Lok Sabha Question No. 3316 (UNSTARRED), answered on 2022-08-05
Subject: Healthcare Infrastructure in Remote Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sudhakar Tukaram Shrangre, Ranjeetsingh Naik Nimbalkar, Shivkumar Chanabasappa Udasi

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

## LOK SABHA UNSTARRED QUESTION NO. 3316 TO BE ANSWERED ON 05 th  AUGUST, 2022

## HEALTHCARE INFRASTRUCTURE IN REMOTE AREAS

## 3316. SHRI SUDHAKAR TUKARAM SHRANGARE: SHRI RANJEETSINGH HINDURAO NAIK NIMBALKAR: SHRI SHIVAKUMAR C. UDASI:

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

- (a) whether the Government has made any efforts to create quality healthcare infrastructure in remote locations and interior parts of the country particularly in Maharashtra;
- (b) if so, the details thereof; and
- (c) the concrete steps taken by the Government to provide quality health and wellness services to the people residing in remote and interior locations of the country including Maharashtra?

## ANSWER

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

## WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) & (b): Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare delivery at public healthcare facilities and creation of quality healthcare infrastructure in remote locations and interior parts of the country including Maharashtra.  Under  National  Health  Mission  (NHM),  support  is  provided  to  States/  UTs  to supplement the efforts of the State/UT governments, for setting up of new facilities as per norms and upgradation of existing facilities for bridging the infrastructure and  human resource gaps, based on the requirements posted by them in their Programme Implementation Plans (PIPs) and within their overall resource envelope.

Rural Health Statistics (RHS) is an annual publication, based on Health care administrative data reported by States/UTs. As per RHS 2020-21, there are 10,673 Sub-centres (SCs), 2490 Primary Health Centres (PHCs) and 401 Community Health Centres (CHCs) functioning in Maharashtra. Further, as per RHS 2020-21, there are 91 Sub Divisional Hospitals, 23 District Hospitals (DHs) & 23 Medical Colleges functioning in Maharashtra.

XV-Finance Commission Health Grants through Local Government announced as part of Union Budget 2021-22, for strengthening the healthcare system at primary healthcare level, has recommended grants aggregating to Rs. 70,051 crores over the period of five years (2021-2026), out of which Rs. 7,067 crores allocated to Maharashtra.

Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM )  with an outlay  of  Rs.  64,180  Crores  (2021-26)  aims  to  fill  critical  gaps  in  public  health  infrastructure especially  in  critical  care  facilities  and  primary  care  in  both  urban  and  rural  areas.  It  is  a Centrally  Sponsored  Scheme with  some Central  Sector  components.  The  Centrally  Sponsored Scheme  (CSS)  Components  includes  support  for  infrastructure  development  for  Sub-Health

Centres, Urban Health and Wellness Centres, Support for Block Public Health Units, Integrated District Public Health Laboratories and Critical Care Hospital Blocks. The component-wise and year-wise support provided to Maharashtra under PM-ABHIM is at Annexure .

(c): As part of Ayushman Bharat, the Government supports the States/UTs for transforming Sub Health Centres (SHCs) and rural and urban Primary Health Centres (PHCs) as Ayushman Bharat - Health and Wellness Centres (AB-HWCs) for provision of comprehensive primary health care that includes preventive healthcare and health promotion at the community level with continuum of care approach.

A total of 10,514 Ayushman Bharat- Health & Wellness Centre (AB-HWCs) are functional in Maharashtra  as  on  30 th June  2022.  There  is  equal  focus  on  preventive  healthcare  and  health promotion activities  at  AB-HWCs.  To  mainstream  Yoga  into  the  health  care  delivery  system, regular Yoga sessions are conducted at the functional AB-HWCs. Wellness activities at HWCs include Yoga, Meditation, Zumba, Community Walks etc. Further,  at  HWCs convergence with Eat Right Movement of Food Safety and Standards Authority of India (FSSAI) is built on two broad pillars: 'Eat Healthy' and 'Eat Safe'.

Annexure Details of physical deliverables under PM-ABHIM for the State of Maharashtra

|   Sr. No | Components                                                          |   Total Units |
|----------|---------------------------------------------------------------------|---------------|
|        1 | Ayushman Bharat - Health &Wellness Centres (AB-HWCs) in Urban areas |          1145 |
|        2 | Integrated District Public Health Laboratory (No of districts)      |            36 |
|        3 | Critical Care Hospital Blocks                                       |            36 |

## Year wise details of physical deliverables under PM-ABHIM for the State of Maharashtra

| Sr. No   | Components                             | 2021-22   | 2022-23   | 2023-24 Units   | 2024-25 Units   | 2025-26 Units   | Total   |
|----------|----------------------------------------|-----------|-----------|-----------------|-----------------|-----------------|---------|
| Sr. No   | Components                             | Units     | Units     |                 |                 |                 | Units   |
| 1        | Urban Health and Wellness Centres      | 108       | 269       | 484             | 753             | 1145            | 1145    |
| 2        | District Integrated Public Health Labs | 4         | 7         | 7               | 7               | 11              | 36      |
| 3        | Critical Care Hospital Blocks          | 4         | 7         | 7               | 7               | 11              | 36      |