Healthcare For All
Four Years of Transforming India (May 2014 - April 2018)

Launched with two pillars:


Pradhan Mantri Rashtriya Swasthya Suraksha Mission (PMRSSM) -

the largest publicly funded health protection scheme of the world.

  • Health insurance to over

    10 crore underprivliaged and vulnerable families

    (approx. 50 crore people)

  • Coverage up to

    Rs. 5 lakhs/family/year

    to protect the poorest from catastrophic healthcare spending

  • More than 40%

    population to benefit

Pradhan Mantri Rashtriya Swasthya Suraksha Mission (PMRSSM)

Salient Features

Cashless and paperless

access to services for the
beneficiary at the point of service in any (both public
and private) empanelled hospital across India.

No family size limit,

ensuring all family members,
specifically the girl child and senior citizens, get
coverage. It is suggested to

preferably make the
women as the head of the family.

I. Pradhan Mantri Rashtriya Swasthya Suraksha Mission (PMRSSM)

Salient Features

The scheme is entitlement based. Every family figuring in defined SECC database will be entitled to claim

benefit under the scheme.

The beneficiaries will be encouraged to bring Aadhaar for the purpose of identification but no person will be denied benefits in the absence of Aadhaar.

A well-defined Complaint and Public Grievance Redressal Mechanism with robust safeguards to prevent misuse/ fraud/ abuse by providers and users.


will be made mandatory for all tertiary care and selected secondary care packages.

II. Pradhan Mantri Health & Wellness Centres (PMHWC)

1.5 lakh

Sub Centres & Primary Health Centres
being transformed to HWCs

Will provide

Comprehensive Primary
Healthcare services

Services being provided

close to homes/community

Launched in December 2014 to achieve full immunization
coverage of at least

90% by 2020.

Under Intensified Mission
Indradhanush (IMI), this date has been advanced to 2018.

The completed four phases
of MI have covered

528 districts.

3.15 crore

children vaccinated

80.63 lakh

pregnant women immunized

79.73 lakh

ORS packets distributed

80.58 lakh

children fully immunized

91.94 lakh

Vitamin A doses administered

2.73 crore

zinc tablets distributed

Rate of annual increase in
coverage of full immunization

The first two phases of
Mission Indradhanush have led to an

increase of 6.7%

in full immunization coverage in one year.

As per the report of Integrated Child Health & Immunization Survey (INCHIS)

Intensified Mission Indradhanush

Launched by Hon’ble Prime Minister in October 2017

Implemented in identified and




urban areas


of NE states

(total 190 districts/urban areas across 24 states)

Biggest public health
milestone after India
being certified polio-free

Validation in India completed
in May 2015,

well before
the global target date

December 2015

5 new vaccines

have been added to India’s Universal Immunization
Program (UIP), bringing the

total to 12

Measles-Rubella (MR) vaccine:


7.7 crore children


Pneumococcal Vaccine (PCV):

More than

14 lakh doses


Rotavirus vaccine (RVV):


1.42 crore doses


Inactivated Polio Vaccine (IPV):


3.87 crore doses


Japanese Encephalitis vaccination in India:


16 crore children

1-15 years vaccinated

Adult JE campaign

covered around

3.29 crore adults

Free dialysis services for the poor and subsidized services

to all patients

497 operational


More than

22.84 lakhs

session held

More than

2.38 lakh


Started with 219 districts in
2016 across the country, now
expanded to cover




dialysis machines in
every facility - will be
extended up-to 10 machines




Aims to provide special assured, quality antenatal care, free of
charge universally to all pregnant women on the 9 th of each month in
partnership with private sector doctors.

