Lok Sabha Question No. 1781 (UNSTARRED), answered on 2022-02-11
Subject: Health and Wellness Centres in Aspirational Districts
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Indra Hang Subba

(a)

As per the budget announcement 2017-18, 1.5 lakh Sub-Health Centres (SHCs) and Primary Health  Centres  (PHCs-  Rural  &  Urban)  are  to  be  transformed  into  Health  and  Wellness Centres (HWCs) by December, 2022. As on 6 th February 2022,total 90,087Ayushman Bharat -  Health  and  Wellness  Centres  have  been  functional  in  the  country  which  includes  63492 SHC-HWC, 22051PHC-HWC and 4544 UPHC-HWC. (Source-AB-HWC portal, data as on 6 th February 2022)

The state wise number of AB-HWCs functional as on 6 th February 2021 is at Annexure-I .

(b)

From the commencement of programme i.e. FY 2017-18 till date (as on 06.02.2022), a total 14,111 Ayushman Bharat - Health and Wellness Centres have been operationalized in the aspirational  districts  which  includes  10689SHC-HWC,  3064  PHC-HWC  and  358  UPHCHWC. (Source-AB-HWC portal, data as on 6 th February 2022)

The state and district wise number of functional AB-HWCs in aspirational districts as on 6 th February 2022 is at Annexure-II .

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

## LOK SABHA UNSTARRED QUESTION NO 1781 TO BE ANSWERED ON 11 th  FEBRUARY, 2022

## HEALTH AND WELLNESS CENTRES IN ASPIRATIONAL DISTRICTS

## 1781. SHRI INDRA HANG SUBBA:

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

- (a) the total number of Health and wellness centre operational in each State;
- (b) the  number  of  health  and  wellness  centres  established  in  each  aspirational  district during the last five years; and
- (c) whether his ministry has made any special provision for mountainous terrain districts on establishment of health and wellness centre, if so, the details thereof and if not, the reasons therefor?

## ANSWER

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

The States/UTs are supported for various components under AB-HWCs namely engagement of  Community  Health  Officer  (CHO)  and  capacity  building  of  primary  health  care  team, performance  based  incentives  for  the  team  at  AB-HWC,  infrastructure  strengthening, availability of medicines and diagnostics, provision of expanded range of services etc.

Ministry  of  Health  and  Family  Welfare  provides  technical  and  financial  support  to  the States/UTs  to  strengthen  their  health  care  systems  including  setting  up/upgrading  public health facilities and augmenting health human resource on contractualbasis for provision of equitable, affordable healthcare to all its citizens, based on the proposals received from them in their Annual Programme Implementation Plans (PIPs) under NHM.

Apart from the funds available in NHM flexipool, funds are provided under PM Ayushman Bharat  Health  Infrastructure  Mission  (PM-  ABHIM)  which  focuses  on  strengthening  grass root public health institutions to deliver Universal Comprehensive Primary Health Care and to strengthen public health institutions.

Under  National  Health  Mission  (NHM)  and  PM-ABHIM,  funds  are  shared  in  the  ratio  of 90:10  (Centre:State)  for  North  East  and  Hilly  States,  compared  to  the  ratio  of  60:40 (Centre:State) for other States.

Moreover, the population norm for establishment of public health facilities in North East and Hilly  States  are  relaxed.Against  the  population  norms  of  5,000,  30,000,  and  1,20,000  for setting up of SubCentre, PHC and CHC, the norm is 3,000, 20,000 and 80,000 respectively in hilly and hard to reach areas.

