Lok Sabha Question No. 4058 (UNSTARRED), answered on 2023-03-24
Subject: Density of Rural Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: R.K. Singh Patel

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

## LOK SABHA UNSTARRED QUESTION NO. 4058 TO BE ANSWERED ON 24 th  MARCH, 2023

## DENSITY OF RURAL HEALTH CENTRES

## †4058. SHRI R.K. SINGH PATEL:

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

- (a) the present status of healthcare system in the country including Uttar Pradesh;
- (b) the average density of population served by every Rural Health Centre;
- (c)  whether  the  Government  has  formulated  any  scheme  to  improve  the  present situation/condition of healthcare services in rural areas of the country;
- (d) if so, the details thereof; and
- (e) the district-wise number of Rural Healthcare Centres functioning in Uttar Pradesh?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) & (b): The healthcare system of the country involves a three-tier system with Sub Health Centre  (Rural),  Primary  Health  Centre  (Urban  and  Rural)  and  Community  Health  Centre (Urban and Rural) as the three pillars of Primary Health Care System in India.

As per established norms, in rural areas a Sub Health Centre for a population of 5,000 (in plain) and 3000 (in hilly and tribal area), a Primary Health Centre for a population of 30,000 (in plains) and 20,000 (in hilly and tribal areas) and Community Health Centre for a population of 1,20,000 (in plain) and 80,000 (in hilly and tribal area) is sugessted. Further, for urban area one  Urban  Health  Wellness  Centre  is  recommended  for  a  urban  population  of  15,000  to 20,000, one U-PHC for a urban population of 30,000 to 50,000, One U-CHC for every 2.5 lakh population in non-metro cities (above 5 lakh population) and one U-CHC for every 5 lakh population in the metro cities. Further, First Referral Unit, Sub-District Hospital (SDH) and District Hospital (DH) provide secondary care services for rural & urban area.

Rural  Health  Statistics  (RHS)  is  an  annual  publication,  based  on  Health  care administrative data reported by States/UTs. Details of State/UT-wise number of Sub-Centres, PHCs, CHCs, Sub-Divisional Hospital, District Hospital & Medical Colleges functioning in rural & urban areas along with details of average population covered by rural health centre may be seen at the following link of RHS 2021-22:

## https://main.mohfw.gov.in/sites/default/files/RHS%202021%2022.pdf

(c)  to  (e):  National  Health  Mission  (NHM)  envisages  achievement  of  universal  access  to equitable,  affordable  &  quality  health  care  services  that  are  accountable  and  responsive  to people's needs. The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received  in  the  form  of  Programme  Implementation  Plans  (PIPs)  under  National  Health Mission. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

As on 28.02.2023, a total of 21,986 Ayushman Bharat - Health and Wellness Centres (AB-HWCs) have been operationalized in Uttar Pradesh by upgrading existing SHCs and PHCs to deliver Comprehensive Primary Health Care (CPHC) that includes preventive, promotive, curative,  palliative  and  rehabilitative  services  which  are  universal,  free,  and  closer  to  the community.

XV-Finance Commission Health Grants through Local Government announced as part of Union Budget 2021-22, for strengthening the healthcare system at primary healthcare level, has recommended grants aggregating to Rs. 70,051 crores over the period of five years (20212026).

Government of India runs many schemes which focus upon the bridging the gap in providing health services to the public at large. PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) with an outlay of Rs. 64,180 Crores aims to fill critical gaps in public health infrastructure.

The number of rural healthcare centres functioning in Uttar Pradesh district wise may be seen at the following link of RHS 2021-22:

https://main.mohfw.gov.in/sites/default/files/RHS%202021%2022.pdf

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