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09 FEB 2024
In a concerted effort to tackle the pressing healthcare challenges faced by rural communities, the Indian government has implemented a series of initiatives aimed at bolstering healthcare infrastructure and accessibility. With a focus on reaching the farthest corners of the country, these measures are designed to provide comprehensive healthcare services to all, particularly in remote areas.
The cornerstone of this endeavor is the National Rural Health Mission (NRHM), initiated in 2005, which supplements the efforts of state and union territory governments to ensure accessible, affordable, and high-quality healthcare. Under the NRHM, support is extended to all states and UTs, including Maharashtra, for establishing new facilities and upgrading existing ones to bridge infrastructure gaps.
To further strengthen the healthcare landscape, the government has introduced four mission-mode projects: PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Arogya Mandir (formerly known as Ayushman Bharat Health & Wellness Centres), Pradhan Mantri Jan Arogya Yojana (PMJAY), and Ayushman Bharat Digital Mission (ABDM).
The PM-ABHIM, with an allocation of Rs. 64,180 crores, aims to enhance the capacity of healthcare systems and institutions at all levels to effectively respond to pandemics and disasters. One of the key components of this mission is the establishment of 1.64 lakh Ayushman Arogya Mandirs, which provide comprehensive primary healthcare by strengthening Sub Health Centres (SHCs) and Primary Health Centres (PHCs). These Mandirs offer a wide range of services, including preventive, promotive, rehabilitative, and curative care.
Under the AB-PMJAY, health coverage of up to Rs. 5 lakh per family per year is provided to impoverished and vulnerable families, ensuring financial protection against healthcare expenses. Additionally, the Ayushman Bharat Digital Mission (ABDM) aims to create an integrated digital health infrastructure, with 55 crore Ayushman Bharat Health Accounts (ABHA) already established as of 08.02.2024.
Recognizing the crucial role of local governance in healthcare delivery, the Fifteenth Finance Commission (FC-XV) has recommended grants totaling Rs. 70,051 crores to local governments for health sector development. These grants, spread over five years, will fortify the grassroots healthcare system and facilitate the strengthening of health systems.
The Union Health Ministry provides technical and financial support to states and UTs to enhance the public healthcare system, with approvals granted based on Programme Implementation Plans (PIPs) submitted by the respective entities. These initiatives underscore the government’s commitment to ensuring equitable access to healthcare services across the nation, particularly in rural areas where the need is most acute.
The details of fund allocated and released under NHM for strengthening public health systems State/UT-wise are as under:
Details of funds allocated and released under NHM for the FY 2020-21 to FY 2022-23, State/UT wise
Rs. in Cr.
| Sl. No. | States | 2020-21 | 2021-22 | 2022-23 | |||
| Allocation | Release | Allocation | Release | Allocation | Release | ||
| 1 | Andaman & Nicobar Islands | 39.02 | 36.91 | 41.62 | 43.68 | 45.95 | 45.26 |
| 2 | Andhra Pradesh | 1079.09 | 1097.81 | 1237.95 | 1199.37 | 1,182.93 | 1,489.45 |
| 3 | Arunachal Pradesh | 236.60 | 243.04 | 294.27 | 188.53 | 272.48 | 233.82 |
| 4 | Assam | 1483.91 | 1807.48 | 1732.64 | 1955.93 | 1,615.70 | 1,981.83 |