## State wise Status of functional AB-HWCs (Source-AB-HWC portal, data as on 6 th February 2022)

|   SN | STATE                    | SHC   | PHC   | UPHC   |   TOTAL |
|------|--------------------------|-------|-------|--------|---------|
|    1 | Andaman &Nicobar Islands | 102   | 22    | 5      |     129 |
|    2 | Andhra Pradesh           | 5198  | 1123  | 552    |    6873 |
|    3 | Arunachal Pradesh        | 135   | 66    | 4      |     205 |
|    4 | Assam                    | 1944  | 778   |        |    2722 |
|    5 | Bihar                    | 1244  | 1052  | 98     |    2394 |
|    6 | Chandigarh               |       |       | 34     |      34 |
|    7 | Chhattisgarh             | 2816  | 669   | 51     |    3536 |
|    8 | Dadra &Nagar Haveli      | 52    | 8     |        |      60 |
|    9 | Daman &Diu               | 26    | 4     |        |      30 |
|   10 | Delhi                    |       | 0     |        |       0 |
|   11 | Goa                      | 101   | 56    | 5      |     162 |
|   12 | Gujarat                  | 5260  | 1463  | 317    |    7040 |
|   13 | Haryana                  | 684   | 364   | 101    |    1149 |
|   14 | Himachal Pradesh         | 616   | 516   | 17     |    1149 |
|   15 | Jammu &Kashmir           | 1140  | 458   | 44     |    1642 |
|   16 | Jharkhand                | 1417  | 178   | 54     |    1649 |
|   17 | Karnataka                | 4464  | 2166  | 365    |    6995 |
|   18 | Kerala                   | 1517  | 840   | 94     |    2451 |
|   19 | Ladakh                   | 77    | 32    | 1      |     110 |
|   20 | Lakshadweep              |       | 3     |        |       3 |
|   21 | Madhya Pradesh           | 4918  | 1159  | 152    |    6229 |
|   22 | Maharashtra              | 6732  | 1828  | 463    |    9023 |
|   23 | Manipur                  | 154   | 55    | 2      |     211 |
|   24 | Meghalaya                | 231   | 79    | 18     |     328 |
|   25 | Mizoram                  | 159   | 55    | 8      |     222 |
|   26 | Nagaland                 | 228   | 48    | 7      |     283 |
|   27 | Odisha                   | 1603  | 1238  | 101    |    2942 |
|   28 | Puducherry               | 81    | 24    | 21     |     126 |
|   29 | Punjab                   | 2346  | 342   | 96     |    2784 |
|   30 | Rajasthan                | 198   | 1975  | 291    |    2464 |
|   31 | Sikkim                   | 96    | 18    | 2      |     116 |
|   32 | Tamil Nadu               | 4467  | 1381  | 460    |    6308 |
|   33 | Telangana                | 2199  | 637   | 224    |    3060 |
|   34 | Tripura                  | 258   | 61    | 7      |     326 |
|   35 | Uttar Pradesh            | 7525  | 2175  | 476    |   10176 |
|   36 | Uttarakhand              | 758   | 395   | 38     |    1191 |
|   37 | West Bengal              | 4746  | 783   | 436    |    5965 |

## Annexure-I

## Annexure-II

## State wise Status of functional AB-HWCs in aspirational districts across the country (Source-AB-HWC portal, data as on 6 th February 2022)

|   SN | STATE             | DISTRICT      |   SHC |   PHC | UPHC   |   TOTAL |
|------|-------------------|---------------|-------|-------|--------|---------|
|    1 | Andhra Pradesh    | Vizianagaram  |   328 |    68 | 20     |     416 |
|    2 | Andhra Pradesh    | Visakhapatnam |   431 |    81 | 77     |     589 |
|    3 | Andhra Pradesh    | Y.S.R.        |   341 |    74 | 36     |     451 |
|    4 | Arunachal Pradesh | Namsai        |    15 |     4 |        |      19 |
|    5 | Assam             | Dhubri        |    69 |    24 |        |      93 |
|    6 | Assam             | Goalpara      |    85 |    31 |        |     116 |
|    7 | Assam             | Barpeta       |   121 |    47 |        |     168 |
|    8 | Assam             | Hailakandi    |    57 |    15 |        |      72 |
|    9 | Assam             | Baksa         |    45 |    34 |        |      79 |
|   10 | Assam             | Darrang       |    95 |    31 |        |     126 |
|   11 | Assam             | Udalguri      |    58 |    18 |        |      76 |
|   12 | Bihar             | Sitamarhi     |    25 |    13 |        |      38 |
|   13 | Bihar             | Araria        |     5 |    30 |        |      35 |
|   14 | Bihar             | Purnia        |    18 |    33 | 6      |      57 |
|   15 | Bihar             | Katihar       |    28 |    23 | 2      |      53 |
|   16 | Bihar             | Muzaffarpur   |   103 |    76 | 4      |     183 |
|   17 | Bihar             | Begusarai     |    14 |    16 | 4      |      34 |
|   18 | Bihar             | Khagaria      |    32 |    22 |        |      54 |
|   19 | Bihar             | Banka         |    52 |    31 |        |      83 |
|   20 | Bihar             | Sheikhpura    |    23 |    10 |        |      33 |
|   21 | Bihar             | Aurangabad    |    21 |    37 | 1      |      59 |
|   22 | Bihar             | Gaya          |    29 |    25 | 8      |      62 |
|   23 | Bihar             | Nawada        |    30 |    10 | 2      |      42 |
|   24 | Bihar             | Jamui         |    91 |    20 |        |     111 |
|   25 | Chhattisgarh      | Korba         |   119 |    33 | 3      |     155 |
|   26 | Chhattisgarh      | Rajnandgaon   |   163 |    43 | 3      |     209 |
|   27 | Chhattisgarh      | Mahasamund    |   119 |    28 | 1      |     148 |
|   28 | Chhattisgarh      | Kanker        |   121 |    30 | 1      |     152 |
|   29 | Chhattisgarh      | Bastar        |   136 |    29 | 2      |     167 |
|   30 | Chhattisgarh      | Narayanpur    |    23 |     5 |        |      28 |
|   31 | Chhattisgarh      | Dantewada     |    48 |    11 |        |      59 |
|   32 | Chhattisgarh      | Bijapur       |    42 |     9 |        |      51 |
|   33 | Chhattisgarh      | Sukma         |    38 |    10 |        |      48 |
|   34 | Chhattisgarh      | Kondagaon     |   104 |    19 |        |     123 |
|   35 | Gujarat           | Dahod         |   309 |    97 | 2      |     408 |
|   36 | Gujarat           | Narmada       |    82 |    27 | 1      |     110 |
|   37 | Haryana           | Nuh           |    59 |    17 |        |      76 |
|   38 | Himachal Pradesh  | Chamba        |    35 |    44 |        |      79 |
|   39 | Jammu &Kashmir    | Kupwara       |    84 |    37 |        |     121 |

