
Municipal Corporation of Greater Mumbai. New NIPHTR campus:
Interviews were conducted with the help
Name of the institute has recently been changed
of a structured questionnaire for sanitary
from Family Welfare Training and Research
inspectors and medical officers of the 26
Centre (FWTRC) to National Institute of Public
wards of Mumbai.
Health Training Research (NIPHTR). The New
ii) Community based Epidemiological study Campus of NIPHTR with better infrastructure is
was conducted on Nutritional Anemia by ready for expanding activities of Institute (to start
the trainees in the states of Maharashtra, new courses like Master in Public Health (MPH)
Odisha, Madhya Pradesh, Andhra Pradesh and MD in Community Health Administration)
and Nagaland as part of their training at New Panvel, Navi Mumbai.
programme.

9.3 GANDHIGRAM INSTITUTE OF striving for health promotion in the state and
RURAL HEALTH AND FAMILY country. It is using community oriented approach
WELFARE TRUST (GIRHFWT), for all programs to form a strong network for the
TAMIL NADU effective implementation. The HFWTC of CTI
finalised its Comprehensive Training Plan for
The Gandhigram Institute of Rural Health and 2019-20 in the DPH & PM organised meeting
Family Welfare Trust is one of the premier Institute at Chennai during June, 2019. The DHPE under

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CTI conducted the university examination for Nepal. After arranging for the orientation session
the 2018-19 batch of PGDHPE course, and 17 and subsequently we started the theory classes as
candidates have joined for the subsequent 2019- per the course schedule for the new comers.
20 batch from various states and the neighbouring
RHTTI
Nepal. RHTTI is conducting various programs as
per the schedule prepared in advance. During the current financial year many batches of
shorter training programs on Community Health
Major Achievements And New Initiatives
Nursing were conducted. A total of 196 nursing
HFWTC students from various colleges of Nursing were
trained. Eighth batch of 6 Months’ HV Course
The HFWTC of the Institute has conducted a total
started enrolling 22 candidates deputed from
of 30 batches of short term programs for Medical,
various Government Hospitals, Government
nursing and other para-medical personnel of Govt.
Medical College and Municipal Corporations in
Primary Health Centre during this financial year.
Tamil Nadu.
Various training programs conducted are Skilled
Birth Attendant, Managerial Skill Training to Program Organised in the Village
Medical officers, Maternal Skill Training to MOs
The Institute apart from conducting various
and Staff Nurses, RMNCH + A training 4 spells of
short-term and long term training programs
12 days each and one full batch of 35 days, IMNCI
under HFWTC, RHTTI and Media and DHPE
and NSSK.
departments, organised 150th year Gandhi
Jayanthi celebration in Mattaparai village. It was
celebrated along with the people and the students
of Govt. Higher Secondary School, Mattaparai.
The celebration included a Medical camp, Health
and Nutrition Exhibition, Rally, Competitions -
Essay writing, Drawing, Elocution and cultural
programs. Awareness on Ill effects of Plastics and
use of alternative materials were the highlights
of the various programs conducted on that day.
The celebration was started with a survey on HH
PGDHPE characteristics, Personal Hygiene, menstrual
hygiene, nutrition, nutritional status of children,
The Institute is conducting the PGDHPE affiliated
adolescent and women. Based on the results
to the Tamil Nadu Dr. M.G.R. Medical University,
of the survey, faculty of the Institute conducted
Chennai. 17 candidates have enrolled in the 2019-
awareness sessions for the school students of the
20 batch from various states and the neighbouring
village.

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International Cooperation
and International Health 10
10.1 INTRODUCTION Assembly, to advise it and generally to
facilitate its work. The Board meets at least
Various International Organizations and United
twice a year; the main meeting is normally
Nations Agencies continued to provide technical
held in January with a second shorter
support for many Health and Family Welfare
meeting in May, immediately after the
programmes in the country. The status of support
Health Assembly.
from various International agencies is discussed
in this chapter. The 144th Session of the Executive Board
of WHO was held during 24th January to
10.2 WORLD HEALTH ORGANIZATION 01st February 2019 in Geneva. Additional
World Health Organization (WHO) is one of the Secretary (Health), Joint Secretary (IH) and
main UN agencies collaborating in the Health Director (IH) attended the session. They
Sector, with the Ministry of Health and Family were assisted by officials from the Permanent
Welfare, Government of India and providing Mission of India to UN agencies at Geneva.
technical support. Activities under WHO are During the EB Session, discussions were
funded through two sources :- The Country held on many important agenda items. India
Budget which comes out of contributions made actively participated in the discussions and
by member countries and Extra Budgetary strongly raised its views / concerns on all
Resources which come from (a) donations from agenda items.
various sources for general or specific aspects of
health; (b) funds routed through the WHO to The 145th Session of Executive Board of
countries by other member countries or institutes WHO was held during 29-30 May 2019 at
/ agencies. India is the largest beneficiary of Geneva and was attended by the officials
the country budget within the South East Asia from the Permanent Mission of India to
Region. The budget is operated on a biennium UN agencies at Geneva.
basis, calendar year wise. (ii) World Health Assembly: The World
Functions of WHO Health Assembly (WHA) is the most
important annual event of the World Health
(i) Sessions of the Executive Board of WHO: Organization. The WHA is held once every
The Executive Board is composed of 34 year and deliberates various draft resolutions
Member States elected by the World Health / decisions that are put up for its approval
Assembly. Member States are elected for by the Executive Board of WHO. It is the
three year term. The main functions of highest policy making body of World Health
the Executive Board are to give effect to Organization where all member countries
the decisions and policies of the Health are represented by high-level delegations.

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The 72nd Session of the WHA, which is the India participated and chaired the 72nd Session
highest policy making body of the WHO, of the WHO Regional Committee for South East
took place in Geneva during 20th-28th May Asia and the Ministerial Round-table Meeting
2019. held in New Delhi during 2nd to 6th September,
2019. Health Ministers of the Member States of
The business sessions of the Assembly
the WHO South-East Asia Region unanimously
were conducted in two Committees,
adopted the Delhi Declaration on Emergency
Committee-A and Committee-B. India,
Preparedness in the South-East Asia Region on
in close coordination with the Permanent
3rd September 2019.
Mission of India to the UN agencies at
Geneva, actively participated in discussions During the 72nd Session of the WHO Regional
and made focussed interventions on Committee for South East Asia various agenda
the important agenda items both before items were discussed inter alia, Programme
Committee-A and Committee-B, Budget 2020-2021, Review of the Draft
highlighting the country positions as Provisional Agenda of the 146th Session of the
well as its concerns and suggestions for a WHO Executive Board, Emergency Preparedness,
constructive way forward. Programme Budget 2018–2019: Implementation
and mid-term review, Evaluation: Annual
During the 72nd WHA, discussions were
Report, Accelerating the elimination of cervical
held on many important agenda items. India
cancer as a global public health problem, Annual
actively participated in the discussions and
report on monitoring progress on UHC and
strongly raised its views / concerns on the
health-related SDGs, Revising the goal for measles
agenda items having greater significance for
elimination and rubella/congenital rubella
India.
syndrome control, Strengthening IHR and health
Secretary (Health), Additional Secretary emergency capacities through implementation of
(Health), Additional Secretary (AS), three national action plans, Regional Action Plan on
Joint Secretaries of the relevant programme, Programmatic Management of Latent TB infection
Principal Secretary (Health) - Government (LTBI) and Global Strategy for TB Research and
of Telangana & Assam, Secretary (Health) Innovation, Regional Plan of Action for the WHO
– Government of Uttar Pradesh, Director Global Strategy on Health, Environment and
(IH) & Under Secretary (IH) attended the Climate Change, Regional Snake-bite Prevention
session. They were assisted by officials from and Control Plan of Action.
the Permanent Mission of India to UN
During the Regional Committee meeting, physical
agencies at Geneva.
activity sessions were held in the mornings for
(iii) Meeting of Regional Committee of WHO the delegates which included Yoga for Health,
for South East Asia Region (SEAR) : The Cycling, Aerobic Exercise and Lodi Garden Walk.
Regional Committee (RC) of WHO-SEAR Three-minute physical activity sessions for the
countries meets annually. The Committee is delegates were also organized in the afternoon
a forum to review progress made on health under “Health for All theme” on each day of RC72.
issues in the region and to lay down the
A number of side events were organized during
roadmap for future action.
the 72nd Session of the WHO Regional Committee

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for South East Asia. Side event on Public Health Research Training in Human Reproduction
Achievements in the Region was held on 3/9/2019 (HRP) respectively.
in which six SEA Member States were felicitated
India remitted Euro 7,42,441 towards membership
for public health achievements. A consultation
fee to International Agency for Research on
with Member States on GPW13 Results
Cancer (IARC), Lyon, France for the year 2019.
Framework was held on 4/9/2019 for overview of
the GPW13 results framework, including updates BRICS Meetings and workshops
and next steps. A Side event – “Moving NCD
BRICS is an association of the five fastest emerging
services from specialists to generalists, closer to
economies of the world, namely, Brazil, Russia,
the people through primary health care” was held
India, China and South Africa. BRICS association
on 5/9/2019. The Side event on “Preparations for
comprises of 43% of the World Population and
the High-level Meeting of the General Assembly
30% of the World GDP.
(UNGA) on UHC” to be held on 23 September
2019 was organized on 5/9/2019. IX BRICS High Level Officials and the IX BRICS
Health Ministers Meeting
An information session was held on “Eat Right
India” campaign of the Food Safety and Standards IX BRICS High Level Officials and the IX BRICS
Authority of India (FSSAI), Government of India Health Ministers Meeting was held during 23-25
during lunch time on 5/9/2019. The campaign October 2019, in Curitiba, Brazil.
based on “food systems approach” and the two
BRICS is a major platform of high growth
broad pillars of “Eat Healthy” and “Eat Safe” will
economies of the world and is being increasingly
highlight the concept of “Eat Right for Better
noticed at a global level by other countries and
Life”. It advocates collective effort by people and
international organizations. India is a member of
engagement of key stakeholders to make effective
BRICS forum. The proposed meeting is the highest
demand and supply-side interventions.
policy making body of BRICS for health matters,
Contribution to WHO where all member countries are represented by
high-level delegations led by respective Health
As a member country of WHO, India makes
Ministers. These meetings facilitate discussion
regular contribution to WHO for each biennium.
on several health related issues and policies for
A WHO biennium commences in January of the
implementation.
first year of the biennium and ends in December
second year of the biennium. Indian delegation led by Shri Ashwini Kumar
Choubey, Hon’ble Minister of State for Health
The Assessed Contribution payable by
& Family Welfare attended the IX BRICS High
Government of India to WHO is decided on
Level Officials and the IX BRICS Health Ministers
the basis of UN Scale of Assessment. India’s
Meeting scheduled held during 23-25 October
Assessed Contribution for the year 2019 stands at
2019, in Curitiba, Brazil.
USD 17,63,035 + CHF 17,55,983 and Voluntary
Contribution of USD 83,389 towards the WHO During IX BRICS High Level Officials and the
/ UNICEF / UNDP / World Bank’s Special IX BRICS Health Ministers Meeting various
Programme for Research and Training in Tropical agenda items were discussed, inter alia, Primary
Diseases Research (TDR) and UNDP / UNFPO health care and human milk banks in the BRICS
/ WHO / World Bank’s Special Programme of countries, Vaccines: coverage and availability

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in the BRICS countries, Access to medicines for was 16/08/2019. A total of 515 applications were
neglected diseases and low R&D costs in the received. For selection of candidates a Selection
BRICS countries, Research and development on Committee was constituted.
tuberculosis: updates on the BRICS TB Research
Based on the commencement of some training
Network, Universal health coverage and health
courses in December 2019 the nomination for
financing in the BRICS countries.
two courses in Israel (total 36 nominations),
During the BRICS Health Ministers Meeting, two courses in-country courses in Jaipur and
Hon’ble MoS informed the BRICS forum that one course in Gurugram, Haryana (total 106
our Hon’ble Prime Minister, Shri Narendra Modi nominations) were forwarded to WHO. For
has given a call to the nation to end TB in India selection of candidates in courses, within country
by 2025 - five years in advance of the global and abroad, which are expected to commence in
targets as part of the Sustainable Development 2020 will be forwarded to WHO in due time.
Goals (SDGs), and the efforts being made in this
WHO SEARO “Study Tour for State policy makers
regard. He made interventions on all the topics.
and practitioners from India to study Thailand’s
During discussions, he also stated that India’s
efficient health systems”.
vision to achieve Universal Health Coverage is
reflected through its National Health Policy of A Team comprising 23 Officials from Government
2017 and the Ayushman Bharat (Long Live India) of India and different State/UT Governments
Programme launched in 2018. He elaborated visited Bangkok, Thailand from 9th to 12th July 2019
that the Ayushman Bharat envisages delivering to understand Thailand model of Universal Health
holistic health care covering prevention, health Coverage and various health system interventions
promotion, primary, secondary and tertiary care. for improving health status of the people. Whereas
Comprehensive primary Health Care is to be second batch of 19 Officials from Government of
provided by transforming 150,000 Sub Health India and different State/UT Governments visited
Centres and Primary Health Centres as Health Bangkok, Thailand for WHO SEARO “Study Tour
and Wellness Centres. Hon’ble MOS further said for State policy makers and practitioners from
as per Prime Minister’s Health Insurance Scheme India to study Thailand’s efficient health systems”
(Pradhan mantra Jan Arogya Yojana) health during 10-13 September 2019.
insurance coverage upto Rs. 5,00,000 per family
Learning Objective:- The development of
per year for secondary and tertiary healthcare
Thailand’s health system offers many potential
services has to be provided to 107.4 million
lessons for India. The focus on primary health care
deprived families to avoid catastrophic health
(PHC) and the effort to move towards universal
expenditure.
health coverage could provide India policymakers
WHO Fellowship with learning opportunities, particularly in terms
of 1) service delivery and quality improvement,
International Health Division invited application
2) human resources for health, and 3) health
for nomination of health professionals from
financing. Thailand’s institutional commitment
all States / UTS / autonomous institute of
to priority setting (HITAP) and health promotion
this Ministry for nominations under WHO
(Thai Health Promotion Foundation) could also
fellowships during 2018-19 biennium. Last date
provide valuable insights.
for receiving of application form in this Ministry

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10.3 AIRPORT HEALTH ORGANIZATION, Accordingly, both Indian Aircraft Public Health
PORT HEALTH ORGANIZATIONS AND Rules as well as Indian Port Health Rules have
AIRPORT AND BORDER QUARANTINE been framed in agreement with the International
CENTER (APHOS/ PHOS/ ABQC) Health Regulations.

Airport Health Organization, Port Health ESTABLISHMENT OF NEW

Organizations and Airport and Border INTERNATIONAL AIRPORTS, PORTS
Quarantine Center (APHOs/ PHOs/ ABQC) are  AND LAND BORDERS  UNDER PROCESS*
subordinate offices of the Directorate General of
Name of Airport Name of Name of
Health Services. At present, there are 9 PHOs and
Port Land Border
10 APHOs, established at all major International
Crossing
Airports and Ports and 1  Land Border Quarantine
Centre. 1.  Amritsar^ New Raxaul
2.  Lucknow^ Mangalore ( Bihar)
LIST OF EXISTING POEs Port^ Jogbani
3.  Goa^
(APHOs/PHOs/BORDER CROSSING Paradip^ ( Bihar)
HEALTH UNIT) 4.  Jaipur
  Dawki
Name of APHO Name of PHO Name 5.  Nagpur (Meghalaya)
of Land 6.  Pune^ Moreh
Border 7. Gaya ( Manipur)
Crossing
8. Bhubaneshwar^ Agartala^
1. Chennai Mumbai Attari
9. Tirupati Petrapole^
2. Tiruchirapalli Kolkata Amritsar
10. Calicut^  
3.  Bangalore Chennai  

4. Hyderabad Kandla *As per SFC dated 1st April 2017

5. Cochin JNPT, Sheva ^ Established and managed by Regional Director’s
6. Ahmedabad Cochin office or APHOs, Regular manpower to be posted

7. Trivandrum Vishakhapatnam Objectives:

8. Delhi Marmagoa Main objective of the APHO/PHOs is to prevent
9. Kolkata Tuticorin the spread of infectious diseases of epidemic
proportions from one country to another, with
10. Mumbai  
minimum interference to trade and traffic. Some
These are statutory organizations and are of the important functions of these organizations
discharging their regulatory functions, as are – Health Screening of International Passengers,
delineated under the Indian Aircraft (Public Quarantine, Clearance of Dead Bodies,
Health) Rules, 1954 and Port Health Rules, 1955, Supervision of Airport Sanitation, Vaccination
respectively. Apart from this India is also signatory to International Passengers, Vector Control,
to the International Health Regulations (2005), supervision of aircraft disinfection training of
framed by WHO and therefore it is obligatory different categories of airport staff etc. Along
on our part to implement these regulations. with these, issuance of Ship Sanitation Certificate,
Free Pratique is another major responsibility

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at International Ports. After implementation of • Approximately 140 International

FSS Act, the VIP Food related functions have Conferences have been granted permissions.
been authorized and are being performed by
• Coordinated and facilitated ENC for
POEs. Designation of APHOs/PHOs/ABQC as
applicants wishing to pursue higher studies
Designated Officers is under consideration of
in USA.
FSSAI.
• Coordinated the activities of POEs.
WHO has notified a list of Yellow Fever Endemic
Countries, under IHR (2005) and any person Following Trainings/ Meetings have been
coming to India from these notified endemic coordinated and facilitated for POE Staff:
countries required to possess valid Yellow Fever
• Bi-Annual Review Meeting conducted for
Vaccination Certificate, failing which, such
all Point of Entries (POEs) in Chennai, from
passengers are quarantined for a maximum
23rd – 24th May 2019.
period of six days. In the light of changing global
health scenario, existing IHR have been revised by • Officers from various APHOs/PHOs
WHO (IHR 2005) and these new IHR have come participated in the 2nd Sub-national
into effect from June, 2007. In order to revise our Training Workshop on EVD Preparedness
own rules, in tune with IHR (2005), the Indian and Response, organized by EMR in
Aircraft Public Health Rules (1954) and Indian collaboration with WHO, from 30th October
Port Health Rules (1955) are under revision. – 1st November, 2019 at Bengaluru and from
14th – 16th November, 2019 at Pune.
Following the declaration of Public Health
Emergency of International Concern (PHEIC) Activities of APHOs/PHOs/LBHUs (Data from
by WHO the POEs undertakes Health Screening, August 2019 to December 2019)*
coordination with Disease Surveillance System
 APHOs
(IDSP), training of Health Personnels etc. The
POEs were kept on high alert following the o Total 54,961 International Flights inspected
declaration of PHEIC for Ebola Virus Disease at APHOs.
(EVD) at Democratic republic of Congo on 17th o Total 72,65,895 International Passengers
July 2019. Inspected at APHOs.
Achievements of IH division of Dte. GHS: o Total 168 International Passengers
Quarantined at APHOs.
• Website for PH (IH) Division and Online
o Total 1,569 Dead Bodies Cleared at APHOs.
Reporting Portal for all Points of Entries and
Yellow Fever Vaccination Centres, has been o Total 8,439  Yellow fever Vaccines given at
developed and is now fully operational, with APHOs.
information regarding International Travel o Total 443 Food Establishment Inspected at
and Health at http://www.ihrpoe.co.in. International Airports.

• Coordinated and Facilitated Training for  PHOs

Operationalization of New Yellow Fever o Total 5,737 Ships given Health Clearance at
Vaccination Centres. Now there are total PHOs.
50 Yellow Fever Vaccination Centres in the o Total 57,379 Passenger Examined at PHOs.
country.
o Total 94,981 Crew Examined at PHOs.

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o Total 10,691 Yellow Fever Vaccines Given at 11th October, 2019.

PHOs.
 Memorandum of Cooperation (MoC)
o Total 4 Dead Bodies Cleared at PHOs. between Bill & Melinda Gates Foundation
 LBHUs (BMGF), USA and D/o health & Family
Welfare, GoI, was signed on 18th November,
o Total 9 International Trains Inspected at 2019.
LBHUs.
o Total 42 International Buses Inspected at 10.5 MEETINGS / CONFERENCES (1st
LBHUs. APRIL, 2019 – 18th DECEMBER, 2019)
o Total 6,237 International On-foot passengers The following important events were held during
Inspected at LBHUs. the period of 1st April to 18th December 2019,
o Total 98 Dead Bodies Cleared at LBHUs. where Ministry of Health and Family Welfare
actively participated:
*Note – Data available from August 2019 to
December 2019 as the IHR Web Portal for • The first Joint Working Group meeting
reporting was down and un-operational till July between India and Myanmar on cooperation
2019 in the field of Health and Medicine in
Naypitaw, Myanmar on 25th April, 2019.
10.4 AGREEMENTS / MOUS (1st APRIL,
• A meeting between Ms. Megan Phelan,
2019 – 18th DECEMBER 2019 ) Action Assistant Director, International
The following MoUs/ MoCs were signed during Health, Victorian Department of Health
the period of 01st April 2019 – 18th December and Human Services, Australia and Shri
2019: Manoj Jhalani, AS & MD, M/o Health &
Family Welfare, in New Delhi on 7th May,
 Memorandum of Understanding (MoU) 2019.
between the Government of the Republic of
India and the Government of the Republic • The 5th Meeting of the Task Force constituted
of Maldives on cooperation in the field of under the chairmanship of Secretary,
Health was signed on 08th June, 2019. Department of Health & Family Welfare
regarding setting up of eleven Indo-UK
 Memorandum of Understanding (MoU) Institutes of Health across India and similar
between the Ministry of Health & Family proposed investments in healthcare under
Welfare of the Republic of India and the private sector collaboration, in New Delhi
Ministry of Health of the Kyrgyz Republic on 8th May, 2019.
on cooperation in the field of Health was
signed on 14th June, 2019. • The Joint session of the Finance Ministers
and Health Ministers of G-20, attended
 Memorandum of Understanding between by Hon’ble Minister of Health and Family
India and Zambia for cooperation in the Welfare of India, in Osaka, Japan on 28th
field of Health and Medicine was signed on June, 2019.
21st August, 2019.
• Meeting of Hon’ble Health Minister of
 Memorandum of Understanding between Nicaragua with Hon’ble Minister of Health
India and Comoros for cooperation in the and Family Welfare of India, in Nirman
field of Health and Medicine was signed on Bhawan, New Delhi on 30th July, 2019.

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• Meeting of the Ambassador of India to • The India – Sweden Health Year event
Argentina with Secretary (HFW) in Nirman organized by the Sweden Embassy on
Bhawan, New Delhi on 6th August 2019. completion of ten years of MoU between
two countries, attended by Hon’ble Minister
• Meeting of Secretary (HFW) with Prof.
of Health and Family Welfare of India as
Carlos Correa, Executive Director of South
Chief Guest, on 03rd December, 2019.
Centre, Geneva in Nirman Bhawan, New
Delhi on 23rd August 2019. 10.6 PERMISSION FOR INTERNATIONAL
• Meeting of Hon’ble Minister of Health CONFERENCES
and Family Welfare of India with Hon’ble
In the year 2019-20 (upto 18th December, 2019),
Minister of Health of Seychelles in Nirman
160 applications were processed for grant of
Bhawan, New Delhi on 27th Sept, 2019.
permissions to Organizations/ Institutions for
• Meeting of Mr. Colin McCiff (Deputy holding health related International Conferences
Director) and Kyle Zebley (Chief of Staff) of in India.
the Office of Global Affairs, O/o Secretary,
D/o Health and Human Services, USA with 10.7
ISSUE OF STATEMENT OF
Secretary (HFW), in Nirman Bhawan, New NEED (SON) CERTIFICATE AND
Delhi on 5th August 2019. EXCEPTIONAL NEED CERTIFICATE
• Meeting of Hon’ble Minister of Health (ENC)
and Family Welfare of India and Minister In the year 2019-20 (upto 18th December, 2019),
of Health of the Netherlands, in Nirman 1014 applications for issuance of Statement of
Bhawan, New Delhi on 16th October, 2019, Need (SON) Certificate and 19 applications for
to discuss bilateral issues in the health sector issuance of Exceptional Need Certificate (ENC)
between India and Netherlands. were processed for undergoing higher studies/
• First Joint Committee Meeting (JCM) training in the USA on J-1 visa in medical
between India and Japan under specialties /super-specialties.
Memorandum of Cooperation on
Healthcare and Wellness, in  Tokyo (Japan)
10.8
VISIT ON FELLOWSHIP/
on  18th October, 2019 and G20 Health CONFERENCE ABROAD
Ministers Meeting (HMM)  in  Okayama During 2019-20 (upto 18th December, 2019), 129
(Japan) on 19th-20th October 2019. medical personnel/ doctors were permitted to
• The fifth Summit of Global Digital Health participate in International conference / symposia
Partnership (GDHP) in Hong Kong during etc. abroad, including 19 medical doctors from
15th to 16th October, 2019. CHS cadre who were granted financial assistance
subject to a maximum of Rs. One lakh in each
• Meeting between Hon’ble Minister of case under the CHS Assistance Scheme to attend
Health and Family Welfare of India and Mr. seminars / conferences abroad in order to acquaint
Bill Gates, Co- Chair and Trustee of Bill themselves with the latest developments in the
and Melinda Gates Foundation (BMGF) to field of medicine and surgery in other countries
discuss bilateral issues in the health sector and to exchange views with their counterparts.
between India and BMGF, in Nirman 96 officers were deputed to participate in various
Bhawan, New Delhi on 18th November, international conference / meetings/ symposia
2019. etc.

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Medical Services and

Medical Supplies 11
11.1 CENTRAL GOVERNMENT HEALTH getting reimbursement of expenses on OPD
SCHEME (CGHS) medicines. This was initially not envisaged to be
an all India scheme.  However, later the scheme
The Central Government Health Scheme was extended to other Cities. As on 30.10.2019, 71
(CGHS) is a health scheme mainly for serving/ cities   through 328 Allopathic Wellness Centres
retired Central Government employees and their and 86 AYUSH Centres /Units are covered
families. The scheme was started in 1954 in Delhi, under the scheme. It serves 12,09,926 Primary
and was intended to be only for serving Central Cardholders and 35,72,433 beneficiaries..
Government employees, who had difficulty in
CGHS Covered Cities

SR. CITY SR. CITY

NO NO
1 AGARTALA 17 CHENNAI
2 AGRA 18 CHHAPRA
3 AHMEDABAD 19 CUTTACK
4 AIZWAL 20 DARBHANGA
5 AJMER 21 DHANBAD
6 ALIGARH 22 DEHRADUN
7 ALLAHABAD (PRAYAGARAJ) 23 DELHI &NCR
8 AMABALA DELHI
9 AMRITSAR FARIDABAD
10 BAGHPAT GHAZIABAD
11 BANGALURU GREATER NOIDA
12 BAREILLY GURGAON
13 BERHAMPUR INDIARAPURAM
14 BHOPAL SHAHIBABAD
15 BHUBANESWAR SONIPAT
16 CHANDIGARH 24 DIBRUGARH

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SR. CITY SR. CITY

NO NO
25 GANDHINAGAR 49 MUZZAFARUPUR
26 GANGTOK 50 NAGPUR
27 GAYA 51 NELLORE
28 GORAKHPUR 52 PANAJI
29 GUWAHATI 53 PATNA
30 GUNTUR 54 PUDUCHERRY
31 GWALIOR 55 PUNE
32 HYDERABAD 56 RAIPUR
33 IMPHAL 57 RANCHI
34 INDORE 58 RAJAHMUNDRY
35 JABALPUR 59 SAHARANPUR
36 JAIPUR 60 SHILLONG
37 JALANDHAR 61 SHIMLA
38 JALPAIGURI 62 SILCHAR
39 JAMMU 63 SILIGURI
40 JODHPUR 64 SRINAGAR
41 KANPUR 65 VADODARA
42 KOHIMA 66 VARANASI
43 KOLKATA 67 VIJAYAWADA
44 KOTA 68 TIRUCHIRAPALLI
45 LUCKNOW 69 TIRUNELVELI
46 MEERUT 70 THIRUVANANTHAPURAM
47 MORADABAD 71 VISAKHAPATNAM
48 MUMBAI 72 KOCHI

Salient Features of CGHS for carrying out investigations and indoor

treatment facilities.
• CGHS provides comprehensive OPD
facilities and medicines through its large • CGHS refers the beneficiaries to Government
network of Wellness Centres, polyclinics hospitals/specialists for expert consultation
and labs. and on the basis of their recommendation
the patients are referred to private hospitals
• CGHS has empanelled private hospitals
as per their choice for indoor medical
and diagnostic centres in different cities

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treatment. • Freedom Fighters.

• OPD consultation is not allowed in • Ex-Vice Presidents.

empanelled private hospitals except in
• Sitting and Retired Judges of the Supreme
post-operative follow up treatment in the
Court.
same hospitals where initial treatment
was taken with permission in respect of • Retired judges of High Courts.
Cardiac surgery, Cancer treatment, Neuro-
• Employees and pensioners of certain
surgery, Kidney Transplant, Hip/Knee Joint
autonomous / statutory bodies which have
replacement.
been extended CGHS facilities in Delhi.
• Medicines are issued against the prescription
• Journalists accredited with PIB (in Delhi).
of CGHS doctors and other Government
doctors and as per the prescribed formulary • Delhi Police Personnel residing in Delhi.
and are supplied from the dispensary
• Railway Board employees.
store.  The medicines not available in the
dispensary are procured through authorized • Central Government servants absorbed
local chemist and provided to patients. in central Public Sector Undertakings/
Statutory Bodies/Autonomous Bodies, and
• CGHS provides specialist consultation
are in receipt of pro-rata pension from
through CGHS Specialists at Poly Clinics,
Central Civil Estimates.
Central Government Hospitals.  In addition
GDMOs with Specialist qualifications also Facilities available to CGHS beneficiaries are as
provide specialist advice. follows:
• Suggestions, representations and complaints • OPD treatment and medicines from CGHS
on various aspects of the functioning Wellness Centres.
of this Scheme are used as feedback for
• Specialist Consultation at Government
the initiatives to be taken to improve the
Hospitals and empanelled hopsitals.
functioning of CGHS, which have yielded
positive results.  • Hospitalization  at Government and CGHS
empanelled hospitals.
Eligibility for joining CGHS
• Investigations at Government and
• All Central Government employees drawing
empanelled Diagnostic centres.
their salary from Central Civil Estimates and
their dependent family members residing in • Reimbursement of expenses incurred for
CGHS covered areas. purchase of hearing aid, hip/knee joint
implants, artificial limbs, pacemakers, ICD/
• Central Government Pensioners receiving
Combo device, CPAP, Bi-PAP machine ,
pension from Central Civil Estimates and
Oxygen Concentrator etc., as per the CGHS
their eligible family members.
ceiling rates and guidelines.
• Hon’ble Members of Parliament.
• Medical consultation and dispensing of
• Ex-Members of Parliament. medicines in Ayurveda, Homeopathy, Unani
and Siddha systems of medicine (AYUSH).
• Ex-Governors & Lt. Governors.

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• In case of emergency, CGHS beneficiaries  Timarpur General Hospital, Timarpur, and

can go to any hospital, empanelled or non- Delhi - a 10 bedded hospital.
empanelled and avail medical treatment. 
Reimbursement of expenses for treatment  Kingsway Camp Hospital, Delhi - a 10
in private unrecognized hospitals in case of bedded hospital.
emergency.  Ayurvedic Hospital, Lodhi Road, New Delhi
• The beneficiary can go to any CGHS - a 25 bedded hospital.
Wellness Centre in the country.  In addition to the allopathic dispensaries
• Pensioners and other identified beneficiaries CGHS also operates 86 AYUSH dispensaries/
have facility for cashless treatment in units and 2 Geriatric clinics for the welfare
empanelled hospitals and diagnostic centres. of CGHS members.

• Family Welfare & MCH Services. Working hours of the CGHS Wellness Centre /
dispensary:
• Issue of Medicines for upto 3 months in
respect of treatment of chronic illnesses on  Morning (OPD) – 7.30 A.M. to 2.00 P.M.
the basis of valid prescription of Government  Limited (Emergency) Services (at 24 hr.
Specialist. Functional Dispensaries only) are available
CGHS Contribution: at the following CGHS Wellness Centres:
• North Avenue.
Monthly Contribution for availing CGHS facility
• South Avenue.
Sl. Corresponding level in Contribution • Telegraph Lane.
No. the Pay Matrix as per (Rs. Per
• Kingsway Camp.
7th CPC Month)
1. Level:  1 to 5 250  Parliament House Annexe Medical Centre
and First Aid Post
2. Level:  6 450
10. 00 A.M.-6.00 P.M. (During Inter-session)
3. Level:  7 to 11 650
4. Level:  12 & above 1000 10.00 A.M. to till both the Houses rise
during session.
CGHS hospitals and Wellness Centres:
 Parliament House (First Aid Post)
The Central Government Health Scheme (CGHS)
10.00 A.M.-5.00 P.M.
has 4 hospitals and 414 CGHS Wellness Centres
(328 Allopathic and 86 AYUSH) in the country Procedure for taking treatment at CGHS
at different locations / cities providing medical empanelled private hospitals and diagnostic
care to its members in Allopathic, Homeopathic, centres:
Ayurvedic, Unani and siddha systems of medicine.
The beneficiary has the option to decide about the
The four hospitals running under CGHS are as institution where he / she wants to take treatment
indicated below:- or undergo diagnostic test after a Government
specialist / CGHS Medical Officer has prescribed
 Maternity and Gynae Hospital, R.K. Puram,
the same.
New Delhi - a 40 bedded hospital.

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For listed investigations / treatment procedures has either obtained or applied for CGHS
there is no requirement of any other permission pensioner card with all documents and
after a specific investigation/ treatment has requisite CGHS subscription within one
been advised by a Government Specialist or a month of expiry of the grace period of three
Medical officer of CGHS Wellness centre. The months.
investigation/ treatment may be undertaken from
 The expenditure on treatment taken after the
any of the empanelled diagnostic labs on the basis
grace period  of three months from date of
of advice Government Specialist or a Medical
retirement will not be reimbursable unless
officer of CGHS Wellness centre.
the beneficiary has obtained a valid CGHS
Private empanelled hospitals and diagnostic card or has applied for  CGHS pensioner
centres are required to provide cashless treatment card with all documents and requisite CGHS
facility to the following categories of beneficiaries:- subscription prior to taking such treatment.
• Members of Parliament. Facilities to CGHS beneficiaries residing in
Non-CGHS covered areas:
• Pensioners of Central Government drawing
pension from central Civil estimates. Pensioners living in Non-CGHS covered areas
have the option to obtain:
• Ex-Members of Parliament.
• CGHS card from a nearby CGHS covered
• Freedom Fighters.
city. They can avail OPD and Indoor medical
• Serving employees of the Ministry of Health treatment from CGHS.
& Family Welfare (including attached /
• They have the option to avail fixed medical
subordinate offices under the Ministry of
allowance of Rs.1000/- per month for OPD
Health & family Welfare.
facilities and medicines and avail IPD
• Such other categories of CGHS cardholders facilities under CGHS on cashless basis in
as notified by the Government. empanelled hospitals.
These hospitals are also required to extend • They have been permitted to obtain in-
credit facility to all CGHS beneficiaries in case patient / hospitalization treatment and follow
of emergency treatment. Serving employees of up treatment from CS(MA) recognized
other Ministries/Departments are required to hospitals and ECHS (Ex-Servicemen
make payment at the time of treatment and obtain Contributory Health Scheme) empanelled
medical reimbursement from their respective hospitals (in addition to the government
Ministries / Departments. hospitals) and claim the reimbursement at
CGHS rates from the AD/JD of CGHS city,
Reimbursement when pensioners take
where their CGHS card is registered.
treatment immediately after retirement before
getting CGHS Cards. • CGHS beneficiaries also have option to avail
only FMA of Rs.1000/- and not join CGHS.
 The treatment taken and expenditure
They are not eligible for any reimbursement.
incurred thereon  within the grace period of 
three months from the date of retirement will Initiatives taken by the Government in the last
be allowed and expenditure reimbursable  few years to improve the services of CGHS to its
subject to the condition that the beneficiary Beneficiaries:-

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• The requirement for referral / permission difficulty to change physician subject to

for diagnostic tests /investigations / Specific the reimbursement limited to CGHS rates
treatment procedures  with CGHS rates has and collection of medicines as per CGHS
been done away after advice from Govt. guidelines.
Specialist / Medical Officer CGHS
• ‘SMS’ alert system on issue of medicines to
• OPD consultation from CGHS empanelled CGHS beneficiaries on the mobile phone
Private hospitals on  referral from CGHS – to act as deterrent against pilferage of
Wellness Centre. medicines by unscrupulous elements.
• Special Provision for CGHS beneficiaries • Option to avail medicines from any CGHS
aged 75 years and above: Wellness Centre.
o CGHS beneficiaries aged 75 years and • Self-Printing of CGHS Cards by registered
above shall be permitted to seek direct OPD CGHS  beneficiaries using their user name
consultation from Specialists of private and pass word.
hospitals empanelled under CGHS without
referral from CGHS Wellness Centre at • Prescription of time lines for settlement of
CGHS rates. medical claims (30 days)  and delegation of
powers to Addl. Directors for consideration
o If any investigations / procedures are
of condonation of procedural lapses and
advised and are required in emergency,
permission for treatment at non-empanelled
no other authorization    is required and
hospitals at CGHS rates.
the same may be undertaken. However,
in non-emergency conditions approval • Issue of medicines at the time of discharge
of competent authority  is required  if, any from empanelled hospitals.
non-listed investigations / procedures are
advised. • New initiative for annual health check-up
for primary CGHS pensioners aged 75 years
• Special provisions under CGHS to the and above:
beneficiaries aged 80 years and above, in o Now Government has decided to introduce
continuation of earlier guidelines in this annual health check-up facility for elderly
regard,  as per the details given below: CGHS pensioner beneficiaries aged 75 years
o Consultation of Doctor at CGHS Wellness and above for important investigations and
Centre without standing in queue. examination so that age related / life style
o CGHS doctors shall enquire by phone, at related diseases may be detected early.
least once in a month to enquire about their • Post –operative Follow- up Treatment :
well being / make a home visit if residing
within 5 kms of CGHS WC Critically ill CGHS beneficiaries shall be permitted
o Settlement of medical claims on priority out for follow up treatment in CGHS empanelled
of turn. hospitals as per the details given under:
o Follow up treatment from same specialist • Permission for post-operative follow-up
in non-empanelled hospital from where treatment in respect of the following post
he/she was earlier taking treatment-as a –operative conditions requiring frequent
special case in view of advanced age and consultations from specialists at private

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hospitals empanelled under CGHS, need o Auto-immune disorders like

not be re validated from time to time and Rheumatoid Arthritis requiring
follow-up treatment may be under taken at regular follow-up.
CGHS rates without time limit.
o Neurological disorders like Dementia,
• The consultation /investigations are Alzheimer’s disease, Parkinsonism,
permitted under these follow-up cases. The etc.
conditions covered  are:
o Medicines prescribed are to be
o Post Cardiac Surgery cases including procured from CGHS Wellness
Coronary Angioplasty. Centre.
o Post Organ Transplant cases (Liver, • The beneficiaries shall have to submit a
Kidney, Heart, etc.). self-attested photo copy of the permission
letter to the hospital to enable the hospitals
o Post Neuro Surgery cases/Post Brain
to provide credit facility in respect of
Stroke cases requiring  regular  follow-
pensioners and other categories of CGHS
up treatment.
beneficiaries entitled for credit facility.
o End Stage Renal disease/follow up Serving employees (and their dependents)
cases of Liver Failure. who may not be entitled for cashless facilities
shall enclose a self-attested photo copy of
o Cancer treatment.
permission letter to claim reimbursement
from the concerned Ministry /Department.
ANNEXURE-I
CGHS WELLNESS CENTRES ACCORDING TO DIFFERENT SYSTEMS OF MEDICINE

SR. CITY ALLOPATHIC POLY LABS AYUSH

NO DISPENSARIES CLINICS
1 AGARTALA 1      
2 AGRA 1      
3 AHMEDABAD 8 1 1 2
4 AIZWAL 1      
5 AJMER 1      
6 ALIGARH 1      
7 ALLAHABAD (PRAYAGARAJ) 7 1 1 2
8 AMBALA 1      
9 AMRITSAR 1      
10 BAGHPAT 1      
11 BENGALURU 10 1 3 4
12 BAREILLY 1      
13 BERHAMPUR 1      

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14 BHOPAL 2     0
15 BHUBANESWAR 3   1 1
16 CHANDIGARH 1     0
17 CHENNAI 14 2 4 4
18 CHHAPRA 1      
19 CUTTACK 1      
20 DARBHANGA 1      
21 DHANBAD 1      
22 DEHRADUN 3     0
23 DELHI &NCR 100 4 34 36
  DELHI
  FARIDABAD
  GHAZIABAD
  GREATER NOIDA
  GURGAON
  INDIARAPURAM
  SHAHIBABAD                             
SONIPAT
24 DIBRUGARH 1      
25 GANDHINAGAR 1      
26 GANGTOK 1      
27 GAYA 1      
28 GORAKHPUR 1      
29 GUWAHATI 5     1
30 GUNTUR 1      
31 GWALIOR 1      
32 HYDERABAD 13 2 2 6
33 IMPHAL 1      
34 INDORE 1      
35 JABALPUR 5   1 0
36 JAIPUR 7 1 4 2
37 JALANDHAR 1      
38 JALPAIGURI  1      
39 JAMMU 2     0

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40 JODHPUR  1      
41 KANPUR 9   3 3
42 KOHIMA 1      
43 KOLKATA 18 1 5 4
44 KOTA 1      
45 LUCKNOW 9 1 3 3
46 MEERUT 6   2 2
47 MORADABAD 1      
48 MUMBAI 26 2 4 5
49 MUZZAFARPUR 1      
50 NAGPUR 11 1 1 3
51 NELLORE 1      
52 PANAJI 1      
53 PATNA 5 1 1 2
54 PUDUCHERRY 1      
55 PUNE 9 1 2 3
56 RAIPUR 2      
57 RANCHI 3   1 0
58 RAJAHMUNDRY 1      
59 SAHARANPUR 1      
60 SHILLONG 2     1
61 SHIMLA 1      
62 SILCHAR 1      
63 SILIGURI 1      
64 SRINAGAR 1      
65 TIRUCHIRAPALLI 1      
66 TIRUNELVELI 1      
67 THIRUVANANTHAPURAM 3     2
68 VADODARA 1      
69 VARANASI 2      
70 VIJAYAWADA 1      
71 VISAKHAPATNAM 2      
72 KOCHI 1      
  TOTAL: 329 19 73 86

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11.2 HEALTH MINISTER’S DISCRETIONARY Heart, Kidney, Liver, etc. for their treatment
GRANT (HMDG) at Government hospitals.

Financial assistance upto a maximum of Rs.1.25 • Rare Diseases – to provide financial

lakh is provided to the indigent patients from the assistance to poor patients living below
Health Minister’s Discretionary Grant to defray threshold poverty line and suffering from
a part of the expenditure on hospitalization/ specified rare diseases for their treatment
treatment in Government hospitals for life at Government hospitals having super
threatening diseases. Assistance upto Rs.1.25 specialty facilities.
lakh is provided for treatment of life threatening
Under the scheme, financial assistance is
diseases like Cancer, and that of Kidney, Liver,
provided to eligible patients taking treatment in
Heart, Rare Disease etc. During the financial year
Government hospitals only and re-imbursement
2019-20 (upto 30-11-2019), financial assistance
of expenditure already incurred on treatment is
totalling Rs.2.57 crore was released for treatment
not permissible. Families covered under PMJAY
of 253 patients.
are not eligible for financial assistance under RAN
11.3 RASHTRIYA AROGYA NIDHI (RAN) and HMCPF components. However, patients
suffering from specified rare diseases, belonging
Under the Umbrella Scheme of Rashtriya Arogya to the socio-economic categories that are eligible
Nidhi, financial assistance upto Rs.15 lakh is to be PMJAY beneficiaries, will also be considered
provided as one-time grant to poor patients for packages not covered under PMJAY.
belonging to families living below poverty line,
suffering from major life threatening diseases Details of funds released during 2019-20 (upto
such as cancer and that of kidney, liver, heart, rare 30-11-2019) under the three components of
diseases etc. for their hospitalization/treatment Umbrella Scheme of Rashtriya Arogya Nidhi are
in Government hospitals. The Scheme has three given below:
components, namely (1) Health Minister’s Cancer
Component Amount No. of
Patient Fund (HMCPF), (2) Rashtriya Arogya Released patients
Nidhi (RAN) and (3) Rare Diseases. (Rs. in crore)
The objectives of the three components of Health Minister’s 26.11 354
Umbrella Scheme of Rashtriya Arogya Nidhi are Cancer Patient Fund
as follows: Rashtriya Arogya 20.26 532
• Health Minister’s Cancer Patient Fund Nidhi
– to provide financial assistance to poor Rare Disease 1.30 3
patients living below poverty line and
suffering from Cancer, for their treatment at 11.4 INDIAN RED CROSS SOCIETY
Regional Cancer Centres (RCCs), Tertiary
The Indian Red Cross is the largest humanitarian
Care Cancer Centres (TCCCs) and State
organization in India. It has always been at
Cancer Institutes (SCIs).
the forefront of humanitarian activities and
• Rashtriya Arogya Nidhi – to provide works tirelessly to alleviate suffering during any
financial assistance to poor patients living manmade or natural disaster. It is a huge family
below threshold poverty line and suffering of 26 million volunteers, members and more
from life threatening diseases relating to than 3500 staff. It reaches out to the community

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through a network of over 1100 units spread competition, youth camp, etc. have been designed.
throughout the country. It attempts to reduce
DISASTER MANAGEMENT
vulnerabilities among affected people and
empower them and their community to mitigate Relief items were dispatched to Assam, Andhra
the impact of disasters. Pradesh, Bihar, Gujarat, UP, West Bengal, Tamil
Nadu and Uttarakhand for cyclone, flood,
NEW INITIATIVES
landslide and other disasters. Relief items were
During this year, apart from the meetings of Red also released for areas affected by cold wave in
Cross State/UT branches, the National Managing Bihar, UP & J&K. The value of total relief work
Body meetings were held and elections were also was INR 5,80,88,672.
conducted. Hon’ble Union Minister for Health
BLOOD BANK
and Family Welfare, Hon’ble Chairman of IRCS,
chaired the Managing Body meetings. Meetings The Blood Bank at IRCS National Headquarters
were held on 23rd January and on 2nd August, 2019. collects approximately 27000 units of blood
annually and this amounts to around 10% of the
Endeavor is being made to restrict the expenditure
total blood collection in Delhi. The percentage
on establishment and administration at the
of voluntary blood collection is almost 100% in
National Headquarters; enhance expenditure
IRCS. The blood bank provided about 90% of
on programmes and projects; scale up SERV
total blood collected free of service charges to
(Social Emergency Response Volunteer)- a
the patients admitted in the General Ward of
community empowerment project in all districts
Government Hospitals in Delhi as well as to 975
of the country; realize optimum utilization of
Thalassaemic patients registered with it (which
Red Cross properties; automate membership
is about 50% of all the Thalassaemics in Delhi).
certificates to liquidate backlogs; electronically
Approximately 25,000 units of blood have been
transfer membership & first-aid data; make Red
collected during the year. Process for linking of
Cross purchases through GeM portal; standardize
Red Cross Blood banks through E-Rakhtkosh,
branding of relief material; establish criteria for
achieving 100% voluntary blood donation and
best performing branches and Blood Banks and
accreditation of the Red Cross Blood Banks are
declare awards for best branches; incentivized
some of the initiatives taken this year to provide
accreditation of Blood Banks; help desk for
safe blood to the needy.
patients and their relatives at Safdarjung hospital
and designed plan for the roll-out of IRCS’s 2030 TB PROJECT
strategy.
Since 2009, IRCS has been working for TB patient
During the meetings, decisions were also taken to in different states at the community level. During
transform IRCS into a more vibrant, dynamic and the year 2019, 11,000 patients have been covered
relevant organization. under CAT I and CAT II to get them fully cured.
The project covered awareness meetings, care
IRCS has also launched the Home Health Aid
and support, patient counseling, IEC activities
course with the support of Ministry of Skill
and discussion sessions at the government health
Development. IRCS National Headquarters has
facilities within designated TB units.
also planned some activities for its centenary
year during which a train coach museum, coffee IRCS –ICRC COOPERATION PROJECT
table book, national level painting and first aid
In the year 2019, IRCS-ICRC cooperation activities

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covered fifteen states which were assigned to philanthropic, non-sectarian voluntary, charitable
conduct activities such as Social Emergency and humanitarian organisation engaged in
Response Volunteer (SERV) Programme, Youth providing relief to the distressed, suffering, sick
programme, Family News Service, Safer Access and injured- irrespective of their nationality, race,
Framework, Physical Rehabilitation, International sex, religion, belief, language and class or political
Humanitarian Law (IHL) and Livelihood. The inclinations.
total expenditure for the same amounted to
St. John Ambulance (India) is one of the largest
approximately INR 4 crores.
humanitarian organisations in the country and
YOUTH PROGRAM boasts of a strong network of state & union
territory centres and brigades in railways and
The Youth Program aims to achieve the following
security forces. It has a large number of volunteers
objectives:
spread throughout the country.
• Enhance understanding of the Red Cross
St. John Ambulance (India) has two wings- an
Movement & its fundamental principles to
Association Wing and a Brigade Wing. The
promote peace and harmony.
Association Wing imparts training in first aid,
• Strengthen the capacity of Youth Red home nursing care, hygiene & sanitation and
Cross in the area of hygiene promotion, mother craft & child welfare. St. John’s first-aid
household water treatment, basic first aid training reaches schools, colleges, aerodrome,
and promoting peace and harmony. staff in mines, scouts, NCC, community projects,
factories, railways, drivers and conductors, civil
In all, 55 youth camps were held in the country
defence and home guards, police personnel,
with the participation of about 4000 junior and
prisons and reformatory schools and the general
youth Red Cross members.
public. The Brigade Wing is a body of disciplined,
HEALTH PROMOTION THROUGH dedicated and trained volunteers who are ready to
AYURVEDA AND YOGA meet any eventuality.

The Indian Red Cross Society with support from Its volunteers provide first aid cover in large
the Ministry of AYUSH, Government of India in public congregations such as sports meets, melas
collaboration with Central Council of Research in (including Kumbh Mela), festivals, guru parvas,
Ayurvedic Sciences (CCRAS) and Moraraji Desai Eid, Ram Leela, Republic Day and Independence
National Institute of Yoga (MDNIY) conducted 3 Day celebrations among other occasions. The
certificate courses on “Health Promotion through services are also provided during emergencies
Ayurveda & Yoga” (50 hours, part time certificate like accidents, fires, floods, earthquakes and
course) through the medium of english. The other catastrophic situations. The Brigade wing
course is being run since Feb, 2010 and 27 batches provides advance training to its volunteers for
(total 1290 students) have completed the course handling situations involving mass casualties,
till date. improvisations, care of patients in transit to
hospitals, etc.
11.5 ST.JOHN AMBULANCE INDIA 
During the last financial year, St. John Ambulance
Mandate, Governing Structure and Activities of (India) trained more than 6.00 lakh persons in
St. John Ambulance (India) first aid, home nursing, hygiene & sanitation,
mother craft & child welfare in the categories
The St. John Ambulance (India) is the largest

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of community projects, aerodrome staff, armed i. 72 MT of drugs, 50 MT of bleaching powder,

forces & police, railway employees, drivers and 3 MT of vaccines (anti snake venom and
conductors, workers in mines & factories, NCC rabies vaccine) and 3 MT of chlorine tablets
boy scouts & girl guides, civil defense & home (for water purification) were provided to
guards, teachers and students and the general Government of Odisha.
public.  In the sphere of major activities, the year
ii. Central teams were deployed for a month
has generally shown an all round progress.
to four worst flood affected districts of
11.6 EMERGENCY MEDICAL RELIEF Orissa (Puri, Jagatsinghpur, Khorda
and Kendrapada) to assist State Health
Health Sector Disaster Management Department in monitoring and responding
Emergency Medical Relief Division (EMR) of to disease outbreaks. The continuous
Directorate General of Health Services, Ministry monitoring of epidemic prone diseases and
of Health & Family Welfare (MOHFW) is timely implementation of public health
mandated for responding to health consequences measures prevented outbreak of epidemic
of disasters and public health emergencies prone diseases.
of national/international concern. For such iii. A control room was made operational
purpose, EMR Division coordinates with National in EMR division under Dte.GHS from
Disaster Management Authority, concerned 02.05.2019 on 24x7 basis for more nearly
Central Ministries/Departments and the State one month.
Governments/UT Administration.
Floods
Crisis Management Plan
The States of Maharashtra, Karnataka, Orissa,
Crisis management plan for biological disasters Kerala and Bihar witnessed severe floods during
and the emergency support function plan to July, 2019 to October, 2019. These states (except
support other disasters were reviewed in August for Government of Bihar) requested assistance
2019. It also contains the emergency support in terms of supply of essential medicines and
functions assigned to the MOHFW which consumables. EMR Division facilitated urgent
includes details of nodal officers for coordination, supply of 401 MT of medical supplies costing
quick response mechanism for crisis management, about Rs.21 crores to these states within 24-28
resource inventory etc. This plan was circulated to hours.
all stakeholders. Model state crisis management
plan for biological disasters was also circulated to IDSP conducted intensified surveillance in these
State Governments for preparing their own crisis flood affected states for early detection and
management plan. prevention of epidemic prone diseases. Daily
situational updates were prepared by EMR
Response to disasters Division and any surge in reported cases was
Cyclone Fani: monitored by EMR Division and conveyed to
State for appropriate action.
The extremely severe cyclonic storm “Fani” caused
severe devastation in coastal districts of Odisha. Central Teams were deputed to Bihar (Bhagalpur
Following actions were taken to minimize the and Patna districts). Central Teams assisted
health impact of “Fani” cyclone: the state in epidemiological and entomological
surveillance. Potential outbreak of Dengue and

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water borne diseases were averted. I. Under HRDEMS, Grant-in-aid is provided

to medical colleges (nominated by State
Psycho social support to the flood affected
Governments) to set up skill centers where
districts of Kerala and Karnataka were facilitated
doctors, nurses and para-medics shall be
through National Institute of Mental Health and
trained in emergency life support. For the
Neuro-sciences (NIMHANS).
year 2019-20, a total GIA of Rs. 27.90 crores
Disease outbreaks has been dispersed to 22 medical colleges.
 Ebola Virus disease (ZVD): The II. Under HSDPR, the main activities are (i)
World Health Organization (WHO) declared Capacity building in the area of disaster
the current  Ebola outbreak  in  Democratic preparedness and response [including
Republic of Congo to be a Public Health chemical, biological, radiological and
Emergency of international concern (PHEIC) nuclear (CBRN) emergencies], in which
on 17th July, 2019. As the nodal agency country-wide trainings for hospital
for PHEIC, EMR Division co-ordinated administrators and district level health
updation of guidelines, surveillance strategy officers is already underway in collaboration
etc. through Joint Monitoring Group with NIHFW (and identified partner
Meeting. Five sub-national level training on institutions) and (ii) Infrastructure activities
Ebola Virus Disease are being conducted in including setting up of secondary and
collaboration with WHO. tertiary level CBRN medical management
centers. The detailed Project report is ready
 Other outbreaks: Central Teams were also
for setting up of tertiary level CBRN centre
sent by this Division to investigate Acute
at Stanley Medical College at Chennai.
Encephalitis Syndrome (AES) cases in Bihar.
III) The component of setting up of Health
Humanitarian support to foreign countries
Emergency Operation Centre in 9 States, 1
Under an existing Standard Operating Procedure UT and 1 at Nirman Bhawan, New Delhi has
between this Ministry and Ministry of External been approved by Hon’ble Health Minister
Affairs (MEA) to provide humanitarian assistance and will be executed by the selected PSU for
to foreign countries. During the year 2019-20, operationalization on turn key basis. Health
MoHFW is assisting MEA in supplying drugs/ Emergency Operation Centre (HEOC) are
medical consumables worth about Rs. 52.96 meant to be hub of planning, coordination
Crores to 9 countries in FY 19-20. of all response activities before and during
disasters in the country with capability of
Programme areas collecting, collating and analyzing data on
The division operates two Central Sector Schemes real time basis. The process related to setting
including - up of HEOC involves execution of civil
and electrical work and thereafter, setting
(i) Human Resource Development for up IT infrastructure along with video-
Emergency Medical Services (HRDEMS) conferencing facility.
and
Medical Care Arrangements on Special
(ii) Health Sector Disaster Preparedness and Occasions/ events.
Response (HSDPR).
Medical care arrangements were made for

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Republic Day Celebrations, 2019; Independence of the Constitution for improvement in public
Day Celebrations, 2018; Paryatan Parv at Rajpath health may be achieved. 
Lawns between Rafi Marg and Janpath, New
Status of applicability of Clinical Establishments
Delhi from 2nd to 6th October, 2019 [organized by
Act 2010/other regulatory Acts in States/Uts:
Ministry of Tourism]; EMR Division supported
Govt. of Jammu and Kashmir in providing medical • States/ UTs which have adopted Clinical
care arrangements for Shri Amarnathji Yatra Establishments (Registration and
by deploying 100 doctors (including different Regulation) Act, 2010: Arunachal Pradesh,
Specialities) and 47 other medical functionaries Himachal Pradesh, Mizoram, Sikkim,
(Nursing Officers and Pharmacists) enroute. Haryana, Jharkhand, Rajasthan, Bihar,
Uttarakhand, Uttar Pradesh, Assam,
Visiting Head of States
Telangana and all UTs except Delhi
Medical care arrangements were made for the
• States/UTs which have not adopted
Heads of States/Govts. of Zimbambwe, Zambia,
Clinical Establishments (Registration
St. Vincent & Grenadines, Mongolia, Bangladesh,
and Regulation) Act, 2010 but have their
Netherlands, Germany, Brazil, Sweden and VVIPs
own Acts: Andhra Pradesh, Maharashtra,
of 8 countries (including Head of States/Govts.)
Madhya Pradesh, Punjab, Orissa, West
for swearing in ceremony of Hon’ble Prime
Bengal, Jammu & Kashmir, Chattisgarh,
Minister of India.
Tamil Nadu and UT of Delhi
11.7 CLINICAL ESTABLISHMENTS • States/ UTs which have neither adopted
ACT, 2010 (CEA 2010) &NATIONAL Clinical Establishments (Registration and
COUNCIL FOR CLINICAL Regulation) Act, 2010 nor have their own
ESTABLISHMENTS (NCCE) Act: Gujarat
After passing of the Clinical Establishments Act National Council for Clinical Establishments:
by Parliament in August 2010 and notification It is the National level body provided under the
by the Ministry of Health and Family Welfare, Clinical Establishments Act, 2010 under the
the Act initially came into force in the 4 States chairmanship of DGHS is for carrying out the
namely Sikkim, Mizoram, Arunachal Pradesh following functions: 
and Himachal Pradesh and all Union Territories
• compile and publish a National Register
(except NCT of Delhi) on 1-3-2012. Subsequently
of clinical establishments within two years
7 more States namely Uttar Pradesh, Uttarakhand,
from the date of the commencement of this
Bihar, Jharkhand, Rajasthan, Assam and Haryana
Act.
have adopted the Act. Thus as on date, the Clinical
Establishments Act, 2010 is applicable in 11 States • classify the clinical establishments into
and 8 Union Territories (including J&K and different categories.
Ladakh).
• develop the minimum standards and their
The Act is for registration and regulation of the periodic review.
clinical establishments (except those of Armed
Forces) with a view to prescribe minimum • determine the first set of standards for
standards of facilities and services which may be ensuring proper healthcare by the clinical
provided by them so that mandate of article 47 establishments.

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• collect the statistics in respect of clinical 227 medical conditions belonging to 21

establishments. clinical specialties.
• perform any other function determined by  Ayurveda STGs for 18 common medical
the Central Government from time to time. conditions.

Achievements including Steps taken and • Other Technical Supports being provided
Activities carried out for implementation of the to states by Ministry for implementation of
Act: various provisions of Act.

• Dedicated website of the Act (www. • Advocacy cum training workshops

clinicalestablishments.gov.in) is operational. are regularly conducted regarding
implementation of the Act and training in
• Online registration facility for clinical online registration. In the year 2019-20 the
establishments is available through website. workshops were conducted in the States of
• Designated Nodal Officers and provision Mizoram, Haryana and Jharkhand.
of posts of coordinators and data entry • User manual for online registration & web
operators  at state and district level for based training module are available in
implementation of the Act. public domain.
• Secretariat for National Council has been • Frequently asked questions are available on
set up for coordinating the work of National the website for users and stakeholders.
Council.
• Help Email ([email protected]) is
• Budget for implementation of the Act functional for responding to queries of
is provided as per State Programme various stakeholders.
Implementation Plan through National
Heath Mission (NHM). • Assistance is also being provided through
telephone.
• A gazette notification of clinical
Establishments (amendment) Rules, 2018 in • Provision for receiving online feedback is
respect of Minimum Standards for Medical available through website.
Diagnostic Laboratories has been published Status of Registration:
on 18 May 2018.
Online registration at present is functional through
• Minimum Standards of various categories aforesaid website of the Act in the 13 States/UTs of
of Clinical Establishments of Allopathy and Assam, Himachal Pradesh, Rajasthan, Jharkhand,
AYUSH finalised by National Council for Arunachal Pradesh, Uttrakhand, Haryana,
Clinical Establishments and uploaded for Chandigarh, Mizorum, Daman and Diu, Dadra
public comments/suggestions/observations.  and Nagar Haveli, Andaman and Nicobar and
• Following Standard Treatment Guidelines Puducherry. So far, 22186 Clinical Establishments
(STGs) for provision of proper health care as on 02.01.2020 have registered online forming
have been uploaded on the website: the part of digital National register, with detail in
the table as under:
 Standard Treatment Guidelines (STGs) for

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* Status of Online registration of Clinical Establishments as on 02.01.2020

State Allopathy Ayurveda Unani Siddha Homoeo Yoga Natura Sowa Total
-pathy -pathy -Rigpa
ANDAMAN 130 23 1 3 27 6 3 0 149
& NICOBAR
ISLANDS (UT)
ARUNACHAL 56 6 0 0 10 0 2 0 68
PRADESH
ASSAM 4132 653 32 12 203 61 19 1 4300
CHANDIGARH 539 94 1 0 30 4 5 0 588
(UT)
DADRA & 196 50 1 0 61 0 1 0 272
NAGAR HAVELI
(UT)
DAMAN & DIU 172 41 5 0 71 3 0 0 244
(UT)
HARYANA 193 41 8 4 36 22 10 0 199
HIMACHAL 4301 2407 135 26 197 56 59 11 6373
PRADESH
Jharkhand 6738 355 58 6 283 56 33 0 7059
MIZORAM 6 0 0 0 3 0 0 0 7
PUDUCHERRY 671 40 0 38 30 6 4 0 715
(UT)
RAJASTHAN 1079 77 21 3 79 24 16 1 1156
UTTARAKHAND 800 200 31 1 71 31 66 0 1056
Total 19013 3987 293 93 1101 269 218 13 22186
#Difference in total of rows is due to a Clinical Establishment may have more than one system of medicine
operational.
No. of clinical establishments registered offline Achievements including work done by National
as per information received is 2228 with detail Council for Clinical Establishments: Following
as under. documents have been finalised and approved
by National Council for Clinical Establishments
Sikkim 338 and the same are available on the website: www.
Mizoram 535 clinicalestablishments.gov.in.
Arunachal Pradesh 689
Categorization of Clinical Establishments.
Puducherry 116
Dadra and Nagar Haveli 20 • Minimum Standards of major general
categories of clinical establishments
Uttarakhand 530
namely Clinics, Polyclinics, Mobile Clinics,
Total 2228
Hospitals, Physiotherapy Centre, Health

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Check-up Centre, Dental Lab, Mobile Dental • List of recognised qualifications of person
Van, Dietetics, Integrated Counselling incharge of clinical establishments.
Centre.
• A list of medical treatment procedures and
• Minimum Standards for 34 specialty/ a standard template of costing of procedures
super-specialty wise departments/clinical and services.  State/UT Governments have
establishments. been advised to use these for determining
the standard cost of any procedure taking
• Minimum Standards for all systems of
into consideration all pertinent factors. The
medicine under AYUSH.
information on standard procedure cost
• Application Form and Certificate for should be available to the stakeholders and
provisional/permanent registration. general public.
• Formats for collection of Information & • Operational Guidelines for implementation
Statistics from OPD, IPD, Lab and Imaging of the Clinical Establishments Act has been
Clinical Establishments. disseminated to implementing States/ UTs.

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Health Insurance 12
12.1 AYUSHMAN BHARAT -  PRADHAN This health cover also includes 3 days of
MANTRI JAN AROGYA YOJANA pre-hospitalisation and 15 days of post-
(ABPMJAY) hospitalisation expenses. Moreover, there
is no cap on family size, age or gender to
Over the past few decades there has been
ensure that all members of the beneficiary
improvement in various health indicators of
families are covered. Also, benefits are
lndia. However, the Out Of Pocket Expenditure,
portable across the country. 
which pushes millions of people into poverty
every year, still remains a big concern. In order • AB-PMJAY is a centrally sponsored scheme
to address this and provide health cover of and cost of the scheme is shared between
Rs. 5 lakh per family per year for secondary Central and State Governments. The ratio
and tertiary care hospitalization to poor and of central share to state share for all States,
vulnerable section of the population, Ayushman except North-Eastern States and Himalayan
Bharat – Pradhan Mantri Jan Arogya Yojana (AB- States and Union Territories with legislature,
PMJAY) was launched, subsuming the erstwhile is 60:40. For North-Eastern States and
Rashtriya Swasthya Bima Yojana, on 23.09.2018. Himalayan States, the ratio is 90:10. In
The scheme aims to improve affordability, the case of Union Territories without
accessibility, and quality of care for the poor and legislatures, the Central contribution of
vulnerable section of the population. In the year premium is 100%.
2019-20, AB-PMJAY continued to grow and
• Under the scheme, the entitlement of
covered substantial ground.
households is based on the deprivation and
Salient Features occupational criteria of the Socio-Economic
Caste Census 2011 (SECC) for rural and
• Under AB-PMJAY, around 10.74 crore poor
urban areas, respectively. Further, the
and vulnerable families (approximately 50
families covered in the erstwhile Rashtriya
crore individuals) are entitled for cashless
Swasthya Bima Yojana (RSBY) but not in
and paperless access to services at the
the targeted SECC database are also covered
point of service i.e. empanelled hospitals.
under AB-PMJAY.

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Beneficiaries covered as per SECC data

Rural Areas Urban Areas
I. Automatically included households (based 11 defined occupational categories are entitled
on fulfilling any of the 5 parameters of under the scheme -
inclusion): I. Rag picker
a. Households without shelter. II. Beggar
b. Destitute, living on alms. III. Domestic worker
c. Manual scavenger families. IV. Street vendor/ Cobbler/hawker / Other
d. Primitive tribal groups. service provider working on streets
e. Legally released bonded labour V. Construction worker/ Plumber/ Mason/
II. Families based on Standard Deprivation Labor/ Painter/ Welder/ Security guard/
Parameter Coolie and other head-load worker
a. Only one room with kucha walls and VI. Sweeper/ Sanitation worker / Mali
kucha roof (D1) VII. Home-based worker/ Artisan/ Handicrafts
b. No adult member between age 16 to 59 worker / Tailor
(D2) VIII. Transport worker/ Driver/ Conductor/
c. Female headed households with no Helper to drivers and conductors/ Cart
adult male member between age 16 to puller/ Rickshaw puller
59  (D3)
IX. Shop worker/ Assistant/ Peon in small
d. Disabled member and no able bodied establishment/Helper/Delivery  assistant /
adult member    (D4) Attendant/ Waiter
e. SC/ST households (D5) X. Electrician/Mechanic/Assembler/ Repair
f. Landless households deriving major worker
part of their income from manual XI. Washer-man/ Chowkidar
casual labour (D7)

• AB-PMJAY is an entitlement-based scheme beneficiaries achieving the target of over 50

and there is no requirement of registration crore individuals across India.
or enrolment of beneficiaries for availing
Implementation Structure
benefits. However, in order to create
awareness amongst the beneficiaries and • At the central level, National Health
facilitate availing of benefits, e-cards have Authority (NHA) is the authority
been issued to the beneficiaries. An open responsible for implementing AB-PMJAY.
beneficiary identification system policy NHA is headed by a full time CEO in the
has been introduced for PMJAY, enabling rank of Secretary to the Government of
Government and Private organizations to India. An 11 member Governing Board
partner with NHA for generating e-Cards (GB), headed by the Minister for Health and
for PMJAY beneficiaries, with an aim to Family Welfare, has also been established as
enhance the pace of generating e-Cards and the decision making body of the NHA.
reaching out to a much higher number of

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Governing Board
Chairman Minister for Health and Family Welfare, Government of India
Member 1 Chief Executive Officer, NITI Aayog Govt. of India (Ex Officio)
Member 2 Secretary (Expenditure), Ministry of Finance, Govt. of India (Ex Officio)
Member 3 Secretary (Health and Family welfare), Ministry of Health and Family Welfare,
Govt. of India (Ex Officio)
Members 4 & 5 Two Domain Experts from the fields such as Administration Insurance, Public &
Private Health care providers’ Economics, Public health Management etc
Members (6 - 10) Five Principal Secretaries (Health) of the State Governments (one representing
each of the five zones of the country viz; North, South, East, West and North East)
on a rotational basis
Member 11 Chief Executive Officer (CEO) of the National Health Authority (Ex Officio)

State Health Agency (SHA) is the nodal agency combination of both in a mixed mode. 
responsible for implementation of AB-PMJAY States can also cover a greater number of
in the state. In addition to the state level posts, families than those defined as per SECC
District Implementation Units (DIUs) have also data. For these additional families, the cost
been setup to support the implementation in needs to be borne by the States. These State
districts.  Schemes work in alliance with the AB-
PMJAY. States can co-brand their existing
Implementation Modes in States/UTs
health insurance/assurance schemes with
• States under AB-PMJAY are free to AB-PMJAY as per co-branding guidelines
choose the implementation mode and of the scheme.
can implement the scheme either through
• At present, 33 States/UTs are implementing
a Trust, or Insurance Companies or a
the scheme -

Insurance Mode (9) Trust Mode (19) Mixed Mode (5)

Meghalaya Andhra Pradesh Tripura Tamil Nadu
Ladakh Arunachal Pradesh Uttar Pradesh
Nagaland Assam Uttarakhand Gujarat
Dadra & Nagar Haveli Bihar Lakshadweep
Daman & Diu Goa Andaman & Nicobar Jharkhand
Jammu & Kashmir Madhya Pradesh Chandigarh
Puducherry Manipur Karnataka Maharashtra
Kerala Sikkim Haryana
Punjab Himachal Pradesh Mizoram
Rajasthan
  Chhattisgarh

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Progress of the Scheme Municipal Council. Several beneficiary

identification and awareness drives were
• On June 24th, 2019, the scheme crossed
conducted in collaboration with South
the milestone of providing benefits to more
Eastern Coalfields Limited, Ranchi; South,
than 30 lakh beneficiaries.
Northern and Eastern Railways. The drives
• As on 31st October 2019, 33 states and were executed by CSCs.
union territories are implementing the
Health Benefit Packages
scheme, and 11.09 crore e-cards have been
issued. Further, 56.61 lakh beneficiaries have 1393 Health Benefit Packages (HBPs) are defined
availed the cashless treatment in the 18,737 under the scheme to cover secondary and tertiary
hospitals. Out of these 52,668 beneficiaries care treatment. Some anomalies in the HBP
were part of portability cases. The value of were observed and brought to the notice of the
the treatment provided under the scheme is Governing Board of NHA. The Governing Board
Rs. 8292.8 crore.           decided that the NHA should undertake an
exercise to remove the aberrations and anomalies
• 11 NHCPs, 21 Delhi Private Hospitals,
in the HBP and to rationalise them. The exercise
91 National Railway Hospitals have been
for rationalisation of Health Benefit Packages
directly empanelled by signing an MoU
has been finalized and also been approved by the
with the Railway Board, Coal India, North
Governing Board.
Municipal Corporation and New Delhi

Information, Education, and Communication hoardings, TV, radio spots, inter personal
(IEC) Activities communication, etc., have been used
as important elements for creating a
• A detailed communication strategy has
comprehensive communication strategy for
been implemented both at the national
disseminating the desired messages across
and regional levels. Various modes of
the target audience. 
communication such as leaflets, booklets,

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• Some of the key actions taken are: beneficiary Capacity Building

awareness and verification drive with Indian
• Capacity-building initiatives in AB-PMJAY
Railways, letter from the Prime Minister to
started with the orientation of SHA officials
beneficiaries,  National Communication
and were followed by various workshops
Workshop and IEC guidebook, preparation
for personnel from specific portfolios like
of films featuring AB-PMJAY beneficiaries
IT, fraud control, claim management, etc.
and various celebrities, coffee table
learning and knowledge management
book for major government and partner
system is being developed for scaling
organisations, Newsletters and AB-PMJAY
up the trainings of various stakeholders.
brochures and comic book for children,
Online training courses have been prepared
Setting up of call centre and grievance
for Pradhan Mantri Arogya Mitra in 2
redressal cell, and beneficiary empowerment
languages-Hindi and English.
guidelines.

• Certification training has been completed zero-tolerance approach towards any kind
for 713 Pradhan Mantri Arogya Mitra of fraud and the anti-fraud framework rests
in Uttar Pradesh and Himachal Pradesh. on 3 key pillars i.e. prevention, detection,
Trainings of over 200 SHA officials have and deterrence. Anti-fraud controls have
been conducted. Capacity building exercises been strengthened to now include rule
for over 4500 state personnel have been and workflow driven triggers in core
completed in Karnataka, Kerala, and Punjab. systems for onward digital investigations,
anomaly detection including notifications
Fraud-Control
for State Anti-Fraud Units and connected
• AB-PMJAY is being implemented on a transactional stakeholders.

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• To strengthen the State level Anti-Fraud deactivated in 21 States.

Units, capacity building of state teams has
Funds Released
been completed and guidelines have been
issued. More than 350 hospitals have been Funds are released by Ministry of Health & Family
served Show Cause Notice/suspended/de- Welfare, Government of India to National Health
empanelled in different states. Close watch Authority under three categories. Releases made
is also maintained on wrongful enrolment to National Health Authority and expenditures
of beneficiary and more than 4000 Common incurred during 2019-20 (till 20.09.2019)  -
Service Centres and PMAM IDs have been

Particulars Description Grant Grant

received utilised
NHA’s primary operating fund, which accounts for all
Direct Head Office
financial resources of the administration expenses for 321 50.69
Grant
running the scheme
Grant-in-Aid for Operating fund for state health agencies. It accounts for all
administrative financial resources of the general administration expenses 150 11.88
expenses of the State offices to run the scheme
Grant-in-Aid for Fund for core activities of the scheme under AB-PMJAY,
implementation i.e. for paying central share of premium 1659.3 557.95
purpose
Total (Rs. in crore) 2130.3 620.52

Beneficiary Awareness beneficiaries aware of their entitlement, a

dedicated call centre, an AB-PMJAY app and a
In order to increase accessibility and make
website is functioning. As on 31st October 2019,

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14.13 lakh calls have been answered and 49.16 been downloaded and installed by users 8.96 lakh
lakh out-bound call attempts have been made to times and 1.58 crore users checked the website
the beneficiaries. The AB-PMJAY application has mera.pmjay.gov.in.

In-bound calls

• At 14555/1800111565 Toll free numbers • Providing information about PMJAY

• 24/7, 365 days Services • Addressing the query of PMJAY beneficiary
• 600 + agents • Helping the beneficiary to check their eligibility
• Helping the beneficiary to search the nearest
Empanelled hospital
• Registering the complaint/Grievance if any etc.

AB-PMJAY call centre services are managed responsible for making outbound calls as per
by Third Party Administrators, who are also requirements and directions.

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the top 5 states with highest percentage of claim

Out-bound calls
paid. Whereas in terms of capacity, Goa, Haryana,
Beneficiary To collect the feedback from Tamil Nadu, Kerala and Gujarat are the top 5
Feedback beneficiaries who have availed states with number of beds in empanelled hospital
campaign the treatment under PMJAY
per 1000 population.
Hospital To help the healthcare providers
Empanelment to complete the registration One-year celebration
Support Hospital empanelment portal of • On the successful completion of one year
campaign PMJAY when their application of the scheme, all the SHAs celebrated
is under draft status.
Ayushman Bharat Pakhwada in their
Beneficiary To confirm the beneficiary respective states. The Pakhwada was focused
verification admission in Hospitals on increasing the beneficiary awareness
campaign and enhancing the IEC in the states. Total
Beneficiary To provide information about 51.34 lakh beneficiaries were issued e-cards
Awareness PMJAY and give awareness during the celebration.
Campaign about PM-JAY scheme
• At national level, two days event called
Hospital To collect the details of Arogya Manthan was organized by National
branding branding done by Empanelled Health Authority on 30th September
information hospital under IEC -01st October, 2019. Many stakeholders
collection
including hospitals, CSC, SHA personnel
campaign
and beneficiaries were invited in this event.
Beneficiary To check the correctness of The event was inaugurated by Honourable
Mobile the mobile number provided Health Minister.   During the Arogya
number by beneficiary during PMJAY Manthan, Honourable Prime Minister met
verification registration
with more than 30 beneficiaries hailing from
campaign
various states. Post this, the PM addressed
PMAM Advisory calls to PMAM to the gathering and shared his plans for
Advisory improve the quality while achieving the Universal Health Coverage. A
campaign entering details of beneficiary Rs. 5 commemorative stamp was launched
during PMJAY e-card
by Hon’ble Prime Minister on this day to
generation.
mark the completion of one year of AB-
Performance of States/UTs PMJAY.

In terms of utilisation of the scheme Andhra 12.2

RASHTRIYA SWASTHYA BIMA
Pradesh, Kerala, Rajasthan, Jharkhand and YOJANA (RSBY) and SENIOR
Madhya Pradesh are the top 5 states, which have CTIZENS HEALTH INSURANCE
high percentage of eligible families with at least SCHEME (SCHIS)
one member having scheme e-card. Rajasthan,
Chhattisgarh, Kerala, Dadra and Nagar Haveli and Rashtriya Swasthya Bima Yojana (RSBY)
Daman and Diu are the states / union territories RSBY was a centrally sponsored scheme that
with highest hospitalisation per lakh beneficiary was implemented by Ministry of Labour &
population. However, Tamil Nadu, Jammu and Employment (MoLE) since 2008, under the
Kashmir, Mizoram, Manipur, and Haryana are

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Unorganized Workers’ Social Security Act 2008 Auto/Taxi drivers). The Scheme was transferred
to provide health insurance coverage to Below to Ministry of Health & Family Welfare on “as is
Poverty Line (BPL) families and  11 other where is” basis with effect from 01.04.2015. Each
categories of Unorganized Workers (UOWs) family enrolled in the scheme was entitled for
(MGNREGA Workers, Construction Workers, hospitalization benefits of upto INR 30,000 per
Domestic workers, Sanitation Workers, Mine annum in empanelled hospitals. 1516 treatment
Workers, licensed Railway Porters, Street Vendors, packages were covered under RSBY.
Beedi Workers,  Rickshaw Pullers, Rag Pickers and

Senior Citizen Health Insurance Scheme available to senior citizens once they use SCHIS
(SCHIS) coverage of Rs. 30,000/.  If in any RSBY enrolled
family, there were more than one senior citizen,
SCHIS, which provided insurance cover to senior
then the additional cover was in multiple of Rs.
citizens as a top-up over the existing RSBY
30,000/- per senior citizen.
Scheme, was implemented w.e.f 01.04.2016. This
scheme provided an additional annual coverage Rashtriya Swasthya Bima Yojana and Senior
of Rs. 30,000/- per senior citizen  in the eligible Citizen Health Insurance Scheme have been
RSBY beneficiary family. RSBY provided a health subsumed under Ayushman Bharat – Pradhan
insurance cover of Rs. 30,000/-  which was  also Mantri Jan Arogya Yojana.

