Executive Summary:
The document outlines the Indian government's initiatives under the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY) to enhance healthcare access and equity. It details the progress in issuing Ayushman cards, advancements in digital health infrastructure through the Ayushman Bharat Health Account (ABHA) initiative, and the expansion of immunization coverage under Mission Indradhanush. Additionally, it describes the government's plans to improve key health indicators like Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR).
Key Points / Main Content:
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY):
* Provides cashless health cover up to Rs. 5 lakh per eligible beneficiary family per year for secondary and tertiary care hospitalization, covering 1961 procedures across 27 medical specialties.
* 35 States/Union Territories have been onboarded.
* Ayushman Vay Vandana initiative extends free healthcare benefits to all citizens aged 70 years and above from 29.10.2024.
* Frontline workers (ASHAs, AWWs, and AWHs) are included under the scheme.
Ayushman Card Creation:
* Over 41 crore Ayushman cards have been created, with 20.47 crore for female beneficiaries.
* Under Vay Vandana scheme, 75.41 lakh Ayushman Vay Vandana cards have been created, with 32.3 lakh for female beneficiaries.
Ayushman Bharat Digital Mission (ABDM):
* Launched in September 2021 to develop an integrated, citizen-centric national digital health ecosystem.
* Over 79.55 crore Ayushman Bharat Health Accounts (ABHAs) have been created, and over 64.28 crore health records have been linked with ABHAs as of 21.07.2025.
* 'Scan and Share' is a QR code-based OPD registration service minimizing queues and inaccurate data; 22,404 health facilities across 36 States/UTs have generated 12.48 crore OPD registrations as of 16.07.2025.
Mission Indradhanush:
* Catch-up vaccination campaign launched in 2014.
* 5.46 crore additional children and 1.32 crore additional pregnant women have been vaccinated across 12 phases.
National Health Mission (NHM) Initiatives:
* Janani Suraksha Yojana (JSY) promotes institutional delivery through conditional cash transfers.
* Janani Shishu Suraksha Karyakram (JSSK) provides free delivery, including caesarean section, and related benefits in public health institutions.
* Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) offers free antenatal check-ups by specialist medical officers on the 9th of every month. Extended PMSMA ensures quality antenatal care to high-risk pregnant women.
* LaQshya improves the quality of care in labor rooms and maternity operation theaters.
* Surakshit Matritva Aashwasan (SUMAN) provides assured, dignified, respectful, and quality healthcare at no cost for pregnant women and newborns.
* Optimizing Postnatal Care strengthens the quality of postnatal care with emphasis on detection of danger signs in mothers, incentivizing ASHAs.
* Functionalization of First Referral Units (FRUs) and setting up of Maternal and Child Health (MCH) Wings.
* Village Health Sanitation and Nutrition Days (VHSNDs) provide maternal and child health services and awareness.
* Mother and Child Protection (MCP) Card and Safe Motherhood Booklet are distributed to pregnant women.
* RMNCAH+N strategy implementation under NHM.
* Facility Based Newborn Care: SNCUs and NBSUs are established.
* Community Based care of Newborn and Young Children: HBNC and HBYC programs are implemented by ASHAs.
* Social Awareness and Actions to Neutralize Pneumonia Successfully (SAANS) initiative and STOP Diarrhoea campaign are implemented.
* Rashtriya Bal Swasthya Karyakram (RBSK) screens children for health conditions, and District Early Intervention Centres (DEICs) are established.
Impact Analysis:
Citizens:
* Impact: Increased access to cashless healthcare, improved digital health record management, and enhanced immunization coverage.
* Action Required: Utilize Ayushman cards for healthcare services, create and link health records to ABHA, and participate in immunization programs.
Women:
* Impact: Improved maternal health services, increased access to Ayushman cards, and focused attention through specific schemes like JSY and PMSMA.
* Action Required: Utilize available maternal health services, obtain Ayushman cards, and participate in antenatal and postnatal care programs.
Healthcare Providers (ASHAs, AWWs, AWHs, Doctors, and other medical staff):
* Impact: Inclusion under ABPMJAY, increased workload, and responsibility for implementing various health programs.
* Action Required: Facilitate healthcare access for beneficiaries, create awareness about health programs, and provide quality healthcare services.
Government (Ministry of Health and Family Welfare, State/UT Governments):
* Impact: Responsibility for implementing and monitoring ABPMJAY, ABDM, Mission Indradhanush, and NHM initiatives.
* Action Required: Ensure effective implementation of health programs, allocate resources, and monitor progress towards achieving health indicators.
Key Entities Referenced
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (ABPMJAY): A flagship scheme providing cashless health cover of up to Rs. 5 lakh per eligible beneficiary family per year for secondary and tertiary care hospitalization.
Ayushman Bharat Digital Mission (ABDM): A mission launched to support the development of an integrated, citizen-centric national digital health ecosystem.
Ayushman Bharat Health Account (ABHA): Accounts created under ABDM that empower citizens to access and manage their digital health records.
