Ayushman Bharat-Health and Wellness Centres (AB-HWCs) was launched in 2018 to progressively achieve Universal Health Coverage through delivery of Comprehensive Primary Healthcare Services

GOVERNMENT OF INDIA

MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT

OF HEALTH AND FAMILY WELFARE

LOK SABHA

STARRED QUESTION NO.333

TO BE ANSWERED ON THE 25TH MARCH, 2022

AYUSHMAN BHARAT – HEALTH AND WELLNESS CENTRES

333. SHRI C.N. ANNADURAI
SHRI GAJANAN KIRTIKAR

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government has launched Ayushman Bharat – Health and Wellness Centres (AB-HWCs) initiative under the Ayushman Bharat Programme and if so, the details thereof along with achievements made since its launch;

(b) the present status and achievements of Community Health Centres (CHCs) and Primary Health Centres (PHCs), State/UT-wise particularly in Tamil Nadu;

(c) whether the Government has set parameters for setting up of PHCs and CHCs and if so, the details thereof along with the percentage of population covered by PHCs and CHCs during last three years;

(d) whether the Government has received proposals from States/UTs including Tamil Nadu for opening of new CHCs and PHCs and if so, the details thereof along with the funds sanctioned and proposed to be released for setting up of CHCs/PHCs in the country, State/UTwise; and

(e) whether the Government proposes to upgrade all the CHCs/PHCs as ISO certified wellness centres and improve quality of services and if so, the details thereof along with the number of ISO certified CHCs/PHCs functioning in the country, State/UT-wise?

ANSWER

THE MINISTER OF HEALTH AND FAMILY WELFARE

(DR MANSUKH MANDAVIYA)

(a) to (e) A Statement is laid on the Table of the House.

STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 333* FOR 25TH MARCH, 2022

(a) to (e): Ayushman Bharat-Health and Wellness Centres (AB-HWCs) was launched in 2018 to progressively achieve Universal Health Coverage through delivery of Comprehensive Primary Healthcare Services. It envisages to transform 1,50,000 Sub-Health Centres (SHCs) and Primary Health Centres (PHCs), both Rural & Urban, into Health and Wellness Centres (HWCs) by December, 2022. As on 23rd March, 2022, a total 1,00,768 Ayushman Bharat-Health and Wellness Centres (AB-HWCs) are functional in the country which includes 73,668 SHC-HWC, 22,472 PHC-HWC and 4,628 UPHC-HWC, as reported by the States/UTs on AB-HWC portal. State/UT wise Central Release under Ayushman Bharat- Health & Wellness Centres (AB-HWC) under NHM from the FY 2018-19 to 2021-22 is given at Annexure-I.

As per RHS 2019-20, the present status and achievements of Community Health Centres (CHCs) and Primary Health Centres (PHCs), State/UT-wise, including Tamil Nadu, are given at Annexure-II.

Government of India has laid down Indian public Health Standards (IPHS) for services, infrastructure, human resource, diagnostics, equipment, medicines, etc. They are used as the reference point for planning and up-gradation of public health care infrastructure in the States and UTs. These IPHS have given population norms for establishing the public health facilities. As per RHS, 2019-20, average rural population covered by the health facility (based on the mid-year population as on 1st July, 2020) is given below

Health
Facility

Norm as per IPHS

Average
Rural

Population covered

(RHS-2019-20)

Primary Health Centre

20,000-30,000

35730

Community Health Centre

80,000-1,20,000

171779

Besides this, States have the flexibility to propose for funding under the overall ambit of NHM for up-gradation of infrastructure, HR and services as per IPHS for public health facilities, after due gap analysis. States also have the flexibility to establish PHCs at 20,000 population and CHCs at 80,000 population in hilly/tribal/difficult areas.

All the States/UTs submit the proposals for opening of new CHCs and PHCs, through Program Implementation Plan (PIP) annually before the commencement of next financial year. Year-wise Record of Proceedings (RoPs) and PIPs of all the States /UTs under NHM, including Tamil Nadu, are available at the link https://nhm.gov.in/index4.php?lang=1&level=0&linkid=59&lid=72.

The State of Tamil Nadu has submitted a proposal to MoHFW, GOI during PIP 2022-24 for establishment of 25 New Primary Health Centre and 25 New Urban Primary Health Centre under NHM.

The ISO 9001:2008, now ISO 9001:2015 standards were initially framed for the manufacturing industry and later adapted for service industry like healthcare industry. However, these standards are generic in nature. Therefore, the Ministry of Health and Family Welfare have formulated National Quality Assurance Standards (NQAS) in November 2013 to improve the quality of care delivered at different level of public health facilities. The Standards are accredited by apex international accrediting Agency ISQUA (International Society for Quality in Healthcare). Over the years, the programme has expanded its scope based on the emerging requirements and responses to newer initiatives taken up by the Ministry of Health and Family Welfare.

