Lok Sabha Question No. 1126 (UNSTARRED), answered on 2021-12-03
Subject: Grant to Health Sector
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Girish Bhalchandra Bapat, Pritam Gopinath Munde, Chandra Sekhar Sahu, Rahul Ramesh Shewale

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

## LOK SABHA UNSTARRED QUESTION NO. 1126

## TO BE ANSWERED ON THE 03 rd  DECEMBER, 2021

## GRANT TO HEALTH SECTOR

## 1126. SHRI GIRISH BHALCHANDRA BAPAT:

DR. PRITAM GOPINATHRAO MUNDE:

SHRI CHANDRA SEKHAR SAHU:

SHRI RAHUL RAMESH SHEWALE:

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

- a) whether  the  Government  has  released  Health  Sector  Grant  to  Local  Bodies  of various States;
- b) if so, the details in this regard, State/UT-wise particularly to Maharashtra  ;
- c) the details of the criteria fixed for selection of local bodies and amount of grants;
- d) the extent  to  which  health  systems  in  various  such  local  bodies  have  been strengthen as a result thereof; and
- e) the  extent  to  which  it  will  plug  the  critical  gaps  in  the  health  care  system  at  the primary health care level, State/UT-wise?

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

(a) and (b)

The  Government  has  released  15 th Finance  Commission  recommended  Health Sector Grants to all the States including the State of Maharashtra as per State-wise details given in Annexure-I .

(c)  to  (e)  On  the  basis  of  the  health  infrastructure  available  in  the  States,  15 th Finance Commission identified interventions that will directly  lead to  strengthening the  primary  health  infrastructure  and  facilities  in  both  rural  and  urban  areas.  These grants for health through Local Governments will be spread over the five-year period from FY 2021-22 to FY 2025-26 and facilitate strengthening of health system at the grass-root  level.The  components  identified  for  upgradation  of  primary  health  care infrastructure  in  Rural  and  Urban  areas  along  with  the  summary  of  the  amount earmarked year-wise are given in Annexure-II .

