Lok Sabha Question No. 436 (STARRED), answered on 2022-04-01
Subject: Sustainable Healthcare Ecosystem
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Manoj Kishorbhai Kotak

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

## LOK SABHA STARRED QUESTION NO. 436 TO BE ANSWERED ON THE 1 ST  APRIL, 2022

## SUSTAINABLE HEALTHCARE ECOSYSTEM

## *436. SHRI MANOJ KOTAK:

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

- (a) whether the Government has made more than 100 percent increase in the budgetary allocation for  Financial  Year  2022-23  towards  building  strong  foundations  for healthcare system in the country;
- (b) if so, the details thereof;
- (c)  whether  the  Government  has  selected/identified  some  backward  districts  which need continuous monitoring and extra attention with regard to healthcare infrastructure;
- (d) if so, the details thereof; and
- (e)  the  funds  allocated  for  different  programmes/  schemes  for  improvement  of healthcare system in the country?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to (  e) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 436* FOR 1 ST  APRIL, 2022

(a) to  (d):  The  Budgetary  allocation  for  the  Department  of  Health  and  Family Welfare, Ministry of Health and Family Welfare (MoHFW), has been enhanced from Rs.  71,268.77  crore  in  Budget  Estimates  (BE)  2021-22  to  Rs.  83,000.00  crore  in Budget  Estimates  2022-23,  an  increase  of  Rs.  11,731.23  Crore  (16.46%)  over  the previous year.

The  overall  budgetary  allocation  is  divided  in  two  sections  viz  Revenue  and Capital, the breakup of which is given below:

| Category   | Financial year (BE) 2021- 22   |   Financial year (BE) 2022- 23 |   Increase of BE in 2022- 23 over BE of 2021-22 | Percentage (%) increase   |
|------------|--------------------------------|--------------------------------|-------------------------------------------------|---------------------------|
| Revenue    | 68760.03 77367.43              |                        8607.4  |                                           12.51 |                           |
| 2508.74    | 5632.57                        |                        3123.83 |                                          124.51 | Capital                   |
| Total      | 71268.77                       |                       83000    |                                        11731.2  | 16.46                     |

As  per  the  above  information,  there  is  an  increase  of  124.51%  in  the Capital component of the Budget in 2022-23 over previous year's allocation which is earmarked mainly for strengthening of infrastructure for healthcare system in the country. Hospital/Institution/Schemewise details of allocation for capital component  of  the  budget  in  financial  years  2021-22  and  2022-23  are  given  at A nnexure A .

The  increase  in  capital  expenditure  is  mainly  provided  under  Central Sector Schemes- Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), Pradhan Mantri  Ayushman  Bharat  Health  Infrastructure  Mission  (PM-ABHIM),  Central Government Health Scheme (CGHS) and Central Government Hospitals located in  Delhi  viz  Safdarjung  Hospital,  Dr.  RML  Hospital,  Atal  Bihari  Vajpayee

Institute of Medical Sciences and Lady Hardinge Medical College & Smt. Sucheta Kripalani Hospital including Kalawati Saran Children's Hospital and autonomous institutions.  The  budgetary  allocation  earmarked  to  central  hospitals/institutions are  not  based  on  criteria  like  population/backward  area  coverage  etc.,  but  to strengthen infrastructure and  for  improving  patient care facilities. Besides, infrastructure  projects  under  the  Central  Sector  Schemes  of  Pradhan  Mantri Swasthya  Suraksha  Yojana  (PMSSY)  and  Pradhan  Mantri  Ayushman  Bharat Health Infrastructure Mission (PM-ABHIM) where substantial increase has been provided are spread over different parts of the country. The details are given at Annexure B .

Grant-in-Aid for creation of capital asset is also provided to State/Union Territory (UT) Governments under Centrally Sponsored schemes like, establishment  of  new  medical  colleges/upgradation  of  existing  medical  colleges and  newly  added  programme  like  PM-ABHIM  etc.  States/Union  territories  are suggested to accord preference to set up medical colleges in underserved areas and aspirational districts where there is no medical college. Further, in the operational guidelines of the scheme - PM-ABHIM, it is suggested to the States and Union Territories  for  prioritizing  and  ensuring  preferential  allocation  to  aspirational /tribal/Left Wing Extremism (LWB)/Remote /Hill districts.

