Lok Sabha Question No. 4106 (UNSTARRED), answered on 2023-03-24
Subject: Affordable Medical Treatment
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vijayakumar (alias) Vijay Vasanth

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

## LOK SABHA UNSTARRED QUESTION NO.4106 TO BE ANSWERED ON 24.03.2023

## AFFORDABLE MEDICAL TREATMENT

## 4106.   SHRI VIJAYAKUMAR ALIAS VIJAY VASANTH:

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

- (a) whether the Government has conducted any survey to make medical treatment affordable to all;
- (b) if so, the details thereof along with the steps taken/proposed to be taken by the Government in this regard;
- (c) the details of fund allocated in this regard, State/UT-wise;
- (d)  whether the Government has plans to set up fully equipped critical care center's in small towns and villages across the country; and
- (e) if so, the details thereof along with the funds allocated for such project?

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

(a)  and  (b):  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.

Under National Health Mission, a centrally sponsored scheme, which encompasses the National Rural  Health  Mission  (NRHM)  and  the  National  Urban  Health  Mission  (NUHM)  as  its  two Sub-Missions. The Government has taken several initiatives towards universal health coverage, by supporting the State Governments in providing accessible, affordable and quality healthcare services that are accountable and responsive to people's needs.

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 as a mission to develop the capacities of primary, secondary, and tertiary health care 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,  for implementation of the Atmanirbhar Bharat Package for health sector with 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 are to provide preventive, promotive, rehabilitative and curative care for an expanded range of services encompassing Reproductive and child care services, Communicable diseases, Non-communicable diseases and all health issues.

Pradhan Mantri Jan Arogya Yojana (PMJAY) is the largest publicly funded health protection scheme in the world which provides health cover of Rs.5 lakh per family per year for secondary and tertiary care hospitalization to 60 crore beneficiaries.

Ayushman Bharat Digital Mission (ABDM) has been announced on 27th September, 2021 with aim to develop the backbone necessary to support the integrated digital health infrastructure of the country.

The  Tele  Mental  Health  Assistance  and  Networking  Across  States  (Tele-MANAS)  was launched on 10.10.2022 with the aim to provide free tele-mental  health  services  all  over  the country  round the clock, particularly to  under-served areas and people remotely located. The programme includes a network of 23 tele-mental health centres of excellence, with NIMHANS as  the  nodal  centre  and  International  Institute  of  Information  Technology-Bangalore  (IIITB) providing technology support.

Besides, quality generic medicines are made available at affordable prices to all under Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) in collaboration with the State Governments. Affordable  Medicines  and  Reliable  Implants  for  Treatment  (AMRIT)  Pharmacy  stores  have been set up in some hospitals/institutions.

(c) Under  the National Health Mission (NHM),  financial and technical support is provided  to  the  States/UTs  for  strengthening  the  healthcare  systems,  based  on  the  proposals received  from  the  States/UTs  in  their  Annual  Programme  Implementation  Plan  (PIP)  and subject to the Resource Envelope (RE). State/UT wise details of funds released under National Health Mission (NHM) from FY 2019-20 to 2021-22 is given at Annexure-I .

(d)  and  (e)  Under  PM-  Ayushman  Bharat  Health  Infrastructure  Mission  (PM-ABHIM), Government  of  India  is  supporting  establishment  of  Critical  Care  Hospital  Blocks  in  State Government Medical Colleges/ District Hospitals and in 12 Central Institutions covering 602 districts of the country having population of more than 5 lakhs, to provide assured, affordable, and quality critical care services nearer to the community. Under PM-ABHIM, the critical care hospitals have an outlay of Rs 19064.80 Crores, where Central Share is Rs 11952.43 Crores and State Share is Rs 7112.37 Crores.

