Parliament Question: Development of Medical Infrastructure in Rural Areas

GOVERNMENT OFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE LOK SABHA STARRED QUESTION NO. 413* TO BE ANSWERED ON THE 20THMARCH, 2026 DEVELOPMENT OFMEDICALINFRASTRUCTURE IN RURAL AREAS *413. SHRI PUTTAMAHESH KUMAR:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be

pleased to state:

(a) whether the Government has undertaken any study or survey regarding the growth and development of medical infrastructure and facilities in rural areas across the country;

(b) if so, the details thereof along with the list of medical facility projects proposed, under consideration and presently functional in rural areas across the country, State/UT-wise including Andhra Pradesh;

(c) the details regarding the total funds allocated, released and utilised for the growth and development of medical facilities in rural areas across the country, State/UT-wise especially in Andhra Pradesh; and

(d) whether the Government has considered upgrading existing medical facilities to increase their capacity to serve more people in rural areas, if so, the details thereof and if not, the reasons therefor?? ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

(a) to (d) AStatement is laid on the Table of the House.STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 413* FOR 20TH MARCH, 2026

(a) to (d) The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Program Implementation Plans

(PIPs) under National Health Mission (NHM) as per norms & available resources.

Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an annual publication, based on Health care administrative data reported by States/UTs. The State/UT-wise status of rural health facilities functioning across the country, including Andhra Pradesh can be accessed at the following link of HDI 2022-23:

https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%2 0%28Infrastructure%20%26%20Human%20Resources%29%202022- 23_RE%20%281%29.pdf State/UT-wise details of funds approved and Expenditure on Infrastructure Strengthening (Rural & Urban) under National Health Mission (NHM) for the last three FYs i.e 2022-23; 2023-24; 2024-25 including Andhra Pradesh is at Annexure-I.

In addition to the National Health Mission (NHM), Government of India also

operates the following schemes for developing public healthcare infrastructure: •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 (2021-22 to 2025-26). The measures under the PM-ABHIM focus on developing capacities of health systems and institutions across the continuum of care at all levels, primary, secondary and tertiary, to prepare health systems in responding effectively to the current and future pandemics /disasters.

Under CSS component of the scheme, administrative approvals have been accorded to the States/UTs including Andhra Pradesh under PM-ABHIM for 5 years period i.e. FY 2021-22 to FY 2025-26 for an amount of Rs.32,928.82Crores for construction/ strengthening and establishment of 9519 Building-less Sub Health Centre–Ayushman Arogya Mandirs (SHC-AAMs), 5456 Urban Ayushman Arogya Mandirs (U-AAMs), 2151 Block Public Health Units

(BPHUs), 744 Integrated Public Health Laboratories (IPHLs) and 621 Critical Care Blocks (CCBs) at District Hospitals/ Govt. Medical College level.

The State/UT-wise details of projects sanctioned in rural areas across the country, including Andhra Pradesh under PM-ABHIM is placed at Annexure-II.

State/UT-wise details of Funds Released under PM ABHIM including Andhra Pradesh since inception to FY 2024-25 are at Annexure-III.

The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the health sector and spread over the five-year period from FY 2021-22 to FY 2025-26 to facilitate strengthening of health system at the grass-root level for an amount of Rs.

70,000 crores. These grants are for strengthening primary care through specified components such as SHC-AAMs, Primary Health Centres (PHCs), Community Health Centres (CHCs), Conversion of rural PHCs and Sub-Centres to AAMs, Support for diagnostic infrastructure to the primary healthcare facilities, BPHUs and U-AAMs for States, including Andhra Pradesh.

Under Centrally Sponsored Scheme (CSS), ‘Establishment of new medical colleges attached with existing district/referral hospitals’, 157 new medical colleges have been approved with preference to underserved areas and aspirational districts, where there is no existing Government or private medical college. State/UT-wise details of Medical Colleges approved under the Scheme includingAndhra Pradesh is at Annexure-IV.

****Annexure-I State/UT-wise ApprovalandExpenditureonInfrastructureStrengthening(Rural& Urban)underNationalHealthMission (NHM)fromFY2022-23toFY2024-25 2022-23 2023-24 2024-25 Sl.