(e):  The details of funds allocated in the BE 2022-23 for different programmes / schemes for improvement of healthcare system in the country can be accessed via web-link https://www.indiabudget.gov.in/doc/eb.sbe46.pdf

## Annexure-A

## Demand No.46 - Department of Health & Family Welfare The Details of Provisions for Capitals Expenditure

(Rs. in crore)

| Sl. No.   | Hospitals/Institutions/Scheme                                                                                               | Budget Estimates 2021-22   | Budget Estimates 2022-23   |
|-----------|-----------------------------------------------------------------------------------------------------------------------------|----------------------------|----------------------------|
|           | Establishment Expenditure of the Centre                                                                                     |                            |                            |
|           | Central Hospitals                                                                                                           |                            |                            |
| 1         | Central Government Health Scheme                                                                                            | 21.92                      | 37.93                      |
| 2         | Safdarjang Hospital, New Delhi                                                                                              | 110.14                     | 128.27                     |
| 3         | Dr. Ram Manohar Lohia Hospital, New Delhi                                                                                   | 100.00                     | 140.00                     |
|           | Dr. R.M.L. P.G. Institute of Medical Education and Research (Atal Bihari Vajpayee Institute of Medical Sciences), New Delhi | 42.00                      | 52.00                      |
| 4         | Lady Hardinge Medical College & Smt. Sucheta Kripalani Hospital & New Delhi                                                 | 68.02                      | 125.82                     |
| 5         | Kalawati Saran Children's Hospital, New Delhi                                                                               | 10.09                      | 11.75                      |
| 6         | Other Hospitals/Institutions                                                                                                |                            |                            |
|           | National Medical Library                                                                                                    | 0.50                       | 0.58                       |
|           | Medical Stores Organization                                                                                                 | 1.10                       | 1.28                       |
|           | Central Institute of Psychiatry, Ranchi                                                                                     | 15.18                      | 17.68                      |
|           | All India Institute of Physical Medicine and Rehabilitation, Mumbai                                                         | 7.15                       | 8.33                       |
|           | RAK College of Nursing, New Delhi                                                                                           | 17.67                      | 12.52                      |
|           | Lady Reading Health School                                                                                                  | 0.38                       | 0.50                       |
|           | Port Health Estt. Including APHO                                                                                            | 2.92                       | 12.00                      |
|           | National TB Training Institute, Bangalore                                                                                   | 1.07                       | 1.25                       |
|           | Central Leprosy Teaching and Research Institute, Chengalpattu                                                               | 1.67                       | 4.90                       |
|           | Regional Leprosy Training and Research Institute, Aska                                                                      | 1.75                       | 3.00                       |
|           | Regional Leprosy Training and Research Institute, Raipur                                                                    | 0.65                       | 1.65                       |
|           | Regional Leprosy Training and Research Institute, Gauripur                                                                  | 1.43                       | 0.70                       |
|           | Central Drugs Standard Control Org.                                                                                         | 25.00                      | 29.12                      |
|           | BCG Vaccine Laboratory, Guindy, Chennai                                                                                     | 0.98                       | 1.14                       |
|           | Central Research Institute, Kasauli                                                                                         | 26.48                      | 45.27                      |
|           | All India Institute of Hygiene and Public Health, Kolkata                                                                   | 1.72                       | 2.30                       |
|           | Family Welfare Training and Research Centre, Mumbai                                                                         | 10.00                      | 8.58                       |
|           | Rural Health Training Centre, Najafgarh                                                                                     | 0.22                       | 0.26                       |
|           | Total - Other Hospitals/Institutions                                                                                        | 115.87                     | 151.06                     |
|           | Total - Establishment Expenditure of the Centre                                                                             | 468.04                     | 646.83                     |
|           | Central Sector Schemes/Projects                                                                                             |                            |                            |
| 7         | Pradhan Mantri Swasthya Suraksha Yojana                                                                                     | 1846.87                    | 4326.87                    |
| 8         | National AIDS and STD Control Programme                                                                                     | 21.50                      | 2.00                       |
| 9         | Health Sector Disaster Preparedness & Management including EMR (including Avian Flu) & Emergency Medical Services           | 52.82                      | 52.82                      |