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Food & Drugs 13

13.1
FOOD SAFETY & STANDARD FSSAI has taken many steps towards simplification
AUTHORITY OF INDIA (FSSAI) and rationalization of licensing & registration
processes: FSSAI has undertaken comprehensive
Food Safety and Standards Act, 2006 was review of Food Safety and Standards (Licensing
enacted with the objective to consolidate the and Registration of Food Businesses) Regulations,
laws relating to food and for laying down science 2011  and finalized   Food Safety and Standards
based standards for articles of food as well as to (Licensing and Registration) Amendment
regulate their manufacture, storage, distribution, Regulations, 2011 for draft notification. This will
sale and import to ensure availability of safe and simplify and rationalize the licensing/registration
wholesome food for human consumption and process and ensure better compliance by the Food
for matters connected therewith or incidental Business Operators.  
thereto. The Food Safety and Standards Authority
of India (FSSAI) was established in the year 2008. FSSAI has completely done away with physical
submission of various documents required for
13.1.1 Activities licensing/registration under the FSS Act, 2006.
Enforcement/Regulatory Compliance To avoid postal delays, inconvenience and
harassment to Food Business Operators (FBOs)
States/UTs  are primarily responsible for in getting physical signed copy of License /
enforcement of FSSAI Act, Rules and Regulations. Registration, FSSAI has introduced issuance of
The State machinery for enforcement includes system generated License/Registration to e-mail
Food Safety Commissioners, Designated Officers, Ids of FBOs which shall bear a Quick Response
Food Safety Officers and Adjudicating Officers. (QR) Code as a security feature to verify the
Regular interaction is being held with State Govt. License/Registration. 
officials through meetings of Central Advisory
Committee in which all States are represented, To ensure that the food businesses work with
Video conferences and participation of FSSAI in proper food license, States/UTs have been asked
the State level steering committee meetings. to initiate enforcement drive with effect from
Additional Food Safety Commissioners have been 1st October, 2019. The primary focus of this drive
notified for Railways, Airports and Ports along is to identify: (i) FBOs who have not obtained
with Designated Offices for Airports and Ports.          registration certificate despite being eligible for
Licence (ii) FBOs continuing food business with
As on 31st October, 2019, 53,188 Central Licenses expired License/without license and (iii) FBOs
have been issued by the Central Licensing manufacturing /processing food products which
Authorities of FSSAI. The States/UTs have are not endorsed on their license. 
granted 11,95,176  State licenses and registered
56,34,821 FBOs.  States have also been advised to launch awareness

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drives for consumers and consumers organisation inspections have been undertaken  on FoSCoRIS
who can check the validity of FSSAI License/ by  the 5 States which have implemented the
Registration through ‘Know Your FSSAI system and the Regional Offices of FSSAI.   
License’ page (https://foodlicensing.fssai.gov.in/
FSSAI has developed State Food Safety Index to
knowfssailicense). 
measure the performance of States on various
FSSAI has issued orders on 8th  July, 2019 parameters of Food Safety. Index is based on
regarding non-requirement of FSSAI registration performance of States/UTs on five significant
of last mile delivery persons, Direct Sellers, Food parameters, namely Human Resource and
Vending Machines, Water Vending Machines, Institutional Data (weightage -20%), Compliance
Food ATMs, Branded Food Carts owned by (30%), Food Testing Infrastructure and Surveillance
single/main entity subject to certain conditions. (20%), Training and Capacity Building (10%) and
Consumer empowerment (20%). Seven States/UT
To address complaints of delay in grant of
(Goa, Gujarat, Maharashtra, Kerala, Chandigarh,
Registration/License even after submission of
MP, Tamil Nadu) with a score of more than 75%
completed documents, FSSAI has  issued orders
were awarded ‘Leading States” for their impressive
on 24th  May, 2019  conveying the decision to
performance in a function held on 7th June, 2019
issue License/Registration in case of unattended
on ‘World Food Safety Day’. 5 States (Delhi
applications  on the 8th  day of the filing of
, J&K, Punjab, UP and Bihar) with a score of
application for Registration and on the 61st  day
more than 60% followed close behind and were
of filing of completed application for License.
awarded ‘Catching up States’  
A provision in this regard has been made in the
online Food Licensing and Registration System. 13.1.2 Standards and Regulations
To reduce the burden on the regulatory inspection Globally benchmarked food standards  
conducted by Central or State Licensing
Authorities and also encourage the efficient self- FSSAI has constituted a Scientific Committee
compliance by the food businesses, FSSAI has and 19 Scientific Panels comprising independent
notified the Food Safety and Standards (Food scientific experts under Sections 14(1) and 13(1) of
Safety Auditing) Regulations, 2018 on 28.08.2018. the FSS Act , 2006 for providing scientific opinion
FSSAI has recognised 24 NABCB accredited on various issues.  These Forums meet as often as
agencies till date after approval of Food Authority. required and several meetings were held during
2019-20 in which various scientific opinions and
FSSAI has put in place a web-based ‘Food several food standards have been developed.
Safety Compliance through Regular Inspections
and Sampling  (FoSCoRIS)  System’ to verify So far, FSSAI has developed over 500 food product
compliance of food safety and hygiene standards standards and reviewed and expanded standards
by food businesses which replaces the manual for food additives that now has over 9000 provisos
keeping of Inspection Reports with digital records covering 350 additives and food processing aids
including the provision of capturing real time data by harmonizing the standards of food additives
viz. images of the FBOs’ premises, geo-location, with Codex Standards. 
date and time etc.  of the inspections conducted.  FSSAI has notified some important final
FSSAI has provided hand holding training on Regulations during the period. These include Food
FoSCoRIS to regulatory staff of 21 States/UTs Safety and Standards (Recovery and Distribution
which have shown willingness and  so far,  3269 of Surplus food) Regulations, 2019, Food Safety

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and Standards (Food Products Standards and FSSAI’s own Referral Food Laboratories
Food Additives) Third Amendment Regulations,
i. FSSAI has its own Referral laboratories
2019, Food Safety and Standards (Food Products
for appellate testing at Ghaziabad and
Standards and  Food Additives) Second
Kolkata. Both the laboratories have been re-
Amendment  Regulations, 2019, Food Safety and
named as National Food Laboratory (NFL). 
Standards (Prohibition and Restriction on Sales)
National Food Laboratory, Ghaziabad has
Second Amendment Regulations, 2019, Food
been renovated and operationalized  on
Safety and Standards (Prohibition and Restriction
Public Private Partnership (PPP) mode. 
on Sales) Second Amendment Regulations, 2019.
The renovated State–of-the Art Laboratory
During 2019-20, FSSAI has also notified many at Ghaziabad  was formally launched on
draft regulations including i) Food Safety and 23.08.2019 by Health Minsiter who laid the
Standards (Labelling and Display) Regulations, foundation stone of multi-storeyed FSSAI
2019, ii) Food Safety and Standards ( Food for Tower at NFL premises on the same day.
Infant Nutrition) Regulations, 2019, iii) Food A Food Safety Solution Center (a unique
Safety and Standards (Prohibition and Restriction initiative of Thermo Fisher Scientific in
on Sales) Amendment Regulations, 2019, iv) association with FSSAI to cater to the need
Amendment in Food Safety and Standards of analytical community and a Centre
(Food Product Standards and Food Additives) for Microbiological Analysis Training
Regulations, 2011 and v) Food Safety and (C-MAT) through initiative of  Merck to
Standards (Prohibition and Restriction on Sales) impart training to laboratory personnel in
Amendment Regulations, 2019.   microbiological testing  has been opened at
NFL , Ghaziabad in April, 2019.
13.1.3 Quality Assurance
ii. National Food Laboratory, Kolkata has been
Food Safety and Standards (Recognition and
upgraded with some major high end /minor
Notification of Laboratories) Regulations, 2018
equipments and an advanced microbiology
have been notified in November, 2018. The
laboratory.
Regulations define the eligibility, procedure, terms
and conditions and obligations  for recognition FSSAI is implementing a Central Sector Scheme
and notification of food laboratories and referral for “Strengthening of Food Testing System in
laboratories.  Since 01.04.2019,  8 more primary the Country including Provision of Mobile Food
food testing labs have been recognised and notified Testing Labs” (SOFTeL) with a total outlay of Rs.
under Section 43 (1) of Food Safety and Standards 481.95 crores implementing from 2016-17. Under
Act, 2006 by FSSAI raising the total  to 183. There the Scheme,  A grant of Rs.256.69 crore has been 
are 18 notified referral laboratories notified for released to 29   States/UTs for upgradation of 37
appellate functions  including two referral labs State Food Laboratories towards carrying out
of FSSAI, FSSAI has recognised 12 notified food renovation work in the laboratory, procurement
laboratories as National  Reference Laboratory of high-end equipment and setting up of
(NRL) under Regulation 3 of Food Safety and microbiological laboratory including  Rs.36.39
Standards (Recognition and Notification of crores released since 1st  April, 2019.  A grant
Laboratories) Regulations, 2018 for the functions of Rs.23.57 crore has been released towards
as specified in the regulations for a period of three upgradation of 10 referral laboratories towards
years from 08.08.2019.  procurement of high end equipment.    14 more

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Mobile Food Testing Labs called Food Safety on reference to one or the other quality parameters
Wheels (FSW) (with a Grant-in-aid of Rs. 5 lakh [fat, Solid not-fat (SNF), sugar and maltodextrin
per FSW towards petrol, oil, lubricants (POL) and but were without any safety issues.  Details of
consumables have been sanctioned since 1st April, survey are available at  https://www.fssai.gov.in/
2019  raising  the total number of FSWs sanctioned home. The survey results indicate clearly that milk
to 54  for 32 States/UTs across the country. 46 of being sold in India is largely safe for consumption.
these FSWs have already been delivered and are
In collaboration with EIC and GFSP, FSSAI has
functional. 
established an International Training Centre for
The Food Analyst Examination Board on Food Safety Analysis & Applied Nutrition (ITC-
30.10.2019 has declared 61 candidates as qualified FSAN) at Export Inspection Agency’s (EIA)
Food Analysts on the results of Sixth Food Analyst Pilot Test House. ITC-FSAN was inaugurated on
Examination. This has raised the total number of 22nd  September, 2019. It is expected to become
Food Analysts /Public Analysts from 391 to 452. the hub for providing training programs to build
Further, 85 candidates have also been declared as capacity for food testing laboratories in our
qualified Junior Food Analysts.  country as well as in neighbouring countries. 
National Milk Safety & Quality Survey Several recent rapid and automated kit/
equipment/method are commercially available
To ascertain the true status of  quality of milk
to close the gap between rapid detection of food
and to identify hotspots of its adulteration,
borne contaminants etc. and instantaneous,
FSSAI conducted a third party assisted survey 
on-line monitoring to ensure the safety and
in May, 2018 with a sample size of  6432 samples
wholesomeness of foods. FSSAI has a policy for
taken from 1100  towns with a population of
adoption of RAFT kit/equipment/method for
over 50,000 across all 29 States and 7 Union
regulatory purpose (either on field, in laboratory
Territories  for qualitative and quantitative
or both).
analysis. Scope of NMSQS 2018 covered 3 quality
parameters (Fat, SNF and water), 13 common 13.1.4 Addressing Micronutrient
adulterants (vegetable oil/fat, detergents/caustic deficiencies  through Food
soda, hydrogen peroxide, sugar, glucose, urea, Fortification
starch, Maltodextrin, boric acid, ammonium
sulphate, nitrates, cellulose, and neutralizer; and FSSAI is addressing micronutrient deficiencies
3 contaminants (antibiotics, pesticides, aflatoxin by formulating standards for fortification of key
M1).   staple viz. edible oil and milk (with Vitamin A &
D), wheat flour and rice (with iron, folic acid and
As per National Milk Safety and Quality Survey vitamin B12) and  salt with iron (in addition to
final report released in October, 2019, only iodine).  It has notified Food Safety and Standards
about 7% samples were found to be unsafe (Fortification of Foods) Regulations, 2018 on
for consumption due to presence of harmful 02.08.2018. The standards prescribe minimum
contaminants in excess of specified limits coming and maximum range of fortification. FSSAI
mainly from poor quality of food, irresponsible use has also launched a +F logo to identify fortified
of antibiotics and poor farm  practices. Only 12 out food.  Voluntary fortification has begun for 5 staples
of a total 6432 samples had adulterants that affect in open market. 82 top companies and regional
the quality of milk.  About 41 % of milk samples players have ~ 122 brands of fortified staples in
of the total were, however, non-compliant with the open market with a PAN India and regional

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presence. There has been tremendous traction in GATE. Customs Department implements the
the oil and milk industry, with 47 percent of top Risk Management system (RMS), i.e. selective
ten players of packaged refined edible oil industry sampling and testing of food articles, under
and 36.6 percent of the organized milk industry SWIFT in consultation with FSSAI.  FSSAI has
fortifying as per FSSAI standards.  In spite of a set the parameters for RMS to be applicable
fragmented market structure, a number of wheat on imported food items.  RMS is being applied
flour, rice and salt industry brands have begun in ICEGATE before sending the consignment/
fortifying their products. So far, 12 wheat flour bill ofentry (BOE) in FICS.
brands, 1 rice brand and 12 double fortified salt
The  food articles, when referred to FSSAI for
brands are available in the open market.
clearance by the Customs Authorities, are
18 States and 4 UTs have adopted fortification subjected to scrutiny of documents, visual
of several commodities in the government inspection, sampling and testing in order to
safety net programmes namely Integrated determine whether or not they conform to the
Child Development Services (ICDS), Mid Day safety and quality standards established and laid
Meal (MDM) and Public Distribution System down under various food safety and standards
(PDS). FSSAI has been extending support to the regulations. If sample is found conforming to the
Department of Food and Public Distribution standards, then No Objection Certificate (NOC)
by furnishing inputs on its Pilot Scheme- is generated and in case of not conforming, a
‘Fortification of Rice under Public Distribution Non-Conforming Report (NCR) is generated.
System’ being implemented in 15 districts.
The Government of India [Directorate General
440 FSOs have been trained on food fortification of Foreign Trade (DGFT)] had imposed a ban
across 18 States. 48 FSSAI notified NABL on import of milk and milk products from China
accredited lab personnel have been trained on for three months vide Notification no.46 dated
testing of micronutrients in oil, milk, wheat flour. 24.09.2008. The ban has been extended from time
to time and has been further extended until the
13.1.5 Imports capacity of all laboratories at ports of entry have
As per Section 25 of the Food Safety & Standards been suitably upgraded for testing melamine.
Act, 2006, all imports of articles of food are
Simplifying System
subject to the provisions of the Act. It stipulates
that no person shall import into India any article For streamlining imports of food consignments
of food in contravention of the Act or any rules several steps have been taken. FSSAI had earlier
and regulations made thereunder. Exercising the notified Customs Officers as Authorised Officers
power of the Act, the Central Government, on the at 396 Points of Entry  for regulating food import.
recommendations of the Food Authority, notified A process was  initiated for rationalisation of
the FSS (Import) Regulations, 2017 on 9th March, number of Points of Entry for food imports and
2017. mapping of testing labs along with their scope of
testing for all the Points of Entry.   FSSAI has since
FSSAI has its presence at 22 points of entry under
issued a final notification on 09.10.2019  regarding
6 locations namely Chennai, Kolkata, Mumbai,
rationalisation of food import points and notified
Delhi, Cochin and Tuticorin and  has its own
Authorised Officers at 150 Point of Entry.This is
food import clearance system (FICS) which is an
effective from 01.04.2020. Implementation of Risk
online system, integrated with the customs ICE-
Management System (RMS) through Custom’s

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ICEGATE in consultation with FSSAI based on international food standards.  Indian delegations

the certain criteria like risk category of the food attended six Codex Committee Meetings that were
items, compliance history of the importers and held since April 2019. The delegates from Food
country of origin etc. On the basis of certain Authority, concerned Ministries/ Departments
criteria in RMS only 5% low risk items and 25% and other stakeholders were part of the Indian
high risk food items are referred by Customs to delegations.
FSSAI for examination and clearance;
India successfully organized the Twenty-
Simplified provision of facility of advance filing first Session of the FAO/WHO Coordinating
of Bill of Entry in Food Import Clearance System Committee for Asia (CCASIA21) during 23-
(FICS) to minimize the clearance time and also 27 September 2019 at Goa, India where  the
the demurrage charges; Issue of Provisional NOC Committee identified, inter-alia, several possible
(P-NOC) for imported pre-packaged retail food approaches that included - whole food chain
articles and articles requiring refrigerated storage approach; investing in training, education of
to reduce clearance time, congestion at ports smallholder farmers and improving accessibility
and demurrage charges on importers; Monthly and applicability to food safety standards and
monitoring of the performance of testing labs to good practices; one-health approach; investing in
ensure correct and timely report; Recognition data generation for identification, assessment and
of food laboratories in Bhutan, Nepal and management of hazards; use of Codex standards
Bangladesh for issuance of test analysis certificate and their adaptation to local contexts etc. 
of imported food samples; List of rectifiable
labelling information has been expanded to
13.1.7 Eat Right Initiatives
facilitate ease of doing business while ensuring Healthy diets are critical in the context of India’s
the safe food imports; FSSAI has completed high burden of food borne diseases, under-
mapping of ITC-HS codes of imported food items nutrition, micro-nutrient deficiencies and growing
along with risk categorisation of each ITC-HS incidence of obesity and non-communicable
code.  With its implementation on the Customs diseases (NCDs) like hypertension, diabetes, heart
ICEGATE in March, 2018, the food  import  related diseases etc. According to the Burden
clearance procedures  have become more efficient. of Disease study, 6 of the top 10 risk factors for
burden of disease in India are food-related. The
An Order has been issued on 22.08.2019
economic cost of food borne illnesses is estimated
prescribing that Certificate of Analysis for testing 
at 0.5% of the GDP. It is in this context, that the
of imported proprietary food shall be accepted by
‘Eat Right India’ movement has been launched
Authorised Officers only if it is issued by an ISO
by Food Safety and Standards Authority of India
17025 accredited lab of exporting country with
(FSSAI). Right food is the foundation for better life
a valid scope  for those parameters and product
and its tagline, ‘sahi bhojan behtar jeevan’ (right
matric.
food, better life) says it all. The movement is based
13.1.6 Codex on three key themes of, ‘Eat Safe, Eat Healthy and
Eat Sustainable’. Further it builds on synergies
FSSAI, the National Codex Contact Point
with flagship programmes like Ayushman Bharat,
(NCCP), continues to be actively involved in
Swachh Bharat Mission, POSHAN Abiyaan and
coordinating and promoting Codex activities in
Fit India movement to institutionalise preventive
India and ensuring India’s effective participation
healthcare as a way of life.
in the Codex work related to the development of

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‘Trans- fat free’ Logo Under the Pillar 1 relating to Eat Safe, initiatives
include Hygiene Rating of Restaurants, Right
FSSAI has initiated several regulatory measures
Place to Eat, Clean and Safe Meat Shop, Clean and
under various initiatives of the Eat Right India
Safe Halwai Shop, Blissful Hygienic Offering to
movement include a  limit for Total Polar
God (BHOG), Clean Street Food Hub, Clean and
Compounds (TPC) in cooking oil at a maximum
Fresh Fruit and Vegetable Market and Safe Food
of 25% has been prescribed to avoid the harmful
Micro-Enterprises Cluster (SaFoMeC).  For Pillar
effects of used cooking oil,  Standards for food
2 relating to Eat Healthy, initiatives include Diet
fortification of five staples i.e. wheat flour, rice,
4 Life, Jaivik Bharat, Food Fortification, ‘Aaj Se
edible oil, milk and double fortified salt have been
ThodaKam‘ Campaign, Tans-fat Free India .  Pillar
notified to tackle micronutrient deficiencies. In
3 relates to Eat Sustainably and initiatives under it
addition, labeling provisions have been made for
include Repurpose Used Cooking Oil (RUC), Safe
appropriate use of sweeteners for children and
Food, Share Food.
pregnant women.
Public Video Library
Regulations to reduce trans-fats to less than 2%
in all oils, fats and food products are in place to A public video library has been created by FSSAI,
achieve the target of a ‘Trans-fat Free India by focused around messages of Eat Right India
2022’. FSSAI has also introduced “Trans-fat free” Movement. User may stream videos ranging from
logo which was formally launched by  Union topics of public interest viz. safe food practices,
Health Minister, Dr HarshaVardhan. The trans health, nutrition, adulteration, culinary heritage
fat free logo may be used by food establishments etc. to specialized e-learning modules for frontline
which uses trans-fat free fats/oil and do not have workers, FBOs, students, professionals, including
industrial trans-fat more than 0.2g/100g of food, in-depth interviews with health & nutrition
in compliance with the Food Safety and Standards experts from across the globe.
(Advertising and Claims) Regulations, 2018 can
EAT RIGHT INDIA Campaign
display  “Trans-fat free” logo  in their outlets and
on their food products. The use of the logo is FSSAI started a consumer awareness campaign,
voluntary and as part of the Eat Sustainably pillar, ‘Eat Right India for Sustainable Living’ as a call
four key steps have been taken to reduce the use of to action for plastic waste management and
plastics in packaging, while ensuring food safety.  reduction of plastic footprint in the Food and
Beverage Industry.  In the event held as a part
Safe Food & Healthy diet for School Children
of ‘Swachta Hi Seva 2019 at Jahangirpuri, New
FSSAI has notified draft regulation titled ‘Food Delhi on 24th September, 2019, graced by Hon’ble 
Safety and Standards (Safe Food and Healthy Diets Health Minister, FSSAI pushed for Plastic Waste
for School children) Regulations, 2019. At the Free Food Sector. Twenty-two of the top food
heart of this regulation is a central idea to make it companies including multinational companies
clear what is healthy for children and what is not. signed a voluntary pledge to effectively manage
Apart from mandatory observation of sanitary plastic waste in their operations and reduce plastic
and hygienic practices in school canteens/hostel footprint in the coming years.  In other separate
mess, food which are referred to as foods high in events, Indian Cricket Captain  ShriViratKohli
fat, salt and sugar cannot be sold inside or within and  popular play back singer Shaan encouraged
50 meters of school campuses.  the people  regarding plastic waste management

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and to avoid the use of single use plastic .  Mitra (for Food Safety Training) and Hygiene
Mitra (for Hygiene Auditing) depending upon
The World Bank, in association with FSSAI
their respective roles and responsibilities. FSSAI
organised a ‘Lighthouse India’ on 26thSeptember,
has put together an online portal for the same
2019 at Goa to share the knowledge from FSSAI
i.e.https://fssai.gov.in/mitra/ and the registrations
led ‘Eat Right India’ Movement. Representatives
on the same for Digital Mitra have begun.
from 24 Asian countries which were part of Twenty
first Session of the FAO/WHO Coordinating FSSAI continued to have other bilateral
Committee for Asia (CCASIA21 ) and various engagements. A Memorandum of Understanding
partners/Corporates participated in the event.  (MOU) has been signed between the Food Safety
and Standards Authority of India (FSSAI) and
To leverage existing resources and ensure
the Department of Food Technology and Quality
convergence across government programs on
Control (DFTQC), Nepal for cooperation in food
food and nutrition, the ‘ Eat Right Toolkit’ has
safety on 21st August, 2019 in Kathmandu, Nepal. 
been created as an easy to use comprehensive
package with simple messages and interactive 13.1.8 Gender Issues
material (games, AVs , posters etc.). Proposed
FSSAI is sensitive to gender issues. If we go by
to be used by over 1,50,000 Health and Wellness
present strength of FSSAI, including contractual
Centres, it serves as a supplementary engagement
staff, number of female employees exceeds male
resource to be mainstreamed in the national
employees. For protection of women employees,
nutrition and public health programmes. It in accordance with the Hon’ble Supreme Court
integrates the ‘Eat Right India’  movement with judgment in the Vishakha and others vs State of
Health and Wellness Centres  (HWCs). More than Rajasthan (1997) case and  the  Sexual Harassment
1500 frontline health workers  namely Auxiliary of Women at Workplace (Prevention, Prohibition
Nurse Midwives (ANMs), Accredited Social and Redressal) Act, 2013, a four member  Internal
Health Activists (ASHAs), Anganwadi Workers  Complaints Committee has been constituted in
and  Nodal Officers of mid-day meal programmes FSSAI  headed by a Director  level officer  and
were oriented to the Eat Right Tool Kit  during includes an external member. 3 members of this
the  master class held during the Eat Right Mela in committee are female.  The Committee conducted
Dec, 2018  for community education and outreach a sensitisation workshop for all employees of
and were also provided with Toolkits. Through the Authority on gender issues, particularly
these frontline workers, a very extensive reach of from angle of sexual harassment recently in the
eat-right messaging across the country is possible. month of October, 2019. Full maternity benefits
are being extended even to contractual female
Food Safety Mitra
employees. FSSAI has also established a day–care
FSSAI has introduced scheme of  Food Safety centre at FDA Bhawan for the children of female
Mitra  (FSM) through which it plans to engage employees working in FDA Bhawan and in nearby
motivated individuals with the food safety Government institutions. 
ecosystem at ground level. A Food Safety Mitra is
13.2
REGULATORY CONTROL OVER
an individual professional certified by FSSAI who
DRUGS
assists in compliances related to FSS Act, Rules
and Regulations with three avatars viz. Digital Control over the import, manufacture, distribution
Mitra (for Licensing and Registration), Trainer and sale of drugs, cosmetics and notified medical

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devices in the country are regulated under the

CDSCO (HQ) - DELHI
provisions of the Drugs and Cosmetics Act,
1940 & Rules, 1945. The manufacture, sale and ZONAL OFFICES (6) SUB- ZONAL
• North Zone- OFFICES (6)
distribution of drugs in the country is primarily
Ghaziabad • Sub Zone-
regulated by the State Drug Control Authorities
• East Zone-Kolkata Bangalore
appointed by the State Governments while
• West Zone- • Sub Zone-Jammu
control over drugs imported into the country and
approval of new drugs are exercised by the Central Mumbai • Sub Zone-Goa
Government through CDSCO. The objective of • South Zone- • Sub Zone-Indore
Chennai • Sub Zone-Baddi
the drug regulatory system is to ensure availability
of safe, effective and quality drugs, cosmetics and • Zone-Hyderabad • Sub Zone-
medical devices based on scientific excellence and • Zone-Ahmedabad Guwahati
best possible regulatory practices. LABORATORIES (7) SEA PORTS (17)
• CDL-Kolkata • Mumbai
13.2.1
CENTRAL DRUGS STANDARD
CONTROL ORGANIZATION • CDL CRI-Kasauli • Nava Sheva
(CDSCO) • CDTL-Mumbai • Chennai
• CDTL-Chennai • Tuticorin
The Central Drugs Standard Control Organization
• CDTL-Hyderabad • Cochin
(CDSCO) headed by the Drugs Controller General
• RDTL-Chandigarh • Kolkata
(India) is the Central Authority for regulating the
quality of drugs marketed in the country under • RDTL-Guwahati • Kandla
the Drugs and Cosmetics Act, 1940. AIRPORTS (9) • Hazira
• Delhi • Goa
Mission of CDSCO
• Mumbai • Vishakhapatnam
The mission of Central Drugs Standard Control • Chennai • Krishnapatanam
Organization (CDSCO) has been defined as • Kolkata • Mundra
under: • Hyderabad • Kamarajar
“To safeguard and enhance the public health by • Bengaluru • Tughlkabad (ICD)
assuring the safety, efficacy and quality of drugs, • Ahmedabad • Patparganj (ICD)
cosmetics and medical devices”. • Goa • Kodhiyar (ICD)
• Vishakhapatnam • Dhannad (ICD)
Organization
The Drugs Controller General (India) is the head REGULATORY FUNCTIONS OF CDSCO
of Central Drugs Standard Control Organisation • Grant of permission/approvals for new
(CDSCO).The CDSCO with its Headquarters drugs and subsequent new drugs in the
in New Delhi has 06 Zonal offices,06 Sub-Zonal country
offices,07 Central Drugs Testing Laboratories
New Drugs and Subsequent new drugs are
and9 Air Port&16 Sea port Offices (Including
permitted to be marketed in the country in
Inland Container Depots) as given below:
accordance with the permission granted by the
Drugs Controller General (India) after ensuring

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that these are safe and efficacious and comply with formulations). Import licences are granted to
the requirements of the Drugs and Cosmetics the Indian importers for the import of the drugs
Rules, 1945 prevalent before 19.03.2019 and New from these manufacturers as provided under the
Drugs and Clinical Trials Rules, 2019 effective Drugs & Cosmetics Rules, 1945 prevalent before
thereafter. The applicants are required to provide 19.03.2019 and New Drugs and Clinical Trials
technical data in respect of safety and efficacy Rules, 2019 effective thereafter. The quality of
before these could be permitted to be marketed imported drugs is further monitored at the port
in the country. The applications are examined in offices when the drugs are actually imported.
consultation with the Subject Expert Committees
All application for Import & Registration is
constituted for the purpose.
processed through online ‘SUGAM’ Portal.
During the year 2019-20, till date, permissions During the year 2019-20, till date total numbers
have been granted to import New Drugs of Registration Certificate and Import Licenses
Formulations in 04 cases; to manufacture New issued are 155 and 887 respectively.
Drug Formulations in 12 cases and for New Bulk
• Quality Control over import of cosmetics
Drug Substance in 09 cases.
The import of cosmetics is regulated through
Also, for Subsequent New drugs, permissions have
registration process. Submission of applications for
been granted to import Finished Formulations
registration of cosmetics has become completely
of New Drugs in 12 cases and New Bulk Drug
online from 16.08.2017 through SUGAM portal.
Substance in 01 case; to manufacture finished
During the year 2019-20, till date, Registration
formulations in 45 cases and New Bulk Drug
Certificates have been issued through online
Substance in 20 cases; BE permission in 40 cases.
portal in 691 cases.
• Quality Control over Fixed Dose
• Quality Control over import of Biological
Combination (FDC)
products
Fixed dose combinations are included as one of the
During the year 2019-20, till date, Registration
categories under New Drugs which are required
Certificates have been issued in 12 cases, Import
to be marketed for the first time in the country
Licenses for vaccines & r-DNA products issued in
and are permitted to be marketed in the country
29 cases and Marketing Authorization for Human
in accordance with the permission granted by the
Vaccines have been issued in 03cases.
Drugs Controller General (India) after ensuring
that these are safe and efficacious and comply to • Quality Control over Notified Medical
the requirements of Drugs and Cosmetics Rules. Devices
During the year 2019-20, till date, permissions Medical Devices notified by the Government of
have been granted for import of FDCs in 01 cases; India under the Drugs & Cosmetics Act, 1940
manufacture of FDCs in 26 cases; clinical trial are regulated by CDSCO as ‘drugs’ under the
permission in 15 cases; BE permission in 24 cases. provisions of the Medical Devices Rules, 2017.
The quality control over these devices is regulated
• Quality Control over import of drugs
through the system of registration and import
The import of drugs is regulated through licences.
registration of overseas manufacturing sites
During the year 2019-20, till date, registration
and the drug products (bulk drugs and finished
certificate to notified bodies in 03 cases;

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manufacturing licenses for manufacturing Class pharmacodynamics, pharmacokinetics or adverse

C & Class D devices in 65 cases; Loan Licenses effects with the objective of determining the
to manufacture Class C & Class D devices in safety, efficacy or tolerance of such new drug or
14 cases; Test licenses to manufacture small investigational new drugs.
quantities of medical devices in 166 cases; Import
The New Drugs and Clinical Trials Rules,
Licenses to import Medical Devices in 574 cases;
2019 provide that clinical trials for new drug,
Test Licenses to import Medical devices in 132
are required to be conducted under and in
cases and Permission to import/manufacture
accordance with the permission granted by the
devices which does not have predicate device in
Drugs Controller General (India).
02 cases have been issued.
During the year 2019-20, till date, permission
• Grant of Written Confirmation
for conduct of Global Clinical Trials in 50
Certificates for export of APIs
cases,Clinical Trial for approval of new drugs
The European Union Directive, which became in 21 cases, subsequent new drugs in 11 cases,
effective from 2nd July, 2013, requires that every vaccines in 10 cases have been granted.
consignment of Active Pharmaceutical Ingredients
• Blood Bank
(APIs) from non-EU / non-listed countries must
be supported by ‘Written Confirmation Certificate’ The licenses for the Blood Banks are approved by
issued by the competent authority of the country. the office of DCG (I) as Central License Approving
CDSCO was nominated as competent authority Authority (CLAA) under the Drugs &Cosmetics
for the issue of such certificates. Rules, 1945. During the year 2019-20, till date,
fresh grant of licenses in 181 cases; endorsement
During the year 2019-20, till date, CDSCO has
of blood components on license in 55 cases and
issued 348 Written Confirmation Certificate
renewal certificate in 300 cases have been issued.
of Active Pharmaceutical Ingredients (APIs)
manufactured in the country for export to • Drugs Technical Advisory Board (DTAB)
European Union.
The Drugs Technical Advisory Board is a statutory
• Bio Availability/ Bio Equivalence Study body under the Drugs and Cosmetics Act, 1940
to advice the Central Government and the State
During the year 2019-20, till date, applications for
Governments on technical matters arising out of
conduct of BA/BE studies received in 1289 online
the administration of the said Act and Rules made
cases and processed in 1176 cases for export
thereunder. The Board is headed by the Director
purpose.
General of Health Services and DCG (I) acts as
CDSCO has also issued 07 approvals to BA/ Member Secretary. Three meetings of the DTAB
BE Study Center/Bio-analytical Laboratories, have been held during the year 2019-20, till date:
involved in conduct of BA/BE studies in human
82nd meeting of DTAB was held on 2nd April, 2019
subjects for domestic as well as export purpose.
83rd meeting of DTAB was held on 11th June, 2019
• Clinical Trial
84th meeting of DTAB was held on 27th August,
Clinical trials of new drugs or investigational new
2019
drugs are systematic studies in human subjects
to generate data for discovering or verifying In these meetings, the DTAB have deliberated 41
its, clinical or pharmacological including proposals relating to streamlining of regulatory

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control over drugs, cosmetics and medical devices. amendment in Form 45 and Form 46 of
Based on recommendations of the DTAB, Central Schedule A of the Drugs and Cosmetics
Government have notified draft rules in 2 cases Rules, 1945 consequent to the amendment
and notice seeking comments of stakeholders for in Rule 96 and Rule 97 of the said Rules..
amendment in the Rules made under Drugs and
4. G.S.R. 499(E) dated 17.07.2019 for
Cosmetics Act, 1940. Details are as follows:
consequential amendments to GSR 1337(E)
1. Draft rules notified vide G.S.R. 797(E) dated dated 27.10.2017 regarding perpetuity of
18.10.2019 for amendment of the Medical licences for drugs.
Device Rules, 2017 for registration of certain
5. S.O. 2607(E) dated 19.07.2019 prohibiting
medical devices as a part of road map on the
the manufacturing, sale and distribution
regulation of all medical devices in a phase
of Colistin and its formulations for food
wise manner.
producing animals, poultry, aqua farming
2. Draft rules notified vide G.S.R. 567(E) and animal feed supplements.
dated 08.08.2019 for amendment of Drugs
6. G.S.R. 653(E), dated 13.09.2019 notifying
and Cosmetics Rules, 1945 for making it
Inland Container Depot Dhannad, Indore
mandatory to have QR coding on labels of
in Madhya Pradesh as one of the port of
APIs for tracing the origin and movement
entries for import of drugs into the Country.
of APIs from manufacturers to formulators
through a system of networking. 7. G.S.R. 652(E) dated 13.09.2019 for
amendment in Form MD-10 of the Medical
3. Notice issued on 18.10.2019 seeking
Device Rules, 2017 to replace the State
comments of stakeholders to notify all the
Licensing Authority as issuing authority
medical devices under sub-section (b) of
with Central Licensing Authority to
section 3 of the Drugs and Cosmetics Act,
streamline the procedure.
1940 to regulate them as per the provisions
of the Act and Medical Devices Rules, 2017 8. G.S.R 787(E) dated 16.10.2019 for exemption
thereunder. of State Government/ Central Government
testing labs from NABL accreditation under
In the year 2019-20, till date, Central Government
Medical Devices Rules, 2017 for two years.
has issued 9 amendments in the Rules/S.O. under
the Drugs and Cosmetics Act, 1940. Details are as 9. S.O. 3721(E) dated 16.10.2019 notifying
under: ‘Ultrasound equipment’ as drug under
Section 3(b)(iv) of the Drugs and Cosmetics
1. S.O. 1500(E) dated 02.04.2019 notifying
Act, 1940.
‘Organ Preservative solution’ as drug under
Section 3(b)(iv) of the Drugs and Cosmetics • Drugs Consultative Committee (DCC)
Act, 1940.
The Drugs Consultative Committee is also a
2. G.S.R. 318(E) dated 18.04.2019 for statutory committee under the Act, consisting
amendment of the Second Schedule for of Central and State Drug Controllers to advice
fees for grant of free sale certificates in the the Government on matters relating to uniform
Medical Devices Rules, 2017. implementation of the Drugs and Cosmetics Act
and Rules made thereunder. Two meetings of the
3. G.S.R. 317(E) dated 18.04.2019 for
Drugs Consultative Committee have been held in

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the year 2019-20, till date: certificate & import license for Veterinary
Drugs have been developed.
56th Meeting of DCC was held on 01st June, 2019
 State Drugs Portal:CDSCO has embarked
57th Meeting of DCC was held on 20th August,
on comprehensive e-Governance program.
2019
A common platform has been developed for
• Quality Assurance submission and processing of applications
for grant of license for drugs and cosmetics
Quality Assurance division has been established
for all the State/UT Drugs Controlling
and functional in CDSCO since 2012 in CDSCO
Authorities in the country to enhance
(HQ). Bureau of Indian Standards (BIS) has
transparency, predictability and ease of
audited CDSCO for Quality Management System
doing business. The portal can be accessed
as per IS/ISO 9001:2015 in April 2019 and
at www.statedrugs.gov.in. All the State/UT
CDSCO has been accredited for IS/ISO 9001:2015
Authorities have been requested to adopt
certificate for it’s following divisions:
the new portal at the earliest.
1. Biological Division
 New website for CDSCO: A new dynamic
2. Import and Registration Division user friendly website was developed for
CDSCO for easy access to information
3. Medical Devices and Diagnostic Division related to regulation of drugs, cosmetics and
4. New Drugs Divisions (including New Drugs medical devices (www.cdsco.gov.in).
Division, Subsequent New Drugs Division Regulatory Guidelines on
and FDC Division) Nanopharmaceuticals:
• AYUSH Section  CDSCO, Indian Council of Medical Research
During the year 2019-20, till date, permissions (ICMR) and Department of Biotechnology
have been granted for WHO-GMP Certificates in (DBT) have jointly developed ‘Guidelines
06 cases, Certificate of Pharmaceutical Product for Evaluation of Nanopharmaceuticals
(CoPP) in 61 cases and Import of drugs for in India’ and the same was released by Dr.
personal use in 29 cases. Harsh Vardhan, Hon’ble Union Minister
for Health and Family Welfare, Science
Strengthening of CDSCO and Technology, and Earth Sciences on
During 2019-20, Ministry of Health and Family 24.10.2019.
Welfare and CDSCO has also taken several Intelligence cell:
regulatory measures to streamline the regulatory
system in the country. Details are as under:  Intelligence cell at CDSCO HQ, created on
26.03.2018, has conducted 4 country-wide
E-Governance raids regarding manufacture/distribution
 SUGAM: CDSCO had earlier launched of unapproved FDCs and spurious drugs.
SUGAM portal through which presently Actions as appropriate under the law are
various categories of applications are taken against the offenders.
processed. In the year 2019-20, online Ease of Doing Business
submission and processing of applications
for marketing authorizations, registration  Evaluation of Medical Devices: Four

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laboratories have been notified on 03.10.2019 regulators conclave for Central and
for carrying out the test for evaluation of State Regulatory Authorities in India
Medical Devices on behalf of manufacturer in collaboration with World Health
registered with CDSCO under the Medical Organization on 21.08.2019 to 22.08.2019
Devices Rules, 2017. at Goa. The workshop successfully built
up a platform where the regulators from
 Public relation office:A Public relation
centre and states, international experts
office created at CDSCO (HQ) in March
from WHO, industry representatives shared
2018 which acts as a single window for
their valuable insights for adoption of best
disposal of grievances of stake holder and
practices for strengthening of regulatory
also provide information to the innovator
systems in India. The event was live web-
regarding regulatory requirements.
streamed across the country.
From October 2019, officers from the concerned
Strengthening the Infrastructure of CDSCO:
divisions of CDSCO are also available at Public
relation office in specified day to provide The Scheme for strengthening includes setting
regulatory guidance to the stakeholders.During up of 7 new drugs/ medical devices/cosmetics
the year 2019-20, till date, 785 applications testing Central labs and 8 Mini labs at Airports
received in person, 772 Phone calls, 1922 e-mail and Seaports for assuring the safety, efficacy and
communications and 492 follow-up cases were quality of drugs, cosmetics and medical devices.
attended. Out of which 4 mini labs are operational and
others are in process. The approved schemes also
Medical Devices Technical Advisory Group
entail setting up of a National Academy for Drug
(MDTAG)
Regulators.
 Medical Devices Technical Advisory Group
With a view to enhance the quality, safety and
(MDTAG) was constituted in July, 2019
efficacy of medical products in the country, three
to advise CDSCO on matter related to
pronged strategies have been adopted viz (i)
regulation of Medical devices.
Product quality; through testing of larger samples
Training and Skill development (ii) Process quality; through GMP and GLP
inspections; and (iii) Comprehensive training of
 Central Drugs Standard Control
regulatory and laboratory personnel.
Organization (CDSCO) in collaboration
with State Drug Controllers and 13.3 INDIAN PHARMACOPOEIA
Pharmaceutical Manufacturers Associations COMMISSION (IPC)
convened 12 workshops in August &
September, 2019 across India for providing Major Achievements
training to the manufacturers on the data A. Indian Pharmacopoeia ( IP) Addendum-
requirements for drug product approval 2019 to IP 2018
under the recent amendments to the Drugs
and Cosmetics Rules, 1945 especially in The Indian Pharmacopoeia (IP) Addendum-
respect of requirements of Bio-equivalence 2019 to IP 2018 was published by the IPC on
study and Stability data. behalf of the Ministry of Health & Family Welfare
(MoHFW), Govt. of India in fulfilment of the
 CDSCO has conducted third Annual requirements of Drugs & Cosmetics Act, 1940

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and Rules, 1945. The IP Addendum 2019 to IP Dr. Harsh Vardhan, HFM released the IP
2018 has the same authority as the IP for assuring Addendum 2019 to IP 2018 on 5th July, 2019 at
the quality of the drugs manufactured, marketed New Delhi with effective date from 1st October,
stocked, sold and distributed in India. 2019 that has further been extended for three
months i.e. upto 31st December, 2019.

FEATURES OF IP ADDENDUM- 2019 TO IP 2018

• 61 Chemical Monographs
• 03 Herbs and herbal product
• 02 Radiopharmaceutical preparations
B. Indian Pharmacopoeia Reference
Substances (IPRS)
IP Reference Substances (IPRS) are highly
characterized substances that are used in the
official methods prescribed in IP for the purpose
of comparison to ensure the identity, purity,
• 66 new monographs strength and quality of drug substances and drug
products. They are used by the stakeholders to
• 26 API
qualify the working standards used for routine
• 64 Formulations analysis in the laboratories such as for quantitative
• 02 Fixed dose formulations (e.g. assay and impurity) and qualitative (e.g.,
identification) analysis. IPRS characterization
• 33 Monographs on dosage forms involves collaboration processes and additional

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procedures other than those used in routine Adverse Drug Reactions Monitoring System
testing to produce Reference Substances of the (ADRMS) software for PvPI – first phase is about
highest quality and make them readily available to complete.
to the public.
D. Training/Skill Development Programme
So far 723 IPRS including 134 Impurities are
• The National Coordination Centre-
available at IPC. The details available on the
Pharmacovigilance Programme of India
website of the IPC i.e www.ipc.gov.in
(NCC-PvPI), successfully conducted 67
301 IPRS and Impurity retested to check their induction-cum-training/advance-level
stability. training/skill development programme and
CMEs during the index period and trained
C. Pharmacovigilance Programme of India
5775 Healthcare Professionals.
(PvPI)
• A total of 9 under-graduate and post-
The mission of PvPI is to safeguard the health
graduate students completed their trainings
of the Indian population by ensuring that the
in the field of pharmaceutical analysis and
benefits of use of medicines outweigh the risks
standardization in the (Analytical Research
associated with their use.
and Development) AR&D Division.
As on date, there are 270 ADR Monitoring Centres
• Five days ‘Skill Development on
across the country. The National Coordination
Pharmacopoeial Quality Standards
Centre for PvPI is the Nodal Agency for
for Pharmaceuticals’ was organized
Pharmacovigilance Programme of India. The
from 16th-20th September, 2019 which
NCC-PvPI is one of the six WHO Coordination
featured knowledge sharing about Indian
Centre for Public Health Programme and
Pharmacopoeia, hands-on experience on
Regulatory Services.
monograph development (monograph
During the index period, PvPI had received 42,252 screening, drafting and formatting), skills
Individual Case Safety Reports (ICSRs) from on various analytical instruments (HPLC,
the Adverse Drug Reaction Monitoring Centres Karl-Fischer, IR spectrophotometer), pre
(AMCs). After detailed deliberations and analysis and post training assessment. There was
of adverse events by the Signal Review Panel (SRP) 22% increase in knowledge of participants
of PvPI, 09 drugs alert and 02 PILs recommended after completion of the programme.
to Central Drugs Standard Control Organization
• Library of IPC facilitated visit of the students
(CDSCO), New Delhi for regulatory actions.
along with faculty members, researchers,
The PvPI Newsletters, Volume 25 and Volume etc. A total of 396 visitors had visited the
26 were published, covering the recent activities IP Commission from various academic
of PvPI, MvPI and IPC along with drug safety institutions, organization, etc. during the
information under PvPI. year 2019-20.
A total 7 research articles were published at NCC/ • Organised the Meeting of National
AMC level in reputed national and international Formulary of India (NFI) Microbiology
journals.NCC-PvPI published e-version of annual Expert Working Group to update the
PvPI Performance Report 2018-19 available at ipc. General chapters and monographs
gov.in. Design and development of Indigenous of NFI and IP-2018 respectively and

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resolved microbiological queries raised by 13.5 National Drug Dependence Treatment

stakeholders. Centre, All India Institute of Medical
E. Sample Analysis Sciences, New Delhi

• Number of New Drugs Samples (NDS) The National Drug Dependence Treatment
analyzed - 235. Centre (NDDTC) of All India Institute of Medical
Sciences (AIIMS), New Delhi an apex centre for
• 750 samples received from CMSS analyzed. treatment of drugs and substance abuse disorders.
It is also internationally recognized institution and
13.4 DRUG DE-ADDICTION PROGRAMME WHO Collaborating Centre for Substance Abuse
(DDAP) since 2012. It is presently, a 50 bedded treatment
The Constitution of India, under Article 47, enjoins centre with well-equipped laboratories to detect
that the State shall endeavour to bring about various drugs in body fluids and biochemical
prohibition of the consumption of intoxicating investigations. The centre provides outpatient as
drinks and drugs, which are injurious to health. well as inpatient services, and outreach services
For the purpose of harm reduction, the National in under-served areas of the city. NDDTC
‘Drug De-addiction Programme (DDAP)’ came recently, in March 2019 started a new ‘Mobile
into force in 1987-88 with the objectives to provide Methadone Clinic’ for delivering methadone
affordable, easily accessible and evidence-based through a mobile van in Delhi to help people to
treatment for all substance use disorders through get rid of substance abuse. With the launch of
the government health care facilities and to build ‘mobile methadone’ dispensing van, India joins
the capacities of health care staff in recognition few select elite countries in the world in providing
and management of substance use disorders. The this much needed service for treatment of opioid
progrrame is being implemented through the dependence.
Health Institutions under the Ministry of Health & During the period of 1st April 2019 to 31st  Oct
Family Welfare viz. AIIMS, New Delhi; PGIMER, 2019, a total of 1,38,842 patient’s visits occurred
Chandigarh; and NIMHANS, Bengaluru. Out of and 10,681 new patients were registered. Services
these three Centre, AIIMS, New Delhi (NDDTC) were provided through regular Outpatient
is functioning as the National Nodal Centre and Department, 3 Community clinics and 5 Speciality
coordinates another major component of the clinics. A total of 640 patients were admitted in the
DDAP i.e. the “Drug Treatment Centre (DTC) ward. Investigations carried out were:  screening
Scheme”. Under this scheme, as on date total 27 for drugs of abuse (14 addictive drugs) (14,990,
Drug Treatment Clinics (DTCs) are functional biochemistry (42,333), Haematology (22,618),
in District/Civil Hospital across the country. On and HIV screening (384). NDDTC offers Ph.D in
the approval of Cabinet Committee on Economic addiction Psychiatry. The centre is also running
Affairs (CCEA), FY 2019-20, the provision doctorate of Medicine (DM) course in Addiction
of treatment services has been expanded at Psychiatry which started from January 2016 and
three other Central Government / autonomous has an intake of 5, every year. Second Batch of DM
institutes in the country viz (i) RML Hospital, addiction psychiatry passed out in June 2019. It
New Delhi (ii) AIIMS, Bhubaneswar (iii) CIP, also provides training to the MD Psychiatry. M.Sc.
Ranchi. The activities in respect of these three Psychiatric Nursing, PH.D Clinical Psychology
institutions are given below. and B.Sc. Nursing students.

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NDDTC in collaboration with the Ministry of 60 for men and 20 for women. Since inception,
Social Justice and Empowerment (GOI) conducted the Centre has provided training to hundreds
a national survey on the “Extent and Patterns of of post-graduate students from mental health
Substance Use in India” (2016-2019).  The report medical and non-medical disciplines, which in
of the survey was published in February 2019. turn carry out several community and clinical
The report describes the magnitude of substance related interventions for addiction prevention
use in India.   NDDTC, AIIMS has hosted XXI and treatment. The Centre has also trained
Conference of the International Society of medical officers from Karnataka and other
Addiction Medicine (ISAM 2019) in Delhi during southern states, doctors from Himachal Pradesh,
13-16 November, 2019. Theme of the conference Bihar, Chhattisgarh and presently Orissa. Each
is “Addiction in a Rapidly Changing World”. The November, for the last 20 years, the Centre
conference was attended by delegates from all conducts a one month orientation in substance
over India and abroad. use disorder management for medical and non-
medical professionals.
13.6
Drug De-Addiction and Treatment
Centre (DDTC), Postgraduate Institute The Centre for Addiction Medicine (CAM) have
of Medical Education  & Research developed a digital evaluation (EMR) including
electronic medical record and e-prescription
(PGIMER), Chandigarh
programme for outpatient assessment and
The Drug De-Addiction and Treatment Centre are now expanding this to the inpatient and
(DDTC), PGIMER, Chandigarh was established emergency services. In addition to clinical
in 1988. At present it has a 30 bedded (only services and research, there is a lot of emphasis
20 functional) inpatient section, outpatient given to research in the area of substance use and
department and community clinics at Kharar addiction, both through post-graduate work and
and Boothgarh in the state of Punjab.  In 2016, funded projects. CAM is involved in training
an Urban Outreach Clinic has been started at and capacity building of human resources across
Civil Hospital Naraingarh in the state of Haryana. south India as well as other parts of the country by
At the DDTC, it is planned to expand the bed using simple tele-technology.
strength from 20 beds to 50 beds.
The CAM has registered 4198 new patients,
During the period of 1st April, 2019 to 25th 19380 patients in out-patient follow up and 14552
October, 2019, 2745 patients visited the Walk- telephonic follow up were made during the above
in-Clinic, 12807 patients for follow-up visits and period.  1453 patients were admitted to the CAM
158 patients were admitted to the ward. Apart in-patient ward during the above period for
from these, DDTC, PGIMER, Chandigarh has inpatient treatment. There is a comprehensive
organized a number of Yoga sessions, Art of inpatient program consisting of individual and
Living sessions, Counselling Services through family assessment, individually tailored treatments
community visits, Group Sessions etc. which involve pharmacological treatments
for withdrawal and long term prevention of
13.7
Centre for Addiction Medicine relapse, individual and group counseling, family
(CAM), National Institute of Mental counseling and intensive aftercare. 
Health & Neurosciences (NIMHANS),
Bengaluru 13.8 MEDICAL STORES ORGANIZATION
The Centre comprises 80 bed inpatient facility, The Medical Store Organization (MSO) was set

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up in 1942 as a subordinate wing of Directorate MSO has created identities and roles for senior
General of Health Services under the Ministry of officers at each GMSD at Central Procurement
Health & Family Welfare, MSO has 7 Government Portal (CPP). MSO has started e-tendering
Medical Store Depots (GMSDs), in New Delhi, for procurement of about 1500 generic drugs
Mumbai, Kolkata, Chennai, Hyderabad, Karnal for the first time, through the CPP for greater
and Guwahati. These 7 GMSDs not only store accountability and openness in the process of
and stock essential drugs and vaccines but also tendering. Rate Contract for 508 Generic drugs
provide last mile logistic support and deliver have been finalized and orders have been placed
stocks to healthcare units in the country. through various GMSDs on behalf of indenters
and regular supplies are being received at all
The GMSDs provide storage and logistic to
GMSDs. Procurement and timely distribution of
support import national programmes such as
QMMV vaccine and SI Vaccine for Haj Pilgrims
Universal Immunization Programme. MSO
was carried out for session 2019 by 7 GMSDs.
finalizes Rate Contracts (RC) for drugs which
Tender for 2020 is being floated through the NIC
are used by the various healthcare institutions
e-portal. Procurement of Anti-malarial medicines
in the country. Para-military forces and CGHS
and Kits for CRPF battalions during the year 2018-
units in the country also use RCs and GMSDs
19 was finalized. MSO/GMSDs procured various
for uninterrupted drug supply. About 1500
generic and patented drugs worth Rs.189.43
Government agencies utilize the supplies from
crores during the FY 2019-20. MSO/GMSDs also
GMSDs.
handled programme Stores worth Rs.1174 crores.
Drug & Vaccine Delivery Management System
(DVDMS) is being implemented by CDAC.
Registration of indenters is made on new website
and the new web portal is visible at url:http:/
uatdvdmsodelhi.dcservices.in. Lease line
connections have been provided at all divisions of
MSO and E Office has been implemented.

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Medical Education Policy

& Medical Education 14
14. INTRODUCTION Autonomous Boards namely Under Graduate
Medical Education Board (UGMEB), Post
The Centre has set up regulatory bodies for Graduate Medical Board (PGMEB), Medical
monitoring the standard of medical and dental Assessment and Rating Board (MARB) and
education, promoting training and research Ethics and Medical Registration Board (EMRB).
activities. This is being done with a view to sustain It will bring transparency, accountability and
the production of medical and para-medical quality in the governance of medical education in
manpower to meet the requirements of healthcare the country.
delivery system at the primary, secondary and
tertiary levels in the country. This chapter Each Autonomous Board will have 5 members
discusses the status of these activities conducted including an elected member of the State
by the various bodies and institutions. Medical Council. The NEET shall be conducted
for admission to UG and Postgraduate Super-
14.1
MEDICAL COUNCIL OF INDIA Specialty courses. The common final year MBBS
(MCI) exam to be known as National Exit Test (NEXT)
would serve as licentiate exam, for entrance to PG
The Medical Council of India was established under Broad Specialty medical courses and as screening
the provisions of the Indian Medical Council Act, test for foreign medical graduates. The Bill also
1956 to maintain minimum standards of medical provides that NEET (UG), NEXT and common
education in the country. The main function of counselling shall also be applicable to INIs like
the Council is to make recommendations to the AIIMS to have common standards in the country.
Central Government in matters of recognition of Provision to regulate fee and all other charges in
medical qualifications, determining the courses of private medical colleges and deemed universities
study and examinations required to obtain such has also been incorporated in the Bill.
qualifications, inspection of examinations and
maintenance of register of medical practitioners, The MARB will conduct assessment of the medical
etc. The Council has been superseded and has college and develop a system of ranking of medical
been placed under the administrative control of colleges which would enable the students to
Board of Governors for a period of two years. choose the medical college wisely. These measures
will ensure a transparent admission process and
Also, National Medical Commission Act, 2019, also bring down admission fee.
for setting up of a National Medical Commission
and to repeal the Indian Medical Council Act Important policy decisions taken during the year
1956  has been enacted by the Parliament. The to revamp medical education are as under:-
Act has been notified in the Gazette of India on • National Medical Commission Rules, 2019
08th August, 2019. It provides for constitution have been notified.
of a National Medical Commission and four

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• Medical Advisory Council of the National Super-speciality courses have been notified.
Medical Commission has been notified. Consortium (group of two or up to four
private institutions) has been allowed to set
• Search Committee, in terms of Section of 5
up a medical college.
of National Medical Commission Act, 2019,
for the selection of Chairperson and other • Minimum Qualifications for Teachers in
members on National Medical Commission Medical Institutions Regulations, 1998 has
has been constituted. been amended so as to provide that faculty
with Broad Specialty qualification shall be
• Representatives of States / UTs / Medial
entitled to be a faculty for super-specialty
Councils have been elected as part-
qualifications on completion of two years /
time members of the National Medical
three years special training in the respective
Commission and Autonomous Boards.
Super – Specialty department.
• Guidelines regarding admission of students
• Minimum Requirement for 50/100/150
with “Specified Disabilities” under the
/200/250 MBBS Admissions Annually
Rights of Persons with Disabilities Act,
Regulation, 1999 has been amended to
2016 with respect to admission in UG/PG
provide for relaxation up to an extent of 5%
medical courses have been notified.
in bed occupancy (In-door patients) and
• The result of NEET has been made valid for OPD attendance may be allowed, subject to
a period of three (3) years from the date of the condition that the bed occupancy and
declaration of result, entitling a candidate to OPD attendance on three corresponding
pursue MBBS or equivalent medical course dates as per date of assessment of preceding
including pre-medical/language course, three months is in accordance with the
if any, followed by MBBS or equivalent applicable norms.
medical courses.
14.2 MEDICAL COLLEGES
• A revised time Schedule for Completion of
Admission Process for PG (Broad Specialty) At present, there are 539 Medical Colleges in the
Medical Courses has been notified to provide country, out of which 279 in Government and
for a revised date for commencement of 260  are in Private sector with annual admission
academic session. capacity of 80312 MBBS and 37338 Post-Graduate
students per year. Besides, there are 8261 DNB
• A revised time schedule for receipt of the
seats which are equivalent to MD/MS. There are
applications for opening of post graduate
also 2432 CPS seats available. Details of MBBS/
courses/increase of admission capacity and
PG seats are at Annexure-1 and 2.
processing of the applications for Broad and
Annexure – 1

State-wise details of Medical Colleges and MBBS seats as on 18th December, 2019
    No of Colleges MBBS Seats
Sl. No. State Govt. Pvt. Total Govt. Pvt. Total
1 Andhra Pradesh 12 18 30 2360 2800 5160
2 A & N Islands 1 0 1 100 0 100
3 Assam 6 0 6 900 0 900

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4 Arunachal Praresh 1 0 1 50 0 50
5 Bihar 9 5 14 1140 600 1740
6 Chandigarh 1 0 1 100 0 100
7 Chhattisgarh 6 3 9 770 450 1220
8 D& N Haveli 1 0 1 150 0 150
9 Delhi 7 2 9 1115 200 1315
10 Goa 1 0 1 180 0 180
11 Gujarat 17 12 29 3650 1900 5550
12 Haryana 5 7 12 760 1000 1760
13 Himachal Pradesh 6 1 7 720 150 870
14 Jammu & Kashmir 7 1 8 885 100 985
15 Jharkhand 6 0 6 680 0 680
16 Karnataka 19 40 59 2800 6345 9145
17 Kerala 10 24 34 1505 2700 4205
18 Madhya Pradesh 13 9 22 1870 1600 3470
19 Maharashtra 24 28 52 4310 4270 8580
20 Manipur 2 0 2 225 0 225
21 Meghalaya 1 0 1 50 0 50
22 Mizoram 1 0 1 100 0 100
23 Nagaland 0 0 0 0 0 0
24 Orissa 7 4 11 1150 500 1650
25 Pondicherry 1 7 8 180 1050 1230
26 Punjab 3 5 8 600 475 1075
27 Rajasthan 14 8 22 2600 1300 3900
28 Sikkim 0 1 1 0 100 100
29 Tamil Nadu 26 23 49 3400 3750 7150
30 Telangana 10 22 32 1740 3250 4990
31 Tripura 1 1 2 125 100 225
32 Uttar Pradesh 24 31 55 3225 4300 7525
33 Uttarakhand 3 2 5 425 300 725
34 West Bengal 18 6 24 3000 850 3850
35 Institues of National 16 0 16 1357 0 1357
Importance (INIs) #
  TOTAL 279 260 539 42222 38090 80312
# INIs = JIPMER( Puducherry), PGIMER (Chandigarh), AIIMS (Delhi) and other AIIMS located at
Bhopal, Bhubaneswar, Jodhpur, Patna, Raipur, Rishikesh, Manglagiri, Nagpur, Rae Bareli, Gorakhpur,
Kalyani, Deoghar, Bhatinda.

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Annexure – 2

State-wise details of PG seats, including DNB/FNB & CPS seats in the Country as on 18th
December, 2019
    PG Seats (MD/MS/MCH/DM/ DNB/FNB CPS Total PG
Diploma) Seats Seats Seats
Sl. State Govt. Pvt. Total
No.
a b c a+b+c
1 Andhra Pradesh 1000 1163 2163 206 0 2369
2 A & N Islands 0 0 0 0 0 0
3 Assam 675 0 675 62 0 737
4 Arunachal Praresh 0 0 0 0 0 0
5 Bihar 597 186 783 43 0 826
6 Chandigarh 133 0 133 22 0 155
7 Chhattisgarh 127 0 127 150 34 311
8 D& N Haveli 0 0 0 0 38 38
9 Delhi 1389 13 1402 1393 0 2795
10 Goa 122 0 122 0 0 122
11 Gujarat 1694 410 2104 175 280 2559
12 Haryana 314 260 574 321 0 895
13 Himachal Pradesh 223 92 315 16 0 331
14 Jammu & Kashmir 506 18 524 27 0 551
15 Jharkhand 197 0 197 117 0 314
16 Karnataka 1225 3219 4444 875 78 5397
17 Kerala 1004 531 1535 703 0 2238
18 Madhya Pradesh 697 521 1218 114 28 1360
19 Maharashtra 2488 1638 4126 1167 1581 6874
20 Manipur 209 0 209 18 0 227
21 Meghalaya 29 0 29 13 0 42
22 Mizoram 0 0 0 16 0 16
23 Nagaland 0 0 0 6 0 6
24 Orissa 521 300 821 89 154 1064
25 Pondicherry 12 435 447 55 0 502

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26 Punjab 397 319 716 116 0 832

27 Rajasthan 1291 271 1562 163 233 1958
28 Sikkim 0 22 22 5 0 27
29 Tamil Nadu 2184 1384 3568 862 0 4430
30 Telangana 935 1001 1936 809 0 2745
31 Tripura 79 5 84 0 6 90
32 Uttar Pradesh 1532 807 2339 218 0 2557
33 Uttarakhand 74 193 267 5 0 272
34 West Bengal 1500 118 1618 495 0 2113
35 Institutes of National 3278 0 3278 0 0 3278
Importance (INIs) #
  TOTAL 24432 12906 37338 8261 2432 48031
# INIs = JIPMER( Puducherry), PGIMER (Chandigarh), AIIMS (Delhi) and other AIIMS located at
Bhopal, Bhubaneswar, Jodhpur, Patna, Raipur, Rishikesh, Manglagiri, Nagpur, Rae Bareli, Gorakhpur,
Kalyani, Deoghar, Bhatinda.

14.3 DENTAL COUNCIL OF INDIA (DCI) vacancies under Section 3(f) stand filled.
The Dental Council of India (DCI) was established Dental Colleges
as a statutory body under the provisions of the
At present, there are 313 dental colleges in the
Dentists Act, 1948 (XVI of 1948) with the main
country, out of which 50 are in Government Sector
objective of regulating the standards of dental
and 263 in private sector with annual admission
education, dental profession and dental ethics in
capacity of about 27329 Under Graduate seats
the country and for making recommendations
and 6419 Post Graduate seats. Under EWS
to the Central Government for opening of new
scheme promulgated under 103rd constitutional
dental colleges, starting of new or higher courses
amendment, 2019, the DCI has recommended
of studies and increase in admission capacity. For
319 additional seats at UG level at 23 Govt.
this purpose, the Council periodically carries out
Dental Colleges from the academic session 2019-
inspections to ascertain the adequacy of course
20 so as to effectively implement the mandate of
and facilities available for the teaching of dentistry.
the Parliament.  The Council is considering the
The Dentists (Amendment) Act, 2019 proposals for recommending additional seats at
PG level also under the scheme from the academic
The Dentists (Amendment) Bill, 2019 to amend
session 2020-21.
the Dentists Act, 1948 was passed by the LokS abha
on 03.07.2019 and Rajya Sabha on 08.07.2019. The Other Activities
Bill received the assent of the Hon’ble President
DCI’s Continuing Dental Education (CDE)
on 17.07.2019. The Amendment Act, 2019 was
Regulations, 2018 has been notified in the official
brought into force on 30.07.2019. Consequently,
gazette and came to effect on 18.9.2018 wherein
02 slots of members in DCI under Section 3(f) of
“CDE” means any activity in terms of lecture,
the Act were filled up on 30.7.2019. Thus, all the

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demonstration, hands-on experience, training for upload the details quickly without any error or
dental professionals and para-dental staff with an mistake. The colleges have to enter only NEET
objective resulting in imparting, improvement, roll-number of the student and the online module
enhancement, accentuate and advanced will automatically fetch and fill all details of the
knowledge affecting knowledge, skill and attitude concerned students which were furnished by
of dental professionals for the betterment of the students in NEET Examination. The colleges
patient care and professionalism. have to select only the related category, speciality
and date of admission. This module will save the
The global trends of oral diseases are witnessing
valuable time of the colleges in uploading the
a paradigm shift with the rising  numbers of
details & DCI for scrutiny and will reduce the
oral cancers for which Central Government in
litigation since it will restrict the colleges to upload
collaboration with DCI has taken an initiative of
only valid details of students on DCI Website.
Tobacco Cessation Centre, in which establishing
tobacco cessation clinics in dental institutions is The Dental Council of India, in order to redress of
a stepping stone towards oral cancer prevention the grievances of the teaching faculties working in
wherein effective treatment is offered to all the dental colleges and to make the system more
tobacco users. 301 out of 313 Dental Colleges are easy, effective and smooth, has set-up a separate
now having a functional unit. cell called Faculty Query & Grievances Cell in
the office of the DCI in August, 2018. During
DCI is planning to conduct Webinar that is part
the reporting period, the cell has received 66
of Continuing Dental Education. Webinar is web
grievances and queries from the teaching faculties
based seminar aiming to use the online platform
working in dental colleges, which have been dealt
in updating the knowledge and skills of the dental
with.
students and faculties of the DCI’s approved
dental colleges at a first step and to the dentists at 14.4
SCHEMES FOR MEDICAL
large in the long term. EDUCATION
DCI is in a process of preparing an E-consortium With a view to upgrade and further strengthen
(Digital Library) containing renowned journals medical education institution in the country, the
(national and international) to provide it to all the Ministry administers the following schemes:-
dental colleges in a cost effective manner with an
aim to raise the standard of dental education in the i) Schemes for strengthening and
country. It would be beneficial for both students upgradation of State Government Medical
and faculty members of the dental colleges. Colleges for Increase of PG Seats (Phase I
& II):
DCI has directed all the dental colleges in the
country has to adopt 2-4 villages for oral health (a) Phase-I
awareness, if any tribal area falls within that The Phase-I of the scheme was launched in XIth
vicinity then priority should be given to those Five Year Plan with the objective to strengthen
areas. and upgrade State Government Medical Colleges
The DCI has developed a user friendly online to create new PG seats. A total of 72 Government
module on DCI website to upload the details of Medical Colleges in 21 States/UTs have been
students admitted by the colleges from 2018- approved under the scheme for increasing 4058
19 (MDS) in such a way that the colleges may PG seats, out of which 1746 PG seats have been
created. Funds to the tune of Rs.1049.36 crore

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have been released under the scheme till date. to establish new Medical Colleges attached with
existing district/referral hospitals). Funds to the
(b) Phase-II
tune of Rs.7507.70 crore have been released to the
The scheme was launched in February, 2018 State/UT Governments for the approved districts
with the objective of increasing 4000 more under the Scheme. Out of 58 approved medical
postgraduate seats in Government medical colleges, 42 have become functional.
colleges in the country. The Ministry of Health
(b) Phase-II
& Family Welfare is implementing Phase-II of the
Centrally Sponsored Scheme for Up-gradation With the objective to ensure the availability of
of existing State Government medical colleges to one medical college for every 3 Parliamentary
increase PG seats. The funding pattern is 90:10 by Constituencies and atlease one Government
Central and State Governments respectively for Medical College in every State of the country,
North Eastern States and Special category States the requirement of 24 new medical colleges in 8
and 60:40 for other States with the upper ceiling States has been identified under Phase-II of the
cost pegged at Rs.1.20 crore per seat. A total of scheme with fund sharing between the Central
16 Government Medical Colleges have been Government and States in the ratio of 90:10 for
approved under the scheme for increasing 1741 NE/special category states and 60:40 for other
PG seats till date. Funds to the tune of Rs.520.66 states. The total cost of establishment of one
crore have been released under the scheme till Medical College under the scheme is Rs.250
date. crore. 24 new medical colleges in 8 States have
been identified under this scheme to establish
ii) Scheme For Establishment of New Medical
new Medical Colleges attached with existing
Colleges Attached with Existing District/
district/referral hospitals. Out of these, 23 (one
Referral Hospitals (Phase I & II):
conditionally approved) Medical Colleges have
(a) Phase-I been approved till date. Funds to the tune of
Rs.2254.59 crore have been released to the State
Under the scheme, it was proposed to establish
Governments for the approved medical colleges
58 medical colleges in underserved areas of
under the Scheme.
the country with intake capacity of 100 MBBS
seats in each medical college to create an (c) Phase-III
additional annual intake capacity of 5800 seats at
With an objective to provide at least one medical
undergraduate level in Government sector. The
college or an Institute with facilities for Post
objective is to utilize the existing infrastructure
Graduate medical education in each district of
of district hospitals for increasing additional
the country in a phased manner through public
undergraduate seats in a cost effective manner by
or private participation, phase III of the scheme
attachment of new medical college with existing
for establishment of 75 new medical attached
district/referral hospitals. Fund sharing between
with district/referral hospitals has been approved
the Central Government and States is in the ratio
by the Union Cabinet on 28.8.2019. The medical
of 90:10 for NE/special category States and 60:40
colleges would be established at an estimated cost
for other States. The total cost of establishment
of Rs. 325 crore per medical college. Under Phase
of one Medical College under the scheme is
III out of 75 medical colleges, 26 medical colleges
Rs.189 crore. (58 districts in 20 States/UT have
have been approved.
been identified and approved under this scheme

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iii) Strengthening and Up-Gradation of (B.Pharm) and 267 institutions for Pharm.D with
State Government Medical Colleges for an intake of 8,010 are approved by the PCI.
Increase in Intake Capacity of MBBS Seats
Continuing Education Programmes (CEP)
With the objective of creating 10,000 MBBS play an important role in the growth of the
seats in Government Colleges in the country, knowledge bank of the pharmacist. The PCI is
the Ministry of Health & Family Welfare giving a financial assistance of Rs. 25000/- per
is implementing Centrally Sponsored course subject to ceiling of 12 courses to the State
Scheme for Up-gradation of existing State Pharmacy Council for conducting of CEP for
Government/Central Government medical pharmacists. The PCI also gives grant to pharmacy
colleges to increase MBBS seats. The institutions for conduct of CEP for teachers.
funding pattern is 90:10 by Central and State
The PCI has initiated various steps for automation
Governments respectively for North Eastern
of approval process and launched Pharmacists
States and Special category States and 60:40
Registration and Tracking System (PRTS) to have
for other States with the upper ceiling cost
consolidated data of    registered pharmacists in
pegged at Rs.1.20 crore per seat. 37 Medical
the country.
Colleges have been approved under the
scheme to increase 2765 UG seats, out of 14.6 ALLIED HEALTH SERVICES
which 1665 UG seats have been created till
date. Funds to the tune of Rs.1958.8 crore 14.6.1 Allied and Healthcare Professions
have been released to the State Governments Bill 2018
till date under this Scheme.
The Allied and Healthcare Professions Bill 2018
14.5 PHARMACY COUNCIL OF INDIA introduced in Rajya Sabha. In the current state
(PCI) of healthcare system in India, there exist many
allied and healthcare professionals, which remain
The Pharmacy Council of India (PCI) is a body unidentified, unregulated and underutilized.
constituted under Section 3 of the Pharmacy While the healthcare delivery system has
Act, 1948 to regulate the profession and practice remained focused on strengthening of doctors,
of Pharmacy.  The objective of the Council is nurses and front line workers (like Accredited
to prescribe minimum standards of education Social Health Activist or ASHAs, Auxiliary Nurse
required for qualification as a pharmacist, uniform Midwife or ANMs), numerous others have been
implementation of the said educational standards, identified over the years, whose potential can be
approval of course(s) of study and examination utilised to improve and increase the access to
for pharmacist, approval of qualifications granted quality driven services in the rural and hard to
outside India and maintenance of Central Register reach areas.
of pharmacists.
During the drafting of the Bill, all the stakeholders
As required under Section 16 of the Pharmacy including general public, State governments, and
Act, the Council arranged approximately professional bodies representing various allied
659 inspections of pharmacy institutions for and healthcare disciplines were consulted and
consideration of approval. At present 3022 their suggestions examined and appropriately
Institutions with 1,80,770 admissions for Diploma incorporated in the draft.
in Pharmacy (D.Pharma) and 1961 Institutions
with 1,25,524 admissions for Degree in Pharmacy The Allied and Healthcare Professions Bill, 2018,

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introduced in the Rajya Sabha on December regulations and to add or amend the
31st 2018, envisions to establish an overarching schedule.
Central and corresponding State Councils for 15
broad categories of 53 types of such allied and
14.6.2 National Health Workforce Accounts
healthcare professions. The Bill has been referred (NHWA)
to the Department Related Parliamentary India’s mandate for Universal Health depends,
Standing Committee for Health and Family to a great extent, on adequate and effective
Welfare for examination. Meetings with the Human Resources for Health (HRH) providing
Standing Committee were held on 15.03.2019 & care at primary, secondary and tertiary levels
10.10.2019. in both the public and private sectors. Nearly
Key provisions under the Bill are as given below: all countries are challenged by worker shortage,
skill mix imbalance, mal-distribution, among
i. Establishment of a Central and others. Human Resources for health is the most
corresponding State Allied and Healthcare critical pillar of the health system and has gained
Councils; 15 major professional categories appropriate relevance and investment in the
including 53 professions in Allied and recent years.
Healthcare streams.
In the Indian context, health workforce
ii. The Bill provides for structure, constitution, information systems have limitations of reliable
composition and functions of the Central and timely data that is integral to effective policy
Council and State Councils, e.g. framing making. HRH data in the country is managed by
policies and standards, regulation of several stakeholders including the States and the
professional conduct, creation and National Health Mission.
maintenance of live registers etc.
In the last few years, however, substantial steps
iii. Professional Advisory Bodies under have been taken by departments as well as
Central and State Councils will examine different regulatory bodies to strengthen the
issues independently and provide data, although a lot more system strengthening is
recommendations relating to specific desirable. Availability of quality data will ensure
recognised categories. evidence based informed decision making and
iv. The Bill will also have an overriding effect effective policy development at all levels.
on any other existing law for any of the As part of our global participation in this process,
covered professions. in 2014, India along with all the member states
v. The State Council will undertake recognition of the WHO South East Asia region (SEAR),
of allied and healthcare institutions. agreed to the Decade for Strengthening Human
Resources for Health in the SEA region 2015-
vi. Offences and penalties clause have been 2024. In view of the same, several initiatives have
included in the Bill to check mal-practices. been taken in the recent past to improve the
education and training within the region.
vii. The Bill also empowers the Central and State
Governments to make rules. In September 2017, South East Asia Region
(SEAR) member States agreed to use 14 HRH
viii. Central Govt. also has the power to
indicators to review progress on HRH, bi-
issue directions to the Council, to make
annually in the region. WHO has supported the

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countries by providing access to National Health Nurse Practitioners in Critical Care (NPCC):
Workforce Accounts (NHWA), enabling mapping Nurse Practitioners Course in Critical Care,
the availability, quality and make better use of the which is  a two year Post Graduate Residency
health workforce data. Programme,  has been rolled out by Indian
The HRH cell established within the Ministry Nursing Council. This is one of the key initiatives
of Health and Family Welfare MoHFW is the planned out for implementation in the National
nodal authority for reporting on National Health Policy, 2017 for increased availability of
Health Workforce Accounts (NHWA). India mid-level professionals. 
has submitted for the first time, all the requisite
Nurse Practitioners in Midwifery:
data on all key categories of health workforce
The Government of India has rolled
availability, triangulated from various sources and
stakeholders as on 30th September 2019. out “Midwifery services” in the country in order to
improve the quality of care and ensure respectful
14.7 INDIAN NURSING COUNCIL care  to pregnant women and newborns.   This
initiative aims to create a new cadre of mid-
The Indian Nursing Council is an autonomous
wives titled “Nurse Practitioners in Midwifery’’
body under the Govt. of India, Ministry of Health
(NPM) who are skilled in accordance with ICM
& Family Welfare. Indian Nursing Council Act,
competencies, knowledgeable and capable of
1947 enacted by, giving statutory powers to
providing compassionate women centered,
maintain uniform standards and regulation of
Reproductive, Maternal and Newborn Child
nursing education all over the Country.
Health Services (RMNCH).  The duration of
The prime responsibility is to set the norms and Nurse Practitioner programme is 18 months.
standards for education, training, research and
Live Register: A computerized Live Register has
practice with in the ambit of the relevant legislative
been initiated for  various categories of Nurses
framework.
which would provide   a Unique Identity number
Inspections: First inspection is conducted to to Nurses. It will capture up-to-date and latest
start any nursing program prescribed by Indian information of the currently practicing nurses and
Nursing Council on receipt of the proposal as per also facilitate stakeholder with the registration
calendar of events. Re-inspections are conducted services of  the Council.  About 8 lakhs Nurses
for those institutions, which are found unsuitable/ have been enrolled till date.
not permitted by Indian Nursing Council.
Income: A sum of Rs. 10,92,30,159/- has been
Inspection of the Institution for enhancement
received from the nursing education institutions
of seats in various nursing programme are also
towards inspection /affiliation fee and publication
conducted. Periodic inspections are conducted
sales  during the year 2018-19.
to monitor the standards of nursing education
and the adherence of the prescribed norms.  Institutions recognized by Indian Nursing
Institutions which are permitted are displayed Council
in the website of the Council under recognized
The course wise number of Nursing Institutions
institutions.
recognized upto 31.03.2019 is as follows:

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Under this scheme, 112 ANM and 136

S. Programme Total
No. GNM Schools have been sanctioned in 27
states and a total amount of Rs.954.00 crores
1. ANM 1905 (including releases of Rs.3.06 for 2019-20)
2. GNM 3196 has been released so far to the States.
3. B.Sc (Nursing) 1992 (ii) Development of Nursing Services: 
4. P.B.B.Sc (Nursing) 776 • Training of nursing personnel in identified
5. M.Sc (Nursing) 662 domains/topics is also being done as one of
6. Post Basic Diploma Programme 215 the major activities under the Development
(PBDP) of Nursing Services Scheme. Out of the
total allocation of Rs.2.65 cr an amount of
7. Nurse Practitioner in Critical 57 Rs.51.243 lakhs  has been sanctioned for
Care(NPCC)
conducting 31 short term courses for the
Number of Registered Nurses & Mid-wives: year 2019-20.
21,17,649 Nurses,   8,79,508 ANM’s and 56,644 • Up-gradation  of Schools of Nursing to
Health Visitors have been  registered with various Colleges of Nursing:- One time financial
State Nursing Council upto 31st December 2018. assistance of Rs.6.00 crore / per institution
National Consortium for Ph.D. in Nursing: is given for upgrading School of Nursing
National Consortium for Ph.D. in Nursing has attached to a Medical college. The financial
been constituted by Indian Nursing Council assistance is towards civil works in
to promote research activities, in various fields existing nursing schools/hostel building;
on Nursing in collaboration with Rajiv Gandhi procurement of A.V. aids; Library Books,
University of Health Science, supported by WHO, Laboratory Equipment, Transport etc.
Total 345 students have been enrolled under • National Florence Nightingale Award for
National Consortium of Ph.D. in Nursing.  119 the year  2019 were conferred on  36 nursing
students  have been awarded Doctorate Degree by personnel  by Hon’ble President of India  as a
Rajiv Gandhi University of Health Sciences. mark of highest recognition for meritorious
services in the nursing profession in the
14.8.      NURSING SECTION
country. Each award carries a medal,
In order to improve the quality of nursing Certificate of Merit and Cash Award of
services, the following ongoing  programmes are Rs.50,000/.  
being implemented during 2019-20.
14.9 RAJKUMARI AMRIT KAUR
Strengthening of Nursing Education / Services COLLEGE OF NURSING
The Government has taken steps for the The Rajkumari Amrit Kaur College of Nursing
Strengthening & Upgradation of Nursing is a pioneer Institute for Nursing Education in
Education and Services through the following India and South-East Asian region, established
Centrally Sponsored / Central Sector Schemes. 72 years ago with the objective to develop model
(i) Upgradation/Strengthening of Nursing programmes in Nursing Education.  The College
Services & Establishment of ANM/GNM   offers regular programmes in B.Sc. (Hons.)
Nursing and Master of Nursing.  Besides these,

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College also conducts short-term continuing 3rd year students to gain knowledge about health
education courses.  The institution works in close agencies like Indian Red Cross, Shanthi Avendna
association with Ministry of Health & Family Sadan, National Centre for Diseases Control
Welfare, Hospitals, Health Center and Allied (NCDC), Water Works Sewage Disposal Plant,
agencies. Mother Dairy, TNAI, Pt. Deendayal Institute of
Physically Handicapped etc. Medical Surgical
Admissions and Graduation: The admission to
Nursing, Child Health Nursing, Psychiatric
B.Sc. (Hons.) Nursing and Master of Nursing are
Nursing, Obstetrics and Obstetrical Nursing
made on the basis of merit in the selection test
and Nutrition Programmes were also carried out
as laid down by the Academic Council of the
during 2019-20.
University of Delhi. 20 Post-Graduate Nursing
students and 62 Graduate Nursing students Continuing Education: Two national level
passed out in 2018. short-term courses on “Emerging Role of Nurses
in India” and another on “Healing touch in
Scholarship and Financial Aid: 17 B.Sc. Nursing
Quality Patient Care” were conducted. A total
students were awarded merit scholarship by the
of 56 Nursing personnel participated in these
Department of Welfare for SC/ST/OBC and
workshops.
Minority, Government of NCT of Delhi.  An
M.Sc. Nursing Student of the College was awarded Rural Field Teaching Centre (RFTC), Chhawla:
the President’s Gold Medal for standing 1st in the The Rural Field Teaching Centre was established
Examination. in 1950 for the purpose of providing objective
oriented rural community health experience to
Budget: The total budget for the Institute for
the students. It covers a population of 22,000 and
the   year 2019-20 is Rs. 43,85,00,000/-   (Rupees
is situated 35 kms away from the college. Special
Forty Three Crore Eighty Five lakhs only).
emphasis is given on MCH services, family
Teaching and Research: The college has planning, immunization, family welfare services,
implemented the revised curriculum for M.Sc(H) nutrition, adolescent girl’s health and health
Nursing Programme as per Indian Nursing education programme by the students and staff of
Council Guidelines under Delhi University from rural unit in collaboration with the staff of RHTC,
the academic year 2019-20.  The B.Sc (Hons) Najafgarh.  The Centre is also a “Team Movement
Nursing and Master of Nursing programme were Point” for National Pulse Polio Programme.
conducted as per the schedule for a total of 303
Student Welfare and Co-Curricular Activities:
students.
Student Health Programme was conducted to
Community Health Nursing Programme was help students to promote and maintain their
implemented as per B.Sc.(Hons) Nursing / M.Sc. own health, prevent and control diseases by early
Nursing Curriculum. The field experience was detection and treatment. Students participated in
given for students in urban and rural community various state level activities organized by Delhi
setting by taking them to MCH Center and University and SNA and won many awards.
Maternity Home, Sriniwas Puri (MCD). RFTC Regular SNA activities are being conducted as
Chhawla was utilized for rural field experiences students extracurricular activities. The College
for B.Sc.(Hons) nursing students. Educational also conducts sports classes for students once a
visits were arranged for B.Sc.(Hons) 2nd year and week by an external sports faculty.

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14.10 National Eligibility cum Entrance 235 Government Medical Colleges and 148
Test (UG) for admission to 15% All Dental Colleges on 4951 MBBS and 419 BDS
India UG Seats – 2019 conducted by seats respectively. Allotment of college and
CBSE, New Delhi course to successful candidates were made
as per their Rank by Online Counselling
i) 15% All India Quota MBBS/BDS Seats – conducted by the Dte.GHS in Ministry of
2019 Health & Family Welfare for the academic
A total 7,83,747 candidates were declared year 2019-20 in two rounds of counselling
eligible to participate in the counseling for only. The whole admission process for 15%
15% All India Quota seats. Allotment was in All India Quota of MBBS/BDS Seats was
successfully completed by 25.07.2019.

S.No. Category of candidates Seats available for Seats available for Total
MBBS Course BDS Course
1. UR Candidates 3568 289 3857
2. URPH Candidates 174 14 188
3. OBC Candidates 93 20 113
4. OBCPH Candidates 04 01 05
5. SC Candidates 709 60 769
6. SCPH Candidates 34 03 37
7. ST Candidates 352 29 381
8. STPH Candidates 17 03 20
Total 4951 419 5370
 Total Eligible Candidates for Counseling : 783747
 Total Registered Candidates : 134638
ii) Deemed/Central Universities MBBS/BDS 181 MBBS and 69 BDS seats respectively).
Seats – 2019 Allotment of College and course to
successful candidates were made as per
A total of 7,83,747 candidates were declared
their Rank by Online Counseling conducted
eligible to participate in the counseling for
by the Dte.GHS in Ministry of Health &
Deemed/Central Universities. Allotment
Family Welfare for the academic year 2019-
seat was in 42 Medical Colleges and 32
20 in two rounds of counseling only. The
Dental Colleges of Deemed Universities on
whole admission process for allotment
7099 MBBS and 3100 BDS seats respectively.
of MBBS/BDS seats in Medical/Dental
(Allotment was in 3 Medical Colleges and 2
Colleges of Deemed/Central Universities
Dental Colleges of Central Universities on
was successfully completed on 27.08.2019.

