Lok Sabha Question No. 1239 (UNSTARRED), answered on 2018-02-09
Subject: Availability of Doctors
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NIHAL CHAND CHAUHAN

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

## LOK SABHA UNSTARRED QUESTION NO. 1239 TO BE ANSWERED ON 9 TH FEBRUARY, 2018

## AVAILABILITY OF DOCT ORS

## 1239. SHRI NIHAL CHAND:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) the availability of doctors in rural and city hospitals in the country;
- (b) the steps being taken by the Government regarding appointment/ retention of doctors in rural areas; and
- (c) the role assigned to the States in this regard?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) : As per Rural Health Statistics (RHS) Bulletin 2017, the State/UT - wise s atus of doctors and spec ialists is at Annexure.

The data relating to city hospitals is not maintained centrally.

- (b) & (c) : public health and hospitals being a State subject, all administrative and per matters pertaining to health human resource fall within the jurisd iction of the respective State/UT Governments.  To  improve  the  availability  of  critical  manpower  to  provide  services  in  p health facilities, financial support is provided to States under NHM, inter - alia  for  giving hard area allowance to doctors for ser ving in rural and remote areas and for their residential quart so that doctors find it attractive to join public health facilities in such areas. States advised to have transparent policies of posting and transfer, and adopt rational dep loyment of doctors.

Contd……

In  order  to  encourage  the  doctors  to  work  in  remote  and  difficult  areas,  the  Post  G Medical Education Regulations, 2000 has also been amended  to provide:

- (i) 50%  reservation  in  Post  Graduate  Diploma  Courses for  Medical  Officers  in  the Government  service  who  have  served  for  at  least  three  years  in  remote  and  diff areas; and,
- (ii) Incentive at the rate of 10% of the marks obtained for each year in service in re difficult areas up to the maximum of 30% of the marks obtained in the entrance test for admissions in Post Graduate Medical Courses .

Other steps taken to help produce more doctors /specialists include:

- (i)Enhancement of age limit for appointment/ extension/ re - employment  against  posts  of teachers/de an/principal/ director in medical colleges from 65 - 70 years.
- (ii) relaxation in the norms of setting up of Medical College in terms of requirement fo faculty, staff, bed/bed strength and other infrastructure.
- (iii) Strengthening/upgradation of State Government Medical Colleges for starting new PG courses/Increase of PG seats.
- (iv) Establishment of New Medical Colleges by upgrading district/referral preferably in underserved districts of the country.
- (v )  Strengthening/  upgradation  of  existing  State  Governm nt/Central  Government  Medical Colleges to increase MBBS seats.

…………….

