Executive Summary:
The Ministry of Health and Family Welfare addresses a parliamentary question regarding healthcare infrastructure and disease control in Kasaragod district, Kerala. The response details financial and technical support provided through centrally sponsored schemes like the National Health Mission (NHM), PM Ayushman Bharat Health Infrastructure Mission (PMABHIM), Fifteenth Finance Commission (FCXV), and Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). These initiatives aim to strengthen public health infrastructure, expand tertiary healthcare facilities, and control lifestyle-related diseases.
Key Points / Main Content:
Financial Assistance and Infrastructure Development:
• NHM Support: The Ministry provides financial and technical support to states/UTs, including Kerala, based on Programme Implementation Plans (PIPs) for strengthening the public healthcare system. Approvals are given as per norms and available resources.
• NHM Central Releases to Kerala: Central releases under NHM were INR 1036.76 Cr (2022-23), INR 189.15 Cr (2023-24), and INR 1351.78 Cr (2024-25).
• NHM Building Infrastructure Development in Kerala: Funds approved for building infrastructure development under NHM were INR 12,632.88 lakhs (2022-23), INR 17,943.60 lakhs (2023-24), INR 6,464.94 lakhs (2024-25), and INR 2941.32 lakhs (2025-26).
• PMABHIM: Kerala received administrative approvals for INR 404.63 Cr for FY 2021-22 to 2025-26 for strengthening 14 Integrated Public Health Labs (IPHLs) and 14 Critical Care Blocks (CCBs) at district and medical college levels. Kasaragod district received one IPHL and one CCB in FY 2023-24.
• Fifteenth Finance Commission (FCXV): INR 2958.02 Crore approved for Kerala (FY 2021-22 to FY 2025-26), with INR 1694.74 Cr released for establishing/strengthening health units.
• PMSSY: Approvals for upgradation of four Government Medical Colleges/Institutions (GMCIs) in Kerala: Medical College, Thiruvananthapuram (Super Speciality Block), Kozhikode Medical College (Trauma Care Centre with Super Speciality Block), T.D. Medical College, Alappuzha (Super Speciality Block), and SCTIMST, Trivandrum (Super Speciality Block).
Disease Control and Awareness:
• NPNCD Program: Technical and financial support is provided to states/UTs under the National Programme for Prevention and Control of Non-Communicable Diseases (NPNCD), focusing on infrastructure, human resources, early diagnosis, referral, and health promotion.
• NCD Infrastructure: Established 770 District NCD Clinics, 372 District Day Care Centres, 233 Cardiac Care Units, and 6410 Community Health Centre NCD Clinics.
• Population-Based Screening: Integrated screening, management, and prevention of common NCDs as part of comprehensive Primary Health Care under NHM.
• Role of ASHAs: Accredited Social Health Activists (ASHAs) play a crucial role in spreading awareness about NCDs, promoting healthy lifestyles, and emphasizing early detection.
• Ayushman Arogya Mandir (AAM): Functional AAMs provide services related to NCDs screening and management, expanding primary healthcare services.
• Awareness Initiatives: Includes observance of health days, use of media, Eat Right India movement, Fit India movement, and Yoga activities.
Impact Analysis:
State Governments/Union Territories:
Impact: Receive financial and technical support to strengthen public healthcare systems, develop infrastructure, and implement disease control programs.
Action Required: Develop and submit Programme Implementation Plans (PIPs) to access funding under NHM and other schemes. Implement and monitor various health programs and awareness campaigns.
Kasaragod District (Kerala):
Impact: Benefits from improved healthcare infrastructure, including upgraded primary health centers, district hospitals, IPHLs, and CCBs. Receives support for disease control and prevention programs.
Action Required: Utilize allocated funds effectively for infrastructure development and program implementation. Focus on early detection and management of NCDs, leveraging ASHAs and AAMs.
Citizens:
Impact: Improved access to affordable and quality healthcare services, including screening and management of NCDs. Increased awareness of healthy lifestyles and disease prevention.
