Lok Sabha Question No. 3330 (UNSTARRED), answered on 2022-08-05
Subject: Funds for Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Bhavana Gawali (Patil), Omprakash Bhupalsinh alias Pawan Rajenimbalkar

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

## LOK SABHA UNSTARRED QUESTION NO-3330

## ANSWERED ON - 05-08-2022

## FUNDS FOR HEALTH INFRASTRUCTURE

## 3330.   SHRIMATI BHAVANA PUNDALIKRAO GAWALI SHRI OMPRAKASH BHUPALSINH alias PAWAN RAJENIMBALKAR

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

- (a) the details of the funds allocated, released and utilized for the development of health infrastructure in the country during the last three years, State/UT-wise; and
- (b) the details of the funds allocated during the year 2021-22 for the development of health infrastructure in the rural areas of the country, State/UT-wise?

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

- (a) and (b): The primary responsibility of strengthening public healthcare system lies with the respective State Governments. However, under National Health Mission (NHM), technical and  financial  support  is  provided  to  the  States/UTs  to  strengthen  the  public  healthcare system.

States/UTs have been provided support for strengthening public healthcare system and health infrastructure through the following centrally sponsored schemes of Department of Health & Family:

- (i) National  Health  Mission  (NHM): It  is  one  of  the  Centrally  Sponsored Scheme  under  which  the  Government  of  India  provides  financial  and technical  support  to  States/UTs  to  strengthen  their  health  care  systems.  It comprises of two sub-missions viz. National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).

The  details  of  approvals  and  utilization  for  the  development  of healthcare  infrastructure  in  the  country  under  NHM  during  the  last  three years, State/UT-wise is at Annexure-I.

- (ii) ECRP-II: The  Cabinet  also  approved  the  scheme,  'India  Covid-19 Emergency Response and Health Systems Preparedness Package-II' (ECRP-II) on 08 th July 2021 for an amount of Rs.23,123 crore for the F.Y. 2021-22.  The  scheme  aims  to  accelerate  health  system  preparedness  for immediate responsiveness for early prevention, detection and management of COVID-19,  with the focus on health infrastructure development including for Pediatric Care and with measurable outcomes.
- Details  of  State/UT  wise  funds  released  and  utilized  towards  ECRP-II through Agency - National Health Mission (NHM) is given at Annexure-II.
- (iii) PM-ABHIM: PM-Ayushman  Bharat  Health  Infrastructure  Mission  (PMABHIM) was launched by Hon'ble Prime Minister of India for an amount of Rs.64,180 crore. The measures under the PM-ABHIM focus on developing capacities of health systems and institutions across the continuum of care at all  levels,  primary,  secondary  and  tertiary,  to  prepare  health  systems  in responding effectively to the current and future pandemics /disasters. Details  of  State/UT  wise  funds  released  under  PM-ABHIM  during  F.Y. 2021-22 is at Annexure-III.
- (iv) 15 th Finance  Commission  (FC-XV): Government  of  India  is  supporting rural  and  urban  local  bodies  through  the  15 th Finance  Commission  for addressing the  gaps  in  Primary  Healthcare  facilities.  Funds  to  the  tune  of Rs. 70,051 Cr have been allocated for the period from 2021-22 to 2025-26.

Further, details of approval for the development of healthcare infrastructure in rural areas of the country under National Rural Health Mission (NRHM) during FY 202122, State/UT-wise is at Annexure-IV.

## State/UT wise details of Approvals and Utilisation for Upgradation of Hospitals, New Construction including Ayushman Bharat- Health and Wellness Centres under NHM during FY 2019-20 to 2021-22

(Rs. in Lakhs)

