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Water storage level of 91 major reservoirs of the country goes up by Eleven per cent

The water storage available in 91 major reservoirs of the country for the week ending on July 27, 2017 was 60.906 BCM, which is 39% of total storage capacity of these reservoirs. This percentage was at 28 for the week ending on July 20, 2017. The level of July 27, 2017 was 104% of the storage of corresponding period of last year and 100% of storage of average of last ten years.  
The total storage capacity of these 91 reservoirs is 157.799 BCM which is about 62% of the total storage capacity of 253.388 BCM which is estimated to have been created in the country. 37 Reservoirs out of these 91 have hydropower benefit with installed capacity of more than 60 MW.
REGION WISE STORAGE STATUS:-
NORTHERN REGION
The northern region includes States of Himachal Pradesh, Punjab and Rajasthan. There are six reservoirs under Central Water Commission (CWC) monitoring having total live storage capacity of 18.01 BCM. The total live storage available in these reservoirs is 9.24 BCM which is 51% of total live storage capacity of these reservoirs. The storage during corresponding period of last year was 35% and average storage of last ten years during corresponding period was 44% of live storage capacity of these reservoirs. Thus, storage during current year is better than the corresponding period of last year and is also better than the average storage of last ten years during the corresponding period.
EASTERN REGION
The Eastern region includes States of Jharkhand, Odisha, West Bengal and Tripura. There are 15 reservoirs under CWC monitoring having total live storage capacity of 18.83 BCM. The total live storage available in these reservoirs is 8.20 BCM which is 44% of total live storage capacity of these reservoirs. The storage during corresponding period of last year was 32% and average storage of last ten years during corresponding period was 32% of live storage capacity of these reservoirs. Thus, storage during current year is better than the corresponding period of last year and is also better than the average storage of last ten years during the corresponding period.
WESTERN REGION
The Western region includes States of Gujarat and Maharashtra. There are 27 reservoirs under CWC monitoring having total live storage capacity of 27.07 BCM. The total live storage available in these reservoirs is 11.91 BCM which is 44% of total live storage capacity of these reservoirs. The storage during corresponding period of last year was 35% and average storage of last ten years during corresponding period was 39% of live storage capacity of these reservoirs. Thus, storage during current year is better than the storage of last year and is also better than the average storage of last ten years during the corresponding period.
CENTRAL REGION
The Central region includes States of Uttar Pradesh, Uttarakhand, Madhya Pradesh and Chhattisgarh. There are 12 reservoirs under CWC monitoring having total live storage capacity of 42.30 BCM. The total live storage available in these reservoirs is 18.43 BCM which is 44% of total live storage capacity of these reservoirs. The storage during corresponding period of last year was 50% and average storage of last ten years during corresponding period was 35% of live storage capacity of these reservoirs. Thus, storage during current year is less than the storage of last year but is better than the average storage of last ten years during the corresponding period.
SOUTHERN REGION
The Southern region includes States of Andhra Pradesh, Telangana, AP&TG (Two combined projects in both states) Karnataka, Kerala and Tamil Nadu. There are 31 reservoirs under CWC monitoring having total live storage capacity of 51.59 BCM. The total live storage available in these reservoirs is 13.12 BCM which is 25 % of total live storage capacity of these reservoirs. The storage during corresponding period of last year was 30% and average storage of last ten years during corresponding period was 41% of live storage capacity of these reservoirs. Thus, storage during current year is less than the corresponding period of last year and is also less than the average storage of last ten years during the corresponding period.
States having better storage than last year for corresponding period are Himachal Pradesh, Punjab, Jharkhand, Odisha, West Bengal, Tripura, Gujarat, Maharashtra, Uttar Pradesh, Uttarakhand, and Chhattisgarh. States having lesser storage than last year for corresponding period are Rajasthan, Madhya Pradesh, AP&TG (Two combined projects in both states), Andhra Pradesh, Telangana Karnataka, Kerala, and Tamil Nadu.


