Upgradation of Medical Institutions


 
Upgradation of Medical Institutions
With a view to upgrade and further strengthen medical education institutions in the country, the Government administers the following schemes:-

I. “Strengthening and up-gradation of State Government Medical Colleges for starting new Post Graduate (PG) disciplines and increasing PG seats” with fund sharing between the Central and State Government in the ratio of 75:25 under the scheme. Funds are provided to the Government Medical Colleges for infrastructure development, faculty and equipment. The current year’s initial allocation for the scheme is Rs. 299 crores.
II. “Establishment of New Medical Colleges attached with District/ Referral hospitals” with fund sharing between the Central Government and States in the ratio of 90:10 for NE/special category states and 75:25 for other states. The current year’s initial allocation for the scheme is Rs. 147 crores.
III. “Up-gradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country” with fund sharing between the Central Government and States in the ratio of 90:10 for NE/special category states and 70:30 for other states. The current year’s initial allocation for the scheme is Rs. 327 crores.
IV. Under the “Pradhan Mantri Swathya Suraksha Yojana” also Government Medical Colleges/institutions are upgraded, under which 58 Government Medical College/institutions have been identified.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
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Implementation Status of Two-Child NORM
As per National Population Policy (NPP), 2000, the family welfare programme in India is voluntary in nature which enables a couple to adopt the family planning methods, best suited to them according to their choice without any compulsion. The policy envisages promoting small family norm without prescribing for any number of children.
The Constitution (Seventy-Ninth Amendment Bill, 1992) was introduced in the RajyaSabha on 22nd December, 1992. The Bill seeks to amend the Directive Principles of State Policy to include promotion of population control and the small family norm. It also proposed to include in the Fundamental Duties, a duty to promote and adopt the small family norm. It has been proposed that a person shall be disqualified from being chosen as a Member of either House of Parliament or either House of Legislature of a State if the Member has more than two children. The proposed amendment will, however, have prospective effect and would not apply to any person who has more than two children on the date of commencement of these amendments or within a period of one year of such commencement.
As per the recommendation of the Parliamentary Standing Committee on Human Resource Development which considered the Bill, the Government might consider convening a meeting of the leaders of various political parties in Parliament for further consultation on the Bill to arrive at a consensus for its smooth passage in the Parliament. In pursuance of the this recommendation, meetings of leaders of various political parties were held on 14th August 1997 and 13th December 1999, but no consensus could emerge in favour of the Bill.
In view of the provisions of the NPP, 2000 affirming commitment of the Government towards voluntary and informed choice and consent of citizens while availing of reproductive health care services with target free approach in administering family planning services, launching of NRHM in April, 2005 and the re-affirmation of the then Hon’ble Prime Minister about commitment of the Government for voluntary and informed choice of availing reproductive health care services, where there is no place for incentives and disincentive, a draft Cabinet Note for withdrawal of the Bill was proposed in August 2007. However, no decision has been taken on the fate of the Bill.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
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Achievements Under NRHM
The key goals of the National Rural Health Mission (NRHM) at the time of its launch and achievements are as below:
key Goals

Achievements
Reduce Infant Mortality Rate (IMR) to 30/1000 live births by 2012
The IMR for the country  is 42/1000 live births as per SRS 2012
Reduce Maternal Mortality Ratio (MMR) to 100/100000 live births by 2012

The MMR for the country is 178/100000 live births as per SRS 2010-2012
Reduce TFR to 2.1 by 2012

The TFR for the country is   2.4 as per SRS 2012
Bring down Malaria Mortality Rate by 50% upto 2010 and additional 10% by 2012

The achievement is 46%.
Tuberculosis - maintain 85% cure rate through the entire Mission period and also sustain planned detection rate

The treatment success rate which is a sum of Cured and Treatment completed is 88%.
Engage 4,00,000 female Accredited Social Health Activist (ASHAs)
8.66  lakhs ASHAs were  engaged as on 31 March,2012

