Lok Sabha Question No. 799 (UNSTARRED), answered on 2024-07-26
Subject: Health and Wellness Centre under PM-JAY
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Pratima Mondal

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 799 TO BE ANSWERED ON 26 TH JULY, 2024

## HEALTHANDWELLNESSCENTREUNDERPM-JAY

## 799. SMT. PRATIMA MONDAL:

Will the Minister of HEALTHAND FAMILYWELFARE be pleased to state:

(a) the steps taken/to be taken by the Government to ensure that the hospitals empaneled under the Pradhan Mantri Jan Arogya Yojana (PM-JAY) are admitting as many patients as the Government hospitals do;

(b) whether every health and wellness centre under the National Health Policy is providing all the services such as yoga, oral care, palliative care, screening for mental health, or basic management of non-communicable diseases as envisaged in the guidelines for such centres;

- (c) if so, the details thereof; and

(d) the details of the expenditure incurred by patients in India as against the Health expenditure in countries like Ghana, Bhutan, Indonesia, Maldives and Sri Lanka?

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

(a): As on 30.06.2024, a total number of 7.37 crore hospital admissions worth Rs. one lakh crore have been authorized under the scheme through a network of 29,281 empanelled health care providers including over 12,625 private hospitals.

The scheme is completely paperless and cashless and the eligible beneficiaries can walk into any empanelled hospitals (public/private) to avail healthcare services. The scheme has put in place a three-tier grievance redressal system at District, State and National level to resolve the issues faced by beneficiaries in utilizing healthcare services under the scheme. Beneficiaries may file their grievance using different mediums including web-based portal, Call Center (14555), email, letter etc. Grievances related to delay or denial of treatment are of highest priority and are resolved within defined turn-around time. Further, penal action is taken against erring hospitals.

In order to further improve the participation of hospitals, following actions have been taken:

- i. Health benefit package revised with increased number of procedures (1949) and rates have been increased for 350 packages with addition of new packages.
- ii. Claim settlement is monitored at the highest level and it is being ensured that claim is settled within defined turnaround time.
- iii. Virtual and physical capacity building of hospitals are undertaken.
- iv. A hospital-specific call center (14413) has been set-up to address the concerns of hospitals on a real-time basis.
- v. District Implementation Units (DIUs) have been set-up to regularly visit empanelled hospitals to understand the issues faced by beneficiaries and hospitals.

(b) and (c): Ayushman Arogya Mandir (erstwhile Health and Wellness Centres) provides services such as Yoga, Oral Care, Palliative care, screening of mental health or basic management of non-communicable diseases. The details of the roll-out status are at Annexure-I .

Population based prevention and control, screening and management initiative for common NCDs (Diabetes, Hypertension and Cancer viz. Oral, Breast and Cervical) is implemented as a part of comprehensive primary health care under Ayushman Arogya Mandir in National Health Mission (NHM). Under this initiative, persons more than 30 years of age are targeted.

Government of India has also initiated National Programme for Palliative care (NPPC) during 12 th five years plan to provide rehabilitative, palliative and supportive care in the terminal cases of diseases like Cancer, AIDS, etc. The aim of the programme is to make available and accessible of palliative care as an integral part of health care at all levels, in alignment with the community requirements. Palliative care is functional in 493 Districts.

State/UT-wise details of State Program Implementation Plan (SPIP) Approvals and Expenditure for Non-Communicable Diseases under National Health Mission for the FY 2021-22 to FY 202324 are at Annexure-II .

(d): The information is not being maintained centrally.

*****

## The details of the roll-out status:

## Number of screenings of NCDs (as on 20.07.2024):

| Screenings of NCD         | Numbers      |
|---------------------------|--------------|
| Hypertension Screening    | 73,79,81,502 |
| Diabetes Screening        | 64,46,15,601 |
| Oral Cancer Screening     | 42,98,33,384 |
| Breast Cancer Screening   | 19,24,48,410 |
| Cervical Cancer Screening | 12,70,84,866 |

## Roll-out of expanded services package (as on 20.07.2024):

| Expanded Package       |   Number of facilities which have rolled out the expanded package |
|------------------------|-------------------------------------------------------------------|
| Oral care              |                                                            142985 |
| ENT care               |                                                            141479 |
| EYE care               |                                                            141362 |
| Mental Health          |                                                            140682 |
| Palliative Care        |                                                            138943 |
| Elderly Care           |                                                            138967 |
| Emergency Medical Care |                                                            136846 |

## Wellness activities conducted ( as on 20.07.2024):

| Wellness sessions conducted            | 3,72,07,673   |
|----------------------------------------|---------------|
| Total participants of Wellness session | 49,34,36,714  |

Source: Ayushman Arogya Mandir Portal

## State/UT-wise details of SPIP Approval and Expenditure for Non Communicable Diseases under National Health Mission for the FY 2021-22 to FY 2023-24

