Lok Sabha Question No. 2753 (UNSTARRED), answered on 2023-08-04
Subject: Ayushman Bharat–Health and Wellness Centre
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajyavardhan Singh Rathore, Pritam Gopinath Munde, Chandra Sekhar Sahu, Pocha Brahmananda Reddy, Rahul Ramesh Shewale

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2753 TO BE ANSWERED ON 04th AUGUST, 2023

## AYUSHMAN BHARAT-HEALTH AND WELLNESS CENTRE

## 2753. COL. RAJYAVARDHAN RATHORE:

DR. PRITAM GOPINATHRAO MUNDE:

SHRI CHANDRASEKHAR SAHU

SHRI POCHABRAHMANANDAREDDY:

SHRI RAHULRAMESH SHEWALE:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) whether the Government proposes to establish 1,50,000 Health and Wellness Centres (HWCs) by transforming the existing Sub Centres and Primary Health Centres in 2018 to deliver Comprehensive Primary Health Care closer to the homes of people and if so, the details thereof along with the funds allocated from the same, State/UT-wise;
- (b) the number of Health and Wellness Centres established so far along with the steps taken for timely operationalisation and improvement of service quality in such HWCs, State/UT-wise including in Andhra Pradesh, Rajasthan, Odisha and Maharashtra;
- (c) whether the Government proposes to introduce a new class of health insurance for individuals aged 12-60 under Pradhan Mantri Jan Arogya Yojana (PM-JAY);
- (d) if so, the details thereof along with time schedule fixed for its implementation and if not, the reasons therefor;
- (e) the funds allocated to provide health insurance cover to poor and vulnerable family for secondary and tertiary care under PM-JAY, State/UT-wise; and
- (f) whether there is a specific layout to institutionalize the community ownership and management of health centres through Jan Arogya Samitis (JAS) and if so, the details thereof?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY

## WELFARE (DR. BHARATI PRAVIN PAWAR)

(a) & (b) : In February 2018, the Government of India announced 1,50,000 Ayushman BharatHealth and Wellness Centres (AB-HWCs) to be established across the country by December 2022. The existing Sub- Health Centres (SHC), Primary Health Centres (PHC) and Urban Primary Health Centres (UPHC) are transformed into AB-HWCs to deliver Comprehensive Primary Health Care (CPHC) that includes preventive, promotive, curative, palliative and rehabilitative services which are universal, free, and closer to the community. As on 24.07.2023 a total of 1,60,480 AB-HWCs have been operationalized across the country. State/UT wise details of AB-HWCs is at Annexure-I.

Government has taken following measures to support the States for operationalization of AB-HWC

· Physical and financial approvals have been provided to all the States/UTs as per the targets envisaged to be achieved.

· Standard of Procedures and guidelines for recruitment & training, branding, service provision including screening of non-communicable diseases and expanded packages of services, availability of essential drugs and diagnostics, etc. have been shared with the States/UTs

State/UT wise Central Releases under NHM from the FY 2018-19 to FY 2022-23 is at Annexure-II.

(c) & (d): Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY) is the largest publicly funded health assurance scheme in the world which aims to provide health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to 12 Crore families. Further, many States/UTs implementing AB PM-JAY have expanded the beneficiary base under the scheme to approximately 15.5 Crore families, at their own cost.

It is pertinent to note that under AB PM-JAY there is no cap on family size, age or gender. Therefore, all members of a family are eligible for health coverage under AB PM-JAY, subject to their eligibility under 15.5 Crore eligible families. There is no proposal regarding a separate scheme category for aged 12-60 Years under AB PM-JAY.

(e): In the FY 2023-24, a total amount of Rs. 7200 Crores have been allotted as central share for implementation of AB PM-JAY in 33 States/UTs. Central share is released to States/UTs implementing AB PM-JAY based on actual utilization subject to 60%/ 90%/ 100% (as applicable based on the types of States/UTs) of the ceiling amount which is currently Rs. 1052 per family per year. Accordingly, there is no State specific allocation.