S.No. Category of candidates Seats available for Seats available for Total
MBBS Course BDS Course
1. UR Candidates 7673 3206 10879
2. URPH Candidates 28 07 35

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3.
OBC Candidates 226 19 245
4.
OBCPH Candidates 11 00 11
5.
SC Candidates 127 08 135
6.
SCPH Candidates 06 00 06
7.
ST Candidates 63 06 69
8.
STPH Candidates 03 00 03
Total 8137 3246 11383
 Total Eligible Candidates for Counseling : 783747
 Total Registered Candidates : 134638
iii) M.CH/D.M. (Super Specialty) Seats – 2019 All India PG Seats – 2019 conducted
For admission to M.CH/DM (Super by NBE, New Delhi
Specialty) seats in 135 Medical Colleges of There were 12491 recognized/approved seats
all over the Country, the work of conducting in MD/MS and Diploma Courses under the
Common Counseling was assigned to 50% All India PG Quota for the academic year
National Board of Examination (NBE), 2019-20. The allotments were made to the
New Delhi. There were 2871 recognized/ successful candidates through On-line counseling
approved seats in M.CH/D.M Super conducted by Dte.GHS in Ministry of Health &
Specialty Courses during the academic Family Welfare, Government of India. The whole
year 2019-20. The allotments were made allotment process of 50% All India PG Quota
to the successful candidates through On- counseling – 2019 was successfully completed by
line counseling conducted by Dte.GHS 31.05.2019.
in Ministry of Health & Family Welfare,
Government of India. The whole allotment S. Category Seats Seats Total
process of Common Couseling in Super No. of available available
Specialty-2019 was successfully completed candidates for for BDS
by 31.08.2019. MBBS Course
Course
S. Category of Seats available Total 1. UR 6029 221 6250
No. candidates in Medical Candidates
Stream
2. URPH 298 10 308
1. Total seats 2871 2871 Candidates
available
3. OBC 224 06 230
Total 2871 2871 Candidates
 Total Eligible Candidates for Couseling : 4. OBCPH 10 00 10
10047 Candidates
5. SC 1204 45 1249
 Total Registered Candidates : 4555
Candidates
14.11 National Eligibility cum Entrance 6. SCPH 59 02 61
Test (PG) 2019 for admission to 50% Candidates

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dental colleges of their own, Ministry of Defence

7. ST 599 23 622
Candidates (for the wards of Defence Personnel), Ministry of
Home Affairs (for the children of para-military
8. STPH 30 01 31 personnel and Civilian Terrorist Victims),
Candidates
Cabinet Secretariat, Ministry of External Affairs
Total 8453 308 8761 (for meeting diplomatic/bilateral commitments
and for the children of Indian staff serving in
 Total Eligible Candidates for counseling : Indian Mission abroad), Ministry of Human
88372 Resource Development (for Tibetan Refugees)
 Total Registered Candidates : 33746 and Ministry of Women & Child Development
(for National Bravery Award winning children).
14.12 National Eligibility cum Entrance
Test (PG) 2019 for admission to 14.14
NATIONAL BOARD OF
MDS course under 50% All India PG EXAMINATIONS (NBE)
Dental Seats – 2019 conducted by The National Board of Examinations came
NBE, New Delhi into existence in the year 1975, as a wing of the
There were 1332 recognized/approved MDS National Academy of Medical Sciences and
Seats Courses under 50% All India Quota has been conducting Post-graduate Medical
2019. The allotments were made to the eligible/ Examinations at the national level since 1976.
qualified candidates through On-line counseling The Board was registered as an Autonomous
conducted by Dte.GHS in Ministry of Health & Organization under Ministry of Health & Welfare,
Family Welfare. The whole allotment process of Government of India with effect from 01.03.1982
50% All India PG Quota counseling- 2019 was under the Societies Registration Act, 1860,
successfully completed by 31.05.2019. with the objective of conducting high standard
 Total Eligible Candidates for Counseling: post-graduate examinations in the field of
18812 modern medicine on all India basis, formulating
basic training requirements for eligibility and
 Total Registered Candidates: 4505
developing patterns of teaching in post-graduate
14.13 Allocation of Medical/Dental Seats medical education.
from Central Pool
The Board conducts DNB Final examinations
(i) MBBS and BDS SEATS: twice a year. The DNB Final examinations were
conducted in 48 specialties in 2018-19 in which
A Central Pool of MBBS and BDS is maintained
by the Ministry of Health and Family Welfare by 5394 out of 8012 candidates passed the DNB Final
seeking voluntary contribution from the various examinations.
States having medical colleges and certain other Hon’ble Vice President of India in gracious
Medical Education Institutions. In the academic presence of Hon’ble Ministers of State, Ministry
session 2019-20, 224 MBBS and 38 BDS seats
of Health & Family Welfare, conferred DNB/FNB
were contributed by the State/UTs and medical
degrees to 20,545 candidates in 65 Specialties to
Institutions. These seats were allocated to the
at 19th Convocation of NBE at Vigyan Bhavan on
beneficiaries of the Central Pool, viz. States/
Union Territories, which do not have medical/ 21.09.2018

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The Board is also conducting Fellowship 14.15

NATIONAL ACADEMY OF
Programme in 17 sub-specialties. During the MEDICAL SCIENCES (INDIA)
period under report, 1722 candidates appeared
National Academy of Medical Sciences (India),
and 1525 candidates qualified the Fellowship
New Delhi was established on 21st April, 1961 as
Entrance Examination and 200 candidates passed an autonomous body of bio-medical scientists with
the Fellowship Exit Examination. the objective of promotion and encouragement of
The Accreditation Committee of the Board merit in medical sciences.
recognizes Institutions /Hospitals for the purpose As per its mandated objectives it is a unique
of training of the candidates to qualify for the institution which fosters and utilizes academic
Board examinations. Total number of NBE excellence as its resource to meet the medical
accredited seats for the period of 1st April, 2018 and social goals of the country. Over the years
to 31st March, 2019 has been 7783 (inclusive of the Academy has recognized the outstanding
NBE accredited Post Diploma seats). The NBE achievements of Indian scientists in the field
has also been entrusted with the responsibility of of Medicine and Allied Sciences and conferred
conducting the National Eligibility Cum Entrance Fellowships and Memberships on the meritorious
Test-PG (NEET-PG) for admission to MD/MS biomedical and health scientists.
& Post Graduate Diploma Courses and National The Fellowship of the Academy has become
Eligibility Cum Entrance Test (NEET-MDS) for a coveted hallmark of distinction accorded in
admission to Postgraduate Dental Courses. During recognition of outstanding achievements in
the year, NBE has successfully conducted computer sciences, education, services, etc. The merit of
based test at 167 cities across the country in single Biomedical and Health Scientist is recognized
day single session. A total of 143148 candidates by rigorous selection process by nomination as
appeared for NEET-PG examination out of which Membership to Junior bio-medical Scientist and
88372 candidates qualified the examination and Fellowship to senior Bio-medical and Health
scientists. As on 31.03.2019 the Academy has on
a total of 23762 candidates appeared for NEET-
its rolls, 3 Honorary Fellows, 920 Fellow of the
MDS online examination out of which 18812
Academy (FAMS), 2129 Member of Academy
candidates qualified the examination. NBE has
(MAMS) by election and 7006 Member of
also conducted National Eligibility Cum Entrance Academy (MNAMS), by virtue of passing the
Test (NEET-SS) for admission to Super Specialties DNB Examination of the National Board of
Courses. A total of 24465 candidates appeared Examinations.
for NEET-SS examination out of which 15978
candidates qualified the examination. The Academy has also been implementing
the Continuing Medical Education (CME)
The Government of India has entrusted the Programme since 1981. Out of the CME proposals
conduct of Screening Test under Screening received from various medical institutions/
Test Regulations, 2002 for the candidate who professional bodies in the country, the Academy
have undergone medical training aboard to the has conducted 8 Scientific Symposia/workshops/
National Board of Examinations. During the year CME programme and sanctioned financial
2018-19, 21351 candidates appeared out of which assistance. In addition to this, NAMS has
4449 candidates passed the FMG examination. sanctioned 03 Extramural and 04 Intramural
CME programmes/symposia during the period

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from April, 2019 to October, 2019 as per details Intramural CME Programmes
given below:
i. Breast Cancer-Current Trends in Diagnosis
Extramural CME Programmes & Management in AIIMS, Rishikesh on 2nd
May, 2019.
i. Increasing incidence of Head & Neck Cancer
and its Management in the North Eastern ii. Antimicrobial Resistance in AIIMS, Bhopal
States in Shillong on 3rd May, 2019. on 11th October, 2019.
ii. Accelerating Universal Health Coverage in iii. Competency Based Education in Pediatrics:
India: Issues and Challenges in Mysore on Challenges and Opportunities in AIIMS,
18-19th June, 2019. Jodhpur on 3rd November, 2019.

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Central Medical
Institutions & New AIIMS 15
15.1 AIIMS, New Delhi students in various undergraduate and post
graduate courses. The undergraduate courses
Introduction
include MBBS, B.Sc (Hons.), Medical Technology
All India Institute of Medical Sciences (AIIMS), in Radiography and Ophthalmic Techniques,
New Delhi established in 1956 by an Act B.Sc Nursing (Post certificate) and B.Sc. (Hons)
of Parliament is an Institution of National Nursing. Post graduates courses include PhD,
Importance and a Centre of Excellence. IIMS DM, MCh., MD, and M.Sc. courses in different
has discharged its role as patient care provider, disciplines. MS, MDS, MHA, M Biotechnology
research institute and teaching institution with (M.Biotech).
considerable accolades over the past 6 decades.
Patient Care
AIIMS has always maintained the high standards
of meritocracy and learning. In the year 2019-2020 up to October 2019 about
26.37 lakh people visited OPDs, 1,04,850 surgeries
AIIMS has been empowered to grant medical,
were performed. 1,55,985 people got admission
dental and nursing degrees/ diplomas and other
in AIIMS, New Delhi. Details are given as below
academic distinctions and titles under AIIMS
(Table A):
Act, 1956. AIIMS is offering education to the
Table A

Hospital/ Centre Outpatients Admissions Surgery Beds

(including (Operations/
casualty) procedures) General Private Total
Main Hospital 12,37,848 71,444 55,731 997 165 1,162
Dr. R.P. Centre for 3,29,015 27,811 29,130 288 22 310
Ophthalmic Sciences (Dr.
RPC)
Dr. BhimRaoAmbedkar 1,08,270 27,624 7,505 167 15 182
Institute Rotary Cancer
Hospital (Dr. BRAIRCH)
Cardio Thoracic Centre 4389+124115= 11,727 3,938 400 64 464
(CNC) 2,18,504
National Drug Dependence 1,65,258 748 Nil 50 Nil 50
Treatment Centre (NDDTC)

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Centre For Community 2,72,718 7,118 1,365 50 Nil 50

Medicine (CCM)
Jai Prakash Narayan Apex 73073 4339 4258 226 22 248
Trauma Centre (JPNATC)
Centre For Dental 2,19,545 1039 828 15 Nil 15
Education & Research
(CDER)
National Cancer Institute 13,611 4,135 2,095 91 Nil 91
(NCI), Jhajjar
Total 26,37,842 1,55,985 104850 2,284 288 2,572

Medical Research day care facility for Chemotherapy, 9

Operation Theatres, 25 bedded ICU,
Research is a major thrust area for the faculty
Oncology Emergency, Robotic Core
and scientists of the AIIMS and towards this the
Clinical Laboratory, 2 Linear Accelerators,
Research Section plays an important facilitator
Brachytherapy, 4DCT Simulator, X-Ray, CT
role by providing encouragement for obtaining
Scan, MRI & Ultrasound, SPECT & PET
extramural research projects funded by various
scan (under installation)
agencies like DBT, ICMR and others.
(b) Implementation of Master Plan of AIIMS,
During financial year 2019-20 (upto 1.10.2019),
New Delhi: Union Cabinet accorded “in
122 projects awarded with total Rs. 5.57 cr.
principle” approval for the implementation
(approx) under Intramural Funding. During the
of the Master Plan to convert AIIMS, New
same period, 817 projects awarded with total Rs.
Delhi into a world class Medical University.
97.18 cr. (approx) under extramural funding.
(c) Hon’ble HFM performed the bhoomi poojan
Clinical Research Unit, Research Section, AIIMS,
for an 800 bedded Infosys VishramSadan on
Delhi is organizing a “Grantsmanship Workshop
14th Nov 2019 at Jhajjar campus of AIIMS,
Series” for Clinical and Public Health Fellowship
New Delhi funded by Infosys foundation, as
of Welcome Trust/ DBT India Alliance. The first
a part of its Corporate Social Responsibility
workshop and open house session of the series
(CSR) at a construction cost of Rs. 80 cr.
was held on 6 Nov 2019.
apprx.
AIIMS received India Research Excellence-
Budget:During 2019-20, AIIMS, New Delhi has
Citation Awards 2019 for Medical and Health
been allocated Rs. 3,599.65 crore (BE) as Grant-
Sciences under Web of Science Group (Clarivate
in-Aid for smooth running of the Institute.
Analytics).
Achievements: 15.2 POST GRADUATE INSTITUTE
OF MEDICAL EDUCATION AND
(a) National Cancer Institute (NCI)– A new RESEARCH (PGIMER), CHANDIGARH
campus of AIIMS has been established at
Jhajjar, Haryana. In phase-I, the following The Postgraduate Institute of Medical Education
facilities have already been commissioned and Research, Chandigarh was declared as an
at NCI: 250 patient care beds, 50 bedded Institute of “National Importance” and became

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an Autonomous Body by an Act of Parliament medical education to meet the country’s

(Act 51 of 1966), on 1st April, 1967. The Institute need for specialists and medical teachers.
is fully funded by the Union Ministry of Health
Hospital Services
and Family Welfare. The main objectives of the
Institute are:- The patient care services in PGIMER have
expanded from Nehru Hospital to a number
(a) to develop patterns of teaching of
of independent Centres like New OPD Block,
undergraduate and postgraduate medical
Advanced Pediatric Centre, New Emergency
education in all its branches so as to
Block, Advanced Eye Centre, Drug De-addiction
demonstrate a high standard of medical
Centre, Advanced Cardiac Centre and Advanced
education.
Trauma Centre.
(b) to bring together, as far as may be, in one
The total bed strength of the PGIMER is 1948
place educational facilities of the highest
beds. The number of patients who attended the
order for training of personnel in all
outpatients’ departments and those admitted for
important branches of health activity; and
treatment during the last four years is as under:
(c) to attain self-sufficiency in postgraduate

Patients Attendance 01.04.2019 to 2018-19 2017-18 2016-17

31.10.2019
Outdoor 17,64,250 28,76,257 27,25,183 25,55,455
Indoor Admissions 58,926 98,710 96,626 89,584
The number of minor and major surgeries over the last four years is as under:

Surgeries 01.04.2019 to 2018-19 2017-18 2016-17

31.10.2019
Minor 1,26,881 2,05,542 1,86,282 1,69,243
Major 29,574 50,889 47,430 44,918
Emergency and critical patients were attended to round-the-clock.
Emergency Services administrative working. The Emergencies are
managed by medical/surgical and super-specialty
The Emergency Complex and Advanced Trauma
consultants and senior residents. A disaster area
Centre provide all medical and surgical emergency
having cupboards containing equipment and
services including investigations and operations
lifesaving drugs has been earmarked and is used
under one roof. The Emergency services are
for treating mass casualties. A well-equipped
supervised by the Assistant Professor, Department
VIP room is maintained to meet any emergency
of Hospital Administration and assisted by Senior
situation in case VIPs are brought to the
Medical Officers (Casualty). They are responsible
Emergency. The statistics given below presents an
for dealing with medico-legal cases, providing
over view of the workload at emergency services
poor free services to deserving patients and
in PGIMER.
supplying lifesaving medicines and consumable
items. MHA Residents assist in day-to-day

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01.04.2019 to 2018-19 2017-18 2016-17

31.10.2019
OPD 73,467 1,20,703 1,16,764 99,201
Admissions 29,472 48,099 47,901 44,388
Major Surgeries 12,199 19,406 18,377 16,862
Minor Surgeries 2,237 3,325 3,426 3,232

Achievements treatment of a disease called aortic stenosis.

With this procedure, PGI is among the
• The Week-Hansa Research Survey 2019 has
very few centres which perform this highly
ranked PGIMER as the second best in public
demanding and skilled procedure.
sector in medical education, research and
patient care. The hospital is also the second • A 103 years old patient underwent
best public hospital in the North Zone of the successful angioplasty in the Department of
country and the best hospital in the city.  Cardiology in August, 2019. He is the oldest
patient to have undergone the procedure in
• PGIMER, Chandigarh has become the
the history of the Institute and also one of the
first  Central Government Institute in
oldest to have ever undergone angioplasty
North India by conducting its first ‘in
in the world.
house’ Live donor Liver Transplant (LDLT)
independently.  As of now PGI is country’s • The Department of Radio diagnosis,
largest Institutional Deceased Donor Liver PGIMER has successfully treated two
Transplant (DDLT) centre. patients suffering from a unique bone
tumour known as osteoid osteoma with a
• PGIMER  has emerged as the first
novel minimally invasive technique known
Government Hospital of the country to
as cryoablation. With this state-of-the art
receive Indian Green Building Council’s
machine, PGIMER has become the only
(IGBC)  platinum rating for Project ‘PGI
hospital in the country to have the facility
Expansion of Nehru Hospital’.
of minimally invasive surgery for a variety
• A new Cath Lab Cios Alpha Portable has of cancerous and benign tumours through
been installed in the Advanced Cardiac cryoablation.
Centre at PGIMER in August, 2019. This lab
• 17 cadaver donations from April, 2019
will be primarily for pacemaker and devices
to October, 2019 have been received. 34
procedures, electrophysiology and ablation,
Kidneys, 6 Livers, 2 Hearts, 2 Pancreas and
peripheral angiography, angioplasty and
3258 corneas were harvested.
pulmonary thrombo-embolism procedures
and other emergency procedures.  Research
• The Department of Cardiology performed The Institute has excelled in all the three areas
two cases of trans catheter aortic valve namely patient care, medical education and
implantation (TAVI) in elderly patients research. The hospital catered to 2876257
(who were high risk candidates for surgery), outpatients and 98710 indoor admissions. The
which is a procedure carried out for the Institute continues to excel in quality research,

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and the clinicians and basic scientists published appointments for special clinics of Department
1936 papers during the year 2018-19. Faculty of Plastic Surgery, view their lab results at www.
members and students received 284 awards, pgimer.edu.in. For accessing laboratory reports,
orations, memberships and fellowships of various the patient enters the CR number. An OTP is sent
national and international academic societies. on the registered mobile which can be used to
PGIMER is involved in collaborative research view the laboratory reports. Web portal has been
with international and national agencies and is a developed for acting as service delivery point and
World Health Organization Designated Research one stop information portal for the patients.
Centre for several disciplines. During the year
Kiosk has been installed at Nehru hospital
various departments of the Institute completed
to provide information related to various
202 research projects funded by DST, WHO, DBT,
investigations & their charges, labs locations etc.
ICMR and other outside agencies and 765 research
In addition, doctor’s availability on a particular
projects are being continued and supported by
day/ OPD can be viewed. PGIMER has also
national, international and PGIMER research
joined the ‘Digital India’ Programme of the
funds.
Government of India, by making available OPD
Academic Activities Registrations, Laboratory reports and Blood
Bank stock position on the ‘Online Registration
PGIMER has been empowered to grant medical,
System (ORS; http://ors.gov.in) web portal, a
dental and nursing degrees, diplomas and other
national platform framework to link hospitals
academic distinctions and titles under the
across the country. TRIAG has been implemented
PGIMER, Chandigarh Act, 1966. During the
at APC Emergency, ATC Emergency, Main
period from 01.04.2019 to 31.10.2019, the number
Emergency, Nehru Hospital. To bring efficiency
to pass out candidates of various degree courses,
and accountability several initiatives like FTS
as under:
(File Tracking System) has been started.
20 Ph.D degrees, 119 MD degrees, 49 MS
Information technology has been introduced as
degrees, 32 DM degrees, 15 M.Ch degrees, 09
a compulsory subject in undergraduate and post
M.Sc/M.Sc Medical Lab. Technology degrees,
graduate courses of PGIMER and NINE. Around
09 Master of Public Health degree, 02 Master in
350 students of B.Sc.Nursing, B.Sc.Medical
Hospital Admn. degrees, 10 Fellowship PGI, 02
technology and MD/MS/MCh/DM courses are
MDS degree, 30 M.Sc Nursing degrees, 32 B.Sc.
given compulsory training every year by computer
(Medical Technology). Further, approximately
section. Computer Section staff is conducting
596 number of candidates have joined various
theory as well as practical examination of the
Postgraduate/Post Doctoral/Under Graduate
course of B.Sc students. The campus wide LAN of
Courses during April, 2019 to October 2019.
the institute has been further expanded by adding
Information Technology Initiatives 450 I/O points to existing network. These I/O
points have been installed in various buildings of
Hospital Information System (HIS) has been
the Institute.
implemented in all department/sections of the
Institute. The HIS covers Laboratory services, Appointment & scheduling services have been
Blood Bank, Admission Discharge Transfer, started in Plastic Surgery Deptt. for giving
Billing and Registration. The patient can now pre- OPD appointments for all special clinics,
register for their OPD registrations, book online Radio diagnosis for giving appointment to
IPD’s MRI patients in Nehru Hospital and to

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OPD patients in APC and Nuclear Medicine institutions in the country that provide teaching
for giving appointments to patients for certain at undergraduate, post-graduate and super
investigations. Provision for machine interface to speciality levels, conducts high quality research
lab investigation module has been introduced for and provides specialty care of the highest order
transferring results directly from machine to HIS in nearly all specialties and sub-specialties of
which has resulted into a fast, efficient and error
medicine.
free lab reports. SMS and email capabilities have
been built into the system to reduce the patients’ Overview of Institute Activities 2019-20:
visits, information to students about their results
etc.. Academic Activities:

JIPMER conducts over 100 courses at graduate,

15.3 JAWAHARLAL INSTITUTE OF POST
GRADUATE MEDICAL EDUCATION & postgraduate, doctoral and post-doctoral levels
RESEARCH (JIPMER), PUDUCHERRY in medical, nursing and allied health science
subjects. The medical courses cover virtually all
Introduction disciplines of healthcare, and span from basic
JIPMER traces its origin to the ‘Ecole de Medicine to superspeciality level. Admissions to first-
de Pondicherry’, which was established by the then year MBBS were conducted during July-August
French Government in Puducherry in 1823. In 2019, including for 150 seats at the Puducherry
1956, the Government of India decided to replace campus and for 50 seats at the Karaikal campus.
this with a new medical college, and a new hospital Admissions were also made to postgraduate and
was constructed and was inaugurated in 1964. post-doctoral medical programmes, including
JIPMER was initially a part of the Directorate to 153 MD seats, 65 MS seats, 38 DM seats, 28
General of Health Services under the Ministry of MCh seats, and 17 seats for various Post-Doctoral
Health, Government of India. In 2008, with the Fellowship (PDF) courses, and 24 students were
passage of the JIPMER Act, it acquired the status admitted to PhD courses in various departments.
of an autonomous body under the Ministry of All these admissions too were based on national
Health and Family Welfare, Government of India, level computer based entrance tests followed by
and was also declared as an Institution of National counselling. 75 students were admitted to BSc
Importance. (Nursing) course and 25 students were admitted to
MSc (Nursing) courses in five separate disciplines.
JIPMER is charged with the responsibility of In addition, 74 students were admitted to BSc
providing teaching facilities and patient care courses in 12 disciplines in Allied Health Sciences.
services of the highest order and of undertaking
high-quality research in the field of healthcare. In the National Institution Ranking Framework
Its main campus is located in Puducherry, and (NIRF), JIPMER was placed 8th overall in
is spread over 192 acres. A second campus, medical institutions and 3rd among government
located nearly 150 Km south of the main campus, medical institutions in the country. The process
at Karaikal, a part of the Union Territory of for starting 6 new courses in 2019-20 has been
Puducherry, has been functioning since 2016. completed

JIPMER is one of the few public-sector JIPMER CONNAISSANCE 2019, third

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international undergraduate medical conference Government of India and is based on anonymous

was held on 12th to 14th April 2019. Dr. T.S feedbacks received from patients who have
Ravikumar, President AIIMS Mangalagiri was the attended various government hospitals. JIPMER
Chief Guest. About 1500 delegates participated also bagged the 2nd prize under the Kaya-Kalp
in the conference which offered 21 workshops in programme, which looks at hygiene & quality
across spectrum of topics in medicine. in various Government hospitals around the
country.
9th Convocation of JIPMER for Nursing and
Allied medical sciences was held on 16th June The Institute participates in a variety of patient
2019. 10th Convocation of JIPMER was held on insurance schemes, including the PM-JAY and
25th August 2019 for MBBS, MD/MS, DM/MCh the Tamil Nadu Chief Minister’s Health Insurance
and Ph.D courses. Prof. Vinod K Paul, Member Scheme.
NITI Aayog, Government of India was the Chief
A 3-Tesla MRI was installed and made functional
Guest.
in the new superspeciality expansion block;
Research Activities this will be particularly useful to patients
with neurological and neurosurgical diseases.
The 4th Research Day 2019 was celebrated with
A new highly-advanced Positron-Emission
focus on ‘Scientific Writing and Peer Review’.
Tomography-Computed Tomography (PET-
Symposia were held on ‘Pitfalls and Pratfalls of
CT) scan facility and a state-of-the-art Critical
Scientific Writing’, ‘Peer Review’ and ‘Ethics in
Care Unit (CCU) were commissioned during the
Biomedical Research’. During the celebrations, 10
year. To facilitate better patient care, an Online
awards in various categories and 25 GJ-STRAUS
Radiology Service (ORS) was started. Digital
awards for MBBS students were presented.
Display Systems were installed in various patient
JIPMER has MoUs with more than 30 Institutions care areas for providing information and health
in India and abroad, including Deakin University, education for patients, their attendants and
(Australia), Marrakech Hospital (Morocco), general public.
Institute for Financial Management and
Achievements
Research (IFMRLEAD), Indian Institute of
Technology, (Mumbai), FM Community Radio JIPMER International School of Public Health
Station Karaikal, Indian Institute of Technology, building constructed at the cost of Rs. 80.40 crore
(Chennai), and Broadcast Engineering is put into functional state. The Department of
Consultants India Limited. Construction of an Transfusion Medicine is shifted into new building
international hostel to facilitate visits by students of Blood Bank and Patient Information Centre,
and faculty from abroad has started. constructed at the cost of Rs. 9.08 crore.The project
work of Augmentation of Nuclear Medicine
Patient Care Activities
Department with PET-CT unit and Dual Head
JIPMER topped in the ‘Mera Asptaal’ ranking Gamma Camera completed on turnkey basis at
system; this evaluation is carried out by the cost of Rs. 23 crore and opened up for patient
the Ministry of Health and Family Welfare, care services.

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Kayakalp Award being given to Jipmer by Dr. Harsh Vardhan, Hon’ble HFM

15.4 VARDHMAN MAHAVIR MEDICAL Based on the needs and developments in medical
COLLEGE (VMMC) & SAFDARJUNG care the hospital has been regularly upgrading its
HOSPITAL, NEW DELHI facilities from diagnostic and therapeutic angles
in all the specialties. The hospital when started in
Introduction 1942 had only 204 beds, which has now increased
to 1531 beds. The hospital provides medical care
to millions of citizens not only of Delhi but also
the neighboring states free of cost. Safdarjung
Hospital is a Central Government Hospital under
the Ministry of Health & Family Welfare and
receives its budget from the Ministry.
Safdarjung Hospital has a Medical College
associated with it named Vardhman Mahavir
Medical College established in November 2001
Safdarjung Hospital was founded during the and a Sports Injury Centre (SIC) was inaugurated
Second World War in 1942 as a base hospital on 26th September 2010 to provide integrated
for the allied forces. It was taken over by the surgical, rehabilitative and diagnostic services
Government of India. Ministry of Health in under one roof for the management of sports
1954. Until the inception of All India Institute injuries and related joint disorders. The hospital
of Medical Science in 1956, Safdarjung Hospital has been upgraded under Redevelopment Work
was the only tertiary care hospital in South Delhi. (Phase-I). It comprises of Super Specialty Block

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(with 430+125 beds), state of art private block completed. The New Emergency Block has started
(206+22 ICU beds), Emergency Block (500 beds). functioning w.e.f. 07.2.2018. The Hon’ble Prime
The project had started with foundation stone laid Minister inaugurated the New Emergency Block
on 21st February 2014. The building structure of and Super Speciality Block w.e.f. 29.06.2018. Both
Emergency Block and Super Specialty Block is the blocks are now functional.

EM Emergency Block Super Speciality Block

There is a 24 hour laboratory facility besides round • 72 regular posts for Obst&Gynae created in
the clock ECG, Ultrasound, X-ray & CT Scan September 2019.
services. The departments of Obst & Gynaecology
• 01 post of Officer Incharge (Ambulance)
and the Burns have separate, independent
has been created in June 2019.
causalities. The hospital also provides the services
for cardiac catheterization, lithotripsy, sleep • A total of 931 Nursing Officer have joined
studies, endoscopies, arthroscopies, video EEG, the hospital.
spiral CT, MRI, colour Doppler, mammography
and BAC-T-ALERT microbiology rapid 15.5
DR. RAM MANOHAR LOHIA
diagnostic system. The hospital has added a new HOSPITAL, NEW DELHI
cobalt radiotherapy unit for the department of
The Hospital, originally known as Willingdon
Radiotherapy.
Hospital and Nursing Home since 1932 and, later
The Hon’ble Minister for Health & Family Welfare renamed as Dr. Ram ManoharLohia Hospital.
visited the hospital and inaugurated the following: The hospital has been expanded to a 1447 bedded
hospital, spread over an area of 37 acres of land.
• Distribution of free medicines started to The hospital caters to the needs of C.G.H.S.
patients undergoing kidney transplant. beneficiaries and Hon’ble MPs, Ex-MPs, Ministers,
• Programme of “Aao sath chale” started to Judges and other V.V.I.P. dignitaries besides other
help the patients and attendants. general patients. The Nursing Home, including
Maternity Nursing Home, has 75 beds for the
• The institute got Kaya Kalp Award and a CGHS and other beneficiaries.
prize money of Rs. 50 lakhs was given.
The hospital provided health care services to
• 10 regular posts of Pharmacist created in approx. 16.53 lakh outdoor patients including
June 2019. emergency and casualty and admitted around

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76,214 in-door patients during the period of made functional.

January to 15th October, 2019.
• Day Care Unit has been started for the
The Hospital has round-the-clock emergency Cardiology patients.
services and a policy not to refuse any patient
• Blood Bank has been expanded to
requiring emergency treatment irrespective of the
accommodate more blood donors.
fact that beds are available or not. All the services
in the hospital are free of cost excepting nursing • Neurology OPD has also been renovated.
home treatment and some nominal charges for
• SwachhtaPakhwada was observed in Dr.
specialized tests.
RML Hospital.
Further, the total number of Lab investigations
• HLL Lab services will start to function
and X-rays carried out during the period January
within next 3 months.
to October, 2019 was 87,37,275 and 2,36,210
respectively. 15.5.1
ATAL BIHARI VAJPAYEE
Services INSTITUTE OF MEDICAL
SCIENCES (ABVIMS)
The hospital provides services in various specialties
and super specialities covering almost all the (Erstwhile Post Graduate Institute of Medical
major disciplines such as Accident & Emergency Education & Research (PGIMER)
Services, Anaesthesia services, Dermatology, PGIMER started functioning from the academic
STD & Leprosy, Eye, ENT, Family Welfare, year 2008-2009 with an objective to provide
General Medicine, General Surgery, Gynaecology post graduate teaching in the science of modern
& Obstetrics, Orthopaedics Paediatrics, medicine and other allied sciences. The Institute
Psychiatry, Physiotherapy, Physical Medicine is presently affiliated to Guru Gobind Singh
and Rehabilitation, Dental, Neonatology, Indraprastha (GGSIP) University, Delhi. In the
Neuro-surgery, Burns & Plastic Surgery, year 2008, the Government of India sanctioned a
Cardiology, Cardio-Thoracic & Vascular Surgery, total of 28 PG degree/diploma seats and 2 seats
Gastroenterology, Neurology, Paediatric Surgery, in super-specialty courses. At present, it has
Psychiatric Social Worker, College of Nursing, 168 seats of PG degree/diploma courses and 44
B.Sc, DPN, Urology, Nephrology, Endocrinology, seats for super specialty courses. New courses
Rheumatology, Respiratory Medicine, Diabetic have been started in MD (Biochemistry), DM
Clinic, ARC Clinic, Heart Clinic/Hypertension (Neonatology), DM (Cardiac Anaesthesia) and
/ CAD Clinic, Prostate clinic, Tumor board, etc. DNB (Critical Care)
In addition, the hospital also provides diagnostic
services like Microbiology, Histopathology, From the session 2019, Under Graduate course
Hematology, Cytology, Biochemistry, Blood Bank with intake of 100 students has been started in
etc. the Institute. The name of the Institute has been
changed from Post Graduate Institute of Medical
New Achievements Education & Research (PGIMER) to AtalBihari
• Now, Dr. RML Hospital also boasts of Super Vajpayee Institute of Medical Sciences (ABVIMS).
Specialty OPD. The same was inaugurated by the Hon’ble Minister
for Health & Family Welfare on 16.08.2019.
• Medical Super Specialty Ward has been
The Institute is on board the National Medical

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College Network. Further, construction of New by the EFC in its meeting held on 18.02.2019.
Hostel Block in PGIMER is underway at a total The tender for the same has been floated by the
cost of Rs. 181 crore with 824 rooms. CPWD, the Project Management Consultant. The
SSB includes about 623 beds and 18 Operation
The plan to construct a Super Specialty Block
Theatres.
with an outlay of Rs. 572.61 has been approved

Hon’ble Minister Dr. Harsh Vardhan interacting with the first batch of MBBS students

15.6
LADY HARDINGE MEDICAL College, which is affiliated to the University
COLLEGE AND ASSOCIATED of Delhi since the year 1949, has continued
HOSPITALS to admit students from all over India, as well
as from foreign countries.
• The Lady Hardinge Medical College, New
Delhi was established in the year 1916 with • Lady Hardinge Medical College also has a
a modest beginning of just 14-16 students. Nursing College , conducting B.Sc (Nursing)
Over the years, the Institution has matured as Course. The annual admission capacity is 60
pioneering Institute for Medical Education students per year.
for MBBS girl students. In 1970 number of • The institution’s hospital viz. Smt. Sucheta
UG admissions further increased to 130. It Kriplani Hospital is having bed strength
further increased to 240 for implementation of 877 with various specialties and super-
of EWS Reservation and 153 PG Students specialties.
in various specialties in the year 2019. The

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• The institution also provides comprehensive Harsh Vardhan and Shri Ashwini Kumar
health care to the community by providing Choubey, Hon’ble Minister of State Health
health care facilities at Urban Health Centre- & Family Welfare.
Kalyanpuri, Primary Health Centre – Palam
• Direct Digital Radiography (DDR) machine
and Mehrauli.
installed in 2019 and put for patient care
The Major Achievements are as Follows: service in the department of Radiodiagnosis.
Infrastructure & New Initiatives Undertaken: • Hospital is running Geriatric Clinics on
all Sundays 9:30AM-1:00PM (Medicine,
• The construction of incomplete part of CRP
Surgery, Obstt. & Gynae, ENT, Eye,
of LHMC was started in this year which will
Dermatology, Orthopaedics, Dentistry &
give the public 5 new buildings consists of
Psychiatry.)
Academic block, Oncology Block, Accident
& Emergency, Indoor patient & Outdoor • Department of PMR started Neuro-
Patients Block. rehabilitation OPD in 2019 in collaboration
with Department of Neurology in LHMC
• Hospital has started OST Clinic for the
on every Tuesday and started rehabilitation
treatment of Opioid users from February
services in Neurology ward in Smt.
2019 in the Department of Psychiatry.
SuchetaKriplani Hospital.
• 3-Tesla-MRI Machine installed in 2019
• World Brain Day was celebrated on
and put for patient care services in the
22.07.2019 and a public lecture on ‘Brain
Department of Radio diagnosis. This was
Health’ and a Walkathon was held in the
inaugurated on 28th August, 2019 by Hon’ble
department of Neurology.
Minister of Health & Family Welfare Dr.

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• DBT NIDAN KENDRA   GENETIC LAB It has a storage capacity of 13000 kg Liquid Oxygen
was inaugurated  by Honorable Minister and centralized supply of oxygen is made at more
of Health and family welfare  and Science than 250 beds in all wards/units of Kalawati Saran
and Technology Dr. Harsh Vardhan on Children’s Hospital in August 2019.
23rd Sept, 2019 in the Department of
A new air conditioned Patient care Givers waiting
Biochemistry.
area has also been inaugurated by Dr. Harsh
KALAWATI SARAN CHILDRENS’ HOSPITAL Vardhan and Sh. Ashwini Kumar Choubey.
(KSCH)
15.7 NATIONAL INSTITUTE OF MENTAL
Kalawati Saran Childrens’ Hospital is a HEALTH & NEURO SCIENCES,
premier referral Childrens’ Hospital of national BENGALURU, (NIMHANS),
importance. The hospital started functioning in
BENGALURU
the year 1965 for imparting medical care service
exclusive for paediatrics patients upto 18 years of NIMHANS is a tertiary care hospital in the fields
age. At present it has 375 beds. of psychiatry, neurology and neurosurgery with
their allied fields and teaching, research and
KSCH is one of the busiest children hospitals in
community oriented activities being the main
the country and caters to a daily OPD attendance
thrust of the Institute. The objective of the Institute
of 800-1000 children and 80-100 new admissions
is to provide comprehensive patient care services
per day from Delhi and neighboring states. The
and to promote the growth and development of
hospital is a sentinel centre for poliomyelitis,
Mental Health and Neuro Sciences. During the
tetanus, and measles. It has the unique distinction
year 2018-19, a total of 5,85,020 patients from
of having state of art pediatric intensive care
various parts of the country and across the world
and a separate pediatric emergency with direct
received specialized medical care at the Institute
inflow of patients round the clock. It also houses
for psychiatric and neurological problems. The
the Diarrhea Training and Treatment centre by
nursing cadre of the Institute has been re-
WHO and Govt. of India as a training centre for
structured by creating 210 additional posts.
diarrhoeal disease. The hospital has also served as
Construction of common laboratory complex
a training centre for ARI, UIP and other National
at a cost of Rs.62.88 crore and specialty Block in
Health Programmes.
Psychiatry at a cost of Rs.41.32 crore has also been
Kalawati Saran Childrens’ Hospitals is designated approved.
the National Nodal Centre for Facility Based
Newborn Care. 15.8
CENTRAL INSTITUTE OF
PSYCHIATRY (CIP), RANCHI
New Initiatives
The Central Institute of Psychiatry, Ranchi is a
The Centralized Medical Gas Pipe Line System premier Institute in the field on Mental Health
has been installed with fully upgraded latest in India. It provides clinical services for mental
technology equipment. Dr. Harsh Vardhan, and neurological disorders, trains manpower in
Hon’ble Minister Health & Family Welfare and the field of mental health and carries out research
ShriAshwini Kumar Choubey, Hon’ble Minister programmes. The Institute has a bed capacity of
of State for Health & Family Welfare inaugurated 643. During 2018-19 inpatient admission was
this system on 28th August, 2019. 4312 in 2018-19 and total OPD attendance of
94432. The services provided by the Institute

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include clinical care, special clinics including (2019-20) with 50 seats has started at six new
addiction psychiatry, child and adolescent AIIMS viz. Raebareli, Kalyani, Gorakhpur,
psychiatry, geriatric psychiatry and 20 such clinics, Bathinda, Deoghar and Bibinagar in
community outreach programmes, emergency addition to academic session for MBBS
services etc. course at AIIMS Mangalagiri and AIIMS
Nagpur with 50 students in 2018-19.
15.9
PRADHAN MANTRI SWASTHYA
SURAKSHA YOJANA (PMSSY) o Construction is progressing in full swing
in 9 AIIMS, viz. AIIMS Raebareli, Nagpur,
The Pradhan Mantri Swasthya Suraksha Yojana
Manglagiri, Kalyani, Gorakhpur, Bathinda,
(PMSSY)  aims at correcting the imbalances in
Bilaspur, Guwahati and Deoghar.
the availability of affordable healthcare facilities
in different parts of the country in general, and (B) Up-gradation of existing State Government
augmenting facilities for quality medical education Medical College/Institutions (GMC): 75
in the underserved States in particular. PMSSY, Projectshave beenconsidered under this
a Central Sector Scheme, has two components: component
Setting up of AIIMS like Institutions; and Up-
o Construction works of Super Specialty
gradation of existing Government Medical
Block/Trauma Center completed so far
Colleges/Institutions in a phased manner.
in 12 GMCs during this year in addition
(A) Setting up of AIIMS like institutions: Total to 31 GMC Projects already completed in
22 new AIIMS have been announced so far previous years, under Phase – I, II and III of
PMSSY.
o Six (6) AIIMS (AIIMS-Bhopal, AIIMS-
Bhubaneswar, AIIMS-Jodhpur, AIIMS- o 17 new Government Medical Colleges/
Patna, AIIMS-Raipur and AIIMS- Institutes taken up for up-gradation under
Rishikesh) approved under Phase-I are Phase-IV, V(A) & V(B) out of which
already functional. work has been awarded for 14 GMCs up-
gradation projects.Out of these, the Up-
o Sixteen (16) additional AIIMS announced
gradation Project at IMS BHU is completed
so far; out of which Fifteen (15) already
during this year.
sanctioned; 01 more AIIMS in Bihar -
awaiting land allotment. Setting up of new AIIMS :
o During this year, Project Management Phase-I:In the first phase of PMSSY, establishment
Consultants (PMC) were appointed for of six AIIMS, one each at Bhopal, Bhubaneswar,
2 more new AIIMS Projects, viz. AIIMS Jodhpur, Patna, Raipur and Rishikeshwas taken
Rajkot, AIIMS Bibinagar. up, an approved cost of Rs. 820.00 crore per
AIIMS. Academic session for MBBS at the six
o OPD services started in AIIMS Nagpur in
AIIMS was started in September, 2012 for 50
2019-2020 in addition to AIIMS Raebareli,
students and 100 students each in subsequent
AIIMS Mangalagiri and AIIMS Gorakhpur
years and B.Sc (Nursing) for 60 students started
commenced in 2018-19.
from September, 2013.
o 1st session of undergraduate MBBS course

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The total bed capacity of 6 AIIMS is at present The present status of facilities and services of six
4707 and likely to reach sanctioned bed capacity AIIMS established under Phase – I of PMSSY is
of 5760 during this year. brought out in the table / graph below:

Sl. AIIMS HOSPITAL FACILITIES

No. No. of No. of MOT No. of Super No. of Speciality
Beds Speciality Functional
Sanctioned Functional
(Out of Functional (Out of 18)
960) (Out of 17)
1 Bhopal 604 24 24 13 16
2 Bhubaneswar 837 25 15 16 18
3 Jodhpur 714 30 4 15 18
4 Patna 816 28 28 13 18
5 Raipur 800 28 28 11 18
6 Rishikesh 900 25 25 17 18

Hospital services in these 6 AIIMS are operating an average, more than 15000 patients are visiting
with substantial capacity as all the Specialities and OPD daily besides more than 15000 patients
most of Super-specialities are functional at each getting treatment in IPD every month.Also,
of these six AIIMS. Basket of services in these about 8000 majorand minor surgeriesare getting
six AIIMS has been expanded and presently, on performed every month in these six AIIMS.

Figure 1: Six AIIMS- OPD & IPD Census

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Figure 2: Six AIIMS- Surgeries - Major & Minor

*to be updated
Other New AIIMS under Phase-II, IV, V, VI approved by Cabinet. The details including their
&VII : current progress is given in the Annexure - I:
In addition to the six AIIMS sanctioned in Phase – The progress status of all 21 approved AIIMS is
I, Sixteen (16) more AIIMS have been announced, given below:
out of which 15 AIIMS havebeen sanctioned/

Fully Functional AIIMS where MBBS AIIMS where only Activities in progress
AIIMS Classes as well as OPD MBBS Classes (7)
(6) Started started
(4) (4)
 Bhopal  Raebareli*  Bibinagar  Bilaspur*
 Bhubaneswar  Gorakhpur*  Bathinda*  Guwahati *
 Jodhpur  Mangalagiri*  Kalyani*  Rajkot
 Patna  Nagpur*  Deoghar*  Samba (Jammu)
 Raipur  Awantipor(Kashmir)
 Rishikesh  Madurai
 Manethi**
*Construction for main building in progress, ** Alternative site being selected
Up-gradation of Government Medical Colleges construction of Super Specialty Blocks/Trauma
(GMCs): Care Centres etc. and procurement of medical
equipment for existing as well as new facilities
Up-gradation programme broadly envisages
onCentre and State share basis. The present
improving tertiary health infrastructure through
Centre: State share is 60:40.

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75 GMC Up-gradation projects have been Financial Year in following 12 GMCs:

sanctioned so far. The progress is summarized in
the table below: Projects completed upto 31st March
31
2019
The completion timeline of all 75 GMC Up-
Projects likely to be completed during
gradation Projects is given below: 22
the year 2019-20
Construction works of Super Specialty Block/ Projects likely to be completed during
Trauma Centers completed during current 22
the year 2020-21

S. Name of the GMC/Institute Executing Agency Phase Project Cost

No.
1. VIMS Bellary (Karnataka) HITES III Rs. 150 cr
2. GMC, Aurangabad (Maharashtra) HSCC III Rs. 150 cr
3. GMC Akola (Maharashtra) CPWD III Rs. 150 cr
4. GR Medical College, Gwalior (Madhya Rs. 150 cr
HSCC III
Pradesh)
5. GMC Udaipur (Rajasthan) HSCC III Rs. 150 cr
6. MLB Medical College, Jhansi (UP) HSCC III Rs. 150 cr
7. IMS-BHU, Varanasi (UP) CPWD V(A) Rs. 200 cr
8. GMC Malda (WB) CPWD III Rs. 150 cr
9. PDU Govt. Medical College, Rajkot (Gujarat) HITES III Rs. 150 cr
10. PGIMS Rohtak (Haryana) HLL II Rs. 150 cr
11. BS Medical College, Bankura (WB) CPWD III Rs. 150 cr
12. GMC Guwahati (Assam) HSCC III Rs. 150 cr

Financial Progress percentage under the PMSSY scheme has

substantially increased over the years as brought
The budgetary allocation and utilization
out in the following graph and table:

Financial Year Budget Estimates Budget EBR (HEFA Loan) sanctioned / utilized
Expenditure
2014 - 15 1956.00 822.00 0.00
2015 - 16 2206.00 1577.00 0.00
2016 - 17 2450.00 1953.00 0.00
2017 - 18 3975.00 3160.00 0.00
2018 - 19 3825.00 3798.63 1015.00
2019 - 20 4000.00 3330.35** 2790.00
**As on 05.12.2019
In the current financial year (2019 – 20) around utilized by first eight months i.e. upto November,
83.26% of the budget allocation has already been 2019.

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Annexure – I

Phase AIIMS Date of Approved Approved Status and Progress of work

Cabinet Cost Timeline
Approval

AIIMS, 05.02.2009 823 March, • OPD & Residential block completed.

Raebareli [Revised Cost 2020 • OPD inaugurated by Hon’ble PM on 16.12.2018.
Estimates
(RCE) was • Medical College / Hospital under construction
Phase-II
approved Progress – 66%

by EFC on • Target Date of Completion (TDC) – March,
22.06.2017] 2020
AIIMS, 07.10.2015 1618 60 Months • Progress of work:
Mangalagiri, Sep, 2020 Phase I - OPD Block & Residential Complex:

Andhra 80%
Pradesh
Phase II – Hospital and Academic Campus:

40%
• New MBBS batch (50 students) started in
August, 2018.
• OPD started in March, 2019.
AIIMS, 07.10.2015 1577 60 Months • Progress of work:
Nagpur Sep, 2020 Phase I - OPD Block & Residential Complex:

(Maharashtra) 90%
Phase II – Hospital and Academic Campus:

44.7%
Phase-IV
• New MBBS batch (50 students) started in
August, 2018.
• OPD started in Sep, 2019.
AIIMS, 07.10.2015 1754 60 Months • Progress of work:
Kalyani (West Phase I - OPD Block & Residential Complex:

Bengal) 69%
Sep, 2020
Phase II – Hospital and Academic Campus:

45%
• New MBBS batch started.
AIIMS, 20.07.2016 1011 45 Months • Construction in EPC Mode in progress
Gorakhpur April, 2020 (54.46%)
(Uttar
Pradesh)
AIIMS, 27.07.2016 925 48 Months • Construction in EPC Mode in progress
Bathinda June, 2020 (47.05%)
(Punjab)
Phase-V AIIMS, 24.05.2017 1123 48 Months • Master Plan & Concept Design finalized.
Guwahati April, 2021 • Tender awarded under EPC mode on
(Assam) 18.01.2019.
• Work in progress (10.7%)

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AIIMS, 03.01.2018 1471.04 48 Months • Cabinet approval obtained on 03.01.2018.

Bilaspur (H.P) Dec, 2021 • Boundary wall work in progress.
• Design consultant appointed.
• Master plan finalized.
• Tender awarded under EPC mode on
23.01.2019.
• Work in progress. (20%)
AIIMS, Tamil 17.12.2018 1264 45 Months • Site finalized at Madurai.
Nadu Sep, 2022 • Pre-investment work in progress.
• Process initiated for availing loan through JICA
for the establishment work of AIIMS.
AIIMS, Bihar -- -- State Government yet to identify land for AIIMS
AIIMS Jammu 10.01.2019 1661 48 Months • Pre-investment activities in progress.
Jan, 2023 • Design Consultant appointed.
• Master plan finalized.
• Financial bids received for the tender floated by
CPWD.
AIIMS 10.01.2019 1828 72 Months • Pre-investment activities in progress.
Kashmir Jan, 2025 • Design Consultant finalized.
• Master plan finalized.
• NIT being prepared by CPWD.
AIIMS, 16.05.2018 1103 45 Months • Pre-investment activities in progress.
Jharkhand Feb, 2022 • Executing Agency for main work appointed.
• Design Consultant appointed.
• Master Plan finalized.
• Construction Agency appointed.
• Work in progress – 6%
Phase-VI
AIIMS, 10.01.2019 1195 45 Months, • Site finalized at Khanderi
Gujarat Oct, 2022 • Pre-investment activities in progress.
• Executing Agency for the main work appointed.
AIIMS, 17.12.2018 1028 45 Months • Site finalized at Bibinagar.
Telangana Sep, 2022 • Pre-investment work in progress.
• Executing Agency for the main work appointed.
Phase-VII AIIMS, 28.02.2019 1295 48 Months, Encumbrance free land yet to be handed over by
Manethi Feb, 2023 State Govt.
(Haryana)

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Other Health Institutions 16

16.1
ALL INDIA INSTITUTE OF The Institute is actively involved in disability
PHYSICAL MEDICINE AND rehabilitation related research work and is
REHABILITATION (AIIPMR), recognized by Department of Science and
MUMBAI Technology (DST), Govt. of India as a research
institute.
All India Institute of Physical Medicine and
Rehabilitation, established in 1955 as a pilot FACILITIES
project with technical expertise and manpower The Institute is one of the best equipped
support from United Nations Organization, came rehabilitation centres in India. It provides
under the administrative control in 1959. comprehensive rehabilitation services to Persons
This apex Institute in the field of Physical with Disability (PWDs) with departments that
Medicine and Rehabilitation is well recognized include: Physical Medicine & Rehabilitation,
for its commitment to provide comprehensive Radiology, Pathology, Anaesthesiology,
rehabilitation services to persons with severe and Physiotherapy, Occupational therapy, Prosthetic
permanent locomotor disabilities. Along with & Orthotic, Speech Therapy, Medical Social Work,
this the Institute runs training courses, most of Vocational Guidance, Academic section with
them Post Graduate level, in Physical Medicine E-library, Vocational Training, Administrative
& Rehabilitation and allied rehabilitation fields. and Hindi department.

ANNUAL STATISTICS (April 19– October, 2019)

1. No. of PWD OPD P. Th. O. Th. Radiology Pathology Speech

(Assessed & 16686 17556 6550 No. of patients X-rayed Average No. of 1504
Intervened) - 2875 investigation per
Total No. day-68
X-rays-4000 No. of investigation
No. of USG done-815 done-10416
2 No. of Certificates Disability Driving Certificates Railway Cert. Other
issued Certificates Cert.
88 420 123 47
3 Surgeries Major Minor Minor OT Procedures
performed (Major 166 599 1186
& Minor)
4 No. of Aids Orthoses Prostheses Splints /Adaptive devices
& Appliances 1686 355 322
delivered

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5 Clinics P&O CP Diabetic Foot Clinic Case Conference Obesity

Clinic Clinic clinic
347 236 12 15 62
6 VTW deptt. No. of PWDs assisted Fabrication of Mobility aids and seating devices
for training &
employment
05 43
7 MSW deptt. No. of PWDs given Peer counselling and other training activities
financial assistance and conducted
ambulatory aids
116 2750

16.1.2 AUGMENTATION OF CAPACITY ossification, urinary complications etc.

I. Physiotherapy Department • The Detailed Assessment of Speed of
Handwriting –DASH was purchased &
New services launched in the department:
brought in use in October, 2019. It can
• Educational lecture to persons with stroke be used to help identify children with
and care givers handwriting difficulties and also provide
• Training of care givers of children with relevant information for intervention
cerebral palsy. planning. It is used to analyse the speed and
legibility of a person’s handwriting.
II. Prosthetic & Orthotic Department –
IV. Speech Therapy Department
Patient care services and fabrication of
appliances were improved by the addition of • New born screening centre for
following equipment: communication disorders was inaugurated
• Procurement of Flat Bed Oven for Mouldling in collaboration with All India Institute
/Draping of Thermoplastic Sheets. of Speech & Hearing (AIISH) Mysore on
09.08.2019.
• Prosthetic Designs for Congenital Pseudo –
Arthrosis of Tibia. In-service Training
• Use of double mouthed adapter for patients As a part of capacity building activities, 20 staff of
with long trans-tibial stumps. Institute were sent on various administrative and
III. Occupational Therapy Department academic training programmes.

• Standing wheelchair is a recent acquisition 16.1.3 RESEARCH AND DEVELOPMENT

in the department and is used for patients Research work on topics as given below has either
who are dependent on wheelchair. This is an
been completed or is going on:
electronic system which is battery operated
and allows person to stand while in the Occupational Therapy Department
wheelchair. Patients like the fully supported
standing given along with the mobility. It • A descriptive and comparative study
helps in building up their confidence and analyzing the performance of typically
keeps at by complications of heterotrophic developing Indian children on motor free

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visual perceptual test - 4 Physiotherapy Department

• A study to compare handwriting Areas of Research

components and to identify the common • Observational and interventional studies in
errors noticed in children from different adults and elderly - 1 study
medicines of school.
• Observational studies of autonomic
• Effectiveness of standing wheelchair in function, electrophysiological assessment,
achieving functional independence in trunk muscle strength, proprioception
patient with SCI. and trunk balance, in person with type II
Diabetic Mellitus - 3 studies
• Use of Jebson Taylor hand function test
to compare hand functions in people • Observational and interventional studies in
with carpel tunnel syndrome and healthy children with cerebral palsy - 4 studies
individuals. • Observational and interventional studies on
• To find the effectiveness of Occupational Pain management, Amputee Rehabilitation,
Therapy intervention in managing Kinesiological EMG in Musculoskeletal
conditions - 4 studies
childhood obesity in Indian Children aged
5-12 years. • Observational and interventional studies
Stroke Rehabilitation - 6 studies
• A comparative study to determine the
efficacy of hand arm bimanual intensive • Observational and interventional studies in
therapy (HABIT) and conventional Rehabilitation of persons with spinal cord
Occupational Therapy in children with injury - 1 study
Cerebral Palsy. Prosthetic & Orthotic Department
Physical Medicine & Rehabilitation • Low Cost Sports Prosthesis for Case of
Congenital Tibial Hemimelia
• Effect of stroke rehabilitation on caregivers
in terms of care giving burden& quality of • Mechanical Four Bar Linkage Prosthetic
life. Knee Joint with Extension Assist

• Comparative study of lung function using • Mechanical Shoulder Joint Using Disk
Brake Locking Mechanism for Shoulder
spirometry in children with and without
Disarticulation
cerebral palsy.
• Weight Activated Gait Initiative Prosthetic
• A prospective study of effect of common Hip Joint
lower extremity surgeries followed by
splintage and exercised on spasticity in • Portable Photo PodoScope
patients with spastic diplegic cerebral palsy. • Modified Partial Foot and Syme’s Prosthesis
• A study of prevalence of hip subluxation • Below Knee Bathing Prosthesis
in spastic cerebral palsy non ambulatory • Knuckle Bender Splint
patients and its correlation with spasticity in
• Casting Frame for CRS Socket
hip flexor and adductor group of muscles.

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Scientific Research, Publications & Presentations

Sr. Department Staff Guided Research

No.
Papers Papers Dissertation Invited Conference
Presented Published Completed Lecturers / Workshop
/ Seminars /
Attended
1 Medical Conf.- 02 W/s
a) PMR 00 01 02 01 -01
b) Radiology 01 01 -- Conf.- 01
2 Physiotherapy Department Conf.- 03
-- 02 06 04 W/s-03
Seminar -03
3 Occupational Therapy Conf.- 01
01 01 -- -- W/s – 01
Seminar -02
4 Prosthetic & Orthotic 05 -- 09 -- Conf.- 07
5 Speech Therapy -- -- -- 02 --
6 MSW -- -- -- 03 W/s - 01

Conferences, CRE Workshops held at this RTI applications received – 15, RTI applications
Institute replied – 12, RTI applications rejected– 04.

Sr. Activities Duration 16.1.5

DATA OF PERSONS WITH
No DISABILITIES IN THE INSTITUTE
(i) Balance – Physiotherapeutic 27th – 28th Staff No. of PWD’s % of
Perspective April, 2019 Strength employed PWDs
(ii) Neurodevelopmental 29th Group ‘A’ 50 02 4%
kinesiology September,
Group ‘B’ 59 00 0%
2019
Group ‘C’ 166 08 4.82%
(iii) CRE on Advance in the 19th – 28th
Prosthetic management of October, Total 275 10 3.64%
rotationplasty 2019 No PWDs have been appointed during 2019-20.
16.1.4 IMPLEMENTATION OF RIGHT TO ATN’s in respect of the audit observations
INFORMATION ACT. (RTI)
Action taken note is enclosed.(ANNEXURE –I)
Institute is responding to information sought
Gender issues
by the applicants. Nominated Central Public
Information Officer (CPIO) duly assisted by the Female members are included in selection
committee members provides such information. committee for recruitment and academic courses.

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All the special facilities admissible to lady 16.1.6 ACADEMIC ACTIVITIES

employees are provided by the Institute. A sexual
Details of Students for the year 2019-20:
harassment committee is constituted with a senior
lady officer as chairperson.

Sr. Name of Recognized Duration Intake Student on Roll Passed out

No Course by/ Course (yrs) Capacity(A/Y) student in
affiliated to April 19-March 20 Summer
2018 Exam
1 MD MUHS, 1st yr 01
(PMR) Nashik 3 02 2nd yr 02 01
3rd yr 02
2 MPTh MUHS, 1st yr 06
Nashik 2 06 06
2nd yr 12
3 MOTh MUHS, 1st yr 02
Nashik 3 04 2nd yr 02 03
3rd yr 02
4 MPO MUHS, 1st yr 03
Nashik/RCI 2 04 01
2nd yr 04
*5 BPO MUHS, 1st yr 25
Nashik/RCI 2nd yr 29
4 30 3rd yr 18 18
4th yr 26
Internee 09
6 FCR PT MUHS, 1 15 1st 02 01
Nashik
7 FCR OT MUHS, 1 15 1st 00 NA
Nashik
8 DHLS (AYJNIHH)/ 1 25 1st 04 Result awaited
RCI
* RCI inspection was conducted and approval was received for 5 years for DHLS programme.
Proposal for increased in intake capacity of MD (PMR) course from 2 to 4 seats is accepted by Government
of Maharashtra and acceptance from MUHS, Nashik and MCI, New Delhi is under process.
16.1.7 OTHER ACTIVITIES OF STAFF Other activities
AND STUDENTS Swacchata Pakhwada International Yoga day,
Hindi Department: Hindi Pakhawada celebration vigilance awareness week, Communal Harmony
by staff and students in September, 2019 under week, Unity Day, Constitution Day, World
which many competitions and activities to Physiotherapy Day, World Occupational Therapy
promote use of Hindi were conducted. Day, World Autism Day, 150 years of Mahatma
Gandhi Jayanti, Swachha Bharat Abhiyan and
International day of Persons with disabilities were
celebrated by staff & students.

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Awards and admitted a total of 198 students during the

period. National level entrance examinations were
 Shri Lukesh Kumnar Bhuyar, Brace Maker
conducted to admit students for B.Sc. (Sp. & Hg.),
& Fitter was a member of research team
M.Sc. (Audiology) and M.Sc. (SLP) programmes.
which has been given award for making Best
Totally, 4169 candidates attended the entrance
Screening Device during the 5 days MEDIC
examinations held across the country.
programme at IIT, Mumbai IN October,
2019. Totally, 179 short-term training/orientation
programmes and six workshops/seminars on
• Ms. Rutuja Raut stood First in MPTh (Neuro
various aspects of communication disorders were
physiotherapy) in MUHS.
conducted during the period.
• Mr. Bhavani Shankar Student of MPO of this
Research Activities
Institute has been awarded Gandhian Young
Technological Innovation Awards 2019 Thirty five funded research projects were
by Hon’ble Vice President of India for his completed and 39 projects newly initiated during
research project in Design of Appropriate the period. Also, 61 funded research projects
prosthesis for Elbow Disarticulation were progressing in different departments
Amputees which was his dissertation at of the institute. The funding for the research
AIIPMR. projects were sponsored by organizations such as
Department of Science and Technology, Govt. of
• The institute was awarded Rajbhasha
India and Indian Council of Medical Research, in
Shield and Certificate for the second time
addition to the funding given by the Institute.
by Narakas, Mumbai for excellent work in
Hindi (May 2019). The faculty, staff, researchers and students
published 35 scientific papers in various national
16.2 ALL INDIA INSTITUTE OF SPEECH and international journals, presented 31 scientific
AND HEARING (AIISH), MYSORE papers in scientific conferences and published
The All India Institute of Speech and Hearing four books/ book chapters during the reporting
(AIISH), Mysore is a leading organization in period. In addition, they delivered 49 invited talks
the country providing training, research, patient on various scientific events.
care and public education in communication Clinical Activities
disorders. Established as an autonomous
organization under the Ministry in the year 1956, The Institute offered a wide variety of clinical
the AIISH is one of the early implementers of ISO services for the persons with communication
9001-2015 certification among the government disorders and a total of 16162 new clients were
organizations in the country. It is also accredited registered for availing the clinical service during
by NAAC with ‘A’ grade. The major activities the period. The clinical services offered include
carried out by the Institute from 1st April to 30th speech and language evaluation (5219 cases)
November are detailed below. and therapy (4473 cases in 21353 sessions),
hearing evaluation (11088 cases) and listening
Academic Activities training (1938 cases in 9783 sessions). Other
The Institute offered three Diploma, two clinical services provided include psychological
Bachelor’s, four PG Diploma, three Master’s, three and otorhinolaryngological evaluation and
Doctoral and one Post-doctoral programmes rehabilitation. In addition, specialized clinical

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services on communication disorders were of the outreach service centers, preparation

rendered on augmentative and alternative and distribution of communication disorders
communication, autism spectrum disorders, related public education materials like manuals,
cleft lip palate and other craniofacial anomalies, brochures and pamphlets both in print and e-
cochlear implantation, dysphasia, fluency, formats, public lectures by experts on various
learning disability, motor speech disorders, issues in disabilities were organized to create
neuropsychological disorders, professional voice awareness among the public. Also, tele-diagnostic
care, voice disorders and vertigo. and rehabilitation services were delivered to
313 persons with disabilities in 1471 sessions at
Hearing Aid and Ear Mould Services
distant places.
Totally, 4479 clients were evaluated for hearing
Other Activities and Events
aids and 645 hearing aids were distributed under
the scheme of Assistance to Disabled Persons a. Celebration of Swachhata Pakhwada from
(ADIP) for purchase/fitting of aids/appliances of 1st to 15th April 2019. Shri Sudhansh Pant,
the Ministry of Social Justice and Empowerment, Joint Secretary, Ministry of Health and
Govt. of India and 1438 hearing aids under the Family Welfare, Govt. of India, visited the
AIISH Hearing Aid Dispensing Scheme. In Institute during the occasion.
addition, 4365 ear impressions were taken and ear
b. The Institute celebrated its 54th year of
moulds were made.
establishment on 9th August 2019. The
Educational Rehabilitation of Special Children day was marked by the launching of new
facilities, inaugurations of NBS Centres,
207 children with hearing impairment, cerebral
releasing of annual report and Dissertation-
palsy and intellectual disability underwent pre-
based articles.
school training. Preschool graduation ceremony
and a one-month summer camp were organized c. 8th All India Official Language Conference,
for the pre-school children of the Institute. organized by the Ministry of Health and
Family Welfare (MoHFW), Government of
Outreach Services
India, New Delhi was held at the Institute
The various outreach activities carried out from 30th October to 1st November 2019.
include organization of screening camps Nearly, 100 language experts from across
on communication disorders (20 camps), the country attended the conference
hearing evaluation of industrial workers (386 featuring presentation of papers followed by
clients), neonatal and pediatric screening for discussions on various languages.
communication disorders in various settings such
d. The Institute received Karyalaya Darpan
as hospitals/ immunization centres in Mysore,
Smrithi Chinn Puraskar and Karyalaya
outreach service centers of the Institute located
Jyothi Deepa Smrithi Chinn Puraskar for the
across Karnataka, and the newborn screening
better implementation of official language
centres across the country (39626 neonates/
from Rajbhasha Sansthan,  New Delhi. The
infants), school student screening (3584 students),
Institute won a number of prizes in the Dasara
anganavadi children screening (1134 children)
Horticulture Flower Show 2019, organized
and elderly screening (62 elders). In addition,
by the Department of Horticulture, Govt.
speech and hearing diagnostic and therapeutic
of Karnataka under ‘educational Institution’
services for persons residing in the nearby areas

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category. In addition, the faculty, staff and 10-month duration on Sanitary Health Inspector
students won awards for best scientific was conducted by the Institute and seven trainees
paper presentations. enrolled in the course. This year, 9 Workshops/
Seminars, involving 300 participants, were
e. Prof. Ajish K Abraham, professor in
conducted to strengthen Public Health and Public
Electronics and Acoustics was granted the
Health System. 65 dissertations/research and 198
Indian Council of Medial Research (ICMR)
short-studies in the field of Public Health were
Short Term ICMR-DHR International
conducted and 48 articles / papers contributed
Fellowship for Senior Indian Biomedical
to different journals during the year. 13 Experts
Scientists for the year 2019-20.
attended EMR duties in Bihar, MP, Orissa, etc.
16.3 ALL INDIA INSTITUTE OF HYGIENE during the year. 
& PUBLIC HEALTH (AIIH&PH), New Initiatives
KOLKATA
• Three new courses, namely, M.Sc. in Public
All   India Institute of Hygiene & Public Health, Health (Occupational Health), M.Sc. in
Kolkata established on 30th December   1932 is a Public Health (Health Promotion) and
pioneer institute of its kind dedicated to teaching, M.Sc. in Public Health (Maternal and Child
training, and research   in various disciplines of Health) are expected to be started from
Public Health and Allied Sciences. The teaching, the session 2020-21. The process of getting
training and research at AIIH&PH have the affiliation with the WBUHS is underway.
unique support of its field laboratories, namely, • Training on Disaster Management for
Urban Health Unit and Training Centre, Chetla District Health Officers/Equivalent Rank
and Rural Health Unit &   Training Centre, Singur. Officers of Easter & North Eastern regions
The   regular courses conducted by the Institute of India have been initiated under “Capacity
are as follows: Building for Public Health Emergency
Management” programme in collaboration
MCI   Recognised Courses: MD (Community with NIHFW, New Delhi and MoHFW.
Medicine), Diploma in Public Health (DPH),
MPH (Epidemiology)   • A Mental Health Unit has been started
in UHU&TC, Chetla for management
NON-MCI   Courses: M.Sc. in Applied Nutrition, psychiatric and psycho-social disorders
Master in Veterinary Public Health (MVPH),
• Immunization services has been expanded
Diploma in Health Promotion and Education,
by inclusion of Rota Virus and Td Vaccine.
Diploma in Dietetics (Dip-Diet), Diploma in
Health Statistics (DPH), Post Graduate Diploma • Injectable contraception - DMPA
in Public Health Management (PGDPHM). administration has been started in service
area of UHU&TC, Chetla
In addition to the regular courses, the Institute
also conducts various Short Courses/Training Other Achievements
Programmes on a regular basis for Capacity
• To strengthen the public health system
Development in the field of Public Health. This
through awareness programmes on various
year seventeen training programmes have been
issues relating to public health, during 2019-
conducted. As part of the initiative of MOH&FW,
20, the Institute has organised 11 awareness
a specialised skill based training course of
programmes.

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• The Institute has been functioning as an 2020 (till December, 2019).

International Centre for Yellow Fever
Epidemiology & Statistics Division comprises
Vaccination for travellers of Yellow Fever-
technical, training, statistical and computer
endemic areas since the initiation of the
sections. The division is involved in providing
program of vaccination by the WHO.
training in Leprosy/NLEP to medical and
During the reference period 1880 travellers
para-medical health professionals, conducting
got vaccinated at the centre.
operational research, monitoring and evaluation
• The Institute has been functioning as of NLEP, surveillance activities and necessary
Drinking Water Potability Testing Centre as software development for the programme and
per international guidelines. institute.
• Roof Top Solar Projects have been installed NLEP Training:
successfully at the main campus, BN
The Institute is having excellent infrastructure for
Campus, UHU&TC, Chetla and the hostel
carrying out training activities related to NLEP.
of the main campus and made operational.
The institute is actively involved in training of
• Junior residents participated as External State / District leprosy officers, Medical officers,
Monitor in IPPI rounds conducted by faculty of medical colleges, undergraduate & post
WHO. (4 such rounds done this year) graduate medical students and other paramedical
staffs.
16.4
CENTRAL LEPROSY TEACHING
AND RESEARCH INSTITUTE The consolidated NLEP training activities
(CLT&RI), CHENGALPATTU, TAMIL undertaken from April 2019 to December 2019
are given as under:
NADU
Central Leprosy Teaching and Research Sl. Name of the Training Batches Partici-
Institute (CLT&RI), Chengalpattu was originally No Course pants
established in 1955 by the Government of India NLEP Training for
under a Governing Body by taking over Lady 1 Health Supervisor’s (5 4 103
Wellington Leprosy Sanatorium established days)
in 1924. Later in 1974, CLT&RI was made a NLEP Training
subordinate office of the DGHS with the objective Post Graduates in
2 3 84
to provide diagnostic, treatment and referral Community Medicine
services to leprosy patients, trained manpower (3 days)
development for leprosy, control/elimination NLEP Training for
besides, research on various aspects of leprosy 3 Post Graduates in 2 28
and its control. Dermatology (2 weeks)
Training for Laboratory
The Institute has four technical divisions - Clinical, 4 Diagnostics/Molecular 5 35
Surgical, well equipped Laboratory with animal Biology
house and division of Epidemiology & Statistics.
Compulsory Rotatory
The Institute has a 124 bed hospital catering to Residential Internship
both indoor and outdoor patients round the clock. 5 56 149
(CRRI) Training (5
PERFORMANCE DURING THE YEAR 2019- days)

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Internship for 4. Collaborative research work 26-27

6 Physiotherapy(BPT) 6 52 on Leprosy disease modeling July,
Students (7 days) in collaboration with partner 2019
institutes at Sri Sathya Sai
One day Orientation
7 Institute of Higher Learning at
Visit-CLTRI/NLEP
Puttaparthi, Andhra Pradesh
MBBS Students &
17 391 5 Research review meeting and 30-31
Paramedical Students
collaboration with faculties August,
Outreach trainings from Sri Sathya Sai Institute of 2019
8 conducted by CLTRI Higher Learning, Puttaparthi,
faculty Andhra Pradesh
Medical Officers 8 251 6. Resource persons for National 28 June,
Lab technicians 3 116 level training for “Nikusth” – 2019
Online reporting system for
District Leprosy NLEP to health workers and 14- 15
Officers/Taluk Health data managers at the district & 24
2 190 October,
Officers/DNT staff for level in the state of West Bengal,
Karnataka LCDC Madhya Pradesh and Himachal 2019
Pradesh
Other Collaborative Trainings/Workshops/
Meetings conducted: The Institute had conducted PATIENT CARE SERVICES
CME/Workshops related to various topics of
Clinical Services
leprosy, recent advances in NLEP and research
methodology. Faculty support is also provided for The clinical division of the institute comprises
conducting training programmes: outpatient department, 8 in-patient wards with
124 bed capacity, nursing section and provision
Sl. Name of the training/ Date of of central kitchen facilities. The institute provides
No programme Training round the clock quality health care services to
1. Training programme on 11-12 leprosy affected patients in the form of diagnosis,
Administrative matters April, treatment and complication management. The
2019 outpatient and inpatient service particulars are
given in following table:
2. Brainstorming meeting on 8-9 May,
Leprosy disease modelling in 2019 Out-patient & In-patient services during the
collaboration with faculties year (till Dec 31st 2019)
from Public Health Foundation
of India (PHFI), IIT Patna and Sl. PARTICULARS Total
Sri Sathya Sai Institute of Higher No
Learning (SSSIHL), Puttaparthi, Out-patient
Andhra Pradesh.
1. Total No. of patients treated 4851
3. Research Protocol Development 20-22 2. New leprosy patients (PB – 8 & MB- 18
Workshop for faculties from May, 10)
various institutes 2019
3. Old leprosy patients 3765

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4. Govt. Leprosy Centre/ block 631 5. Electro-therapy/radiation 1526

patients
6. Splints & Slaps 567
5. Non Leprosy Cases 437
In-patient Micro-Cellular Rubber (MCR) Production &
Footwear unit:
1 Total Admissions 624
2. Total Discharges 628 The institute owns a small production unit for
3. Deaths Nil manufacturing MCR sheets, needed to provide
protective footwear for leprosy affected patients.
Surgical Services Quality assurance of MCR footwear is done. The
MCR Sheets are provided to various State Leprosy
The surgical division of the Institute comprises
Societies and Non-governmental organizations
of the wards & operations theatre, X-ray unit,
on request. Dedicated footwear and artificial limb
physiotherapy section, artificial limbs and
unit is available in CLTRI, to produce different
footwear section with Micro-Cellular Rubber
types of MCR footwear and prosthetics with
(MCR) Sheet manufacturing unit.
necessary modifications as per requirement of
The Institute is a recognized and referral centre leprosy patient are being supplied to beneficiaries
for Reconstructive Surgery (RCS) for patients free of cost. The annual production and supply is
affected with leprosy. In addition to RCS, other herewith given:
major and minor surgeries are also performed for
patients based on the eligibility. In order to reduce S. Particulars Total
the backlog of number of LAPs requiring RCS, No
outreach camps are conducted in association 1. MCR Sheet Production 570
with the states to identify the eligible beneficiaries
2. CLTRI use (Footwear section) 600
and motivate them for surgery. The number of
surgeries done during the year is given below: 3. Supply to other Govt. & Non Govt. 78
organizations
Sl. Description Total 4. Total MCR Foot wear provided 837
No. (in pairs)
1. Minor Surgeries 243 5. No. of Orthosis and Prosthesis 08
2. Major Surgeries including RCS 25 produced
3. Special surgical procedures 02 Laboratory Services
Physiotherapy services Laboratory division in CLTRI is well equipped
with state of art facilities ranging from basic
Sl. Description Total services to molecular biology level including PCR
No. no. amplification to support clinical and research
1. New case assessment 191 activities. Facilities for isolation, characterization
2. Follow up assessment 307 and drug sensitivity tests for cultivable
Mycobacteria are also available. These facilities are
3. Per and Post-op assessment 46 being utilized for patient care, various institutional
4. Wax Therapy 1506 and postgraduate research projects and for other
studies from collaborating institutes. Laboratory

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division participates in external quality assurance Ongoing Research Projects approved by IEC
program conducted by AIIMS, New Delhi [Intramural]:
and CMC, Vellore for Bacteriology, Serology, • Implementation Study of Surveillance of
Haematology and Biochemistry. A separate drug resistant leprosy among new and
Animal House with different animal colonies with retreatment cases in Tamil Nadu
provisions for animal experimental investigations
• Evaluation of Slit Skin Smear microscopy for
including Mouse Foot Pad inoculation for the
Leprosy in various district of Tamil Nadu
viability and drug susceptibility tests for M.
leprae is also available. The animal house was • Molecular Search for M.lepromatosis in
recently renovated and inspected by Committee various districts of Tamil Nadu
for the Purpose of Control and Supervision of • Viable Bacilli Load in MB patients at 6 & 12
Experiments on Animals (CPCSEA) for renewal Months of MDT by 16srRNA Assay
of registration of the facility. The total number • Diagnostic accuracy of Real Time PCR and
of investigations done during the year is given as High Resolution Melt Analysis for detection
under: of drug resistance in M.leprae
S. SECTIONS Total • Cadaveric Analysis of Neuropathic Ankle in
NO Specimens Leprosy
handled Research studies currently under progress /
1. Clinical Pathology protocol development
Skin Smear for M. leprae 1242 • Prospective Study to find the risk factors for
Grade II Disability and developing a model
Nasal Smear for M. leprae 170
to predict G2D among leprosy affected
2. Biochemistry 9070 persons
3. Haematology / Serology 3142 / 620 • Leprosy disease modelling – To study the
4. Bacteriology & 1337 impact of Single Dose Rifampicin, active
Mycobacteriology case finding and MiP vaccine at different
levels of coverage in terms of community
5. Histopathology& Molecular 81
prevalence and G2D among new cases for
biology
the state of Tamil Nadu
Research Activities: The institute had published • Comparative analysis of customized foot
over 400 scientific papers in national and wear and modular foot wear in the treatment
international journals since inception. Main of leprosy foot ulcers and deformities
focus is on operational research of leprosy / NLEP • Analysis of deformity certificates issued in
and recently several activities are facilitated to CLTRI for the past 2 years
strengthen the core domain of the institute. • Analysis of quality of life in Below Knee
Institutional Ethics Committee (IEC): The amputation cases done for Leprosy in CLTRI
IEC was reconstituted in November-2018 as per Collaborative research activities: CLTRI has
ICMR guidelines and training given as per ICH- collaborated with other partner institutions of
GCP guidelines. In 2019-20, one IEC Meeting was repute to advance research in the field of leprosy
conducted and 4 research protocols approved. and had finalized various research proposals.

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• “Addressing Malnutrition through M&E during 24.06.2019 – 28.06.2019.

Nutrition Sensitive Agriculture among
b. Monitoring of Leprosy Case Detection
leprosy affected persons in Tamil Nadu” in
collaboration with Dr. M.S. Swaminathan Campaign (LCDC) Activities: CLTRI
Research Foundation, Chennai officials participated as Level I/II monitors
for supervision of LCDC in various¬
• “In vitro cultivation” of M.leprae in artificial
culture medium using plant growth states and reports are submitted to Central
stimulators, plant growth promoters and Leprosy Division. The LCDC activities in
bio stimulators and Anti M. leprae activity the following states were monitored during
of Thulasi essential oil – “In Vivo study” 2019-20:
(collaboration with Dr. Jayapal, Mahatma
Sl. No State / UT LCDC
Gandhi Medical College, Puducherry) No. Monitoring dates
• “Machine learning methods for predicting 1. Delhi 2-5 Sept., 2019
Lepra reaction and developing mathematical
2. Chandigarh & Haryana 12-18 Sept., 2019
model for predicting lepra reaction based on
biological and immunological parameters” 3. Karnataka 16-20 Sept., 2019
(in collaboration with Sri Sathya Sai Institute 4. Maharashtra 16-21 Sept., 2019
of Higher Learning, Puttaparthi, AP) 5. Jammu & Kashmir 26-28 Sept., 2019
• Monitoring & Evaluation tool for NLEP 6. Tamil Kancheepuram 16-19 July, 2019
at district level with National Institute of Nadu District
Epidemiology, Chennai Thiruvallur 17-18, July, 2019
• Analysis of hematological parameters in District
cases of different types of leprosy (with
FIELD / OUTREACH ACTIVITIES: CLTRI
Chengalpattu Medical College)
is involved in carrying out outreach activities in
• Analysis of complete haemogram and
the specific field practice area, like case detection
peripheral smear in cases of leprosy and
surveys, field trials and field training activities and
in reaction (with Chengalpattu Medical
also conduction of special activities like Medical /
College)
Skin / RCS camps.
MONITORING AND EVALUATION (M & E)
OF NLEP ACTIVITIES: Intensive Case Detection Surveys at
Thirukazhukundram, Kancheepuram district
a. Routine M & E of NLEP : and surrounding urban, rural and tribal areas,
CLTRI has been involved in Monitoring and House hold & neighbourhood Contact Survey,
Evaluation of NLEP activities in Andhra Case holding activities and follow up, Grade 2
Pradesh, Telangana, Karnataka, Kerala and Disability investigation, Identification of eligible
Tamil Nadu states and Puducherry and persons for RCS and mobilizing for surgery and
Lakshadweep. The feedback was given to the Physiotherapy
District and State level program Officers and BUDGETARY ALLOCATION (2019-20). The
reports were shared with Central Leprosy budget allotted was Rs. 21.09 Cr for plan and Rs.
Division. The district of Chikmagalur, 30 Lakhs for capital works.
Karnataka state is visited by CLTRI team for

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16.5
REGIONAL LEPROSY TRAINING Centre for RCS in the State of Chhattisgarh. As
AND RESEARCH INSTITUTE OT being non-functional presently the Institute
(RLT&RI), RAIPUR, CHATTISGARH is undertaking RCS surgeries in camp mode
in various districts of Chhattisgarh and other
Regional Leprosy Training and Research Institute Indian states. Disability Prevention & Medical
(RLTRI), Raipur established in 1979, is one of Rehabilitation (DPMR) services are provided
the 3 RLTRIs in the country, established with to Persons Affected with Leprosy (PAL) in the
the aim to provide specialized care to the leprosy institute and during the camps.
cases, undertake research in the field of leprosy
and develop specialized manpower by imparting The institute is committed to the goal of leprosy
training to vertical leprosy staff, deployed all over free nation by empowering the health manpower
the country. After integration of leprosy with the and the community through competency based
General Health System 2005,the institute has training and IEC, undertaking need based
assumed its role to provide specialized quality research and providing quality care to Person
services to difficult to manage complicated Affected with Leprosy (PAL).
cases of leprosy and support to state system The institute has been designated as Regional
by undertaking technical monitoring and Office of Health & Family Welfare for state of
evaluation time to time. The institute continued Chhattisgarh and has been given responsibility of
to impart training to various health functionaries monitoring various national health programmes
viz. Regional Directors, State Leprosy Officer, in the state. Thus, at present institute is holding
District Leprosy Officers, Block Medical Officer, dual responsibility of RLTRI & ROHFW
Para Medical Personnel, Laboratory staff, (Chhattisgarh) with the existing manpower of
Physiotherapist and other categories of staff from RLTRI, Raipur. It is under the administrative
general health care system of various states. The control of Central Leprosy Division of Dte. GHS.
institute has undertaken operational and need
based research in the field of leprosy. Nationwide Table 1 Staff Position of RLTRI, Raipur (2019-
evaluation of leprosy has been done by the 20)
Institute after integration of NLEP in General
Group No. of post No. of post No. of
Health care system. As a subordinate office of
sanctioned filled post
Central Leprosy Division (CLD), the Institute vacant
has been involved actively in specials leprosy case
A 11 9 2 (18.1)
detections campaigns like MLEC and LCDC etc.
The institute is contributing towards achieving the B 11 3+1 8 (72.7)
target of less than one case of Grade II Disability (Contractual) 1
per million populations and zero child rates. C (& 57 25 + 2 32 (56.1)
D) (Contractual) 2
The institute has a hospital including OPD, 50
bedded indoor wards, a laboratory to undertake Total 79 37 + 3 42 (53.1)
(Contractual)
Microscopy confirmation of M. Leprae by skin
smear examination and an OT to undertake Staff Nurse/Nursing Officer, 2 Nursing Orderly
1

Reconstructive Surgeries for leprosy related

deformities which is closed for about 3 years and Budget:
is now under the process of renovation/repair. Institute has total sanctioned budget of Rs.
Institute has also been designated as one of the 7,29,00,000/- for RLTRI and Rs. 4,65,000/- for

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ROHFW for the year 2019-20. RLTRI ACTIVITY (April – December 2019)
New Initiative OPD services: Achievement
• Efforts for strengthening of diagnosis New Leprosy Cases detected 334
capacity and treatment of leprosy as per NLEP No. of MB cases in newly 227
guidelines: Non availability of Diagnosis detected cases
Capacity at the PHC is major reason for No. of PB cases in newly 107
delay in treatment and development of detected cases
Grade II Disability. The issue has been taken
No. of old cases provided 1447
up with the Secretary (Health), Govt. of
treatment
Chhattisgarh. Instructions have been issued
to the state and district authorities for General Patients 1165
diagnosing the leprosy cases at PHC level. Total patients attended OPD 2946
• Speeding up clearing of RCS backlog & IPD Services: Achievement
updating & line listing of eligible cases with No. of patients admitted for 37
the involvement of State Health authorities. RCS & Physiotherapy
District wise a list of 211 eligible cases of No. of patients admitted having 17
RCS has been obtained. Thereafter, RCS has Ulcers
been initiated in the camp mode at District No. of patients admitted having 17
Hospitals. ENL reaction
• Monitoring of 19 districts of Chhattisgarh Total No. of patients admitted 87
State has been done by the officers from in the Wards
RLTRI, Raipur and representative from Lab Services: Achievement
ILEP/WHO. This activity has been started No. of Microbiological 1255
on the initiative of Deputy Director General investigation undertaken
(Leprosy) DDG (L) since December 2018.
No. of clinical pathological 62
• Online Training of Medical Officers in investigation undertaken
collaboration with ECHO using their No. of bio-chemical 240
platform has been started. By using hub investigation
and spokes model, RLTRI is providing its Cross checking of Malaria 2165
services as expert to Primary care clinician Slides
/ health care providers of Maharashtra state.
Total No. of investigation done 3722
The First ECHO session was inaugurated by

DDG (L) and conducted on 6th Feb 2019.
Training Conducted: (April-December-2019)

No of No of Cadre No of Place
BATCH Days Trainees
7 3 Assistant Medical 107 Chhattisgarh
Officer
1 3 DLO 34 Haryana

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1 3 Medical Officer 31 Chhattisgarh

NUHM
9   Medical Officers 172 Chhattisgarh
3   Physiotherapist 56  Chhattisgarh
3   Physiotherapist 56  
4 1  MBBS Students 232 Pt JNM Medical College Raipur
1  1 Homoeopathic 32 Maharana Pratap Collge of Homoeopathy
students
1  1 PMW students 22 MK Veswsa Paramedical College Raipur
6   Students 288  CG
15  1 MBBS INTERNS 80 Pt JNM Medical College Raipur
15   MBBS INTERNS 80 -DO-
Nikusth 357 Rajasthan, Kerala, Uttar Pradesh, Jharkhand,
Andhra Pradesh, Meghalaya
33   Grand Total 975  
Participants

Reconstructive Surgery for Leprosy affected • Malaria day (on 25th April 2019)
patients at RLTRI, Raipur: Entomological Survey of the campus was
done in collaboration with the ICMR
Leprosy RCS in Camp 137 cases
followed by cleaning exercise and health
in FY 2018-19
talks
(In 10 camps organized in 7 districts)
• Swatch Bharat Pakhwada : Various activities
TECHNICAL SUPERVISION OF NLEP
from 1st to 14th April 19 was hold.
ACTIVITIES
• Dengue (16th May 2019) : Panel discussion
Four Districts were visited in the financial year
was held
2018-19 for supportive supervision of various
NLEP activities. The details are as under • World Environment days (on 5th June 19):
80 trees saplings -were planted within the
• Leprosy Case Detection Campaign
campus by leprosy cases and RLTRI officials.
(LCDC): 12 districts of 3 states ( Bihar
This was followed by pledge to take care of
Madhya Pradesh and Punjab) were
tree planted by each for one complete year. :
monitored for LCDC activity
Activity was covered in local news paper.
• 13th CRM 17-23 October 2019: Director
• International Yoga day (21st June 2019)
was part of CRM team of Chhattisgarh state.
: Yogic exercise as per directives was
Activities related with of Health days and weeks organised.
during current year 2019:
• World Heart day (30th September 2019):
• WHO day 2019: Awareness Campaign and Health talk and discussion was held.
Health Talks was organized.

