Lok Sabha Question No. 819 (UNSTARRED), answered on 2024-11-29
Subject: Increase in Primary Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Charanjit Singh Channi

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 819 TO BE ANSWERED ON 29.11.2024

## INCREASE IN PRIMARY HEALTH CENTRES

## 819. SHRI CHARANJIT SINGH CHANNI:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details of specific measures being implemented by the Government to increase the number of Primary Health Centres (PHCs) and Community Health Centres (CHCs) in rural areas, considering the established population norms for health facilities;
- (b) whether the Government has any data on the progress of Ayushman Bharat Health Infrastructure Mission in enhancing district hospitals and rural health infrastructure, especially in underserved areas; and

(c) if so, the details thereof, district-wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a): The healthcare system of the country involves a three-tier system with Sub Health Centre (Rural), Primary Health Centre (Urban and Rural) and Community Health Centre (Urban and Rural) as the three pillars of Primary Health Care System in India.

As per established norms, in rural areas a Sub Health Centre for a population of 5,000 (in plain) and 3000 (in hilly and tribal area), a Primary Health Centre for a population of 30,000 (in plains) and 20,000 (in hilly and tribal areas) and Community Health Centre for a population of 1,20,000 (in plain) and 80,000 (in hilly and tribal area) is suggested. Further, for urban area one Urban Ayushman Arogya Mandir is recommended for a urban population of 15,000 to 20,000, one Urban-Primary Health Centre (U-PHC) for a urban population of 30,000 to 50,000, One Urban-Community Health Centre (U-CHC) for every 2.5 lakh population in non-metro cities (above 5 lakh population) and one U-CHC for every 5 lakh population in the metro cities. Further, District Hospital (DH), Sub-District Hospital (SDH) and First Referral Unit provide secondary care services for rural & urban area.

National Health Mission provides support for improvement in health infrastructure, availability of adequate human resources in health facilities, to improve availability and accessibility to quality health care especially for the under served and marginalized groups in rural areas.

The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under National Health Mission. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

(b) & (c): PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) 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.

Administrative approvals accorded to States/UTs, across all the component under CSS of PMABHIM for four years (i.e. FY 2021-22, 2022-23, 2023 24 & 2024-25) is at Annexure.

Annexure State-wise approval given across all the component under CSS of PM-ABHIM for four years

(no. of units)

|        |                   | Total approved Units for FY2021-25                        | Total approved Units for FY2021-25    | Total approved Units for FY2021-25   | Total approved Units for FY2021-25    | Total approved Units for FY2021-25   |
|--------|-------------------|-----------------------------------------------------------|---------------------------------------|--------------------------------------|---------------------------------------|--------------------------------------|
| S. No. | State/UT          | Building less-AAM (Sub-Cent ers - Ayushman Arogya Mandir) | Urban- AAM(U- Ayushman Arogya Mandir) | Block Public Health Units (BPHUs)    | Integrated Public Health Labs (IPHLs) | Critical Care Hospital Block (CCBs)  |
| 1      | A&N Islands       | -                                                         | 4                                     | -                                    | 3                                     | 1                                    |
| 2      | Andhra Pradesh    | 1786                                                      | 45                                    | -                                    | 23                                    | 16                                   |
| 3      | Arunachal Pradesh | -                                                         | -                                     | -                                    | 14                                    | 0                                    |
| 4      | Assam             | 768                                                       | 0                                     | 142                                  | 24                                    | 17                                   |
| 5      | Bihar             | 2546                                                      | -                                     | 59                                   | 12                                    | 12                                   |
| 6      | Chandigarh        | -                                                         | 19                                    | -                                    | 0                                     | 1                                    |
| 7      | Chhattisgarh      | -                                                         | -                                     | 54                                   | 21                                    | 15                                   |
| 8      | DNH&DD            | -                                                         | 3                                     | -                                    | 0                                     | 0                                    |
| 9      | Delhi             | -                                                         | 0                                     | -                                    | 0                                     | 0                                    |
| 10     | Goa               | -                                                         | -                                     | -                                    | 0                                     | 0                                    |
| 11     | Gujarat           | -                                                         | 82                                    | -                                    | 24                                    | 22                                   |
| 12     | Haryana           | -                                                         | -                                     | -                                    | 14                                    | 15                                   |
| 13     | Himachal Pradesh  | -                                                         | 26                                    | 50                                   | 7                                     | 4                                    |
| 14     | Jammu& Kashmir    | -                                                         | 69                                    | 200                                  | 14                                    | 4                                    |
| 15     | Jharkhand         | 893                                                       | -                                     | 100                                  | 17                                    | 15                                   |
| 16     | Karnataka         | -                                                         | 817                                   | -                                    | 21                                    | 21                                   |
| 17     | Kerala            | -                                                         | -                                     | -                                    | 10                                    | 10                                   |
| 18     | Ladakh            | -                                                         | -                                     | -                                    | 2                                     | -                                    |

| 19   | Lakshadweep    | -    | -    | -    |   1 |   - |
|------|----------------|------|------|------|-----|-----|
| 20   | Madhya Pradesh | -    | -    | 119  |  39 |  35 |
| 21   | Maharashtra    | -    | -    | -    |  25 |  24 |
| 22   | Manipur        | 64   | 0    | -    |  11 |   0 |
| 23   | Meghalaya      | 151  | -    | -    |   7 |   0 |
| 24   | Mizoram        | -    | 0    | -    |   7 |   1 |
| 25   | Nagaland       | -    | -    | -    |   7 |   0 |
| 26   | Odisha         | 604  | 140  | 119  |  21 |  21 |
| 27   | Puducherry     | -    | 21   | -    |   3 |   0 |
| 28   | Punjab         | -    | -    | -    |  14 |  17 |
| 29   | Rajasthan      | 1112 | 371  | 111  |  24 |  24 |
| 30   | Sikkim         | -    | -    | -    |   3 |   1 |
| 31   | TamilNadu      | -    | 500  | -    |  28 |  28 |
| 32   | Telangana      | -    | 500  | -    |  24 |  21 |
| 33   | Tripura        | -    | -    | -    |   4 |   0 |
| 34   | Uttar Pradesh  | 1670 | 250  | 311  |  53 |  49 |
| 35   | Uttarakhand    | -    | -    | 59   |  10 |   4 |
| 36   | WestBengal     | -    | 204  | -    |  17 |  17 |
|      | Total          | 9594 | 3051 | 1324 | 504 | 395 |