The Ayushman Bharat Digital Mission (ABDM) has crossed 90 crore Ayushman Bharat Health Accounts (ABHAs), marking a significant milestone in India’s push to build a connected, interoperable and citizen-centric digital health ecosystem.
Implemented by the National Health Authority (NHA) under the Ministry of Health and Family Welfare, ABDM aims to create a robust digital public infrastructure for healthcare. The latest milestone reflects the rapid expansion of digital health services across the country and the growing adoption of consent-based health record management by citizens.
ABHA is a unique 14-digit digital health identity that enables individuals to securely link, access and share their health records with consent. The digital ID supports the creation of longitudinal health records across healthcare providers, health facilities and digital health applications, allowing citizens greater control over their health information.
The scale of adoption has increased steadily since the launch of ABDM. Cumulative ABHA creation rose from 14.7 crore in 2021 to 30.4 crore in 2022, 50.6 crore in 2023, 72.2 crore in 2024 and 84.5 crore in 2025, before crossing the 90 crore mark in 2026.
The milestone is significant because ABHA serves as the foundation for digital health record integration in India. The system is designed to reduce dependence on physical medical documents and enable secure sharing of health information across healthcare settings, potentially improving continuity of care and healthcare delivery.
“The creation of over 90 crore ABHAs reflects the growing participation of citizens, States, UTs and ecosystem partners in the Ayushman Bharat Digital Mission,” said Dr Sunil Kumar Barnwal, Chief Executive Officer, National Health Authority.
Dr Barnwal said ABHA is an important step towards empowering citizens with secure, consent-based access to their health information. He added that deeper adoption of ABDM could support continuity of care, reduce reliance on physical records and contribute to a more seamless and transparent healthcare delivery system.
States drive adoption
The expansion of ABHA accounts has been driven by participation from States and Union Territories across the country.
Uttar Pradesh leads the nation with more than 15.3 crore ABHAs. Rajasthan and Maharashtra have each crossed 7.1 crore accounts, followed by Bihar with 6.3 crore and West Bengal with 5.9 crore. Madhya Pradesh, Gujarat, Andhra Pradesh, Odisha and Karnataka have also recorded substantial adoption.
Several regions have also reported high levels of ABHA saturation relative to their population. Andaman and Nicobar Islands, Ladakh, Lakshadweep, and Dadra and Nagar Haveli and Daman and Diu have achieved full saturation.
Among larger States and Union Territories, Andhra Pradesh has recorded 98.5% ABHA saturation, followed by Odisha at 91.9%, Chandigarh at 90.8%, Rajasthan at 89.7%, Himachal Pradesh at 88.9% and Chhattisgarh at 86.6%. Jammu and Kashmir, Tripura and Telangana have each crossed 75% saturation.
Women’s participation strengthens digital health reach
The data also point to increasing participation of women in India’s digital health ecosystem.
Females account for 49.75% of all ABHA holders, representing nearly half of the total accounts created under the programme. According to the National Health Authority, this trend is particularly important for expanding secure digital access to health records among women, including those in rural areas.
ABHA can support continuity of care from the first interaction with the health system and may facilitate access to services such as maternal healthcare, child healthcare, immunisation and other essential health services through digitally linked records.
Building a national digital health infrastructure
The growth of ABHA accounts has been supported by collaboration between the Central Government, State Governments, healthcare providers and private-sector ecosystem partners.
ABDM-enabled health technology platforms, hospitals, diagnostic laboratories, insurers and digital health applications have contributed to account creation through multiple channels, helping expand access to digital health services.
ABDM is designed around several digital public infrastructure components, including the Ayushman Bharat Health Account (ABHA), Healthcare Professionals Registry (HPR), Health Facility Registry (HFR), Health Information Exchange and Consent Manager (HIE-CM), Unified Health Interface (UHI) and National Health Claims Exchange (NHCX).
Together, these systems enable secure, consent-based and interoperable exchange of health information across the healthcare ecosystem.
As the National Health Authority works with States, Union Territories and ecosystem partners to deepen adoption, the 90-crore milestone underscores the scale at which digital health infrastructure is being integrated into India’s healthcare delivery system.
