COVID-19 UPDATES AS ON 23.3.2021

 

Ministry of Health and Family Welfare

Maharashtra, Punjab, Gujarat, Chhattisgarh, Karnataka and Tamil Nadu report a rise in Daily New Cases; account for 81% of daily new cases

Cumulative COVID19 vaccine doses inching closer to 5 cr

A record 32,53,095 vaccinations in the last 24 hours

Posted On: 23 MAR 2021 11:40AM by PIB Delhi

 

Six States- Maharashtra, Punjab, Karnataka, Gujarat, Chhattisgarh and Tamil Nadu- are reporting a surge in daily new cases. They together account for 80.90% of the new cases (40,715) reported in last 24 hours.

Maharashtra continues to report the highest daily new cases at 24,645 (60.53%). It is followed by Punjab with 2,299 while Gujarat reported 1,640 new cases. 

Ten states, as highlighted here, are displaying an upward trajectory in daily new cases. 

India’s total Active Caseload is rising after touching its lowest mark in mid-February. It stands at 3.45 lakh (3,45,377) today. A net incline of 10,731 cases recorded from the total active caseload in the last 24 hours. 

Three states, Maharashtra, Kerala and Punjab, account for 75.15% of total active cases in the country. Maharashtra alone accounts for 62.71% of the total active cases in the country. 

The graph below indicates the trajectory of the doubling time of COVID19 cases in India.

The Doubling Time has decreased from 504.4 on 1^st March, 2021 to 202.3 on 23^rd March, 2021.

Over 4.8 cr (4,84,94,594) vaccine doses have been administered through 7,84,612 sessions, as per the provisional report till 7 am today. The 1^st dose administration has crossed 4 cr mark today (4,06,31,153).

These include 78,59,579 HCWs (1st dose), 49,59,964 HCWs (2nd dose), 82,42,127 FLWs (1^st dose) and 29,03,477 FLWs (2^nd Dose), 42,98,310 beneficiaries aged more than 45 years with specific co-morbidities (1^st Dose) and more than 2 cr ( 2,02,31,137) beneficiaries aged more than 60 years.

 

HCWs		FLWs		45 to <60 years with Co-morbidities	Over 60 years	Total
1st Dose	2nd Dose	1st Dose	2nd Dose	1st Dose	1st Dose
78,59,579	49,59,964	82,42,127	29,03,477	42,98,310	2,02,31,137	4,84,94,594

 

As on Day-66 of the vaccination drive (22^nd March, 2021), more than 32 lakh (32,53,095) vaccine doses were given. Out of which, 29,03,030 beneficiaries were vaccinated across 48,345 sessions for 1^st dose (HCWs and FLWs) and 3,50,065 HCWs and FLWs received 2^nd dose of vaccine.

 

Date: 22nd March, 2021
HCWs		FLWs		45to<60 years with Co-morbidities				Over 60years		Total Achievement
1stDose	2ndDose	1stDose	2nd Dose	1stDose	1stDose			1stDose			2ndDose
69,929	73,804	1,42,159	2,76,261	5,59,930	21,31,012			29,03,030			3,50,065

 

India’s cumulative recoveries stand at 1,11,81,253 today. The national Recovery Rate is 95.67%.

29,785 recoveries were registered in the last 24 hours.

199 deaths were reported in the last 24 hours.

Six States account for 80.4% of the daily deaths. Maharashtra and Punjab each reported 58 casualties. Kerala and Chhattisgarh follow with 12 deaths each. 

Fourteen States/UTs have not reported any COVID19 deaths in the last 24 hours. These are J&K (UT), Goa, Uttarakhand, Odisha, Lakshadweep, Sikkim, D&D & D&N, Ladakh (UT), Manipur, Meghalaya, Mizoram, A&N Islands, Arunachal Pradesh and Nagaland.

                                                                                                                                        

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Ministry of Health and Family Welfare

Health and Wellness Centres Providing Mental Health Services

Posted On: 23 MAR 2021 4:32PM by PIB Delhi

 

As per the budget announcement 2017-18, 1.5 lakh Health Sub Centres and Primary Health Centres are to be transformed into Health and Wellness Centres (HWCs) by December, 2022. The roll out plan of Ayushman Bharat - HWCs is given as below:

·                                 FY 2018-19 = 15,000

·                                 FY 2019-20 = 25,000 (Cumulative 40,000)

·                                 FY 2020-21 = 30,000 (Cumulative 70,000)

·                                 FY 2021-2022 = 40,000 (Cumulative 1,10,000)

·                                 Till 31^st December 2022 = 40,000 (Cumulative 1,50,000)

Under Ayushman Bharat (AB-HWCs) provision of comprehensive primary care includes preventive healthcare and health promotion at the community level with continuum of care approach for all. Services at AB-HWCs are free and universal to all individuals residing in the service area including mental health services.

