**Executive Summary**
This report details the progress of operationalizing Primary Health Centres (PHCs) and Community Health Centres (CHCs) according to the Indian Public Health Standards (IPHS) 2022. As of March 6, 2026, 100% of healthcare facilities have been assessed, with significant reductions in out-of-pocket expenditure and increases in government health spending reported. The Ministry of Health and Family Welfare (MoHFW) continues to provide technical and financial support to States/UTs to bridge infrastructure and staffing gaps.
**Key Points / Main Content**
**IPHS Implementation and Assessment Status**
* **Standards Framework:** The IPHS 2022 provides uniform standards for infrastructure, staffing, and population coverage to improve healthcare quality.
* **Assessment Milestone:** As of March 6, 2026, 100% of healthcare facilities have been assessed for IPHS compliance.
* **Performance Metrics:** Among the assessed facilities, 63% have achieved scores higher than 50%.
**Digital Monitoring and Tools**
* **IPHS Dashboard:** A digital platform launched to monitor facility compliance and identify specific gaps in health service delivery.
* **Open-Source Toolkit:** Provides states with resources to achieve required standards and receive targeted support.
**Financial Trends and Support Mechanisms**
* **Reduced Patient Costs:** Out-of-Pocket Expenditure (OOPE) declined from 62.6% in 2014-15 to 39.4% in 2021-22.
* **Increased Public Spending:** Government Health Expenditure (GHE) as a percentage of Total Health Expenditure rose from 29.0% to 48.0% between 2014-15 and 2021-22.
* **Financial Assistance:** The MoHFW provides funding based on Programme Implementation Plans (PIPs) submitted by States/UTs under the National Health Mission.
* **Approval Process:** Proposals are approved through the Record of Proceedings (RoPs) based on available resources and norms.
**Impact Analysis**
**States and Union Territories (UTs)**
* **Impact:** They are the primary recipients of technical and financial support intended to strengthen rural healthcare infrastructure and meet IPHS compliance.
* **Action Required:** States must submit detailed Programme Implementation Plans (PIPs) and utilize the IPHS Dashboard and toolkit to identify and rectify gaps in their healthcare facilities.
**Public Healthcare Facilities (PHCs and CHCs)**
* **Impact:** These facilities are now subject to standardized assessments regarding their 24x7 functionality, staffing levels (including doctors), and infrastructure.
* **Action Required:** Facilities must align their operations with IPHS 2022 norms to improve service quality and maintain or exceed a 50% compliance score.
**Ministry of Health and Family Welfare (MoHFW)**
* **Impact:** The Ministry acts as the central monitoring and funding body, overseeing the nationwide rollout of standards and digital tracking tools.
* **Action Required:** Continue providing technical guidance and financial approvals via Record of Proceedings (RoPs) to ensure 100% compliance across all healthcare tiers.
Key Entities Referenced
Indian Public Health Standards (IPHS): A set of uniform quality standards updated in 2022 to improve primary and secondary healthcare delivery and infrastructure across India.
National Health Mission (NHM): The primary framework providing technical and financial support to States/UTs for IPHS compliance through Programme Implementation Plans (PIPs).
Ministry of Health and Family Welfare (MoHFW): The central ministry responsible for developing the IPHS guidelines and overseeing their implementation across all states.
National Health Accounts (NHA): The source of expenditure estimates used to track the decline in Out-of-Pocket Expenditure (OOPE) and growth in Government Health Expenditure.
IPHS Dashboard: A cutting-edge digital platform launched to monitor public health facilities' compliance with the 2022 standards and identify infrastructure gaps.
Ministry of Health and Family Welfare
Update on Operationalization of PHCs and CHCs
as per IPHS Norms
As on 6th March 2026, 100% of healthcare facilities have
been assessed for IPHS with 63% facilities scoring more than
50%
The share of Out-of-Pocket Expenditure (OOPE) in Total
Health Expenditure has declined from 62.6% in 2014-15 to
39.4% in 2021-22
Posted On: 17 MAR 2026 1:15PM by PIB Delhi
The Indian Public Health Standards (IPHS) have been developed by MoHFW for primary and secondary
healthcare facilities which provides a set of uniform standards envisaged to improve the quality of health
care delivery in the country. The IPHS was last updated in 2022 and the details under it regarding
population coverage, infrastructure and staff availability at every level of healthcare facilities are available
in public domain at the following Uniform Resource locator (URL): http://nrhm.gov.in/nhm/nrhm/guidelin
es/indian-public-health-standards.html
The Ministry of Health and Family Welfare (MoHFW) has been actively implementing the IPHS 2022
guidelines to provide uniform, high-quality health services across all states.
The Ministry has launched an open-source toolkit and a dashboard under Indian Public Health Standards.
The IPHS Dashboard is a cutting-edge digital platform designed to monitor public health facilities'
compliance with the IPHS 2022 standards. These tools help states identify gaps and receive targeted
support to achieve the required standards. The rollout of IPHS 2022 has been extensive and rapid. As on
6th March, 2026 - 100% of healthcare facilities have been assessed for IPHS. Among total assessed
facilities, 63% facilities have scored more than 50%.
The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to
strengthen the public healthcare delivery system including support for IPHS compliance, based on the
proposals received in the form of Programme Implementation Plans (PIPs) under National Health
Mission. Government of India provides approval for the proposal in the form of Record of Proceedings
(RoPs) as per norms & available resources. Details of the approvals given for the strengthening healthcare
infrastructure in rural areas of the country including IPHS compliance are available at website of Ministry
of Health and Family Welfare at the Uniform Resources Locator (URL) as under:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744Details of Primary Health Centres (PHCs) including PHCs functioning 24x7 and Community Health
Centres (CHCs) and healthcare staff including doctor in public health facilities can be assessed at the
following link of HDI 2022-23:
a.
https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastructure%20%
26%20Human%20Resources%29%202022-23_RE%20%281%29.pdf
As per National Health Accounts (NHA) estimates, the share of Out-of-Pocket Expenditure (OOPE) in
Total Health Expenditure has declined from 62.6% in 2014-15 to 39.4% in 2021-22. The Government is
making efforts to reduce the OOPE as a percentage of Total Health Expenditure (THE). There has been a
significant increase in Government Health Expenditure (GHE) as percentage of THE, which has increased
from 29.0% in 2014-15 to 48.0% in 2021-22. Concurrent to this increase in GHE, the share of OOPE in
THE has declined from 62.6% to 39.4% during the same period. This declining share of OOPE is
indicative of increasing access to health services.
The Union Minister of State for Health and Family Welfare, Shri Prataprao Jadhav stated this in a written
reply in the Rajya Sabha today.
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SR
HFW/PQ-Update on IPHS/17 March 2026/1
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