Executive Summary:
The Ministry of Health and Family Welfare provides technical and financial support to States/UTs to strengthen the public healthcare system under the National Health Mission (NHM). This includes establishing Ayushman Arogya Mandirs (AAMs) and developing healthcare infrastructure through various schemes like Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM) and Fifteenth Finance Commission (FCXV) Health Grants. The document provides details of funds approved and released to Andhra Pradesh for these initiatives between FY 2021-22 and 2025-26, with a focus on enhancing rural health infrastructure.
Key Points / Main Content:
National Health Mission (NHM):
* The Ministry provides technical and financial support to States/UTs based on Programme Implementation Plans (PIPs).
* Health Dynamics of India (HDI) Infrastructure & Human Resources, 2022-23 is an annual publication detailing the status of rural health facilities.
Ayushman Arogya Mandirs (AAMs):
* 1,77,906 AAMs have been established and operationalized as of 30.06.2025, transforming existing Sub-Health Centres (SHC) and Primary Health Centres (PHC).
* These centers deliver comprehensive primary healthcare services, including preventive, promotive, curative, palliative, and rehabilitative services.
Financial Approvals for Andhra Pradesh under NHM:
* Funds approved for building infrastructure development:
* 2022-23: Rs. 674.0 Lakhs
* 2023-24: Rs. 0 Lakhs (no proposal submitted by Andhra Pradesh)
* 2024-25: Rs. 15,797.55 Lakhs
* 2025-26: Rs. 15,797.55 Lakhs
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM):
* A centrally sponsored scheme with an outlay of Rs. 64,180 Crores from 2021-22 to 2025-26.
* Focuses on developing health systems and institutions at all levels.
* Administrative approvals of Rs. 33,081.82 Crore for FY 2021-26 have been accorded to States/UTs for various infrastructure projects.
* Andhra Pradesh received administrative approvals for Rs 1271.80 Cr for the construction/strengthening of 1786 Building less AAM Sub-Centers/ HWCs, 45 Urban AAMs/HWCs, 26 IPHLs and 24 CCBs for five years (2021-26).
Funds Released to Andhra Pradesh under PMABHIM:
* 2021-22: Rs. 3.75 Cr
* 2022-23: Rs. 15.76 Cr
* 2023-24: Rs. 35.78 Cr
* 2024-25: Rs. 39.07 Cr
* (Note: These releases pertain to Central Government Grants and do not include the State share.)
Fifteenth Finance Commission (FCXV) Health Grants:
* Recommended grants of Rs. 70,000 crores for strengthening primary care from FY2021-22 to FY2025-26.
* Focus on strengthening primary care through components like Buildingless SHCs/PHCs/CHCs and support for diagnostic infrastructure.
* Rs. 2,600.80 Crore approved for Andhra Pradesh, including establishment and strengthening of 1558 Building less SHCs, 100 Building less PHCs, 9 Building less CHCs, 436 Block Public Health Units (BPHUs), and 191 Urban AAMs.
* Rs. 2,033.40Cr has been released as on date.
Annexure I & II:
* The document mentions sanctioning of Integrated Public Health Laboratories IPHLs, Critical Care Blocks CCBs and Construction of Sub Health Centers AAMs in rural areas under PMABHIM (Annexure I).
* The document mentions sanctioning of Primary Health Centres and Construction of Sub Health Centers AAMs in rural areas under 15th Finance Commission Health Grants (Annexure II).
Impact Analysis:
State Governments/Union Territories:
Impact: Receiving technical and financial support to strengthen public healthcare systems, particularly in rural areas. Implementing schemes and utilizing funds for infrastructure development and service delivery.
Action Required: Submit Programme Implementation Plans (PIPs) under NHM. Effectively utilize funds for infrastructure development and ensure the operationalization of health facilities. Update AAM portal regularly.
Andhra Pradesh Health Department:
Impact: Specific focus on enhancing rural health infrastructure through AAMs and various central government schemes. Receiving targeted funding for infrastructure projects and healthcare service improvements.
Action Required: Ensure proper utilization of funds received under NHM, PMABHIM, and FCXV grants. Implement sanctioned projects, including the construction/strengthening of health centers and laboratories.
Citizens/Communities in Rural Areas:
Impact: Improved access to comprehensive primary healthcare services through upgraded health facilities and expanded service packages.
Action Required: Utilize the available healthcare services at AAMs and other health facilities.
Key Entities Referenced
Ministry of Health and Family Welfare: The Indian governmental ministry responsible for health policy in India.
