Executive Summary:
The Ministry of Health and Family Welfare addresses a query regarding health sector projects in Tamil Nadu over the last three years. The focus is on centrally sponsored schemes like the National Health Mission (NHM), Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM), and 15th Finance Commission Health Grants. The response details project activities, financial allocations, and monitoring mechanisms aimed at strengthening healthcare infrastructure and services in the state.
Key Points / Main Content:
Centrally Sponsored Schemes:
* Support provided primarily under NHM, PMABHIM, and 15th Finance Commission Health Grants.
* Activities focus on construction/strengthening of Urban Ayushman Arogya Mandirs (AAMs), Integrated Public Health Labs (IPHL), and Critical Care Blocks (CCBs).
* Implementation of projects includes genetic laboratories, prevention of Hepatitis B transmission, early identification of diabetic foot complications, HPV DNA detection for cervical cancer screening, prevention of Thalassemia and Sickle Cell Anemia, and Kangaroo Mother Care (KMC) promotion.
* Provision of equipment support for facility-based lactation via Child Lactation Management Centres (CLMCs) and Lactation Management Units (LMUs).
* Procurement of major medical equipment (MRI, CT, X-ray, USG, Echo, dialysis machine, CR unit, mammogram).
Programme Activities and Achievements:
* Planning for 708 Urban AAMs, 38 IPHLs, and 37 CCBs during 2021-26, with a central outlay of ₹1,656.32 crore.
* Enhanced access to medicines and diagnostics in public facilities.
* Coverage through central schemes like PMJAY and Pradhan Mantri National Dialysis Program across all 38 districts.
* LaQshya and MusQan quality certifications achieved in multiple facilities.
Financial Allocations:
* Details of funds released by the Central Government for health projects in Tamil Nadu for 2023-24, 2024-25, and 2025-26 under NHM, PMABHIM, and XVFC are provided in crore Rupees.
Monitoring and Review:
* Regular monitoring of implementation progress and performance through review meetings, field visits via NHM, and Common Review Mission (CRM).
* Periodic assessments (e.g., National Family Health Survey, Sample Registration System) are used to gauge health indicators and implementation status.
Impact Analysis:
State Government of Tamil Nadu:
*Impact: Receives financial and programmatic support to strengthen healthcare infrastructure and services.
*Action Required: Implement the schemes and projects effectively, participate in monitoring and review processes, and utilize allocated funds efficiently.
Healthcare Facilities in Tamil Nadu:
*Impact: Benefit from infrastructure upgrades, equipment procurement, and improved access to medicines and diagnostics.
*Action Required: Utilize the resources provided, adhere to quality standards, and participate in data collection and reporting.
Citizens of Tamil Nadu:
*Impact: Gain improved access to healthcare services, including diagnostics, medicines, and specialized treatments.
*Action Required: Utilize available healthcare services and participate in health awareness programs.
Ministry of Health and Family Welfare:
*Impact: Responsible for overseeing the implementation and monitoring of health projects in Tamil Nadu.
*Action Required: Continue to provide financial and technical support, conduct regular reviews, and address any implementation challenges.
Key Entities Referenced
Tamil Nadu: A state in southern India where the health sector projects are being implemented.
National Health Mission (NHM): A centrally sponsored scheme providing support to Tamil Nadu's health sector.
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM): A centrally sponsored scheme providing support to Tamil Nadu's health infrastructure.
15th Finance Commission Health Grants: Grants from the 15th Finance Commission allocated to Tamil Nadu for health initiatives.
Urban Ayushman Arogya Mandirs (AAMs): A network of urban health and wellness centers being constructed or strengthened in Tamil Nadu.
Integrated Public Health Labs (IPHL): Public health laboratories being constructed or strengthened in Tamil Nadu.
Critical Care Blocks (CCB): Critical care blocks being constructed or strengthened in government facilities in Tamil Nadu.
