Lok Sabha Question No. 194 (STARRED), answered on 2025-12-12
Subject: Health Services under NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Dharmendra Yadav

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

## LOK SABHA STARRED QUESTION NO. 194 TO BE ANSWERED ON THE 12 TH DECEMBER, 2025

## HEALTH SERVICES UNDER NHM

## *194. SHRI DHARMENDRA YADAV:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the details of health services provided to Scheduled Castes (SCs), Scheduled Tribes (STs) and Other Backward Classes (OBCs) communities through various schemes including the National Health Mission (NHM) during the last three financial years, State-wise and year-wise;
- (b) the extent to which the said communities received benefits under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and other major health assistance schemes in the country, State-wise particularly in Uttar Pradesh alongwith the amount of funds spent thereupon;
- (c) whether the Government has made any specific budget allocations/implemented special sub-plans to address regional/social disparities in access and quality of health services and to ensure better health outcomes for these communities; and
- (d) if so, the details of the specific monitoring systems adopted by the Government to improve access to services for remote tribal areas and socially backward classes in the country?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## (SHRI JAGAT PRAKASH NADDA)

- (a) to (d) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 194 FOR 12 TH DECEMBER, 2025

(a) & (b) The Schemes under the Ministry of Health and Family Welfare provide support for improvement in health infrastructure, availability of adequate human resources, to improve availability, affordability and accessibility to quality healthcare to all including Scheduled Castes (SCs), Scheduled Tribes (STs) and Other Backward Classes (OBCs) communities.

- i) National Health Mission (NHM): The various initiatives carried out under NHM are operationalization of Ayushman Arogya Mandirs, National Ambulance Services, Mobile Medical Units, provision of ASHAs, 24 x 7 Services and First Referral Facilities, Prime Minister's National Dialysis Programme, Free Diagnostics Service Initiative and Free Drugs Service Initiative, various activities under Reproductive & Child Health, Anaemia Mukt Bharat strategy, TB Mukt Bharat Abhiyaan and Universal Immunization programme, etc.

For tribal healthcare, special programmes are National Sickle Cell Anaemia Elimination Mission (NSCAEM), Pradhan Mantri Janjati Adivasi Nyaya Maha Abhiyan (PM-JANMAN) and Dharti Aaba Janjatiya Gram Utkarsh Abhiyan (DA-JGUA).

Statement showing State-wise Central releases of fund (SC/ST category-wise) under NHM from FY 2022-23 to FY 2024-25 are at Annexure - I.

- ii) Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) provides health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to cover 12 Crore families constituting bottom 40% of India's population. Beneficiary identification is done based on various databases including Socio-Economic and Caste Census (SECC) which has SC/ST households as one of the deprivation criteria in the rural areas. Accordingly, as on 15 th November 2025, 1.98 crore Ayushman Cards for SC and 0.97 crore Ayushman Cards for ST have been created under AB-PMJAY. In March 2024, 37.14 lakh families of ASHA, Anganwadi Workers and Anganwadi Helpers were included under the scheme. In October 2024, the scheme was expanded to cover 6 crore senior citizens of age 70 years and above belonging to 4.5 crore families irrespective of their socio-economic status.

In January 2024, the National Health Authority collaborated with the Ministry of Tribal Affairs for inclusion of Particularly Vulnerable Tribal Groups (PVTGs) families under the purview of AB-PMJAY. As on 6 th December 2025, 13.33 Lakh Ayushman Cards were created under this category (State-wise details of Ayushman

Cards created and treatment availed under the scheme can accessed at https://dashboard.nha.gov.in/public/).

iii) Human Resource for Health aims to reduce the urban/rural divide, regional imbalance in presence of medical Institutions/ medical professionals and bring affordable health care to underserved areas. 157 new medical colleges have been approved through Centrally Sponsored Scheme for 'Establishment of New Medical Colleges attached with existing District/Referral hospitals' in those Parliamentary constituencies/ Districts which do not have a single medical college either in Government or private sector. Of these, 40 colleges have been approved in aspirational districts and 38 colleges in tribal areas. State-wise details are at Annexure- II.

Under the scheme for Upgradation of existing State Government/Central Government medical colleges to increase MBBS seats in the country, 83 Government Medical Colleges in 17 States/UTs have been approved to increase 4977 MBBS seats with total cost of Rs. 5972.20 Cr. In addition, under Centrally Sponsored Scheme (CSS) for 'Strengthening and upgradation of State Government medical colleges for starting new PG disciplines and increasing PG seats', 8058 seats have been approved.

(c) & (d) The Statement showing Budget and Expenditure under schemes for Development Action Plan for Scheduled Castes (DAPSC) and Development Action Plan for Scheduled Tribes (DAPST) for FY 2020-21 to 2024-25 in the Department of Health and Family Welfare are at Annexure- III & IV.

