Lok Sabha Question No. 4820 (UNSTARRED), answered on 2025-03-28
Subject: Upgradation of Government Hospitals in Kerala
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Benny Behanan

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

## LOK SABHA UNSTARRED QUESTION NO. 4820 TO BE ANSWERED ON 28 th MARCH, 2025

## UPGRADATION OF GOVERNMENT HOSPITALS IN KERALA

## 4820. SHRI BENNY BEHANAN:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

(a) the total amount of fund allocated by the Union Government for upgrading Government hospitals and PHCs in Kerala during the last five years;

(b) whether there is any plan to establish new AIIMS like institutions in Kerala, if so, the details thereof; and

(c) the initiatives being taken by the Government to improve healthcare access in tribal and remote areas of Kerala?

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

(a) to (c): With the objective of attainment of universal access to equitable, affordable and quality health care services, the Ministry of Health & Family Welfare is implementing National Health Mission. Government provides technical and financial support to the States/UTs including Kerala for improvement in health infrastructure, availability of adequate human resources to health facilities, to improve availability and accessibility to quality health care especially for the underserved and marginalized groups.

The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs including Kerala to strengthen the public healthcare system, based on the proposals received in the form of State Programme Implementation Plans (SPIPs) under National Health Mission. Government of India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available resources. The number of approvals granted to each State including Kerala is referenced in the Record of Proceedings (RoPs) available at the below mentioned link:

https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744

The details of central release under the National Health Mission (NHM) from the FY 2019-20 to FY 2024-25 to the State of Kerala is as follows:

(Rs. in Cr.)

|   S. No. | Financial Year   |   Central Release |
|----------|------------------|-------------------|
|        1 | 2019-20          |            836.14 |
|        2 | 2020-21          |            788.22 |
|        3 | 2021-22          |            771.47 |
|        4 | 2022-23          |           1036.76 |
|        5 | 2023-24          |            189.15 |
|        6 | 2024-25          |            938.8  |

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. Release for the F.Y . 2024-25 is updated upto 05.03.2025 and is provisional.

Further, SPIP Approvals for Health Infrastructure under the National Health Mission (NHM) from the FY 2019-20 to FY 2023-24 to the State of Kerala is as follows:

(Rs. in Cr.)

|   S. No. | Financial Year   |   SPIP Approvals |
|----------|------------------|------------------|
|        1 | 2019-20          |          14310.1 |
|        2 | 2020-21          |          11316.8 |
|        3 | 2021-22          |           5897   |
|        4 | 2022-23          |          12709   |
|        5 | 2023-24          |          18104.3 |

Note:

Note:

1. SPIPApprovals are as per FMRs submitted by States and is provisional.

Further, PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) is one of the largest Pan India scheme with an outlay of Rs.64180/- Crores for strengthening health care infrastructure to effectively manage and respond to any future pandemics and outbreaks across the country. The scheme period is for 5 years i.e. FY 2021-22 to FY 2025-26.

The details of central release under the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) since inception to FY 2024-25 to the State of Kerala is as follows:

(Rs. in Cr.)

|   S. No. | Financial Year   | Central Release   |
|----------|------------------|-------------------|
|        1 | 2021-22          | 3.75              |
|        2 | 2022-23          | 24.89             |
|        3 | 2023-24          | -                 |
|        4 | 2024-25          | 16.45             |

Note:

1. The above releases relate to Central Govt. Grants & do not include State share contribution.
2. Release for the F.Y . 2024-25 is updated upto 03.03.2025 and is provisional.

The Ministry of Health & Family Welfare administers a Centrally Sponsored Scheme (CSS) for 'Strengthening and Upgradation of existing government medical colleges for increasing PG seats and starting new PG disciplines'. Under phase-II of this scheme, increase of 43 PG seats in Government Medical College Alappuza, Government Medical College Ernakulam and Government Medical College Kannur, have been approved on 08.08.2023 with an approved cost of Rs. 13.81 cr. Central share amounting to Rs. 2.07 cr has been released to the state of Kerala till date.

Under Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), All India Institute of Medical Sciences (AIIMS) are set up in different parts of the country in a phased manner, keeping in view the gaps in availability of tertiary health care facilities. Till date, 22 AIIMS have been sanctioned under the scheme. The proposal for establishment of AIIMS in Kerala has not been approved in the current phase of PMSSY.

Various initiatives carried out under NHM by the Government of India in various States/UTs including Kerala in remote/tribal dominated areas of Kerela are operationalisation of Ayushman Arogya Mandir, National Ambulance Services, Mobile Medical Units, ASHAs, 24 x 7 Services and First Referral facilities, Prime Minister's National Dialysis Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative, various activities under Reproductive & Child Health, Anemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB Mukt Bharat Abhiyaan (PMTBMBA) and Universal Immunization programme.

Under National Health Mission (NHM) , tribal areas have following relaxed norms addressing the need-based intervention in terms of healthcare infrastructure and human resources:

- i. The population norms for setting up health facilities in tribal areas have been relaxed from 5,000, 30,000 and 1,20,000 to 3000, 20,000 and 80,000 for setting up of Sub-Health Centre (SHC), Primary Health Centre (PHC) and Community Health Centre (CHC) in tribal and hilly areas respectively ;
- ii. Against norm of one ASHA per 1000 population in normal areas, one ASHA per habitation in Tribal/hilly and difficult areas ; and
- iii. Against the norm of 2 Mobile Medical Units (MMU) per district in plains, 4 MMUs per district in tribal/ hilly/ inaccessible/ remote and hard to reach areas.

Under the Pradhan Mantri Janjati Adivasi Nyaya Maha Abhiyan (PM-JANMAN) launched on 15th November, 2023, further relaxation in NHM norms has been provided to the Particularly Vulnerable Tribal Groups (PVTG) areas such as 10 MMU per district, additional ANM and Multi Purpose Centres (MPCs), and beneficiary saturation in PVTG areas.

Dharti Aaba Janjatiya Gram Utkarsh Abhiyan (DA-JGUA) was launched on 2nd October 2024 with an objective to improve socio-economic conditions and provide basic facilities to tribal majority villages and villages with significant ST population of Aspirational blocks.

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