Pradhan Mantri Jan Arogya Yojana (PMJAY): A health insurance scheme providing coverage to eligible beneficiaries in Tamil Nadu.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH ANDFAMILYWELFARE
DEPARTMENTOFHEALTH ANDFAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1008
TO BE ANSWERED ON25THJULY, 2025
HEALTH SECTOR PROJECTS IN TAMILNADU
1008. SHRIC. N. ANNADURAI:
Will the Ministerof HEALTH ANDFAMILYWELFAREbe pleased tostate:
(a) the details of the various health sector projects that have been initiated, approved or are currently
under implementation by the Government in Tamil Nadu during the last three years including the
objectives, scope andnature of these projects;
(b) the total estimated expenditure earmarked or allocated for the aforementioned health projects in the
said State, along with the projected timeline for the completion of each project, including major
milestones;
(c) whether there has beenany delaysin the implementation or executionof these health projectsin the
said State and if so, the specific reasons for such delays along with the remedial/corrective measures
taken bythe Government toaddress these issues andensure timelyprogress; and
(d) the strategic/operational steps taken/proposed to be taken by the Government to ensure the
continued andacceleratedprogress of healthprojectsinthe said State?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY
WELFARE
(SHRIPRATAPRAO JADHAV)
(a): The details of multiple centrally sponsored schemes and activities have been supported in
Tamil Nadu, primarilyunder:
(i) National HealthMission (NHM)
(ii) PradhanMantri Ayushman Bharat HealthInfrastructure Mission(PM-ABHIM)
(iii) 15thFinanceCommission Health Grants
The activitiesand focusaresof the programmesinclude :
(i) Construction/strengthening of Urban Ayushman Arogya Mandirs (AAMs), Integrated
Public HealthLabs(IPHL),andCriticalCare Blocks (CCBs)in governmentfacilities.
(ii) Implementationof projects such as:
(a) Genetic laboratory for rare diseases andnewborn screening
(b) Preventionof Hepatitis B transmission
(c) Earlyidentification/treatment of diabeticfoot complications(d) HPVDNAdetection facilitiesfor cervicalcancerscreening
(e) Efforts topreventbirthswith Thalassemia or Sickle Cell Anemia
(f) Kangaroo Mother Care (KMC) promotionfor low birthweight babies
(g) Equipment support for facility-based lactation in Child Lactation Management Centres
(CLMCs) andLactation Management Units (LMUs)
(iii) Procurement of major medical equipment (MRI, CT, X-ray, USG, Echo, dialysis machine, CR
unit,mammogram)for use ingovernment healthinfrastructure.
Further, following key Programme Activities and Achievements have been made
intheStateof Tamil Nadu:
(i) Critical Care,Diagnostics, andInfrastructure:
708 Urban-AAMs, 38IPHLs, and 37 CCBs planned for construction/strengthening during 2021
-26 with a total central outlay of ₹1,656.32 crore for Tamil Nadu (administrative approvals
accorded)
(ii) FreeDrug & Diagnostic Initiative:
Enhancedaccess tomedicinesanddiagnostics inpublic facilitieswith State Essential Medicines
List exceedingnational recommendations
(iii) Coverage through Central Schemes:
PM-JAY, Pradhan Mantri National Dialysis Program (all 38 districts covered, 1,276 machines,
1,46,363patientsserved)
LaQshya andMusQan qualitycertifications achievedinmultiple facilities
(b): The details of funds released by the Central Government for implementation of various health
projectsintheStateof TamilNaduduring lastthree yearsisgivenasunder:
(Rs. incrore)
FinancialYear NHM PMABHIM XV-FC
2023-24 1,996.06 279.36 838.94
2024-25 1,742.67 224.99 870.40
2025-26 316.33 11.44 -
(c) & (d) : The Government of India is making concerted efforts to strengthen healthcare facilities
across the country, including in the State of Tamil Nadu. The implementation progress and
performance of schemes are regularly monitored through regular review meetings, field visits
conductedthrough NHM andthrough Common ReviewMission(CRM). Periodicassessments (e.g.,
National Family Health Survey, Sample Registration System) are used to gauge health indicators
andimplementationstatus.
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