All the schemes and programmes are regularly monitored at different levels and are evaluated from time to time for effectiveness and outcomes in terms of larger health benefits to the people.

## Annexure-I

## Statement showing State-wise Central releases (SC/ST category-wise) under NHM from FY 2022-23 to FY 2024-25

(Rs. in crores)

|        |                             | 2022-23   | 2022-23   | 2023-24   | 2023-24   | 2024-25   | 2024-25   |
|--------|-----------------------------|-----------|-----------|-----------|-----------|-----------|-----------|
| S. No. | State/UT                    | SC        | ST        | SC        | ST        | SC        | ST        |
| 1      | Andaman and Nicobar Islands | 0.00      | 0.00      | 0.00      | 0.00      | 0.00      | 3.10      |
| 2      | Andhra Pradesh              | 516.54    | 130.16    | 277.37    | 76.50     | 304.79    | 88.37     |
| 3      | Arunachal Pradesh           | 0.10      | 124.85    | 0.00      | 172.99    | 0.97      | 113.07    |
| 4      | Assam                       | 141.28    | 262.34    | 213.56    | 169.84    | 458.98    | 159.66    |
| 5      | Bihar                       | 465.64    | 30.39     | 418.39    | 24.50     | 389.82    | 35.74     |
| 6      | Chhattisgarh                | 343.26    | 311.13    | 118.33    | 256.28    | 141.76    | 307.03    |
| 7      | Delhi                       | 4.50      | 0.00      | 15.15     | 0.00      | 54.61     | 0.00      |
| 8      | Goa                         | 7.49      | 3.88      | 6.46      | 2.90      | 2.54      | 7.08      |
| 9      | Gujarat                     | 334.34    | 128.10    | 208.52    | 226.41    | 103.09    | 201.92    |
| 10     | Haryana                     | 110.44    | 0.00      | 127.29    | 0.00      | 113.31    | 0.00      |
| 11     | Himachal Pradesh            | 232.56    | 58.55     | 123.62    | 32.88     | 142.25    | 43.00     |
| 12     | Jammu and Kashmir           | 41.69     | 14.45     | 114.88    | 47.78     | 100.96    | 49.08     |
| 13     | Jharkhand                   | 120.05    | 212.29    | 117.52    | 165.04    | 159.96    | 253.05    |
| 14     | Karnataka                   | 380.55    | 103.40    | 195.29    | 70.55     | 237.29    | 132.79    |
| 15     | Kerala                      | 423.36    | 46.64     | 23.15     | 3.16      | 296.88    | 103.49    |
| 16     | Madhya Pradesh              | 762.79    | 429.36    | 487.09    | 293.60    | 429.06    | 572.98    |
| 17     | Maharashtra                 | 442.05    | 321.66    | 483.03    | 277.31    | 330.70    | 234.18    |
| 18     | Manipur                     | 2.07      | 18.74     | 44.23     | 30.32     | 38.69     | 33.49     |
| 19     | Meghalaya                   | 43.60     | 134.56    | 51.48     | 141.61    | 92.85     | 33.57     |
| 20     | Mizoram                     | 0.30      | 67.37     | 34.43     | 63.34     | 24.29     | 30.33     |
| 21     | Nagaland                    | 0.00      | 49.68     | 0.00      | 112.32    | 0.12      | 91.93     |
| 22     | Odisha                      | 246.55    | 454.37    | 268.77    | 316.26    | 378.99    | 472.97    |
| 23     | Puducherry                  | 3.46      | 0.00      | 9.55      | 0.00      | 4.32      | 0.00      |
| 24     | Punjab                      | 147.39    | 0.00      | 25.88     | 0.00      | 347.51    | 5.71      |

|   25 | Rajasthan     | 356.37   |   142.88 | 739.28   |   232.87 | 453.33   |   324.85 |
|------|---------------|----------|----------|----------|----------|----------|----------|
|   26 | Sikkim        | 3.39     |    22.3  | 12.65    |    16.43 | 10.29    |    13.48 |
|   27 | Tamil Nadu    | 272.40   |    15.81 | 481.62   |    90.58 | 370.37   |    27.09 |
|   28 | Tripura       | 48.27    |    54.48 | 31.90    |    54.77 | 46.25    |    43.02 |
|   29 | Uttar Pradesh | 1,165.86 |   187.84 | 1,315.20 |   189.84 | 1,641.68 |    40.84 |
|   30 | Uttarakhand   | 127.16   |    20.43 | 161.15   |    38.54 | 143.32   |    74.42 |
|   31 | West Bengal   | 313.33   |    75.21 | 247.01   |    50.88 | 218.56   |    30.75 |
|   32 | Telangana     | 99.89    |    50.87 | 119.77   |    41.38 | 197.65   |    93.25 |

Note: The above releases relate to Central Govt. Grants and do not include State share contribution.

