Lok Sabha Question No. 779 (UNSTARRED), answered on 2024-11-29
Subject: AYUSH Health Centres
Ministry: AYUSH
Asked by: Shri Damodar Agrawal, Shri Brijmohan Agrawal

## GOVERNMENT OF INDIA MINISTRY OF AYUSH

## LOK SABHA UNSTARRED QUESTION NO.779 TO BE ANSWERED ON 29.11.2024

## AYUSH Health Centres

† 779. Shri Damodar Agrawal:

Shri Brijmohan Agrawal:

Will the Minister of AYUSH be pleased to state:

- (a) the salient features and AYUSH Health Centres set up/proposed/operating in the country, State/UT-wise particularly in Rajasthan and Chhattisgarh during the last  three  years  and the current year, year-wise;
- (b) the total funds sanctioned by the Government for the proposed AYUSH centres in Rajasthan and Chhattisgarh;
- (c) whether the Government has fixed any timeline for setting up all the proposed AYUSH centres in Chhattisgarh and if so, the details thereof;
- (d) the steps taken/proposed to be taken by the Government for the development of AYUSH centres at district level in the State of Rajasthan, district-wise;
- (e) whether  the  Government  has  established  AYUSH  Health  Centre  in  Bhilwara  district  of Rajasthan; and
- (f) if so, the details thereof and if not, the reasons therefor?

## ANSWER

## THE MINISTER OF STATE (IC) OF THE MINISTRY OF AYUSH (SHRI PRATAPRAO JADHAV)

(a) The  Union  Cabinet  approved  the  proposal  to  operationalize  12,500  Ayush  Health  and Wellness  Centres  (AHWCs)  [now  renamed  as  Ayushman  Arogya  Mandir  (Ayush)]  under Ayushman Bharat through State/UT Governments under the broad umbrella of the Centrally Sponsored  Scheme of  the  National  AYUSH  Mission  (NAM)  in  a  phased  manner  from  the year 2019-20 to 2023-24, now extended up to 2024-25. The salient features of Ayush Health and  Wellness  Centres  are  furnished  in Annexure-I .  Under  the  NAM,  as  per  the  proposals received  from  State/UT  Governments  through  their  State  Annual  Action  Plans  (SAAPs),  a total of 12,500 units of existing Ayush dispensaries and sub health centres has been approved to be upgraded as Ayushman Arogya Mandir (Ayush) in the States/UTs including Rajasthan and  Chhattisgarh.  As  per  the  reports  received  from  States/UTs,  12250  Ayushman  Arogya Mandir (Ayush) have been made functional till date. The State/UT wise year wise status of approved  and  functional  Ayushman  Arogya  Mandir  (Ayush)  including  Rajasthan  and Chhattisgarh is furnished in Annexure II .

(b) As per the proposals received from the State Government of Rajasthan and Chhattisgarh through their State Annual Action Plans (SAAPs), an amount of Rs. 46473.69 Lakhs & Rs.

7803.25  Lakhs  has  been  approved  for  State  Government  of  Rajasthan  and  Chhattisgarh respectively for operationalization of Ayushman Arogya Mandir (Ayush).

(c) As per the proposals received from the State Govt. of Chhattisgarh Ministry of Ayush has approved 400 Ayush Dispensaries to be upgraded as Ayushman Arogya Mandir (Ayush). As reported by State Government of Chhattisgarh, all the 400 AAM (Ayush) are functional.

(d) Public  Health  being  the  State  subject,  the  development  of  AYUSH  centres  at  district level  in  the  State  of  Rajasthan  comes  under  the  purview  of  the  respective  State/UT Government. However, under NAM  there is provision of financial assistance for establishment  of  new  10/30/50  bedded  integrated  Ayush  Hospitals  in  the  States/  UTs. Accordingly, State/UT Governments may avail the eligible financial assistance for establishment  of  new  10/30/50  bedded  integrated  Ayush  Hospitals  by  submitting  suitable proposal  through  State  Annual  Action  Plans  (SAAPs)  as  per  the  provision  of  NAM guidelines.  As  per  the  proposals  received  from  State  Government  of  Rajasthan,  50  bedded Integrated  Ayush  Hospitals  approved  in  the  districts  of  Bhilwara,  Ajmer,  Churu,  Bikaner, Jaipur, Sikar, Sawaimadhopur and Bharatpur.

