Lok Sabha Question No. 3647 (UNSTARRED), answered on 2026-03-13
Subject: Progress achieved under PM-ABHIM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shri Sudama Prasad

## GOVERNMENTOFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENTOFHEALTH AND FAMILYWELFARE

## LOK SABHA UNSTARRED QUESTION NO. 3647 TO BE ANSWERED ON 13.03.2026

## PROGRESSACHIEVEDUNDERPM-ABHIM

## 3647. SHRI SUDAMA PRASAD:

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

- (a) the objectives, scope and key components of the Ayushman Bharat Health Infrastructure Mission (ABHIM) as a national healthcare infrastructure development initiative and the gaps it seeks to address in public health preparedness;
- (b) the amount of funds allocated, released and utilised under ABHIM in the country during the last three financial years indicating separately the Central and State shares, State/UT-wise;
- (c) the physical progress achieved under the Mission in the country including the number of critical care hospital blocks, integrated public health laboratories, district and block-level health facilities and surveillance units sanctioned, completed and operational, State/UT-wise; and
- (d) the challenges faced in the implementation of ABHIM, including land availability, manpower shortages, inter-State capacity differences and delays in project execution along with the steps taken by the Government to ensure timely completion and effective utilisation of health infrastructure created under the Mission?

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

(a) to (d): Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) is a Centrally Sponsored Scheme (CSS) with some Central Sector Components (CS) which has an outlay of Rs. 64,180 Crores for the scheme period (FY 2021-22 to FY 2025-26).

The scheme envisages a new generation of reforms to integrate and strengthen health service delivery and public health action including health research so that the communities are Atmanirbhar in managing such pandemics or health crisis. The measures under the scheme are aimed at strengthening health systems and institutions in order to provide a continuum of care at all levels, namely primary, secondary, and tertiary, as well as preparing health systems to respond effectively to current and future pandemics and disasters.

The objectives of PM-ABHIM are to strengthen public health infrastructure at the primary and secondary levels of care; enhance capacity for disease surveillance, diagnostics, and research for emerging and re-emerging diseases; and develop a resilient health system capable of responding effectively to public health emergencies.

The scope of PM-ABHIM includes strengthening public health systems in both rural and urban areas through investments in laboratories, critical care infrastructure, disease surveillance systems, and emergency response mechanisms. The scheme comprises Central Sector (CS) and Centrally Sponsored Scheme (CSS) components, under which support is provided to States/UTs for strengthening district- and block-level health infrastructure, as well as for the expansion of national institutions.

Under the CSS components of the scheme, following are the five activities where support is provisioned to the State/UTs during the scheme period (2021-2026):

- a) Construction of 17,788 Building less Sub-Centres as Ayushman Bharat- Health & Wellness centres, now known as Ayushman Arogya Mandir (AAM)
- b) Establishment of 11,024 Health &amp; wellness Centres, now AAM in Urban areas with a focus on slum and slum like areas are envisioned
- c) Establishment of 3382 Block Public Health Units (BPHUs) at the block level,
- d) Establishment of 730 District Integrated Public Health Labs in the country, wherein each district will have one such lab.
- e) Establishing 602 Critical Care Hospital Blocks in all districts with population more than 5 lakhs.

Under CSS component of the scheme, administrative approvals have been accorded to the States/UTs under PM-ABHIM for 5 years period i.e. FY 2021-22 to FY 2025-26 for an amount of Rs.32,928.82 Crores for construction/ strengthening and establishment of 9519

Building- less SHC-AAMs, 5456 Urban-AAMs, 2151 BPHUs, 744 IPHLs and 621 CCBs at District Hospitals/ Govt. Medical College level.

The State/UT-wise details of Central Release and Expenditure under PM-ABHIM from FY 2022-23 to FY 2024-25 are placed at Annexure-I .

The State/UT-wise progress under PM-ABHIM is placed at Annexure-II .

During the implementation of PM-ABHIM, several bottlenecks were encountered by the States, including delays in the availability of adequate land, prolonged tendering and procurement processes, coordination challenges with project executing agencies, and inadequate pre-implementation readiness such as incomplete DPRs and pending approvals.

