Lok Sabha Question No. 702 (UNSTARRED), answered on 2024-11-29
Subject: National Rural Health Mission in Bihar
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Janardan Singh Sigriwal

## GOVERNMENTOFINDIA MINISTRY OFHEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 702 TO BE ANSWERED ON 29.11.2024

## NATIONALRURALHEALTH MISSION IN BIHAR

## 702. SHRI JANARDAN SINGH SIGRIWAL:

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

- (a) the present status of National Rural Health Mission (NRHM) in the country, State/UT-wise particularly in Bihar;
- (b) the details of the present coverage in Bihar;
- (c) whether there is a need for improving access and strengthening public health systems for efficient service delivery in the country particularly in Bihar;
- (d) if so, the details thereof, State/UT-wise particularly in Bihar alongwith the steps taken/proposed to be taken by the Government in this regard;
- (e) whether some States are facing challenges in strengthening poor public health systems; and
- (f) if so, the corrective measures taken/proposed to be taken by the Government in this regard?

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

(a) to (f): Under National Health Mission (NHM), the Government has taken many steps towards universal health coverage by supporting the State Government including the State of Bihar in providing accessible & affordable healthcare to people. 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 including Bihar 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.

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 of Bihar may be seen at the following link of HDI

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 details of Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR), under 5 Mortality Rate and number of operationalized Ayushman Arogya Mandir (AAM), achieved under NHM, are listed at Annexure.

The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the health sector to the tune of Rs 70,051 crores and the same have been accepted by the Union Government. These grants for health through Local Governments will be spread over the five-year period from FY 2021-22 to FY 2025-26 and will facilitate strengthening of health system at the grass-root level. Total amount of Rs.6016.95 crore has been allocated under FC-XV health grant for the State of Bihar for FY 2021-22 to FY 2025-26.

PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched by Hon'ble Prime Minister of India for an amount 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. Total amount of Rs. 1877.11 crore has been approved under PM-ABHIM for the State of Bihar for FY 2021-22 to FY 2025-26.

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.

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. Total no. of operational AAMs in Bihar is 10330 as on 24.11.2024.

Details of Infant Mortality Rate (IMR), Maternal Mortality Rate (MMR), under 5 Mortality Rate and number of operationalized Ayushman Arogya Mandir (AAM), achieved under NHM

| Sl. No.   | States                           | Infant Mortality Rate (IMR) 2019-21   | Maternal Mortality Rate (MMR)(201 8-20)   | Under-5 Mortality Rate (2019-21)   | Total Fertility Rate (TFR) (2019-21)   | No. of Ayushman Arogya Mandir operational as on 24.11.2024   |
|-----------|----------------------------------|---------------------------------------|-------------------------------------------|------------------------------------|----------------------------------------|--------------------------------------------------------------|
| 1         | Andaman & Nicobar Islands        | 20.6                                  | *                                         | 24.5                               | 1.28                                   | 129                                                          |
| 2         | Andhra Pradesh                   | 30.2                                  | 45                                        | 35.2                               | 1.68                                   | 11862                                                        |
| 3         | Arunachal Pradesh                | 12.9                                  | *                                         | 18.8                               | 1.80                                   | 484                                                          |
| 4         | Assam                            | 31.9                                  | 195                                       | 39.1                               | 1.87                                   | 4794                                                         |
| 5         | Bihar                            | 46.8                                  | 118                                       | 56.4                               | 2.98                                   | 10330                                                        |
| 6         | Chandigarh                       | 15.5                                  | *                                         | 19.7                               | 1.40                                   | 58                                                           |
| 7         | Chhattisgarh                     | 44.2                                  | 137                                       | 50.4                               | 1.82                                   | 5849                                                         |
| 8         | Dadra & Nagar Haveli &Daman &Diu | 31.8                                  | *                                         | 37                                 | 1.84                                   | 95                                                           |
| 9         | Delhi                            | 24.5                                  | *                                         | 30.6                               | 1.62                                   | 0                                                            |
| 10        | Goa                              | 5.6                                   | *                                         | 10.6                               | 1.30                                   | 300                                                          |
| 11        | Gujarat                          | 31.2                                  | 57                                        | 37.6                               | 1.86                                   | 10586                                                        |
| 12        | Haryana                          | 33.3                                  | 110                                       | 38.7                               | 1.91                                   | 3229                                                         |
| 13        | Himachal Pradesh                 | 25.6                                  | *                                         | 28.9                               | 1.66                                   | 2482                                                         |
| 14        | Jammu and Kashmir                | 16.3                                  | *                                         | 18.5                               | 1.41                                   | 3095                                                         |
| 15        | Jharkhand                        | 37.9                                  | 56                                        | 45.4                               | 2.26                                   | 3974                                                         |
| 16        | Karnataka                        | 25.4                                  | 69                                        | 29.5                               | 1.67                                   | 9949                                                         |
| 17        | Kerala                           | 4.4                                   | 19                                        | 5.2                                | 1.79                                   | 7004                                                         |
| 18        | Lakshadweep                      | -                                     | *                                         | -                                  | 1.42                                   | 13                                                           |
| 19        | Madhya Pradesh                   | 41.3                                  | 173                                       | 49.2                               | 1.99                                   | 11912                                                        |
| 20        | Maharashtra                      | 23.2                                  | 33                                        | 28                                 | 1.71                                   | 11994                                                        |
| 21        | Manipur                          | 25                                    | *                                         | 30                                 | 2.17                                   | 418                                                          |
| 22        | Meghalaya                        | 32.3                                  | *                                         | 40                                 | 2.91                                   | 611                                                          |
| 23        | Mizoram                          | 21.3                                  | *                                         | 24                                 | 1.87                                   | 407                                                          |
| 24        | Nagaland                         | 23.4                                  | *                                         | 33                                 | 1.72                                   | 469                                                          |
| 25        | Odisha                           | 36.3                                  | 119                                       | 41.1                               | 1.82                                   | 7344                                                         |
| 26        | Puducherry                       | 2.9                                   | *                                         | 3.9                                | 1.49                                   | 127                                                          |
| 27        | Punjab                           | 28                                    | 105                                       | 32.7                               | 1.63                                   | 3142                                                         |
| 28        | Rajasthan                        | 30.2                                  | 113                                       | 37.5                               | 2.01                                   | 11305                                                        |
| 29        | Sikkim                           | 11.2                                  | *                                         | 11.2                               | 1.05                                   | 184                                                          |
| 30        | Tamil Nadu                       | 18.6                                  | 54                                        | 22.3                               | 1.76                                   | 8246                                                         |
| 31 32     | Tripura                          | 37.6 50.4                             | *                                         | 43.3                               | 1.70 2.35                              | 1131 22683                                                   |
|           | Uttar Pradesh                    | 39.1                                  | 167                                       | 59.8                               |                                        |                                                              |
| 33        | Uttarakhand                      |                                       | 103                                       | 45.5                               | 1.85                                   | 2225                                                         |
| 34        | West Bengal                      | 22                                    | 103                                       | 25.3                               | 1.64                                   | 13391                                                        |
| 35 36     | Telangana Ladakh                 | 26.4 20                               | 43 *                                      | 29.4 29.5                          | 1.75 1.31                              | 5039 321                                                     |

Source: NFHS -5 for IMR, U5MR and TFR; SRS Bulletin on MMR (2018-20); AAM portal for operational Ayushman Arogya MandirNote: Total MMR for other States marked as * is 77.