Medical Colleges



Medical Colleges

Information in respect of Private Medical Collegesearingn more than thousand crores of rupeesper annum through admission in MBBSand Post Graduate medical courses is maintained centrally. However, in the case of private un-aided medical colleges the fee structure is decided by a Committee set up by the respective State Government under the chairmanship of retired High Court Judge in pursuance of the directions of the Hon’ble Supreme Court of India. It is for the Committee to decide whether the fee proposed by an institute is justified and the fee fixed by the Committee is binding on the institute.


The Medical Council of India after verifying the teaching and infrastructure facilities available at the medical colleges sends its recommendation to the Central Government, Ministry of Health & Family Welfare. Central Government issues approval/disapproval on the basis of MCI recommendation.

In the event of identification of fake faculty either on the basis of complaints or MCI’s own verification, the said college can be debarred for 2 years for making admissions in the MBBS course. The matter is also referred to Ethics Committee of the Council to investigate against the said fake faculty/Dean/Principal of college and action is taken against them as per the Code of Medical Ethics Regulation.

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

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NRHM 
The National Rural Health Mission (NRHM) was launched in 2005 to improve the healthcare services, particularly in rural areas. NRHM has been subsumed as a Sub Mission of the overarching National Health Mission (NHM) with the National Urban Health Mission as the other Sub Mission.Under NHM, support to States/UTs is provided for five key components:
(i)     Health Systems Strengthening including infrastructure, human resource, drugs & equipment, ambulances, MMUs, ASHAs etc under NRHM and NUHM.
 (ii)   Reproductive, Maternal, Newborn, Child and Adolescent Health Services       (RMNCH + A).
 (iii)  Communicable Disease Control Programme
(iv)    Non-Communicable Diseases Control Programme interventions upto District    Hospital level.
(v)   Infrastructure Maintenance- to support salary of ANMs and LHVs etc.
 Public Health being a State subject, support under NHM is provided to States/UTs based on requirements posed by the States in their l Programme Implementation Plans (PIPs).
 The State/UT wise allocation, release and expenditure under NHM for the F.Y 2015-16 is given below:
Sl. No.
States
2015-16
Allocation
Release
Utilization
1
Andaman & Nicobar Islands
28.21
24.44
7.46
2
Andhra Pradesh
616.13
496.01
538.39
3
Arunachal Pradesh
160.01
121.77
110.70
4
Assam
941.29
690.99
823.19
5
Bihar
1108.61
980.49
812.80
6
Chandigarh
14.24
18.68
10.50
7
Chattisgarh
479.38
354.45
440.70
8
Dadra & Nagar Haveli
11.37
10.42
8.37
9
Daman & Diu
9.11
8.62
7.77
10
Delhi
142.81
135.65
82.29
11
Goa
19.41
14.13
19.24
12
Gujarat
677.65
605.17
713.18
13
Haryana
249.33
289.86
312.01
14
Himachal Pradesh
197.92
207.98
141.83
15
Jammu & Kashmir
368.00
353.65
230.12
16
Jharkhand
493.37
355.17
379.60
17
Karnataka
706.09
727.37
740.74
18
Kerala
305.87
270.42
406.92
19
Lakshadweep
4.28
3.74
1.79
20
Madhya Pradesh
1085.37
997.25
1285.82
21
Maharashtra
1282.31
867.22
1088.92
22
Manipur
118.53
86.57
64.45
23
Meghalaya
131.00
90.19
69.02
24
Mizoram
97.87
68.74
69.47
25
Nagaland
108.75
75.10
48.87
26
Orissa
624.71
605.98
715.86
27
Puducherry
17.77
14.03
19.26
28
Punjab
284.75
185.17
434.85
29
Rajasthan
1069.38
1238.83
1242.42
30
Sikkim
45.86
31.16
33.89
31
Tamil Nadu
794.38
1030.25
1003.43
32
Tripura
139.08
93.52
77.80
33
Uttar Pradesh
2299.49
2501.89
2279.56
34
Uttarakhand
256.60
242.84
213.79
35
West Bengal
883.49
684.18
742.91
36
Telangana
440.58
352.55
229.32
Sub  Total
16213.00
14834.49
15407.24
Others
1100.00
0.00
0.00
Total
17313.00
14834.49
15407.24
1. Allocation is per Original outlay/B.E.


