New Delhi, Aug 5: Health Minister J P Nadda on Monday urged state governments to spend more on improving healthcare infrastructure and dismissed opposition allegations on reduction of allocations under the PM-Ayushman Bharat Healthcare Infrastructure Mission (PM-ABHIM).

Replying to the debate on the demand for grants for the health and family welfare ministry in the Lok Sabha, Nadda listed the increase in number of medical colleges, steps taken for the reduction of out-of-pocket expenses on healthcare and initiatives for early screening of diseases such as cancer and sickle cell anaemia as achievements of the government.

"We don't believe in just making announcements. We believe in effective planning, ensuring last mile delivery, identifying bottlenecks in last mile delivery and taking steps to remove them," the minister said.

Nadda dared Trinamool Congress members, who were protesting, to tell the House why the West Bengal government had not shared the dengue registry with the Centre.

On opposition claims on reduction of funds for the health infrastructure mission, the health minister said states were able to spend just Rs 1,806 crore out of the budgetary allocation of Rs 4,200 crore in last year's budget.

"We are giving money, but it is not spent. You spend the money, we will allocate more funds if the existing funds are spent," Nadda said, adding that Rs 3,200 crore have been earmarked for PM-ABHIM this year.

Nadda said the Modi government has placed healthcare as a priority sector in the allocation made in the Union Budget.

"The health policy released in 2017 had set a target of 2.5 per cent of GDP for the healthcare sector by 2025. In this year’s budget the allocation for the health sector is 1.9 per cent of the GDP and we are on track of achieving the target," the health minister said.

Nadda said that in 2013-14, the budget for the health sector was Rs 33,278 crore, and today it stood at Rs 90,958 crore, which is an increase of 164 per cent.

He also mentioned that local governments have allocated an additional Rs 71,051 crore, as suggested by the 15th Finance Commission report.

"The National Health Mission (NHM) ensures that state governments strengthen their health infrastructure and logistics, with Rs 55 crore allocated from the total health budget," Nadda added.

He said that under the Pradhan Mantri Swasthya Suraksha Yojana (PMSSY), Rs 13,900 crore has been spent to strengthen tertiary healthcare.

On concerns voiced by the opposition on out-of-pocket expenditure, Nadda said the Modi government has succeeded in reducing it from 62 per cent to 41 per cent by strengthening Ayushman Bharat initiatives, making available free drugs and diagnostic facilities, and free screening.

The minister said the government has now approved 22 AIIMS spread across the country, of which 18 were operational and four were under construction.

He said the opposition should appreciate the achievements of Prime Minister Narendra Modi who has ensured upgradation of 157 medical colleges.

Nadda said the number of medical colleges too have increased from 387 earlier to 731 at present. According to the minister the undergraduate seats have increased from 51,348 to 1,12,112, an increase by 118 per cent.

The minister said the number of post-graduate seats too have increased from 31,185 earlier to 72,627 at present, an increase of 113 per cent.

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Gaborone (Botswana) (PTI): Amoj Jacob and Ragul Kumar got injured during the men's 4x400m and 4x100 races respectively as India ended their World Athletics Relays campaign in disappointment on the second day of competitions here on Sunday.

The Indian camp had high hopes of making the 2027 World Championships in the men's 4x400m relay but the team did not finish (DNF) the race as Jacob suffered cramps and pulled out of the race after taking the baton from the first leg runner Dharamveer Choudhary. Rajesh Ramesh and Vishal TK were to run in the third and fourth legs.

Those teams which could not qualify for the 2027 Beijing World Championships by reaching the final round of each of the six relay events on Saturday were given another chance in the second qualification round on Sunday.

The top two teams in each of the two heats (in all six relay events) booked the Beijing ticket on Sunday.

India will now have to try and qualify for the World Championships through the Top Lists of the World Athletics, which is a long and tedious process.

In the men's 4x100m race, third leg runner Ragul Kumar fell down the track after failing to hand over the baton inside the exchange zone to fourth leg runner Gurindervir Singh, which clearly showed the lack of coordination among the runners.

Harsh Santosh Raut and Animesh Kujur ran the first two legs.

The Indian quartet was disqualified and Kumar was seen being taken away from the Field of Play with the help of the volunteers.

It was a comedy of errors in the case of the women's 4x100m race, which saw the baton being dropped during an exchange between first leg runner Tamanna and second runner Nithya Gandhe, though the Indians finished the race in 53.09 seconds.

Gandhe started running quite a distance, but after realising that the baton was not in her hand, she turned and ran back to pick it up.

The only silver-lining for the Indian contingent was the national record time in the mixed 4x100m relay race, though the quartet of Ragul Kumar, Nithya Gandhe, Animesh Kujur and Sneha SS finished sixth in heat number two with a time of 41.35 seconds, bettering the previous national mark of 42.30 seconds set in March in Chandigarh.

The mixed 4x400m relay quartet of Theerthesh P Shetty, Kumari Saloni, Nihal William and Rashdeep Kaur ended at fifth in heat number one with a time of 3 minutes and 19.40 seconds.

On Saturday, all the five Indian relay teams had failed to make it to the respective final rounds and thus missed out on the 2027 World Championships berths.