Lok Sabha Question No. 1160 (UNSTARRED), answered on 2026-02-06
Subject: Ayushman Arogya Mandirs and Urban Health Services
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Smt. Bharti Pardhi, Shri Ramashankar  Vidharthi Rajbhar, Dr. Shrikant Eknath Shinde, Shri Ravindra Dattaram Waikar, Shri Shrirang Appa Chandu Barne, Shri Naresh Ganpat Mhaske

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

## LOK SABHA UNSTARRED QUESTION No. 1160 TO BE ANSWERED ON 6 th FEBRUARY, 2026

## AYUSHMANAROGYAMANDIRSANDURBANHEALTHSERVICES

## 1160. SMT. BHARTI PARDHI:

SHRI NARESH GANPAT MHASKE:

SHRI RAVINDRADATTARAM WAIKAR:

DR. SHRIKANT EKNATH SHINDE:

SHRI SHRIRANG APPACHANDU BARNE:

SHRI RAMASHANKAR VIDHARTHI RAJBHAR:

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

- (a) the number of Ayushman Arogya Mandirs, including Urban Health and Wellness Centres (Urban HWCs), operational in the country, particularly in slum areas of metropolitan cities such as Mumbai, Thane and Pune and in districts of Uttar Pradesh including Deoria and Ballia, State-wise and district-wise;
- (b) the details of availability of free medicines and diagnostic services at these centres under the Free Drugs Service Initiative along with the number of diagnostic tests provided and the sanctioned, released and expenditure amounts, especially in Uttar Pradesh, State-wise and district-wise;
- (c) the current status of deployment of telemedicine services (e-Sanjeevani) at these centres for providing specialist consultations, State-wise and district-wise;
- (d) the measures taken/proposed to be taken by the Government to screen urban and rural poor populations for non-communicable diseases such as hypertension and diabetes under Ayushman Bharat and allied programmes; and
- (e) the steps taken/proposed to be taken by the Government to strengthen the disease surveillance system, particularly in densely populated urban pockets and the districts in Uttar Pradesh which have not yet achieved the targets for Maternal Mortality Rate (MMR), Infant Mortality Rate (IMR) and Total Fertility Rate (TFR)?

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

(a) to (e): As reported by States/UTs on Ayushman Arogya Mandir (AAM) portal, 1,82,944 AAMs [erstwhile Ayushman Bharat Health and Wellness Centres (AB-HWCs)], including urban AAMs, have been operationalized across the country by strengthening Sub Health Centres (SHCs) and Primary Health Centres (PHCs), as on 31.12.2025. State/UT-wise number of AAMs operationalized across the country is enclosed as Annexure-I.

The cumulative number of AAMs operationalized in districts of Maharashtra such as Mumbai, Thane and Pune, including slum areas of metropolitan cities and in districts of Uttar Pradesh including Deoria and Ballia, as on 31.12.2025, is enclosed as Annexure-II.

Under Free Drugs and Free Diagnostics Service Initiative, Government of India provides financial support to States/UTs for 106 drugs & 14 diagnostic tests at SHC-AAM and 172 drugs & 63 tests at PHC-AAM level. The State-wise details of State Program Implementation Plan (SPIP) approvals and expenditure for Free Drugs Services Initiative and Free Diagnostics Services Initiative under NHM from F.Y. 2022-23 to F.Y.2024-25 including Uttar Pradesh are enclosed as Annexure-III and IV respectively.

The teleconsultation services, available at all operational AAMs across the country including rural and urban areas, enables people to access the specialist services closer to their homes addressing concerns of physical accessibility, shortage of service providers and to facilitate continuum of care. Total teleconsultations conducted at AAM are 42.66 crore, as on 31.12.2025.