## Annexure-I

| 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   | 15th F. C. recommended component-wise HEALTH SECTOR GRANTS released to States during 2021-22 (as (Rs. in crore)   |
|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------|
| S. No.                                                                                                            | NAMEOF STATE                                                                                                      | on 30-11-2021) Support for diagnostic infrastructure to the PHC facilities                                        | on 30-11-2021) Support for diagnostic infrastructure to the PHC facilities                                        | on 30-11-2021) Support for diagnostic infrastructure to the PHC facilities                                        | Block Level PHUs                                                                                                  | UHWCs                                                                                                             | Building less SCs, PHCs & CHCs                                                                                    | Conversi on of Rural PHCs and SCs into HWC                                                                        | TOTAL                                                                                                             |
| S. No.                                                                                                            | NAMEOF STATE                                                                                                      | SHCs                                                                                                              | PHCs                                                                                                              | UPHC s                                                                                                            | Block Level PHUs                                                                                                  | UHWCs                                                                                                             | Building less SCs, PHCs & CHCs                                                                                    | Conversi on of Rural PHCs and SCs into HWC                                                                        | TOTAL                                                                                                             |
| 1                                                                                                                 | Andhra Pradesh                                                                                                    | 54.7600                                                                                                           | 57.2500                                                                                                           | 14.2900                                                                                                           | 134.3936                                                                                                          | 102.8726                                                                                                          | 0.0000                                                                                                            | 124.5865                                                                                                          | 488.1527                                                                                                          |
| 2                                                                                                                 | Arunachal Pradesh                                                                                                 | 2.8200                                                                                                            | 6.9600                                                                                                            | 1.2980                                                                                                            | 22.9376                                                                                                           | 5.2400                                                                                                            | 1.0400                                                                                                            | 6.6484                                                                                                            | 46.9440                                                                                                           |
| 3                                                                                                                 | Assam                                                                                                             | 46.8600                                                                                                           | 50.6350                                                                                                           | 10.9725                                                                                                           | 5.3100                                                                                                            | 65.5500                                                                                                           | 13.3180                                                                                                           | 79.6054                                                                                                           | 272.2509                                                                                                          |
| 4                                                                                                                 | Bihar                                                                                                             | 157.1038                                                                                                          | 172.7900                                                                                                          | 27.4116                                                                                                           | 49.4700                                                                                                           | 185.4300                                                                                                          | 329.2900                                                                                                          | 194.8100                                                                                                          | 1116.3054                                                                                                         |
| 5                                                                                                                 | Chhattisgarh                                                                                                      | 39.1900                                                                                                           | 41.0600                                                                                                           | 10.2270                                                                                                           | 13.5600                                                                                                           | 133.8800                                                                                                          | 10.7500                                                                                                           | 90.1274                                                                                                           | 338.7944                                                                                                          |
| 6                                                                                                                 | Goa                                                                                                               | 1.6100                                                                                                            | 1.1700                                                                                                            | 0.2400                                                                                                            | 2.4100                                                                                                            | 20.4800                                                                                                           | 1.5400                                                                                                            | 3.9996                                                                                                            | 31.4496                                                                                                           |
| 7                                                                                                                 | Gujarat                                                                                                           | 67.4900                                                                                                           | 71.8800                                                                                                           | 17.6300                                                                                                           | 50.3100                                                                                                           | 260.7300                                                                                                          | 1.1700                                                                                                            | 160.0100                                                                                                          | 629.2200                                                                                                          |
| 8                                                                                                                 | Haryana                                                                                                           | 24.1638                                                                                                           | 27.8709                                                                                                           | 6.9833                                                                                                            | 28.3360                                                                                                           | 138.0000                                                                                                          | 29.4150                                                                                                           | 46.6100                                                                                                           | 301.3790                                                                                                          |
| 9                                                                                                                 | Himachal Pradesh                                                                                                  | 15.3663                                                                                                           | 28.4460                                                                                                           | 4.1376                                                                                                            | 1.8500                                                                                                            | 1.4000                                                                                                            | 2.6800                                                                                                            | 44.1300                                                                                                           | 98.0099                                                                                                           |
| 10                                                                                                                | Jharkhand                                                                                                         | 49.4896                                                                                                           | 51.4006                                                                                                           | 13.1000                                                                                                           | 24.3610                                                                                                           | 118.8000                                                                                                          | 118.5400                                                                                                          | 68.7071                                                                                                           | 444.3983                                                                                                          |
| 11                                                                                                                | Karnataka                                                                                                         | 71.8500                                                                                                           | 103.5800                                                                                                          | 16.0200                                                                                                           | 38.2300                                                                                                           | 122.9300                                                                                                          | 10.0600                                                                                                           | 188.8600                                                                                                          | 551.5300                                                                                                          |
| 12                                                                                                                | Kerala                                                                                                            | 39.6100                                                                                                           | 48.3600                                                                                                           | 10.9400                                                                                                           | 30.5900                                                                                                           | 191.7000                                                                                                          | 0.5000                                                                                                            | 105.4300                                                                                                          | 427.1300                                                                                                          |
| 13                                                                                                                | Madhya Pradesh                                                                                                    | 102.6100                                                                                                          | 108.7500                                                                                                          | 27.1700                                                                                                           | 28.9900                                                                                                           | 427.5000                                                                                                          | 30.0300                                                                                                           | 197.7492                                                                                                          | 922.7992                                                                                                          |
| 14                                                                                                                | Maharashtra                                                                                                       | 103.4280                                                                                                          | 109.6800                                                                                                          | 27.6675                                                                                                           | 61.2916                                                                                                           | 238.0800                                                                                                          | 50.0700                                                                                                           | 187.7898                                                                                                          | 778.0069                                                                                                          |
| 15                                                                                                                | Manipur                                                                                                           | 3.9491                                                                                                            | 4.3800                                                                                                            | 1.0344                                                                                                            | 12.9536                                                                                                           | 9.8000                                                                                                            | 2.0300                                                                                                            | 8.7300                                                                                                            | 42.8771                                                                                                           |
| 16                                                                                                                | Meghalaya                                                                                                         | 6.0500                                                                                                            | 6.0400                                                                                                            | 1.5100                                                                                                            | 9.2500                                                                                                            | 23.3000                                                                                                           | 3.2100                                                                                                            | 9.2884                                                                                                            | 58.6484                                                                                                           |
| 17                                                                                                                | Mizoram                                                                                                           | 2.7200                                                                                                            | 2.8700                                                                                                            | 0.4400                                                                                                            | 5.2300                                                                                                            | 12.0100                                                                                                           | 0.5600                                                                                                            | 7.3600                                                                                                            | 31.1900                                                                                                           |
| 18                                                                                                                | Nagaland                                                                                                          | 3.1900                                                                                                            | 6.1400                                                                                                            | 1.0200                                                                                                            | 14.8900                                                                                                           | 22.5500                                                                                                           | 1.0300                                                                                                            | 8.1900                                                                                                            | 57.0100                                                                                                           |
| 19                                                                                                                | Odisha                                                                                                            | 61.7200                                                                                                           | 65.4673                                                                                                           | 18.3600                                                                                                           | 29.0800                                                                                                           | 89.1900                                                                                                           | 72.8300                                                                                                           | 125.1200                                                                                                          | 461.7673                                                                                                          |
| 20                                                                                                                | Punjab                                                                                                            | 26.1050                                                                                                           | 28.8800                                                                                                           | 7.2100                                                                                                            | 28.7808                                                                                                           | 241.7500                                                                                                          | 20.2300                                                                                                           | 46.7000                                                                                                           | 399.6558                                                                                                          |
| 21                                                                                                                | Rajasthan                                                                                                         | 43.1310                                                                                                           | 21.3300                                                                                                           | 3.2400                                                                                                            | 27.4000                                                                                                           | 106.4900                                                                                                          | 191.3900                                                                                                          | 263.1900                                                                                                          | 656.1710                                                                                                          |
| 22                                                                                                                | Sikkim                                                                                                            | 1.3000                                                                                                            | 1.4100                                                                                                            | 0.1480                                                                                                            | 6.4400                                                                                                            | 8.1900                                                                                                            | 0.5300                                                                                                            | 2.9600                                                                                                            | 20.9780                                                                                                           |
| 23                                                                                                                | Tamil Nadu                                                                                                        | 64.1600                                                                                                           | 69.2500                                                                                                           | 18.7500                                                                                                           | 77.4700                                                                                                           | 356.4800                                                                                                          | 71.2100                                                                                                           | 148.6080                                                                                                          | 805.9280                                                                                                          |
| 24                                                                                                                | Telangana                                                                                                         | 34.9300                                                                                                           | 35.2500                                                                                                           | 8.8600                                                                                                            | 118.2016                                                                                                          | 133.0992                                                                                                          | 2.8098                                                                                                            | 85.0509                                                                                                           | 418.2015                                                                                                          |
| 25                                                                                                                | Tripura                                                                                                           | 7.1600                                                                                                            | 5.2600                                                                                                            | 1.2700                                                                                                            | 11.1020                                                                                                           | 41.6800                                                                                                           | 0.2500                                                                                                            | 17.3600                                                                                                           | 84.0820                                                                                                           |
| 26                                                                                                                | Uttar Pradesh                                                                                                     | 217.4400                                                                                                          | 281.5300                                                                                                          | 70.3133                                                                                                           | 76.1024                                                                                                           | 424.5008                                                                                                          | 333.5472                                                                                                          | 387.3375                                                                                                          | 1790.7712                                                                                                         |
| 27                                                                                                                | Uttarakhand                                                                                                       | 13.6000                                                                                                           | 12.5200                                                                                                           | 3.2600                                                                                                            | 2.2200                                                                                                            | 81.5700                                                                                                           | 1.4300                                                                                                            | 35.4965                                                                                                           | 150.0965                                                                                                          |
| 28 x                                                                                                              | West Bengal TOTAL                                                                                                 | 97.3881 1359.1947                                                                                                 | 105.9866 1526.1464                                                                                                | 26.3772 349.8804                                                                                                  | 69.2197 980.3799                                                                                                  | 287.1000                                                                                                          | 49.0400                                                                                                           | 192.9578 2837.4125                                                                                                | 828.0694                                                                                                          |
|                                                                                                                   |                                                                                                                   |                                                                                                                   |                                                                                                                   |                                                                                                                   |                                                                                                                   | 3850.3026                                                                                                         | 1348.5000                                                                                                         |                                                                                                                   | 12251.8165                                                                                                        |

