Lok Sabha Question No. 4917 (UNSTARRED), answered on 2022-04-01
Subject: Emergency COVID Response Plans-II
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sambhajirao Mane Dhairyasheel, Ravindra Kushawaha, Ravi Kishan Shukla, Sudheer Gupta, Sanjay Sadashivrao Mandlik, Bidyut Baran Mahato, Shrirang Appa Barne, Prataprao  Jadhav

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

## LOK SABHA UNSTARRED QUESTION NO. 4917 TO BE ANSWERED ON 1 ST  APRIL, 2022

## EMERGENCY COVID RESPONSE PLANS-II

## 4917.  SHRI DHAIRYASHEEL SAMBHAJIRAO MANE:

SHRI RAVINDRA KUSHWAHA:

SHRI RAVI KISHAN:

SHRI SUDHEER GUPTA:

SHRI SANJAY SADASHIVRAO MANDLIK:

SHRI BIDYUT BARAN MAHATO:

SHRI SHRIRANG APPA BARNE:

SHRI PRATAPRAO JADHAV::

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

- (a) whether the Government has reviewed the operationalisation status of Ayushman Bharat Health  and  Wellness  Centres  (HWCs),  tele-consultation  services,  and  physical  and financial progress made under Emergency COVID Response Plans-II (ECRP-II) and the Prime Minister's AtmanirbharSwasth Bharat Yojana;
- (b) if so, the details thereof;
- (c) the details of services provided/being provided at HWCs, Sub Health Centres (SHCs) and Primary Health Centes (PHCs) along with the manner in which the Government proposes to facilitate the delivery of these services at respective health centres;
- (d) the  funds  released  by  the  government  to  various  states  under  ECRP-II  and  status  of utilization  of  the  funds  by  each  State/UT  for  strengthening healthcare infrastructure till date, State/UT-wise; and
- (e) whether  the  Government  proposes  to  revise  the  procedure  for  releasing  funds  to  the States/UTs under the said programme and if so, the details thereof?

## ANSWER

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

## WELFARE (DR. BHARATI PRAVIN PAWAR)

- (a) &  (b):  'Public  Health  and  Hospitals'  is  a  State  subject,  hence,  the  primary responsibility of strengthening public healthcare system and implementation of Ayushman Bharat-Health  and  Wellness  Centres  (AB-HWCs),  tele-consultation  services,  Emergency COVID Response Plans-II (ECRP-II) and the Prime Minister's AtmanirbharSwasth Bharat Yojana (renamed as Prime Minister-Ayushman Bharat Health Infrastructure Mission)  lies with the respective State Governments.

The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system.

Review  meetings  are  held  for  implementation  and  operationalization  of  these  Health Programmes/ Schemes at various levels in the Ministry of Health and Family Welfare with States/ UTs.

As per the budget announcement 2017-18, there is target for the operationalization of  1.5 lakh  Sub-Health  Centres  (SHCs)  and  Primary  Health  Centres  (PHCs-  Rural  &  Urban)  as Ayushman Bharat-Health and Wellness Centres (AB-HWCs) by December, 2022.

The AB-HWC portal is used by the States/UTs to report the progress of operationalization.

Based on the progress reported in the AB-HWC portal by the States/UTs, against the target of 1,10,000 HWC  operationalization by March 2022, 1,12,843 HWCs  have  been operationalized.

For ECRP-II, physical progress in terms of work are reviewed against the works sanctioned. Financial progress in term of release of funds under central and state share and Utilization Certificates is reviewed.

(c):  To  achieve  promotive,  preventive,  curative,  palliative  and  rehabilitative  aspects  of Universal Health Coverage, Ayushman Bharat- Health and Wellness Centres (AB-HWCs) aims  to  deliver  Comprehensive  Primary  Health  Care  (CPHC)including  both  maternal  and child  health  services  and  non-communicable  diseases  as  well  as  free  essential  drugs  and diagnostic  services  which  is  universal,  free,  and  close  to  the  community.  The  primary healthcare team at AB-HWC led by Community Health Officer/Medical Officer ensure the delivery  of  services  at  Sub-Health/Primary  Health  Centre  through  provision  of  drugs  & diagnostics, Teleconsultation& Continuum of Care, Infrastructure augmentation, Community mobilization & Health promotion, IT system etc.

