Lok Sabha Question No. 38 (STARRED), answered on 2023-02-03
Subject: Schemes in Healthcare Sector
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Girish Bhalchandra Bapat, Pritam Gopinath Munde

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

## LOK SABHA STARRED QUESTION NO. 38 TO BE ANSWERED ON THE 3 RD  FEBRUARY, 2023

## SCHEMES IN HEALTHCARE SECTOR

## *38. SHRI GIRISH BHALCHANDRA BAPAT: DR. PRITAM GOPINATH RAO MUNDE:

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

- (a)  whether  the  Government  has  supplemented  the  efforts  of  the  States/UTs  in  the healthcare sector through various Centrally Sponsored Schemes and Central Sector Schemes;
- (b) if so, the details thereof along with the financial assistance provided to each State and Union Territory, scheme-wise;
- (c)  whether  access  to  healthcare  services,  provision  of  essential  medicines  and scarcity of doctors are the bottlenecks in the primary healthcare scenario;
- (d) if so, the response of the Government thereto; and
- (e)  the  steps  taken  by  the  Government  to  address  these  bottlenecks  along  with  the success achieved so far in this regard?

## 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. 38 FOR 3 RD  FEBRUARY, 2023

(a)  &  (b)  The  Ministry  of  Health  and  Family  Welfare  is  implementing  various Centrally  Sponsored  Schemes  through  States/UTs  like  National  Health  Mission (NHM),  Ayushman  Bharat  -  Pradhan  Mantri  Jan  Arogya  Yojana  (AB-PMJAY), Establishment of New Medical Colleges & Increase of Seats in existing Government Medical Colleges,  Pradhan Mantri -Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) etc. and also executing Central Sector Schemes like Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), National AIDS and STD Control Programme etc.  for  supplementing  the  efforts  of  the  States/UTs  in  healthcare  sector  and improving health quality standards in the country.  The details of financial assistance provided under few Schemes are given at Annexure.

(c)  to  (e)  The  access  to  healthcare  services,  provision  of  essential  medicines  and doctors  are  the  thrust  areas  for  improvement  of  healthcare  delivery  for  which  the Government  has  taken  several  steps  like  implementation  of  Ayushman  Bharat  Pradhan Mantri Jan Arogya Yojana, operationalization of Ayushman Bharat - Health and Wellness Centers (AB-HWCs), free drug initiatives, free diagnostic initiatives, Jan  Aushadhi  Pariyojana,  establishment  of  more  All  India  Institute  of  Medical Sciences (AIIMSs), Medical Colleges, augmentation of medical seats etc.  Some of the results of these initiatives are given below:

- i. Over 20.97 Crore Ayushman Cards have been generated and more than 4.21 Crore treatments have been provided to AB-PMJAY beneficiaries. Rs.49,469 Crores worth treatment have been authorized. 26,267 private & public sector hospitals have been empaneled for treatment and the Scheme has now been extended to transgender persons also.
- ii. 1,54,070 AB-HWCs have already been operationalized in the country.
- iii. Over 28 Crore ABHA IDs (Ayushman Bharat Health Accounts IDs) have been generated.
- iv. Administrative approvals have been accorded across all eligible States/UTs for establishment / strengthening of 6535 Rural HWCs, 264 Urban HWCs, 426  BPHUs  (Block  Public  Health  Units),  197  District  IPHLs  (Integrated Public  Health  Labs)  and  159  CCBs  (Critical  Care  Blocks)  under  PMABHIM.
- v. Total number of ASHAs has been increased from 8.95 lakhs in FY 2013-14 to 9.94 lakhs in FY 2021-22.
- vi. Pradhan Mantri National Dialysis Programme (PMNDP) has been implemented in all 36 States / UTs in 633 Districts at 1342 Centers. Total 16.89 lakh patients have already availed dialysis services.
- vii. India  has  become  the  chair  of  the  world's  biggest  inter-governmental  and multilateral  forum  on  Digital  Health,  Global  Digital  Health  partnership. eSanjeevani OPD services have been launched and integrated with 3.74 lakh Common Service Centers (CSCs).
- viii. 267 new Medical Colleges have been established and 48,415 MBBS seats and 33,374 PG seats have been increased in the past eight years.

