Lok Sabha Question No. 3156 (UNSTARRED), answered on 2024-12-13
Subject: Ayushman Bharat Digital Mission in Andhra Pradesh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Daggumalla Prasada Rao

## GOVERNMENT OFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

LOK SABHA UNSTARRED QUESTION No-3156 TO BE ANSWERED ON 13.12.2024

## AYUSHMANBHARAT DIGITALMISSSION IN ANDHRAPRADESH

## 3156. SHRI DAGGUMALLA PRASADARAO:

Will the Minister of HEALTH and FAMILYWELFARE be pleased to state:

- (a) the details of budget allocation under Ayushman Bharat Digital Mission (ABDM) in the State of Andhra Pradesh during the financial years 2021-2024, year-wise;
- (b) the total number of Ayushman Bharat Health Account (ABHA) created/linked under ABDMin the State of Andhra Pradesh, district-wise data till date;
- (c) whether the budget allocation for the said scheme has been reduced as compared to previous year, if so, the details thereof along with funds utilized by States and leftover till date;
- (d) whether the Government has examined/taken any steps to see the performance of the scheme and provide benefits of the scheme to the poor and those deprived of digital facilities in remote/rural areas, if so, the details thereof; and
- (e) whether the Government has received any concerns/identified any irregularities in the programme and if so, the details thereof?

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

- (a) to (c) The details of budget allocation for Ayushman Bharat Digital Mission (ABDM) in the state of Andhra Pradesh during the financial years 2021-2024 are as follows:

## (Amount in Rs. crores)

| Allocation Funds                                                    | FY 21-22   |   FY 22-23 |   FY 23-24 |   FY 24-25 |   Total |
|---------------------------------------------------------------------|------------|------------|------------|------------|---------|
| HR [Human Resources]                                                | 1.24       |       4.17 |       4.51 |       3.53 |   13.45 |
| ICE/CB [Information, Education & Communication / Capacity Building] | -          |       2.21 |       2.38 |       1.77 |    6.36 |
| Total                                                               | 1.24       |       6.38 |       6.89 |       5.3  |   19.81 |

A total of 4,21,21,726 Ayushman Bharat Health Accounts (ABHA) have been created as on 9 th Dec 2024 in Andhra Pradesh. The district-wise Ayushman Bharat Health Accounts created under ABDM in Andhra Pradesh are listed in Annexure-1.

The Union Cabinet had approved ABDM as a central sector scheme with the support of Rs. 500 crores to states/UTs for supporting human resources to implement ABDM:

|   S.No | Cost Head                                    |   FY2021- 22 |   FY 2022-23 |   FY 2023-24 |   FY2024- 25 |   FY 2025- 26 |   Total |
|--------|----------------------------------------------|--------------|--------------|--------------|--------------|---------------|---------|
|      1 | Human resources for State/UT implementatio n |        86.29 |       132.41 |       139.81 |        92.46 |         49.03 |     500 |
|      2 | TOTAL COST                                   |        86.29 |       132.41 |       139.81 |        92.46 |         49.03 |     500 |

As evident from the above table, the budgetary allocation under ABDM to the States/UTs has been provided in a tapered form. Accordingly, Andhra Pradesh's budgetary allocation is more in FY 2023-24 compared to the present financial year. The same is true for budgetary allocation for other states/UTs also. The details of allocation and utilization of funds under the scheme by different states is provided in Annexure-2

- (d) Various steps have been taken to assess the performance of the scheme. A public dashboard is available for NHA, the implementing body of ABDM, and the states/UTs to assess the different indicators reflecting the progress of the scheme. Based on the monitoring of these indicators, various initiatives like developing use cases for quick registration, easy payments; microsites program focused on increasing the adoption in the private sector; the digital health incentive scheme to incentivise health facilities and digital health tech companies to create digital records, the model facility initiative to create facilities doing endto-end digitization etc. are being taken, in consultation and with the support of the states/UTs government has taken various steps to ensure that the benefits of the mission reach every citizen. Inclusion is one of the key principles of ABDM. The digital health ecosystem created by ABDM supports continuity of care across primary, secondary and tertiary healthcare in a seamless manner. It aids availability of health care services particularly in remote and rural areas through various technology interventions like telemedicine etc.
- (e) NHA, the implementing body of ABDM has not received any concerns/identified any irregularities in the implementation of ABDM.