(d) &  (e): Under the 'India Covid-19 Emergency  Response and Health Systems Preparedness  Package  -  Phase-II'  (ECRP-II),  Rs.  12,741.19  Crore  have  been  centrally allocated to the States/UTs. Details of Central Allocation as well as State/UT wise Release and Expenditure under India COVID-19  Emergency  Response  and  Health System Preparedness Package-Phase II (ECRP-II) through NHM is given at Annexure-I.

There  is  no  proposal  to  revise  the  procedure  for  releasing  funds  to  the  states/UTs  under ECRP-II.

## Annexure-I

Details  of  State-wise  Central  Allocation,  Release  and  Expenditure  under  India  COVID-19 Emergency Response and Health System Preparedness Package-Phase  II  (ECRP-II) through NHM

(Rs. in Crores)

|   Sl.No. | Name of State / UT       |   Central Allocation | Releases   |   Expenditure |
|----------|--------------------------|----------------------|------------|---------------|
|        1 | Andaman &Nicobar Islands |                14.22 | 7.11       |          4.28 |
|        2 | Andhra Pradesh           |               417.91 | 417.91     |        272.38 |
|        3 | Arunachal Pradesh        |               149.13 | 63.87      |         37.69 |
|        4 | Assam                    |               731.22 | 657.04     |        206.38 |
|        5 | Bihar                    |              1032.87 | 516.43     |        178.22 |
|        6 | Chandigarh               |                 5.68 | 2.84       |          1.52 |
|        7 | Chhattisgarh             |               376.07 | 376.07     |         54.42 |
|        8 | Delhi                    |                30.21 | 4.76       |          1.55 |
|        9 | DNH&DD                   |                 9.52 | 30.21      |         34.92 |
|       10 | Goa                      |                11.78 | 5.89       |          3.24 |
|       11 | Gujarat                  |               479.22 | 239.61     |        213.33 |
|       12 | Haryana                  |               182.42 | 182.42     |        107.46 |
|       13 | Himachal Pradesh         |               344.79 | 203.87     |         61.27 |
|       14 | Jammu &Kashmir           |               407.3  | 211.04     |         96.04 |
|       15 | Jharkhand                |               383.34 | 191.67     |        339.18 |
|       16 | Karnataka                |               504.04 | 252.02     |        202.99 |
|       17 | Kerala                   |               173.89 | 173.89     |        114.41 |
|       18 | Ladakh                   |                62.51 | 31.26      |          2.73 |
|       19 | Lakshadweep              |                 1.49 | 0.74       |          0.73 |
|       20 | Madhya Pradesh           |               874.35 | 874.35     |        445.25 |
|       21 | Maharashtra              |               820.77 | 410.39     |        365.11 |
|       22 | Manipur                  |                98.73 | 38.67      |          3    |
|       23 | Meghalaya                |               104.12 | 82.74      |         35.78 |
|       24 | Mizoram                  |                61.25 | 19.93      |         13.54 |
|       25 | Nagaland                 |                77.6  | 28.11      |          3.39 |
|       26 | Odisha                   |               517.18 | 517.18     |        167.4  |
|       27 | Puducherry               |                 5.42 | 5.42       |          2.58 |
|       28 | Punjab                   |               198.89 | 198.89     |        174.39 |
|       29 | Rajasthan                |               883.37 | 425        |        275.24 |
|       30 | Sikkim                   |                41.05 | 19.67      |          6.62 |
|       31 | Tamil Nadu               |               479.59 | 479.59     |        535.78 |
|       32 | Telangana                |               298.68 | 298.68     |        248.06 |
|       33 | Tripura                  |                83.72 | 41.86      |         45.82 |
|       34 | Uttar Pradesh            |              1879.88 | 1,879.88   |        874.37 |
|       35 | Uttarakhand              |               394.22 | 122.28     |         67.97 |
|       36 | West Bengal              |               604.76 | 604.76     |        422.77 |

## Note :

1. Release is as per the approved Centre-State funding under NHM and is updated upto 08.03.2022
2. The Expenditure is as shown in PMS Portal as on 29.03.2022