| S.No.   |                          | 2019-20   | 2019-20     | 2020-21   | 2020-21     | 2021-22   | 2021-22     |
|---------|--------------------------|-----------|-------------|-----------|-------------|-----------|-------------|
| S.No.   | State/UT                 | Approvals | Utilisation | Approvals | Utilisation | Approvals | Utilisation |
| 1       | Andaman &Nicobar Islands | 733.21    | 112.71      | 753.35    | 96.82       | 748.95    | 369.61      |
| 2       | Andhra Pradesh           | 103588.94 | 43952.63    | 38414.25  | 54956.60    | 45528.98  | 36031.09    |
| 3       | Arunachal Pradesh        | 3997.53   | 3013.45     | 6865.49   | 3319.05     | 8967.02   | 6718.36     |
| 4       | Assam                    | 31464.07  | 18141.93    | 72813.31  | 32188.86    | 43489.65  | 28618.15    |
| 5       | Bihar                    | 75901.67  | 62461.85    | 88699.78  | 34929.61    | 97899.43  | 28311.68    |
| 6       | Chandigarh               | 10.80     | 20.00       | 152.30    | 0.00        | 572.88    | 390.26      |
| 7       | Chhattisgarh             | 27259.79  | 23303.01    | 46020.46  | 22154.25    | 45819.89  | 25631.78    |
| 8       | Dadra &Nagar Haveli      | 63.09     | 25.82       |           |             |           |             |
| 9       | Daman &Diu               | 58.11     | 3.52        | 467.96    | 4.34        | 44.68     | 467.65      |
| 10      | Delhi                    | 590.00    | 0.23        | 0.55      | 274.66      | 500.00    | 34.31       |
| 11      | Goa                      | 204.87    | 235.46      | 1064.59   | 221.27      | 1102.81   | 297.82      |
| 12      | Gujarat                  | 25833.90  | 16314.92    | 45980.99  | 16490.61    | 44635.14  | 31764.83    |
| 13      | Haryana                  | 16779.51  | 2236.85     | 29431.37  | 3577.25     | 38440.29  | 14652.48    |
| 14      | Himachal Pradesh         | 12122.59  | 3951.92     | 27829.83  | 5517.15     | 11530.78  | 10827.22    |
| 15      | Jammu &Kashmir           | 17430.30  | 6196.93     | 17498.33  | 4335.50     | 16077.71  | 6468.36     |
| 16      | Jharkhand                | 27361.77  | 9398.93     | 32961.26  | 12407.35    | 18716.92  | 9920.96     |
| 17      | Karnataka                | 51822.31  | 32238.00    | 82250.42  | 44393.06    | 56226.30  | 33403.71    |
| 18      | Kerala                   | 49092.29  | 17356.91    | 41231.08  | 14358.79    | 14691.77  | 10692.05    |
| 19      | Ladakh                   |           |             | 4575.08   | 947.05      | 5844.81   | 1203.45     |
| 20      | Lakshadweep              | 16.00     | 0.00        | 32.17     | 27.89       | 53.01     | 34.29       |
| 21      | Madhya Pradesh           | 61659.75  | 36986.35    | 145898.76 | 56659.93    | 80715.47  | 43008.06    |
| 22      | Maharashtra              | 143521.30 | 61282.76    | 150452.81 | 67180.87    | 110602.50 | 74406.90    |
| 23      | Manipur                  | 4288.81   | 1005.20     | 7327.07   | 707.91      | 5940.48   | 1007.77     |
| 24      | Meghalaya                | 2565.83   | 1299.55     | 4853.56   | 2456.85     | 6744.98   | 3386.10     |
| 25      | Mizoram                  | 1312.13   | 393.49      | 2930.20   | 664.78      | 1667.70   | 2061.68     |
| 26      | Nagaland                 | 2650.07   | 1077.64     | 7724.13   | 992.10      | 4072.31   | 3034.81     |
| 27      | Odisha                   | 62585.89  | 54604.44    | 42242.35  | 56490.49    | 73550.65  | 62958.95    |
| 28      | Puducherry               | 165.63    | 211.02      | 921.39    | 421.58      | 936.38    | 592.16      |
| 29      | Punjab                   | 14876.23  | 6051.73     | 33603.87  | 13304.03    | 20634.50  | 16268.46    |
| 30      | Rajasthan                | 72440.57  | 34185.27    | 224088.41 | 49442.36    | 177349.36 | 38355.26    |
| 31      | Sikkim                   | 1015.91   | 503.87      | 1800.21   | 549.67      | 1790.88   | 865.41      |
| 32      | Tamil Nadu               | 40528.97  | 47389.84    | 61502.80  | 39713.75    | 64127.85  | 59169.70    |
| 33      | Telangana                | 39133.25  | 5284.36     | 22056.08  | 12903.90    | 27092.81  | 19833.73    |
| 34      | Tripura                  | 9693.24   | 2654.84     | 10789.94  | 5201.85     | 9090.92   | 7591.02     |
| 35      | Uttar Pradesh            | 126308.50 | 77023.68    | 326371.09 | 63165.43    | 308425.49 | 51990.07    |
| 36      | Uttarakhand              | 11369.00  | 11654.95    | 19507.47  | 15397.15    | 20189.28  | 21117.40    |
| 37      | West Bengal              | 42914.87  | 9057.12     | 72798.15  | 26413.46    | 47728.97  | 20669.99    |