The district-wise Ayushman Bharat Health Accounts created under ABDM in Andhra Pradesh

| District Names              | ABHAs Created   |
|-----------------------------|-----------------|
| East Godavari               | 44,17,431       |
| Guntur                      | 41,00,451       |
| Krishna                     | 40,31,971       |
| Kurnool                     | 35,95,679       |
| Chittoor                    | 33,87,064       |
| West Godavari               | 33,41,866       |
| Ananthapuramu               | 29,40,750       |
| Visakhapatnam               | 29,03,522       |
| Prakasam                    | 28,06,894       |
| Srikakulam                  | 23,35,397       |
| Vizianagaram                | 20,11,547       |
| Y.S.R.                      | 18,58,574       |
| Sri Potti Sriramulu Nellore | 18,28,229       |
| Tirupati                    | 5,82,573        |
| Annamayya                   | 5,79,583        |
| Sri Sathya Sai              | 5,54,421        |
| Anakapalli                  | 3,79,052        |
| Alluri Sitharama Raju       | 1,26,019        |
| NTR                         | 55,246          |
| Palnadu                     | 45,725          |
| Eluru                       | 44,377          |
| Kakinada                    | 42,252          |
| Bapatla                     | 41,052          |
| Dr. B.R. Ambedkar Konaseema | 40,973          |
| Nandyal                     | 37,362          |
| Parvathipuram Manyam        | 22,903          |

