RAJYA SABHA
HEALTH AND WELLNESS CENTRES PROVIDING MENTAL HEALTH SERVICES
Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:
(a) whether the mental health services component of Ayushman Bharat has been implemented in health and wellness centres;
(b) if so, the details thereof, including number of health and wellness centres providing mental health services, State-wise and district-wise in the year 2020 and the operational guidelines for implementation;
(c) if not, the reasons therefor;
(d) whether coverage of treatment of mental illnesses is provided under the Ayushman Bharat Yojana, if so the details thereof including mental disorders covered, specific inpatient and outpatient services for mental illness that are insured; and
(e) if not, the details therefor?
(SHRI ASHWINI KUMAR CHOUBEY)
(a) to (c): As per the budget announcement 2017-18, 1.5 lakh Health Sub Centres and Primary Health Centres are to be transformed into Health and Wellness Centres (HWCs) by December, 2022. The roll out plan of Ayushman Bharat – HWCs is given as below:
- FY 2018-19 = 15,000
- FY 2019-20 = 25,000 (Cumulative 40,000)
- FY 2020-21 = 30,000 (Cumulative 70,000)
- FY 2021-2022 = 40,000 (Cumulative 1,10,000)
- Till 31st December 2022 = 40,000 (Cumulative 1,50,000)
Under Ayushman Bharat (AB-HWCs) provision of comprehensive primary care includes preventive healthcare and health promotion at the community level with continuum of care approach for all. Services at AB-HWCs are free and universal to all individuals residing in the service area including mental health services.
Besides expanding and strengthening the existing Reproductive and Child Health (RMNCHA+N) services and Communicable Diseases services, the functional AB-HWCs provide services related to Non-Communicable Diseases (NCDs) (screening and management for NCDs such as Hypertension, Diabetes and 3 common cancers of Oral, Breast and Cervix) and incrementally adding other primary healthcare services for mental health, ENT, Ophthalmology, oral health, geriatric and palliative health care and trauma care etc.
Presently, as on 22nd March 2021, 70,221 HWCs are functional across the country and the State wise functional Ayushman Bharat- Health & Wellness Centres (AB-HWCs) as on 22.03.2021 is given at Annexure-1.
Mental Health services is part of the expanded package of services being incrementally rolled out under Comprehensive Primary Health Care. Operational Guidelines for Care of Mental, Neurological and Substance Use (MNS) Disorders at Ayushman Bharat – Health and Wellness Centres have been shared with the States.
30 National trainers and 100 State level trainers for training Front line workers (ASHA & MPW) and 45 National Trainers and 100 State level trainers on the Training modules on MNS disorders. 27specialists are currently undergoing training to be National Level Trainers for training State level trainers for rollout of training for PHC Medical Officers. States are in the process of training the respective cadres.
(d) & (e): Ayushman Bharat – Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) provides treatment corresponding to a total of 1682 procedures under 25 different specialties including oncology, nephrology, cardiology and general medicine etc. Of these, a total of 10 packages pertains to the field of mental healthcare. The details may be found under Annexure-2.
Annexure – I
Status of operationalization of AB-HWCs as on 22.03.2021
|
No. |
|||
|
S.N. |
State/UT |
||
|
(As |
|||
|
Total |
70221 |
||
|
1 |
A & N Islands |
80 |
|
|
2 |
Andhra Pradesh |
3411 |
|
|
3 |
Arunachal Pradesh |
211 |
|
|
4 |
Assam |
2212 |
|
|
5 |
Bihar |
1738 |
|
|
6 |
Chandigarh |
28 |
|
|
7 |
Chhattisgarh |
2675 |
|
|
8 |
D & N Haveli |
60 |
|
|
9 |
Daman & Diu |
30 |
|
|
10 |
Delhi |
Not implementing the scheme. |
|
|
11 |
Goa |
102 |
|
|
12 |
Gujarat |
5086 |
|
|
13 |
Haryana |
725 |
|
|
14 |
Himachal Pradesh |
741 |
|
|
15 |
Jammu & Kashmir |
1114 |
|
|
16 |
Jharkhand |
1462 |
|
|
17 |
Karnataka |
5821 |
|
|
18 |
Kerala |
2318 |
|
|
19 |
Ladakh |
89 |
|
|
20 |
Lakshadweep |
3 |
|
|
21 |
Madhya Pradesh |
6252 |
|
|
22 |
Maharashtra |
8603 |
|
|
23 |
Manipur |
180 |
|
|
24 |
Meghalaya |
248 |
|
|
25 |
Mizoram |
139 |
|
|
26 |
Nagaland |
218 |
|
|
27 |
Odisha |
1631 |
|
|
28 |
Puducherry |
119 |
|
|
29 |
Punjab |
2551 |
|
|
30 |
Rajasthan |
2482 |
|
|
31 |
Sikkim |
62 |
|
|
32 |
Tamil Nadu |
4286 |
|
|
33 |
Telangana |
1593 |
|
|
34 |
Tripura |
291 |
|
|
35 |
Uttar Pradesh |
8225 |
|
|
36 |
Uttarakhand |
661 |
|
|
37 |
West Bengal |
4774 |
|
|
Total |
70221 |
||
|
Sl. No. |
AB-PMJAY
Package |
|
1 |
Mental Retardation |
|
2 |
Mental disorders – Organic, including symptomatic |
|
3 |
Schizophrenia, schizotypal and delusional disorders |
|
4 |
Neurotic, stress-related and somatoform disorders |
|
5 |
Mood (affective) disorders |
|
6 |
Behavioural syndromes associated with physiological |
|
7 |
Mental and Behavioural disorders due to psychoactive |
|
8 |
Pre – Electro Convulsive Therapy (ECT) and Pre – |
|
9 |
Electro Convulsive Therapy (ECT) – per session |
|
10 |
Transcranial Magnetic Stimulation (TMS) – per session |