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Non-Communicable Diseases

The National Health Policy (NHP), 2017 has recognized the growing burden on account of Non-Communicable Diseases (NCDs) and advocated the need to halt and reverse the growing incidence of chronic diseases. This policy denotes important change from very selective to comprehensive primary health care package which includes geriatric health care, palliative care and rehabilitative care services. 

As per the report by the World Economic forum and the Harvard School of Public Health published in November, 2014, India stands to lose $4.58 trillion before 2030 due to Non-Communicable Diseases (NCDs) and mental health conditions. 

Public health is a State subject, however, under National Health Mission, financialand technical support is provided to States/UTs to strengthen their healthcare systems including setting up of / upgradation of public health facilities, based on the requirements posed by the States/UTs in their Programme Implementation Plans (PIPs). 

Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions up to District level under the National Health Mission. Under NPCDCS, diagnosis and treatment facilities are provided through different levels of healthcare by setting up NCD Clinics in District Hospitals and Community Health Centres (CHCs). 

For early diagnosis, a programme is initiated for “Population-based Screening of common NCDs viz. Diabetes, Hypertension and Common cancers (Oral, Breast, Cervical)” utilizing the services of the Frontline-workers and Health-workers under existing Primary Healthcare System. This process will also generate awareness of risk factors of common NCDs. 

Under strengthening of Tertiary Care for Cancer Centre (TCCC) Scheme, Government of India is assisting States to set up / establish State Cancer Institute (SCI) and Tertiary Care Cancer Centres(TCCCs) in different parts of the country. 

Government of India has also supported implementation of the District Mental Health Programme (DMHP) in 339 districts of the country for detection, management and treatment of mental disorders/ illness at District Hospital level and in rural areas through outreach activities by the DMHP teams. Besides, the Central Government is also providing support for recruitment of staff at the Primary Health Centre (PHC) and Community Health Centre (CHC) levels for providing basic mental health services. In addition, support is also provided for the training of the staff of District Hospital, CHC and PHC for providing basic mental health services by integration with the general health services. 

The Central Government, through its hospitals augments the efforts of the State Governments for providing health servicesin the country. Under Pradhan Mantri Swathya Suraksha Yojana(PMSSY), 6 new AIIMS have been set up and upgradation of identified medical colleges has been undertaken which will also improve health care facilities. 

The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Lok Sabha here today. 



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Research and Development in Pharma Sector

The Department of Science and Technology (DST) under Drugs and Pharmaceuticals Research Programme (DPRP), has been supporting R&D projects in modern Indian System of Medicines since 1994-95 as collaborative projects (public private partnership) and facility projects to academic institutions/national laboratories to cater to the needs of Indian Pharma Industries. During 2004-05, DST extended support to Indian Pharma industry for R&D projects in drug development. From 2008-09 onwards, this programme is extending grants-in-aid to Indian pharmaceutical industries for clinical trials for neglected diseases such as Tuberculosis, Malaria, Kala-Azar, Filariasis, etc. The major objectives of the programme are:
·         To synergise the strengths of publicly funded R&D institutions and Indian Pharmaceutical Industry

·         To create an enabling infrastructure, mechanisms and linkages to facilitate new drug development;
·         To stimulate skill development of human resources in R&D for drugs and pharmaceuticals; and
·         To extend soft loan for Pharma industrial R&D projects.

In addition to the above, Council of Scientific & Industrial Research (CSIR) has been pursuing R&D activities in the domain of drugs and pharmaceuticals with the emphasis on affordable healthcare. Further, Indian Council of Medical Research (ICMR) has been supporting research (in the area of pharma sector) through extramural research as adhoc projects, fellowship projects, Task Force projects and has established Centres of Advanced Research in Pre-clinical & Clinical Pharmacology with a view to setting up National facilities for the development of New Chemical entities.
Budget allocated to CDRI, Lucknow during the last three years and the current year is as below:

Financial Year
2014-15
2015-16
2016-17
2017-18*
Allocation
(Rs in crore)
179.789
179.130
160.497
66.788
*Allocation till date
The Minister of State (Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written reply in the Lok Sabha here today.


