Parliament Question: National Sample Survey

GOVERNMENT OFINDIA MINISTRYOFHEALTHAND FAMILYWELFARE DEPARTMENT OFHEALTHAND FAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO. 1103 TOBE ANSWERED ON24-07-2026 NATIONALSAMPLESURVEY 1103:SHRIVIJAYKUMAR HANSDAK: Will the Minister of HEALTH & FAMILYWELFARE be pleasedtostate: (a) the details of the findings of the recent 80th Round of National Sample Survey on Health and the EconomicSurvey 2025-26 regardingthe overallstate of public health,morbidity ratesand out-of-pocket expenditure in India; (b) whether the survey highlights a significant epidemiological shift from infectious diseases towards non-communicable lifestyle illnesses such as diabetes and hypertension and if so, the detailsthereofalongwith the steps beingtakenbythe Government toaddress the issue; (c) the details of the financial allocation and expansion targets achieved under the Ayushman Bharat PradhanMantri Jan Arogya Yojana (AB-PMJAY) andthe inclusion of senior citizensunder Ayushman Bharat VayaVandanaScheme, inthe country,State/UT-wise; (d) the total number of functional Ayushman Bharat Health and Wellness Centres and Pradhan Mantri Bharatiya Janaushadhi Kendras operationalised across the country to provide affordable medicines; and (e) the details of the policy measures and digital infrastructure upgrades, including the Ayushman Bharat Digital Mission, to ensure universal, high-quality and affordable healthcare under the "Healthfor All" roadmap? ANSWER THE MINISTER OFHEALTH & FAMILYWELFARE (SHRIJAGATPRAKASH NADDA) (a)& (b): The Ministry of Statistics andProgramme Implementation(MoSPI) conductedthe latest Survey on Household Social Consumption: Health during January 2025to December 2025 as part of the National Sample Survey (NSS) 80th Round. The report was released on 20.04.2026 and is availableon the Ministry's website. The keyfindingsof the survey are enclosed at Annexure-I. The findings of the NSS 80th Round are also consistent with the observations made in the Economic Survey 2025-26, prepared annually by the Ministry of Finance, which notes that India is undergoing an epidemiological transition. As per the NSS 80th Round report, the prevalence of reported infectious diseases has declined between 2017-18 and 2025, whereas reported chronic and non-communicable diseases (NCDs) have increased significantly during the same period.Over the past few decades, India has witnessed a substantial decline in mortality from infectious diseases anda rise inlife expectancy at birthfrom 49.7yearsin1970-75 to70.6yearsin2020-24. The Ministry of Health and Family Welfare provides technical and financial support to States and Union Territories across the country under the National Programme for Prevention and Control of Non Communicable Diseases (NP-NCD) as part of the National Health Mission (NHM). The programme focuses onstrengthening infrastructure, humanresource development,screening, early diagnosis, referral, treatment, and health promotion for Non-Communicable Diseases (NCDs). Under NP-NCD, 770 District NCD Clinics, 233 Cardiac Care Units and 6,410 NCD clinics at CommunityHealthCentreshave beenset upacross the country. A population-based initiative for the prevention, control and screening of common non communicable diseases (NCDs) i.e. diabetes, hypertension, oral, breast and cervical cancer, has been rolled out across the country. Under the initiative, persons more than 30 years of age are targeted for theirscreening andmanagementat Ayushman Arogya Mandir. (c) to (e): Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY), a flagship scheme of the Government of India, was launched on 23rd September 2018 to provide free and cashless healthcareservices to economicallyvulnerable families. Thisscheme provideshealthcoverage of Rs. 5lakhsperfamily peryearfor secondary andtertiary care hospitalization to 12 Crore families constituting bottom 40% of India’s population. Additionally, in March 2024, around 37 lakh families of Accredited Social Health Activists (ASHA), Anganwadi Workers (AWW) and Anganwadi Helpers (AWH) were included under the scheme. In October 2024, the scheme was further expanded to cover6 crore senior citizens of age 70 years and above belonging to 4.5 crore families irrespective of their socio-economic status. As on 30th June 2026, a total of 44.19 crore Ayushman cards have been created under the scheme, including 1.26 crore Ayushman Vay Vandana Cards for senior citizens aged 70 years and above. The State/UT wise