Rajasthan’s Health Infrastructure and Food Security reforms under Vision 2047 highlight major progress in Universal Health Coverage (UHC), medical education expansion, and Public Distribution System (PDS) strengthening. Significant reductions in IMR, MMR, and U5MR, along with 43 medical colleges and expanded free healthcare schemes, reflect strong social sector development. Through AI-driven healthcare, subsidised LPG distribution, and millet promotion, Rajasthan is building a sustainable, inclusive, and welfare-oriented economic growth model.

EMPOWERING HEALTH THROUGH NUTRITION

Rajasthan has made significant progress in healthcare, medical infrastructure and food security, ensuring universal healthcare coverage, maternal and child care and nutritional security. With expanding medical education, improved institutional deliveries and immunisation, the state is committed to enhancing public health. Food security and consumer rights further strengthen well-being.

Medical Colleges Expansion

Increased from 1 to 43 medical colleges and 15 dental colleges since independence

Institutional Deliveries

Improved from 11.6% (1992-93) to 94.9% (2020-21), exceeding the national average

Infant Mortality Rate (IMR)

Declined from 79 (SRS - 2001) to 30 (SRS - 2022) per 1000 live births in 21 years

Maternal Mortality Ratio (MMR)

Reduced from 501 (1999-2000) to 87 (SRS-2020-22), a 414-point drop

Under-Five Mortality Rate (U5MR)

Dropped from 64 to 35 per 1000 live births in 11 years (2013-2022)

Child Immunisation Rate

80.4% of children aged 12-23 months fully immunised, 4% higher than the national average

Food Security Network

27,366 ration shops serving 4.44 crore beneficiaries with free monthly rations

Affordable Cooking Gas

12 subsidised gas cylinders/year at ₹450 each under Mukhyamantri Rasoi Gas Subsidy Yojana

Promotion of Coarse Grains

Encouraging regional procurement of Shree Anna to enhance nutrition and sustainability

Consumer Protection

Commitment to fair pricing, informed choices and grievance redressal for all citizens

VISION 2047

By 2047, Rajasthan envisions optimal physical, mental, social and spiritual well-being for all, supported by a universal, accessible and integrated healthcare system. A transparent, inclusive and innovative food and civil supplies system will ensure equitable access to essential goods and services, fostering social welfare and economic resilience.

Thrust Areas

Universal Health Coverage (UHC)

Rajasthan targets 100% coverage of quality, affordable healthcare through public-private partnerships

Medical Education & Research

Expanding medical infrastructure with medical colleges in each district and advanced skill development programmes

AI in Healthcare

Implementing AI-driven diagnostics and predictive analysis to enhance treatment efficiency

Ayushman Swasth Rajasthan

Promoting physical, mental and social well-being through preventive healthcare initiatives

Medical Tourism Hub

Leveraging Rajasthan’s potential, the state aims to attract international patients

Food Security

Ensuring uninterrupted food grain availability to 4.44 Cr. beneficiaries under PDS

Coarse Grain Promotion

Launching Shree Anna Promotion Agency to boost the production and consumption of nutritious millets

Consumer Rights & Protection

Establishing Upbhokta Bhawan & Upbhokta Mitra to strengthen grassroots consumer welfare

Legal Metrology Act 2009

Strengthening consumer protection laws for accurate measurement and fair trade practices

Rajasthan is making rapid progress in achieving Universal Health Coverage (UHC) through initiatives like Mukhyamantri Ayushman Arogya Yojana, which provides INR 25 lakh health insurance per family—the highest in India. 88% of households in Rajasthan are covered under some form of health insurance (NFHS-5), ensuring financial protection against medical expenses.

Expanding Healthcare Infrastructure

There are 43 medical colleges in the State as on December, 2024, out of these 6 are in government sector, one constituent college of Rajasthan University of Health Sciences (RUHS), 22 medical colleges of Rajasthan Medical Education Society (RajMES), one ESI college in Alwar, one All India Institute of Medical Sciences in Jodhpur and remaining 12 are in private sector. The Public-Private Partnership (PPP) model is being leveraged to further enhance training capacity and healthcare delivery. Additionally, Apex Training Institutes are being established to continuously upgrade the skills of healthcare professionals.

Access to Free Healthcare Services

Rajasthan has prioritised free medicines and diagnostic services under

• Mukhyamantri Nishulk Dava Yojana

Provides 1,828 free medicines, including cancer treatments, reducing out-of-pocket expenses.