Besides expanding and strengthening the existing Reproductive and Child Health (RMNCHA+N) services and Communicable Diseases services, the functional AB-HWCs provide services related to Non-Communicable Diseases (NCDs) (screening and management for NCDs such as Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix) and incrementally adding other primary healthcare services for mental health, ENT, Ophthalmology, oral health, geriatric and palliative health care and trauma care etc.

Presently, as on 22^nd March 2021, 70,221 HWCs are functional across the country.

Mental Health services is part of the expanded package of services being incrementally rolled out under Comprehensive Primary Health Care.  Operational Guidelines for Care of Mental, Neurological and Substance Use (MNS) Disorders at Ayushman Bharat - Health and Wellness Centres have been shared with the States.

30 National trainers and 100 State level trainers for training Front line workers (ASHA & MPW) and 45 National Trainers and 100 State level trainers on the Training modules on MNS disorders. 27specialists are currently undergoing training to be National Level Trainers for training State level trainers for rollout of training for PHC Medical Officers.  States are in the process of training the respective cadres.

Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) provides treatment corresponding to a total of 1682 procedures under 25 different specialties including oncology, nephrology, cardiology and general medicine etc. Of these, a total of 10 packages pertains to the field of mental healthcare.

 

Status of operationalization of AB-HWCs as on 22.03.2021

S.N.	State/UT	No. of Functional HWCs as on 22.03.2021
		(As per HWC portal)
Total		70221
1	A & N Islands	80
2	Andhra Pradesh	3411
3	Arunachal Pradesh	211
4	Assam	2212
5	Bihar	1738
6	Chandigarh	28
7	Chhattisgarh	2675
8	D & N Haveli	60
9	Daman & Diu	30
10	Delhi	Not implementing the scheme.
11	Goa	102
12	Gujarat	5086
13	Haryana	725
14	Himachal Pradesh	741
15	Jammu & Kashmir	1114
16	Jharkhand	1462
17	Karnataka	5821
18	Kerala	2318
19	Ladakh	89
20	Lakshadweep	3
21	Madhya Pradesh	6252
22	Maharashtra	8603
23	Manipur	180
24	Meghalaya	248
25	Mizoram	139
26	Nagaland	218
27	Odisha	1631
28	Puducherry	119
29	Punjab	2551
30	Rajasthan	2482
31	Sikkim	62
32	Tamil Nadu	4286
33	Telangana	1593
34	Tripura	291
35	Uttar Pradesh	8225
36	Uttarakhand	661
37	West Bengal	4774
Total		70221

 

 

 

List of packages under Speciality – Mental disorders defined under AB PM-JAY

Sl. No.	AB-PMJAY Package Name
1	Mental Retardation
2	Mental disorders - Organic, including symptomatic
3	Schizophrenia, schizotypal and delusional disorders
4	Neurotic, stress-related and somatoform disorders
5	Mood (affective) disorders
6	Behavioural syndromes associated with physiological disturbances and physical factors
7	Mental and Behavioural disorders due to psychoactive substance use
8	Pre - Electro Convulsive Therapy (ECT) and Pre - Transcranial Magnetic Stimulation (TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electrocardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels)
9	Electro Convulsive Therapy (ECT) - per session
10	Transcranial Magnetic Stimulation (TMS) - per session

 

The Minister of State (Health and Family Welfare), Sh. Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.

 

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Ministry of Health and Family Welfare

Private Medical Colleges in The Country

Posted On: 23 MAR 2021 4:31PM by PIB Delhi

 

There are 276 Private Medical Colleges in the country.

As per information provided by the National Medical Commission (NMC), 82 Private medical colleges have been established after 2014.

As per information provided by the National Medical Commission (NMC), 37 applications for    establishment of private medical colleges have been received for the academic year 2021-22.

The India Medical Association (IMA) is a private organisation of registered medical practitioners and is not authorised to conduct inspection of medical colleges. The statutory body constituted under the provisions of the Indian Medical Council Act, 1956 to regulate medical education in the country was Medical Council of India (MCI) that has now been replaced with the National Medical Commission, constituted with effected from 25^th September, 2020. As per the information provided by the NMC, the number of private medical colleges that were found deficit in terms of requirement of faculty, infrastructure, equipment and clinical material on inspection by erstwhile MCI or by NMC during 2018-19, 2019-20 & 2020-21 is as under. These colleges were not granted permission of renewal to admit fresh batch of students.