## A. Centrally Sponsored Schemes

## 1. Details of funds released under National Health Mission (NHM)

| Sl. No.   | State/UT                 | FY 2019-20      | FY 2020-21      | FY 2021-22      |
|-----------|--------------------------|-----------------|-----------------|-----------------|
|           |                          | Central Release | Central Release | Central Release |
| 1.        | Andaman &Nicobar Islands | 34.92           | 36.91           | 43.68           |
| 2.        | Andhra Pradesh           | 1111.07         | 1097.81         | 1199.37         |
| 3.        | Arunachal Pradesh        | 185.95          | 243.04          | 188.53          |
| 4.        | Assam                    | 1749.24         | 1807.48         | 1955.93         |
| 5.        | Bihar                    | 1510.68         | 1814.63         | 1748.76         |
| 6.        | Chandigarh               | 22.77           | 22.21           | 17.47           |
| 7.        | Chhattisgarh             | 816.07          | 979.41          | 969.61          |
| 8.        | Dadra &Nagar Haveli      | 25.33           | 36.39           | 38.59           |
| 9.        | Daman &Diu               | 16.79           | -               | -               |
| 10.       | Delhi                    | 138.74          | 125.73          | 127.37          |
| 11.       | Goa                      | 35.47           | 34.81           | 26.01           |
| 12.       | Gujarat                  | 1110.80         | 1005.66         | 1094.48         |
| 13.       | Haryana                  | 567.71          | 531.50          | 577.07          |
| 14.       | Himachal Pradesh         | 504.84          | 441.94          | 555.09          |
| 15.       | Jammu &Kashmir           | 702.20          | 667.46          | 459.10          |
| 16.       | Jharkhand                | 830.63          | 602.80          | 640.18          |
| 17.       | Karnataka                | 1173.77         | 1232.19         | 1274.71         |
| 18.       | Kerala                   | 836.14          | 788.22          | 771.47          |
| 19.       | Lakshadweep              | 6.16            | 7.11            | 8.41            |
| 20.       | Madhya Pradesh           | 1728.73         | 2377.14         | 2295.66         |
| 21.       | Maharashtra              | 1724.99         | 1833.59         | 1769.67         |
| 22.       | Manipur                  | 185.65          | 189.49          | 95.59           |
| 23.       | Meghalaya                | 141.17          | 202.63          | 282.46          |
| 24.       | Mizoram                  | 127.24          | 143.73          | 93.82           |
| 25.       | Nagaland                 | 123.23          | 188.21          | 126.66          |
| 26.       | Odisha                   | 1475.14         | 1617.63         | 1263.07         |
| 27.       | Puducherry               | 31.56           | 25.55           | 21.33           |
| 28.       | Punjab                   | 712.02          | 568.14          | 349.21          |
| 29.       | Rajasthan                | 1781.83         | 2000.58         | 1924.95         |
| 30.       | Sikkim                   | 53.55           | 70.13           | 51.86           |
| 31.       | Tamil Nadu               | 1424.22         | 1522.71         | 1631.91         |
| 32.       | Tripura                  | 239.47          | 225.91          | 217.95          |
| 33.       | Uttar Pradesh            | 4749.05         | 3772.95         | 3235.46         |
| 34.       | Uttarakhand              | 348.83          | 583.25          | 553.47          |

## Annexure

(Rupees in Crores)

|   Sl. No. | State/UT    |   FY 2019-20 |   FY 2020-21 |   FY 2021-22 |
|-----------|-------------|--------------|--------------|--------------|
|        35 | West Bengal |      1749.32 |      1895.01 |      1654.26 |
|        36 | Telangana   |       964.34 |       671.88 |       725.67 |
|        37 | Ladakh      |         0    |        91.89 |        44.79 |

Note:  1. NHM comprises of two Sub-Missions viz. National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).