To address these challenges and ensure timely completion and effective utilisation of the health infrastructure created under the scheme, the Government has taken several measures. These include continuous monitoring and review of project progress by senior officials through regular meetings with States/UTs and implementing agencies; directing States/UTs to ensure land and site readiness for approved projects; and enhancing inter-departmental coordination through periodic reviews. Efforts have also been made to strengthen project management and implementation capacity at the State level through technical support and coordination with implementing agencies for expediting approvals of DPRs and necessary procurement clearances. In addition, technical guidance, standard designs, and operational guidelines have been provided to States/UTs for timely implementation of infrastructure components, along with streamlining of fund release and utilisation mechanisms to facilitate timely execution of approved projects.

*****

Annexure-I State/UT-wise Central Release and Expenditure under Pradhan Mantri Ayushman Bharat Health Infrastructure Mission from FY 2022-23 to FY 2024-25

(Rs. In Crore)

| S. No.   | Name of the State/UT               | 2022-23         | 2022-23     | 2023-24         | 2023-24     | 2024-25          | 2024-25     |
|----------|------------------------------------|-----------------|-------------|-----------------|-------------|------------------|-------------|
| S. No.   | Name of the State/UT               | Central Release | Expenditure | Central Release | Expenditure | Centra l Release | Expenditure |
| 1        | Andaman and Nicobar Islands        | 1.11            | 0.00        | 0.00            | 0.00        | 1.05             | 1.57        |
| 2        | Andhra Pradesh                     | 15.76           | 6.25        | 35.78           | 28.85       | 39.07            | 65.16       |
| 3        | Arunachal Pradesh                  | 0.10            | 0.00        | 8.83            | 2.25        | 1.05             | 2.44        |
| 4        | Assam                              | 2.26            | 1.16        | 91.45           | 68.45       | 159.61           | 177.34      |
| 5        | Bihar                              | 7.17            | 0.00        | 0.00            | 50.69       | 15.92            | 185.61      |
| 6        | Chandigarh                         | 4.79            | 1.73        | 10.38           | 5.83        | 5.13             | 6.34        |
| 7        | Chattisgarh                        | 1.34            | 11.01       | 32.23           | 19.64       | 18.63            | 31.05       |
| 8        | Dadra &Nagar Haveli and Daman &Diu | 0.24            | 0.00        | 0.28            | 0.21        | 0.53             | 0.51        |
| 9        | Delhi                              | 0.00            | 0.00        | 0.00            | 0.00        | 0.00             | 0.00        |
| 10       | Goa                                | 0.06            | 0.00        | 3.75            | 0.00        | 0.10             | 0.21        |
| 11       | Gujarat                            | 29.54           | 32.24       | 46.04           | 56.13       | 79.38            | 146.63      |
| 12       | Haryana                            | 1.31            | 0.00        | 17.67           | 16.63       | 36.00            | 88.63       |
| 13       | Himachal Pradesh                   | 28.05           | 9.98        | 15.69           | 15.27       | 44.81            | 52.92       |
| 14       | Jammu &Kashmir                     | 1.00            | 0.00        | 44.01           | 36.67       | 60.44            | 63.71       |
| 15       | Jharkhand                          | 183.04          | 240.87      | 102.27          | 454.05      | 65.27            | 289.16      |
| 16       | Karnataka                          | 37.10           | 18.75       | 100.57          | 104.47      | 118.91           | 198.19      |
| 17       | Kerala                             | 24.89           | 4.72        | 0.00            | 36.66       | 24.58            | 36.15       |
| 18       | Ladakh                             | 0.00            | 0.00        | 0.62            | 0.31        | 0.62             | 0.62        |
| 19       | Lakshadweep                        | 0.63            | 0.00        | 0.00            | 0.07        | 0.00             | 0.51        |
| 20       | Madhya Pradesh                     | 98.70           | 99.43       | 228.52          | 300.93      | 63.19            | 295.14      |
| 21       | Maharashtra                        | 4.07            | 0.00        | 31.76           | 34.47       | 65.48            | 86.82       |
| 22       | Manipur                            | 10.92           | 4.56        | 13.78           | 16.89       | 5.74             | 21.20       |
| 23       | Meghalaya                          | 43.28           | 8.80        | 4.42            | 28.02       | 10.50            | 27.34       |
| 24       | Mizoram                            | 1.52            | 0.27        | 4.52            | 1.32        | 3.82             | 7.27        |
| 25       | Nagaland                           | 0.08            | 0.00        | 4.42            | 0.60        | 0.00             | 1.71        |
| 26       | Odisha                             | 211.46          | 258.55      | 171.58          | 423.43      | 149.05           | 248.42      |
| 27       | Puducherry                         | 0.19            | 0.62        | 2.67            | 2.88        | 2.50             | 4.28        |
| 28       | Punjab                             | 24.16           | 0.00        | 0.00            | 2.07        | 8.92             | 45.33       |
| 29       | Rajasthan                          | 83.59           | 108.50      | 173.06          | 280.43      | 157.76           | 262.93      |
| 30       | Sikkim                             | 0.75            | 0.26        | 3.88            | 2.05        | 1.67             | 3.74        |
| 31       | Tamil Nadu                         | 150.42          | 183.35      | 279.36          | 389.37      | 224.99           | 512.33      |
| 32       | Telangana                          | 53.88           | 83.75       | 95.21           | 141.73      | 208.82           | 348.04      |
| 33       | Tripura                            | 0.90            | 0.38        | 2.48            | 1.43        | 2.12             | 2.94        |

