Lok Sabha Question No. 1007 (UNSTARRED), answered on 2019-02-08
Subject: Health and Wellness Centres under PMJAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SHOBHA KARANDLAJE

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1007 TO BE ANSWERED ON 08 TH FEBRUARY, 2019

## HEALTH AND WELLNESS CENTRES UNDER PMJAY

## 1007. KUMARI SHOBHA KARANDLAJE:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a)  whether  Ayushman  Bharat  is  an  umbrella  of  two  major  health  initiatives,  Health Wellness Centres (HWCs) and Pradhan Mantri Jan Arogya Yojana (PMJAY);
- (b)  if  so,  the  key  componen ts  of  PMJAY  and  HWCs  along  with  the  number  of  HWCs operationalised as on 31.12.2018, State - wise;
- (c) the Package of services envisaged and the key benefits for community under AB - PMJAY;
- (d) the objectives, operational guidelines and key features of Ayushman Bharat - PMJAY;
- (e)  the  number  of  empanelled  hospitals  and  beneficiaries  admitted  under  AB - PMJAY  as  on 31.12.2018;
- (f) the names of the States who have signed MoU with Government for implementation of t same; and
- (g) whether the Government i s focusing on 'Affordable Healthcare' and 'Preventive Healthcare', if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a): Yes.
- (b) : The Key components of PMJAY and HW Cs are enclosed as Annexure -I and Annexure II respectively.

The State - wise details of operationalised HWCs as on 04.02.2019 are also provided Annexure II.

Contd…….

(c) & (d) : More than 1350 packages are available for the entitled beneficiaries of PMJAY. The  details  of  package,  operational  guidelines  and  key  features  are  available  at pmjay.gov.in

(e) : The total number of hospitals empaneled under PMJAY is 14,440. Out of these, 7118 a public hospitals. The n umber of beneficiaries hospitalised under AB - PMJAY are 10,59,693.

(f) : As on 05.02.2019, 33 States/UTs have signed MoUs with National Health Agency (now National  Health  Authority),  the  implementing  body  for  PMJAY.  Only  States  of  Telangan Odisha, an d Union Territory of Delhi have not signed the MoU.

(g) : 'Public  Health  &  Hospitals'  being  a  State  Subject,  the  primary  responsibility  of 'Affordable  Healthcare'  and  'Preventive  Healthcare'  to  all  is  that  of  respective  State/UT governments.

The Nati onal Rural Health Mission (NRHM) was launched in 2005 to supplement the efforts of the State/UT governments to provide accessible, affordable and quality healt all especially to vulnerable people including BPL who access public health facilities. C urrently, NRHM is a sub - mission of National Health Mission (NHM).

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 is being provid ed to States/ UTs for strengthening their healthcare services including suppo free  Drugs  and  Diagnostics  and  PM  National  Dialysis  Programme,  based  on  the  proposal received from them.

While under PMJAY free hospitalisation care is being provided to around 10.74 crore families  belonging  to  identified  criteria  as  per  SECC  database,  both  rural  &  urban, Ayushman Bharat-Health and Wellness Centres (HWCs), Comprehensive Primary health care is  being  delivered  through  HWCs  covering  prevention,  promot ion  and  ambulatory  care  at primary level.

……………….