Under the National Programme for Prevention and Control of Non-Communicable Diseases (NP-NCD), a population-based initiative for prevention, control and screening for common NCDs has been rolled out in the country under National Health Mission (NHM). A significant improvement has been reported in the screening and management of Non-communicable diseases (NCDs) with over 40.13 crore individuals for Hypertension and 39.86 crore for Diabetes, screened/examined for NCD at Primary Health facilities including AAM, as per NP -NCD portal as on 31.12.2025.

To strengthen the disease surveillance system, particularly in densely populated urban pockets and districts of Uttar Pradesh that have not yet achieved targets for Maternal Mortality Rate (MMR), Infant Mortality Rate (IMR) and Total Fertility Rate (TFR), Government is implementing the Integrated Disease Surveillance Programme (IDSP) for early detection and timely response to disease outbreaks and has enhanced monitoring of maternal and child health indicators under Reproductive Maternal Newborn Child Adolescent Health Plus Nutrition (RMNCAH+N) strategy.

*****

State/UT-wise number of AAMs operationalized across the country, as on 31.12.2025:

| S.No.   | State/UT                 | Total no. of operational AAMs   |
|---------|--------------------------|---------------------------------|
| 1       | Andaman &Nicobar Islands | 129                             |
| 2       | Andhra Pradesh           | 11,871                          |
| 3       | Arunachal Pradesh        | 511                             |
| 4       | Assam                    | 4,963                           |
| 5       | Bihar                    | 12,144                          |
| 6       | Chandigarh               | 60                              |
| 7       | Chhattisgarh             | 5,898                           |
| 8       | Delhi                    | 222                             |
| 9       | DNH&DD                   | 95                              |
| 10      | Goa                      | 306                             |
| 11      | Gujarat                  | 10,696                          |
| 12      | Haryana                  | 3,269                           |
| 13      | Himachal Pradesh         | 2,764                           |
| 14      | Jammu &Kashmir           | 3,168                           |
| 15      | Jharkhand                | 4,155                           |
| 16      | Karnataka                | 10,126                          |
| 17      | Kerala                   | 7,183                           |
| 18      | Ladakh                   | 321                             |
| 19      | Lakshadweep              | 13                              |
| 20      | Madhya Pradesh           | 12,676                          |
| 21      | Maharashtra              | 12,933                          |
| 22      | Manipur                  | 420                             |
| 23      | Meghalaya                | 621                             |
| 24      | Mizoram                  | 412                             |
| 25      | Nagaland                 | 485                             |
| 26      | Odisha                   | 7,374                           |
| 27      | Puducherry               | 133                             |
| 28      | Punjab                   | 3,311                           |
| 29      | Rajasthan                | 12,669                          |
| 30      | Sikkim                   | 184                             |
| 31      | Tamil Nadu               | 8,502                           |
| 32      | Telangana                | 5,050                           |
| 33      | Tripura                  | 1,131                           |
| 34      | Uttar Pradesh            | 23,336                          |
| 35      | Uttarakhand              | 2,357                           |
| 36      | West Bengal              | 13,456                          |
|         | Total                    | 1,82,944                        |