• Mukhyamantri Nishulk Janch Yojana

Offers free diagnostic tests (90 tests in medical colleges, 56 in district hospitals, 37 in CHCs and 15 in PHCs).

Improving Maternal and Child Health

• Institutional deliveries increased from 11.6% (1992-93) to 94.9% (2020-21), ensuring safer childbirth.
• Infant Mortality Rate (IMR) reduced from 79 (SRS - 2001) to 30 (SRS - 2022) per 1,000 live births in 21 years, surpassing the national average.
• Maternal Mortality Ratio (MMR) dropped from 501 (1999-2000) to 87 (SRS-2020-22) showing a 414-point decline, higher than the national reduction of 234 points.
• 80.4% of children (12-23 months) are fully immunised, exceeding the national average of 76.4%.

Strengthening Emergency and Specialised Care

• Rajasthan has 160 First Referral Units (FRUs) providing obstetric and neonatal emergency care.
• 101 trauma centers ensure emergency care access within 50 km for all residents, with an additional 100 Primary Trauma Centres under development.

Addressing Non-Communicable and Communicable Diseases

• Expanded NCD screening, management and telemedicine services at the primary healthcare level.
• Specialised interventions for suicide prevention, mental health and elderly care are being integrated into public health programs.
• Efforts to curb Anti-Microbial Resistance (AMR) through surveillance, antibiotic stewardship and awareness campaigns are being implemented.

Tobacco Control and Public Health Initiatives

• Rajasthan’s Tobacco-Free Campaigns are widely appreciated, receiving world NO TOBACCO DAY AWARDS from WHO and the Tobacco Control Excellence Award (2023).
• Public Health Management Cadre is being developed to strengthen governance with experts in finance, supply chain and hospital administration.

Rajasthan’s comprehensive and inclusive healthcare approach positions the state as a leader in public health reforms, ensuring equitable and quality healthcare for all.

Food Security & Civil Supplies

Rajasthan is ensuring food security for its citizens through an extensive Public Distribution System (PDS). The state operates 27,366 ration shops, providing free monthly ration to 4.44 Cr. beneficiaries. Rajasthan state ranks 15th (June 2022) in India on the National Food Security Index with a score of 0.694, reflecting its strong implementation of food security policies, legal provisions and nutrition initiatives.

Support for Vulnerable Sections

• Antyodaya ration card holders receive 35 kg of wheat per family per month.
• Other eligible beneficiaries receive 5 kg of wheat per person per month under the National Food Security Act (NFSA) until 2029.
• Benefits are accessible through Ration Cards, Aadhaar Cards and Jan Aadhaar Cards.

Affordable Cooking Gas for All

To ensure clean and affordable cooking fuel, the Mukhyamantri Rasoi Gas Subsidy Yojana provides 12 subsidised LPG cylinders per year at INR 450 per cylinder. Direct Benefit Transfer (DBT) ensures subsidies reach beneficiaries' bank accounts directly, reducing financial burdens.

Promotion of Shree Anna (Coarse Grains)

As a major producer of coarse grains, Rajasthan is integrating nutrient-rich millets into Targeted PDS to diversify diets and reduce wheat dependency. Regional procurement will support sustainable agriculture and local farmers.

Consumer Rights and Protection

The state ensures fair trade practices by upholding

• Protection against hazardous products
• Access to clear product information
• Competitive pricing and choices
• Consumer complaint redressal

Through these initiatives, Rajasthan is building a transparent, inclusive and welfare-driven food and civil supplies system.

