Lok Sabha Question No. 3146 (UNSTARRED), answered on 2018-01-05
Subject: PHCs/CHCs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: B.V. NAYAK, BHAVANA GAWALI (PATIL), AJAY (TENI) MISRA, SIRAJUDDIN AJMAL

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

## LOK SABHA UNSTARRED QUESTION NO. 3146 TO BE ANSWERED ON 5 TH JANUARY, 2018

## PHCs/CHCs

## 3146. SHRI B.V. NAIK:

SHRIMATI BHAVANA PUNDALIKRAO GAWALI PATIL:

SHRI AJAY MISRA TENI:

SHRI SIRAJUDDIN AJMAL:

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

- (a) the number of Primary Health Centres (P HCs)/Community Health Centres (CHCs) running in the country, State/UT - wise including the tribal a reas;
- (b) whether the Government is contemplating to release funds for setting up PHCs in the States;
- (c) if so, the details thereof, State/ UT - wise including Maharashtra and Andhra Pradesh;
- (d) the amount of funds proposed to be released under this scheme;
- (e) the number of people visiting PHCs and sub - centres in the rural areas; and
- (f) whether PHCs in the country fulfil the infrastructural requirements as per the Indian public health standards, if so, the details thereof and if not, the reasons t herefor?

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

- (a): As  per  Rural  Health  Statistics  (RHS)  2017,  the  number  of  Primary  Health  Centr (PHCs)/Community  Health  Centres  (CHCs), functioning  in  th e  country,  State/UT -wise, including the tribal areas is given at Annexure -I.
- (b) to (d): PublicHealth being a State subject, the primary responsibility to provide he care services to the citizens as per requirements lies with the respective State/UT Gove However, under National Health Mission (NHM), financial and technical support is ex tended to States/UTs  to  strengthen  their  healthcare  system  for  provision  of  accessible,  afforda quality health care to all the citizens based on proposals submitted by the States / UT Programme Implementation Plans.

Funds are released to the States/UTs pool - wise and not activity - wise.  As such, there is no separate release of funds for setting up of PHCs.  The details of funds approved durin -16  to  2017 - 18  for  Hospital  Strengthening  and  new  construction/renovation  and  sett ng up  of PHCs and CHCs is given at Annexure -II.

- (e): The number of people visiting PHCs and sub - centres in the rural areas during 2016 - 17, is given at Annexure -III.
- (f): As per Rural Health Statistics (RHS) 2017, the number of PHCs functioning as per In dian Public  Health  Standards  (IPHS)  norms,  States/  UT  wise,  is  given  at  Annexure -IV.    Primary responsibility of bringing up facilities to IPHS norms is that of State/ UT Governments. NHM, financial and technical support is extended to States, intera lia, for st engthening facilities to IPHS.

The reasons for non - fulfillment of infrastructure requirements as per IPHS norms ar shortages of skilled Human Resource and lack of public investment in health care.