|   34 | Uttar Pradesh   |   173.71 |   254.04 |   247.96 |   252.69 |   400.95 |   544.74 |
|------|-----------------|----------|----------|----------|----------|----------|----------|
|   35 | Uttarakhand     |    32.31 |     1.6  |     0    |    16.35 |    26.89 |    31.07 |
|   36 | West Bengal     |     0    |     9.75 |    30.91 |    49.78 |    78.4  |    92.35 |

Note: 1. The above releases relate to Central Govt. Grants & do not include State share contribution. 2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginning of the year. Expenditure is as per

- FMRs submitted by States/UTs and is provisional.
- I. Building less-AAM (Sub-Centers - Ayushman Arogya Mandir)
- II. Urban- AAM (U-HWC)

| S. No.   | States         |   Units Approved |
|----------|----------------|------------------|
| 1        | Rajasthan      |             1112 |
| 2        | Jharkhand      |              893 |
| 3        | Manipur        |               64 |
| 4        | Uttar Pradesh  |             1670 |
| 5        | Assam          |              768 |
| 6        | Odisha         |              604 |
| 7        | West Bengal    |              385 |
| 8        | Meghalaya      |              251 |
| 9        | Bihar          |             2546 |
| 10       | Andhra Pradesh |              696 |
| 11       | Karnataka      |              530 |
|          | Total          |             9519 |

| S. No.   | State / UT       |   Units Approved |
|----------|------------------|------------------|
| 1        | Andhra Pradesh   |               45 |
| 2        | Chandigarh       |               19 |
| 3        | DNH&DD           |                4 |
| 4        | Gujarat          |              410 |
| 5        | Mizoram          |                1 |
| 6        | Odisha           |              140 |
| 7        | Tamil Nadu       |              708 |
| 8        | Telangana        |              500 |
| 9        | Karnataka        |              817 |
| 10       | Puducherry       |               32 |
| 11       | Jammu &Kashmir   |               79 |
| 12       | Rajasthan        |              639 |
| 13       | Uttar Pradesh    |              674 |
| 14       | Himachal Pradesh |               38 |
| 15       | Delhi            |             1139 |
| 16       | A&NIslands       |                4 |
| 17       | Manipur          |                3 |
| 18       | West Bengal      |              204 |
|          | Total            |             5456 |