More than

1.25 crore


More than

6 lakh


Conducted at over

12900 health

facilities across all State/UTs


4900 volunteers

registered on PMSMA portal across all State/UTs

To provide drugs for cancer, cardiovascular diseases including cardiac implants
implants at

60 to 90%

discount on prevailing market rates.



across 22 States, selling

more than 5200 drugs

(including cardiovascular, cancer, diabetes, stents, etc), implants, surgical disposables and other consumables

More than

67.29 lakh patients


The value of drugs dispensed at MRP Rs. 629.19 crores, resulting in

savings of Rs. 346.59 crores

All states/UTs have notified policy to provide free essential drugs

29 States

are implementing IT backed drug logistics system

Total support given to States/ UTs

under NHM during 2014-18 is

Rs. 13918.99 crores

(both cash and kind)

Free Drugs Initiative

Salient features

Facility wise
Drug List

IT backed
logistics &
supply chain



and quality


systems etc.

Free Diagnostics Initiatives

Aims to reduce out-of-pocket expenditure on
diagnostics and improve quality of care

States supported to provide essential diagnostics free of cost in public health facilities

Point of care diagnostic to be made available in the Health and Wellness Centres (HWC)

Budgetary provisions made for diagnostics at HWCs

Aims at early identification and intervention for children from birth to 18 years to
cover 4Ds: Defects at Birth, Diseases, Deficiencies and Development Delays

Free management of 30 identified health conditions including surgery at tertiary health facilities


70.9 Crore

children screened and

1.55 Crore

children have received treatment till September 2017

Launched in July 2016 in

146 high fertility districts

of 7 states-
Uttar Pradesh, Bihar, Rajasthan, Madhya Pradesh, Chhattisgarh, Jharkhand and Assam

New contraceptives

made available till the Sub-Centre Level

Saas Bahu Sammelan:

Encouraging young married women and their mothers-in-law to freely discuss matters related to family planning and reproductive health

Nayi Pehel:

Family planning kit for newlyweds made available with ASHAs


Family Planning mobile van offering information and services at the community’s doorstep


increase of 11.5%

in the outlay of health in 2018-19 over 2017-18

Allocation of 2017-18 was Rs.47,352.51 crore and

2018-19 is Rs.52,800 crore

Rs. 24,908.62 crore provided for NHM in 2018-19,

Rs. 2967.91 crore more

than last year

Human Resource & Medical Education

Rs. 200 crore allocated

Aims to strengthen health systems across the country

Strengthening Infrastructure



constructions and




AYUSH doctors engaged



new constructions and


renovations of health facilities including SC, PHC, CHC, SDH and DH


ASHAs selected across the country and


health kits provided

4 Crore Village

Health and Nutrition Days (VHND) held


3659 vehicles


Dial 102/104


2230 vehicles


Dial 108


Biomedical Equipment Maintenance and Management Program (BMMP)

Aims to ensure maintenance of medical devices in the public health facilities (up to
District Hospitals) to enable delivery of good quality diagnostics and therapeutic care

To maintain a functional state of medical devices

24x7, 365 days

with an uptime of 95% for all medical equipment in District Hospitals, 90% for SDH/CHCs and 80% for PHCs.

Inventory mapping of all biomedical equipment completed in

29 States/UTs.

Contact agreement for maintaining medical devices is given to service providers selected via open tender in 16 States/UTs and maintained in-house by 4 States/UT.

National Ambulance Services

Referral transport services provided through

Dial 108/102

ambulance services

As of December 2017,


ambulances were operational

National Mobile Medical Units (MMU)

The objective is to take health care to the doorstep of the public in the rural and underserved areas


MMU operational in the country across



Approved in May 2013 to strengthen primary health care services in urban areas with special focus on slum dwellers and vulnerable population

Covers cities/ towns with more than


population, district headquarters and State headquarters with more than



Presently implemented in more than



National Health Policy 2017

National Health Policy 2017 formulated after a gap of 15 years - to address the current and emerging challenges since the last National Health Policy was framed in 2002.

Assured affordable health services for all

Health allocation to be increased to 2.5% of GDP

‘Make in India’ for affordable healthcare

Free drugs, diagnostics, emergency and essential services for all

Focus on preventive and promotive healthcare

Improvement in hospital facilities by periodic quality checks

All families to get a health card

Time-bound action for control of diseases

Effective grievance redressal mechanism

HIV & AIDS (Prevention & Control) Act, 2017

Aims to end the epidemic by 2030 in accordance with the Sustainable Development Goals (SDGs).

