<b>XIII LOK SABHA DEBATES, <i> Session II (Winter Session) </i> </b>
XIII LOK SABHA DEBATES, Session II (Winter Session) Wednesday, December 15, 1999/Agrahayana 24, 1921 (Saka )


Type of Debate: HALF-AN-HOUR DISCUSSIONS (RULE-55)
Title: Discussion on points arising out of the answer given by the Minister of Health and Family Welfare on 30.11.1999 to starred question no. 23 regarding Funds for child care and safe motherhood.

TEXT :

17.32 V

ɽ䶴ɮ ʺƽ (b) : ɦ{i ɽn, < 23 xɴɨɮ E BE iɮEi |ɶx E =iiɮ ɺl j ɽn x Eɮ E E ʶɶ VҴx I + ֮Ii ii EɪF V + |Vxx + ɱ ɺl EɪF E xɨ 15 +E]ڤɮ 1997 Vx Vi , E +xiMi ix ɹ n E ɦ Vɱ E Sɮhɤr iɮE Eɮ E VɪM* < +ɮB EɪF E +xiMi {ʮɮ xɪVx + VSS-SS E ɺl il x Ƥv Ҩʮ E Elɨ {ɮ MɦM 5112.53 Ec {ɪ JS E VɪM* <E +iʮEi xƴ {SɴɹǪ Vx BE ʤʱɪx +ɮEx bɱɮ ʴn +lE ɽɪi < EɪF {ɮ JS E VɪM* |ɶx E M (J) E =iiɮ j ɽn x ɽ Eɮ E E Mi n ɹ ExpҪ ɮEɮ uɮ ʴʦxx |i E +lE +xnx n Mɪ* M (M) E =iiɮ x E ɹ]Ҫ B VҪ iɮ {ɮ ɨI i + Exp n V Vi + l Vɱ iɮ {ɮ ɨI i * x +x{ڮE |ɶx {U E EU VxEɮ Sɽ l Ex Z Jn E ɽ VxEɮ Z xxҪ nx xɽ ʨɱ {ɪ* <ʱB x +vI ɽn +Oɽ E + Z +v P] E SS E +x֨i ʨɱ , VɺE ʱB +ɦɮ Ei Ei *

ɽn, ɽ ɽ E +ɮB EɪF E +xiMi Ec {ɪ JS E V * < ʶ E n{ɪM iɦ ɽ Vɤ <ƣɺ]ESɮ ={ɱɤv + {ɪ{i ]ɡ * j ɽn x E E +{iɱ + ]ɡ Ƥvi ʴɹɪ V E * =xE < Elx ɽi xɽ * Vɤ ɮ E ɮ { Exp +xnx E { Vx i ɨZi E ɮi ɮEɮ E {ڮ +vEɮ E ɽ < EɪF E VxEɮ |n * V |n +SU Eɨ E, =xE |iʽi E + V ɽ Eɨ xɽ Ei =xE nbi E + ɽ +ɴɶE E =xE Vɴɤn *

j V x ɽ E E ɨɪ-ɨɪ {ɮ ɴIh i * x Vxx Sɽ l E < ɴIh E {ʮhɨ E , ɽ =iiɮ Z xɽ ʨɱ* Z ʴɶɺ E j V +V = ʴɺiɮ iBM E =E E {ʮhɨ * ɺl jɱɪ E ʹE ʮ{] 1998-99 ɹ]Ҫ {ʮɮ ɺl ɴIh +xֺɮ i i E n 200 250 Mɦ vɮh {ɮ +ix BE ʽ n< M< , V ʴEʺi n E iֱx 40-50 Mx +vE + ʶɶ i n 24.2 |iɶi i< M< *

ɽn, +{ < i ɽi M E Oɨh Ij +V ɺl E ڱɦi ʴv+ E +ɴ Oɨh Ij c J Pɮ |ɺɴ EB Vi il Vn VJɨ ɱ MɦǴi ʽ+ E ʱB {ɮɨɶ + E E * +V Oɨh Ij , ʴɶE nMǨ Ij + {ɽc Ij +xE VMɽ {ɮ ɺl B ={ɱɤv xɽ * ]ɡ E E , ʴɶE ʽ ɺl EɪEi+ E ɽi Vn E * M E ʱB `E E< ɴɺl xɽ * E {ɮ ɮ xɽ , < |Eɮ E +xE Eʨɪ *