## Note:

1. The above data is as per available Financial Management Report (FMR) submitted by States/UTs. It is updated upto 31.03.2022, hence is provisional.
2. Above mentioned Utilization figures are as reported by States/UTs and includes expenditure against Central Release, State share & unspent balances of previous years.
3. The above data comprises of Hospital Strengthening and New Constructions/Setting up-District Hospitals, Untied Funds/Annual Maintenance Grants/ Corpus Grants to HMS/RKS and Ayushman Bharat-Health and Wellness centres under National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM).

## State/UT wise Central Release and Utilisation under the India COVID-19 Emergency Response and Health Systems Preparedness Package Phase-II

(Rs. in crore)

| S. No.   | State/UT                           | ECRP II         | ECRP II     |
|----------|------------------------------------|-----------------|-------------|
| S. No.   | State/UT                           | Central Release | Utilisation |
| 1        | Andaman &Nicobar Islands           | 14.22           | 7.07        |
| 2        | Andhra Pradesh                     | 417.91          | 353.66      |
| 3        | Arunachal Pradesh                  | 149.13          | 44.39       |
| 4        | Assam                              | 731.22          | 306.42      |
| 5        | Bihar                              | 1032.87         | 450.90      |
| 6        | Chandigarh                         | 9.47            | 1.95        |
| 7        | Chhattisgarh                       | 376.07          | 197.16      |
| 8        | Dadra &Nagar Haveli &Daman and Diu | 4.76            | 1.84        |
| 9        | Delhi                              | 30.21           | 15.79       |
| 10       | Goa                                | 11.78           | 6.46        |
| 11       | Gujarat                            | 479.22          | 252.15      |
| 12       | Haryana                            | 182.42          | 174.59      |
| 13       | Himachal Pradesh                   | 344.79          | 94.33       |
| 14       | Jammu &Kashmir                     | 407.30          | 144.13      |
| 15       | Jharkhand                          | 383.34          | 340.07      |
| 16       | Karnataka                          | 504.04          | 355.16      |
| 17       | Kerala                             | 173.89          | 156.91      |
| 18       | Ladakh                             | 62.51           | 17.56       |
| 19       | Lakshadweep                        | 1.49            | 0.73        |
| 20       | Madhya Pradesh                     | 874.35          | 770.22      |
| 21       | Maharashtra                        | 820.77          | 589.82      |
| 22       | Manipur                            | 98.73           | 11.07       |
| 23       | Meghalaya                          | 104.12          | 60.52       |
| 24       | Mizoram                            | 61.25           | 11.80       |
| 25       | Nagaland                           | 77.60           | 10.19       |
| 26       | Odisha                             | 517.18          | 342.33      |
| 27       | Puducherry                         | 5.42            | 2.77        |
| 28       | Punjab                             | 198.89          | 325.16      |
| 29       | Rajasthan                          | 883.37          | 462.74      |
| 30       | Sikkim                             | 41.05           | 9.74        |
| 31       | Tamil Nadu                         | 479.59          | 698.12      |
| 32       | Telangana                          | 298.68          | 397.85      |
| 33       | Tripura                            | 83.72           | 56.13       |
| 34       | Uttar Pradesh                      | 1879.88         | 678.43      |
| 35       | Uttarakhand                        | 394.22          | 68.02       |
| 36       | West Bengal                        | 604.76          | 874.85      |

## Note:

1. Release of funds under Phase-II is as per the approved Centre-State funding under NHM.
2. Utilisation is as per NHM-PMS Portal dated 02-08-2022.

