Lok Sabha Question No. 1235 (UNSTARRED), answered on 2026-02-06
Subject: Expansion of Health Services under AB-PMJAY in Jharkhand
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Manish Jaiswal

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

## LOK SABHA UNSTARRED QUESTION No. 1235 TO BE ANSWERED ON 6 th FEBRUARY, 2026

## EXPANSION OFHEALTH SERVICES UNDER AB-PMJAYIN JHARKHAND

## †1235. SHRI MANISH JAISWAL:

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

- (a) the current status of sanctioned strength, working strength and vacant posts (Doctors, Nurses and Paramedical staff) in Primary Health Centres (PHCs), Community Health Centres (CHCs), Sub-Health Centres and District Hospitals in Hazaribagh and Ramgarh districts of Jharkhand;
- (b) the amount of funds sanctioned and released by the Government during the last three years for strengthening health infrastructure in the above-mentioned districts and the manner in which these funds have been utilized, scheme-wise and year-wise;
- (c) whether complaints regarding the shortage of specialist doctors, modern diagnostic facilities, ambulance services and essential medicines in these districts have been received, if so, the details thereof along with district-wise steps taken by the Government so far in this regard;
- (d) whether the Government proposes any new scheme for the expansion/strengthening of health services in these districts under the Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY); 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. The primary responsibility of the availability of doctors, nurses and Paramedical staff in various public health facilities in the country lies with the respective State Governments.

Health Dynamics of India (HDI) (Infrastructure & Human Resources), is an annual publication, based on healthcare administrative data reported by States/UTs. Details of availability of Doctors, Nurses and Paramedical staff across the country including in Hazaribagh and Ramgarh districts of Jharkhand, State/UT-wise, 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, availability of adequate human resources in health facilities, to improve availability, affordability and accessibility to quality health care in the country including Jharkhand. The Ministry of Health and Family Welfare provides technical and financial support 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. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources. The details of RoPs issued to States/UTs including Jharkhand, are available at following web link:

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

Central releases under NHM from FY 2022-23 to FY 2024-25 for the State of Jharkhand are as follows:

(Rs in Crore)

| Financial Year   |   Central ReleaseunderNHM |
|------------------|---------------------------|
| 2022-23          |                    810.3  |
| 2023-24          |                    958.06 |
| 2024-25          |                    964.31 |

The Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) with an outlay of Rs.64,180 crore aims to provide support for infrastructure development for SubHealth Centres, Urban Health and Wellness Centres, Support for Block Public Health Units, Integrated District Public Health Laboratories (IPHLs) and Critical Care Hospital Blocks (CCBs) in the country. Total amount of Rs.1375.96 crore has been approved under PMABHIM for the State of Jharkhand for FY 2021-22 to FY 2025-26. Central Release under PM -ABHIM for the State of Jharkhand from FY 2022-23 to FY 2024-25 is as follows:

(Rs in Crore)

| Financial Year   |   Central ReleaseunderPM-ABHIM |
|------------------|--------------------------------|
| 2022-23          |                         183.04 |
| 2023-24          |                         102.27 |
| 2024-25          |                          65.27 |

The Government of India has taken number of initiatives in the form of incentives and honorarium to the medical professionals for encouraging better service delivery in rural and remote areas across the country including Hazaribagh and Ramgarh districts of Jharkhand, which include:

- i. Hard Area Allowance to specialist doctors for serving in rural and remote areas so that they find it attractive to serve in public health facilities in such areas.
- ii. States are also allowed to offer negotiable salary to attract specialist including flexibility in strategies such as 'You Quote We Pay'.
- iii. Non-monetary incentives such as preferential admission in postgraduate courses for staff serving in difficult areas and improving accommodation arrangement in rural areas have also been introduced under NHM.
- iv. Multi-skilling of doctors is supported under NHM to overcome the shortage of specialists

such as Comprehensive Emergency Obstetric and Newborn Care (CEmONC) and Life Saving Anaesthesia Skills (LSAS).

To ensure availability of essential drugs and reduce the Out of Pocket Expenditure (OOPE) of the patients visiting the public health facilities, Government has rolled out the Free Drugs Service Initiative (FDSI) under NHM. This includes financial support to States/UTs including Jharkhand for 106 drugs at Sub Health Centres (SHCs), 172 at Primary Health Centres (PHCs), 300 at Community Health Centres (CHCs), 318 at Sub District Hospitals (SDHs) and 381 drugs at District Hospitals (DHs).

Under Free Diagnostics Service Initiative, Government of India provides financial support to States/UTs including Jharkhand for providing accessible and affordable pathological and radiological diagnostics services closer to the community, free of cost at all levels of public health facilities [14 tests at SHC-Ayushman Arogya Mandirs (AAMs), 63 at PHC-AAMs, 97 at CHCs, 111 test at SDHs and 134 tests at DHs].

Under National Ambulance Service, 3,144 Advanced Life Support (ALS), 15,546 Basic Life Support (BLS), 3,928 Patient Transport Vehicle (PTV), 19 Boat Ambulances, 81 Bike Emergency Response Vehicles and 5,792 other empanelled vehicles are supported under NHM for transportation of patients, particularly pregnant women and sick infants from home to public health facilities and back in the country including Jharkhand.

Ayushman Bharat Pradhan Mantri - Jan Arogya Yojana (AB PM-JAY) is a flagship scheme of the Government which provides health cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization to approximately 55 Crore beneficiaries corresponding to 12.37 Crore families constituting economically vulnerable bottom 40% of India's population including Jharkhand. Recently, the scheme has been expanded to cover 6 crore senior citizens of age 70 years and above belonging to 4.5 crore families irrespective of their socioeconomic status under AB PM-JAY with Vay Vandana Card.

*****