| 10   | National Organ Transplant Programme                                                                                                                                                                                                                       | 1.35    | 1.57    |
|------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------|---------|
| 11   | Establishment and strengthening of NCDC Branches and Health Initiatives - Inter Sectoral Co-ordination for preparation and control of Zoonotic Diseases and other neglected tropical diseases, surveillance of Viral Hepatitis, Anti-Microbial Resistance | 21.44   | 25.65   |
| 12   | National Institute of Communicable Diseases (National Centre for Disease Control), Delhi - Emergency Epidemic Preparedness and Response - EAP                                                                                                             | 0.00    |         |
| 13   | Procurement of Supplies & Material for Emergency Epidemic Preparedness and Response - EAP                                                                                                                                                                 |         |         |
| 14   | India COVID-19 Emergency Response & health System Preparedness Package (Phase-II) (DBS)                                                                                                                                                                   |         |         |
| 15   | Blood Transfusion Service                                                                                                                                                                                                                                 |         | 20.50   |
| 16   | Pradhan Mantri Ayushman Bharat Health Infrastructure Misison (PM- ABHIM)                                                                                                                                                                                  |         | 418.18  |
|      | Total - Central Sector Schemes/Projects                                                                                                                                                                                                                   | 1943.98 | 4847.59 |
|      | Other Central Expenditure, including those on CPSEs and Autonomous Bodies                                                                                                                                                                                 |         |         |
| 17   | International Cooperation/ International Health                                                                                                                                                                                                           |         |         |
|      | Redevlopment of WHO-SERO Building                                                                                                                                                                                                                         | 32.22   | 87.00   |
| 18   | Other Miscellaneous Expenditure                                                                                                                                                                                                                           |         |         |
|      | National Centre for Disease Control Programme                                                                                                                                                                                                             | 59.50   | 46.15   |
|      | Total - Other Central Expenditure, including those on CPSEs and Autonomous Bodies                                                                                                                                                                         | 91.72   | 133.15  |
| 19   | National Tobacco Control Programme                                                                                                                                                                                                                        | 5.00    | 5.00    |
|      | Grand Total (Capital)                                                                                                                                                                                                                                     | 2508.74 | 5632.57 |

## PRADHAN MANTRI SWASTHAYA SURAKSHA YOJANA (PMSSY)

Details of 22 AIIMS and 75 upgradation projects of Government Medical Colleges/Institutes have been sanctioned under PMSSY

(Rs. In Cr)

| S.No.   | State          | Name of GMC/AIIMS                                            | Approved outlay   | Approved outlay   | Approved outlay   |
|---------|----------------|--------------------------------------------------------------|-------------------|-------------------|-------------------|
|         |                |                                                              | Central Share     | State Share       | Total             |
| 1       | Andhra Pradesh | 1. Sri Venkateshwara Institute of Medical Sciences, Tirupati | 60.00             | 60.00             | 120.00            |
| 1       | Andhra Pradesh | 2.Siddhartha Medical College, Vijayawada                     | 120               | 30                | 150               |
| 1       | Andhra Pradesh | 3.Govt. Medical College, Anantpur                            | 120               | 30                | 150               |
| 1       | Andhra Pradesh | 4. AIIMS Mangalagiri                                         | 1618              | 0                 | 1618              |
| 2       | Assam          | 1.Guwahati Medical College, Guwahati                         | 120               | 30                | 150               |
| 2       | Assam          | 2.Assam Medical College, Dibrugarh                           | 120               | 30                | 150               |
| 2       | Assam          | 3. AIIMS Guwahati                                            | 1123              | 0                 | 1123              |
| 3       | Bihar          | 1.Srikrishna Medical College, Muzaffarapur                   | 120               | 30                | 150               |
| 3       | Bihar          | 2.Govt. Medical College, Darbhanga                           | 120               | 30                | 150               |
| 3       | Bihar          | 3.Patna Medical College &Hospital, Patna                     | 120               | 80                | 200               |
| 3       | Bihar          | 4.Government Medical College, Bhagalpur                      | 120               | 80                | 200               |
| 3       | Bihar          | 5.Government Medical College, Gaya                           | 120               | 80                | 200               |
| 3       | Bihar          | 6. IGIMS, Patna                                              | 106.812           | 81.068            | 187.88            |
| 3       | Bihar          | 7. AIIMS, Patna                                              | 820               | 0                 | 820               |
| 3       | Bihar          | 8. AIIMS, Darbhanga                                          | 1264              | 0                 | 1264              |
| 4       | Chhattisgarh   | 1.Government Medical College, Bilaspur                       | 120               | 80                | 200               |

