**Executive Summary**
The Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) is a Centrally Sponsored Scheme with an outlay of Rs. 64,180 Crores for FY 2021-22 to FY 2025-26. The scheme aims to strengthen public health infrastructure, improve service delivery, and enhance preparedness for pandemics and disasters. Key deliverables include the establishment of Ayushman Arogya Mandirs, Urban Health Centres, Block Public Health Units, and Integrated Public Health Labs.
**Key Points / Main Content**
**Scheme Overview and Objectives**
* PM-ABHIM is a Centrally Sponsored Scheme (CSS) with Central Sector Components (CS).
* Total outlay: Rs. 64,180 Crores for the scheme period FY 2021-22 to FY 2025-26.
* Aims to integrate and strengthen health service delivery and public health action.
* Focuses on making communities self-reliant in managing health crises.
* Objectives include strengthening primary and secondary healthcare, enhancing disease surveillance capacity, and building a resilient health system for emergencies.
**Scope of PM-ABHIM**
* Strengthening public health systems in both rural and urban areas.
* Investments in laboratories, critical care infrastructure, disease surveillance, and emergency response.
* Supports States/UTs for strengthening district and block-level health infrastructure.
* Includes expansion of national institutions.
**CSS Components and Activities (2021-2026)**
* Construction of 17,788 building-less Sub-Centres as Ayushman Bharat- Health & Wellness Centres (AAM).
* Establishment of 11,024 Health & Wellness Centres (AAM) in urban areas, focusing on slum areas.
* Establishment of 3,382 Block Public Health Units (BPHUs) at the block level.
* Establishment of 730 District Integrated Public Health Labs, one per district.
* Establishment of 602 Critical Care Hospital Blocks in districts with populations over 5 lakhs.
**Approved Allocations and Units**
* Administrative approvals for the CSS component for 5 years (FY 2021-22 to FY 2025-26) amounting to Rs. 32,928.82 Crores.
* Approval for 9519 Building-less SHC-AAMs, 5456 Urban-AAMs, 2151 BPHUs, 744 IPHLs, and 621 CCBs.
**Implementation Challenges and Mitigation Measures**
* Challenges encountered include delays in land availability, procurement processes, coordination issues, and inadequate pre-implementation readiness (e.g., incomplete DPRs).
* Measures taken: continuous monitoring by senior officials, ensuring land and site readiness, enhancing inter-departmental coordination, strengthening project management capacity, and providing technical guidance and streamlined fund release mechanisms.
**Impact Analysis**
**States/Union Territories (States/UTs)**
* **Impact:** Will receive funding and support for strengthening public health infrastructure as per the approved units and allocations. They are the primary implementers of the scheme's components at the district and block levels.
* **Action Required:** Ensure land and site readiness for approved projects; coordinate with implementing agencies; expedite DPR approvals and procurement clearances; implement construction and establishment activities according to technical guidance and operational guidelines.
**Citizens**
* **Impact:** Will benefit from improved public health infrastructure, continuum of care at all levels (primary, secondary, tertiary), enhanced disease surveillance, diagnostics, research, and a more resilient health system capable of responding to health emergencies.
* **Action Required:** No direct action required from citizens as per this document.
**Implementing Agencies**
* **Impact:** Will be involved in the project execution, procurement, and construction phases of the scheme's components.
* **Action Required:** Coordinate with States/UTs and government officials; expedite approvals and procurements; adhere to technical guidance and operational guidelines for timely implementation.
**Ministry of Health and Family Welfare / Government of India**
* **Impact:** Responsible for the overall oversight, funding, and monitoring of the PM-ABHIM scheme. Faces the challenge of ensuring timely and effective implementation across all States/UTs.
* **Action Required:** Continue monitoring and review of project progress; provide technical support and guidance; facilitate fund release and utilization; address implementation bottlenecks.
Key Entities Referenced
PM-ABHIM: Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission, a Centrally Sponsored Scheme aimed at strengthening public health infrastructure.
Ministry of Health and Family Welfare: The ministry overseeing the PM-ABHIM initiative.
Centrally Sponsored Scheme (CSS): A component of PM-ABHIM that provides support to States/UTs for strengthening district- and block-level health infrastructure.
Central Sector (CS) components: A component of PM-ABHIM that includes administrative approvals and funding for infrastructure development.
Ayushman Arogya Mandir (AAM): Health & Wellness centres established under the scheme, including buildings converted from Sub-Centres and new centres in urban areas.