## ANNEXURE-I

|        |                          | NUMBER OF PHCs and CHCs, FUNCTIONING        | NUMBER OF PHCs and CHCs, FUNCTIONING   | NUMBER OF PHCs and CHCs, FUNCTIONING        | NUMBER OF PHCs and CHCs, FUNCTIONING   |
|--------|--------------------------|---------------------------------------------|----------------------------------------|---------------------------------------------|----------------------------------------|
| S. No. | State/UT                 | (As on 31st PHCs                            | (As on 31st PHCs                       | March 2017) CHCs                            | March 2017) CHCs                       |
|        |                          | Total no. of PHCs functioning in the States | No. of PHCs in tribal areas            | Total no. of CHCs functioning in the States | No. of CHCs in tribal areas            |
| 1      | Andhra Pradesh           | 1147                                        | 155                                    | 193                                         | 19                                     |
| 2      | Arunachal Pradesh #      | 143                                         | 143                                    | 63                                          | 63                                     |
| 3      | Assam                    | 1014                                        | 283                                    | 158                                         | 31                                     |
| 4      | Bihar^^                  | 1899                                        | 6                                      | 150                                         | 0                                      |
| 5      | Chhattisgarh             | 785                                         | 392                                    | 169                                         | 80                                     |
| 6      | Goa                      | 24                                          | 8                                      | 4                                           | 1                                      |
| 7      | Gujarat                  | 1392                                        | 406                                    | 363                                         | 92                                     |
| 8      | Haryana *                | 366                                         | 0                                      | 112                                         | 0                                      |
| 9      | Himachal Pradesh         | 538                                         | 43                                     | 89                                          | 8                                      |
| 10     | Jammu & Kashmir          | 637                                         | 48                                     | 84                                          | 11                                     |
| 11     | Jharkhand                | 297                                         | 165                                    | 188                                         | 104                                    |
| 12     | Karnataka                | 2359                                        | 64                                     | 206                                         | 7                                      |
| 13     | Kerala                   | 849                                         | 137                                    | 232                                         | 12                                     |
| 14     | Madhya Pradesh           | 1171                                        | 332                                    | 309                                         | 104                                    |
| 15     | Maharashtra              | 1814                                        | 315                                    | 360                                         | 67                                     |
| 16     | Manipur                  | 85                                          | 45                                     | 17                                          | 7                                      |
| 17     | Meghalaya #              | 109                                         | 109                                    | 27                                          | 27                                     |
| 18     | Mizoram #                | 57                                          | 57                                     | 9                                           | 9                                      |
| 19     | Nagaland #               | 126                                         | 126                                    | 21                                          | 21                                     |
| 20     | Odisha                   | 1280                                        | 425                                    | 370                                         | 132                                    |
| 21     | Punjab *                 | 432                                         | 0                                      | 151                                         | 0                                      |
| 22     | Rajasthan                | 2079                                        | 209                                    | 579                                         | 65                                     |
| 23     | Sikkim                   | 24                                          | 12                                     | 2                                           | 0                                      |
| 24     | Tamil Nadu               | 1362                                        | 65                                     | 385                                         | 20                                     |
| 25     | Telangana                | 689                                         | 93                                     | 114                                         | 23                                     |
| 26     | Tripura                  | 93                                          | 47                                     | 21                                          | 8                                      |
| 27     | Uttarakhand              | 257                                         | 24                                     | 60                                          | 9                                      |
| 28     | Uttar Pradesh            | 3621                                        | NA                                     | 822                                         | NA                                     |
| 29     | West Bengal              | 914                                         | 300                                    | 349                                         | 104                                    |
| 30     | Andaman &Nicobar Islands | 22                                          | 4                                      | 4                                           | 1                                      |
| 31     | Chandigarh *             | 3                                           | 0                                      | 2                                           | 0                                      |
| 32     | Dadra & Nagar Haveli #   | 9                                           | 7                                      | 2                                           | 0                                      |
| 33     | Daman & Diu              | 4                                           | 0                                      | 2                                           | 0                                      |
| 34     | Delhi *                  | 5                                           | 0                                      | 0                                           | 0                                      |
| 35     | Lakshadweep # (2)        | 4                                           | 4                                      | 3                                           | 3                                      |
| 36     | Puducherry *             | 40                                          | 0                                      | 4                                           | 0                                      |
|        | All India                | 25650                                       | 4024                                   | 5624                                        | 1028                                   |

Notes: The requirement is calculated using the prescribed norms on the basis of rural population from Census, 2011.  All India shortfall is derived by adding state-wise figures of shortfall ignoring the existing surplus in some of the states.

#: States are predominantly tribal areas

^^ Data for year 2010 used

(2) The population is less than the norm (CHC) of 80,000.

## Annexure-II

Statement of Approval accorded for the activity Hospital Strengthening & New Constructions/ Renovation and Setting up (CHCs/PHCs) for the FY 2015-16 to 2017-18