## Annexure B

|    |           | 2.Government Medical College, Jagdalpur                               |   120 |     80 |     200 |
|----|-----------|-----------------------------------------------------------------------|-------|--------|---------|
|    |           | 3. AIIMS Raipur                                                       |   820 |   0    |  820    |
| 5  | Delhi     | 1.UCMS-GTB hospital                                                   |   120 |  80    |  200    |
| 6  | Goa       | 1.Goa Medical College, Panaji                                         |   120 | 266.35 |  386.35 |
| 7  | Gujarat   | 1. BJ Medical College, Ahmedabad                                      |   100 |  20    |  120    |
| 7  |           | 2.Govt. Medical College, Rajkot                                       |   120 |  30    |  150    |
| 7  |           | 3.Government Medical College, Surat                                   |   120 | 174    |  294    |
| 7  |           | 4.Government Medical College, Bhavnagar                               |   120 |  80    |  200    |
| 7  |           | 5. AIIMS Rajkot                                                       |  1195 |   0    | 1195    |
| 8  | Haryana   | 1.Pandit BD Sharma Postgraduate Institute of Medical Sciences, Rohtak |   125 |  25    |  150    |
| 8  |           | 2. AIIMS Manethi                                                      |  1299 |   0    | 1299    |
| 9  | Himachal  | 1. Government Medical College, Tanda                                  |   125 |  25    |  150    |
| 9  | Pradesh   | 2. Indira Gandhi Govt. Medical College, Shimla                        |   120 |  78.91 |  198.91 |
| 9  |           | 3. AIIMS Bilaspur                                                     |  1351 |   0    | 1351    |
| 10 | Jammu&    | 1. Government Medical College, Jammu                                  |   115 |  20    |  135    |
| 10 | Kashmir   | 2.Government Medical College, Srinagar                                |   115 |  20    |  135    |
| 10 |           | 3. AIIMS Jammu                                                        |  1661 |   0    | 1661    |
| 10 |           | 4. AIIMS Kashmir                                                      |  1828 |   0    | 1828    |
| 11 | Jharkhand | 1.Rajendra Institute of Medical Sciences (RIMS), Ranchi               |   100 |  20    |  120    |
| 11 |           | 2.Patliputra Medical College, Dhanbad                                 |   120 |  45.71 |  165.71 |
| 11 |           | 3. AIIMS Deoghar                                                      |  1103 |   0    | 1103    |
| 12 | Karnataka | 1.Bangalore Medical College, Bangalore                                |   100 |  26.69 |  126.69 |
| 12 |           | 2.Vijayanagar Institute of Medical Sciences, Bellary                  |   120 |  30    |  150    |
| 12 |           | 3.Karnataka Institute of Medical Sciences,                            |   120 |  30    |  150    |

