Medical Facilities in Tribal Areas



Medical Facilities in Tribal Areas

Public health being a state subject, the primary responsibility for providing good quality health services and infrastructure to the population lies with the State governments. However, under the National Health Mission (NHM), financial support is provided to States to strengthen their health care system including for improvements in medical facilities and setting up public health facilities in tribal areas based on requirements posed by the States in their Programme Implementation Plans.

All such tribal and LWE districts whose composite health index is below the State average have been identified as high priority districts and are entitled to receive more resources per capita under the NHM to strengthen their health care system as compared to the rest of the districts in the State and receive focused attention and supportive supervision. The list of all such High Priority Districts (HPDs), where the tribal population is in majority or they are affected by left wing extremism is given below:-

List of High Priority Districts
(Bottom 25% districts within a State taken according to raking based on Composite Index) plus LWE or Tribal districts falling in bottom 50%









*LWE =Left Wing Extremism, T = Tribal
As mentioned above, public health being a State subject, the primary responsibility for providing quality health services to the population including those in naxal affected areas is that of the State Government. It is true that there is a shortfall in number of health facilities in the country including in naxal affected areas.  Support under NHM is provided to States to set up new facilities and strengthening of existing public health facilities in terms of infrastructure, human resources, equipment, drugs and diagnostics etc with priority given to HPDs so that they are able to effectively  cater to needs of the population, particularly the women and children.


The Central Government is already providing conditional cash transfer under the Janani Suraskha Yojana (JSY) for promoting institutional delivery to reduce maternal deaths. The Central Government is also providing support to States for providing  completely free and cashless services including free diet, free transport, free drug and diagnostics, free blood services  to pregnant women including normal deliveries and caesarean operations and sick infant (up to one year after birth) in public health facilities under the Janani Shishu Swasthya Karyakram (JSSK).

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

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launched “Mission Indradhanush” on 25th December, 2014 with an aim to cover all those children who are partially vaccinated or unvaccinated. Mission Indradhanush will be a nationwide programme with the special focus on 201 high focus districts. These districts account for nearly 50% of the total partially vaccinated or unvaccinated children in the country.

Mission Indradhanush will provide immunization against seven life-threatening diseases (diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B). In addition, vaccination against Japanese Encephalitis and Haemophilus influenza type B will be provided in selected districts/states of the country. Vaccination against tetanus will be provided to the pregnant women.

The Mission focuses on interventions to rapidly increase full immunization coverage of children by approximately 5% annually and to expand full immunization coverage from 65% in 2014 to at least 90% children in the next five years.

Four special vaccination campaigns will be conducted between March and June 2015 and this will cover all children under two years of age and pregnant women for tetanus toxoid vaccine. This immunization campaign will be conducted for a period of 7-10 days every month for four consecutive months.

The government has sought technical support from various external agencies like WHO, UNICEF and Rotary to achieve the goals of this programme.

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.

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National Deworming Drive Launched in 11 States 

As per the study of the World Health Organization (WHO), 241m children in the 1-14 years age group in India are at risk of parasitic worms. As per World Health organization database (2012), it is estimated that 241 million children (68%) between the ages of 1 – 14 years in India are at risk of parasitic intestinal worms. 

Worms can cause anemia, under nutrition and impairment of mental and physical development. Scientific evidences available clearly indicate that intestinal worms cause chronic intestinal blood loss that result in anemia. 

Government of India has already launched National Deworming Day in 11 States/UT of India namely Assam, Bihar, Chhattisgarh, Dadra Nagar Haveli, Haryana, Karnataka, Rajasthan, Madhya Pradesh, Maharashtra, Tamil Nadu and Tripura. 

The salient features of this initiative are as follows:- 

All pre-school and school-age children (enrolled and non-enrolled) between the ages of 1 – 19 years were administered deworming drug i.e. Albendazole tablets through the platform of schools and anganwadi centres in order to improve their overall health, nutritional status, access to education and quality of life. 

Anganwadi workers provided deworming drug to all pre-school children (1-5 years) and all out of school children (6-19 years) at the Anganwadi centres and School teachers provided deworming drug to all school enrolled children of 6-19 years age as per the National guidelines. 

In addition, Government has provided detailed guidelines for implementation of deworming intervention alongwith training, awareness generation and ensuring sufficient stock supply of deworming drug. There are specific guidelines / protocols for adverse event management as well. 

National Deworming Day was launched in 280 districts across 11 States/UT. With an aim to avoid duplication of intervention, lymphatic filariasis endemic districts in these 11 states were excluded as administration of Albendazole is part of Mass Drug Administration (MDA) regime under lymphatic filariasis program. 

The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today. 

Medical Facilities in Tribal Areas Medical Facilities in Tribal Areas Reviewed by Ajit Kumar on 9:46 PM Rating: 5

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