## State-Wise Details of Establishment of New Medical Colleges

| State/UT          | Aspirational District(s)                                 | Tribal District(s)                                                   |
|-------------------|----------------------------------------------------------|----------------------------------------------------------------------|
| Andhra Pradesh    | Paderu                                                   | -                                                                    |
| Arunachal Pradesh | -                                                        | Papum Pare                                                           |
| Assam             | Dhubri                                                   | Kokrajhar                                                            |
| Bihar             | Jamui, Purnia, Sitamarhi                                 | Jamui                                                                |
| Chhattisgarh      | Kanker, Korba, Mahasamund, Rajnandgaon                   | Surguja, Kanker, Korba, Mahasamund, Rajnandgaon                      |
| Gujarat           | Narmada                                                  | Narmada, Navsari, Panchmahal                                         |
| Himachal Pradesh  | Chamba                                                   | Chamba                                                               |
| Jammu &Kashmir    | Baramulla, Kupwara                                       | Rajouri                                                              |
| Jharkhand         | Dumka, East Singhbhum, Hazaribagh, Palamu                | Dumka, Palamu, Hazaribagh, Pashchimi Singhbhum                       |
| Karnataka         | Yadgir                                                   | -                                                                    |
| Ladakh            | -                                                        | Leh                                                                  |
| Madhya Pradesh    | Khandwa, Rajgarh, Vidisha, Singrauli                     | Mandla, Shahdol, Chhindwara, Singrauli, Ratlam, Khandwa (East Nimar) |
| Maharashtra       | Nandurbar                                                | Nandurbar                                                            |
| Manipur           | -                                                        | Churachandpur                                                        |
| Meghalaya         | -                                                        | West Garo Hills                                                      |
| Mizoram           | -                                                        | Aizawl                                                               |
| Nagaland          | -                                                        | Mon, Kohima                                                          |
| Odisha            | Balangir, Kalahandi, Koraput                             | Mayurbhanj, Koraput, Kalahandi                                       |
| Rajasthan         | Baran, Dholpur, Jaisalmer, Karauli, Sirohi               | Banswara, Dungarpur, Sirohi, Dausa                                   |
| Sikkim            | -                                                        | East District                                                        |
| Tamil Nadu        | Ramanathapuram, Virudhunagar                             | -                                                                    |
| Uttar Pradesh     | Bahraich, Chandauli, Fatehpur, Siddharthnagar, Sonbhadra | -                                                                    |
| Uttarakhand       | Haridwar, Udham Singh Nagar                              | -                                                                    |

Annexure- III (Rs. in Crore)

| Year    |   BE (Total) |   BE (Scheme) |   DAPSC allocation as per BE (Scheme) |   DAPSC allocation as per RE (Scheme) |   (%) Allocation under DAPSC |   Expenditure under DAPSC |
|---------|--------------|---------------|---------------------------------------|---------------------------------------|------------------------------|---------------------------|
| 2020-21 |        65012 |         49600 |                                  8300 |                                  7643 |                         16.7 |                   7845.19 |
| 2021-22 |        71269 |         53544 |                                  8938 |                                 10759 |                         16.7 |                   8005.95 |
| 2022-23 |        83000 |         62797 |                                 10424 |                                  9298 |                         16.6 |                   8862.22 |
| 2023-24 |        86175 |         56168 |                                  9324 |                                  7965 |                         16.6 |                   8041.64 |
| 2024-25 |        87657 |         55169 |                                  9158 |                                  8927 |                         16.6 |                   8537.72 |

Annexure- IV

(Rs. in crore )

| Year    |   BE (Total) |   BE (Scheme) |   DAPST allocation as per BE (Scheme) |   DAPST allocation as perRE (Scheme) |   (%) Allocation under DAPST |   Expenditure under DAPST |
|---------|--------------|---------------|---------------------------------------|--------------------------------------|------------------------------|---------------------------|
| 2020-21 |        65012 |         49600 |                                  4300 |                                 4004 |                          8.7 |                   4097.66 |
| 2021-22 |        71269 |         53544 |                                  4634 |                                 5574 |                          8.7 |                   4262.7  |
| 2022-23 |        83000 |         62797 |                                  5401 |                                 4924 |                          8.6 |                   4741.21 |
| 2023-24 |        86175 |         56168 |                                  4830 |                                 4126 |                          8.6 |                   4134.07 |
| 2024-25 |        87657 |         55169 |                                  4745 |                                 4625 |                          8.6 |                   4431.02 |