Ayushman Bharat Yojana : Health and Wellness Centres Providing Mental Health Services

Ayushman Bharat Yojana : Health and Wellness Centres Providing Mental Health Services

GOVERNMENT OF INDIA
MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT
OF HEALTH AND FAMILY WELFARE

RAJYA  SABHA 

UNSTARRED QUESTION NO.3131
TO BE ANSWERED ON 23rd MARCH, 2021

HEALTH AND WELLNESS CENTRES PROVIDING MENTAL HEALTH SERVICES

Health and Wellness Centres
3131 SHRI TIRUCHI SIVA

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?

ANSWER
THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(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. of Functional HWCs as on 22.03.2021

S.N.

State/UT

(As per HWC portal)

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


Annexure - II

List of packages under Speciality – Mental disorders defined under AB PM-JAY

Sl.

No.

AB-PMJAY

Package Name

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 disturbances and physical factors

7

Mental and Behavioural disorders due to psychoactive substance use

8

Pre - Electro Convulsive Therapy (ECT) and Pre - Transcranial Magnetic Stimulation (TMS) Package (Cognitive Tests, Complete Haemogram, Liver Function Test, Renal Function Test, Serum Electrolytes, Electrocardiogram (ECG), CT / MRI Brain, Electroencephalogram, Thyroid Function Test, VDRL, HIV Test, Vitamin B12 levels, Folate levels, Lipid Profile, Homocysteine levels)

9

Electro Convulsive Therapy (ECT) - per session

10

Transcranial Magnetic Stimulation (TMS) - per session


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