Parliament Question: PM-ABHIM

GOVERNMENT OFINDIA MINISTRYOF HEALTH AND FAMILY WELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE LOK SABHA STARRED QUESTION NO. 402* TO BE ANSWERED ON THE 20THMARCH, 2026 PM-ABHIM *402. SHRI MADHAVANENI RAGHUNANDAN RAO:

SHRI GOPALJEE THAKUR:

Will the MINISTER OF HEALTH AND FAMILY WELFARE be

pleased to state:

(a) the salient features of the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) including its components for strengthening the primary, secondary and tertiary healthcare systems;

(b) the details of funds sanctioned, released and utilised along with the progress achieved under the scheme, State/UT-wise;

(c) the key features and functional scope of the Integrated Public Health Laboratories (IPHLs), Block Public Health Units and Critical Care Blocks

(CCBs) established under the scheme across the country, State/UT-wise;

(d) the details of facilities that the proposed IPHLs and CCBs are likely to provide to the people;

(e) the details of diagnostic, surveillance, emergency and critical care services proposed to be provided through IPHLs and CCBs, particularly in aspirational and tribal districts of the country;

(f) whether the Government has any plan to start a special scheme for tribal dominated districts in the country, if so, the details thereof; and

(g) the manner in which PM-ABHIM is strengthening public health preparedness and critical care infrastructure in the country? ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

(a) to (g) AStatement is laid on the Table of the House.STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 402* FOR 20TH MARCH, 2026

(a) to (g): The Pradhan Mantri–Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) was launched on 25 October 2021 with an outlay of Rs.64,180 crore for the period 2021-22 to 2025-26 to strengthen public health infrastructure for addressing the critical gaps in primary healthcare, diagnostics, surveillance, and critical care services across rural and urban areas.

The scheme envisages a new generation of reforms to integrate and strengthen health service delivery and public health action by providing a continuum of care at all levels, namely primary, secondary, and tertiary and for preparing the health systems to respond effectively to pandemics and disasters.

The key functional scope of its components namely Integrated Public Health Laboratory (IPHL), is to strengthen the district level public health laboratory facilities for comprehensive diagnostic services, disease surveillance, outbreak detection and confirmation; Block Public Health Unit (BPHU) is to strengthen the public health functions including disease surveillance, epidemiological investigation and outbreak response at Block level; and Critical Care Block

(CCB) is to provide advanced critical care services including ICU beds, oxygen supported beds, ventilators and other life-saving facilities at district level.

Further, the detailed features and functional scope of the Integrated Public Health Laboratories (IPHLs), Block Public Health Units (BPHUs) and Critical Care Blocks (CCBs) under the CSS component of PM-ABHIM are available in the Operational Guidelines of PM-ABHIM, available at the URLgiven below:

https://mohfw.gov.in/sites/default/files/Operational%20Guideline%20%28CSS %20Component%29_PM-ABHIM.pdf Under CSS component of the scheme, administrative approvals have been accorded to the States/UTs under PM-ABHIM for 5 years’ period i.e. FY 2021-22 to FY 2025-26 for an amount of Rs. 32,928.82 Crores for construction/ strengthening and establishment of 9519 Building-less Sub-Health Centre – Ayushman Arogya Mandirs (SHC-AAMs), 5456 Urban Ayushman Arogya Mandirs (Urban-AAMs), 2151 Block Public Health Units (BPHUs), 744 Integrated Public Health Laboratories (IPHLs) and 621 Critical Care Blocks

(CCBs) at District Hospitals/Government Medical College level, including 168 IPHLs and 110 CCBs in Tribal Districts under PM-ABHIM.The State/UT-wise details of Central Release and Expenditure under PM-ABHIM from FY 2022–23 to FY 2024–25 are placed at Annexure-I.

Further, the State/UT-wise progress under PM-ABHIM is placed at Annexure-II.

As a special initiative for the tribal areas, relaxation in NHM norms has been

provided up to 10 Mobile Medical Units (MMUs) per district with Particularly Vulnerable Tribal Groups (PVTG) areas under the Pradhan Mantri Janjati Adivasi Nyaya Maha Abhiyan (PM-JANMAN), of Ministry of Tribal Affairs

(MoTA) and up to 4 Mobile Medical Units (MMUs) per district are permitted in tribal and hard-to-reach areas, compared to 2 in plain districts.

Under NHM, the Ministry of Health and Family Welfare (MoHFW) is

responsible for two key interventions: of the scheme Dharti Aaba Janjatiya Gram Utkarsh Abhiyan (DA-JGUA) of Ministry of Tribal Affairs (MoTA) namely, (i) provision of Mobile Medical Units (MMUs) to cover left-out villages lacking nearby healthcare facilities, and (ii) issuance of Ayushman Cards to uncovered tribal households under the Pradhan Mantri Jan Arogya Yojana (PM-JAY).

Under National Health Mission (NHM), norms have been relaxed for tribal/hilly/hard-to-reach areas to strengthen healthcare access. The population criteria for setting up Sub-Health Centres (SHCs), Primary Health Centres

(PHCs), and Community Health Centres (CHCs) have been reduced from 5,000 to 3,000, 30,000 to 20,000, and 1,20,000 to 80,000, respectively. One Accredited Social Health Activist (ASHA) is allowed per habitation in tribal and hard-to-reach areas instead of one per 1,000 population.

*****Annexure I State/UT-wise CentralRelease andExpenditure underPradhanMantriAyushman Bharat Health InfrastructureMission fromFY2022-23 to FY2024-25 (Rs.In Crore) 2022-23 2023-24 2024-25 S.No. Name of theState/UT Central Expendit Central Expendit Central Expendi Release ure Release ure Release ture 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 4 Assam 2.26 1.16 91.45 68.45 159.61 177.34 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 26 Odisha 211.46 258.55 171.58 423.43 149.05 248.42 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 83.59 108.50 173.06 280.43 157.76 262.93 30 Sikkim 0.75 0.26 3.88 2.05 1.67 3.74 31 Tamil Nadu 150.42 183.35 279.36 389.37 224.99 512.33 32 Telangana 53.88 83.75 95.21 141.73 208.82 348.0433 Tripura 0.90 0.38 2.48 1.43 2.12 2.94 34 Uttar Pradesh 173.71 254.04 247.96 252.69 400.95 544.74 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-II I. Building less-AAM (Sub-Centers – Ayushman Arogya Mandir) S.

States Units Approved No.

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.

State / UT Units Approved No.

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 2219 Jammu & Kashmir 10 20 Karnataka 34 21 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 621 ****