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Ministry of Health and Family Welfare
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Upgradation of Hospitals in Rural Areas
Under Ayushman Bharat – Health & Wellness Centres , 1.5 lakh Health Sub Centres and Primary Health Centres are to be transformed into Health and Wellness Centres across the country for provision of comprehensive primary care that includes preventive healthcare and health promotion at the community level with continuum of care approach by December, 2022. The roll out plan of AB - HWCs is given as below:
- FY 2018-19 = 15,000
- FY 2019-20 = 25,000 
- FY 2020-21 = 30,000 
- FY 2021-2022 = 40,000 
- Till 31st December 2022 = 40,000 
“Public Health & Hospital” being a state subject, the primary responsibility of modernisation of Government hospitals all over the country including in rural areas is that of respective State Government.Under National Health Mission , the central government provides technical and financial support to States/UTs support for equipment, use of modern technologies &upgradation of infrastructure based on proposals received from respective States/UTs in their Programme Implementation Plan . The state wise details of approvals for upgradation of Hospitals, New Construction including AB-HWCs under NHM for the FY 2017-18 to 2019-20 is given below:
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State
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2017-18
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2018-19
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2019-20
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A. High Focus States
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SPIP Approvals
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SPIP Approvals
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SPIP Approvals
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Bihar
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22461.79
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57961.54
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49415.51
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Chattisgarh
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16951.04
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28843.07
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25418.40
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Himachal Pradesh
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6825.84
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7404.80
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8989.49
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Jammu &
Kashmir
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3102.48
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7196.84
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15714.79
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Jharkhand
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4385.79
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16043.55
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21928.16
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Madhya
Pradesh
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27977.88
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41055.41
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42582.35
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Orissa
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34469.48
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43862.36
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33612.80
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Rajasthan
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33653.38
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31997.34
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65693.65
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Uttar Pradesh
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37907.30
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171023.86
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100354.60
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Uttarakhand
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3345.66
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7647.83
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11343.71
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Sub Total
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191080.64
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413036.60
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375053.46
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B. NE States
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Arunachal Pradesh
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2489.80
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5390.71
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3278.53
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Assam
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18220.79
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18609.58
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24099.54
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Manipur
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503.43
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2565.64
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4243.26
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Meghalaya
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2108.50
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1781.60
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2394.32
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Mizoram
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420.35
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673.65
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1316.00
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Nagaland
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990.08
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2768.74
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2628.33
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Sikkim
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517.01
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489.59
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1015.91
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Tripura
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5673.60
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4041.60
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9552.01
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Sub Total
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30923.56
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36321.11
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48527.90
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C. Non-High Focus States
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AndhraPradesh
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7275.90
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17287.62
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8472.50
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Goa
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147.90
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263.93
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204.87
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Gujarat
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8449.60
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11657.05
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19138.80
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Haryana
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1560.80
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12727.03
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15812.56
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Karnataka
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30678.19
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41680.98
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33124.04
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Kerala
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3757.39
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25528.00
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28083.82
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Maharashtra
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19850.76
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53099.22
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93121.57
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Punjab
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5692.24
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19940.40
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14156.10
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Tamil Nadu
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15789.48
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29448.07
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42578.84
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Telangana
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19831.12
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14407.73
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11561.06
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West Bengal
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10582.05
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22635.35
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31375.57
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Sub Total
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123615.43
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248675.38
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297629.73
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D. Small States/UTs
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Andaman & Nicobar Islands
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282.68
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445.12
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733.21
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Chandigarh
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27.30
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14.69
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10.80
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Dadra & Nagar Haveli
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20.37
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55.87
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63.09
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Daman & Diu
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19.20
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34.06
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59.51
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Delhi
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134.00
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208.00
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90.00
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Lakshadweep
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25.96
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35.74
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6.00
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Puducherry
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117.63
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225.65
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165.33
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Sub Total
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627.14
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1019.13
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1127.94
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Grand Total
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346246.77
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699052.22
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722339.03
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Note:
- SPIP means State Programme Implementation Plan.
- The above data comprises of  Hospital Strengthening - Up- Gradation of CHCs, PHCs, Dist. Hospitals, Strengthening of Districts, Sub Divisional Hospitals, CHCs, PHCs and Sub Centre Rent and Contingencies.  New Constructions/ Renovation and Setting up - CHCs, PHCs, SHCs/Sub Centres, Setting up Infrastructure wing for Civil works, Govt. Dispensaries/ others renovations and Construction of BHO, Facility improvement, civil work, BemOC and CemOC centres, Major civil works for operationalization of FRUS, Major civil works for operationalization of 24 hour services at PHCs, Civil Works for Operationalising Infection Management & Environment Plan at health facilities, Infrastructure of Training Institutions, SDH, DH and Civil work of DEIC .  Untied Funds/Annual Maintenance Grants /Corpus Grants to HMS/RKS - District Hospitals, SDH, CHCs, PHCs, SC, VHSC, Others.  AB-HWC  - ASHA incentives for Health & Wellness Centres , Infrastructure strengthening of SC to H&WC, IEC activities for Health & Wellness centre , Printing activities for H&WC, Strengthening of diagnostic services of H&WC through PPP, Telemedicine/ teleconsultation facility at H&WC, Independent Monitoring Cost for performance assessment of Health & Wellness Centre , Tablets; software for H&WC and ANM/ MPW, Drugs & Supplies for Health & Wellness Centres , Staff for Health & Wellness Centre , Team based incentives for Health & Wellness Centers .  AB-HWC  - Training of MO and Staff Nurse for H&WC, Infrastructure strengthening of UPHC to H&WC, Drugs & Supplies for Health & Wellness Centres , Telemedicine/ teleconsultation facility at H&WC, Tablets/ software for IT support of H&WC, ASHA incentives for Health & Wellness Centres , Independent Monitoring Cost for performance assessment of Health & Wellness Centre , IEC activities for Health & Wellness centre , Team based incentives for Health & Wellness Centers , Strengthening of diagnostic services of H&WC through PPP, Others H&WC.
- The above data is as per FMRs submitted by States, hence is provisional.
- The funding for Ayushman Bharat- Health and Wellness Centres has been initiated from 2018-19.
The Minister of State , Sh Ashwini Kumar Choubey stated this in a written reply in the Lok Sabha here today.