(Rupees in lakh)

| S. No.   | State / UT                  | 2021-22       | 2021-22     | 2022-23       | 2022-23     | 2023-24       | 2023-24     |
|----------|-----------------------------|---------------|-------------|---------------|-------------|---------------|-------------|
| S. No.   | State / UT                  | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure |
| 1        | Andaman and Nicobar Islands | 177.53        | 34.07       | 164.40        | 19.48       | 162.71        | 35.75       |
| 2        | Andhra Pradesh              | 25,043.13     | 12,278.87   | 23,306.35     | 11,070.42   | 22,521.42     | 18,486.57   |
| 3        | Arunachal Pradesh           | 1,317.25      | 1,839.79    | 3,079.16      | 1,609.85    | 3,928.70      | 1,967.72    |
| 4        | Assam                       | 5,331.27      | 3,340.75    | 5,861.30      | 4,071.49    | 5,276.35      | 4,398.67    |
| 5        | Bihar                       | 8,756.84      | 3,131.30    | 16,519.72     | 8,678.85    | 15,855.14     | 11,189.62   |
| 6        | Chandigarh                  | 124.44        | 13.60       | 97.87         | 16.29       | 78.37         | 23.21       |
| 7        | Chattisgarh Dadra &Nagar    | 8,063.82      | 4,355.97    | 9,690.78      | 6,889.30    | 8,929.36      | 5,256.15    |
| 8        | Daman &Diu                  | 23.35         | 76.17       | 156.30        | 23.66       | 131.29        | 51.53       |
| 9        | Delhi                       | 3,142.68      | 532.34      | 2,651.28      | 696.03      | 2,670.88      | 1,075.95    |
| 10       | Goa                         | 1,772.37      | 593.80      | 1,802.07      | 1,393.74    | 1,773.27      | 1,218.65    |
| 11       | Gujarat                     | 11,170.37     | 6,511.48    | 15,383.72     | 8,742.28    | 14,752.06     | 16,776.91   |
| 12       | Haryana                     | 4,005.80      | 1,494.88    | 2,425.75      | 2,015.37    | 2,260.21      | 2,135.63    |
| 13       | Himachal Pradesh            | 2,967.83      | 2,441.94    | 2,432.30      | 577.17      | 2,500.10      | 1,162.25    |
| 14       | Jammu & Kashmir             | 6,076.21      | 2,489.02    | 2,377.47      | 664.68      | 3,341.86      | 471.04      |
| 15       | Jharkhand                   | 6,305.82      | 3,060.72    | 7,155.96      | 3,247.14    | 7,049.87      | 4,286.15    |
| 16       | Karnataka                   | 16,424.24     | 10,271.57   | 23,117.58     | 10,733.75   | 16,915.45     | 12,069.94   |
| 17       | Kerala                      | 10,460.64     | 3,956.19    | 14,818.19     | 4,911.69    | 11,161.28     | 3,562.33    |
| 18       | Ladakh                      | 525.40        | 356.18      | 895.01        | 516.62      | 675.29        | 368.05      |
| 19       | Lakshadweep                 | 147.64        | 12.20       | 144.13        | 23.36       | 197.37        | 19.09       |
| 20       | Madhya Pradesh              | 14,492.06     | 11,425.80   | 15,525.85     | 11,081.55   | 14,012.42     | 9,520.97    |
| 21       | Maharashtra                 | 6,660.59      | 13,858.32   | 15,485.37     | 4,351.92    | 14,862.44     | 5,669.24    |
| 22       | Manipur                     | 3,891.29      | 297.83      | 2,807.45      | 912.57      | 2,575.04      | 1,014.75    |

|   23 | Meghalaya     | 1,729.16   | 1,039.60   | 1,176.62   | 1,056.66   | 976.62    | 910.64    |
|------|---------------|------------|------------|------------|------------|-----------|-----------|
|   24 | Mizoram       | 870.15     | 659.39     | 652.25     | 188.28     | 668.03    | 361.50    |
|   25 | Nagaland      | 1,622.44   | 1,064.54   | 1,157.14   | 325.73     | 1,138.49  | 479.08    |
|   26 | Odisha        | 8,169.66   | 6,151.41   | 17,097.27  | 8,454.00   | 14,680.03 | 10,412.86 |
|   27 | Puducherry    | 928.80     | 294.59     | 553.51     | 231.96     | 701.39    | 356.81    |
|   28 | Punjab        | 2,474.65   | 828.09     | 3,858.61   | 943.76     | 4,160.09  | 4,160.09  |
|   29 | Rajasthan     | 16,994.37  | 7,701.23   | 31,733.90  | 5,560.05   | 31,733.90 | 5,722.89  |
|   30 | Sikkim        | 761.58     | 126.73     | 445.60     | 231.32     | 394.82    | 240.99    |
|   31 | Tamil Nadu    | 30,004.46  | 11,414.23  | 20,013.03  | 10,926.37  | 29,763.60 | 10,107.03 |
|   32 | Telangana     | 7,905.52   | 7,038.82   | 8,710.67   | 6,740.14   | 8,428.96  | 429.33    |
|   33 | Tripura       | 1,170.53   | 868.67     | 1,738.54   | 610.58     | 1,868.09  | 759.83    |
|   34 | Uttar Pradesh | 35,020.56  | 13,374.34  | 43,522.78  | 19,569.64  | 62,173.26 | 21,925.15 |
|   35 | Uttarakhand   | 1,650.14   | 2,163.86   | 3,062.42   | 1,089.18   | 2,740.83  | 1,599.72  |
|   36 | West Bengal   | 15,380.85  | 10,061.98  | 17,184.69  | 16,036.74  | 20,153.84 | 13,426.19 |

## Note:

1. The above data is as per available Financial Management Reports submitted by the States/UTs.
2. Expenditure includes expenditure against Central Releases, State Releases & unspent balances at the beginning of the year. Expenditure is as per FMRs submitted by States/UTs and is provisional.