**Executive Summary:**
The Ayushman Bharat Digital Mission (ABDM) aims to establish an online platform for interoperable health data to create electronic health records for all citizens. As of July 28, 2025, significant progress has been made, with a large number of ABHA accounts created, healthcare facilities and professionals registered, and health records linked. The mission addresses challenges in rural areas through assisted modes and collaboration with states.
**Key Points / Main Content:**
* **ABDM Implementation and Statistics (as of July 28, 2025):**
* 79.71 Crore Ayushman Bharat Health Accounts (ABHA) created.
* 4.17 Lakh health facilities registered on the Health Facility Registry (HFR).
* 6.76 Lakh healthcare professionals registered on the Health Professionals Registry (HPR).
* 65.09 Crore health records linked with ABHA.
* 3,20,973 healthcare facilities have ABDM enabled software.
* 771 districts with ABDM enabled facilities.
* **Addressing Challenges in Rural Areas:**
* ABDM provides for assisted modes to counteract poor internet connectivity.
* Offline ABHA creation enabled.
* National Health Authority collaborates with states for ABDM implementation.
* **Monitoring and Assessment:**
* A public dashboard (dashboard.abdm.gov.in) tracks ABDM progress at state, district, and hospital levels.
* **Digital Health Ecosystem:**
* ABDM supports continuity of care across healthcare levels.
* Telemedicine interventions aid healthcare service availability in remote areas.
* **eSanjeevani Telemedicine Service:**
* Operational in 36 states and UTs, aiming for universal health coverage (UHC).
* Two variants: eSanjeevani ABHWC (provider-to-provider) and eSanjeevani OPD (patient-to-provider).
* Operates on a hub-and-spoke model.
* Served over 39 crore patients as of July 28, 2025.
* 1,34,029 Ayushman Arogya Mandirs (spokes), 17,568 hubs and more than 719 online OPDs.
* Supported by over 2,24,528 telemedicine practitioners.
* **Connectivity Improvements:**
* State governments collaborate with telecom providers to extend broadband coverage to Ayushman Arogya Mandir sub-health center level.
**Impact Analysis:**
* **Citizens:**
* *Impact:* Access to a longitudinal electronic health record, improved continuity of care, and enhanced access to healthcare services, especially in remote areas through telemedicine.
* *Action Required:* Create and utilize ABHA, utilize telemedicine services like eSanjeevani.
* **Healthcare Facilities:**
* *Impact:* Integration into the digital health ecosystem, potential for improved efficiency and data management.
* *Action Required:* Register on the Health Facility Registry (HFR), implement ABDM-enabled software.
* **Healthcare Professionals:**
* *Impact:* Integration into the digital health ecosystem, potential for enhanced collaboration and access to patient information.
* *Action Required:* Register on the Health Professionals Registry (HPR), utilize telemedicine platforms, and adopt ABDM-enabled practices.
* **State Governments:**
* *Impact:* Collaboration with the National Health Authority for ABDM implementation, responsibility for extending broadband coverage.
* *Action Required:* Collaborate with telecom providers to extend broadband coverage, work with the National Health Authority to implement ABDM.
Key Entities Referenced
Ayushman Bharat Digital Mission (ABDM): An initiative to create an online platform enabling interoperability of health data within the health ecosystem to create longitudinal electronic health record of every citizen.
Ayushman Bharat Health Account (ABHA): A health account created under the Ayushman Bharat Digital Mission (ABDM) for citizens to store and manage their health records digitally.
National Health Authority: The implementing body of the Ayushman Bharat Digital Mission (ABDM).
eSanjeevani: A national telemedicine service aimed at achieving universal health coverage (UHC), operational in 36 states and union territories (UTs).
Ayushman Arogya Mandir: Formerly known as health wellness centres, these act as spokes in the eSanjeevani telemedicine service, providing healthcare access in rural areas.
Health Facility Registry (HFR): A registry of health facilities integrated into the Ayushman Bharat Digital Mission (ABDM) system.