States Approval Approval Approval No. Expendit Expendit Expenditur s s s ure ure e Andamanand Nicobar 1 Islands 2.00 3.70 5.00 0.00 117.90 0.00 Andhra 2 Pradesh 633.06 315.88 875.72 52.56 16,202.55 5,983.85 Arunachal 3 Pradesh 4,737.52 6,568.85 2,069.80 5,382.51 7,174.29 6,845.92 4 Assam 35,925.05 9,521.74 10,500.34 9,024.95 9,576.64 7,340.32 5 Bihar 99,387.56 36,055.09 52,900.70 45,692.16 12,822.33 73,992.48 6 Chandigarh 0.00 0.00 0.00 0.00 0.00 0.00 7 Chhattisgarh 7,789.77 6,970.37 7,789.77 6,682.68 13,921.75 4,975.68 Dadra & Nagar Haveli 8 2.88 0.00 2.88 0.00 3.60 0.00 andDaman& Diu 9 Delhi 1,399.96 2,285.11 1,399.96 2,255.23 1,214.50 661.75 10 Goa 260.26 134.17 225.34 197.82 39.40 46.77 11 Gujarat 5,028.85 253.57 353.08 642.44 2,538.04 236.10 12 Haryana 8,555.93 8,937.08 335.90 303.64 616.45 404.17 Himachal 13 Pradesh 0.00 0.00 600.00 0.00 62.21 56.21 Jammu and 14 Kashmir 1,599.96 498.41 3,375.46 2,905.67 600.00 770.92 15 Jharkhand 9,373.36 3,713.19 8,850.36 6,599.20 4,199.90 2,573.66 16 Karnataka 7,613.96 5,158.75 4,789.20 6,307.16 1,027.87 1,338.94 17 Kerala 12,709.03 5,319.77 18,104.34 3,856.56 6,927.35 6,431.13 18 Lakshadweep 0.00 0.00 0.00 0.00 0.00 0.00 Madhya 19 Pradesh 19,866.87 22,572.53 42,679.70 25,574.97 33,102.33 12,447.68 20 Maharashtra 61,535.48 24,932.60 60,134.13 33,948.75 80,012.35 34,018.77 21 Manipur 1,796.82 44.62 16.41 14.77 6,625.62 2,701.32 22 Meghalaya 1,096.27 864.35 69.49 886.06 357.90 787.17 23 Mizoram 36.75 14.37 33.79 25.42 216.71 9.71 24 Nagaland 3,073.78 1,138.36 2,132.23 1,375.81 3,825.23 2,310.87 25 Odisha 62,574.68 84,110.12 48,034.45 58,810.00 39,288.02 87,374.27 26 Puducherry 6.36 8.54 6.48 2.78 3.48 2.9427 Punjab 990.10 40.87 190.60 190.60 2,333.79 17.26 134,129.0 28 Rajasthan 57,577.61 28,782.14 57,736.11 46,950.24 0 41,333.31 29 Sikkim 52.51 6.44 64.37 32.18 217.74 189.67 30 Tamil Nadu 56,033.70 41,677.06 79,790.36 45,563.89 41,701.81 39,966.97 31 Telangana 11,534.19 15,478.29 41,042.91 6,920.11 6,956.69 6,956.69 32 Tripura 5,149.70 4,185.24 4,518.05 3,010.20 9,110.17 1,442.50 171,102.1 169,180.6 33 Uttar Pradesh 42,730.00 18,346.25 4 5,026.42 8 19,235.25 34 Uttarakhand 10,604.54 5,195.83 1,238.88 3,454.42 7,201.40 869.94 35 West Bengal 11,212.94 1,899.55 3,005.22 3,506.23 12,884.44 2,418.32 36 Ladakh 2,691.15 1,215.87 2,334.65 1,349.92 1,667.32 1,697.72

Note:1.SPIPApprovalandExpenditureisaspertheavailableFinancialManagementReportssubmittedbyState/UTsandareprovisional.

2.ExpenditureincludesexpenditureagainstCentralRelease,StateRelease&unspentbalancesatthebeginningoftheyear.Annexure-II Details of Projects Sanctioned under PM-ABHIM I. Building less-AAM (Sub-Centers – Ayushman Arogya Mandir) 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 II. Urban-AAM(U-HWC) 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& N Islands 4 17 Manipur 3 18 West Bengal 204 Total 5456III. Block Public Health Units (BPHUs) S.

State / UT Units Approved No 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.

State / UT Units Approved No.

1 A& N Islands 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 3321 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 V. 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 3421 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& N Islands 1 31 Arunachal Pradesh 1 32 Chandigarh 1 33 Delhi 9 34 Goa 2 Total 621Annexure-III 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) 2022-23 2023-24 2024-25 Centr Centra S.No. Name of theState/UT Central Expendit Expendit al Expenditu l Release ure ure Relea re Release se AndamanandNicobar

1.11 0.00 0.00 0.00 1.05 1.57 1 Islands 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

159.6

2.26 1.16 91.45 68.45 177.34 4 Assam 1 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 Dadra & Nagar Haveli

0.24 0.00 0.28 0.21 0.53 0.51 8 andDaman& Diu 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 HimachalPradesh 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

149.0

211.46 258.55 171.58 423.43 248.42 26 Odisha 5 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 83.59 108.50 173.06 280.43 157.7 262.936 30 Sikkim 0.75 0.26 3.88 2.05 1.67 3.74

224.9

150.42 183.35 279.36 389.37 512.33 31 Tamil Nadu 9

208.8

53.88 83.75 95.21 141.73 348.04 32 Telangana 2 33 Tripura 0.90 0.38 2.48 1.43 2.12 2.94

400.9

173.71 254.04 247.96 252.69 544.74 34 Uttar Pradesh 5 35 Uttarakhand 32.31 1.60 0.00 16.35 26.89 31.07 36 West Bengal 0.00 9.75 30.91 49.78 78.40 92.35

Note:

1.The above releasesrelate toCentral Govt. Grants & donot include State share contribution.