Quality Assurance Program has provision for national and state level quality certification of Health facilities on meeting the predetermined certification criteria. The program is being implemented across all states and UTs. As on 16th March, 2022, 1463 public health facilities are quality certified at the national level and 3576 health facilities at the NQAS certified at the State level.

The National Quality Assurance Standards are broadly arranged under 8 “Areas of Concern”– Service Provision, Patient Rights, Inputs, Support Services, Clinical Care, Infection Control, Quality Management and Outcome.

More details on the latest National Quality Assurance Standards are available at http://qi.nhsrcindia.org /sites/default/files/1596 %20NQAS%20for%20 PHF%202020_16% 20 Dec%2 02021.pdf

Annexure-I

State/UT wise Central Release under Ayushman Bharat Yojana – Health & Wellness Centres (AB- H&WCs) under NHM from the F.Y. 2018-19 to 2021-22

(Rs. in Crore)

Sl. No.	State/UT	2018-19	2019-20	2020-21	2021-22
1	Andaman & Nicobar Islands	0.80	0.85	1.16	1.77
2	Andhra Pradesh	43.51	52.44	59.38	11.60
3	Arunachal Pradesh	8.15	8.59	14.80	8.19
4	Assam	68.67	97.60	89.69	100.18
5	Bihar	88.50	88.78	119.22	81.20
6	Chandigarh	0.71	0.84	1.51	0.36
7	Chhattisgarh	36.42	65.66	28.08	34.71
8	Dadra & Nagar Haveli	0.70	0.96	2.09	1.57
9	Daman & Diu	0.43	0.68	2.09	1.57
10	Delhi	–	–	–	–
11	Goa	0.79	1.26	0.88	0.30
12	Gujarat	44.64	49.98	69.75	16.84
13	Haryana	18.45	24.03	29.02	16.78
14	Himachal Pradesh	16.08	27.21	25.87	4.70
15	Jammu & Kashmir	32.66	38.88	39.27	19.10
16	Jharkhand	26.02	75.81	–	21.37
17	Karnataka	47.98	54.70	75.51	59.10
18	Kerala	18.43	21.65	27.73	21.73
19	Lakshadweep	0.18	0.26	0.24	0.44
20	Madhya Pradesh	87.74	87.82	140.35	125.00
21	Maharashtra	91.27	97.64	138.60	57.02
22	Manipur	5.44	9.22	8.06	4.98
23	Meghalaya	8.64	12.46	9.17	6.48
24	Mizoram	4.03	5.19	5.25	3.90
25	Nagaland	5.01	5.34	6.22	3.04
26	Odisha	48.34	95.49	77.06	59.95
27	Puducherry	14.46	0.22	–	0.32
28	Punjab	19.69	20.39	22.17	11.73
29	Rajasthan	83.70	68.64	62.63	68.91
30	Sikkim	2.16	1.62	2.71	1.12
31	Tamil Nadu	56.41	89.12	82.65	52.70
32	Tripura	10.18	13.57	9.27	9.00
33	Uttar Pradesh	176.10	330.85	279.52	136.78
34	Uttarakhand	19.62	30.31	26.93	26.93
35	West Bengal	59.47	61.55	99.44	66.03
36	Telangana	46.14	33.70	35.94	22.26
37	Ladakh	–	–	7.36	3.84

Note:

1. The above information comprises of Ayushman Bharat- Health & Wellness Centres under NRHM

and NUHM.

2. The above releases relates to Central govt. Grants & do not include State share contribution Release For the F.Y. 2021-22 is updated upto 04.03.2022.

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Annexure-II

Present Status and achievements of Community Health Centres (CHCs) and Primary Health Centres (PHCs)

Sl. No.	STATE/UT	PHCs	CHCs
1	AndhraPradesh	1142	141
2	ArunachalPradesh	119	60
3	Assam	946	190
4	Bihar	1702	57
5	Chhattisgarh	792	170
6	Goa	55	6
7	Gujarat	1477	348
8	Haryana	385	118
9	HimachalPradesh	564	85
10	Jharkhand	291	171
11	Karnataka	2176	189
12	Kerala	784	211
13	MadhyaPradesh	1199	309
14	Maharashtra	1829	278
15	Manipur	85	17
16	Meghalaya	119	28
17	Mizoram	57	9
18	Nagaland	130	21
19	Odisha	1288	377
20	Punjab	427	143
21	Rajasthan	2094	548
22	Sikkim	24	2
23	Tamil Nadu	1420	385
24	Telangana	636	85
25	Tripura	107	22
26	Uttarakhand	257	56
27	UttarPradesh	2880	711
28	WestBengal	913	348
29	A&NIslands	22	4
30	Chandigarh	0	0
31	Dadra&NagarHaveli	10	4
32	Daman&Diu	10	4
33	Delhi	5	0
34	Jammu&Kashmir	923	77
35	Ladakh	32	7
36	Lakshadweep	4	3
37	Puducherry	24	3
All India/Total		24918	5183

Source: RHS 2019-20

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Present Status and achievements of Community Health Centres (CHCs) and Primary Health Centres (PHCs)

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