Lok Sabha Question No. 5584 (UNSTARRED), answered on 2019-07-26
Subject: Health and Wellness Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: P.R. Natarajan, Behanan Benny, Anurag Sharma, Manoj Rajoria

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

LOK SABHA UNSTARRED QUESTION NO. 5584 TO BE ANSWERED ON 26 TH JULY, 2019

## HEALTH AND WELLNESS CENTRES

## 5584. SHRI P.R. NATARAJAN:

SHRI BENNY BEHANAN:

SHRI ANURAG SHARMA:

DR. MANOJ RAJORIA:

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

- (a) the number of present and proposed Health and Wellness Centres (HWCs) in the count including rural and remote areas, State/UT - wise;
- (b)the funds allocated/proposed to be allocated in this regard;
- (c)  the  estimated  number  of  beneficiaries  benefited/likely  to  be  benefited  in  HWCs country, State/UT - wise;
- (d) the necessary steps taken/being taken to ensure availability and fu fil the shortage of medical professionals and para medics in such HWCs in the country; and
- (e) the details of steps taken to ensure availability of trained professional to attend cases in HWCs?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

- (a): Under Ayushman Bharat -Health &Wellness Centres (AB -HWCs), 1.5 lakh Health Sub  Centres  and  Primary  Health  Centres  are  to  be  transformed  into  Health  and  Wellne Centres across the country by December, 2022. The state - wise detail of 19,821 operational AB -HWCs as on 18.07.2019 is at Anne xure - I.
- (b): The state - wise detail of Releases and Allocation under AB - HWCs for the F.Y. 2018 - 19 and 2019 - 20  is  at  Annexure -II.  Besides  this,  various  components  of  AB - HWCs  like  Human Resource,  Free  Drugs,  Diagnostics  etc.  are  also  supported  under  regular National  Health Mission (NHM) Budget.
- (c): Services at AB -HWCs are free and universal to all individuals residing in the servi area.

(d): Only those Sub Health Centres and Primary Health Centres that have required human resource  are  considered  as  operat ional  AB - HWCs,  besides  satisfying  other  functionality criterion. To ensure and enable availability of medical professionals and para medics i -HWCs, necessary financial and technical support is being provided to the States under N Besides this, NHM C onditionality framework and mechanisms of incentives encourage states to complete recruitment for vacant positions of the necessary human resources at PHC and SH being transformed as AB - HWCs.

(e): Following steps are being taken to ensure availability o f trained professional to attend emergency cases in HWCs: -

- PHC level AB - HWCs havetrained - medical officers to attend emergency cases in HWCs.
- Sub  Health  Centre  level  AB - HWCs  is  being  manned  by  CHOswho  are  trained in Certificate Programme in Community Health thatincludes topics related to training in management of cases for basic medical emergencies and trauma.
- Ministry  of  Health  and  Family  Welfare  has  also  set  up  a  Task  Force  to  finalize Operational Guidelines for service delivery pr otocols for management of Basic Medical Emergency and Trauma at HWCs.

| Sl.               | State Name               | HWCs Operational   | HWCs Operational   | HWCs Operational   | HWCs Operational   |
|-------------------|--------------------------|--------------------|--------------------|--------------------|--------------------|
| No.               |                          | SHC                | PHC                | UPHC               | TOTAL              |
| Non_High_Focus    | Non_High_Focus           | Non_High_Focus     | Non_High_Focus     | Non_High_Focus     | Non_High_Focus     |
| 1                 | Andhra                   | 779                | 1146               | 243                | 2168               |
| 2                 | Pradesh Goa              | 4                  | 20                 | 4                  | 28                 |
| 3                 | Gujarat                  | 782                | 772                | 71                 | 1625               |
| 4                 | Haryana                  | 169                | 199                | 74                 | 442                |
| 5                 | Himachal                 | 0                  | 29                 | 0                  | 29                 |
| 6                 | Pradesh Jammu &          | 116                | 120                | 5                  | 241                |
| 7                 | Kashmir Karnataka        | 505                | 132                | 71                 | 708                |
| 8                 | Kerala                   | 0                  | 643                | 30                 | 673                |
| 9                 | Maharashtra              | 1136               | 1089               | 440                | 2665               |
| 10                | Punjab                   | 405                | 349                | 91                 | 845                |
| 11                | Tamil Nadu               | 293                | 1090               | 216                | 1599               |
| 12                | Telangana                | 328                | 579                | 234                | 1141               |
| 13                | West Bengal              | 143                | 256                | 0                  | 399                |
| Union_Territories | Union_Territories        | Union_Territories  | Union_Territories  | Union_Territories  | Union_Territories  |
| 14                | Andman & Nicobar         | 28                 | 0                  | 2                  | 30                 |
| 15                | Islands Chandigarh       | 2                  | 0                  | 8                  | 10                 |
| 16                | Dadra&                   | 24                 | 7                  | 0                  | 31                 |
| 17                | Nagar Haveli Daman & Diu | 19                 | 4                  | 0                  | 23                 |
| 18                | Delhi                    | 0                  | 0                  | 0                  | 0                  |
| 19                | Lakshadweep              | 0                  | 0                  | 0                  | 0                  |
| 20                | Puducherry               | 0                  | 18                 | 0                  | 18                 |
| North_East        | North_East               | North_East         | North_East         | North_East         | North_East         |
| 21                | Arunachal                | 15                 | 34                 | 4                  | 53                 |
| 22                | Pradesh Assam            | 630                | 254                | 49                 | 933                |
| 23                | Manipur                  | 63                 | 5                  | 1                  | 69                 |
| 24                | Meghalaya                | 8                  | 9                  | 1                  | 18                 |
| 25                | Mizoram                  | 0                  | 2                  | 2                  | 4                  |
| 26                | Nagaland                 | 49                 | 2                  | 3                  | 54                 |
| 27                | Sikkim                   | 23                 | 6                  | 0                  | 29                 |
| 28                | Tripura                  | 40                 | 26                 | 5                  | 71                 |
| High_Focus        | High_Focus               | High_Focus         | High_Focus         | High_Focus         | High_Focus         |
| 29                | Bihar                    | 82                 | 421                | 95                 | 598                |
| 30                | Chhattisgarh             | 597                | 182                | 19                 | 798                |
| 31                | Jharkhand                | 203                | 108                | 53                 | 364                |
| 32                | Madhya                   | 0                  | 293                | 34                 | 327                |
| 33                | Pradesh Odisha           | 99                 | 824                | 82                 | 1005               |
| 34                | Rajasthan                | 130                | 392                | 56                 | 578                |
| 35                | Uttar Pradesh            | 777                | 916                | 388                | 2081               |
| 36                | Uttarakhand              | 55                 | 75                 | 34                 | 164                |
| 7504              | TOTAL                    |                    | 10002              | 2315               | 19821              |