ɽn, ɺl j V B ɮ nx E ɨI EU Zɴ Jx SɽM, n =Si ɨZ i +ɮBS EɪF E +iMi <xE ɨɴ E VB* E< ɺl ƺlx Ji ɨɪ < i E vx Jx SʽB- Sɽ ɤ ] , {BSɺ BSɺ * iǨx Eɱ VxɺJ E +vɮ x Vi * ʴSɮ Eɱ VxɺJ +vɮ xɽ x SʽB, ʱE Ij E MʱE ʺli +vɮ x SʽB iE ɺl ʴv Vxɺvɮh iE {ɽS E* ʽSɱ |n E BE =nɽh nx SɽM* ʽSɱ |n E Eֱ Ijɡ 55,000 Eɮ E] * ɽ VxɺJ MɦM 60 J iE {ɽS M< , Ex ɤ-], V E Exp ɮEɮ E Vx , ={ ɺl Exp, =xE J Eɱ 2069 `i +li 2900 M E ʱB BE ɤ-] * ɽ V Eɨ Ex ɱ , =x 26.7 Eɮ E] Pڨx {ci * Vɽ cE xɽ i E Pɮ-Pɮ iE {ɽS Ei * ɮEɮ x n ɹ n ɮ ]EEh EɪF xɪ, ɽ ɮɽxҪ * ʮEb E Vi E ɽ ]EEh 90 |iɶi , Ex +{ < i ɽi M E ɽ i ii nڮ * ɽ E Ʀɴ E BE ɤ-] M + ɺl EɪEi 26 Eɮ E] E Bʮ Pڨ E* <E +iʮEi +ɪִn, 䨪{l E +xE +vɱɪ, b{ƺʮ VMɽ J * j V Vxx SɽM E ɽ V ]EEh E Eɪ ɽ Eɱ ɺl ESɮ , V E ɤ-] M =ɺ E ʱɪ Vi * +Mɮ +{E {ɺ ]ɡ E E i ɽ Eɪ V +ɪִn, 䨪{l ɤ-] b{ƺʮ M B , =xɺ E xɽ ʱɪ Vi, EE =xE = Bʮ Vx Ʀɴ M + ɮ M* Mƴ ɤ-], {BSɺ b{ƺɮ + BSɺ ɴx E {ɪ{i ʴv xɽ * V x |ɮ E E +vEƶ Oɨh ʽB Pɮ |ɺɴ Ei , =E Eɮh ɽ E ɽ E< |ɺi EI xɽ *

ɽn, j V +Oɽ E V BSɺ EɪF , <E +iMi E E V ɮ |<ɮ l ] , ɽ ɤɺ {ɽ |ɺi EI xx E xn n iE < { E n{ɪM *

< |Eɮ ɽn, +{ < i ɽi M E Mƴ +V ]b n< xɽ * Vɤ <xE Sɪx i i i Vɱ |n iɮ {ɮ i * ɽ ʽ EɪEj + ɽ ʡ =x nڮ Oɨh Ij Vi xɽ * +V <xE ɽi Vn +ɴ * E j ɽn ɽ xʶSi EM E E E Mƴ BE lxҪ ʽ E |ʶIi EE, = {ڮ E] nE ɮEɮ ESɮ Pʹi E VB iE ɽ Mƴ-Mƴ VE Pɮ |ɺɴ Ex ɱ ʽ+ E ɽɪi E E* ɽ ʽ EɪEj = Mƴ E ɽ x SʽB x E = Mƴ E Ex* +x֦ɴ E E ɽ n x E n Vɤ nںɮ Mƴ Sɱ Vi i ɽ ʡ n< E +ɴ Vi * =E ɦ = Mƴ E xɽ {i * Z ʴɶɺ E +V j ɽn BE ʴɺii Vɴɤ nE ɤ E + < xxҪ nx E iʹ] EɪM* +{x Z x E ɨɪ n, <E ʱB +{E +ɦɮ |E] Ei *

|. ɺ ʺƽ ɴi (+Vɨ) : ɦ{i ɽn, +{E vɨ ɺl j V +x֮v Ex SɽM E ɪn ɮi E Mƴ E {ɮ{ɮ+ ʱɦi {ʮSi xɽ * Vɤ iE ={-ɺl Exp U] Mƴ xɽ l iɤ iE ɽ E< x E< {֮x n< ɽ |ɺɴ Eɪ Ex c Si֮ + x{h i l + Mƴ E M +{x ɨlǪ + r +xֺɮ =E <xɨ + {ʮʨE n Ei l* Ex Vɤ Exp Jֱ VxE Exp ɮEɮ ɮ JS + E] n , Sɽ +ɮBS EɪF B EɪF , ii + ʶɶ Eh Exp E vɨ ɮEɮ ɮ JS n i ɽ xʶSi x SʽB E Vɽ {ɮ |lʨE ɺl Exp ɽ {ɮ |ɺi Mɽ il |ɺi Ex ɱ xɺ +ɶ * Mƴ ɺl EɪEi Vi xɽ * +Mɮ =xE Mƴ ]ƺɡ Vi i ɽ Eɱ Vɮ ɮE {ɺ ɽ + Vi * <ʱB x]ʮM + xɮIh E Eɨ Exp ɮEɮ Eɪ* U]-U] <E< E ʱB E] E vɨ V +xnx n V , =E xɮIh Eɪ Vx SʽB E =xE ={ɪM ɽ |Eɮ xɽ* V ɮEɮ + Exp ɮEɮ +{x iɮ {ɮ x]ʮM E ɴɺl Eɪ* Vxx Sɽi E E ɺl j +V nx E +ɶɺi EM E