Mission Indradhanush: A catch-up vaccination campaign for vaccinating left out and dropped out children who have missed their Routine Immunization doses.
National Health Mission (NHM): An initiative to improve key health indicators including Maternal Mortality Ratio across the country.
Janani Suraksha Yojana (JSY): A demand promotion and conditional cash transfer scheme for promoting institutional delivery.
Accredited Social Health Activists (ASHAs): Frontline workers included under ABPMJAY, recognized for their vital role in community healthcare.
Rashtriya Bal Swasthya Karyakram (RBSK): A program where children from 0 to 18 years of age are screened for 32 health conditions to improve child survival.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH ANDFAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1069
TOBE ANSWERED ON25TH JULY,2025
AYUSHMAN BHARATPRADHAN MANTRI JAN AROGYAYOJANA
1069. SHRIVISHALDADAPRAKASHBAPUPATIL:
DR.SHRIKANTEKNATHSHINDE:
SHRINARESH GANPATMHASKE:
SHRIRAJESH VERMA:
SMT.SHAMBHAVI:
SHRIRAVINDRADATTARAMWAIKAR:
Will the Ministerof HEALTHANDFAMILYWELFAREbe pleased tostate:
(a) the details of transformative policies and initiatives which have been implemented under
the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) to enhance
healthcareaccessand equityfor citizensinthe county;
(b) the manner in which the issuance of over 36.28 crore Ayushman Cards contributed to
improving health coverage, particularly for women along with the measures being put in
place toensure continued genderequityinhealthcareutilisationacross the country;
(c) the details of the advancements made in India's digital health infrastructure through the
Ayushman Bharat Health Account (ABHA) initiative and its impact on healthcare
accessibility;
(d) the progress achieved under Mission Indradhanush in expanding immunisation coverage
along with the number of children and pregnant women who have benefited from this
initiative;and
(e) the manner in which the Government plan to sustain and further improve key health
indicators, such as the Maternal Mortality Ratio and Infant Mortality Rate, in the coming
years?
ANSWER
THE MINISTER OFSTATEIN THE MINISTRYOFHEALTHAND
FAMILYWELFARE
(SHRIPRATAPRAOJADHAV)
(a):AyushmanBharat-PradhanMantriJanArogyaYojana(AB-PMJAY)isaflagshipscheme
of the Government which provides cashless health cover of up to Rs. 5 lakh per eligiblebeneficiary family per year for secondary and tertiary care hospitalization in 27 different
medical specialties corresponding to 1961 procedures. Currently, 35 States/Union Territories
havebeenonboardedunderAB-PMJAY,ensuringextensivereachacrossthecountry.
Tobroadenthe scope ofcoverage,Government of India launchedthe AyushmanVayVandana
initiative on 29.10.2024, extending free healthcare benefits to all citizens aged 70 years and
above, regardless of socio-economic status. Further, frontline workers such as Accredited
Social Health Activists (ASHAs), Anganwadi Workers (AWWs) and Anganwadi Helpers
(AWHs) have also beenincluded underthe scheme, recognizingtheir vitalrole incommunity
healthcare.
(b): Under AB-PMJAY, over41 crore Ayushman cards have been created,out of which 20.47
crore cardshave beencreated for female beneficiaries. Under Vay Vandanascheme, a total of
75.41lakhAyushmanVayVandanacardshavebeencreated,outofwhich32.3lakhcardshave
beencreatedforfemalebeneficiaries.
(c): Ayushman Bharat Digital Mission (ABDM) was launched by the Government of India in
September 2021 to support the development of an integrated, citizen-centric national digital
health ecosystem. The mission leverages digital public infrastructure (DPI) to enable inter-
operabilityofhealthdataandservicesacrosspublicandprivatestakeholders.UnderABDM,
Ayushman Bharat Health Accounts (ABHAs) are created which empower citizens to access
and manage their digital health records with consent across the healthcare ecosystem. As on
21.07.2025, over 79.55 crore ABHA have been created and over 64.28 crore health records
havebeenlinkedwithABHA.
ABDM registries provides access to health records and gateways to easily access their health
records andto share them securely and seamlessly. Thisenablesthe creationof a longitudinal
health history, ensuring continuity of care. Through this, citizens have access to accurate and
verifiedinformationabouthealthfacilitiesandserviceproviders.'ScanandShare'isaQR-code
-based OPD (Out-patient department) registration service that allows patients to scan the QR
code of the facility and share their demographic details. This minimizes long queues at the
registration counter and minimizes the entry of incomplete or inaccurate data. As on
16.07.2025,a totalof 22,404healthfacilitiesacross 36States/UTshave generated12.48crore
OPDregistrations,withanaverageofabout3lakhregistrationsbeingenabledbythisservice.
(d): MissionIndradhanush isa flagship programlaunchedin2014.It isacatch-upvaccination
campaign, for vaccinating the left out and the dropped out children who have missed their
Routine Immunization doses. In all the 12 phases of Mission Indradhanush conducted so far
across the country, a total of additional5.46 crore children andadditional 1.32 crore pregnant
womenhavebeenvaccinated.