|   SN | STATE          | DISTRICT             |   SHC | PHC   | UPHC   |   TOTAL |
|------|----------------|----------------------|-------|-------|--------|---------|
|   40 | Jammu &Kashmir | Baramulla            |    84 | 47    | 2      |     133 |
|   41 | Jharkhand      | Garhwa               |    33 | 5     | 1      |      39 |
|   42 | Jharkhand      | Chatra               |    39 | 0     |        |      39 |
|   43 | Jharkhand      | Giridih              |    51 | 10    | 2      |      63 |
|   44 | Jharkhand      | Godda                |    66 | 9     | 1      |      76 |
|   45 | Jharkhand      | Sahibganj            |    51 | 0     | 1      |      52 |
|   46 | Jharkhand      | Pakaur               |    46 | 0     | 1      |      47 |
|   47 | Jharkhand      | Bokaro               |    66 | 16    | 4      |      86 |
|   48 | Jharkhand      | Lohardaga            |    29 | 2     | 1      |      32 |
|   49 | Jharkhand      | PurbiSinghbhum       |    98 | 17    | 8      |     123 |
|   50 | Jharkhand      | Palamu               |    77 | 1     | 2      |      80 |
|   51 | Jharkhand      | Latehar              |    34 | 5     |        |      39 |
|   52 | Jharkhand      | Hazaribagh           |    55 | 11    | 3      |      69 |
|   53 | Jharkhand      | Ramgarh              |    16 | 1     | 2      |      19 |
|   54 | Jharkhand      | Dumka                |   108 | 14    | 1      |     123 |
|   55 | Jharkhand      | Ranchi               |   126 | 22    | 8      |     156 |
|   56 | Jharkhand      | Khunti               |    40 |       |        |      40 |
|   57 | Jharkhand      | Gumla                |    75 | 1     | 1      |      77 |
|   58 | Jharkhand      | Simdega              |    44 | 2     |        |      46 |
|   59 | Jharkhand      | PashchimiSinghbhum   |   116 | 13    | 2      |     131 |
|   60 | Karnataka      | Raichur              |   175 | 50    | 6      |     231 |
|   61 | Karnataka      | Yadgir               |   149 | 41    | 3      |     193 |
|   62 | Kerala         | Wayanad              |   109 | 23    | 1      |     133 |
|   63 | Madhya Pradesh | Chhatarpur           |    70 | 36    | 2      |     108 |
|   64 | Madhya Pradesh | Damoh                |    85 | 15    | 1      |     101 |
|   65 | Madhya Pradesh | Barwani              |   168 | 28    | 2      |     198 |
|   66 | Madhya Pradesh | Rajgarh              |   125 | 27    | 1      |     153 |
|   67 | Madhya Pradesh | Vidisha              |   113 | 22    | 4      |     139 |
|   68 | Madhya Pradesh | Guna                 |    92 | 14    | 3      |     109 |
|   69 | Madhya Pradesh | Singrauli            |    51 | 14    | 1      |      66 |
|   70 | Madhya Pradesh | East Nimar (Khandwa) |   104 | 29    | 2      |     135 |
|   71 | Maharashtra    | Nandurbar            |   185 | 58    | 3      |     246 |
|   72 | Maharashtra    | Washim               |    93 | 25    | 1      |     119 |
|   73 | Maharashtra    | Gadchiroli           |   164 | 47    | 0      |     211 |
|   74 | Maharashtra    | Osmanabad            |   167 | 42    | 1      |     210 |
|   75 | Manipur        | Chandel              |    15 | 4     |        |      19 |
|   76 | Meghalaya      | RiBhoi               |    26 | 8     |        |      34 |
|   77 | Mizoram        | Mamit                |    23 | 6     |        |      29 |
|   78 | Nagaland       | Kiphire              |    17 | 4     |        |      21 |
|   79 | Odisha         | Dhenkanal            |    44 | 37    | 1      |      82 |
|   80 | Odisha         | Gajapati             |    40 | 21    | 1      |      62 |
|   81 | Odisha         | Kandhamal            |    45 | 40    |        |      85 |
|   82 | Odisha         | Balangir             |    61 | 44    | 2      |     107 |