****

| State/UT wise Central Release under National Health Mission (NHM) for F.Y. 2019-20 to 2021-22   | State/UT wise Central Release under National Health Mission (NHM) for F.Y. 2019-20 to 2021-22   | State/UT wise Central Release under National Health Mission (NHM) for F.Y. 2019-20 to 2021-22   | State/UT wise Central Release under National Health Mission (NHM) for F.Y. 2019-20 to 2021-22   | State/UT wise Central Release under National Health Mission (NHM) for F.Y. 2019-20 to 2021-22   |
|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|
| Sl. No.                                                                                         | State/UT                                                                                        | 2019-20                                                                                         | 2020-21                                                                                         | ( Rs. in crore) 2021-22                                                                         |
| 1                                                                                               | Andaman &Nicobar Islands                                                                        | 34.92                                                                                           | 36.91                                                                                           | 43.68                                                                                           |
| 2                                                                                               | Andhra Pradesh                                                                                  | 1,111.07                                                                                        | 1,097.81                                                                                        | 1,199.37                                                                                        |
| 3                                                                                               | Arunachal Pradesh                                                                               | 185.95                                                                                          | 243.04                                                                                          | 188.53                                                                                          |
| 4                                                                                               | Assam                                                                                           | 1,749.24                                                                                        | 1,807.48                                                                                        | 1,955.93                                                                                        |
| 5                                                                                               | Bihar                                                                                           | 1,510.68                                                                                        | 1814.63                                                                                         | 1,748.76                                                                                        |
| 6                                                                                               | Chandigarh                                                                                      | 22.77                                                                                           | 22.21                                                                                           | 17.47                                                                                           |
| 7                                                                                               | Chhattisgarh                                                                                    | 816.07                                                                                          | 979.41                                                                                          | 969.61                                                                                          |
| 8                                                                                               | Dadra &Nagar Haveli &Daman &Diu                                                                 | 42.12                                                                                           | 36.39                                                                                           | 38.59                                                                                           |
| 9                                                                                               | Delhi                                                                                           | 138.74                                                                                          | 125.73                                                                                          | 127.37                                                                                          |
| 10                                                                                              | Goa                                                                                             | 35.47                                                                                           | 34.81                                                                                           | 26.01                                                                                           |
| 11                                                                                              | Gujarat                                                                                         | 1,110.80                                                                                        | 1005.66                                                                                         | 1,094.48                                                                                        |
| 12                                                                                              | Haryana                                                                                         | 567.71                                                                                          | 531.50                                                                                          | 577.07                                                                                          |
| 13                                                                                              | Himachal Pradesh                                                                                | 504.84                                                                                          | 441.94                                                                                          | 555.09                                                                                          |
| 14                                                                                              | Jammu &Kashmir                                                                                  | 702.20                                                                                          | 667.46                                                                                          | 459.10                                                                                          |
| 15                                                                                              | Jharkhand                                                                                       | 830.63                                                                                          | 602.80                                                                                          | 640.18                                                                                          |
| 16                                                                                              | Karnataka                                                                                       | 1,173.77                                                                                        | 1,232.19                                                                                        | 1,274.71                                                                                        |
| 17                                                                                              | Kerala                                                                                          | 836.14                                                                                          | 788.22                                                                                          | 771.47                                                                                          |
| 18                                                                                              | Lakshadweep                                                                                     | 6.16                                                                                            | 7.11                                                                                            | 8.41                                                                                            |
| 19                                                                                              | Madhya Pradesh                                                                                  | 1,728.73                                                                                        | 2,377.14                                                                                        | 2,295.66                                                                                        |
| 20                                                                                              | Maharashtra                                                                                     | 1,724.99                                                                                        | 1,833.59                                                                                        | 1,769.67                                                                                        |
| 21                                                                                              | Manipur                                                                                         | 185.65                                                                                          | 189.49                                                                                          | 95.59                                                                                           |
| 22                                                                                              | Meghalaya                                                                                       | 141.17                                                                                          | 202.63                                                                                          | 282.46                                                                                          |
| 23                                                                                              | Mizoram                                                                                         | 127.24                                                                                          | 143.73                                                                                          | 93.82                                                                                           |
| 24                                                                                              | Nagaland                                                                                        | 123.23                                                                                          | 188.21                                                                                          | 126.66                                                                                          |
| 25                                                                                              | Odisha                                                                                          | 1,475.14                                                                                        | 1,617.63                                                                                        | 1,263.07                                                                                        |
| 26                                                                                              | Puducherry                                                                                      | 31.56                                                                                           | 25.55                                                                                           | 21.33                                                                                           |
| 27                                                                                              | Punjab                                                                                          | 712.02                                                                                          | 568.14                                                                                          | 349.21                                                                                          |
| 28                                                                                              | Rajasthan                                                                                       | 1,781.83                                                                                        | 2,000.58                                                                                        | 1,924.95                                                                                        |
| 29                                                                                              | Sikkim                                                                                          | 53.55                                                                                           | 70.13                                                                                           | 51.86                                                                                           |
| 30                                                                                              | Tamil Nadu                                                                                      | 1,424.22                                                                                        | 1,522.71                                                                                        | 1,631.91                                                                                        |
| 31                                                                                              | Tripura                                                                                         | 239.47                                                                                          | 225.91                                                                                          | 217.95                                                                                          |
| 32                                                                                              | Uttar Pradesh                                                                                   | 4,749.05                                                                                        | 3,772.95                                                                                        | 3,235.46                                                                                        |
| 33                                                                                              | Uttarakhand                                                                                     | 348.83                                                                                          | 583.25                                                                                          | 553.47                                                                                          |
| 34                                                                                              | West Bengal                                                                                     | 1,749.32                                                                                        | 1,895.01                                                                                        | 1,654.26                                                                                        |
| 35                                                                                              | Telangana                                                                                       | 964.34                                                                                          | 671.88                                                                                          | 725.67                                                                                          |
| 36                                                                                              | Ladakh                                                                                          | -                                                                                               | 91.89                                                                                           | 44.79                                                                                           |

## Note:

1. The  above  releases relate to Central Govt. Grants &  do  not include State share contribution.
2.  After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21