Lok Sabha Question No. 4331 (UNSTARRED), answered on 2024-12-20
Subject: Assessment of Ayushman Arogya Mandir-Sub Centre
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Dulu Mahato, Shri Bidyut Baran Mahato, Shri Lumbaram Choudhary, Shri Jagdambika Pal, Shri Anurag Singh Thakur, Dr. Rajesh Mishra, Shri Manoj Tiwari, Shri Kanwar Singh Tanwar, Shri Praveen Patel

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE

## DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4331 TO BE ANSWERED ON 20.12.2024

## ASSESSMENT OF AYUSHMAN AROGYAMANDIR-SUB CENTRE

## 4331. SHRI PRAVEEN PATEL:

SHRI MANOJ TIWARI:

SHRI DULU MAHATO:

SHRI ANURAG SINGH THAKUR:

SHRI LUMBARAM:

DR. RAJESH MISHRA:

SHRI JAGDAMBIKAPAL:

SHRI BIDYUT BARAN MAHATO:

SHRI KANWAR SINGH TANWAR:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state;

- (a) the geographical distribution of Ayushman Arogya Mandir-Sub Centres (AAM-SC) in the country, State-wise;
- (b) whether the number of such existing centres in various States are sufficient to meet the requirement of healthcare in the country, if so, the details thereof along with the steps taken to set up more such Centres in these States including Uttar Pradesh;
- (c) the number of assessments planned, done and scheduled time for completion under the National Quality Assurance Standards (NQAS) assessments for AAM-SC in the country, Statewise especially in Jharkhand and Uttar Pradesh;
- (d) whether the assessments have led to improvements in infrastructure, patient safety, and service delivery of primary healthcare for citizens in the country, if so, the details thereof;
- (e) whether any specific challenges have been observed during the assessments, if so, the details thereof; and
- (f) whether the Government has taken steps to address these challenges and improve its implementation, if so, the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY

## WELFARE (SHRI PRATAPRAO JADHAV)

- (a) & (b): Number of Ayushman Arogya Mandir-Sub Centres (AAM-SC) operationalised in the country, State/UT-wise, is at Annexure-1 .

As per established norms, in rural areas a Sub Health Centre (SHC) for a population of 5,000 (in plain) and 3000 (in hilly and tribal area), a Primary Health Centre( PHC) for a population of 30,000 (in plains) and 20,000 (in hilly and tribal areas) and Community Health Centre (CHC) 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.

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.

(c) to (f): The Government of India has implemented the National Quality Assurance Standards (NQAS) which is a comprehensive framework established by the Ministry of Health and Family Welfare (MoHFW), aimed at ensuring and enhancing the quality of healthcare services provided at public health facilities.

The National Quality Assurance Standards (NQAS) assessments have significantly contributed to improving the quality of primary healthcare across the country. According to the Common Review Mission (CRM) reports published by the Government of India, these assessments have brought about transformative changes in infrastructure, patient safety, and service delivery in healthcare facilities.

To deal with the challenges of slow certification in view of larger coordination at various stakeholders, digital technology was leveraged and 'Virtual Assessment for National Quality Assurance Standards(NQAS) Certification of Ayushman Arogya Mandir- Sub Health Centers (AAM-SHCs)' was launched on 28th June, 2024.

No. of assessments of AAM-SHC conducted under NQAS, State/UT-wise as on 12.12.2024 is at Annexure-2 .

*****

No. of Ayushman Arogya Mandir (AAM) Sub-Health Centre operationalised in the country (as on 30.11.2024)

| Sl. No.   | StateName                | Operational Ayushman Arogya Mandir   |
|-----------|--------------------------|--------------------------------------|
| Sl. No.   | StateName                | Sub-Health Centre(SHC)               |
| 1         | Andaman &Nicobar Islands | 102                                  |
| 2         | Andhra Pradesh           | 10,158                               |
| 3         | Arunachal Pradesh        | 374                                  |
| 4         | Assam                    | 3,791                                |
| 5         | Bihar                    | 8,971                                |
| 6         | Chandigarh               | 12                                   |
| 7         | Chhattisgarh             | 4,869                                |
| 8         | DNH&DD                   | 78                                   |
| 9         | Goa                      | 238                                  |
| 10        | Gujarat                  | 8,046                                |
| 11        | Haryana                  | 2,558                                |
| 12        | Himachal Pradesh         | 1,961                                |
| 13        | Jammu &Kashmir           | 2,381                                |
| 14        | Jharkhand                | 3,529                                |
| 15        | Karnataka                | 6,907                                |
| 16        | Kerala                   | 5,812                                |
| 17        | Ladakh                   | 288                                  |
| 18        | Lakshadweep              | 7                                    |
| 19        | Madhya Pradesh           | 10,285                               |
| 20        | Maharashtra              | 8,766                                |
| 21        | Manipur                  | 309                                  |
| 22        | Meghalaya                | 448                                  |
| 23        | Mizoram                  | 324                                  |
| 24        | Nagaland                 | 367                                  |
| 25        | Odisha                   | 5,839                                |
| 26        | Puducherry               | 71                                   |
| 27        | Punjab                   | 2,617                                |
| 28        | Rajasthan                | 8,751                                |
| 29        | Sikkim                   | 149                                  |
| 30        | Tamil Nadu               | 5,858                                |
| 31        | Telangana                | 3,650                                |
| 32        | Tripura                  | 917                                  |
| 33        | Uttar Pradesh            | 18,494                               |
| 34        | Uttarakhand              | 1,787                                |
| 35        | West Bengal              | 11,591                               |

No. of NQAS assessments of AAM -SHC conducted across the country

| Name of State/UTs   | Assessment conducted 12.12.2024   | as   | on   |
|---------------------|-----------------------------------|------|------|
| Andhra Pradesh      | 623                               |      |      |
| Arunachal Pradesh   | 10                                |      |      |
| Assam               | 116                               |      |      |
| Bihar               | 9                                 |      |      |
| Chhattisgarh        | 136                               |      |      |
| DD &DNH             | 65                                |      |      |
| Goa                 | 8                                 |      |      |
| Gujarat             | 429                               |      |      |
| Haryana             | 109                               |      |      |
| Himachal Pradesh    | 5                                 |      |      |
| Jammu &Kashmir      | 16                                |      |      |
| Jharkhand           | 91                                |      |      |
| Karnataka           | 127                               |      |      |
| Kerala              | 1                                 |      |      |
| Ladakh              | 1                                 |      |      |
| Madhya Pradesh      | 518                               |      |      |
| Maharashtra         | 9                                 |      |      |
| Manipur             | 2                                 |      |      |
| Nagaland            | 3                                 |      |      |
| Odisha              | 394                               |      |      |
| PUNJAB              | 78                                |      |      |
| Rajasthan           | 88                                |      |      |
| SIKKIM              | 14                                |      |      |
| Tamil Nadu          | 5                                 |      |      |
| Telangana           | 137                               |      |      |
| Tripura             | 30                                |      |      |
| Uttar Pradesh       | 391                               |      |      |
| Uttarakhand         | 7                                 |      |      |
| West Bengal         | 770                               |      |      |
| Total               | 4,192                             |      |      |