Lok Sabha Question No. 3263 (UNSTARRED), answered on 2025-08-08
Subject: AAMs in Rural and Urban Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Smita Uday Wagh, Dr. Hemant Vishnu Savara, Shri Manoj Tiwari, Shri Naba Charan Majhi, Shri Ramesh Awasthi, Smt. Vijaylakshmi Devi, Smt. Shobhanaben Mahendrasinh Baraiya, Dr. Rajesh Mishra, Smt. Kamlesh Jangde, Smt. Himadri Singh, Shri Vijay Baghel, Shri Vishweshwar Hegde Kageri, Shri Kali Charan Singh, Shri Yogender Chandolia, Shri Dilip Saikia, Shri Lumbaram Choudhary, Shri Janardan Mishra, Shri Basavaraj Bommai

## GOVERNMENT OFINDIA

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

## LOK SABHA UNSTARRED QUESTION NO. 3263 TO BE ANSWERED ON 08 th AUGUST, 2025

## AAMs IN RURALAND URBAN AREAS

## †3263. SHRI DILIP SAIKIA:

SMT. HIMADRI SINGH:

DR. HEMANT VISHNU SAVARA:

SHRI KALI CHARAN SINGH:

SHRI LUMBARAM CHOUDHARY:

SHRI BASAVARAJ BOMMAI:

SHRI VISHWESHWAR HEGDE KAGERI:

SMT. VIJAYLAKSHMI DEVI:

DR. RAJESH MISHRA:

SHRI RAMESH AWASTHI:

SHRI VIJAY BAGHEL:

SHRI NABACHARAN MAJHI:

SMT. SMITA UDAY WAGH:

SMT. KAMLESH JANGDE:

SHRI MANOJ TIWARI:

SHRI YOGENDER CHANDOLIA:

SMT. SHOBHANABEN MAHENDRASINH BARAIYA:

SHRI JANARDAN MISHRA:

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

- (a) the total number of Ayushman Arogya Mandirs (AAMs) set up and functional in the country, State/UT-wise including Chatra and Latehar districts for Jharkhand and Shahdol Lok Sabha Constituency for Madhya Pradesh;
- (b) the impact of operationalizing over 1.75 lakh AAMs on primary healthcare access, equity and health outcomes across the country including the said locations;
- (c) whether these of AAMs have contributed to the early detection and management of noncommunicable diseases in the country particularly in the rural areas and if so, the details thereof;
- (d) whether any steps have been taken by the Government to expand healthcare services through Ayushman Arogya Mandirs (AAMs) across urban, rural and tribal dominated and densely populated urban areas to ensure universal access to primary healthcare in the country and if so, the details thereof, State/UT-wise including Karnataka, Chhattisgarh, Bihar, Sirohi district of Rajasthan, Durg Lok Sabha Constituency of Chhattisgarh along with the timeline fixed in this regard;
- (e) the manner in which the integration of teleconsultation and yoga sessions has enhanced service delivery at AAMs; and
- (f) the amount of funds allocated for AAMs across the country during the last three years, State/UT-wise?

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

wise number of AAMs operationalized across the country, including 119 in Chatra, 113 in Latehar districts of Jharkhand and 567 in Shahdol Lok Sabha Constituency of Madhya Pradesh, as on 15.07.2025, is enclosed as Annexure-I.

With the enactment of various healthcare reforms at AAMs in India including Chatra and Latehar districts of Jharkhand and Shahdol Lok Sabha Constituency of Madhya Pradesh, the annual footfall has increased from 13.49 crore in FY 2019-20 to 128.08 crore in FY 2024-25. A significant improvement has been reported in the screening and management of Noncommunicable diseases (NCDs) with over 33.53 crore individuals for Hypertension, 32.18 crore for Diabetes, 30.04 crore for Oral Cancer, 14.08 crore for Breast Cancer and 7.53 crore for Cervical Cancer screened/examined for NCD at Sub-Health Centre (SHCs) & Primary Health Centre (PHCs) (rural & urban) including AAM, as per NP-NCD (National Programme for Prevention and Control of Non-Communicable Diseases) portal.

The AAMs incrementally provide 12 package of primary health care services across urban, rural and tribal dominated and densely populated urban areas encompassing Reproductive and child care services, Communicable diseases, NCD, Palliative Care and elderly Care, Care for common mental disorders, neurological conditions (epilepsy, dementia) and substance use disorders management (tobacco, alcohol, drugs), Oral health, ENT care, and Basic emergency care. To complement the expanded services, the essential list of drugs & diagnostics has been expanded to make available 172 drugs & 63 diagnostics at PHC-AAMs and 106 drugs & 14 diagnostics at SHC-AAMs.

AAMs in urban, rural and tribal dominated and densely populated urban areas have been established to strengthen the continuum of care for upward and downward linkages, and act as a gate-keeping mechanism for the secondary and tertiary health care facilities. It also supports promoting community engagement to ensure universal reach of public health interventions and increasing access to specialist services through polyclinics, which are closer to the community.

The teleconsultation services, available at all operational AAMs across the country including rural areas, enables people to access the specialist services closer to their homes addressing concerns of physical accessibility, shortage of service providers and to facilitate continuum of care. Total teleconsultations conducted at AAM are 38.13 crore, as on 15.07.2025.

Beyond the management of illnesses, promotive and preventive health is an integral part of comprehensive primary health care. Wellness-related activities like Yoga, cycling, and meditation are conducted in AAMs. As on 15.07.2025, a total of 5.79 crore wellness sessions have been conducted at AAMs.

Details of State/UT-wise State Program Implementation Plan (SPIP) approvals for AAMs under National Health Mission (NHM) from FY 2022-23 to FY 2024-25 is attached at Annexure-II.