| 5 | Bihar | 1849.38 | 1814.63 | 2026.69 | 1748.76 | 1,853.57 | 1,586.57 |
| 6 | Chandigarh | 24.75 | 22.21 | 26.30 | 17.47 | 31.73 | 38.09 |
| 7 | Chhattisgarh | 958.45 | 979.41 | 985.85 | 969.61 | 949.94 | 1,195.08 |
| 8 | Dadra & Nagar Haveli & Daman & Diu | 39.89 | 36.39 | 46.15 | 38.59 | 51.18 | 58.28 |
| 9 | Delhi | 165.69 | 125.73 | 179.64 | 127.37 | 164.98 | 35.15 |
| 10 | Goa | 36.23 | 34.81 | 40.57 | 26.01 | 38.13 | 55.42 |
| 11 | Gujarat | 946.75 | 1005.66 | 1147.40 | 1094.48 | 1,059.03 | 1,120.06 |
| 12 | Haryana | 519.03 | 531.50 | 566.85 | 577.07 | 501.71 | 681.21 |
| 13 | Himachal Pradesh | 421.35 | 441.94 | 507.47 | 555.09 | 472.62 | 494.65 |
| 14 | Jammu and Kashmir | 616.26 | 667.46 | 716.25 | 459.10 | 659.02 | 651.52 |
| 15 | Jharkhand | 691.72 | 602.80 | 933.20 | 640.18 | 853.19 | 810.30 |
| 16 | Karnataka | 1125.91 | 1232.19 | 1305.23 | 1274.71 | 1,129.18 | 1,246.67 |
| 17 | Kerala | 753.30 | 788.22 | 784.68 | 771.47 | 746.63 | 1,036.76 |
| 18 | Lakshadweep | 7.23 | 7.11 | 9.53 | 8.41 | 10.55 | 9.97 |
| 19 | Madhya Pradesh | 2247.97 | 2377.14 | 2220.09 | 2295.66 | 2,056.81 | 2,582.10 |
| 20 | Maharashtra | 1790.69 | 1833.59 | 1938.87 | 1769.67 | 2,006.38 | 2,187.13 |
| 21 | Manipur | 174.98 | 189.49 | 207.19 | 95.59 | 192.47 | 61.40 |
| 22 | Meghalaya | 154.53 | 202.63 | 211.03 | 282.46 | 196.26 | 261.56 |
| 23 | Mizoram | 117.39 | 143.73 | 140.94 | 93.82 | 132.58 | 111.82 |
| 24 | Nagaland | 156.19 | 188.21 | 175.46 | 126.66 | 164.27 | 91.38 |
| 25 | Odisha | 1465.69 | 1617.63 | 1238.50 | 1263.07 | 1,163.82 | 1,284.69 |
| 26 | Puducherry | 30.72 | 25.55 | 36.58 | 21.33 | 36.49 | 20.73 |
| 27 | Punjab | 555.46 | 568.14 | 488.28 | 349.21 | 448.58 | 448.89 |
| 28 | Rajasthan | 2018.67 | 2000.58 | 2024.38 | 1924.95 | 1,867.04 | 1,460.80 |
| 29 | Sikkim | 62.09 | 70.13 | 71.50 | 51.86 | 67.47 | 73.30 |
| 30 | Tamil Nadu | 1433.71 | 1522.71 | 1533.20 | 1631.91 | 1,373.29 | 1,652.24 |
| 31 | Tripura | 186.91 | 225.91 | 238.22 | 217.95 | 222.50 | 231.90 |
| 32 | Uttar Pradesh | 3591.98 | 3772.95 | 4419.86 | 3235.46 | 4,130.21 | 5,133.59 |
| 33 | Uttarakhand | 563.05 | 583.25 | 629.00 | 553.47 | 491.17 | 505.01 |
| 34 | West Bengal | 1809.71 | 1895.01 | 1643.35 | 1654.26 | 1,439.37 | 1,252.32 |
| 35 | Telangana | 627.62 | 671.88 | 825.48 | 725.67 | 767.82 | 683.77 |
| 36 | Ladakh | 89.28 | 91.89 | 112.15 | 44.79 | 124.65 | 94.94 |
Note:
1. Allocation is as per original outlay/B.E.
2. The above releases relate to Central Govt. Grants & do not include State share contribution.
Ayushman Bhav Campaign was launched by Hon’ble President of India on 13th September, 2023. Ayushman Bhav Campaign is envisaged to saturate selected health care services in every village/ town in line with the commitment of Hon’ble Prime Minister to ensure reach to the last mile and enable access to health care services to everyone in the society. ‘Ayushman Bhav’ campaign involves a set of interventions that include following:
(i) ‘Ayushman – Apke Dwar 3.0’
(ii) Ayushman Arogya Mandir Health Melas
(iii) Weekly Health Melas at Community health centres (CHCs)
As on 31.01.2024, total number Health Melas organized are 17.90 lakh, out of which total footfall recorded is 1486.82 lakh; 11.94 lakh Wellness/Yoga/Meditation session have been conducted; 837.99 lakh people received free drugs, 746.46 lakh people received free diagnostic services and 2478.53 lakh screenings of 7 types of diseases have been done.
The Union Minister of State for Health and Family Welfare, Dr Bharati Pravin Pawar stated this in a written reply in the Lok Sabha yesterday.