|    |                | Hubli                                                       |      |        |         |
|----|----------------|-------------------------------------------------------------|------|--------|---------|
| 13 | Kerala         | 1.Medical College, Thiruvananthapuram                       |  100 |  20    |  120    |
| 13 | Kerala         | 2.Kozhikode Medical College                                 |  120 |  75.93 |  195.93 |
| 13 | Kerala         | 3.T.D. Medical College, Alappuzha                           |  120 |  53.18 |  173.18 |
| 13 | Kerala         | 4. SCTIMST, Trivandrum                                      |  120 | 110    |  230    |
| 14 | Madhya Pradesh | 1.Govt. Medical College, Rewa                               |  120 |  30    |  150    |
| 14 | Madhya Pradesh | 2. Netaji Subhash Chandra Bose Medical College, Jabalpur    |  120 |  30    |  150    |
| 14 | Madhya Pradesh | 3. GR Medical College, Gwalior                              |  120 |  30    |  150    |
| 14 | Madhya Pradesh | 4. Government Medical College, Indore                       |  120 | 117    |  237    |
| 14 | Madhya Pradesh | 5. AIIMS Bhopal                                             |  820 |   0    |  820    |
| 15 | Maharashtra    | 1. Grant Medical College &Sir JJ Group of Hospitals, Mumbai |  100 |  20    |  120    |
| 15 | Maharashtra    | 2. Government Medical College, Nagpur                       |  125 |  25    |  150    |
| 15 | Maharashtra    | 3. Govt. Medical College, Aurangabad                        |  120 |  30    |  150    |
| 15 | Maharashtra    | 4.Govt. Medical College, Latur                              |  120 |  30    |  150    |
| 15 | Maharashtra    | 5.Govt. Medical College, Akola                              |  120 |  30    |  150    |
| 15 | Maharashtra    | 6. Shri Vasantrao Naik Govt. Medical College, Yavatmal.     |  120 |  30    |  150    |
| 15 | Maharashtra    | 7. AIIMS Nagpur                                             | 1577 |   0    | 1577    |
| 16 | Odisha         | 1.MKCG Medical College, Behrampur                           |  120 |  30    |  150    |
| 16 | Odisha         | 2.VSS Medical College, Burla.                               |  120 |  30    |  150    |
| 16 | Odisha         | 3.Government Medical College, Cuttack                       |  120 | 140    |  260    |
| 16 | Odisha         | 4. AIIMS Bhubaneswar                                        |  820 |   0    |  820    |
| 17 | Punjab         | 1. Government Medical College, Amritsar                     |  125 |  25    |  150    |
| 17 | Punjab         | 2. Govt. Medical College, Patiala                           |  120 |  30    |  150    |
| 17 | Punjab         | 3. AIIMS, Bathinda                                          |  925 |   0    |  925    |

|   18 | Rajasthan     | 1.SP Medical College, Bikaner                                            |   120 |    30 |     150 |
|------|---------------|--------------------------------------------------------------------------|-------|-------|---------|
|   18 | Rajasthan     | 2.RNT Medical College, Udaipur                                           |   120 | 39    |  159    |
|   18 | Rajasthan     | 3.Govt. Medical College, Kota                                            |   120 | 30    |  150    |
|   18 | Rajasthan     | 4.Government Medical College, Jaipur                                     |   120 | 80    |  200    |
|   18 | Rajasthan     | 5. AIIMS Jodhpur                                                         |   820 |  0    |  820    |
|   19 | Tamil Nadu    | 1.Government Medical College, Salem                                      |   100 | 39.31 |  139.31 |
|   19 | Tamil Nadu    | 2.Government Medical College, Madurai                                    |   125 | 25    |  150    |
|   19 | Tamil Nadu    | 3.Thanjavur Medical College, Thanjavur                                   |   120 | 30    |  150    |
|   19 | Tamil Nadu    | 4.Tirunelveli Medical College, Tirunelveli                               |   120 | 30    |  150    |
|   19 | Tamil Nadu    | 5. AIIMS Madurai                                                         |  1264 |  0    | 1264    |
|   20 | Telangana     | 1. Nizam Institute of Medical Sciences, Hyderabad                        |   100 | 96.26 |  196.26 |
|   20 | Telangana     | 2.Rajiv Gandhi Institute of Medical Sciences, Adilabad                   |   120 | 30    |  150    |
|   20 | Telangana     | 3.Kakatiya Medical College, Warangal                                     |   120 | 30    |  150    |
|   20 | Telangana     | 4. AIIMS Bibinagar                                                       |  1028 |  0    | 1028    |
|   21 | Tripura       | 1.Agartala Govt. Medical College, Tripura                                |   120 | 30    |  150    |
|   22 | Uttar Pradesh | 1. SGPGIMS, Lucknow                                                      |   100 | 20    |  120    |
|   22 | Uttar Pradesh | 2. Trauma Centre (TC) in IMS, BHU, Varanasi                              |   100 | 20    |  120    |
|   22 | Uttar Pradesh | 3.Jawaharlal Nehru Medical College of Aligarh Muslim University, Aligarh |   125 | 25    |  150    |
|   22 | Uttar Pradesh | 4.Govt. Medical College, Jhansi                                          |   120 | 30    |  150    |
|   22 | Uttar Pradesh | 5.Govt. Medical College, Gorakhpur                                       |   120 | 30    |  150    |
|   22 | Uttar Pradesh | 6.MLN Medical College, Allahabad                                         |   120 | 30    |  150    |
|   22 | Uttar Pradesh | 7.LLR Medical College, Meerut                                            |   120 | 30    |  150    |
|   22 | Uttar Pradesh | 8.Government Medical College, Agra                                       |   120 | 80    |  200    |
|   22 | Uttar Pradesh | 9.Government Medical College, Kanpur                                     |   120 | 80    |  200    |