(f): Under Ayushman Bharat, the Jan Arogya Samitis (JAS) serve as an institutional platform at Sub -Health Centre (SHC) / Primary health Centre (PHC) level AB-HWCs, for community participation in its management, governance and ensuring accountability, with respect to provision of healthcare services and amenities. These Samitis comprising of elected representatives, service providers, civil society members and service recipients, have an oversight on the facility, engage in community based health promotion and act as grievance redressal forum for the community. The process of communitization and social accountability helps in building people's trust in the public health system, enhance utilization of the services and catalyze ownership of AB-HWCs.

## Total number of AB-HWC operationalised as on 24.07.2023

| State                           |   Total number of AB-HWC |
|---------------------------------|--------------------------|
| Andaman & Nicobar Islands       |                      129 |
| Andhra Pradesh                  |                    11855 |
| Arunachal Pradesh               |                      428 |
| Assam                           |                     4421 |
| Bihar                           |                    10268 |
| Chandigarh                      |                       49 |
| Chhattisgarh                    |                     5747 |
| Dadra& Nagar Haveli Daman & Diu |                       93 |
| Goa                             |                      273 |
| Gujarat                         |                     9569 |
| Haryana                         |                     2584 |
| Himachal Pradesh                |                     1691 |
| Jammu &Kashmir                  |                     3013 |
| Jharkhand                       |                     2243 |
| Karnataka                       |                     9800 |
| Kerala                          |                     5651 |
| Ladakh                          |                      321 |
| Lakshadweep                     |                       13 |
| Madhya Pradesh                  |                    11325 |
| Maharashtra                     |                    10923 |
| Manipur                         |                      406 |
| Meghalaya                       |                      451 |
| Mizoram                         |                      372 |
| Nagaland                        |                      383 |
| Odisha                          |                     6548 |
| Puducherry                      |                      127 |
| Punjab                          |                     2989 |
| Rajasthan                       |                     9824 |
| Sikkim                          |                      180 |
| Tamil Nadu                      |                     8245 |
| Telangana                       |                     5150 |
| Tripura                         |                     1097 |
| Uttar Pradesh                   |                    21891 |
| Uttarakhand                     |                     2063 |
| West Bengal                     |                    10358 |

Annexure-II State/UT wise Central Releases under NHM from the FY 2018-19 to FY 2022-23 (Rs. in crore)

