Lok Sabha Question No. 2691 (UNSTARRED), answered on 2017-03-17
Subject: Health Service in Government Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: GAJENDRA SINGH SHEKHAWAT

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

LOK SABHA UNSTARRED QUESTION NO. 2691 TO BE ANSWERED ON 1 7 th MARCH, 2017

## HEALTH SERVICE IN GOVERNMENT HOSPITALS

## 2691. SHRI GAJENDRA SINGH SHEKHAWAT:

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

- (a) the present status of services provided in Government run hospitals and the human resource to deliver the services;
- (b) the doctor - patient  ratio  State - wise and  the  measures  taken  to improve the ratio and if so, details thereof;
- (c) whether the Government has formulated any scheme to cover rural population with no health insurance, if so, the details thereof along with the criteria/ guidelines laid down for funding; and
- (d) the funds allocated/utilised for the scheme during the last three years, State/ UT - wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE)

- (a): The  number  of  patients  visiting  three  Central  Government  Hos pitals  viz.  Safdarjung Hospital, Dr. RML Hospital and LHMC and associated Hospitals for treatment is much larger compared to their handling capacity in terms of number of beds, manpower and other resour Despite availability of huge infrastructure an d other services in these Hospitals, there is a waitin period for certain procedures due to the ever increasing pressure on infrastructure and manpower in these hospitals, which varies from Department to Department in these Hospitals
- (b): As per  information  provided  by  Medical  Council  of  India,  there  are  a  total  9,88 allopathic doctors registered with the State Medical Council/Medical Council of India as th June, 2016. Assuming 80% availability, it is estimated that around 7.91 lakh d octors may be actually available for active service. It gives a doctor - populati n ration of 1:1668 as per current population estimate of 1.32 billion.

The  Government  has  taken  various  steps  to  increase  the  number  of  doctors,  whi include:

(i) The ratio of teachers to students has been revised from 1:1 to 1:2 for all MD/MS disc and  1:1  to  1:3  in  subjects  of  Anaesthesiology,  Forensic  Medicine,  Radiotherapy,  Med Oncology, Surgical Oncology and Psychiatry in all Medical Colleges across the country. Further, teacher:student  ratio  in  public  funded  Government  Medical  Colleges  for  Professor  has increased from 1:2 to 1:3 in all clinical subjects and for Associate Prof. from 1:1 to Associate  Prof.  is  a  unit  head.  This  would  result in  increase  in  number  of  specialists  in  the country.

(ii) DNB qualification has been recognized for appointment as faculty to take care of sho faculty.

(iii) Enhancement of maximum intake capacity at MBBS level from 150

to

250.

(iv)  Enhancement of  age  for  superannuation  to  65  years  for  all  sub - cadres  of  Central  Health Services.

(v)R elaxation in the norms of setting up of Medical College in terms of requirement for faculty, staff, bed/bed strength and other infrastructure.

(vi)  Strength ening/upgradation  of  State  Government  Medical  Colleges  for  starting  new  PG courses/increase of PG seats.

(vii) Establishment of New Medical Colleges by upgrading district/referral hospitals pre in underserved districts of the country.

(viii)  Strengthening/  upgradation  of  existing  State  Government/Central  Government  Medi Colleges to increase MBBS seats.

(c)& (d): Public Health is a state subject.  The National Rural Health Mission (NRHM) was launched in 2005 to provide accessible, affordable and quality health care particularly to population. The NHM supports strengthening of public health systems as the main vehicle or social protection.  To make health care affordable to the population, the Government under has been supporting the States for provision of free drugs, diagnostics and free emerge essential services in public health facilities. Funds released and utilised under the NHM during the last three years State/UT - wise is provided at Annexure.