Rs. In lakhs

| S.No.                     | State             | 2015-16 SPIP Approval   | 2016-17 SPIP Approval   | 2017-18 SPIP Approval   |
|---------------------------|-------------------|-------------------------|-------------------------|-------------------------|
| A. High Focus States      |                   |                         |                         |                         |
| 1                         | Bihar             | 657.69                  | 3444.06                 | 8063.00                 |
| 2                         | Chattisgarh       | 0.00                    | 1843.41                 | 1046.24                 |
| 3                         | Himachal Pradesh  | 1356.78                 | 424.46                  | 1111.25                 |
| 4                         | Jammu& Kashmir    | 2957.02                 | 1505.05                 | 1189.72                 |
| 5                         | Jharkhand         | 2010.00                 | 1656.00                 | 0.00                    |
| 6                         | Madhya Pradesh    | 5098.01                 | 5248.50                 | 7335.00                 |
| 7                         | Orissa            | 0.00                    | 4885.73                 | 4628.00                 |
| 8                         | Rajasthan         | 10394.77                | 15579.85                | 18691.10                |
| 9                         | Uttar Pradesh     | 3828.40                 | 7717.70                 | 4001.90                 |
| 10                        | Uttarakhand       | 3.44                    | 206.14                  | 0.00                    |
|                           | Sub Total         | 26306.11                | 42510.90                | 46066.21                |
| B. NE States              |                   |                         |                         |                         |
| 11                        | Arunachal Pradesh | 223.55                  | 178.51                  | 584.89                  |
| 12                        | Assam             | 5810.15                 | 4468.00                 | 4745.10                 |
| 13                        | Manipur           | 674.05                  | 681.51                  | 0.00                    |
| 14                        | Meghalaya         | 1714.52                 | 13.00                   | 60.00                   |
| 15                        | Mizoram           | 0.00                    | 0.00                    | 0.00                    |
| 16                        | Nagaland          | 181.08                  | 77.09                   | 140.20                  |
| 17                        | Sikkim            | 332.92                  | 90.00                   | 272.44                  |
| 18                        | Tripura           | 200.00                  | 650.00                  | 0.00                    |
|                           | Sub Total         | 9136.27                 | 6158.11                 | 5802.63                 |
| C. Non- High Focus States |                   |                         |                         |                         |
| 19                        | Andhra Pradesh    | 10148.00                | 0.00                    | 0.00                    |
| 20                        | Goa               | 0.00                    | 1.85                    | 22.50                   |
| 21                        | Gujarat           | 4040.00                 | 0.00                    | 0.00                    |
| 22                        | Haryana           | 400.00                  | 0.00                    | 0.00                    |
| 23                        | Karnataka         | 2286.34                 | 2621.98                 | 6077.00                 |
| 24                        | Kerala            | 200.00                  | 582.00                  | 532.00                  |

| 25                   | Maharashtra               | 5791.95   | 3488.77   | 9737.02   |
|----------------------|---------------------------|-----------|-----------|-----------|
| 26                   | Punjab                    | 210.78    | 0.00      | 0.00      |
| 27                   | Tamil Nadu                | 3583.27   | 5044.00   | 2861.00   |
| 28                   | Telangana                 | 0.00      | 0.00      | 200.00    |
| 29                   | West Bengal               | 377.85    | 204.50    | 0.00      |
|                      | Sub Total                 | 27038.19  | 11943.10  | 19429.52  |
| D. Small States/U Ts |                           |           |           |           |
| 30                   | Andaman & Nicobar Islands | 5.00      | 36.10     | 17.00     |
| 31                   | Chandigarh                | 0.00      | 0.00      | 0.00      |
| 32                   | Dadra & Nagar Haveli      | 0.00      | 0.00      | 0.00      |
| 33                   | Daman &Diu                | 0.00      | 0.00      | 0.00      |
| 34                   | Delhi                     | 180.00    | 0.00      | 0.00      |
| 35                   | Lakshadweep               | 0.00      | 0.00      | 0.00      |
| 36                   | Puducherry                | 0.00      | 0.00      | 0.00      |
|                      | Sub Total                 | 185.00    | 36.10     | 17.00     |
|                      | Grand Total               | 62665.57  | 60648.21  | 71315.36  |

## Note:

1. SPIP stands for State Program Implementation Plan.
2. The above data comprises of 1. Hospital Strengthening (i)  Up-gradation  of  CHCs,  PHCs, 2. New Constructions/ Renovation and Setting up (i) CHCs (ii) PHCs.

| States/ UTs          | Sub Centre   | Primary Health Centre   |
|----------------------|--------------|-------------------------|
| All India            | 150,998,738  | 413,313,272             |
| A & N ISLANDS        | 206,426      | 609,726                 |
| ANDHRA PRADESH       | 12,997,934   | 26,313,551              |
| ARUNACHAL PRADESH    | 152,700      | 245,771                 |
| ASSAM                | 2,692,449    | 12,386,116              |
| BIHAR                | 22,050,080   | 41,158,108              |
| CHANDIGARH           | 120,014      | 212,103                 |
| CHHATTISGARH         | 3,119,737    | 5,731,279               |
| DADRA & NAGAR HAVELI | 23,702       | 329,971                 |
| DAMAN & DIU          | 45,116       | 224,719                 |
| DELHI                | 42,300       | 320,183                 |
| GOA                  | 169,256      | 776,491                 |
| GUJARAT              | 4,118,689    | 14,492,283              |
| HARYANA              | 2,349,756    | 7,292,302               |
| HIMACHAL PRADESH     | 1,086,016    | 3,275,427               |
| JAMMU & KASHMIR      | 3,146,631    | 6,709,659               |
| JHARKHAND            | 4,603,460    | 1,384,539               |
| KARNATAKA            | 3,624,281    | 24,570,680              |
| KERALA               | 6,495,947    | 23,336,272              |
| LAKSHADWEEP          | 2,731        | 81,353                  |
| MADHYA PRADESH       | 6,364,482    | 9,329,789               |
| MAHARASHTRA          | 9,654,959    | 32,755,173              |
| MANIPUR              | 108,406      | 473,904                 |
| MEGHALAYA            | 621,212      | 1,425,398               |
| MIZORAM              | 201,513      | 167,458                 |
| NAGALAND             | 182,480      | 166,330                 |
| ODISHA               | 3,889,729    | 16,637,004              |
| PUDUCHERRY           | 169,693      | 2,012,057               |
| PUNJAB               | 1,906,869    | 4,152,552               |
| RAJASTHAN            | 11,410,610   | 26,441,675              |
| SIKKIM               | 196,402      | 221,470                 |
| TAMIL NADU           | 5,607,824    | 70,834,935              |
| TELANGANA            | 8,730,146    | 16,033,795              |
| TRIPURA              | 968,816      | 1,184,050               |
| UTTAR PRADESH        | 2,406,824    | 35,611,151              |
| UTTARAKHAND          | 890,203      | 1,438,682               |
| WEST BENGAL          | 30,641,345   | 24,977,316              |