Goals

INDICATORS	CURRENT STATUS	TARGET (2030)	TARGET (2035)	TARGET (2040)	TARGET (2047)
Medical Health
Life Expectancy (years)	69.9	>72.0	>73.5	>75.0	>77.0
Maternal Mortality Ratio (MMR)	87	<70	<52	<35	<15
Infant Mortality Rate (IMR)	30	<20	<17	<14	<10
UHC (Universal Health Coverage) (%)	88	100	100	100	100
OOPE (Out-of-Pocket Expenditure) (%)	37.1	<15.0	<12.5	<10.0	8.0
State Health Index Rank	16th	Top 5	Top 5	Top 4	Top 3
Medical Education
Medical College Establishment	43	50	55	60+	Every District
Integrated Medical Education Hubs	2	7	25% medical colleges	50% medical colleges	All medical colleges
RIMS (Regional Institutes of Medical Sciences)	-	1	25% Divisions	50% Divisions	All Divisions
Apex Training Institutes	-	1	2	3	All Divisions
Super-speciality Services	15	33	40	50+	All medical colleges
Super-speciality Blocks	4	7	7	7	7
Strengthened Trauma/Emergency Wings	15	33	40	50+	All medical colleges
Center of Excellence for Cancer Care	1	2	3	4	All Divisions
Mobile Cancer Screening Vans	7	33	41	41	41
Cancer Care Infrastructure	6	33	41	50+	All medical colleges
Integration of Patient Data with AI	-	33	41	50+	All medical colleges
AYUSH
District Ayurveda Hospitals	33	41	1 in each district	1 in each district	1 in each district
Block AYUSH Hospitals	84	230	265	300	1 in each block
Ayurveda Pharmacies	5	6	7 (consolidation phase)	7 (consolidation phase)	1 in each divisional HQ
District Homeopathy Hospitals	1	4	6	7	1 in each Division
Food & Civil Supplies
Proportion of Population (marginalised & vulnerable) with access to food grains at subsidised prices targeted TPDS (%)	98.52	100	100	100	100
NFSA Households Using Clean Cooking Fuel (%)	44.01	65	90	100	100

Mid-Term Action Plan

Primary Healthcare Access

Expand healthcare services to every household ensuring 100% universal coverage & free essential medicines under Nishulk Nirogi Rajasthan Yojana.

Elimination of Communicable Diseases

Achieve elimination levels of TB, measles & malaria through intensified vaccination & disease surveillance programs. Achieve eradication of leprosy.

Emergency Response System

Develop statewide emergency care with BLS, ALS & bike ambulances, ensuring faster response time for medical emergencie,s along with ensuring minimum time taken after call to make ambulance available in urban areas & low-density cities.

Mental Health Services Integration

Establish mental health services in all hospitals & ensure multi-sectoral collaboration for early diagnosis & treatment.

Geriatric & Palliative Care

Implement elderly care policy with specialised geriatric & palliative care units at all district hospitals.

Medical Tourism Hub

Ease regulations & single-window clearance to attract global investments for super-speciality hospitals & wellness centers.

Universal Health Coverage (UHC)

Expand health insurance schemes to cover 100% of Rajasthan's population, reducing out-of-pocket medical expenses. The schemes will also include AYUSH services, thereby enhancing access to holistic and traditional healthcare services.

Strengthening Medical Infrastructure

Construction of 6 Tropical Medicine & Virology Institutes to combat vector-borne & infectious diseases.

AI & IoT in Healthcare

Utilise AI-based predictive diagnostics & IoT monitoring systems to enhance disease management & environmental tracking.

School Health Mission

Implement School Health Program to screen 100% of school-going children for NCDs & mental health.

Mission Liver SMILES

Reducing Non-Alcoholic Fatty Liver Disease (NAFLD) through universal screening, early intervention and lifestyle changes. All 61 district hospitals have liver clinics, and 5,000 healthcare workers are being trained.

Strengthening Haemodialysis

10-bedded dialysis units will be operational in all district hospitals of Rajasthan by streamlining the availability of HR through public-private partnerships and targeted capacity-building.

Expansion of Jan Aushadhi Kendras

Increase low-cost medicine outlets at the block level to ensure the availability of affordable medicines for all.

One Health Center

Establish a statewide One Health Center to address zoonotic diseases, Anti-Microbial Resistance (AMR) & environmental health risks.

Public-Private Partnership (PPP) in Healthcare

Set up super-speciality hospitals & diagnostic centers in Medicities through joint investment models.

AYUSH & Traditional Medicine Growth

Develop Ayurveda, Homoeopathy, Unani, Yoga and Naturopathy research hubs, with statewide medicinal plant conservation centers.

Geriatric Ayurveda Excellence Centers

Establish dedicated centers for age-related diseases, Rasayan & Vajikaran therapies & holistic senior citizen wellness.

Food Security Enhancement

Integrate coarse grains into TPDS, promoting nutritional diversity & reducing wheat dependency.

Smart Consumer Protection

Establish Upbhokta Bhawan & Upbhokta Mitra at district levels for consumer grievance redressal & legal assistance.

