Parliament Question: AAMs in Rural and Urban Areas

GOVERNMENT OFINDIA MINISTRYOFHEALTHAND FAMILYWELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO. 3263 TO BE ANSWEREDON08thAUGUST,2025 AAMs IN RURALAND URBANAREAS †3263.SHRIDILIPSAIKIA:

SMT.HIMADRI SINGH:

DR. HEMANTVISHNU SAVARA:

SHRIKALI CHARAN SINGH:

SHRILUMBARAM CHOUDHARY:

SHRIBASAVARAJ BOMMAI:

SHRIVISHWESHWAR HEGDE KAGERI:

SMT.VIJAYLAKSHMI DEVI:

DR. RAJESH MISHRA:

SHRIRAMESH AWASTHI:

SHRIVIJAYBAGHEL:

SHRINABACHARAN MAJHI:

SMT.SMITAUDAYWAGH:

SMT.KAMLESH JANGDE:

SHRIMANOJ TIWARI:

SHRIYOGENDER CHANDOLIA:

SMT.SHOBHANABEN MAHENDRASINHBARAIYA:

SHRIJANARDAN MISHRA:

Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:

(a) the total number of Ayushman Arogya Mandirs (AAMs) set up and functional in the country, State/UT-wise including Chatra andLatehar districts for Jharkhand andShahdol Lok SabhaConstituency for Madhya Pradesh;

(b) the impact of operationalizing over 1.75 lakh AAMs on primary healthcare access, equity andhealthoutcomesacross the countryincludingthe said locations;

(c) whether these of AAMs have contributed to the early detection and management of noncommunicable diseases in the country particularly in the rural areas and if so, the details thereof;

(d) whether any steps have been taken by the Government to expand healthcare services through Ayushman Arogya Mandirs (AAMs) across urban, rural and tribal dominated and densely populated urban areasto ensure universal access to primary healthcarein the country and if so, the details thereof, State/UT-wise including Karnataka, Chhattisgarh, Bihar, Sirohi district of Rajasthan, Durg Lok Sabha Constituency of Chhattisgarh along with the timeline fixedinthisregard;

(e) the manner in which the integration of teleconsultation and yoga sessions has enhanced service deliveryat AAMs; and

(f) the amount of funds allocated for AAMs across the country during the last three years, State/UT-wise? ANSWER THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY WELFARE (SHRIPRATAPRAO JADHAV)

(a) to (f): As reported by States/UTs on Ayushman Arogya Mandir (AAM) portal, State/UT- 1wise number of AAMs operationalized across the country, including 119 in Chatra, 113 in Latehar districts of Jharkhand and 567 in Shahdol Lok Sabha Constituency of Madhya Pradesh,ason15.07.2025,isenclosedasAnnexure-I.

With the enactment of various healthcare reforms at AAMs in India including Chatra and Latehar districts of Jharkhand and Shahdol Lok Sabha Constituency of Madhya Pradesh, the annual footfall has increased from 13.49 crore in FY2019-20 to 128.08 crore inFY2024-25.

A significant improvement has been reported in the screening and management of Non- communicable diseases (NCDs) with over 33.53 crore individuals for Hypertension, 32.18 crore for Diabetes, 30.04 crore for Oral Cancer, 14.08 crore for Breast Cancer and 7.53 crore for Cervical Cancer screened/examined for NCD at Sub-Health Centre (SHCs) & Primary HealthCentre (PHCs) (rural & urban) includingAAM, asperNP-NCD (National Programme for PreventionandControl of Non-Communicable Diseases) portal.

The AAMs incrementally provide 12 package of primary health care services across urban, rural and tribal dominated and densely populated urban areas encompassing Reproductive andchild care services, Communicable diseases, NCD,Palliative Care andelderly Care,Care for common mentaldisorders, neurologicalconditions (epilepsy, dementia)and substance use disorders management(tobacco, alcohol,drugs), Oral health,ENTcare,andBasic emergency care. To complement the expandedservices, the essential list of drugs & diagnosticshas been expanded to make available 172 drugs & 63 diagnostics at PHC-AAMs and 106 drugs & 14 diagnosticsat SHC-AAMs.

AAMs in urban, rural and tribal dominated and densely populated urban areas have been established to strengthen the continuum of care for upward and downward linkages, and act as a gate-keeping mechanism for the secondary and tertiary health care facilities. It also supports promoting community engagement to ensure universal reach of public health interventionsandincreasing accesstospecialist services through polyclinics,which are closer tothe community.

