Lok Sabha Question No. 1148 (UNSTARRED), answered on 2021-12-03
Subject: Modern Healthcare System
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Manoj Kishorbhai Kotak

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

## LOK SABHA UNSTARRED QUESTION No. 1148 TO BE ANSWERED ON 03 rd  DECEMBER 2021

## MODERN HEALTHCARE SYSTEM

## 1148.    SHRI MANOJ KOTAK:

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

- a)   whether the Government proposes to empower the citizens through the modern healthcare system;
- b)   if so, the details thereof;
- c)   the funds allocated and utilized for developing modern healthcare system in the country during the last three years;
- d)   whether the Government has any plan to provide health ID to every citizen; and
- e)    if  so,  the  details  thereof  and  the  time by which said project will be implemented along with the details thereof?

## ANSWER

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

(a) to (c) 'Public Health & Hospitals' is a State subject. Government is providing technical and financial support to state government through various schemes including NHM (National Health  Mission)  to  improve  health  Infrastructure  and  to  provide  accessible,  affordable  & quality health care to citizens.

Government  has  initiated  various  schemes/programmes  to  supplement  the  efforts  of  the State/UT governments and to provide quality healthcare across the country. Details of the few schemes are given below:

Ayushman  Bharat  Health  &  Wellness  Centres: Under  this  scheme,  the  States  are supported  for  establishment  of  1.5  lakh  Health  and  Wellness  Centres  (HWCs)  across  the country  for  providing  comprehensive  primary  care  related  to  preventive,  promotive  and curative. As on date 80466 Health & Wellness Centres have been operationalized.

Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health coverage  up  to  Rs  5  Lakh  per  family  per  year  to  around  10.74  crore  poor  and  vulnerable families as per Socio Economic Caste Census (SECC).

Ayushman Bharat Digital Mission (ABDM): With vision to create National Digital Health Ecosystem  across  the  country  and  to  enable  seamless  online  platform,  Hon'ble  Prime

Minister announced the launch of National Digital Health Mission (now known as Ayushman Bharat Digital Mission) on 15 th August, 2020 in 6 Union Territories to facilitate the services like issue of Health ID, creation of registries for Doctors & health facilities and creation of personal  health  record  etc.  Further,  on  27 th September,  2021,  Hon'ble  Prime  Minister announced the nationwide rollout of the Ayushman Bharat Digital Mission (ABDM).

Ayushman  Bharat  Health  Infrastructure  Mission  (ABHIM)  is aimed  at  strengthening crucial  public  health  infrastructure  in  the  country  such  as  setting  up  of  Integrated  Public Health  labs  for  disease  diagnosis,  upgradation  and  expansion  of  health  infrastructure  with focus on critical care and support to research institutions.

Further,  through  eSanjeevani  National  Telemedicine  Service,  teleconsultations  are enabled between doctors and including tele OPD services to ensure continuity of care and availability of health services to all citizens in the confine of their homes free of cost.

Specifically, under NHM, financial support is  provided to States/ UTs for setting up of new  facilities  and  upgradation/ modernization  of existing facilities  based  on  the requirement posed by the states. State/UT wise details of funds released and utilised under NHM during the last three years i.e. F.Y. 2018-19 to 2020-21 is given at Annexure A.

(d) & (e) Government has made provision for every citizen to create his/her health ID. Till 30 Nov 2021, a total of 14,07,06,627 Health IDs have been created.

Creation of Health ID is voluntary. However, NHA is creating awareness among the citizens about the usages and advantages of Health ID so that maximum participation can be ensured.

## State/UT wise details of Central Releases and Expenditure under National Health Mission from the FY 2018-19 to 2020-21

