Lok Sabha Question No. 1131 (UNSTARRED), answered on 2022-07-22
Subject: Universal Health Coverage
Ministry: HEALTH AND FAMILY WELFARE
Asked by: M. Selvaraj

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

## LOK SABHA UNSTARRED QUESTION NO.1131 TO BE ANSWERED ON 22 nd  July, 2022

## UNIVERSAL HEALTH COVERAGE

## 1131. SHRI M. SELVARAJ:

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

- (a) whether the Government proposes to provide Universal Health Coverage to every citizen   in the country;
- (b) if so, the details thereof;
- (c) the details of steps taken in this direction and results achieved so far; and
- (d) the details of funds spent in this regard during each of the last three years and the current year, State/ UT-wise including Tamil Nadu ?

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

(a) to (d): The National Health Policy formulated in 2017 envisages to provide universal access to good quality healthcare services through increasing access, increasing affordability by lowering the cost of healthcare delivery and equity. The policy envisages as its goal the attainment of the highest possible level of health and well-being for all at all ages,  through  a  preventive  and  promotive  healthcare  orientation  in  all  developmental policies, and universal access to good quality healthcare services without anyone having to face financial hardship as a consequence. The Policy is centered on the key principles of Equity; Affordability; Universality; Patient Centeredness & Quality of care; accountability; Inclusive partnerships; Pluralism and decentralization.

The Central Govt. has taken several initiatives for supplementing the efforts of the State for providing quality and affordable healthcare services to the people.

Under National Health Mission, the Government has taken many steps towards universal health coverage by supporting the State Government in providing accessible & affordable healthcare to people. It encompasses the National Rural Health Mission (NRHM) and the National  Urban  Health  Mission  (NUHM)  as  its  two  Sub-Missions.  Under  the  National Health  Mission,  financial  and  technical  support  is  provided  to  States/UTs  to  provide accessible,  affordable  and  quality  healthcare,  especially  to  the  poor  and  vulnerable sections  of  the  population,  in  both  urban  and  rural  areas.  The  National  Health  Mission provides support for improvement in health infrastructure, availability of adequate human resources to man health facilities, to improve availability and accessibility to quality health care especially for the underserved and marginalized groups in rural areas.

The Government has launched four mission mode projects, namely PM-Ayushman Bharat Health  Infrastructure  Mission  (PM-ABHIM),  Ayushman  Bharat  Health  &  Wellness Centres (ABHWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY) and Ayushman Bharat Digital Mission (ABDM)

PM-ABHIM was launched to develop the capacities of primary, secondary, and tertiary healthcare systems, strengthen existing national institutions and create new institutions to cater  to  detection  and  cure  of  new  and  emerging  diseases.  PM-ABHIM  is  a  Centrally Sponsored Scheme with some Central Sector Components. The scheme has an outlay of Rs. 64,180 crore.

Under  Ayushman  Bharat  Health  &  Wellness  Centres(HWCs),  Comprehensive  Primary healthcare  by  strengthening  Sub  Health  Centres  (SHCs)  and  Primary  Health  Centres (PHCs)  are  facilitated.  The  HWCs  provide  preventive,  promotive,  rehabilitative  and curative  care  for  an  expanded  range  of  services  encompassing  Reproductive  and  child healthcare services, Communicable diseases, Non-communicable diseases and other health issues.

PMJAY provides health  coverage  of  Rs.5.00  lakh  per  family  per  year  to  around  10.74 crore poor and vulnerable families for secondary and tertiary care as per Socio Economic Caste  Census  data  2011.  Ayushman  Bharat  Digital  Mission  (ABDM)  is  aimed  at developing the backbone necessary to support the integrated digital health infrastructure of the country.

The  State-wise/  year-wise  details  of  funds  spent  towards  public  health  including  Tamil Nadu are given in Annexure.

## ANNEXURE

## State-wise details of the fund spend/ expenditure towards Public Health

|                   |                |                | Rs. In Crore   | Rs. In Crore   |
|-------------------|----------------|----------------|----------------|----------------|
| States            | 2018-19 Actual | 2019-20 Actual | 2020-21 RE     | 2021-22 BE     |
| Andhra Pradesh    | 7400.1         | 7538.4         | 9570.0         | 14087.7        |
| Arunachal Pradesh | 1117.6         | 1003.4         | 1009.1         | 1125.0         |
| Assam             | 4642.3         | 5334.3         | 8809.3         | 7397.2         |
| Bihar             | 7317.8         | 7673.8         | 11170.7        | 13011.9        |
| Chhattisgarh      | 3757.4         | 4671.3         | 6521.1         | 5901.7         |
| Goa               | 953.4          | 1097.4         | 1405.8         | 1595.5         |
| Gujarat           | 9983.7         | 10283.4        | 11231.8        | 11304.3        |
| Haryana           | 4011.2         | 4982.6         | 6239.6         | 7316.7         |
| Himachal Pradesh  | 2237.9         | 2306.8         | 3044.4         | 2976.0         |
| Jammu and Kashmir | 4423.8         | 4244.4         | 6671.6         | 7061.4         |
| Jharkhand         | 3370.9         | 3138.5         | 4337.6         | 4445.4         |
| Karnataka         | 9477.2         | 9160.5         | 11947.5        | 12235.4        |
| Kerala            | 7261.6         | 7538.8         | 7994.8         | 10353.5        |
| Madhya Pradesh    | 7738.4         | 9580.4         | 9467.2         | 11619.4        |
| Maharashtra       | 13006.0        | 14692.1        | 19538.8        | 19060.2        |
| Manipur           | 610.2          | 662.7          | 1088.7         | 1095.6         |
| Meghalaya         | 1065.3         | 865.8          | 1224.4         | 1267.9         |
| Mizoram           | 581.9          | 583.2          | 780.6          | 623.7          |
| Nagaland          | 623.0          | 667.9          | 813.8          | 1042.7         |
| Odisha            | 5703.3         | 6185.3         | 8776.3         | 9340.0         |
| Punjab            | 3243.9         | 3518.7         | 4051.0         | 4662.3         |
| Rajasthan         | 11861.5        | 12143.9        | 13394.3        | 16269.3        |
| Sikkim            | 406.9          | 425.2          | 723.6          | 588.0          |
| Tamilnadu         | 12488.7        | 12320.8        | 18214.2        | 18631.6        |
| Telangana         | 5997.1         | 6902.0         | 6385.5         | 6587.8         |
| Tripura           | 929.8          | 899.7          | 1044.7         | 1423.5         |
| Uttar Pradesh     | 18102.3        | 19957.3        | 20581.6        | 32009.3        |
| Uttarakhand       | 2096.1         | 2100.9         | 2378.6         | 3438.8         |
| West Bengal       | 9677.7         | 10834.2        | 12727.8        | 16576.5        |
| NCT of Delhi      | 5495.5         | 5744.5         | 7442.6         | 9933.7         |
| Puducherry        | 579.5          | 732.0          | 731.7          | 795.9          |

Source: RBI State Finances (A study of Budgets)

Public Health Expenditure includes Revenue & Capital of Medical and Public Health and Family Welfare