National Health Mission (NHM): A centrally sponsored scheme of the Government of India to address the health needs of under-served rural areas.
Andhra Pradesh: A state in India, specifically mentioned as the focus of the rural health infrastructure analysis.
Ayushman Arogya Mandirs (AAMs): Formerly known as Ayushman Bharat Health and Wellness Centres (ABHWCs), these are health centers being established across India to provide comprehensive primary healthcare services.
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PMABHIM): A centrally sponsored scheme by the Government of India aimed at developing public healthcare infrastructure.
Fifteenth Finance Commission (FCXV): The 15th Finance Commission of India, which recommended grants for strengthening the health sector at the grassroot level.
Block Public Health Units (BPHUs): A unit to strengthen primary healthcare facilities at the block level.
Integrated Public Health Labs (IPHLs): Public health laboratories at the district level to improve diagnostics.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
STARREDQUESTION NO. 199
TO BE ANSWERED ON1STAUGUST,2025.
RURALHEALTHINFRASTRUCTURE
*199. SHRILAVUSRIKRISHNADEVARAYALU:
SHRIKRISHNAPRASAD TENNETI:
Will the Minister of HEALTHANDFAMILYWELFAREbe pleasedtostate:
(a) whether the Government has undertaken any study/survey regarding the status of rural
health infrastructure across the country over the last five years, if so, the details thereof;
State/UT-wise especiallyinAndhra Pradesh;
(b) the status of hospitals/dispensaries/PHCs/SHCs andother healthestablishments proposed,
under construction and presently functional across the country, State-wise, districtwise in
Andhra Pradeshespeciallyin Palnadu,Prakasam,EluruandBapatla LokSabha Constituency;
(c) the details regarding the total amount of funds sanctioned, released and utilised for
establishment of medical infrastructure and facilities in rural areas of Andhra Pradesh over
the last five years, district-wise particularlyfor the above locations; and
(d) whether the Government has any plans of further developing existing rural health
infrastructure, if so, the details thereofandthe timelinesfixedfor the same?
ANSWER
THE MINISTER OFHEALTH AND FAMILYWELFARE
(SHRIJAGATPRAKASH NADDA)
(a)to(d): AStatementislaid on the Tableof the House.STATEMENTREFERRED TOIN REPLYTO LOK SABHASTARREDQUESTION
NO.*199 FOR1STAUGUST, 2025
******
(a) to (d): The Ministry of Health and Family Welfare provides technical and financial
support to the States/UTs to strengthen the public healthcare system, based on the proposals
received in the form of Programme Implementation Plans (PIPs) under National Health
Mission (NHM). Government of India provides approval for the proposals in the form of
Recordof Proceedings(RoPs) aspernorms& availableresources.
Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an
annual publication, based on Health care administrative data reported by States/UTs. The
State/UT-wise status of rural health facilities functioning across the country, including
Andhra Pradesh can be accessed at the following link of HDI 2022-23:
https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastr
ucture%20%26%20Human%20Resources%29%202022-23_RE%20%281%29.pdf
In February 2018, the Government of India announced establishment of 1,50,000
Ayushman Arogya Mandirs (AAMs), erstwhile Ayushman Bharat Health and Wellness
Centres (AB-HWCs), across the countryby December2022. As updated bythe States/UTs in
AAM portal, a total of 1,77,906 Ayushman Arogya Mandirs have been established and
operationalized as on 30.06.2025, by transforming existing Sub-Health Centres (SHC) and
Primary Health Centres (PHC) in rural and urban areas to deliver the expanded range of
comprehensive primary healthcare services with complete 12 package of services that
includes preventive, promotive, curative, palliative and rehabilitative services which are
universal, free,andcloser tothe community.
Details of funds approved during the current FY2025-26 & for the last three FYs i.e
2024-25; 2023-24; 2022-23 for development of building infrastructure under NHM to the
Stateof Andhra Pradeshare asunder:
(Rs. In Lakhs)
State 2022-23 2023-24 2024-25 2025-26
Andhra
674.0 0 15,797.55 15,797.55
Pradesh
Note:AndhraPradeshdidnotproposeanyinfrastructurebuildingworkintheFY2023-
24.