## Annexure-II

## District-wise number of AAMs operationalized across the country, as on 31.12.2025:

|   S.N. | STATE         | DISTRICT            |   TotalAAM Operational |
|--------|---------------|---------------------|------------------------|
|      1 | Maharashtra   | Mumbai Sub (Urban)  |                    178 |
|      2 | Maharashtra   | Mumbai              |                     55 |
|      3 | Maharashtra   | Thane               |                    347 |
|      4 | Maharashtra   | Pune                |                    825 |
|      5 | Uttar Pradesh | Saharanpur          |                    392 |
|      6 | Uttar Pradesh | Muzaffarnagar       |                    306 |
|      7 | Uttar Pradesh | Bijnor              |                    418 |
|      8 | Uttar Pradesh | Moradabad           |                    363 |
|      9 | Uttar Pradesh | Rampur              |                    267 |
|     10 | Uttar Pradesh | Jyotiba Phule Nagar |                    215 |
|     11 | Uttar Pradesh | Meerut              |                    360 |
|     12 | Uttar Pradesh | Baghpat             |                    182 |
|     13 | Uttar Pradesh | Ghaziabad           |                    297 |
|     14 | Uttar Pradesh | Gautam Buddha Nagar |                    101 |
|     15 | Uttar Pradesh | Bulandshahr         |                    418 |
|     16 | Uttar Pradesh | Aligarh             |                    411 |
|     17 | Uttar Pradesh | Mahamaya Nagar      |                    206 |
|     18 | Uttar Pradesh | Mathura             |                    186 |
|     19 | Uttar Pradesh | Agra                |                    486 |
|     20 | Uttar Pradesh | Firozabad           |                    289 |
|     21 | Uttar Pradesh | Mainpuri            |                    223 |
|     22 | Uttar Pradesh | Budaun              |                    373 |
|     23 | Uttar Pradesh | Bareilly            |                    560 |
|     24 | Uttar Pradesh | Pilibhit            |                    264 |
|     25 | Uttar Pradesh | Shahjahanpur        |                    326 |
|     26 | Uttar Pradesh | Kheri               |                    453 |
|     27 | Uttar Pradesh | Sitapur             |                    569 |
|     28 | Uttar Pradesh | Hardoi              |                    439 |
|     29 | Uttar Pradesh | Unnao               |                    344 |
|     30 | Uttar Pradesh | Lucknow             |                    353 |
|     31 | Uttar Pradesh | Rae Bareli          |                    349 |
|     32 | Uttar Pradesh | Farrukhabad         |                    227 |
|     33 | Uttar Pradesh | Kannauj             |                    217 |
|     34 | Uttar Pradesh | Etawah              |                    191 |
|     35 | Uttar Pradesh | Auraiya             |                    157 |
|     36 | Uttar Pradesh | Kanpur Dehat        |                    213 |
