**Executive Summary**
This document is the response to an unstarred question in Lok Sabha regarding the status of hospitals, dispensaries, PHCs, and SHCs. The Ministry of Health and Family Welfare outlines the technical and financial support provided to States/UTs for strengthening public healthcare. It also mentions the Health Dynamics of India (HDI) 2022-23 publication and ongoing schemes like the Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM). The question was raised by Shri Rambhual Nishad and answered on 06.02.2026.
**Key Points / Main Content**
* **Ministry's Support:**
* The Ministry of Health and Family Welfare provides technical and financial support to States/UTs.
* Support is based on proposals received under the National Health Mission (NHM).
* Approval for proposals is provided through Record of Proceedings (RoPs).
* **Health Dynamics of India (HDI):**
* HDI (Infrastructure & Human Resources), 2022-23 is an annual publication.
* It includes State/UT-wise status of rural health facilities.
* **Ayushman Arogya Mandirs (AAMs):**
* The government announced the establishment of 1,50,000 Ayushman Arogya Mandirs (AAMs) by December 2022.
* As of 31.12.2025, 1,82,944 AAMs have been established and operationalized.
* This is achieved by transforming existing Sub-Health Centres (SHC) and Primary Health Centres (PHC).
* **Funding for Uttar Pradesh:**
* Details of funds approved for development of building infrastructure under NHM to the State of Uttar Pradesh from FY 2020-21 to FY 2024-25 is provided in a table.
* **Other Schemes:**
* Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) is a Centrally Sponsored Scheme (CSS).
* It has an outlay of Rs. 64,180 Crores for the period from 2021-22 to 2025-26.
* **Fifteenth Finance Commission (FC-XV):**
* FC-XV has recommended grants through local governments for strengthening the health system.
* The grants are spread over the five-year period from FY 2021-22 to FY 2025-26.
* The amount for the health system strengthening is Rs. 68,832.43 crores.
**Impact Analysis**
**States/UTs**
* **Impact:** Receive technical and financial support to strengthen their public healthcare systems. Also the responsibility to update the AAM portal.
* **Action Required:** Submit Programme Implementation Plans (PIPs) under NHM to request support. Report Health Care administrative data to enable HDI annual publication.
**Citizens**
* **Impact:** Access to strengthened primary healthcare services through AAMs and other health infrastructure development.
* **Action Required:** Access and utilize available healthcare facilities and services.
**Local Governments**
* **Impact:** Will receive grants recommended by the Fifteenth Finance Commission (FC-XV) for strengthening primary care infrastructure.
* **Action Required:** Effectively utilize the grants to strengthen primary care.
Key Entities Referenced
Ministry of Health and Family Welfare: Primary ministry responsible for public health initiatives and policies discussed in the document.
National Health Mission (NHM): A key national program under which states submit Programme Implementation Plans (PIPs) for healthcare funding.
Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM): Centrally Sponsored Scheme for developing capacities of health systems and institutions.
Ayushman Arogya Mandirs (AAMs): Renamed Ayushman Bharat Health and Wellness Centres (AB-HWCs); healthcare centers in rural and urban areas providing comprehensive primary healthcare services.
Uttar Pradesh: The state is the primary geographical focus of the parliamentary question, particularly regarding its rural health infrastructure.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 1365
TO BE ANSWERED ON06.02.2026
STATUS OFHOSPITALS/DISPENSARIES/PHCS/SHCS
1365.SHRIRAMBHUALNISHAD:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) whether the Government hasundertaken anystudy/survey regardingthe status of rural
health infrastructure across the country during the last five years, if so, the details
thereof,State/UT-wise especially inUttar Pradesh;
(b) the status of hospitals/dispensaries/PHCs/SHCs and other health establishments
proposed/under construction and presently functional in Uttar Pradesh, district-wise,
especiallyinSultanpur;
(c) the total amount of funds sanctioned, released and utilised for establishment of
medical infrastructure and facilities in rural areas of Uttar Pradesh during the last five
years, district-wise particularly for 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 OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(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. TheState/UT-wise status of rural health facilities functioning across the country, including Uttar
Pradeshcanbe accessed at the following linkof HDI 2022-23:
https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28
Infrastructure%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 1,82,944 Ayushman Arogya Mandirs have been established and
operationalized as on 31.12.2025, 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 last five FYs i.e FY 2020-21 to FY 2024-25 for
developmentof buildinginfrastructure underNHM tothe Stateof Uttar Pradeshare asunder:
(Rs. In Lakhs)
State 2024-25 2023-24 2022-23 2021-22 2020-21
Uttar 169,180.68 171,102.14 42,730.00 124,665.62 147,304.31
Pradesh
Note:
1. SPIPApproved and Expenditureisas perthe availableFinancial Management Reportssubmitted by
State/UTsandareprovisional.
2. Expenditure includes expenditure against Central Release, State Release & unspent balances at the
beginningoftheyear.
In addition tothe National HealthMission (NHM), Government of India hason-going
schemesfor developingpublic healthcare infrastructure:
• Pradhan MantriAyushman Bharat HealthInfrastructure Mission (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). Themeasures 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.
• 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 FY 2021-22 to FY 2025-26 to facilitate strengthening of health system at the
grass-root level for an amount of Rs. 68,832.43 crores. These grants are for strengthening
primarycarethrough specifiedcomponentssuchasBuilding-lessSub-HealthCentres(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 primary healthcare facilities, Block LevelPublic Health Units and Urban
-AAMs.
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