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State/UT-wise number of AAMs operationalized across the country, as on 15.07.2025:

| S.No.   | State/UT                 | Total no. of operational AAM   |
|---------|--------------------------|--------------------------------|
| 1       | Andaman &Nicobar Islands | 129                            |
| 2       | Andhra Pradesh           | 11862                          |
| 3       | Arunachal Pradesh        | 491                            |
| 4       | Assam                    | 4961                           |
| 5       | Bihar                    | 10335                          |
| 6       | Chandigarh               | 60                             |
| 7       | Chhattisgarh             | 5887                           |
| 8       | Delhi                    | 63                             |
| 9       | DNH&DD                   | 95                             |
| 10      | Goa                      | 302                            |
| 11      | Gujarat                  | 10657                          |
| 12      | Haryana                  | 3263                           |
| 13      | Himachal Pradesh         | 2651                           |
| 14      | Jammu &Kashmir           | 3142                           |
| 15      | Jharkhand                | 4122                           |
| 16      | Karnataka                | 10116                          |
| 17      | Kerala                   | 7105                           |
| 18      | Ladakh                   | 321                            |
| 19      | Lakshadweep              | 13                             |
| 20      | Madhya Pradesh           | 12346                          |
| 21      | Maharashtra              | 12546                          |
| 22      | Manipur                  | 420                            |
| 23      | Meghalaya                | 617                            |
| 24      | Mizoram                  | 412                            |
| 25      | Nagaland                 | 470                            |
| 26      | Odisha                   | 7360                           |
| 27      | Puducherry               | 127                            |
| 28      | Punjab                   | 3128                           |
| 29      | Rajasthan                | 11539                          |
| 30      | Sikkim                   | 184                            |
| 31      | Tamil Nadu               | 8454                           |
| 32      | Telangana                | 5052                           |
| 33      | Tripura                  | 1134                           |
| 34      | Uttar Pradesh            | 22999                          |
| 35      | Uttarakhand              | 2358                           |
| 36      | West Bengal              | 13433                          |
|         | Total                    | 1,78,154                       |

## State/UT-wise SPIP Approval for AAMs under NHM from FY 2022-23 to FY 2024-25

(Rs. in Lakhs)

|   Sl. No. | States                             | 2022-23   | 2023-24     | 2024-25     |
|-----------|------------------------------------|-----------|-------------|-------------|
|         1 | Andaman and Nicobar Islands        | 15.00     | 10.50       | 59.13       |
|         2 | Andhra Pradesh                     | 4,089.10  | 3,745.65    | 7,912.25    |
|         3 | Arunachal Pradesh                  | 1,119.21  | 883.71      | 5,641.73    |
|         4 | Assam                              | 23,445.27 | 18,267.63   | 7,807.13    |
|         5 | Bihar                              | 52,749.20 | 4,026.16    | 6,588.81    |
|         6 | Chandigarh                         | 124.82    | 124.82      | 177.82      |
|         7 | Chhattisgarh                       | 16,633.63 | 8,478.83    | 7,296.47    |
|         8 | Dadra &Nagar Haveli and Daman &Diu | 8.59      | 8.59        | 27.44       |
|         9 | Delhi                              | 0.00      | 0.00        | 0.00        |
|        10 | Goa                                | 512.89    | 53.09       | 353.11      |
|        11 | Gujarat                            | 13,178.54 | 8,252.56    | 20,988.58   |
|        12 | Haryana                            | 11,399.68 | 5,971.04    | 10,529.50   |
|        13 | Himachal Pradesh                   | 928.75    | 226.99      | 3,934.48    |
|        14 | Jammu and Kashmir                  | 3,657.24  | 3,070.74    | 3,218.48    |
|        15 | Jharkhand                          | 25,173.69 | 11,763.54   | 10,572.72   |
|        16 | Karnataka                          | 42,721.29 | 13,716.82   | 2,970.04    |
|        17 | Kerala                             | 18,111.82 | 26,520.10   | 3,756.14    |
|        18 | Lakshadweep                        | 3.55      | 1.99        | 14.00       |
|        19 | Madhya Pradesh                     | 19,073.02 | 31,381.22   | 27,564.85   |
|        20 | Maharashtra                        | 36,566.83 | 13,564.63   | 21,122.26   |
|        21 | Manipur                            | 1,114.70  | 1,100.70    | 1,796.43    |
|        22 | Meghalaya                          | 2,741.67  | 717.12      | 1,586.66    |
|        23 | Mizoram                            | 755.57    | 671.08      | 574.09      |
|        24 | Nagaland                           | 660.61    | 785.47      | 1,053.65    |
|        25 | Odisha                             | 15,286.40 | 13,418.93   | 15,178.49   |
|        26 | Puducherry                         | 269.75    | 258.95      | 242.48      |
|        27 | Punjab                             | 4,613.92  | 1,772.53    | 3,207.89    |
|        28 | Rajasthan                          | 17,212.36 | 17,212.36   | 7,498.70    |
|        29 | Sikkim                             | 110.21    | 98.65       | 38.69       |
|        30 | Tamil Nadu                         | 8,096.81  | 4,339.34    | 163.70      |
|        31 | Telangana                          | 5,202.87  | 5,853.78    | 3,454.81    |
|        32 | Tripura                            | 4,421.36  | 671.46      | 639.65      |
|        33 | Uttar Pradesh                      | 74,968.69 | 1,78,616.62 | 1,07,535.86 |
|        34 | Uttarakhand                        | 7,214.59  | 2,143.06    | 4,523.07    |
|        35 | West Bengal                        | 20,608.22 | 12,605.01   | 16,173.90   |
|        36 | Ladakh                             | 1,870.85  | 633.80      | 912.02      |

Note:

1. The above data is as per available Financial Management Reports submitted by the States/UTs and is provisional.

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