A person living with AIDS cannot be treated unfairly at employment, educational establishments, renting a property, standing for public or private office or providing healthcare and insurance services.

Every HIV infected or affected person below the age of 18 years has the right to reside in a shared household and enjoy the facilities

Prohibits any individual from publishing information or advocating feelings of hatred against HIV positive persons and those living with them

Every person in the care and custody of the State shall have right to HIV prevention, testing, treatment and counselling services

Suggests that cases relating to HIV positive persons shall be ‘disposed off’ by the court on a priority basis and duly ensure the confidentiality

No person shall be compelled to disclose his/her HIV status except with their informed consent, and if required by a court order

Pradhan Mantri Swasthya Suraksha Yojana (PMSSY)

Aims at correcting regional imbalances in the availability of affordable/reliable tertiary healthcare services and also augmenting facilities for quality medical education in the country.

Cabinet has approved


new AIIMS at

Mangalagiri (Andhra Pradesh)

Nagpur (Maharashtra)

Kalyani (West Bengal)

Gorakhpur (Uttar Pradesh)

Bathinda (Punjab)

Guwahati (Assam)

Bilaspur (Himachal Pradesh)

Deoghar (Jharkhand)

Medical Education

A uniform entrance examination for admission to all medical seats in the country viz. National Eligibility cum Entrance Test (NEET) has been introduced by amending the Indian Medical Council Act, 1956.

For the first time, common counselling for entrance to all medical seats has also been made mandatory by amending the Regulations in 2017.

Total 92 Medical College (46 Govt. and 46 Pvt.) established in last four years, resulting in an increase of 15354 MBBS seats (6519 in Govt. Colleges and 8835 in Pvt. Colleges).

Total 12646 PG Seats (Broad & Super Specialty Course) increased

DNB seats increased by around 2000

In the first Phase, in 72 Government Medical Colleges, approx. 1500 PG seats created.

Against a target of 58, 57 proposals have been approved till date and 8 colleges have become

For ensuring the availability of one medical college in every 3 Parliamentary Constituencies and one

Government Medical College in each State, 24 more new medical college will be established in 8 unserved/underserved States.

2400 new MBBS seats will be created

National Programme for Prevention and Control of Cancer,
Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)


State NCD cells


District NCD cells


District NCD Clinics and


NCD Clinics at CHC set up


Cardiac Care Units (CCU),


District Day Care Centers set up

National Programme for Prevention and Control of Cancer,
Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)

More than


crore persons
screened at NCD Clinics
till March 2018

screening for prevention
and control for common
NCDs in more than


districts and more


lakh people
screened till date

National Programme for Prevention and Control of Cancer,
Diabetes, Cardiovascular Diseases & Stroke (NPCDCS)

National Cancer Institute being set up
at Jhajjar at Haryana.


State Cancer Institute/Tertiary Care
Cancer Centers approved to monitor
all Cancer-related activities of their
respective areas

The second Campus of Chhitaranjan
National Cancer Institute being set up
in Kolkata

Revised National Tuberculosis Control Programme (RNTCP)

Revised National Tuberculosis Control Programme (RNTCP)

Treatment for drug-sensitive TB is provided through a network of more than

4 lakh

DOT Centres


Designated Microscopy Centres established for the quality diagnosis of TB

House to house screening of TB symptoms has covered


crore population as part of Active Case Finding (ACF) in 2017 in


phases of 15 days each.