details Ayushman Cards created under AB PM-JAY and Ayushmann Vay Vandanacanbe accessed at https://dashboard.nha.gov.in/public/card Atotal amount of Rs. 39,837.52crore has beenreleased toStates/UTs underAB PM-JAYsince its inception.The State/UTwise fund releasedunderthe AB PM-JAYisattachedasAnnexure-II. The Ayushman Arogya Mandir (AAM) initiative,erstwhile Ayushman Bharat HealthandWellness Centresprogram, isfirst pillar of Ayushman Bharat scheme and a keycomponentfor transforming primary healthcare in India to provide comprehensive primary healthcare services to all citizens. As reported by States/UTs onAAM portal, a total of 1,86,298AAMs have beenoperationalized in India, till 30.06.2026. Under the Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), dedicated outlets known as Jan Aushadhi Kendras (JAKs) are opened across the country. Under the scheme, a total of 20,149 Jan Aushadhi Kendras (JAKs) are opened across the country till 30.06.2026. The Ayushman Bharat Digital Mission (ABDM) was launched by the Government of India in September 2021 tosupport the development of anintegrated, citizen-centric nationaldigital health ecosystem. Under ABDM, common health data standards and registries for health facilities, healthcare professionals, individuals etc. provide for interoperability in health transactions. The digital health ecosystem created by ABDM supports continuity of care across primary, secondary andtertiaryhealthcareinaseamlessmanner. ********Annexure referred to inreplyto parts(a) & (b) of Lok SabhaUnstarredQuestion Number 1103for answeron24.07.2026 Annexure-I Thedetailsof the findingsof thesurveyonHousehold SocialConsumption:Health areas follows:  The average number of instances of hospitalization (i.e. instances wherein persons received in patient treatment) was 2.9% during the last 365 days preceding the date of the survey. Persons in urbanareas(3.2%) reportedmore hospitalizations thanpersons inrural areas(2.7%).  The highest proportion of individuals reporting illness was observed in the age-group 60 years & above (43.9%), followed bythose aged45–59years(22.5%) andchildrenaged0–4years(9.9%).  About 13.1% persons reported illness (responded as ailing) during the last 15 days preceding the date of survey, where persons in urban areas (14.9%) reported illness slightly more than the persons inrural areas(12.2%).  Institutional deliveriesaccountedfornearlyall births(about96.2%) duringthe last365-dayperiod. In rural areas, 95.6% of births occurred in institutions, while only 4.4% took place at home. In urbanareas, institutional deliverieswere higherat 97.8%, with just 2.2% at home.  Both rural and urban areas showed near-universal access to ante-natal care (98%). Reporting of post-natal care was also strong, at 92% in rural areasand95% inurbanareas.  Non-communicable diseases (NCDs) such as cardio-vascular (hypertension) and endocrine/metabolic (diabetes) were most frequentlyreportedafterthe age of 30 years.  Health insurance coverage across India has increased from 2017-18 (about 14% inrural and about 19% inurban) to2025(about 47% inrural andabout 44% inurban).  The estimated average out-of-pocket medical expenditure per hospitalization case (excluding childbirth) during the last 365 days was about ₹34,064 (₹31,484 in rural and ₹38,688 in urban), while the median out-of-pocket medical expenditure was about ₹11,285 (₹10,500 in rural and ₹12,400inurban).  In public hospitals, the average expenditure per hospitalization case (excluding childbirth) at all- India level was ₹6,631 while half of the hospitalized cases treated in public hospitals involved spending of ₹1,100or less. ********Annexurereferred to inreply to parts(c)to (e)of Lok SabhaUnstarred QuestionNumber1103 foransweron24.07.2026 Annexure-II StateandUT wise fundreleaseunderAB PM-JAY (Sinceinceptionto till 30thJune2026) State/UTs FundRelease (Amountincrore) AndamanNicobar Islands 6.72 Andhra Pradesh 3047.11 Arunachal Pradesh 29.76 Assam 1568.99 Bihar 2117.31 Chandigarh 48.22 Chhattisgarh 1845.04 DNH & DD 35.35 Delhi 59.25 Goa 7.93 Gujarat 2548.02 Haryana 793.62 HimachalPradesh 323.50 Jammu andKashmir 430.74 Jharkhand 1095.83 Karnataka 3237.67 Kerala 1153.94 Ladakh 11.44 Lakshadweep 0.99 Madhya Pradesh 3812.41 Maharashtra 3281.30 Manipur 190.20 Meghalaya 287.79 Mizoram 168.21 Nagaland 157.57 Puducherry 34.49 Punjab 691.10 Rajasthan 2563.15 Sikkim 26.30 TamilNadu 3335.13 Telangana 917.91 Tripura 322.78 Uttar Pradesh 4468.56 Uttarakhand 443.88 Odisha 744.02 West Bengal 31.28