Lok Sabha Question No. 184 (STARRED), answered on 2022-07-29
Subject: Primary and Preventive Healthcare
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nama Nageswara Rao

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

## LOK SABHA STARRED QUESTION NO. 184 TO BE ANSWERED ON THE 29 TH  JULY, 2022

## PRIMARY AND PREVENTIVE HEALTHCARE

## *184. SHRI NAMA NAGESWARA RAO:

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

- (a) whether the Government is supplementing the efforts of States/UTs to strengthen Sub-Centres  and  Primary  Health  Centres  as  part  of  comprehensive  primary  health care that includes preventive health care;
- (b) if so, the details thereof; and
- (c)  the  details  of  total  funds  released  across  the  country  for  the  last  five  years, State/UT-wise?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (DR MANSUKH MANDAVIYA)

- (a) to (  c) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 184* FOR 29 TH  JULY, 2022

(a)  to  (c):  Government  of  India  is  making  all  efforts  to  strengthen  Sub-Centres  and Primary Health Centres as part of comprehensive primary health care by implementing a  flagship  programme  Ayushman  Bharat-Health  and  Wellness  Centres  (AB-HWCs). This  is  India's  commitment  for  achieving  promotive,  preventive,  curative,  palliative and  rehabilitative  aspects  of  Universal  Health  Coverage  with  a  goal  to  provide Comprehensive Primary Health Care including both maternal and child health services and non-communicable diseases as well as free essential drugs and diagnostic services through Health and Wellness Centres.

Under  Ayushman  Bharat,  States/UTs  are  supported  to  transform  existing  1.5 lakh Sub Health Centres (SHCs) and rural and urban Primary Health Centres (PHCs) across the country as Ayushman Bharat - Health and Wellness Centres (AB-HWCs) by December, 2022 with an aim to provide Comprehensive Primary Health Care (CPHC) that includes prevention and health promotion at the community level with continuum of care. A total of 1,20,112 Ayushman Bharat- Health & Wellness Centre (AB-HWCs) are functional in the country as on 30 th June 2022. State-wise details is at Annexure-I .

Ministry of Health and Family Welfare provides technical and financial support to  the  States/UTs  to strengthen  the  public  healthcare  system,  based on  the  proposals received from them in their Annual Programme Implementation Plans (PIPs), within their resource envelope.

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 including wellness through yoga, telemedicine etc.

There is equal focus on preventive healthcare and health promotion activities at AB-HWCs. Ayushman Bharat - Health and Wellness Ambassador Initiative has been launched  where  in  teachers  in  every  school  are  Ambassadors  to  foster  growth, development and educational achievement of school going children by promoting their health  and  wellbeing.  In  AB-HWCs,  there  have  been  101.03  crore  footfall  upto  30 th June, 2022. Screening of 21.41 crores individuals for hypertension and 17.83 crore for diabetes  has  been  done  at  HWCs  till  30 th June,  2022.  Screening  for  three  common cancers which include oral (11.81 crore screened), breast (5.73 crore women screened) and cervical cancer (3.86 crore women screened) done across the country at HWCs till 30 th June,  2022.  More  than  1.21  crores  Yoga  /  other  Wellness  sessions  have  been conducted at HWCs till 30 th June, 2022. Further, at HWCs convergence with Eat Right Movement of Food Safety and Standards Authority of India (FSSAI) is built on two broad pillars: 'Eat Healthy' and 'Eat Safe'.

State/UT-wise  details  of  Central  Releases  under  Ayushman  Bharat-Health  & Wellness  Centres  (AB-H&WCs)  under  National  Health  Mission  (NHM)  from  FY 2018-19 to 2021-22 is at Annexure-II .

Annexure-I Status of operationalization of AB-HWCs as on 30.06.2022 ( Source-AB-HWC Portal)

| S.No.   | State/UT Name                       | Number of functional AB-HWCs   |
|---------|-------------------------------------|--------------------------------|
| 1       | Andaman &Nicobar Islands            | 129                            |
| 2       | Andhra Pradesh                      | 9106                           |
| 3       | Arunachal Pradesh                   | 290                            |
| 4       | Assam                               | 3399                           |
| 5       | Bihar                               | 4535                           |
| 6       | Chandigarh                          | 34                             |
| 7       | Chhattisgarh                        | 4536                           |
| 8       | Dadra &Nagar Haveli and Daman & Diu | 90                             |
| 9       | Delhi                               | 0                              |
| 10      | Goa                                 | 161                            |
| 11      | Gujarat                             | 7647                           |
| 12      | Haryana                             | 1155                           |
| 13      | Himachal Pradesh                    | 1182                           |
| 14      | Jammu &Kashmir                      | 2224                           |
| 15      | Jharkhand                           | 1790                           |
| 16      | Karnataka                           | 8628                           |
| 17      | Kerala                              | 2489                           |
| 18      | Ladakh                              | 252                            |
| 19      | Lakshadweep                         | 6                              |
| 20      | Madhya Pradesh                      | 9486                           |
| 21      | Maharashtra                         | 10514                          |
| 22      | Manipur                             | 322                            |
| 23      | Meghalaya                           | 381                            |
| 24      | Mizoram                             | 294                            |
| 25      | Nagaland                            | 345                            |
| 26      | Odisha                              | 5057                           |
| 27      | Puducherry                          | 126                            |
| 28      | Punjab                              | 2934                           |
| 29      | Rajasthan                           | 8661                           |
| 30      | Sikkim                              | 129                            |
| 31      | Tamil Nadu                          | 7052                           |
| 32      | Telangana                           | 4067                           |
| 33      | Tripura                             | 547                            |
| 34      | Uttar Pradesh                       | 13832                          |
| 35      | Uttarakhand                         | 1422                           |
| 36      | West Bengal                         | 7290                           |
| Total   | Total                               | 1,20,112                       |

