Lok Sabha Question No. 62 (STARRED), answered on 2024-11-29
Subject: New Healthcare Centers and Hospitals in Karnataka
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Yaduveer Wadiyar

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOKSABHA STARRED QUESTION NO. 62 TO BE ANSWERED ON THE 29 TH NOVEMBER, 2024

## NEWHEALTHCARE CENTERS AND HOSPITALS IN KARNATAKA

## *62. SHRI YADUVEER WADIYAR:

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

- (a) whether the Government has any data about the total number of new healthcare centers and hospitals established in the State of Karnataka under the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), if so, the details thereof and their current operational status;
- (b) the information on the specific healthcare services and specialities that have been prioritized under PM-ABHIM in the State of Karnataka;
- (c) the strategies in place to involve the private sector in the expansion of healthcare infrastructure under PM-ABHIM; and
- (d) the current status of implementation of PM-ABHIM in the country, State/UT-wise?

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

- (a) to (d) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 62 FOR 29 TH NOVEMBER, 2024

(a) to (d): Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) is a Centrally Sponsored Scheme (CSS) with certain Central Sector Components which has total outlay of Rs. 64,180 Crores for the scheme period (2021-22 to 2025-26).

The scheme envisages a new generation of reforms to integrate and strengthen health service delivery and public health action. The measures under the scheme are aimed at strengthening health systems and institutions in order to provide a continuum of care at all levels, namely primary, secondary, and tertiary, as well as preparing health systems to respond effectively to current and future pandemics and disasters.

Under the CSS components of the scheme, following are the five activities where support is provisioned to the State/UTs during the scheme period (2021-2026):

-  Construction of 17,788 Buildingless Sub-Centres as Ayushman BharatHealth & Wellness centres, now known as Ayushman Arogya Mandir (AAM).
-  Establishment of 11,024 Health & Wellness Centres, now AAM in Urban areas with a focus on slum and slum like areas,
-  Establishment of 3382 Block Public Health Units (BPHUs) at the block level.
-  Establishment of 730 Integrated Public Health Labs (IPHL) in the country, wherein each district will have one such lab.
-  Establishing 602 Critical Care Blocks (CCBs) in all districts with population more than 5 lakhs.

The CSS components of PM-ABHIM is implemented by following the existing framework, institutions and mechanisms of the National Health Mission. Public Health and Hospital are State subjects, implementation of the scheme lies under the purview of State Government. However, MoHFW provides technical and financial support to the States/Union Territories (UTs) for effective implementation of the scheme.

PM-ABHIM is an infrastructural development scheme for strengthening of Public Health Facilities to be implemented in the States/UTs by respective Governments. At present, the focus is on construction of health facilities. The work for floating the tenders, finalization of the tender, awarding of work is carried out by the States/UTs for execution of civil works approved under the scheme.

Administrative approvals have been accorded to States/UTs for FY 2021-22 to 2024-25 for an amount of Rs 20451.31 Crore. The details of support provided along with approval accorded to the States/UTs, across all the component under CSS of PM-ABHIM for four years (i.e. FY 2021-22 to 2024-25) is at Annexure-I.

Under the scheme, an amount of Rs. 2021.88 Cr. is provisioned for the State of Karnataka during scheme period for establishment and strengthening of 736 Urban Ayushman Arogya Mandirs, 30 Integrated Public Health Labs (IPHL) and 30 Critical Care Blocks (CCBs).

Administrative approvals have been accorded to the State of Karnataka, for four years (i.e. FY 2021-22, 2022-23, 2023-24 & 2024-25) for an amount of Rs 1168.71 Cr. for establishment and strengthening of 817 Urban Ayushman Arogya Mandirs, 21 Integrated Public Health Labs (IPHL) and 21 Critical Care Blocks (CCBs), as per proposal of the State.