|     37 | Uttar Pradesh | Kanpur Nagar        |                    504 |
|     38 | Uttar Pradesh | Jalaun              |                    245 |
|     39 | Uttar Pradesh | Jhansi              |                    358 |

|   40. | Uttar Pradesh   | Lalitpur                     |   150 |
|-------|-----------------|------------------------------|-------|
|    41 | Uttar Pradesh   | Hamirpur                     |   169 |
|    42 | Uttar Pradesh   | Mahoba                       |   112 |
|    43 | Uttar Pradesh   | Banda                        |   216 |
|    44 | Uttar Pradesh   | Chitrakoot                   |   151 |
|    45 | Uttar Pradesh   | Fatehpur                     |   297 |
|    46 | Uttar Pradesh   | Pratapgarh                   |   323 |
|    47 | Uttar Pradesh   | Kaushambi                    |   207 |
|    48 | Uttar Pradesh   | Allahabad                    |   703 |
|    49 | Uttar Pradesh   | Barabanki                    |   434 |
|    50 | Uttar Pradesh   | Faizabad                     |   302 |
|    51 | Uttar Pradesh   | Ambedkar Nagar               |   342 |
|    52 | Uttar Pradesh   | Sultanpur                    |   281 |
|    53 | Uttar Pradesh   | Bahraich                     |   425 |
|    54 | Uttar Pradesh   | Shrawasti                    |   125 |
|    55 | Uttar Pradesh   | Balrampur                    |   254 |
|    56 | Uttar Pradesh   | Gonda                        |   376 |
|    57 | Uttar Pradesh   | Siddharth nagar              |   369 |
|    58 | Uttar Pradesh   | Basti                        |   342 |
|    59 | Uttar Pradesh   | Sant Kabir Nagar             |   222 |
|    60 | Uttar Pradesh   | Maharajganj                  |   275 |
|    61 | Uttar Pradesh   | Gorakhpur                    |   677 |
|    62 | Uttar Pradesh   | Kushinagar                   |   321 |
|    63 | Uttar Pradesh   | Deoria                       |   321 |
|    64 | Uttar Pradesh   | Azamgarh                     |   615 |
|    65 | Uttar Pradesh   | Mau                          |   230 |
|    66 | Uttar Pradesh   | Ballia                       |   435 |
|    67 | Uttar Pradesh   | Jaunpur                      |   460 |
|    68 | Uttar Pradesh   | Ghazipur                     |   377 |
|    69 | Uttar Pradesh   | Chandauli                    |   261 |
|    70 | Uttar Pradesh   | Varanasi                     |   341 |
|    71 | Uttar Pradesh   | Sant Ravidas Nagar (Bhadohi) |   149 |
|    72 | Uttar Pradesh   | Mirzapur                     |   311 |
|    73 | Uttar Pradesh   | Sonbhadra                    |   224 |
|    74 | Uttar Pradesh   | Etah                         |   245 |
|    75 | Uttar Pradesh   | Kanshiram Nagar              |   185 |
|    76 | Uttar Pradesh   | Sambhal                      |   273 |
|    77 | Uttar Pradesh   | Shamli                       |   144 |
|    78 | Uttar Pradesh   | Hapur                        |   183 |
|    79 | Uttar Pradesh   | Amethi                       |   247 |