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Performance of ROHFW Raipur (Year 2018-19)

Particulars No 
National Level Meeting attended 16
Liaison & State level Meeting attended 18
Coordination Instts. Visited for feasibility for New initiatives 4
Central monitoring teams coordinated 2
Review Meetings Review Meetings Conducted for State Programme Officer 9
DH & SDHs/Urban Leprosy Center 14
Instts Visited for CHCs 52
NRHM, IPHS, NLEP
monitoring etc PHCs 33
SHCs 37
RHM 4
NVBDCP 12
RNTCP 3
NLEP 18
No. of Districts
Visited to Review IDSP 1
NRHM and Disease NIDDCP 1
Control Programmes
Tobacco control 1
Elderly Programme(NPHCE) 1
Cancer, Diabetes,CVD & Stroke (NSPCDS) 1
Prevention of burn injuries 01
Training (NLEP) ( In house) 48
of trainees 454
Training Programmes
Blood slides of District Cross checked (Malaria) 3115
Undertaken Other
Blood slides found with Discrepancies 45
Labs found not conforming laid standards 1
ECs practising CC methods contacted 38
CC Users
ECs found fake/ denials 14

Field Verifications Children contacted for immunization 62

of Children for Children found fully immunized 62
immunization Mothers contacted to verify ANC Check-ups 62
ANC, PNC and
JSY following >1 Mothers found 3 ANC Check-ups & Given 100 Tabs IFA 62
yr Children cohort ANC mothers have complications 18
retrospectively Mothers Contacted for PNC check-ups by HW. 62

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Mothers have Hospital Delivery 62

Mother have visited for 3 PNC check-ups 38
Mothers contacted or verification of JSY 62
Mothers Have got monetary benefits o JSY 60
Epidemic reported 1

Special Activities There was improvement in consumption

A) Post MDA evaluation of districts of state coverage as compared to previous MDA
of Chhattisgarh (2019-20) round. All urban clusters had low coverage
than rural area. Lowest coverage was noted
Out of six districts, Raigarh district has
in Gurur ( Balod) block i.e 12%.
consumption coverage more than 90%.
The table shows the districts wise actual and reported coverage:

District Houses Total Eli- Drug Evaluation District

covered Population population Consumed Coverage Reported
surveyed Coverage
Jashpur 120 626 569 404 71 87%
Raigarh 120 651 606 549 90.5 94%
Janjgir Champa 120 719 656 472 71.9 91%
Durg 120 689 666 362 54.4 89%
Bemetara 120 638 610 295 48.4 85%
Balod 120 605 544 233 42.8 81%

Assessment of family planning services at CHC District HQ 2 2 2 1 7

& PHC level
District/Sub 2 2 2 1 7
Name No of Distt Hospital
PPIUCD

Condom
IUCD

of delivery
OCP

ECP

Health
CHCs 4 4 4 2 14
Facility PHCs 4 4 4 2 14
6 2509 93 227 140 29 1952
SHCs 4 4 4 2 14
Proposed Annual Action Plan (Year 2019-20) Till November 2019 districts were identified
A) Number of Districts visits and number of for technical supervision of National Health
Health Facilities to be visit Programmes by the Regional Director. The
purpose of the visit is to find out the gaps in the
Activities to be Q-1 Q-2 Q-3 Q-4 Total existing programmes for further improvement.
Carried out Then, on the basis of epidemiological data, thrust
State HQ As per need area of state and performance of districts/blocks,
priority districts were identified. Further, one

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PHC and one health sub-centre were identified • In-door- Total admission was 181
from selected block for assessment of facility as
• Reaction cases managed (OPD) - 288
per standard and implementation of national
episodes of reaction (Type I- 249 & Type II
health programmes.
-39)
(B) Client verification : A cohort of 10 mother
• Major surgeries - 15 & Minor Surgeries-116.
will be selected (sampling) from above
mentioned district and cross verified ANC, • DPMR- MCR Chappals distributed –72 and
PNC, Immunization, Iron and folic acid 128
tablets, temporary and permanent family
• Training: - Institute has conducted 5
planning methods etc were verified and
batches of NLEP training (one batch of
satisfaction of client also, (C) Post MDA
2 days residential and four batches of
EVALUATION - As per state need, (D)
1 day orientation training) where 107
Newer Initiatives of NHP: As per RD cell/
participants were trained. (Ayush-50,
MoHFW direction, (E) LCDC/ SPARSH
AMN’s -39 and Leprosy colony dressers
Abhayan – As per request of Central Leprosy
-18). Director of this Institute participated
Division, DGHS, New Delhi.
as National Trainer for SLO’s/DLO’s of High
16.6
REGIONAL LEPROSY TRAINING Priority Districts at Patna, Delhi, Gwalior,
AND RESEARCH INSTITUTE Bhubaneswar and Lucknow. Faculty of this
(RLT&RI), ASKA, ODISHA Institute participated as resource person in
NLEP training to doctors and paramedical
This Institute was established in the year 1977. staffs of Odisha. A total of 192 MOs and
At present there are 29 (Gr.-A-3, Gr.C-14 & Gr.C Paramedical staffs of Odisha were trained
(MTS)-12) staff in position out of 67 sanctioned in 7 batches. Director and Asstt. Director
posts. It has a 50 bedded hospital and average (PH) of the institute participated as Central
bed occupancy is about 34.84%. The Institute Monitor Level-II & I for monitoring of
provides both outdoor and indoor services to LCDC activities in state Punjab, Rajasthan
leprosy patients. The Institute also works as a and Odisha.
referral center for management of difficult to
diagnose leprosy cases, complicated & intractable 16.7
REGIONAL LEPROSY TRAINING
cases of reaction and ulcer cases. Thalidomide is AND RESEARCH INSTITUTE
given to intractable recurrent ENL reaction cases. (RLT&RI), GOURIPUR, WEST
Physiotherapy measures and MCR chappals BENGAL
are provided to needy patients. Various surgical
procedures are carried out regularly and RCS Regional Leprosy Training and Research Institute,
(reconstructive Surgery) camps have been done Gouripur, Bankura, in short, RLTRI, Gouripur
in the past. It also works as a nodal training and has a 50 bedded leprosy hospital, has been set up
research centre for leprosy. by Govt. of India in 1984 with the objective as
mentioned below:-
Brief activities performed by this Institution:- (1st
April 2019 to 31st December. 2019 ) a) To create sufficient trained work force of
different categories, including DLOs, BMOs
• OPD Attendance- 1458 (Leprosy-1062, & Medical Officers for better implementation
General patients -396) of NLEP activities in different Indian states,

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especially, in the North-Eastern States of Patients attended – 316, General Patients

India to eradicate/eliminate leprosy and attended – 340, RFT made - 07nos., Relapse
– 02.
b) To carry out operational research on leprosy
towards better understanding of the disease. • Laboratory Unit:- Slit Skin Smear done –
424 nos, (Included referred cases from other
The institute have been conducting ‘Training of
hospitals) Bio-chemistry has been done
Trainers’ for DLOs & BMOs, Medical Officers’
–381 nos, Clinical Pathology – 204 nos.
(three days course) and for Para Medical Workers
(five days course) throughout the year as per • Physio Unit: - Plaster – 03, Exercise – 2709,
schedule. These trainings programmes are for Muscle stimulation – 264, Infra Ray – 73,
state Govt. sponsored participants, with a view to Wax Therapy -608.
develop requisite skill as required towards better
• Training Imparted:-
implementation of NLEP activities. This institute
also arranged one day orientation training on ° Training imparted as per training
leprosy (NLEP), on request, for M.Sc./B.Sc./ schedule of the institute and under
GNM Nursing students, AYUSH students from NLEP Training given to MD(CM)/
different Govt. /Non-Govt. institutes. Beside MPH/DPH (PGT)students for two
this, the institute offers daily OPD services and days -15 nos.
referral services thrice in a week. This institute is
° PMW training on NLEP of 05 days
also running an indoor ward, as a tertiary center,
duration given to –Nil
towards management of complicated ulcer and
reaction cases of leprosy. Furthermore, towards ° NLEP training to DHP&E students
diagnosis and quality care, the institute runs one from AIIH&PH- To be held in
laboratory, one X-ray unit and one physiotherapy January,2020 (3days course).
unit. Last but not the least, the institute has an
ideal infrastructure for clinico-epidemiological ° Other training: - One Day Orientation
studies towards evolution of leprosy considering Training on leprosy (NLEP) was
it’s’ location and resources. given to B.Sc. nursing students (53
nos.) from BSMCH, Bankura (Govt.
In this connection, the performance report of the institution) during the year. A GNM
institute i.e. RLTRI, Gouripur, Bankura, West 3rd year student (95 nos.) was trained
Bengal, for the period from 1st April, 2019 to 31st in Nov. & Dec., 2019.
December, 2019, is furnished below-
16.8
VALLABHBHAI PATEL CHEST
Performance report of RLTRI, Gouripur,
INSTITUTE (VPCI), NEW DELHI
Bankura for the period from 1st April, 2019 to
31st December, 2019 during the year 2019-2020 The Vallabhbhai Patel Chest Institute (VPCI) is a
unique research institution devoted to the study
• Indoor: Admission - 126 nos., Discharge
of Chest Diseases and allied sciences. The VPCI
– 114 nos., Bed Occupancy Rate – 64.44% &
is funded by the Ministry of Health & Family
Bed Turn Over Rate – 3.8
Welfare, Government of India, New Delhi. This
• O.P.D:- New Case detected - 7 Nos. , Other is a maintained Institution of University of Delhi
Cases –04, Old leprosy patients attended- under Ordinance XX(2) and administered by a
889, MDT given – 90 blisters packs, Referral Governing Body constituted by the Executive

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Council, University of Delhi. During financial Yoga Therapy Research Centre, National Tobacco
year 2019-20, Govt. of India released Grants-in- Quit Line service, Multi-Disciplinary Research
aid to the tune of Rs. 65.50 crore to VPCI. Unit (MRU) continues to play their important
roles in effective VCH functioning. Thus, the
The Institute continues to conduct postgraduate
Institute continues to provide excellent diagnostic
courses MD, DM in Pulmonary Medicine, MD
and treatment services including critical care
in Biochemistry, Microbiology, Pharmacology,
management to patients from Delhi, other parts of
Physiology and PhD in Pulmonary Medicine,
the country and neighboring countries suffering
Biochemistry, Microbiology, Pharmacology,
from Respiratory Diseases
etc. The Institute also continues to organize
Conferences/Symposia/CMEs and Public Lecture The Institute started the Short Term Training
programmes to disseminate medical education to Programme (STTP) for Technicians on
its students and general public of the society. Pulmonary Function Test (three months) from 1st
April 2019 and so far five students were benefited
The Institute continues to conduct research on
from this course. The VPCI Canteen was
basic and clinical aspects of Chest Medicine,
inaugurated by Prof. Raj Kumar, Director, VPCI
in Pulmonary Medicine and allied subjects,
on 7th June 2019. The VPCI Canteen is dedicated
to develop new diagnostic technology and
to the staff members, students, visitors (including
disseminate scientific knowledge related to chest
patient relatives) of the Institute. Inauguration
medicine to other institutions in the country and
of Registration & Waiting Hall at VCH on 16th
to provide specialized clinical and investigative
September 2019.
services to patients. The research contributions
from the Institute are widely acclaimed. PATIENT CARE
With the aim to disseminate scientific knowledge  Diagnostic tests carried out in pathology
and latest developments in the field of chest department for patients in OPD, IPD,
diseases and allied sciences, the Institute continued Emergency and ICU of VP Chest Institute.
the publication of its reputed and indexed
• Blood Test 54702, Urine Test 587,
quarterly publication - The Indian Journal of Chest
Sputum Test 2889, Histopathology
Diseases & Allied Sciences, in collaboration with
1100
the National College of Chest Physicians (India).
 Patients attendee to the Cardiopulmonary
The Viswananthan Chest Hospital (VCH), the
Rehabilitation Clinic, VPCI
clinical wing of the Institute, is a tertiary care
Chest Hospital with state-of-the-art patient-care • Supervised Rehabilitation Sessions 51,
facilities. This 128 bedded Hospital with 24 hours Explained Breathing exercises 380
Respiratory Emergency services, continues to treat
 Total admissions (inclusive of inpatient &
almost 70,000 thousand OPD patients and 5000
outpatient admissions)
Indoor (General and Emergency Wards) patients
annually. The Institute also continues to provide • New Patients OPD, 13819, Old
diagnostic facility for the pandemic influenza Patients OPD 51861
H1N1 virus. The National Center of Respiratory
Allergy, Asthma and Immunology (NCRAAI),  Patients attendance in the wards
Allergy Clinic, Tobacco Cessation Clinic, Cardio- • General Wards, 2226, Emergency
pulmonary Rehabilitation Clinic, Sleep Lab., Ward 5365, I.C.U. 343, Emergency

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treatment provided 29588 the ongoing projects. Five scientific publications

of the Institute Faculty were published during
 A number of routine and specialized
this period. The Institute continues to publish its
investigations done at VCH during the year:
quarterly Newsletter regularly. Many of the senior
• Pulmonary function tests 23469, faculty members represented the Institute in
Arterial blood gases 20097, various Technical/Expert Committees on TB and
Bronchoscopy 393, Bronchoalveolar Respiratory Diseases and contributed towards
lavage 299, CT scans 1957, X-Rays defining the policies of TB Programme at National
23940, Electrocardiogram 3975, Level. As reviewers of the reputed National and
Polysomnogram 299, HIV testing international journals, the faculty also fulfilled its
1323, Clinical biochemistry 54702 editorial responsibilities.

16.9 NATIONAL INSTITUTE OF TB AND During the above period, 39,313 new patients
RESPIRATORY DISEASES (NITRD), attended OPD averaging 226 per day. Total OPD
attendance was 171720 averaging 987 patients
NEW DELHI
daily. 6030 TB cases were diagnosed and referred
NITRD is a tertiary care centre which provides to the respective DOTS Centres for treatment. A
high quality preventive, diagnostic curative total of 48026 microscopy tests, 8278 pulmonary
and rehabilitative services to the patients with and 4340 extra-pulmonary MGIT liquid cultures,
Respiratory Diseases especially Tuberculosis. The 9995 CB-NAAT tests, 9311 line probe assays and
total number of patients attending the Institute 2485 MGIT DST were done. Other investigations
has risen to more than 2.7 lakhs during the year carried out were 112830 haematology tests,
(average total number per day being 925), over a 209845 biochemistry tests, 3228 cytology tests,
50% increase in the last five years. 532 histopathology tests, 58639 X-Rays, 2520
Ultrasounds, 7288 PFT, 429
The Institute runs a daily OPD for diagnosis of
TB and Respiratory Diseases. Special Clinics like Bronchoscopies with 760 procedures, 7606 ECGs
Sleep Clinic, Lung Cancer Clinic, Thoracic Surgery and 125 Sleep studies. There were 4294 Indoor
Clinic, Allergy Clinic, Tobacco Cessation Clinic, admissions, 25286 Emergency patient visits, 375
Pulmonary Rehabilitation Clinic, Laser Therapy ICU admissions, 413 Major Thoracic surgeries,
Clinic and Pre- Anaesthesia Check-up Clinic 1514 patients alive on ART.
focus on various Non-Tubercular Respiratory
Achievements
Diseases. The Institute provides indoor treatment
to the seriously ill patients of Tuberculosis and • A National Operational Research Training
Respiratory Diseases through 470 beds in various was organized by “The Union” at NITRD
wards, Emergency and ICU. Institute runs Post- from 21st to 27th April 2019 for 25 doctors
Graduate DNB (Respiratory Diseases) Degree from all over the country.
Course since 1999 and is now admitting 19 DNB
students per year. In addition, two students per • RNTCP Modular trainings were organized
year are being admitted each to DNB (Thoracic by the Central TB Division at the Institute
Surgery) and DNB (Microbiology) courses. from 20th May to 1st June 2019 and from
19th to 31st August 2019 for doctors from
Thirty two new research projects (including those different parts of the country.
of DNB students as well as of Institute faculty)
were initiated during the period in addition to • The Institute organized a Public Lecture on

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“Smoking : Quit or Not to Quit” on 1st June caters to the human resource needs for TB
2019 that was attended by the audience of control and operational research in the region.
about 200 people. Since 1985, the Institute has been functioning
as a WHO Collaborative Centre for Training
• Department of Microbiology conducted and Research. The Institute is also involved in
a NTM Refresher Training Course on carrying out Operational Research on various
10th and 11th  June 2019 for 30 doctors of components of TB Control. The Bacteriological
Medical Colleges from North East States at Wing of the Institute has been recognized as
the Institute. a National Reference Laboratory for External
• Head (Thoracic Surgery), Dr. R. K. Dewan, Quality Assessment in the TB Control activity. It
participated as Organizing Committee also assists in establishing Intermediate Reference
Laboratory for Culture and Drug Sensitivity tests,
Chairman of the Mid Term CME of the
across the country to support Programmatic
ISTS on Thoracic Surgery from 11th to
Management of Drug Resistant TB (PMDT).
14th September 2019 as a part of SELSICON
2019. Department also conducted a The Institute has also been identified as the nodal
Cadaveric Workshop at DDU Hospital, centre for operational research related to RNTCP.
New Delhi and a Bronchoscopy Workshop The major activities as a nodal centre is to
at NITRD, New Delhi. organize workshops, prepare the research agenda
and dissemination of research data through
• A Training on ‘National ToT Guidelines for publications.
PMDT in India-2019’, organized by Central
TB Division, was held at NITRD from 24th Some of the important activities carried out by
to 27th September 2019 for 35 participants. Divisions/Units during the year 2019-2020 (till
31st October, 2019) are as given below:
16.10 NATIONAL TUBERCULOSIS
HRD AND DOCUMENTATION DIVISION
INSTITUTE (NTI), BENGALURU
The Institute has pioneered in the field of
National Tuberculosis Institute (NTI), Bangalore
Human Resources Development. It is involved in
is an organization under DGHS Established in
conducting the following training programmes
1959 This is a premier Institute in the field of
to the TB Programme Managers positioned at
Tuberculosis control in South East Asia, which
different parts of the country:
Training Activities:  

Sl. Name of the Training Date No. of

No. Participants
1.  External Quality Assurance (EQA) training 1st – 5th April 2019 11
Training on Capacity building for RNTCP th
2. 8 -12th  April 2019 23
Programme Managers 8-12 April 2019
National ToT of using Delamanid in age group 6-17 th
3. 8 – 10th April 2019 52
years
4. Comprehensive Training Course for Laboratory 22 April – 4 May 2019
nd th
12
5. Personnel (Solid Culture, Liquid Culture, LED-FM, 20th May-1st June 2019 8
6. LPA, CBNAAT) 19th – 31st August 2019 11

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7. 22nd April – 4th May 2019 38

8. 10th – 22nd June 2019 31
9. 22 July – 3 August 2019
nd rd
19
10. RNTCP Modular Training 19th – 31st August 2019 29
11. 14th – 26th October 2019 17
12. 26th – 30th August 2019 02
13. 16 -28 Sept 2019
th th
29
14. 6th & 7th May 2019 19
15. 9th & 10th May 2019 10
16. Training on interpretation and reporting of LPA 13 & 14 May 2019
th th
12
17. 16th & 17th May 2019 5
18. 17th 21st June 2019 6
19. 21 – 24 May 2019
st th
53
Training of Trainers (ToT) on Guidelines for PMDT th
20. 9 – 12th October 2019 42
in India-2019
21. 2nd – 5th July 2019 41
22. National Workshop for IEC Officer 6th – 8th June 2019 30
23. Preventive Maintenance of Binocular 24 – 28 June 2019
th th
20
24. 29th -31st May 2019 27
25. 12th – 14th June 2019 12
National Training on Procurement and Supply
26. 26th – 28th June 2019 29
Chain Management on Nikshay Aushadhi’
27. 8th – 11th July 2019 21
28. 16th – 19th July 2019 19
29. NRL CC meeting 24 & 25 June 2019
th th
31
Officials
30. Consultative meeting 11 – 12 July 2019
th th
from CTD,
ESI and NTI
Workshop of stakeholders to finalize national
31. framework for gender response approach under 23rd August 2019 23
RTNCP
Training in Liquid Culture MGIT 960 (First line
32. 16th -21st Sept 2019 11
and Second line DST)
33. 3rd & 4th October 2019 13
Training on DST to Pyrazinamide
34. 30th – 31st October 2019 14
Training Workshop for Sr. RDs / RDs of RoHFWs rd
35. 3 & 4th October 2019 19
on Updates, Monitoring & Evaluation in RNTCP

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LABORATORY DIVISION
Total number of samples subjected
14 31
The laboratory at NTI has been designated as one for HPLC
of the National Reference Laboratories, which Total Number of EQAS (from
assess the quality of the sputum smear microscopy, 15 Belgium) cultures received for panel 20
Culture and drug susceptibility testing services testing
by phenotypic and genotypic methods in the Total Number of drug susceptibility
laboratory network under RNTCP. 16 20
test by solid culture  (LJ)
Specimens processed at NTI during the period Achievements of NTI Laboratory (NTI Lab staff
from 01.04.2019 to 31.10.2019 and EQA-DRS Team)
Total Specimens ( Sputum + XDR • Laboratory has developed SOPs, Manuals,
1 Culture + PMDT + NTM   and OP) 4578 requisite documents and initiated
registered implementation of quality management
XDR suspect  culture  samples  system as per NABL ISO 15189 : 2012
2 60
registered standards. Participated in series of workshops
Total  number  of  Specimens  and meetings towards preparation for NABL
3 26 Accreditation of NTI Laboratory.
registered  for  Outpatients
Total number of Specimens registered • Undertaken Revision of EQA Module for
4 4241
for LPA Smear Microscopy
Number  of  specimens  rejected  due  • LC – DST training on Pyrazinamide for C &
5 nil
to  leakage DST lab personnel at NTI, Bangalore
Total  No. of  specimens  put  up  for 
• Facilitated / Participated in conferences,
6 decontamination OP + 3 Dist. of 1553
Karnataka workshops training programmes, meetings

Total no. of Line Probe Assay EPIDEMIOLOGY AND RESEARCH

7 3192 DIVISION
performed (1st line)
Total  no. of  Li ne Probe Assay The major responsibility of Epidemiology and
8 487
performed  ( 2nd  line) Research Division (ERD) comprises conducting
Total  no. of Line Probe Assay epidemiological and Operation research studies
9 407 on TB and imparting training in TB Epidemiology
performed for NTM
and Operation research. In addition, the Divisional
Total number of specimens subjected
10 364 Head – ERD is also involved as a facilitator in all
to Gene Xpert
types of RNTCP training conducted at NTI and
Total no. of specimens put up for across India.  The research activities of the division
11 2049
MGIT  (Liquid Culture) during 1st April to 31st October are briefed as
Total no. of drug Susceptibility tests under:
12 153
performed by using MGIT
RESEARCH
No. of cultures subjected for
13 identification test (Immuno- 1299 A. INTRAMURAL STUDIES:
chromatographic Test)
 Diagnosis and treatment practices among

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treating clinicians for the management of Monitoring and Evaluation division of the Institute
Extra-Pulmonary TB in selected tertiary plays an essential role of supporting the Central
health care facilities in Bangalore cities – an TB Division in conducting Central Internal
evaluation based on mixed methods Evaluation of RNTCP throughout the country.
During the last one year officials of the institute
Status:
participated in Central Internal Evaluation of 8
• A Preliminary analysis-based paper was states. The supervision and monitoring of RNTCP
presented at NATCON 2018 lab network of 6 states in the country was carried
• Study completed and analysis is under out by the laboratory officials.
progress. 
The Division provided training on electronic
 Implementation of the New Integrated case base web based monitoring of RNTCP
Algorithm for diagnosis of Drug Resistant data (Nikshay) to programme managers during
Tuberculosis in Karnataka State, India: how modular training and there is plan to train more
well are we doing? officials from the programme in the future.
Status: ACSM DIVISION
• Data from south Karnataka region analyzed 1. Scientific Gallery
separately and the final manuscript
submitted for publication to PLOS ONE The Scientific Gallery has been established to
disseminate the general information on TB, the
• Field data collection from CBNAAT and
evolution of the programme, research conducted
IRL sites from North region of Karnataka
by NTI and achievements of the Institute since
completed.
its inception. Photo Displays & health education
• Data entry and data validation is in progress. panels and Interactive Information Kiosk, in
 Expenditure incurred for diagnosis by new addition to the regular sensitization programmes
TB patients notified by RNTCP in Bangalore are part of the gallery.
city 2. Visit of the students
Status: ACSM, Division has been conducting one-day
• Study completed and report writing under orientation/sensitization training about RNTCP.
progress by the previous incumbent of Students from different institutions of the state
Epidemiology and Research division. and neighboring states are utilizing this program.
A total of 526 students of life sciences & Resident
B. EXTRA-MURAL STUDIES
Doctors visited NTI in 14 batches as under:
A Phase III, Randomized, Double-blind, three
arm Placebo controlled Trial to Evaluate the Sl. No Category No. of
Efficacy and Safety of two vaccines VPM1002 Students
and Immuvac (Mw) in Preventing Tuberculosis 01 M.Sc (Nursing) 04
(TB) in Healthy Household Contacts of Newly 02 B.Sc (Nursing) 509
Diagnosed Sputum Positive Pulmonary TB
Patients 06 Resident Doctors 13
Total number of  students 526
MONITORING & EVALUATION DIVISION

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3. Technical Activities Centre by private practitioners and chest

• Observed 61 st
National Tuberculosis clinics of Delhi State and neighbouring
Institute Foundation Day and Hindi Divas areas. Upto October 2019, 7103 new cases
on 16-09-2019 and 7140 revisit cases came for opinion and
treatment. In addition 866 patients were
• Visited Resident Doctors from Armed
enrolled in special clinics (TB and Diabetes
Forces Medical College Pune Maharashtra
and COAD clinic). 209 TB patients got
for orientations on RNTCP (Recent
DOTS treatment from the DOT Centre of
Updates) held on 26-09-2019
New Delhi TB Centre. 10318 cases were
5. Other Activities referred for tuberculin testing from private
• The ACSM team facilitated along with the practitioners and various hospitals.
administrative division for the observation • Laboratory: - Laboratory of New Delhi TB
of 61st National Tuberculosis Institute Centre provides facilities of diagnosis for TB
Foundation Day and Hindi Saptaah and and MDR TB to patients referred by PPs and
Hindi Divas on 16-09-2019 various hospitals of Delhi and neighboring
ADMINISTRATION DIVISION  states.

The Administration Division of NTI caters • Teaching and training: - New Delhi TB
to all the administrative requirements of the Centre is teaching Centre for students
Institute.  The five units under this Division are and interns of MBBS and MD students of
Establishment, Accounts, Hostel, Stores and Maulana Azad Medical College and post
Transport Units.  Details of Budget received under graduate students of VP Chest Institute, in
Non Plan and Plan and Expenditure for the year addition, initial and retraining is provided
2019-20 is as follows: to doctors and para medical staff working
under RNTCP in Delhi State, apart
  Budget Expenditure sensitization of nurses of nursing colleges
Estimate about TB is also done..
Revenue 14,35,00,000 8,99,86,778 • Supervision and Monitoring: - As STDC,
Capital 90,00,000 56,00,000 this is the responsibility of our Centre to
monitor activities of chest clinics of Delhi
April 2019 to
    State and provide them feedback on their
October 2019
quarterly performance.
NEW DELHI TUBERCULOSIS
 16.11 • Research Activities: A National conference
(NDTB) CENTRE, NEW DELHI on Tuberculosis 73rd NATCON under the
New Delhi Tuberculosis Centre completed 79 aegis of Tuberculosis Association of India
years of its glorious journey of working in the was held from 4th to 6th January, 2019 at
field of tuberculosis and respiratory diseases. Nagpur, Dr. K.K. Chopra, Director and
other faculty of the Centre attended the
During 2019-20, NDTB was involved in NATCON.
following activities:-
SUMMARY OF ACTIVITIES
• Clinical: - As a referral Centre, the difficult
to diagnose patients are referred to the An insight on New Delhi TB Centre’s activities

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during 2019-2020 C. Training/IRL Visits/Publications

A. Outpatient attendance    2018- Achievements
2019 upto
Parameters Year Year 2019-2020 October, 2019
2018-
2019 Personnel trained 1995 1470
    Achievement    Target IRL Visits for EQA 21 17
up    to for
October, 2019- Supervision & 19 13
2019 2020 monitoring of chest
clinics
New 11847 7103 12500
patient Research and 16 3
publications
Revisits 11884 7410 13000
16.12 NATIONAL CENTRE FOR DISEASE
Total 23731 14513 25500
CONTROL (NCDC)
B. Patients attendance for utilizing various National Centre for Disease Control (NCDC)
diagnostic/treatment facilities available at has its headquarters in Delhi and has 8 branches
New Delhi TB Centre.
located at Alwar (Rajasthan), Bengaluru
     Year   2019-2020 (Karnataka), Kozhikode (Kerala), Coonoor
(Tamil Nadu), Jagdalpur (Chhattisgarh), Patna
Parameters Year Achieve- Target (Bihar), Rajahmundry (Andhra Pradesh) and
2018- ment     for Varanasi (Uttar Pradesh).
2019 upto 2019-
October 2020 To expand and fortify the presence of NCDC
2019 in the Country, it is proposed to establish 30
Attending for 49468 35837 60500 branches of NCDC to cover 29 States and 1 UT
Laboratory tests of Andaman & Nicobar Islands. This will include
upgradation and shifting of existing 8 Branches to
Attending for 10318 6305 11500
State Capital.
Mantoux test
Taking treatment 209 363 450 A RESTRUCTURING
under DOT Centre Work is being carried out in two phases. Till
of NDTB Centre
October, 2019 more than 85% work has been
Radiological 1914 1136 2100 completed.
Examinations
The construction work is carried out in two phases
Attending      1283 866 1550 as follows:
special       clinics
(Diabetes, HIV,
COAD)

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Phase I Phase II
Name of building Status Name of the building Status
Administration Completed & Taken over NVBDCP Block Completed and occupied
Block and occupied by NCDC by NVBDCP
Dry Lab Completed & Taken over Single Basement Completed
and occupied by NCDC
Type-II Quarters Completed PG Hostel Not Completed
Basement Lot-II Completed Guest House Completed
Wet Lab L3 Completed and occupied Type (IV) Quarters Completed
by NCDC
Wet Lab L-1 Construction completed, Type (V) Quarters Not yet started
finishing work pending Auditorium and Library

B TECHNICAL DIVISIONS OF NCDC from about 95% Districts in the country during
the year, 2019. About 801 outbreaks have been
The technical Centers/Divisions at the
reported since 1st April, 2019. Majority of outbreaks
headquarters of the institute are:
reported were of Food Poisoning (23%), Acute
Integrated Disease Surveillance Programme Diarrheal Disease(21%), Chickenpox(10%),
(IDSP), Division of Epidemiology, Division of Dengue(9%), Acute Encephalitis Syndrome(4%),
Microbiology (including Centre for AIDS & 3% each Chikungunya, Measles, Mumps, Viral
related Diseases and Biotechnology), National Fever & Viral Hepatitis A, 2% each Cholera,
Program for Surveillance of Viral Hepatitis, Enteric Fever, Malaria & Viral Hepatitis-E and 1%
Division of Parasitic Diseases, Centre for each of Anthrax, Chandipura (Viral Encephalitis),
Medical Entomology and Vector Management, Diphtheria, Dysentery, Jaundice, Scrub Typhus,
Division of Zoonosis, Division of Zoonotic Viral Hepatitis & West Nile Virus.
Disease Programme, Division of Malariology &
SHOC was activated for monitoring and reporting
Coordination (M&C), Centre for Environmental
the daily situation of Nipah virus outbreak in the
& Occupational Health, Climate Change &
state of Kerala and AES outbreak in the state of
Health, Centre for Non Communicable Diseases
Bihar.
• Integrated Disease Surveillance
IDSP has reported and verified 394 media alerts
Programme (IDSP)
were scanned for any unusual health events from
Integrated Disease Surveillance Programme 1st April, 2019 to 31st October, 2019 through Media
(IDSP) is a programme under NHM funded Scanning and Verification Cell.
under disease flexi pool with the mandate to
District laboratories are being strengthened  for
strengthen/maintain decentralized laboratory
diagnosis of epidemic prone diseases in a phased
based IT enabled disease surveillance system.
manner.  Till date,  324 District Public Health
Achievements Labs have been approved for strengthening;
out of which  224  DPHLs are performing tests
Outbreak situation: country
as per IDSP standards.  These laboratories are
IDSP received weekly disease surveillance data being supported by trained manpower, funds for

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essential equipment. An annual grant of Rs. 4 of Post Disaster disease surveillance after floods,
lakh per annum  per laboratory for reagents and assessing health needs of the State post floods and
consumables is provided. addressing them.
A  State based referral   laboratory  network • MICROBIOLOGY DIVISION
has been established by utilizing  the existing
Respiratory Viruses & Teratogenic Viruses
functional labs in the identified medical colleges
laboratory is involved in the following activities:
and other major centers in the states  and linking
them with adjoining districts for  providing Supply of standardized reagents as per CDC
diagnostic services for epidemic prone diseases protocol to all the network laboratories. Assures
during outbreaks. Presently network is functional quality of testing in each laboratory & providing
in 24 States/UTs involving 127 labs. panels for proficiency testing on a quarterly basis.
Surveillance of ILI & SARI cases in 3 linked
Integrated Health Information Platform (IHIP)
sentinel sites. To analyze the data received from
In the 2nd phase on IHIP implementation, IDSP 12 network labs under IDSP Influenza Network
unit has conducted state and bellow level training Program. To prepare and provide VTM to
oh health care professional in collaboration with different government hospitals and network
WHO in the state of Madhya Pradesh, Gujarat, labs. Perform testing on samples of suspected
Goa, Uttarakhand, Haryana, Assam, Maharashtra, influenza as a part of Outbreak investigation and
Manipur and Arunachal Pradesh. Developing Guidelines for laboratory Biosafety,
Sample Collection etc.
Study proposal to review the 1st phase of IHIP
implementation has been approved by MOHFW. Important Tests
• EPIDEMIOLOGY DIVISION Molecular Diagnosis for typing & subtyping of
Influenza A i.e .Pandemic H1N1, Seasonal H3N2,
National Centre for Disease Control (NCDC),
H5N1 (Bird flu), H7N9, Influenza B. Molecular
Delhi is a WHO Collaborating Centre for
Diagnosis of Other Respiratory Viruses i.e RSV,
Epidemiology and training. For Public Health
adenovirus, rhinovirus , parainfluenza viruses,
capacity building, regular training programmes
parechovirus, Molecular Diagnosis of MERSCoV,
and numerous other short-term training activities
Sequence study of the influenza strains detected
are conducted every year for participants from
in the laboratory, Serological diagnosis for
different States/Union Territories of India and
Teratogenic viruses i.e Rubella (IgG&IgM),
also from some of the neighbouring south-east
CytomegaloVirus, Herpes simplex Virus I &
Asian countries like Nepal, Bhutan, Sri Lanka,
II by using ELISA technique and Detection of
Thailand, Timor Leste, Maldives, Myanmar
cytomegalovirus in urine samples of congenitally
and Indonesia. During the period, officers
malformed infants by conventional PCR.
from the division of Epidemiology carried out
investigations of outbreaks like Nipah, West Nile Tuberculosis division at NCDC, Delhi is involved
fever, Hepatitis C, H1N1 in addition to commonly in providing TB diagnostic laboratory services
reported outbreaks of communicable diseases free of cost to all the patients providing samples
and suggested containment measures to the at TB laboratory. Various hospitals refer patient
authorities, played role in disaster management samples to TB lab for diagnosis of AFB smear and
by assisting the state of Bihar in establishment TB Culture

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National Programme on Containment of Paralysis (AFP) cases are received from

Antimicrobial Resistance (AMR) Delhi, Haryana, Uttarakhand, some parts
of Uttar Pradesh and rarely from Madhya
Bacterial, diarrheal diseases, fungal and water
Pradesh and Rajasthan.Virus isolation and
bacteriology laboratories in the division
Real time PCR for identification of wild
provided support during outbreak investigations,
polio viruses, vaccine derived polio viruses
operational research and manpower development.
and other enteroviruses is done on all AFP
Under the study titled “Evaluation of stool
and sewage specimens. During the period
samples for the presence of resistant strains
April 2019- October 2019, the laboratory has
in Community” being conducted at the DD
received 8303 stool samples. In the period
laboratory identification and Antimicrobial
April 2019- October 2019, the laboratory
sensitivity testing (AST)of 153 isolates was done
has received 335 sewage specimens.
and coliform testing of more than 300 drinking
water samples was done for specific public health B. National Measles Laboratory (WHO
purposes. accredited)
The division coordinates the National Programme The laboratory is WHO accredited for
on AMR Containment under which AMR testing of Measles and Rubella samples (IgM
surveillance network of state medical college antibody detection by ELISA). In the period
labs has been established and is being expanded April 2019- October 2019, the laboratory
in a phased manner. In addition to imparting has received a total of 247 samples for IgM
trainings, onsite visits were carried out to the antibody detection for Measles.
network labs for capacity building and to ensure
C. Diagnostic Support for investigation of
submission of quality data. AMR surveillance
other viruses such as Parvo Virus B-19,
data of 2018 was analysed and AMR surveillance
Varicella Zoster Virus, Mumps Virus, Adeno
annual report 2018 has been uploaded on NCDC
Virus, Enteroviruses and Epstein Barr Virus.
website. Under the programme the AMR National
In the period April 2019- October 2019,
Reference Laboratory (NRL) has been established
the laboratory has received a total of 422
for conducting EQAS and confirmation of AMR
samples for Other Viruses.
alerts. Confirmation of 417 AMR surveillance
EQAS strains and 17 AMR alert. CENTRE FOR AIDS AND RELATED DISEASE
This includes testing for colistin minimum OVERVIEW OF ACTIVITIES 2019 (April to
inhibitory concentration (MIC) vancomycin MIC October)
using BMD testing. Genotypic characterisation
The centre has successfully completed NABL
of emerging AMR alerts is also being established.
(National Accreditation Board for Testing and
The division also coordinated various activities
Calibration Laboratories) Desktop Surveillance
related to implementation of National action plan
as per ISO 15189:2012 standard in the field of
on AMR (NAP-AMR).
medical testing (HIV and CD4 testing). Under
ENTEROVIRUS DIVISION “Consortium of NRLs for kit Quality” Project, 13
Batches of HIV Rapid Test kits were evaluated.
A. National Polio Laboratory (WHO
Proficiency testing (PT) panels for HIV serology
accredited)
for linked 13 State Reference Laboratories (SRLs)
Stool specimens from Acute Flaccid and their associated ICTCs were prepared and

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distributed under “External Quality Assessment • Approval for integrating with HIV Sentinel
Scheme”(EQAS) Project. Under HIV Sentinel surveillance for including additional bio-
surveillance (HSS-ANC), 1232 serum samples markers, HBsAg and anti-HCV has been
were tested. HIV counseling & testing services sought.
were provided to 451 clients at the Integrated
Counseling and Testing Centre (ICTC). The • Approval for screening of samples in NFHS
National Reference Lab (NRL) confirmed the 4 to ascertain the prevalence of chronic
HIV serostatus of 32 clients and the HIV-2 status Hepatitis B and C in the community through
of 4 clients. Immunology Lab tested 1177 samples NARI Pune has been accorded by MoHFW.
for CD4 count and CD% estimation. Testing for The approval from ICMR is under process.
syphilis was provided to 216 clients. Number of blood samples tested from April to
NATIONAL PROGRAM FOR SURVEILLANCE October 2019
OF VIRAL HEPATITIS
All the serological markers of Viral Hepatitis
The National Program for Surveillance of Viral are tested in Viral Hepatitis Laboratory, NCDC.
Hepatitis under the aegis of National Centre for Total number of test performed in Viral hepatitis
Disease Control, DGHS aims to gather evidence laboratory for all the Viral Hepatitis Markers from
of the burden of the infection in India which can April –October 2019 were 3,828.
guide the policy makers for necessary action.
Outbreak Investigations
Activities:
Outbreak of Hepatitis A and Hepatitis E in
• MoU with 5 more additional have been Bhatinda: Outbreak of acute jaundice with fever
signed and the Grant-in-aid will be was reported from Bhatinda district of Punjab,
transferred subsequent to the PD obtaining which was investigated by the Central team
the log-in-id and password in the PFMS comprising of Officers from the division of Viral
system. Hepatitis. Out of 33 samples brought to NCDC
for testing of all the hepatitis Viral Markers, all 12
• A study has been carried out to validate dried
samples from Harraipur village were serologically
blood spot as sample instead of plasma as
positive for Hepatitis A and 19 out of 21 samples
sample for testing of HBsAg and anti-HCV.
taken from known suspects of Rama Pind village
The study has been conducted by three
were positive for hepatitis E.
institutions namely CMC Vellore, National
AIDS Research Institute, Pune and Institute Investigation of suspected increase in
of Liver and Biliary Sciences, Delhi with prevalence of Hepatitis B and Hepatitis C in a
technical inputs from the technical resource village in Moradabad, UP: There was a suspected
group of surveillance of viral hepatitis. increase in prevalence of Hepatitis B and Hepatitis
C in a village in Moradabad, UP in the month of
• The 4th meeting of TRG of surveillance
September which was investigated by a Central
of viral hepatitis was also conducted to
team from, NCDC. Total of 177 samples were
analyse the results of the study and provide
tested for Hepatitis B and Hepatitis C of which 15
recommendations of the testing modality
samples were positive for HBsAg and 136 samples
while using dried blood spot as sample
were positive for anti-HCV.
instead of plasma.

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• DEPARTMENT OF PARASITIC • CENTRE FOR MEDICAL ENTOMOLOGY

DISEASES AND VECTOR MANAGEMENT
The Department of Parasitic Diseases is associated Centre for Medical Entomology and Vector
with activities related to Neglected Tropical Management is reorganized to develop it as a
Diseases namely Soil Transmitted Helminthiasis National Centre par excellence for undertaking
(STH), Guinea worm Disease and Lymphatic research, providing technical support and to
Filariasis. NCDC functions as National Nodal develop trained manpower in the field of vector-
agency for implementation and monitoring of borne diseases and their control. The centre
National Guinea Worm Eradication Programme. provides technical guidance, support and advice
India was certified free of Guinea worm disease to various states and organizations on outbreak
in the year 2000 and accordingly during post investigations and entomological surveillance of
elimination phase, surveillance activities are vector-borne diseases and their control.
continuing. This includes monthly reporting from
Major achievements:
erstwhile endemic states, maintaining record of
all GW rumors, verification of suspect Guinea Conducted Training on “Ticks, Mites & Flea
worm cases, till the global eradication is achieved. Borne Diseases” in September’2019 at NCDC
and Prepared a Training module Conducted
The Department also functions as National Nodal
Training cum Workshop on Dengue control
Agency for prevention and control of STH in the
for Sanitary/ Health Inspectors at various
country and has been continuously monitoring
Government Hospitals of Delhi, CCHF outbreak
the STH burden in the country through periodic
Investigation in Ahmedabad district of Gujarat
prevalence assessment surveys. By 2017, the
and Jodhpur district of Rajasthan during
Department had completed the countrywide
September’2019,CCHF outbreak Investigation
mapping of STH situation at selected sentinel
in September’2019, Post flood condition
sites across all States/UTs in the country. From
investigation of VBD’s in Patna District of Bihar
July 2019, the Department has initiated the
in September’2019.
countrywide STH resurvey to monitor the impact
of National Deworming Day programme which Aedes surveillance at 10 International Airports and
has been instituted in phased manner since year 7 seaports was carried out and communicated to
2015. In addition, monitoring efficacy of principal International Health, MOH&FW under IHR Act-
anti-helminthic drug, expanding the scope of 2005. Aedes surveillance at Delhi & NCR areas for
STH preventive chemotherapy to other vulnerable entomological surveillance & early warning signal
population groups and conducting research on for Dengue outbreak in Delhi and Evaluation
newer STH diagnostic techniques are other core of Dura Net LLIN at three locations i.e. Alwar,
activities. Jagdalpur & Rajahmundry. Dengue, Zika &JE
virus antigen detection from dried mosquitoes to
The Department is supporting filaria elimination
predict the impending outbreaks of Dengue& JE
activities through capacity building of medical &
from Delhi region and other parts of the country.
para-medical health personnel in filariology. In
addition, regular disease & morbidity management • ZOONOSIS DIVISION
clinics and diagnostic support (Night blood smear
Zoonosis Division comprises 9 laboratories
and serological examination) is being provided to
of national importance dealing with Zoonotic
the patients through the three NCDC branches at
diseases of public health importance including
Kozhikode, Rajamahendravaram and Varanasi.

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outbreak prone and emerging infectious diseases. (NRCP) a Scientific Symposium to observe
The role of division is primarily to provide World Rabies Day on 28th September, 2018.
laboratory evidence by conducting special and The theme of World Rabies Day is ‘Rabies:
reference level test which are not available at Share the message. Save a life’ this year.
many/most institutes or medical colleges in India.
• Review Meeting on 11th&12thOctober 2018
In the year 2019 (April to October) National and Training of Master Trainers Under
Referral Diagnostic Services for various diseases NRCP.
was provided by testing a total of 4589 number of
• Expert group meeting was held on 8
samples for various zoonostic diseases. Currently
January 2019 to review the existing National
the work is being carried out on following
Guidelines on Rabies Prophylaxis”.
Zoonotic diseases: Plague, Rabies, Kala-azar,
Arboviral infections (Dengue, JE, Chikungunya, • “National Multi Stakeholder Technical
Zika virus & CCHF) Toxoplasmosis, Brucellosis, Workshop for Strengthening Inter-sectoral
Leptospirosis, Rickettsiosis, Hydatidosis, Coordination for Prevention and Control
Neurocysticercosis and Anthrax. Faculty was of Zoonotic Diseases” in collaboration with
involved as a part of central outbreak team Department of Animal Husbandry and
in important outbreaks investigation and Dairying (DAHD) and CDC India on 27 &
surveillance support of year 2019 e.g Cyclone 28 feb 2019 .
Fani-2019 (Orisssa), AES Muzaffarpur -2019
• “Regional Workshop and Hands on Training
(Bihar), AES/JE Asaam -2019 (Bihar), Nipah Virus
in Laboratory Diagnostic Techniques” for
Disea-2019 (Kerala), Dengue Campaign-2019
Rabies.
(Delhi), Bihar floods-2019. Faculty of Zoonosis
division delivered talk on various aspects of Under the Programme for Prevention & Control
PPE, Dengue, Ebola virus disease, Plague, Hanta of Leptospirosis (PPCL), a review meeting of
Virus, Rickettsial infections, Leptospirosis, KFD, SNOs of Programme States & SSOs of few affected
Overview of zoonotic infections etc. States, was held on 28/08/2018 at NCDC
DIVISION OF ZOONOTIC DISEASE DIVISION OF MALARIOLOGY &
PROGRAMMES COORDINATION
Division of Zoonotic diseases programmes The objective of the division is to provide
coordinates the implementation of three national laboratory services and conduct training along
programmes i.e National Rabies Control Program with coordination.
(NRCP), Program for inter-sectoral coordination
for prevention and Control of Zoonotic Diseases Coordination & Training:
(ISCP), Program for prevention and Control Division organizes and coordinates training
of Leptospirosis (PPCL). It is designated WHO courses for malaria control for District and State
Collaborative Centre for Rabies Epidemiology level Programme officers. Orientation for short /
and is involved in technical support to states, Out ad-hoc courses from various health institutions
break Investigations, Teachings and Trainings for under graduate / post graduate students of
( PGs, MPH, EIS programme) & operational Nursing, Veterinary and medical colleges of the
research. country are also regularly organized including
• National Rabies Control Program organized personals from Police and Defense organization.

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A total of 340 students from different institutes visited Malaria Clinic of M&C Division.
via: Hospitals, MBBS Students of Army, Medical
CENTRE FOR ENVIRONMENTAL
officers of AFMC, Senior Medical officers of
OCCUPATIONAL HEALTH AND CLIMATE
BSF , MD (CHA) & DHA Final Year students,
CHANGE & HEALTH DIVISION
M.Phil., MPH and Ph.D. students, Nursing
students from various Nursing Institutions, Post This is a new division at NCDC created in 2015.
Graduate students of Community medicine of This division is nodal for conduction of activities
Medical Colleges, , Trainees of ‘diploma in health and coordination with other sectors including
promotion Education” & PG- DCHC, CGHS & non-health to address the health related issues
CHS Officers, BHMS students and DNB were pertaining to climate and environmental factors.
given short term training. Division has coordinated with multi-sectoral
experts for laying down strategies for health
Laboratory Services:
adaptation under the National Action Plan on
Diagnostic support is provided to state Climate Change and Human Health. Climate
Government for laboratory diagnosis of malaria Change and Human Health has been included
infection and disasters, outbreaks, referral cases in National Health Mission to support health
from hospitals from Delhi, Haryana and Uttar related activities at state and below level. Further
Pradesh and to all institutions & individuals who this action plan has been presented before
report here etc. the Executive Committee on Climate Change
of PMO. The division is conducting sentinel
Performance of Malaria laboratory – April
surveillance for Acute Respiratory Illnesses in
2019- October 2019:
Delhi hospitals, issued health related IECs and
advisories, conducted awareness generation
activities at NCDC and with Medical Colleges in
Delhi etc. In co-ordination with Central Pollution
control Board (CPCB), real time AQI data is made
available at NCDC website. Link is provided on
webpage to access the AQI data of 90 cities which
is updated daily basis by CPCB.
CENTRE FOR NON-COMMUNICABLE
DISEASES
In response to the increasing burden of non-
communicable diseases, Centre for Non
Communicable Diseases (NCD) was set up in
February 2015, in National Centre for Disease
Examination of Blood slides for malarial parasite- Control (NCDC) with the objectives of providing
in the year 2019 (from 1st April 2019 to 31st technical support to NPCDCS, capacity building,
October 2019) a total number of 256 blood sample IEC & advocacy with policy makers and NPCDCS
slides were examined in Malaria Clinic of M&C programme managers, monitoring & evaluation
Division. In which 39 were found positive (Pf- and research.The major achievements during the
7 and Pv-32). A total 173 Patients were refereed period 2019-20 are as under:
from different hospitals and 83 patients directly

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Celebrated various days of public health technical session on “Cervical Cancer: Awareness
importance by organizing technical sessions and Prevention” at Institute of Home Economics
for World Health Day on 09-04-19, World No Girls College, Delhi on 08-08-19
Tobacco Day on 30-05-19, International Day of
Yoga on 21-06-19 and Global Iodine Deficiency
16.13 CENTRAL RESEARCH INSTITUTE
Disorders Prevention Day in collaboration with (CRI), KASAULI
Biochemistry division on 22-10-19 Central Research Institute, Kasauli was
Part of a team of experts to investigate alleged established on 3rd May, 1905. It is a subordinate
increasing incidence of Cancer in block Meenapur, office of Central Research Institute is engaged in
district Muzaffarpur, Bihar on 6th – 7th June. 2019. the following activities:
• Production of Bacterial and Viral Vaccines
Expert group meeting conducted for Computer & Sera.
Injury Prevention and Awareness Guidelines on
27-08-19. • Production & Supply of diagnostic reagents.
• Research and Development in the field of
Organized other activities namely: Screening Immunology and Vaccinology
of NCDC Officers & Officials for Non
• Teaching and Training in Vaccinology and
Communicable Diseases and related risk factors
Microbiology and
in April – May 2019, Team Building Workshop
for Officers at NCDC on 11-09-19 and Debate • Quality Control of Immunologicals.
competition and interactive technical session Manufacturing and Supply of Vaccines and
on Non Communicable Diseases at College of Anti-sera:
Vocational Studies, Delhi on 17-09-19
During the year, (2019-20) (up to 06.11.2019)
Activity related to Gender Issues - Conducted the Institute has supplied following lifesaving
a poster making competition and interactive products manufactured in the Institute:

S.No Name of Vaccine Demand Production Supply

1 D.T.P. Doses (UIP) 13,06,000 14,83,460 13,06,000
2 Anti Rabies Serum (ARS) (Vials) 30,120 15,282 2,590
3 Anti Snake Venom Serum (ASVS) (Liq) (Vials) 6,276 0 370
4 DATS (Liq)(Vials) 11,715 3,065 3,105
5 NHS (Vials) 12 230 5
6 DIAG. AG. (ML) 39,100 37,100 32,100

CRI, Kasauli also mandated to produce and 75,456 doses.

supply D.T. and T.T. vaccine. CRIK also imports
The DPT facility at Institute has complied with
Yellow Fever vaccine through WHO to cater the
cGMP standards and 120 lakhs doses of DPT to
need of general public. In the year 2019-20 (up to
be supplied on 31.03.2020 to UIP.
06.11.2019), the Institute is having 42,374 doses
as opening balance and imported 50,000 doses Other activities of the Institute:
against the demand of 72,256 doses and supplied
In addition to manufacturing of vaccines and

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Antisera, the institute is also engaged in other Medical Services Corporation, Jammu&
important activities such as: Kashmir Medical Services Corporation Limited
• Quality Assurance and Quality control etc. Apart from that Institute has also received
activities vaccine samples from Bangladesh for its quality
evaluation.
• National Salmonella and Escherichia Coli
Centre. The Institute is a notified Central Drugs Laboratory
• National Influenza Surveillance Centre and Central Medical Device Testing Laboratory
under the statutory provisions. Some of the NIB
• Rabies Research Centre
scientists have also been notified as Government
• National Polio Laboratory for Surveillance Analysts and Medical Device Testing Officers for
• Experimental Animal House biological products as per Statutory Norms.
• Medical Treatment Centre & Diagnostic NIB as a “Support Cell” for WHO Prequalification
Laboratory. (PQ) Programme for In-vitro Diagnostics (IVD),
• Academic & Research Activities is providing necessary hand holding and guidance
• MSc. (Microbiology) classes are running in in line with Make in India to Indian manufacturers
this institute under H.P. University, Shimla on the WHO-PQ Programme of IVDs, enabling
• Certificate course in Production of them to meet global quality standards with regard
Immunobiologicals and Animal Care is to quality and documentation activities as per
running in this Institute and at present 50 WHO requirement. The Institute is extending
Candidates are undergoing training under technical expertise, training and technical support
skill development programme of Govt. of to the IVD manufacturers and is working actively
India in co-ordination with WHO, CDSCO and other
stakeholders in this regard.
16.14
NATIONAL INSTITUTE OF
NIB provides the National Reference Standards
BIOLOGICALS (NIB), NOIDA
(NRS) for Insulin Human and Insulin Lispro
National Institute of Biologicals (NIB) is an and Performance Plasma Panels of HIV, HBsAg,
apex autonomous institute under MOHFW. The HCV and Syphilis to indigenous manufacturers
Institute is performing primary statutory function for strengthening their in- house Quality Control
of Quality Control of Biologicals e.g. Insulin, Testing procedures.
erythropoietin, blood products, diagnostic kits
NIB collaborated with Indian Council of Medical
viz. HIV, HBV, HCV, therapeutic monoclonal
Research (ICMR) - New Delhi to sensitize
antibodies like Trastuzmab and Rituximab used
manufacturers about the Glucometer Device’s
in cancer treatment, and glucometers-a point of
Test parameters, their specifications and limits
care device etc. in accordance with provisions
of acceptance during product development stage
of Drugs & Cosmetics Act 1940 and Rule 1945
with respect to product design.
amended from time to time.
NIB collaborated with Department of
Various Bio-therapeutics, Diagnostics, and
Endocrinology, AIIMS, New Delhi for
Vaccines Samples are received from the National
Drug Regulatory authorities as well as several establishing validation protocols for Ion Exchange
government medical organizations like Haryana Chromatography Principle-based ‘Laboratory
Medical Service Corporation Limited, Rajasthan Reference Method for estimation of HbA1c.’ The

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collaboration is also for imparting training for skilled manpower in the country in the area of
use and execution of ‘International Guideline’ Quality Control of Biologicals, Diagnostics and
based protocols for various quality control tests/ Haemovigilance, conducted residential trainings
parameters for evaluating rapid HbA1c assay kits. on “National Skill Development & Hands-on
Training on Quality Control of Biologicals”
NIB obtained its first accreditation by National
for Post Graduate students of Biotechnology,
Accreditation Board for Testing and Calibration
Microbiology, Biochemistry and Pharmacy from
Laboratories (NABL) as per ISO/ IEC 17025: 2005
Universities of Himachal Pradesh, Jammu, North
in year 2011 for 19 products with 16 Biological
Eastern States and JSS Ooty, Mysuru, and various
tests and 14 Chemical tests and thereafter has
National Institute of Pharmaceutical Education
continued to maintain and enhanced this status
and Research (NIPERs) and technical personnel
of accreditation for the period 2018- 2020 to
from manufacturing units. NIB is also expanding
120 products with 160 Biological tests and 125
its National Skill Development & Hands- on
Chemical tests.
Training program for Post Graduate Students of
NIB laboratories participates in various Tribal Regions of the country i.e. Chhattisgarh
International/ National External Quality and Jharkhand. NIB has trained more than 200
Assurance Assessment Scheme (EQAAS)/ personnel including students and technical
Proficiency testing by various external agencies personnel from manufacturing units.
like European Directorate for the Quality of
NIB in collaboration with Blood Cell, National
Medicines (EDQM) - France, WHO- Geneva,
Health Mission (NHM), MOHFW organizes 6-
National Serology Reference Laboratory (NSRL)
days residential Hands- on trainings of blood bank
- Australia, Christian Medical College- Vellore
officials for capacity building and strengthening
in order to assess and strengthen the laboratory’s
blood services in various states of the country. NIB
testing performance.
has trained more than 250 Blood bank officials by
Institute has successfully acquired the Certification conducting a series of eight training programmes
for Occupational Health and Safety Management during this year.
Systems (OHSAS) 18001:2007 to identify, control
16.15
BCG VACCINE LABORATORY,
and decrease the risks associated with health and
GUINDY
safety within the workplace.
BCG Vaccine Laboratory, a sub-ordinate office
NIB has been contributing towards safety of
under DGHS was established on 1st May, 1948.
blood transfusion as the National Coordinating
The Institute is involved in the following activities:
Centre for HaemovigilanceProgramme of India
(HvPI) which was launched on 10.12. 2012 • Manufacture and Supply of Freeze Dried
across the country. This year 05 Continued BCG Vaccine (10 doses) to Universal
Medical Education (CMEs) and 05 National level Immunization Programme of Government
workshops were conducted for creating awareness of India for control of Childhood
on importance of reporting adverse transfusion Tuberculosis and Tuberculosis Meningitis.
reactions. A total of 1538 participants. • Manufacture and supply of Freeze Dried
Under “Pradhan Mantri Kaushal Vikas Yojna” BCG Cancer Therapeutic Vaccine (40mg),
(PMKVY), considering need of trained and for carcinoma of urinary bladder.

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New cGMP facility established for 16.16 PASTEUR INSTITUTE OF INDIA

manufacturing BCG Vaccine: (PII), COONOOR
• Permission for manufacturing of new Pasteur Institute of India, Coonoor was established
drug formulation in Form 46 was received as Pasteur Institute of Southern India on 6th April
from Central Drugs Standard Control 1907 and the Institute took a new birth as the
Organisation on 26.07.2019. Pasteur Institute of India (registered as a Society
under the Societies Registration Act, 1860) and
• Grant of manufacturing license in Form
started functioning as an Autonomous Body
28D duly approved by Central License
under the MOHFW from 10th February, 1977.
approving authority and Drug Controller
General (India), New Delhi was received This Institute has been involved in the production
from the Office of Director of Drug Control, of DPT group of vaccines and Tissue Culture Anti
Tamil Nadu on 01/10/2019. Rabies (TCAR) vaccines.
• Prerequisite activities for starting Present activities:
commercial batch production initiated. Thsi
will be followed by Media preparation and • The DPT facility as per new GMP (Goods
related Quality Control Tests, Seed revival, Manufacturing Practice) standards has
subculture, bulk preparation, online filling, been established with a total non-recurring
freeze drying and in-house quality control expenditure of Rs. 146.61 crore.
tests. • The Performance Qualifications activities,
• The first batch would be expected to be ready process validation and trial batch production
for supply in July 2020 after clearance from is to be carried out.
Central Drug Laboratory, Kasauli. Initially Other Activities:
it is planned to supply about 300 lakh doses
per annum which will be scaled up in due • Since the inception in 1907, PII, Coonoor
course. has been running an Anti Rabies Clinic for
rabies prophylaxis.
Other activities carried out at BCGVL:
• PII, Coonoor is also running a Rabies
• BCG Vaccine Laboratory, Guindy earned Diagnostic Lab for General Public. About
Rs. 60,519 as revenue from April 2019 to 80 serum samples were received for rabies
September 2019 through internship and neutralizing antibody testing to assess
license fee for quarters. post-vaccination sera conversion for the
• Water conservations activities are being protection against rabies infection.
undertaken by way of utilising the reject • In commemoration of World Rabies Day
water and are being used for the purpose of observed on 28th Sep. 2019, an awareness
green belt. Rally was organized, followed by Drawing,
• Staffs have been trained in Raw material Essay writing and Quiz competitions were
testing at Central Drug Testing Laboratory, organized for school children.
Chennai and in Molecular techniques at Academic activities carried out at PII/C:
Central Leprosy Training and Research
Institute, Chengalpattu. • 12 scholars are pursuing Ph.D. course

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affiliated to Bharathiar University, from some municipal corporation areas in

Coimbatore. Kolkata.
• Research Scholars are developing • National Measles Laboratory for serological
recombinant vaccines of Rabies, Diphtheria detection of Measles & Rubella from West
and Pertussis using Novel approaches as Bengal, Jharkhand, Orissa, Andaman &
part of their Ph.D. curriculum. Nicobar Island.
• Industrial visit for students from different Achievements (Jan’ 2019 to Oct’ 2019):
Colleges and Universities is organized to
V.D. Serology: 1230 blood samples were tested
create awareness in vaccine production,
for syphilis.
immunization procedures, health care etc.
Forensic Serology: 4204 exhibits were tested for
16.17
INSTITUTE OF SEROLOGY,
species origin and group determination.
KOLKATA
BGRC Section:5400 mls Anti H lectin (Freezed
Institute of Serology, Kolkata was established in
Dried) was produced and supplied todifferent
the year 1912 and functions under DGHS. The
Forensic Laboratories.
Role of the Institute is as under:
Antibody Section:2750 mls of Antisera were
• Expertise in Forensic Serology for
produced and 2570 mls of Antisera and 4165mls
determination of origin of species of
of Anti H Lectin supplied.
different biological exhibits.
Measles Laboratory:3622 of samples were tested
• Production of quality diagnostic reagents
for Measles and 1492 for Rubella.
like VDRL Antigen, species specific
Antisera, Anti H Lectin which are supplied Quality Control:108 lots of cases were received
to the Government and Non-Government and tested.
Institutions.
National Polio Laboratory:1166 stool samples
• Regional STI Reference Laboratory under were tested for NPV and VDPV and 220 samples
NACO which assist West Bengal State AIDS tested for environmental surveillance.
Prevention & Control Society (WBSACS) for
Antigen production Section:V.D.R.L. antigen
diagnosis of STI and Training of Laboratory
production unit produced and supplied
Technicians of ICTC of West Bengal.
3330ampules antigen
• The V. D. Serology Section provides testing
16.18 INTERNATIONAL INSTITUTE
facilities for syphilis in different Medical
Colleges & Hospitals of West Bengal. FOR POPULATION SCEINCES
(IIPS), MUMBAI
• Isolation of Polio Virus from stool samples
of AFP cases from Eastern & NE Region Since its inception in 1956, Institute for Population
and part of Bihar, Jharkhand by National Sciences conducts teaching, training and research
Polio Laboratory under the World in the field of demography and health. Its scope
Health Organisation and National Polio considerably widened with the University Grants
Surveillance Programme (NPSP). Isolation Commission (UGC) conferring on it the Deemed
of Polio virus from environmental samples University Status on August 14, 1985.

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TEACHING: Science (M.Sc.) in Biostatistics and Demography.

The degree in Masters of Population Studies was
During the academic year 2018-19, the Institute
awarded to 45 students .45 students were eligible
offered the following regular courses: (a) Diploma
for receiving degree in Master of Philosophy
in Health Promotion Education (DHPE); (b) Post
(M.Phil) in Population Studies/Bio-Statistics
Graduate Diploma in Community Healthcare
and Demography .During this academic year
(PGDCHC); (c) Master of Arts/ Science in
32 students completed all the requirements for
Population Studies (M.A/ M.Sc.); (d) Master of
award of Ph.D .Degree in Population Studies/Bio-
Science in Biostatistics and Demography (MBD);
Statistics and Demography .For Distance Learning
(e) Master of Population Studies (MPS); (f)
24 students have completed all requirements for
Master of Philosophy in Population Studies (M.
the award of Master of Population Studies degree.
Phil.) and (g) Doctor of Philosophy in Population
Studies (Ph.D.) On the recommendation of University Grants
Commission, the Institute has started M.A. in
Apart from these programmes, the Institute also
Population Studies course for graduate degree
offers Master of Population Studies (MPS)/ MA-
holders from the academic year 2017-18. Currently
M.Sc. in Population Studies through distance
135 students are enrolled in this programme.
learning.
RESEARCH:
During the 2018-19, 22 students qualified for the
award of degree in Diploma in Health Promotion The Institute conducts research programmes
Education (DHPE). 16 students qualified for the using its own resources and also through external
award of degree in Post Graduate Diploma in funding.The externally funded research projects
Community Health Care (PGDCHC).23 students are normally initiated at the request of the
qualified for award of degree in Master of Arts/ concerned agencies.The ongoing projects at the
Science (M.A/M.Sc.) in Population Studies .32 institute are as under:
students qualified for award of degree in Master of
A. RESEARCH PROJECTS FUNDED BY THE INSTITUTE
1. Completed Project:

Sr. Title of the Research Project Project Coordinator

No.
1. Estimation of Vital Rates for BombayPresidency in the Chander Shekar, F. Ram and T.V.
Colonial Period Sekher
2. Daughter Only Families in IndiaLevels, Harihar Sahoo and R. Nagarajan
Trends and Differentials.
3. Equal living condition of Housing Shelter for Different D.A. Nagdeve, Chander Shekhar,
Social Groups in Tamil Nadu: Model Village created S.K. Mohanty and P. Murugesan
for Social Development
4. Follow-up Comprehensive Nutrition Survey in Sayeed Unisa and Prakash H. Fulpagare
Maharashtra

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2. Continuing Projects:

Sr. Title of the Research Project Project Coordinator

No.
1. Causes and Consequences of Out- Migration from Archana K. Roy, R.B. Bhagat,
Middle GangaPlain K.C. Das, Sunil Sarode and R.S. Reshmi
2. Historical Trends and Patterns of Population and P Arokiasamy, R. Nagarajan, Pralip
Development in India: A District Level Analysis Kumar Narzary, Manoj Alagarajan,
Aparajita Chattopadhyay, Harihar Sahoo
and Suryakant Yadav
3. Trends in out of pocket expenditure (OOPE) and S.K. Mohanty
catastrophic healthspending in India
4. Population growth and state of healthcare services H. Lhungdim, Harihar Sahoo and
in North East India. With special reference to the L. Ladusingh
recognized tribes, 1951 to 2011
5. Projection of District Level Annual Population by Murali Dhr and B Paswan
Quienquennial Age-Group and Sex from 2011 to 2031
in India.
6 Geo-Spatial Mapping of Village and Ward Level in L.K. Dwivedi, A.K. Mishra and
Uttar Pradesh Sayeed Unisa
3. New Projects:
Academic Council has approved two new projects to be undertaken in the next academic session, as
below:

Sr. Title of the Research Project Project Coordinator

No.
1. Assessment of Quality of Mortality Data from Large Usha Ram and Manas Ranjan Pradhan
Scale Sample Surveys in India.
2. Health Expenditure on Breast Cancer treatment in Tabassum Wadasadawala, Sanjay K.
Women: A study from Public Sector Tertiary Cancer Mohanty, Rajiv Sarin, Sudeep Gupta, Vani
Centre Parmar, Sadhana Kannan and Jaykumar
Mane
B. RESEARCH PROJECTS FUNDED BY EXTERNAL AGENCIES
1. Completed Projects:

Sr. Title of the Research Project Project Coordinator Funding

No. Agency
1. National Family Health F. Ram, B. Paswan, S.K.Singh, USAID, DFID, BMGF,
Survey-4 H. Lhungdim, Chander Shekhar, UNICEF, UNFPA, the
Abhishek Singh, Dhananjay Bansod, MacArthur Foundation,
Manoj Alagarajan L.K. Dwivedi, and MoH&FW,
Manas Pradhan and Sarang Government of India
Pedgaonkar

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2. Counting Women’s Work L. Ladusingh IDRC Canada

3. Mapping Social Protection T.V.Sekher UNICEF
Schemes in Maharashtra: A
Desk review (May,2018 to
October,2018)
4. Unintended Pregnancies and F.Ram, Chander Shekher, Manoj Guttmacher Institute,
Abortion in India (UPAI) Alagarajan, M.R.Pradhan and USA
study Harihar Sahoo.
2. Continuing Projects:

Sr. Title of the Research Project Project Coordinator Funding Agency

No.
1. Longitudinal Ageing Study in India P. Arokiasamy, D. A. MoHFW/MoSJE,
(LASI( Main Wave (2014- 19) Nagdeve, T.V. Sekher, Government of India,
S.K. Mohanty, A. UNFPA and National
Chattopadhyay, Dipti Institute on Ageing (NIA(/
Govil and Sarang National Institute of Health
Pedagaonkar (NIH(, USA.

2. Study of Global Ageing and Adult P. Arokiasamy, H. The World Health

Health (SAGE(-India, Wave-2, 2014- Lhungdim, T.V. Sekher, Organization, Geneva.
16 Murali Dhar and Archana
K. Roy
3. Midline Rapid Assessment of Sayeed Unisa, Laxmikant UNICEF,New Delhi.
SWABHIMAAN Women’s Dwivedi, Dipti Govil,
Nutrition Demonstartion in Phase 1 Sarang Pedgaonkar and
States R.S.Reshmi
(Bihar,Chhatisgarh and Odisha)
3. New Projects:

Sr. Title of Research Project Project Coordinators Funding Agency

No.
1. National Family Health Survey-5 L.Ladusingh, B. Paswan, MoHFW,
S.K. Singh, H. Lhungdim, Government of India
ChanderShekhar, L.K.
Dwivedi and Sarang
Pedgaonkar
2. GEH Project (2017-20) K.S. James, Abhishek The Bill & Melinda Gates
Singh and Kaushalendra Foundation (BMGF)
Kumar through Centre Gender
Equity and Health (GEH),
University of California
SanDiego (UCSD)

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3. Global Youth Tobacco Survey-4 B. Paswan, H.Lhungdim, MoHFW,

R.Nagarajan, MuraliDhar Government of India
and Pralip K. Narzary
4. Multidimensional Poverty Sanjay K. Mohanty, R.B. UNICEF
in UrbanMaharashtra Bhagat and L.K. Dwivedi
5. Immunization Coverage Study in D.W. Bansod, Prakash State Health Systems
Maharashtra Fulpagare and S.K.Singh Resource Centre (SHSRC,
Pune), Government of India.
6. Process Evaluation and Concurrent T.V. Sekher and Manoj NITI Aayog and UNICEF
Monitoring of Pradhan Mantri Alagarajan
Matru Vandhana Yojna

PUBLICATION AND DISEMINATION host of information services to its users, like

Current Awareness, New Additions, Selective
The faculty and research staff of the Institute
Dissemination of Information, Online Public
prepared a number of research papers and project
Access Catalogue (OPAC), Document Delivery
reports during the academic year 2018-19. In this
Service, Photocopy facilities, Reference Service,
academic year, IIPS faculty has published 1 book.
Bibliographic service and so on.
IIPS faculty, research staff and students have
published over 140 research papers as chapters The library has a special collection of all the census
in books and peer-reviewed scientific Journals of volumes of published in the pre- independence
National and International repute. Also, more than period (Census of India 1872 to 1941 in PDF
130 research papers of the faculty, research staff format) till the latest Census 2011. The library
and students were presented in various National provides access to the several online databases
and International seminars/ conferences. like JSTOR, SCIENCE DIRECT (social science
collection), SCOPUS, INDIASTAT and other
LIBRARY
leading publisher’s online collection relevant
The International Institution for Population to health and population sciences. The library
Sciences Library has a collection of resources provides remote access through iProx21 for 4500+
taking into consideration the course contents online (full-text) journals to the authorized users.
and research needs of the Institute. It holds
The IIPS library has an institutional membership
about 86,051 books, 17,669 bound volumes of
with DELNET, IASLIC, NIRD, IASSI and
periodicals, 17,084 reprints and 630 audio-visual
exploring maximum services for the benefit of
materials and subscribers to over 300 (Print +
the Institute. The Institute is an active member
Online) journals. There are 27,282 research articles
of Shodhganga, Indcat programmes of the
from the core journals and edited books indexed
INFLIBNET of UGC. The library has reading
and made available through Online Public Access
hall equipped with comfortable furniture, air-
Catalogue (OPAC). The library has the collection
condition and Wi-fi facility. The library working
on population studies and its principal domains
hours are 8.00 a.m. to 8.00 p.m. (Mon-Fri) and
including philosophy, psychology, religion,
9.30 a.m. to 6.00 p.m. on Saturdays. The library is
sociology, statistics, economics, education,
in the process of creating Institutional repository
mathematics, anthropology, public health,
i.e. digitizing the Institute publications to provide
history, geography, etc. The library provides a
remote access to its patrons. An introduction

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of Radio Frequency Identification (RFID) to M.A./M.Sc., M.Phil. and short-term courses) are
the library, Identification of Core Collection of conducted in these two labs.
Population Studies; digitization of State level
DATA CENTER
Census Volumes of India are the major activities
have proposed to complete in near future. The Institute has a robust data center
comprising high-end servers for various system
INFORMATION COMMUNICATION AND
administration services and a network-attached
TECHNOLOGY (ICT) AND DATA CENTER
storage server to enable storing and dissemination
Information, Communication and Technology of demographic datasets.The data center currently
(ICT) unit provides computing facility and IT has all important datasets, such as those related to
infrastructure. Under the National Knowledge census and various rounds of large-scale surveys
Network project, the Institute has acquired a 1- conducted by the IIPS, which can be directly
GBPS internet link from NIC. The IIPS Local accessed through LAN by IIPS users .Through a
Area Network comprises both wired (fibre optic) web portal, online databases surveyed by the IIPS
and wireless (WiFi) networks and connects all are also disseminated to the registered users.
computers and mobile devices in the Institute. The
ICT unit is equipped with latest core i5 or higher
16.19 MAHATMA GANDHI INSTITUTE
generation computers. Moreover, the necessary OF MEDICAL SCIENCES (MGIMS)
statistical software, such as IBM SPSS Version 25, SEVAGRAM, MAHARASHTRA
STATA Version 15, SAS 9.4, Stat transfer, and ARC The Mahatma Gandhi Institute of Medical Sciences
GIS Version 10, required to analyze demographic (MGIMS), Sevagram is India’s first rural medical
datasets are installed with a multiuser license. In college. Kasturba Hospital has the distinction
addition, important software such as MORTPAK, of being the only hospital in the country which
Endnote X7 and Atlas Ti have also been installed. was started by the Father of the Nation himself.
The annual maintenance contact of the Institute Nestled in the karmabhoomi of Mahatma Gandhi,
covers the IT equipment including servers, in Sevagram, MGIMS was founded by Dr Sushila
computers, laptops and networking devices. Nayar in 1969 in the Gandhi centenary year.
Students and faculty have 24x7 internet access As regards funding pattern of the Institutes,
on the campus. The Institute’s bilingual (English- the annual recurring expenditure is shared
Hindi) website is maintained by the ICT Unit. by the Government of India, Government of
The unit provides webmail service, enabling its Maharashtra and the Kasturba Health Society
users to access mailbox from anywhere. The unit in the proportion of 50:25:25 respectively. The
also provides technical support for eGovernance Government of India released Grant-in-aid of Rs.
(e office) application, online admission tests and 70.70 crore to meet recurring expenditure of the
annual seminars. It also provides IT helpdesk Institute during the financial year 2019-20.
services for resolving software-, hardware- and
networking-related issues. The vision of the institute is to develop model a
replica model of community oriented medical
The ICT unit has one primary computer lab education which is responsive to the changing
equipped with 48 personal computers and 3 LCD needs to our country and is rooted in an ethos of
projectors. Another small lab with 16 personal professional excellence.In the spirit of its Founder,
computers connected via internet is also available. the Mahatma Gandhi Institute of Medical
Courses that require the use of computer (M.P.S., Sciences, Sevagram is notcommitted to pursuit

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of exemplary standards of professional excellence delivery at village level through Community-based

in medical education, research and clinical care Organizations and the Panchayati Raj Institutions.
by evolving a pattern of integrating value-based It has formed 239 Self-help groups, 13Kisan Vikas
medical education with accessible and affordable Manchand 89 Kishori Panchayats in the adopted
health care, especially to underprivileged rural villages. Through innovative strategies, family life
communities.  education is provided to adolescent girls in all the
programme villages.
HEALTH CARE
Palliative Care Centre at Kasturba Hospital
Kasturba Hospital has 934 beds: 690 teaching
beds, 100 service beds, 32 private rooms and 62 Patients and their families fighting with end of life
beds in different intensive care units. The institute issues and struggling with pains and maladies that
also runs a 50-bedded Dr Sushila Nayar Hospital, chronic incurable disease breed can look forward
in the tribal areas of Utawali, in Melghat and in to a ray of hope. A 30-bed palliative care centre on
Amravati district. Almost three-fourths of the the campus is afoot and is likely to be functional
patients who visit our hospital come from rural in the first quarter of 2020.
backgrounds. The patient load comes to us not
HIGHLIGHTS
only from Vidarbha in Maharashtra, but also
from adjoining parts of Andhra Pradesh, Madhya Celebration of Gandhi @150 on World Leprosy
Pradesh and Chhatisgarh. Kasturba Hospital Day 2019
offers the benefits of modern technology with • MGIMS organized a special programme on
compassionate health care. ‘Role of Gandhian philosophy in health with
In 2018-19, 1041721 patients attended the hospital focus on leprosy elimination’ on 30 Jan 2019
as outpatients and 51818 patients were admitted to commemorate the 2019 World Leprosy
for various ailments. The Hospital has state-of- Day.
the-art intensive care units in Medicine, Surgery, • A new 750 seat Golden Jubilee Auditorium
Obstetrics and Gynecology and Pediatrics which Complex is being constructed at MGIMS.
provide excellent critical care. The Institute also • MGIMS sends a team of 22 healthcare
has a Linear accelerator which is used for treatment professionals to help people cope with
of cancer patients. The Pathology, Microbiology miserly caused by floods at Kerala.
and Biochemistry laboratories have in-house
facilities to conduct a battery of diagnostic tests. 16.20 CENTRAL BUREAU OF HEALTH
All departments of the hospital are connected by INTELLIGENCE (CBHI)
an advanced Hospital Information System and
Central Bureau of Health Intelligence (CBHI),
have wi-fi access. The Institute has also added
established in 1961, is the Health Intelligence
digital subtraction angiography, brachytherapy
wing of the Directorate General of Health Services
and a cath lab to its armamentarium.
in the Ministry of Health & Family Welfare,
The Institute’s commitment to the community is Government of India with the vision to have “A
well known. Community-based programmes have strong Health Management Information System
been consistently implemented to enhance health in entire country”.
care services. The Department of Community
Activities under taken by CBHI
Medicine has adopted four primary health centres
and developed a model of decentralized healthcare • Publication National Health Profile

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and its Analytical Report: CBHI collects Analytical Report based on the National
primary as well as secondary data on various Health Profile from 2017.
communicable and non-communicable
• Capacity Building: For capacity building and
diseases, human resource in health sector
Human Resources Development in Health
and health infrastructure from various
Sector, CBHI conducts Long Term and
Government Organizations / Departments
Short Term In-service Training Programme
to maintain and disseminate Health
for the Officers and the Staffs working in
Statistics through its Annual Publication
various Medical Record Department &
“National Health Profile” which highlights
Health Institutions of the Central / State
most of the relevant health information
Governments, ESI, Defence and Railways as
under 6 major indicators viz. Demographic,
well as Private Health Institutions through
Socio-economic, Health Status, Health
its various Training Centers and Field
Finance, Health Infrastructure and Human
Survey Units as per details given below :
Resources. CBHI has started publishing
Long - Term Training Courses:

S. Name of the Batch Duration Training Centre No. of

No. Training participants
during 2018
1. Medical Record 2 1 Year Safdarjung Hospital, New Delhi. 15
Officer (1 at each JIPMER, Puducherry
Training Centre)
2. Medical Record 6 6 Months Safdarjung Hospital, New Delhi. 139
Technician (2 at each JIPMER, Puducherry
Training Centre) Dr. RML Hospital, New Delhi
Total No. of Candidates 154
• Short - Term Training Programmes:

S. Name of the Batch Duration Training Centre No. of

o. Training participants
during
2018-19
1. Training Course 2 5 Days Regional Health Statistics 33
on Master Training Centre (RHSTC),
Trainers on Mohali, Punjab.
(ICD – 10)
2. Training of 2 3 Days Regional Health Statistics 15
Trainers (TOT) Training Centre (RHSTC),
on International Mohali, Punjab.
Classification
of Functioning
Disability &
Health (ICF)

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3. Orientation 8 5 Days Regional Health Statistics 110

Training (2 at Mohali & Training Centre (RHSTC),
Programme on 1 at each Six Mohali, Punjab and Six
HIM for Officers FSUs) FSUs i.e. Bengaluru, Bhopal,
Bhubaneswar, Patna, Jaipur &
Lucknow.
4. Orientation 14 5 Days Regional Health Statistics 244
Training (2 at each Training Centre (RHSTC),
Programme Centre, Mohali, Punjab and Six
on HIM for RHSTC FSUs i.e. Bengaluru, Bhopal,
Para-Medical Mohali & Six Bhubaneswar, Patna, Jaipur &
Personnel FSUs) Lucknow.
5. Orientation 20 5 Days Regional Health Statistics 343
Training Training Centre (RHSTC),
Programme on (2 at RHSTC Mohali, Punjab and Six
(ICD – 10 & ICF) Mohali FSUs i.e. Bengaluru, Bhopal,
for Para-Medical & 3 at each Six Bhubaneswar, Patna, Jaipur &
Personnel FSUs) Lucknow.
6. Orientation 8 5 Days Regional Health Statistics 182
Training Training Centre (RHSTC),
Programme on (2 at RHSTC Mohali, Punjab and Six
MR & IM for Mohali FSUs i.e. Bengaluru, Bhopal,
Para-Medical & 1 at each Six Bhubaneswar, Patna, Jaipur &
Personnel FSUs) Lucknow.
Total No. of candidates 927

• CBHI publishes a concise information / (NHRR) Project:

data on Goal 3 of Sustainable Development
 CBHI has initiated the work of National
Goal (SDG) i.e. Maternal Mortality Ratio,
Health Resource Repository (NHRR)
Proportion of Birth attended by Skilled
Project for Nation-wide roll-out.
Personnel, under Five Mortality Rate (per
1000 live birth), Infant Mortality Rate (per  The NHRR Project aimsto create a web-based
1000 live Birth), TB incidence per 1000 and geo-mapping enabled single platform of
persons per year, Malaria incident cases all the Health Resources both Government
per 1000 persons per year, Health workers and Private which inter-alia includes,
density and distribution, etc. in its Annual Hospitals, Diagnostic Labs, Doctors and
Publication “National Health Profile”. Latest Pharmacies, etc. and will comprise of the
Publication is NHP – 2019. data on Health Infrastructure, Human
Resource and the availability of Medical
• Function as WHO Collaborating Centre on
facilities in each Healthcare Establishment
Family of International Classification (ICD
in the country.
– 10 & ICF) in India
 The Census would cover data points
• National Health Resource Repository
pertaining to Accessibility and Availability

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of services across all the Healthcare and epidemiological transition resulting in

Establishments including Sub-Centre, changed disease profile has made it essential to
Primary Health Centre, Community Health go beyond the standard treatment of illness and
Centre and District Hospitals from Public injuries to deal with these challenges through
Health and Doctors, Hospitals, Diagnostic population based approaches of health promotion
Labs, Chemists from Private Health Sector. focusing primarily on the physical, psychological,
social, cultural, economic and political
 As a Technology partner, ISRO, WHO and
determinants of health. During the past, CHEB
Bill & Melinda Gates Foundation (BMGF)
provided leadershipnot only within the country,
have also been associated with this project.
but also to South EastAsia regional countries in
A MoU has been signed with National
the field of health education. The contributions
Remote Sensing Corporation (NRSC), India
made by CHEB in the past have been remarkable
Space Research Organization (ISRO) on 3rd
which gets reflected from its publications,
May, 2017 for Design & Development of
research and evaluation studies under taken as
Geo-web Portal & Mobile App for National
well as national and international workshops and
Health Resources Repository and Capacity
seminars organized by the CHEB.
Building Addressing Geo – tagging,
Geo – Visualization & Spatial Analysis Major Achievements:
of Healthcare Assets of India on Bhuvan
Health Magazine: Published and distributed
Platform.
January & April 2019 issue of Quarterly Health
 In Collaboration with the above partners, Magazine “Healthy India Initiative” in English
preparatory activities have been completed and Hindi to create awareness among public about
and a filed assessment study across 5 health related issues. July & October issue which
districts, namely Hamirpur (Himachal got delayed due to change in editorial board and
Pradesh), Jodhpur (Rajasthan), North related technical reasons are under the process of
Sikkim (Sikkim), Bhopal (Madhya Pradesh) publication.
and Ernakulam (Kerala) is being executed.
Orientation Training Programs: CHEB
16.21 CENTRAL HEALTH EDUCATION conducted 38 orientation training programs
BUREAU (CHEB) for 1412 participants. The participants include
M.D. & MBBS students, B.Sc. & M.Sc. (Nursing)
Central Health Education Bureau (CHEB) students,PG students attending Diploma course in
was set up in 1956 as a part of Dte.GHS, with a Health Promotion & Education; and PG Diploma
mandate to generate & disseminate evidence course in Child Health Careetc. from different
based health information for creating awareness parts of country. They were inter alia informed
among the community resulting in desired health about initiatives taken in health education, health
behaviour. CHEB is also responsible for capacity promotion during these events.
development of medical, paramedical and other
non-health personnel to take care of the health Academic Inputs: CHEB during the reference
needs of the community, thereby, improving year, provided academic inputsfor
public health capacity to achieve health equity • Training programson Emergency Medical
and health for all. Response for Railway probationers &Safety
Demographic shift leading to increased longevity Officers at Indian Railway Institute of

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Transport Management, Lucknow. electronic display screen in CHEB.

