Lok Sabha Question No. 404 (UNSTARRED), answered on 2023-02-03
Subject: Universal Health Coverage
Ministry: HEALTH AND FAMILY WELFARE
Asked by: M. Selvaraj

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

## LOK SABHA UNSTARRED QUESTION NO.404 TO BE ANSWERED ON 03 RD  FEBRUARY, 2023

## UNIVERSAL HEALTH COVERAGE

## 404. SHRI M. SELVARAJ:

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

- (a) whether the Government proposes to provide Universal Health Coverage to every citizen in the country;
- (b) if so, the details thereof;
- (c) the steps taken in this direction so far and results yielded; and
- (d) the funds spent in this regard during each of the last three years, State/UT-wise including Tamil Nadu?

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

(a) to (d): 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.  The  policy  envisages  as  its  goal  the attainment of the highest possible level of health and well-being for all at all ages, through a preventive and promotive healthcare orientation in all developmental policies, and universal access to good quality healthcare services without anyone having to face financial hardship as a  consequence.  The  Policy  is  centered  on  the  key  principles  of  Equity;  Affordability; Universality; Patient Centeredness & Quality of care; accountability; Inclusive partnerships; Pluralism and decentralization.

The Central Govt. has taken several initiatives for supplementing the efforts of the State for providing quality and affordable healthcare services to the people.

Under National Health Mission, the Government has taken many steps towards universal health coverage by supporting the State Government in providing accessible & affordable healthcare to people. Under the National Health Mission, financial and technical support is provided to States/UTs to provide accessible, affordable and quality healthcare, especially to the poor and vulnerable  sections  of  the  population,  in  both  urban  and  rural  areas.  The  National  Health Mission provides support for improvement in health infrastructure, availability of adequate human resources to main health facilities, to improve availability and accessibility to quality health care especially for the undeserved and marginalized groups in rural areas.

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  to  develop  the  capacities  of  primary,  secondary,  and  tertiary healthcare 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. The scheme has 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 provide preventive, promotive, rehabilitative and curative care for an  expanded  range  of  services  encompassing  Reproductive  and  child  healthcare  services, Communicable diseases, Non-communicable diseases and other health issues.

Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health coverage up to Rs. 5.00 lakh per family per year to around 10.74 crore poor and vulnerable families as per Socio Economic Caste Census (SECC). So far under PMJAY, 2.17 Cr beneficiaries have been treated with total 4.34 Cr hospital admissions and total 23.04 Cr cards have been prepared.

The State-wise/ year-wise details of funds spent towards public health including Tamil Nadu are given in Annexure.

****

| State/UT wise Central Release under National 2019-20 to 2021-22   | State/UT wise Central Release under National 2019-20 to 2021-22   | State/UT wise Central Release under National 2019-20 to 2021-22   | State/UT wise Central Release under National 2019-20 to 2021-22   | State/UT wise Central Release under National 2019-20 to 2021-22   |
|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|-------------------------------------------------------------------|
| Sl. No.                                                           | State/UT                                                          | 2019-20                                                           | 2020-21                                                           | 2021-22                                                           |
| 1                                                                 | Andaman &Nicobar Islands                                          | 34.92                                                             | 36.91                                                             | 43.68                                                             |
| 2                                                                 | Andhra Pradesh                                                    | 1111.07                                                           | 1097.81                                                           | 1199.37                                                           |
| 3                                                                 | Arunachal Pradesh                                                 | 185.95                                                            | 243.04                                                            | 188.53                                                            |
| 4                                                                 | Assam                                                             | 1749.24                                                           | 1807.48                                                           | 1955.93                                                           |
| 5                                                                 | Bihar                                                             | 1510.68                                                           | 1814.63                                                           | 1748.76                                                           |
| 6                                                                 | Chandigarh                                                        | 22.77                                                             | 22.21                                                             | 17.47                                                             |
| 7                                                                 | Chhattisgarh                                                      | 816.07                                                            | 979.41                                                            | 969.61                                                            |
| 8                                                                 | Dadra &Nagar Haveli                                               | 25.33                                                             |                                                                   |                                                                   |
| 9                                                                 | Daman &Diu                                                        | 16.79                                                             | 36.39                                                             | 38.59                                                             |
| 10                                                                | Delhi                                                             | 138.74                                                            | 125.73                                                            | 127.37                                                            |
| 11                                                                | Goa                                                               | 35.47                                                             | 34.81                                                             | 26.01                                                             |
| 12                                                                | Gujarat                                                           | 1110.8                                                            | 1005.66                                                           | 1094.48                                                           |
| 13                                                                | Haryana                                                           | 567.71                                                            | 531.5                                                             | 577.07                                                            |
| 14                                                                | Himachal Pradesh                                                  | 504.84                                                            | 441.94                                                            | 555.09                                                            |
| 15                                                                | Jammu &Kashmir                                                    | 702.2                                                             | 667.46                                                            | 459.1                                                             |
| 16                                                                | Jharkhand                                                         | 830.63                                                            | 602.8                                                             | 640.18                                                            |
| 17                                                                | Karnataka                                                         | 1173.77                                                           | 1232.19                                                           | 1274.71                                                           |
| 18                                                                | Kerala                                                            | 836.14                                                            | 788.22                                                            | 771.47                                                            |
| 19                                                                | Lakshadweep                                                       | 6.16                                                              | 7.11                                                              | 8.41                                                              |
| 20                                                                | Madhya Pradesh                                                    | 1728.73                                                           | 2377.14                                                           | 2295.66                                                           |
| 21                                                                | Maharashtra                                                       | 1724.99                                                           | 1833.59                                                           | 1769.67                                                           |
| 22                                                                | Manipur                                                           | 185.65                                                            | 189.49                                                            | 95.59                                                             |
| 23                                                                | Meghalaya                                                         | 141.17                                                            | 202.63                                                            | 282.46                                                            |
| 24                                                                | Mizoram                                                           | 127.24                                                            | 143.73                                                            | 93.82                                                             |
| 25                                                                | Nagaland                                                          | 123.23                                                            | 188.21                                                            | 126.66                                                            |
| 26                                                                | Odisha                                                            | 1475.14                                                           | 1617.63                                                           | 1263.07                                                           |
| 27                                                                | Puducherry                                                        | 31.56                                                             | 25.55                                                             | 21.33                                                             |
| 28                                                                | Punjab                                                            | 712.02                                                            | 568.14                                                            | 349.21                                                            |
| 29                                                                | Rajasthan                                                         | 1781.83                                                           | 2000.58                                                           | 1924.95                                                           |
| 30                                                                | Sikkim                                                            | 53.55                                                             | 70.13                                                             | 51.86                                                             |
| 31                                                                | Tamil Nadu                                                        | 1424.22                                                           | 1522.71                                                           | 1631.91                                                           |
| 32                                                                | Tripura                                                           | 239.47                                                            | 225.91                                                            | 217.95                                                            |
| 33                                                                | Uttar Pradesh                                                     | 4749.05                                                           | 3772.95                                                           | 3235.46                                                           |
| 34                                                                | Uttarakhand                                                       | 348.83                                                            | 583.25                                                            | 553.47                                                            |
| 35                                                                | West Bengal                                                       | 1749.32                                                           | 1895.01                                                           | 1654.26                                                           |
| 36                                                                | Telangana                                                         | 964.34                                                            | 671.88                                                            | 725.67                                                            |
| 37                                                                | 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 202021.