Lok Sabha Question No. 911 (UNSTARRED), answered on 2024-11-29
Subject: Integrated Public Health Laboratory
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Daggumalla Prasada Rao, Dr. Kadiyam Kavya, Shri Lavu Sri Krishna Devarayalu

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 911 TO BE ANSWERED ON 29 TH NOVEMBER, 2024

## 'INTEGRATED PUBLIC HEALTH LABORATORY'

## 911. SHRI LAVU SRI KRISHNA DEVARAYALU: DR. KADIYAM KAVYA: SHRI DAGGUMALLAPRASADARAO:

## Will be MINISTER OFHEALTH AND FAMILY WELFARE be pleased to state:

- (a) the number of Integrated Public Health Laboratories that have been established under the PM-ABHIM scheme and if so, the details thereof, State/UT-wise, particularly in Andhra Pradesh;
- (b) the details of funds allocated towards Integrated Public Health Laboratories across the country, State/UT and district-wise;
- (c) whether the Government has conducted any study to determine the efficacy of this initiative and is so, the details thereof;
- (d) whether it is a norm that each district should have one Integrated Public Health Laboratory under the scheme, if so, the details thereof including the newly formed districts in Andhra Pradesh ; and
- (e) whether new public health laboratories will be sanctioned for the State of Andhra Pradesh if so, the details thereof and if not, the reasons therefor?

## ANSWER

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

- (a) to (e) Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) is a Centrally Sponsored Scheme (CSS) with some Central Sector Components (CS) which has an 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 including health research so that the communities are Atmanirbhar in managing such pandemics or health crisis. 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 Building less 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 are envisioned
-  Establishment of 3382 Block Public Health Units (BPHUs) at the block level,
-  Establishment of 730 District Integrated Public Health Labs in the country, wherein each district will have one such lab .
-  Establishing 602 Critical Care Hospital Blocks in all districts with population more than 5 lakhs.

Administrative approvals have been accorded to States/UTs for FY 2021-22, 2022-23, 2023-24 & 2024-25 for an amount of Rs 898.86 Crore for establishment/strengthening of 504 IPHLs at District level. The details of support provided along with approval accorded to the States/UTs under CSS of PM-ABHIM for four years (i.e. FY 2021-22, 2022-23, 2023-24 & 2024-25) is at Annexure-I .

Under the scheme, an amount of Rs. 1271.24 Cr. is provisioned for the State of Andhra Pradesh during scheme period for establishment and strengthening of 45 U-HWCs (AAMs), 13 IPHLs and 13 CCBs.

Administrative approvals have been accorded to the State of Andhra Pradesh, for four years (i.e. FY 2021-22, 2022-23, 2023-24 & 2024-25) for an amount of Rs 1023.62 Cr. for construction/ strengthening of 1786 Building less-AAM (Sub-Centers - Health & wellness Centers), 45 UAAMs (HWCs), 23 IPHLs and 16 CCBs, as per proposal of the State. Additional 13 IPHLs (Annexure-II) were approved as per proposal from the State due to reorganization of districts from 13 to 26 with the creation of 13 new districts in Andhra Pradesh w.e.f. April 2022.

District IPHL is envisioned to be established in each district. The detailed guidelines for the IPHL is provided in the link below:

https://nhsrcindia.org/sites/default/files/Guidelines%20on%20integrated%20public%20health%20 laboratories.pdf