hospit

## ANNEXURE

|        |                     | DOCTORS + AT PRIMARY HEALTH CENTRES (As on 31st March, 2017)   | DOCTORS + AT PRIMARY HEALTH CENTRES (As on 31st March, 2017)   | DOCTORS + AT PRIMARY HEALTH CENTRES (As on 31st March, 2017)   | DOCTORS + AT PRIMARY HEALTH CENTRES (As on 31st March, 2017)   | DOCTORS + AT PRIMARY HEALTH CENTRES (As on 31st March, 2017)   |
|--------|---------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|
| S. No. | State/UT            | Required 1                                                     | Sanctioned                                                     | In Position                                                    | Vacant                                                         | Shortfall                                                      |
| S. No. | State/UT            | [R]                                                            | [S]                                                            | [P]                                                            | [S-P]                                                          | [R-P]                                                          |
| 1      | Andhra Pradesh      | 1147                                                           | 1952                                                           | 1644                                                           | 308                                                            | *                                                              |
| 2      | Arunachal Pradesh   | 143                                                            | NA                                                             | 122                                                            | NA                                                             | 21                                                             |
| 3      | Assam               | 1014                                                           | NA                                                             | 1048                                                           | NA                                                             | *                                                              |
| 4      | Bihar #             | 1899                                                           | 2078                                                           | 1786                                                           | 292                                                            | 113                                                            |
| 5      | Chhattisgarh        | 785                                                            | 798                                                            | 341                                                            | 457                                                            | 444                                                            |
| 6      | Goa                 | 24                                                             | 48                                                             | 56                                                             | *                                                              | *                                                              |
| 7      | Gujarat             | 1392                                                           | 1769                                                           | 1229                                                           | 540                                                            | 163                                                            |
| 8      | Haryana             | 366                                                            | 687                                                            | 429                                                            | 258                                                            | *                                                              |
| 9      | Himachal Pradesh    | 538                                                            | 636                                                            | 492                                                            | 144                                                            | 46                                                             |
| 10     | Jammu & Kashmir     | 637                                                            | 1347                                                           | 704                                                            | 643                                                            | *                                                              |
| 11     | Jharkhand           | 297                                                            | 569                                                            | 331                                                            | 238                                                            | *                                                              |
| 12     | Karnataka           | 2359                                                           | 2359                                                           | 2136                                                           | 223                                                            | 223                                                            |
| 13     | Kerala              | 849                                                            | 1120                                                           | 1169                                                           | *                                                              | *                                                              |
| 14     | Madhya Pradesh      | 1171                                                           | 1771                                                           | 954                                                            | 817                                                            | 217                                                            |
| 15     | Maharashtra         | 1814                                                           | 3009                                                           | 2929                                                           | 80                                                             | *                                                              |
| 16     | Manipur             | 85                                                             | 238                                                            | 194                                                            | 44                                                             | *                                                              |
| 17     | Meghalaya ##        | 109                                                            | 128                                                            | 112                                                            | 16                                                             | *                                                              |
| 18     | Mizoram ###         | 57                                                             | 152                                                            | 56                                                             | 96                                                             | 1                                                              |
| 19     | Nagaland            | 126                                                            | 108                                                            | 122                                                            | *                                                              | 4                                                              |
| 20     | Odisha              | 1280                                                           | 1285                                                           | 940                                                            | 345                                                            | 340                                                            |
| 21     | Punjab              | 432                                                            | 593                                                            | 568                                                            | 25                                                             | *                                                              |
| 22     | Rajasthan           | 2079                                                           | 2664                                                           | 2382                                                           | 282                                                            | *                                                              |
| 23     | Sikkim              | 24                                                             | NA                                                             | 30                                                             | NA                                                             | *                                                              |
| 24     | Tamil Nadu          | 1362                                                           | 2927                                                           | 2759                                                           | 168                                                            | *                                                              |
| 25     | Telangana           | 689                                                            | 1318                                                           | 966                                                            | 352                                                            | *                                                              |
| 26     | Tripura             | 93                                                             | 0                                                              | 156                                                            | *                                                              | *                                                              |
| 27     | Uttarakhand         | 257                                                            | 386                                                            | 215                                                            | 171                                                            | 42                                                             |
| 28     | Uttar Pradesh       | 3621                                                           | 4509                                                           | 2209                                                           | 2300                                                           | 1412                                                           |
| 29     | West Bengal         | 914                                                            | 1390                                                           | 918                                                            | 472                                                            | *                                                              |
| 30     | A& N Islands        | 22                                                             | 42                                                             | 34                                                             | 8                                                              | *                                                              |
| 31     | Chandigarh          | 3                                                              | 0                                                              | 3                                                              | *                                                              | 0                                                              |
| 32     | D & N Haveli        | 9                                                              | 15                                                             | 8                                                              | 7                                                              | 1                                                              |
| 33     | Daman & Diu         | 4                                                              | 3                                                              | 7                                                              | *                                                              | *                                                              |
| 34     | Delhi               | 5                                                              | 21                                                             | 21                                                             | 0                                                              | *                                                              |
| 35     | Lakshadweep         | 4                                                              | 8                                                              | 8                                                              | 0                                                              | *                                                              |
| 36     | Puducherry          | 40                                                             | 38                                                             | 46                                                             | *                                                              | *                                                              |
|        | All India 2 / Total | 25650                                                          | 33968                                                          | 27124                                                          | 8286                                                           | 3027                                                           |

Notes:

- # Sanctioned data for year 2011 used

# Sanctioned data for year 2015 used

### Sanctioned data for year 2013 - 14 used

NA: Not Available.

- +: Allopathic Doctors

All India figures for Vacancy and Shortfall are the totals of State - wise Vacancy and Shortfall ignoring surplus in some States / UTs

- *: Surplus.

1

One per Primary Health Centre

- 2 For calculating the overall percentages of vacancy, the States/UTs for which manpower position is not available, are excluded

| TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  |
|-----------------------------|-----------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|
| S.                          | State/UT                    | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] |
| S.                          | State/UT                    | Required 1                                                 | (As Sanctioned                                             | 31st March, In Position                                    | 2017) Vacant                                               | Shortfall                                                  |
| No.                         |                             | [R]                                                        | [S]                                                        | [P]                                                        | [S-P]                                                      | [R-P]                                                      |
| 1                           | Andhra Pradesh              | 772                                                        | 533                                                        | 348                                                        | 185                                                        | 424                                                        |
| 2                           | Arunachal Pradesh           | 252                                                        | NA                                                         | 4                                                          | NA                                                         | 248                                                        |
| 3                           | Assam                       | 632                                                        | NA                                                         | 139                                                        | NA                                                         | 493                                                        |
| 4                           | Bihar                       | 600                                                        | NA                                                         | 82                                                         | NA                                                         | 518                                                        |
| 5                           | Chhattisgarh                | 676                                                        | 620                                                        | 59                                                         | 561                                                        | 617                                                        |
| 6                           | Goa                         | 16                                                         | 5                                                          | 4                                                          | 1                                                          | 12                                                         |
| 7                           | Gujarat                     | 1452                                                       | 611                                                        | 92                                                         | 519                                                        | 1360                                                       |
| 8                           | Haryana                     | 448                                                        | 74                                                         | 16                                                         | 58                                                         | 432                                                        |
| 9                           | Himachal Pradesh            | 356                                                        | NA                                                         | 12                                                         | NA                                                         | 344                                                        |
| 10                          | Jammu & Kashmir             | 336                                                        | 344                                                        | 191                                                        | 153                                                        | 145                                                        |
| 11                          | Jharkhand                   | 752                                                        | 424                                                        | 75                                                         | 349                                                        | 677                                                        |
| 12                          | Karnataka                   | 824                                                        | 824                                                        | 498                                                        | 326                                                        | 326                                                        |
| 13                          | Kerala                      | 928                                                        | 30                                                         | 40                                                         | *                                                          | 888                                                        |
| 14                          | Madhya Pradesh              | 1236                                                       | 1236                                                       | 180                                                        | 1056                                                       | 1056                                                       |
| 15                          | Maharashtra                 | 1440                                                       | 823                                                        | 508                                                        | 315                                                        | 932                                                        |
| 16                          | Manipur                     | 68                                                         | 4                                                          | 3                                                          | 1                                                          | 65                                                         |
| 17                          | Meghalaya                   | 108                                                        | 3                                                          | 13                                                         | *                                                          | 95                                                         |
| 18                          | Mizoram                     | 36                                                         | 33                                                         | 0                                                          | 33                                                         | 36                                                         |
| 19                          | Nagaland                    | 84                                                         | NA                                                         | 8                                                          | NA                                                         | 76                                                         |
| 20                          | Odisha                      | 1480                                                       | 884                                                        | 318                                                        | 566                                                        | 1162                                                       |
| 21                          | Punjab                      | 604                                                        | 593                                                        | 203                                                        | 390                                                        | 401                                                        |
| 22                          | Rajasthan                   | 2316                                                       | 1593                                                       | 497                                                        | 1096                                                       | 1819                                                       |
| 23                          | Sikkim                      | 8                                                          | NA                                                         | 1                                                          | NA                                                         | 7                                                          |
| 24                          | Tamil Nadu                  | 1540                                                       | NA                                                         | 78                                                         | NA                                                         | 1462                                                       |
| 25                          | Telangana                   | 456                                                        | 284                                                        | 125                                                        | 159                                                        | 331                                                        |
| 26                          | Tripura                     | 84                                                         | 0                                                          | 0                                                          | 0                                                          | 84                                                         |
| 27                          | Uttarakhand                 | 240                                                        | 200                                                        | 41                                                         | 159                                                        | 199                                                        |
| 28                          | Uttar Pradesh               | 3288                                                       | 2099                                                       | 484                                                        | 1615                                                       | 2804                                                       |
| 29                          | West Bengal                 | 1396                                                       | 669                                                        | 117                                                        | 552                                                        | 1279                                                       |
| 30                          | A& N Islands                | 16                                                         | 9                                                          | 0                                                          | 9                                                          | 16                                                         |
| 31                          | Chandigarh                  | 8                                                          | 9                                                          | 15                                                         | *                                                          | *                                                          |
| 32                          | D & N Haveli                | 8                                                          | 0                                                          | 0                                                          | 0                                                          | 8                                                          |
| 33                          | Daman & Diu                 | 8                                                          | 2                                                          | 0                                                          | 2                                                          | 8                                                          |
| 34                          | Delhi                       | 0                                                          | 0                                                          | 0                                                          | 0                                                          | 0                                                          |
| 35                          | Lakshadweep                 | 12                                                         | 0                                                          | 0                                                          | 0                                                          | 12                                                         |
| 36                          | Puducherry                  | 16                                                         | 4                                                          | 5                                                          | *                                                          | 11                                                         |
|                             | All India 2 / Total         | 22496                                                      | 11910                                                      | 4156                                                       | 8105                                                       | 18347                                                      |

Notes: NA: Not Available

- 1 Four per Community Health Centre All India figures for Vacancy & Shortfall are totals of State - wise Vacancy & Shortfall ignoring surplus in some States / UTs
- *: Surplus.
- 2 For calculating overall %age of vacancy & shortfall, States/UTs for which manpower position is not available, are excluded