The teleconsultation services, available at all operational AAMs across the country including rural areas, enables people to access the specialist services closer to their homes addressing concernsof physical accessibility, shortage of service providersandtofacilitate continuumof care.Total teleconsultationsconductedat AAMare 38.13crore, ason15.07.2025.

Beyond the management of illnesses, promotive and preventive health is an integral part of comprehensive primary health care. Wellness-related activities like Yoga, cycling, and meditation are conducted in AAMs. As on 15.07.2025,a total of 5.79 crore wellness sessions have beenconductedat AAMs.

Details of State/UT-wise State Program Implementation Plan (SPIP) approvals for AAMs under National Health Mission (NHM) from FY 2022-23 to FY 2024-25 is attached at Annexure-II. ***** 2Annexure-I State/UT-wise numberof AAMs operationalizedacross the country,ason15.07.2025:

S.No. State/UT Total no.of operational AAM 1 Andaman& Nicobar Islands 129 2 Andhra Pradesh 11862 3 Arunachal Pradesh 491 4 Assam 4961 5 Bihar 10335 6 Chandigarh 60 7 Chhattisgarh 5887 8 Delhi 63 9 DNH&DD 95 10 Goa 302 11 Gujarat 10657 12 Haryana 3263 13 HimachalPradesh 2651 14 Jammu & Kashmir 3142 15 Jharkhand 4122 16 Karnataka 10116 17 Kerala 7105 18 Ladakh 321 19 Lakshadweep 13 20 Madhya Pradesh 12346 21 Maharashtra 12546 22 Manipur 420 23 Meghalaya 617 24 Mizoram 412 25 Nagaland 470 26 Odisha 7360 27 Puducherry 127 28 Punjab 3128 29 Rajasthan 11539 30 Sikkim 184 31 Tamil Nadu 8454 32 Telangana 5052 33 Tripura 1134 34 Uttar Pradesh 22999 35 Uttarakhand 2358 36 West Bengal 13433 Total 1,78,154 3Annexure-II State/UT-wiseSPIPApprovalforAAMsunderNHMfromFY2022-23 toFY2024-25 (Rs.inLakhs) Sl.

States No. 2022-23 2023-24 2024-25 1 AndamanandNicobarIslands 15.00 10.50 59.13 2 AndhraPradesh 4,089.10 3,745.65 7,912.25 3 ArunachalPradesh 1,119.21 883.71 5,641.73 4 Assam 23,445.27 18,267.63 7,807.13 5 Bihar 52,749.20 4,026.16 6,588.81 6 Chandigarh 124.82 124.82 177.82 7 Chhattisgarh 16,633.63 8,478.83 7,296.47 8 Dadra&NagarHaveliandDaman&Diu 8.59 8.59 27.44 9 Delhi 0.00 0.00 0.00 10 Goa 512.89 53.09 353.11 11 Gujarat 13,178.54 8,252.56 20,988.58 12 Haryana 11,399.68 5,971.04 10,529.50 13 HimachalPradesh 928.75 226.99 3,934.48 14 JammuandKashmir 3,657.24 3,070.74 3,218.48 15 Jharkhand 25,173.69 11,763.54 10,572.72 16 Karnataka 42,721.29 13,716.82 2,970.04 17 Kerala 18,111.82 26,520.10 3,756.14 18 Lakshadweep 3.55 1.99 14.00 19 MadhyaPradesh 19,073.02 31,381.22 27,564.85 20 Maharashtra 36,566.83 13,564.63 21,122.26 21 Manipur 1,114.70 1,100.70 1,796.43 22 Meghalaya 2,741.67 717.12 1,586.66 23 Mizoram 755.57 671.08 574.09 24 Nagaland 660.61 785.47 1,053.65 25 Odisha 15,286.40 13,418.93 15,178.49 26 Puducherry 269.75 258.95 242.48 27 Punjab 4,613.92 1,772.53 3,207.89 28 Rajasthan 17,212.36 17,212.36 7,498.70 29 Sikkim 110.21 98.65 38.69 30 TamilNadu 8,096.81 4,339.34 163.70 31 Telangana 5,202.87 5,853.78 3,454.81 32 Tripura 4,421.36 671.46 639.65 33 UttarPradesh 74,968.69 1,78,616.62 1,07,535.86 34 Uttarakhand 7,214.59 2,143.06 4,523.07 35 WestBengal 20,608.22 12,605.01 16,173.90 36 Ladakh 1,870.85 633.80 912.02

Note:

1.TheabovedataisasperavailableFinancialManagementReportssubmittedbytheStates/UTsandis provisional. **** 4