## Prime Minister Jan Arogya Yojana [PMJAY]

1. Government  of  India  has  launched  Ayushman  Bharat  Pradhan  Mantri  Jan  Arogya  Yoj (PMJAY)  on  23.09.2018.  PMJAY  is  centrally  sponsored  scheme.  It  is  entirely  fun Government and the funding is shared between Centre and State governments as per pr guidelines of Ministry of Finance.
2. PMJAY provides health coverage up to Rs. 5 lakh per family per year for secondary and tert hospitalization  to  around  10.74  crore  poor  and  vulnerable  families  (approx. beneficiaries).
3. PMJAY is an entitlement based scheme. This scheme covers poor and vulnerable families bas on depri vation and occupational criteria as per SECC data.
4. PMJAY provides cashless and paperless access to services for the beneficiary at t service in any (both public and private) empanelled hospitals across India. In o beneficiary  from one  State  can  avail  benefits  from  an  empanelled  Hospital  anywhere Country.
5. Under  PMAJY,  the  States  are  free  to  choose  the  modalities  for  implementation. implement  the  scheme  through  insurance  company  or  directly  through  the  Trust/  So or mixed model.
6. There is no restriction on family size, ensuring all members of designated familie girl child and senior citizens get coverage.
7. At National level, National Health Authority (NHA) has been set up to implement the
8. MoU has been signed between National Health Agency (now National Health Authority) and 33 States/UTs to implement PMJAY.
9. About  1393  treatment  packages  are  available  for  the  beneficiaries  under  PMJAY
10. 10.The details of package, operational guidelines and ke y features are available at www. pmjay.gov.in

## Annexure-I

## Ayushman Bharat Health and Wellness Centres

In  order  to  expand  access  to  Comprehensive  Primary  Health  Care  (CPHC),  under Ayushman Bharat-Health and Wellness Centres (HWCs), Sub Health Cen res (SHCs) and Primary Health  Centres  (PHCs)  are  being  strengthened  as  Health  and  Wellness  Centres  (H&WCs).  Th H&WCs  are  to  provide  preventive,  promotive,  rehabilitative  and  curative  care  for  an  exp range  of  services  encompassing  reproductive  and child  health  services,  communicable  diseases, non- communicable  diseases,  palliative  care  and  elderly  care,  oral  health,  ENT  care,  and emergency care. The services in HWCs will be provided through a Mid - level Health Care Provider (MLHP)/Community Hea lth Officer (CHO) placed at a HWC - SHC  and  Medical Officer at PHC (Rural/Urban). The MLHP/CHO will undergo a Certificate in Community Health through IGNOU or public university.

2. The key elements for roll out of CPHC through HWC are as under:
- Continuum of Care -Telehealth/ Referral.
- Expended Service Delivery.
- Expanding HR-MLHP & Multiskilling.
- Community Mobilisation and Health Promotion.
- Medicines & Expanding Diagnostics.
- Robust IT System.
- Partnership for Knowledge & Impl e entation.
- Infrastructure.
- Financing/ Provider Payment Reforms.
3. As per information provided by the States/ UTs on HWC portal, the state wise detai operationalized HWC as on 04.02.2019 are as under -

| State/UT                    | Operational HWCs Status on Portal   |
|-----------------------------|-------------------------------------|
| Andaman and Nicobar Islands | 04/02 30                            |
| Andhra Pradesh              | 1361                                |
| Arunachal Pradesh           | 54                                  |
| Assam                       | 301                                 |
| Bihar                       | 211                                 |
| Chandigarh                  | 10                                  |
| Chhattisgarh                | 199                                 |
| Dadra & Nagar Haveli        | 27                                  |
| Daman & Diu                 | 24                                  |
| Goa                         | 14                                  |
| Gujarat                     | 347                                 |
| Haryana                     | 133                                 |
| Himachal Pradesh            | 2                                   |
| Jammu & Kashmir             | 36                                  |
| Jharkhand                   | 333                                 |
| Karnataka                   | 548                                 |

| Kerala         |   350 |
|----------------|-------|
| Madhya Pradesh |    97 |
| Maharashtra    |   248 |
| Manipur        |    29 |
| Meghalaya      |     1 |
| Mizoram        |     1 |
| Nagaland       |     5 |
| Odisha         |   486 |
| Puducherry     |     2 |
| Punjab         |   373 |
| Rajasthan      |   451 |
| Sikkim         |     5 |
| Tamil Nadu     |  1318 |
| Telangana      |   445 |
| Tripura        |    71 |
| Uttar Pradesh  |   467 |
| Uttarakhand    |    51 |
| West Bengal    |     0 |
|                |  8030 |

HWC Portal:https://ab - hwc.nhp.gov.in West Bengal is yet to commence  data  reporting on the portal.