Lok Sabha Question No. 5562 (UNSTARRED), answered on 2026-03-27
Subject: Expenditure Incurred on Treatment in AAMs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Ramvir Singh Bidhuri

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

## LOK SABHA UNSTARRED QUESTION NO. 5562 TO BE ANSWERED ON 27 th MARCH, 2026

## EXPENDITURE INCURRED ON TREATMENT IN AAMs

## †5562. SHRI RAMVIR SINGH BIDHURI:

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

- (a) the expenditure incurred by the Government on treatment in Ayushman Arogya Mandirs in the Country so far, State-wise;
- (b) the number of Ayushman Arogya Mandirs likely to be set up across the Country; and
- (c) the qualification requirements fixed for the staff working in Ayushman Arogya Mandirs along with the kind of facilities provided therein?

## ANSWER THE MINISTER OFSTATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI PRATAPRAO JADHAV)

(a) to (c): In February 2018, the Government of India announced 1,50,000 Ayushman Arogya Mandirs (AAMs) to be established by strengthening the existing Sub- Health Centres (SHC) and Primary Health Centres (PHC) across the country. As reported by States/UTs on AAM portal, a total of 1.84 lakh AAMs have been operationalized in the country.

The AAMs incrementally provide 12 package of primary health care services across urban, rural and tribal dominated areas, encompassing Reproductive and child care services, Communicable diseases, Non 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 300 drugs & 97 diagnostics at Community Health Centres (CHCs), 172 drugs & 63 diagnostics at PHC-AAMs and 106 drugs & 14 diagnostics at SHC-AAMs in the country.

The State/UT wise, State Programme Implementation Plans (SPIPs) approval and expenditure for operationalization of AAMs under NHM in 2024-25 is given in Annexure .

Community Health Officer (CHO) at AAM-SHC is a Nurse (GNM or B.Sc) or an Ayurveda practitioner, trained and certified in six months Certificate program in Community Health through IGNOU/other State Public Health/Medical Universities for a set of competencies in delivering public health and primary health care services. Nursing graduate with integrated B.Sc Nursing/ Post Basic B.Sc Nursing programme (integrated with Community Health programme) are also selected for the position of CHO. At the AAM-PHC, the qualification of Medical Officer and other PHC staff is as per Indian Public Health Standards (IPHS). Operational guidelines for AAM can be seen at following link:

https://nhsrcindia.org/sites/default/files/2021-03/Operational%20Guidelines%20For%20Com prehensive%20Primary%20Health%20Care%20through%20Health%20and%20Wellness%20 Centers.pdf

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State/UT-wise SPIP Approvals and Expenditure for operationalization of Ayushman Arogya Mandirs under National Health Mission (NHM) in FY 2024-25

Rs. In Lakhs

| Sl. No.   | States                      | 2024-25       | 2024-25     |
|-----------|-----------------------------|---------------|-------------|
| Sl. No.   | States                      | SPIP Approval | Expenditure |
| 1         | Andaman and Nicobar Islands | 59.13         | 6.91        |
| 2         | Andhra Pradesh              | 7,912.25      | 7,154.33    |
| 3         | Arunachal Pradesh           | 5,641.73      | 1,012.74    |
| 4         | Assam                       | 7,807.13      | 5,090.39    |
| 5         | Bihar                       | 6,588.81      | 7,987.20    |
| 6         | Chandigarh                  | 177.82        | 94.58       |
| 7         | Chhattisgarh                | 7,296.47      | 2,791.10    |
| 8         | Dadra &Nagar Haveli         | 27.44         | 26.43       |
| 9         | Daman &Diu Delhi            | 0.00          | 45.87       |
| 10        | Goa                         | 353.11        | 122.88      |
| 11        | Gujarat                     | 20,988.58     | 5,958.37    |
| 12        | Haryana                     | 10,529.50     | 4,786.87    |
| 13        | Himachal Pradesh            | 3,934.48      | 937.80      |
| 14        | Jammu and Kashmir           | 3,218.48      | 1,469.04    |
| 15        | Jharkhand                   | 10,572.72     | 8,402.34    |
| 16        | Karnataka                   | 2,970.04      | 4,460.33    |
| 17        | Kerala                      | 3,756.14      | 3,545.14    |
| 18        | Lakshadweep                 | 14.00         | 1.13        |
| 19        | Madhya Pradesh              | 27,564.85     | 14,223.25   |
| 20        | Maharashtra                 | 21,122.26     | 3,082.61    |
| 21        | Manipur                     | 1,796.43      | 606.72      |
| 22        | Meghalaya                   | 1,586.66      | 1,953.89    |
| 23        | Mizoram                     | 574.09        | 76.09       |
| 24        | Nagaland                    | 1,053.65      | 545.70      |
| 25        | Odisha                      | 15,178.49     | 8,879.13    |
| 26        | Puducherry                  | 242.48        | 131.81      |
| 27        | Punjab                      | 3,207.89      | 1,076.51    |
| 28        | Rajasthan                   | 7,498.70      | 3,981.50    |
| 29        | Sikkim                      | 38.69         | 24.14       |
| 30        | Tamil Nadu                  | 163.70        | 137.89      |
| 31        | Telangana                   | 3,454.81      | 1,265.06    |
| 32        | Tripura                     | 639.65        | 447.88      |
| 33        | Uttar Pradesh               | 107,535.86    | 20,668.89   |
| 34        | Uttarakhand                 | 4,523.07      | 2,048.07    |
| 35        | West Bengal                 | 16,173.90     | 7,502.92    |
| 36        | Ladakh                      | 912.02        | 557.41      |

## Note:

1. SPIP Approval and Expenditure is as per the available Financial Management Reports submitted by State/UTs and are provisional.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year.