• For the development of intervention tool Circulation of Articles: Circulated 04 articles to
for prevention of NCD risk factors among all the Secretaries of States / UTs for their reference
school children in WHO workshop held on & information - 1). Health Promotion: An
8-9 April 2019 in New Delhi. Effective Tool for Global Health; 2). Nutritional
Security in India: Determinants and Policies;
• Training program organized by Disaster
3).An educational intervention on the risk factors
Management Cell, Directorate General of
of lifestyle diseases among men aged 30-50 years
Health Services, Govt. of NCT of Delhi,
in an urban slum in Coimbatore, Tamil Nadu,
on the “Uses of AED (Automated External
India; 4). Geriatric Health in India: Concerns and
Defibrillator)” for medics and paramedics
Solutions.
staff posted on health centre in district court
premises in Delhi. 16.22 REGIONAL OFFICES OF THE
Celebration of Swachchta Pakhwada was HEALTH AND FAMILY WELFARE
organizedin CHEBfrom 1st April to 15th April, Regional Co-ordinating Organizations (RCOs)
2019 by ensuring the cleanliness within the office were established in some states in 1958 to co-
building as well as outside premises; and by ordinate between the Centre and the States
creating awareness amongst the office members for National Malaria Eradication Programme
about the importance of cleanliness in day to day (NMEP) activities. Another office, named Regional
life through lectures/presentation on the related Health Office (RHO) came into being in 1963 to
aspects. co-ordinate and supervise the Family Welfare
Review of IEC Document: IEC documents activities. Later on in 1978, when the need for an
developed by the National Program for Health office of the Government of India in the States to
Care of Elderly (NPHCE) for providing supervise, monitor and co-ordinate the matters of
information on healthy and active ageing were all centrally  sponsored Health and Family Welfare
reviewed and comments were forwarded to the programmes was felt, the RCOs and RHOs were
program Officer, DGHS. merged to form the Regional Office for Health and
Family Welfare (ROH&FW). To supplement the
Newspaper Advertisement: Pan India release of activities of CBHI Four Health Information Field
newspaper advertisement on 28th July, 2019 on Units (HIFUs) were established in 1981 and two
the occasion of World Hepatitis Day. more in 1986. As of now, there are 19 Regional
Offices of Health & Family Welfare functioning
Outdoor LED Screen DisplayDisplayed various
under the Directorate General of Health Services
health messages through LED screen installed in
located in the various State Capitals.
the CHEB premises to create awareness amongst
general public about health related issues. The units of the ROH&FW are:
Swachhata Hi Sevacampaign CHEB carried • Malaria Operation Field Research Scheme
out various activities in a school and within (MOFRS)
CHEB during “Swachhata Hi Seva” campaign for • Entomological section
awareness generation &motivation with special • Malaria section
emphasis on management of plastic waste in
• Health Information Field Unit (HIFU) and
addition to related messages displayed on the
• Regional Evaluation Team (RET).

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However, all the units may not be present in each All the ROH&FWs do not have all the units and
of ROHFW as regional importance and other so, the organizational structure of the ROH&FWs
technical requirements have been kept in mind is not uniform. While some of them have good
while locating units with ROHFWs, seen in the staff strength, others have only nominal staff. In
Table 1, showing the distribution of ROH&FWs view of this, the work carried out by each of the
and their sub-units. unit is not uniform.
Table 1: Distribution of ROH&FW and its sub-units in the field

S.  RD Office States   under HFW NVBDCP RET MFORS HIFU Total
No jurisdiction
1 Hyderabad Andhra Pradesh / 2
- 1 - 1 -
Telangana
2 Guwahati Assam/ Arunachal 1
- - - 1 -
Pradesh
3 Patna Bihar/Jharkhand 1 - 1 1 1 4
4 Chandigarh Haryana, Punjab and 1
1 - - - -
Chandigarh
5 RLTRI Raipur Raipur 1 - - - - 1
6 Ahmadabad Gujarat, Dadra & Nagar 2
- 1 - 1 -
Haveli
7 Shimla Himachal Pradesh 1 - - - - 1
8 Srinagar Jammu and Kashmir 1 - - - - 1
9 Bangalore Karnataka 1 - 1 1 1 4
10 Trivandrum Kerala/ Lakshadweep 1 - - - - 1
11 Bhopal Madhya Pradesh. For 4
CBHI-   Maharashtra,
Chhattisgarh, Goa, 1 - 1 1 1
Dadar and Nagar Haveli
and Daman & Diu
12 Pune Maharashtra, Goa, 1
1 - - - -
Daman and Diu
13 Imphal Manipur, Nagaland and 1
- 1 - - -
Mizoram
14 Shillong Meghalaya and Sub 2
Tribes- Khasi   Hills,
- 1 - 2
Garo Hills & Jaintia
Hills
15 Bhubaneswar Odisha - 1 - 1 1 3

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16 Jaipur Rajasthan 1 - - 1 1 3
17 Chennai Tamilnadu and 2
1 - 1 - -
Pondicherry
18 Lucknow Uttar Pradesh and 4
- 1 1 1 1
Uttrakhand
West Bengal, Sikkim, 3
19 Kolkata Tripura and   Andaman 1 - 1 1 -
& Nicobar Islands
  Total   12 6 6 12 6 42

Roles and Functions: was 589 and the staff in-position was 323.  The
senior most officers in the respective RHO’s are
These offices have been established with the
designated as Senior Regional Director/Regional
primary objective of ensuring proper liaison
Director depending upon their ranks/grade
and coordination between the Centre and
pay.  Category-wise availability of the staff in the
State Governments in the context of the
Regional offices is as below:
implementation of National Health and Family
Welfare Programmes. Table 2: Cadre wise staff status in ROH&FW
Budget allocation & Utilization Sub-cadre wise status of posts sanctioned and
in-position
The Approved BE for the year 2018-19 is Rs. 55.98
crore.  The expenditure incurred for the financial S. Category of staff Sanctioned In-
year 2018-19 is approx. 44.5 crore. The head-wise No posts position
allocation is given in table 3. post
Table.3.Budget allocation and utilization 1 SAG 21 19

(Amount in Crore) 2 GDMOS 10 7

3 PH   Specialists 6 6
S. Budget Head  Plan ( MH-
No 2211)/Plan 4 Non-CHS   officer 43 25
(MH-2552)
5 Technical   staff 265 144
1 BE 2018-19 55.98
6. Ministerial   staff 244 122
2 RE 2018-19 50.61
  Total 589 323
3 Actual Expenditure 2018- 44.5 (apprx)
19 as per RE Technical Activities undertaken: The details
of the technical activities of the ROH&FW
4 % Utilization 88.00%
undertaken are given below:
5 BE 2019-20 53.67
 Capacity Building Workshop
Staff Strength
The workshop held from 30/01/2019 to
The sanctioned strength of staff in the Regional 01/02/2019 was inaugurated by Smt. Preeti Sudan,
Offices as on 31st March 2019 across cadres Secretary (H&FW).  Dr. S. Venkatesh, DGHS in

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welcome address, emphasized the crucial role  Training activities

played by ROHFWs in the control of Nipah and
Zika outbreaks in Kerala and Madhya Pradesh/ NVBDCP and CBHI related trainings are being
Rajasthan respectively. Clarity in roles of Regional organized by the ROH&FW. These are need based
Directors is required for contributing effectively training programmes organized on demand from
and efficiently to National Programmes and new the states. ROH&FW are conducting training in
initiatives. malaria microscopy under NVBDCP and training
on ICD-10 and HIS under CBHI. Consolidated
Secretary (H&FW) interacted with Regional
number of batches of NVBDCP and CBHI related
Directors stating that there was a need for co-
trainings organized and trainees are given in table
ordination for relevance and to be clear in the
achieving of the goals for raising the standards of 5.
health in the country. Table 5: Training programme organized
 Liaison & Coordination
S. Training programme Number
Regional offices are to keep a close liaison with No. organized
state and national programme officers through Batches   of training in Malaria
regular meeting with programme officers. i. 128
microscopy organized
All Regional Directors undertake liaison and
ii Personnel   trained 1477
coordination activities between the states and
national programme officers. Consolidated iii Batches   of training in CBHI 60
number of liaison activities undertaken by the iv Personnel   trained 1441
ROH&FW are as below in table 4.
V Other   Training 126
Table 4: Liaison and coordination activities vi Trainees 4702
S. Liaison &   Coordination Number  Research studies undertaken
No.
# National Level Meeting Research studies are undertaken by the
i. 297 specialized units created in selected ROH&FW.
attended
These specialized units are Malaria Operation
ii. # State level Meeting attended 644
Falciparum Research Scheme (MOFRS) that
# Issues addressed/sorted out undertake therapeutic efficacy studies on the
iii, 331
including UCs directions of the NVBDCP, Regional Evaluation
iv. # Court cases coordinated* 1427* Teams (RETs) that undertake evaluation studies
No. of Institutions visited on eligible couples on the directions of the H&FW
V to assess feasibility of New 199 programme, and Health Information Field Units
Initiatives (HIFUs) undertake research project on HIS on the
Monthly   Review Meetings directions of the CBHI. The consolidated number
vi. 393
with State Programme officers of research studies undertaken are as below in
table 6.
*The number is aggregate of court cases handled
every month and so doesn’t reflect total number
of cases

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Table 6: Research studies undertaken programmes from their very inception. Now,
the Regional Offices of H&FW has been asked
S. Research   studies/surveys Number to undertake the review of the all the National
No. undertaken Health Programmes being implemented in the
i. Therapeutic   Efficacy studies 3 states. ROH&FWs are also reviewing the progress
ii. Entomological   surveys 182 in the implementation of the newer initiatives
of the MOH&FW. The consolidated numbers of
iii. CBHI   studies 32 National Health Programmes reviewed are given
iv. RET   Studies 31 as under (table 8).

 Monitoring Peripheral Institutions for Table 8: Districts visited for review of the major
IPHS National Health Programmes

Regional offices are responsible for supervision S. National Health   Districts

and monitoring of the centrally sponsored No. Programmes
schemes and the functioning of the peripheral National   Rural Health Mission
institutes. However, during 2010-11 in a review i. 275
(NRHM)
meeting of the RDs at Srinagar, it was decided Revised   National Tuberculosis
that ROH&FW should also undertake assessment ii. 199
Control Programme (RNTCP)
of the IPHS in the peripheral institutes. DGHS
National   Leprosy Control
issued instructions that each ROH&FW should iii. 232
Programme (NLEP)
undertake assessment of the IPHS in at least one
District Hospital, one CHC, one PHC and one SHC. National   Programme for
iv. 141
Control of Blindness (NPCB)
All the ROH&FW have completed the assessment
of IPHS in the given peripheral institutes. National   Vector Born
ROH&FW are regularly visiting the peripheral v. Disease Control Programme 449
institutes for monitoring and supervision. The (NVBDCP)
consolidated number of institutes visited are as Integrated  Disease Surveillance
vi. 198
below in table 7. Project (IDSP)
National   Iodine Deficiency
Table 7: Monitoring of Peripheral Institutes for
vii Disorders Control Programme 149
IPHS
(NIDDCP)
S. Institutions   visited  for IPHS Number National   Tobacco Control
Viii 94
No. monitoring Programme (NTCP)
  1  DH   & SDHs   438 National   Programme for
ix Control of Cancer, Diabetes, 160
  2  CHCs         409 CVD and Stroke (NPCDCS)
  3  PHCs         887 National   Mental Health
X 102
  4  SHCs         832 Programme (NMHP)
xi Trauma   Care 116
 Review of the National Health Programmes
Oral   Health and fluorosis
xii 86
Traditionally, the ROH&FW are responsible control
for review of the NVBDCP and the H&FW

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National   Programme from Table 10: Total consolidated performance of the

Xiii 102 Regional Evaluation Teams
Health Care Elderly (NPHCE)
National   Aids Control S. Activity Number
xiv 87
Programme (NACP) No.
 Activities of the NVBDCP under MOFRS Eligible   Couples contacted
I for field verification on CC 1918
An important task undertaken by ROH&FWs practices
under NVBDCP is cross-checking of blood slides Eligible   Couples found fake/
II 294
and undertaking therapeutic efficacy studies. They denial 
also provide their expert opinion on complicated Children   contacted for fully
III 2264
cases of the malaria. The activities undertaken by immunization
ROH&FWs under NVBDCP are given below in Children   found fully
IV  2112
table 9. immunized
Table 9: Activities under NVBDCP V  ANC   cases Field verified 2392
ANC   mothers undergone
VI  2209
S. Activity Number three ANC check-ups
No. ANC   mothers develop
VII 109
Blood slides collected in 2095 complication
i
Malaria Clinic in ROHF&W Mothers   contacted for PNC
VIII  2411
check up
Blood slides found positive of 84
ii PNC   cases have undergone
ROHF&W IX 1866
three PNC check-ups
iii Blood slides Cross-checked 622202
PNC   mothers have
X 86
iv Blood slides with discrepancies 1463 complication
v % discrepancies 0.23% XI JSY   cases field verified 2218
JSY   beneficiaries received
 REGIONAL EVALUATION TEAMS - XII 1895
monitory help
FIELD VERIFICATION
JSY   beneficiaries spent their
XIII 135
Regional evaluation teams are the specialized money for confinement
component of the ROH&FW. These units  ACHIEVEMENTS
undertake evaluation studies on the genuineness
of the clients practicing contraceptive methods ROHFW, Kolkata:
under H&FW programme. In addition they also • Started NCD Programme with reporting in
field verify the work carried out by the Health Andaman &Nicobar Islands
workers, children for fully immunization, mothers • Participated in the expert group that
covered under RCH programme. The teams also formulated the National Policy on Patient
conduct satisfaction of work by ANM & ASHA safety
with mothers and PRI. The consolidated numbers
ROHFW, Pune:
of clients field verified are given as below in table
10.  Attended meeting on Human Organ
Transplant Act under the Chairmanship

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of  Dr.Deepak     Sawant, Health Minister, ROHFW, THIRUVANANTHPURAM:

Maharashtra  First responder during Outbreak of Nipah
ROHFW, Shimla: Virus Disease at Calicut that occurred in
May 2018
 Coordinated with State for Signing of MOU
for establishment of NCDC branch, Shimla • In response to the floods in Kerala in 2018,
on 09/05/2018 and MOU got signed with activities undertaken by the ROHFW
State. Trivandrum were providing Public
Health Specialist from ROHFW, w.r.t. the
 Participated as Team Member of Common
surveillance of communicable diseases and
Review Mission for State of Himachal
sharing of data with centre on daily basis.
Pradesh from 5th September to 12th
September, 2018 • Outbreak Investigation of West Nile Fever
case in Malappuram as Central Team
   Assisted State in soft launch of IHIP on
Member
21th November, 2018.
ROHFW BANGLORE:
ROHFW, Ahmedabad: 
 Integrated Health Information Platform
 Implemented the NHRR project under
(IHIP) of IDSP in Karnataka State  and  in
CBHI in Gujarat State & Dadara Nagar
formulating Framework for Malaria
Haveli(DNH) under chairmanship of Senior
Elimination which has been subsequently
Regional Director, ROH&FW, Ahmedabad.
approved and put in place.
 Review and monitoring of trauma care
 Provided technical support regarding
facilities at SSG Hospital, Vadodra ,Sub –
disease surveillance following floods in
District hospital- Khanvel and burn unit
Kodagu district thereby preventing any
at Vinoba Bhave Hospital , Silvasa in co-
outbreak.  Many other disease outbreak
ordination with Dr. Gadpayle, Additional
investigations have been done.
DGHS, DGHS,MOHFW,GOI.
ROHFW LUCKNOW:
ROHFW, Chennai:
 In ELF programme IDA (Triple Drug) was
 Celebrated World Malaria Day in Kendriya
performed in February 2019 at Varanasi.
Vidyalaya School, CLRI Campus with
an exhibition and talk regarding malaria  Assessment of NHRR activities being
elimination.. carried out by IQVIA in different districts
of UP and Uttrakhand was done.
 Successfully initiated the NHRR Census
in Tamilnadu & Puducherry in June  Training on ZIKA imparted at Lucknow
2018 despite many obstacles regarding International Airport to the Immigration,
cooperation from IMA, pharmacies and Customs, Intelligence, CISF and Airline
Private Medical Colleges in Tamilnadu staff.
State. 16.23
NATIONAL MEDICAL LIBRARY
ROHFW, RAIPUR: (NML), NEW DELHI
• Online NLEP Training of Medical Officers National Medical Library (NML) provides
in collaboration with ECHO valuable library information services and
• Implementation of GEM in purchase assistance to support the academic, research and

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clinical work of health science professionals in the (1), Himachal Pradesh (1), Jammu & Kashmir (2),
country. It occupies an important place in health Jharkhand (1), Karnataka (1), Kerala (1), Madhya
care information delivery system in the country. Pradesh (2), Maharashtra (8)
ACTIVITIES AND SERVICES: Manipur (1), Meghalaya (1), Mizoram (1), Orissa
(2), Puducherry (2), Rajasthan (3), Tamil Nadu
(i) During the period April to October 2019,
(3), Telangana (1), Tripura (1), Uttar Pradesh (7),
the Library received 11,996 visitors from different
Uttarakhand (1), West Bengal (3)
parts of the country. Also, the Reference Section
handled 1500 queries from NML visitors and (iii) Document Delivery System (Print and
staff of DGHS, Ministry of H&FW. During the Electronic): A large number of requests for
reporting period, 29 new members were added to photocopy of articles were received from users
the membership of NML. It is also informed that in NML and also from outside Delhi by post,
Library has issued 335 entry passes to visitors from Government as well as private institutions
and issued 72 books during the reporting period. for photocopy. 2220 photocopies (approx..)
Internet services have been provided to 247 readers were provided to the medical research scholars
of NML. No dues (NOC) were issued to 1029 users across the country during the period 1.4.2019 to
and staff of the DGHS, and MOHFW. Issue and 28.10.2019. No postal charges are taken for these
return of files and membership process has been services for delivery of photocopies outside Delhi.
computerised. Library Security(Electromagnetic
(iv) Branch Library at Nirman Bhavan:
Security System) has been installed and functional.
National Medical Library maintains a branch
(ii) NML- ERMED Consortium: NML ERMED library in Nirman Bhawan to cater to the library
Consortium is an initiative taken by Directorate and information needs of staff and officers in
General of Health Services &MoHFW to develop the Directorate General of Health Services and
nationwide electronic information resources in Ministry of Health & FW. It has a collection
the field of medicine for delivering health care. It of over 1300 books . Books, magazines and
was started in 2008. In 2019, NML has subscribed newspapers are issued to the officers of Dte.GHS
239 e-journals from five foreign publishers for and MoH&FW. Reading Room Facilities are also
ERMED Consortium (www.ermed.in) for 70 available.
members (Medical Colleges/ Institutes) in 28
(v) On line public Access Catalogue :Servers
states across the Country at the cost of Rs.18.91
and computers in library are networked to form
crores.
a LAN having integrated Library Management
8,84,297(Eight lakh Eighty FourThousand Software Packagee-Granthalaya supported by
TwoHundred Ninety Seven) articles have been NIC, Government of India.
accessed /downloaded from e-resources of
(vi) Print Medical Journals and books: National
ERMED this year, till 31st September, 2019.
Medical Library (NML) has been providing a
STATEWISE DISTRIBUTION OF wide variety of Health Information dissemination
INSTITUTIONS WHO HAVE SUBSCRIBED activities focussed on reaching out to Health
TO ERMED Care Professionals of the country. NML is known
for its rich collection of books, serials, reports,
Andaman & Nicobar (1), Andhra Pradesh
monographic publications and bound volumes of
(4), Assam (4), Bihar (1), Chandigarh (2),
journals. During the reporting period, National
Chhattisgarh (1), Delhi (12), Gujarat (2), Haryana

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Medical Library has subscribed to 594 print scattered over 35 villages for rendering primary
medical journals and procured 34 print medical health care services through dispensary and team
books. The Library has a collection of over 1.70 of Para-medical staff.
lakh books and 6.5 lakh bound journals.
The population of the Najafgarh Block, situated
(vii) Conference Organized: A twoday National on South West of Delhi, at present is 1.05 million.
Conference on “ERMED - Digital Health The registered population with the Rural Health
Resources: A Reality” on 2-3rd May, 2019 was held Training Centre, Najafgarh is nearly 5 lakh .
at National Medical Library which was attended Rural Health Training Centre, Najafgarh, PHCs
by 115 participants, including ERMED members of Najafgarh, Palam and Ujwa and 16 sub centres
across the country. are spread over an area of 432.6 kms covering 73
villages.
(vii) Training Programs Organized: A Training
-cum-Orientation Programme for ERMED at Government of India has allotted a fund of Rs.
National/Regional/State Level was conducted to 3.00 Crore for undertaking Swachhta Action Plan
create awareness and make the system more user (SAP) for the year 2019-20.
friendly, at the following eleven Institutions in
The Major Activities of RHTC Najafgarh are as
which 629 members have participated.
follows:
Stanley Medical College, Chennai, Nizam’s Institute
 TRAINING
of Medical Sciences, Hyderabad, Government
Medical College, Thiruvananthapuram, • Training to ANM 10+2 (Voc.) Students with
National Institute of Virology, Pune, Seth G.S. intake capacity of 40 students per academic
Medical College & KEM Hospital, Mumbai, session.
U.N. Mehta Institute of Cardiology& Research • Promotional Training to Nursing Personnel.
Centre, Civil Hospital, Ahmedabad, All India • Community Health Nursing Training to
Institute of Hygiene and Public Health, Kolkata BSc/MSc/GNM students of various Nursing
, NEIGRIHMS, Shillong, All India Institute Institutions like College of Nursing,
of Medical Sciences, Bhubaneshwar, Dr. Ram Safdarjung Hospital, RML Hospital, Lady
Manohar Lohia Institute of Medical Sciences, Hardinge Medical College, Holy Family
Lucknow, Assam Medical College, Dibrugarh Hospital, Batra Hospital, Apollo Hospital
NML also provided sufficient number of “Users and various other Govt./State Govt./Pvt.
Manuals “and “Posters” to each participant to Instititutions. Nearly 1000 trainees were
enhance awareness for ERMED. It is expected that trained during the period.
the search skill of the users will be more efficient • One Day Observation Visit.
in future to make use of the ERMED resources. • RHTC Najafgarh has implemented the
16.24
RURAL HEALTH TRAINING NRHM in its three PHCs and 16 sub-centres
in collaboration with CDMO (South-West),
CENTRE (RHTC), NAJAFGARH
Govt. of NCT Delhi.
Rural Health Training Centre, Najafgarh, New
 RHTC Najafgarh has implemented the
Delhi was set up as health unit in 1937 with the
NRHM in its three PHCs and 16 sub-centres
financial support and guidance of Rockefeller
in collaboration with CDMO (South-West),
Foundation at Najafgarh to cover an area of
Govt. of NCT Delhi.
about 162 sq. miles having a population of 44,000

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Non-Communicable Disease Clinic (NCD under the administrative control of the Indian
Clinic) Red Cross Society (Maternity & Child Welfare
Bureau). In 1952 the Government of India took
Services in the field of Non Communicable
over the school and attached Ram Chand Lohia
disease by setting up a New Clinic exclusively
MCH Centre to it. Total capacity of the school
for Screening and treatment of NCDs. It have
was 24 Health Visitor trainees from all over India,
been extended. Regular monitoring of blood
even these candidates were not available at that
pressure and capillary blood glucose of patients
time. Duration of the course was of one and a
with hypertension and /or diabetes mellitus is
half year for matriculates who were qualified
being done at the NCD clinic daily. Counselling
midwives, which was replaced by two and half
for lifestyle modification is done for ever patient.
years integrated course for health visitor in 1954.
Opportunistic screening for hypertension,
diabetes mellitus, oral cancer and breast cancer at The School aims at providing training facilities
the NCD clinic in the centre among all individuals to various categories of Nursing Personal in
30 years of age or more attending the RHTC, in community health as well as M.C.H. and family
accordance with NPCDCS guidelines, is being welfare services through the attached Ram Chand
carried out daily. Lohia MCH and Family Welfare Centre.
Upgradation of OT:- Operation Theatre of this The Institution is imparting the following courses
centre has been made fully air conditioned with at present
the financial assistance of GNCT under NRHM.
• Auxiliary Nurse-Cum-Midwife Course :
Strengthening of ANM Training School:- ANM This course is under Indian Nursing Council and
Training School has been strengthened with the eligibility criteria for the course is 12th pass.  38
construction of two lecture halls in ANM School students completed their training in September,
and construction of three rooms and attached 2019.  42 students (40 + 2 from EWS) have been
toilets in Hostel. admitted for session 2019-20. Total number of
students are 80 during  2017-19 and  2019-21.
Future Vision and Mission:- Construction
of 100 bedded Hospital at RHTC Najafgarh • Certificate Course for Health Workers
is almost finalised. The Hospital will be fully (Female) under multipurpose workers scheme:  
operational by the second half of 2020. After the This course is of six months duration. Students are
operationalization of 100 bedded General Hospital admitted twice a year i.e. in January and July every
at RHTC Najafgrh,some other Paramedical and year with admission capacity of 20 in each batch.
Nursing Diploma Courses will be proposed at 19 students who were admitted  in January, 2019
RHTC Najafgarh. batch, completed their training in June, 2019.  At
present 20 candidates are under training.
16.25
LADY READING HEALTH
SCHOOL, DELHI Clinical Experience: The students are sent for
their clinical experience in Rural and Urban
Lady Reading Health School, Delhi  is considered Health Centre, different Hospitals like Safdarjung
as one of the pioneer institutions and first of its Hospital, RML Hospital, Lady Hardinge Medical
kind for training Health Visitors.   The School, College and Kalawati Saran Children’s Hospital in
established in 1918 under the Countess of Delhi.
Dufferin Fund for training Nursing personnel
for M.C.H. service program. In 1931 it came Lohia MCH and Family Welfare Centre:

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Students are also posted for Urban Health the State of Kerala, in technical collaboration
Experience through Ram Chand Lohia MCH with M/s Okamoto Industries Inc. Japan. Today,
and Family Welfare Centre.    The Centre gives with seven manufacturing plants, HLL has grown
integrated MCH Family Welfare Services to over into a multi-product, multi-unit organisation
40,000 population. Weekly clinics are conducted addressing various public health challenges facing
like Antenatal Care, Post Natal Care, Well Baby humanity.
Immunization, Family Planning Clinics, door to
HLL is a Mini Ratna, Schedule B Central Public
door services are also imparted to the community
Sector Enterprise. Over the years, HLL has
by the students. Exhibition and Health education
transformed from a Condom company to a
are also organized in the community by MCH
Contraceptives company and thereafter to a
centre through students & staff.
Healthcare delivery company. While focusing
Budget: The total budget for the institution and and expanding the core areas i.e. Reproductive
welfare of staff is Rs.4,77,00,000 (Rupees Four Healthcare, HLL diversified into other healthcare
Crore Seventy Seven lakh only) for the year 2019- segments like Hospital products, Hospital
20. infrastructure management, Medical equipment
procurement consultancy, Diagnostic services etc.
16.26 HLL LIFECARE LIMITED (HLL) The purpose of business at HLL is ‘to provide high
HLL Lifecare Limited (HLL), under the quality products and services at affordable price’
administrative control of Ministry was
Financial Results 2018-19
incorporated in the year 1966. HLL’s first
plant began operations on 05th April 1969 at The Company’s financial performance, for the
Peroorkada in Thiruvananthapuram District in year ended March 31, 2019 is summarized below:
(Rs.in lakh)
Financial   Particulars Standalone Consolidated
2018-19 2017-18 2018-19 2017-18
Revenue from operations 1,44,436.65 1,07,538.27 1,68,211.93 1,21,754.07
Other Income 2,731.94 1,316.49 1,423.46 557.68
Total Income 1,47,168.59 1,08,854.76 1,69,635.39 1,22,311.75
Profit/(Loss) before Tax 1,536.07 (6,486.94) (1,296.13) (8,770.08)
Tax Expenses (310.77) 471.40 1,077.14 1,767.17
Profit/(Loss) after Tax 1,846.84 (6,958.34) (2,373.27) (10,537.25)

Physical Performance: 2018-19

A review of HLL’s manufacturing activities during 2018-19 is given below:

Sl. Product Unit Installed   Quantity   Capacity Quantity  

No. Capacity Manufactured utilization Manufactured 
(Current year) (%) (Previous Year)
1 Condoms Mpcs 1892.00 818.66 43% 1,846.52

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2 Blood Bags Mpcs 12.50 10.07 81% 7.39

3  Suture L. Doz 6.00              0.61  10%                  1.31
4  Copper - T Mpcs 5.50                 2.87  52%                  2.38
5  Sterioidal OCP M. Cycles 98.66               42.85 43%                43.78
6 Non-Steroidal M. Tabs 30.00               65.97 220%                41.37
OCP(Saheli)
7  Sanitary Napkin Mpcs 392.00             198.11 51%              251.93
8  Diagnostic Test Mpcs 26.00               12.93 50%                12.55
Kits

SUBSIDIARIES AND JOINT VENTURES as a joint Venture between Hindustan Antibiotics

Ltd. (HAL) Pune and EDC Ltd (Govt. of Goa
As on March31, 2018, HLL has five subsidiary
Undertaking), a premier financial institution of
companies and one joint venture Company. The
Goa. The shareholdings of HAL in GAPL were
summary of performance of the subsidiary and
transferred in favour of EDC Ltd. in the year
joint venture companies is provided below:
1987. In March 2014, HLL acquired 74% equity
a) HLL Biotech Limited [HBL] stake in GAPL and the remaining stake of 26%
is retained by EDC Ltd. GAPL has capacity to
HLL Biotech Limited (HBL), is a wholly owned
manufacture high quality affordable generic
subsidiary company of HLL incorporated on 12th
drugs as per Govt. of India ‘essential drug list’.
March 2012. HBL was formed for production
The Pharma Manufacturing unit and Registered
of vaccines for the National Immunization
office of the company is located at Tuem village of
Programme and new generation vaccines. Govt.
PernemTaluka in North Goa. GAPL is engaged in
of India has declared this project as a project of
Marketing of Life-Saving Drugs catering to major
national importance since HBL has to ensure
Central/State Government Institutions across the
uninterrupted supply of vaccines for the Universal
country. The company is having strong product
Immunisation Program (UIP) at affordable prices.
acceptance in all therapeutic range of medicines in
The facility is being established at Chengalpattu,
premier Government Institutions. The company
near Chennai. HBL, with an annual capacity of
is also diversified in Ayurvedic Siddha, Unani and
585 million doses, will manufacture Pentavalent
Homoeopathic Segment. The company is also
combination (DPT plus Hep B plus Hib), BCG,
operating a chain of Retail Pharmacy Outlets in
Measles, Hepatitis B, Human Rabies, Hib and
the State of Goa to provide quality medicines at
Japanese Encephalitis (JE) vaccines in the first
affordable price to the needy.
phase.
The authorized and paid up share capital of GAPL
The authorized and paid up share capital of HBL
as on 31st March, 2019 is Rs.25.00 Crore and
as on 31stMarch, 2019 isRs.285.00 crores and
Rs.19.02 Crore.
Rs.274.89 crores. 
c) HLL Infra Tech Services Limited. [HITES]
b) Goa Antibiotics & Pharmaceuticals
Limited [GAPL] HITES is a wholly owned subsidiary of HLL
incorporated on 3rd April 2014. HITES is
GAPL was incorporated on 9th December 1980
specialised for providing services in the areas of

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(i) Infrastructure development, (ii) Procurement HMCCLL as on 31st March 2019 is Rs.10 lakh
of medical equipment and devices and (iii) each.
Facility Management in healthcare sector.
The company was formed as a SPV to implement
HITES is capable of providing services in design,
the Mother & Child Care Hospitals project and
engineering and execution of construction
could not serve the objective for which the SPV
projects. The authorized and paid up share capital
was set up. Considering the fact that maintaining
of HITES as on 31st March, 2019 is Rs.2.00 Crore
a shell company will necessitate incurring
each.
administrative cost and legal compliance
d) HLL Medipark Ltd. (HML) cost among other incidental costs, the Board
of Directors of HMCCHL decided to merge
HML is a wholly owned subsidiary of HLL
HMCCHL with HLL. Accordingly, a detailed
incorporated on 20thDecember 2016 for the
proposal for merger was considered and approved
implementation of Medipark in Chengalpattu in
by the Board of Directors of HMCCHL and HLL.
Tamil Nadu. Medipark is envisaged as an exclusive
Based on the Board decision, the proposal for
industrial cluster with the state-of-the art
merger of HMCCHL with HLL was submitted
infrastructure and integrated eco system for the
to the Ministry of Health & Family Welfare,
manufacture of medical devices and equipments
Government of India for approval on 7thAugust
along with knowledge management infrastructure
2019. HLL and HMCCHL will proceed with the
in a sprawling 330 acres of land. The Medipark
merger only after receiving concurrence from the
will be a one-stop facility for manufacturing
Ministry. 
units and would stimulate innovation and R&D,
develop new technologies, prototyping and f) Life Spring Hospitals (P) Limited [LSH]
commercialization, quality assurances through
LSH is a 50:50 joint venture company between
its accredited laboratory &calibrationcentres and
HLL and Acumen Fund Inc., USA. With the
become a hub for the sector in the country. The
aim of providing dignified maternal healthcare
project is aimed to strengthen the “Make in India”
at affordable costs to low-income mothers
drive of the Government thereby reducing the
across LSH was formed in 7thFebruary 2008.
dependence on imports and create a strong base
LSH is an alternative to constrained government
for the growth of indigenous manufacturing.The
hospitals and expensive private hospital care.
authorized and paid-up share capital of HML as
It seeks to lessen the burden of rising health
on 31st March 2019 is Rs13 Crore and Rs. 2.10
costs on the nation’s low-income communities
Crore respectively. 
thereby increasing their disposable income. The
e) HLL Mother & Child Care Hospitals authorized and paid-up share capital of LSH as
Limited [HMCCHL] on 31st March 2019 is Rs.20 Crore and Rs.17.16
Crore respectively.
HMCCHL is a wholly owned subsidiary company
of HLL incorporated on 1st August, 2017 for DEMERGER OF HLL BIOTECH LIMITED
operationalization of 100 bedded Mother & Child AND HLL MEDIPARK LIMITED FROM HLL
Hospital (MCH) wings at 20 district hospitals in LIFECARE LIMITED
Uttar Pradesh. HLL has incorporated HMCCHL
The Cabinet Committee on Economic Affairs
as a wholly owned subsidiary company of HLL
[CCEA], Government of India, in its meeting held
for Operationalization of 20 MCHWs on EFOMT
on 1st November 2017 has granted ‘in-principle’
basis.The authorized and paid-up share capital of

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 CHAPTER - 16

approval for hiving off the Vaccine venture and Based on the Board approval the Company has
Medipark project of HLL Lifecare Ltd. [HLL] as submitted application for Demerger to Ministry
separate Special Purpose Vehicles and thereafter of Corporate Affairs [MCA] on 7th June, 2019. The
sale of 100% of Government’s equity in HLL via application is under consideration with the MCA.
a two-stage auction process. The Vaccine Venture
PROCUREMENT OF GOODS FROM MSMEs 
and Medipark project is presently pursued by HLL
through its wholly owned subsidiary companies During the year 2018-19, the Company has
namely; HLL Biotech Ltd. and HLL Medipark Ltd. procured goods of value of Rs.4,083 lakhs from
Micro, Small and Medium Enterprises (MSMEs)
On 1st February, 2019 the Ministry of Health &
out of the total procurement of Rs.15,577 lakhs
Family Welfare [MoHFW], Government of India
which is 26.21% against the target of 25%.
vide its letter F.No.A-45013/44/2017 – HPE has
The Company has also conducted 21 Vendor
directed HLL to formulate schemes for Demerger
Development Programmes.
of HBL & HML and submit the same to the
Ministry at an early date.
Taking into consideration the CCEA decision and
direction given by the MoHFW, Government of
India, the Board of Directors of HLL in its 267th
Board meeting held on 20th February, 2019 has
considered and approved the proposal for the
Demerger of HBL & HML from HLL.

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ANNUAL REPORT 2019-2020
 CHAPTER -

Swastha Nagrik Abhiyan

(SNA) 17
17.1 INTRODUCTION in terms of speed, virility and trendsetting
attributes, SNA effectively uses the most
The Swastha Nagrik Abhiyan (SNA)/Information, prominent social media platforms as part of its
Education & Communication (IEC) strategy aims pro-active approach.
to not only create awareness and disseminate
information regarding the benefits available under 17.2 STRATEGICIEC/COMMUNICATION
various schemes/programmes of the Ministry and PLAN
guide the citizens on how to access them but also
creating behavior change i.e. healthy practices The Ministry has designed a strategic framework
viz. eating right, getting screened, breastfeeding for targeted IEC activities encompassing mass
infants, prevent NCDs and so forth. The objective media, along with mid-media and inter-personal
is to encourage build-up of health-seeking activities so as to disseminate information about
behavior among the masses in keeping with the the various health schemes among the masses. The
focus on promotive and preventive health. The year-long IEC/Communication Plan has month-
IEC strategy has catered to the different needs of wise focus on health days and health themes.
the rural and urban masses through the various While some activities were taken up to coincide
tools used for communication. with ‘Health Days’, others were week and month
long plans for focused multi-media campaigns
SNA has adopted a pro-active approach towards on schemes of the Ministry. These center around
communication by utilizing all channels/ topics such as Ayushman Bharat – Health &
mediums of communication i.e. Mass media Wellness Centres (AB-HWCs), Anemia Mukt
(TV, Radio, Print), Mid Media (Outdoor Bharat (AMB), TB Elimination, Immunization,
publicity, Metro rail/pillars etc.), IPC (local Breastfeeding Week, Tobacco Control, seasonal
folk performances). The Ministry has also ailments such as Dengue, H1N1 etc.
utilized the services of DAVP through channels
empanelled with DAVP within guidelines The Ministry created wide awareness regarding
approved by M/o I&B. MOHFW has taken the setup of new AIIMS and up-gradation of
services of all national and regional satellite Govt. Medical Colleges (GMCs), TB elimination,
channels, all FM radio, Community Radio as immunization, tertiary healthcare programmes
well as Digital Schemes. for NCDs, E-Health and the different regulations
such as the National Medical Commission
Also in new age communication, social media Act and other new initiatives of MoHFW.
has gained prominence with its organic reach, The communication about these topics was
real time interactive potential and vibrancy complemented through media outreach, Op-eds
and has got certain edge over traditional media by Hon. Health Minister and feature articles.

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 CHAPTER - 17

17.3 PRINT National Nutrition Week and National Breast

Feeding in addition to TB, Tobacco, vector borne
The IEC Division has been regularly publishing
diseases etc.
advertisements in all the leading newspapers
of India, including regional languages. The aim The Ministry has also taken services of DD
of such advertisements is not only to encourage Kendra, PrasarBharti for live telecasts of various
people to adopt positive behavior but also to raise important programmes at National level to update
awareness and disseminate information regarding the information regarding policies, programmes
availability and access to quality healthcare and schemes to the audience.
provided by the Government. Significant health
The Ministry has also hosted a one hour progamme
messages are delivered across the country through
“Healthy India” through Lok Sabha Channel.
print media on International Days like World
Population Day, World Health Day, No Tobacco The spots on critical issues on Maternal Health,
Day, etc. Child Health, Family Planning, Adolescent Health
and Immunization and other Health issues were
The Division also published advertisements to
also telecast/broadcast through Digital Cinemas
mark the launch of NMC Act, AMRIT stores,
as well as FM Channels and Community Radio
foundation stone laying of new AIIMS etc.
at the grass root level through DAVP from time
Apart from newspaper advertisements, the SNA to time.
Division has distributed pamphlets/booklets
as part of Ministry’s consistent efforts in 17.5 RADIO
disseminating information and raising awareness The Ministry has approved an amount of around
on crucial health issues. These documents have Rs. 25 crore for broadcast of health related spots.
been distributed to various stakeholders in The programs/spots were broadcast through
advocacy meetings, workshops and on other primary channel/local radio stations, Vividh
platforms. Bharati, Regional News, News Bulletin on FM
Gold, Mann ki Baat and on National network
17.4 TELEVISION
through national news broadcast from Delhi.
The SNA Division has been using this medium These included Dengue & Chikangunya, TB,
extensively to spread positive health messages World Population Day, National De-Worming
amongst its target audience. The MOHFW signed Day (NDD), Immunization, Poshan Mah, IDCF.
an MOU of Rs. 50 crore for 300% bonus airtime
with Door Darshan (DD) (Prasar Bharati) for 17.6 SOCIAL MEDIA
telecast of the spots/advertisements on policies, Social Media is being used by the Ministry for
programs and schemes of this Ministry. The coverage of events as well as for dissemination of
signed MOU was utilized at the national network health messages. MoHFW uses all three popular
and 300% bonus airtime was utilized through all social media platforms: Facebook, Twitter and
regional DD kendras in the States. The objective YouTube. Videos related to health are being
was to highlight policies, programs and schemes uploaded regularly on YouTube with their links
of the Health Ministry at the grassroots level. TV tweeted through its twitter handle as well as
and radio spots were aired for Intensified Mission shared on Facebook for even wider reach. The
Indradhanush 2.0 (IMI2.0), Family Planning, YouTube channel of the Ministry has a wide array
Intensified Diarrhoea Control Fortnight (IDCF), of more than 200 videos including short films,

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 CHAPTER - 17

video updates and speeches of the Hon. Prime NMC Act 2019, organ and blood donation,
Minister and Hon. Health Minister. It has more inculcating behavior change towards health seeking
than 46.50 lakh views. activities such as hand-washing, healthy eating,
nutrition and food fortification etc. Information
The Facebook page which was started in July
has also been shared on the achievements of the
2018 has garnered more than 1.31 lakhs followers
Ministry under flagship schemes of National
with the posts reaching lakhs of engagements and
Health Mission such as Mission Indradhanush,
views. Likewise, on twitter, there are more than
Intensified Mission Indradhanush, immunisation
11.68 lakhs followers on the Twitter handle of
and new vaccines along with creating public
the Ministry. This year informative campaigns
awareness for vector borne diseases such as
have been taken up for Anemia Mukt Bharat,
malaria, dengue, chikungunya, zika etc.
Ayushman Bharat, Routine Immunization, TB,

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 CHAPTER -

18

Health Budget
and
Expenditure

311
ANNUAL REPORT 2019-2020
 Department of Health & Family Welfare - Demand No. 42
Statement giving scheme-wise BE, RE & Actual Expenditure

312
Part I - Health
(Rs. in crore)
CHAPTER - 18

Sl. Scheme/Programme/Institute Major 2018-19 2019-20

No. Head
BE RE AE BE RE Actuals
(Prov) upto
31.12.19
(Prov)
1 Establishment Expenditure of the Centre
1.01 Secretariat - Social Services Revenue 159.00 177.11 170.82 192.97 199.76 150.29
1.02 Direction & Admn.
Direction & Admn. (Dte. G.H.S) Revenue 61.58 60.60 54.50 61.45 64.36 45.83
Direction & Admn. (Dte.C.G.H.S) Revenue 2.96 2.96 0.02 3.26 3.26
Total 64.54 63.56 54.52 64.71 67.62 45.83

ANNUAL REPORT 2019-2020

1.03 Central Government Health Scheme
Setting up of Dispensaries/Hospitals Revenue 1228.42 1251.93 1200.17 1275.00 1323.15 1112.03
NER 23.10 23.10 25.00 27.00
Capital 53.17 44.52 23.73 50.00 49.85 6.35
Total 1304.69 1319.55 1223.90 1350.00 1400.00 1118.38
1.04 Safdarjang Hospital, New Delhi Revenue 1026.70 1041.98 1015.99 1071.50 1175.79 979.86
Capital 120.00 124.67 107.86 121.90 121.90 103.37
Total 1146.70 1166.65 1123.85 1193.40 1297.69 1083.23
Vardhman Mahaveer Medical College, New Revenue 14.77 14.77 13.68 18.10 18.10 9.30
Delhi
 1.05 Dr. Ram Manohar Lohia Hospital, New Revenue 458.12 525.03 538.82 553.93 639.30 496.08
Delhi Capital 50.00 53.00 52.33 53.00 105.58 51.66
Total 508.12 578.03 591.15 606.93 744.88 547.74
Dr. RML PGIMER, New Delhi Revenue 50.64 60.69 48.60 83.07 78.57 50.98
Capital 3.73 43.73 40.17 60.00 60.00 7.13
Total 54.37 104.42 88.77 143.07 138.57 58.11
1.06 Lady Hardinge Medical College & Smt. Revenue 386.34 410.77 388.40 450.70 473.90 375.04
Sucheta Kripalani Hospital & New Delhi Capital 24.40 38.30 22.63 24.40 26.39 14.47
Total 410.74 449.07 411.03 475.10 500.29 389.51
1.07 Kalawati Saran Children’s Hospital, New Revenue 103.56 108.00 102.45 113.65 117.93 94.18
Delhi Capital 8.25 11.25 8.96 11.25 11.25 5.28
Total 111.81 119.25 111.41 124.90 129.18 99.46
1.08 Other Hospitals/Institutions
National Medical Library Revenue 31.44 30.00 10.30 35.38 40.38 31.58
Capital 3.00 0.12 1.19 1.50 1.00
Total 34.44 30.12 11.49 36.88 41.38 31.58
Medical Stores Organization Revenue 60.65 57.80 54.50 64.30 61.70 43.80
Capital 7.00 4.50 3.82 4.00 2.20 1.08

ANNUAL REPORT 2019-2020

Total 67.65 62.30 58.32 68.30 63.90 44.88
Central Institute of Psychiatry, Ranchi Revenue 84.86 81.03 73.02 85.10 86.09 71.74
Capital 22.40 22.40 18.19 22.40 29.40 15.65
Total 107.26 103.43 91.21 107.50 115.49 87.39
All India Institute of Physical Medicine and Revenue 24.83 22.97 21.51 24.12 24.12 18.68
Rehabilitation, Mumbai Capital 3.39 1.50 0.82 3.50 1.09 0.15
CHAPTER - 18

313
Total 28.22 24.47 22.33 27.62 25.21 18.83
 RAK College of Nursing, New Delhi Revenue 13.46 17.02 16.28 13.46 13.46 10.31

314
Capital 30.39 0.39 30.39 0.39 0.38
Total 43.85 17.41 16.28 43.85 13.85 10.69
Lady Reading Health School Revenue 3.78 3.98 3.54 4.17 3.91 2.95
CHAPTER - 18

Capital 0.50 0.75 0.38 0.60 0.60

Total 4.28 4.73 3.92 4.77 4.51 2.95
Port Health Estt. Including APHO Revenue 47.91 39.70 35.78 50.42 50.42 30.92
Capital 3.44 3.44 1.10 3.50 1.60
Total 51.35 43.14 36.88 53.92 52.02 30.92
National TB Training Institute, Bangalore Revenue 12.14 13.62 13.36 14.35 14.35 11.45
Capital 0.90 0.90 0.79 0.90 0.90
Total 13.04 14.52 14.15 15.25 15.25 11.45
CLTRI, Chengalpattu Revenue 18.63 19.52 16.74 20.54 20.54 14.47
Capital 0.85 0.85 0.42 0.85 0.85 0.10

ANNUAL REPORT 2019-2020

Total 19.48 20.37 17.16 21.39 21.39 14.57
RLTRI, Aska Revenue 4.92 4.93 3.35 5.18 4.29 2.86
Capital 2.72 2.72 2.42 2.42
Total 7.64 4.93 6.07 7.60 6.71 2.86
RLTRI, Raipur Revenue 6.99 5.76 4.56 7.11 5.63 4.02
Capital 0.30 0.04 0.01 0.05 0.05 0.02
Total 7.29 5.80 4.57 7.16 5.68 4.04
RLTRI, Gauripur Revenue 5.69 5.22 4.83 5.61 5.22 4.07
Capital 1.10 1.10 1.10 1.10
Total 6.79 6.32 4.83 6.71 6.32 4.07
N.I.C.D., New Delhi (Main Institution) Revenue 58.87 58.55 50.91 61.48 61.48 44.99
 Central Drugs Standard Control Org. Revenue 140.00 121.10 102.39 126.10 115.80 81.20
Capital 87.90 23.00 19.12 82.90 75.90 32.06
Total 227.90 144.10 121.51 209.00 191.70 113.26
BCG Vaccine Laboratory, Guindy, Chennai Revenue 21.33 20.03 14.44 21.33 18.12 12.72
Capital 1.00 1.00 1.00 1.00 0.97
Total 22.33 21.03 14.44 22.33 19.12 13.69
CRI, Kasauli Revenue 61.32 55.47 46.50 60.18 47.13 34.48
Capital 2.45 2.45 1.55 3.44 3.44 1.74
Total 63.77 57.92 48.05 63.62 50.57 36.22
Institute of Serology, Kolkata Revenue 7.55 7.33 6.46 7.70 6.41 5.62
AIIH & PH, Kolkata Revenue 37.74 34.91 31.90 39.74 39.74 27.80
Capital 2.22 2.22 0.89 2.22 2.12 0.39
Total 39.96 37.13 32.79 41.96 41.86 28.19
CCTC Singur Revenue 28.17 26.23 24.37 23.50 23.50 17.05
Central Health Education Bureau, New Revenue 7.19 5.49 4.37 5.76 5.98 3.42
Delhi
Regional Health Offices Revenue 50.98 44.01 43.56 46.70 44.94 35.95

ANNUAL REPORT 2019-2020

NER 5.00 6.60 6.97 6.33
Capital 0.67 0.50 0.03
Total 56.65 51.11 43.59 53.67 51.27 35.95
F.W. Training and Res. Centre, Bombay Revenue 6.76 7.49 5.97 8.58 8.58 5.03
Capital 16.25 11.25 11.58 10.00 12.40 6.74
Total 23.01 18.74 17.55 18.58 20.98 11.77
CHAPTER - 18

315
 Rural Health Training Centre, Najafgarh Revenue 20.94 19.79 18.11 25.00 25.00 15.13

316
Capital 0.25 0.25 0.25 0.25
Total 21.19 20.04 18.11 25.25 25.25 15.13
Strengthening of HIMS Revenue 63.93 49.00 30.65 23.85 22.86 1.63
CHAPTER - 18

National Advisory Board for Standards Revenue 0.32 0.32 0.22 0.92 0.69 0.14
Project Feasibility Testing Scheme Revenue 0.18 0.12 0.09 0.18 0.08
Total - Other Hospitals/Institutions Revenue 820.58 751.39 637.71 780.76 750.42 532.01
NER 5.00 6.60 6.97 6.33
Capital 186.73 76.66 62.61 171.02 136.71 59.28
Total 1012.31 834.65 700.32 958.75 893.46 591.29
Total - Establishment Expenditure of the 4787.05 4827.06 4489.45 5127.93 5389.55 4093.14
Centre
2 Central Sector Schemes/Projects
2.01 Pradhan Mantri Swasthya Suraksha Revenue 1850.10 1850.10 1843.16 2860.70 3594.10 2886.70

ANNUAL REPORT 2019-2020

Yojana
NER
Capital 1974.90 1974.90 1953.35 1139.30 1139.30 853.65
Total 3825.00 3825.00 3796.51 4000.00 4733.40 3740.35
2.02 Family Welfare Scheme
Mass Education - IEC (Information, Revenue 353.44 242.00 226.56 319.44 135.03 78.34
Education and Communication)
Population Research Centres Revenue 9.00 17.58 13.91 19.20 19.05 16.98
NER 1.00 0.80 0.80 0.80
Total 10.00 18.38 13.91 20.00 19.85 16.98
Management Information System (MIS) Revenue 95.00 35.00 34.89 95.00 130.15 87.07
 Social Marketing of Contraceptives Revenue 139.00 108.70 99.93 140.00 90.00 73.68
NER 1.00
Total 140.00 108.70 99.93 140.00 90.00 73.68
Free Distribution of Contraceptives Revenue 149.00 94.30 94.30 100.00 100.00 79.57
NER 1.00
Total 150.00 94.30 94.30 100.00 100.00 79.57
NPSF/National Commission on Population Revenue 0.46 0.46 0.02 0.01
Role of Men in Planned Parenthood (Male Revenue 1.10 0.37 0.35
Participation)
FW Programme in Other Ministries Revenue 0.12 0.11 0.01 0.01 0.10
NGO (PPP) Revenue 0.09 0.09 0.09
Total 0.09 0.09 0.09
WHO supported National Polio Revenue 20.00 20.00 20.00 25.00 39.00 25.00
Surveillance Project (NPS)
Total - Family Welfare Scheme Revenue 767.00 518.16 490.05 699.20 513.35 360.75
NER 3.00 0.80 0.80 0.80
Total 770.00 518.96 490.05 700.00 514.15 360.75
2.03 National AIDS and STD Control

ANNUAL REPORT 2019-2020

Programme
DBS Revenue 1760.00 1673.55 1738.90 2234.70 2834.44 1936.04
DBS NER 210.00 185.95 248.30 104.56
Capital 130.00 65.50 64.30 17.00 17.00 0.86
Total 2100.00 1925.00 1803.20 2500.00 2956.00 1936.90
2.08 National Pharmacovigilance Prog. Revenue 10.00 10.00 10.00 12.00 8.00 7.79
CHAPTER - 18

317
2.09 Development of Nursing Services Revenue 14.00 13.00 12.15 15.00 50.50 9.28
 2.11 Health Sector Disaster Preparedness & Revenue 5.00 16.53 13.48 21.63 30.14 29.06
Response

318
Capital 60.00 9.85 44.22 39.91
Total 65.00 26.38 13.48 65.85 70.05 29.06
Human Resources Development for Revenue 65.00 63.62 49.47 64.15 47.23 31.42
CHAPTER - 18

Emergency Medical Services

Total - Health Sector Disaster Revenue 70.00 80.15 62.95 85.78 77.37 60.48
Preparedness & Management including Capital 60.00 9.85 44.22 39.91
EMR (including Avian Flu) & Emergency
Medical Services Total 130.00 90.00 62.95 130.00 117.28 60.48
2.12 National Organ Transplant Programme Revenue 88.55 22.60 7.34 38.90 27.70 8.94
Capital 2.10 2.10 0.70 2.10 1.25 0.78
Total 90.65 24.70 8.04 41.00 28.95 9.72
2.13 Impacting Research Innovation and Revenue 30.00 5.00 3.00 7.98 3.00
Technology (Imprint) Scheme (New)
2.15 Establishment and strengthening of Revenue 70.00 26.66 12.80 27.41 27.41 10.50
NCDC Branches and Health Initiatives

ANNUAL REPORT 2019-2020

– Inter Sectoral Co-ordination for
preparation and control of Zoonotic
Diseases and other neglected tropical
diseases, surveillance of Viral Hepatitis,
Anti-Microbial Resistance
Capital 30.00 10.00 1.94 21.59 21.59 1.79
Total 100.00 36.66 14.74 49.00 49.00 12.29
Total - Central Sector Schemes/Projects 7069.65 6448.32 6197.64 7450.00 8465.26 6140.56
3 Other Central Expenditure, including
those on CPSEs and Autonomous Bodies
3.01 Medical Treatment of CGHS Pensioners Revenue 1558.86 1788.86 1759.10 1500.00 2636.08 1767.97
(PORB)
 3.02 Purchase of Material in India and Abroad Revenue 310.00 310.00 92.27 310.00 310.00
Deduct Recoveries Revenue -310.00 -310.00 -109.85 -310.00 -310.00
Net Total -17.58
3.03 International Cooperation/ International
Health
(i) Contribution to IRCS Revenue 0.01
(ii) Contribution to WHO Revenue 28.00 28.00 26.07 28.00 28.00 1.43
(iii) Delegation to International Conference Revenue 4.00 4.00 3.80 4.00 4.00 3.99
(iv) Int. Conf. on Med. & Public Health Revenue 2.60 2.60 1.09 2.60 2.60 1.00
(v) Membership for International Org. Revenue 8.00 8.00 5.78 8.00 8.00
(vi) International Co-operation (FW) Revenue 13.00 10.00 12.70 15.00 15.00 13.24
(vii) Redevlopment of WHO-SERO Capital 5.00 22.80 15.00 100.00 15.00
Building
Total 55.61 57.60 72.24 72.60 157.60 34.66
3.04 Other Miscellaneous Expenditure
Oversight Committee Revenue 18.50 6.50 6.50
Total 18.50 6.50 6.50
National Centre for Disease Control Revenue 1.27 0.02 0.63 0.61 0.23

ANNUAL REPORT 2019-2020

Programme
Capital 24.12 2.60 0.11 19.12 16.53 12.54
Total 25.39 2.62 0.11 19.75 17.14 12.77
Discretionary Grant Revenue 3.75 5.00 4.85 6.00 6.00 3.04
Haj Pilgrims Revenue 6.00 7.50 4.06 18.00 18.00 15.05
Rashtriya Arogya Nidhi Revenue 51.50 74.00 51.75 200.00 110.00 52.85
CHAPTER - 18

Award of Prizes in Hindi Revenue 0.08 0.08 0.08 0.08 0.08 0.06

319
 Award of Prizes to Govt. Hospitals/ Revenue 10.00 10.04 10.04 10.04 10.00
Institutions under Kaya Kalp Scheme

320
Counselling for UG/PG seats in Revenue 2.61 2.37 2.23 2.19 2.15
Government Colleges
Deduct Recoveries Revenue -2.61 -2.37 -2.19 -2.15
CHAPTER - 18

Net Total 2.23

Establishment of Stem Cell Donor Registry Revenue 3.00 3.00 3.00 3.00
(New)
Total - Other Miscellaneous Expenditure Revenue 96.71 108.51 69.47 239.94 149.88 81.23
Capital 24.12 2.60 0.11 19.12 16.53 12.54
Total 120.83 111.11 69.58 259.06 166.41 93.77
Total - Deduct Recovery Revenue -2.61 -2.37 -2.19 -2.15
Total - Net 118.22 108.74 69.58 256.87 164.26 93.77
3.05 Autonomous Bodies and PSUs
Statutory Bodies

ANNUAL REPORT 2019-2020

1 All India Institute of Medical Sciences Revenue 3018.00 3298.00 3229.00 3599.65 3485.00 2821.92
(AIIMS), New Delhi
2 Post Graduate Institute of Medical Revenue 1207.98 1474.98 1475.00 1500.00 1760.00 1305.00
Education & Research, Chandigarh
3 Jawaharlal Institute of Post Graduate Revenue 1096.70 976.70 831.28 1100.00 1053.48 674.73
Medical Education & Research, Puducherry
4 National Institute of Mental Health & Revenue 382.60 412.25 411.83 450.00 453.41 211.76
Neuro-Sciences, Bangaluru
5 NEIGRIHMS, Shillong NER 212.00 231.50 231.50 350.00 362.00 278.68
6 RIMS, Imphal NER 201.40 302.05 302.05 450.00 459.66 377.50
7 RIPANS, Aizawl NER 32.00 32.00 16.64 35.18 40.68 15.30
 8 LGBRIMH, Tejpur NER 60.00 50.00 49.97 60.00 60.00 28.88
9 Other Autonomous Bodies
Lala Ram Swarup Institute of T.B. and Revenue 75.26 81.15 85.21 81.80 87.95 81.79
Allied Diseases, New Delhi
Vallabh Bhai Patel Chest Institute, Delhi Revenue 65.50 62.00 62.00 65.50 63.00 44.03
University
Kasturba Health Society, Wardha Revenue 67.33 67.33 67.33 70.70 76.33 53.03
Cancer Control (CNCI, Kolkata) Revenue 128.54 128.54 128.49 134.50 136.35 103.13
All India Institute of Speech & Hearing, Revenue 133.47 83.47 59.35 137.47 137.47 60.20
Mysore
NIBS & Quality Control, Noida Revenue 41.79 39.05 39.16 46.40 46.15 41.70
Pasteur Institute of India, Conoor Revenue 74.20 54.20 54.20 65.60 65.60 27.10
New Delhi TB Centre Revenue 4.30 5.18 5.18 5.45 5.45 4.08
Indian Red Cross Society Revenue 0.40 0.40 0.40 0.40 0.40 0.40
St. Johns Ambulance Revenue 0.04 0.04 0.04 0.04 0.04 0.04
NIHFW, New Delhi Revenue 65.00 65.12 64.85 68.25 69.97 68.24
IIPS, Mumbai Revenue 33.92 24.35 28.51 84.05 49.77 16.93
Total - Other Autonomous Bodies Revenue 689.75 610.83 594.72 760.16 738.48 500.67

ANNUAL REPORT 2019-2020

Regulatory Bodies
10 Food Safety & SAI Revenue 141.60 261.60 257.05 360.00 301.59 218.72
11 Indian Pharmacopeia Commission Revenue 35.45 35.45 35.44 32.10 24.85 17.41
12 Medical Council of India Revenue 1.00 1.00 1.00 1.00 1.00 1.00
13 Dental Council of India Revenue 0.30 0.30 0.30 0.40 0.40 0.30
14 Pharmacy Council of India Revenue 0.20 0.20 0.20 0.20 0.20 0.20
CHAPTER - 18

321
15 Indian Nursing Council Revenue 0.21 0.20 0.20 0.22 0.21 0.21
 16 National Academy of Medical Sciences Revenue 1.80 1.80 1.80 1.80 1.80 1.80

322
17 National Board of Examination Revenue 0.01 0.01 0.01 0.01
Total - Regulatory Bodies 180.57 300.56 295.99 395.73 330.06 239.64
Total - Autonomous Bodies and 7081.00 7688.87 7437.98 8700.72 8742.77 6454.08
CHAPTER - 18

Regulatory Bodies
Total - Other Central Expenditure, 8813.69 9644.07 9321.32 10530.19 11700.71 8350.48
including those on CPSEs and
Autonomous Bodies
Grand Total - Net 20670.39 20919.45 20008.41 23108.12 25555.52 18584.18
A National Rural Health Mission
1 RCH Flexible Pool including routine 7411.40 7270.3 7668.55 8293.11 7660.95 4350.13
Immunisation programme, National Iodine
Deficiency Disorder Control programme etc. 
Deduct Recoveries -2157.89 -2016.79 -2243.04 -2589.59 -1957.43
Net 5253.51 5253.51 5425.51 5703.52 5703.52 4350.13

ANNUAL REPORT 2019-2020

2 Health system Strengthening under NRHM 
a Other Health System for activities under 8752.82 8752.82 8757.09 9695.21 9839.61
NRHM 
b Ayushman Bharat - Health and Wellness 1000.00 1000.00 993.31 1350.01 1350.01 9677.92
Centres
c ASHA Benefit Packages 434.93 434.91 836.99 836.99
Total - HSS 9752.82 10187.75 10185.31 11882.21 12026.61 9677.92
3 Flexible Pool for Communicable Diseases  4779.20 4449.20 3148.94 5003.00 4778.27 1003.35
Deduct Recoveries -2851.20 -2620.00 -522.90 -2825.00 -2622.27
Net 1928.00 1829.20 2626.04 2178.00 2156.00 1003.35
 4 Flexible Pool for Non-communicable 1004.67 566.26 546.77 717.00 708.00 368.18
Diseases, Injury & Trauma 
5 Infrastructure Maintenance  5693.41 6200.82 6241.76 6343.41 6993.41 5447.59
6 Forward Linkages to NRHM  27.49 101.3 75.61 0.00 0.00
7 Strengthening of State Drug Regulatory 206.00 206.00 179.27 0.00 0.00
System 
8 Other health schemes (PILOT)  40.00 35.00 26.19 25.00 25.00 13.12
9 Prime Minister's Development Plan for 273.71 273.71 273.71 63.36 63.36
Jammu & Kashmir 
10 Strengthening National Programme 100.00 100.00 93.88 115.00 124.20 94.81
Management of the NRHM 
11 Janasankhya Sthirtha Kosh (JSK)  14.50 0.00 11.50 33.50 10.88
Total - Natioal Rural Health Mission 24279.61 24768.05 25674.05 27039.00 27833.60 20965.98
B National Urban Health Mission(NUHM) 
Other Health System for activities covered 875.00 875.00 670.23 700.00 700.00 720.46
under NUHM
Ayushman Bharat - Health and Wellness 198.23 250.00 250.00
Centres
Total - NUHM 875.00 875.00 868.46 950.00 950.00 720.46

ANNUAL REPORT 2019-2020

Total - NRHM and NUHM 25154.61 25643.05 26542.51 27989.00 28783.60 21686.44
C Strengthening of State Drug Regulatory 206.00 206.00 114.56
System 
D Tertiary Care Programme/Schemes 
1 National Mental Health Programme  50.00 5.50 2.01 40.00 5.00 0.01
2 Assistance for Capacity Building for Trauma 150.00 30.00 7.37 100.00 10.00 0.69
CHAPTER - 18

Centers & Burn Injury

323
 3 National Prog. for Prevention and Control of 295.00 100.50 98.18 175.00 160.00 132.16
Cancer, Diabetes, Cardiovascular Diseases

324
and Stroke 
4 Health Care for the Elderly  105.00 80.00 74.71 105.00 25.00 0.14
CHAPTER - 18

5 National Prog. for Control of Blindness  30.00 17.00 2.82 20.00 5.00 1.33
6 National Tobacco Control Programme  & 65.00 67.00 61.55 65.00 65.00 31.94
National Drugs De-addiction Programme 
7 Telemedicine  55.00 45.00 42.04 45.00 30.00 15.65
Total - Tertiary Care Programme/Schemes  750.00 345.00 288.68 550.00 300.00 181.92
E Human Resources for Health & Medical
Education 
1 Upgrd./Streng. of Nursing Services (ANM/ 66.00 66.00 58.71 64.00 32.00 3.06
GNM) 
2 Strengthening/Upgadation of Pharmacy 5.00 1.00 5.00 0.00
School/Colleges. 
3 District Hospital - Upgradation of State 452.25 172.25 172.24 800.00 600.00 487.00

ANNUAL REPORT 2019-2020

Government Medical Colleges (PG Seats) 
4 District Hospitals-Upgradation of State 794.07 794.07 794.07 1361.00 761.00 558.61
Govt. Medical Colleges (UG seats) 
5 Establishing New Medical Colleges 2887.68 3167.68 3167.68 2000.00 3087.00 1916.19
(Upgrading District Hospitals) 
6 Setting up of State institutions of paramedical 20.00 20.00 20.00 20.00 20.00 10.94
sciences in States and Setting up of College
of Paramedical Education 
7 Establishment of New Medical Colleges and
Increase of Seats in existing Government
Medical Colleges (NIF).
 Total - Human Resources for Health & 4225.00 4220.00 4213.70 4250.00 4500.00 2975.80
Medical Education 
F Rashtriya Swasthya Suraksha Yojana  2000.00 300.00 226.55 156.00 114.00 56.25
G PMJAY  2400.00 1997.92 6400.00 3200.00 2130.30
H Deduct Recoveries -323.82
Grand Total 32129.61 32908.05 32945.54 39551.00 37103.60 27145.27

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CHAPTER - 18

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 CHAPTER - 18

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Progressive use of
Hindi in Official work 19
19.1 PROGRESSIVE USE OF HINDI the chairmanship of a Joint Secretary in-charge of
the Official Language and its meetings are held
The Ministry continued its commitment to
regularly in each quarter. This Committee chalks
promoting Hindi in line with the Annual
out strategies to implement the constitutional
Programme issued by the Department of Official
provisions and Official Language Policy of the
Language, Ministry of Home Affairs and Official
Union in the Ministry and its subordinate/
Language policy of the Union. The matter
pertaining to use of Hindi in the Ministry is attached offices/autonomous organizations with
supervised by a Joint Secretary. There is an Official a view to achieve the targets prescribed in the
Language Division in the Ministry headed by a Annual Programme issued by the Department
Director. of Official Language, Ministry of Home Affairs.
The Committee periodically reviews the progress
A number of measures have been taken for made in the use of Official Language (Hindi) and
encouraging use of Hindi in the official work. suggests and recommends measures to be taken
They are summarized below: for the effective implementation of the Official
Language Policy. The subordinate/attached
19.2 IMPLEMENTATION OF OFFICIAL
offices/autonomous organizations of the Ministry
LANGUAGE POLICY have also been instructed for convening their
In pursuance of the official language policy of OLIC meetings regularly.
the Government of India, all documents covered
under section 3(3) of the Official Language Act, 19.4 HINDI FORTNIGHT
1963 are being issued both in English and Hindi. In order to encourage the use of Hindi in official
Action plan based on the check points identified work amongst officers/employees of the Ministry,
in the Ministry has been prepared to ensure the Hindi Fortnight was organized in the
compliance of the Official Language Policy.
Ministry during 1-15 September, 2019. Various
Annual Programme and other orders/instructions
competitions such as Hindi essay writing, general
issued by the Department of Official Language
knowledge on Rajbhasha policy, Hindi noting/
were forwarded to all the sections of the Ministry
drafting were organized for gazetted as well as
and its subordinate/attached offices/autonomous
non-gazetted employees separately. A dictation
organizations for information and directives were
competition was also organized for MTS only.
issued for their compliance.
Besides, Hindi poetry recitation competition was
19.3 OFFICIAL LANGUAGE IMPLEMEN- also organised in which large number of employees
TATION COMMITTEE (OLIC) participated with great zeal and excitement. 41
winners of these competitions were awarded cash
An Official Language Implementation Committee prizes and certificates.
(OLIC) has been constituted in the Ministry under

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19.5 OFFICIAL LANGUAGE 19.7

ORGANISING OF HINDI
CONFERENCE/SEMINAR WORKSHOP
The Department has taken a new initiative of Five Hindi workshops were conducted on April
organizing Official Language Conference every 12, June 18, July 30, Nov. 11, Dec. 26-27 during
year in the offices under its administrative control, 2019 in the Ministry, in which officers/employees
for the dissemination of Official Language Policy were informed about i) Official Language Policy
and creating conducive atmosphere for use of the of the Union Government, ii) Difficulties in
Official Language Policy of the Union of India. Translation and subsequent solution.
Under this initiative, Ministry of Health & 19.8 INSPECTIONS REGARDING
Family Welfare has, so far, organized 8 National PROGRESSIVE USE OF HINDI
Official Language Conferences at Bengaluru,
Kannur, Delhi, Thiruvananthapuram, Mumbai, In order to achieve the targets laid down in the
Pudducherry, Bhubneswar and Mysoor. The Annual Programme issued by the Department
participants were awarded Commendation letter of Official Language, officers of this Ministry
and Certificates. All conferences were highly inspected 31 subordinate offices under their
successful and praised by all. administrative control situated in Delhi, Noida,
Lucknow, Faizabad, Ahmedabad, Chennai,
19.6 PRATI DIN EK SHABD Bhubaneswar, Bhopal, Dehradun and Rishikesh.
Thus, in Region ‘A’ eleven offices, in region ‘B’
The Scheme named ‘Prati Din Ek Shabd’, is being
five offices and in region ‘C’ eight offices were
run in the Ministry, that continued this year also.
inspected respectively during the year.
Under this scheme, one word/phrase in Hindi
and its English equivalent was being displayed 19.9 HINDI ADVISORY COMMITTEE
on the Electronic Board installed on the first
and third floor ‘A’ Wing, Nirman Bhavan. These After the formation of 17th Lok Sabha, Hindi
words/phrases are generally of administrative and Advisory Committee is to be reconstituted.
technical nature, which are used in day-to-day Process for reconstitution of HINDI ADVISORY
official work. COMMITTEE is in progress.

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E-Governance &
Telemedicine 20
20.1 E-HEALTH the National Digital Health Blueprint,
after surveying the global best practices in
Ministry of Health and Family Welfare,
adoption of digital technologies holistically.
Government of India recognizes the potential
The prime objectives of NDHB are:
of digital health in transforming healthcare
delivery and implementing effective monitoring
and evaluation platforms and promoting Digital
Health i.e. use of Information & Communication
Technology in the direction of “reaching services
to citizens” and “citizen empowerment through
information dissemination” to bring about
significant improvements in the public healthcare
delivery. The Indian Government also recognizes
the challenges involved in the implementation
of digital health services and the need to have
an ecosystem approach in order to maximize
the potential and the scale at which these digital
health solutions can be delivered to its citizens.
Development of “Inter-operable Electronic
Health Records (HER) System” :
Ministry of Health & FW has envisaged

establishing a system for interoperable EHRs
of citizens to be created, made available and  ‘data capture at once’,
accessible online to facilitate continuity of care,  ensuring interoperability to break
better affordability and better health outcome digital silos
and better decision support system. Following  to ensure longitudinal health record
initiatives have been undertaken: of patient across all health facilities in
• National Digital Health Blueprint India
(NDHB): The Committee constituted  to ensure continuum of care for
by the MoHFW Chairmanship of Shri. J. patients
Satyanarayana, former chairman of UIDAI
The NDHB is an architectural framework
to create an implementation framework
for digital interventions in health in India -
for the National Health Stack (NHS)
was released in October 2019 with vision:
proposed by NITI Aayog, has come up with

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“To create a National Digital Health Eco- the notified EHR Standards in technical
system that supports Universal Health association with C-DAC, Pune for providing
Coverage in an efficient, accessible, inclusive, assistance in developing, implementing
affordable, timely and safe manner, through and using EHR standards effectively in
provision of a wide-range of data, information healthcare IT applications in India.
and infrastructure services, duly leveraging
open, interoperable, standards-based
digital systems, and ensuring the security,
confidentiality and privacy of health-related
personal information.”

For full report, please visit https://
mohfw.gov.in/sites/default/files/Final%20 • Hospital Information System (HIS): HIS
NDHB_0.pdf is being implemented for computerized
registration and capturing EHR/ EMR of
• EHR Standards (revised version of patients in public health facilities upto
2013 Standards) have been notified in PHC level. This will also facilitate workflow
December 2016. The EHR Standards management leading to better delivery of
include standards for disease classification, services to patients and improvement in
medicine and clinical terminology, efficiency of processes in these facilities So
laboratory data exchange, digital imaging far, financial assistance has been provided
and communication etc. for semantic to 22 States/UTs for implementation of HIS
interoperability. application implementation. Current status
• Metadata and Data Standards (MDDS) for of HIS implementation is as below:
Health to enable semantic interoperability – eHospital (NIC): implemented in
among healthcare applications MDDS more than 320 hospitals.
standards were developed following the
guidelines of Ministry of Electronics and – e-Sushrut (C-DAC Noida): more than
Information Technology (MeitY) and open 100 Hospitals in State of Maharashtra,
standards policies of GOI. The MDDS Odisha, Punjab, Telangana, Rajasthan
standards have more than 1000 data elements and Delhi.
to be used in healthcare applications and are
aligned with the global health IT standards.
The approved standards have notified by
MeitY in August, 2018.

• Online Registration System (ORS) is a
framework to link various hospitals for
online registration, payment of fees and

appointment, online diagnostic reports,
• National Resource Centre for EHR enquiring availability of blood online
Standards (NRCeS) is set up in order etc. As on date, more than 230 hospitals
to augment facilitation for adoption of including hospitals like AIIMS – New

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Delhi & other AIIMS (Jodhpur, Bihar, the patient (outpatient after the closure of
Rishikesh, Bhubaneswar, Raipur, Bhopal); the OPD and the inpatient at the time of
RML Hospital; SIC, Safdarjung Hospital; discharge) using the above tools to collect
NIMHANS; Agartala Government Medical information on patients’ level of satisfaction.
College; JIPMER etc. are on board ORS. So Currently more than 4300 hospitals have
far more than 30 lakh appointments have been covered and more than 46 lakh
been transacted online. feedback received so far.

Web-portal & Mobile Applications

• My Health Record System: is an online
summary of individual’s key health
information such as prescription, lab test
report, medical images, wellness parameters
etc. When citizens have a My Health
Record, his/her health information can be
viewed securely online, from anywhere, at
any time – even if he/she moves or travels • National Health Portal (NHP) is
interstate. An individual can access his/her functioning as citizen portal for healthcare
health information from any computer or providing health related information
device that’s connected to the internet. This to citizens and stakeholders in different
Application is ready for launch. languages (currently six languages). A voice
portal, providing information through a
• Mera Aspatal (My Hospital) Application toll-free number 1800-180-1104 and Mobile
is an IT based feedback system to collect App has also been launched.
information on patients level of satisfaction
using a multi-channel approach viz. Short • Mobile Apps: Various mobile apps have
Message Service (SMS), Outbound Dialing been launched viz.
(OBD), web portal, and mobile application.
The application automatically contacts

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 Indradhanush Immunization (for  NHP Health Information Kiosks have been

immunisation tracker). installed in 17 Hospitals for dissemination
of authentic health related information to
 India Fights Dengue (enables a user to
the citizens through touch screen based
check Dengue symptoms, get nearest
kiosks.
hospital / blood bank information and also
share feedback).
 NHP Swasth Bharat (information
dissemination on disease, lifestyle, first
Aid).
 NHP Directory Services Mobile App.
(provides information related to hospital
and blood banks across India) has been
hosted.

 No More Tension Mobile App. (information  Tobacco Cessation Programme is a

on stress management related aspects). mobile-based interventional initiative for
counselling and helping people to quit
 Pradhan Mantri Surakshit Matritva tobacco, by giving a missed call to 011-
Abhiyan Mobile App. (for reporting 22901701. Currently over 20 lakhs total
pregnancy care related information from missed calls have been captured and more
across states). than 14 lakh users registered.

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over NKN (National Knowledge Network

– high speed bandwidth connectivity).
National Resource Centre (NRC) with
required centralized infrastructure and 7
Regional Resource Centres (RRCs) have
been established as below:
 mDiabetes Program is a mobile-based o NRC cum Central RRC -SGPGIMS,
initiative for prevention and care of diabetes Lucknow
by giving a missed call to 011-22901701.
o RRC, North - PGIMER, Chandigarh
Currently more than 1 lakh users are
registered for mDiabetes. o RRC-Central - AIIMS, New Delhi
Tele-Medicine o RRC-South - JIPMER, Puducherry
• Tele-Medicine services in Health & o RRC-East -IMS, BHU, Varanasi
Wellness Centres (HWCs): Under the ambit
of Ayushman Bharat Scheme, MoHFW o RRC-West - KEM, Mumbai
is setting up 1.5 Lakh Health & Wellness o RRC-North East- NEIGRIHMS,
Centres (HWCs) in States for providing Shillong
preventive and promotive services. One of
the components under services is providing o RRC-South II- SCTIMST,
Tele-medicine consultation service. States Thiruvananthapuram
are being supported under NHM scheme Currently operational in 49 colleges.
for rollout of Tele-Medicine services.
CDAC Mohali has been shortlisted as the • Tele-Radiology (NIC-Delhi): CORS
technical partner for development of Tele- (CollabDDS Online Radiology Services)
Medicine application and also for providing is a web interface among different health
the training to all stakeholders in States. communities for resolution of radiological
Guidelines are issued to all States. and dental issues. CORS would is accessible
to local as well as remotely situated doctors
for seeking guidance from expert radiologists
for diagnosis/diagnosis reports. Using
CORS, doctors can either upload cases for
forwarding to experts or can conduct real
time collaboration with the experts, thereby
reducing the turnaround time.
The CORS project was launched with the objective
of providing Online Radiology interpretation on
reports, for Continue Medical Education (CME)
• National Medical College Network for Medical Officers with an effort to mitigate
(NMCN) is being established with the the lack of Radiologists at primary healthcare
purpose of e-Education and e-Healthcare institutes.
delivery, wherein 50 Government Medical
Colleges are being interconnected, riding The project got soft launched on 31st August,

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2018 for 79 PHC/CHC/DH.  Currently, 30 countries and World

Health Organization (WHO) are the
Global Agenda on Digital Health
members of GDHP.
• Resolution of Digital Health: Facilitated
 India is the current Chair of GDHP
to move the Resolution of Digital Health
and recently hosted the 4th GDHP
in 71st World Health Assembly, 2018 to
Summit in India and being chair
prioritize digital health in Global arena;
facilitated 5th GDHP Summit in Hong
which was agreed and adopted unanimously
Kong.
by all member states.
• Global Digital Health Partnership:
The GDHP is the world’s biggest inter
governmental and multilateral platform on
digital health. It has been created to provide
an international forum to facilitate global
collaboration and co-operation and to share
policy insights and evidence of best practice
in the implementation of digital health
services.

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Facilities for Scheduled

Castes & Scheduled Tribes 21
21.1 INTRODUCTION Disabilities in the establishment/services under
the Ministry receive proper consideration.
The Scheduled Castes and Scheduled Tribes Cell
(SCT Cell) has been functioning in the Ministry of The representation of Scheduled Castes,
Health & Family Welfare to look after the service Scheduled Tribes and Other Backward Classes in
interest of SC/ST Category employees. The SCT (i) the Department of Health & Family Welfare
Cell assists the Liaison Officer in the Ministry and its attached and subordinate offices; and (ii)
to ensure that representations from Scheduled the Central Health Services Cadre (administered
Castes/Scheduled Tribes, OBCs and Persons with by Department of Health & Family Welfare) as on
01.01.2019 is as below:

Name of Cadre Total SC ST OBC Others

Employees
D/o Health & Family Welfare and its attached offices** 5912 1652 555 1013 2692
Central Health Services (All Group A Posts) 3617 611 281 599 2126
**Out of total 101 Attached/Subordinate offices (77 under Dte.GHS and 24 under CGHS), Information
in r/o 52 (28 under Dte.GHS and 24 under CGHS) such offices is still awaited.

