Lok Sabha Question No. 199 (STARRED), answered on 2025-08-01
Subject: Rural Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Krishna Prasad Tenneti, Shri Lavu Sri Krishna Devarayalu

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

## LOK SABHA STARRED QUESTION NO. 199 TO BE ANSWERED ON 1 ST AUGUST, 2025.

## RURALHEALTHINFRASTRUCTURE

## *199. SHRI LAVU SRI KRISHNA DEVARAYALU: SHRI KRISHNAPRASAD TENNETI:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

(a) whether the Government has undertaken any study/survey regarding the status of rural health infrastructure across the country over the last five years, if so, the details thereof; State/UT-wise especially in Andhra Pradesh;

(b) the status of hospitals/dispensaries/PHCs/SHCs and other health establishments proposed, under construction and presently functional across the country, State-wise, districtwise in Andhra Pradesh especially in Palnadu, Prakasam, Eluru and Bapatla Lok Sabha Constituency;

(c) the details regarding the total amount of funds sanctioned, released and utilised for establishment of medical infrastructure and facilities in rural areas of Andhra Pradesh over the last five years, district-wise particularly for the above locations; and

(d) whether the Government has any plans of further developing existing rural health infrastructure, if so, the details thereof and the timelines fixed for the same?

## ANSWER THE MINISTER OF HEALTH AND FAMILYWELFARE (SHRI JAGAT PRAKASH NADDA)

(a) to (d):

AStatement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHASTARRED QUESTION NO.*199 FOR 1 ST AUGUST, 2025

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(a) to (d): 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 (NHM). Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an annual publication, based on Health care administrative data reported by States/UTs. The State/UT-wise status of rural health facilities functioning across the country, including Andhra Pradesh can be accessed at the following link of HDI 2022-23: https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastr uctur e%20%26%20Human%20Resources%29%202022-23\_RE%20%281%29.pdf

In February 2018, the Government of India announced establishment of 1,50,000 Ayushman Arogya Mandirs (AAMs), erstwhile Ayushman Bharat Health and Wellness Centres (AB-HWCs), across the country by December 2022. As updated by the States/UTs in AAM portal, a total of 1,77,906 Ayushman Arogya Mandirs have been established and operationalized as on 30.06.2025, by transforming existing Sub-Health Centres (SHC) and Primary Health Centres (PHC) in rural and urban areas to deliver the expanded range of comprehensive primary healthcare services with complete 12 package of services that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community.

Details of funds approved during the current FY 2025-26 & for the last three FYs i.e 2024-25; 2023-24; 2022-23 for development of building infrastructure under NHM to the State of Andhra Pradesh are as under:

(Rs. In Lakhs)

| State          |   2022-23 |   2023-24 | 2024-25   | 2025-26   |
|----------------|-----------|-----------|-----------|-----------|
| Andhra Pradesh |       674 |         0 | 15,797.55 | 15,797.55 |

Note: Andhra Pradesh did not propose any infrastructure building work in the FY 202324.

In addition to the National Health Mission (NHM), Government of India has on-going schemes for developing public healthcare infrastructure:

## · Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM)

- is a Centrally Sponsored Scheme (CSS) with some Central Sector Components (CS) which has an outlay of Rs. 64,180 Crores for the scheme period (2021-22 to 2025-26). 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 have been accorded to States/UTs for FY 2021-26 for an amount of Rs. 33,081.82 Crore for construction/strengthening of 10609 Building less-AAMs, 5456 Urban-AAMs, 2151 Block Public Health Units (BPHUs), 744 Integrated Public Health Labs (IPHLs) at District level and 621 Critical Care Blocks (CCBs).

Administrative approvals have been accorded to the State of Andhra Pradesh, for five years (2021-26) for an amount of Rs 1271.80 Cr. for the construction/ strengthening of 1786 Building less-AAM (Sub-Centers - Health & wellness Centers), 45 U-AAMs (HWCs), 26 IPHLs and 24 CCBs, as per the proposal of the State.

The details of projects sanctioned for Andhra Pradesh under PM-ABHIM (Pradhan Mantri Ayushman Bharat Health Infrastructure Mission) for the period FY 2021-22 to 202526 is at Annexure-I .

Funds Released to Andhra Pradesh under PM ABHIM since inception to FY 2024-25 are as under:

(Rs. in Cr.)

|   Sl. No | States         |   2021-22 |   2022-23 |   2023-24 |   2024-25 |
|----------|----------------|-----------|-----------|-----------|-----------|
|        1 | Andhra Pradesh |      3.75 |     15.76 |     35.78 |     39.07 |

Note: The above releases relate to Central Govt. Grants & do not include State share contribution.

- The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the health sector and spread over the five-year period from FY 2021-22 to FY 2025-26 to facilitate strengthening of health system at the grass-root level for an amount of

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Rs. 70,000 crores. These grants are for strengthening primary care through specified components such as Building-less Sub-Health Centres (SHCs), Primary Health Centres (PHCs), Community Health Centres (CHCs), Conversion of rural PHCs and SubCentres to Ayushman Arogya Mandir (AAM), Support for diagnostic infrastructure to the primary healthcare facilities, Block Level Public Health Units and Urban - AAMs.

