Lok Sabha Question No. 1814 (UNSTARRED), answered on 2022-12-16
Subject: Loans for PM-ABHIM
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 UNSTARRED QUESTION NO. 1814 TO BE ANSWERED ON 16.12.2022

## LOANS FOR PM-ABHIM

## 1814.   SHRI NAMA NAGESWARA RAO

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- a) whether the Government is seeking loans from financial institutions like World Bank to meet the funds requirement for Pradhan Mantri-Ayushman  Bharat Health Infrastructure Mission (PM-ABHIM).
- b) if so, details thereof along with the loans sanctioned so far;
- c) the  present  status  of  surveillance  system  for  quick  detection  of  pandemics,  and capacity of core public health institutions to respond to emergencies; and
- d) the details of proposals initiated under PM-ABHIM and funds released so far across the country, state/UT wise?

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

(a) to (d): Pradhan Mantri Ayushman Bharat Infrastructure Mission (PM-ABHIM) was launched  on  25th  October  2021  with  an  outlay  of  about  Rs.  64,180  Cr  (till  FY  25-26)  to strengthen health care infrastructure across the country.

As  on  13 th Dec  2022,  loan  agreements  have  been  signed  with  Asian  Development  Bank (ADB) for USD 300 million and with Japan International Cooperation Agency (JICA) for 50 billion JPY. In addition, the World Bank has approved USD 1 billion IBRD loans for PMABHIM.

Integrated Disease Surveillance Program (IDSP) was launched in 2004 with the objective to strengthen  and  maintain  decentralized  laboratory-based  IT  enabled  disease  surveillance system for epidemic prone diseases to monitor disease trends and also to detect and respond to outbreaks in the early rising phase through trained Rapid Response Team (RRTs).

To  further  strengthen  the  disease  surveillance,  it  has  been  upgraded  from  a  paper-based weekly  reporting  to  a  real  time  digital  reporting  through  Integrated  Health  Information Platform (IHIP). IHIP allows for near real-time information on case based health surveillance for more than 33 epidemic prone diseases.

Government provides financial assistance to States/UTs to set up, upgrade health infrastructure  under  National  Health  Mission  to  ensure  universal  access  to  equitable, affordable and quality health care services. In addition to this, PMABHIM was launched to accomplish  the  vision  of  comprehensive  healthcare  across  the  country  with  increased investment in health infrastructure and to fill gaps in public health infrastructure, especially in critical care facilities and primary care in both the urban and rural areas. The major initiatives planned under ABHIM include:

-  Support for construction of 17,788 rural Health and Wellness Centres
-  Establishment of 11,024 Urban Health and Wellness Centres
-  Setting up 3382 Block Public Health Units
-  Setting up of Integrated Public Health Labs in all districts.
-  Establishing 602 Critical Care Hospital Blocks
-  Critical Care Hospital Blocks in 12 Central Hospitals
-  To strengthen National Centre for Disease Control (NCDC), 5 New Regional NCDCs, 10 BSL-III and 1 BSL-IV and 20 Metropolitan Surveillance Units (MSUs).
-  Expansion  of  the  Integrated  Health  Information  Portal  (IHIP)  to  all  States/  UTs  to with an aim to strengthen surveillance capacity.
-  Operationalisation  of  17  new  Public  Health  Units  and  strengthening  of  33  existing Public Health Units at Points of Entry, that is at 32 Airports, 11 Seaports and 7 land crossings.
-  Setting up of 15 Health Emergency Operation Centres and 2 Container based Mobile Hospitals.
-  Setting  up  of  a  National  Institution  for  One  Health,  4  New  National  Institutes  for Virology, a Regional Research Platform for WHO South East Asia Region and 9 BSL III laboratories.

As on 28 th November 2022, an amount of Rs 584.04 Cr. has been released during the year 2021-22 and Rs. 4176.84 Cr. has been allocated under PM ABHIM in the current financial year. State/UT wise details are at Annexure.

*****

## State/UT wise Central Release under PM-ABHIM during FY 2021-22

| S. No.   | Name of the State/UT               | 2021-22         | 2022-23            |
|----------|------------------------------------|-----------------|--------------------|
| S. No.   | Name of the State/UT               | Central Release | Central Allocation |
| 1        | Andaman &Nicobar Islands           | -               | 2.12               |
| 2        | Andhra Pradesh                     | 3.75            | 54.25              |
| 3        | Arunachal Pradesh                  | 0.56            | 5.70               |
| 4        | Assam                              | 57.90           | 356.94             |
| 5        | Bihar                              | 125.86          | 662.22             |
| 6        | Chandigarh                         | -               | 18.27              |
| 7        | Chhattisgarh                       | 11.25           | 80.16              |
| 8        | Dadra &Nagar Haveli and Daman &Diu | -               | 0.79               |
| 9        | Delhi                              | -               | 170.21             |
| 10       | Goa                                | -               | -                  |
| 11       | Gujarat                            | -               | 118.30             |
| 12       | Haryana                            | 11.06           | 70.02              |
| 13       | Himachal Pradesh                   | -               | 43.26              |
| 14       | Jammu &Kashmir                     | 16.11           | 95.79              |
| 15       | Jharkhand                          | 44.70           | 240.16             |
| 16       | Karnataka                          | 11.25           | 135.34             |
| 17       | Kerala                             | 3.75            | 47.98              |
| 18       | Lakshadweep                        | -               | -                  |
| 19       | Madhya Pradesh                     | 22.85           | 191.25             |
| 20       | Maharashtra                        | 17.45           | 130.79             |
| 21       | Manipur                            | 4.56            | 21.44              |
| 22       | Meghalaya                          | 9.65            | 43.07              |
| 23       | Mizoram                            | 0.28            | 2.85               |
| 24       | Nagaland                           | 0.28            | 2.85               |
| 25       | Odisha                             | 32.15           | 208.67             |
| 26       | Puducherry                         | 0.42            | 7.15               |
| 27       | Punjab                             | -               | 92.56              |
| 28       | Rajasthan                          | 45.37           | 312.75             |
| 29       | Sikkim                             | -               | 1.19               |
| 30       | Tamil Nadu                         | 17.45           | 146.68             |
| 31       | Tripura                            | -               | 1.66               |
| 32       | Uttar Pradesh                      | 124.63          | 650.23             |
| 33       | Uttarakhand                        | 1.56            | 63.80              |
| 34       | West Bengal                        | 9.95            | 95.46              |
| 35       | Telangana                          | 11.25           | 102.91             |
| 36       | Ladakh                             | -               | -                  |