Year	No. of Colleges
2018-19	56
2019-20	15
2020-21	3

 

State-wise details of Private medical colleges.

Sl. No.	State	Private Medical college
1	Andhra Pradesh	18
2	A & N Islands	0
3	Assam	0
4	Arunachal Praresh	0
5	Bihar	7
6	Chandigarh	0
7	Chhattisgarh	3
8	D& N Haveli	0
9	Delhi	2
10	Goa	0
11	Gujarat	13
12	Haryana	7
13	Himachal Pradesh	1
14	Jammu & Kashmir	1
15	Jharkhand	1
16	Karnataka	42
17	Kerala	21
18	Madhya Pradesh	9
19	Maharashtra	34
20	Manipur	0
21	Meghalaya	0
22	Mizoram	0
23	Nagaland	0
24	Orissa	4
25	Pondicherry	7
26	Punjab	7
27	Rajasthan	8
28	Sikkim	1
29	Tamil Nadu	27
30	Telangana	23
31	Tripura	1
32	Uttar Pradesh	31
33	Uttarakhand	2
34	West Bengal	6
	TOTAL	276

 

The Minister of State (Health and Family Welfare), Sh. Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.

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Ministry of Health and Family Welfare

Export of Vaccine to other Nations

Posted On: 23 MAR 2021 4:30PM by PIB Delhi

A sub-Group of the National Expert Group on Vaccine Administration for COVID-19 was constituted to consider all matters related to vaccine export of COVID-19 vaccines and take necessary decisions with due regard to domestic production and ensuring adequate availability for the national vaccine programme for COVID-19. This Sub-Group closely monitors the supplies.

External supplies of Made-in-India COVID19 vaccines started w.e.f. 20.01.2021. Supplies have been undertaken in the form of “Grants-in-aid”, commercial sales by the manufacturers and through GAVI’s COVAX facility. GAVI’s COVAX facility has more than 190 members including India. Country-wise details for supply of vaccines till 17 March 2021 are enclosed. More than 7.47 crore vaccine doses have been supplied to Stats/UTs within the country so far.

Once an epidemic takes form of a pandemic, its management has to be done keeping the entire globe as unit and in most circumstances, it is not possible to take either States-specific or country-specific approach. Hence, export of COVID-19 vaccine which facilitates global action to vaccination is important to simultaneously protect the high-risk population in all the countries of the world, thereby breaking the chain of transmission and minimizing chances of import of COVID-19 cases from foreign countries as well as neighbouring countries to India.

Low/middle income Countries as well as nations with limited access to pharmaceutical technologies are at debilitating disadvantages in dealing with the pandemic. To this end, Govt. of India has allowed only limited export of vaccines while according highest priority to domestic needs.