## The details of allocation and utilization of funds under the scheme by different states

|        |                           |             |               |             |               |             |               |             |               | HR          | HR            | HR          | HR            | HR          | HR            | HR          | HR            |
|--------|---------------------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|
|        |                           | FY          | FY            | 2024-25 FY  | 2024-25 FY    | 2023-24 FY  | 2023-24 FY    | FY 2021-22  | FY 2021-22    | FY 2024-25  | FY 2024-25    | FY 2023-24  | FY 2023-24    | FY 2022-23  | FY 2022-23    | FY 2021-22  | FY 2021-22    |
| Sr. No | State                     | Allocat ion | Disburse ment | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent |
| 1      | Andaman & Nicobar Islands | ₹0.25       | -             | ₹0.28       | ₹0.01         | ₹0.27       | ₹0.01         | ₹0.00       | ₹0.00         | ₹1.28       | ₹0.08         | ₹1.45       | ₹0.31         | ₹1.38       | ₹0.10         | ₹0.22       | ₹0.00         |
| 2      | Andhra Pradesh            | ₹1.77       | -             | ₹2.38       | ₹2.17         | ₹2.21       | ₹0.37         | ₹0.00       | ₹0.00         | ₹3.53       | ₹0.82         | ₹4.51       | ₹3.62         | ₹4.17       | ₹2.90         | ₹0.64       | ₹0.00         |
| 3      | Arunachal Pradesh         | ₹0.26       | -             | ₹0.33       | ₹0.08         | ₹0.31       | ₹0.09         | ₹0.00       | ₹0.43         | ₹1.28       | ₹0.28         | ₹1.59       | ₹0.71         | ₹1.51       | ₹0.48         | ₹0.24       | ₹0.02         |
| 4      | Assam                     | ₹0.86       | -             | ₹1.30       | ₹0.52         | ₹1.20       | ₹0.30         | ₹0.00       | ₹0.00         | ₹2.41       | ₹0.49         | ₹3.86       | ₹1.78         | ₹3.57       | ₹0.46         | ₹0.55       | ₹0.00         |
| 5      | Bihar                     | ₹2.08       | -             | ₹2.93       | ₹0.00         | ₹2.71       | ₹0.68         | ₹0.00       | ₹0.00         | ₹3.85       | -             | ₹5.53       | ₹2.00         | ₹5.09       | ₹1.09         | ₹0.78       | ₹0.00         |
| 6      | Chandigarh                | ₹0.26       | -             | ₹0.32       | ₹0.02         | ₹0.31       | ₹0.00         | ₹0.00       | ₹0.00         | ₹1.28       | -             | ₹1.59       | ₹0.03         | ₹1.51       | ₹0.04         | ₹0.24       | ₹0.00         |
| 7      | Chhattisgar h             | ₹0.76       | -             | ₹1.14       | ₹0.02         | ₹1.06       | ₹0.27         | ₹0.00       | ₹0.00         | ₹2.25       | ₹0.46         | ₹3.57       | ₹0.00         | ₹3.31       | ₹0.43         | ₹0.51       | ₹0.00         |
| 8      | Delhi                     | ₹0.65       | -             | ₹0.93       | ₹0.00         | ₹0.86       | ₹0.00         | ₹0.00       | ₹0.00         | ₹2.25       | -             | ₹3.28       | ₹0.00         | ₹3.04       | ₹0.00         | ₹0.47       | ₹0.00         |
| 9      | Goa                       | ₹0.25       | -             | ₹0.29       | ₹0.24         | ₹0.27       | ₹0.07         | ₹0.00       | ₹0.00         | ₹1.28       | ₹0.84         | ₹1.45       | ₹0.76         | ₹1.38       | ₹0.04         | ₹0.22       | ₹0.00         |
| 10     | Gujarat                   | ₹0.26       | -             | ₹0.33       | ₹0.30         | ₹0.31       | ₹0.14         | ₹0.00       | ₹0.00         | ₹1.28       | ₹0.69         | ₹1.59       | ₹0.21         | ₹1.51       | ₹0.52         | ₹0.24       | ₹0.00         |
| 11     | Haryana                   | ₹1.45       | -             | ₹1.97       | ₹0.00         | ₹1.83       | ₹0.46         | ₹0.00       | ₹0.00         | ₹3.53       | -             | ₹4.65       | ₹0.00         | ₹4.30       | ₹0.68         | ₹0.66       | ₹0.00         |
| 12     | Himachal Pradesh          | ₹0.76       | ₹0.10         | ₹1.14       | ₹0.00         | ₹1.06       | ₹0.24         | ₹0.00       | ₹0.11         | ₹2.25       | ₹0.07         | ₹3.57       | ₹0.19         | ₹3.31       | ₹0.62         | ₹0.51       | ₹0.00         |
| 13     | Jammu& Kashmir            | ₹0.49       | -             | ₹0.67       | ₹0.20         | ₹0.62       | ₹0.14         | ₹0.00       | ₹0.00         | ₹2.09       | -             | ₹2.84       | ₹0.00         | ₹2.65       | ₹0.12         | ₹0.41       | ₹0.03         |
| 14     | Jharkhand                 | ₹0.56       | ₹0.20         | ₹0.80       | ₹0.00         | ₹0.74       | ₹0.37         | ₹0.00       | ₹0.40         | ₹2.09       | ₹0.49         | ₹2.99       | ₹0.81         | ₹2.78       | ₹0.68         | ₹0.43       | ₹0.00         |
| 15     | Karnataka                 | ₹0.89       | -             | ₹1.36       | ₹0.48         | ₹1.26       | ₹0.06         | ₹0.00       | ₹0.00         | ₹2.41       | ₹0.60         | ₹4.00       | ₹1.78         | ₹3.70       | ₹0.22         | ₹0.57       | ₹0.00         |
| 16     | Kerala                    | ₹1.46       | -             | ₹2.02       | ₹0.54         | ₹1.87       | ₹0.25         | ₹0.00       | ₹0.00         | ₹3.53       | ₹0.24         | ₹4.80       | ₹1.13         | ₹4.43       | ₹0.80         | ₹0.68       | ₹0.00         |
| 17     | Ladakh                    | ₹0.89       | ₹0.06         | ₹1.34       | ₹0.25         | ₹1.24       | ₹0.22         | ₹0.00       | ₹0.00         | ₹2.41       | ₹0.76         | ₹3.86       | ₹1.04         | ₹3.57       | ₹0.56         | ₹0.55       | ₹0.00         |
| 18     | Lakshwade ep              | ₹0.25       | -             | ₹0.28       | ₹0.00         | ₹0.27       | ₹0.12         | ₹0.00       | ₹0.00         | ₹1.28       | -             | ₹1.45       | ₹0.00         | ₹1.38       | ₹0.68         | ₹0.22       | ₹0.00         |