2.  The  above  releases  relate  to  Central  Govt.  Grants  and  do  not  include  State  share contribution.

## 2. Details  of  funds  released  for  establishment  of  new  Medical  Colleges  attached  with  existing District / Referral Hospitals

(Rupees in Crores)

| Sl. No.   | State/UT       | FY 2019-20   | FY 2020-21   | FY 2021-22   |
|-----------|----------------|--------------|--------------|--------------|
|           |                | Released     | Released     | Released     |
| 1.        | Andhra Pradesh | 3.04         | 150          | 150          |
| 2.        | Assam          | -            | 163          | 79.5         |
| 3.        | Bihar          | 250          | 456.39       | 127.01       |
| 4.        | Chhattisgarh   | -            | 150          | 120          |
| 5.        | Gujarat        | 4.74         | 215.26       | 430          |
| 6.        | Jharkhand      | 147.4        | 40.6         | -            |
| 7.        | Jammu &Kashmir | 46.81        | 276.19       | -            |
| 8.        | Karnataka      | 79.64        | 181          | 519.36       |
| 9.        | Ladakh         | -            | 127          | -            |
| 10.       | Madhya Pradesh | 75.69        | 318.31       | -            |
| 11.       | Maharashtra    |              | 50           | 100          |
| 12.       | Manipur        | 2.37         | 163          | 77.13        |
| 13.       | Nagaland       | -            | 155          | 87.5         |
| 14.       | Odisha         | 53.54        | 134.17       | 62.29        |
| 15.       | Punjab         | 0.81         | 99.19        | -            |
| 16.       | Rajasthan      | 305.69       | 538.31       | 750          |
| 17.       | Sikkim         | 100          | 57.6         | -            |
| 18.       | Tamil Nadu     | -            | 409.57       | 1584.72      |
| 19.       | Uttar Pradesh  | 532.03       | 919.97       | 700          |
| 20.       | Uttarakhand    | 3.04         | 225          | 146.96       |
| 21.       | West Bengal    | 289.40       | 239.64       | 70.53        |

## 3.         Details of funds released under the Scheme for Up-gradation of existing State Government/Central Government Medical Colleges to increase MBBS seats

(Rupees in Crores)

|   Sl. No. | State/UT          |   Released in FY 2019-20 |   Released in FY 2020- 21 |
|-----------|-------------------|--------------------------|---------------------------|
|         1 | Andhra Pradesh    |                    18    |                      0    |
|         2 | Gujarat           |                    28    |                      0    |
|         3 | Madhya Pradesh    |                   131    |                     58    |
|         4 | Orissa            |                    20.89 |                      0    |
|         5 | Rajasthan         |                   233.3  |                     87.2  |
|         6 | Tamil Nadu        |                    60.84 |                      0    |
|         7 | Uttarakhand       |                    18    |                      0    |
|         8 | West Bengal       |                    18    |                      0    |
|         9 | Manipur           |                    14    |                      0    |
|        10 | Karnataka         |                    79    |                      0    |
|        11 | Jharkhand         |                    33    |                      0    |
|        12 | Uttar Pradesh     |                    24.2  |                     11.8  |
|        13 | Jammu and Kashmir |                     0    |                     64.8  |
|        14 | Maharashtra       |                    24.19 |                     47.81 |

4. Details  of  funds  released  under  the  scheme  'Strengthening  and  up-gradation  of  State Government  Medical  colleges  for  starting new  Post  Graduate  (PG)  disciplines  and increasing PG seats (Phase-I & II)'

(Rupees in Crores)

|   Sl. No. | State/UT       | Released in FY 2019-20   | Released in FY 2020-21   | Released in FY 2021-22   |
|-----------|----------------|--------------------------|--------------------------|--------------------------|
|         1 | Bihar          | -                        | -                        | 41.4                     |
|         2 | Rajasthan      | 317.48                   | 43.414                   | 5.00                     |
|         3 | Karnataka      | 24.24                    | 12.73                    | -                        |
|         4 | Gujarat        | 23.926                   | 8.86                     | -                        |
|         5 | Madhya Pradesh | 223.22                   | 7                        | -                        |

## 5. Details  of  funds  released  for  implementation  of  Ayushman  Bharat  -  Pradhan  Mantri  Jan Arogya Yojana (AB-PMJAY)