Supplies till 17 March 2021 (In lakhs)
Sl. No.	Country	Grant	Commercial	COVAX	Total Supplies
		Quantity	Quantity	Quantity
1	Bangladesh	20	70		90
2	Myanmar	17	20		37
3	Nepal	10	10	3.48	23.48
4	Bhutan	1.5		0.24	1.74
5	Maldives	2		0.12	2.12
6	Mauritius	1	1		2
7	Seychelles	0.5			0.5
8	Sri Lanka	5	5	2.64	12.64
9	Bahrain	1			1
10	Brazil		40		40
11	Morocco		70		70
12	Oman	1			1
13	Egypt		0.5		0.5
14	Algeria		0.5		0.5
15	South Africa		10		10
16	Kuwait		2		2
17	UAE		2		2
18	Afghanistan	5		4.68	9.68
19	Barbados	1			1
20	Dominica	0.7			0.7
21	Mexico		8.7		8.7
22	Dominican Republic	0.3	0.2		0.5
23	Saudi Arabia		30		30
24	El Salvador		0.2		0.2
25	Argentina		5.8		5.8
26	Serbia		1.5		1.5
27	UN Health workers		1		1
28	Mongolia	1.5			1.5
29	Ukraine		5		5
30	Ghana	0.5	0.02	6	6.52
31	Ivory Coast	0.5		5.04	5.54
32	St. Lucia	0.25			0.25
33	St. Kitts & Nevis	0.2			0.2
34	St. Vincent & Grenadines	0.4			0.4
35	Suriname	0.5			0.5
36	Antigua & Barbuda	0.4			0.4
37	DR Congo	0.5		17.16	17.66
38	Angola			6.24	6.24
39	Gambia			0.36	0.36
40	Nigeria			39.24	39.24
41	Cambodia			3.24	3.24
42	Kenya	1		10.20	11.2
43	Lesotho			0.36	0.36
44	Rwanda	0.5		2.40	2.9
45	Sao Tome & Principe			0.24	0.24
46	Senegal	0.25		3.24	3.49
47	Guatemala	2			2
48	Canada		5.00		5
49	Mali			3.96	3.96
50	Sudan			8.28	8.28
51	Liberia			0.96	0.96
52	Malawi	0.5		3.60	4.1
53	Uganda	1.00		8.64	9.64
54	Nicaragua	2.00		1.35	3.35
55	Guyana	0.8			0.8
56	Jamaica	0.50			0.50
57	UK		50		50.00
58	Togo			1.56	1.56
59	Djibouti			0.24	0.24
60	Somalia			3.00	3.00
61	Seirra Leone			0.96	0.96
62	Belize	0.25			0.25
63	Botswana	0.30			0.30
64	Mozambique	1.00		3.84	4.84
65	Ethiopia			21.84	21.84
66	Tajikistan			1.92	1.92
67	Benin			1.44	1.44
68	Eswatini	0.20		0.12	0.32
69	Bahamas	0.20			0.20
70	Cape Verde			0.24	0.24
71	Iran		1.25		1.25
72	Uzbekistan			6.60	6.60
73	Solomon Islands			0.24	0.24
74	Laos			1.32	1.32
Total		81.25	339.67	174.99	595.91

 

The Minister of State (Health and Family Welfare), Sh. Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.

 

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Ministry of Health and Family Welfare

Cabinet apprised on progress under National Health Mission (NHM) 2019-20

Posted On: 23 MAR 2021 3:23PM by PIB Delhi

 

The Union Cabinet chaired by the Prime Minister, Shri Narendra Modi was apprised on the progress under National Health Mission (NHM)during FY 2019-20 includingaccelerated decline in Maternal Mortality Ratio (MMR), Infant Mortality Rate (IMR), Under Five Mortality Rate (U5MR)  and Total Fertility Rate (TFR). It also noted the progress in respect of various diseases programmes like TB, Malaria, Kala-Azar, Dengue, Tuberculosis, Leprosy, Viral Hepatitis etc.

 

Details:

The Cabinet noted that NHM has envisaged new Initiatives in 2019-20 as:

 

·                Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative was launched to accelerate action to reduce deaths due to childhood pneumonia.

·                SurakshitMatritvaAashwasan (SUMAN) initiative was launched to provide assured, dignified, respectful and quality healthcare at no cost and zero tolerance for denial of services and all existing Schemes for maternal and neonatal health have been brought under one umbrella.

·                Midwifery Services Initiative aims to create a cadre of Nurse Practitioners in Midwifery who are skilled in accordance to competencies prescribed by the International Confederation of Midwives (ICM) and are knowledgeable and capable of providing compassionate women-centered, reproductive, maternal and newborn health care services.

·                School Health and Wellness Ambassadors Initiative has been launched under the AB-HWCs Programme in partnership with Ministry of Education to promote health and well-being through an active lifestyle amongst school children.

Implementation strategy and targets:

 

Implementation strategy:

The implementation strategy of Ministry of Health and Family Welfare under NHM is to provide financial and technical support toStates / Union Territories (UTs) enabling them to provide accessible, affordable, accountable, and effective healthcare upto District Hospitals (DHs), especially to the poor and vulnerable sections of the population. It has also aimed to bridge the gap in rural healthcare services through improved health infrastructure, augmentation of human resource and improved service delivery in rural areas and has envisaged decentralization of programme to district level to facilitate need-based interventions, improve intra and inter-sectoral convergence and effective utilization of resources.

 

Targets:

·                Reduce MMR to 1/1000 live births

·                Reduce IMR to 25/1000 live births

·                Reduce TFR to 2.1

·                Reduce prevalence of Leprosy to < 1 /10000 population and incidence to zero in all districts

·                Annual Malaria Incidence to be <I/1000

·                Prevent and reduce mortality &morbidity from communicable, non-communicable; injuries and emerging diseases

·                Reduce household out-of-pocket expenditure on total health care expenditure

·                Ending the TB epidemic by 2025 from the country.