2. Release is only Central Grants and do not include State share. Release for the F.Y. 2015-16 is updated up to 11.02.2016 and  is provisional.
3. Utilisation includes expenditure against central Release, state release & unspent balances at the beginning of  the year. Utilisation figures are as reported by States/UTs up to 31.12.2015.


Statement showing component wise allocation, release and expenditure is given below:

Component wise Allocation, Release and Utilisation under NHM
[Rs. In crore]
Sl. No.
Programme
2015-16
Allocation
Release
Utilization
A.    NRHM-RCH  Flexible Pool

9818.56
8245.48
9943.28
1
RCH Flexible Pool
4348.32
3699.79
4899.06
2
Mission Flexible Pool
4926.09
4114.99
4647.21
3
Routine Immunization
200.00
158.20
278.83
4
Pulse Polio Immunisation
328.00
261.55
115.11
5
National I.D.D. Control Prog.
16.15
10.96
3.07
B.     Infrastructure Maintenance
4420.40
4850.64
4281.27
C.  Communicable  Disease Control Programmes
1160.68
885.25
525.82
a
National Vector Borne Disease Control Prog DddDisea(MalarDiseases Control Programme
463.13
316.85
135.84
b
Revised National Tuberculosis Control Prog.)
603.20
501.13
319.82
c
Natioinal Leprosy Eradication Prog.
35.50
20.80
27.41
d
Integrated Disease Surveillance Project
58.85
46.47
42.75
D.  Non  Communicable  Disease  Programmes -
National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke,National Programme for Control of Blindness, National Mental Health programme, National programme for Healthcare of Elderly, National Tobacco Control Programme

527.36
282.68
187.54
E.   National Urban Health Mission-Flexible Pool
1386.00
570.44
469.34
Grand Total
17313.00
14834.49
15407.24
Note:




1. Allocation is per Original outlay/B.E.



2. Release is only Central Grants and do not include State share. Release for the F.Y. 2015-16 is updated up to 11.02.2016 and  is provisional.
3. Utilisation includes expenditure against central Release, state release & unspent balances at the beginning of  the year. Utilisation figures are as reported by States/UTs up to 31.12.2015.

Public Health being a State subject, the implementation of NHM is done by the respective State/ UT Governments. Approvals under the NHM are provided to States/UTs for health systems strengthening including for infrastructure, human resources for health and programme managements, drugs and equipment, ambulances, Mobile Medical Units etc. So, most of the benefits flow to the people through healthcare services supported under NHM and not directly to the people. However, for beneficiary oriented schemes such as Janani Suraskha Yojana, payments are being made through Public Finance Management System (PFMS) directly into bank account of the beneficiary or through account payee cheques. Public Financial Management System (PFMS) is also being has been implemented in all the States /UTs to track the flow of funds under NHM.
The Health Minister, Shri J P Nadda stated this in a written reply in the Lok Sabha here today.


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Deworming Programme 

As per World Health Organization (WHO) database (2012), it is estimated that 241 million children (68%) between the ages of 1 – 14 years in India are at risk of parasitic intestinal worms.
In 2015, the Government of India launched National Deworming Day in 11 States/UT with a target of 10.31 crore children between ages of 1 – 19 years, against which a total of 8.98 crore children received deworming tablet (Albendazole), during the National Deworming Day 2015 with 85 percent coverage. State/UT wise details are given below:


Coverage for National Deworming Day (2015)
S. N.
State / UT
Target No. of children targeted
No. of children covered
Percent Coverage
1
Assam
72,43,398
41,70,211
58 %
2
Bihar
2,04,38,215
1,87,18,184
92 %
3
Chhattisgarh
9,78,008
9,16,596
94 %
4
Dadra Nagar Haveli
1,15,097
1,09,317
95 %
5
Haryana
29,04,534
25,59,886
88 %
6
Karnataka
85,49,700
74,92,685
88 %
7
Madhya Pradesh
2,08,51,407
1,84,90,500
89 %
8
Maharashtra
1,31,86,599
1,24,59,894
95 %
9
Rajasthan
1,31,74,518
1,11,75,137
85 %
10
Tamil Nadu
1,40,32,770
1,26,73,933
90 %
11
Tripura
16,55,313
10,75,434
65 %
Pooled Coverage
10,31,29,559
8,98,41,777
85 %

In 2016, the Government of India has launched National Deworming Day which has been observed on 10th February 2016 across the States/UTs, with the target of covering approximately 27 crore children. State/UT wise details are given below:



National Deworming Day 2016
Name of State/UT
No. of children targeted
Andaman & Nicobar Islands
106891
Andhra Pradesh
10500000
Arunachal Pradesh
529580
Assam
10028003
Bihar
43561977
Chandigarh
252786
Chattisgarh
2360937
Dadra & Nagar Haveli
118372
Daman & Diu
38690
Delhi
3594400
Goa
326378
Gujarat
5046955
Haryana
2853093
Himachal Pradesh
2314011
Jammu Kashmir
5310784
Jharkhand
12685756
Karnataka
14963173
Kerala
7602314
Lakshadweep
19000
Madhya Pradesh
15101901
Maharashtra
14947315
Manipur
1067247
Meghalaya
1166350
Mizoram
258463
Nagaland
851659
Odisha
16800000
Puducherry
437418
Punjab
9500000
Rajasthan
24968744
Sikkim
197518
Tamil Nadu
24317457
Telangana
8100000
Tripura
1084575
Uttar Pradesh
10500408
Uttarakhand
2292603
West Bengal
16032263
Total
269837021
placed at annexure II.
The Government of India is seeking technical assistance from WHO and an international organisation, namely, “Evidence Action, Deworm the World Initiative” for the effective implementation of National Deworming Day.
The Health Minister, Shri J P Nadda stated this in a written reply in the LokSabha here today.
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Online Appointment Facility in AIIMS 

Online Registration System has been launched in All India Institute of Medical Sciences (AIIMS), New Delhi on 04th July, 2015. The Online Registration System has linked all Departments of AIIMS, New Delhi on the Aadhar enabled software platform. The software can be utilised online or through a web-kiosk or through a call centre. As on 22/02/2016, 1.49 lac patients have benefitted by this facility. 

Online appointment facility has already been started in AIIMS, Bhubaneshwar, Raipur and Jodhpur. In AIIMS, Patna, online appointment facility has been started on trial basis. 

In some of the clinical departments for elective or non-emergency procedures there is a waiting time of up to 3-6 months. To reduce the waiting time, the Government has taken a number of steps i.e. recruitment of more faculties/Para medical/Nursing Staff, additional operation theatres/IPD wards and augmentation of patient care facilities. 

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

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Malaria Elimination Programme 

The National Framework for Malaria Elimination in India (2016-2030) has been launched. This framework has been developed with a vision to eliminate malaria from the country and contribute to improved health and quality of life. The new framework encourages all Indian States with different levels of malaria transmission to interrupt indigenous transmission of malaria in all States/UTs ahead of 2030. 

The Accredited Social Health Activists (ASHAs) have already been trained and have been provided rapid diagnostic test kits (RDT) for diagnosis of Malaria. 

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

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Inspection Of Medical Colleges 

The Medical Council of India (MCI) with the previous sanction of the Central Government made regulations prescribing minimum requirements in terms of infrastructure, faculty and clinical material for establishment of medical colleges. The requirements are indicated phase-wise and have to be met by the Medical Colleges for getting approval. The MCI adheres to these regulations for causing inspection of Medical Colleges. 