ɮEɮ +{x iɮ {ɮ < +ɮBS, B + ]x] + S<b ɡɮ E EɪF E x]ʮM Ex E ʱB ʴɶ vx nM* l V {ɮ{ɮMi Mƴ n<Ǫ i l =x E n<Ǫ E |ʶIh |nx Ex E ʱB E ɮEɮ +ɴɶE En =`ɪM*

b. Iɨxɮɪh {hb (n): ɦ{i ɽn, ɽ BE +ixi ɽi{h ʴɹɪ * Exp ɮEɮ uɮ ʴʦxx Vx+ E ʱB V { n V =xE n{ɪM xɽ * |Vxx + ɱ ɺl I EɪF E +xiMi il ʶɶ VҴx I + ii ֮I E +xiMi V { n Mɪ =E Vɺ |Eɮ xS iE ={ɪM x SʽB, ɽ xɽ * BE B BVƺ xɪEi x SʽB V ɽ nJ E < { E `E ={ɪM xɽ * xxҪ j ɽn ɽ Vxx SɽM E v |n ɮEɮ E V { n Mɪ, E +{x =E xɮIh Eɪ E =E ={ɪM `E ?

E +{E {ɺ B BVƺ xɽ *

nںɮ xɴnx ɽ E <x EɪF E +xiMi Vɺ |Eɮ |<ɮ l ] xS iE VE Mƴ V n< E ɴɺl x SʽB*

<E +V ɴɺl xɽ * ɽ |<ɮ l ] xɽ * ={ɺɺl Exp ʨb < + xɺ E x + `x E ɴɺl `E x SʽB* = { E `E n{ɪM , <E ɮ V ɮEɮ E xn nB VB* +{ { ni Ex ʨb < xɽ i * v |n ={ ɺl Exp ɽi J x E iɮ Ex iɱ M * ɽ { Vi Ex =E ={ɪM xɽ i * ʨb < E l ɽɪE ʨb < Jx E i E M< l* ʶɶ |Vxx + ɱ ɺl E i xɽ * ii ֮I E nʹ] ʶɶ VҴx I E ʱB ɽ Vɰ * +Mɮ ʨb < xɽ i ɽɪE ʨb < E J + =xE ]xM E `E + {ڮ ɴɺl E* V iɮ {ɮ <xE ]xM E ɴɺl xɽ * |lʨE ɺl Exp xS VE Eɨ E, <E ɴɺl Ex SʽB* +V ɽ Eɱ EMV * ={ɺɺl Exp xʶSi { ʨb < * <E ʱB V ɮEɮ E V { n Vi , =E x]ʮM E ɴɺl x SʽB* <E ʱB Ec {ɪ n Vi Ex =E `E ={ɪM xɽ i* Z <ix Ex l* E{ɪ j V <xE =iiɮ n *

SHRI PRIYA RANJAN DASMUNSI (RAIGANJ): Sir, I want to know whether the discussion on National Trust for Disabled People Bill will be replied to by the Minister tomorrow.

ɦ{i ɽn: <E n ʴvE {ɮ ɽ M*

THE MINISTER OF STATE OF THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI N.T. SHANMUGAM): Mr. Chairman, Sir, contribution of Government towards RCH programme is Rs.1535 crore and the contribution of donor countries is Rs.3,577 crore. Thus, the total outlay comes to about Rs.5112.53 crore for RCH programme for the period from 1997 to 2002. The hon. Member said that there are no nurses and mid-wives available in tribal areas and that the Government has the authority to ask the State Governments to provide these services in rural areas. Sir, we are giving salaries for ANMs these are also and male health workers in sub-centres in rural and hilly areas. However, the powers of establishing hospitals and staffing rest with the State Governments. We are giving funds to State Governments for providing additional staff also in areas which are vast and without adequate facilities. We are allowing them to commission contractual nurses in those areas to provide health services. We are issuing two kits -- Kit A and Kit B -- to provide health service to pregnant women at the time of delivery.

The Government of India is also monitoring about the utilization of funds by the State Governments. I am just giving the figures.

PROF. RASA SINGH RAWAT : Sir, the hon. Minister should give pointed reply.

SHRI N.T. SHANMUGAM: Yes, I am giving the reply.

ɽ䶴ɮ ʺƽ (b) : ɦ{i ɽn, ɮ b]䱺 <ɨ n < Ex ɮ |ɶx , =E Vɴɤ +x Sʽ xɽ i < +v P] E SS E E +l ? x EU |ɶx {U , =xE Vɴɤ +x Sʽ*

He should reply to those questions. The details which he is giving now, is already with us.

SHRI N.T. SHANMUGAM: Sir, the Government of India is watching whether the funds allotted to the States are being utilized by them properly or not. Take the case of Andhra Pradesh. During 1997-98, the total amount released to them was Rs. 266.33 crore out of which they had utilized only Rs. 86.60 crore. It means that they had utilized only 25 per cent of the total funds released to them.

Sir, similar is the case about the utilization of funds by the State Governments of Bihar, Gujarat, Himachal Pradesh, Karnataka, Kerala, Orissa, Punjab, Rajasthan, Uttar Pradesh, West Bengal and Andaman & Nicobar Islands. They had also utilized only 25 per cent of the total amount released to them by the Centre.

Likewise, the State Governments of Arunachal Pradesh, Assam, Haryana, Madhya Pradesh, Maharashtra, Manipur, Meghalaya, Nagaland, Sikkim, Tamil Nadu, Chandigarh, Daman and Diu had utilized between 25.50 to 30 per cent of the total funds earmarked to them. Similarly, Tripura also utilized between 50 to 75 per cent of the total funds allocated to them. But Mizoram had been able to spend 75 per cent of the funds given to them.

Sir, the hon. Members said that the medical facilities are not available in the rural areas. In fact, there are so many steps being taken in this regard. We are giving money for constructing hospitals and providing labour rooms and other purchases relating to labour work. We are also giving

stress to strengthen the primary health centres and sub-centres. We are giving Rs. 10 lakh to each district for this purpose. The main thing is that the State Governments have to come forward with their plans and say as to what amount they would require for increasing and improving the primary health centres and sub-centres. On the basis of RCH per year, we are giving aids to the State Governments. The original scheme was `Child Survival and Safe Motherhood Programme.' Under that scheme, in the hilly areas, especially the tribal areas, the birth attendants were being given training to attend to the pregnant women during the time of delivery. But now, it has been handed over to the NGOs. They will impart such training to the birth attendants.

Some Members said that due to large population, we are not able to go everywhere to do registration of a large number of pregnant women and to attend to them. Sir, in this regard, we are giving funds also. On contractual basis, the State Governments can appoint nurses and health workers. Due to non-availability of lady doctors in the rural areas to attend to the pregnant women, all the State Governments have been entitled to engage lady doctors on contractual basis for the delivery of pregnant women. We are providing Rs. 200 to every doctor, Rs. 100 to every nurse and Rs. 50 to every attendant.

ɽ䶴ɮ ʺƽ : bE] i ɽi c SW * i E E V ]xb n< ɽ Mƴ E E ʽ E xBM iE Pɮ V |ɺɴ i ɽ VE MɦǴi ʽ E ɽɪi E?

nںɮ x Vxx Sɽ l E V ɤ x] J l, <xE ʱB Exp <xx Vi * j ɽn ʴɴɮh n E <x |n x {ڮ JS xɽ E* Vxx SɽM E ɴIh E n E ɮEɮ B xn <x |i E nM E <x Ij E ʱB +vE ɤ x] J VB + V + ]ɡ =E Vn i E VB? bE] x Vx E <x nMǨ Ij VBM? ɽ bE] Vi xɽ * ɽ ]xb n< M*

ɦ{i ɽn : + Ex E *

ɽ䶴ɮ ʺƽ : ʡ +{ EM E +v P] Mɪ*

|. ɺ ʺƽ ɴi : +{ xn nɴB E ɮEɮ ɺl Exp iE VB iE |ɦɴ fM EɪF E*

ɦ{i ɽn : Vɴɤ x VB*

b. Iɨxɮɪh {hb : V E j ɽn x E E v |n 25 |iɶi ɪ + * E< BVx Vɺɺ +{ SE E E E { E xɽ JS + V JS +, Ex E ɽ `E JS xɽ +* E |Eɮ ʮ] BʮW ɽ ʴvB |{i M* n M< vxɮʶ `E JS xɽ * <E ɮ E< BVx ? +Mɮ xɽ i ExpҪ BVx l{i E iE { E ]<Wx E*


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