Lok Sabha Question No. 1069 (UNSTARRED), answered on 2023-12-08
Subject: Health for All
Ministry: HEALTH AND FAMILY WELFARE
Asked by: A. Ganeshamurthi

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILYWELFARE DEPARTMENTOFHEALTH ANDFAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1069 TO BE ANSWERED ON 08.12.2023

## HEALTH FOR ALL

## 1069. SHRI A. GANESHAMURTHI:

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

- (a) whether the Government has achieved the target of 'Health for All' and if not, the reasons for lagging behind the target;
- (b) whether the Government has launched a new scheme called Ayushman Bhava and if so, the details thereof;
- (c) the number of Ayushman Bhava cards issued/ being issued to the beneficiaries, State/UTwise; and

(d) the details of the measures taken to ensure healthcare accessibility to the poor and downtrodden in the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a): The National Health Policy formulated in 2017 envisages to provide universal access to good quality healthcare services through increasing access, increasing affordability by lowering the cost of healthcare delivery and equity. The policy envisages as its goal the attainment of the highest possible level of health and well-being for all at all ages, through a preventive and promotive healthcare orientation in all developmental policies, and universal access to good quality healthcare services without anyone having to face financial hardship as a consequence. The Policy is centered on the key principles of Equity; Affordability; Universality; Patient Centeredness & Quality of care and accountability. The Central Govt. has taken several initiatives for supplementing the efforts of the State for providing quality and affordable healthcare services to the people.

Under National Health Mission, the Government has taken many steps towards universal health coverage by supporting the State Government in providing accessible & affordable healthcare to people. Under the National Health Mission, financial and technical support is provided to States/UTs to provide accessible, affordable and quality healthcare, especially to the poor and vulnerable sections of the population, in both urban and rural areas. The National Health Mission 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 Government has launched four mission mode projects, namely PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Arogya Mandir erstwhile Ayushman Bharat Health & Wellness Centres (AB-HWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY) and Ayushman Bharat Digital Mission (ABDM).

PM-ABHIM was launched to develop the capacities of primary, secondary, and tertiary healthcare systems, strengthen existing national institutions and create new institutions to cater to detection and cure of new and emerging diseases. PM-ABHIM is a Centrally Sponsored Scheme with some Central Sector Components. The scheme has an outlay of Rs. 64,180 crore till year 2025-26.

Through 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.

Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health coverage up to Rs. 5.00 lakh per family per year to poor and vulnerable families.

Under National Health Policy, current achievements of Maternal Mortality Ratio (MMR)/Infant Mortality Rate (IMR) and Total Fertility Rate are as below:

Maternal Mortality Ratio is 97, Infant Mortality Rate is 28 and Total Fertility Rate is 2.

The Ayushman Bharat Digital Mission (ABDM) aims to develop the backbone necessary to support the integrated digital health infrastructure of the country. It will bridge the existing gap amongst different stakeholders of Healthcare ecosystem through digital highways.

(b) to (d): Ayushman Bhav Campaign was launched by Hon'ble President of India on 13th September, 2023. Ayushman Bhav Campaign is envisaged to saturate selected health care services in every village/ town in line with the commitment of Hon'ble Prime Minister to ensure reach to the last mile and enable access to health care services to everyone in the society. 'Ayushman Bhav' campaign involves a set of interventions that include ' Ayushman - Apke Dwar 3.0 ', ' Ayushman Melas- at Health and Wellness level, CHC Mela and Ayushman Sabha . The details of Ayushman Card issued in the Ayushman Bhav Campaign to the beneficiary as reported on 28.11.2023 is at Annexure.

The various health programmes implemented by the Government of India under NHM includes operationalisation of Ayushman Arogya Mandir erstwhile Ayushman Bharat-Health and Wellness Centres (AB-HWCs) by transforming the existing Sub Centres and Primary Health Centre, support for engaging of health human resource on contractual basis, National

Ambulance Services, Mobile Medical Units, ASHAs, Infrastructure strengthening, 24 x 7 Services and First Referral facilities, Mera Aspataal, Kayakalp Award Scheme, Prime Minister's National Dialysis Programme, National Quality Assurance Standards implementation and related Activities, LaQshya Certification, Biomedical Equipment Maintenance and Management Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative. Further, initiatives such as Mission Parivar Vikas, Adolescent Friendly Health Clinics (AFHCs), Weekly Iron Folic Acid Supplementation (WIFS), Menstrual Hygiene Scheme, Facility Based Newborn Care (FBNC), Home Based Newborn Care Program, Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS), Home Based Care for Young Child (HBYC), Rashtriya Bal Swasthya Karyakram (RBSK), Rashtriya Kishor Swasthya Karyakram (RKSK), Early Childhood Development (ECD), Comprehensive Abortion Care (CAC), Anemia Mukt Bharat (AMB) strategy, Pradhan Mantri TB Mukt Bharat Abhiyaan (PMTBMBA), Nutrition Rehabilitation Centre (NRC) program and Universal Immunization programme.

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## State -wise details of Ayushman Cards created during Ayushman Bhav campaign

| States/UTs               | Ayushman Cards Created   |
|--------------------------|--------------------------|
| Andaman & Nicobar Island | 3,352                    |
| Andhra Pradesh           | 20,08,598                |
| Arunachal Pradesh        | 21,593                   |
| Assam                    | 1,03,400                 |
| Bihar                    | 2,72,901                 |
| Chandigarh               | 6,099                    |
| Chhattisgarh             | 57,645                   |
| DD & DNH                 | 457                      |
| Goa                      | 22,297                   |
| Gujarat                  | 18,09,370                |
| Haryana                  | 10,75,026                |
| Himachal Pradesh         | 23,238                   |
| Jammu & Kashmir          | 42,793                   |
| Jharkhand                | 2,42,603                 |
| Karnataka                | 8,47,673                 |
| Kerala                   | 2,26,056                 |
| Ladakh                   | 38,020                   |
| Lakshadweep              | 483                      |
| Madhya Pradesh           | 1,48,903                 |
| Maharashtra              | 66,45,039                |
| Manipur                  | 2,068                    |
| Meghalaya                | 23,938                   |
| Mizoram                  | 25,969                   |
| Nagaland                 | 28,272                   |
| Puducherry               | 13,276                   |
| Punjab                   | 2,07,775                 |
| Rajasthan                | 16,096                   |
| Sikkim                   | 2,816                    |
| Tamilnadu                | 3,80,680                 |
| Telangana                | 9,70,030                 |
| Tripura                  | 24,997                   |
| Uttar Pradesh            | 1,45,78,010              |
| Uttarakhand              | 1,54,558                 |
| Total                    | 3,00,24,031              |