|   SN | STATE         | DISTRICT                |   SHC |   PHC | UPHC   |   TOTAL |
|------|---------------|-------------------------|-------|-------|--------|---------|
|   83 | Odisha        | Nuapada                 |    34 |    17 |        |      51 |
|   84 | Odisha        | Kalahandi               |    71 |    44 | 1      |     116 |
|   85 | Odisha        | Rayagada                |    70 |    36 | 3      |     109 |
|   86 | Odisha        | Nabarangapur            |    82 |    40 | 1      |     123 |
|   87 | Odisha        | Koraput                 |    53 |    46 | 4      |     103 |
|   88 | Odisha        | Malkangiri              |    44 |    26 |        |      70 |
|   89 | Punjab        | Moga                    |    95 |    17 | 2      |     114 |
|   90 | Punjab        | Firozpur                |   105 |    17 | 2      |     124 |
|   91 | Rajasthan     | Dholpur                 |     3 |    29 | 4      |      36 |
|   92 | Rajasthan     | Karauli                 |     2 |    34 | 4      |      40 |
|   93 | Rajasthan     | Jaisalmer               |     2 |    24 | 1      |      27 |
|   94 | Rajasthan     | Sirohi                  |     2 |    28 | 2      |      32 |
|   95 | Rajasthan     | Baran                   |    11 |    46 | 2      |      59 |
|   96 | Sikkim        | West                    |    35 |     7 |        |      42 |
|   97 | Tamil Nadu    | Virudhunagar            |   205 |    37 | 7      |     249 |
|   98 | Tamil Nadu    | Ramanathapuram          |   209 |    41 | 5      |     255 |
|   99 | Telangana     | Khammam                 |    89 |    26 | 4      |     119 |
|  100 | Telangana     | JayashankarBhupalapally |    81 |    12 | 1      |      94 |
|  101 | Telangana     | KumuramBheemAsifabad    |    18 |    20 | 2      |      40 |
|  102 | Tripura       | Dhalai                  |    55 |    10 |        |      65 |
|  103 | Uttar Pradesh | Chitrakoot              |    97 |    27 |        |     124 |
|  104 | Uttar Pradesh | Fatehpur                |   223 |    35 | 3      |     261 |
|  105 | Uttar Pradesh | Bahraich                |   221 |    49 | 2      |     272 |
|  106 | Uttar Pradesh | Shrawasti               |    96 |    10 |        |     106 |
|  107 | Uttar Pradesh | Balrampur               |   147 |    24 | 1      |     172 |
|  108 | Uttar Pradesh | Siddharthnagar          |   215 |    48 |        |     263 |
|  109 | Uttar Pradesh | Chandauli               |   169 |    22 | 1      |     192 |
|  110 | Uttar Pradesh | Sonbhadra               |   117 |    27 | 1      |     145 |
|  111 | Uttarakhand   | Udham Singh Nagar       |   107 |    27 | 6      |     140 |
|  112 | Uttarakhand   | Haridwar                |   126 |    25 | 12     |     163 |
|  113 | West Bengal   | DakhshinDinajpur        |   171 |    10 | 4      |     185 |
|  114 | West Bengal   | Maldah                  |   124 |    33 | 6      |     163 |
|  115 | West Bengal   | Murshidabad             |   128 |    69 | 8      |     205 |
|  116 | West Bengal   | Birbhum                 |   283 |    57 | 4      |     344 |
|  117 | West Bengal   | Nadia                   |   226 |    21 | 17     |     264 |