## Annexure-III

State/UT wise details of SPIP Approvals and Expenditure for Free Drugs Services Initiative under NHM from F.Y. 2022-23 to F.Y. 2024-25-(Rs. In lakhs)

| S.N o.   | State/UT                           | 2022-23       | 2022-23     | 2023-24       | 2023-24     | 2024-25       | 2024-25     |
|----------|------------------------------------|---------------|-------------|---------------|-------------|---------------|-------------|
| S.N o.   | State/UT                           | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure |
| 1        | Andaman and Nicobar Islands        | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 3.16        |
| 2        | Andhra Pradesh                     | 2018.90       | 2018.90     | 3,615.83      | 3,615.83    | 6,420.48      | 6,265.91    |
| 3        | Arunachal Pradesh                  | 435.00        | 414.48      | 456.00        | 770.23      | 436.00        | 459.42      |
| 4        | Assam                              | 17638.60      | 16323.73    | 15,311.65     | 12,833.39   | 21,160.29     | 18,740.44   |
| 5        | Bihar                              | 20254.33      | 18496.39    | 21,337.69     | 16,814.49   | 32,160.12     | 34,683.84   |
| 6        | Chandigarh                         | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 7        | Chhattisgarh                       | 2000.00       | 9300.00     | 2,000.00      | 0.00        | 2,000.00      | 0.00        |
| 8        | Dadra& Nagar Haveli and Daman &Diu | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 9        | Delhi                              | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 10       | Goa                                | 807.00        | 618.64      | 807.00        | 372.23      | 820.46        | 349.30      |
| 11       | Gujarat                            | 3487.86       | 2365.87     | 3,558.09      | 2,754.10    | 3,779.92      | 2,085.00    |
| 12       | Haryana                            | 0.00          | 0.00        | 0.00          | 0.00        | 263.60        | 6.06        |
| 13       | Himachal Pradesh                   | 10000.00      | 6858.25     | 10,000.00     | 7,504.34    | 9,531.45      | 6,834.96    |
| 14       | Jammu and Kashmir                  | 1200.00       | 1200.00     | 2,900.00      | 1,600.00    | 3,077.16      | 1,008.19    |
| 15       | Jharkhand                          | 2300.00       | 648.75      | 2,300.00      | 475.10      | 3,559.67      | 2,348.10    |
| 16       | Karnataka                          | 14815.00      | 3573.60     | 15,583.00     | 3,077.49    | 15,706.09     | 1,516.59    |
| 17       | Kerala                             | 25169.00      | 21648.91    | 25,169.00     | 7,000.00    | 3,995.00      | 0.00        |
| 18       | Ladakh                             | 305.00        | 74.67       | 305.00        | 68.58       | 320.00        | 190.32      |
| 19       | Lakshadweep                        | 25.67         | 20.04       | 26.95         | 25.48       | 26.95         | 10.05       |
| 20       | Madhya Pradesh                     | 10272.21      | 11687.60    | 11,325.11     | 15,014.38   | 42,075.95     | 19,402.27   |
| 21       | Maharashtra                        | 29463.29      | 16840.02    | 31,799.25     | 9,026.62    | 36,976.00     | 1,745.81    |
| 22       | Manipur                            | 1580.00       | 660.67      | 1,810.00      | 1,508.16    | 2,500.90      | 2,046.96    |
| 23       | Meghalaya                          | 287.00        | 592.12      | 287.00        | 2,662.75    | 697.04        | 405.21      |
| 24       | Mizoram                            | 354.78        | 95.83       | 364.39        | 416.86      | 358.38        | 168.18      |
| 25       | Nagaland                           | 466.64        | 385.10      | 490.00        | 868.71      | 524.22        | 662.01      |
| 26       | Odisha                             | 1122.78       | 254.29      | 1,653.21      | 905.12      | 775.17        | 104.64      |
| 27       | Puducherry                         | 45.00         | 35.32       | 45.00         | -           | 45.00         | 36.49       |
| 28       | Punjab                             | 4720.00       | 9589.11     | 4,956.00      | 4,956.00    | 19,935.77     | 6,530.28    |
| 29       | Rajasthan                          | 63193.90      | 61186.16    | 63,193.90     | 59,437.79   | 107,041.15    | 94,137.29   |
| 30       | Sikkim                             | 600.00        | 663.67      | 700.00        | 389.18      | 425.00        | 425.15      |
| 31       | Tamil Nadu                         | 15000.00      | 11429.09    | 30,000.00     | 13,416.74   | 14,691.72     | 14,643.72   |
| 32       | Telangana                          | 7851.68       | 3562.18     | 7,851.68      | 0.00        | 152.32        | 152.32      |
| 33       | Tripura                            | 450.00        | 68.66       | 450.00        | 29.02       | 215.00        | 136.92      |
| 34       | Uttar Pradesh                      | 11733.98      | 204.68      | 13,489.33     | 452.13      | 19,556.79     | 719.37      |
| 35       | Uttarakhand                        | 2792.00       | 2417.07     | 10,000.00     | 435.00      | 2,867.30      | 2,409.03    |
| 36       | West Bengal                        | 10000.00      | 5638.70     | 2,500.00      | 1,215.72    | 10,000.00     | 1,317.20    |

## Note:

1. The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year.

## Annexure-IV

## State/UT wise details of SPIP Approvals and Expenditure for Free Diagnostics Services Initiative under NHM from F.Y. 2022-23 to F.Y.2024-25-(Rs. In lakhs)