## State wise approval for four years (i.e. FY 2021-22, 2022-23, 2023-24 & 2024-25)

-  Building less-AAM (Sub-Centers - Health & wellness Centers)

| S. No.   | State/UT       | Approvals FY2021-25 (4 Yrs.)          | Approvals FY2021-25 (4 Yrs.)    | Approvals FY2021-25 (4 Yrs.)   |
|----------|----------------|---------------------------------------|---------------------------------|--------------------------------|
| S. No.   | State/UT       | Target for scheme period (FY 2021-26) | Total Unit Approved for 4 years | Total Amount Approved (In Cr.) |
| 1        | Andhra Pradesh | -                                     | 1786                            | 535.80                         |
| 2        | Assam          | 720                                   | 768                             | 399.59                         |
| 3        | Bihar          | 2546                                  | 2546                            | 1413.04                        |
| 4        | Jharkhand      | 893                                   | 893                             | 495.61                         |
| 5        | Manipur        | 64                                    | 64                              | 35.52                          |
| 6        | Meghalaya      | 151                                   | 151                             | 83.8                           |
| 7        | Odisha         | 502                                   | 604                             | 278.14                         |
| 8        | Rajasthan      | 821                                   | 1112                            | 455.65                         |
| 9        | Uttar Pradesh  | 1670                                  | 1670                            | 926.86                         |
|          | Total          | 7367                                  | 9594                            | 4624.01                        |

## 2. Urban- AAM (U-HW)

* Delhi has not signed a MoU with MoHFW.

| Approvals FY2021-25 (4 Yrs.)   | Approvals FY2021-25 (4 Yrs.)   | Approvals FY2021-25 (4 Yrs.)          | Approvals FY2021-25 (4 Yrs.)    | Approvals FY2021-25 (4 Yrs.)   |
|--------------------------------|--------------------------------|---------------------------------------|---------------------------------|--------------------------------|
| S. No.                         | State/UT                       | Target for scheme period (FY 2021-26) | Total Unit Approved for 4 years | TotalAmount Approved (In Cr.)  |
| 1                              | A&NIslands                     | 4                                     | 4                               | 3.00                           |
| 2                              | Andhra Pradesh                 | 45                                    | 45                              | 70.25                          |
| 3                              | Assam                          | 9                                     | 0                               | 0.00                           |
| 4                              | Chandigarh                     | 92                                    | 19                              | 29.93                          |
| 5                              | Daman &Diu                     | 4                                     | 3                               | 4.50                           |
| 6                              | Delhi*                         | 1139                                  | 0                               | 0.00                           |
| 7                              | Gujarat                        | 275                                   | 82                              | 44.00                          |
| 8                              | Himachal Pradesh               | 38                                    | 26                              | 39.00                          |
| 9                              | Jammu& Kashmir                 | 104                                   | 69                              | 97.76                          |
| 10                             | Karnataka                      | 736                                   | 817                             | 512.05                         |
| 11                             | Manipur                        | 3                                     | 0                               | 0.00                           |
| 12                             | Mizoram                        | 1                                     | 0                               | 0.00                           |
| 13                             | Odisha                         | 47                                    | 140                             | 32.20                          |
| 14                             | Puducherry                     | 32                                    | 21                              | 34.50                          |
| 15                             | Rajasthan                      | 639                                   | 371                             | 455.86                         |
| 16                             | Tamil Nadu                     | 436                                   | 500                             | 93.00                          |
| 17                             | Telangana                      | 324                                   | 500                             | 257.00                         |
| 18                             | Uttar Pradesh                  | 674                                   | 250                             | 187.50                         |
| 19                             | West Bengal                    | 510                                   | 204                             | 153.00                         |
| Total                          | Total                          | 5112                                  | 3051                            | 2013.55                        |

