**Executive Summary**
This document presents the Indian government's response to Lok Sabha Unstarred Question No. 2271, concerning the decline of diseases like leprosy, malaria, and tuberculosis, the State/UT-wise details, and the adequacy of healthcare infrastructure and human resources in rural areas. The answer was submitted on December 12, 2025. It includes state-wise details for the past three years in Annexures I, II, and III.
**Key Points / Main Content**
* **Government's Role:**
* Health is a state subject.
* The central government provides technical and financial assistance to States/UTs based on the approved annual Programme Implementation Plan (PIP).
* State/Union Territory Governments are responsible for strengthening the healthcare system, including in rural areas.
* **Disease Statistics:**
* Annexure I provides state-wise data on the Annual New Case Detection Rate for leprosy from 2022-23 to 2024-25.
* Annexure II presents the state-wise Malaria situation in the country for 2022, 2023, and 2024 with cases.
* Annexure III details state-wise Tuberculosis (TB) case notifications under the National TB Elimination Programme for 2022, 2023, and 2024.
**Impact Analysis**
**State/Union Territory Governments**
* **Impact:** Responsible for implementing health programs and strengthening the healthcare system in their respective regions, including rural areas.
* **Action Required:** Utilize central government assistance effectively to improve healthcare infrastructure and human resources.
**Ministry of Health and Family Welfare**
* **Impact:** Accountable for providing technical and financial support to the States/UTs for health programs.
* **Action Required:** Monitor the implementation of health programs in States/UTs and provide necessary support based on the Programme Implementation Plan (PIP).
**Citizens of India**
* **Impact:** Affected by the availability and effectiveness of healthcare infrastructure and resources, especially in rural areas.
* **Action Required:** None explicitly stated, but implied to be beneficiaries of improved healthcare services.
Key Entities Referenced
Lok Sabha: Refers to a question raised in the Lok Sabha (House of the People), the lower house of the Parliament of India.
Ministry of Health and Family Welfare: The central ministry responsible for health and family welfare policies and programs in India.
Programme Implementation Plan (PIP): An annual plan outlining the programs and activities to be implemented by States/UTs, with technical and financial assistance from the Government of India.
National TB Elimination Programme: The program which works for the reduction of the TB burden in the country