Rs. in crore

| S. No.   | Name of the State/UT      | 2018-19         | 2018-19      | 2019-20         | 2019-20     | 2020-21         | 2020-21     |
|----------|---------------------------|-----------------|--------------|-----------------|-------------|-----------------|-------------|
| S. No.   | Name of the State/UT      | Central Release | Expenditur e | Central Release | Expenditure | Central Release | Expenditure |
| 1        | Andaman & Nicobar Islands | 18.05           | 41.49        | 34.92           | 41.66       | 36.91           | 27.85       |
| 2        | Andhra Pradesh            | 1081.29         | 1658.07      | 1111.07         | 1820.15     | 1097.81         | 2275.42     |
| 3        | Arunachal Pradesh         | 216.92          | 168.74       | 185.95          | 186.21      | 243.04          | 209.06      |
| 4        | Assam                     | 1381.51         | 1571.54      | 1749.24         | 1856.33     | 1807.48         | 1778.31     |
| 5        | Bihar                     | 1409.78         | 1788.82      | 1510.68         | 2842.26     | 1814.63         | 2415.34     |
| 6        | Chandigarh                | 27.06           | 30.42        | 22.77           | 20.97       | 22.21           | 14.55       |
| 7        | Chhattisgarh Dadra &      | 875.10          | 1138.90      | 816.07          | 1464.47     | 979.41          | 1521.30     |
| 8        | Nagar Haveli              | 23.46           | 23.15        | 25.33           | 23.67       | 36.39           | 35.74       |
| 9        | Daman & Diu               | 11.76           | 14.67        | 16.79           | 11.36       |                 |             |
| 10       | Delhi                     | 154.23          | 156.47       | 138.74          | 173.28      | 125.73          | 210.83      |
| 11       | Goa                       | 33.96           | 46.23        | 35.47           | 58.47       | 34.81           | 67.43       |
| 12       | Gujarat                   | 1038.69         | 1793.63      | 1110.80         | 1864.73     | 1005.66         | 1894.46     |
| 13       | Haryana                   | 538.83          | 705.96       | 567.71          | 792.64      | 531.50          | 780.44      |
| 14       | Himachal Pradesh          | 345.43          | 441.38       | 504.84          | 469.60      | 441.94          | 425.58      |
| 15       | Jammu & Kashmir           | 556.46          | 573.12       | 702.20          | 662.56      | 667.46          | 612.87      |
| 16       | Jharkhand                 | 616.23          | 1039.07      | 830.63          | 1090.11     | 602.80          | 999.71      |
| 17       | Karnataka                 | 1254.82         | 1942.61      | 1173.77         | 2384.28     | 1232.19         | 2312.53     |
| 18       | Kerala                    | 887.90          | 1074.25      | 836.14          | 1023.94     | 788.22          | 1364.38     |
| 19       | Lakshadwee p              | 6.58            | 5.85         | 6.16            | 6.55        | 7.11            | 6.99        |
| 20       | Madhya Pradesh            | 1668.09         | 2531.87      | 1728.73         | 3102.89     | 2377.14         | 3397.82     |
| 21       | Maharashtra               | 1565.98         | 2714.86      | 1724.99         | 3097.08     | 1833.59         | 3300.32     |
| 22       | Manipur                   | 147.09          | 146.46       | 185.65          | 196.06      | 189.49          | 112.79      |
| 23       | Meghalaya                 | 145.06          | 159.81       | 141.17          | 166.24      | 202.63          | 213.36      |
| 24       | Mizoram                   | 118.36          | 125.46       | 127.24          | 105.70      | 143.73          | 131.36      |

|   25 | Nagaland      |   132.11 |   142.55 |   123.23 |   130.37 |   188.21 |   150.17 |
|------|---------------|----------|----------|----------|----------|----------|----------|
|   26 | Odisha        |   743.57 |  1673.91 |  1475.14 |  2220.82 |  1617.63 |  2347.24 |
|   27 | Puducherry    |    38.16 |    40.13 |    31.56 |    44.21 |    25.55 |    45.79 |
|   28 | Punjab        |   570.51 |   739.07 |   712.02 |   923.31 |   568.14 |   908.98 |
|   29 | Rajasthan     |  1667    |  2309.53 |  1781.83 |  2559.51 |  2000.58 |  2826.46 |
|   30 | Sikkim        |    45.22 |    59.38 |    53.55 |    54.84 |    70.13 |    52.06 |
|   31 | Tamil Nadu    |  1479.71 |  2533.41 |  1424.22 |  2557.62 |  1522.71 |  2172.33 |
|   32 | Tripura       |   186.52 |   199.86 |   239.47 |   208.37 |   225.91 |   249.74 |
|   33 | Uttar Pradesh |  3886.7  |  6871.79 |  4749.05 |  7453.9  |  3772.95 |  6362.71 |
|   34 | Uttarakhand   |   297.18 |   491.87 |   348.83 |   504.02 |   583.25 |   480.36 |
|   35 | West Bengal   |  1116.09 |  2236.34 |  1749.32 |  2340.84 |  1895.01 |  2598.62 |
|   36 | Telangana     |   713.43 |  1078.7  |   964.34 |   949.96 |   671.88 |  1354.93 |
|   37 | Ladakh        |     0    |     0    |     0    |     0    |    91.89 |    38.56 |

## Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2.  Expenditure is as reported by the FMRs submitted by the States/UTs. Further, expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of  the year.