Although goal of IMR, MMR and TFR were not achieved, the Infant Mortality Rate (IMR), Maternal Mortality Ratio (MMR) and Total Fertility Rate (TFR) have shown accelerated decline post launch of NRHM. The percentage annual compound rate of decline in IMR during 2005-2013 rose to 4.5% from 2.1% observed during 1990-2005. The percentage annual compound rate of decline in MMR during 2005 to 2011 accelerated to 5.8% from 5.1% observed during 1990 to 2005. The percentage annual compound rate of decline in TFR during 2005-2012 has risen to 2.7% from 1.8% observed during 1990-2005. The achievements on many key indicators have not been as per the goals mainly on account of inadequate funding and governance challenges in certain States.
Certain instances of misuse of NRHM funds like mis-appropiation, diversion of funds from one pool to another without authorization, infructuous purchases etc. have come been pointed out through Audit in States like Uttar Pradesh, Assam, Bihar, Haryana, Jammu & Kashmir, Odisha and Rajasthan. The observations have been duly communicated to the concerned States for taking necessary remedial action.
Under the Universal Immunization Programme (UIP), seven vaccines are administered, namely, diptheria, pertussis, tetanus (DPT), polio, measles, bacillus calmette-Guerin (BCG), hepatitis B,Japanese Encephalitis (JE) (in endemic districts) and haemohilus influenza type b (Hib) as pentavalent vaccine combination (DPT + HiB + Hepatitis B) (in 8 States). These vaccines prevent diptheria, pertusis, tetanus, polio, measles, and severe form of childhood tuberculosis, hepatisis B, Japanese Encephalitis and disease caused by haemohilus influenza type b like meningitis, Pneumonia respectively.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
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WHO’s Action Plan for Prevention and Control of NCDs
WHO has developed a comprehensive Global Monitoring Framework and Action Plan for prevention and Control of NCDs (2013-2020), which was endorsed by the 66th World Health Assembly (WHA) in May 2013. The Framework includes a set of nine voluntary targets and 25 indicators which can be applied across regional and country settings.
India is the first country globally to adopt the NCD Global Monitoring Framework and Action Plan to its National Context. Regional Consultation to develop a comprehensive National Action Plan was organized by MoHFW and WHO Country Office for India in Guwahati (29-30 November, 2013), Bengaluru (13-14 December, 2013) and Delhi (19-20 December, 2013). Participants included over 250 senior health officials from the national, sub-national level (from all States and Union Territories), experts and civil society representatives.

The Government of India is implementing various NCD programmes as under through the State Governments:-
(i) National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS).
(ii) National Programme of Health Care of Elderly (NPHCE).
(iii) National Iodine Deficiency Disorders Control Programme (NIDDCP).
 (iv) National Programme for Control of Blindness (NPCB).
(v) National Mental Health Programme (NMHP).
(vi) National Programme for Prevention and Control of Deafness (NPPCD).
From 2013-14 onwards, the interventions up to the district level for prevention, detection, diagnosis and treatment under NCDs programmes have been brought under the umbrella of National Health Mission (NHM). A flexi pool of funds for Non-Communicable Diseases (NCD) has been created.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
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WHO’s Action Plan for Prevention and Control of NCDs
WHO has developed a comprehensive Global Monitoring Framework and Action Plan for prevention and Control of NCDs (2013-2020), which was endorsed by the 66th World Health Assembly (WHA) in May 2013. The Framework includes a set of nine voluntary targets and 25 indicators which can be applied across regional and country settings.
India is the first country globally to adopt the NCD Global Monitoring Framework and Action Plan to its National Context. Regional Consultation to develop a comprehensive National Action Plan was organized by MoHFW and WHO Country Office for India in Guwahati (29-30 November, 2013), Bengaluru (13-14 December, 2013) and Delhi (19-20 December, 2013). Participants included over 250 senior health officials from the national, sub-national level (from all States and Union Territories), experts and civil society representatives.
The Government of India is implementing various NCD programmes as under through the State Governments:-
(i) National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke (NPCDCS).
(ii) National Programme of Health Care of Elderly (NPHCE).
(iii) National Iodine Deficiency Disorders Control Programme (NIDDCP).
(iv) National Programme for Control of Blindness (NPCB).
(v) National Mental Health Programme (NMHP).
(vi) National Programme for Prevention and Control of Deafness (NPPCD).
From 2013-14 onwards, the interventions up to the district level for prevention, detection, diagnosis and treatment under NCDs programmes have been brought under the umbrella of National Health Mission (NHM). A flexi pool of funds for Non-Communicable Diseases (NCD) has been created.
The Health Minister, Shri J P Nadda stated this in a written reply in the Rajya Sabha here today.
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No Ill Effects have been Observed in Animals on Use of Oxytoxin
There have been some reports in the Media regarding misuse of oxytocin injection. However, scientific data on the extent of such practices is not available.
The Indian Council of Agricultural Research (ICAR) has informed that no ill effects have been observed in the animals in experiments carried out on use of oxytocin. In view of the reports of misuse of oxytocin by dairy owners in milch animals, the manufacture and sale of oxytocin injection has been regulated under section 26 A of the Drugs and Cosmetic Act, 1940 published vide notification number G.S.R. 29 (E) dated 17.01.2014. Accordingly, the drug ‘oxytocin’ shall be manufactured for sale or for distribution or sold in the manner specified below, in addition to the provisions contained in the Drugs and Cosmetic Act and Rules made there under:
i) The manufactures of bulk oxytocin drug shall supply the active pharmaceutical drug only to the manufacturers licensed under the Drugs and Cosmetic Rules, 1945 for manufacture of formulations of the said drug.
ii) The formulations meant for veterinary use shall be sold to the veterinary hospital only.
Further, the Department of Animal Husbandry, Dairying and Fisheries have also issued an Advisory to all the State Governments to comply with the provisions of the above mentioned notification.
The Health Minister, Shri J P Nadda stated this in a written reply in the RajyaSabha here today.
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