Lok Sabha Question No. 4690 (UNSTARRED), answered on 2025-03-28
Subject: National Rural Health Mission in Maharashtra
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Anup Sanjay Dhotre

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

## LOK SABHA UNSTARRED QUESTION NO. 4690 TO BE ANSWERED ON 28 th MARCH, 2025

## NATIONALRURALHEALTH MISSION IN MAHARASHTRA

## 4690. SHRI ANUPSANJAYDHOTRE:

Will the Minister of HEALTH AND FAMILYWELFARE be pleased to state:

(a) the details of the present coverage of the National Rural Health Mission (NRHM), State/UT-wise particularly in Maharashtra;

(b) whether there is any need for improving access, enabling community ownership and demand for services, strengthening public health systems for efficient service delivery;

(c) if so, the details thereof along with the steps taken by the Union Government in this regard; and

(d) whether some States are facing challenges in strengthening poor public health systems, if so, the details thereof?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI PRATAPRAO JADHAV)

(a) to (d): The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs 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 proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

To provide quality health care services, especially for the under served and marginalized groups in rural and undeserved areas, various initiatives carried out under NHM by the Government of India in the country including Maharashtra are operationalisation of Ayushman Arogya Mandir, Free Drugs Service Initiative, Free Diagnostic Service Initiative, National Ambulance Services, Mobile Medical Units, ASHAs, 24 x 7 Services and First Referral Facilities, Prime Minister's National Dialysis Programme, various activities under Reproductive & Child Health, Anaemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB

Mukt Bharat Abhiyaan (PMTBMBA) and Universal Immunization programme.

Through 1.76 lakh Ayushman Arogya Mandir, comprehensive primary healthcare is provided by strengthening Sub Health Centres (SHCs) and Primary Health Centres (PHCs). These Ayushman Arogya Mandir (AAM) provide preventive, promotive, rehabilitative and curative care for an expanded range of services encompassing reproductive and child healthcare services, Communicable diseases, Non-communicable diseases and other health issues.

The teleconsultation services, available at operational AAMs, enables people to access the specialist services closer to their homes addressing concerns of physical accessibility, saving cost to care, shortage of service providers and to ensure continuum of care. Total teleconsultation conducted at AAM are 33.94 cr as on 28.02.2025.

PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched by Hon'ble Prime Minister of India with an outlay of Rs. 64,180 crore. The measures under the PMABHIM focus on developing capacities of health systems and institutions across the continuum of care at all levels, primary, secondary and tertiary, to prepare health systems in responding effectively to the current and future pandemics /disasters.

The Fifteenth Finance Commission (FC-XV) has recommended grants aggregating to Rs.70,051 crore over the period of five years (2021-2026) through Local Governments to strengthen the healthcare system in states.

Community platforms like Village Health Sanitation & Nutrition Committee and Mahila Arogya Samiti and facility-based platforms like Jan Arogya Samitis are instrumental in raising awareness of National Health Programs and health initiatives. The National Quality Assurance Standards (NQAS) assessments have significantly contributed to improving the quality of primary healthcare system across the country.

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