(Rupees in Crores)

|   Sl. No. | State/UT          | FY 2018-19   | FY 2019-20   | FY 2020-21   | FY 2021-22   |
|-----------|-------------------|--------------|--------------|--------------|--------------|
|         1 | A &NIslands       | 0.15         | 0.41         | 0.27         | 0.76         |
|         2 | Andhra Pradesh    | 182.85       | 374.07       | 261.23       | 223.95       |
|         3 | Arunachal Pradesh | 2.31         | -            | 0.67         | -            |
|         4 | Assam             | 21.08        | 133.23       | 12.10        | 87.91        |
|         5 | Bihar             | 88.27        | 82.49        | -            | 59.77        |
|         6 | Chandigarh        | 0.68         | 3.82         | 1.84         | 2.49         |
|         7 | Chhattisgarh      | 217.43       | 280.37       | 112.62       | 66.00        |
|         8 | DNH and DD        | 4.27         | 2.02         | 4.24         | 1.76         |
|         9 | Goa               | 0.64         | 0.06         | 0.49         | 0.60         |
|        10 | Gujarat           | 77.50        | 212.33       | 99.84        | 330.55       |
|        11 | Haryana           | 26.81        | 58.69        | 71.92        | 89.95        |
|        12 | Himachal Pradesh  | 17.18        | 19.12        | 32.93        | 33.71        |
|        13 | Jammu &Kashmir    | 20.64        | 33.44        | 22.70        | 75.12        |
|        14 | Jharkhand         | 170.17       | 126.50       | 100.32       | 7.98         |
|        15 | Karnataka         | 159.31       | 254.13       | 160.85       | 414.11       |
|        16 | Kerala            | 25.00        | 97.56        | 145.61       | 138.90       |
|        17 | Ladakh            | -            | -            | 1.62         | 0.51         |
|        18 | Lakshadweep       | -            | -            | -            | 0.31         |
|        19 | Madhya Pradesh    | 72.57        | 118.46       | 164.80       | 355.25       |
|        20 | Maharashtra       | 266.32       | 241.88       | 376.65       | 324.75       |
|        21 | Manipur           | 7.18         | 17.10        | 11.45        | 22.50        |
|        22 | Meghalaya         | 15.57        | 18.07        | 49.52        | 22.28        |
|        23 | Mizoram           | 17.48        | 12.41        | 14.97        | 16.58        |
|        24 | Nagaland          | 4.72         | 10.89        | 12.27        | 14.09        |
|        25 | Puducherry        | 1.52         | -            | 1.23         | 0.11         |
|        26 | Punjab            | 2.24         | 55.55        | 46.85        | 80.50        |
|        27 | Rajasthan         | -            | 200.07       | 258.31       | 96.39        |
|        28 | Sikkim            | 1.03         | 0.09         | 1.85         | 1.04         |
|        29 | Tamil Nadu        | 304.98       | 441.77       | 359.81       | 75.14        |
|        30 | Telangana         | -            | -            | -            | 150.26       |
|        31 | Tripura           | 12.81        | 20.18        | 8.98         | 35.60        |
|        32 | Uttar Pradesh     | 85.01        | 147.49       | 167.63       | 157.56       |
|        33 | Uttarakhand       | 12.54        | 30.73        | 40.52        | 54.23        |
|        34 | West Bengal       | 31.28        | -            | -            | -            |

- Note: 1. Telangana joined the scheme in May, 2021.

2. West Bengal withdrew from the scheme in January, 2019.

## B. Central Sector Schemes

1. Funds released for 16 new AIIMSs under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)

(Rs. in Crores)

|   Sl. No. | Projects of AIIMS          | Fund released (As on 30.11.2022)   |
|-----------|----------------------------|------------------------------------|
|         1 | Raebareli, Uttar Pradesh   | 689.39                             |
|         2 | Gorakhpur, Uttar Paradesh  | 851.72                             |
|         3 | Manglagiri, Andhra Pradesh | 1138                               |
|         4 | Nagpur, Maharastra         | 1174.05                            |
|         5 | Kalyani, West Bengal       | 1313.48                            |
|         6 | Bhathinda, Punjab          | 770.7                              |
|         7 | Guwahati, Assam            | 700.69                             |
|         8 | Bilaspur, Himachal Pradesh | 1343.04                            |
|         9 | Madurai, Tamil Nadu        | 12.32                              |
|        10 | Darbhanga, Bihar           | 0*                                 |
|        11 | Samba, Jammu               | 875.68                             |
|        12 | Awantipura, Kashmir        | 463.67                             |
|        13 | Deoghar, Jharkhand         | 771.91                             |
|        14 | Rajkot, Gujarat            | 460.66                             |
|        15 | Bibinagar, Telangana       | 29.28                              |
|        16 | Manethi, Haryana           | 0#                                 |