21.2
NATIONAL HEALTH MISSION under the National Health Mission (NHM) as its
(NHM) Sub-Mission, along with National Urban Health
Mission (NUHM) as the other Sub-Mission.
The National Rural Health Mission (NRHM) was
launched in 2005 to provide accessible, affordable In terms of infrastructure development, thrust
and quality health care to the rural population has been given to reduce the gap in availability of
especially the vulnerable sections.  One of the facilities, particularly in Tribal areas. Overall, there
key features of NRHM included interventions for has been 63.75% increase in facilities available in
improving health indicators. In 2013, the National Tribal areas compared to 12.30 % increase for all
Rural Health Mission (NRHM) was subsumed India level between 2005 and 2018:

All India Tribal Areas

RHS RHS % RHS RHS %
Type of Facility
2005 2018 Increase 2005 2018 Increase
CHCs 3222 5624 74.55% 643 1017 58.16
PHCs 23109 25743 11.4% 2809 3971 41.36

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SCs 142655 158417 11.04% 16748 28091 67.72

Total 168986 189784 12.30% 20200 33079 63.75

Under NHM, tribal areas enjoy relaxed norms was approved on 1st May, 2013, as a sub-mission
as under: under an overarching NHM, NRHM being the
other sub-mission. It envisages strengthening the
Relaxed norms for health facilities - The
primary health care delivery systems in urban
population norms for setting up health facilities
areas, for providing equitable and quality primary
in tribal areas are relaxed. Against the population
health care services to the urban population with
norms of 5000, 30000, and 1,20,000 for setting
special focus on poor and vulnerable population.
up of Sub Centre, PHC and CHC respectively in
other areas for tribal and desert areas it is 3000, NUHM covers all cities and towns with more than
20,000 and 80,000.  A new norm of “time to care” 50,000 population, district headquarters and State
has also been adopted for setting up Sub Health headquarters with more than 30,000 population.
Centres in tribal areas under which a Sub Health The remaining cities/ towns continue to be
Centre can be set up within 30 minutes of walk covered under National Rural Health Mission
from habitation. (NRHM).
i. States have been provided with the flexibility Since the beginning of the programme in
of relaxing the norm of one ASHA per 1000 F.Y. 2013-14, support has been provided for
population to one ASHA per habitation in strengthening of more than 4800 facilities in urban
tribal/hilly and difficult areas. areas, construction of about 800 new UPHCs and
UCHCs. The Human resource approved under
ii. While other States had one Mobile Medical
the programme include around 3100 Medical
Units per 10.00 lakh population subject to
Officers, 350 Specialists, 16000 ANMs, 8600 Staff
capping of 5 MMUs per district, for tribal
Nurses, 3600 Pharmacists, 3700 Lab Technicians
and hilly states this could be relaxed as per
and 540 Public Health Managers. About 70,000
need. However, further relaxation of norms
ASHAs and 97,000 MAS have been approved
is available on a case to case basis, wherein
for effective community participation activities.
patients served through existing MMUs
Training & capacity building activities have also
exceeds 60 patients per day in plain areas it
been approved for building and strengthening
can be 30 patients per day in hilly areas.
institutional capacity.
iii. In addition, all tribal majority districts
The services being provided through these
whose composite health index is below the
facilities are available to all sections of the
State average, have been identified as High
population including SC & ST.
Priority Districts (HPDs). These districts are
to receive higher per capita funding, relaxed 21.3
REVISED NATIONAL TUBER-
norms, enhanced monitoring and focussed CULOSIS CONTROL PROGRAMME
supportive supervision and encouraged (RNTCP)
to adopt innovative approaches to address
their peculiar health challenges. Tuberculosis has been a priority public health issue
identified to be addressed by the Government of
National Urban Health Mission (NUHM)
India. RNTCP is implemented under the aegis of
The National Urban Health Mission (NUHM)

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NHM and provides free diagnosis and treatment tribal / hilly / difficult areas.
and delivers public health functions to reduce the
RNTCP has introduced active TB case finding in
incidence of Tuberculosis (TB) in the country.
key vulnerable population which includes tribal
Government of India has committed to achieve
areas. Systematic active TB screening is being
targets for TB under the Sustainable Development
undertaken in these vulnerable populations for
Goal by 2025, five years ahead of the global
early identification of TB symptomatic and early
timelines.
diagnosis of TB. Till Sept 2019, about 7,30,353
Under RNTCP, the benefits of the programme are persons were screened amongst tribal population
available to all sections of the society on a uniform and 515 additional TB patients were diagnosed &
basis irrespective of caste, gender, religion etc. initiated on treatment.
However, in tribal, hilly and difficult areas, special
A special project to reach out to the tribal
provisions have been made to expand diagnostics
population was initiated with support of the
and treatment centres, programme management
Global Fund in coordination with the ICMR. The
units, to improve access to TB patients and
project titled “Targeted Intervention to Expand
coverage of TB services under RNTCP.
and Strengthen TB Control in Tribal Populations
• TB Programme Management unit (TB under RNTCP” was undertaken in 17 districts of
Units) – one for every 1 lakh population 5 States – Madhya Pradesh, Gujarat, Chhattisgarh,
in tribal, hilly and difficult area as against 1 Rajasthan and Jharkhand. The most significant
for every 2 lakh population in general area. aspect of the project is the deployment of the
Every TB unit is supported with supervisory Mobile TB Diagnostic Van (MTDV) equipped
staff for management of diagnosis and with X-ray facilities and Sputum Microscopy
treatment services in the area. facilities which offer diagnostic services for
Tuberculosis at the doorstep of the patient’s home
• The norms for establishing Microscopy
in difficult to reach areas of the tribal populations.
Centres for diagnosis of TB has been relaxed
35 such MDTVs were provided in the 5 States.
from 1 per 1,00,000 population for general
area to per 50,000 population in tribal, hilly Taking the learnings from this project, RNTCP
and difficult area has added 45 Vans. At present, 80 mobile TB
diagnostic van is functional across the country to
• Compensation for transportation of patient
cover hard to reach populations including tribal
& attendant in tribal areas – Rs. 750 is
area.
provisioned to TB patients notified from
tribal, hilly and difficult area to support 21.4 NATIONAL LEPROSY ERADICATION
travel to access TB diagnosis and treatment PROGRAMME (NLEP)
centre. A total of 32,172 beneficiaries were
paid 2.45 crores from January to September NLEP provides technical and financial assistance
2019. to states for all activities related to detection,
diagnosis, treatment and post treatment care of
• Fixed allowance of Rs. 1500 per month as persons affected by leprosy. The Programme also
per State Norms is prescribed to be given to aims at spreading awareness about the disease,
contractual staff at/TU/DMCs in notified and at reducing stigma attached with the disease.

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The major concern of the programme is to detect Under NLEP, it is aimed to reduce G2D per million
the cases of leprosy at an early stage, and to population to less than 1 per million population
provide complete treatment, free of cost, in order and zero G2D among new child cases. As a
to prevent the occurrence of grade II disability result of focus on early case detection combined
(G2D) in the affected persons. with timely treatment and management, G2D
per million populations was 2.65 per million
In view of the above mentioned goals, several
population and number of child patients with
initiatives have been taken under the programme
disability were 84 as on 31st March, 2019.
to encourage early case detection, to ensure
complete treatment, and to contain the onset of With a view to scale up the screening, leprosy has
disease cases (persons diagnosed with leprosy).  been added to Rashtriya Bal Swasthya Karyakram
Briefly, the activities conducted are as follows: (RBSK) for screening of children (0-18 years).
Besides, population based screening of women
I. For enhanced active & early case detection: 
and men of age 30 years and above has been
Leprosy Case Detection Campaigns
included in Comprehensive Primary Health
(LCDCs) (specific for high endemic
Care under Ayushman Bharat at the Health and
districts), Focused Leprosy Campaigns
Wellness Centres.
(for hot spots i.e., rural and urban areas
wherever G2D is detected in low endemic Under NELP, all the above-mentioned services
districts), ASHA Based Surveillance for are being provided uniformly to all segments of
Leprosy Suspects (ABSULS) to promote the society, including the Scheduled Tribes and
regular screening at community level. Scheduled Castes population. However, statistics
pertaining to the epidemiological status of ST& SC
II. To stop discrimination against people
population are separately collected and analysed.
suffering from leprosy:  Sparsh Leprosy
The same are briefly presented as follows:-
Awareness Campaigns (SLAC) at village
level. Epidemiological status of Scheduled Tribes and
Scheduled Castes population
III. For prevention of leprosy amongst
contacts: Post Exposure chemoprophylaxis Under the programme, state wise disaggregated
administration. data of tribal population is collected on monthly
basis. In the year 2017—18, out of total 1,26,164
In addition, various services are being provided
new leprosy cases detected, 23,430 (18.57%) were
under the programme for Disability Prevention
Scheduled Tribes and 23,046 (18.27%) were
and Medical Rehabilitation (DPMR) i.e., reaction
Scheduled Castes. And during the year 2018—19
management, provision of MCR footwear, aids
(as on March 2019), out of total 1,20,334 new
& appliances, referral services for management
leprosy cases detected, 21,896 (18.20%) were
of cases and reconstructive surgery at District
Scheduled Tribes and 23,848 (19.82%) were
Hospitals and Medical Colleges/Central Leprosy
Scheduled Castes.
Institutions.

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Leprosy cases among Scheduled Tribes population as on 31st March 2019 in States/UTs:

Leprosy cases among Scheduled Castes population as on 31st March 2019, in States- UTs:

21.5 NATIONAL VECTOR BORNE Programme, services for prevention and

DISEASE CONTROL PROGRAMME control of Malaria, Kala-azar, Filaria, Japanese
(NVBDCP) Encephalitis, Dengue/Dengue Haemorrhagic
Fever (DHF) and Chikungunya, are provided.
Under National Vector Borne Disease Control

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Since vector borne diseases are more prevalent in in view NE States, which are tribal predominant
low socio-economic groups, focused attention is tribal population:
given to areas dominated by the tribal population
• Assistance for construction of dedicated Eye
in North Eastern States and parts of Andhra
wards & Eye OTs in district hospitals.
Pradesh, Chhattisgarh, Gujarat, Jharkhand,
Karnataka, Madhya Pradesh, Maharashtra and • Appointment of Ophthalmic manpower
Odisha. Additional inputs are provided under (Ophthalmic Surgeons, Ophthalmic
externally aided projects of Global Fund to North Assistants and Eye Donation Counsellors)
Eastern States for control of Malaria. For Kala- in States on contractual basis.
azar elimination in the States of Bihar, Jharkhand
• In addition to cataract, provision of Grant-
Uttar Pradesh and West Bengal, support by
in-Aid to NGOs for management of other
multi-lateral development partners is also being
eye diseases other than cataract like Diabetic
provided
Retinopathy, Glaucoma Management, Laser
Under NVBDCP, all services (diagnostic and Techniques, Corneal Transplantation,
treatment) and benefits are uniformly available Vitreo-retinal Surgery, Treatment of
to all States/UTs for all segments of population childhood blindness, low vision etc.
including tribal population. Outreach activities
• Development of Mobile Ophthalmic Units
for case detection are planned in remote and
in NE States, hilly States & difficult terrains
inaccessible areas. In 2017-18, a total of 50 million
for diagnosis and medical management of
Long Lasting Insecticidal Nets (LLINs) have been
eye diseases.
supplied by Govt. of India & distributed in 7
North Eastern states, Odisha, Madhya Pradesh, • Development of Tele-Ophthalmology units.
Chhattisgarh and Jharkhand. 22.4 million LLINs
are proposed for distribution during 2019, to cover • Involvement of private practitioners at sub
entire at risk population of the country living district, block and Village level.
in areas with API>1 and also for replacement of
21.7 AB-PMJAY regarding facilities for
LLINs distributed in the year 2016.
Scheduled Castes and Scheduled Tribes
There is reduction in malaria burden in the year
Ayushman Bharat–Pradhan Mantri Jan Arogya
2018 by 63% (from 1.16 million to 0.43 million)
Yojana (AB–PMJAY) provides benefit coverage
and deaths have declined by 75% (from 384 to 96)
to poor and vulnerable population based upon
as compared to 2015.
the deprivation criteria specified in the SECC
21.6
NATIONAL PROGRAMME FOR Database, 2011.
CONTROL OF BLINDNESS & The eligibility criteria are deprivation-based
VISUAL IMPAIRMENT (NPCB&VI) and not income-based. The deprivation criteria
adopted are as follows.
National Programme for Control of Blindness
& Visual Impairment (NPCB&VI) is being In rural region, D1: only one room with kucha walls
implemented uniformly in all districts of the and kucha roof; D2: No adult member between
country. The benefits of the scheme are meant age 16 to 59; D3. Female headed households with
for all including SC/ST population as per the no adult male; D4: Disabled member and no able-
approved schemes. The following initiatives have bodied adult member; D5: SC/ST households;
been introduced under the programme keeping D7: Landless households deriving major part of

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their income from manual casual labour, certain beneficiary families separately. Not all beneficiary
‘automatically-included’ sections of India’s families from D1 to D5 and D7 categories of the
population and certain sections of population SECC database would get included in the list of
pursuing ‘selected occupational criteria’ in respect BPL families.
of urban region. The data reveals that these are not
discrete categories but are overlapping each other. 21.8 BUDGET ALLOCATION

The approved budget allocation for PMJAY The allocation under Scheduled Caste Sub-Plan
for the year 2019-20 is Rs. 6400.00 Crore. The (SCSP) and Tribal Sub-Plan (TSP) for the year
SECC database which forms the basis of PMJAY 2019-20 in respect of major health schemes/
does earmark information about the SC and ST programmes is given in the table below:

Budget Allocation for SC & ST

(Rs. In crores)
Sl. Details of the Scheme BE 2019-20
No.
SCSP TSP
A National Rural Health Mission    
1 RCH Flexible Pool including Routine Immunization Programme, 1441.50 732.16
Pulse Polio Immunization Programme, National Iodine Deficiency
Disorders Control Programme etc.
2 Health System Strengthening under NRHM
(i) Other Health System for activities covered under NRHM 2314.63 1090.65
(ii) Ayushman Bharat- Health and Wellness Centres 332.44 191.87
(iii) Asha Benefits Packages 210.61 75.22
Total- Health System Strengthening under NRHM 2857.68 1357.74
3 Flexible Pool for Communicable Diseases 464.74 270.78
4 Flexible Pool for Non-Communicable Diseases, Injury and Trauma 173.18 99.16
5 Infrastructure Maintenance 1657.90 846.05
6 Prime Minister’s Development Plan for Jammu and Kashmir 16.47 8.24
  Total - National Rural Health Mission 6611.47 3314.13
B National Urban Health Mission
1 Other Health System for activities covered under NUHM 181.82 85.96
2 Ayushman Bharat-Health and Wellness Centres 64.83 31.29
Total- National Urban Health Mission 246.65 117.25
C Strengthening of State Drug Regulatory System 30.07 50.26
D Tertiary Care Programme

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1 National Mental Health Programme 6.25 3.75

2 Capacity Building for Trauma Centres 16.98 13.62
3 National Programme for prevention and control of Cancer, Diabetes, 34.00 19.90
Cardio-vascular Disease and Stroke
4 National Programme for Health Care for the Elderly 11.34 6.12
Total- Tertiary Care Programme 68.57 43.39
E Human Resources for Health and Medical Education  
1 Strengthening Government Medical College (UG Seats) and Central 207.28 135.70
Government Health Institutions
2 Establishing New Medical Colleges (Upgrading District Hospitals) 332.00 171.00
  Total - Human Resources for Health and Medical Education 539.28 306.70
F Rashtriya Swasthya Bima Yojna (RSBY)
Support from Gross Budgetary Support (GBS) 31.13 23.36
Total-Rashtriya Swasthya Bima Yojna (RSBY) 31.13 23.36
G Ayushman Bharat- Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) 275.00 187.00
Grand Total 7802.17 4042.09

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Activities in
North East Region 22
22.1 INTRODUCTION States
A separate North East (NE) Division in the NHM Implementation Framework has relaxed
Department of Health & FW and a Regional norms for North Eastern States due to difficult
Resource Centre (RRC) at Guwahati, Assam have geographical terrain and topography. 
been set up to provide capacity building support
• Weightage for budgetary allocation under
to the States in the NE Region.
NHM for NE States: The resource allocation
22.2 NATIONAL HEALTH MISSION IN of funds under NHM-RCH Flexible Pool
NORTH EAST STATES provides an additional weightage to the NE
& Hilly States on account of socio-economic
Development of the North-Eastern States has been backwardness  and health lag as compared
the focus of attention owing to varied geographics to other States.
and socio-economic profiles of the eight States viz.
Assam, Arunachal Pradesh, Nagaland, Tripura, • Infrastructure Development: 33% of
Meghalaya, Mizoram, Manipur and Sikkim.  The resource envelope under NHM can be
Regional Resource Centre at Guwahati, Assam utilized for development and strengthening
has been set up since 2005 by MoHFW to provide of infrastructure in NE States which
technical and managerial support to the NE states otherwise is 25% for non-high focus States.
in planning, implementation, monitoring & • Relaxed population forms for
supportive supervision of health programmes& establishment of different health
capacity building and better fund absorption in facilities:  CHC:- 1 per 80,000 population
NE states under NHM. against 1,20,000 in other States;  PHC:- 1 per
Flexibilities have been provided under the RCH 20,000 population against 30,000 in other
and NRHM Flexi pools to take care of the specific States;  SC:- 1 per 3,000 population against
developmental requirements of the NE Region 5,000 in other States.  A new norms of
while ensuring that the national priorities are also “time to care” for setting up of SC within 30
kept in view. In order to address the gaps in the minutes by walk from a habitation, adopted
secondary and tertiary healthcare infrastructure for hilly districts taking into account the
requirements of the NE States, a scheme namely wide dispersal of population.
‘Forward Linkages for NRHM in North East’ • State share under NHM:  For NE & Hilly
was  introduced for the States of NE region States, the fund sharing pattern under NHM
during the 11th Plan and continued till FY 2018- is in the ratio of 90:10 between the Central
19.   and State Government which is 60:40 for
Special Provisions/Norms under NHM for NE rest of the States.

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• All Ministries/Departments are also remote, inaccessible and riverine areas.  There
mandated to make provision of atleast 10% are  187 MMUs, 1096 BLS/ALS Ambulances.
of the Central Plan allocation for projects/ Apart from these, State of Assam has 9 Boat
schemes in North Eastern Region. Ambulances to cover riverine areas and 235 no.
of Adarani vehicles for providing Drop Back
• ASHAs: Accredited Social Health Activists
Services to JSSK beneficiaries.
may be selected for every village with
a population of 1000.  NE States have d. Comprehensive Primary Health Care: NE
been given the flexibility to relax the States have initiated upgrading existing health
population norms as well as the educational facilities into Health & Wellness Centres.   NE
qualifications on a case to case basis, States have made functional  877 SHC-HWC,
depending on the local conditions without 347 PHC-HWC and 66 UPHC-HWC as on
compromising on quality through capacity 30.10.2019.
building.
e. Boat Clinics as Floating Health & Wellness
Achievements in respect of NE region   Centres: State of Assam commenced the services
of 15 boat clinics from 2008 onwards to cater
a. Health Facilities & HR:    As per
to the communities of 13 districts residing in
Management Information System (MIS) Report, a
remote riverine islands (char/saporis) alongside
total of 308 CHCs, 687 PHCs and 140 Centres
Brahmaputra River. These boat clinics are now
working as First Referral Units (FRU), have been
being envisaged to provide CPHC in the riverine
made operational on 24x7 basis  so far under
areas staffed by appropriate trained healthcare
NHM.  Ayush facilities are available in 385 Health
staff.
Centres, including DHs, CHCs, other than CHC
at or above block level but below district level, f. Bio Medical Equipment Maintenance
PHCs and other health facilities above SCs but & Management Programme (BEMMP):  This
below block level. 213 Specialists, 1365 Medical program has been implemented in all 8 NE States.
Officers, 1463 Ayush Doctors, 3692  Paramedics,
g. Free Diagnostic Services (Pathology):
6182 Staff Nurses and  7503 ANMs, have been
Under this service Free Pathology Services has
augmented under NHM.     Besides this, 58657
been implemented in 6 States (Assam, Arunachal
ASHAs have been selected under NHM. 
Pradesh, Manipur, Meghalaya, Tripura and
b. Facility Based New born Care: In total, 44 Sikkim). Out of these, the service delivery is
SNCUs, 202 NBSUs and 1755 NBCCs have been through mixed model i.e. through in-house &
commissioned till 31st December 2018 to provide outsource mechanism in 5 States and through in-
facility based care to sick newborns. house mode in 1 State (Sikkim).
c. Referral Mechanisms:   To strengthen the h. Free CT Scan Services: have been
referral pathways and prevent deaths due to delays implemented under the support of NHM through
in accessing health care, NE states have been PPP mode in Assam and Tripura.
provided with basic and advanced life support
i. Tele Radiology Services: has been rolled
ambulatory transportation for appropriate care
out as per NHM guidelines in States of Assam,
in health facilities across the chain of services
Meghalaya and Tripura.
with a proper management system, along with
Mobile Medical Units (MMUs) to serve the j. Pradhan Mantri National Dialysis

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Services: has been implemented in 7 States Sciences.

(States of Arunachal Pradesh, Assam and
Allocation of MBBS seats
Tripura, through PPP Mode and States of Sikkim,
Nagaland, Mizoram and Manipur through in- The Institute has started MBBS course from
house mode) and process of outsourcing dialysis 2008-2009 with annual intake of 50 students and
services on PPP mode is under progress in the is recognized by Medical Council of India vide
State of Meghalaya. Notification dated 07.11.2013.The distribution of
MBBS seats is as under:
22.3 NORTH EASTERN INDIRA GANDHI
REGIONAL INSTITUTE OF S. Name of the State Number
HEALTH AND MEDICAL SCIENCES No of seats
(NEIGRIHMS), SHILLONG 1 Meghalaya 09
NEIGRIHMS is a Super Specialty teaching 2 Nagaland 08
Institute established in 1987 in Shillong under the 3 Arunachal Pradesh 04
Meghalaya Regulation of Societies Act 1983 with
an objective to provide advanced and specialized 4 Mizoram 03
medical facilities of the highest level in selected 5 Central Pool (15% of total seats) 08
specialties and to serve as a Regional Referral 6 Open for all NE states 18
Service Centre for comprehensive health care
of people in North Eastern States. It has been Total Seats 50
designed as a Postgraduate Medical Institute in The B.Sc Nursing programme, the first technical
the lineage of AIIMS, New Delhi and PGIMER, graduate programme in the state of Meghalaya
Chandigarh. with an Annual intake of 50 students, was started in
The Institute is presently having 28 fully July, 2006. It is affiliated to the Central University,
functional departments and 541 bed capacity. It North Eastern Hill University, Shillong.
is offering Super Specialty services in Cardiology, NEIGRIHMS started conducting Post-Graduate
Neurology, Neurosurgery, Surgical Oncology, Courses since 2009 in the following 4 (four)
CTVS, and Urology, besides Specialty services in Departments namely Anaesthesiology, Pathology,
General Surgery, General Medicine, Paediatrics, Microbiology, Gynaecology and Obstetrics.
Obstetrics &Gynaecology, ENT, Orthopaedics Increase of seats from existing 2 to 4 seats in the
and Ophthalmology. These departments are very department of Anaesthesiology was from the
well supported by the departments of Radiology, session 2010 and started post graduate course
Anaesthesiology, Pathology, Microbiology, in the department of Anatomy from 2013. Post
Forensic Medicine and Biochemistry. It is well Doctoral DM Cardiology Course was started
equipped with all basic as well as advanced from the session 2012-13 with an annual intake of
equipments like CT scan, 1.5 Tesla MRI, Digital 2 seats. Post Graduate Courses were started from
Radio Fluoroscopy, Digital Radiography 800ma the session 2013-14 in the 3 (three) departments
& Digital Radiography 1000ma, fully automated namely Radio diagnosis and Imaging and General
High Vacuum Double Door Steam Sterilizer Unit Surgery and General Medicine. Increase of seats in
and Washer Disinfector, etc. the departments of Pathology and Microbiology
The Institute is conducting Post-Graduate, Post was started from the session 2014. The Post
Doctoral and Under Graduate Courses in Medical Graduate (MD/MS) courses in the department of

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Oto-Rihnolaryngology, Dermatology with annual of India. The other committees have also
intake of 2 seats each and MD Forensic Medicine been constituted such as Standing Finance
with annual intake of 3 seats was started from the Committee, Standing Committees, and
session 2019-20. Academic Committees, etc.
Presently the Post Graduate courses in the • The 13th meeting of the Governing Council
department of Microbiology, Pathology, Obst & under the Chairmanship of Hon’ble HFM
Gyane, Radiodiagnosis, General Medicine and was held on 14.10.2019at Nirman Bhawan,
Radiodiagnosis along with the DM Cardiology New Delhi.
course are recognized by MCI.
• The 40thMeeting of Standing Finance
Academic Achievements committee under the Chairmanship of
• Till date 12 batches of MBBS students have Secretary (H&FW) was held on 12/04/2019
been admitted and 7 batches have passed in New Delhi. The Institute has been
out. advised to convene more such meetings for
accelerated decision making.
• BSc Nursing Students 14 batches admitted
&10 batches passed out Sanctioned Strength and Incumbency Position
• 95 PGs in various specialists have completed in the Institute
their course. The Institute has recruited 1277staffs including
• Number of PG Students admitted is 142(as Faculty, Group A, B & C posts including PWDs
on 7.11.2019) against the sanctioned posts of 1823. Government
• Number of DM Cardiology admitted is 16 ( and the Institute have been making efforts to
as on 7.11.2019) augment the teaching facilities in different
• DM in Cardiology with 2 seats was started Departments of NEIGRIHMS. The total number
in 2012 and so far 5 batches have completed of faculty has gone up to91 against the sanctioned
the course. strength of 141. The Institute till date is having a
number of 81 SRDs out of 105 and 78 JRDs out
• The M.Sc. Nursing course started from of 84.
the session 2016 with annual intake of 10
students. The students admitted during the Starting of Additional Post Graduate / Post
session 2016-17 had appeared in their final Doctoral Courses in NEIGRIHMS, Shillong
examination in the month of September
The Institute has obtained the approval for
2018.8 (eight) students successfully
starting of additional Post Graduate Courses from
completed the course.
2020-21Session in following specializations:
Management of The Institute
Post Graduate (MD/MS)
• The Institute is under the administrative • MS Ophthalmology
control of the Director. NEIGRIHMS. • MD Pharmacology
The Governing Council of the Institute is
headed by the Union Health Minister as • MD Biochemistry
its President with 27 other members. The Major Expansion Projects of NEIGRIHMS
Executive Council is chaired by the Secretary, • Expansion of Nursing College with Hostel
Ministry of Health & Family welfare, Govt. (from 50 to 100 intake) at a cost of Rs.61.89

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crore. Ministry of Health and Family Welfare, Govt. of

• Establishment of Under Graduate Medical India on 24th March 2017.
College with Hostel for 100 intake with Progress Report
hostels for 600 students for Rs 249.54 crores
Name of the Project: Construction of Under
• Setting up of Regional Cancer Centre with
Graduate Medical College & Hostels, Regional
252 bed capacity with Patient Guest House
Cancer Centre & Guest House, Nursing College
of 28 rooms for Rs 224.79crores.
& Hostels, Internee Hostel and including internal
The Standing Finance Committee which met on 4th & external electrical, HVAC, PHE, Firefighting,
June 2016 approved the award of work to Lowest external development works etc., and their
Bidder, M/s Larsen and Toubro Ltd, Chennai, maintenance during defect liability period at
on the recommendation of the Consultant M/s NEIGRIHMS, Shillong.
HSCC which was subsequently approved by the

Sl. Building Name Physical Financial Status as on date Actual Date Tentative
No Progress Progress of Start of Date of
(% (In works Completion
Completed) Crores)
1. UG Medical 70.00 73.70 Structure Completed, 24.03.2019 July’20
College & MEP and Finishing
Hostels works in progress
2. Regional 72.00 50.42 Structure completed, 24.03.2019 July’20
Cancer Center MEP and Finishing
& Guest House works in progress
3. Nursing 92.00 53.50 Structure completed, 24.03.2019 December’19
College & MEP and Finishing
Hostels works in progress

Budget Estimate Allocation for 2019-20 Funds Released by Ministry

( In Crores) for 2019-20
Rs 347.00 Cr Rs 347.00 Cr Rs 175.01 Cr

Beside receiving grants-in-aid from the Ministry, and other research projects from ICMR, DBT etc
the Institute receives grants for implementation and grants from schemes like RANS, JSY etc.
of various projects such as GFATM, Cancer Atlas,

Patients availing Operation Patient availing Patient from Patient from Patient
OPD & IPD conducted OPD, IPD N. E. India outside N. E. from
services services from excluding India outside the
Meghalaya Meghalaya country
OPD IPD Major Minor OPD IPD OPD IPD OPD IPD OPD IPD
399926 18541 3562 1992 222495 11588 174352 6889 2684 50 445 14

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a. Hospital Statistics during the year 2018-19Investigations and Procedures

Pathology Microbiology Bio Chemistry Radiology

834496 448551 1257198 126528
b. Procedures

General ENT Dermatology Neurology Urology Orthopaedics Gynaecology

Medicine
10497 2504 4701 1307 3326 58500 32855

Awards :- regional importance catering to the needs of the

NEIGRIHMS was awarded the 1stPrize (B North Eastern Region in the field of medical
Category) in “KAYA KALP” 2017-18 with a education by providing undergraduate and
prize amount of Rs. 1.5 Crore under the Central post-graduate courses. RIMS is a 1,176 bedded
Government Hospitals category of the KAYA teaching Hospital equipped with modern state
KALP awards, for maintaining high standard for of the art equipment and teaching facilities. The
sanitation and hygiene in the country. Hospital provides services to a large number of
patients both out-door as well as indoor patients
22.4
REGIONAL INSTITUTE OF and admit over forty thousand patients in a year.
MEDICAL SCIENCES (RIMS), The institute has so far produced 3356 medical
IMPHAL graduates and 1714 specialists.
Regional Institute of Medical Sciences was set up The courses being run along with intake capacity
in 1972 and has been functioning under MOHFW in the institute are as follows:
since 1st April, 2007. RIMS is an Institute of

Sl. No. Name of Course Number of seats Quotas

1 MBBS 125 seats per annum 15% All India Quota
2 MD/MS/DCP 147 seats per annum 50% All India Quota
3 M. Ch./D.M. 05 seats per annum 100% All India Quota
4 M. Phil. 06 seats per annum Open Beneficiary states of RIMS
5 B. Sc. Nursing 50 seats per annum All Beneficiary states of RIMS
6 BDS 50 seats per annum 15% All India Quota
7 BASLP 10 seats per annum All Beneficiary states of RIMS
8 M.Sc. (Nursing) 8 seats per annum All Beneficiary states of RIMS
& 1 seat earmarked for children of
RIMS employee

Allocation of Seats for undergraduate courses: is 125 students. The detail of these seats is as
under:-
The number of annual admission to MBBS course

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Sl. Name of State MBBS BDS B.Sc. NON RIMS

No. Nursing Graduates of
  5 5
1 All India Quota 19 7 - beneficiary States
(except Assam)
2 Arunachal 7 4 5
Pradesh Open to
sponsored 3   3
3 Meghalaya 13 7 5 beneficiary
4 Mizoram 7 4 5
73
5 Manipur 30 13 20*
6 Sikkim 5 3 5 Academic Achievement
7 Tripura 13 7 5 The objective of this premier institute is to impart
8 Nagaland 10 5 5 quality medical education and has produced
9. NE Open- All 10 - - a number of medical doctors/specialists and
Beneficiary health care providers. On the basis of the record
states of RIMS maintained by the institute number of the students
(except Assam) passed out so far as on 31.10.2019 is as under:
10. EWS 11 - -
a) Total no. of MBBS doctors passed out - 3454.
Grand Total 125 50 50
b) Total no. of MD/MS/DCP passed out - 1849.
* including 4 seats earmarked for children of
RIMS employees. c) Total no, of M.Ch. students passed out -17.

Distribution of P.G. seats d) Total no. of M.Phil. (Clinical psychology)-61.

50% (73-74) seat distribution of Beneficiary States e) Total no. of B.Sc. (Nursing) Passed out - 238.
of RIMS, Imphal f) Total no. f B.D.S. passed out - 115.
Course State No. of Total Management of the Institute
seats seats
The Institute and its teaching hospital is under
Sponsored

the administrative control of the Director, RIMS,

Open

Imphal. The Board of Governors of the Institute

is headed by the Union Health Minister as its
Arunachal President.
Pradesh 7 2 9 The Executive Council is chaired by the Secretary,
Manipur 7 2 9 Ministry of Health & Family Welfare, Govt.
Meghalaya 7 2 9 of India. The other committees have also been
Postgraduate Mizoram 7 2 9 constituted such as Standing Finance Committee,
(MD/MS/ Academic Sub-Committee etc.
DCP) Nagaland 7 2 9
Sikkim 7 2 9 The Medical Superintendent is the overall in-
Tripura 7 2 9 charge of the hospital, who looks after the day to
RIMS AIQ day functioning of the hospital. The functioning
Graduate   2 2 of the different departments is directly under the

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respective heads of department. Key areas such awarded construction work to M/s Simplex
as the Casualty, CSSD, Stores, Hospital Waste Project Ltd., Kolkata on 2nd December,2015.
Management, etc are looked after by designated So far a sum of Rs.40 crore has been released
officers (medical doctors) under the supervision by RIMS to HSCC Ltd. as work deposit so
of the Medical Superintendent. far. The project is proposed to be executed
in 2 packages: i.e., Package-I and II.
STAFF STRENGTH IN RIMS
Package–I comprises of Casualty Block,
Sanctioned Posts Filled Vacancy Forensic and Community Medicine Block,
1936 1501 435 Maternity ward Block, Blood Bank, Lecture
Halls.
Major Action For RIMS
Package-II comprises of Construction of
At present two major projects are being taking up Hostels and residential quarters for increase
by the institute: of UG seats from 100 to 154 intake capacity
including internal and external electrical,
• Initially the project was taken up by a PHW Fire Fighting & Development works,
Construction agency M/s RDB Ltd. Kolkata.
Due to very slow performance in-spite Initially the works under both the packages I
of repeated extension of time granted to & II were awarded to M/s Simplex (Projects)
them. The M/s RDB Ltd. Kolkata had been Ltd. Kolkata. However, on the ground
expulsed. Thereafter, the projects which were of very poor performance, M/s Simplex
divided into two Packages, i.e., Packages-I (Projects) Ltd. was expulsed. Thereafter,
& II. It was further divided into three (3) M/s HSCC Ltd, Have retendered the works
Packages, i.e., Package-IA, Package-IB & and the documents of the bidders are under
Package-II. scrutiny.
Package-IA comprises of Construction Other Construction Activities
of PG Ladies Hostel. On expulsion of M/s
The Institute has carried out a number of
RDB Ltd. Kolkata, it was awarded to M/s
Construction Works. Some of the assets created
Manipur Tribal Development Corporation
are given below:
Ltd. Imphal, Manipur on 08th November,
2018 and targeted to complete by May, 2019. o Completed and completion: 80 Capacity
Gents hostel, 80 capacity Ladies hostel,
Package-IB comprises of Construction of
College buildings for Dental College
PG Gents Hostel, UG Ladies Hostel and
(Temporary), Utility Block, ART Centre,
Nursing Hostel. The package was put to
O.T. for Obs & Gynae Department, Multi-
tender and is under scrutiny.
disciplinary Research centre etc.
Package-II comprises of Balance work for
o Construction under progress: The
Construction of OPD Block on expulsion of
infrastructural development which are
M/s RDB Ltd. Kolkata it was awarded to M/s
under construction are, Nursing College
Manipur Tribal Development Corporation
Building, Dental College Building, Maternity
Ltd. Imphal, Manipur on 8th November,
Ward, Pharmacology Laboratories, Lecture
2018. The work is under progress and
Theatre cum Examination Hall, 170
targeted to complete by February, 2020.
Capacity Post graduate Gents Hostel, Post
• Project Consultants i.e. HSCC Ltd., has graduate Ladies Hostel, New OPD, 200

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capacity B.Sc. Nursing, Departments of Paramedical education to the people of North

Forensic & Community Medicine. East including Sikkim and to maintain the pace
of nursing education and nursing services with
Other Achievements
other developments medical and technological
The institute hospital has witnessed heightened services. The Institute was transferred to Ministry
activity during the year under report. The OPD of Health & Family Welfare w.e.f. 01.04.2007.
attendance jumped to 7.67 lakh patients which
recorded a 94% increase over the previous year At present the Institute is conducting the following
figure. 1.3 lakh patients were treated in the Courses:
Casualty. Number of in-patients increased to 1.66
Sl. Name of Course Duration
lakh compared to 0.43 lakh in the previous year.
No.
The increased hospital footfall may be because of
many diagnostic tests made available free of cost, 1 B.Sc Nursing 4 years
implementation of CMHT, PMJAY, increased 2 B.Sc MLT (Medical 4 years
health consciousness & awareness of the populace. Laboratory Technology)
Number of tests and investigations have also
increased greatly. In Biochemistry Department 3 B.Pharm 4 years
nearly 7.50 lakh investigations were done. In the 4 B.Sc RIT (Radio Imaging 4 years
Radiodiagnosis Department nearly 14,000 CT Technology)
Scans and more than 96,000 X-Rays were done. 5 B.Optom (Optometry) 4 years
Similarly, investigations in the Microbiology and
Pathology Department increased significantly. 6 M.Pharm 2 years
I am glad to share with you that RIMS, Imphal
Major achievements during the year 2019 –
has been identified by the Ministry of Health &
2020:
Family Welfare for Establishing the DHR-ICMR
Advance Medical Oncology Diagnostic Services 1) Approval of Competent Authority for the
(DIAMOnDS) lab in North East zone of the project of Development of RIPANS at
country. The lab will benefit cancer patients and an estimated cost of Rs.480.12 crore was
requirement of diagnostic services in the region. received on 27.02.2019. E-tender for civil
BUDGET construction works at an estimated cost of
Rs.229.46 crore was published in CPP portal
(Rs. in crore)
on 30th August, 2019. Last date to upload
Sl. Financial Allocation Release the bid through e-tendering is 31st October,
No. Year RE 2018-2019 2019. The main components of the project
1 2018-19 302.05 302.05 includes :
a) Construction of Institute Complex
22.5
REGIONAL INSTITUTE OF
• Academic Block – IV
PARAMEDICAL AND NURSING
• Guest House
SCIENCES (RIPANS), AIZAWL.
• General Hostel Block
Regional Institute of Paramedical And Nursing
• Indoor Sports Complex and Auditorium
Sciences (RIPANS), Aizawl was set up by the
Ministry of Home Affairs, Government of India b) Construction of Hospital Complex :
in 1995-96 to provide Nursing, Pharmacy and • 100 bedded Hospital

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• Resident Doctors’ Quarter • Opening of 7 new courses

• Medical Superintendent Quarter • Creation of 154 posts.
• Staff/Nurse Quarters
FUND POSITION OF FY 2019 - 2020

Sl. Particulars B.E. Opening Amount Internal Total fund Less: Balance of fund
No.   (In Balance/ released Resources available Expenditure as on
    crore) Unspent by the     during 31.10.2019
  Balance Ministry 2019-20
as on 1.4.2019   upto 31.10.2019
1 2   3 4 5 5(3+4+5) 6 7(5-6)
1 General 15.00 104,80,218.36 400,00,000.00 0.00 504,80,218.36 762,96,043.10 -258,15,824.74
(Recurring)
2 Capital 9.18 1125,97,662.00 0.00 0.00 1125,97,662.00 3,04,000.00 1122,93,662.00
(Non-
Recurring)
3 Salaries 11.00 140,41,082.00 150,00,000.00 50,29,088.00 340,70,170.00 642,30,951.00 -301,60,781.00
(Recurring)
  TOTAL 35.18 1371,18,962.36 550,00,000.00 50,29,088.00 1971,48,050.36 1408,30,994.10 563,17,056.26

Sl. Particulars Fund released by the Ministry during 2019 - 2020 (Rs. In Crore)
No.   Ist 2nd 3rd 4th Total
1 General (Recurring) 4.00 0.00 0.00 0.00 4.00
2 Capital (Non-Recurring)         0.00
3 Salaries (Recurring) 1.50 0.00 0.00 0.00 1.50
  TOTAL 5.50 0.00 0.00 0.00 5.50

22.6 LOKOPRIYA GOPINATH health care, especially in the North-Eastern

BORDOLOI REGIONAL INSTITUTE Region. During the year 2018-19, a total number
OF MENTAL HEALTH (LGBRIMH), of 1,28,897 patients were registered in the Institute
TEZPUR, ASSAM out of which 24,248 were new cases and 1,04,649
were old cases. During the period, the Institute
The Lokopriya Gopinath Bordoloi Regional witnessed 1,257 admissions in the IPD. The
Institute of Mental Health (LGBRIMH), Tezpur Institute operates 7 weekly clinics in the OPD viz.
(Assam), is a premier Mental Health Institute Geriatric Psychiatric Clinic, De-addiction Clinic,
in India. It is one of the oldest Institutes of the Child Guidance Clinic (Now regular clinic),
country. It was established in Sonitpur district Psychosomatic Clinic, Epilepsy Clinic, Family
of Assam in 1876. The Institute was taken over Counselling Clinic and Community Psychiatric
by the Government of India in 1999 from the Clinic. A new building has been constructed for
Government of Assam. LGBRIMH has received the Institute and the hospital services have been
wide recognition for providing mental health shifted to the new building.
services to meet the needs of quality mental

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22.7
NATIONAL PROGRAMME FOR terrains of tribal predominant NE region.
CONTROL OF BLINDNESS & The key initiatives in this direction are as under:
VISUAL IMPAIRMENT (NPCB&VI)
• Construction of dedicated Eye Wards & Eye
National Programme for Control of Blindness & OTs in District Hospitals.
Visual Impairment (NPCBVI) was launched in the • Appointment of Ophthalmic manpower
year 1976 as a 100% centrally sponsored scheme (Ophthalmic Surgeons, Ophthalmic
(now 60:40 in all states and 90:10 in NE States Assistants and Eye Donation Counsellors)
and other hilly States) with the goal of reducing in States on contractual basis.
the prevalence of blindness to 0.3% by 2020. The
• In addition to Cataract, provision of grant-
prevalence of blindness has come down from 1%
in-aid to NGOs for management and
(2007) to 0.36% (2019) as per the findings of the
treatment of other eye diseases (diabetic
National Blindness & Visual Impairment Survey
retinopathy, glaucoma management,
(2015-19) conducted under NPCBVI.
corneal transplantation, vitreoretinal
The programme is being implemented in a surgery, treatment of childhood blindness
decentralized manner through the respective etc.)
State/District Health Societies. Benefits of the • Development of Mobile Ophthalmic Units
services under the programme are meant for all with linkage to tele-network.
needy population including tribal population of
• Involvement of Private Practitioners in Sub
the NE region. NE States including Sikkim is a
District, Block and Village levels.
priority area under NPCBVI with the funding
pattern in the ratio 90:10 between the centre The physical performance of cataract surgeries,
and the State under NHM component to ensure school eye screening and cornea collection in NE
delivery of adequate eye care services to the States including Sikkim during the last two years
population located at the hilly areas and difficult (2018-19 and 2019-20) is as under:
Physical performance report for the year 2018-19

States Cataract Operations Free Spectacles to school Collection of donated

children eyes
Target Achievement Target Achievement Target Achievement
Arunachal Pradesh 9125 2342 1037 17 30 0
Assam 205717 66392 23377 12185 400 334
Manipur 17964 2826 2041 112 100 0
Meghalaya 12004 3087 2223 2543 30 0
Mizoram 4419 3008 1000 2599 100 105
Nagaland 13072 1314 1485 2140 30 0
Sikkim 2461 603 456 0 30 0
Tripura 14868 9534 2000 3105 30 2
Grand Total 279630 89106 33619 22701 750 441

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Physical performance report for the year 2019-20 (provisional)

States Cataract Operations Free Spectacles to school Collection of donated

children eyes
  Target Achievement Target Achievement Target Achievement
Arunachal Pradesh 9200 1353 1100 4 100 0
Assam 205800 39436 35000 1419 400 159
Manipur 16000 1937 2400 1210 100 0
Meghalaya 12000 1762 2500 2436 100 0
Mizoram 4600 1295 1000 415 100 36
Nagaland 13000 408 1500 1192 100 0
Sikkim 2500 106 500 0 100 0
Tripura 15000 0 2000 0 100 0
Grand Total 278100 46297 46000 6676 1100 195
* The data is based on the reports furnished by States

22.8
NATIONAL VECTOR BORNE • Pre-dominance of Pf as well as prevalence of
DISEASE CONTROL PROGRAMME chloroquine resistant to Pf malaria
(NVBDCP) Malaria: The North-Eastern States viz. Arunachal
The North-Eastern region is prone to malaria Pradesh, Assam, Meghalaya, Mizoram, Manipur,
transmission mainly due to Nagaland and Tripura together contribute about
4% of the country’s
• Topography and climatic conditions
that largely facilitate perennial malaria Population. In 2019(provisional) , there is
transmission reduction of 15.86% in Malaria cases, 15.46% in
Pf cases and 71% in deaths compared to 2018. The
• Prevalence of highly efficient malaria vectors epidemiological and malari-metric indices are
given below: .

Malaria Situation in the NE States during 1996-2019*

Year Cases (in million) API Deaths
Total Pf
1996 3.04 0.14 87.37 142
1997 0.23 0.12 6.51 93
1998 0.19 0.09 5.12 100
1999 0.24 0.13 6.40 221
2000 0.17 0.08 4.49 93

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2001 0.21 0.11 5.29 211

2002 0.18 0.09 4.59 162
2003 0.16 0.08 3.93 169
2004 0.14 0.08 3.36 180
2005 0.15 0.09 3.65 251
2006 0.24 0.15 5.69 901
2007 0.19 0.13 4.60 581
2008 0.19 0.13 4.39 349
2009 0.23 0.18 5.21 487
2010 0.17 0.13 3.82 290
2011 0.11 0.09 2.49 162
2012 0.08 0.06 1.80 113
2013 0.07 0.06 1.53 119
2014 0.14 0.12 2.86 222
2015 0.13 0.11 2.74 135
2016 0.07 0.05 1.36 76
2017 0.04 0.03 0.75 23
2018 0.03 0.03 0.58 24
2019* 0.02 0.02 0.49 7
*Provisional

State-wise situation of Malaria in NE States 2018

SN Name of the Pop. In B.S.E. Pf Total Pf% ABER API SPR AFI SFR Deaths
State/UTs (000’s) Cases Malaria (%)
Cases
Arunachal
1 1591 145353 154 625 24.64 9.14 0.39 0.43 0.10 0.11 0
Pradesh
2 Assam 33535 2364621 2859 3816 74.92 7.05 0.11 0.16 0.09 0.12 2
3 Manipur 2839 98375 3 12 25.00 3.47 0.00 0.01 0.00 0.00 0
4 Meghalaya 3487 326051 6065 6394 94.85 9.35 1.83 1.96 1.74 1.86 6
5 Mizoram 1201 218178 3937 4296 91.64 18.17 3.58 1.97 3.28 1.80 3
6 Nagaland 1979 255888 24 113 21.24 12.93 0.06 0.04 0.01 0.01 0
7 Tripura 4048 483982 12600 13079 96.34 11.96 3.23 2.70 3.11 2.60 13
Grand Total 48680 3892448 25642 28335 90.50 8.00 0.58 0.73 0.53 0.66 24
India Total 1337617 124475724 207198 429928 48.19 9.31 0.32 0.35 0.15 0.17 96

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State-wise situation of Malaria in NE States 2019*

SN STATES/ Pop. B.S.E. P.f. Total Pf% ABER API SPR AFI SFR Deaths
UTS (in 000) Cases Malaria (%) (per (%) (%)
Cases 1000)
Arunachal
1 1591 132444 24 160 15.00 8.32 0.10 0.12 0.02 0.02 0
Pradesh
2 Assam 33535 4140345 765 1293 59.16 12.35 0.04 0.03 0.02 0.02 3
3 Manipur 2839 207937 5 15 33.33 7.32 0.01 0.01 0.00 0.00 0
4 Meghalaya 3487 401611 2202 2443 90.14 11.52 0.70 0.61 0.63 0.55 3
5 Mizoram 1201 219755 7503 7983 93.99 18.30 6.65 3.63 6.25 3.41 0
6 Nagaland 1979 186067 4 19 21.05 9.40 0.01 0.01 0.00 0.00 0
7 Tripura 4048 587608 11174 11928 93.68 14.52 2.95 2.03 2.76 1.90 1
Grand Total 48680 5875767 21677 23841 0.83 12.07 0.49 0.41 0.45 0.37 7
India Total 1337617 119508376 143719 316346 45.43 8.93 0.24 0.26 0.11 0.12 46

*Provisional
larvicides etc. as per approved norms to all NE
States as per their technical requirements.
The additional support under Global Fund to
fight AIDS, Tuberculosis and Malaria (GFATM)
is provided to all the 147 districts of 8 states (7
NE states, except Sikkim, and Madhya Pradesh)
for implementation of the Global Fund supported
“Intensified Malaria Elimination Project” for
the grant period January 2018-March 2021.
To strengthen the surveillance and proper
implementation of anti-malaria interventions
in difficult areas in high endemic districts in
Mizoram and Meghalaya, 2 NGO Sub recipients
(SRs) are included to strengthen the activities and
LLINs distribution efforts of NVBDCP in hard-
to-reach areas .
Goal: To reduce malaria morbidity and mortality
The table shows that Mizoram and Tripura are
by at least 70% in project areas by 2020
having API more than 1.
Objectives:
Assistance to States: Government of India
provides 100% central assistance for programme a. Achieve near universal coverage of
implementation to the North-Eastern States population at risk of malaria with an
including Sikkim. The Govt. of India also provides appropriate vector control intervention
commodities like drugs, LLINs, insecticides/ (LLIN).

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b. Achieve universal coverage of case detection cases in the country. However, in North-Eastern
and treatment services (in project areas) states, early signs of resistance to currently used
to ensure 100% parasitological diagnosis SP-ACT were noticed. Keeping in view the same,
of suspected malaria cases and complete as per the advice of Technical Advisory Committee
treatment of all confirmed cases. (TAC), effective combination of Artemether-
Lumefantrine (ACT -AL) is now being used for
c. Strengthen the surveillance to detect, notify,
the treatment of Pf cases in the North Eastern
investigate, classify and respond to all cases
States.
and foci in all districts (in project areas) to
move towards malaria elimination. Under integrated vector control initiative, IRS
is being implemented selectively only in high
d. Achieve near universal coverage in project
risk pockets as per district-wise Micro Action
areas by appropriate BCC activities to
Plans from domestic budget. The Directorate has
improve knowledge, awareness and
issued guidelines on IRS to the States for technical
responsive behavior regarding effective
guidance. Guidelines on uniform evaluation
preventive and curative interventions.
of insecticides have also been developed in
For strengthening early case detection and collaboration with National Institute of Malaria
complete treatment at community level, ASHAs Research (NIMR), Delhi. Over the years, there
have been trained and involved in high malaria is a reduction in IRS covered population in view
endemic areas along with Fever Treatment Depots of paradigm shift to alternative vector control
(FTDs) and Malaria clinics. This is in addition measures such as extensive use of Long Lasing
to the treatment facilities available at the health Insecticide Treated Nets (LLINs). Presently, all
facilities and hospitals. Anti malarial drugs and the sub-centers having API above 1 have been
funds for training are provided by Gol under the saturated with LLINs in all 7 NE States under
programme. GFATM funding support.
As per the National Drug Policy, Chloroquine Japanese Encephalitis:
is used for treatment of all P.vivax cases and
Japanese Encephalitis is endemic in all North-
Artemesinin Combination Therapy (ACT) with
Eastern States except in Mizoram and Sikkim.
SulfadoxinePyrimethamine (AS+SP) combination
The details of AES/JE cases are as follows:
is being implemented for the treatment of all Pf

Sl. Affected States 2018 2019 (31.12.2019) (P)

No
AES JE AES JE
C D C D C D C D
1 Assam 1492 183 509 94 2652 353 642 161
2 Manipur 283 3 57 3 1177 6 343 6
3 Nagaland 27 0 1 0 97 0 10 0
4 Arunachal Pradesh 0 0 0 0 0 0 0 0
5 Meghalaya 243 6 90 6 682 9 186 9
6 Tripura 311 0 59 0 277 2 56 2

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For Control of JE- Govt. of India has established

Sl. Affected States 2018 2019
40 Sentinel Surveillance Hospitals in North- No. (Prov.
Eastern States of India for diagnosis of J.E. cases, of till 31st
which 28 Sentinel sites in Assam, 5 in Meghalaya, December)
2 each in Arunachal Pradesh and Manipur and 1
1 Assam 3 0
each in Nagaland, Mizoram and Tripura. 1 Apex
Referral laboratory at Regional Medical Research 2 Arunachal Pradesh 507 332
Centre (ICMR) at Dibrugarh, Assam has also been 3 Manipur 2 40
established. Total 59 districts have been covered
4 Meghalaya 44 9
under J.E. vaccination programme in children
aged 1-15 yrs in these States. 27 districts in Assam, 5 Mizoram 93 0
3 districts in Arunachal Pradesh, 8 each districts 6 Sikkim 384 1055
in Manipur and Tripura, 7 districts in Nagaland
and 6 districts in Meghalaya. In addition, adult Lymphatic Filariasis is endemic in 7 districts
(>15-65 yrs) JE vaccination has been completed of Assam, whereas other State in NE region are
in 18 districts of Assam. 9 blocks of 3 districts in non-endemic for filaria. These 7 districts of
Assam to be covered for adult JE vaccination. Assamwerecovered under the strategy of Annual
Mass drug Administration (MDA) of Di-ethyl-
Dengue: In recent past Dengue has been spread to carbamazine citrate (DEC) since 2004. However,
various parts of NE States. The state-wise details since 2009, Albendazole was co-administered
of dengue cases from 2018 to 2019 (Prov. till 31st with DEC. All these 7 endemic districts of Assam
December) are as follows: have successfully completed 1st Transmission
Sl. Affected 2019 Assessment Survey (TAS) and stopped MDA. Out
No. States 2018 (Prov. till 31st of these 7 districts, 6 have successfully cleared 2nd
December) TAS also and one district, Dibrugarh failed in 2nd
Cases Deaths Cases Deaths TAS during 2018 and have to observe two rounds
of MDA.
1 Assam 166 0 177 0
2 Arunachal 1 0 123 0 22.9 NATIONAL IODINE DEFICIENCY
Pradesh DISORDERS CONTROL PROGRAMME
3 Manipur 14 0 359 0 (NIDDCP)
4 Meghalaya 44 0 66 0 The National Iodine Deficiency Disorders Control
5 Mizoram 68 0 42 0 Programme (NIDDCP) is being implemented
6 Nagaland 369 0 8 0 in all the North Eastern States.  State level IDD
Control Cell and IDD Monitoring Laboratory
7 Sikkim 320 0 271 0
have been set up in each of the NE States. NE States
Chikungunya: The clinically Suspected have been conducting laboratory monitoring
Chikungunya cases reported from Assam, of salt and urine to estimate iodine content and
Arunachal Pradesh, Meghalaya, Manipur, urinary iodine excretion (UIE) and also quality of
Mizoram and Sikkim from 2018 to 2019 (Prov. till iodated salt at household/community level.  The
31st December) are as follows: samples analysed / tested in the year 2019-20 (up
to August/September) by NE States indicated 93%

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salt samples were found to be conforming to the  State Name of the identified districts  
standard (iodine content > 15 ppm), 97% children for opening of
having optimal iodine i.e urinary Iodine above ANM School GNM School
100 µg/L (cut off level for urinary iodine being Arunachal Lohit Upper Subansiri
>100 µg/L) and the presence of iodine (adequate) Pradesh Tawang East Siang
in iodated salt at community/household level was (Pasighat)
93%.  West Siang Naharlagun
22.10
DEVELOPMENT OF MEDICAL (Papampure)
EDUCATION IN NORTH EAST Assam Baksa Bongaigaon
Udalguri
Under the CSS for establishment of new medical
Chirang
colleges attached with district/referral hospitals,
the details of districts selected and fund released Manipur   Bishnupur
is as under:-   Chandel
Senapati
S. State Districts Funds Released
Tamenglong
No.
Thoubal
PHASE-I
Ukhrui
1. Arunachal Naharlagun Rs.170.10 Crore Meghalaya   East Garo Hills
Pradesh
Aizwal Ribhoi
2. Assam Dhubri Rs.680.00 Crore South Garo Hills
Nagaon West Khasi Hills
North Mizoram Lawngtlai Champhai
Lakhimpur Mamit Kolasib
Diphu   Saiha
3. Mizoram Falkwan Rs.170.10 Crore Zunheboto Serchhip
4. Nagaland Kohima Rs.170.10 Crore Nagaland Kohima Mon
Mokokchung Phek
5. Meghalaya Kohima Rs.170.10 Crore
East Sikkim Tuensang
PHASE-II Sikkim West Sikkim  
6. Sikkim Gangtok Rs.125.40 Crore
Tripura West Tripura
22.11
DEVELOPMENT OF NURSING
SERVICES IN NORTH EAST 22.12 NATIONAL PROGRAMME FOR
PREVENTION AND CONTROL OF
Opening of ANM /GNM Schools:  CCEA has FLUOROSIS (NPCCF)
approved this Ministry’s  proposal for opening
of 112 ANM Schools and 137 GNM Schools. In the North Eastern region, NPPCF is
For the North Eastern region, this Ministry has implemented only in the State of Assam in 7
approved 15 ANM schools and 21 GNM schools districts i.e. Nagaon, Kamrup, KarbiAnglong,
as per the following details. Dhubri, Nalbari, Karimganj and Udalguri.

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The sanctioned contractual staffs i.e. District 22.13 NATIONAL PROGRAMME FOR
Consultant (engaged in all districts except HEALTH CARE OF THE ELDERLY
Dhubri, Nalbari and Karimganj), Laboratory (NPHCE)
Technicians have been engaged and Laboratory
established along with Ion meters in the 3 In the north-eastern region, the programme
districts. The District Nodal Officer (NPPCF) activities have been approved in 106 districts of
District Consultant (Fluorosis) and Laboratory 08 North-eastern States.  The States of Assam and
Technician of 3 districts i.e. Nagaon, Kamrup Sikkim are among the 21 States/UTs which had
& Karbi Anglong have been trained at National been identified for implementation of NPHCE at
Institute of Nutrition, Hyderabad on the the time of launch of the programme. The status
Implementation of NPPCF. of the activities approved in North-Eastern States
are as follows:-
Physical Progress of North East Region:
(As per Progress Report- April to September, 2019-20)

S. Name of # OPD In- Physio lab # CHCs in Biweekly # PHCs Weekly

No. the States Districts Clinic door Unit strengthened identified OPD Identified OPD
Identified wards Districts Clinic Clinic
Organized
1 Arunachal 20 12 12 12 12 0 0 0 0
Pradesh
2 Assam 27 27 9 14 27 192 53 946 173
3 Manipur 16 7 7 7 7 18 2 85 0
4 Meghalaya 11 5 5 5 5 27 27 109 109
5 Mizoram 9 9 5 5 5 0 0 0 0
6 Nagaland 11 11 0 0 0 0 0 0 0
7 Sikkim 4 4 4 4 4 2 0 24 0
8 Tripura 8 7 7 7 7 22 22 113 113
  Total 106 82 49 54 67 261 104 1277 395

Geriatric care service provision of North East Region in 2019-20

(As per Progress Report- April to September, 2019-20)

District Hospital
S. Name of # cases # cases # persons # of Lab. # Elderly # Elderly # cases # cases # cases
No. the States provided admitted given Tests Screened provided provided referred Died in
OPD in wards Physiotherapy undertaken & Home supportive Hospital
Services provided Based devices
Health Care
Card
1 Arunachal 3630 813 416 141 60 145 140 6 1
Pradesh
2 Assam 22126 4778 2515 12366 0 0 19 512 266

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3 Manipur 539 19 0 22 0 0 0 0 3
4 Meghalaya 4319 1045 145 2952 0 0 0 107 36
5 Mizoram 12003 1430 1202 10097 12003 0 0 0 87
6 Nagaland 1239 262 27 885 15 0 14 19 12
7 Sikkim 14142 1047 4564 8836 0 0 0 176 24
8 Tripura 19928 5463 2558 16821 235 25 1 577 203
Total 77926 14857 11427 52120 12313 170 174 1397 632

22.14 NATIONAL PROGRAMME FOR PIPs of respective States/UTs, with the Centre
PREVENTION & CONTROL to State share in ratio of 90:10 for North-Eastern
OF CANCER, DIABETES, States.
CARDIOVASCULAR DISEASES & Achievements
STROKE (NPCDCS)
The cumulative number of facilities under
NPCDCS is being implemented in all the North NPCDCS at all levels in the North-Eastern States
Eastern States. The funds are being provided to established till September 2019 is as under:
the States under NCD Flexi-Pool through State

STATE State NCD District District District CHC District

Cell NCD Cells NCD Cardiac Care NCD Day Care
Clinics Units Clinics Centres
Arunachal Pradesh 1 18 18 0 49 0
Assam 1 14 14 5 79 0
Manipur 1 16 16 1 13 9
Meghalaya 1 4 4 1 8 2
Mizoram 1 8 8 2 10 2
Nagaland 1 11 11 1 5 1
Sikkim 1 4 2 2 2 1
Tripura 1 8 8 0 23 0
Total 8 83 81 12 189 15

Scheme For Tertiary Care Cancer Centres is Rs.45 Crore. The cost sharing ratio between
Centre and State is 90:10 for North East States.
Under Tertiary Care Cancer Centre (TCCC)
Scheme of NPCDCS, Government of India is So far Two SCIs at Cancer Hospital (RCC),
assisting States to set up / establish State Cancer Agartala, Tripura and Gauhati Medical College &
Institute (SCI) and TCCC in different parts of the Hospital, Guwahati and Three TCCCs at Civil
country. The maximum assistance inclusive of Hospital, Aizawl, Mizoram and District Hospital,
State Share for SCI is Rs. 120 Crore and for TCCC Kohima, Nagaland & Multispecialty Hospital at

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Sochygang (Sichey), near Gangtok, Sikkim are

5. Sikkim Multispecialty TCCC 29.02
being supported as per details as under:- Hospital at
Sochygang
Sl. Name of Name of SCI/ Amount (Sichey), near
No. State Institute TCCC Released Gangtok,
(Rs. in Sikkim
crore)
22.15
NATIONAL CENTRE FOR
1. Tripura Cancer SCI 55.00
Hospital DISEASES CONTROL (NCDC)
(RCC),
Integrated Disease Surveillance Programme
Agartala
The Integrated Disease Surveillance Programme
2. Mizoram Civil TCCC 14.64
Hospital, (IDSP) is implemented in the country including
Aizawl all the North Eastern States. 83 posts of
Epidemiologists, 6 posts of Veterinary Consultants
3. Nagaland District TCCC 13.23
Hospital, have been sanctioned for the North Eastern
Kohima States of Arunachal Pradesh, Assam, Manipur,
Meghalaya, Mizoram, Nagaland, Sikkim and
4 Assam Gauhati SCI 80.9325
Medical Tripura. IDSP receives weekly surveillance report
College & from 95% of the districts of the NE region.
Hospital,
Guwahati

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22.16 REVISED NATIONAL allotted to the North East States.

TUBERCULOSIS CONTROL The RNTCP Regional Review meeting of North
PROGRAMME (RNTCP) East Region was held under the chairmanship
The entire population of the North Eastern States is of Dr. K. S. Sachdeva, Deputy Director General
covered under the Revised National Tuberculosis (TB), MoHFW from 16th – 18th May, 2019 in
Control Programme (RNTCP). Over the years, Guwahati, Assam. Dr. E Zomawia – Mission
a strong network of RNTCP diagnostic and Director (NHM) Mizoram, Shri Anurag Goel
treatment services has been established in the NE - Commissioner & Secretary (Health) Govt. of
States through the general health system. As the Assam, Dr. Rathindra Bhuyan - Director of Health
NE region has large proportion of tribal, hilly and Services, Dr. P. J. Gogoi – Sr. Regional Director
hard to reach areas, the norms for establishing GoI, Dr. N. J. Das - STO Assam was inaugurated
Microscopy centers has been relaxed from 1 the session.
per lakh population to 50,000 and the TB units The total number of patients initiated on treatment
for every 0.75 to 1.25 lakh (as against 1.5 to 2.5 by RNTCP, the annualized total case notification
lakh range). In addition, 95 rapid molecular test rate and the treatment success rate of the region
machines, CBNAAT, has been installed across the for the year 2019 is given in the table below:
NE region. Further 22 TrueNat machines will be

State Total Number % TB % TB % TB Treatment % of

TB cases & % of patients notified patients Success eligible
notified Paediatric initiated patients with rate children
(Jan-Sept TB cases on with UDST given TB
2019) notified treatment known done Preventive
HIV (Total) therapy
status
Arunachal
2368 395 (17%) 96% 80% 43% 80% 80%
Pradesh
Assam 37596 1746 (5%) 95% 67% 53% 82% 83%
Manipur 1979 108 (5%) 94% 57% 55% 78% 86%
Meghalaya 4281 389 (9%) 89% 62% 52% 67% 76%
Mizoram 2368 199 (8%) 86% 85% 52% 87% 74%
Nagaland 3775 331 (9%) 99% 77% 48% 78% 85%
Sikkim 1103 70 (6%) 97% 83% 75% 83% 88%
Tripura 2120 46 (2%) 95% 71% 79% 85% 96%
Total 55590 3284 (6%) 95% 69% 54% 81% 82%
India 1819873 141373 93% 74% 53% 77% 62%
(8%)

The North eastern states with a population of 501 the State of Assam followed by State Meghalaya.
lakhs, have notified 55.6 thousands TB patients in Among the TB patients notified in the Northern
the year 2019 with maximum patients notified in State total 6% cases are paediatric TB cases. 95%

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notified TB patients were put on treatment. The vulnerable population and door to door case
State of Mizoram leads among the North eastern finding efforts are carried out.
States with respect to treatment success rate and
In addition to the routine performance monitoring,
have achieved 87% followed by Tripura (85%) and
there is enhanced focus on monitoring of North
Sikkim (83%).
Eastern States, Central TB Division regularly
The programme has collaborated with various monitors the activity through analysis of
private and public sector health institutions in quarterly performance reports from the districts
the area. More than 200 NGOs and PPs have and feedback is given for any corrective action, if
been involved in the entire region and 10 medical required.
colleges have been engaged proactively, including
establishment of Zonal Task Force in the region
22.17 NACO ACTIVITIES IN NORTH-
for collaborating with the Medical Colleges in the EASTERN STATES
region. HIV Epidemic Scenario: The North-Eastern
Daily regimen for all TB patients has been States of India include Arunachal Pradesh, Assam,
initiated for all the North Eastern States since Manipur, Meghalaya, Mizoram, Nagaland,
October, 2017. Sikkim is one of the only North Sikkim and Tripura. North Eastern States of India
Eastern State who has committed to achieve the contribute 3.95% of the total PLHIV estimates
status of TB Free by year 2022, 3 year ahead to in country. Manipur is estimated to have the
the national target. Sikkim was one of the States highest burden of PLHIV (31,549) among the
to pilot the launch of Daily regimen. All the States North-Eastern States followed by Nagaland
in the region have already initiated Programmatic (17,029), Mizoram (16,773) and Assam (13,539).
Management of Drug Resistant TB (PMDT) The estimated adult prevalence continues to be
services. Universal DST is being piloted in the first much higher than national average (0.22%) in
phase in the States of Arunachal Pradesh, Sikkim, States of Manipur (1.43%), Mizoram (2.04%)
Meghalaya, Manipur, Mizoram and Tripura. and Nagaland (1.15%). North Eastern States
contributed around 7.09 % of total new infections
Also, along with the passive approach, the among adults. Mizoram & Manipur has around
programme would intensify its case finding 3115 annual new infections among adults that
activities through systematic active TB screening contribute around 50.12% of total new infections
among clinically and socially vulnerable in north east; another 42.14 % of new infections
population in campaign mode. Here, the tribal are from Assam & Nagaland.
districts of the State are mapped among other
Table 22.17.1: Estimates of Epidemiological Indices of HIV
in North-Eastern States (India HIV Estimation-2017)

States Adult (15-49 yrs.) No. of HIV No. of NEW AIDS related
HIV Prevalence Infections Infections among death
(%) Adults (15+)
Arunachal Pradesh 0.06 588 76 19
Assam 0.06 13,539 1,387 266
Manipur 1.43 31,549 1,612 1,621
Meghalaya 0.11 2,141 191 23

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Mizoram 2.04 16,773 1,503 474

Nagaland 1.15 17,029 1,232 537
Sikkim 0.05 230 17 2
Tripura 0.09 2,678 206 65
NE-Total - 84,527 6,215 3,007
Source: India HIV Estimation-2017
Targeted Interventions (TI) the present efforts will not be enough to achieve
epidemic control and stop deaths from AIDS in
There are 220 functional NGOs and 90 Opioid
the next few years. Therefore, ‘Project SUNRISE’
Substitution therapy (OST) centres and 56 Satellite
has been developed in collaboration with NACO,
OST in the North Eastern states implementing
State AIDS Control Societies (SACS), NGOs,
NACO’s targeted Interventions (TI) programme.
community networks and other key stakeholders
NACO is concerned about the rising HIV
to accelerate the response to HIV in NE region.
prevalence among the People Who Inject Drugs
Details of Typology-wise TIs supported by NACO
(PWID). It is of the view that merely sustaining
in North Eastern States is given below.
Table 22.17.2: State-wise and Typology-wise distribution of Targeted Interventions (TIs)
supported by NACO during the FY 2019-20) As on September 2019

States FSW MSM IDU TG CC MIGRANT* TRUCKERS Total

Arunachal
4 1 2 7 6
Pradesh 20
Assam 14 1 3 21 1 2 42
Manipur 2 37 13 2 54
Meghalaya 3 4 2 9
Mizoram 1 1 18 8 4 32
Nagaland 2 3 21 15 1 1 43
Sikkim 3 3 6
Tripura 5 2 4 3 14
Total 34 6 90 70 17 3 220
Table 22.17.3: State-wise and Typology-wise Coverage of High Risk Groups under the Targeted
Interventions programme during the FY 2019-20 (as on September)

State Core Group Bridge Population

FSW MSM IDU TG Migrant Truckers
Arunachal Pradesh 3,822 448 1,062 36,645
Assam 15,188 4,246 3,620 389 1919 29,666
Manipur 7,188 1,900 22948 22,209
Meghalaya 1,598 225 1,285

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Mizoram 1,150 648 10,352 7,630

Nagaland 4,067 1,849 22,283 13,057 2,629
Sikkim 923 1372
Tripura 5,022 298 967 35 3,063
Total 38,958 9,614 63,889 424 84,523 32,295
Table 22.17.4: Number of Opioid Table 22.17.5: State-wise Progress in
Substitution Therapy (OST) Centers for IDUs Achievement of Physical Targets
under the Targeted Interventions programme during the FY 2019-20 (from April 2019 till
during the FY 2019-20 (as on September) September 2019)

States No. of Satellite Coverage State No. of DSRC Number of

OST OST STI/RTI
/STI Clinic
Centres Centre
Patients
Arunachal managed
2 135
Pradesh Arunachal
18 16613
Assam 3 659 Pradesh
Assam 29 47116
Manipur 24 16 3,708
Manipur 10 38275
Meghalaya 5 1 899
Meghalaya 10 11138
Mizoram 17 32 2,891 Mizoram 10 12898
Nagaland 31 5 4,057 Nagaland 12 29310
Sikkim 4 1 507 Sikkim 6 2435
Tripura 4 1 717 Tripura 18 21848
Total 113 179633
Total 90 56 13,573
Integrated Counseling and Testing Centres
Management of STI/RTI in North East
(ICTC): The Integrated Counseling and
Control and management of STI is one of the Testing programme offering Counseling and
most cost effective means of preventing new Testing services for HIV includes three main
HIIV infection in all the North Eastern States. components – Integrated Counseling and
STI clinics have been established at all the existing Testing Centres (ICTC), Prevention of Parent
District Hospitals, Medical Colleges and select to Child Transmission (PPTCT) and HIV-TB
sub divisional hospitals. Free STI drugs, syphilis collaborative activities. April to Sept. 2019, there
test kits and one counsellor are provided at each are 1598 ICTCs established in NE States, of which
of these health facilities and there is one Regional 105 (7%) are functioning under Public-Private
STI Laboratory at Guwahati. Partnership (PPP) model. Of the total facilities NE
States, 382(24%) are functioning as confirmatory
State–wise key physical indicators has been
sites and 241(15%) are Community Bases HIV
provided in the table below.
screening sites. Further, NACO is encouraging

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low performing NE States to establish more HIV The list of State-wise progress made during Apr.
Screening Facilities at CHCs and PHCs to reach 2019 to Sept. 2019 has been provided below.
the unreached population groups.
Table 22.17.6: State-wise performance of the ICTC programme
during Aprril 2019 to September 2019

Number of HCTS Tested for HIV Diagnosed HIV No.

Facilities seropositive with HIV positive Mother
Live & baby

Preg. Women
States

Stand Alone

Birth received

Gen. Client

Gen. Client
Pregnant
Women
F-ICTC
reported ARV drug

(new)
CBS

PPP (Option
B)

Arunachal
21 37 68 4 14,919 7,331 29 5 3 3
Pradesh
Assam 30 103 213 62 141,696 395,401 899 134 109 97
Manipur 65 64 79 10 47,833 23,832 562 44 44 41
Meghalaya 12 24 159 2 34,104 42,171 422 91 96 65
Mizoram 37 45 66 8 34,036 8,238 1253 93 115 98
Nagaland 54 71 123 9 56,482 9,527 1068 91 104 97
Sikkim 6 13 26 0 12,975 3,612 21 3 2 2
Tripura 16 25 136 10 52,911 22,849 217 19 18 12
Total 241 382 870 105 394,956 512,961 4,471 480 491 415

Among all NE States the Assam were reported a lead agency to implement. In the first phase,
as 8.05 lakh pregnancies are estimated annually, the data verification and validation exercise for
which is nearly 74% of the estimated pregnant EMTCT has been initiated in the 6 States in India,
women in all NE States. The private sector and among those states Mizoram from NE region
involvements in PPTCT programme in Assam was selected for this exercise in Phase I. In the
helps to cover 47% (April-Sept.2019) of the second phase of EMTCT, NACO has identified
estimated pregnant women were tested for HIV. 13 more states and started the exercise from
September 2018 onwards. Assam and Manipur
EMTCT- Elimination of Mother to Child
were selected in phase-II of e-MTCT Programme
Transmission of HIV: Government of India is
assessment.
committed to the global target of eliminating
new HIV infections among children by 2020 Community Based Screening Approach
by eliminating mother to child transmission
For high prevalent States like, Manipur, Meghalaya,
(EMTCT). This initiative has been proposed to
Mizoram and Nagaland the community based
be implemented in a phase wise manner through
screening approach will help to cover unreached
ICMR-NIE, Chennai and ICMR-NARI Pune as
& hard-to-reach population and providing HIV

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screening services to them. For implementation of

Sikkim 6087 2%
community based screening, regional Training of
Trainers (ToTs) were conducted in different region Tripura 22540 3%
of country to create master pool for implementing
In North east states patients diagnosed with
the down level training. Till Sept.2019, around
Tuberculosis are linked to first line anti TB drugs
241 CBS HIV screening sites were established
daily regimen for TB patients diagnosed in the
in the NE region, which enables to get HIV test
respective ART centers. 99% (26575 out of 26716)
done for un-reached population, especially in the
PLHIV attending ART centre were screened
remote area.
for ICF for 4 TB symptoms at ART centres and
Expect Arunachal Pradesh, all the TI’s of North subsequently 1% (318 out of 26575) were identified
East are implementing Community Based as Presumptive TB cases & 85% (284 out of 351)
Screening. Which is implemented through presumptive TB cases were referred to RNTCP,
Project Sunrise in their Social Network Model in among whom 76% (205 out of 271) were tested
Nagaland, Manipur and Mizoram. for TB and 790 PLHIVs were diagnosed with TB
and 779 (99%) have been initiated on treatment as
HIV/TB per monthly ART centre report (MPR-Sep.2019).
Under Intensified TB Case Finding (ICF) Priority Areas for 2019-20:
activities, all ICTC clients in north east states are
• Monitoring of the states for TB-HIV
screened by ICTC counsellors for presence of TB
Collaborative activities
symptoms at the time of pre/post test counseling.
Clients who have symptoms or signs of TB, • Strengthening single window service
irrespective of their HIV status, are referred to delivery for ART centres,
RNTCP diagnostic and treatment facility located • Expansion of HIV testing services to
in nearest/co-located institution. presumptive TB cases and TB patients in the
private sector
Table 22.17.7: Proportion of Clients screened
for TB (April to September 2019) • Improving coverage of TPT for eligible
PLHIV and intensified TB case finding
State Number of client Proportion at TI settings, would be the key areas of
received pre- screened intervention
test counseling/ for TB
information Care, Support And Treatment
(except pregnant The major aim for CST services under NACP
women)
is to improve the survival and quality of life of
Arunachal 9377 5% Person Living with HIV (PLHIV) with Universal
Pradesh access to Comprehensive HIV care. The terrain and
Assam 77443 6% geographical conditions of North Eastern region
results in need of specific focus and interventions.
Manipur 40611 5%
Meghalaya 12661 1% The services which include free universal access
to lifelong standardized Anti Retro Viral Therapy
Mizoram 20194 6% (ART), free Lab Diagnostic and Monitoring
Nagaland 32724 6% services (baseline tests, CD4 testing, targeted
viral load), facilitation of long term retention

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in care, prevention-diagnosis-management of Care & Support Centers. The summary of facilities

opportunistic infections and linkages to social and beneficiaries in North Eastern Region is as
protection scheme are being provided through below:
facilities like ART Centers, Link ART Centers and
Table: 22.17.8: State wise progress under the Care, Support,
and Treatment Programme during the FY 2019-20 (till October, 2019)

 States ART Link ART Care & PLHIV on ART PLHIV in

Centers Centers Support Preparedness
centers phase
Arunachal Pradesh 1 4 1 156 15
Assam 6 8 4 7503 406
Manipur 13 9 12 13075 178
Meghalaya 2 3 1 2725 86
Mizoram 6 3 3 9413 231
Nagaland 8 4 5 9562 363
Sikkim 1 1 1 197 2
Tripura 3 3 1 1621 1
Total 40 35 28 44,252 1282

Differentiated Care: Country is committed to care models in North Eastern States in form of
work towards achieving targets of 90-90-90 by following:
2020 and due to vulnerability north east region is
 Multi Month Dispensation: All stable
specifically focused. “Test and Treat” launched in
clients in TLE/ZLN regimen can now avail
2017 is one of the landmark steps in increasing
three months of ART dispensation. As on
access to life saving ART. However, achieving
September 2019, 7971 PLHIVs are receiving
optimum adherence and retention in the HIV care
three months drugs from North Eastern
is crucial to achieve maximal viral suppression
States.
among PLHIV.
 Fast Track Model: OPD management
Differentiated care is client-centered approach
models have been implemented at high load
that simplifies and adapts HIV services across
ART centers such as Aizawl, where separate
the cascade to reflect the preferences and
flow is being maintained for stable and
expectations of various groups of people living
unstable clients. This allows fast tracking of
with HIV (PLHIV) while reducing unnecessary
stable clients decreasing their waiting time
burdens on the health system. Difficult terrain
and provides opportunities for health care
and connectivity remain one of the key factors
providers to give more time and focus on
impacting retention and adherence to treatment
unstable clients.
and increases need of such intervention in North
East Region. Keeping needs of PLHIV community  Co-located OST and ART: HIV positive
in center, NACO has implemented differentiated PWID on Opioid Substitution Therapy

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has shown higher rates of linkage loss. Total no. of Deafness cases identified- 29965
Considering their specific need and Total no. of ENT Surgeries - 655
vulnerability models have been developed Total no. of Hearing aids fitted- 366
where OST as well as ART is being provided
Total no of persons referred for rehabilitation -
at single window. As on September 2019,
4663
136 PLHIVs are availing ARV refill service
from 5 OST sites in North East. 22.19 FOOD SAFETY AND STANDARDS
 Community Based Dispensations: AUTHORITY OF INDIA
Dispensations of ART beyond ART center, FSSAI is implementing a Central Sector Scheme
in community led settings which are for “Strengthening of Food Testing System in the
managed by community groups is also country including provision of Mobile Food Testing
being piloted in NE region. As on October Laboratories” with a total outlay of Rs.481.95
2019, 162 PLHIVs are receiving drugs from Crores from 2016-17. During 2019-20, till date –
the Aizwal CSC in Mizoram. Advance grant of Rs.1.80 crore has been released
22.18 NATIONAL PROGRAMME FOR towards upgradation of 2 state safety laboratories
- one each in Assam and Tripura. This has raised
PREVENTION AND CONTROL OF
the total grant released under this component to
DEAFNESS (NPPCD) NE States from Rs.42.45 crore to Rs.44.25 crore.
The MoHFW, Government of India launched Three Mobile Food Testing Laboratories called
National Programme for Prevention and Control Food Safety on Wheels (FSWs) have been
of Deafness (NPPCD) on the pilot phase basis delivered to three NE States - one each to Assam,
in the year 2006-07(January 2007) covering 25 Meghalaya and Tripura, for carrying out testing,
districts as a 100% centrally sponsored scheme training and awareness generation in the area of
(now 60:40 in all states and 90:10 in NE States) food safety. This has raised the total no. of FSWs
because current burden of disease as per NSSO delivered to NE States from 6 to 9.
survey is that 291 persons per one lakh population
are suffering from deafness and as per WHO A recurring grant of Rs. 10 lakh has also been
estimates 6.3 crore in India people are already released to 2 States  viz.  Assam and Arunachal
disabled. The programme is being implemented in Pradesh @ Rs.5 lakh/State towards fuel and
a decentralized manner through respective State/ consumables. This has raised the total grant
District Health Societies. Benefits of the scheme released under this component to NE States from
are meant for all including tribal population. The Rs. 65 lakh to Rs. 75 lakh.    
aim of the programme is to improve ear-care
services in these states. At present all districts have 22.20 National Programme for Surveillance
been sanctioned for implementation of NPPCD of Viral Hepatitis in North East
programme in Nagaland, Mizoram, Assam, 22.20.1 Introduction
Manipur, Sikkim and Tripura. 15 out of total 20
districts in Arunachal Pradesh and 3 out of total The National Program for Surveillance of Viral
11 districts in Meghalaya have been sanctioned Hepatitis under the aegis of National Centre
for implementation of NPPCD programme. for Disease Control, DGHS is a Central sector
scheme. It is an ongoing scheme under the 12th
During Financial Year 2018-19, the figures with FYP. The program aims to gather evidence of the
respect to following activities under NPPCD burden of the infection in India which can guide
programme are: the policy makers for necessary action. Current

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status: 3 institutions Guwahati Medical College, North eastern states are being strengthened:
Assam and The Regional Institute of Medical  Govt. Medical College, Guahati, Assam,
Sciences, Imphal, Manipur, Naga Hospital included in the network in the year 2017-18
Authority, Kohima, Nagaland and have been
 NEIGRIHMS, Shillong , Meghalaya,
included under National Program for Surveillance
included in the network in year 2017-18
of Viral Hepatitis.
  Agartala Govt. Medical College, Agartala,
Under the National Programme on AMR Tripura, included in the network in the
Containment, three state medical colleges of year 2018-19
3 North eastern states are being strengthened:
Govt. Medical College, Guahati, Assam, included 22.20.3 National Rabies control programme
in the network in the year 2017-18, NEIGRIHMS, (NRCP)
Shillong , Meghalaya, included in the network in National Rabies control programme is
year 2017-18,   Agartala Govt. Medical College, implemented in all states/UTs including all north
Agartala, Tripura, included in the network in the Eastern states i.e Arunachal Pradesh, Assam,
year 2018-19 Manipur, Meghalaya, Mizoram, Nagaland, Sikkim
Current status: and Tripura.

i) Guwahati Medical College, Assam andThe The objective of the programme is to prevent and
Regional Institute of Medical Sciences, control deaths due to Rabies in. Strategies include
Imphal, Manipur: Funds have been surveillance of animal bites and Rabies, training
transferred to the institution for carrying of manpower, laboratory strengthening for
out the activities under the program. diagnosis of Rabies, promote utilization of cost-
effective Intra-dermal rabies vaccines for Rabies
 MOU has been signed with the sentinel site
Post Exposure Prophylaxis, IEC for seeking timely
and grant-in-aid has been transferred to it to
and appropriate treatment for animal bites and
carry out the activities under the program.
institutionalizing One Health Approach for Rabies
 TRG for developing the guidelines for by Strengthening Inter-sectoral Coordination
carrying out the surveillance constituted and through existing mechanisms.
guidelines for carrying out the surveillance
of acute hepatitis in the first phase developed Burden of animal bites in north eastern states is
and shared with the sentinel site. as under:
 Procurement of kits and equipment under
States Year 2019
process at NCDC.
 Manpower recruitment is under process. Number of Animal bite
cases ( Source : IDSP )
ii) Naga Hospital Authority, Kohima,
Arunachal Pradesh 2381
Nagaland:
Assam 90589
1. MoU has been signed and activity awaited
Manipur 4311
for procurement of equipments which is
under process. Meghalaya 9029
22.20.2 National Programme on Containment Mizoram 1394
of Antimicrobial Resistance (AMR) Nagaland 380
Under the National Programme on AMR Sikkim 4693
Containment, three state medical colleges of 3 Tripura 6657

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Gender Issues 23
23.1
Implementation of Pre-conception 3 to 1009 in NFHS-4) have shown remarkable
and Pre-natal Diagnostic Technique improvement of more than 100 points. On the
Act, 1994 other side, 14 States reported decline with Sikkim
(809), followed by Jharkhand (919), Arunachal
A. Adverse Child Sex-Ratio in India Pradesh (920) and Assam (929) reporting steep
The Child Sex Ratio (CSR) decline of more than 100 points.