## Annexure 2

|        |                |             |               |             |               |             |               |             |               | HR          | HR            | HR          | HR            | HR          | HR            | HR          | HR            |
|--------|----------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|-------------|---------------|
|        |                | FY 2024-25  | FY 2024-25    | FY          | FY            | 2023-24 FY  | 2023-24 FY    | FY 2021-22  | FY 2021-22    | FY 2024-25  | FY 2024-25    | FY 2023-24  | FY 2023-24    | FY 2022-23  | FY 2022-23    | FY 2021-22  | FY 2021-22    |
| Sr. No | State          | Allocat ion | Disburse ment | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent | Allocati on | Disbursem ent |
| 19     | Madhya Pradesh | ₹0.24       | -             | ₹0.28 ₹1.30 | ₹0.26         |             | ₹0.05         | ₹0.00       | ₹0.00         | ₹1.28       | -             | ₹1.45       | ₹1.09         | ₹1.38       | ₹0.07         | ₹0.22       | ₹0.00         |
| 20     | Maharasht ra   | ₹1.64       | -             | ₹2.28       | ₹0.00         | ₹2.11       | ₹0.53         | ₹0.00       | ₹0.55         | ₹3.69       | ₹0.83         | ₹5.09       | ₹0.05         | ₹4.69       | ₹0.31         | ₹0.72       | ₹0.00         |
| 21     | Manipur        | ₹2.19       | -             | ₹3.08       | ₹0.16         | ₹2.85       | ₹0.00         | ₹0.00       | ₹0.00         | ₹3.85       | ₹0.32         | ₹5.53       | ₹1.28         | ₹5.09       | ₹0.44         | ₹0.78       | ₹0.00         |
| 22     | Meghalaya      | ₹0.31       | ₹0.07         | ₹0.38       | ₹0.37         | ₹0.36       | ₹0.07         | ₹0.00       | ₹0.00         | ₹1.44       | ₹0.72         | ₹1.74       | ₹0.92         | ₹1.64       | ₹0.38         | ₹0.26       | ₹0.00         |
| 23     | Mizoram        | ₹0.31       | ₹0.06         | ₹0.39       | ₹0.29         | ₹0.36       | ₹0.16         | ₹0.00       | ₹0.00         | ₹1.44       | ₹0.54         | ₹1.74       | ₹0.67         | ₹1.64       | ₹0.55         | ₹0.26       | ₹0.00         |
| 24     | Nagaland       | ₹0.26       | ₹0.07         | ₹0.32       | ₹0.09         | ₹0.31       | ₹0.14         | ₹0.00       | ₹0.41         | ₹1.28       | ₹0.41         | ₹1.59       | ₹0.09         | ₹1.51       | ₹0.38         | ₹0.24       | ₹0.00         |
| 25     | Odisha         | ₹0.27       | -             | ₹0.34       | ₹0.00         | ₹0.32       | ₹0.08         | ₹0.00       | ₹0.00         | ₹1.28       | -             | ₹1.59       | ₹0.00         | ₹1.51       | ₹0.20         | ₹0.24       | ₹0.05         |
| 26     | Puducherry     | ₹1.22       | -             | ₹1.62       | ₹0.16         | ₹1.50       | ₹0.00         | ₹0.00       | ₹0.00         | ₹3.53       | -             | ₹4.51       | ₹0.72         | ₹4.17       | ₹0.00         | ₹0.64       | ₹0.00         |
