Lok Sabha Question No. 2087 (UNSTARRED), answered on 2017-07-28
Subject: Healthcare Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KUNWAR SARVESH  KUMAR

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

LOK SABHA UNSTARRED QUESTION NO. 2087 TO BE ANSWERED ON  28 TH JULY, 2017

## HEALTHCARE FACILITIE S

## 2087. KUNWAR SARVESH KUMAR:

Will the Minister of HEALTH AND FAMILY WELFARE

be pleased to state:

- (a) whether healthcare facilities are still not available to a large number of rural hou only 32.7 per cent of rural households in the country avail themselves of this facility; a
- (b) if so, t he steps taken by the Government in this regard?

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

- (a):     Public Health and hospitals being a State subject, the primary responsibility accessible  and  quality  health  care  services  to  the  people  in  rural  areas  lies  with Governments.    However,  under  the  National  Health  Mission  (NHM),  financial  and  technic support is provided to States and UTs to supplement their efforts for improv ing the healthcare services,  particularly  in  rural  areas ,  based  on  requirements  projected  by  the  States  in  thei Programme Implementation Plan.

As per Rural Health Statistics 2016, there are 1,87,771 healthcare facilities in the public sector (1,55,069 Sub Centres; 25,354 Primary Health Centres; 5,510 Community Health Centr 1,065 Sub Divisional Hospital and 773 District Hospitals) to meet the health needs of t population.  However, there is some shortage in public health facilities, a statement of which placed at Annexure.

According to the NSSO health and morbidity survey analysis  held in 2014, of ill pe in  rural  areas  28%  sought  out  patient  services  from  government  facilities  and  of the  total hospitalized,  42%  were  hospitalized  in  government  facilities.  As  regards  child  birth, child births in rural areas took place in public hospitals and 24% in private hospitals. pointed out that in rural areas the cost of care for hospitalized patient was much higher in private hospitals (Rs 21726 ) than in public hospital (Rs 5636) in the rural area.

Contd……….

(b):     Some of the key recent measures undertaken by the Government to improve health services in the rural areas are: -

- (i) The Government of India has recently approved the National Health Policy (NHP) which provides detailed framework and policy thrust areas to improve healthc sector in a time bound manner.
- (ii) Over  the  period  of  2005 - 2 16  there  has  been  an  additio n  of  9043  Sub  Health Centres (SHCs), 2118 Public Health Centres (PHCs) and 2164 Community Health Centres (CHCs).
- (iii) Transformation of Sub -Health Centres into Health and Wellness Centres has been rolled out to strengthen the delivery of comprehensive primary care.
- (iv) Operational  Guidelines  for  NHM  Free  Drugs  Service Initiative  and  Free Diagnostics  Service  Initiative  have  been  shared  with  states.  The  objective ensure availability of essential drugs and necessary diagnostic services free in public he alth facilities.
- (v) Bridge  Programme  in  Community  Health -for  Nurses  and  for  Ayurveda Practitioners - have been finalized and MoU in this regard has been signed with IGNOU. The trained personnel are proposed to be posted at Sub - Centres (SCs) as Community Health Officers -to lead the team at SCs for providing comprehensive promotive and preventive and curative healthcare services.
- (vi) Kayakalp awards  have  been  launched  to  promote  cleanliness,  hygiene  and infection control practices in public health facilities. Additionally, NQAS certification of public hospitals is being undertaken.
- (vii) Pradhan  Mantri  Shurakshit Matri tva    Abhiyan  (to  improv e  access  to  specialist maternal care through voluntary participation of private providers).
- (viii)Pradhan  Mantri  National  Dialysis  Program  to  enable  free  Dialysis  treatment poor patients with end stage renal diseases.
- (ix) Universal screening of individuals over t hirty for early detection and treatment of common non communicable diseases.

………………….