Revised National Tuberculosis Control Programme (RNTCP)


CBNAAT machines are installed. All District Hospitals and Medical Colleges have CBNAAT Machines

Rs. 500

per month for nutritional support to all TB patients for the entire duration of TB treatment through DBT

Rs. 1000

for notification and outcome reporting for Private providers /Chemists /laboratories

National AIDS Control Program (NACP)

National AIDS Control Program (NACP)

National AIDS Control
Programme now a


Central Sector Scheme

‘Test and Treat’ Policy

for covering all
patients with Anti Retro Viral
(ARV) irrespective of CD4 count
or clinical stage

More than 1 lakh

HIV infected people brought under
the ambit of ARV treatment in 8
months since the launch of ‘Test
and Treat’ policy

More than 11.75 lakh

people infected with HIV are on
ARV treatment, 54% higher than
March 2014

Viral Load Testing for all People Living with HIV/AIDS (PLHIV) launched, providing

free-of-cost viral load testing

at least once a year for around 12 lakh PLHIV on treatment

Anti-TB drugs

Single Window Services for TBHIV
co-infected patients at all

537 ART centres

More than 2 Crore

pregnant women being tested
for HIV in a year with a goal to
achieve elimination of Motherto-
Child Transmission of HIV
by 2020

National Tobacco Control Programme

Reduction in prevalence of tobacco use:

As per findings of Global Adult Tobacco Survey (2016-17), the prevalence of tobacco use has reduced by six percentage points from 34.6% to 28.6% during the period 2009-10 to 2016-17. The number of tobacco users has reduced by about 81 lakh.

Packaging and Labelling Rules:

Size of specified health warnings on tobacco products enhanced w.e.f. 1st April 2016 to 85% of the principal display area of tobacco product packs. The Quit-Line call centre number has been included in new specified health warnings.

The inclusion of Bidi in Tax Net:

has been covered in the tax net and
kept along with all tobacco products in
the slab of 28% under the Goods and
Service Tax (GST).

WHO Director-General’s Special Recognition

Shri Jagat Prakash Nadda, Union
Minister of Health and Family Welfare have
been awarded the WHO Director-General’s
Special Recognition Award in 2017 for global
tobacco control.

National Organ Transplant Program

Organ Donation Rate (number of deceased organ donors per million population) has increased by four times since 2012-13.

Five Regional Organ and Tissue Transplant Organizations (ROTTO) established in Tamil Nadu, Maharashtra, Assam, West Bengal and Chandigarh UT.

National Registry to provide an online system for procurement and distribution of organs and tissues established.

Policy and criteria for allocation of various vital organs approved and uploaded on NOTTO website.


40 million LLINs

distributed in the
NE States, Odisha,
Chhattisgarh & Jharkhand

During 2015-17, reported
positive cases of

Malaria reduced by 28%,

and reported deaths due to malaria

reduced by 73 %.

Dengue & Chikungunya

Diagnostic facilities


from 394 in 2013 to

618 in 2018

Case Fatality Rate (CFR) for
Dengue (deaths per 100 cases)

sustained at 0.2%

in last three years

Japanese Encephalitis (JE) / Acute Encephalitis

Syndrome (AES)

Sentinel sites increased

from 51 (2005) to



Establishment of

Pediatric Intensive Care Unit (PICU) in priority districts

Apex Referral Laboratories


from 12 to


Establishment of Physical
Medicine Rehabilitation (PMR)

in identified Medical Colleges

State to notify any breakout/case of Japanese Encephalitis

Kala-azar (KA)

Reduction of 37.7%

in cases
from 9241 (2014) to 5758 (2017)

Single dose single day drug (Ambisome) introduced

in the programme in 2014.


deaths reduced by

from 11 (2014) to zero (2017)

Lymphatic Filariasis (LF)

Out of 21 endemic states/ UTs,

5 have achieved LF elimination target

and are under Post-MDA Surveillance.

Transmission Assessment Survey (TAS) cleared districts

increased from 5 (2014) to 97 (2017).

Enactment of the Mental
Healthcare Act, 2017

Expansion of the District Mental
Health Programme to


districts of the country.

Support for the establishment


additional Centres of
Excellence and strengthening/
establishment of


Post Graduate Departments in
mental health specialities.

Globally benchmarked food standards:

500 food standards developed, reviewed and expanded for food additives that now has over


provisions covering


additives and food processing aids.

Credible and robust food testing system:

A network of over

240 laboratories,

of which


are NABL accredited. Also provide Mobile Food Testing labs to States /UTs. IT-based Indian Food Lab Network (InFoLNet) developed for a seamless flow of information relating to food testing processing aids.