| 27     | Punjab         | ₹0.26       | -             | ₹0.33       | ₹0.25         | ₹0.31       | ₹0.01         | ₹0.00       | ₹0.15         | ₹1.28       | -             | ₹1.59       | ₹0.75         | ₹1.51       | ₹0.10         | ₹0.24       | ₹0.00         |
| 28     | Rajasthan      | ₹0.82       | -             | ₹1.21       | ₹0.60         | ₹1.12       | ₹0.11         | ₹0.00       | ₹0.00         | ₹2.41       | ₹0.83         | ₹3.71       | ₹1.90         | ₹3.44       | ₹0.09         | ₹0.53       | ₹0.00         |
| 29     | Sikkim         | ₹1.59       | -             | ₹2.18       | ₹0.13         | ₹2.02       | ₹0.00         | ₹0.00       | ₹0.20         | ₹3.69       | ₹0.13         | ₹4.95       | ₹0.07         | ₹4.56       | ₹0.00         | ₹0.70       | ₹0.00         |
| 30     | Tamil Nadu     | ₹0.25       | -             | ₹0.29       | ₹0.00         | ₹0.27       | ₹0.07         | ₹0.00       | ₹0.53         | ₹1.28       | -             | ₹1.45       | ₹1.04         | ₹1.38       | ₹0.12         | ₹0.22       | ₹0.00         |
| 31     | Telangana      | ₹1.64       | -             | ₹2.24       | ₹0.00         | ₹2.08       | ₹0.18         | ₹0.00       | ₹0.00         | ₹3.69       | -             | ₹4.95       | ₹0.62         | ₹4.56       | ₹2.28         | ₹0.70       | ₹0.70         |
| 32     | DNDDD          | ₹0.91       | ₹0.05         | ₹1.39       | ₹0.14         | ₹1.29       | ₹0.32         | ₹0.00       | ₹0.00         | ₹2.41       | -             | ₹4.00       | ₹0.29         | ₹3.70       | ₹0.47         | ₹0.57       | ₹0.00         |
| 33     | Tripura        | ₹0.32       | ₹0.08         | ₹0.40       | ₹0.00         | ₹0.37       | ₹0.09         | ₹0.00       | ₹0.00         | ₹1.44       | ₹0.17         | ₹1.74       | ₹0.74         | ₹1.64       | ₹0.08         | ₹0.26       | ₹0.00         |
| 34     | Uttar Pradesh  | ₹3.44       | ₹0.86         | ₹4.98       | ₹0.18         | ₹4.61       | ₹0.00         | ₹0.00       | ₹0.00         | ₹4.49       | ₹0.52         | ₹7.27       | ₹0.00         | ₹6.67       | ₹0.00         | ₹1.02       | ₹0.00         |
| 35     | Uttarakhan d   | ₹0.53       | -             | ₹0.75       | ₹0.36         | ₹0.70       | ₹0.34         | ₹0.00       | ₹0.00         | ₹2.09       | ₹0.04         | ₹2.99       | ₹0.01         | ₹2.78       | ₹0.78         | ₹0.43       | ₹0.00         |
| 36     | West Bengal    | ₹1.88       | -             | ₹2.64       | ₹2.55         | ₹2.45       | ₹0.61         | ₹0.00       | ₹0.31         | ₹3.69       | -             | ₹5.24       | ₹3.76         | ₹4.83       | ₹0.80         | ₹0.74       | ₹0.30         |
| Total  | Total          | ₹32.23      | ₹1.55         | ₹44.91      | ₹11.40        | ₹41.69      | ₹6.55         | ₹0.00       | ₹3.10         | ₹85         | ₹10           | ₹118        | ₹28           | ₹109        | ₹17           | ₹17         | ₹1.10         |