## A N N E X U R E - I

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

## Public Health Labs (IPHLs)

|        |                   | Approvals FY 2021-25 (4 Yrs.)   | Approvals FY 2021-25 (4 Yrs.)         | Approvals FY 2021-25 (4 Yrs.)                    | Approvals FY 2021-25 (4 Yrs.)          | Approvals FY 2021-25 (4 Yrs.)   |
|--------|-------------------|---------------------------------|---------------------------------------|--------------------------------------------------|----------------------------------------|---------------------------------|
| S. No. | State/UT          | Target scheme period 2021-26)   | for (FY Total Unit Approved for years | Total Allocation for scheme period (FY 2021- 26) | Total Amount Approvedfor4 years(InCr.) |                                 |
| 1      | A& N Islands      | 3                               | 3                                     | 6.69                                             | 3.75                                   |                                 |
| 2      | Andhra Pradesh    | 13                              | 23                                    | 27.04                                            | 37.57                                  |                                 |
| 3      | Arunachal Pradesh | 22                              | 14                                    | 43.20                                            | 26.33                                  |                                 |
| 4      | Assam             | 33                              | 24                                    | 67.74                                            | 36.37                                  |                                 |
| 5      | Bihar             | 38                              | 12                                    | 78.89                                            | 15.00                                  |                                 |
| 6      | Chandigarh        | 1                               | 0                                     | 1.25                                             | 0.00                                   |                                 |
| 7      | Chhattisgarh      | 28                              | 21                                    | 58.55                                            | 39.49                                  |                                 |
| 8      | DNH&DD            | 3                               | 0                                     | 3.75                                             | 0.00                                   |                                 |
| 9      | Delhi             | 11                              | 0                                     | 21.60                                            | 0.00                                   |                                 |
| 10     | Goa               | 2                               | 0                                     | 2.50                                             | 0.00                                   |                                 |
| 11     | Gujarat           | 33                              | 24                                    | 67.74                                            | 44.70                                  |                                 |
| 12     | Haryana           | 22                              | 14                                    | 43.20                                            | 26.32                                  |                                 |
| 13     | Himachal Pradesh  | 12                              | 7                                     | 22.85                                            | 12.67                                  |                                 |
| 14     | Jammu &Kashmir    | 20                              | 14                                    | 40.70                                            | 26.33                                  |                                 |
| 15     | Jharkhand         | 24                              | 17                                    | 48.64                                            | 30.57                                  |                                 |
| 16     | Karnataka         | 30                              | 21                                    | 61.05                                            | 39.49                                  |                                 |
| 17     | Kerala            | 14                              | 10                                    | 28.29                                            | 18.38                                  |                                 |
| 18     | Ladakh            | 2                               | 2                                     | 2.50                                             | 2.50                                   |                                 |
| 19     | Lakshadweep       | 1                               | 1                                     | 1.25                                             | 1.25                                   |                                 |

|   20 | Madhya Pradesh   |   55 |   39 |   112.90 |   60.03 |
|------|------------------|------|------|----------|---------|
|   21 | Maharashtra      |   36 |   25 |    73.45 |   45.48 |
|   22 | Manipur          |   15 |   11 |    31.5  |   21.11 |
|   23 | Meghalaya        |   10 |    7 |    20.35 |   13.16 |
|   24 | Mizoram          |   10 |    7 |    20.35 |   13.16 |
|   25 | Nagaland         |   11 |    7 |    21.6  |   13.16 |
|   26 | Odisha           |   30 |   21 |    61.05 |   39.2  |
|   27 | Puducherry       |    4 |    3 |     7.94 |    5.22 |
|   28 | Punjab           |   22 |   14 |    43.2  |   26.33 |
|   29 | Rajasthan        |   33 |   24 |    67.74 |   42.98 |
|   30 | Sikkim           |    3 |    3 |     6.69 |    5.22 |
|   31 | TamilNadu        |   38 |   28 |    78.89 |   52.66 |
|   32 | Telangana        |   33 |   24 |    67.74 |   44.72 |
|   33 | Tripura          |    7 |    4 |    13.66 |    6.94 |
|   34 | Uttar Pradesh    |   75 |   53 |   153.59 |  103.76 |
|   35 | Uttarakhand      |   13 |   10 |    27.04 |   13.48 |
|   36 | WestBengal       |   23 |   17 |    47.39 |   31.54 |

Total

730

504

1482.51

898.86

## List of 13 New IPHLs -Andhra Pradesh

|   S. No. | District             | IPHL                          |
|----------|----------------------|-------------------------------|
|        1 | ASR                  | Araku Area Hospital           |
|        2 | Anantapur            | Guntakal Area Hospital        |
|        3 | Bapatla              | Chirala Area Hospital         |
|        4 | Chittoor             | Palamaner Area Hospital       |
|        5 | East Godavari        | Anaparthy Area Hospital       |
|        6 | Eluru                | Jangareddygudem Area Hospital |
|        7 | Kakinada             | Tuni Area Hospital            |
|        8 | Nandyal              | Banaganapalli Area Hospital   |
|        9 | NTR                  | Nandigama Area Hospital       |
|       10 | Palnadu              | Narasaraopeta Area Hospital   |
|       11 | Parvathipuram Manyam | Seethampeta Area Hospital     |
|       12 | Tirupati             | Gudur Area Hospital           |
|       13 | Visakhapatnam        | Aganampudi Area Hospital      |

## Annexure-II