|    |             | 10.SSB at Institute of Medical Sciences, BHU, Varanasi   |     120 |    80 |     200 |
|----|-------------|----------------------------------------------------------|---------|-------|---------|
|    |             | 11.RIO at Institute of Medical Sciences, BHU, Varanasi   |   46.09 |  0    |   46.09 |
|    |             | 12. AIIMS Rae Bareli                                     |  823    |  0    |  823    |
|    |             | 13. AIIMS Gorakhpur                                      | 1011    |  0    | 1011    |
| 23 | Uttarakhand | 1. AIIMS Rishikesh                                       |  820    |  0    |  820    |
| 24 | West Bengal | 1.Kolkata Medical College, Kolkata                       |  100    | 60.73 |  160.73 |
| 24 | West Bengal | 2.BS Medical College, Bankura                            |  120    | 30    |  150    |
| 24 | West Bengal | 3.Govt. Medical College, Malda                           |  120    | 30    |  150    |
| 24 | West Bengal | 4.North Bengal Medical College, Darjeeling               |  120    | 30    |  150    |
| 24 | West Bengal | 5. AIIMS Kalyani                                         | 1754    |  0    | 1754    |

Against  the  allocation  of  Rs.7000  crore  (Revenue  Section:  Rs.5153.13  crore  and  Capital Section:  Rs.1846.87  crore)  in  Budget  Estimates  for  2021-22,  the  Budget  Estimates  in  2022-23  is Rs.10000 crore (Revenue Section: Rs.5673.13 crore and Capital Section: Rs.4326.87 crore).

In addition, under PM-ABHIM, support is being provided to Central Government Institutions for setting up of Critical Care Hospital Blocks.

## PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM)

Under PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), financial and technical support  is  provided  to  States/UTs  for  five  components  under  Centrally  Sponsored  Scheme Component viz:

1. Support  for  17,788  rural  Health  and  Wellness  Centres  in  7  High  Focus  States  (Bihar, Jharkhand,  Odisha,  Punjab,  Rajasthan,  Uttar  Pradesh  and  West  Bengal)  and  3  North  Eastern States (Assam, Manipur and Meghalaya)..
2. Establishing 11,024 urban Health and Wellness Centres in all the States.
3. 3382 Block Public Health Units in 11 High Focus States/UTs (Assam, Bihar, Chhattisgarh, Himachal  Pradesh,  UT  -  Jammu  and  Kashmir,  Jharkhand,  Madhya  Pradesh,  Odisha,  Rajasthan, Uttar Pradesh and Uttarakhand).
4. Setting up of Integrated Public Health Labs in all the 730 districts.

5. Establishing Critical Care Hospital Blocks in the 602 districts with population of more than 5 lakhs.

As  the  public  health  &  hospitals  is  the  States'  subject,  the  implementation  of  the  scheme  lies under  the  purview  of  State/UT  Governments.  However,  in  the  Operational  Guideline  of  the scheme, it is suggested to the States/UTs for prioritizing and ensuring preferential allocations to be  made  to  the  backward/Aspirational  /  Tribal  /  Left  Wing  Extremism  (LWE)  /  Remote  /  Hill districts. In other districts, such units may be prioritized where critical inputs such as land, etc are readily available. This will further enable to reduce time to care and geographical barriers in such difficult terrains.