Fair and Transparent enforcement and hassle-free food imports:

Food Safety and Standards (Import) Regulations,


notified. For ease of doing
business, Food Import Clearance System (FICS) integrated with ICEGATE system of
Customs under Single Window Clearance Interface to Facilitate Trade (SWIFT) at Delhi,
Mumbai, Kolkata, Chennai, Cochin and Tuticorin covering

Large-scale food fortification:

Standards formulated for fortification of key food staples viz. edible oil, double fortified salt, milk, wheat flour and rice. Logo launched to identify fortified foods. Food Fortification Resource Centre established to promote food fortification.

Food Recovery andFood Sharing:

An alliance of food recovery agencies developed to collect and distribute food to the

needy covering 70 cities.

Organ Donation Rate (number of deceased organ donors per million population) has increased by four times since 2012-13.

344 irrational fixed-dose

combinations (FDCs) prohibited.

New National List of Essential Medicines (NLEM, 2015) finalized.

376 medicines

now included.

Coronary stents

added in NLEM, 2015 and their ceiling prices fixed.

Commencement of online clearance of imports consignment through an integrated declaration

at a single entry point

i.e. the Customs Gateway (ICEGATE) with risk-based inspection and sampling.

The level of ‘Not of Standard Quality’ drugs in the country is as low as


and spurious drugs even lower at


as per the largest ever survey in the world.

National Regulatory Authority (NRA) declared functional with the

highest maturity level of 4

in respect of 5 functions and 3 in respect of 4 functions.

National Health Portal (NHP)

National Health Portal (NHP)

provided health-related information to citizens and stakeholders in different languages (currently six languages). A voice portal provides information through a toll-free number


and Mobile App, has also been launched

Mera Aspataal

‘Mera Aspataal’

(My Hospital) IT-based feedback system collects information on patients’ level of satisfaction using a multi-channel approach viz. Short Message Service (SMS), Outbound Dialing (OBD), Web Portal, and Mobile Application. Under Phase I, more than


hospitals have been covered and more than

14 lakh feedback

received so far.


PMSMA Portal

supports Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA)

‘Hum Do’ Website

( provides information and guidance on family planning methods.


Mother and Child Tracking System (MCTS) / Reproductive Child Health (RCH) application:

Facilitates timely delivery of antenatal and postnatal care services and immunization to children. Approximately

14 crore

pregnant women and

12 crore

children registered on MCTS / RCH portal till date.


application delivers free weekly audio messages on pregnancy, childbirth and care. Approximately

10.58 crore

successful calls have been made.

Mobile Academy:

Free audio training course designed to expand and refresh the knowledge base of ASHAs and improve their communication skills. Launched in 2016, more than

1.11 Lakh

ASHAs registered in MCTS started the course.

ANM online (ANMOL)

ANM online (ANMOL)

allows ANMs to enter and update data for beneficiaries of their jurisdiction. Currently


ANMs in

Andhra Pradesh, 2,688

ANMs in

Telangana, 2,097

ANMs in

Madhya Pradesh


more than 362

ANMs in


are using ANMOL.

Drugs and Vaccines Distribution Management System (DVDMS)

Drugs and Vaccines
Distribution Management
System (DVDMS)

For purchase,
inventory management and
distribution of various drugs,
sutures and surgical items
to various District Drug
Warehouses of State / UT,
District Hospitals (DH), their sub
stores at CHC, PHC etc.

TB Patient Monitoring System “Nikshay”

TB Patient Monitoring System “Nikshay”:

web-based solution for
monitoring of TB patients.

72 lakh patients

A Missed Call
Centre facility with Toll-
Free No: 1800-11-6666
reaches the unreached TB
patients, for counselling
and treatment support.



by Central Drugs
Standards Control Organisation
(CDSCO) enables online submission
of applications, their tracking,
processing & grant of approvals
online, mainly for drugs, clinical trials,
ethics committee, medical devices,
vaccines and cosmetics.

eRakt Kosh

eRakt Kosh

being rolled out for all
the licensed blood banks in public
and private health facilities.

active blood banks

on network till
date. Mobile App also available.