## Annexure

| SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   |
|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|
| S.No .                                                                                        | State/ UT                                                                                     | Total Population in Rural                                                                     | Tribal in Rural Areas                                                                         | Sub Centres                                                                                   | Sub Centres                                                                                   | Sub Centres                                                                                   | Sub Centres                                                                                   | PHCs                                                                                          | PHCs                                                                                          | PHCs                                                                                          | PHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          |
| S.No .                                                                                        | State/ UT                                                                                     | Areas                                                                                         | Population                                                                                    | R                                                                                             | P                                                                                             | S                                                                                             | % Shorfal l                                                                                   | R                                                                                             | P                                                                                             | S                                                                                             | % Shorfal l                                                                                   | R                                                                                             | P                                                                                             | S                                                                                             | % Shorfall                                                                                    |
| 1                                                                                             | Andhra Pradesh                                                                                | 34776389                                                                                      | 2293102                                                                                       | 7261                                                                                          | 7659                                                                                          | *                                                                                             | *                                                                                             | 1197                                                                                          | 1075                                                                                          | 122                                                                                           | 10                                                                                            | 299                                                                                           | 193                                                                                           | 106                                                                                           | 35                                                                                            |
| 2                                                                                             | Arunachal Pradesh                                                                             | 1066358                                                                                       | 789846                                                                                        | 318                                                                                           | 304                                                                                           | 14                                                                                            | 4                                                                                             | 48                                                                                            | 143                                                                                           | *                                                                                             | *                                                                                             | 12                                                                                            | 63                                                                                            | *                                                                                             | *                                                                                             |
| 3                                                                                             | Assam                                                                                         | 26807034                                                                                      | 3665405                                                                                       | 5850                                                                                          | 4621                                                                                          | 1229                                                                                          | 21                                                                                            | 954                                                                                           | 1014                                                                                          | *                                                                                             | *                                                                                             | 238                                                                                           | 151                                                                                           | 87                                                                                            | 37                                                                                            |
| 4                                                                                             | Bihar                                                                                         | 92341436                                                                                      | 1270851                                                                                       | 18637                                                                                         | 9729                                                                                          | 8908                                                                                          | 48                                                                                            | 3099                                                                                          | 1802                                                                                          | 1297                                                                                          | 42                                                                                            | 774                                                                                           | 148                                                                                           | 626                                                                                           | 81                                                                                            |
| 5                                                                                             | Chhattisgarh                                                                                  | 19607961                                                                                      | 7231082                                                                                       | 4885                                                                                          | 5186                                                                                          | *                                                                                             | *                                                                                             | 774                                                                                           | 790                                                                                           | *                                                                                             | *                                                                                             | 193                                                                                           | 155                                                                                           | 38                                                                                            | 20                                                                                            |
| 6                                                                                             | Goa                                                                                           | 551731                                                                                        | 87639                                                                                         | 122                                                                                           | 212                                                                                           | *                                                                                             | *                                                                                             | 19                                                                                            | 22                                                                                            | *                                                                                             | *                                                                                             | 4                                                                                             | 4                                                                                             | 0                                                                                             | 0                                                                                             |
| 7                                                                                             | Gujarat                                                                                       | 34694609                                                                                      | 8021848                                                                                       | 8008                                                                                          | 8801                                                                                          | *                                                                                             | *                                                                                             | 1290                                                                                          | 1314                                                                                          | *                                                                                             | *                                                                                             | 322                                                                                           | 322                                                                                           | 0                                                                                             | 0                                                                                             |
| 8                                                                                             | Haryana                                                                                       | 16509359                                                                                      | 0                                                                                             | 3301                                                                                          | 2576                                                                                          | 725                                                                                           | 22                                                                                            | 550                                                                                           | 474                                                                                           | 76                                                                                            | 14                                                                                            | 137                                                                                           | 110                                                                                           | 27                                                                                            | 20                                                                                            |
| 9                                                                                             | Himachal Pradesh                                                                              | 6176050                                                                                       | 374392                                                                                        | 1285                                                                                          | 2071                                                                                          | *                                                                                             | *                                                                                             | 212                                                                                           | 518                                                                                           | *                                                                                             | *                                                                                             | 53                                                                                            | 79                                                                                            | *                                                                                             | *                                                                                             |
| 10                                                                                            | Jammu & Kashmir                                                                               | 9108060                                                                                       | 1406833                                                                                       | 2009                                                                                          | 2805                                                                                          | *                                                                                             | *                                                                                             | 327                                                                                           | 637                                                                                           | *                                                                                             | *                                                                                             | 81                                                                                            | 84                                                                                            | *                                                                                             | *                                                                                             |
| 11                                                                                            | Jharkhand                                                                                     | 25055073                                                                                      | 7868150                                                                                       | 6060                                                                                          | 3953                                                                                          | 2107                                                                                          | 35                                                                                            | 966                                                                                           | 327                                                                                           | 639                                                                                           | 66                                                                                            | 241                                                                                           | 188                                                                                           | 53                                                                                            | 22                                                                                            |
