Lok Sabha Question No. 2906 (UNSTARRED), answered on 2023-03-17
Subject: AYUSH Health and Wellness Centres
Ministry: AYURVEDA,YOGA & NATUROPATHY,UNANI,SIDDHA AND HOMEOPATHY (AYUSH)
Asked by: Rajiv Pratap Rudy, Sarmistha Sethi

## GOVERNMENT OF INDIA MINISTRY OF AYUSH

## LOK SABHA UNSTARRED QUESTION NO.2906 TO BE ANSWERED ON 17 TH MARCH, 2023

## AYUSH HEALTH AND WELLNESS CENTRES

## 2906. SHRI RAJIV PRATAP RUDY: SHRIMATI SARMISTHA SETHI:

Will the Minister of AYUSH be pleased to state:

- (a) the  number  of  AYUSH  Health  and  Wellness  Centres  (HWC)/Dispensaries  currently operational in the country, State/UT/district-wise including Saran in Bihar and Odisha;
- (b) the  total  amount  of  funds  allocated  and  released  during  the  last  two  years  for  each AYUSH HWC, State/ UT/district-wise including Bihar;
- (c) whether the Government has undertaken any efforts to set up AYUSH-HWCs in remote and rural areas in different States and if so, the details thereof, State/UT-wise including Bihar and Odisha; and
- (d) the steps taken by the Government to create AYUSH hubs in India?

## ANSWER THE MINISTER OF AYUSH (SHRI SARBANANDA SONOWAL)

(a)  to  (c)  Public  Health  being  a  State  subject,  operationalization  of  AYUSH  Health  and Wellness Centres (AHWCs) in the districts of different State/UTs including Saran in Bihar and Odishacomes under the purview of respective State/UT Governments. However, under NAM, there is a provision of financial assistance to upgrade existing AYUSH dispensaries / sub health centresas AHWCs and State/UT Governments may avail financial assistance by submitting suitable proposals through their State Annual Action Plans (SAAPs). As per the proposals received from State/UT Governments through their SAAPs, consolidated grant-inaid  is  being  provided  to  them  for  the  approved  SAAPs.  However,  under  NAM  there  is  no provision for district- wise release of grants.

Further,as per the proposals received from State/UT Governments including Saran in Bihar  and  Odisha  through  their  SAAPs,  a  total  of  12,500  units  of  existing  AYUSH dispensaries  and  sub  health  centres  have  been  approved  to  be  upgraded  as  AHWCs  in  the States/UTs. However, grant-in-aid has been released for 9,586 units as per DoE guidelines. As per the progress reports received from States/UTs including Saran in Bihar and Odisha, 5690  AYUSH  HWCs  have  been  made  functional  till  date.  The  State/UT  wise  status  of approved  and  functional  AHWCs  is  furnished  in Annexure  I. The  State/UT  wisefunds allocated and released by Government to upgrade AYUSH dispensaries / sub health centres as AHWCs during the last two years (2020-21&2021-22) is furnished at Annexure II.

(d)  Under  National  Health  Mission  (NHM),  Ministry  of  Health  and  Family  Welfare (MoHFW), Teleconsultation services have been rolled out at Ayushman Bharat- Health and Wellness Centres (AB-HWCs) in rural and urban areas. MoHFW& Ministry of Ayush are working  together  to  increase  the  access  to  AYUSH  services  at  all  AB-HWCs  through Teleconsultation services. States/UTs have been requested to map various AYUSH facilities such as AYUSH hospitals & Colleges; AYUSH Collocated District Hospital (DH)/Community Health Centre (CHC)/Primary Health Centre (PHC) and AYUSH HWCs as AYUSH hubs  for  Teleconsultation  and  link  the  same  with  the  operational  AB-HWCs  as spokes in the States/UTs.

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Annexure I State/UT wise status of approved and functional AYUSH HWCs

| Sl. No.   | Name of the States/UTs           |   Total No. of approved AYUSH HWCs |   Total No. of approved AYUSH HWCs (GIA released) |   Functional AYUSH HWCs |
|-----------|----------------------------------|------------------------------------|---------------------------------------------------|-------------------------|
| 1         | Andaman &Nicobar Island          |                                  6 |                                                 6 |                       6 |
| 2         | Andhra Pradesh                   |                                203 |                                               110 |                     126 |
| 3         | Arunachal Pradesh                |                                 89 |                                                89 |                      36 |
| 4         | Assam                            |                                489 |                                                89 |                     106 |
| 5         | Bihar                            |                                388 |                                               268 |                      83 |
| 6         | Chandigarh                       |                                 12 |                                                12 |                       5 |
| 7         | Chhattisgarh                     |                                400 |                                               240 |                     284 |
| 8         | Delhi                            |                                  0 |                                                 0 |                       0 |
| 9         | Dadra Nagar Haveli and Daman Diu |                                  1 |                                                 0 |                       0 |
| 10        | Goa                              |                                 74 |                                                40 |                      34 |
| 11        | Gujarat                          |                                365 |                                               365 |                     231 |
| 12        | Haryana                          |                                569 |                                               569 |                     369 |
| 13        | Himachal Pradesh                 |                                740 |                                               740 |                     240 |
| 14        | Jammu &Kashmir                   |                                442 |                                               442 |                     317 |
| 15        | Jharkhand                        |                                745 |                                               745 |                     249 |
| 16        | Karnataka                        |                                376 |                                               376 |                     176 |
| 17        | Kerala                           |                                520 |                                               520 |                     208 |
| 18        | Ladakh                           |                                 14 |                                                14 |                       0 |
| 19        | Lakshadweep                      |                                  7 |                                                 7 |                       7 |
| 20        | Madhya Pradesh                   |                                762 |                                               562 |                     413 |
| 21        | Maharashtra                      |                                390 |                                               294 |                     281 |
| 22        | Manipur                          |                                 67 |                                                17 |                      14 |
| 23        | Meghalaya                        |                                 45 |                                                45 |                       0 |
| 24        | Mizoram                          |                                 38 |                                                38 |                      24 |
| 25        | Nagaland                         |                                 49 |                                                49 |                      24 |
| 26        | Odisha                           |                                422 |                                               250 |                     245 |
| 27        | Puducherry                       |                                  4 |                                                 4 |                       4 |
| 28        | Punjab                           |                                217 |                                               217 |                       0 |
| 29        | Rajasthan                        |                               2019 |                                              1000 |                     484 |
| 30        | Sikkim                           |                                 18 |                                                18 |                      18 |
| 31        | Tamil Nadu                       |                                650 |                                               350 |                     250 |
| 32        | Telangana                        |                                421 |                                               421 |                     421 |
| 33        | Tripura                          |                                 84 |                                                84 |                       0 |
| 34        | Uttar Pradesh                    |                               1034 |                                              1034 |                     570 |
| 35        | Uttarakhand                      |                                300 |                                               300 |                     194 |
| 36        | West Bengal                      |                                540 |                                               271 |                     271 |
| Total     | Total                            |                              12500 |                                              9586 |                    5690 |

