Lok Sabha Question No. 1551 (UNSTARRED), answered on 2023-02-10
Subject: Loans raised from World Bank for PM-ABHIM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nama Nageswara Rao

(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 2025-26) to strengthen health care infrastructure across the country.

As on 6 th  February 2023, loan agreements have been signed with Asian Development Bank (ADB) for USD 300 million and with Japan International Cooperation Agency (JICA) for 50 billion Japanese Yen (JPY). In addition, the World Bank has approved USD 1 billion IBRD loans for PM-ABHIM.

Further, Government of India 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

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

LOK SABHA UNSTARRED QUESTION NO. 1551 TO BE ANSWERED ON 10.02.2023

## LOANS RAISED FROM WORLD BANK FOR PM-ABHIM

## 1551.   SHRI NAMA NAGESWARA RAO

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

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

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY

## ANSWER WELFARE

(Dr. BHARATI PRAVIN PAWAR)

-  Critical Care Hospital Blocks in 12 Central Hospitals
-  To strengthen National Centre for Disease Control (NCDC), 5 New Regional NCDCs, 10 Biosafety Levels (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 25 th January 2023, an amount of Rs 686.86 Cr. has been released during the current financial year 2022-23 and Rs. 584.04 Cr has been released in the financial year 2021-22 under PM ABHIM. State/UT wise details are at Annexure.

As far as the surveillance system is concerned, Integrated Disease Surveillance Program (IDSP) was launched in 2004 with the objective to strengthen and maintain decentralized laboratorybased Information Technology (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 system to digital reporting through Integrated Health Information Platform (IHIP). IHIP allows for updation of information on case based health surveillance for more than 33 epidemic prone diseases.

******

State/UT wise Central Release under PM-ABHIM during FY 2021-22 and FY 2022-23

(Rs. In Cr)

| S. No.   | Name of the State/UT               | 2021-22         | 2022-23         |
|----------|------------------------------------|-----------------|-----------------|
| S. No.   | Name of the State/UT               | Central Release | Central Release |
| 1        | Andaman &Nicobar Islands           | -               | 1.06            |
| 2        | Andhra Pradesh                     | 3.75            | 13.56           |
| 3        | Arunachal Pradesh                  | 0.56            | -               |
| 4        | Assam                              | 57.90           | -               |
| 5        | Bihar                              | 125.86          | -               |
| 6        | Chandigarh                         | -               | 4.57            |
| 7        | Chhattisgarh                       | 11.25           | -               |
| 8        | Dadra &Nagar Haveli and Daman &Diu | -               | 0.20            |
| 9        | Delhi                              | -               | -               |
| 10       | Goa                                | -               | -               |
| 11       | Gujarat                            | -               | 26.62           |
| 12       | Haryana                            | 11.06           | -               |
| 13       | Himachal Pradesh                   | -               | 9.73            |
| 14       | Jammu &Kashmir                     | 16.11           | -               |
| 15       | Jharkhand                          | 44.70           | 60.04           |
| 16       | Karnataka                          | 11.25           | -               |
| 17       | Kerala                             | 3.75            | -               |
| 18       | Lakshadweep                        | -               | -               |
| 19       | Madhya Pradesh                     | 22.85           | 47.81           |
| 20       | Maharashtra                        | 17.45           | -               |
| 21       | Manipur                            | 4.56            | -               |
| 22       | Meghalaya                          | 9.65            | 21.54           |
| 23       | Mizoram                            | 0.28            | 1.42            |
| 24       | Nagaland                           | 0.28            | -               |
| 25       | Odisha                             | 32.15           | 104.33          |
| 26       | Puducherry                         | 0.42            | -               |
| 27       | Punjab                             | -               | 23.14           |
| 28       | Rajasthan                          | 45.37           | 78.19           |
| 29       | Sikkim                             | -               | 0.30            |
| 30       | Tamil Nadu                         | 17.45           | 73.34           |
| 31       | Tripura                            | -               | 0.83            |
| 32       | Uttar Pradesh                      | 124.63          | 162.55          |
| 33       | Uttarakhand                        | 1.56            | 31.90           |
| 34       | West Bengal                        | 9.95            | -               |
| 35       | Telangana                          | 11.25           | 25.73           |
| 36       | Ladakh                             | -               | -               |
|          | Total                              | 584.04          | 686.86          |

## Note:

1. Release for the FY 2022-23 is updated upto 25.01.2023 and is provisional.
2.  The above releases relate to Central Govt. Grants & do not include State share contribution.