Lok Sabha Question No. 4219 (UNSTARRED), answered on 2024-12-20
Subject: Medical Infrastructure in Andhra Pradesh
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Putta Mahesh Kumar

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 4219 TO BE ANSWERED ON 20.12.2024

## MEDICALINFRASTRUCTURE IN ANDHRAPRADESH

## 4219. SHRI PUTTA MAHESH KUMAR:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the total number of Primary Health Centres (PHCs), Community Health Centres (CHCs), Medical College Hospitals and hospitals proposed, under construction and presently functional during the last five years across the country, State-wise and district-wise in Andhra Pradesh particularly Eluru district;
- (b) the total amount of fund(s) allocated and utilised under various schemes for construction and upgradation of the said centres and hospitals during the said period across the country, State/district-wise particularly in Eluru district;
- (c) the present status of each project proposed including under construction/upgradation projects pertaining to the said medical infrastructure in Andhra Pradesh especially in Eluru district; and
- (d) whether the Government has any plans to establish medical college hospitals in the State of Andhra Pradesh over the next five years especially in Eluru District and if so, the details thereof?

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

(a) to (d): Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an annual publication, based on Health care administrative data reported by States/UTs. Details of health facilities functioning in rural & urban areas in the country including Andhra Pradesh and Eluru district may be seen at the following link of HDI 2022-23:

https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastr ucture%20%26%20Human%20Resources%29%202022-23\_RE%20%281%29.pdf

The National Health Mission (NHM) provides support for improvement in health infrastructure, availability of adequate human resources in health facilities, to improve availability and accessibility to quality health care especially for the under served and marginalized groups in rural areas. 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 NHM. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

Number of projects approved and completed in Andhra Pradesh and Eluru district under various schemes during last five years is as follows:

|                                                                          |                                 | Andhra Pradesh   | Andhra Pradesh   | Eluru district   | Eluru district   |
|--------------------------------------------------------------------------|---------------------------------|------------------|------------------|------------------|------------------|
| Scheme                                                                   | Facility                        | Approved         | Completed        | Approved         | Completed        |
| NHM                                                                      | Primary Health Centres (PHC)    | 6                | 5                | 4                | 0                |
| NHM                                                                      | Maternal and Child Health wings | 4                | 3                | 0                | 0                |
| NHM                                                                      | Health and Wellness Centres     | 2,727            | 2,727            | 107              | 107              |
| XV -Finance Commissin (FC)                                               | PHC                             | 100              | 1                | 4                | 0                |
| XV -Finance Commissin (FC)                                               | Block Public Health Units       | 334              | 35               | 15               | 1                |
| XV -Finance Commissin (FC)                                               | Community Health Centres        | 9                | 0                | 0                | 0                |
| Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) | Integrated Public Health Labs   | 26               | 13               | 1                | 0                |
| Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) | Critical Care Blocks            | 24               | 0                | 1                | 0                |

Details of State/UT-wise SPIP approvals given and Expenditure incurred on Infrastructure Strengthening under NHM in the last five years including Andhra Pradesh is attached at Annexure. Total amount of Rs. 1271.8 crore has been approved under PM-ABHIM for the State of Andhra Pradesh for FY 2021-22 to FY 2025-26. Total amount of Rs 2600.8 crore has been approved under FC-XV health grant for the State of Andhra Pradesh for FY 2021-22 to FY 2025-26.

This Ministry administers a Centrally Sponsored Scheme (CSS) for 'Establishment of new Medical Colleges attached with existing district/referral hospitals' with preference to underserved areas and aspirational districts, where there is no existing Government or private medical college with fund sharing between the Centre and State Governments in the ratio of 90:10 for North Eastern and Special Category States and 60:40 for others. Under the Scheme, 157 Medical colleges have been approved in three phases including 3 medical colleges in the State of Andhra Pradesh, in Piduguralla, Paderu and Machilipatnam districts. Out of the three Medical colleges in Andhra Pradesh, Paderu and Machilipatnam are functional.