The Delhi High Court vide its order dated 29.12.2015 in WP (C) No.9663/2015 (RKDF Medical College Hospital And Research Centre &Anr. Versus Union of India & Ors.)held that MCI should submit inspection reports in all cases in the prescribed form. The Court further directed that in examining the deficiencies, both the MCI and the Central Government should bear in mind the observations made by the Supreme Court inPriyadarshini Dental College and Hospital case and in Rajiv Memorial case and added that refusal of permission, inter alia, ought not to be “for insignificant or technical violations.” 

The MCI gives an opportunity to the applicant/college to rectify the deficiencies noticed during the inspection. The MCI thereafter causes compliance verification before making recommendation to the Central Government. In the cases where the MCI recommends disapproval, the Central Government also gives a reasonable opportunity of being heard to the such applicant/College before taking a decision. 

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

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Top of Form
No Shortage Of Blood Banks 
                                                                                                                     
There is no shortage of Blood Banks in the country, and there are a total of 2708 Blood Banks in the country. There are 81 districts in the country that do not have a Blood Bank.  The list of these districts is given below:

S. No
State
Districts without Blood Bank with names
1
Andaman & Nicobar
Total 2 districts UT
 (Nicobar Group, Middle & North Andaman)
2
Arunachal Pradesh
Total 9 district of State
(East Kameng, West Kameng, KurungKumey, KraDaadi, Siang, Dibang Valley, Namsai, Tirap, Longding)
3
Assam
Total 9 districts of State
(Udalguri,Baksa, Chirang, Kamrup (Rural ), BiswnathChariali, South Salmara&    Mankasar, Hojai,vi           Charaidaow, West Karbi, Anglong)
4
Bihar
Total 5 districts of State
(
Araria, Arwal, Banka
Sheohar&Supaul
 )

5
Chhattisgarh
Total 11 districts of State
(Gariyaband, Balodabazar, Balod, Bemetara,  Janjgir,  Surajpur, Balrampur, Jashpur, Kondagaon, Sukma, Bijapur )
6
Gujarat
Total 1 district of State
(Ahwa-Dang)
7
Himachal Pradesh
Total 1 district of State
 (Lahaul&Spiti)
8
Jammu & Kashmir
Total 5 districts of State
(Reasi, Samba, Shopian, Ganderbal&Bandipora)
9
Jharkhand
Total 6 districts of State
 (Khunti, Ramgarh, Godda, Jamtara, Seraikela, Bokaro)
10
Madhya Pradesh
Total 2 districts of State
(Anuppur, Agar)
11
Manipur
Total 5 districts of State
(Tamenglong, Ukhrul, Bishnupur, Senapati and Chandel)
12
Meghalaya
Total 8 districts of State
( West Khasi Hills District, South-West Khasi Hills District, RiBhoi District, East Jaintia Hills District, North Garo Hills District, East Garo Hills District, South Garo Hills District, South- West Garo Hills District)
13
Nagaland
Total 3 districts of State
(Peren, Longleng&Kiphire)
14
Sikkim
Total 3 districts of State
DH, Mangan(N), Singtam(E) &Gyalsing(W)
15
Tripura
Total 3 districts of State (Khowai, Sepahijala, South Tripura)
16
Uttar Pradesh
Total 4 districts of State
(Amethi, Hapur, Shambhal&Shamli) 
17
Uttarakhand
Total 4 districts of State
Tehri, Rudraprayag, Champawat and Bageshwar

Total =
81

A large number of these districts are new and have recently been crafted out.  The number of the Blood Banks in the country, State/UT-wise is given below:



Number of licensed blood bank in India State / UT wise up to Nov. 2015
S.NO
NAME OF STATE
Public including Govt. Blood Banks
Private including charitable trust Blood Bank
TOTAL
1.     
Andaman & Nicobar
02
01
03
2.
Andhra Pradesh
32
93
125
3.
Arunachal Pradesh
09
01
10
4 *
Assam
37
28
65
5 *
Bihar
32
35
67
6
Chandigarh
03
01
04
7
Chhattisgarh
19
30
49
8
Dadra & Nagar Haveli
-
01
01
9
Daman & Diu
01
01
02
10    
NCT of Delhi
22
47
69
11.
Goa
03
01
           04
12
Gujarat
30
106
136
13
Haryana
26
50
76
14
Himachal Pradesh
19
03
22
15
Jammu & Kashmir
29
04
33
16
Jharkhand
26
18
44
17
Karnataka
40
153
193
18
Kerala
43
140
183
19
Lakshadweep
01
00
01
20
Madhya Pradesh
54
90
144
21
Maharashtra
74
236
310
22
Manipur
04
01
05
23
Meghalaya
05
02
07
24 
Mizoram
08
02
10
25 *
Nagaland
05
-
05
26 *
Odisha
63
20
83
27
Pondicherry                  
03
10
13
28 *
Punjab
48
53
101
29 *
Rajasthan
48
54
102
30
Sikkim
02
01
03
31
Tamil Nadu
102
198
300
32 *
Telangana
27
113
140
33 
Tripura
06
02
08
34 *
Uttar Pradesh
100
142
242
35
Uttarkhand
20
08
28
36
West Bengal
81
39
120

Total
1024
1684
2708

The National Blood Transfusion Council (NBTC) has vide reference No. S12015/1/2013-NACO (NBTC) dated 22nd December 2015 issued an order by which blood banks have been asked to put their stock availability status online on National Health Portal with following objectives:
(i)                 To ease the access of blood for patients.
(ii)               To increase transparency by display of stocks of blood & blood components in public domain.

National Health Portal provides platform for display of stock status of blood in blood banks. All the National AIDS Control Organization-supported Blood Banks in the country have been linked to the National Health Portal.

The Minister of State (Health and FW), ShriShripadYessoNaikstated this in a written reply in the LokSabha here today.

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Guidelines Regarding Availability of Ventilator Beds 

Since health is a State subject, it is the responsibility of the State Government to issue guidelines for providing ventilator bed facility in an emergency situation on immediate basis to seriously ill persons including accident victims in all Government/private hospitalsand take action against the hospitals, who refuse to provide treatment to seriously ill persons including accident victims. 

However, in pursuance of judgement of the Hon’ble Supreme Court in Writ Petition No. 235 of 2012, Ministry of Health and Family Welfare have issued guidelines in August 2015 to all States/UTs on Good Samaritans in which, inter alia, it has been mentioned that “Lack of response by a doctor in an emergency situation pertaining to road accidents, where he is expected to provide care, shall constitute “professional Misconduct” under Chapter 7 of the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulation, 2002 and disciplinary action shall be taken against such doctors under Chapter 8 of the said Regulations.” It is the responsibility of the respective State Government/UT to take action against the said hospitals. 

In so far as the three central Govt. Hospitals viz. Safdarjung Hospital, Dr. RML Hospital and LHMC are concerned, they have adequate number of ventilator bed facilities in an emergency situation. 

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

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Import of Medical Devices and Implants 

Globally, diseases of heart valve constitute a major cause of cardiovascular morbidity and mortality with rheumatic heart disease being the dominant Valvular Heart Disease (VHD) in developing countries including India. Indian Council of Medical Research (ICMR) has informed that as per experts, around 15-20% of total patients attending the hospitals with heart disease suffer from VHD. 

A position paper published by Federation of Indian Chambers of Commerce & Industry (FICCI) (2014-15) informs that Indian medical device industry is primarily import driven with imports contributing close to 75% of the market. Medical electronics and Hospital equipments and surgical instruments form more than 50% of sale with 87% being imported as per the document on “Recommendations of Task Force on the Medical Devices sector in India – 2015”. 

As informed by Department of Pharmaceuticals, the Government of India had taken up the issue with leading manufacturer of stents to reduce the prices voluntarily. As an outcome one manufacturer has reduced the prices of coronary stents by 10%. Further, a few other manufacturers have informed that there has been substantive reduction in prices of coronary stents manufactured by them. 

As informed by Drug Controller General of India, the Drugs & Cosmetics Act and Rules there under do not mandate that maximum retail price (MRP) should be indicated on the label. 

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

*****



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