(e): Government of India has undertaken various initiatives/measures under the National
Health Mission (NHM) to improve the key health indicators including Maternal Mortality
Ratio(MMR) across the country:
Janani Suraksha Yojana(JSY) isa demand promotionandconditional cash transfer scheme
for promotinginstitutional delivery. Janani Shishu Suraksha Karyakram (JSSK) entitles all pregnant woman and sick infants
(up to one year of age) delivering in public health institutions to have absolutely free and
no expense delivery, including caesarean section. The entitlements include free drugs,
consumables, free diet during stay, free diagnostics, free transportation and free blood
transfusion, if required.Similarentitlements are also inplace for sick infantsuptoone year
of age.
Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA) provides pregnant women a fixed
day, free of cost, assured and quality antenatal check up by a Specialist/Medical Officer on
the 9th day of every month. ExtendedPMSMAstrategy ensures quality antenatal care
(ANC) to pregnant women, especially to high-risk pregnant (HRP) women and individual
HRPtracking until a safe delivery is achieved by means of financial incentivization for the
identified high-risk pregnant women and accompanying ASHA for extra 3 visits over and
above the PMSMAvisit.
LaQshya improves the quality of care in labour room and maternity operation theatres to
ensure that pregnant women receive respectful and quality care during delivery and
immediatepost-partum.
Surakshit Matritva Aashwasan (SUMAN) provides assured, dignified, respectful and
quality healthcare at no cost and zero tolerance for denial of services for every pregnant
woman and new-born visiting public health facilities to end all preventable maternal and
newborn deaths.
OptimizingPostnatal Care aims to strengthen the quality of post-natal care by laying
emphasis on detection of danger signs in mothers and incentivization of Accredited Social
Health Activists (ASHAs) for prompt detection, referral & treatment of such high-risk
postpartum mothers.
Functionalization of First Referral Units (FRUs) by ensuring manpower, blood storage
units, referral linkagestoimprove the access toqualityof care for pregnant women.
Settingup of Maternal and Child Health (MCH) Wings andOperationalization of Obstetric
High Dependency Units & Intensive Care Units (Obst. HDU & ICU) at high caseload
facilitiestoimprove the quality of care providedtomothersandchildren.
Village Health Sanitation and Nutrition Days (VHSNDs) are observed for provision of
maternal and child health services and creating awareness on maternal and child-care
includingnutritioninconvergence with Ministry of WomenandChild Development.
Outreach camps are provisioned for improving the reach of health care services especially
in tribal and hard to reach areas. This platform is used to increase the awareness for the
Maternal & Child health services, community mobilization as well as to track high-risk
pregnancies.
Mother and Child Protection (MCP) Card and Safe Motherhood Booklet are distributed to
the pregnant women for educating them on diet, rest, danger signs of pregnancy, benefit
schemesandinstitutional deliveries.
Regular IEC/BCC is also a part of all the schemes for greater demand generation.Health
andnutrition educationthrough mass andsocial media is also promotedto improve healthy
practicesandtogeneratedemandfor service uptake.
Government of India supports inimplementationof Reproductive,Maternal, Newborn, Child,
Adolescent Health and Nutrition (RMNCAH + N) strategy under National Health Mission
(NHM) based on the Annual Program Implementation Plan (APIP) submitted by respectiveState/ UT.The details of interventionstoimprove infant survival allacross the countryare as
below:
Facility Based Newborn Care: Special New-born Care Units (SNCUs) are established at
District Hospital and Medical College level, Newborn Stabilization Units (NBSUs) are
established at First Referral Units (FRUs)/ Community Health Centres (CHCs) for care
of sick andsmall babies.
Community Based care of Newborn and Young Children: Under Home Based New-born
Care (HBNC) and Home-Based Care of Young Children (HBYC) program, home visits
are performedbyASHAs toimprove child-rearing practicesandtoidentifysick newborn
andyoungchildreninthe community.
Janani Shishu Suraksha Karyakram (JSSK): Sick infant up to one year of age is entitled
to free treatment in public health institutions along with the provision of free transport,
diagnostics, medicines,bloodandconsumables.
Social Awareness and Actions to Neutralize PneumoniaSuccessfully (SAANS) initiative
implemented since 2019 for reduction of childhood morbidity and mortality due to
Pneumonia.
STOP Diarrhoea campaign is implemented for promoting use of ORS and Zinc and for
reducingmorbidityandmortalityduetochildhooddiarrhoea.
Rashtriya Bal Swasthya Karyakram (RBSK): Children from 0 to 18 years of age are
screenedfor 32healthconditions(i.e. Diseases,Deficiencies,DefectsandDevelopmental
delay) under Rashtriya Bal Swasthya Karyakram (RBSK) to improve child survival.
District EarlyIntervention Centres(DEICs) at district health facilitylevel are established
forconfirmationandmanagementofchildrenscreenedunderRBSK.
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