Lok Sabha Question No. 2234 (UNSTARRED), answered on 2025-08-01
Subject: Strengthening of Healthcare Infrastructure in Tamil Nadu
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Dr. Kalanidhi Veeraswamy

## GOVERNMENT OFINDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 2234 TO BE ANSWERED ON 1 ST AUGUST, 2025

## STRENGTHENING OF HEALTHCARE INFRASTRUCTURE IN TAMIL NADU

## 2234. DR. KALANIDHI VEERASWAMY:

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

- (a) whether the Government has taken steps to stregthen healthcare infrastructure in Tamil Nadu, particularly in rural and undeserved areas;
- (b) if so, the details of central schemes and funds allocated to the said State for improving primary, secondary and tertiary healthcare facilities during the last three years;
- (c) the number of new AIIMS, medical colleges, district hospitals or health and wellness centres sanctioned or constructed in the said State under centrally sponsored schemes;
- (d) whether the Government has assessed gaps in critical care capacity, diagnostics and availability of healthcare professionals in the State; and
- (e) the future roadmap or proposals under consideration to further enhance public health infrastructure and emergency preparedness in the said State?

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

(a) and (b): Public Health and hospital being a state subject, the primary responsibility for planning, implementing, maintaining and to set up adequate number of healthcare facilities as per requirement is of that State Government. Various initiatives have been taken by Government of India over the years to strengthen public health system and improve the health infrastructure, especially in rural and underserved areas and improving primary, secondary and tertiary healthcare facilities as given below:

- (i) National Health Mission : Under the National Health Mission, financial and technical support is provided to States/UTs to strengthen their healthcare systems including the healthcare infrastructure,based on proposals received from States/UTs in their Programme Implementation Plan within their resource envelop. State-wise fund allocation for strengthening healthcare facilities over the last three years can be accessed at the link below:

https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744.

- (ii) Under PM-ABHIM, provision is made for the State of Tamil Nadu for construction/ strengthening of 708 Urban-Ayushman Arogya Mandir(AAM), 38 Integrated Public Health Lab (IPHL) and 37 Critical Care Blocks(CCBs) during the scheme period of FY 2021-22 to 2025-26 with the total financial out lay of Rs. 1656.32 Crores.
- (iii) Under Fifteenth Finance Commission (FC-XV) for the State of Tamil Nadu, Rs.4249.42 Crore has been approved for the five year period from FY 2021-22 to FY 2025-26 and Rs.3316.35 Cr. has been released so far that also includes capital cost for establishment and strengthening of 842

Building less SHCs, 258 Building less PHCs, 105 Building less CHCs, 386 Block Public Health Units, and 1207 Urban- AAMs.

(iv) Under ECRP-II, support is being provided for Pediatric Care Units, Pediatric Centre of Excellence, Augmentation of additional beds by provision of Prefab Units, Augmentation of ICU beds in public healthcare facilities, 50 & 100 bedded Field Hospitals, Referral Transport & Liquid Medical Oxygen Plant with medical gas pipeline system. The State of Tamil Nadu, a total of Rs. Rs.798.94 crores in the FY 2021-22 which has been fully utilized.

Efforts have been made to ensure connectivity, referral system, and increase access to the public health system in rural and underserved areas by Teleconsultations, Mobile Medical Units (MMUs), National Ambulances Services etc.

(c) : As per the information provided by the State Government of Tamil Nadu, AIIMS is established at Madurai District, 19 Sub District Hospitals were upgraded to District Hospitals through the National Health Mission funds (NHM). Additionally, 708 Urban Health and Wellness Centres have been established across the State, supported by NHM and the 15th Finance Commission Grants for Health.

(d) & (e): Health being a state subject, the gap assessment and the development of health infrastructure are the primary responsibility of the State. However, the Ministry has undertaken several measures to assess the gaps and strengthen the public health system across the country. Indian Public Health Standards 2022 has been introduced to enhance health infrastructure and services in public health facilities. Under this Tamil Nadu has done 100% assessment of healthcare facility using ODK tool kit and dashboard to identify the gaps in critical care, diagnostics and human resources. Further, periodic review meetings, Field Visits/ Integrated Monitoring Visits by Ministry & Common Review Missions (CRM) are also helping in assessing the gaps.

Further, 385 BPHU and 38 IPHL have been established to strengthen Diagnostic services 20 facilities have been updated as specialized TAEI centres for strengthening Critical Care capacity. The future road map for Tamil Nadu includes enhancement in Critical Care capacity managing cancer care in mission mode emergency preparedness and infrastructure development through various program to address the gap in primary, secondary and emergency care.

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