 

Impact including Employment Generation Potential:

·                The implementation of NHM in 2019-20 lead to engagement of 18,779 additional Human Resources which includes GDMOs, Specialists, ANMs, Staff Nurses, AYUSH Doctors, Paramedics, AYUSH Paramedics, ProgrammeManagement Staff and Public Health Mangers on contractual basis.

·                The implementation of NHM during 2019-20 has led to further strengthening of Public Health system which also enabled effective and coordinated Covid-19 response.

·                U5MR in India has declined from 52 in 2012 to 36 in 2018 and the percentage annual rate of decline in U5MR during 2013-2018 has accelerated to 6.0 % from 3.9 % observed during 1990-2012.

·                Maternal Mortality Ratio (MMR) of India has declined by 443 points from 556 per one lakh live births in 1990 to 113 in 2016-18. A decline of 80% has been achieved in MMR since 1990, which is higher than the global decline of 45%. In last five years, Maternal Mortality Ratio (MMR) has declined from 167 in 2011-13 Sample Registration System (SRS) to 113 in 2016-18 (SRS).

·                MR has declined from 80 in 1990 to 32 in the year 2018. Percentage annual compound rate of decline in IMR during past five years, i.e. during 2013 to 2018, has accelerated to 4.4% from 2.9% observed during 1990-2012.

·                As per Sample Registration System (SRS), TFR in India declined from 2.3 in 2013 to 2.2 in the year 2018. The National Family Health Survey-4 (NFHS-4, 2015-16) also recorded a TFR of 2.2. The percentage annual compound rate of decline in TFR during 2013-2018has been observed as 0.89%.

·                In the year 2019, malaria cases and deaths declined by 21.27% and 20% respectively as compared to 2018.

·                The incidence of TB per 1,00,000 population has been reduced from 234 in 2012 to 193 in 2019. The mortality due to TB per 1,00,000 populations for India reduced from 42 in 2012 to 33 in 2019.

·                The percentage of Kala-Azar endemic blocks, achieving the elimination target of < 1 KA case per 10000 population, increased from 74.2% in 2014 to 94% in 2019-20.

·                The National target of sustaining case fatality rate (CFR) to less than 1 percent was achieved. The case fatality rate on account of Dengue in 2019 was 0.1%.

 

Expenditure: Rs 27,989.00 Cr (Central Share)

 

Beneficiaries:

NHM is implemented for universal benefit - i.e. entire population; services are offered to everyone visiting the public healthcare facilities with a special focus to vulnerable section of the society.

 

Details & progress under NHM during 2019-20 is as under:

 

·                Approvals of 63,761 Ayushman Bharat-Health & Wellness Centreswere accorded till 31st March 2020, 38,595 Health & Wellness Centres were operationalized against the target of 40,000 till 31st March, 2020. A total of 3,08,410 health workers which includes ASHAs, Multi-Purpose Workers (MPWs-F) / Auxiliary Nurse Midwife (ANMs), Staff Nurses and Primary Health Center (PHC) Medical Officers by the end of 31st March 2020.

·                There has been acceleration in decline of Maternal Mortality Ratio (MMR), Under Five Mortality Rate (U5MR) and the IMR since the launch of the NRHM/NHM. At the current rate of decline, India should able to reach its SDG target (MMR-70, U5MR-25) much before the due year i.e. 2030.

·                In 2019-20, Intensified Mission Indradhanush2.0 was conducted to reach the unreached and partially vaccinated children in 381 Districts across 29 States/UTs.

·                During 2019-20, around 529.98 lakh doses of Rota virus vaccine and 463.88 lakh doses of Measles-Rubella vaccine were administered in all states/UTs.

·                During 2019-20, around 164.18 lakh doses of Pneumococcal Conjugated Vaccine were administered in 6 states Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan, Uttar Pradesh & Haryana.

·                During 2019-20, 25.27 lakhs adults were administered with adult Japanese Encephalitis Vaccine (25 JE endemic Blocks of 9 Districts of West Bengal).

·                During 2019-20, 45.45 Lakh ANC check-ups had been conducted at over 16,900 health facilities across all State/UTs under Pradhan MantriSurakshitMatritvaAbhiyan (PMSMA) program.

·                LaQshya: Till 31st March 2020, 543 Labour Rooms and 491 Maternity Operation Theatres are State LaQshya certified and 220 Labour Rooms &190 Maternity Operation Theatres are National LaQshya certified.