| SN   | States                      | 2018-19   | 2019-20   | 2020-21   | 2021-22   | 2022-23   |
|------|-----------------------------|-----------|-----------|-----------|-----------|-----------|
| 1    | Andaman and Nicobar Islands | 18.05     | 34.92     | 36.91     | 43.68     | 45.26     |
| 2    | Andhra Pradesh              | 1,081.29  | 1,111.0 7 | 1,097.81  | 1,199.37  | 1,489.45  |
| 3    | Arunachal Pradesh           | 216.92    | 185.95    | 243.04    | 188.53    | 233.82    |
| 4    | Assam                       | 1,381.51  | 1,749.2 4 | 1,807.48  | 1,955.93  | 1,981.83  |
| 5    | Bihar                       | 1,409.78  | 1,510.6 8 | 1,814.63  | 1,748.76  | 1,586.57  |
| 6    | Chandigarh                  | 27.06     | 22.77     | 22.21     | 17.47     | 38.09     |
| 7    | Chhattisgarh                | 875.10    | 816.07    | 979.41    | 969.61    | 1,195.08  |
| 8    | Dadra &Nagar Haveli         | 23.46     | 25.33     | 36.39     | 38.59     | 58.28     |
|      | Daman &Diu                  | 11.76     | 16.79     |           |           |           |
| 9    | Delhi                       | 154.23    | 138.74    | 125.73    | 127.37    | 35.15     |
| 10   | Goa                         | 33.96     | 35.47     | 34.81     | 26.01     | 55.42     |
| 11   | Gujarat                     | 1,038.69  | 1,110.8 0 | 1,005.66  | 1,094.48  | 1,120.06  |
| 12   | Haryana                     | 538.83    | 567.71    | 531.50    | 577.07    | 681.21    |
| 13   | Himachal Pradesh            | 345.43    | 504.84    | 441.94    | 555.09    | 494.65    |
| 14   | Jammu and Kashmir           | 556.46    | 702.20    | 667.46    | 459.10    | 651.52    |
| 15   | Jharkhand                   | 616.23    | 830.63    | 602.80    | 640.18    | 810.30    |
| 16   | Karnataka                   | 1,254.82  | 1,173.7 7 | 1,232.19  | 1,274.71  | 1,246.67  |
| 17   | Kerala                      | 887.90    | 836.14    | 788.22    | 771.47    | 1,036.76  |
| 18   | Lakshadweep                 | 6.58      | 6.16      | 7.11      | 8.41      | 9.97      |
| 19   | Madhya Pradesh              | 1,668.09  | 1,728.7 3 | 2,377.14  | 2,295.66  | 2,582.10  |
| 20   | Maharashtra                 | 1,565.98  | 1,724.9 9 | 1,833.59  | 1,769.67  | 2,187.13  |
| 21   | Manipur                     | 147.09    | 185.65    | 189.49    | 95.59     | 61.40     |
| 22   | Meghalaya                   | 145.06    | 141.17    | 202.63    | 282.46    | 261.56    |
| 23   | Mizoram                     | 118.36    | 127.24    | 143.73    | 93.82     | 111.82    |
| 24   | Nagaland                    | 132.11    | 123.23    | 188.21    | 126.66    | 91.38     |
| 25   | Odisha                      | 743.57    | 1,475.1 4 | 1,617.63  | 1,263.07  | 1,284.69  |
| 26   | Puducherry                  | 38.16     | 31.56     | 25.55     | 21.33     | 20.73     |
| 27   | Punjab                      | 570.51    | 712.02    | 568.14    | 349.21    | 448.89    |
| 28   | Rajasthan                   | 1,667.00  | 1,781.8 3 | 2,000.58  | 1,924.95  | 1,460.80  |
| 29   | Sikkim                      | 45.22     | 53.55     | 70.13     | 51.86     | 73.30     |
| 30   | Tamil Nadu                  | 1,479.71  | 1,424.2 2 | 1,522.71  | 1,631.91  | 1,652.24  |
| 31   | Tripura                     | 186.52    | 239.47    | 225.91    | 217.95    | 231.90    |

|   32 | Uttar Pradesh   | 3,886.70   | 4,749.0 5   | 3,772.95   | 3,235.46   | 5,133.59   |
|------|-----------------|------------|-------------|------------|------------|------------|
|   33 | Uttarakhand     | 297.18     | 348.83      | 583.25     | 553.47     | 505.01     |
|   34 | West Bengal     | 1,116.09   | 1,749.3 2   | 1,895.01   | 1,654.26   | 1,252.32   |
|   35 | Telangana       | 713.43     | 964.34      | 671.88     | 725.67     | 683.77     |
|   36 | Ladakh          | -          | -           | 91.89      | 44.79      | 94.95      |

1. National Health Mission (NHM) comprises of two sub Missions viz. National Rural Health Mission (NRHM) and National Urban Health Mission (NUHM). As per DoE guidelines Pools/ Programmes have been merged from the FY 2022-23 onwards.
2. The above releases relate to Central Govt. Grants & do not include State share contribution.
3. 3.After the Reorganisation of the State of Jammu and Kashmir (J&K) into the Union Territory of J&K and Union Territory of Ladakh, NHM funds to the UT of Ladakh were disbursed for the first time during 2020-21