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Mechanism to Monitor Private Medical Colleges

With the enactment of IMC Amendment Act, 2016 to introduce NEET, MCI with prior approval of the Central Government has amended Graduate Medical Education Regulations, 1997, and Post-Graduate Medical Education Regulations, 2000, for making provisions of common counseling. All the admissions in medical courses will be through NEET and common counselling. Admission details are sent to the MCI after counseling. 

In the case of Government medical colleges, the respective State Governments are responsible for fixation of fee and in the case of private unaided medical colleges, the fee structure is decided by the Committee set up by the respective State Government under the Chairmanship of a 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. 

Further, the Hon’ble Supreme Court in its order dated 09.05.2017 had directed that the students who secure admission in MBBS course pursuant to the common counseling shall deposit with the counseling committee the demand draft towards the fee payable to the Institutions / colleges / Universities. Admission details are sent to MCI after counseling. MCI scrutinizes the details and issues discharge notices if students are admitted in the Medical Colleges in violation of regulations. With a view to make students aware, MCI has hosted details regarding grant of permission for courses run by Medical Colleges in its website. Advisories to the students are also posted on MCI website. 

The Minister of State (Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written reply in the Lok Sabha here today. 



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Life Style Diseases

The Indian Council of Medical Research (ICMR) is conducting a study namely ICMR-INDIAB involving all States and Union Territories – both urban and rural population for ascertaining the exact number of Diabetic patients. 15 States have been covered so far and the prevalence of diabetes varies from 4.3% in Bihar to 13.6% in Chandigarh. 

According to report published by International Diabetes Federation (IDF; 6th Edition, 2013), number of people with diabetes (20-79 years) in Urban setting of India were about 30.5 millions in 2013. 

As informed by Indian Council of Medical Research (ICMR), current estimates from one-time cross sectional studies conducted in different regions of country indicate that the prevalence of coronary heart disease (CHD) is between 8-10 percent in urbanand 3 to 4 percent in rural India. 

As informed by ICMR the estimated prevalence of cancer cases in India during 2013, 2014 and 2015 are 2934314, 3016628 and 3101467 respectively. 

Nationwide scientific estimation of number of patients of Chronic Kidney Diseases (CKD) has not been carried out. However, in some of the small population based studies, it was found to be in 0.79 % in North India and 0.16% in South India. 

National Center for Disease Informatics and Research (NCDIR), Bengaluru is running Hospital and Population based Cancer Registries. As informed by ICMR some studies have been conducted on NCDs. A study is commissioned to ICMR on Burden of Non-Communicable Diseases and Associated Risk Factors for India (BOD-NCD). 

The factors responsible for increase in Lifestyle Diseases (NCDs) are unhealthy diet, lack of physical activity, harmful use of alcohol, overweight, obesity, tobacco use, etc. 

Public health is a State subject, however, under National Health Mission(NHM), financial and technical support is provided to States/UTs to strengthen their healthcare systems including setting up of / upgradation of public health facilities, based on the requirements posed by the States/UTs in their Programme Implementation Plans (PIPs). 

Government of India is implementing National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for interventions up to District level under the National Health Mission. Under NPCDCS, diagnosis and treatment facilities are provided through different levels of healthcare by setting up NCD Clinics in District Hospitals and Community Health Centres (CHCs). Intervention of Chronic Kidney Diseases (CKD) has also been included in NPCDCS for proper management. 

For early diagnosis, Population-based Screening of common NCDs viz. Diabetes, Hypertension and Common cancers (Oral, Breast, Cervical) is initiated under NHM utilizing the services of the Frontline- workers and Health-workers under existing Primary Healthcare System. This process will also generate awareness on risk factors of common NCDs. 

Under strengthening of Tertiary Care for Cancer Centre (TCCC) Scheme, Government of India is assisting States to set up / establish State Cancer Institute (SCI) and Tertiary Care Cancer Centres (TCCCs) in different parts of the country. Support under the National Health Mission (NHM) is also being provided to States for provision of dialysis services free of cost to the poor under Pradhanmantri National Dialysis Programme (PNDP). 