Annexure-II

III. Block Public Health Units (BPHUs)

| S. No   | State / UT       |   Units Approved |
|---------|------------------|------------------|
| 1       | Chhattisgarh     |               91 |
| 2       | Jammu &Kashmir   |              287 |
| 3       | Madhya Pradesh   |              196 |
| 4       | Rajasthan        |              184 |
| 5       | Odisha           |              197 |
| 6       | Uttarakhand      |               78 |
| 7       | Uttar Pradesh    |              515 |
| 8       | Himachal Pradesh |               73 |
| 9       | Assam            |              207 |
| 10      | Jharkhand        |              165 |
| 11      | Bihar            |              158 |
|         | TOTAL            |             2151 |

## IV. Integrated Public Health Labs (IPHLs)

| S. No.   | State / UT        |   Units Approved |
|----------|-------------------|------------------|
| 1        | A&NIslands        |                3 |
| 2        | Andhra Pradesh    |               26 |
| 3        | Bihar             |               38 |
| 4        | Chandigarh        |                1 |
| 5        | Chhattisgarh      |               28 |
| 6        | DNH&DD            |                3 |
| 7        | Delhi             |               11 |
| 8        | Goa               |                2 |
| 9        | Haryana           |               22 |
| 10       | Jammu &Kashmir    |               20 |
| 11       | Karnataka         |               31 |
| 12       | Ladakh            |                2 |
| 13       | Lakshadweep       |                1 |
| 14       | Madhya Pradesh    |               55 |
| 15       | Manipur           |               15 |
| 16       | Meghalaya         |               10 |
| 17       | Nagaland          |               11 |
| 18       | Puducherry        |                4 |
| 19       | Punjab            |               22 |
| 20       | Rajasthan         |               33 |
| 21       | Sikkim            |                3 |
| 22       | Tamil Nadu        |               38 |
| 23       | Telangana         |               33 |
| 24       | Tripura           |                7 |
| 25       | Maharashtra       |               36 |
| 26       | Himachal Pradesh  |               12 |
| 27       | Mizoram           |               10 |
| 28       | Uttar Pradesh     |               75 |
| 29       | Kerala            |               14 |
| 30       | Gujarat           |               33 |
| 31       | West Bengal       |               23 |
| 32       | Odisha            |               30 |
| 33       | Jharkhand         |               24 |
| 34       | Assam             |               33 |
| 35       | Arunachal Pradesh |               22 |
| 36       | Uttarakhand       |               13 |
|          | Total             |              744 |

## IV. Critical Care Hospital Block (CCBs)

| S. No.   | State / UT        |   Units Approved |
|----------|-------------------|------------------|
| 1        | Andhra Pradesh    |               24 |
| 2        | Bihar             |               38 |
| 3        | DNH&DD            |                1 |
| 4        | Madhya Pradesh    |               50 |
| 5        | Maharashtra       |               36 |
| 6        | Manipur           |                2 |
| 7        | Meghalaya         |                3 |
| 8        | Mizoram           |                1 |
| 9        | Nagaland          |                1 |
| 10       | Punjab            |               22 |
| 11       | Rajasthan         |               33 |
| 12       | Sikkim            |                1 |
| 13       | Tamil Nadu        |               37 |
| 14       | Tripura           |                1 |
| 15       | Telangana         |               31 |
| 16       | Chhattisgarh      |               23 |
| 17       | Jharkhand         |               23 |
| 18       | West Bengal       |               22 |
| 19       | Jammu &Kashmir    |               10 |
| 20       | Karnataka         |               34 |
| 21       | Himachal Pradesh  |                8 |
| 22       | Gujarat           |               32 |
| 23       | Uttar Pradesh     |               74 |
| 24       | Odisha            |               28 |
| 25       | Uttarakhand       |                5 |
| 26       | Puducherry        |                4 |
| 27       | Kerala            |               14 |
| 28       | Assam             |               27 |
| 29       | Haryana           |               22 |
| 30       | A&NIslands        |                1 |
| 31       | Arunachal Pradesh |                1 |
| 32       | Chandigarh        |                1 |
| 33       | Delhi             |                9 |
| 34       | Goa               |                2 |
|          | Total             |              621 |