| 12                                                                                            | Karnataka                                                                                     | 37469335                                                                                      | 3429791                                                                                       | 7951                                                                                          | 9332                                                                                          | *                                                                                             | *                                                                                             | 1306                                                                                          | 2353                                                                                          | *                                                                                             | *                                                                                             | 326                                                                                           | 206                                                                                           | 120                                                                                           | 37                                                                                            |
| 13                                                                                            | Kerala                                                                                        | 17471135                                                                                      | 433092                                                                                        | 3551                                                                                          | 4575                                                                                          | *                                                                                             | *                                                                                             | 589                                                                                           | 824                                                                                           | *                                                                                             | *                                                                                             | 147                                                                                           | 225                                                                                           | *                                                                                             | *                                                                                             |
| 14                                                                                            | Madhya Pradesh                                                                                | 52557404                                                                                      | 14276874                                                                                      | 12415                                                                                         | 9192                                                                                          | 3223                                                                                          | 26                                                                                            | 1989                                                                                          | 1171                                                                                          | 818                                                                                           | 41                                                                                            | 497                                                                                           | 334                                                                                           | 163                                                                                           | 33                                                                                            |
| 15                                                                                            | Maharashtra                                                                                   | 61556074                                                                                      | 9006077                                                                                       | 13512                                                                                         | 1058                                                                                          | 2932                                                                                          | 22                                                                                            | 2201                                                                                          | 1811                                                                                          | 390                                                                                           | 18                                                                                            | 550                                                                                           | 360                                                                                           | 190                                                                                           | 35                                                                                            |
| 16                                                                                            | Manipur                                                                                       | 2021640                                                                                       | 791126                                                                                        | 509                                                                                           | 0 421                                                                                         | 88                                                                                            | 17                                                                                            | 80                                                                                            | 85                                                                                            | *                                                                                             | *                                                                                             | 20                                                                                            | 17                                                                                            | 3                                                                                             | 15                                                                                            |
| 17                                                                                            | Meghalaya                                                                                     | 2371439                                                                                       | 2136891                                                                                       | 759                                                                                           | 431                                                                                           | 328                                                                                           | 43                                                                                            | 114                                                                                           | 109                                                                                           | 5                                                                                             | 4                                                                                             | 28                                                                                            | 27                                                                                            | 1                                                                                             | 4                                                                                             |
| 18                                                                                            | Mizoram                                                                                       | 525435                                                                                        | 507467                                                                                        | 172                                                                                           | 370                                                                                           | *                                                                                             | *                                                                                             | 25                                                                                            | 57                                                                                            | *                                                                                             | *                                                                                             | 6                                                                                             | 9                                                                                             | *                                                                                             | *                                                                                             |
| 19                                                                                            | Nagaland                                                                                      | 1407536                                                                                       | 1306838                                                                                       | 455                                                                                           | 396                                                                                           | 59                                                                                            | 13                                                                                            | 68                                                                                            | 126                                                                                           | *                                                                                             | *                                                                                             | 17                                                                                            | 21                                                                                            | *                                                                                             | *                                                                                             |
| 20                                                                                            | Odisha                                                                                        | 34970562                                                                                      | 8994967                                                                                       | 8193                                                                                          | 6688                                                                                          | 1505                                                                                          | 18                                                                                            | 1315                                                                                          | 1305                                                                                          | 10                                                                                            | 1                                                                                             | 328                                                                                           | 377                                                                                           | *                                                                                             | *                                                                                             |
| 21                                                                                            | Punjab                                                                                        | 17344192                                                                                      | 0                                                                                             | 3468                                                                                          | 2951                                                                                          | 517                                                                                           | 15                                                                                            | 578                                                                                           | 427                                                                                           | 151                                                                                           | 26                                                                                            | 144                                                                                           | 150                                                                                           | *                                                                                             | *                                                                                             |
| 22                                                                                            | Rajasthan                                                                                     | 51500352                                                                                      | 8693123                                                                                       | 11459                                                                                         | 1440                                                                                          | *                                                                                             | *                                                                                             | 1861                                                                                          | 2080                                                                                          | *                                                                                             | *                                                                                             | 465                                                                                           | 571                                                                                           | *                                                                                             | *                                                                                             |
| 23                                                                                            | Sikkim                                                                                        | 456999                                                                                        | 167146                                                                                        | 113                                                                                           | 8 147                                                                                         | *                                                                                             | *                                                                                             | 18                                                                                            | 24                                                                                            | *                                                                                             | *                                                                                             | 4                                                                                             | 2                                                                                             | 2                                                                                             | 50                                                                                            |
| 24                                                                                            | Tamil Nadu                                                                                    | 37229590                                                                                      | 660280                                                                                        | 7533                                                                                          | 8712                                                                                          | *                                                                                             | *                                                                                             | 1251                                                                                          | 1368                                                                                          | *                                                                                             | *                                                                                             | 312                                                                                           | 385                                                                                           | *                                                                                             | *                                                                                             |