2. Expenditure includes expenditure against Central Release, State release & unspent balances at the beginningof the year. ExpenditureisasperFMRssubmitted byStates/UTs andisprovisional.Annexure-IV Details of Medical Colleges approved under Centrally Sponsored Scheme for ‘Establishment of new Medical Colleges attached with existing District/Referral Hospitals S. No. Name of State No. of Location of Medical College Location

(a) A & N Islands 1 Port Blair

(b) Arunachal Pradesh 1 Naharlagun

(c) Assam 5 Dhubri; Nagaon; North Lakhimpur;

Diphu and Kokrajhar

(d) Andhra Pradesh 3 Piduguralla; Paderu and Machilipatnam

(e) Bihar 8 Purnia; Saran (Chhapara); Samastipur;

Sitamarhi; Jhanjharpur; Siwan; Buxar and Jamui

(f) Chhattisgarh 5 Rajnandgaon; Sarguja; Korba;

Mahasamund and Kanker

(g) Gujarat 5 Narmada; Navsari;Panchmahal;

Porbandar and Morbi

(h) Himachal Pradesh 3 Chamba; Hamirpur andNahan (Sirmour)

(i) Haryana 1 Bhiwani

(j) Jharkhand 5 Dumka; Hazaribagh; Palamu

(Daltonganj); Koderma and Chaibasa

(Singhbhum)

(k) Jammu & Kashmir 7 Anantnag; Baramulla; Rajouri; Doda;

Kathua; Udhampur andHandwara (Distt. Kupwara)

(l) Karnataka 4 Chikkamagaluru; Haveri; Yadgiri and Chikkaballapura

(m) Ladakh 1 Leh

(n) Madhya Pradesh 14 Datia; Khandwa; Ratlam; Shahdol;

Vidisha; Chindwara;Shivpuri; Satna;

Rajgarh; Mandla;Neemuch; Mandsaur;

Sheopur and Singrauli

(o) Maharashtra 2 Gondia and Nandurbar

(p) Manipur 1 Churachandpur

(q) Meghalaya 1 West Garo Hills (Tura)

(r) Mizoram 1 Falkawn

(s) Nagaland 2 Naga Hospital andMonS. No. Name of State No. of Location of Medical College Location

(t) Odisha 7 Balasore; Baripada (Mayurbhanj);

Bolangir; Koraput; Puri;Jajpur and Kalahandi

(u) Punjab 3 SAS Nagar;Kapurthala andHoshiarpur

(v) Rajasthan 23 Barmer; Bharatpur; Bhilwara; Churu;

Dungarpur; Pali; Sikar; Dholpur; Alwar;

Baran; Bansawara; Chittorgarh;

Jaisalmer; Karauli; Nagaur;

ShriGanganagar; Sirohi; Bundi;

SawaiMadhopur; Tonk; Hanumangarh;

Jhunjhunu and Dausa

(w) Sikkim 1 Gangtok

(x) Tamil Nadu 11 Tiruppur; Nilgiris; Ramanathapuram;

Namakkal; Dindigul; Virudhunagar;

Krishnagiri; Tiruvallur; Nagapattinam;

Ariyalur andKallakurichi

(y) Uttar Pradesh 27 Basti; Faizabad; Firozabad;

Shahjahanpur; Bahraich; Etah; Hardoi;

Pratapgarh; Fatehpur; Siddharthnagar

(Domariyaganj); Deoria; Ghazipur;

Mirzapur; Bijnaur; Kushinagar;

Sultanpur; Gonda; Lalitpur;

LakhimpurKheri; Chandauli;

Bulandshahar; Sonbhadra; Pilibhit;

Auraiya; KanpurDehat; Kaushambi and Amethi

(z) Uttarakhand 4 Almora; Rudrapur- Distt. Udham Singh Nagar; Pithoragarh And Haridwar

(aa) West Bengal 11 Birbhum (Rampur Hat); Cooch behar;

Diamond harbor; Purulia; Raiganj, North Dinajpur; Barasat; Uluberia; Arambagh;

Jhargram; Tamluk andJalpaiguri Total 157