. Indradhanush Immunization

For immunisation tracker

. India Fights Dengue

Enables a user to check Dengue Symptoms,

get nearest Hospital / Blood bank information

and also share feedback

. NHP Swasth Bharat

Information dissemination on Disease,

Lifestyle, First Aid

. NHP Directory Services Mobile App

Information related to Hospital and Blood

banks across India have been hosted

• No More Tension Mobile App

Information on stress-management related aspects

• Pradhan Mantri Surakshit Matritva Abhiyan Mobile App

For reporting pregnancy care related information from

across states

• NHP Health Information Kiosks

Have been installed in

17 hospitals

for the

dissemination of authentic health-related information to

the citizens through the touch screen based kiosks.

• Tobacco Cessation Programme

Is a mobile-based interventional initiative for

counselling and helping people to quit tobacco, by

giving a missed call to




20 lakh

total missed calls have been

captured and more than 14 lakh users registered.

• mDiabetes Program

Is a mobile-based initiative for prevention and

care of diabetes by giving a missed call to


Currently, more than

1 lakh


are registered for diabetes

EHR Standards

Revised version of 2013 Standards

notified in December 2016. Includes

standards for Disease Classification

Medicine and Clinical terminology,

Laboratory Data exchange, Digital

Imaging and Communication etc.,

for semantic interoperability.

Metadata and Data Standards (MDDS) for Health

Is to enable semantic interoperability among healthcare

applications. The MDDS standards have

more than 1000 data

elements to be used in healthcare applications and are aligned

with the global health IT standards.

National Resource Centre for EHR

Standards (NRCeS)

Augments facilitation for adoption of

the notified EHR Standards in technical

association with C-DAC, Pune for

providing assistance in developing,

implementing and using EHR standards


National Digital Health Authority (NDHA)

Is a nodal agency for formulation, adoption & regulation

of eHealth Standards in India as well as to develop

a regulatory framework for the Privacy and Security

aspects of digital health records.

National Identification Number (NIN)

A unique identification number is being assigned to all health

facilities (both public & private) to facilitate interoperability

among health IT systems deployed. So far

approximately 99%

of Public Health Facilities allocated NIN.

Hospital Information System (HIS)

Was implemented for computerized registration and capturing EHR/ EMR of

patients in Public Health facilities up to PHC level. So far,

financial assistance

provided to 18 States/UTs

for implementation of HIS application like

eHospital (NIC),e- Sushrut (C-DAC Noida) etc.

Online Registration System (ORS)

Links various hospitals for online registration, payment of fees and

appointment, online diagnostic reports, inquiring availability of blood


More than 140 hospitals

are on board and around

13 lakh

appointments have been transacted online.

Electronic Vaccine Intelligence Network (eVIN)

Indigenously developed technology system that provides

real-time information on vaccine stocks and flows, and storage

temperatures across all cold chain points through a smartphone

application. Implemented across

19 states & 2 UTs.

National Medical College Network (NMCN)

50 Government Medical Colleges

being interconnected for e-Education and

e-Healthcare delivery, riding over NKN (National Knowledge Network). National

Resource Centres (NRC) with required centralised infrastructure and

7 Regional

Resource Centres (RRCs)

have been established.

State Telemedicine Network (STN)

will provide Telemedicine Services to

the remote areas by upgrading existing Government Healthcare Facilities

in States. Ten states have been financially supported in the last two years.

Telemedicine Nodes at pilgrim places

uses space technology for

telemedicine facility between identified remote patient-end health facility

and specialty hospital in collaboration with Department of Space.


To improve regional cooperation by strengthening telemedicine-

based patient care services and share medical knowledge among the

Bay of Bengal Initiative for Multi-Sectoral Technical and Economic

Cooperation (BIMSTEC) Countries.


Doctors can testify in the judicial process utilizing the video conferencing

facility without visiting the courts. Operational in PGIMER, Chandigarh since

March 2014.

More than 4000 Summon Cases attended till date.