Annexure II State/UT wise status of Budget allocated for AYUSHHWCs  (Central Share)

|   S. No. | Name of the States/UTs           | 2020-21 Amount released as central share   | 2021-22 Amount released as central share   |   Total (Rs. in Lakh) |
|----------|----------------------------------|--------------------------------------------|--------------------------------------------|-----------------------|
|        1 | Andaman &Nicobar Island          | 63.80                                      | 6.53                                       |                70.33  |
|        2 | Andhra Pradesh                   | 385.40                                     | 0.00                                       |               385.4   |
|        3 | Arunachal Pradesh                | 478.85                                     | 180.85                                     |               659.7   |
|        4 | Assam                            | 347.15                                     | 231.66                                     |               578.81  |
|        5 | Bihar                            | 516.54                                     | 1,522.28                                   |              2038.82  |
|        6 | Chandigarh                       | 0.00                                       | 8.35                                       |                 8.35  |
|        7 | Chhattisgarh                     | 1,172.40                                   | 234.48                                     |              1406.88  |
|        8 | Delhi                            | 0.00                                       | 0.00                                       |                 0     |
|        9 | Dadra Nagar Haveli and Daman Diu | 0.00                                       | 0.00                                       |                 0     |
|       10 | Goa                              | 65.99                                      | 218.99                                     |               284.98  |
|       11 | Gujarat                          | 244.01                                     | 205.508                                    |               449.518 |
|       12 | Haryana                          | 2,470.66                                   | 143.94                                     |              2614.6   |
|       13 | Himachal Pradesh                 | 494.94                                     | 1,081.80                                   |              1576.74  |
|       14 | Jammu &Kashmir                   | 889.69                                     | 462.40                                     |              1352.09  |
|       15 | Jharkhand                        | 0.00                                       | 1,309.77                                   |              1309.77  |
|       16 | Karnataka                        | 0.00                                       | 575.82                                     |               575.82  |
|       17 | Kerala                           | 215.10                                     | 153.00                                     |               368.1   |
|       18 | Ladakh                           | 0.00                                       | 55.10                                      |                55.1   |
|       19 | Lakshadweep                      | 19.61                                      | 3.46                                       |                23.07  |
|       20 | Madhya Pradesh                   | 2,813.80                                   | 2,085.20                                   |              4899     |
|       21 | Maharashtra                      | 0.00                                       | 0.00                                       |                 0     |
|       22 | Manipur                          | 27.01                                      | 170.04                                     |               197.05  |
|       23 | Meghalaya                        | 247.97                                     | 141.69                                     |               389.66  |
|       24 | Mizoram                          | 332.29                                     | 193.84                                     |               526.13  |
|       25 | Nagaland                         | 662.15                                     | 90.38                                      |               752.53  |
|       26 | Odisha                           | 716.64                                     | 1,075.38                                   |              1792.02  |
|       27 | Puducherry                       | 0.00                                       | 1.44                                       |                 1.44  |
|       28 | Punjab                           | 89.77                                      | 527.28                                     |               617.05  |
|       29 | Rajasthan                        | 2,276.40                                   | 3,039.00                                   |              5315.4   |

| 30   | Sikkim        | 253.42    | 0.00      |   253.42 |
|------|---------------|-----------|-----------|----------|
| 31   | Tamilnadu     | 616.58    | 914.64    |  1531.22 |
| 32   | Telangana     | 0.00      | 3,036.25  |  3036.25 |
| 33   | Tripura       | 270.08    | 31.50     |   301.58 |
| 34   | Uttar Pradesh | 1,472.33  | 4,611.86  |  6084.19 |
| 35   | Uttarakhand   | 656.46    | 2,556.72  |  3213.18 |
| 36   | West Bengal   | 247.35    | 1,097.82  |  1345.17 |
|      | Total         | 18,046.38 | 25,966.98 | 44013.4  |