24x7 Food Grain Availability

Introduce Any-Time-Grain (ATG) machines & PoS-enabled fair price shops with IRIS scanning & digital weighing.

Legal Metrology Implementation

Deploy mobile testing laboratories at district headquarters to ensure standardisation & consumer protection.

Fair Price Shopkeepers' Social Security

Set up an FPS Dealers Welfare Fund of INR 100 Cr. for financial stability & support.

Mission Madhuhari

Ensuring free care for children with Type 1 Diabetes across the state by integrating the screening and tracking through school and adolescent health platforms for early detection and continuous support.

Lactation Support Services

Selected public health facilities will be equipped with quality-compliant Lactation Management Units to provide nutrition care for those newborns whose mothers are having issues regarding breastfeeding.

Long-Term Action Plan

Advanced Non-Communicable Disease (NCD) Management

Establish regional research centers in all medical colleges to study and control emerging infections & chronic diseases.

Integrated Medical Education & Research

Develop Medicities with state-of-the-art infrastructure (MRI/X-ray/Ultrasound/Dialysis), robotic surgery units & genetic research centers.

Super-Speciality Hospitals Expansion

Establish district-level cancer, nephro & cardiovascular hospitals, with AI-driven diagnostics & telemedicine services.

Emergency Medical Response

Introduce air ambulances at the state & divisional levels and helipads in all district headquarters for critical care.

Organ Transplant & Donation Leadership

Rajasthan aims to become a top state in organ transplantation, backed by policy & awareness campaigns.

Medical Value Tourism Hub

Establish world-class hospitals in Jaipur, Jodhpur & Udaipur to attract global healthcare investments.

Climate-Resilient Health Infrastructure

Ensure solar panels, rainwater harvesting & sustainable facilities in all hospitals.

AI & IoT in Healthcare

Deploy IoT for patient monitoring, AI-assisted diagnostics, predictive maintenance & smart ambulances.

Universal Health Coverage (UHC)

Expand public insurance coverage with customised healthcare packages for senior citizens & critical care patients.

Public-Private Partnership (PPP) in Healthcare

Establish medicities, diagnostic centers & specialty hospitals under joint investment models.

Strengthening AYUSH Healthcare

Set up 30 AYUSH wellness centers, district-level medicinal plant conservation hubs & telemedicine platforms.

ABHA ID for Smart Health Systems

Establish ABHA ID as a centralised platform where unified health data from hospitals, labs and IoT devices is seamlessly integrated. AI-driven insights should be generated for early disease prediction and personalised care.

Global Ayurveda Research & Education

Establish International Ayurveda Education, Research & Treatment Centers in Jaipur, Jodhpur & Udaipur.

Food Security Enhancement

Fully integrate coarse grains into TPDS, promote regional procurement & educate consumers on nutritional benefits.

100% Transparent Food Distribution

Ensure real-time food grain tracking with face recognition, IoT-enabled logistics & Any-Time-Grain (ATG) machines.

Consumer Rights Protection

Establish Upbhokta Bhawan & Upbhokta Mitra at panchayat levels for legal support & grievance redressal.

Strengthening the Legal Metrology Act 2009

Utilise GPS & blockchain to track shipments, reduce fraud & improve product traceability.

Smart Supply Chain for Essential Goods

Implement AI-based tracking for food grains, medicines & consumer products.

Community-Based Health Awareness

Scale up school & community health programs to prevent sickle cell disease & rare genetic disorders.

Geriatric & Palliative Care Infrastructure

Develop elderly care centers, palliative care homes & post-hospital rehabilitation programs.

Social Security for Fair Price Shopkeepers

Establish FPS Dealers Welfare Fund to provide low-interest loans & financial security.

This blueprint for change will revolutionise healthcare that is accessible, innovative, resilient and future-ready for all.

Conclusion

Rajasthan’s health and food security reforms represent a strong foundation for inclusive economic growth and human capital development. The expansion of medical colleges, reduction in IMR and MMR, strengthening of Universal Health Coverage and modernisation of the Public Distribution System reflect a strategic shift toward sustainable social sector development. Subsidised LPG distribution, promotion of millets, AI-driven healthcare and consumer protection mechanisms further enhance economic resilience. The Vision 2047 roadmap positions Rajasthan as a welfare-driven, technology-enabled and health-secure state. For RAS aspirants, this topic is crucial to understand Rajasthan’s social sector expenditure, public policy framework and long-term economic planning model.