(e) to  (f)  As  per  the  proposals  received  from  State  Government  of  Rajasthan,  98  units  of Ayushman Arogya Mandir (Ayush) have been approved in Bhilwara district and as reported by  State  Government  of  Rajasthan,  all  the  98  Ayushman  Arogya  Mandir  (Ayush)  are functional.

*****

## Background:

The Union Cabinet approved the proposal to operationalize 12,500 Ayush HWCs through State/UTs in Centrally Sponsored Scheme mode and under the broad umbrella of the National AYUSH Mission (NAM) in a phased manner from the year 2019-20 to 2023-24.

## Vision

-  To establish a holistic wellness model based on AYUSH principles and practices.

## Objectives

-  To provide comprehensive primary healthcare through AYUSH using a team-based approach
-  To establish a holistic wellness model based on AYUSH principles and practices focusing on preventive, promotive, curative and rehabilitative healthcare by establishing integration with existing public healthcare systems
-  To provide informed choice to the needy public by making AYUSH services available.

## Strategy of Implementation

The Ministry of AYUSH has been given the task of developing 12,500 HWCs under Ayushman Bharat.  This  will  be  achieved  in  a  phased  manner  through  State  Governments  and  Union Territories. The funding will be through the Centrally Sponsored Scheme of National AYUSH Mission (NAM).

The Ministry of AYUSH, in consultation with States/UTs and the Ministry of Health & Family Welfare has proposed two following models for up-gradation as AYUSH Health and Wellness Centres:

- i. Up-gradation of AYUSH dispensaries
- ii. Up-gradation of existing sub health centres (SCs)

The  funding  for  both  the  above  models  would  be  through  National  AYUSH  Mission.  The responsibility to upgrade and operationalize AYUSH  dispensaries  will  rest with the Department  of  AYUSH.  The  upgraded  Sub  Health  Centres  will  be  operationalized  by  the State  health  departments  and  the  fund  flow  in  this  case  will  be  made  from  State  AYUSH society to State health society.

## Salient Features of Ayush Health & Wellness Centres (AHWCs)

Annexure II The State/UT wise year wise status of approved and functional Ayushman Arogya Mandir (Ayush)