Health Professionals Registry (HPR): A registry of healthcare professionals integrated into the Ayushman Bharat Digital Mission (ABDM) system.
Ministry of Health and Family Welfare: The government ministry responsible for health and family welfare policies and programs.
GOVERNMENT OFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION No-2110
TO BE ANSWERED ON01.08.2025
AYUSHMANBHARATDIGITALMISSIONIN RURALAREAS
2110. SHRIPRADYUTBORDOLOI:
SHRIIMRAN MASOOD:
Will the Minister of HEALTH andFAMILYWELFAREbe pleased tostate:
(a) the current implementation status of the Ayushman Bharat Digital Mission (ABDM) in
rural and underserved regions, including the number of districts and healthcare facilities
integratedintothe system;
(b) the challenges faced in ensuring access to digital health services in rural areas,
particularly with regard to infrastructure deficits, internet connectivity and technical literacy
amonghealthcareproviders inthe country;
(c) whether the Government has conducted any assessments to measure the impact of
ABDM on improving rural healthcare delivery, and if so, the key findings of such
assessments; and
(d) the steps taken/proposed to be taken by the Government to expand digital health
coverage in regions with low connectivity and healthcare infrastructure, including the role
of telemedicine platformslike e-Sanjeevani?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY
WELFARE
(SHRIPRATAPRAO JADHAV)
(a) Ayushman Bharat Digital Mission (ABDM) has been launched with an aim to create an
online platform enabling interoperability of health data within the health ecosystem to
create longitudinal electronic health record of every citizen. As on 28th July 2025, a total of
79,71,02,258 (~79.71 Cr) Ayushman Bharat Health Account (ABHA) have been created,
4,17,047 (~4.17 Lakh) health facilities have been registered on health facility registry
(HFR), 6,76,685 (~6.76 Lakh) healthcare professionals have been registered on health
professionals registry (HPR) and 65,09,37,500 (~65.09 Cr) health records have been linked
with ABHA. Rural/urban area details are not captured during the registration process of
health facility registry (HFR). However total number of healthcare facilities having ABDM
enabledsoftware is3,20,973, andnumberof districts with ABDMenabled facilitiesis771.
(b) to (d)ABDMhasprovisionsforassistedmodeinplaceswhereinternetconnectivitymight
be poor. For instance, offline mode for creation of ABHA has been enabled to meet
deficiencies like internetconnectivity/unavailability of hardware. National HealthAuthority,
the implementing body of ABDM, is working in close coordination with the states to
implement ABDM. A public dashboard [dashboard.abdm.gov.in] has been setup to see the
progressofthedifferentKPIs[keyperformanceindicators]relatedtoABDM.Thisdashboard
has drill-downs till state, district and hospital level and therefore, helps in assessment of the
implementationofABDM.
Government has taken various steps to ensure that the benefits of the mission reach every
citizen. The digital health ecosystem created by ABDM supports continuity of care across
primary, secondary and tertiary healthcare in a seamless manner. It aids availability ofhealth care services particularly in remote and rural areas through various technology
interventionslike telemedicine etc.
eSanjeevani is a national telemedicine service operational in 36 states and union territories
(UTs), aimed at achieving universal health coverage (UHC). It is implemented in two
variants: (i) eSanjeevani AB-HWC / Ayushman Arogya Mandir – a provider-to-provider
telemedicine platform (ii) eSanjeevani OPD – a patient-to-provider telemedicine platform
andoperatesonhubandspoke model.
As on 28 July 2025 eSanjeevani has served over 39 crores patients. The service has been
operationalized through 1,34,029 Ayushman Arogya Mandirs (erstwhile health & wellness
centres) acting as spokes, which are served by 17,568 hubs and more than719online OPDs
serviced bya teamof over2,24,528 doctors, medical specialists, super-specialists andhealth
workers astelemedicinepractitioners.
Further, toaddress the network connectivityissues, state governmentsare collaboratingwith
telecom providers to extend broadband coverage upto the Ayushman Arogya Mandir sub-
healthcentre level.
******