The Child Sex Ratio (CSR) for the age group of 0-6 Reasons for adverse Sex Ratio
years as per the 2011 Census has dipped further Sex determination techniques have been in use in
to 918 girls as against 927 per thousand boys as India since 1975, primarily for determination of
recorded in the 2001 Census. The steepest fall of genetic abnormalities. However, these techniques
79 points is in J&K and the largest improvement were widely misused to determine the sex of the
of Child Sex Ratio of 48 points is in Punjab foetus and subsequent elimination, if the foetus
Half the districts in the country showed decline is found to be a female. Easy availability of the
in the CSR greater than the national average. The sex determination tests and abortion services has
number of districts with CSR of 950 and above proved to be strong catalyst in this deteriorating
has reduced from 259 to 182. This negative trend demographic imbalance. It has further added
reaffirms the fact that the girl child is at higher to the social discriminatory practices of son
risk than ever before. preference, neglect of the girl child resulting in
higher
Sex Ratio at Birth
mortality at younger age, female infanticide,
Sex Ratio at Birth (SRB), as per Sample Registration female foeticide, higher maternal mortality and
Survey 2015 of the Registrar General of India male bias.
conducted for 21 States has shown improvement
from 892 in 2004-06 to 902 in 2006-08 though B. PC&PNDT Act, 1994
still low, however it has declined to 898 in 2014- In order to check female foeticide, the Pre-
16 from 900 in 2013-2015. (SRS). Haryana and natal Diagnostic Techniques (Regulation and
Chhattisgarh recorded the lowest and highest Prevention of Misuse) Act, 1994, was brought into
SRB of 832 and 963 respectively. operation from 1st January, 1996. The Act has since
Sex Ratio at Birth as per National Family Health been amended to make it more comprehensive.
Survey-4 (conducted in all States) has also shown The amended Act came into force with effect
improvement of 5 points from 914 in 2005-06 to from 14.2.2003 and it has been renamed as “Pre-
919 in 2015-16. States of Punjab (734 in NFHS- conception and Pre-Natal Diagnostic Techniques
3 to 860 in NFHS-4), Kerala (925 in NFHS-3 to (Prohibition of Sex Selection) Act, 1994”
1047 in NFHS-4) and Meghalaya (907 in NFHS- (PC&PNDT Act).

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The technique of pre-conception sex selection On-going court

havebeen brought within the ambit of this Act 2 cases under PC & 2695 2840 145
so as to pre-empt the use of such technologies, PNDT Act
which significantly contribute to the declining
No. of cases
sex ratio at birth. Use of ultrasound machines 3 1250 1377 127
disposed off
has also been brought within the purview of this
Act more explicitly so as to curb their misuse for No. of machines
4 1992 2081 89
sealed/ seized
detection and disclosure of sex of the foetus, lest
it should lead to female foeticide. More stringent No. of convictions
5 421 586 165
punishments are prescribed under the Act, so as secured
to serve as a deterrent against violations of the Act. No. of medical
6 118 138 20
The Appropriate Authorities are empowered with licenses cancelled
the powers of Civil Court for search, seizure and
sealing the machines, equipments and records of D. Steps taken by Government of India-
the violators of law including sealing of premises Amendment to the ‘Pre-conception and Pre-
and commissioning of witnesses.
Natal Diagnostic Techniques (Prohibition of Sex
C. Implementation of PC&PNDT Act in Selection) Rules, 1996. Government of India has
States/UTs notified several important amendments in the
As per Quarterly Progress Reports (QPRs) Sept., rules under the Act, as mentioned below:
2018 submitted by States/ UTs, 62,666 diagnostic • Rule 11(2) has been amended to provide for
facilities including Genetic Counselling Centre, confiscation of unregistered machines and
Genetic Laboratory, Genetic Clinic, Ultrasound
punishment against unregistered clinics/
Clinic and Imaging Centre have been registered
facilities. Earlier, the guilty could escape
under PC& PNDT Act. So far, a total of 2,081
machines have been sealed and seized for by paying penalty equal to five times of the
violations of the law. A total of 2840 court cases registration fee.
have been filed by the District Appropriate • Rule 3B has been inserted with regard to the
Authorities under the Act and 586convictions
regulation of portable ultrasound machines
have so far been secured. Following conviction,
and regulation of services to be offered by
the medical licenses of 138 doctors have been
suspended/ cancelled. State wise details are as Mobile Genetic Clinic.
under. • Rule 3(3) (3) has been inserted restricting the
Table No.23.1.1 registration of medical practitioners qualified
PROGRESS CARD under the Act to conduct ultrasonography
in a maximum of two ultrasound facilities
S. Indicators Up to Up to Progress within a district. Number of hours during
No. Sept., Sept., during which the Registered Medical Practitioner
2017 2018 Sept 2017
would be present in each clinic would be
to Sept
2018 specified clearly.
Total registered • Rule 5(1) has been amended to enhance
1 59214 62666 3452
facilities the Registration fee for bodies under
Rule 5 of the PNDT Rules 1996 from the

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existing Rs.3,000/ to Rs.25,000/- for Genetic • Manner of Appeal has been prescribed
Counselling Centre, Genetic Laboratory, and notified vide no. GSR 492(E) dated
Genetic Clinic, Ultrasound Clinic or 22.05.2017 under the PC & PNDT Rules,
Imaging Centre, and from Rs.4,000/- to 1996
Rs.35,000/- for an institute, hospital, nursing
• Rules have been notified vide no. GSR
home, or any place providing jointly the
599(E) dated 19.06.2017 under the PC &
service of a Genetic Counselling Centre,
PNDT Rules, 1996 for the exemption of
Genetic Laboratory and Genetic Clinic,
registration and renewal fee for Government
Ultrasound Clinic or Imaging Centre.
diagnostic facilities.
• Rule 13 has been amended mandating
E. Monitoring and review of the
every Genetic Counselling Centre, Genetic
implementation scaled up
Laboratory, Genetic Clinic, Ultrasound
Clinic and Imaging Centre, to intimate • Central Supervisory Board (CSB) under the
every change of employee, place, address PNDT Act has been reconstituted. The 18th,
and equipment installed, to the Appropriate 19th, 20th and 21st meetings of CSB have been
Authority 30 days in advance of the expected held at an interval of six months on 14th
date of such change, and seek issuance of January, 2012, 20th July 2012 16th January
a new certificate with the changes duly 2013 and 23rd July 2013. 22nd CSB meeting
incorporated. was held on 13th October, 2014. The 23rd
meeting of the CSB was held on 24th June
• Rules for Six Months Training in ultrasound
2015 where important policy decisions
for the MBBS Doctors have been notified
were taken for effective implementation of
vide GSR.14 (E) dated 10 January, 2014.
the Act. 24th CSB meeting was held on 05th
The rules include the training curriculum,
April, 2016. 25th CSB meeting was held on
criteria for accreditation of institutions and
05th January, 2017. 26th CSB meeting was
procedure for competency based evaluation
held on 24th January, 2018.
test.
• Important Judgement dated 08.11.2016
• Revised Form-F has been notified Vide
of the Hon’ble Supreme Court in the
G.S.R. 77 (E)-dated 31st January 2014. The
matter of WP(C) 349/2006; supporting
revised format is more simplified as the
and strengthening of implementation of
invasive and non-invasive portions have
PC&PNDT Act was communicated to the
been separated.
States/ UTs at the level of Chief Secretaries
• Rules for Code of Conduct for Appropriate to ensure immediate compliance.
Authorities have been notified Vide G.S.R.
• 20 National Inspection and Monitoring
119(E)-Dated 24th February 2014. Legal,
Committee (NIMC) visits in the State/UT
monitoring, administrative and financial
of Punjab, Gujarat, Uttarakhand, Kerala,
procedures have been explicitly laid down
Andhra Pradesh, Manipur, Maharashtra,
to facilitate appropriate authorities in the
Jharkhand, Odisha, Assam, Chhattisgarh,
course of effective implementation of the
Sikkim, Jammu & Kashmir, Karnataka,
PC&PNDT Act.

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Uttar Pradesh, Delhi, West Bengal, Tamil (1,228).

Nadu, Rajasthan and Chandigarh have been
• A Handbook on (Standard Operational
conducted in the F.Y. 2017-18. Further,
Guidelines) SOGs has been developed and
during 2018-19, 9 NIMC  inspections have
disseminated to the Appropriate Authorities
been conducted in the States of Andhra
for effective and standard implementation
Pradesh, Telangana, Haryana, Gujarat, Uttar
of the PC & PNDT Act, 1994 and Rules in
Pradesh, Jammu and Kashmir, Odisha,
the country.
Punjab and Madhya Pradesh. Observations
and recommendations of the NIMC teams • During 2018-19, capacity building
have been communicated to their concerned workshops for district Appropriate
authorities for further necessary action. Authorities and PNDT nodal officers  were
conducted in   10 States including
• The orientation and sensitisation of judiciary
Bihar, Rajasthan, Maharashtra, Madhya
has been initiated through National Judicial
Pradesh, Odisha, Uttar Pradesh, Gujarat,
Academy. The National Judicial Academy is
Chhattisgarh, Uttarakhand and West Bengal
conducting special PC&PNDT Act session
with the technical support of UNFPA.  Till
in the orientation programmes for High
date, trainings have been completed in the
Court Judges. Sensitisation programmes for
States of Bihar, Rajasthan, Maharashtra,
Judicial Officers and public prosecutors was
Madhya Pradesh, Odisha, Gujarat, West
also being conducted in the States of Andhra
Bengal and Uttarakhand. 
Pradesh, Gujarat, Jharkhand, Karnataka,
Maharashtra, Rajasthan, Haryana, Odisha, • Regional review meeting was conducted for
Punjab, Madhya Pradesh, Uttarakhand, 15 States including Odisha, Andhra Pradesh,
Uttar Pradesh, West Bengal and Chandigarh Telangana, West Bengal, Jharkhand,
Chhattisgarh, Bihar, Assam, Arunachal
• National Scheme “BetiBachao, BetiPadhao”
Pradesh, Nagaland, Manipur, Mizorarn,
anchored by the Ministry of WCD in
Meghalaya, Tripura and Sikkim on   March
partnership with MOHFW and HRD, has
18th  & 19th,  2019  in Odisha. 
been now extended pan India. Ministry of
Health & FW has actively participated for • The Central Government is rendering
creating awareness and capacity building financial support to strengthen
on PC&PNDT Act in all the orientation implementation structures under NHM for
programmes/ multi-sectoral District Action including setting up dedicated PNDT Cells,
Plans for the additional 61 districts. capacity building, monitoring, advocacy
campaigns etc.
• State Inspection and Monitoring
Committees have been constituted in the • There are total 79 cases pending before
States/ UTs and are conducting regular various Courts: 45 are pending in various
inspections on the ground. In the last quarter High Courts and 34 (1 WP, 5 SLPs +28
(June – September, 2018) the State of transfer Petitions) before the Supreme
Maharashtra conducted maximum Court of India.
inspections (8,126) followed by Punjab

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Table No.23.1.2
Trend of Child Sex Ratio in the Last Three Censuses
S.No. State / UT 1991 2001 Absolute 2001 2011 Absolute
Difference Difference
(1991-2001) (2011-2001)
Total Total Total Total Total Total
  INDIA 945 927 -18 927 918 -9
1 Jammu & Kashmir NA 941 NA 941 862 -79
2 Dadra & Nagar Haveli 1013 979 -34 979 926 -53
3 Lakshadweep 941 959 18 959 911 -48
4 Daman & Diu 958 926 -32 926 904 -22
5 Andhra Pradesh 975 961 -14 961 939 -22
6 Rajasthan 916 909 -7 909 888 -21
7 Nagaland 993 964 -29 964 943 -21
8 Manipur 974 957 -17 957 936 -21
9 Maharashtra 946 913 -33 913 894 -19
10 Uttaranchal 948 908 -40 908 890 -18
11 Jharkhand 979 965 -14 965 948 -17
12 Uttar Pradesh 927 916 -11 916 902 -14
13 Madhya Pradesh 941 932 -9 932 918 -14
14 Odisha 967 953 -14 953 941 -12
15 Tripura 967 966 -1 966 957 -9
16 Bihar 953 942 -11 942 935 -7
17 Sikkim 965 963 -2 963 957 -6
18 Chhattisgarh 974 975 1 975 969 -6
19 West Bengal 967 960 -7 960 956 -4
20 Meghalaya 986 973 -13 973 970 -3
21 Assam 975 965 -10 965 962 -3
22 Puducherry 963 967 4 967 967 0
23 Tamil Nadu 948 942 -6 942 943 1
24 Karnataka 960 946 -14 946 948 2
25 Delhi 915 868 -47 868 871 3
26 Goa 964 938 -26 938 942 4
27 Kerala 958 960 2 960 964 4
28 Mizoram 969 964 -5 964 970 6
29 Gujarat 928 883 -45 883 890 7
30 Arunachal Pradesh 982 964 -18 964 972 8
31 Andaman & Nicobar Islands 973 957 -16 957 968 11
32 Himachal Pradesh 951 896 -55 896 909 13
33 Haryana 879 819 -60 819 834 15
34 Chandigarh 899 845 -54 845 880 35
35 Punjab 875 798 -77 798 846 48

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Table No.23.1.3
Sex Ratio (Female per 1000 Male) at Birth by residence,
India and bigger States, SRS 2012-14 to 2014-2016

S.No. India and bigger States/ 2012-14 2013-15 Change 2013-15 2014-16 Change
period*
  India 906 900 -6 900 898 -2
1 Andhra Pradesh 919 918 -1 918 913 -5
2 Assam 918 900 -18 900 896 -4
3 Bihar 907 916 9 916 908 -8
4 Chhattisgarh 973 961 -12 961 963 2
5 Delhi 876 869 -7 869 857 -12
6 Gujarat 907 854 -53 854 848 -6
7 Haryana 866 831 -35 831 832 1
8 Himachal Pradesh 938 924 -14 924 917 -7
9 Jammu & Kashmir 899 899 0 899 906 7
10 Jharkhand 910 902 -8 902 918 16
11 Karnataka 950 939 -11 939 935 -4
12 Kerala 974 967 -7 967 959 -8
13 Madhya Pradesh 927 919 -8 919 922 3
14 Maharashtra 896 878 -18 878 876 -2
15 Orissa 953 950 -3 950 948 -2
16 Punjab 870 889 19 889 893 4
17 Rajasthan 893 861 -32 861 857 -4
18 Tamil Nadu 921 911 -10 911 915 4
19 Telangana N.A. N.A. N.A. N.A. 901 N.A.
20 Uttar Pradesh 869 879 10 879 882 3
21 Uttarakhand 871 844 -27 844 850 6
22 West Bengal 952 951 -1 951 937 -14

Table No.23.1.4
SEX RATIO AT BIRTH AS PER NATIONAL FAMILY HEALTH SURVEY (NFHS)-3
(2005-06) & NFHS-4 (2015-16)

Sl. State Sex ratio at birth for children born in the last five years
no. (females per 1000 males)
    NFHS-3 NFHS-4 Change
India 914 919 5
1 Punjab 734 860 126

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2 Kerala 925 1047 122

3 Meghalaya 907 1009 102
4 Haryana 762 836 74
5 Tamil Nadu 897 954 58
6 Maharashtra 867 924 57
7 Goa 921 966 44
8 Bihar 893 934 41
9 Rajasthan 847 887 40
10 Himachal Pradesh 913 936 23
11 Jammu & Kashmir 902 922 20
12 Tripura 959 966 7
13 Chhattisgarh 972 977 4
14 Gujarat 906 907 1
15 Karnataka 922 910 -11
16 West Bengal 976 960 -16
17 Uttar Pradesh 922 903 -19
18 Uttarakhand 912 888 -23
19 Delhi 840 817 -23
20 Nagaland 984 956 -28
21 Odisha 963 933 -30
22 Madhya Pradesh 960 927 -33
23 Manipur 1014 962 -51
24 Mizoram 1025 946 -79
25 Assam 1033 929 -104
26 Arunachal Pradesh 1071 920 -151
27 Jharkhand 1091 919 -172
28 Sikkim 984 809 -175
29 Andaman and Nicobar Islands   859  
30 Andhra Pradesh   914  
31 Chandigarh   981  
32 Dadra and Nagar Haveli   1013  
33 Daman and Diu   923  
34 Lakshadweep   922  
35 Puducherry   843  
36 Telangana   874  

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Table No.23.1.5
State wise status of Implementation of PC & PNDT Act
S. States/ UTs No of No. of No. of Convictions* Medical
No. registered ongoing Machines licenses
bodies Court / Seized / cancelled/
Police cases Sealed suspended
1 Andhra Pradesh 3119 20 18 0 0
2 Arunachal Pradesh 97 0 - 0 0
3 Assam 930 11 4 1 0
4 Bihar 2761 132 38 6 0
5 Chhattisgarh 700 14 0 0 0
6 Goa 174 1 1 0 0
7 Gujarat 5994 235 2 18 7
8 Haryana 2144 313 562 85 21
9 Himachal Pradesh 464 0 4 1 0
10 Jammu & Kashmir 493 3 13 1 0
11 Jharkhand 761 32 0 2 0
12 Karnataka 4711 49 58 38 0
13 Kerala 1737 0 - 0 0
14 Madhya Pradesh 1730 50 17 4 3
15 Maharashtra 8672 587 462 99 79
16 Manipur 130 0 - 0 0
17 Meghalaya 50 0 - 0 0
18 Mizoram 61 0 - 0 0
19 Nagaland 49 0 0 0 0
20 Odisha 1001 66 - 5 0
21 Punjab 1603 147 38 31 1
22 Rajasthan 3102 716 506 149 21
23 Sikkim 27 0 0 0 0
24 Tamil Nadu 6717 123 - 109 2
25 Telengana 3547 24 108 3 0
26 Tripura 48 1 - 0 0
27 Uttarakhand 647 47 12 4 0
28 Uttar Pradesh 6031 139 39 20 1
29 West Bengal 3238 24 29 0 0
30 A & N. Island 17 0 - 0 0
31 Chandigarh 183 1 - 0 0
32 D. & N. Haveli 16 0 0 0 0
33 Daman & Diu 10 0 0 0 0
34 Delhi 1584 104 170 10 3
35 Lakshadweep 9 0 - 0 0
36 Puducherry 109 1 - 0 0
TOTAL 62666 2840 2081 586 138

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23.2 ASPIRATIONAL DISTRICTS A total of 3235 facilities have been designated

PROGRAMME as FRUs in 28 AD States, out of which only 45%
(1468 facilities) are currently functional.
India has made a remarkable progress in the
reduction of Maternal Mortality ratio (MMR), Health and Wellness Centres:
Infant Mortality Rate (IMR) and Under-5
Mortality rate (U5MR) since launch of NHM.
This reduction has been given fresh impetus since
the launch of RMNCH+A strategy in 2013 which
has focused on “Continuum of Care” and “Life
cycle approach”.
Despite these efforts, this growth has not spread
evenly across the country and there are lots of Almost 87 % of PHCs, 89.5% UPHCs and 59.5 %
inter-State and inter-Dstrict variations. Keeping SHCs have been upgraded to HWCs out of total
this in view, the ‘Transformation of Aspirational proposed in 117 Aspirational districts.
Districts’ programme was launched by Hon’ble
Prime Minister in January 2018 which aims to KEY PERFORMANCE INDICATORS UNDER
quickly and effectively transform 117 districts AD
from across 28 states chosen on the basis of Maternal Health Indicators
poor development parameters (Table No. 1).
Health & Nutrition, Education, Agriculture &  ANC registration:Antenatal care services
Water Resources, Financial Inclusion & Skill prepare the woman for birth and parenthood
Development and Basic Infrastructure are as well as prevent, detect and alleviate any
this programme’s core areas wherein Health potential health problems during pregnancy.
and Nutrition was given 30% weightage while
 Early ANC registration: Early ANC
identifying the districts encompassing 13 themes
registration is imperative for timely
and 31 sub core indicators. (List of indicators
diagnosis and treatment of pregnancy related
attached at Table No. 2).
morbidities. The data below highlights the
INFRASTRUCTURE status of registration during 1st trimester as
per NFHS-IV survey data and HMIS data.
Functional First Referral Units (FRUs): Survey Data analysis (NFHS-IV):

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• Percentage of mothers with antenatal should avail at least 4 ANC visits. Regular
checkup within 1st Trimester is highest for ANC checkups help in tracking growth
the state of Kerala (95.1%) and lowest for of the foetus, provides opportunity for
the states of Bihar (34.6%) and Nagaland improving mothers’ health. The status of 4
(24.9%). ANC registration is as follows:
• All the 8 Aspirational Districts from UP are
below the state average. Most of the ADs of
Madhya Pradesh (6 out of 8) and Jharkhand
(12 out of 19) are also below the state
average.
• HMIS Analysis:As per HMIS 2018-19 43
districts out of 117 Aspirational Districts
have early ANC registration less than
national average of 66.6 %.However, in • As per HMIS 2018-19, 40 districts out of
2019-20 till September the performance 117 Aspirational Districts have percentage
has improved and 34 districts out of 117 of pregnant women receiving 4 ANC check-
Aspirational Districts have early ANC ups less than the national average of 72%.
registration less than national average of However in 2019-20 till September the
68.9 %. performance is constant with 40 districts
out of 117 Aspirational Districts having
early ANC registration less than national
average of 76.5 %.
• Kiphire (Nagaland) has the lowest 4th ANC
registration percentage of 22.5 % and
Khammam (Telanagana) has the highest
registration percentage of 124% in 2019-20
till September.
• Kiphire (Nagaland) still has the lowest
ANC registration percentage of 26 %  Percentage Pregnant Woman having Hb<7
and Goalpara(Assam) has the highest treated at institution:Hb estimation during
registration percentage of 96.6% in 2019- ANC examination is a crucial step towards
20 till September. In 2018-19 Kanker screening of high risk pregnancies. Any
(Chhattisgarh) had the highest registration pregnant women having anemia has been
rate of 96%.(Graph 2.) associated with low birth weight babies,
intra uterine growth restriction, preterm
• 95 districts improved over their performance deliveries, maternal and child mortality.The
in 2018-19 from 2017-18. status as per HMIS is as follows:
 Percentage Pregnant Woman received 4 • As per HMIS 2018-19, 40 districts had
ANC check-ups to Total ANC registrations: treatment rate of severe anemia in PW lower
As per national guidelines every women than national average of 52.8%. However,

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in 2019-20 (till September) performance • 94 ADs improved over their performance in

has slightly improved with 36 districts with 2018-19 from 2017-18.
treatment rate of severe anemia in PW lower Institutional Delivery
than National average of 58.8%.
Percentage Institutional Deliveries to total
• Chandel (Manipur) has the lowest treatment reported deliveries
rate of severe anaemia in PW of 0 % and
Singroli (Madhya Pradesh) has the highest  Survey Data analysis (NFHS-IV):
treatment rate of severe anaemia in PW of Graph 5, shows performance of Institutional
130.3% in 2019-20 (till September). delivery across all AD States.
 Kerala and Tamil Nadu have the highest
institutional delivery percentage at 99.9%
and 99% respectively.
 Nagaland followed by Meghalaya have the
lowest institutional delivery percentage
of32.8% and 51.4% respectively.

 HMIS Analysis
• As per HMIS 2018-19 RiBhoi (Meghalaya)
has the lowest percentage institutional
deliveries of 48.4 %.
• 52 districts out of 117 Aspirational Districts
have percentage institutional deliveries
lower than national average of 92.8% in
2018-19. However, in 2019-20 51 districts
out of 117 Aspirational Districts have  Percentage Home deliveries attended by
percentage institutional deliveries lower SBA
than national average of 94.1%.
• As per HMIS 2019-20 (till September)
Vizianagaram (Andhra Pradesh) has the

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highest percentage SBA attended home is the worst performing district with 31.9
deliveries at 100% while Nadia has the % newborns having weight less than 2.5
lowest rate at 0 %. Graph 6 represents top kg whereas Kupwara (Jammu & Kashmir)
10 performing and 10 worst performing has the lowest percentage of underweight
ADs. children at only 1.3%.
• 44 ADs out of the total 117 ADs have higher
percentage of newborns weighing < 2.5 kgs
than national average of 13%.

• 35 ADs out of 117 have percentage SBA

attended home deliveries lower than
national average of 18.9%.
Child Health Indicators Breast feeding within 1 hour

Some of the sub core areas under Aspirational  Survey Data analysis (NFHS-IV):
Districts programme are related to child Mizoram has the highest percentage (70.2%) of
health. These indicators play a very vital role in early initiation of breastfeeding (EIBF) while
improving overall health of a child. They are : Uttar Pradesh has the lowest (25.2%). None of the
Percentage newborn having weight less than 2.5 Aspirational Districts from Rajasthan, Telangana,
kgs; Percentage newborn breast fed within 1 hr of Tripura, Karnataka, Maharashtra, Arunachal
birth and full immunisation percentage. Status of Pradesh, Meghalaya, Sikkim and Mizoram are
these indicators among the ADs is as below: below the state average while all the Aspirational
Percentage New-borns having weight less than Districts from Uttarakhand, Himachal Pradesh,
2.5 kg to New-borns weighed at birth: Haryana, Nagaland, Kerala and Manipur) are
below the state average.
• As per HMIS 2019-20 Narmada (Gujarat)

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• As per HMIS 2019-10 Firozpur (Punjab) Full Immunization

has lowest percentage new-born breast fed
 Survey Data analysis based on NFHS-IV:
within 1 hr of birth at 65.8% while West
Sikkim (Sikkim)with highest percentage at • Full Immunization percentage is highest
100.3 %. for the states of Punjab (89.1%) and West
Bengal (84.4%) and lowest for the states of
• 12 districts out of 117 Aspirational Districts
Nagaland (35.7%) and Arunachal Pradesh
have lower early breastfeeding rate than the
(38.2%)
national average of 89.7 in 2019-20.
• All the Aspirational Districts from Mizoram,
Tripura, Uttarakhand, Meghalaya Haryana,
Manipur, Himachal Pradesh, Tamil Nadu,
Kerala, and Sikkim are also below the state
average.
• More than 50% ADs of Assam, UP,
MP, Rajasthan, Jharkhand, Karnataka,
Chhattisgarh, Odisha, West Bengal and
Punjab are also below the state average.

• None of the Aspirational Districts of 23.2 TUBERCULOSIS PROGRAMME

Nagaland, Arunachal Pradesh and J&K are
The national tuberculosis program aims at
below the state average. providing universal access to quality of TB
• As per HMIS data 2018-19 Dahod (Gujarat) diagnosis and treatment of all TB patients in the
has the highest full immunisation percentage community. The RNTCP program envisages to
at 132% while RiBhoi(Meghalaya) has the achieve 90% notification rate for all cases, 90%
lowest percentage at 42%. success rate for all new and 85% for all retreatment
cases, improve successful outcome of treatment
for DRTB cases, improve TB care in private sector

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etc. Also under RNTCP programme, Government tests.

of India is providing nutritional support to all
• DRTB center is present in all the ADs
notified TB patients. Under aspirational district
except Namsai (Arunachal Pradesh),
programme TB case notification rate and TB
Baramula (Jammu & Kashmir) and Washim
treatment success rate are 2 indicators which
(Maharashtra).
are being assessed along with other program
indicators to measure overall performance • More than 2.4 lakh TB patients have been
across these 117 districts. Accordingly program notified in public and private sector across
performance of 112 ADs are as below: these 112 ADs.
• 108 ADs out of 112 ADs have functional • More than 1.4 lakh TB patients out of total
CBNAAT machine except Naryanpur 2.4 lakh notified TB patients have received
(Chhattisgarh), Sukma (Chhattisgarh), nutritional support both in public and
Kiphire (Nagaland) and Asifabad private sector.
(Telangana) and are conducting regular
Table No. 1
List of Aspirational Districts

EAG STATES with Aspirational Districts

S. Name of State Name of Aspirational Districts for Rapid Transformation
No. & Total
Aspirational
Districts
Katihar, Begusarai, Sheikhpura, Araria, Sitamarhi, Khagaria, Purnia,
1. Bihar 13
Aurangabad, Banka, Gaya, Jamui, Muzaffapur, Nawada
Korba, Mahasamund, Bastar, Bijapur, Dantewada, Kanker, Kondagaon,
2. Chhattisgarh 10
Narayanpur, Rajnandgaon, Sukma
Sahebganj, Pakur, Godda, Latehar, Lohardaga, Palamu, PurbiSinghbhum,
3. Jharkhand 19 Ramgarh, Ranchi, Simdega, West Singhbhum, Bokaro, Chatra, Dumka,
Garhwa, Giridh, Gumla, Hazaribagh, Khunti
4. Madhya Pradesh 8 Damoh, Singrauli, Barwani, Vidisha, Khandwa, Chhatarpur, Rajgarh, Guna
Rayagada, Kalahandi, Kandhamal, Gajapati, Dhenkanal, Balangir, Koraput,
5. Odisha 10
Malkangiri, Nabarangpur, Nuapada
6. Rajasthan 5 Baran, Jaisalmer, Dholpur, Karauli, Sirohi
Chitrakoot, Balrampur, Bharaich, Sonbhadra, Chandauli, Siddharthnagar,
7. Uttar Pradesh 8
Fatehpur, Shrawasti
8. Uttarakhand 2 Haridwar, Udham Singh Nagar
Total 75

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NON EAG STATES with Aspirational Murshidabad, Maldah,

Districts (excluding NE States) 12. West Bengal 5 Birbhum, Nadia,
S. Name of Name of Aspirational Dakshin Dinajpur
No. State & Total Districts for Rapid TOTAL 29  
Aspirational Transformation
Districts NE STATES with Aspirational Districts
Visakhapatnam,
Andhra S. Name of Name of Aspirational
1. Y.S.R. (Cuddapah),
Pradesh 3 No. State & Total Districts for Rapid
Vizianagaram
Aspirational Transformation
2. Gujarat 2 Narmada, Dahod
Districts
3. Haryana 1 Mewat
Arunachal Namsai
Himachal Chamba 1.
4. Pradesh 1
Pradesh 1
Darrang, Dhubri, Barpeta,
Jammu & Kupwara, Baramula 2. Assam 7 Goalpara, Baksa, Udalgiri,
5.
Kashmir 2 Hailakandi
6. Karnataka 2 Yadgir, Raichur 3. Manipur 1 Chandel
7. Kerala 1 Wayanad
4. Meghalaya 1 Ribhoi
Nandurbar, Washim,
8. Maharashtra 4 5. Mizoram 1 Mamit
Osmanabad, Gadchiroli
9. Punjab 3 Firozpur, Moga, Sirohi 6. Nagaland 1 Kiphire
Ramanathapuram, 7. Sikkim 1 West Sikkim
10. Tamil Nadu 2
Virudhunagar 8. Tripura 1 Dhalai
Bhoopalpalli, Asifabad, TOTAL 14  
11. Telangana 3
Khammam

Table No.2
HMIS Data for 2019-20

Indicators % 1st Number of % % % SBA Percentage %

Trimester Pregnant Pregnant Institutional attended New-borns Newborns
registration Women women deliveries home having breast fed
to Total ANC having having to Total deliveries weight within 1
Registrations severe severe Reported to Total less than hour of
anaemia anaemia Deliveries Reported 2.5 kg to birth to
(Hb<7) (Hb<7) Home New-borns Total live
treated at treated at Deliveries weighed at birth
institution institution birth
to women
having hb
level<7
Cuddapah 84.4 109.1 41.7 99.8 79.1 4.7 95.4
Vishakapatnam 66.9 86.4 33.9 95.7 73.2 8.0 98.0

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Indicators % 1st Number of % % % SBA Percentage %

Trimester Pregnant Pregnant Institutional attended New-borns Newborns
registration Women women deliveries home having breast fed
to Total ANC having having to Total deliveries weight within 1
Registrations severe severe Reported to Total less than hour of
anaemia anaemia Deliveries Reported 2.5 kg to birth to
(Hb<7) (Hb<7) Home New-borns Total live
treated at treated at Deliveries weighed at birth
institution institution birth
to women
having hb
level<7
Vizianagaram 87.7 112.8 20.7 99.9 100.0 6.7 97.6
Namsai 43.9 54.0 42.1 76.1 4.3 4.1 95.4
Baksa 87.6 87.6 68.2 95.3 73.8 11.2 99.8
Barpeta 85.2 85.2 31.4 84.2 46.1 17.2 99.2
Darrang 95.7 95.7 112.2 96.5 46.0 10.7 97.9
Dhubri 84.8 84.8 34.3 61.6 17.6 14.2 99.4
Goalpara 96.6 96.6 97.5 95.9 95.8 11.9 99.6
Hailakandi 86.0 86.0 95.9 88.3 43.4 8.1 98.9
Udalguri 85.0 85.0 4.2 94.6 59.7 20.8 94.8
Araria 53.3 65.4 69.0 79.2 1.5 11.3 97.0
Aurangabad 71.7 62.5 65.3 75.5 64.6 8.5 98.5
Banka 70.5 74.8 91.1 90.3 59.0 13.4 98.1
Begusarai 76.4 86.5 65.9 81.9 51.9 8.1 87.1
Gaya 66.2 61.3 52.9 71.8 5.8 9.8 94.2
Jamui 64.2 62.9 43.4 72.6 36.4 8.7 97.1
Katihar 73.4 75.7 96.5 84.4 14.5 10.1 95.4
Khagaria 85.6 84.9 100.0 83.4 65.7 10.9 99.9
Muzaffarpur 58.9 65.5 24.5 75.7 22.6 8.8 86.8
Nawada 61.8 50.3 26.5 82.0 0.1 9.3 98.2
Purnia 73.4 74.6 41.9 90.8 8.3 12.2 94.9
Sheikhpura 70.8 97.2 92.1 90.5 98.6 10.4 98.3
Sitamarhi 70.8 64.7 42.6 79.0 5.3 6.5 99.4
Bastar 73.8 86.1 88.7 97.6 58.4 9.6 97.0
Bijapur 84.2 77.6 60.2 78.6 14.6 19.5 96.1
Dantewada 95.2 97.4 99.0 91.3 30.4 20.1 97.1
Kanker 96.1 83.9 69.9 99.8 90.0 13.5 99.2

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Indicators % 1st Number of % % % SBA Percentage %

Trimester Pregnant Pregnant Institutional attended New-borns Newborns
registration Women women deliveries home having breast fed
to Total ANC having having to Total deliveries weight within 1
Registrations severe severe Reported to Total less than hour of
anaemia anaemia Deliveries Reported 2.5 kg to birth to
(Hb<7) (Hb<7) Home New-borns Total live
treated at treated at Deliveries weighed at birth
institution institution birth
to women
having hb
level<7
Kondagaon 86.9 83.2 98.2 97.1 64.2 14.5 99.9
Korba 91.4 97.0 78.4 99.3 64.9 8.8 95.2
Mahasamund 92.7 85.4 84.3 99.4 55.6 10.5 98.2
Narayanpur 87.9 84.2 84.5 75.1 33.2 11.4 99.9
Rajnandgaon 89.1 84.9 95.9 98.3 54.0 10.9 99.9
Sukma 85.9 94.5 72.6 95.3 5.3 15.3 98.2
Dahod 88.8 94.3 99.4 99.8 89.8 10.5 97.8
Narmada 91.4 83.3 100.0 95.4 70.1 31.9 96.1
Mewat 35.8 30.5 67.7 75.3 8.9 12.1 83.9
Chamba 84.0 64.2 100.0 60.0 33.1 7.0 89.9
Baramula 81.8 90.8 93.8 99.6 61.5 3.3 99.5
Kupwara 94.0 74.2 87.2 97.4 75.7 1.3 99.7
Bokaro 67.4 80.1 70.9 96.9 52.0 4.6 93.6
Chatra 51.1 81.4 6.3 94.7 55.9 4.3 98.4
Dumka 82.3 64.0 90.4 96.6 40.2 8.2 98.7
Garhwa 48.5 86.9 31.6 98.1 14.3 7.2 97.5
Giridih 59.9 91.3 59.6 90.2 45.3 4.7 99.8
Godda 82.3 75.8 44.3 99.1 61.7 6.8 97.5
Gumla 62.4 78.1 45.1 90.0 18.3 20.0 96.5
Hazaribagh 73.1 81.6 81.7 98.9 40.1 10.4 96.4
Khunti 66.4 77.8 50.8 99.7 93.8 10.0 100.0
Latehar 70.5 85.3 94.3 94.0 26.1 6.3 98.1
Lohardaga 83.2 94.4 48.4 99.5 50.0 13.8 99.6
Pakur 55.4 82.7 20.1 87.4 35.6 5.8 99.8
Palamu 74.2 78.4 103.7 96.5 85.5 3.6 97.7
Pashchimi Singhbhum 53.4 75.3 48.2 87.4 31.1 9.0 95.2

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Indicators % 1st Number of % % % SBA Percentage %

Trimester Pregnant Pregnant Institutional attended New-borns Newborns
registration Women women deliveries home having breast fed
to Total ANC having having to Total deliveries weight within 1
Registrations severe severe Reported to Total less than hour of
anaemia anaemia Deliveries Reported 2.5 kg to birth to
(Hb<7) (Hb<7) Home New-borns Total live
treated at treated at Deliveries weighed at birth
institution institution birth
to women
having hb
level<7
PurbiSinghbhum 70.7 91.3 50.0 98.4 44.3 11.0 98.2
Ramgarh 75.0 94.9 91.0 98.3 42.1 4.1 99.3
Ranchi 60.1 64.8 60.9 97.8 28.2 6.8 94.8
Sahibganj 62.9 62.1 82.7 94.9 59.6 8.6 91.0
Simdega 66.3 79.0 28.5 96.2 30.8 8.7 97.2
Raichur 92.9 99.0 74.8 99.8 62.7 9.3 97.7
Yadgir 67.9 102.5 54.8 99.5 33.8 9.4 82.6
Wayanad 93.7 85.1 100.0 99.7 29.2 12.9 100.0
Barwani 69.6 76.9 43.4 80.3 2.0 14.7 99.5
Chhatarpur 65.8 85.6 96.7 94.7 48.6 12.8 98.9
Damoh 64.6 65.4 95.2 98.0 98.9 10.2 99.6
Guna 63.2 75.3 68.1 96.4 22.6 17.1 93.9
Khandwa 94.9 85.2 97.5 99.5 66.2 17.2 97.0
Rajgarh 76.5 86.4 31.4 97.6 65.5 16.2 95.1
Singroli 73.1 78.2 130.3 94.0 5.8 9.5 96.7
Vidisha 69.6 70.5 56.2 93.6 9.0 14.4 94.8
Gadchiroli 90.6 98.0 92.1 93.9 90.1 28.3 97.8
Nandurbar 65.3 84.7 73.2 81.8 36.3 19.2 98.0
Osmanabad 93.2 104.8 99.5 99.8 86.4 8.9 99.2
Washim 89.2 93.7 82.2 99.8 66.7 13.2 99.5
Chandel 53.2 37.4 0.0 53.8 89.5 2.0 97.4
RiBhoi 47.6 59.3 76.2 48.4 2.8 4.1 98.2
Mamit 68.4 38.2 83.3 66.2 19.6 4.2 95.3
Kiphire 26.0 22.5 50.0 72.9 31.6 2.8 99.7
Balangir 88.7 78.2 92.4 98.2 87.7 18.7 97.5
Dhenkanal 90.2 97.9 98.6 97.6 93.3 10.1 99.8

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Indicators % 1st Number of % % % SBA Percentage %

Trimester Pregnant Pregnant Institutional attended New-borns Newborns
registration Women women deliveries home having breast fed
to Total ANC having having to Total deliveries weight within 1
Registrations severe severe Reported to Total less than hour of
anaemia anaemia Deliveries Reported 2.5 kg to birth to
(Hb<7) (Hb<7) Home New-borns Total live
treated at treated at Deliveries weighed at birth
institution institution birth
to women
having hb
level<7
Gajapati 77.1 71.0 83.3 82.3 51.1 14.7 98.1
Kalahandi 91.8 86.8 81.3 90.8 64.8 21.0 92.9
Kandhamal 91.2 83.2 96.7 98.1 21.0 24.0 96.2
Koraput 95.9 88.9 100.0 97.0 69.0 22.9 96.7
Malkangiri 89.0 72.0 76.3 90.2 21.0 29.0 95.3
Nabarangapur 84.5 73.6 94.1 90.6 17.9 30.8 93.4
Nuapada 82.6 80.7 87.5 91.3 51.5 16.0 93.6
Rayagada 87.0 74.6 85.3 84.2 37.7 23.1 90.8
Firozpur 81.8 80.4 86.4 95.4 3.9 11.2 65.8
Moga 83.5 89.0 82.4 98.4 30.5 11.3 79.7
Baran 81.6 82.4 82.9 99.4 55.4 15.2 98.9
Dhaulpur 74.6 78.9 81.2 97.5 71.7 15.5 96.3
Jaisalmer 62.7 57.6 73.4 95.1 35.2 6.5 92.4
Karauli 81.4 78.7 99.1 98.4 99.6 15.1 88.8
Sirohi 64.4 58.2 64.4 99.3 78.9 17.1 98.6
West 85.9 75.1 50.0 97.8 0.0 3.2 100.3
Ramanathapuram 93.3 85.8 16.8 99.9 100.0 14.8 72.5
Virudhunagar 91.1 83.9 82.2 100.0 0.0 20.6 91.1
Adilabad 84.6 114.0 62.1 99.6 28.0 13.2 97.2
JAYASHANKAR 28.8 56.3 5.0 99.9 66.7 9.1 88.1
BHUPALPALLY
Khammam 88.4 124.0 57.1 100.0 100.0 11.4 94.2
Dhalai 58.3 50.8 64.5 90.7 3.3 12.4 93.6
Bahraich 66.4 74.2 87.3 80.5 7.6 13.1 98.5
Balrampur 71.3 83.4 83.8 65.0 11.8 7.1 98.8
Chandauli 77.5 84.3 95.4 98.0 32.5 10.7 98.5
Chitrakoot 77.9 91.0 102.3 95.3 21.9 19.7 95.9

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Indicators % 1st Number of % % % SBA Percentage %

Trimester Pregnant Pregnant Institutional attended New-borns Newborns
registration Women women deliveries home having breast fed
to Total ANC having having to Total deliveries weight within 1
Registrations severe severe Reported to Total less than hour of
anaemia anaemia Deliveries Reported 2.5 kg to birth to
(Hb<7) (Hb<7) Home New-borns Total live
treated at treated at Deliveries weighed at birth
institution institution birth
to women
having hb
level<7
Fatehpur 82.7 86.9 92.6 83.3 17.8 10.7 96.2
Shrawasti 73.5 86.2 85.4 86.7 13.6 16.7 98.1
Siddharth Nagar 66.1 76.8 51.3 65.0 10.5 8.7 97.9
Sonbhadra 73.1 91.6 88.4 78.1 15.6 11.5 94.8
Hardwar 69.2 57.8 62.3 83.7 15.9 4.9 89.1
Udham Singh Nagar 84.3 72.2 100.7 90.6 3.3 6.9 95.0
Birbhum 94.0 87.4 53.6 99.2 0.5 24.1 95.2
DakshinDinajpur 88.5 69.7 89.1 99.4 0.0 21.7 92.4
Maldah 88.3 75.0 26.6 96.8 0.9 21.2 84.8
Murshidabad 91.6 82.0 87.9 96.4 0.0 23.5 71.0
Nadia 92.8 86.6 70.0 99.8 0.0 21.9 70.8

23.4 National Ambulance Services (NAS) Vehicles are supported under NHM, besides 5,484
empaneled vehicles for transportation of patients,
As on date, 32 States/UTs have the facility where
particularly pregnant women and sick infants
people can dial 108 or 102 telephone number for
from home to public health facilities and back.
calling an ambulance. Dial 108 is predominantly
an emergency response system, primarily 23.5 KILKARI AND MOBILE ACADEMY
designed to attend to patients of critical care,
trauma and accident victims etc. Dial 102 services Kilkari and Mobile Academy
essentially consist of basic patient transport Kilkari, which means “a baby’s gurgle”, delivers
aimed to cater the needs of pregnant women and free, weekly, time-appropriate 72 audio messages
children though other categories are also taking about pregnancy, child birth and child care
benefit and are not excluded. JSSK entitlements directly to families’ mobile phones from the
e.g. free transport from home to facility, inter second trimester of pregnancy until the child
facility transfer in case of referral and drop back is one year old. Kilkari has been rolled out in
for mother and children are the key focus of 102 13 States: Assam, Bihar, Chhattisgarh, Delhi,
service. This service can be accessed through a Haryana, Himachal Pradesh, Jharkhand, Madhya
toll-free call to a Call Centre. Pradesh, Odisha, Rajasthan, Uttar Pradesh, West
Presently, 9,344 Dial-108, 605 Dial-104 and Bengal and Uttarakhand Approximately 4.40
10,017 Dial-102 Emergency Response Service crore successful calls (average duration of content

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played in each call approximately 1 minute) were drugs to patients coming to public health facilities.
made under Kilkari from 1st April, 2019 to 31st An IT backed drugs supply chain and logistics
October, 2019.  system is one of the prerequisites for effectively
operationalizing this initiative.
Mobile Academy is a free audio training course
designed to expand and refresh the knowledge DVDMS is a web based supply chain management
base of Accredited Social Health Activists (ASHAs) system developed by CDAC that deals with the
and improve their communication skills. Mobile purchase, inventory management & distribution
Academy offers ASHAs a training opportunity of various drugs, sutures and surgical items
via their mobile phones which is both cost- across all Government health facilities and Drug
effective and efficient. It is an anytime, anywhere Distribution Counters (DDCs) within the State/
training course that can train thousands of UT. 
ASHAs simultaneously via mobile phone. Mobile
DVDMS or similar IT application facilitates the
Academy is presently operational in 13 States/
implementation of FDSI and improves supply
UT: Assam, Bihar, Chhattisgarh, Delhi, Haryana,
chain of the drugs, sutures and surgical items.
Himachal Pradesh, Jharkhand, Madhya Pradesh,
DVDMS Application has been implemented
Odisha, Rajasthan, Uttar Pradesh, Uttarakhand
in 16 States i.e. Andhra Pradesh, Arunachal
and West Bengal. A total of 6,37,715 ASHAs
Pradesh, Bihar, Gujarat, Himachal Pradesh,
registered in MCTS/RCH portal have started the
Jammu & Kashmir, Jharkhand, Madhya Pradesh,
Mobile Academy course, out of which 1,26,446
Maharashtra, Manipur, Meghalaya, Punjab,
(i.e approximately 20%) ASHAs have completed
Rajasthan, Telangana, Uttar Pradesh and
the course as on 31st October, 2019. 
Uttarakhand. 3 more States i.e. Assam, Arunachal
Kilkari and Mobile Academy were launched Pradesh and Sikkim are in process of implementing
by Union Health Minister on 15th January, DVDMS. 7 States i.e. Chhattisgarh, Goa, Haryana,
2016. Together, Kilkari and Mobile Academy Karnataka, Kerala, Odisha and Tripura and 1 UT
are improving family health including family Dadra & Nagar Haveli have implemented or are
planning, reproductive, maternal and child health, in the process of implementing similar IT based
nutrition, sanitation and hygiene – by generating supply chain management system. 
demand for healthy practices by empowerment
6 Union Territories (UTs) i.e. Andaman &
and capacity building at the individual and
Nicobar, Chandigarh, Daman & Diu, Delhi,
community level and by creating an enabling
Lakshadweep and Puducherry are in process of
environment.
pursuing DVDMS or similar IT initiative.
Drugs and Vaccines Distribution and
For effective monitoring of FDSI, MoHFW has
Management System (DVDMS)
also implemented a DVDMS central dashboard
Provision of free generic drugs through public by incorporating suitable aggregation tools,
health facilities is one of the most cost effective triangulation systems and business intelligence
ways to reduce Out Of Pocket Expenditure tool for conceptualizing an actionable system with
(OOPE), particularly for poor and vulnerable a provision of real time analytics. The advanced
groups. Accordingly, MoHFW approved the roll- analytical tool captures the key performance
out of “National Health Mission – Free Drugs indicators related to stock out percentage,
Service Initiative (FDSI)” under which the States consumption pattern, demand & supply trend,
/ UTs are being supported to provide free generic storage and procurement, quality control, logistics

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etc. Presently, DVDMS Central Dashboard is at work places may be depicted through posters at
fetching data from 22 States i.e. Andhra Pradesh, appropriate places. The existence of “SHE BOX”
Bihar, Chhattisgarh, Gujarat, Himachal Pradesh, and the constitution of Complaints Committee
Jammu & Kashmir, Jharkhand, Madhya Pradesh, for Sexual Harassment of Women at Workplaces
Maharashtra, Manipur, Meghalaya, Punjab, may also be made known to all through website
Rajasthan, Telangana, Tripura, Uttar Pradesh and of the Ministry for information of all concerned.
Uttarakhand for monitoring and evaluation. 
In all, during the year 2019-20, the Committee
Family Planning Division of MoHFW, Directorate met 05 times.
of TB and Central Medical Services Society
(CMSS) under MoHFW have also implemented 23.7
DEVELOPMENT OF NURSING
IT based Supply Chain Management application SERVICES
for managing and monitoring their supplies. Nursing Personnel are the largest workforce in a
hospital.  They play an important role in the health
23.6
COMPLAINT COMMITTEE ON
care delivery system.  A sum of Rs. 64.00 crore was
SEXUAL HARASSMENT AT WORK
allocated for the year 2019-20 for implementing
PLACES
the Centrally Sponsored Scheme of Upgradation/
In so far as, the Complaint Committee on Sexual Strengthening of Nursing Services for establishing
Harassment of women at work places, Department ANM and GNM schools across the Country.
of Health & Family Welfare, MoHFW is concerned, Nursing personnel are better equipped through
one complaint was referred to the Committee this programme to provide quality patient care in
during the year 2019-20. The Committee after the hospitals and in other settings also.  As per
due process, finalised the report and forwarded the available statistics 95% of the beneficiaries are
to concerned Administrative Division of the women only and therefore, the programme will
Ministry for further action. have significant impact on women empowerment.
The Committee had recommended for sensitising
the officers and staff of the Ministry about the
sexual harassment at work places by conducting
regular workshops on gender sensitisation. The
acts which constitute sexual harassment of women

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National AIDS Control

Organization (NACO) 24
24.1 INTRODUCTION continue to be the mainstay of NACP through
vibrant multi-media approach.
NACO has signed 18 Memoranda of
Through its flagship National AIDS Control
Understanding (MoUs) with key Ministries/
Programme (NACP), NACO provides leadership
Departments of Govt. of India to strengthen multi
to human immunodeficiency virus (HIV)/
sectoral response.
acquired immunodeficiency syndrome (AIDS)
prevention and control in India through 36 State People who have STIs have higher risk of HIV
AIDS Control Societies (SACS) and one Mumbai infections and accordingly prevention and control
District AIDS Control Society in States/UTs. of STI/Reproductive Tract Infection (RTI) is also
a mandate of NACP. These services are made
National AIDS & STD Control Programme-
available through the Designated STI/RTI Clinic
Overview
(DSRC), branded as Surakhsa Clinic.
NACO has implemented four phases of NACP
Since unsafe blood transfusion contributed to
and currently, NACP Phase-IV (Extension), 2017-
the spread of HIV/AIDS in initial phase, blood
20 is under implementation as a 100% central
transfusion services and safe blood practices also
sector scheme. NACP response to HIV/AIDS
form the mandate of NACP. Safe blood (free of
epidemic in India comprises a comprehensive
HIV, Malaria, Syphilis, Hepatitis B and Hepatitis
three-pronged strategy of prevention, testing and
C) is ensured through blood transfusion services
treatment supported through critical enablers of
delivered through 1131 NACO supported blood
Information Education Communication (IEC),
banks.
Laboratory Services and Strategic Information
Management. Communities are at the centre of Testing: NACP provides HIV testing services
response, and equity, gender and respect for the for early detection of HIV infections at more
rights of communities were continuously adopted than 31,000 facilities. HIV testing is mandatorily
as guiding principles. accompanied by counselling making it a unique
feature of the programme. HIV screening has also
Prevention: Targeted interventions for high risk
been decentralized through community based
groups (Female Sex Workers-FSW, Men who
screening (CBS), so as to enhance the uptake
have Sex with Men-MSM, Transgender /Hijra-
of these services by those at risk for HIV. Free
TG/H and Injecting Drug Users-IDU) and bridge
counselling and testing of pregnant women is
population (migrants, truckers) as well as inmates
also provided towards enabling early detection of
of closed settings like prisons, swadhar homes etc.
HIV infection during pregnancy so as to prevent
IEC activities focus on awareness generation and transmission to the infants born to HIV positive
pregnant women through elimination of mother

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to child transmission of HIV (EMTCT) and Early Strategic Information: Use of data is
Infant Diagnosis (EID) programmes. fundamental to National AIDS Response. The
evidence based decision making is ensured
Treatment: Treatment services offer free
through complementary systems of IT enabled
standardised Anti-Retroviral Therapy (ART) for
client centric programme monitoring, epidemic
all diagnosed People living with HIV (PLHIV)
monitoring and research focusing on high quality
as well as comprehensive management of
data collection, analysis and dissemination. 
opportunistic infections.
Stigma and Discrimination: THE HUMAN
Viral load suppression: The state of health of a
IMMUNODEFICIENCY VIRUS AND
PLHIV on treatment can be safely determined
ACQUIRED IMMUNE DEFICIENCY
by measuring the number of copies of HIV virus
SYNDROME (PREVENTION AND CONTROL)
in the blood. It also indicates his/her response to
ACT, 2017 towards protecting and securing
treatment. Since its launch on 26 February 2018,
the human rights of persons who are infected
the programme has progressively introduced
or affected by HIV/AIDS or are vulnerable to
routine viral load testing for all PLHIV, initially
the disease is under implementation. The Act
through a public private partnership and
prohibits discrimination or unfair treatment of
thereafter, through 64 molecular laboratories set
HIV-infected people on any grounds.
up by the Government in the public sector.
Overview Of HIV Epidemic In India
Laboratory Services: Quality testing under
NACP is ensured through a hierarchical network As per India HIV Estimation 2017 report,
of laboratories for HIV diagnosis and monitoring national adult (15–49 years) HIV prevalence in
of cluster of differentiation 4 (CD4) count and viral India is estimated at 0.22% (0.16% – 0.30%). The
load testing of PLHIV as well as deoxyribonucleic overview of HIV/AIDS in India has been given in
acid (DNA) polymerase chain reaction (PCR) figure 24.2.1.
testing for early infant diagnosis.
Fig 24.2.1 Overview of HIV/AIDS in India, HIV Estimations 2017

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Among the States/UTs, in 2017, Mizoram 0.92-1.41), Telangana (0.70%, 0.50-0.95) and
has shown the highest estimated adult HIV Andhra Pradesh (0.63%, 0.47-0.85). State/UT-
prevalence of 2.04% (1.57-2.56), followed by wise Adult HIV prevalence has been provided in
Manipur (1.43%, 1.17-1.75), Nagaland (1.15%, figure 24.2.2.
Figure 24.2.2 State/UT-wise Adult (15-49 years) HIV Prevalence in 2017, HIV Estimations 2017

The total number of PLHIV in India is estimated (LDT) in the year 2017. While observed HIV
at 21.40 lakhs (15.90 lakhs–28.39 lakhs) in 2017. prevalence among ANC attendees was 0.28%
Children (< 15 years) account for 0.61 (0.43-0.85) [95%CI: 0.26-0.29], same ranged from 1.56%
lakh while female(15+years) accounts for 8.79 [95% CI: 1.46-1.66] among FSWs to 6.26% [95%
(6.61-11.62) lakh PLHIV in India. CI: 5.92-6.59] among IDUs. Prevalence among
SMM and LDT, considered as a representative of
India is estimated to have around 87.58 (36.45–
bridge population between high-risk group and
172.90) thousand new HIV infections in 2017,
general population, has been 2-4 times higher
showing new HIV infection decline by 85% since
than the adult prevalence.
the peak of 1995 and by 27% between 2010-2017.
Figure 24.2.3 HIV Prevalence (%) among ANC
In 2017, an estimated 69.11 (29.94 –140.84)
attendees, FSW, MSM, IDU, H/TG, SMM
thousand people died of AIDS-related causes
and LDT population group, India (HSS 2016-17)
nationally.
India is estimated to have had 22.67(10.92-40.60)
thousand HIV positive women who gave birth in
2017.
While overall HIV prevalence is low, there are
populations groups which are more affected by
HIV epidemic than the rest. Figure 24.2.3 depicts
HIV prevalence among population group of Administration And Organizational Structure
Ante-natal Clinic (ANC) attendees, FSW, MSM, NACO is a division of the Ministry that provides
IDU, hijra/transgender (H/TG) people, single leadership to HIV/AIDS Control Programme in
male migrants (SMM) and long-distance truckers

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India through 36 SACS and one Mumbai District services through 1,413 Non-Governmental
AIDS Control Society in States/UTs. NACO is Organization (NGO)/ Community-Based
headed by the Special Secretary & DG. Organization (CBO) led TIs, 120 Link Worker
Scheme (LWS), 217 Opioid Substitution Therapy
The information on the Organization and its
(OST) centres and interventions at 854 prisons at
various activities are provided on the website of
present.
the Organisation (http://www.naco.gov.in) and is
updated from time-to-time. The website is linked TI projects provide a package of prevention,
to the Centralized Public Grievance Redress and support and linkage services to High Risk Groups
Monitoring System (CPGRAMS) of Department (HRGs) through drop-in-centre (DIC) and
of Administrative Reforms and Public Grievance outreach-based service delivery model which
and Pensions, Ministry of Personnel, Public includes
Grievances and Pensions.
Behaviour Change Communication (BCC),
Financial Management Screening and treatment of STI and syphilis, Free
condom and lubricant distribution, Linkages to
NACP Phase IV, which was co-terminus with
ICTC and CBS for HIV testing, Linkages with
12th Five Year Plan, has been approved for
ART centres and care and support services for HIV
continuation from April, 2017 to March, 2020 by
positive HRGs, Creating an enabling environment
Cabinet Committee on Economic Affairs with
with community involvement and participation,
outlay of another Rs. 6,435.00 crores.
Community mobilization, ownership building,
Table 24.2.4 The details of expenditure (year- Specifically for IDUs, Free distribution of clean
wise) from 2015-16 to 2019-20 needles and syringes, Abscess prevention and
management, Opioid Substitution Therapy (OST)
Financial Revised Expenditure and Referral to detoxification/rehabilitation
Year Estimates services.
2015-16 1,615 1,605.72
The entire programme is built on the peer led
2016-17 1,753 1,749.12 approach in partnership with NGOs/CBOs along
2017-18 2,163 2,009.76 with SACS and Technical Support Units (TSU).
There are 18 TSU and one integrated NE TSU to
2018-19 1,925 1,803.19 extend mentoring, hand holding and technical
2019-20* 2,500 1,421.61* support to the TIs for quality service delivery and
Rs. in crore, * till 31st October, 2019 enhancing the overall program performance.

Targeted Community Led Interventions Revamped and Revised

Elements of Targeted
The preventive efforts are targeted primarily Intervention
towards sub-groups of population identified
to be at high risk of acquiring HIV infection; In order to achieve
these include FSW, MSM, TG/H, IDU, inmates the global HIV target
of prisons and other closed settings and Bridge of 2020 and 2030, to
Populations such as Single Male Migrant and provide comprehensive
Long Distance Truckers. prevention, testing,
treatment package to
They are provided with a number of preventive

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vulnerable population, the strategy of TI has been frequency and the intensity will combine
revamped and a comprehensive TI Revamping differently depending on the sub population
Strategy Guide has been developed. The key and individual HRGs risk and vulnerability
program elements of the TI have been retained for HIV and other health/social needs.
and the newer activities incorporated into the
• Peer Navigation: Navigation is started to
ongoing TI program in the context of the specific
ensure linkage and retention of HIV positive
key populations, bridge populations and special
HRG to ART. The peers will accompany
groups, so as to achieve more within the same
such HRG to ART to prevent drop out in the
inputs.
first six months of treatment initiation and
Following are the new activities under Revamped therefore strengthen the treatment cascade.
TI approach:
• Index Testing: Index testing is implemented
• Strengthened Outreach Activity: The by promoting partner testing among sexual
activity is for reaching out to hard-to-reach, partners, spouses, social and injecting
uncovered and hidden HRGs beyond TI networks of the index HRG PLHIV
catchment area. For such groups, each core through either voluntary or assisted partner
TIs are undertaking outreach camps and notification after ART initiation and
community based screening (CBS). stabilization.
• Mapping and Population Size Estimation:
NGO/CBO implementing TI programme
has been instructed to enrol newer HRGs as
part of their contractual obligations. NACO
has finalised the Operational Guideline for
Population Size Mapping and Estimate for
HRG.
• Secondary Distribution of Needle and
Syringes: Secondary Distribution of
Target for CBS
Needles & Syringes (SDNS) program aims
• Community Based Screening and Bio- to establish new outlets in hard to reach and
Medical Waste Management: In order to unreached geographies for distribution of
achieve the first 90 of the 90:90:90 target, needles/syringes (NS). SDNS outlets are
CBS is implemented through TI and LWS established in government health facilities,
across the country. TI and LWS staff is shops, pharmacies and other public
trained on cold chain management and bio facilities. Distribution of NS for IDU is
waste management. also act as an entry point for delivery of the
comprehensive harm reduction package.
• Differentiated Prevention Service
Delivery: The core strategy of a differentiated • Satellite Opioid Substitution Therapy
approach is risk segmentation of the targeted Centers: Satellite OST centers are set up at
population and accordingly allocating the the TI DIC or sub-DIC, PHC, UHC, CHC,
human resources by the location, frequency, private health facilities, standalone clinics
intensity for the planned intervention. The and prison settings. The accredited OST

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center will serve as the parent/base center suggest SACS/TSU to provide the appropriate
for providing medication and medical staff hand holding towards effective implementation of
to satellite OST centers. TI programme in the States and achieve the goals
of NACP.
• Community Scorecard: Community
scorecard is an approach to increase the Performance of TI Programme
engagement of the community in improving
Coverage of core HRG group: NACO has
HIV service delivery. The standard operating
developed TI Revamped Strategies. These
procedure (SOP) for implementing the
strategies have helped to enrol new and young
community score card has already been
HRGs across typology, navigate positive HRGs,
developed.
increase access to needle and syringe increased
Quarterly Scorecard for TIs access for OST through satellite OST centres,
community Based HIV Screening (CBS) services
Quarterly scorecard is developed to monitor
for the hard to reach population and their spouses,
the performance of individual TI projects with
etc. Peer led NGO/CBO supported outreach and
respect to the different thematic groups; FSW,
behaviour change communication is helping in
MSM, TG/H, and IDU Based on the observations
halt the epidemic.
from the Score Card, NACO shares the feedback
with States. Figure 24.5.2 Coverage of Core HRGs (FSW,
MSM, IDU and TG/H) (April to September
2019)

Figure 24.5.1 Summary of Scorecard

The purpose of the scorecard is to i) identify the

gaps in achievements against the target in specific
to thematic groups, ii) improve the performance The coverage of TI for HRGs among FSW, MSM,
of the TI, iii) guide the TIs in ensuring the better IDU and TG/H was 87%, 70%, 85% and 61%
performance all the thematic groups, iv) to respectively.
Table 24.5.1 State and Typology-wise distribution of Targeted Interventions (TIs)
supported by NACO upto September 2019.

States FSW MSM IDU TG/H CC Migrants* Truckers Total

Andhra Pradesh 8 3 69 8 2 90
Arunachal Pradesh 4 1 2 7 6 20
Assam 14 1 3 21 1 2 42
Bihar 3 2 8 10 1 24
Chandigarh 4 2 2 1 2 1 12
Chhattisgarh 10 4 16 4 3 37
Delhi 31 11 13 6 13 4 78

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Goa 6 3 1 1 2 2 15
Gujarat 11 13 2 1 32 26 3 88
Haryana 2 1 1   19     23
Himachal Pradesh 9 1 3 2 15
Jammu and Kashmir 2 1 5 3 2 1 14
Jharkhand 12 6 1 1 20
Karnataka 28 14 1 2 11 8 3 67
Kerala 20 13 5 6 15 2 61
Madhya Pradesh 13 3 4 34 5 3 62
Maharashtra 39 7 1 5 26 41 11 130
Manipur 2 37 13 2 54
Meghalaya 3 4 2 9
Mizoram 1 1 18 8 4 32
Mumbai 14 6 1 4 8 1 34
Nagaland 2 3 21 15 1 1 43
Odisha 9 2 6 20 9 2 48
Puducherry 1 1 2 1 5
Punjab 10 3 23 19 5 2 62
Rajasthan 6 1 2 2 17 6 3 37
Sikkim 3 3         6
Tamil Nadu 16 12 1 7 38 7 4 85
Telangana 11 2 30 6 2 51
Tripura 5 2 4 3 14
Uttar Pradesh 3 1 8 4 43 6 4 69
Uttrakhand 6   5   8 7 3 29
West Bengal 20 3 6 1 2 1 4 37
All India 328 105 195 38 480 202 65 1413
*Destination migrant, note: The blank cell represents no intervention, Source: MITR, ** Gujarat Includes
Ahmadabad.
Table 24.5.2 State and typology wise coverage of HRGs
under the programme, FY 2019-20, upto September 2019

State Core Group Bridge Population

FSW MSM IDU TG/H Migrant Truckers
Andhra Pradesh 1,10,014 21177 1568 2732 2,32,630
Arunachal Pradesh 3,822 448 1,062 36,645
Assam 15,188 4,246 3,620 389 1919 29,666

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Bihar 7,795 2,091 4,265

Chandigarh 3,339 2,528 1,773 115 34,914 10,263
Chhattisgarh 18,174 1,477 2,984 545 78,458 49,108
Delhi 55,633 19,357 14,781 9496 519633 61007
Goa 4,828 3578 344 49 34,514 18323
Gujarat 26,225 26247 700 1666 549666 99062
Haryana 9,806 5,000 3004
Himachal Pradesh 4,677 279 515 30,248
Jammu and Kashmir
Jharkhand 9,486 1,053 240 171 15,118 17,111
Karnataka 1,29,492 35,368 1329 2,794 2,12,208 1,32,675
Kerala 21,060 15,209 2,839 2135 2,85,563 46490
Madhya Pradesh 31,183 10404 6,845 123 70086 31532
Maharashtra 57,778 25123 531 4548 12,61,123 206363
Manipur 7,188 1,900 22948 22,209
Meghalaya 1,598 225 1,285
Mizoram 1,150 648 10,352 7,630
Mumbai 25,332 352 374 3657 2,44,814 32001
Nagaland 4,067 1,849 22,283 13,057 2,629
Odisha 12,729 2,826 3,182 3792 201742 3,207
Puducherry 2035 1903 88 10963
Punjab 14,841 4,110 17065 94,071 33,418
Rajasthan 15,257 5,633 1,376 687 1,26,827 41,697
Sikkim 923 1372
Tamil Nadu 40,757 29,028 321 4,346 92,703 37,483
Telangana 77,259 17,059 1,092 841 44,886 97,243
Tripura 5,022 298 967 35 3,063
Uttar Pradesh 18,698 6,969 17,027 4,147 37,465 60,764
Uttrakhand 5,294 1,576 1,968 78 1,20,755 1,00,077
West Bengal 16,866 1,426 1,653 289 48,153 1,05,500
All India 7,59,621 2,50,688 1,50,061 42,823 45,93,615 12,29,027
Source: MITR
Note: The blank cell represents no Coverage of particular typology and Daman and Diu and Dadar Nagar
Haveli have no coverage.

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STI Diagnosed & Treated against Clinic figure depicts the percentage of syphilis screening
Visit: Clinical services including regular medical performed among HRGs through referrals from
check-up is one of the core components of TI TI programmes against the target. The screened
project services. NACO guidelines suggests that reactivity amongst HRGs has been less than 0.5 %.
every HRG from core group, especially FSW, Syphilis reactivity among TG/H population was
MSM and TG/H, should visit STI clinic every reported highest among all the core population
quarter. i.e., four times in a year, for regular during the period of April to September 2019.
medical check-ups and for treatment of Sexually
Figure 24.5.4 Syphilis testing and reactivity
Transmitted Infection (STI)/Reproductive Tract
among HRGs (April to September 2019)
Infections. The below Figure depicts the number
of clinic visits made by HRGs during 2019-20
(up to September 2019). Figure also shows the
proportion of STI clinic attendees diagnosed and
treated for STI/RTI during 2019-20 through TIs.
The clinic footfall for STI screening was
approximately 72% among all core groups,
however STI/RTI cases diagnosed and treated was Condom distribution among HRGs: Risk-
high among FSWs as 1.89% while TG population reduction counselling and condom provisioning is
has recorded more than 1.58%. The clinical foot an integral element of TI intervention, Condoms
falls among Truckers and Migrants meet the are distributed to HRGs as per their requirement
target during the period of April to Sep 2019 and that is being arrived through individual condom
the STI/RTI diagnosed and treated was 3.67% and demand analysis through the NGOs/CBOs
3.25% among Truckers and Migrants respectively. implementing TI programme. Peer Educators
Figure 24.5.3 STI Diagnosed & Treated against and Outreach workers engaged in TI programme
Clinic Visit in Percentage among HRGs (April emphasize on consistent and correct usage
to September 2019) of condoms in all sexual encounters through
one-to-one and one-to-group interpersonal
communication. Fig 24.3.4 shows the typology-
wise number of condoms (free and social
marketing) distributed to the HRGs. The figure
shows that the distribution of condom against the
demand was more than 84% in all typologies.
Figure 24.5.5 Condom distribution among
HRGs
Syphilis testing and reactivity among HRGs
Syphilis screening and treatment helps in early
diagnosis, management and overall reduction
in disease burden of syphilis among HRGs.
NACO guidelines suggests all HRGs should be
screened for Syphilis bi-annually. The below

Source: MITR

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HIV testing and positivity rate among HRGs: respectively.

NACO guidelines suggest all core HRGs should
Figure 24.5.6 HRGs tested for HIV and positivity
be tested for HIV once every six months. The
(April to September 2019)
programme data reveals that HRGs who have been
associated with TIs for more than five years have
been regular to testing and keeping consistent
efforts to remain negative across majority of the
States. However, positivity has remained a matter
of concern among IDUs and TG/H population.
The below figure depicts the percentage of HIV
tests performed among HRGs through referrals
Community Based Screening (CBS):
from TI programmes.
To ensure the coverage of High-Risk-Group,
The positive detection amongst HRGs has been
spouses and partners and to reach out hard to
less than 1.11%. The positivity among FSW, MSM,
reach population CBS for HIV was initiated by TI
TG/H and IDU is 0.11%, 0.28%, 0.48% and 1.11%
started CBS in TIs and LWS. As a part of revamped
respectively; whereas the testing among FSW,
strategic the target was assigned for Existing
MSM, TG/H and IDU was 79%, 81%, 75% and
HRGs, New HRGs, hard to reach population and
72% respectively. However, testing among the
spouses and partner are shown in the fig. with
Bridge Population remains a challenge because of
regards approximate 2.3 lakh screenings were
their mobility, however, inclusion of CBS in the
done through core TIs for existing HRGs and
strategy has helped to overcome this challenge to
7,225 hard to reach HRGs and 9,051 spouses and
a larger extent as it has helped to enhance reach
partners of HRGs were tested. The CBS among
beyond the target assigned. The positivity among
Migrants and Truckers were found Approximate
Migrant and Truckers was 0.16% and 0.18 %
2.4 Lakhs.
Table 24.5.7 Typology wise coverage of CBS (April to September 2019)

S.No Typology Screened for Confirmed Positive Linked to % of

HIV ART Linked
Number %
1 HRG 2,38,893 665 0.27 553 83
2 HRG not registered with TI 7,225 45 0.62 36 80
3 Spouses 9,051 50 0.55 44 88
5 Migrant 1,94,917 269 0.13 243 90
6 Truckers 52,314 79 0.15 57 72
Source: MITR
PLHIV HRG currently registered at ART observed among Truckers (74%) as reason being
Centre (Table 24.3.4): Under the test and treat the high nature of mobility in this population.
strategy, all positive HRG should be on ART. The
Table 24.5.8 Alive PLHIV (in numbers) HRG
achievements in this regard is among PLHIV
currently registered at ART Centre (April to
HRG is between 75 and 95%. The lowest is being

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September 2019) Opioid Substitution Therapy (OST) Programme

for IDUs
HRG/ PLHIV Currently Achieve-
Bridge identified on ART ment Since 2008 and inclusion of OST as part of the
Population & (in %) overall harm reduction package for injecting drug
registered users in the country. There has been a massive
to ART scale up of OST delivery under the NACP. From
FSW 10,592 9,841 93 56 centres in 2007 covering around 5,500 IDUs
and it has been scaled up to 217 standalone centres
MSM 5,571 5,041 90 covering 34,545 active IDU while.
IDU 8,042 6,813 85
There are two models of OST service delivery in
TG/H 1,459 1,340 92 India namely the NGO Model and Collaborative
Migrant 3,306 2,758 83 Model. In the collaborative model, the OST
services are delivered at the Government Health
Trucker 786 582 74
Facilities in coordination with the link IDU-TI.
Source: MITR For providing and assuring quality services, a
continuous process of capacity building is being
Needle & Syringe distribution patterns among followed under OST programme for IDUs.
IDU: As part of the overall harm reduction Additionally, satellite OST centres have been
strategy, to prevent HIV amongst IDUs, free new rolled out with a total of 57 Satellite centres
and clean needles and syringes are distributed to currently functional across 6 states under NACO
IDUs as per their requirement through NGOs as part of TI revamped strategies.
implementing TI programme. Peer educators
Table 24.5.10 Number of OST Centers, FY2019-
at the field as well as at the DICs encourage the 20 (April to September 2019)
IDUs to return the used syringes and needles,
which ensure availability of clean syringes and State No. of Satellite Coverage
needles and reduces the possibility of sharing Centers OST
injecting equipment, thus decreasing risk for HIV Centre
transmission and other blood borne diseases. Ahmedabad 1 44
Programme data shows that the distribution of Arunachal
needles and syringes to be consistently high (more Pradesh 2 135
than 87%), while the return rate is observed to be
Andhra Pradesh 1 93
around 77%.
Assam 3 659
Figure 24.5.9 Distribution and Return of
Bihar 2 183
Needles& Syringes (April to September 2019)
Chandigarh 4 604
Chhattisgarh 6 806
Delhi 11 1 2142
Goa 1 28
Gujarat 1 30

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Link Worker Scheme (LWS) - Reaching-out to

Haryana 9 1,345
Rural Populations
Himachal
Pradesh 1 62 LWS has been designed to intensify and
consolidate the prevention services focusing on at
Jammu and
risk population in the rural areas with a mandate
Kashmir 2 0
to work in 124 districts and across 17 States of
Jharkhand 2 109 India in the FY2019-20.
Karnataka 2 144
The scheme envisages creation of demand for
Kerala 10 483 various HIV/AIDS related services, linking of
Madhya the target population to existing services (as the
Pradesh 12 1,011 scheme itself does not create any service delivery
points), creating an enabling and stigma free
Maharashtra 1 24
environment, ensuring the target population
Manipur 24 16 3708 continue to access information, services in a
Meghalaya 5 1 899 sustained manner, creating linkages with services
of other departments through ASHA volunteers,
Mizoram 17 32 2,891 Anganwadi workers, Panchayat heads etc.
Mumbai 1 62
As on September 2019, LWS is covering
Nagaland 31 5 4,057 approxmate 1200 vulnerable villages, in 120
Odisha 4 280 districts across 17 states Under the scheme, over
55,620 FSW, 4,259 IDUs, 5,587 MSMs, 312 TGs
Punjab 30 1 10,370
were reached in rural areas nationally. In addition
Rajasthan 2 184 to this, the scheme also covered nearly 3.15 lakh
Sikkim 4 507 migrants, 0.68 lakh truckers and 4.7 lakh other
vulnerable populations. The programme also
Tamil Nadu 1 62
reached out to 24,553 PLHIV; 1.1 Lakh ANC
Tripura 4 1 717 and around 12,617 TB cases. Around 5.1 Lakh
Uttar Pradesh 16 1,576 population were tested for HIV; and 19,655 cases
have sought treatment for STI.
Utarakhand 5 574
West Bengal 9 756
All India 224 57 34,545
Source: MITR
Methadone Maintenance Treatment (MMT):
The Methadone based Opioid Substitution
Treatment is also available as a treatment option
for IDU as part of a comprehensive harm
reduction strategy. There are two MMT centres
under NACP Program reaching out 206 clients on
Meeting at Village Information Centre
MMT.