ANNEXURE

## Statement Showing State - wise Release and Expenditure under NHM for the F.Y. 2013 -14 to 2015 - 16

Rs. in crore

| Sl. No.   | States                    | 2013-14   | 2013-14   | 2014-15   | 2014-15   | 2015-16   | 2015-16   |
|-----------|---------------------------|-----------|-----------|-----------|-----------|-----------|-----------|
| Sl. No.   | States                    | Release   | Exp       | Release   | Exp       | Release   | Exp       |
| 1         | Andaman & Nicobar Islands | 29.06     | 29.12     | 23.36     | 24.33     | 37.30     | 11.47     |
| 2         | Andhra Pradesh            | 878.73    | 1044.81   | 519.73    | 902.91    | 643.52    | 1090.17   |
| 3         | Arunachal Pradesh         | 78.60     | 92.03     | 139.41    | 69.50     | 162.65    | 146.27    |
| 4         | Assam                     | 1077.81   | 956.89    | 877.13    | 915.88    | 971.35    | 1186.01   |
| 5         | Bihar                     | 1110.32   | 1480.68   | 1148.32   | 1427.40   | 1159.49   | 1621.67   |
| 6         | Chandigarh                | 11.46     | 14.42     | 12.15     | 15.26     | 23.89     | 20.98     |
| 7         | Chattisgarh               | 355.98    | 805.50    | 500.41    | 716.04    | 412.26    | 758.28    |
| 8         | Dadra & Nagar Haveli      | 9.23      | 9.83      | 8.40      | 8.56      | 14.37     | 15.54     |
| 9         | Daman & Diu               | 6.50      | 8.40      | 6.91      | 7.67      | 10.53     | 15.69     |
| 10        | Delhi                     | 129.78    | 132.59    | 154.04    | 222.64    | 163.80    | 137.29    |
| 11        | Goa                       | 19.35     | 30.58     | 26.03     | 29.50     | 16.77     | 24.92     |
| 12        | Gujarat                   | 833.72    | 977.48    | 832.86    | 873.66    | 693.78    | 1272.42   |
| 13        | Haryana                   | 315.94    | 423.79    | 273.60    | 438.18    | 291.96    | 493.23    |
| 14        | Himachal Pradesh          | 205.29    | 158.60    | 185.84    | 306.92    | 246.49    | 281.26    |
| 15        | Jammu & Kashmir           | 395.10    | 391.10    | 335.51    | 393.29    | 367.90    | 420.94    |
| 16        | Jharkhand                 | 396.38    | 521.49    | 359.62    | 372.01    | 411.50    | 590.18    |
| 17        | Karnataka                 | 611.11    | 812.56    | 697.24    | 858.18    | 740.45    | 1141.61   |
| 18        | Kerala                    | 360.98    | 673.07    | 521.99    | 509.83    | 304.14    | 632.88    |
| 19        | Lakshadweep               | 3.20      | 2.28      | 5.08      | 1.36      | 5.69      | 2.72      |
| 20        | Madhya Pradesh            | 865.94    | 1583.60   | 1162.50   | 1738.02   | 1132.19   | 2046.60   |
| 21        | Maharashtra               | 1218.51   | 1806.86   | 1431.76   | 1834.40   | 1085.92   | 1734.44   |
| 22        | Manipur                   | 88.93     | 74.57     | 128.81    | 86.91     | 112.16    | 105.51    |
| 23        | Meghalaya                 | 125.51    | 71.53     | 104.13    | 70.72     | 102.22    | 133.55    |
| 24        | Mizoram                   | 77.43     | 91.89     | 103.28    | 93.29     | 94.68     | 172.38    |
| 25        | Nagaland                  | 99.73     | 90.40     | 114.92    | 63.04     | 104.85    | 81.05     |
| 26        | Orissa                    | 604.20    | 901.65    | 667.16    | 944.10    | 652.62    | 1205.77   |
| 27        | Puducherry                | 18.10     | 25.43     | 22.56     | 23.35     | 18.61     | 21.77     |
| 28        | Punjab                    | 333.47    | 437.57    | 379.35    | 460.59    | 295.23    | 649.49    |

| 29        | Rajasthan     |   922.93 |   1457.06 |   1115.96 |   1722.69 |   1287.84 |   1799.11 |
|-----------|---------------|----------|-----------|-----------|-----------|-----------|-----------|
| 30        | Sikkim        |    45.91 |     44.82 |     51.6  |     41.36 |     41.01 |     50.71 |
| 31        | Tamil Nadu    |   906.24 |   1430.28 |    952.75 |   2248.06 |   1093.22 |   1633.37 |
| 32        | Tripura       |   140.15 |    101.93 |    123.11 |    130.15 |    136.29 |    118.77 |
| 33        | Uttar Pradesh |  3024.6  |   2924.38 |   2431.06 |   3671.26 |   2862.83 |   4451.78 |
| 34        | Uttarakhand   |   245.25 |    255.28 |    270.55 |    324.42 |    276.41 |    335.95 |
| 35        | West Bengal   |   948.51 |   1271.71 |   1058.62 |   1196.78 |    959.51 |   1487.62 |
| 36        | Telangana     |     0    |      0    |    378.72 |    334.68 |    436.63 |    505.55 |
| Sub Total | Sub Total     | 16493.9  |  21134.2  |  17124.5  |  23076.9  |  17370.1  |  26396.9  |
| Others    | Others        |    89.77 |      4.08 |     35.83 |      0    |     92.82 |      0    |
| Total     | Total         | 16583.7  |  21138.3  |  17160.3  |  23076.9  |  17462.9  |  26396.9  |

Note:

1. Expenditure includes expenditure against central release, State release & unspent balances at the be
2. The above releases relate to Central Govt. Grants & do not include State share contribution.
3. The above figures does not inclusive of Kind grants under Immunisation, Pilot Projects, Forward Linkages a Health etc.