State/UT wise details of Central releases under PM-Ayushman Bharat Health Infrastructure Mission during FY 2021-22

(Rs. In crore)

|   S. No. | Name of the State/UT            | Central Release   |
|----------|---------------------------------|-------------------|
|        1 | Andaman &Nicobar Islands        | *                 |
|        2 | Andhra Pradesh                  | 3.75              |
|        3 | Arunachal Pradesh               | 0.56              |
|        4 | Assam                           | 57.90             |
|        5 | Bihar                           | 125.86            |
|        6 | Chandigarh                      | *                 |
|        7 | Chhattisgarh                    | 11.25             |
|        8 | Dadra &Nagar Haveli &Daman &Diu | *                 |
|        9 | Delhi                           | *                 |
|       10 | Goa                             | *                 |
|       11 | Gujarat                         | *                 |
|       12 | Haryana                         | 11.06             |
|       13 | Himanchal Pradesh               | 0.00              |
|       14 | Jammu &Kashmir                  | 16.11             |
|       15 | Jharkhand                       | 44.70             |
|       16 | Karnataka                       | 11.25             |
|       17 | Kerala                          | 3.75              |
|       18 | Ladakh                          | 0.00              |
|       19 | Lakshadweep                     | 0.00              |
|       20 | Madhya Pradesh                  | 22.85             |
|       21 | Maharashtra                     | 17.45             |
|       22 | Manipur                         | 4.56              |
|       23 | Meghalaya                       | 9.65              |
|       24 | Mizoram                         | 0.28              |
|       25 | Nagaland                        | 0.28              |
|       26 | Odisha                          | 32.15             |
|       27 | Puducherry                      | 0.42              |
|       28 | Punjab                          | *                 |
|       29 | Rajasthan                       | 45.37             |
|       30 | Sikkim                          | *                 |
|       31 | Tamil Nadu                      | 17.45             |
|       32 | Telangana                       | 11.25             |
|       33 | Tripura                         | 0.00              |
|       34 | Uttar Pradesh                   | 124.63            |
|       35 | Uttarakhand                     | 1.56              |
|       36 | West Bengal                     | 9.95              |

## Annexure-IV

## State/UT wise Approvals under Hospital Strengthening and New Constructions/ Renovation and Setting up of healthcare facilities under NRHM for the F.Y. 2021-22

(Rs. In lakhs)

|   S.No. | State/UT                 |   Approvals |
|---------|--------------------------|-------------|
|       1 | Andaman &Nicobar Islands |      730.95 |
|       2 | Andhra Pradesh           |    43304.9  |
|       3 | Arunachal Pradesh        |     8881.52 |
|       4 | Assam                    |    42662    |
|       5 | Bihar                    |    96701.9  |
|       6 | Chandigarh               |       12.84 |
|       7 | Chattisgarh              |    44736.4  |
|       8 | Dadra &Nagar Haveli      |       44.68 |
|       9 | Delhi                    |      500    |
|      10 | Goa                      |     1060.37 |
|      11 | Gujarat                  |    42704.2  |
|      12 | Haryana                  |    31096.2  |
|      13 | Himachal Pradesh         |    11450.4  |
|      14 | Jammu &Kashmir           |    15877.4  |
|      15 | Jharkhand                |    14152.2  |
|      16 | Karnataka                |    54027    |
|      17 | Kerala                   |    13488.4  |
|      18 | Ladakh                   |     5844.81 |
|      19 | Lakshadweep              |       53.01 |
|      20 | Madhya Pradesh           |    78455    |
|      21 | Maharashtra              |   105902    |
|      22 | Manipur                  |     5898.27 |
|      23 | Meghalaya                |     6683.39 |
|      24 | Mizoram                  |     1542.59 |
|      25 | Nagaland                 |     3564.33 |
|      26 | Orissa                   |    72581.7  |
|      27 | Puducherry               |      691.79 |
|      28 | Punjab                   |    19978.3  |
|      29 | Rajasthan                |   173795    |
|      30 | Sikkim                   |     1756.43 |
|      31 | Tamil Nadu               |    43426.6  |
|      32 | Telangana                |    24835.9  |
|      33 | Tripura                  |     8817.05 |
|      34 | Uttar Pradesh            |   298601    |
|      35 | Uttarakhand              |    19924    |
|      36 | West Bengal              |    42530.8  |

## Note:

1.  The  above  data  comprises  of  Hospital  Strengthening  and  New  Constructions/Setting  up-District  Hospitals,  Untied  Funds/Annual Maintenance Grants/ Corpus Grants to HMS/RKS and Ayushman Bharat-Health and Wellness centres under National Rural Health Mission (NRHM).
2. The above data is as per the available Financial Management Report (FMR) submitted by the States/UTs. It is updated upto 31.03.2022 and is provisional.