Ministry of Health and Family Welfare
Update on PM-ABHIM
PM-ABHIM Strengthens India’s Public Health Infrastructure
with ₹64,180 Crore Investment to Build Resilient Health
Systems
Under PM-ABHIM, 9,519 Ayushman Arogya Mandirs, 5,456
Urban Health Centres, 2,151 Block Public Health Units and
744 Integrated Public Health Labs Approved
Posted On: 13 MAR 2026 4:32PM by PIB Delhi
Pradhan Mantri- Ayushman Bharat Health Infrastructure Mission (PM-ABHIM) is a Centrally Sponsored
Scheme (CSS) with some Central Sector Components (CS) that has an outlay of Rs. 64,180 Crores for
the scheme period (FY 2021-22 to FY 2025-26).
The scheme envisages a new generation of reforms to integrate and strengthen health service delivery and
public health action including health research so that the communities are Atmanirbhar in managing such
pandemics or health crisis. The measures under the scheme are aimed at strengthening health systems and
institutions in order to provide a continuum of care at all levels, namely primary, secondary, and tertiary,
as well as preparing health systems to respond effectively to current and future pandemics and disasters.
The objectives of PM-ABHIM are to strengthen public health infrastructure at the primary and secondary
levels of care; enhance capacity for disease surveillance, diagnostics, and research for emerging and re-
emerging diseases; and develop a resilient health system capable of responding effectively to public
health emergencies.
The scope of PM-ABHIM includes strengthening public health systems in both rural and urban areas
through investments in laboratories, critical care infrastructure, disease surveillance systems, and
emergency response mechanisms. The scheme comprises Central Sector (CS) and Centrally Sponsored
Scheme (CSS) components, under which support is provided to States/UTs for strengthening district- and
block-level health infrastructure, as well as for the expansion of national institutions.
Under the CSS components of the scheme, following are the five activities where support is provisioned
to the State/UTs during the scheme period (2021-2026):
a. Construction of 17,788 Building less Sub-Centres as Ayushman Bharat- Health & Wellness
centres, now known as Ayushman Arogya Mandir (AAM)
b. Establishment of 11,024 Health & wellness Centres, now AAM in Urban areas with a
focus on slum and slum like areas are envisioned
c. Establishment of 3,382 Block Public Health Units (BPHUs) at the block level,
d. Establishment of 730 District Integrated Public Health Labs in the country, wherein each
district will have one such lab.e. Establishing 602 Critical Care Hospital Blocks in all districts with a population of more than
5 lakhs.
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 SHC-AAMs, 5456
Urban-AAMs, 2151 BPHUs, 744 IPHLs and 621 CCBs at District Hospitals/ Govt. Medical College
level.
The State/UT-wise progress under PM-ABHIM is placed at Annexure.
During the implementation of PM-ABHIM, several bottlenecks were encountered by the States, including
delays in the availability of adequate land, prolonged tendering and procurement processes, coordination
challenges with project executing agencies, and inadequate pre-implementation readiness such as
incomplete DPRs and pending approvals.
To address these challenges and ensure timely completion and effective utilisation of the health
infrastructure created under the scheme, the Government has taken several measures. These include
continuous monitoring and review of project progress by senior officials through regular meetings with
States/UTs and implementing agencies; directing States/UTs to ensure land and site readiness for
approved projects; and enhancing inter-departmental coordination through periodic reviews. Efforts have
also been made to strengthen project management and implementation capacity at the State level through
technical support and coordination with implementing agencies for expediting approvals of DPRs and
necessary procurement clearances. In addition, technical guidance, standard designs, and operational
guidelines have been provided to States/UTs for the timely implementation of infrastructure components,
along with streamlining of fund release and utilisation mechanisms to facilitate the timely execution of
approved projects.
The Union Minister of State for Health and Family Welfare, Shri Prataprao Jadhav stated this in a written
reply in the Lok Sabha today.
****
SR
HFW/Update on PM-ABHIM/13March 2026/4
Annexure
I. Building less-AAM (Sub-Centers – Ayushman Arogya Mandir)
S. No. States Units Approved
1 Rajasthan 1112
2 Jharkhand 893
3 Manipur 64
4 Uttar Pradesh 1670
5 Assam 7686 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. State / UT Units Approved
No.
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 63913 Uttar Pradesh 674
14 Himachal Pradesh 38
15 Delhi 1139
16 A & N Islands 4
17 Manipur 3
18 West Bengal 204
Total 5456
I. Block Public Health Units (BPHUs)
S. No State / UT Units Approved
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
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