Lok Sabha Question No. 2152 (UNSTARRED), answered on 2023-12-15
Subject: Funds for Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nishikant  Dubey, Manoj Kumar Tiwari

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTHAND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO- 2152 TO BE ANSWERED ON THE 15 th DECEMBER, 2023

## FUNDS FOR HEALTH INFRASTRUCTURE

## 2152. DR. NISHIKANT DUBEY: SHRI MANOJ TIWARI:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details of the funds allocated, released and utilized for the development of health infrastructure in the country during the last three years, State/UT-wise; and
- (b) the details of the funds allocated during each of the last three years and the current year for the development of health infrastructure in the rural areas of the country, State/UT-wise, including in North East Delhi and Jharkhand?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) and (b): 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 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 details of SPIP Approval and Expenditure for the development of healthcare infrastructure in rural areas of the country under National Health Mission (NHM) during the last three years and the current year, State/UT-wise including North East Delhi and Jharkhand is at Annexure I.

Further, the details of SPIP Approval and Expenditure under Pradhan Mantri - Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) for the FY 2022-23 to 2023-24 is at Annexure II

ECRP-I: The 'India COVID-19 Emergency Response and Health System Preparedness Package-I' (ECRP-I) of Rs.15,000 crore has been approved by the Cabinet on 22 nd April 2020 with an objective to prevent, detect and respond to the threat posed by COVID-19. It is 100% centrally funded.

ECRP-II: The Cabinet has also approved the scheme, 'India Covid-19 Emergency Response and Health Systems Preparedness Package-II' (ECRP-II) on 08th July 2021 for an amount of Rs.23,123 crore for the F.Y. 2021-22. The scheme aims to accelerate health system preparedness for immediate responsiveness for early prevention, detection and management of COVID-19, with the focus on health infrastructure development including for Pediatric Care and with measurable outcomes.

15th Finance Commission (FC-XV): The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the health sector to the tune of Rs. 70,051 crores and the same have been accepted by the Union Government. These grants for health through Local Governments will be spread over the five-year period from FY 2021-22 to FY2025-26 and will facilitate strengthening of health system at the grass-root level.

The Pradhan Mantri Swasthya Suraksha Yojana (PMSSY): It aims at correcting regional imbalances in the availability of affordable tertiary healthcare services and to augment facilities for quality medical education in the country. The Scheme has two components, namely, (i) Setting up of All India Institute of Medical Sciences (AIIMS); and (ii) Up-gradation of existing Government Medical Colleges/Institutions (GMCIs). So far setting up of 22 New AIIMS and 75 projects of upgradation of GMCIs have been approved under the Scheme in various phases.

## State-wise SPIP and Expenditure on Infrastructure Strengthening under National Health Mission (NHM) from FY 2020-21 to FY 2023-24