Under Fifteenth Finance Commission (FC-XV) Health Grants, Rs. 2,600.80 Crore has been approved for Andhra Pradesh for five year period from FY 2021-22 to FY 2025-26 which includes establishment and strengthening of 1558 Building less SHCs, 100 Building less PHCs, 9 Building less CHCs, 436 Block Public Health Units BPHUs, and 191 UrbanAAMs. As on date, Rs. 2,033.40 Cr. has been released.

The details of projects sanctioned for Andhra Pradesh under 15 th Finance Commission Health Grants for the period FY 2021-22 to 2025-26 is at Annexure-II .

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## Annexure - I

## Details of projects sanctioned for Andhra Pradesh under PM-ABHIM (Pradhan Mantri Ayushman Bharat Health Infrastructure Mission) for the period FY 2021 -22 to 2025-26

## I. Integrated Public Health Laboratories (IPHLs):

| Sl. No   | Year    | District      | IPHLFacility        |   Capital Cost |
|----------|---------|---------------|---------------------|----------------|
| 1        | 2021-22 | YSR           | DH Proddutur        |           1.25 |
| 2        | 2022-23 | Vizianagaram  | AH Rajam            |           1.25 |
| 3        | 2022-23 | West Godavari | AH Tadepalligudem   |           1.25 |
| 4        | 2022-23 | Prakasam      | AH Giddalur         |           1.25 |
| 5        | 2023-24 | Krishna       | AH Gudivada         |           1.25 |
| 6        | 2023-24 | Guntur        | DH Tenali           |           1.25 |
| 7        | 2023-24 | Annamayya     | AH Rayachoti        |           1.25 |
| 8        | 2024-25 | Srikakulam    | DH Tekkali          |           1.25 |
| 9        | 2024-25 | SPSR Nellore  | DH Atmakur          |           1.25 |
| 10       | 2024-25 | Kurnool       | AH Yemmiganur       |           1.25 |
| 11       | 2025-26 | Anakapalli    | DH Anakapalli       |           1.25 |
| 12       | 2025-26 | Konaseema     | AH Ramachandrapuram |           1.25 |
| 13       | 2025-26 | Sri Satyasai  | DH Hindupur         |           1.25 |
| 14       | 2024-25 | Eluru         | AH Jangareddygudem  |           1.25 |
| 15       | 2024-25 | Anantapur     | AH Guntakal         |           1.25 |
| 16       | 2024-25 | Chittoor      | AH Palamaner        |           1.25 |
| 17       | 2024-25 | ASR           | AH Araku            |           1.25 |
| 18       | 2024-25 | Kakinada      | AH Tuni             |           1.25 |
| 19       | 2024-25 | Palnadu       | AH Narasaraopeta    |           1.25 |
| 20       | 2024-25 | PVP Manyam    | AH Seethampeta      |           1.25 |
| 21       | 2024-25 | Visakhapatnam | AH Aganampudi       |           1.25 |
| 22       | 2024-25 | Nandyal       | AH Banaganapalli    |           1.25 |
| 23       | 2024-25 | East Godavari | AH Anaparthy        |           1.25 |
| 24       | 2024-25 | Bapatla       | AH Chirala          |           1.25 |
| 25       | 2024-25 | NTR           | AH Nandigama        |           1.25 |
| 26       | 2024-25 | Tirupati      | AH Gudur            |           1.25 |
| Total    | Total   | Total         | Total               |          32.5  |

- II. Critical Care Blocks (CCBs):

