Lok Sabha Question No. 4981 (UNSTARRED), answered on 2023-03-31
Subject: Capital Expenditure in Health Sector
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Midhun Reddy, Pocha Brahmananda Reddy

## GOVERNMENT OF INDIA MINISTY OF HEALTH & FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRD QUESTION NO.4981 TO BE ANSWERED ON 31 ST  MARCH 2023

## CAPITAL EXPENDITURE IN HEALTH SECTOR

## 4981.    SHRI P.V. MIDHUN REDDY: SHRI POCHA BRAHMANANDA REDDY:

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

- (a) the details of the capital expenditure incurred in health sector in the last three years;
- (b) whether the Government has formulated any roadmap for increasing capital expenditure to improve healthcare infrastructure in the country;
- (c) if so, the details thereof; and if not, the reasons therefor; and
- (d) the details of the initiatives taken to improve health infrastructure in the country?

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

- (a) The total  of  (i)  capital  expenditure  under  Capital  Section  and  (ii)  grants  for  creation  of capital asset under Revenue Section, allocated and incurred by the Department of Health & Family Welfare, in the last three years, are given below:

## (Rs. In Crore)

|   Allocation in Budget Estimates (BE) |   Allocation in Revised Estimates (RE) | Year Expenditure   |
|---------------------------------------|----------------------------------------|--------------------|
|                               10593   |                                10662.5 | 2019-20 9024.70    |
|                               10557   |                                13581   | 2020-21 12494.30   |
|                               12067.8 |                                14592.5 | 2021-22 13021.17   |

## (b) to (d)

The  allocation  of  capital  expenditure  is  mainly  provided  under  Central  Sector  (CS) SchemesPradhan Mantri Swasthya Suraksha Yojana (PMSSY), Pradhan Mantri Ayushman  Bharat  Health  Infrastructure  Mission  (PM-ABHIM),  Centre  Government

Health Scheme(CGHS) and Central Government Hospitals located in Delhi viz Safdarjung Hospital,Vardhman  Mahavir  Medical  College(VMMC),  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  under  these  components  of  the  CS scheme is aimed at strengthening infrastructure and for improving patient care facilities. The infrastructure projects namely PMSSY and PM-ABHIM under CS schemes are spread over different parts of the country. Further,  Government  of  India  has  identified  112  Aspirational  Districts  based  on their  performance  in  49  Key  Performance  Indicators  (KPIs)  across  five  themes  namely Health  and  Nutrition,  Education,  Agriculture  and  Water  Resources,  Financial  Inclusion and Skill Development and Basic Infrastructure. The Government reviews implementation of various health programs in each State including the Aspirational District areas through Central and State level monitoring mechanisms. Grant-in-Aid  (GIA)  for  creation  of  capital  asset  is  also  provided  to  State/Union Territory (UT) Governments under Centrally Sponsored Schemes (CSS). Under National Health Mission (NHM), support is provided to the States/Union Territories for hospital strengthening  and  new  construction/renovation.  Further,  GIA  capital  is  provided  for establishment of new medical colleges/upgradation of existing medical colleges and for 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. In the operational guidelines of the scheme PM-ABHIM,  it  is  suggested  to  the  States  and  Union  Territories  for  prioritizing  and Extremism ensuring preferential allocation to aspirational /tribal/Left Wing (LWB)/Remote /Hill districts.

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