| 25                                                                                            | Telangana                                                                                     | 21585313                                                                                      | 2939027                                                                                       | 4708                                                                                          | 4863                                                                                          | *                                                                                             | *                                                                                             | 768                                                                                           | 668                                                                                           | 100                                                                                           | 13                                                                                            | 192                                                                                           | 114                                                                                           | 78                                                                                            | 41                                                                                            |
| 26                                                                                            | Tripura                                                                                       | 2712464                                                                                       | 1117566                                                                                       | 691                                                                                           | 1033                                                                                          | *                                                                                             | *                                                                                             | 109                                                                                           | 94                                                                                            | 15                                                                                            | 14                                                                                            | 27                                                                                            | 20                                                                                            | 7                                                                                             | 26                                                                                            |
| 27                                                                                            | Uttarakhand                                                                                   | 7036954                                                                                       | 264819                                                                                        | 1442                                                                                          | 1847                                                                                          | *                                                                                             | *                                                                                             | 238                                                                                           | 257                                                                                           | *                                                                                             | *                                                                                             | 59                                                                                            | 59                                                                                            | 0                                                                                             | 0                                                                                             |
| 28                                                                                            | Uttar Pradesh                                                                                 | 155317278                                                                                     | 1031076                                                                                       | 31200                                                                                         | 2052                                                                                          | 10679                                                                                         | 34                                                                                            | 5194                                                                                          | 3497                                                                                          | 1697                                                                                          | 33                                                                                            | 1298                                                                                          | 773                                                                                           | 525                                                                                           | 40                                                                                            |
| 29                                                                                            | West Bengal                                                                                   | 62183113                                                                                      | 4855115                                                                                       | 13083                                                                                         | 1 1036                                                                                        | 2714                                                                                          | 21                                                                                            | 2153                                                                                          | 909                                                                                           | 1244                                                                                          | 58                                                                                            | 538                                                                                           | 349                                                                                           | 189                                                                                           | 35                                                                                            |
| 30                                                                                            | A & N Islands                                                                                 | 237093                                                                                        | 26715                                                                                         | 50                                                                                            | 9 123                                                                                         | *                                                                                             | *                                                                                             | 8                                                                                             | 22                                                                                            | *                                                                                             | *                                                                                             | 2                                                                                             | 4                                                                                             | *                                                                                             | *                                                                                             |
| 31                                                                                            | Chandigarh                                                                                    | 28991                                                                                         | 0                                                                                             | 5                                                                                             | 17                                                                                            | *                                                                                             | *                                                                                             | 0                                                                                             | 3                                                                                             | *                                                                                             | *                                                                                             | 0                                                                                             | 2                                                                                             | *                                                                                             | *                                                                                             |
| 32                                                                                            | Dadra & Nagar Haveli                                                                          | 183114                                                                                        | 150944                                                                                        | 56                                                                                            | 56                                                                                            | 0                                                                                             | 0                                                                                             | 8                                                                                             | 11                                                                                            | *                                                                                             | *                                                                                             | 2                                                                                             | 0                                                                                             | 2                                                                                             | 100                                                                                           |
| 33                                                                                            | Daman & Diu                                                                                   | 60396                                                                                         | 7617                                                                                          | 13                                                                                            | 26                                                                                            | *                                                                                             | *                                                                                             | 2                                                                                             | 4                                                                                             | *                                                                                             | *                                                                                             | 0                                                                                             | 2                                                                                             | *                                                                                             | *                                                                                             |
| 34                                                                                            | Delhi                                                                                         | 419042                                                                                        | 0                                                                                             | 83                                                                                            | 26                                                                                            | 57                                                                                            | 69                                                                                            | 13                                                                                            | 5                                                                                             | 8                                                                                             | 62                                                                                            | 3                                                                                             | 0                                                                                             | 3                                                                                             | 100                                                                                           |
| 35                                                                                            | Lakshadweep                                                                                   | 14141                                                                                         | 13463                                                                                         | 4                                                                                             | 14                                                                                            | *                                                                                             | *                                                                                             | 0                                                                                             | 4                                                                                             | *                                                                                             | * *                                                                                           | 0                                                                                             | 3                                                                                             | *                                                                                             | *                                                                                             |
| 36                                                                                            | Puducherry                                                                                    | 395200                                                                                        | 0                                                                                             | 79                                                                                            | 54                                                                                            | 25                                                                                            | 32                                                                                            | 13                                                                                            | 24                                                                                            | *                                                                                             |                                                                                               | 3                                                                                             | 3                                                                                             | *                                                                                             | * 30                                                                                          |
|                                                                                               | All India/ Total                                                                              | 833748852                                                                                     | 93819162                                                                                      | 179240                                                                                        | 1550                                                                                          | 35110                                                                                         | 20                                                                                            | 29337                                                                                         | 25354                                                                                         | 6572                                                                                          | 22                                                                                            | 7322                                                                                          | 551                                                                                           | 222                                                                                           |                                                                                               |

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

R: Required; P: In Position; S: Shortfall;     *: Surplus