Sourc: HWC Portal (as on 18.07.2019)

## Annexure-I

Releases and Allocation under Ayushman Bharat Yojana/ Health & Wellness Centres (Comprehensive Primary Health Care) for the F.Y. 2018 -19 and 2019 - 20

| S.N.        | States                    | Release (2018-19)   | Rs. In crore Allocation (2019 - 20)   |
|-------------|---------------------------|---------------------|---------------------------------------|
| 1           | Andaman & Nicobar Islands | 0.80                | 1.43                                  |
| 2           | Andhra Pradesh            | 43.51               | 57.94                                 |
| 3           | Arunachal Pradesh         | 8.15                | 14.63                                 |
| 4           | Assam                     | 68.67               | 91.85                                 |
| 5           | Bihar                     | 88.50               | 122.03                                |
| 6           | Chandigarh                | 0.71                | 0.94                                  |
| 7           | Chattisgarh               | 36.42               | 49.42                                 |
| 8           | Dadra & Nagar Haveli      | 0.70                | 1.25                                  |
| 9           | Daman & Diu               | 0.43                | 0.75                                  |
| 10          | Delhi                     | -                   | 9.27                                  |
| 11          | Goa                       | 0.79                | 1.40                                  |
| 12          | Gujarat                   | 44.64               | 60.13                                 |
| 13          | Haryana                   | 18.45               | 24.78                                 |
| 14          | Himachal Pradesh          | 16.08               | 21.96                                 |
| 15          | Jammu & Kashmir           | 32.66               | 44.48                                 |
| 16          | Jharkhand                 | 26.02               | 47.20                                 |
| 17          | Karnataka                 | 47.98               | 64.57                                 |
| 18          | Kerala                    | 18.43               | 24.71                                 |
| 19          | Lakshadweep               | 0.18                | 0.32                                  |
| 20          | Madhya Pradesh            | 87.74               | 118.73                                |
| 21          | Maharashtra               | 91.27               | 121.18                                |
| 22          | Manipur                   | 5.44                | 9.69                                  |
| 23          | Meghalaya                 | 8.64                | 11.49                                 |
| 24          | Mizoram                   | 4.03                | 7.05                                  |
| 25          | Nagaland                  | 5.01                | 8.79                                  |
| 26          | Orissa                    | 48.34               | 65.22                                 |
| 27          | Puducherry                | 14.46               | 0.85                                  |
| 28          | Punjab                    | 19.69               | 26.47                                 |
| 29          | Rajasthan                 | 83.70               | 113.72                                |
| 30          | Sikkim                    | 2.16                | 3.09                                  |
| 31          | Tamil Nadu                | 56.41               | 69.86                                 |
| 32          | Tripura                   | 10.18               | 13.41                                 |
| 33          | Uttar Pradesh             | 176.10              | 237.09                                |
| 34          | Uttarakhand               | 19.62               | 26.68                                 |
| 35          | West Bengal               | 59.47               | 85.05                                 |
| 36          | Telangana                 | 46.14               | 42.56                                 |
| Grand total | Grand total               | 1,191.52            | 1,600.00                              |

2. Allocation has no relevance after the close of the financial year, hence releases for F.Y. 2018 - 19 has been provided.

3. CPHC comprises of CPHC under Health System Strengthening under NRHM  and NUHM.