## 3. Block Public Health Units (BPHUs)

| S. No.   | State/UT         | Approvals FY2021-25 (4 Yrs.)          | Approvals FY2021-25 (4 Yrs.)    | Approvals FY2021-25 (4 Yrs.)   |
|----------|------------------|---------------------------------------|---------------------------------|--------------------------------|
| S. No.   | State/UT         | Target for scheme period (FY 2021-26) | Total Unit Approved for 4 years | Total Amount Approved (In Cr.) |
| 1        | Assam            | 207                                   | 142                             | 129.66                         |
| 2        | Bihar            | 333                                   | 59                              | 47.77                          |
| 3        | Chhattisgarh     | 91                                    | 54                              | 53.79                          |
| 4        | Himachal Pradesh | 73                                    | 50                              | 51.56                          |
| 5        | Jammu &Kashmir   | 287                                   | 200                             | 213.89                         |
| 6        | Jharkhand        | 165                                   | 100                             | 99.50                          |
| 7        | Madhya Pradesh   | 196                                   | 119                             | 106.91                         |
| 8        | Odisha           | 197                                   | 119                             | 118.44                         |
| 9        | Rajasthan        | 184                                   | 111                             | 107.29                         |
| 10       | Uttar Pradesh    | 515                                   | 311                             | 318.77                         |
| 11       | Uttarakhand      | 86                                    | 59                              | 52.60                          |
|          | Total            | 2334                                  | 1324                            | 1300.18                        |

## 4. Integrated Public Health Labs (IPHLs)

|        |                   | Approvals FY2021-25 (4 Yrs.)          | Approvals FY2021-25 (4 Yrs.)    | Approvals FY2021-25 (4 Yrs.)   |
|--------|-------------------|---------------------------------------|---------------------------------|--------------------------------|
| S. No. | State/UT          | Target for scheme period (FY 2021-26) | Total Unit Approved for 4 years | Total Amount Approved (In Cr.) |
| 1      | A&NIslands        | 3                                     | 3                               | 3.75                           |
| 2      | Andhra Pradesh    | 13                                    | 23                              | 37.57                          |
| 3      | Arunachal Pradesh | 22                                    | 14                              | 26.33                          |
| 4      | Assam             | 33                                    | 24                              | 36.37                          |
| 5      | Bihar             | 38                                    | 12                              | 15.00                          |
| 6      | Chandigarh        | 1                                     | 0                               | 0.00                           |
| 7      | Chhattisgarh      | 28                                    | 21                              | 39.49                          |
| 8      | DNH&DD            | 3                                     | 0                               | 0.00                           |
| 9      | Delhi             | 11                                    | 0                               | 0.00                           |
| 10     | Goa               | 2                                     | 0                               | 0.00                           |
| 11     | Gujarat           | 33                                    | 24                              | 44.70                          |
| 12     | Haryana           | 22                                    | 14                              | 26.32                          |
| 13     | Himachal Pradesh  | 12                                    | 7                               | 12.67                          |
| 14     | Jammu &Kashmir    | 20                                    | 14                              | 26.33                          |
| 15     | Jharkhand         | 24                                    | 17                              | 30.57                          |
| 16     | Karnataka         | 30                                    | 21                              | 39.49                          |
| 17     | Kerala            | 14                                    | 10                              | 18.38                          |
| 18     | Ladakh            | 2                                     | 2                               | 2.50                           |
| 19     | Lakshadweep       | 1                                     | 1                               | 1.25                           |
| 20     | Madhya Pradesh    | 55                                    | 39                              | 60.03                          |
| 21     | Maharashtra       | 36                                    | 25                              | 45.48                          |
| 22     | Manipur           | 15                                    | 11                              | 21.11                          |
| 23     | Meghalaya         | 10                                    | 7                               | 13.16                          |
| 24     | Mizoram           | 10                                    | 7                               | 13.16                          |
| 25     | Nagaland          | 11                                    | 7                               | 13.16                          |
| 26     | Odisha            | 30                                    | 21                              | 39.20                          |
| 27     | Puducherry        | 4                                     | 3                               | 5.22                           |
| 28     | Punjab            | 22                                    | 14                              | 26.33                          |
| 29     | Rajasthan         | 33                                    | 24                              | 42.98                          |
| 30     | Sikkim            | 3                                     | 3                               | 5.22                           |
| 31     | Tamil Nadu        | 38                                    | 28                              | 52.66                          |
| 32     | Telangana         | 33                                    | 24                              | 44.72                          |
| 33     | Tripura           | 7                                     | 4                               | 6.94                           |
| 34     | Uttar Pradesh     | 75                                    | 53                              | 103.76                         |
| 35     | Uttarakhand       | 13                                    | 10                              | 13.48                          |
| 36     | West Bengal       | 23                                    | 17                              | 31.54                          |
|        | Total             | 730                                   | 504                             | 898.86                         |