The Central Government, through its hospitals augments the efforts of the State Governments for providing health services in the country. Under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), 6 new AIIMS have been set up and upgradation of identified medical colleges has been undertaken which will also improve health care facilities. 

The Minister of State (Health and Family Welfare), Smt Anupriya Patel stated this in a written reply in the Lok Sabha here today. 



Courtesy: pib.nic.in

Healthcare Facilities

Public Health and hospitals being a State subject, the primary responsibility to provide accessible and quality health care services to the people in rural areas lies with State/UT Governments.  However, under the National Health Mission (NHM), financial and technical support is provided to States and UTs to supplement their efforts for improving the healthcare services, particularly in rural areas, based on requirements projected by the States in their Programme Implementation Plan.
As per Rural Health Statistics 2016, there are 1,87,771 healthcare facilities in the public sector (1,55,069 Sub Centres; 25,354 Primary Health Centres; 5,510 Community Health Centre; 1,065 Sub Divisional Hospital and 773 District Hospitals) to meet the health needs of the rural population.  However, there is some shortage in public health facilities, a statement of which is given below:
SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)
S.No.
State/ UT
Total
Population in Rural
Areas
Tribal
Population in Rural
Areas
Sub Centres
PHCs
CHCs
R
P
S
%
Shortfall

R
P
S
%
Shortfall

R
P
S
%
Shortfall
1
Andhra Pradesh
34776389
2293102
7261
7659
*
*
1197
1075
122
10
299
193
106
35
2
Arunachal Pradesh
1066358
789846
318
304
14
4
48
143
*
*
12
63
*
*
3
Assam
26807034
3665405
5850
4621
1229
21
954
1014
*
*
238
151
87
37
4
Bihar
92341436
1270851
18637
9729
8908
48
3099
1802
1297
42
774
148
626
81
5
Chhattisgarh
19607961
7231082
4885
5186
*
*
774
790
*
*
193
155
38
20
6
Goa
551731
87639
122
212
*
*
19
22
*
*
4
4
0
0
7
Gujarat
34694609
8021848
8008
8801
*
*
1290
1314
*
*
322
322
0
0
8
Haryana
16509359
0
3301
2576
725
22
550
474
76
14
137
110
27
20
9
Himachal Pradesh
6176050
374392
1285
2071
*
*
212
518
*
*
53
79
*
*
10
Jammu & Kashmir
9108060
1406833
2009
2805
*
*
327
637
*
*
81
84
*
*
11
Jharkhand
25055073
7868150
6060
3953
2107
35
966
327
639
66
241
188
53
22
12
Karnataka
37469335
3429791
7951
9332
*
*
1306
2353
*
*
326
206
120
37
13
Kerala
17471135
433092
3551
4575
*
*
589
824
*
*
147
225
*
*
14
Madhya Pradesh
52557404
14276874
12415
9192
3223
26
1989
1171
818
41
497
334
163
33
15
Maharashtra
61556074
9006077
13512
10580
2932
22
2201
1811
390
18
550
360
190
35
16
Manipur
2021640
791126
509
421
88
17
80
85
*
*
20
17
3
15
17
Meghalaya
2371439
2136891
759
431
328
43
114
109
5
4
28
27
1
4
18
Mizoram
525435
507467
172
370
*
*
25
57
*
*
6
9
*
*
19
Nagaland
1407536
1306838
455
396
59
13
68
126
*
*
17
21
*
*
20
Odisha
34970562
8994967
8193
6688
1505
18
1315
1305
10
1
328
377
*
*
21
Punjab
17344192
0
3468
2951
517
15
578
427
151
26
144
150
*
*
22
Rajasthan
51500352
8693123
11459
14408
*
*
1861
2080
*
*
465
571
*
*
23
Sikkim
456999
167146
113
147
*
*
18
24
*
*
4
2
2
50
24
Tamil Nadu
37229590
660280
7533
8712
*
*
1251
1368
*
*
312
385
*
*
25
Telangana
21585313
2939027
4708
4863
*
*
768
668
100
13
192
114
78
41
26
Tripura
2712464
1117566
691
1033
*
*
109
94
15
14
27
20
7
26
27
Uttarakhand
7036954
264819
1442
1847
*
*
238
257
*
*
59
59
0
0
28
Uttar Pradesh
155317278
1031076
31200
20521
10679
34
5194
3497
1697
33
1298
773
525
40
29
West Bengal
62183113
4855115
13083
10369
2714
21
2153
909
1244
58
538
349
189
35
30
A & N Islands
237093
26715
50
123
*
*
8
22
*
*
2
4
*
*
31
Chandigarh
28991
0
5
17
*
*
0
3
*
*
0
2
*
*
32
Dadra & Nagar Haveli
183114
150944
56
56
0
0
8
11
*
*
2
0
2
100
33
Daman & Diu
60396
7617
13
26
*
*
2
4
*
*
0
2
*
*
34
Delhi
419042
0
83
26
57
69
13
5
8
62
3
0
3
100
35
Lakshadweep
14141
13463
4
14
*
*
0
4
*
*
0
3
*
*
36
Puducherry
395200
0
79
54
25
32
13
24
*
*
3
3
*
*

