Lok Sabha Question No. 5702 (UNSTARRED), answered on 2026-03-27
Subject: Gaps in Public Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Bhumare Sandipanrao Asaram

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

## LOK SABHA UNSTARRED QUESTION No. 5702 TO BE ANSWERED ON 27 TH MARCH, 2026

## GAPS IN PUBLIC HEALTH INFRASTRUCTURE

## †5702. SHRI BHUMARE SANDIPANRAO ASARAM:

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

(a) whether the Government has taken note of the gaps in public health infrastructure, particularly in the rural and tribal districts of Maharashtra;

(b) if so, the various steps being taken by the Government to address the shortage of doctors, specialists and medical equipments in Government hospitals and Primary Health Centres (PHCs) in the said State;

(c) the details of the Central financial assistance provided to Maharashtra under schemes such as the Pradhan Mantri-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) and the National Health Mission (NHM) during the last three years;

(d) whether the Government proposes to open new medical colleges or upgrade district hospitals in the underserved areas of Maharashtra; and (e) if so, the details thereof?

## ANSWER

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

(a) to (e): Public Health ' & ' Hospitals ' are State subjects, hence, the primary responsibility of providing health infrastructure in all public health facilities of the country lies with respective State/UT Government.

Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an annual publication, based on healthcare administrative data reported by States/UTs. Details of availability and gaps in health infrastructure in the country, State/UT-wise including tribal districts of Maharashtra, may be seen at the following link of HDI 2022-23:

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 National Health Mission (NHM) provides support for improvement in health infrastructure, human resources in health facilities, availability and accessibility to quality healthcare across the country including Maharashtra. Technical and financial support is provided to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under NHM. Approval is accorded to the proposals in the form of Record of Proceedings (RoPs) as per norms &

available resources.

The Government of India provides incentives and honorarium to medical professionals to improve service delivery in rural and remote areas, including Maharashtra. Under NHM, measures such as Hard Area Allowance for specialist doctors, flexibility to States to offer negotiable salaries including 'You Quote We Pay', non-monetary incentives like preferential admission in postgraduate courses and multi-skilling of doctors through training in Comprehensive Emergency Obstetric and Newborn Care (CEmONC) and Life Saving Anaesthesia Skills (LSAS) are supported to address the shortage of specialists in such areas.

Central release under Pradhan Mantri-Ayushman Bharat Health Infrastructure Mission (PMABHIM) and NHM to the State of Maharashtra during the last three years is given in Annexure .

The Ministry of Health & Family Welfare administers a Centrally Sponsored Scheme (CSS) for 'Establishment of new medical colleges attached with existing district/referral hospitals' with preference to underserved areas and aspirational districts, where there is no existing Government or private medical college. The fund sharing mechanism between the Centre and State Governments is in the ratio of 90:10 for North Eastern and Special Category States, and 60:40 for others. Under the Scheme, all the envisaged 157 Government medical colleges have already been approved in three phases in the country including 2 medical college in Gondia and Nandubar district in Maharashtra and up-gradation of 11 medical college were approved in Maharashtra.

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## Central release under PM-ABHIM and NHM from FY 2022-23 to FY 2024-25 to Maharashtra

(Rs. In Crere)

| Financial Year   |   Release - PM-ABHIM |   Release-NHM |
|------------------|----------------------|---------------|
| 2022-23          |                 4.07 |       2187.13 |
| 2023-24          |                31.76 |       2729.3  |
| 2024-25          |                65.48 |       2417.95 |

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