Lok Sabha Question No. 3274 (UNSTARRED), answered on 2025-08-08
Subject: Healthcare Infrastructure and Disease Control
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Rajmohan Unnithan

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3274 TO BE ANSWERED ON 08.08.2025

## HEALTHCARE INFRASTRUCTURE AND DISEASE CONTROL

## 3274. SHRI RAJMOHAN UNNITHAN:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the details of assistance provided to Kasaragod district in Kerala under centrally sponsored schemes for strengthening public health infrastructure, including upgradation of primary health centres and district hospitals;
- (b) whether there are any approved proposals for establishing or expanding tertiary healthcare facilities, including medical colleges or speciality centres, in Kasaragod to address regional healthcare gaps;
- (c) if so, the details thereof; and
- (d) the manner in which the Government is supporting the district in controlling lifestyle related and non-communicable diseases through targeted awareness and intervention programmes?

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

(a) to (c): 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 Programme Implementation Plans (PIPs) 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. Details of the approvals given for the strengthening healthcare in rural areas of the country are available at website of Ministry of Health and Family Welfare at the Uniform Resources Locator (URL) as under:

The details of central releases to the State of Kerala is under NHM are as under: (Rs. In Cr.)

|   Sl. No. | Financial Year   |   Central Release |
|-----------|------------------|-------------------|
|         1 | 2022-23          |           1036.76 |
|         2 | 2023-24          |            189.15 |
|         3 | 2024-25          |           1351.78 |

Note: The above releases relate to Central Govt. Grants & do not include State share contribution.

Details of funds approved during the current FY 2025-26 & for the last three FYs i.e 2024-25; 2023-24; 2022-23 for development of building infrastructure under NHM to the State of Kerala are as under:

(Rs. in lakhs)

| State/ UT   |   2025-26 | 2024-25   | 2023-24   | 2022-23   |
|-------------|-----------|-----------|-----------|-----------|
| Kerala      |   2941.32 | 6,464.94  | 17,943.60 | 12,632.88 |

PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) envisages increased investments in public health and other health reforms to provide better access to health in rural areas. Administrative approvals have been accorded to the State of Kerala for five years (i.e. FY 2021-22 to 2025-2026) for an amount of Rs. 404.63 Cr. for construction/ strengthening of 14 IPHLs at District level and 14 CCBs at District Hosopitals and Medical college level.

Also, one (01) Integrated Public Health Labs (IPHL) and one (01) Critical Care Blocks (CCB) have been accorded to the district of Kasargod in the FY 2023-24.

Under Fifteenth Finance Commission (FC-XV) for the State of Kerala, Rs.2958.02 Crore has been approved for the five year period from FY 2021-22 to FY 2025-26 and Rs.1694.74 Cr. has been released so far for establishment and strengthening of 1205 Building less SHCs, 116 Building less PHCs, 41 Building less CHCs, 152 Block Public Health Units, and 380 UrbanAAMs.

The Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) aims at correcting regional imbalances in the availability of affordable tertiary healthcare services and to augment facilities for quality medical education in the country. Under the Scheme approvals has been accorded for upgradation of four Government Medical Colleges/ Institutions (GMCIs) at for the State of

Kerala. Details are as under:

| State   |   No. | Name of GMC/ Institute              | Approved Infrastructure                        |
|---------|-------|-------------------------------------|------------------------------------------------|
| Kerala  |     1 | Medical College, Thiruvananthapuram | Super Speciality Block                         |
| Kerala  |     2 | Kozhikode Medical College           | Trauma Care Centre with Super Speciality Block |
| Kerala  |     3 | T.D. Medical College, Alappuzha     | Super Speciality Block                         |
| Kerala  |     4 | SCTIMST, Trivandrum                 | Super Speciality Block                         |

(d): The Department of Health and Family Welfare, Government of India, provides technical and financial support to the States and Union Territories under the National Programme for Prevention and Control of Non Communicable Diseases (NP-NCD) as part of National Health Mission (NHM). The programme focuses on strengthening infrastructure, human resource development, early diagnosis, referral to an appropriate level of healthcare facility for treatment and management and health promotion and awareness generation for prevention, of Non-Communicable Diseases (NCDs) including cervical cancer. Under NP-NCD, 770 District NCD Clinics, 372 District Day Care Centres, 233 Cardiac Care Units and 6410 Community Health Centre NCD Clinics has been set up.

A population-based initiative for screening, management and prevention of common NCDs have been rolled out as a part of comprehensive Primary Health Care in the country under National Health Mission (NHM). Screening of these common NCDs is an integral part of service delivery.

In the community, Accredited Social Health Activist (ASHA) plays a pivotal role in spreading awareness about NCDs. ASHAs educate individuals and families on the importance of adopting healthy lifestyles, including nutritious diets, regular physical activity, and avoidance of tobacco and alcohol. ASHAs emphasize the significance of early detection through regular health checkups and screenings, enabling timely intervention through home visits, group meetings, and participation in health campaigns.

Launched in the year 2018, Ayushman Arogya Mandir (AAM), erstwhile Ayushman Bharat Health and Wellness Centres program, is India's commitment for achieving promotive, preventive, curative, palliative and rehabilitative aspects of Universal Health Coverage. Besides expanding and strengthening the existing Reproductive and Child Health (RMNCHA+N) services and Communicable Diseases services, the functional AAM provide services related to Non-Communicable Diseases (NCDs) (screening and management for NCDs such as Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix) and incrementally adding other primary healthcare services for mental health, ENT, Ophthalmic, oral health, geriatric and palliative health care and trauma care etc.

Further, initiatives for increasing public awareness about NCDs and for promotion of healthy lifestyle include observance of health days related to NCDs, use of print, electronic and social media for continued community awareness. Financial support under National Health Mission (NHM) for awareness generation activities for NCDs is provided to States/Union Territories as per their Programme Implementation Plans (PIPs).

Healthy Eating is promoted through 'Eat Right India movement' of Food Safety and Standards Authority of India (FSSAI). 'Fit India movement' is implemented by Ministry of Youth Affairs and Sports. Various Yoga related activities are carried out by Ministry of AYUSH.

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