All India/ Total
833748852
93819162
179240
155069
35110
20
29337
25354
6572
22
7322
5510
2220
30
Notes: The requirement is calculated using the prescribed norms on the basis of rural population from Census, 2011.  All India shortfall is derived by adding state-wise figures of shortfall ignoring the existing surplus in some of the states.
R: Required; P: In Position; S: Shortfall;     *: Surplus

According to the NSSO health and morbidity survey analysis  held in 2014, of ill persons in rural areas 28% sought out patient services from government facilities and of the total hospitalized, 42% were hospitalized in government facilities. As regards child birth, 56% of child births in rural areas took place in public hospitals and 24% in private hospitals. It may be pointed out that in rural areas the cost of care for hospitalized patient was much higher in private hospitals (Rs 21726 ) than in public hospital (Rs 5636) in the rural area.
Some of the key recent measures undertaken by the Government to improve health care services in the rural areas are:-
(i)                 The Government of India has recently approved the National Health Policy (NHP) which provides detailed framework and policy thrust areas to improve healthcare sector in a time bound manner.
(ii)               Over the period of 2005-2016 there has been an addition of 9043 Sub Health Centres (SHCs), 2118 Public Health Centres (PHCs) and 2164 Community Health Centres (CHCs).
(iii)             Transformation of Sub-Health Centres into Health and Wellness Centres has been rolled out to strengthen the delivery of comprehensive primary care.
(iv)              Operational Guidelines for NHM Free Drugs Service Initiative and Free Diagnostics Service Initiative have been shared with states. The objective is to ensure availability of essential drugs and necessary diagnostic services free of cost in public health facilities.
(v)               Bridge Programme in Community Health - for Nurses and for Ayurveda Practitioners- have been finalized and MoU in this regard has been signed with IGNOU. The trained personnel are proposed to be posted at Sub-Centres (SCs) as Community Health Officers – to lead the team at SCs for providing comprehensive promotive and preventive and curative healthcare services.
(vi)             Kayakalp awards have been launched to promote cleanliness, hygiene and infection control practices in public health facilities. Additionally, NQAS quality certification of public hospitals is being undertaken.
(vii)           Pradhan Mantri Shurakshit Matritva  Abhiyan (to improve access to specialist maternal care through voluntary participation of private providers).
(viii)         Pradhan Mantri National Dialysis Program to enable free Dialysis treatment to poor patients with end stage renal diseases.
(ix)             Universal screening of individuals over thirty for early detection and treatment of common non communicable diseases.

The Minister of State (Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written reply in the Lok Sabha here today.



Courtesy: pib.nic.in