Data as uploaded by States/ UTs on HMIS Portal (Status as on 1/1/2018)

| PRIMARY HEALTH CENTRES FUNCTIONING AS PER IPHS   | PRIMARY HEALTH CENTRES FUNCTIONING AS PER IPHS   | PRIMARY HEALTH CENTRES FUNCTIONING AS PER IPHS   | PRIMARY HEALTH CENTRES FUNCTIONING AS PER IPHS   |
|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| S.No.                                            | States / UT                                      | Number of PHCs Functioning                       | No. of PHCs Functioning as per IPHS norms        |
| 1                                                | Andhra Pradesh                                   | (1) 1147                                         | (2) 514                                          |
| 2                                                | Arunachal Pradesh                                | 143                                              | 0                                                |
| 3                                                | Assam                                            | 1014                                             | 0                                                |
| 4                                                | Bihar                                            | 1899                                             | NA                                               |
| 5                                                | Chhattisgarh                                     | 785                                              | 0                                                |
| 6                                                | Goa                                              | 24                                               | 24                                               |
| 7                                                | Gujarat                                          | 1392                                             | 0                                                |
| 8                                                | Haryana                                          | 366                                              | 3                                                |
| 9                                                | Himachal Pradesh                                 | 538                                              | 0                                                |
| 10                                               | Jammu & Kashmir                                  | 637                                              | NA                                               |
| 11                                               | Jharkhand                                        | 297                                              | 0                                                |
| 12                                               | Karnataka                                        | 2359                                             | 0                                                |
| 13                                               | Kerala                                           | 849                                              | 0                                                |
| 14                                               | Madhya Pradesh                                   | 1171                                             | 0                                                |
| 15                                               |                                                  | 1814                                             | 770                                              |
| 16                                               | Maharashtra Manipur                              | 85                                               | 0                                                |
| 17                                               | Meghalaya                                        | 109                                              | 0                                                |
| 18                                               | Mizoram                                          | 57                                               | 0                                                |
| 19                                               | Nagaland                                         | 126                                              | 0                                                |
| 20                                               | Odisha                                           | 1280                                             | 0                                                |
| 21                                               | Punjab                                           | 432                                              | NA                                               |
| 22                                               | Rajasthan                                        | 2079                                             | 0                                                |
| 23                                               | Sikkim                                           | 24                                               | 24                                               |
| 24                                               | Tamil Nadu                                       | 1362                                             | 1271                                             |
| 25                                               | Telangana                                        | 689                                              | 0                                                |
| 26                                               |                                                  | 93                                               |                                                  |
|                                                  | Tripura                                          | 257                                              | 66                                               |
| 27                                               | Uttarakhand                                      |                                                  | 69                                               |
| 28                                               | Uttar Pradesh                                    | 3621                                             | 170                                              |
| 29                                               | West Bengal                                      | 914                                              | 308                                              |
| 30                                               | A& N Islands                                     | 22                                               | 21                                               |
| 32                                               | D & N Haveli                                     | 3                                                | 7                                                |
| 31                                               | Chandigarh                                       | 9                                                | 3                                                |
| 33                                               | Daman & Diu                                      | 4                                                | 4                                                |
| 34                                               | Delhi                                            | 5                                                | 5                                                |
| 35                                               | Lakshadweep                                      | 4                                                | 4                                                |
| 36                                               | Puducherry All India/Total                       | 40 25650                                         | 40 3303                                          |

Notes: NA: Not Available.