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Table 24.5.11 Number of Population Covered PLHIV

under LWS FY2019-20 (April to September • To encourage and help prospective
2019) employers to integrate and sustain the HIV
and AIDS intervention Programme within
Population Line Listed Covered
existing systems and structures.
FSW 63,546 55,620
Under this model, efforts were undertaken to
IDU 4,350 4,259 involve major industries and associations to
MSM 6,699 5,587 integrate comprehensive HIV/AIDS prevention
to care programme within their existing
TG 396 312
structure. State wise mapping were conducted by
Migrant 6,23,614 3,15,308 SACS/TSU to find out the prospective employers
Trucker 93,037 68,040 and MOUs were signed by the SACS with the
respective employers. SACS/TSU have adequately
Other-Vul. Pop 7,45,926 4,68,752
built the capacity of
TB cases 16,716 12,617 the employers and
ANC 1,39,646 1,11,595 supported them in
conducting different
PLHIV 34,846 24,553
activities for the
Employer Led Model (ELM) informal laboureres.
The ELM is envisaged
as a win-win situation
for both employers as
well as for the National
Program. An employer does add value by
addressing the HIV/AIDS risk and vulnerability of
their own workers as well as workers in the supply
chain. This not only fulfils the commitments
under MDG but also make their leadership keen
about the National priorities.
Orientation of workers Under ELM
With the support of and concerted efforts of
The Employer Led Model (ELM) has been
SACS and TSU toward the end of September
designed to provide HIV/AIDS prevention to care
2019, NACO has been able to partner approx.
services to informal labourers including migrants
650 industries across 22 states, covering 1.5 lakh
and truckers, who are linked to the industries
workers/ migrants for various HIV AIDS related
directly or indirectly, the major objectives of ELM
services.
model are:
• Increase awareness and access to HIV and TB-HIV case linkage activities in Targeted
AIDS prevention to care services for the Intervention Programme
informal workers TI programme in the country now include TB
• To create an enabling environment by case finding and treatment. TB services are
reducing stigma and discrimination against provided as referral services to most vulnerable

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populations which include Female Sex Workers Model II - Screening of Presumptive TB cases
(FSWs), Men who have Sex with Men (MSM), through (RMC)
Transgender/Hijra (TG/H), Injecting Drug Users
Model III- Screening of Presumptive TB cases
(IDUs) and Bridge Populations such as migrants
at (ICTC)
and truckers. During routine outreach services,
the peer educator (PE) and other outreach team Model IV- Screening for Presumptive TB cases
members screen HRGs and bridge populations at OST
for TB symptoms and refer them to the nearest TB
Through these models, TB screening has been
centre for confirmation and treatment. In order
initiated by TIs. It is expected that all HRGs are
to promote intensified TB case finding at TIs,
screened four times in a quarter and the bridge
increase awareness and reduce stigma for both
population is screened while visiting the clinic.
TB and HIV, four different models are proposed,
As on September total 14.48 lakh core HRGs were
based on the location and facilities available at TI
screened for TB, while 56,447 among them were
level.
referred for testing, 22,742 were and 735 were
Model 1 - TB Screening through Outreach diagnosed with TB. Out of which 455 were put on
TB treatment.
Table 24.5.6 TB Screening and Treatment Cascade (April to September 2019)

TB Screening & Treatment FSW MSM IDU TG MIGRANT TRUCKERS Total

a. No. of HRGs Screened
6,34,558 1,79,433 7,7,366 29,784 4,24,252 1,03,135 14,48,528
for TB
b. Out of a, No. of HRG
26,011 7,372 3,814 ,2805 13 612 2,833 56,447
referred for TB Testing
c. Out of b, No. of HRGs
1,1692 4,329 1,647 651 3 683 740 22,742
tested for TB
d. Out of c, No. of HRGs
257 91 82 13 278 14 735
diagnosed as TB
e. Out of d, No. of HRGs on
212 69 62 10 90 12 455
TB treatment
Source: MITR
Intervention in Prisons & Other Closed Settings and closed settings in a phased manner across the
country.
To achieve the global commitments of eliminating
HIV/AIDS by 2030, the National Strategic Plan Highlights (Advocacy/ Policy):
for HIV/AIDS and STI (2017–2024) developed by
People charged with or convicted of offences
NACO has incorporated prison HIV intervention
related to drug use represent a sizeable proportion
as one of the critical activities. Through
of people in prison both awaiting trial and serving
SACS and in collaboration with State Prisons
sentences.
Department (SPD) and Department of Women
and Child Development (WCD), NACO has been A series of sensitization workshops have
implementing HIV/TB interventions in prisons been conducted in collaboration with United

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Nations Office on Drugs and Crime, UNAIDS  The current HCV linkages for treatment
and Narcotics Control Bureau, which also stands at 10% (632 of 5942 HCV cases)
helped to strengthen the partnerships between and it is expected to improve once the free
law enforcement agencies and civil society Hepatitis treatment is rolled out by the
organizations in the context of drug use and HIV. respective State government
A high-level inter-departmental meeting was  1,67,971 inmates were tested for TB of which
held between NACO (MOHFW) and DoSJE 1,116 TB positive cases detected, more than
(MOSJE) on 18th July 2019 followed by a National 77% of TB cases have been provided with
consultation held on 3rd September 2019 in DOTS (866)
New Delhi to deliberate on how integrated
 1,881 STI cases were treated successfully by
comprehensive services can be made available to
the project team
the significant numbers of young people living in
jail for drug use related offences.  287 ICTC facilities (64 Stand-alone ICTC;
223 F-ICTC); 48 link ART centres and 13
Highlights (Project implementation):
OST facilities have been made available
HIV/TB intervention in Bihar prisons was within prisons settings
launched on 31st May 2019 at an event organized
The team has covered 54,901 women inmates
in Bihar Institute of Correctional Administration,
(302 out of 404 HOMES; 854 out of 1373 prisons),
Project Director, Bihar SACS, Inspector General
of which 175 HIV positive cases were identified
of Prisons, Govt. of Bihar.
(133 HIV+ out of 48,058 women inmates tested
HIV/TB intervention for people living in in prisons and 42 of 6,843 women inmates tested
Gujarat’s prisons and other closed settings was in HOMES); 73% of the HIV cases were linked for
formally launched at a high-level meeting held ART (128 of 175); 60 TB cases (47 from Prisons
in Ahmedabad on 15th October 2019. The Prison and 13 from HOMES) and 316 STI cases were
HIV reporting tool on SIMS portal was launched diagnosed by the quarter ending June 2019 (239
and the report on National Consultation held with from prisons and 77 from HOMES).
Police Training Academies in January, 2019 was
also released during the meeting. Senior officials
from NACO, UNAIDS, UNODC, CDC, MoWCD,
Gujarat SACS, State Prisons department, NGOs/
CBOs and community representatives have
participated in the event.
 62% of total prisons in the country (854
out of 1373 identified for intervention) are
covered, 80% of the inmates diagnosed with
HIV have been linked for ART
 6,30,080 prison inmates were provided with
HIV counselling and testing services out of
which 5912 inmates were diagnosed HIV Technical Support Units (TSUs):
positive (0.93%), 4785 positive inmates have TSUs are set up at State level to complement
been linked for ART services and enhance the effectiveness of SACS with

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specific focus on HIV prevention programme are supported by partners. Currently 18 TSUs are
management in the respective States. These TSUs covering 32 SACS and are
are being managed by different agencies and some
Table 24.5.7 List of TSUs, management agency and donor

TSU Supporting SACS Management Donor

Agency
Andhra Pradesh & Andhra Pradesh and Telangana SACS HLFPPT Word Bank
Telangana
Chhattisgarh Chhattisgarh SACS
Madhya Pradesh Madhya Pradesh SACS
Odisha Odisha SACS
Maharashtra & Goa Maharashtra, Mumbai and Goa SACS
Tamil Nadu & Tamil Nadu and Puducherry SACS
Puducherry
Gujarat Gujarat and Ahmedabad SACS PHFI
Rajasthan Rajasthan SACS
Uttar Pradesh Uttar Pradesh SACS
Uttarakhand Uttarakhand SACS
Jharkhand Jharkhand SACS
Punjab, Haryana, Punjab, Haryana and Chandigarh SACS SPYM
Chandigarh
West Bengal West Bengal SACS
Kerala Kerala SACS
Delhi Delhi SACS IHAT
Karnataka Karnataka SACS
Bihar Bihar SACS Plan India
North East TSU Assam, Arunachal Pradesh, Manipur, NACO/FHI360 World
Mizoram, Nagaland, Tripura, Meghalaya Bank/CDC
and Sikkim SACS

Project Monitoring Committee (PMC) is TSU Project Officer- Targeted Intervention (PO-
established to monitor the performance and TI) is to provide regular supporting supervision
functioning of TSUs at the state level. There were 26 visits to TI/LWS project & OST centres. There
PMC meeting were conducted during the period was 12917 days spent by the PO-TI to visits TI/
April – September 2019 to review performance LWS/OST through 5004 quick and 2328 intensive
of TSU and provide timely feedback for course visits during the period April-September, 2019.
correction if any and strategic direction needed to
A National Review & Capacity Building meeting
make optimum usage of resources available.
of all 18 TSUs and North East Technical Support

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Unit (NETSU) was conducted on July 10th and but is purely a contribution of the individuals
11th 2019 at India Habitat Centre, Delhi, officials for the future of Children living with HIV and
from all divisions of NACO, TSUs, NETSU their families (Peren District, Nagaland); Health
and representatives from World Bank, USAID, Camps in various districts across the country;
UNAIDS, CDC, WHO, Clinton Foundation, Distribution of nutrition kit to CLHIVs in AP
FHI 360 and India HIV/AIDS Alliance. TSU & Telangana, Integration of HIV/AIDS Care,
management agencies representative and Team Support and Treatment Services in Tribal Health
Leader TSU from PHFI, HLFPPT, SPYM, IHAT in Chittor, AP, etc.
FHI 360 and Plan India participated in the
Information, Education & Communication
National Review with objective to review the
(IEC)
performance of TSU in States/UTs as per Terms of
Reference, share an overview on TIs Revamping Mass Media Campaigns:
strategy and monitoring framework.
An annual media calendar was prepared to
District AIDS Prevention and Control Units strategize, streamline and synergize mass media
(DAPCU) campaigns with other outreach activities and
mid-media activities.
Using the HIV Sentinel Surveillance data (2004-
2006), all the districts in the country were Long Format Radio and TV programmes:
divided into four categories (Category A, B, C
NACO and State AIDS Control Societies have
and D) based on the disease burden. As per this,
been conducting various long format programmes
there were 156 Category A and 39 Category B
like phone-in and panel discussions on HIV
districts (total 195 districts) across the country
related issues on regional networks of All India
that required priority attention. NACO as part
Radio and Doordarshan. These live phone-in
of major structural reform, established DAPCUs
programmes are interactive programmes that
in 188 such districts to provide programmatic
help in dissemination of information and also
oversight through decentralized facilitation,
address the doubts of audience/ listeners
monitoring and coordination of HIV/AIDS
programme activities in the district.
Many innovative ideas where tried during FY
2019-20 (till October) for smooth functioning of
NACP programs at the district level to achieve the
program goals efficiently. Few of such examples
are: Awareness Drive cum Mobile Screening
of HIV, TB and Co-morbidities in the world of
Work (Dimapur, Nagaland), on Drug Abuse &
HIV/AIDS at High School (Kolasib, Mizoram),
Government Departments and Institutions
(Aizawl, Mizoram); Initiatives on HIV Screening,
Counselling of Jail Inmates and Other Prisoners Outdoor Activity:
(North Tripura); Project Empower which aims
to Provide quality education to the children Outdoor activities like hoardings, bus panels,
infected and affected by HIV- It’s a district pole kiosks, information panels, and panels in
specific initiative not funded by any Govt. sector railways and metro trains were implemented by

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the State AIDS Control Societies to disseminate standardize scripts are developed by SACS’ in
information on HIV prevention and related the regional languages. Folk troupes have been
services. NACO has developed a well-coordinated selected and trained on SACS/NACO vetted
plan involving different agencies to avoid scripts by SACS.
duplication of activities.
Folk performances are completed by folk troupes
Wall writings have been emphasized in many in remote villages as per planned route plan as
States to maximize the reach of HIV awareness to decided by SACS.
rural population. The National Toll Free Helpline
Budgets are earmarked to 29 State AIDS Control
no. 1097 has also been promoted in all the outdoor
Societies for the State level folk workshop and folk
activities.
performances in FY 2019-20. The folk campaign
Helpline: The National Toll-Free AIDS Helpline is being implemented in two phases focusing on
– 1097 is successfully operational. The percentage women and youth covering 29 States and UTs.
of actual serviced calls on the helpline has
Youth Interventions
improved substantially over the years and
during this year, 41% of the total calls are service Adolescence Education Programme (AEP) is
provided calls. States of West Bengal, Andhra a key intervention to build life skills of young
Pradesh, Telangana, Karnataka, Madhya Pradesh people, help adolescents, cope with negative
& Haryana have contributed to 61% of the overall peer pressure and develop positive behavior
call volume. Helpline has recorded 29,91,202 calls improving awareness on sexual health preventing
on the server till 30th November 2019 out of which HIV infections. Program is implemented in
66% of the calls are connected calls. collaboration with NCERT.
Key Milestones: 16-hour curriculum is taught in the schools to
• Inclusion of three new regional languages: adolescent students of class VIII, IX and XI.
Manipuri, Mizo & Khasi on the helpline in Currently, the programme is functional in more
June 2019. than 55,000 schools in the country.
• Refresher training provided to all 49 Red Ribbon Club (RRC) programme is a
counselors in four batches in August, 2019 comprehensive promotional and preventive
on NACP updates. intervention to harness the potential of youth
in educational institutions, specifically to
Folk-Media and IEC Vans:
mainstream HIV and AIDS prevention, care
National AIDS Control Program has extensively & support and treatment, impact mitigation,
used the folk media as an innovative tool for stigma reduction and enhance Voluntary Blood
developing an effective communication package Donation.
to reach the unreached in the remote and media
It also prepares and promotes youth peer educators
dark areas. Folk Media has been recognized as
within and outside the campuses. Currently
a powerful communication tool to reach out to
there are 12616 Red Ribbon clubs constituted/
people with social messages particularly in rural
functional in colleges under the program.
areas.
Activities undertaken by the members of RRCs
In order to ensure effective and efficient utilization
are:
of folk media to disseminate HIV/AIDS messages,
• Observance of important events

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(International Youth Day, Rally and for implementation of Adolescence Education

awareness of VBDD, RRC competition, Programme (AEP), Red Ribbon clubs (RRCs)
World AIDS Day, National Youth Day, and Out of School Youth (OSY) and Orphan &
College fest) Vulnerable Project (OVC).
• Community outreach and mobilisation of Following were the objectives of the consultation: 
youth
• To build the capacity of the AD (Youth) on
• Training of Peer Educators various thematic areas as well as to review
• Constitution of Joint Working Group the progress made by states in the last
Committee (JWG) at state. financial year.
Review of RRCs by SS & DG, NACO • The assessment report of AEP was also
shared during the consultation.
A meeting cum interaction session was held
• Share the best practices being followed for
with the Red Ribbon Clubs (RRCs) of Delhi,
Adolescent Health at state level specially
Haryana and Rajasthan on the 20th August 2019,
convergence with other line departments.
at National Aids Control Organisation (NACO
chaired by Shri. Sanjeeva Kumar, SS & DG (NACO Gathering had representatives from various
& RNTCP). In the meeting it was emphasized stakeholders like State AIDS Control Society
that there is a need of compilation of these best (SACS), NCERT, adolescent Health, Ministry of
practices and innovations implemented by RRC Health & Family Welfare; Development Partners
members. like UNICEF, UNFPA, UNODC, UNAIDS,
HIV/AIDS Alliance India and FHI 360 to share
Out of school youth (OSY) intervention aims
and showcase their best practices in the field of
to sensitize school dropouts who are not covered
Adolescent Health.
under AEP.
Mainstreaming and Partnership
It is implemented through NIOS (learners’
engagement activities) and NYKS (state level A. Partnership with Ministries and Roll out
engagements). The program is functional in 14 of MoUs:
states Chhattisgarh, Jammu & Kashmir, Jharkhand,
NACO has formalized partnership with various
Kerala, Manipur, Mizoram, Meghalaya, Nagaland,
key Ministries/ Departments of Govt. of
Rajasthan, Sikkim, Tripura, Telangana and West
India through entering into Memorandum of
Bengal.
Understanding (MoU). The MoUs aims at multi-
Events: pronged, multi-sectoral response which will
ensure better use of available resources for risk
a) Adolescent HIV/AIDS Consultation:
reduction and impact mitigation of HIV. So far,
Two-day National Consultation on Adolescent NACO has formalized partnership with 18 key
HIV/AIDS was organised by National AIDS Ministries/ Departments of Govt. of India.
Organisation (NACO) in collaboration with
The State AIDS Control Societies (SACS) have
UNICEF on 13th & 14th June 2019, Ahmedabad,
been implementing the roll out of MoUs in
Gujarat.
respective States/UTs. Directives have been issued
National Consultation sketch, strategize, by department concerned and Joint Working
developed and implemented National Plan Group meeting are being organized under the

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chairpersonship of Project Director SACS and partnership with the Ministry of Railways;
large number of people has been sensitized at the Ministry of Women & Child Development;
State level through various training and awareness Ministry of Micro, Small and Medium Enterprises;
activities. Sardar Vallabhbhai Patel National Police Academy
(SVPNPA), Hyderabad and North Eastern Police
Discussions have also been initiated to formalize
Academy (NEPA), Meghalaya.

Memorandum of Understanding signed between Department of Social Justice & Empowerment and
National AIDS Control Organisation (NACO) on August 26, 2019
The 18th Memorandum of Understanding (MoU) of Social Justice & Empowerment, Govt. of India;
was signed between National AIDS Control Ms. Preeti Sudan, Secretary, MoHFW; Ms. Nilam
Organisation (NACO), Ministry of Health & Sawhney, Secretary, DoSJE; Shri Alok Saxena,
Family Welfare (MoHFW) and Department of Joint Secretary, NACO and senior officials from
Social Justice & Empowerment (DoSJE), Ministry both the ministries.
of Social Justice & Empowerment (MoSJE) on 26th
Through this MoU, the services of institutes such
August 2019 in the august presence of Hon’ble
as National Centre for Drug Abuse Prevention
Union Minister of Dr Harsh Vardhan.
(NCDAP), National Institute of Social Defence
The MoU was signed by Shri Sanjeeva Kumar, (NISD), Integration Rehabilitation Centres for
Special Secretary & Director General, NACO & Addicts (IRCAs) under DoSJE are agreed to
RNTCP, MoHFW and Smt. Upma Srivastava, be leveraged for achieving the national goals
Additional Secretary, DoSJE. and objectives of HIV prevention and impact
mitigation.
The important dignitaries present on the occasion
include Shri Shri Ashwini Kumar Choubey, The partnership between NACO and DoSJE aims
Hon’ble Minister of State, MoHFW; Shri Rattan at:
Lal Kataria, Hon’ble Minister of State, Ministry

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(i) reaching out to vulnerable and most at risk ‘Fast Track VCT@Work’ is an important strategy
population with awareness and prevention for promotion of voluntary counseling testing
messages on HIV, Harm Reduction, amongst workers engaged in the formal and
Prevention of Illicit Use of Drugs and informal sectors. Industry engagements are
Alcohol and linking them with services prioritized with an objective to reach out large
provided under National AIDS Control number of working population with information
Programme and Central Sector Scheme of on HIV/AIDS, prevention activities to reduce
Assistance for Prevention of Alcoholism and HIV vulnerability, promotion of community
Substance Abuse as well as reducing Social based screening at the workplaces and linkages
Stigma and Discrimination associated with with service those who are in need of it.
HIV and AIDS.
State level meeting with key stakeholders on
(ii) garnering mutual support to develop specific world of work response to HIV were planned by
strategies and action plan to deal with subject State AIDS Control Societies.
related to HIV and AIDS prevention and
ILO has provided technical support to strengthen
mechanisms for drug addiction treatment
world of work response to HIV and fast track
and extending social protection schemes to
VCT@Work Campaign in several states.
the vulnerable populations.
Meeting on World of Work in Meghalaya
National Workshop on Strengthening the World
of Work response to HIV and Fast Track VCT @ The State Consultation meeting on “strengthening
Work’ the world of work in Meghalaya with Govt.
Departments, Industries, etc, along with various
Two-day ‘National Workshop on ‘Strengthening
stakeholders” was organised by the Labour
the World of Work response to HIV and Fast Track
Department, Government of Meghalaya in
VCT @ Work’ was organized by NACO on 18th -
collaboration with Meghalaya AIDS Control
19th October, 2019 in New Delhi in collaboration
Society.
with International Labour Organization (ILO).
Meeting on World of Work in Assam
The workshop was inaugurated by Joint Secretary,
NACO and in presence of DDG, NACO, Dy. Industries of public and private sectors were
Director, ILO, India and Senior Technical mobilized by Assam State AIDS Control Society
Specialist, ILO, Geneva. The participants of the (ASACS). Major Public Sector Undertakings
workshop included representatives from NACO, (PSUs) were contacted by ASSAM SACS and
other key ministries, State AIDS Control Societies, subsequently meetings were organized. Meeting
ILO, Public Sector undertakings (PSUs), PLHIV held at North Eastern Coalfields (NEC) Margherita,
network, the Dattopant Thengadi National Indian Oil Corporation Limited (IOCL) Digboi
Board for Workers Education and Development and Oil & Natural Gas Corporation (ONGC)
(DTNBWE), Trade Unions, and private sector Nazira on 29th & 30th August respectively.
enterprises.
Industry Engagement and VCT@Work in
World of Work Response to HIV: Gujarat
Industry Engagement to strengthen world of Gujarat SACS promoted HIV testing in selected
work response to HIV/Fast Track VCT@Work: industries in priority districts. VCT@Work
campaign was organized at Deendayal Port Trust,

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Kandla 22nd July, 2019. VCT@Work campaign Odisha: 20 Major industries are mobilized to
was also initiated by Ahmedabad MACS on 22nd work in HIV/AIDS prevention in collaboration
& 23rd July2019. with Odisha SACS. Sensitization and training
programme conducted by SACS. HIV/AIDS
HIV/AIDS awareness and voluntary counseling
awareness and voluntary counselling & testing
& testing activities was organized among workers
camp were organized by Paradip Port Trust in
engaged in metro rail project, construction sites,
collaboration with OSACS.
truckers and transport workers, industrial and
textile workers. VEDANTA, Jharsuguda is implementing HIV
awareness program among truckers. JSPL Angul
Engagement of Industries (Public and Private
has initiated awareness sessions among informal
Sector) in various States:
workers on regular basis.
Several initiatives were taken by SACS to
Mumbai & Maharashtra: Several industries have
strengthen industry intervention. A drive to
initiated awareness activities. Major PSUs under
strengthen industry response was initiated in
M/o Petroleum & Natural Gas, M/o Shipping
several on the priority basis. Meetings between
are engaged in awareness drive. HIV prevention
Major Industries and SACS were scheduled
activities were organized by BEST Mumbai,
in several states like Jharkhand, Chhattisgarh,
HPCL, IOCL, Mumbai Port Trust, Jawaharlal
Mumbai, Maharashtra, Odisha etc.
Nehru Port Trust etc.
The progress made in different states is listed as
Chhattisgarh: Major industries are mobilized
follows:
like JK Lakshmi Cement, Censuri Cement, Nalwa
Jharkhand: Coordination established with Steel, Kalptaru Power Transmission Limited, Shri
public and private sectors. HIV/AIDS issues Bajrang Power & Ispat Ltd, HPCL and Transport
were discussed in the meeting of CSR Council. Workers association. Sensitization, awareness
Directive was issued by CSR council to engage programme organized at Coal PSU, JSPL, Ambuja
major public and private sectors in state. Major Cement, HIRA Group of industries.
industries are engaged like CCL, BCCL, ECL,
SEXUALLY TRANSMITTED INFECTIONS
Usha Martin Central, CMPDI, JSPL, MECON
(STI) AND REPRODUCTIVE TRACT
Ltd.
INFECTION (RTI) CONTROL &
West Bengal: Awareness activities were PREVENTION
conducted in several industries like Coal India
The key strategies for STI prevention and control
Limited, Eastern Coalfield Limited, Damodar
are:
Valley Corporation, Kolkata Port Trust, Haldia
Dock Complex, L&T, Asian Leather etc. (a) Interrupt transmission where it spreads
fastest, and
Bihar: Advocacy and sensitization programme
(b) Provide services for all who may need them.
conducted in industries namely COMFED-Sudha
Dairy, Tirupati Transport- Hazipur, Hasanpur Currently, there are 1,165 NACO supported
Sugar Mill- Samastipur, Bihar State Road DSRC across the country (at least one DSRC per
Development Corporation Ltd- Patna, NTPC Ltd. district). There are two arms of DSRC are
Barh Project- Patna, NTPC Ltd. Barh Project- a) Obstetrics & Gynaecology OPD and
Patna.
b) STI OPD under dermato-venereology

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clinics and provide services through existing STI/RTI in 2019-20, out of which the program has
public health care delivery system. achieved 47.34lakh (47%) till September, 2019.
The details of number of individual availed STI Pre-packed STI/RTI colour-coded Kits
service and diagnosed STI and pregnant women
The colour coded STI/RTI kits have been provided
tested for Syphilis and diagnosed syphilis during
for free supply at all DSRCs and TI NGOs to
FY 2019-20 (from April 2019 till September 2019
standardize the treatment. The pre-packaging of
along with North –East data), are provided in the
the drugs is being recognized as one of the global
following table.
innovation in STI programme management. The
Table 24.7.1 STI/RTI Testing and sero- drugs used to treat common STI/RTI are included
prevalence in the National/State List of Essential Drugs.

Indicator 2019-20
(till
September)
Number of Individual availed 22,78,201
RPR/VRDRL Service
Number of Individual Reactive 10,983
Percentage of individual reactive 0.48
Number of Individual referred to 19,49,833
ICTC for HIV test
Number of Individual Found HIV 8,173
positive
Percentage of individual Found 0.42
HIV Positive
Total ANC registration reported 25,51,024
in STI/RTI centre
Number of PW tested for Syphilis 22,07,720
Percentage of PW tested for 86.54
Syphilis
Number of PW found Syphilis 2330
reactive STI/RTI colour-coded Kits
Percentage of PW found Syphilis 0.1 Regional STI/RTI Training, Research and
Reactive Reference Laboratories
Number of PW Treated for 1,590 There are 10 functional Regional STI Training,
Syphilis Reference and Research Laboratories supported
Percentage of PW treated for 68.24 & strengthened by NACO. These are located at
Syphilis Osmania Medical College Hyderabad, Medical
College Kolkata and Institute of Serology
NACO target is to manage 100 lakh episodes of Kolkata, Government Medical College Nagpur,

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Government Medical College Baroda, Institute Preferred Private Provider approach has been
of Venereology, Chennai, Maulana Azad Medical rolled out to scale up STI/RTI services to HRG
College, New Delhi, BYL Nair Hospital, Topiwala population under TI Projects. These providers
National Medical College, Mumbai, Government are selected by the community members through
Medical College, Guwahati, Assam, Post Graduate group consultation. This approach has enhanced
Institution of Medical Education and Research, access to services for the HRG. Under this
Chandigarh, Safdarjung Hospital, New Delhi approach, all the HRG receives free STI/RTI
which acts as the Apex Centre as well as Regional treatment and the providers receive a token fee
Laboratory for the country. of Rs.75 per consultation. All these preferred
providers are trained using a standardized
Training and Capacity building and regular
curriculum on syndromic case management.
onsite mentoring of STI/RTI service providers
Colour coded STI/RTI drug kits have also
Standardized training curriculum for doctors, been made available to these providers for free
staff nurse, laboratory technician and counsellor treatment of sex workers, MSM and IDU, and
is in place. The training to these staff is provided data collection tools are also provided to them.
in a cascade form through a cadre of national,
Partnering with PSU and Professional
state and regional resource faculties across all
Organization
states. All faculty members have been trained
using the same training material, following adult The major proportion of patients with STI/RTI
learning methods. The state and regional resource seek services from the vast network of private
faculties in turn have conducted training of STI/ health care delivery systems ranging from
RTI clinic staff in the designated clinic and TI freelance private practitioners to large public
NGO. Additionally, each district has district hospitals. Also, many populations are accessing
resource facilities for training doctors, nurses and services from public health care systems under
laboratory technicians on STI/RTI management other sectors like railways, ESI, Armed Forces,
for sub district health facilities (PHC, CHC, and CGHS, Railways, Port hospitals as well as health
Sub –district hospital), and doctors in private facilities of public sector undertakings like Coal
sector also. India Ltd, SAIL etc. It has been felt that reaching
out to maximum number of people suffering from
Provision of STI/RTI Services in HRG
STI/RTI is not possible without partnership with
Population
private sector and organized public sector. NACO
The provision of a standardized package of STI/ has initiated partnership with organized public
RTI services to HRG population is an important sector and private sector through professional
component of the TI projects. All the core group associations to support the delivery of STI/RTI
population receives packages of services which services with the objective to reach the populations
include: presently not covered by the public health care
1. Free consultation and treatment for delivery system. STI/RTI services have been
their symptomatic STI complaints rolled out in major port hospitals, ESIC, private
medical colleges.
2. Quarterly medical check-up
3. Asymptomatic treatment (presumptive Blood Transfusion Services (BTS)
treatment) The BTS comprises 3,311 licensed blood banks
4. Bi-annual syphilis and HIV screening across all states and sectors, of which a network of

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1,131 blood banks are supported by NACO in the approach towards strengthening BTS, key
way of equipments, manpower and consumables. strategies for which include:
Overall 78.13% of blood was subjected to • Increasing regular voluntary non-
componentization in NACO supported Blood remunerated blood donation to meet the
Component Separation units in 2019-20. safe blood requirements of safe blood in the
NACO has been primarily responsible for country;
ensuring provision of safe blood for the country • Promoting component preparation and
since 1992. During NACP, the availability of availability along with rational use of
safe blood increased from 44 lakh units in 2007 blood in health care facilities and building
to 12.4 million units by 2018-19. During this capacity of health care providers to achieve
phase, incidence of donor HIV sero-reactivity has this objective;
declined from 1.2% to 0.14% in NACO supported • Enhancing blood access through a well
blood banks. networked regionally coordinated BTS;
 Indicator 2018-19 2019- • Establishing Quality Management Systems
20* to ensure safe and quality blood and
Total Collection (in • Building implementation structures and
12.4 7.3
Millions) referral linkages.
Collection in NACO Activities of NBTC in 2019-20 include:
8.6 5.1
supported BB (in millions)
• EQAS through three Proficiency Testing
Voluntary Blood Donation
in NACO supported BB 76 74.5 providers @ Rs. 4,000 per blood bank per
(%) year for 585 NACO Supported Blood Banks
HIV (%) 0.14 0.12 • Approval of Annual Action Plan for BTS for
HBsAg (%) 0.78 0.75 Rs. 70.86 Crore
HCV (%) 0.33 0.31 • TRG meeting held in April 2019
MP (%) 0.05 0.03 • 29th Governing Body of NBTC meeting held
VDRL (%) 0.23 0.23 in October 2019
Component Separation in • World Blood Donor Day was celebrated on
75.05% 78.13 14th June 2019 in collaboration with SBTC
NACO supported BCSU
Delhi.
During the FY 2019-20, 50.94 lakh blood units
• The month long Voluntary Blood Donation
were collected across the country in NACO
Drive was conducted by Federation of Blood
supported blood banks. 74.50% of the collection
Donor Organization of India (FBDOI)
was through voluntary blood donation (VBD).
The VBD percentage is comparatively lower than • National Voluntary Blood Donation Day
the previous years due to a change in definition was observed through a National event on
of voluntary blood donor, so as to exclude family 1st October 2019.
donors. • Quarterly Blood Donation Drives conducted
at Chandralok Building
Key Strategies:
• Nation-wide VBD drives in partnership
Government has adopted a comprehensive with FIBDO, FBDOI, TCI India,

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• Expert Sub Committee to re-energize the an important opportunity to reinforce HIV

Metro Blood Bank project. prevention through providing HIV counselling.
• Indent of Blood Bags and testing kits (IV The national programme for HIV prevention
Generation) placed for the NACO supported is initiated this service since 1997 with the
Blood Banks. aim to identify the PLHIV and linking them
appropriately and timely to prevention, care and
• Joining of Deputy Directors from CHS
treatment services. The introduction of ART
Public Health and CHS GDMO cadre in
services for people living with HIV/AIDS in 2004,
NACO BTS division and NBTC respectively.
gave a major boost to counselling and testing
• Bringing the processing charges for Blood services in India.
and Blood Components under the ambit
of the Drugs (Price Control) Order, 2013 The HCTS include the following components:
(DPCO) is under active consideration of • HIV Counselling and Testing Services
MoHFW. of General Individuals, Prevention of
• Collaboration with NITI AYOG on Parent-To-Child Transmission of HIV
strengthening BTS in one aspirational (PPTCT) & Elimination of Mother to Child
district of UP (Sonebhadra). Transmission of HIV (EMTCT)
• Community Based Screening (CBS)
Promotion of Voluntary Blood Donation
• HIV/TB collaborative activities
Special days such as World Blood Donor Day and
National Voluntary Blood Donation Day were HIV Counselling and Testing Service Centre
observed at national and state level recognizing (HCTS)
the contribution of repeat non-remunerated There are many classifications of HCTS facilities
repeat voluntary blood donors. in India, which include Standalone Integrated
Logo and tagline for VBD has been developed Counselling and Testing Centres (SA-ICTC),
(Raktdaan Karke Dekho Achcha Lagta Hai). It is Mobile ICTC, Facility Integrated Counselling
used extensively in all the IEC Material developed and Testing Centres (F-ICTCs), Public
at National and State level to give enhanced Private Partnership ICTCs (PPP ICTCs), and
visibility to Voluntary blood donation in media, Community Based Screening for HIV (CBS)
including social media. for HIV including Village Health Nutrition
Day (VHND). The HCTS Centre is the new
HIV COUNSELING AND TESTING SERVICES, terminology of ICTC after the release of National
INCLUDING HIV TB COLLABORATION HCTS Guideline Dec 2016. In order to offer HIV
AND PPTCT testing to every pregnant woman in the country,
Under NACP, free HIV Counselling and Testing to enhance detection of all HIV positive pregnant
Service (HCTS) for general public as well as women and eliminate transmission of HIV from
pregnant women are provided through HIV parent to child. Year by year, there is an increase
Counselling and Testing Service Centres, which in the number of F-ICTCs in the country, clearly
are located in health care providing facilities such portraying integration of counselling and testing
as hospitals, health clinic etc., It is the primary services under general health services, increase
place, where the diagnosis of HIV infection and in geographical coverage of these services below
linking HIV infected people with HIV Care block level, better accessibility and addressing
and Treatment Services (CST). It also provides sustainability.

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Figure 24.9.1: Scale-up of HCTS during the period from 2007-08 to 2019-20 (till September)

HIV Counselling and Testing Services of individuals tested for HIV and the positivity.
General Individuals
Figure 24.9.2: Scale-up of General Individuals
During FY 2019-20 (till September), around 141 (excluding pregnant women) tested and
lakhs general individuals have been tested for positivity in ICTCs during the period from
HIV, out of which 90,354were diagnosed HIV 2007-08 to 2019-20 (till September)
Positive. The below Figure shows year wise general

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Early Infant Diagnosis (EID)

HIV exposed infants born to infected pregnant
women have to undergo DNA-PCR tests using
Dried Blood Spot (DBS) test.
Achieving Elimination of Mother to Child
Transmission of HIV (EMTCT): - Every year,
an estimated 22,677 women living with HIV
become pregnant in the country. Untreated,
Prevention of Parent to Child Transmission of
HIV (PPTCT) and Achieving Elimination of they have a 15-45% chance of transmitting the
Mother to Child Transmission of HIV (EMTCT) virus to their children during pregnancy, labour,
delivery or breastfeeding. However, the risk drops
The PPTCT programme was started in the to just over 1% if ARV medicines are given to
country in the year 2002 with the aim of offering both mothers and children at the stages when
HIV testing to every pregnant woman (universal chances of transmission can occur. As treatment
coverage) in the country. As on September, 2019
for prevention of mother-to-child-transmission
this service is offering through more than 30,000
is not 100% effective, elimination of transmission
HCTS centres in entire country, which is called
PPTCT centre. The aim of the PPTCT centre is is defined as a reduction of transmission to such
to identify all estimated HIV positive pregnant a low level that it no longer constitutes a public
women and eliminate transmission of HIV from health problem.
mother-to-child. During the FY 2015-16, NACO India is signatory for achieving the EMTCT
has decided to implement EID service through all
of HIV and Syphilis by 2020. A road-map for
SA-ICTCs (fixed) across the country. Currently
achieving EMTCT was prepared and has been
this service is available through more than 5,500
HIV confirmatory sites, i.e; SA-ICTCs. steadily rolled-out under the current NACP.

During the FY 2019-20 (till September), around To accelerate the activities towards EMTCT data
118.4 lakh of pregnant women were tested for HIV, verification exercise in the States, NACO has
and 8,949 (5906 new cases & 3,043 known cases) initiated the process of data verification in the
HIV positive cases were reported, out of which, identified EMTCT Phase-2 States of the country
85% (7,570) were initiated lifelong ART. During (viz. Assam, Bihar, Delhi, Gujarat, Odisha,
the same period, around 6,165 HIV exposed live Jharkhand, MP, Manipur, Rajasthan, UP, West
births were reported, out of which 5,358 (87%) Bengal, Punjab and Chandigarh) and (phase-1)
babies were received ARV prophylaxis. viz. Andhra Pradesh, Telangana, Maharashtra,
Figure 24.9.3: Scale-up of Pregnant Women Tamil Nadu, Karnataka and Mizoram). EMTCT
tested and positivity in ICTCs during the period assessment activities is going on 19 States (phase-1
from 2007-08 to 2019-20 (till September) & phase-2).
Community Based Screening approach: CBS
is an important approach for improving early
diagnosis, reaching first-time testers and people
who seldom use clinical services, including men
and adolescents in high-prevalence settings and
HRG populations. To improve HCTS access and

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coverage, community-based HIV screening is that enhanced monitoring of treatment

carried out through various approaches. adherence and TB preventive therapy was
launched across Antiretroviral therapy
Mobile HCTS, Screening by ancillary health-care
(ART) centres.
providers (ANC), Screening for HIV by TI (TI-
ICTC), HCTS for prison inmates, HCTS at the b. Nearly 87% of Designated Microscopy
workplace. Centres were located in proximity to HIV
testing facilities.
Currently the bulk of CBS efforts are through
c. 94% of PLHIV visiting the ART centres
targeting HRGs via TIs and Other Development
every month are screened about any existing
Partners and CSO.
TB symptoms.
• Standard Operating Procedures for CBS
d. More than 6 lakh PLHIV are given access to
and training manual “Testing through
rapid molecular testing via CBNAAT for TB
TI” for Community Based HIV testing
diagnosis.
under National HIV Counselling& Testing
Services Guidelines, 2016 has been shared e. The linkage of TB HIV co-infected patients
with all the states. to CPT and ART is 94% & 90% respectively.
• As on September 2019, 2,379 CBS sites f. More than 1,00,000 TB/HIV patients have
were established under different settings as been initiated on daily drug regimen across
mentioned above and reporting to NACP the country.
through SIMS. g. Nearly 90% of the TB/HIV co-morbid
• As per the current SIMS Report, 30 states patients registered are on ART.
are implementing CBS. Out of 1,427 TIs, h. More than 7 lakh PLHIV on TB preventive
1157 TIs are reporting in SIMS with 5.6 lakh therapy.
individuals screened since April 2019, and
Key interventions
there are multiple civil society organizations
having conducted a cumulative of 50,000+ I. Intensified TB Case Finding (ICF)
screenings.
Under ICF, all ICTC clients are screened by ICTC
HIV/TB Collaborative Activities counsellors for presence of TB symptoms at the
time of pre/post-test counseling. Clients who have
A joint effort by the NACP & Central TB Division
symptoms or signs of TB, irrespective of their
to address the dual burden of TB and HIV was
HIV status, are referred to RNTCP diagnostic and
initiated in six high burden states in 2001 and
treatment facility located in nearest/co-located
was expanded across the country by 2008.
institution. During FY 2019-20 (Apr19-Sep19)
Interventions were developed to ensure prompt
7% of general clients (except pregnant women)
detection of patients with TB-HIV comorbidity.
receiving pre-test counseling/information have
These interventions helped in reducing TB related
been referred for TB testing from ICTC, and
fatalities by 82% (baseline 2010) among PLHIV to
detected TB cases, 6% of out of those referred.
meet the 2020 end TB target.
Patients diagnosed with Tuberculosis are linked to
Achievements
first line anti TB drugs daily regimen for TB patients
a. Single window delivery of TB and HIV diagnosed in the respective ART centers. 94%
services powered by ICT (Information (8,63,268 out of 9,17,396) PLHIV attending ART
and Communications Technology)

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centre were screened for ICF for 4 TB symptoms diagnosis of Rif Resistance among People living
at ART centres and subsequently 6% (51,906 out with HIV.
of 8,63,268) were identified as Presumptive TB
III. Isoniazid Preventive Therapy (IPT):
cases & 68% (35,390 out of 51,906) presumptive
TB cases were referred to RNTCP, among whom Isoniazid (INH) is the most effective bactericidal
91% (32,103 out of 35,390) were tested for TB and drug. It protects against both progression of latent
3129 PLHIVs were diagnosed with TB i.e., 10% as TB infection (LTBI) to active disease (reactivation)
per monthly ART centre report (MPR-Sep.2019). as well as from re-infection when exposed to active
TB case. IPT Coverage among eligible PLHIV is
II. Use of Rapid Diagnostics (CBNAAT)
52% (7,05,989) as on Sep 2019. IPT is one of the
for early diagnosis of TB & Rif R among
3I strategy globally recommended for prevention
People living with HIV:
of incident TB among HIV infected individuals.
Cartridge Based Nucleic Acid Amplification Test IPT is a key public health intervention for the
(CBNAAT) is used as rapid TB diagnostic tool prevention of TB among PLHIV and has been
established in nearly all districts of the country. In recommended as part of a comprehensive HIV
addition to TB diagnosis, this also helps in early and AIDS care strategy.

Figure 24.9.5: Coverage of IPT among eligible PLHIV

New Initiatives: 2. Implementation of E-Learning Module on
HCTS guideline to digitalize the training
1. To make paperless register in all HCTS
of HCTS staff with aim to introduce
centers, in this regard Inventory Management
innovation in technology and ease of
System (IMS) has been rolled out under the
comfort for counsellors, lab technicians
project SOCH from 20th August 2019.
and other critical partners in this journey,

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NACO, in collaboration with UNAIDS has ICTC for assessing the risk and vulnerability
captured the National HCTS guidelines of self-initiated client to reach first 90.
in an engaging, simplistic, and retainable
5. F–ICTC has to start in different OPD of all
eLearning module in Hindi and English
the medical colleges, in coordination with
languages, to facilitate smooth scale up,
MCI
efficient implementation and uptake of
HCTS. CARE, SUPPORT AND TREATMENT (CST)

3. CBS of HIV has been scaled up through TI CST Services include free and universal access
project, VHND level screening of pregnant to lifelong standardized Anti-Retroviral Therapy
women and though CSO. (ART), free diagnostic and monitoring services
(baseline laboratory investigations, CD4 testing,
4. Community based screening has been
viral load testing, etc.), facilitating long term
initiated through Care Support Centres
retention in care, prevention, diagnosis and
(CSC).
management of opportunistic infections, linkage
Way forward: to care and support services and linkage to social
protection schemes.
1. Scaling up of CBS of HIV by 100%
saturations of TI Projects and VHND level Facilities for ART Service Delivery:
HIV Screening of Pregnant women across
Care, Support and Treatment services are
the country
provided through a spectrum of service delivery
2. Implementation of Digitalized ICTC/ models including ART Centres (ARTc), Centre of
PPTCT register with minimum typing Excellence (CoE), Pediatric Centres of Excellence
content for counsellor under SOCH Project. (pCoE), Facility Integrated ART Centres (FI-
ART), Link ART Centers (LAC), Link ART-Plus
3. All the State will be oriented on the
Centres (LAC Plus) and Care & Support Centres
eLearning Module by end of March 2020,
(CSC). There are active linkages and referral
following which all SACS will ensure that all
mechanisms between these centres to provide
the counsellors go through the E-learning
decentralised treatment and specialized care for
module package.
the PLHIV.
4. Implementation of risk assessment tool in
Table 24.10.1 Types of Facilities for ART Service Delivery (as on September, 2019)

548 CoE 11
pCoE 07
ART Centres (includes CoE, pCoE,
ART plus, FI-ARTc, ART Plus 93
& PPP ARTc) PPP 28
Link ART Center (includes LAC-Plus centres) 1,236
Care & Support Center 310

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Table 24.10.2 Beneficiaries of ART services and care. The programme has been making
efforts to minimise this linkage loss. In
Beneficiaries Cumulative No. (as the current year, around 94% of those
on September, 2019)
diagnosed positive have been linked to ART
PLHIV on ART (total) 13,47,866 registration at treatment sites.
• PLHIV on Second 57,298 Figure 24.10.1 Linkage of Diagnosis to Registration
Line ARV drugs
at Treatment site
• PLHIV on Third 2,558
Line ARV drugs

Achievements:
Improvement in ART retention cascade: ‘ART
retention cascade’ refers to the sequential steps
of patients from diagnosis of HIV to linkage with
ART care, ART initiation and retention of patients
2. ART Initiation Rate: The programme has
who are on ART. After introduction of the ‘Test
achieved remarkable improvement in the
& Treat Policy’ in 2017, overall ART retention ART initiation rate, from 61% in 2013-14 to
across the country has improved significantly 91% in 2019-20.
through intensified outreach activities (Mission
Sampark & Intensified Mission Sampark) and Figure 24.10.2 Trend of ART Initiation
through interventions like implementation of
Differentiated Service Delivery Models, quarterly
feedback to States and ART centres based on
‘Score-card’ analysis of identified indicators, etc.
NACO is closely monitoring the ART retention
cascade as a quality indicator of State and facility
level performance. Over the last three years the
programme has seen noteworthy improvement in 3. Twelve-months retention: The data received
treatment retention. from ART centres shows that 75% of PLHIV
have been retained under care for at least
The three major stages in ART retention cascade 12 months after ART initiation, which is a
are as follows: significant achievement towards the ‘90-90-
90’ target.
1) Linkage of Diagnosis to ART Registration at
Treatment site Figure 24.10.3 12-month retention

2) Treatment Initiation
3) Retention
1. HIV Diagnosis to ART Registration linkage:
Those diagnosed positive at ICTC have
to be linked to ART centres for treatment

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Differentiated Care follow-up the newly initiated patients during

the first three months. Under this approach,
The ART centre infrastructure under NACP has
all newly initiated PLHIV are being actively
expanded from 8 ART centres in 2004 to 548
followed up by the Outreach Workers for
ART centres till September 2019. Currently, the
first three months to ensure their retention
national HIV program provides free first line,
and adherence during this critical period.
second line and third line ARVs to approximately
13.5 lakh PLHIV. Programme has adopted “Test • Community Led ART Refill: The ART
and Treat” policy with aim to expand access to life dispensation for stable clients is now also
saving ART and achieve 90-90-90 targets by 2020. available at selected Care & Support centers
With the implementation of the policy, three managed by PLHIV network as well as
challenges were foreseen, as follows: NGOs running Targeted Interventions
• Overcrowding at the ART Centers for key populations. 20 CSC-based ART
re-filing facilities are providing services
• Maintaining 12-month retention levels
to 1,621 stable PLHIVs on ART (15 are in
• Enhancing adherence amongst On-ART Karnataka, 1 in Mizoram, 1 in Maharashtra
patients and 3 are in Gujarat).
Resolving these three challenges is essential to Monitoring and Feedback Mechanism
achieve the target of third-90. Decongesting ART
Centers can help in improving quality of care and The ART services have grown many folds since
services offered to PLHIV. National Consultations the launch at 8 ART centers in 2004 to 548 ART
on ‘Differentiated Care’ was organized with centers in September 2019. These ART centers
the objective of seeking inputs from technical are providing free treatment to approximately
experts, SACS, HIV community and development 13.5 lakh people living with HIV. Along with
partners on key models and experience from quantitative scale up, NACO has been working
implementation of differentiated models across consistently towards maintaining the quality of
the globe. Based on the recommendations, services provided under the programme. To ensure
following differentiated care strategies have been this, NACO has designed a set of monitoring and
initiated at different facilities: evaluation tools namely Score Card and Quarterly
feedback report. Also time to time reviews of the
• Multi-Month Dispensation (MMD): Two- States are done by NACO along with supervisory
months’ dispensation was already approved field visits.
in guidelines, however due to various issues
the access to it was very limited. Recently, 1. Score Card: The tool is developed with an
country has started 3-months’ dispensation intention to provide performance status of each
for stable PLHIV since September 2018 in a ART centre on pre-decided critical indicators
phased manner. The number of patients on in an individual state at a single glance to the
3-MMD is 1,88,817 (1,36,443 for TLE and programme managers at SACS.
52,374 for ZLN) as of September, 2019. 2. Quarterly Feedback Report: The report
• Intensified Adherence Counseling: It has is developed by NACO to provide feedback on
been observed from programme data, that the position of the state’s performance on the
more than 30% PLHIV drop out of treatment indicators critical in way to achieve the India’s
within the first 3 months of ART initiation. committed target of 90-90-90 by 2020.
Therefore, it is important to counsel and

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3. Review of Care, Support & Treatment 3. Other recent initiatives:

under NACP: To review the performance and
I. Verbal Autopsy to assess cause-specific
activities of CST in the States, besides the annual
mortality rate among PLHIVs :
review meeting, interim review meetings are
held. This financial year interim review meeting It is well known that late diagnosis and
was held in three batches under the chairmanship opportunistic infections like TB are common
of DDG (CST) on 2nd, 3rd, 9th September 2019 in cause of mortality among PLHIV. However, the
NACO. The review meeting was attended by PD/ current literature evidences in India on the causes
APD SACS, Joint Director (CST) from States, of death among PLHIV is limited. Proper medical
Regional Coordinators, representatives from SR autopsy of deceased PLHIV certifying cause of
Partners, TSUs, representatives from developing death is not available in most of the cases due to
partners and NACO officials. various operational issues. Understanding the
4. Review of Special-25 ART Centres: causes of death among the PLHIV registered at
Around 25 ART Centres across the country Government ART Centres, could provide newer
catering to high/medium load of PLHIVs on ART insights and help to generate evidences and
were identified to be having poor performance directions for future interventions and strategies.
consistently. In order to review the functioning Henceforth, NACO is planning to conduct an
of these ART centres, meetings were held in exercise of  verbal autopsy to ascertain the cause
two batches during 17-18 September 2019 in of death among a sample of the deceased PLHIV
Hyderabad and during 23-24 September 2019 in registered in the ART Centers.
Delhi.
In this regard, a National Consultation was
Other activities conducted on 29-May 2019 by NACO for this
purpose. The consultation was attended by senior
1. Meeting of Paediatric and Adult Technical
NACO officials, representatives from PCoEs,
Resource Groups: The meeting for Paediatric
CoEs and experts from the field of HIV. There
Technical Resource Group (TRG) was held on
were representatives from WHO, CDC, USAID,
23rd August 2019, and TRG meeting for Adult
I-TECH, SHARE-India, NARI, CHAI, NCPI and
and Adolescents was held on 27th August 2019,
FHI 360.
to review ART strategies and ARV regimens for
paediatric age group and adults respectively. As a follow up to this consultation, it was decided
to train the ART staff in the selected ART centres
2. ARV Forecasting and Quantification
in two batches for a period of three days on Verbal
Working Group Meeting: The ARV drug
Autopsy tools. In this regard, a capacity building
forecasting and quantification meeting for adult
of the ART staff consisting of SMO/ Medical
and paediatric regimens was held on 21st October
2019 in Delhi to discuss methodologies and Officers, Counsellors, Regional Coordinator and
assumptions related to ARV drug forecasting and TSU from the North & North-East region along
calculate drug requirements till March 2023 per with the CST NACO Officials was conducted on
facility. The meeting was attended by working 26-28 June 2019 at Delhi. During the training,
group committee members, NACO officials and the participants were apprised of the principles
representatives of development partners. and trained on the Tools for Verbal Autopsy. The
participants were also given a demonstration

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on Communication Techniques for conducting that the top 20% of its’ suggested names were
interviews. able to accurately identify around 70% of all LFU
patients. Identifying those at risk of becoming
II. Self-Verified Adherence (SVA):
LFU would allow the program to provide pre-
The ART centre staff were trained for SVA on emptive counselling to target patients and in
15-16 April 2019 at Delhi. Initially, the pilot was potentially decreasing loss-to-follow-up among
conducted at 13 ART Centres and later expanded PLHIV receiving ART.
to 7 more centres making it to 20 centres across-
IV. Gazette of India notification regarding
India. The SVA intervention utilizes the following
establishing ART Centers in Medical Colleges:
strategy:
Gazette of India has published a notification on
• Augmented pill box packaging: One Toll 25 June 2019 regarding establishing ART Centers
Free number will be pasted on the existing in all government and private Medical Colleges;
medicine bottles. The patient will be the Amendment Notification in “Minimum
required to call on the Toll free number at Standard Requirement MBBS Admissions
the time he/ she takes the medicine and gets Annually Regulation, 1999” following addition
recorded at the dashboard. The calls made has been done in Clause A.1.24 as “Every Medical
are used for adherence monitoring. College should have ART Centre and facility
for management of MDR-TB at the time of 4th
• For patients who are not calling on toll free
renewal for admissions of 5th Batch of MBBS
number, SMS or IVR reminders are sent to
students”. In reference to this, NACO is pursuing
patients to remind them to take medications,
all Medical Colleges (Government and Non-
and to ART Counsellors to remind them to
Government) to establish ART Centres.
counsel their patients on adherence. In case
the client does not call even after a reminder, VIRAL LOAD (VL) TESTING
the outreach worker pays the client a visit
Towards the achievement of the third 90 (i.e.
for intervention.
90% of those initiated on antiretroviral treatment
Currently 890 patients are enrolled in SVA and should have suppressed viral load), NACO has
their adherence is 81% (Calls + Manual). With scaled up the nationwide network of HIV-1
this intervention, the program plans to build the Viral Load testing facilities in a phased manner.
habit formation of the client on drug consumption The initiative will provide free of cost VL testing
behaviour and avoid missing doses through for more than 13.5 lakh PLHIV on treatment
reminder SMS. This will further lead to real time in the country at least once a year.“Viral Load
monitoring of the adherence of the patient thus, test is of immense importance to monitor the
enabling early support action when the patient effectiveness of treatment of patients taking
misses a dose. lifelong Antiretroviral Therapy.
III. Predictive Analysis: For improving A total of 3,31,634 patients have been tested in FY
retention, NACO has developed a predictive 2019-20 (till October) with an average suppression
model capable of identifying on-treatment of 79.7%. The pictorial graph shows the state wise
patients that are likely to become LFU in the next 4 average suppression:
months using IMS data. The model demonstrated

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HIV-1 PCR laboratories for children under 18 There are total 485 CD4 testing machines under
Months NACP which are installed at 463 CD4 testing
centers. Recently, NACO has replaced 108 CD4
EID is a National HIV/AIDS care and treatment
machines which were getting old and were facing
program in India with the objective to diagnose
frequent break down under buy back. After
HIV-1 infection in infants and children <18
replacement programme has 124 BD Fluorescence
months.
Activated Cell Sorting (FACS) Count Machines,
Currently, there are 6 EID referral laboratories. The 20 BD FACS Calibur machines, 130 Sysmex
current test of choice is the HIV-1 PCR which machines, and 221 Point of Care CD4 machines.
detects HIV pro-viral DNA & RNA. Hence, it is A total of 11,92,134 tests were performed in FY’
used to diagnose HIV-1 infections in infants less 19-20 (from April 2019 to October 2019).
than 18 months.
To strengthen the implementation of Quality
Initially, there were 1,157 EID centres where DBS Management System, all Lab Technicians of
of infants were collected. This is being upscaled CD4 labs undergo annual training conducted by
to 5,266 standalone ICTCs. From April 2019 to NACO and SACS.
October 2019, a total of 7,264 babies were tested
EXTERNAL QUALITY ASSURANCE (EQA):
and 130 babies were found confirmed positive on
PCR. The EQA was set up to ensure high reliability
and validity to the HIV and CD4 tests under the
New initiatives: Evaluation of Gene Xpert
programme and higher levels of proficiency in the
platform for HIV diagnosis of EID babies. The
participating laboratories.     
“Xpert® HIV-1 Qual assay” can be utilized as
point of care (POC) for diagnosing HIV infection NEQAS categorized the laboratories into four
using DBS specimens. This can be useful for early tiers, as follows:
initiation of treatment leading to achieve the
Apex Laboratory (first tier) - National AIDS
second 90 of 90-90-90 goal.
Research Institute (NARI), Pune, National
CD4 Testing level: 13 (NRLs) (second tier), State level: 117

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State Reference Laboratories (SRLs) (third tier), and Neurosciences (NIMHANS), Bangalore are
Districts-level: all standalone ICTC. members of the consortium. These laboratories
form ‘Consortium for Quality’ developed by
Thus, a complete network of laboratories has been
NACO for kit evaluation.
established throughout the country. Each NRL has
attached SRLs for which it has the responsibility of Being a Premier institute working in the field of
supervision. Each SRL, in turn, has ICTC which HIV, ICMR-NARI is designated as secretariat of
it monitors. One Technical Officer at each SRL the consortium.
is supported by funds from NACO to facilitate
In FY 2019-20, a total of 57 batches of kits are
supervision, training and continual quality
evaluated (including 53 HIV; 2 HBV and 2 HCV).
improvement in all SRLs and linked ICTCs.
CD4 EQA
EQA for HIV is done in two ways:
NACO established EQA for CD4 count estimation
A. Panel Testing: status of panel testing given
for the laboratories linked to ART centers.
below (first quarter),
NARI, Pune functions as an apex laboratory for
• participation and performance of NRL in conducting the EQA for all these laboratories with
FY 2019-20 was 100% two rounds every year. NARI, Pune is engaged
• participation and concordance of SRL in FY in CD4 proficiency program nationwide, that
2019-20 was 86% and 96.9% respectively provides stabilized blood samples as proficiency
• participation and concordance of ICTCs in panels to the participating laboratories, analyzes
FY’ 19-20 is 76.9% and 96.9% respectively the data received from participating laboratories
and provides proficiency reports to the respective
B. Re-testing/ Reverse Testing: In two quarters laboratories. The apex laboratory is co-
of FY 2019-20, percentage of participation coordinating all these activities with the support
of ICTCs was 89 %, and concordance was from NACO, Delhi.
99.9%
The average participation of CD4 labs in FY’ 2019-
Consortium for kit quality testing: 20 is 83.9% and average performance is 83%.
The evaluation of diagnostic kits for transfusion Improvement in Quality Management Systems
transmitted infections, before using in field, is an (QMS) and accreditation of HIV and CD4
important aspect of obtaining good quality kits. testing Laboratories
In this direction, a consortium of four National
Reference Laboratories (NRLs), formed in 2010 In an effort to strengthen quality of HIV and CD4
by the support of NACO, is working constantly testing, continuous mentoring and supervision
to achieve its mission of testing the quality of to implement and improve the QMS of HIV
diagnostic kits for HIV, Hepatitis B and C virus and CD4 testing laboratories is undertaken.
which are being used in the national program NACO is providing support to NRLs/ SRLs &
by establishing an uniform approaches and CD4 laboratories for accreditation. Out of 130
procedures of testing. Four NRLs named ICMR- referral laboratories (13 NRLs and 117 SRLs), 90
NARI, Pune, National Center for Disease Control laboratories (13 NRLs and 77 SRLs) have been
(NCDC), New Delhi, ICMR-National Institute accredited by National Accreditation Board for
of Cholera and Enteric diseases (NICED), Testing and calibrating Laboratories (NABL)
Kolkata and National Institute of Mental Health as per ISO 15189: 2012 standards. Apart from

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this, another 8 SRLs have applied for NABL proposed to apply for NABL certification. The
accreditation. Out of 53 CD4 labs co-located with same has been approved by SS & DG, NACO &
either SRL or NRL, 43 labs are NABL accredited. RNTCP. The validity of certificate is for 3 years.
Improvement and Implementation of Quality NABL certification is regarded both nationally &
Management System (QMS) at Standalone internationally. It also provides formal recognition
ICTCs in cluster districts of competent laboratories, and also enhances
customer confidence in accepting testing results.
To extend the scope of QMS to ICTCs, NACO
has laid Quality standards and implemented Monitoring and Evaluation
a checklist for implementation of quality in
Programme Monitoring
ICTCs in the cluster districts of Andhra Pradesh,
Maharashtra, Manipur, Mizoram and Nagaland. Programme monitoring is vital to evidence-
based national AIDS response. The current IT
Out of 277 ICTCs in cluster, a total of 131 (AP=
enabled system comprise individual clients-based
60, Mumbai= 12 and Manipur= 20, Maharashtra
TI data management tool (TMT), PLHIV-ART
= 21, Mumbai = 12 and Mizoram= 18) ICTCs
Link system (PALS), early infant diagnosis (EID)
have been awarded Certificate of Excellence.
system and inventory management system (IMS)
New Initiatives: while consolidated monthly reports are managed
through strategic information management
NABL certification for SA- ICTC:
system (SIMS). Among all, Strategic Information
Anticipating the need to maintain and enhance Management System (SIMS) is backbone of the
quality at SA-ICTCs, NACO introduced QMS programme monitoring and currently hosted
(Quality Management System) in ICTCs by issue on the MeghRaj Cloud of GoI. The reporting is
of Certificate of Excellence. ICTCs are graded mostly 80% or more across the components.
based on their performance and are awarded
Progress on Output-Outcome indicators
certificate of excellence by NACO. As on date a
total of 131 SA-ICTCs have been certified by To achieve the 2030 ‘End of AIDS’ goal through
NACO. 2020 fast-track targets, NACO has envisaged eight
output indicators and two outcome indicators
To move further, NACO was in contact with NABL
under the Output-Outcome Monitoring
to introduce a Quality Assurance Scheme (QAS)
Framework (OOMF) of NITI Aayog. The progress
for Basic Composite (BC) Medical Laboratories
on output and outcome indicators is given in
(Entry Level) under which SA-ICTCs were
following table.
Table 24.13.1 Achievement on output-outcome indicators
under National AIDS Control Programme during FY 2019-20

S. Indicator 2019-20
No
Target Achievement
(till
Output indicators (2019-20) November)
No. of High-Risk Group and Bridge Population covered through
1 62.52 lakh 66.59 lakh
Targeted Interventions

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No. of High-Risk Groups & Vulnerable Population covered

2 18.53 lakh 11.35 lakh
through LWS
3 No. of General Clients tested for HIV 230.00 lakh 191.59 lakh
4 No. of Pregnant Women tested for HIV 230.00 lakh 174.95 lakh
5 No. of Blood Unit Collected in NACO supported blood banks 80.00 lakh 50.26 lakh
6 No. of Blood Units collected through Voluntary Blood Donation 71.00 lakh 37.42 lakh
7 No. of STI/RTI patients managed 100.00 lakh 63.53 lakh
8 No. of PLHIV on ART (including private) 15.50 lakh 14.66 lakh
Outcome indicators (2018-19)
1 Percentage of people living with HIV who know their HIV status 85% 79%
Percentage of people who know their HIV Positive status and are
2 80% 82%
on ART

As a part of the fast-track targets, NACO is aiming quarterly/annual reports to various national and
to achieve 90-90-90 targets that translates into (i) international stakeholders on the India’s AIDS
ninety percent of all people living with HIV know response. The reporting also includes reporting on
their HIV status (first 90), (ii) ninety percent Global AIDS Monitoring (GAM) tool of UNAIDS
of all people with diagnosed HIV infection are which is done in spirit of political declaration
receiving sustained antiretroviral therapy (second made by 2016 high level meeting of United
90) and (iii) ninety percent of all people receiving Nations General Assembly towards Ending AIDS.
antiretroviral therapy are virally suppressed (third
Sankalak: Status of AIDS Response
90). The progress on 90-90-90 fast track targets is
given in following figure. ‘Sankalak: Status of National AIDS Response’
is the bulletin under NACP aiming to report
Figure 24.13.1: Fast Track Targets (90-90-90):
progress of national AIDS response on select key
National Scenario vis-à-vis global average
indictors as relevant to the 2020 fast track targets.
It summarizes the data, at national and State/UT
level, on epidemic and shows progress made under
prevention, detection and treatment components.
Sankalak contributes to regular and systematic
analysis and dissemination of the progress on
critical indicators informing the policy-makers,
NACP data reporting (National and programme managers and all other stakeholders
International): informing them what is working well and what
Programme monitoring reports the progress more to be done to achieve fast-track targets.
towards stated targets and goals through the HIV Sentinel surveillance among ANC and
various mechanisms at various levels. Monthly Prisoners
Cabinet Reports is a summary report to the
cabinet for each month on the key predefined The national HIV Sentinel Surveillance (HSS) is
indicators. Besides, there are various monthly/ mainstay of second generation HIV surveillance

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in India. This is one of the largest HIV surveillance towards the implementation of the project.
system across the globe providing evidences on
The NWG reviewed the methods and findings
the magnitude and directions of HIV epidemic
of the districts level HIV burden. The outcomes
in various population groups and geographical
of the work were further reviewed and approved
areas and, thus, provides inputs to programme for
by Technical Resource Group (TRG) on HIV
strengthening prevention and control activities.
Surveillance and Estimation.
The 16th round of HSS has been successfully
Research and Evaluation
implemented at 833 ANC and 48 prison sites
during and proposed to implement at around 580 Research & Evaluation is a vital component of
HRG sites during 2019. HIV Surveillance among Strategic Information Management.
prisoners under NACP was done in India for the
first time in 16th round of Surveillance. • Ten research studies initiated in 2018-19,
are going on to generate evidence through
India HIV Estimations-2019 operational research on critical gaps in
programme implementation. These areas
National AIDS Control organization (NACO)
vary from STI Prevalence Study, Airborne
periodically undertakes HIV estimation process
Infection Control in NACP facilities, HIV
to provide the updated information on the status
Drug Resistance in India, comprehensive
of HIV epidemic in India. First HIV estimation
integrated package for transgenders,
in India was done in 1998 while last round was
identifying & optimising testing strategies
done in 2017. India HIV Estimates 2019, current
in select areas, Unnao epidemiological
round in the series, is being done to provide
investigation, Study on Risk Perception
current status of HIV epidemic in country, States
among the youth, evolving framework for
and district on key parameters of HIV prevalence,
Stigma & discrimination, Evidence based
new infections and AIDS related mortality.
Guidelines for Opportunistic Infections etc.
In line with past practices “The expert
• There are five (5) completed projects on
consultation-cum-capacity building” workshop
priority areas identified by the programme
was organised during 27th to 30th August 2019
viz., Early ART, biomarkers to identify
where officers from regional institutes, State AIDS
immunological and virologic failure, service
Control Societies as well as members from national
linkages between HIV and family planning to
working group are trained on latest Spectrum
improve use of dual protection among HIV
model in the beginning of “India HIV Estimates
positive people, Use of PPTCT data for HIV
2019” round. Special Secretary & Director General
Surveillance, dose related pharmacokinetics
(NACO & RNTCP), inaugurated this workshop.
of Rifabutin during concomitant ritonavir
District level HIV Estimations administration in HIV infected TB patients.   
During 2019-20, NACO has undertaken district The Programme along with partner support
level PLHIV estimation through its institutes for has undertaken innovations pertaining to
HIV Surveillance and Estimation. A National HIV on virtual platforms as well as newer
working group was constituted under the prevention strategies. NACP in collaboration
chairpersonship of Director (ICMR-NIMS) and with USAID under LINKAGES through
Co-chairmanship of Addl. Director General FHI 360 & TARU undertook the next
(MES, NACO) for the implementation of the round of Grand Challenge which looked
project and decided to meet at regular interval at addressing the question of reaching out

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to hard-to-reach populations on virtual/ district levels. 

online platforms. Innovations in awareness
Synergies with other Key Stakeholders
generation, reaching out, risk assessment,
linkage to services were piloted through • Technical coordination with National
Gaming (One Key Venture), AI Chatbot Surveys e.g. National Family Health Survey
(Jubi) and Twistle (Twistle). Apart from (NFHS) and National Sample Survey (NSS)
this, demonstration projects and pilots have
also been undertaken on PrEP and HIV Self • Technical collaboration on Indo-foreign
testing. collaborative research proposals referred
by Health Ministry’s Screening Committee,
• Assessment and Evaluation Studies: and intra-mural research projects under
Under its Evaluation mandate, study on EID Project Review Committee on STI & HIV,
programme under NACP was successfully Indian Council of Medical Research
completed to understand the successes and
gaps in process, coverage, implementation, • Technical collaboration on DBT-ICMR
quality of services including linkages with programme for integrating the treatment
care, support and treatment, loss to follow cohorts through NACO and initiating
up and clinical outcomes. activities for integrating with the proposed
national bio-repository in this programme
• One Expert Committee meeting was and enabling storage of treatment samples;
organised this year – 15th meeting of the towards the same initiating policy and
NACO Ethics Committee. The Ethics funding integration; and exploration of joint
Committee reviewed 21 agenda items studies towards common goals in socio-
including research protocols, technical behavioural and epidemiological research
briefs from projects and informed consent through the platform
forms used under NACP for ethical review.
• India-Africa (India-SA MRC) platform
• Two meetings of the Working Groups through partnership in scientific areas
on Development of National Policy and of common interest, initiating policy
Technical Guidelines on Pre Exposure integration; and research knowledge
Prophylaxis Policy was organised on 7th exchange across regions;
October 2019 and 31st October 2019 at
NACO, Delhi. The Groups deliberated on • Indo-US Joint Working Group for technical
all aspects of PrEP implementation in the collaboration on HIV research
country. National Workshop on Development of
• Promoting Operational Research at local Technical/Policy Briefs
levels - This year, there was a consolidated A 3-day National Workshop was organised in
effort to promote Operational Research at collaboration with FHI 360 and UNAIDS from
SACS and involving the States in programme July 8-10 at Lucknow. Distinguished Experts,
formulation, data generation, evidence, and Researchers/Analysts form various Institutions,
planning processes. Programme Managers Programme Managers / Officers from NACO &
from SACS were involved in identifying SACS participated in the workshop. Eleven (11)
priority areas, conducting operational technical briefs were developed as part of the
research studies for finding localised workshop.
solutions to programmatic gaps at state and
National Consultation on Global and Local

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Evidence to improve HIV Cascade scientists, development partners and other key
stakeholders. The seminar series serves as a
In light of the fast track targets of 2020 and the
gateway for knowledge sharing, open dialogue
SDG target of “Ending the epidemic of AIDS”
of information, resulting into cross-learning on
by 2030, a National Consultation on Global and
new developments, programme management
Local Evidence to improve HIV Cascade in India
and strengthening NACO’s research agenda. The
was organised by NACO in collaboration with
‘Brown Bag Seminar Series’ has been playing a
USAID through Johns Hopkins from September
vital role, in creating a new culture of ‘learning
5-6, 2019  at  New Delhi. The consultation was
something new’ and ‘broadening our perspective’
attended by policy makers, researchers/scientists,
through sharing of knowledge and experiences
programme managers from NACO, SACS, TSUs,
over informal gatherings. Three talks were
senior experts, civil society, community and
organized during the FY 2019-20.
partner representatives.
• Aligned with the mandate to build capacities
Global and local evidence on key thematic areas
of programme managers at NACO, SACS
such as ‘Reaching the hardest of the hard-to-
and TSU level, NACO has developed a
reach populations in physical venues’, ‘Strategies
Cross-cutting Capacity Building Module
to engage virtual population in services’, ‘Newer
on NACP and structure of implementation,
prevention strategies’, ‘Novel models of health
with support from USAID under
care delivery’, ‘Strategies to improve adherence
LINKAGES through FHI 360. With regard
and retention in care’ and ‘Programme data:
to the same, a ‘Capacity Building Workshop
implications for policy and improving programme
on Cross cutting Capacity Building Module’
efficiency’ were showcased and deliberated upon
was organised in collaboration with
during the consultation.
LINKAGES from 18 – 20 June 2019 at Delhi.
Under the SI-Division, a new initiative in the The workshop focused on development
form of Brown Bag Seminar Series with the aim to and finalisation of the module. Officers
inform as well as build capacities and knowledge from NACO, SACS and TSU attended the
of programme managers at NACO and SACS, Workshop. As next step, training of trainers
civil society and community, academicians and and roll out of trainings at State level will be
undertaken.

Capacity Building Workshop on Cross cutting Capacity Building Module, 18–20 June 2019 at Delhi

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Exposure visits analysis of different datasets etc. It is mandated

to support and supervise SACS to strengthen
To build advocacy for HIV/AIDS research and
the capacity of staff at various levels particularly
orient young post graduate medical students
in analysing data and making better use of it
on the NACP, the Division facilitated exposure-
in decision making, performing on-site data
cum-training visits for Armed Forces Medical
validations and data verification for informing
College, Pune on 12 September 2019. Interactive
policy making and programme management at all
discussions and presentation on NACO overview,
levels including field units to SACS up to Central
NACP and Research & programme activities was
level.
held with the visiting students/faculty and NACO
officers at NACO.  This was followed by a field PROCUREMENT
visit facilitated by Delhi SACS.
Under the NACP, NACO provides free
NACO Internship Programme Antiretroviral (ARV) drugs to approx 1.39
Million PLHIV. In addition, approx. 48 Million
NACO has initiated the Internship Programme
HIV tests are conducted annually. NACO does
in 2018 for young students who wish to engage
the procurement of ARV Drugs, HIV testing
with the Government. The internship programme
Kits, Blood Bags & equipment etc. Procurements
envisages an opportunity for young students
are done through procurement Agent i.e. M/s
to get familiar with and understand the various
RITES Limited & Central Medical Services
dimensions of policy making & implementation
Society (CMSS) and direct contract management
of the (NACP). It serves as an exposure for the
by NACO. CMSS has been associated with
interns regarding functioning of GoI. It is mutually
NACO as a Procurement Agent since 2016. Now,
beneficial for the organization as well as students
Procurement of most of the commodities under
to have a structured internship programme under
the NACP is done through CMSS except the
the aegis of NACO, MoHFW.
commodities procured on direct contract basis.
Six interns successfully completed their
STRENGTHENING OVERALL CARE FOR
internship in the year 2019 (till November 2019)
HIV-PATIENTS
and have submitted project reports on varied
priority areas such as PPTC and EID programme As country moved towards 2020 fast track targets
of Delhi, HIV Epidemic in Bilwara district of and aims to “End of AIDS by 2030”, the program
Rajasthan, Bio Medical Waste Management of monitoring is being upgraded as client centric
needle and syringe in IDU and TI in Delhi, HIV IT enabled integrated monitoring, evaluation
status of spouse/ partner of pregnant women and and surveillance system with embedded supply
postnatal mothers, ARV guidelines, Review of chain management system under project SOCH
Implementation of Blood Transfusion Services. (Strengthening Overall Care for HIV- Beneficiary)
under Global Fund as one of critical interventions
DATA ANALYSIS & DISSEMINATION
to fast-track India’s AIDS response to achieve
Through Data Analysis & Dissemination, a key ‘End of AIDS’ by 2030.
component of Strategic Information, NACO
The existing Information Technology landscape
focuses on strengthening data quality, use and
for patient and inventory management across
management, systematic analysis, synthesis,
various components of National AIDS Control
developing standardized approaches, methods
Programme was fragmented and disparate, with
and tools for quality monitoring, validation and

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wide range of technologies, vintage and level of API based linkages with external systems like-
maturity systems. In spite of multiple systems CMSS e-aushadhi and Private Viral Load. By
there were functionality gaps and external linkages doing this, various users have been brought on
with IT systems used by other departments were an integrated platform and enabled benefits of
sub-optimal as also in terms of EHR standards integrated system being accrued by NACO in a
leveraging the tools and consolidated databases much shorter time span.
developed under various government initiatives
This has helped in integrating the different
for seamless flow of data across various programs.
database and enable beneficiary tracking across
NACO took the initiative to create one integrated HIV continuum and to prepare & train the end
IT system to ensure seamless interoperability users for SOCH and the feedback from users
through Global Fund Supported Project SOCH. helped us in improving on SOCH functionality.
Further to this, as all the systems are using the
Project SOCH (Strengthening Overall Care for
same Database.
HIV-Patients) is a digital transformation project
to assist in tracking and achieving the global Milestones achieved through MVP:
HIV target of 90-90-90. It involves integration of
 660 ICTC Counsellors have been trained to
existing standalone systems to enable seamless
make entries on the live system.
tracking of beneficiary and inventory across
HIV continuum, as well as enable electronic  372 ART Centres Lab technicians have been
data interchange with IT systems used by other trained to use Viral Load module developed
programs and departments intersecting with under MVP.
national AIDS Control Programme at beneficiary  238 ART lab technicians have started to
and/ or inventory level. make entries.
Minimum Viable Product (MVP) - SOCH  Total 91433 Private VL tests have been
recorded in the system.
Minimum Viable Product is a standard
 Total 44279 Public VL tests have been
methodology adopted in new product
recorded in the system.
development where users are provided a bare
bone version of the new product which allows the  54 Store officers have been trained to use the
user to experience the benefits of the proposed inventory module.
solution first hand and help product management  Pilot testing of OST module completed at
team to collect the maximum amount of validated Delhi and Manipur and Delhi OST centre
learning from users. MVP is a growth accelerator data managers have been trained to use the
for adoption rather than a shortcut. For SOCH it is system.
even more relevant as it eases product adoption for  Monthly progress report for care, support
end users by breaking the transition to an interim and treatment division have been developed
step and ensures broad base participation of front and now it’s being generated digitally.
line health workers and users in development of
final product. CAPACITY BUILDING/TRAININGS

Under MVP development and implementation, TI Revamped Strategy: Since TI Revamped

the functionality of existing systems like PALS, Strategy has been developed and is being
EID and IMS has been linked along with reusable implemented in the current year, capacity building
trainings have been undertaken to strengthen the

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understanding and nuances of implementation COLLABORATION WITH MULTILATERAL

of TI projects hence forth. Trainings have been ORGANISATIONS
conducted for TI personnel at NACO, SACS &
The partner and donor’s involvement and
TSU through Two national level and Five regional
participation in strengthening the national
level Training of Trainer (ToT). All the TI project
programme is crucial, and the collaboration
functionaries/staff are trained in TI Revamped brings evidence to the programme with new
Strategies at state/district level. initiatives. One of the strengths of the programme
Saksham-Prerak has been an active and engaging partnership
with our development partners such as USAID,
So far the progress made regarding the training CDC, UNAIDS, WHO, The World Bank and The
of ANM/Staff Nurse and Counsellor by project Global Fund, who have been working with the
Saksham-Prerak of TATA Institute of Social National AIDS Control Organisation (NACO)
Science (TISS) is as below: in addressing HIV/AIDS by contributing their
technical expertise and financial resources.
i. For Counsellor training ToT of Project
Saksham Prerak was conducted 27th to 30th The President’s Emergency Plan for AIDS Relief
August 2019 at Virar Mumbai. (PEPFAR)-USAID & CDC
ii. The training of ANM & Staff nurses on HIV PEPFAR has been a valued partner in the fight
& Syphilis screening of pregnant women against HIV/AIDS in India since 2003. Today,
has been rolled out as per plan and so far PEPFAR India focuses on providing technical
Saksham Prerak Project has been completed support along the prevention to care and
ANM training for 5366 Facilities in 19 State/ treatment continuum. PEPFAR works closely
UTs (285 Batches) and training in 11 States with the Government of India at both the national
are in the process. level, providing technical assistance for the NACP,
as well as at the state-level, providing technical
iii. Of these 1,676 facilities are newly created assistance under the Cluster Strategy.
FICTCs registered 1st  January, 2018
onwards till September 2019. National AID Control Support Project (NACSP)
supported by The World Bank:
iv. By mid of October 2019, all 36 state/UTs
shared the list of counsellor to be trained About the Project: The National AIDS Control
Support Project (NACSP) is a World Bank
under Saksham Prerak Project. Counsellors
financed project that is being implemented by the
contact training has been rolled out from
National AIDS Control Organisation, MoHFW,
September 2019 and by end of October 242
GoI from July 22, 2013 with a total funding outlay
Counsellor have been training in 8 batches
of Rs. 2,550 crores (on 50:50 sharing basis between
in 6 States
The World Bank and GoI) at extant exchange
v. Agency for developing E-learning platform rates. The initial closing date of the project was
for virtual training has been selected and 31.12.2017 which has been extended till June
in the same breath TISS Saksham-Prerak 2020 with restructuring of the project.
has requested to support for selection of In the NACSP, The World Bank supports NACO
Consultant to develop eLearning Module under three components:
Content.
1. Component 1: Scaling up of targeted

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prevention interventions for people to the TIs in the field.

belonging to high risk groups (HRG)
• It is planned to document best practices
2. Component 2: Information Education and and lessons learned from NACSP through
Communication (IEC) the World Bank support. The task team
3. Component 3: Institutional Strengthening from the Bank and NACO will work closely
on the documentation and dissemination
JIRM: As part of monitoring the progress of
exercise.
NACP, the World Bank conducts bi-annual
“Joint Implementation Review Mission (JIRM)” • With the next JIR planned for March-April
consisting of multi and bilateral partners. Last 2020, partnership of 27 years between
JIRM was conducted from July 15 to August 2, the World Bank and GoI will come to an
2019. The team visited Haryana and Mizoram end. Necessary inputs to prepare NACSP’s
states and shared their inputs with the respective Implementation Completion and Results
SACS and NACO team. The World Bank team (ICR) report will be discussed and finalized
also carried out a Technical Mission from 17th – during the next JIR.
18th October 2019.
SAHAS (Global Fund Grant 2018-2021)
Updates on the NACSP:
NACO has been allocated a budget of USD 102.6
• As per the report shared by The World million and non-Government PRs have been
Bank, NACO has sustained momentum allocated USD 52.7 million for the grant period.
in implementation of activities across all In this grant, various programmatic activities
components of the NACSP. At the same have been budgeted with a vision to move towards
time, technical progress on priority NACSP fast track targets of 90-90-90 by 2020 and as its
interventions to scale up the “seek, test, commitment to the end of AIDS as a public health
and treat” approach and strengthening of threat by 2030.
NACO’s institutional capacity are on track.
The grant has been allocated to the HIV
This progress has translated into increased
Programme for the following activities:
project disbursement from 54% in January
2019 to approximately 73% of the total IDA • National Programme Management Unit
allocation at the end of September 2019.
• Prevention of Parent to Child
• NACO’s TI Division has adopted a Transmission of HIV (PPTCT
“differentiated approach” towards HIV
prevention. Training of trainers on the • Procurement Refurbishment of ICTCs
revamped strategy is now complete and and for community based testing
training of field-level staff is ongoing. • Procurement ARV drugs
NACO has initiated the pilot for mapping
and population size estimation (MPSE) • Supply Chain management-
of high-risk groups (HRGs) in four states; • Lab services
results will be the first update since the
2009 estimate. This revision in population • Differentiated Care Centres
estimates will assist NACO to expand • Capacity Building
their coverage appropriately. The TSUs are
functional and providing ongoing support • Project SOCH

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Blended clinical training programme

The Blended Clinical Training (BCT) Project, aims classroom training programmes.
to build the capacities and skills of government
• Under Lab Services Online Training for Lab
health care providers, including medical officers,
Technicians working at SA- ICTC has been
nurses, and laboratory personnel. Two key
started in Delhi, Goa, Manipur, Chandigarh
components of the capacity building are (1)
and Pondicherry. Online training in Kerala,
clinical training for multiple cadres (including
Tamil Nadu, Meghalaya, Sikkim and
Medical Officers, Nurses and Laboratory
Nagaland will start in December.
personal around 16,000 across the country) that
is delivered online and offline (2) ICT-enabled • The classroom training has already been
learning needs assessment, training scheduling completed in Goa and Delhi.
and delivery, tracking of participant progress
Labs for Life Project (L4L):
and refresher/mentorship needs through online
assessments, and participant certification on The 3rd phase of the L4L project, a partnership
successful completion. This project is an initiative initiative between NACO, MoHFW, CDC-India
of the National AIDS Control Organization and Becton Dickinson, started in September
(NACO), and Solidarity and Action against 2018. The project focuses on the 22 ART co-
the HIV Infection in India (SAATHII) is the located public health laboratories in Andhra
implementing partner. The key components Pradesh and Maharashtra cluster districts which
under the project are training for multiple cadres were identified in the 2nd phase.
who will be trained through online and class room
based sessions. The online training will be done • Under the 3rd phase of the project, the
through ICT-enabled Learning Management specific objectives are following:
System (LMS). The training modules have been Training and Lab Mentorship: Two technical
developed for the field level staff which will cater modules developed on Opportunistic
to the requirements of the National Programme. Infections and Adverse Drug Reactions in
• As part of BCT, orientation of Senior Master PLHIV on Treatment. Also, a hand book for
Trainers was organised at Ahmedabad and ART Medical Officers has been developed
training of Master Trainers are underway. as a ready reckoner on Opportunistic
Infections & Adverse Drug Reactions and
• A pool of nearly 132 master trainers is Specimen collection & Interpretation of
created and they will be the resource results. These Modules have been circulated
person to conduct and look after the entire to all the ART MOs & Labs across the

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country. • Utilize multiple communication platforms

to deliver HIV and TB information: A TB
Specimen referral system/Innovative, cost-
survivor and an award winning documentary
effective sample transportation systems:
filmmaker, Rhea Lobo, has been identified
Conducted an assessment to map the current
to develop awareness videos highlighting
processes and challenges being faced in the
the case study of HIV/TB survivors
sputum specimen referral/transport system.
Development of an IT-enabled system for • Develop a Centre of Excellence (CoE)
tracking samples, testing and results is in form Phlebotomy, Injection safety bio-
progress medical waste management, and air-borne
infection: Under the 5th Objective of Labs
• Improve the access to TB diagnosis,
for Life Project-Phase 3, CoE for both the
drug resistance detection, and treatment
components i.e equipment management and
monitoring: a situational analysis of access
phlebotomy has been developed at GMC
to TB diagnosis and linkage to treatment
Aurangabad, inaugurated on 8th November,
among People Living with HIV/AIDS
2019.
(PLHIV) in Maharashtra and Andhra
Pradesh state is underway. It has been
cleared by the NACO Ethics committee and
the Institutional Review Board of Christian
Medical College, Vellore.

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25

Organization Chart
of
Department of Health
&
Family Welfare

443
ANNUAL REPORT 2019-2020
 ANNUAL REPORT 2019-2020
444
Joint Secretary
Shri Lav Agarwal
Joint Secretary
Shri Sudhir Kumar
Joint Secretary
Shri Vikas Sheel
Spl. Secy. (H)

Joint Secretary
Shri Sanjeeva Kumar

Shri Alok Saxena

Joint Secretary
Smt. Gayatri Mishra
DGHS

Economic Advisor
Shri Nilambuj Sharan
Dr. Sanjay Tyagi

Joint Secretary
Smt. Vandana Jain
AS&FA

CCA
Ms. Bharti Das
Dr. Dharmendra S. Gangwar

Joint Secretary
Dr. Manohar Agnani
Joint Secretary
Shri Sudhir Kumar
Joint Secretary
Smt. Rekha Shukla
Economic Advisor
Shri Nilambuj Sharan
Minister of State
Hon’ble Minister

Economic Advisor
Smt. Preeti Sudan
Secretary (H&FW)
Dr. Harsh Vardhan

AS&MD (NHM)

Smt. Preeti Nath

Smt. Vandana Gurnanai
Shri Ashwini Kumar Choubey

Joint Secretary
Smt. Preeti Pant
Joint Secretary
Shri Vikas Sheel
Joint Secretary
Shri Alok Saxena
Joint Secretary
Shri Sudhansh Pant

SS(AS)
Joint Secretary
Shri Sunil Sharma

Shri Arun Singhal

Joint Secretary
Dr. Mandeep K. Bhandari
Joint Secretary
Smt. Padmaja Singh
Chief Director (Stats)
Ms. Nivedita Gupta
DDG(Stats)

DG (Stats.)
Shri D.K. Ojha

Shri B.N. Tiwari

CHAPTER - 25
 CHAPTER -

26

Organization Chart
of
Directorate General of
Health Services

445
ANNUAL REPORT 2019-2020
 446
DGHS
CHAPTER - 26

Advisor (PH) DDG (M) Director (NCD) DDG (MH &IH) Director (CBHI) Addl DDG (AK) JS (RM)

CMO (PK)
Director (VM)
DDG (P) Director (NVBDCP) DDG (AK) Addl DDG (AM) DDG (S) Director (EMR)
Director (VM)
Director
CBHI Officials
(VM) DADG (MPR)
Director (HQ)

ADG MO Spl. MO Director (HQ) CMO

ADG (ME) Addl DDG (BRS) Dir(NML)&Dir(FRSL) CMO (NFSG) CMO (PK) DADG (MPR) MO Spl. Gr.III SMO
(TJ) Gr.III

Director (VM) Director (VM)

Addl. DDG (SK) MO Addl DDG (PS) ADG (TJ)

ADG (Lep) DADG (Lep) Addl. DDG (SK) Director (VM) DADG (MPR) CMO (PK) Addl DDG (AM)
Addl DDG (AM) Director (HQ) Director (GM)

Director (Proc)
Director (VM) DD (Lep)
CMO (IG)
Director (CSP) Director (GM) Director (VM)

DD (Admn.) DD (VP) DD (Gen) DD (VP)

DD (Pro) DD (O&M) DD (SS)

DD (Nut. & MG)) DD (Lep)

ANNUAL REPORT 2019-2020

DD (AC) DD (SKT)

Administrativ Recruitment
ME Cell / ME
Administratio MH I and MH- General O & M and MH-II (RRs, e Vigilance Rules of
Procurements Nutrition & Leprosy Section / NML
n and III Sections, Administratio Coordination AIIPMR, IOS, MSO matters, ACR, Leprosy
of Medical IDD Cell, MG Section / FRSL /EPI
Establishment EMR and n matters matters RHTC) PH (IH), PH Institutes and
equipments Section (BCG / CRI)
Matters CBHI (CDL), RD Cell other imp.
matters
 CHAPTER -

Summary of Important
Audit Observations 27
Status of Action Taken Notes in r/o Audit Observations on
C&AG Paras against Deptt. of HFW (F.Y. 2019-20)

Sl. Report No. Para No. Brief Subject of Paras Status of Action taken
No. (Date of Note (ATN)
Laying of
the Report)
1. 18 of 2015 7.1 Central Government Health Scheme - ATN is finally approved
(08.05.2015) (CH.- Overpayment of Transport Allowance by the Audit for closure.
VII) under Central Government Health The matter is however
Scheme (CGHS) – The Doctors of Central sub-judice.
Government Health Scheme (CGHS) in the
Super Time Administrative Grade (SAG)
scale were incorrectly being paid Transport
Allowance at the rate of `7000 per month
at par with the officers at the level of Joint
Secretaries of the Central Government
Departments. However, they were entitled
to transport allowance of `3200 per month
only in terms of the Office Memorandums
issued by the Ministry of Finance. The
incorrect application of rules by the CGHS
led to overpayment of Transport Allowance
of `5.74 crore to the Doctors between
November, 2008 and March, 2014.
2. 25 of 2017 Entire Performance Audit of Reproductive and Final ATNs submitted
(21.07.2017) Report Child Health under NRHM. to the Monitoring Cell
(MC)/Audit and the
para has been closed.

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 CHAPTER - 27

3. 4 of 2018 9.1 International Institute for Population Final ATNs submitted

(04.04.2018) (CH.-IX) Sciences (IIPS), Mumbai - Irregularities in to the Monitoring Cell
award of contracts - The tender evaluation (MC)/Audit and the
committee for procurement of human para has been closed.
resource service irregularly disqualified two
bidders in contravention of procurement
policy of the Government thereby vitiating
the procurement process and defeating the
objective of the policy. In another case,
deviation from the evaluation criteria
stipulated in bid document led the work
being awarded to second ranked agency
resulting in additional expenditure of `2.42
crore.
4. 10 of 2018 Entire Performance Audit on Pradhan Mantri Final ATNs submitted
(07.08.2018) Report Swasthya Suraksha Yojana (PMSSY). to the Monitoring Cell
(MC)/Audit and the
para has been closed.

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Department of Health & Family Welfare
Ministry of Health & Family Welfare
Government of India

@MoHFW_INDIA mohfwindia