******

## State/UT-wise SPIP approvals and Expenditure on Infrastructure Strengthening under National Health Mission (NHM)

## from FY 2019-20 to FY 2023-24

## (Rs. in Lakhs)

| Sl. No.   | States                         | 2019-20        | 2019-20     | 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 | SPIP Approvals | Expenditure |
| 1         | Andaman and Nicobar Islands    | 340.00         | 47.05       | 135.00         | 59.76       | 159.00         | 2.52        | 2.00           | 3.70        | 5.00           | 0.00        |
| 2         | Andhra Pradesh                 | 43,234.00      | 9,016.00    | 14,399.00      | 44,164.00   | 2,583.25       | 2,682.25    | 633.06         | 315.88      | 875.72         | 52.56       |
| 3         | Arunachal Pradesh              | 2,549.94       | 1,555.67    | 2,828.89       | 1,893.17    | 5,674.45       | 4,386.79    | 4,737.52       | 6,568.85    | 2,069.80       | 5,382.51    |
| 4         | Assam                          | 18,009.34      | 12,329.25   | 33,641.14      | 18,510.37   | 23,425.82      | 15,546.48   | 35,925.05      | 9,521.74    | 10,500.34      | 9,024.95    |
| 5         | Bihar                          | 52,755.20      | 49,729.68   | 36,745.92      | 23,441.59   | 37,842.57      | 13,032.84   | 99,387.56      | 36,055.09   | 52,900.70      | 45,692.16   |
| 6         | Chandigarh                     | 0.00           | 0.00        | 0.00           | 0.00        | 0.00           | 0.00        | 0.00           | 0.00        | 0.00           | 0.00        |
| 7         | Chhattisgarh                   | 12,983.45      | 12,360.49   | 14,686.45      | 10,227.16   | 15,047.86      | 4,106.67    | 7,789.77       | 6,970.37    | 7,789.77       | 6,682.68    |
| 8         | Dadra &Nagar Haveli Daman &Diu | 1.92 5.76      | 0.00 0.90   | 5.76           | 3.11        | 2.88           | 0.00        | 2.88           | 0.00        | 2.88           | 0.00        |
| 9         | Delhi                          | 1,012.12       | 208.30      | 381.96         | 200.48      | 681.80         | 172.50      | 1,399.96       | 2,285.11    | 1,399.96       | 2,255.23    |
| 10        | Goa                            | 36.32          | 31.11       | 119.60         | 15.31       | 125.95         | 54.58       | 260.26         | 134.17      | 225.34         | 197.82      |
| 11        | Gujarat                        | 3,901.65       | 2,151.18    | 2,185.12       | 2,110.96    | 878.22         | 564.05      | 5,028.85       | 253.57      | 353.08         | 642.44      |
| 12        | Haryana                        | 7,603.28       | 480.06      | 17,020.75      | 991.97      | 12,804.52      | 755.18      | 8,555.93       | 8,937.08    | 335.90         | 303.64      |
| 13        | Himachal Pradesh               | 5,521.00       | 1,759.30    | 8,731.00       | 3,067.99    | 3,547.39       | 3,149.75    | 0.00           | 0.00        | 600.00         | 0.00        |
| 14        | Jammu and Kashmir              | 6,805.35       | 2,676.43    | 4,505.65       | 2,157.84    | 3,433.33       | 579.19      | 1,599.96       | 498.41      | 3,375.46       | 2,905.67    |
| 15        | Jharkhand                      | 11,349.15      | 3,413.16    | 10,591.96      | 4,982.45    | 2,494.78       | 2,389.54    | 9,373.36       | 3,713.19    | 8,850.36       | 6,599.20    |
| 16        | Karnataka                      | 25,128.33      | 17,575.18   | 19,381.04      | 22,122.67   | 15,324.05      | 15,833.87   | 7,613.96       | 5,158.75    | 4,789.20       | 6,307.16    |
| 17        | Kerala                         | 14,310.07      | 3,119.15    | 11,316.81      | 6,700.47    | 5,897.00       | 4,539.01    | 12,709.03      | 5,319.77    | 18,104.34      | 3,856.56    |
| 18        | Lakshadweep                    | 0.00           | 0.00        | 0.00           | 0.00        | 0.00           | 0.00        | 0.00           | 0.00        | 0.00           | 0.00        |
| 19        | Madhya Pradesh                 | 30,611.22      | 22,132.43   | 53,937.59      | 29,953.79   | 25,482.92      | 14,190.80   | 19,866.87      | 22,572.53   | 42,679.70      | 25,574.97   |