| S. No .   | Name of State / UT       | No. of approved Ayushman Arogya Mandir(Ayush)   | No. of approved Ayushman Arogya Mandir(Ayush)   | No. of approved Ayushman Arogya Mandir(Ayush)   | Functional Ayushman Arogya Mandir(Ayush)   | Functional Ayushman Arogya Mandir(Ayush)   | Functional Ayushman Arogya Mandir(Ayush)   | Functional Ayushman Arogya Mandir(Ayush)   |
|-----------|--------------------------|-------------------------------------------------|-------------------------------------------------|-------------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|
| S. No .   | Name of State / UT       | 2021- 22                                        | 2022- 23                                        | 2023- 24                                        | 2021- 22                                   | 2022- 23                                   | 2023- 24                                   | 2024- 25                                   |
| 1         | Andhra Pradesh           | 0                                               | 16                                              | 0                                               | 0                                          | 126                                        | 0                                          | 0                                          |
| 2         | Arunachal Pradesh        | 13                                              | 40                                              | 0                                               | 0                                          | 36                                         | 53                                         | 0                                          |
| 3         | Assam                    | 40                                              | 200                                             | 211                                             | 0                                          | 210                                        | 290                                        | 0                                          |
| 4         | Bihar                    | 66                                              | 120                                             | 0                                               | 18                                         | 65                                         | 30                                         | 0                                          |
| 5         | Chhattisgarh             | 40                                              | 160                                             | 0                                               | 94                                         | 190                                        | 116                                        | 0                                          |
| 6         | Goa                      | 31                                              | 34                                              | 26                                              | 9                                          | 25                                         | 66                                         | 0                                          |
| 7         | Gujarat                  | 0                                               | 100                                             | 0                                               | 214                                        | 17                                         | 134                                        | 0                                          |
| 8         | Haryana                  | 20                                              | 0                                               | 0                                               | 81                                         | 22                                         | 10                                         | 127                                        |
| 9         | Himachal Pradesh         | 100                                             | 500                                             | 0                                               | 240                                        | 0                                          | 500                                        | 0                                          |
| 10        | Jharkhand                | 167                                             | 478                                             | 0                                               | 0                                          | 249                                        | 311                                        | 185                                        |
| 11        | Karnataka                | 70                                              | 200                                             | 0                                               | 6                                          | 194                                        | 76                                         | 0                                          |
| 12        | Kerala                   | 150                                             | 280                                             | 180                                             | 59                                         | 136                                        | 492                                        | 0                                          |
| 13        | Madhya Pradesh           | 200                                             | 200                                             | 38                                              | 362                                        | 54                                         | 384                                        | 0                                          |
| 14        | Maharashtra              | 0                                               | 96                                              | 0                                               | 188                                        | 93                                         | 64                                         | 32                                         |
| 15        | Manipur                  | 12                                              | 0                                               | 0                                               | 0                                          | 14                                         | 1                                          | 0                                          |
| 16        | Meghalaya                | 10                                              | 0                                               | 0                                               | 0                                          | 0                                          | 22                                         | 0                                          |
| 17        | Mizoram                  | 14                                              | 0                                               | 3                                               | 24                                         | 0                                          | 17                                         | 0                                          |
| 18        | Nagaland                 | 0                                               | 0                                               | 0                                               | 2                                          | 28                                         | 17                                         | 0                                          |
| 19        | Odisha                   | 150                                             | 172                                             | 0                                               | 75                                         | 170                                        | 177                                        | 0                                          |
| 20        | Punjab                   | 41                                              | 0                                               | 0                                               | 0                                          | 0                                          | 158                                        | 0                                          |
| 21        | Rajasthan                | 500                                             | 1019                                            | 0                                               | 466                                        | 18                                         | 1535                                       | 0                                          |
| 22        | Sikkim                   | 0                                               | 0                                               | 0                                               | 18                                         | 0                                          | 0                                          | 0                                          |
| 23        | Tamil Nadu               | 110                                             | 400                                             | 0                                               | 0                                          | 202                                        | 400                                        | 0                                          |
| 24        | Telangana                | 421                                             | 0                                               | 0                                               | 0                                          | 421                                        | 0                                          | 0                                          |
| 25        | Tripura                  | 7                                               | 27                                              | 0                                               | 0                                          | 0                                          | 72                                         | 0                                          |
| 26        | Uttar Pradesh            | 279                                             | 163                                             | 0                                               | 500                                        | 86                                         | 448                                        | 0                                          |
| 27        | Uttarakhand              | 230                                             | 0                                               | 0                                               | 70                                         | 124                                        | 106                                        | 0                                          |
| 28        | West Bengal              | 171                                             | 269                                             | 0                                               | 76                                         | 188                                        | 269                                        | 0                                          |
| 29        | Andaman & Nicobar Island | 0                                               | 0                                               | 0                                               | 6                                          | 0                                          | 0                                          | 0                                          |
| 30        | Chandigarh               | 1                                               | 6                                               | 0                                               | 0                                          | 0                                          | 6                                          | 0                                          |
| 31        | Delhi                    | 0                                               | 0                                               | 0                                               | 0                                          | 0                                          | 0                                          | 0                                          |
| 32        | DNH&DD                   | 0                                               | 1                                               | 0                                               | 0                                          | 0                                          | 1                                          | 0                                          |
| 33        | Jammu& Kashmir           | 123                                             | 125                                             | 81                                              | 139                                        | 103                                        | 206                                        | 0                                          |

|   34 | Ladakh      |   0 |   0 |   0 |   0 |   0 |   0 |   0 |
|------|-------------|-----|-----|-----|-----|-----|-----|-----|
|   35 | Lakshadweep |   2 |   2 |   0 |   5 |   2 |   0 |   0 |
|   36 | Puducherry  |   1 |   0 |   0 |   3 |   1 |   0 |   0 |