## Annexure-II

The components identified by the Fifteenth Finance Commission for upgradation and strengthening  of  primary  health  care  infrastructure  in  Rural  and  Urban  areas  along with  the  summary  of  the  amount  earmarked  year-wise  for  each  component  is  given below;

## For Rural Areas

| (Rs. in crore)   | (Rs. in crore)                                                             | (Rs. in crore)   | (Rs. in crore)   | (Rs. in crore)   | (Rs. in crore)   | (Rs. in crore)   | (Rs. in crore)   |
|------------------|----------------------------------------------------------------------------|------------------|------------------|------------------|------------------|------------------|------------------|
| S. No.           | Total Health Grants                                                        | 2021-22          | 2022-23          | 2023-24          | 2024-25          | 2025-26          | Total            |
| 1                | Support for diagnostic infrastructure to the primary healthcare facilities | 3084             | 3084             | 3238             | 3400             | 3571             | 16377            |
|                  | (i)Sub centers                                                             | 1457             | 1457             | 1530             | 1607             | 1687             | 7738             |
|                  | (ii)PHCs                                                                   | 1627             | 1627             | 1708             | 1793             | 1884             | 8639             |
| 2                | Block level public health units                                            | 994              | 994              | 1044             | 1096             | 1151             | 5279             |
| 3                | Building-less SCs, PHCs, CHCs                                              | 1350             | 1350             | 1417             | 1488             | 1562             | 7167             |
| 4                | Conversion of rural PHCs and sub centers into health and wellness centre   | 2845             | 2845             | 2986             | 3136             | 3293             | 15105            |
|                  | Total Health Grants                                                        | 8273             | 8273             | 8685             | 9120             | 9577             | 43928            |

## For Urban Areas :-

| S. No.   | Total Health Grants                                                       |   2021-22 |   2022-23 |   2023-24 |   2024-25 |   2025-26 |   Total |
|----------|---------------------------------------------------------------------------|-----------|-----------|-----------|-----------|-----------|---------|
| 1        | Support for diagnostic infrastructure to the PHC facilities in Urban PHCs |       394 |       394 |       415 |       435 |       457 |    2095 |
| 2        | Urban health and wellness centres (HWCs)                                  |      4525 |      4525 |      4751 |      4989 |      5238 |   24028 |
|          | Total Health Grants                                                       |      4919 |      4919 |      5166 |      5424 |      5695 |   26123 |

| i. (SC):-Sub-Health Centers         | iii.   | (PHC):-Public Health Centers     |
|-------------------------------------|--------|----------------------------------|
| ii. (CHC):-Community Health Centers | iv.    | (HWC) :-Health &Wellness Centers |