| S.No.   | State/UT                            | 2022-23       | 2022-23     | 2023-24       | 2023-24     | 2024-25       | 2024-25     |
|---------|-------------------------------------|---------------|-------------|---------------|-------------|---------------|-------------|
| S.No.   | State/UT                            | SPIP Approval | Expenditure | SPIP Approval | Expenditure | SPIP Approval | Expenditure |
| 1       | Andaman and Nicobar Islands         | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 2       | Andhra Pradesh                      | 10368.97      | 1559.80     | 16,281.77     | 15,175.03   | 9,138.22      | 8,523.70    |
| 3       | Arunachal Pradesh                   | 1489.25       | 1404.15     | 1,563.70      | 2,225.30    | 1,676.00      | 1,675.88    |
| 4       | Assam                               | 9136.37       | 8532.75     | 9,875.54      | 11,456.41   | 9,334.25      | 7,045.70    |
| 5       | Bihar                               | 17566.93      | 6019.67     | 19,431.74     | 7,808.68    | 10,457.56     | 8,103.86    |
| 6       | Chandigarh                          | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 7       | Chhattisgarh                        | 3180.00       | 3181.95     | 1,280.00      | 0.00        | 3,108.85      | 2.71        |
| 8       | Dadra & Nagar Haveli and Daman &Diu | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 9       | Delhi                               | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 10      | Goa                                 | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 11      | Gujarat                             | 32.50         | 6.89        | 32.00         | 217.82      | 422.51        | 291.56      |
| 12      | Haryana                             | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 13      | Himachal Pradesh                    | 2000.00       | 3271.12     | 2,000.00      | 2,642.24    | 5,000.00      | 4,693.74    |
| 14      | Jammu and Kashmir                   | 2364.66       | 469.76      | 4,438.59      | 860.71      | 3,549.02      | 1,724.30    |
| 15      | Jharkhand                           | 0.00          | 87.05       | 0.00          | 104.77      | 1,848.00      | 571.11      |
| 16      | Karnataka                           | 11989.39      | 4602.80     | 10,428.97     | 8,354.52    | 11,193.06     | 4,534.81    |
| 17      | Kerala                              | 1813.12       | 217.85      | 0.00          | 66.40       | 861.00        | 379.63      |
| 18      | Ladakh                              | 87.88         | 24.00       | 87.88         | 67.64       | 150.00        | 138.46      |
| 19      | Lakshadweep                         | 0.00          | 0.00        | 0.00          | 0.00        | 0.00          | 0.00        |
| 20      | Madhya Pradesh                      | 15707.32      | 14199.18    | 16,768.51     | 17,426.37   | 18,252.18     | 17,619.94   |
| 21      | Maharashtra                         | 18071.71      | 25007.13    | 19,866.27     | 25,097.06   | 34,629.61     | 24,406.10   |
| 22      | Manipur                             | 1050.00       | 1366.75     | 1,212.00      | 368.80      | 2,500.00      | 3,479.20    |
| 23      | Meghalaya                           | 0.00          | 1001.25     | 0.00          | 144.37      | 0.00          | 91.66       |
| 24      | Mizoram                             | 1273.00       | 102.77      | 1,368.00      | 1,358.63    | 221.84        | 126.12      |
| 25      | Nagaland                            | 163.00        | 0.00        | 171.15        | 0.19        | 179.71        | 0.00        |
| 26      | Odisha                              | 5022.08       | 4091.44     | 4,356.77      | 13,115.14   | 5,027.82      | 8,180.35    |
| 27      | Puducherry                          | 7.63          | 14.93       | 147.63        | 3.13        | 147.62        | 0.00        |
| 28      | Punjab                              | 1200.00       | 4321.95     | 1,275.00      | 1,275.00    | 2,845.31      | 3,136.32    |
| 29      | Rajasthan                           | 21621.09      | 3306.90     | 21,621.09     | 786.10      | 17,973.80     | 3,893.53    |
| 30      | Sikkim                              | 72.59         | 71.26       | 100.00        | 98.79       | 150.00        | 149.98      |
| 31      | Tamil Nadu                          | 11208.84      | 8838.09     | 19,001.28     | 3,423.57    | 8,150.91      | 5,916.33    |
| 32      | Telangana                           | 476.04        | 2993.69     | 138.60        | 36.28       | 0.00          | 0.00        |
| 33      | Tripura                             | 1643.00       | 1919.79     | 1,855.01      | 736.85      | 2,412.66      | 1,487.48    |
| 34      | Uttar Pradesh                       | 31934.19      | 10052.89    | 37,984.25     | 13,153.37   | 42,853.90     | 15,055.50   |
| 35      | Uttarakhand                         | 2235.00       | 1424.69     | 2,050.00      | 2,159.46    | 4,190.00      | 3,633.68    |
| 36      | West Bengal                         | 25743.00      | 21478.76    | 28,453.28     | 14,284.88   | 32,927.89     | 6,682.89    |

Note:

1. The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs and is provisional.
2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year.

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