## State/UT wise Central Release under Ayushman Bharat Yojana - Health & Wellness Centres (AB-H&WCs) under NHM from the F.Y. 2018-19 to 2021-22

Rs. In Crore

|   S.No. | State/UT                 | 2018-19   | 2019-20   | 2020-21   | 2021-22   |
|---------|--------------------------|-----------|-----------|-----------|-----------|
|       1 | Andaman &Nicobar Islands | 0.80      | 0.85      | 1.16      | 1.77      |
|       2 | Andhra Pradesh           | 43.51     | 52.44     | 59.38     | 54.44     |
|       3 | Arunachal Pradesh        | 8.15      | 8.59      | 14.80     | 13.31     |
|       4 | Assam                    | 68.67     | 97.60     | 89.69     | 107.21    |
|       5 | Bihar                    | 88.50     | 88.78     | 119.22    | 127.50    |
|       6 | Chandigarh               | 0.71      | 0.84      | 1.51      | 0.82      |
|       7 | Chhattisgarh             | 36.42     | 65.66     | 28.08     | 57.92     |
|       8 | Dadra &Nagar Haveli      | 0.70      | 0.96      |           |           |
|       9 | Daman &Diu               | 0.43      | 0.68      | 2.09      | 2.28      |
|      10 | Delhi                    | -         | -         | -         | 0.00      |
|      11 | Goa                      | 0.79      | 1.26      | 0.88      | 1.13      |
|      12 | Gujarat                  | 44.64     | 49.98     | 69.75     | 65.77     |
|      13 | Haryana                  | 18.45     | 24.03     | 29.02     | 29.40     |
|      14 | Himachal Pradesh         | 16.08     | 27.21     | 25.87     | 30.35     |
|      15 | Jammu &Kashmir           | 32.66     | 38.88     | 39.27     | 39.79     |
|      16 | Jharkhand                | 26.02     | 75.81     | -         | 41.99     |
|      17 | Karnataka                | 47.98     | 54.70     | 75.51     | 73.37     |
|      18 | Kerala                   | 18.43     | 21.65     | 27.73     | 26.80     |
|      19 | Lakshadweep              | 0.18      | 0.26      | 0.24      | 0.44      |
|      20 | Madhya Pradesh           | 87.74     | 87.82     | 140.35    | 128.98    |
|      21 | Maharashtra              | 91.27     | 97.64     | 138.60    | 123.63    |
|      22 | Manipur                  | 5.44      | 9.22      | 8.06      | 4.98      |
|      23 | Meghalaya                | 8.64      | 12.46     | 9.17      | 9.98      |
|      24 | Mizoram                  | 4.03      | 5.19      | 5.25      | 5.94      |
|      25 | Nagaland                 | 5.01      | 5.34      | 6.22      | 5.68      |
|      26 | Odisha                   | 48.34     | 95.49     | 77.06     | 78.77     |
|      27 | Puducherry               | 14.46     | 0.22      | -         | 0.59      |
|      28 | Punjab                   | 19.69     | 20.39     | 22.17     | 21.35     |
|      29 | Rajasthan                | 83.70     | 68.64     | 62.63     | 114.04    |
|      30 | Sikkim                   | 2.16      | 1.62      | 2.71      | 2.31      |
|      31 | Tamil Nadu               | 56.41     | 89.12     | 82.65     | 174.01    |
|      32 | Tripura                  | 10.18     | 13.57     | 9.27      | 11.71     |
|      33 | Uttar Pradesh            | 176.10    | 330.85    | 279.52    | 136.78    |
|      34 | Uttarakhand              | 19.62     | 30.31     | 26.93     | 35.67     |
|      35 | West Bengal              | 59.47     | 61.55     | 99.44     | 100.68    |
|      36 | Telangana                | 46.14     | 33.70     | 35.94     | 39.09     |
|      37 | Ladakh                   | -         | -         | 7.36      | 5.06      |

## Note:

1. The above information comprises of Ayushman Bharat- Health & Wellness Centres under NRHM and NUHM.
2. The above releases relate to Central Govt. Grants & do not include State share contribution. Release  for the F.Y. 2021-22 is updated upto 31.03.2022 and is provisional.