Annexure

|   20 | Maharashtra   | 79,683.45   | 38,415.53   | 49,479.00   | 39,940.64   | 55,881.84   | 21,942.42   | 61,535.48   | 24,932.60   | 60,134.13   | 33,948.75   |
|------|---------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|-------------|
|   21 | Manipur       | 1,779.33    | 633.92      | 2,633.15    | 273.96      | 2,999.42    | 683.74      | 1,796.82    | 44.62       | 16.41       | 14.77       |
|   22 | Meghalaya     | 954.68      | 517.93      | 1,444.80    | 722.91      | 1,656.32    | 262.55      | 1,096.27    | 864.35      | 69.49       | 886.06      |
|   23 | Mizoram       | 449.17      | 207.73      | 570.03      | 235.33      | 35.40       | 44.42       | 36.75       | 14.37       | 33.79       | 25.42       |
|   24 | Nagaland      | 1,100.19    | 611.24      | 3,943.01    | 616.37      | 1,074.84    | 1,370.75    | 3,073.78    | 1,138.36    | 2,132.23    | 1,375.81    |
|   25 | Odisha        | 43,027.62   | 42,120.12   | 21,229.04   | 37,077.63   | 32,846.14   | 35,621.88   | 62,574.68   | 84,110.12   | 48,034.45   | 58,810.00   |
|   26 | Puducherry    | 58.00       | 67.69       | 14.88       | 124.65      | 26.16       | 1.17        | 6.36        | 8.54        | 6.48        | 2.78        |
|   27 | Punjab        | 7,121.00    | 3,598.90    | 9,096.00    | 6,820.97    | 5,201.90    | 3,759.31    | 990.10      | 40.87       | 190.60      | 190.60      |
|   28 | Rajasthan     | 53,999.20   | 27,741.29   | 96,888.58   | 31,983.06   | 85,616.83   | 14,112.39   | 57,577.61   | 28,782.14   | 57,736.11   | 46,950.24   |
|   29 | Sikkim        | 693.17      | 409.03      | 388.52      | 394.38      | 391.84      | 237.11      | 52.51       | 6.44        | 64.37       | 32.18       |
|   30 | Tamil Nadu    | 27,386.93   | 36,814.46   | 36,251.27   | 31,670.27   | 26,196.13   | 27,738.27   | 56,033.70   | 41,677.06   | 79,790.36   | 45,563.89   |
|   31 | Telangana     | 31,612.33   | 1,758.59    | 15,012.86   | 10,626.89   | 7,640.83    | 12,909.19   | 11,534.19   | 15,478.29   | 41,042.91   | 6,920.11    |
|   32 | Tripura       | 5,051.69    | 1,643.88    | 4,549.00    | 3,451.67    | 4,998.54    | 4,206.31    | 5,149.70    | 4,185.24    | 4,518.05    | 3,010.20    |
|   33 | Uttar Pradesh | 45,650.91   | 34,651.36   | 1,47,304.31 | 26,830.36   | 1,24,665.62 | 12,736.34   | 42,730.00   | 18,346.25   | 1,71,102.14 | 5,026.42    |
|   34 | Uttarakhand   | 7,082.25    | 7,278.15    | 10,574.88   | 7,963.54    | 13,588.14   | 15,159.27   | 10,604.54   | 5,195.83    | 1,238.88    | 3,454.42    |
|   35 | West Bengal   | 16,703.00   | 4,783.51    | 18,282.20   | 11,930.55   | 7,984.58    | 2,217.18    | 11,212.94   | 1,899.55    | 3,005.22    | 3,506.23    |
|   36 | Ladakh        | 0.00        | 0.00        | 3,240.67    | 518.06      | 3,125.00    | 470.95      | 2,691.15    | 1,215.87    | 2,334.65    | 1,349.92    |

## Note:

1. Expenditure includes expenditure against Central Release, State share & unspent balances at the beginning of the year.
2. SPIP Approval and Expenditure is as per the available Financial Management Reports submitted by State/UTs and are provisional.
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.