## (Rs. in Lakhs)

| Sl. No.   | States                             | 2020-21        | 2020-21     | 2021-22        | 2021-22     | 2022-23        | 2022-23     | 2023-24        | 2023-24     |
|-----------|------------------------------------|----------------|-------------|----------------|-------------|----------------|-------------|----------------|-------------|
| Sl. No.   | States                             | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure | SPIP Approvals | Expenditure |
| 1         | Andaman and Nicobar Islands        | 133.00         | 59.76       | 159.00         | 2.52        | 2.00           | 3.70        | 5.00           | -           |
| 2         | Andhra Pradesh                     | 14,399.00      | 44,164.00   | 2,332.75       | 2,462.75    | -              | -           | 823.16         | -           |
| 3         | Arunachal Pradesh                  | 2,828.89       | 1,893.17    | 5,634.45       | 4,386.79    | 4,727.02       | 6,559.11    | 2,059.30       | 1,397.45    |
| 4         | Assam                              | 32,971.23      | 18,041.83   | 23,372.48      | 15,506.43   | 35,806.76      | 9,406.43    | 10,382.05      | 3,004.40    |
| 5         | Bihar                              | 36,045.62      | 22,938.18   | 37,358.15      | 12,848.02   | 98,944.23      | 35,877.90   | 52,262.97      | 2,008.47    |
| 6         | Chandigarh                         | -              | -           | -              | -           | -              | -           | -              | -           |
| 7         | Chhattisgarh                       | 14,343.63      | 10,010.36   | 14,665.83      | 3,809.60    | 7,549.77       | 6,767.11    | 7,549.77       | 2,835.31    |
| 8         | Dadra &Nagar Haveli and Daman &Diu | 5.76           | 2.39        | 2.88           | -           | 2.88           | -           | 2.88           | -           |
| 9         | Delhi                              | -              | 0.62        | 500.00         | 34.31       | -              | 257.53      | -              | 0.07        |
| 10        | Goa                                | 115.80         | 12.85       | 124.75         | 54.06       | 232.06         | 108.66      | 197.14         | 34.43       |
| 11        | Gujarat                            | 1,075.17       | 1,096.30    | 675.30         | 328.43      | 4,599.10       | -           | -              | 2.11        |
| 12        | Haryana                            | 16,762.37      | 803.45      | 12,613.42      | 611.35      | 8,295.83       | 8,719.42    | 75.80          | 14.57       |
| 13        | Himachal Pradesh                   | 8,731.00       | 3,067.99    | 3,547.39       | 3,149.75    | -              | -           | 600.00         | -           |
| 14        | Jammu and Kashmir                  | 4,363.21       | 2,086.11    | 3,368.53       | 560.09      | 1,535.16       | 451.73      | 3,310.66       | 162.53      |
| 15        | Jharkhand                          | 10,493.20      | 4,948.99    | 2,352.00       | 2,370.65    | 9,200.00       | 3,645.07    | 8,675.00       | 56.19       |
| 16        | Karnataka                          | 16,083.05      | 20,908.13   | 15,103.25      | 15,441.70   | 7,113.93       | 4,917.32    | 4,605.00       | 344.97      |
| 17        | Kerala                             | 10,734.71      | 6,156.16    | 5,837.16       | 4,472.99    | 12,632.88      | 5,270.20    | 18,042.62      | 1,754.81    |
| 18        | Lakshadweep                        | -              | -           | -              | -           | -              | -           | -              | -           |
| 19        | Madhya Pradesh                     | 53,115.51      | 29,182.37   | 22,886.44      | 13,001.87   | 18,058.74      | 21,048.57   | 39,420.40      | 10,056.44   |
| 20        | Maharashtra                        | 47,508.02      | 39,002.64   | 54,147.40      | 20,219.84   | 58,844.37      | 23,395.90   | 58,390.87      | 11,605.33   |
| 21        | Manipur                            | 2,602.17       | 262.77      | 2,858.45       | 680.94      | 1,779.93       | 44.62       | -              | -           |
| 22        | Meghalaya                          | 1,282.00       | 628.34      | 1,609.04       | 209.92      | 1,002.97       | 755.75      | 11.46          | 663.25      |
| 23        | Mizoram                            | 557.00         | 205.91      | 18.00          | 4.30        | 3.30           | 3.30        | -              | -           |
| 24        | Nagaland                           | 3,855.33       | 557.28      | 1,005.04       | 1,367.04    | 3,068.98       | 1,110.37    | 2,127.43       | -           |
| 25        | Odisha                             | 20,665.69      | 35,920.28   | 32,219.80      | 34,479.62   | 60,725.53      | 81,628.87   | 46,631.02      | 12,335.49   |
| 26        | Puducherry                         | 4.00           | 116.60      | 22.80          | -           | -              | 5.44        | -              | -           |
| 27        | Punjab                             | 8,925.00       | 6,541.42    | 5,141.90       | 3,499.20    | 799.50         | 21.32       | -              | -           |
| 28        | Rajasthan                          | 94,252.62      | 31,238.99   | 82,158.82      | 13,969.16   | 55,662.72      | 26,254.00   | 55,662.72      | 15,060.60   |
| 29        | Sikkim                             | 376.68         | 360.78      | 371.20         | 224.27      | 31.17          | 5.30        | 61.17          | 2.16        |
| 30        | Tamil Nadu                         | 32,950.88      | 30,750.18   | 24,531.73      | 26,263.31   | 51,962.61      | 38,407.81   | 73,694.84      | 15,350.45   |
| 31        | Telangana                          | 13,970.07      | 9,798.65    | 7,512.13       | 12,838.82   | 11,386.59      | 15,419.39   | 40,895.31      | 6,227.80    |
| 32        | Tripura                            | 4,491.00       | 3,426.15    | 4,874.00       | 4,206.21    | 4,828.00       | 4,080.46    | 4,417.35       | 1,310.00    |
| 33        | Uttar Pradesh                      | 1,44,397.66    | 25,405.50   | 1,22,539.96    | 11,687.43   | 37,590.00      | 17,040.72   | 1,61,798.30    | 827.36      |
| 34        | Uttarakhand                        | 10,428.68      | 7,933.71    | 12,955.74      | 14,889.74   | 9,544.10       | 4,820.47    | 804.33         | 1,634.64    |
| 35        | West Bengal                        | 17,727.50      | 10,424.84   | 7,851.58       | 1,604.29    | 9,298.13       | 612.80      | 502.25         | 1,372.88    |
| 36        | Ladakh                             | 3,240.67       | 518.06      | 3,125.00       | 470.95      | 2,680.95       | 1,215.87    | 2,325.95       | 170.57      |

## Note:

1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year. It is updated till 30.09.2023 and is provisional
2. The Above Figures are as per FMR reported by State/UTs.