Action Required: Participate in health check-up and screening programs, adopt healthy lifestyle practices, and seek timely medical intervention when needed.
Healthcare Providers:
Impact: Enhanced infrastructure and resources to deliver better healthcare services. Training and support for early diagnosis and management of diseases.
Action Required: Implement screening and management protocols for NCDs. Participate in training programs and utilize available resources effectively.
National Government (Ministry of Health and Family Welfare):
Impact: Responsible for providing policy guidance, financial support, and technical assistance to states/UTs. Monitors the implementation of national health programs and schemes.
Action Required: Continue to allocate resources, provide technical support, and monitor the progress of health programs. Ensure effective coordination between various stakeholders.
Key Entities Referenced
Kasaragod district in Kerala: A district in the state of Kerala, India, which is the focus of the health infrastructure and disease control initiatives discussed in the document.
National Health Mission: A centrally sponsored scheme providing technical and financial support to States/UTs, including Kerala, for strengthening the public healthcare system.
PM Ayushman Bharat Health Infrastructure Mission: A scheme that envisages increased investments in public health and other health reforms to provide better access to health in rural areas.
Fifteenth Finance Commission: An entity that approved funds for the State of Kerala for strengthening health infrastructure.
Pradhan Mantri Swasthya Suraksha Yojana: A scheme aimed at correcting regional imbalances in the availability of affordable tertiary healthcare services and to augment facilities for quality medical education in the country.
Thiruvananthapuram, Kerala: Location of a Government Medical College where infrastructure upgrades are being implemented under the Pradhan Mantri Swasthya Suraksha Yojana.
National Programme for Prevention and Control of Non Communicable Diseases: A program under the National Health Mission focusing on strengthening infrastructure, human resource development, early diagnosis, and health promotion for the prevention of Non-Communicable Diseases.
Ayushman Arogya Mandir: A program, formerly known as Ayushman Bharat Health and Wellness Centres, aimed at achieving promotive, preventive, curative, palliative, and rehabilitative aspects of Universal Health Coverage.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 3274
TO BE ANSWERED ON08.08.2025
HEALTHCAREINFRASTRUCTURE AND DISEASE CONTROL
3274. SHRIRAJMOHAN UNNITHAN:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) the details of assistance provided to Kasaragod district in Kerala under centrally
sponsored schemes for strengthening public health infrastructure, including upgradation
of primaryhealthcentres anddistrict hospitals;
(b) whether there are any approved proposals for establishing or expanding tertiary
healthcare facilities, including medical colleges or speciality centres, in Kasaragod to
address regionalhealthcare gaps;
(c) if so, the detailsthereof; and
(d) the manner in which the Government is supporting the district in controlling lifestyle
related and non-communicable diseases through targeted awareness and intervention
programmes?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a) to (c): The Ministry of Health and Family Welfare provides technical and financial support
to the States/UTs including Kerala to strengthen the public healthcare system, based on the
proposals received in the form of Programme Implementation Plans (PIPs) under National
Health Mission. Government of India provides approval for the proposal in the form of Record
of Proceedings (RoPs) asper norms & available resources. Detailsof the approvals givenfor the
strengthening healthcare in rural areas of the country are available at website of Ministry of
HealthandFamily Welfareat the Uniform Resources Locator(URL) asunder:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744The detailsof central releasestothe Stateof Kerala isunderNHM are asunder:
(Rs. In Cr.)
Sl.No. Financial Year CentralRelease
1. 2022-23 1036.76
2. 2023-24 189.15
3. 2024-25 1351.78
Note:TheabovereleasesrelatetoCentralGovt.Grants&donotincludeStatesharecontribution.
Details of funds approved during the current FY 2025-26 & for the last three FYs i.e 2024-25;
2023-24; 2022-23 for development of building infrastructure under NHM to the State of Kerala
are asunder:
(Rs. inlakhs)
State/ UT 2025-26 2024-25 2023-24 2022-23
Kerala 2941.32 6,464.94 17,943.60 12,632.88
PM Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) envisages increased
investments in public health and other health reforms to provide better access to health in rural
areas. Administrative approvals have been accorded to the State of Kerala for five years (i.e. FY
2021-22 to 2025-2026) for an amount of Rs. 404.63 Cr. for construction/ strengthening of 14
IPHLsat District level and14 CCBs at District Hosopitals andMedical collegelevel.