Under PM-ABHIM, a provision of Rs 64180 Crore has been made for five years w.e.f. FY 2021-22 to 2025-26 including Centrally Sponsored and Central Sector Component.

## Human Resources for Health & Medical Education

The Ministry of Health & Family Welfare administers a Centrally Sponsored Scheme (CSS) for 'Establishment  of  new  Medical  Colleges  attached  with  existing  district/referral  hospitals'  with preference to underserved areas and aspirational districts, where there is no existing Government or private medical college.

Under the Scheme (launched in 2014), 157 districts have been approved for establishment of medical colleges in three phases (Phase-I 58, Phase-II 24 and Phase-III 75). Out of 157 sites, 40 are in aspirational districts ( Annexure attached ). The total outlay of the scheme is Rs. 41332.41 Cr, the central share ( 90% for NER and Hilly States and 60% for Other States) amounts to Rs. 26715.84 Cr out of which, an amount of Rs. 20540.21 Cr has been released till now. Out of 157 approved medical colleges, 71 (50 in Phase-I, 08 in Phase-II and 13 in Phase-III) medical colleges are already functional.

The Ministry also administers a Centrally Sponsored Scheme for Up-Gradation of Central/State Government Medical Colleges for increase of MBBS seats in existing medical colleges. Under the scheme of increase of MBBS one time grant of Rs. 1.20 crore per seat is provided for infrastructure and equipment. Till date, 52 Medical Colleges have been approved under the scheme to increase 3495 MBBS seat and Rs. 2451.1 Crore have been released to the State Governments.

Under Phase - I of CSS for increasing PG seats, a total of 72 Government Medical Colleges in 21 States/UTs have been approved under the scheme for increasing 4058 PG Seats.  Funds to the tune of Rs.1049.3578 crore have been released under the scheme till date. Under Phase - II of this scheme,  18  Government  Medical  Colleges  have  been  approved  under  the  scheme  for  increasing

1872  PG  seats  till  date.  Funds  to  the  tune  of  Rs.740.934  crores  have  been  released  under  the scheme till date.

## Details of medical colleges approved in Aspirational Districts (AD)

|   S. No. | Name of the State   |    | Name of the District                                                    |
|----------|---------------------|----|-------------------------------------------------------------------------|
|        1 | Andhra Pradesh      |  1 | Paderu (Vishakhapatnam)                                                 |
|        2 | Assam               |  1 | Dhubri                                                                  |
|        3 | Bihar               |  3 | Purnia, Sitamarhi, Jamui                                                |
|        4 | Chhattisgarh        |  4 | Rajnandgaon, Korba, Mahasamund, Kanker                                  |
|        5 | Gujarat             |  1 | Narmada                                                                 |
|        6 | Himachal Pradesh    |  1 | Chamba                                                                  |
|        7 | Jammu & Kashmir     |  2 | Baramulla, Handwara (Distt. Kupwara)                                    |
|        8 | Jharkhand           |  4 | Dumka, Hazaribagh, Palamu (Daltonganj), Chaibasa (Singhbhum)            |
|        9 | Karnataka           |  1 | Yadgiri                                                                 |
|       10 | Madhya Pradesh      |  4 | Khandwa, Vidisha, Rajgarh, Singrauli                                    |
|       11 | Maharashtra         |  1 | Nandurbar                                                               |
|       12 | Odisha              |  3 | Bolangir, Koraput, Kalahandi                                            |
|       13 | Rajasthan           |  5 | Dholpur, Baran, Jaisalmer, Karauli, Sirohi                              |
|       14 | Uttarakhand         |  2 | Haridwar, Rudrapur ( Distt. Udham Singh Nagar)                          |
|       15 | Uttar Pradesh       |  5 | Bahraich, Fatehpur, Siddharthnagar (Domariyaganj), Chandauli, Sonbhadra |
|       16 | Tamil Nadu          |  2 | Ramanathapuram, Virudhunagar                                            |