| Sl. No.   | Year    | District      | CCB Facility         |   No. of Beds |   Capital Cost |
|-----------|---------|---------------|----------------------|---------------|----------------|
| 1         | 2021-22 | YSR           | GMCKadapa            |         50    |          23.75 |
| 2         | 2022-23 | SPSR Nellore  | ACSRGMC Nellore      |         50    |          23.75 |
| 3         | 2022-23 | Srikakulam    | GMCSrikakulam        |         50    |          23.75 |
| 4         | 2023-24 | Tirupati      | Sri Venkateswara MC  |         50    |          23.75 |
| 5         | 2023-24 | Visakhapatnam | AndhraMC             |         50    |          23.75 |
| 6         | 2024-25 | Ananthapuram  | GMCAnantapur         |         50    |          23.75 |
| 7         | 2024-25 | Prakasam      | GMCOngole            |         50    |          23.75 |
| 8         | 2025-26 | East Godavari | GMCRajamahendravaram |         50    |          23.75 |
| 9         | 2025-26 | Kurnool       | KurnoolMC            |         50    |          23.75 |
| 10        | 2025-26 | NTR           | Siddhartha MC        |         50    |          23.75 |
| 11        | 2025-26 | Vizianagaram  | GMCVizianagaram      |         50    |          23.75 |
| 12        | 2025-26 | Guntur        | DH Tenali            |        100    |          44.5  |
| 13        | 2025-26 | Sri Satyasai  | DH Hindupur          |         50    |          22.25 |
| 14        | 2025-26 | Anakapalli    | DH Anakapalli        |         50    |          22.25 |
| 15        | 2024-25 | A.S.R         | GMCPaderu            |         50    |          23.75 |
| 16        | 2024-25 | Eluru         | GMCEluru             |         50    |          23.75 |
| 17        | 2024-25 | Krishna       | GMCMachilipatnam     |         50    |          23.75 |
| 18        | 2024-25 | Nandyal       | GMCNandyal           |         50    |          23.75 |
| 19        | 2024-25 | Palnadu       | AH Narasarao peta    |         75    |          36.35 |
| 20        | 2024-25 | PVP Manyam    | AH Palakonda         |         50    |          23.75 |
| 21        | 2024-25 | West Godavari | AH Bhimavaram        |         50    |          23.75 |
| 22        | 2024-25 | Annamayya     | AH Rayachoty         |         50    |          23.75 |
| 23        | 2024-25 | Kakinada      | Rangaraya MC         |         50    |          23.75 |
| 24        | 2024-25 | Bapatla       | AH Chirala           |         50    |          23.75 |
|           | Total   | Total         | Total                |        600.35 |         600.35 |

III. Construction of Sub Health Centers (AAMs) in rural areas:

|   Sl.N o. | Details                                       |   No. of Units | Total Amount   |
|-----------|-----------------------------------------------|----------------|----------------|
|         1 | Ayushman Arogya Mandirs (AAMs) in rural areas |           1786 | 535.80 Cr      |

## Details of projects sanctioned for Andhra Pradesh under 15 th Finance Commission Health Grants for the period FY 2021-22 to 2025-26

## I. Construction of Primary Health Centres:

|   Sl. No. | Details                |   No. of Units | Total Amount   |
|-----------|------------------------|----------------|----------------|
|         1 | Primary Health Centers |            100 | 143.00 Cr      |

| Sl. No.   | District             |   Number of Units |
|-----------|----------------------|-------------------|
| 1         | Alluri Sita Ramaraju |                 2 |
| 2         | Anakapalli           |                 2 |
| 3         | Anantapuramu         |                 5 |
| 4         | Annamayya            |                 2 |
| 5         | Bapatla              |                 4 |
| 6         | Chittoor             |                 4 |
| 7         | East Godavari        |                 8 |
| 8         | Eluru                |                 4 |
| 9         | Guntur               |                 7 |
| 10        | Kakinada             |                 4 |
| 11        | Konaseema            |                 1 |
| 12        | Krishna              |                 1 |
| 13        | Kurnool              |                 9 |
| 14        | Nandyal              |                 6 |
| 15        | NTR                  |                 2 |
| 16        | Palnadu              |                 7 |
| 17        | Prakasham            |                 5 |
| 18        | Spsr Nellore         |                 6 |
| 19        | Sri Satya Sai        |                 4 |
| 20        | Srikakulam           |                 5 |
| 21        | Tirupathi            |                 2 |
| 22        | Visakhapatnam        |                 1 |
| 23        | Vizianagaram         |                 3 |
| 24        | West Godavari        |                 4 |
| 25        | YSR Kadapa           |                 2 |
|           | Total                |               100 |

## II. Construction of Sub Health Centers (AAMs) in rural areas:

|   Sl. No. | Details                  |   No. of Units | Total Amount   |
|-----------|--------------------------|----------------|----------------|
|         1 | Building-less Subcentres |           1558 | 532.04 Cr      |

| Sl. No   | District              |   Number of Units |
|----------|-----------------------|-------------------|
| 1        | Alluri Sitharama Raju |                12 |
| 2        | Anakapalli            |                37 |
| 3        | Anantapur             |                40 |
| 4        | Annamayya             |                49 |
| 5        | Bapatla               |               109 |
| 6        | Chittoor              |                71 |
| 7        | East Godavari         |                47 |
| 8        | Eluru                 |                63 |
| 9        | Guntur                |                67 |
| 10       | Kakinada              |               140 |
| 11       | konaseema             |               153 |
| 12       | Krishna               |                97 |
| 13       | Kurnool               |                59 |
| 14       | Nandyal               |                69 |
| 15       | NTR                   |                77 |
| 16       | Palnadu               |                63 |
| 17       | Parvathipuram Manyam  |                22 |
| 18       | Prakasam              |                71 |
| 19       | SPSR Nellore          |                98 |
| 20       | Sri Sathya Sai        |                25 |
| 21       | Srikakulam            |                20 |
| 22       | Tirupathi             |                80 |
| 23       | Visakhapatanam        |                 9 |
| 24       | Vizianagaram          |                40 |
| 25       | West Godavari         |                34 |
| 26       | Y.S.R                 |                 6 |
| Total    | Total                 |              1558 |