·                In 2019-20, to strengthen the cold chain system in the country, cold chain equipment i.e., ILR- 283, DF- 187, Cold Box(large)- 13,609, Cold Box (Small)-11,010, Vaccine Carrier - 270,230 and Ice packs - 10,94,650 had been supplied to the States/UTs.

·                Approvals of 63,761 Ayushman Bharat-Health & Wellness Centreswere accorded till 31st March 2020, 38,595 Health & Wellness Centres were operationalized against the target of 40,000 till 31st March, 2020. A total of 3,08,410 health workers which includes ASHAs, Multi-Purpose Workers (MPWs-F) / Auxiliary Nurse Midwife (ANMs), Staff Nurses and Primary Health Center (PHC) Medical Officers by the end of 31st March 2020.

·                During 2019-20, a total of 16,795 ASHAs were selected making the total pool ASHAs 10.56 lakhs across the country by March, 2020.

·                National Ambulance Services (NAS): As on March 2020, 33 States / UTs have the facility where people can Dial 108 or 102 for calling an ambulance. 1096, additional Emergency Response Service vehicles were added in 2019-20.

·                During 2019-20, 187 additional Mobile Medical Units (MMUs) were added.

·                24x7 Services and First Referral facilities: During 2019-20, additional 53 facilities were operationalized as FRUs.

·                Kayakalp: 25 States & UTs, 293 DHs, 1,201 CHCs/SDHs, 2,802 PHCs, 668 UHCs, and 305 HWCs have scored more than 70% in 2019-20. 5,269 public health facilities have been awarded under this scheme in 2019-20.

·                Malaria: The total number of malaria cases and deaths reported in 2018 were 4,29,928 and 96 in comparison to 11,02,205 cases and 561 deathsreported in 2014, indicating a decline of 61% malaria cases and 83% deaths in comparison to the corresponding period of 2014.

·                Kala-Azar: At the end of December 2019, 94% Kala-azar endemic blocks have achieved the elimination target of <1 KA case per 10,000 population at block level.

·                Lymphatic Filariasis: In 2019, among 257 LF endemic districts, 98 districts have achieved microfilaria rate <1% and verified by Transmission Assessment Survey (TAS-1) and stopped Mass Drug Administration (MDA).

·                In relation to Dengue, the National target was to sustain case fatality rate (CFR)< 1 percent. The target was achieved as case fatality rate in 2014 was 0.3% and during 2015 to 2018, CFR has been sustained at 0.2%. Further in 2019, it has been reduced to 0.1%.

·                National Tuberculosis Elimination Programme (NTEP): A total of 1,264 Cartridge Based Nucleic Acid Amplification Test (CBNAAT) machines and 2,206 Truenat machines are operational at district level across the country. In 2019, 35.30 lakh molecular tests have been performed. This is 5 times increase as compared to 7.48 lakh during 2017. In 2019, 22,03,895 TB patients received Daily Regimen for treatment of Drug Sensitive TB compared to 19,71,685 in 2018. Introduction of newer anti-TB drugs: Shorter drug regimen and Bedaquiline based regimen rolled out in all State/UTs. In 2019, 40,397 MDR/RR-TB patients have been initiated on shorter regimen.

·                Pradhan Mantri National Dialysis Programme(PMNDP) was Launched in 2016 to support dialysis facilities in all district hospitals in the PPP mode under NHM. During FY 2019-20 PMNDP has been implemented in 3 States/UT in 52 Districts in 105 Centres deploying 885 machines. 

Background:

The National Rural Health Mission (NRHM) was launched by the Hon'ble Prime Minister on 12^th April 2005, for accessible, affordable and quality health care to the rural population, especially the vulnerable groups. The Union Cabinet vide in its meeting held on 1^st May 2013, approved the National Urban Health Mission (NUHM) as a Sub-mission of an over-arching National Health Mission (NHM), with National Rural Health Mission (NRHM) being the other Sub-mission of National Health Mission.

Continuation of the National Health Mission-with effect from 1^st April 2017 to 31^st March 2020 was approved by Cabinet in its meeting held on 21^st March 2018.

The Ministry of Finance, Department of Expenditure vide its Office Memorandum No. 42(02/PF-II.2014) dated 10^th January 2020 has also accorded interim extension of National Health Mission for a period up to 31^st March 2021 or till the date the recommendation of 15^th Finance Commissions come into effect, whichever is earlier.

The Cabinet approval for NHM Framework further stipulates that exercise of these delegated powers would be subject to the condition that a progress report regarding N(R)HM, along with deviation in financial norms, modifications in ongoing schemes and details of new schemes be placed before the Cabinet for information on an annual basis.

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