Note: Funds are released for the projects for AIIMS in different States / UTs.

## 2. Funds released to State/UT/District AIDS Control Societies (SACS) under National AIDS and STD Control Programme (NACP)

(Rs. In lakhs)

|   Sl. No. | State/ UT           | FY 2019-20   | FY 2020-21   | FY 2021-22   |
|-----------|---------------------|--------------|--------------|--------------|
|         1 | Andaman &Nicobar    | 262.21       | 277.06       | 325.06       |
|         2 | Andhra Pradesh      | 6330.42      | 8123.54      | 8959.12      |
|         3 | Arunachal Pradesh   | 1034.25      | 1236.17      | 1288.22      |
|         4 | Assam               | 2267.85      | 2056.36      | 2571.59      |
|         5 | Bihar               | 3694.73      | 3865.76      | 5874.50      |
|         6 | Chandigarh          | 836.59       | 875.21       | 869.81       |
|         7 | Chhattisgarh        | 2531.02      | 2182.43      | 2592.37      |
|         8 | Dadra &Nagar Haveli | 180.09       | 216.62       | 310.30       |
|         9 | Daman &Diu          | 205.45       |              |              |
|        10 | Delhi               | 4175.75      | 3725.83      | 4243.71      |
|        11 | Goa                 | 690.26       | 826.31       | 864.03       |
|        12 | Gujarat             | 6930.98      | 7487.76      | 8903.97      |
|        13 | Haryana             | 2412.32      | 2298.18      | 2858.81      |
|        14 | Himachal Pradesh    | 1228.54      | 1101.55      | 1126.21      |
|        15 | Jammu &Kashmir      | 1201.04      | 1446.69      | 1698.51      |
|        16 | Jharkhand           | 2272.99      | 2368.55      | 2766.63      |
|        17 | Karnataka           | 9673.78      | 9942.46      | 12603.85     |
|        18 | Kerala              | 3553.64      | 3666.32      | 3544.20      |
|        19 | Lakshadweep         |              |              |              |
|        20 | Madhya Pradesh      | 4852.64      | 4172.94      | 5270.98      |
|        21 | Maharashtra         | 11900.49     | 12564.27     | 13274.36     |
|        22 | Manipur             | 3063.83      | 4058.07      | 4341.46      |
|        23 | Meghalaya           | 725.38       | 944.10       | 1289.02      |
|        24 | Mizoram             | 2067.13      | 2658.67      | 2915.40      |
|        25 | Mumbai District     | 2785.32      | 2358.90      | 2794.55      |
|        26 | Nagaland            | 2840.01      | 4079.77      | 4363.68      |
|        27 | Orissa              | 4150.55      | 3625.69      | 4128.15      |
|        28 | Pondicherry         | 480.88       | 542.13       | 593.43       |
|        29 | Punjab              | 3919.54      | 5261.36      | 5318.26      |
|        30 | Rajasthan           | 3869.32      | 4116.53      | 5475.91      |
|        31 | Sikkim              | 554.18       | 774.24       | 873.62       |
|        32 | Tamil Nadu          | 8887.49      | 11250.79     | 11686.71     |
|        33 | Telangana           | 4810.57      | 5003.11      | 5890.19      |
|        34 | Tripura             | 942.15       | 977.43       | 1226.74      |
|        35 | Uttar Pradesh       | 7908.87      | 8141.89      | 9127.72      |
|        36 | Uttarakhand         | 1410.28      | 1662.47      | 1801.37      |
|        37 | West Bengal         | 5215.60      | 4927.22      | 5748.10      |