Lok Sabha Question No. 104 (UNSTARRED), answered on 2024-02-02
Subject: Free Diagnostics Service under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Midhun Reddy

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

## LOK SABHA UNSTARRED QUESTION NO. 104 TO BE ANSWERED ON 02.02.2024

## FREE DIAGNOSTICS SERVICE UNDER NHM

## 104 SHRI P.V. MIDHUN REDDY:

Will the Minister of HEALTHANDFAMILYWELFARE be pleased to state:

- (a) the details regarding the Free Diagnostics Services Initiative (FDSI) under National Health Mission (NHM);
- (b) the average number of Outpatients in Health and Wellness Centres (HWCs), State/UTwise, particularly in Andhra Pradesh;
- (c) the measures that are being taken to increase outpatient count in HWCs;
- (d) whether the Government has conducted any study to gauge the efficacy of the Initiative after so many years of functioning;
- (e) if so, the details thereof in particular with reference to Andhra Pradesh; and
- (f) if not, the reasons therefor?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (DR. BHARATI PRAVIN PAWAR)

(a) Ministry of Health and Family Welfare, Government of India has launched the 'Free Diagnostics Service Initiative' (FDSI) programme under National Health Mission (NHM) in 2015 with an objective to provide accessible and affordable pathological and radiological diagnostics services closer to the community encompassing Free Laboratory Services, Free Tele radiology Services and Free CT Scan Services. The objective of FDSI is to provide expanded range of diagnostics, free of cost at all levels of public health facilities (14 tests at Sub Centers, 63 at Primary Health Centers, 97 at Community Health Centres, 111 test at Sub District Hospitals and 134 tests at District Hospitals).

(b) The details of average footfall at HWCs (now renamed as Ayushman Arogya Mandirs) state-wise including that of Andhra Pradesh is at ANNEXURE .

(c) The National Health Policy - 2017 envisages the goal of attainment of the highest possible level of health and well-being, through a preventive and promotive healthcare orientation, and universal access to good quality healthcare services without anyone having to face financial hardships as a consequence. Under the guidance of National Health Policy, National Health Mission exerts continuous efforts to strengthen the Public Health delivery system and infrastructure in the country. The existing SubHealth Centres (SHC), Primary Health Centres (PHC) are transformed into Ayushman Arogya Mandir 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.

(d) to (f) The implementation and progress of various programs including Free Diagnostic Service Initiative under the National Health Mission (NHM) is monitored/ reviewed at the national level through Annual Program Planning and Review - Programme Implementation Plan (PIP), Annual Common Review Missions (CRM) which comprise of government officials from different Ministries and NITI Aayog, public health experts and representatives of development partners and civil society. At the District Level, the "District Level Vigilance & Monitoring Committees' are constituted to monitor the progress of implementation of National Rural Health Mission under the overall Framework for Implementation.The details of various reports of CRM and PIP for Andhra Pradesh are available in public domain at https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=795&lid=195 https://nhsrcindia.org/practice-areas/kmd/common-review-mission-crm-reports https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744

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## Details of average footfall at Ayushman Arogya Mandirs state-wise is as follows:-

|   S NO. | STATE/UT                 |   AVG FOOTFALL/FACILITY/MONTH |
|---------|--------------------------|-------------------------------|
|       1 | Andaman &Nicobar Islands |                           548 |
|       2 | Andhra Pradesh           |                           627 |
|       3 | Arunachal Pradesh        |                           105 |
|       4 | Assam                    |                           253 |
|       5 | Bihar                    |                           287 |
|       6 | Chandigarh               |                          1747 |
|       7 | Chhattisgarh             |                           387 |
|       8 | DNH&DD                   |                           684 |
|       9 | Goa                      |                           448 |
|      10 | Gujarat                  |                           435 |
|      11 | Haryana                  |                           404 |
|      12 | Himachal Pradesh         |                           156 |
|      13 | Jammu &Kashmir           |                           271 |
|      14 | Jharkhand                |                           203 |
|      15 | Karnataka                |                           506 |
|      16 | Kerala                   |                           731 |
|      17 | Ladakh                   |                           116 |
|      18 | Lakshadweep              |                          1349 |
|      19 | Madhya Pradesh           |                           380 |
|      20 | Maharashtra              |                           514 |
|      21 | Manipur                  |                            99 |
|      22 | Meghalaya                |                           323 |
|      23 | Mizoram                  |                           206 |
|      24 | Nagaland                 |                            76 |
|      25 | Odisha                   |                           510 |
|      26 | Puducherry               |                          2066 |
|      27 | Punjab                   |                           302 |
|      28 | Rajasthan                |                           373 |
|      29 | Sikkim                   |                           210 |
|      30 | Tamil Nadu               |                          1574 |
|      31 | Telangana                |                           968 |
|      32 | Tripura                  |                           153 |
|      33 | Uttar Pradesh            |                           376 |
|      34 | Uttarakhand              |                           197 |
|      35 | West Bengal              |                           659 |

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