In addition tothe National HealthMission (NHM), Government of India hason-going
schemesfordevelopingpublichealthcareinfrastructure:
• PradhanMantriAyushmanBharatHealthInfrastructureMission(PM-ABHIM)
is a Centrally Sponsored Scheme (CSS) with some Central Sector Components (CS) which
has an outlay of Rs. 64,180 Crores for the scheme period (2021-22 to 2025-26). The
measures under the PM-ABHIM focus on developing capacities of health systems and
institutions across the continuum of care at all levels, primary, secondary and tertiary, to
prepare health systems in responding effectively to the current and future pandemics
/disasters.Administrative approvals have been accorded to States/UTs for FY 2021-26 for an
amount of Rs. 33,081.82 Crore for construction/strengthening of 10609 Building less-AAMs,
5456 Urban-AAMs, 2151 Block Public Health Units (BPHUs), 744 Integrated Public Health
Labs(IPHLs) at District level and621 CriticalCare Blocks(CCBs).
Administrative approvals have been accorded to the State of Andhra Pradesh, for five
years (2021-26) for an amount of Rs 1271.80 Cr. for the construction/ strengthening of 1786
Building less-AAM (Sub-Centers - Health & wellness Centers), 45 U-AAMs (HWCs), 26
IPHLsand24CCBs, asperthe proposal of the State.
The details of projects sanctioned for Andhra Pradesh under PM-ABHIM (Pradhan
Mantri Ayushman Bharat Health Infrastructure Mission) for the period FY 2021-22 to 2025-
26isat Annexure-I.
Funds Released to Andhra Pradesh under PM ABHIM since inception to FY2024-25 are
asunder:
(Rs. inCr.)
Sl.No States 2021-22 2022-23 2023-24 2024-25
1 Andhra Pradesh 3.75 15.76 35.78 39.07
Note: The above releases relate to Central Govt. Grants & do not include State share
contribution.
• The Fifteenth Finance Commission (FC-XV) has recommended grants through
local governments for specific components of the health sector and spread over the five-year
period from FY2021-22 to FY2025-26 to facilitate strengthening of health system at the
grass-root level for anamount of
-3-
Rs. 70,000 crores. These grants are for strengthening primary care through specified
components such as Building-less Sub-Health Centres (SHCs), Primary Health
Centres (PHCs), Community Health Centres (CHCs), Conversion of rural PHCs and Sub-
Centres to Ayushman Arogya Mandir (AAM), Support for diagnostic infrastructure to the
primaryhealthcare facilities,BlockLevelPublicHealth Units andUrban - AAMs.
Under Fifteenth Finance Commission (FC-XV) Health Grants, Rs. 2,600.80 Crore has
been approved for Andhra Pradesh for five year period from FY 2021-22 to FY 2025-26
which includes establishment and strengthening of 1558 Building less SHCs, 100 Building
less PHCs, 9 Building less CHCs, 436 Block Public Health Units BPHUs, and 191 Urban-
AAMs. As ondate,Rs. 2,033.40Cr.hasbeenreleased.
The details of projects sanctioned for Andhra Pradesh under 15th Finance Commission
HealthGrants for the periodFY2021-22 to2025-26 isat Annexure-II.
****Annexure – I
Details of projects sanctioned for Andhra Pradesh under PM-ABHIM (Pradhan
Mantri Ayushman Bharat Health Infrastructure Mission) for the period FY 2021
-22 to 2025-26
I. Integrated Public Health Laboratories (IPHLs):
Sl.