Also, one (01) Integrated Public Health Labs (IPHL) and one (01) Critical Care Blocks (CCB)
have beenaccordedtothe district of Kasargodinthe FY2023-24.
Under Fifteenth Finance Commission (FC-XV) for the State of Kerala, Rs.2958.02 Crore has
been approved for the five year period from FY 2021-22 to FY2025-26 and Rs.1694.74 Cr. has
been released so far for establishment and strengthening of 1205 Building less SHCs, 116
Building less PHCs, 41 Building less CHCs, 152 Block Public Health Units, and 380 Urban-
AAMs.
The Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) aims at correcting regional
imbalances in the availability of affordable tertiary healthcare services and to augment facilities
for quality medical education in the country. Under the Scheme approvals has been accorded for
upgradation of four Government Medical Colleges/ Institutions (GMCIs) at for the State ofKerala.Detailsare asunder:
State No. Name of GMC/ Institute Approved
Infrastructure
Kerala 1. Medical College, SuperSpeciality
Thiruvananthapuram Block
2. Kozhikode Medical Trauma Care Centre with
College Super SpecialityBlock
3. T.D. Medical College, Super SpecialityBlock
Alappuzha
4. SCTIMST, Trivandrum Super SpecialityBlock
(d): The Department ofHealth and Family Welfare, Government of India, providestechnical
and financial support to the States and Union Territories under the National Programme for
Prevention and Control of Non Communicable Diseases (NP-NCD) as part of National Health
Mission (NHM). The programme focuses on strengthening infrastructure, human resource
development, early diagnosis, referral to an appropriate level of healthcare facility for
treatment and management and health promotion and awareness generation for prevention, of
Non-Communicable Diseases (NCDs) including cervical cancer. Under NP-NCD, 770 District
NCD Clinics, 372 District Day Care Centres, 233 Cardiac Care Units and 6410 Community
Health Centre NCD Clinics has been set up.
A population-based initiative for screening, management and prevention of common NCDs
have been rolled out as a part of comprehensive Primary Health Care in the country under
National Health Mission (NHM). Screening of these common NCDs is an integral part of
service delivery.
In the community, Accredited Social Health Activist (ASHA) plays a pivotal role in spreading
awareness about NCDs. ASHAs educate individuals and families on the importance of
adopting healthy lifestyles, including nutritious diets, regular physical activity, and avoidance
of tobacco and alcohol. ASHAs emphasize the significance of early detection through regular
health check- ups and screenings, enabling timely intervention through home visits, group
meetings, and participation in health campaigns.
Launched in the year 2018, Ayushman Arogya Mandir (AAM), erstwhile Ayushman Bharat -
Health and Wellness Centres program, is India’s commitment for achieving promotive,preventive, curative, palliative and rehabilitative aspects of Universal Health Coverage. Besides
expanding and strengthening the existing Reproductive and Child Health (RMNCHA+N)
services and Communicable Diseases services, the functional AAM provide services related to
Non-Communicable Diseases (NCDs) (screening and management for NCDs such as
Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix) and incrementally
adding other primary healthcare services for mental health, ENT, Ophthalmic, oral health,
geriatric andpalliative healthcare andtrauma care etc.
Further, initiatives for increasing public awareness about NCDs and for promotion of healthy
lifestyle include observance of health days related to NCDs, use of print, electronic and social
media for continued community awareness. Financial support under National Health Mission
(NHM) for awareness generation activities for NCDs is provided to States/Union Territories
as per their Programme Implementation Plans (PIPs).
Healthy Eating is promoted through “Eat Right India movement” of Food Safety and
Standards Authority of India (FSSAI). “Fit India movement” is implemented by Ministry of
Youth Affairs and Sports. Various Yoga related activities are carried out by Ministry of
AYUSH.
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