## 5. Critical Care Hospital Block (CCBs)

| S. No.   |                   | Approvals FY2021-25 (4 Yrs.)          | Approvals FY2021-25 (4 Yrs.)    | Approvals FY2021-25 (4 Yrs.)   |
|----------|-------------------|---------------------------------------|---------------------------------|--------------------------------|
| S. No.   | State/UT          | Target for scheme period (FY 2021-26) | Total Unit Approved for 4 years | TotalAmount Approved (In Cr.)  |
| 1        | A&NIslands        | 1                                     | 1                               | 23.75                          |
| 2        | Andhra Pradesh    | 13                                    | 16                              | 380.00                         |
| 3        | Arunachal Pradesh | 1                                     | 0                               | 0.00                           |
| 4        | Assam             | 27                                    | 17                              | 412.93                         |
| 5        | Bihar             | 38                                    | 12                              | 401.30                         |
| 6        | Chandigarh        | -                                     | 1                               | 23.75                          |
| 7        | Chhattisgarh      | 23                                    | 15                              | 425.10                         |
| 8        | DNH&DD            | 1                                     | 0                               | 0.00                           |
| 9        | Delhi             | 9                                     | 0                               | 0.00                           |
| 10       | Goa               | 2                                     | 0                               | 0.00                           |
| 11       | Gujarat           | 32                                    | 22                              | 704.01                         |
| 12       | Haryana           | 22                                    | 15                              | 425.10                         |
| 13       | Himachal Pradesh  | 8                                     | 4                               | 95.00                          |
| 14       | Jammu& Kashmir    | 9                                     | 4                               | 95.00                          |
| 15       | Jharkhand         | 22                                    | 15                              | 427.51                         |
| 16       | Karnataka         | 30                                    | 21                              | 617.16                         |
| 17       | Kerala            | 14                                    | 10                              | 251.27                         |
| 18       | Ladakh            | -                                     | -                               | -                              |
| 19       | Lakshadweep       | -                                     | -                               | -                              |

| 20   | Madhya Pradesh   |   50 |   35 |   900.13 |
|------|------------------|------|------|----------|
| 21   | Maharashtra      |   36 |   24 |   635.85 |
| 22   | Manipur          |    2 |    0 |     0    |
| 23   | Meghalaya        |    2 |    0 |     0    |
| 24   | Mizoram          |    1 |    1 |    23.75 |
| 25   | Nagaland         |    1 |    0 |     0    |
| 26   | Odisha           |   28 |   21 |   581.4  |
| 27   | Puducherry       |    3 |    0 |     0    |
| 28   | Punjab           |   21 |   17 |   508.49 |
| 29   | Rajasthan        |   33 |   24 |   680.99 |
| 30   | Sikkim           |    1 |    1 |    23.75 |
| 31   | Tamil Nadu       |   37 |   28 |   856.52 |
| 32   | Telangana        |   31 |   21 |   581.4  |
| 33   | Tripura          |    1 |    0 |     0    |
| 34   | Uttar Pradesh    |   74 |   49 |  1915.35 |
| 35   | Uttarakhand      |    7 |    4 |    95    |
| 36   | West Bengal      |   22 |   17 |   530.19 |
|      | Total            |  602 |  395 | 11614.7  |

*****