Year District IPHLFacility Capital Cost
No
1 2021-22 YSR DH Proddutur 1.25
2 2022-23 Vizianagaram AH Rajam 1.25
3 2022-23 West Godavari AH Tadepalligudem 1.25
4 2022-23 Prakasam AH Giddalur 1.25
5 2023-24 Krishna AH Gudivada 1.25
6 2023-24 Guntur DH Tenali 1.25
7 2023-24 Annamayya AH Rayachoti 1.25
8 2024-25 Srikakulam DH Tekkali 1.25
9 2024-25 SPSR Nellore DH Atmakur 1.25
10 2024-25 Kurnool AH Yemmiganur 1.25
11 2025-26 Anakapalli DH Anakapalli 1.25
12 2025-26 Konaseema AH Ramachandrapuram 1.25
13 2025-26 Sri Satyasai DH Hindupur 1.25
14 2024-25 Eluru AH Jangareddygudem 1.25
15 2024-25 Anantapur AH Guntakal 1.25
16 2024-25 Chittoor AH Palamaner 1.25
17 2024-25 ASR AH Araku 1.25
18 2024-25 Kakinada AH Tuni 1.25
19 2024-25 Palnadu AH Narasaraopeta 1.25
20 2024-25 PVPManyam AH Seethampeta 1.25
21 2024-25 Visakhapatnam AH Aganampudi 1.25
22 2024-25 Nandyal AH Banaganapalli 1.25
23 2024-25 East Godavari AH Anaparthy 1.25
24 2024-25 Bapatla AH Chirala 1.25
25 2024-25 NTR AH Nandigama 1.25
26 2024-25 Tirupati AH Gudur 1.25
Total 32.50II. Critical Care Blocks (CCBs):
Sl. No. of Capital
Year District CCB Facility
No. Beds Cost
1 2021-22 YSR GMC Kadapa 50 23.75
2 2022-23 SPSR Nellore ACSR GMC Nellore 50 23.75
3 2022-23 Srikakulam GMC Srikakulam 50 23.75
4 2023-24 Tirupati Sri Venkateswara MC 50 23.75
5 2023-24 Visakhapatnam AndhraMC 50 23.75
6 2024-25 Ananthapuram GMC Anantapur 50 23.75
7 2024-25 Prakasam GMC Ongole 50 23.75
8 2025-26 East Godavari GMC Rajamahendravaram 50 23.75
9 2025-26 Kurnool KurnoolMC 50 23.75
10 2025-26 NTR Siddhartha MC 50 23.75
11 2025-26 Vizianagaram GMC Vizianagaram 50 23.75
12 2025-26 Guntur DH Tenali 100 44.50
13 2025-26 Sri Satyasai DH Hindupur 50 22.25
14 2025-26 Anakapalli DH Anakapalli 50 22.25
15 2024-25 A.S.R GMC Paderu 50 23.75
16 2024-25 Eluru GMC Eluru 50 23.75
17 2024-25 Krishna GMC Machilipatnam 50 23.75
18 2024-25 Nandyal GMC Nandyal 50 23.75
19 2024-25 Palnadu AH Narasarao peta 75 36.35
20 2024-25 PVPManyam AH Palakonda 50 23.75
21 2024-25 WestGodavari AH Bhimavaram 50 23.75
22 2024-25 Annamayya AH Rayachoty 50 23.75
23 2024-25 Kakinada Rangaraya MC 50 23.75
24 2024-25 Bapatla AH Chirala 50 23.75
Total 600.35
III. Construction of Sub Health Centers (AAMs) in rural areas:
Sl.N No. of Units
Details Total Amount
o.
Ayushman Arogya
1 Mandirs (AAMs) in rural 1786 535.80 Cr
areasAnnexure – II
Details of projects sanctioned for Andhra Pradesh under 15th Finance
Commission Health Grants for the period FY2021-22 to 2025-26
I. Construction of Primary Health Centres:
Sl. No. of Units Total
Details
No. Amount
1 Primary Health Centers 100 143.00 Cr
Sl.
No. District Number of Units
1 Alluri Sita Ramaraju 2
2 Anakapalli 2
3 Anantapuramu 5
4 Annamayya 2
5 Bapatla 4
6 Chittoor 4
7 East Godavari 8
8 Eluru 4
9 Guntur 7
10 Kakinada 4
11 Konaseema 1
12 Krishna 1
13 Kurnool 9
14 Nandyal 6
15 NTR 2
16 Palnadu 7
17 Prakasham 5
18 Spsr Nellore 6
19 Sri Satya Sai 4
20 Srikakulam 5
21 Tirupathi 2
22 Visakhapatnam 1
23 Vizianagaram 3
24 West Godavari 4
25 YSR Kadapa 2
Total 100II. Construction of Sub Health Centers (AAMs) in rural areas:
Sl. No. of Units Total
Details
No. Amount
1 Building-less Subcentres 1558 532.04 Cr
Sl. No District Number of Units
1 Alluri Sitharama Raju 12
2 Anakapalli 37
3 Anantapur 40
4 Annamayya 49
5 Bapatla 109
6 Chittoor 71
7 East Godavari 47
8 Eluru 63
9 Guntur 67
10 Kakinada 140
11 konaseema 153
12 Krishna 97
13 Kurnool 59
14 Nandyal 69
15 NTR 77
16 Palnadu 63
17 Parvathipuram Manyam 22
18 Prakasam 71
19 SPSR Nellore 98
20 Sri Sathya Sai 25
21 Srikakulam 20
22 Tirupathi 80
23 Visakhapatanam 9
24 Vizianagaram 40
25 West Godavari 34
26 Y.S.R 6
Total 1558