Ministry avoids confirming Bundelkhand healthcare dilapidation, cites state responsibility

The question asked the Ministry of Health and Family Welfare to state if healthcare services in the Bundelkhand region are in a dilapidated state, what steps have been taken to strengthen facilities, and if any special health development package is proposed for the region.

Asked and answered by: Asked by Shri Narayandas Ahirwar; Answered by the Ministry of Health and Family Welfare (Minister Shri Jagat Prakash Nadda).

What the government said

• Public Health and Hospital services are State subjects, with primary responsibility lying with State Governments.
• The Central Government provides financial and technical support via the National Health Mission (NHM) based on State proposals.
• Bundelkhand region spans 13 districts across Uttar Pradesh and Madhya Pradesh.
• NHM Central releases for UP in FY 2024-25 were Rs. 5853.43 crore and for MP were Rs. 2430.91 crore.
• NHM Central releases for UP in FY 2025-26 were Rs. 5686.12 crore and for MP were Rs. 3047.35 crore.
• PM-ABHIM Central releases for UP in FY 2024-25 were Rs. 400.95 crore and for MP were Rs. 63.019 crore.
• PM-ABHIM Central releases for UP in FY 2025-26 were Rs. 211.88 crore and for MP were Rs. 130.42 crore.
• Under the 15th Finance Commission, Rs. 5727.87 crore was released to UP and Rs. 4482.82 crore to MP for building-less sub-centres, PHCs, and CHCs.
• The region currently has 2788 AAMs, 428 PHCs, 96 CHCs, 15 SDHs, and 19 District Hospitals functional under NHM support.

Also in the document

• The answer does not directly address whether the healthcare services are in a 'dilapidated state' as asked in part (a), instead citing State responsibility and listing existing functional facilities.
• The answer does not explicitly confirm or deny the proposal of a 'special health development package' for the region as asked in part (c), but lists general central fund releases under NHM and PM-ABHIM.