## State-wise SPIP Approval and Expenditure for Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM -ABHIM) for the FY 2022-23 and FY 2023-24

## (Rs. in Lakh)

1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year. It is updated till 30.09.2023 (Except Arunachal Pradesh, Bihar, Gujarat, Haryana, Himachal Pradesh, Jharkhand, Lakshadweep, Ladakh, Manipur, Meghalaya, Mizoram, Punjab, Tripura and West Bengal) and is provisional

2. The Above Figures are as per FMR reported by State/UTs.

| S.No.   |                                    | 2022-23       | 2022-23     | 2023-24       | 2023-24     |
|---------|------------------------------------|---------------|-------------|---------------|-------------|
| S.No.   | State/UT                           | SPIPApprovals | Expenditure | SPIPApprovals | Expenditure |
| 1       | Andaman &Nicobar Islands           | -             | -           | 37.94         | -           |
| 2       | Andhra Pradesh                     | 2,500.00      | 625.00      | 19,126.00     | 400.45      |
| 3       | Arunachal Pradesh                  | 250.00        | -           | 250.00        | -           |
| 4       | Assam                              | 37,436.75     | 116.00      | 17,789.09     | 868.00      |
| 5       | Bihar                              | -             | -           | -             | -           |
| 6       | Chandigarh                         | 1,200.00      | 173.43      | 1,200.00      | -           |
| 7       | Chhattisgarh                       | 12,610.91     | 1,100.52    | 33,776.45     | 562.13      |
| 8       | Dadra &Nagar Haveli and Daman& Diu | 75.00         | -           | 75.00         | 7.54        |
| 9       | Delhi                              | -             | -           | -             | -           |
| 10      | Goa                                | -             | -           | -             | -           |
| 11      | Gujarat                            | 18,611.00     | 3,223.78    | 21,122.00     | 396.03      |
| 12      | Haryana                            | 8,641.50      | -           | 14,964.00     | -           |
| 13      | Himachal Pradesh                   | 7,494.20      | 997.80      | -             | -           |
| 14      | Jammu& Kashmir                     | 10,047.03     | -           | 12,196.49     | 1,790.00    |
| 15      | Jharkhand                          | 37,225.84     | 24,087.00   | 37,225.84     | 12,723.34   |
| 16      | Karnataka                          | 20,626.00     | 1,875.00    | 21,232.35     | 3,058.38    |
| 17      | Kerala                             | 2,500.00      | 471.50      | 8,155.40      | 7.63        |
| 18      | Ladakh                             | -             | -           | -             | -           |
| 19      | Lakshadweep                        | 125.00        | -           | 125.00        | -           |
| 20      | Madhya Pradesh                     | 30,442.15     | 9,942.95    | 30,442.15     | 28,817.23   |
| 21      | Maharashtra                        | -             | -           | 11,630.00     | 346.41      |
| 22      | Manipur                            | 2,026.00      | 456.00      | 2,249.10      | -           |
| 23      | Meghalaya                          | 4,517.00      | 880.00      | 4,517.00      | 54.00       |
| 24      | Mizoram                            | 2,674.05      | 27.36       | 2,674.05      | -           |
| 25      | Nagaland                           | 125.00        | -           | 125.00        | 30.00       |
| 26      | Odisha                             | 32,805.85     | 25,855.07   | 22,140.13     | 16,642.87   |
| 27      | Puducherry                         | 725.00        | 62.28       | 1,224.00      | 55.04       |
| 28      | Punjab                             | 14,562.10     | -           | 16,557.30     | -           |
| 29      | Rajasthan                          | 49,203.00     | 10,850.00   | 49,203.00     | 20,216.78   |
| 30      | Sikkim                             | 125.00        | 25.63       | 2,549.00      | 19.37       |
| 31      | Tamil Nadu                         | 21,630.00     | 18,335.00   | 21,630.00     | 18,262.98   |
| 32      | Telangana                          | 23,690.55     | 8,375.00    | 31,220.70     | 1,444.89    |
| 33      | Tripura                            | 282.13        | 37.90       | 189.93        | 23.09       |
| 34      | Uttar Pradesh                      | 178,403.74    | 25,404.44   | 178,403.74    | 10,839.14   |
| 35      | Uttarakhand                        | 6,501.32      | 160.00      | 6,501.32      | 575.00      |
| 36      | West Bengal                        | 15,019.00     | 975.45      | 12,509.95     | 15.03       |

Note: