Lok Sabha Question No. 1916 (UNSTARRED), answered on 2017-12-29
Subject: Shortage of Women Doctors
Ministry: HEALTH AND FAMILY WELFARE
Asked by: BANSHILAL MAHTO

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

LOK SABHA UNSTARRED QUESTION NO. 1916 TO BE ANSWERED ON   29 TH DECEMBER, 2017

## SHORTAGE OF WOMEN DO CTORS

## 1916. DR. BANSHILAL MAHATO:

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

- (a)  whether  the  Government  has  taken  cognizance  of  the  fact  that  there  is  huge  short doctors particularly women doctors in the Primary Health Centres (PHCs), Community Heal Centr es (CHCs) and district hospitals located in various parts of the country;
- (b) if so, the details thereof, Statewise including the State of Chhattisgarh along with therefor;
- (c) whether any scheme has been formulated by the Government to inc rease the percentage of women doctors in the rural areas of the country;
- (d) if so, the details thereof; and
- (e) the other steps taken/being taken by the Government in this regard?

## ANSWER

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a)& (b) : As per Rural Health Statistics (RHS) 2017, there is a shortage of doctors in health facilities. However, separate data regarding shortage of women doctors in PHCs, and DHs is not maintained cen trally .

State/UT - wise availability/shortage of doctors, including the State of Chhattisgarh Annexure.

- (c) to (e) : No such scheme has been presently formulated  to increase percentage of women doctors in rural areas of the country. However, the Government has taken following measur increase the overall availability of doctors in the country.
- (i) The ratio of tea chers to students has been revised from 1:1 to 1:2 for all MD/MS discipli and  1:1  to  1:3  in  subjects  of  Anaesthesiology,  Forensic  Medicine,  Radiotherapy,  Med Oncology, Surgical Oncology and Psychiatry in all medical colleges across the country. Fu her, teacher:  student  ratio  in  public  funded  Government  Medical  Colleges  for  Professor  has increased from 1:2 to 1:3 in all clinical subjects and for Associate Prof. from 1:1 to Associate  Prof.  is  a  unit  head.  This  would  result  in  increase in  number  of  specialists  in  the country.

Contd.......

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

(iii) Enhancement of maximum intake capacity at MBBS level from 150 to 250.

(iv)  Enhanc ement  of  age  limit  for  appointment/  extension/  re - employment  against  posts  of teachers/dean/principal/ director in medical colleges from 65 - 70 years.

(v) Relaxation in the norms of setting up of Medical College in terms of requirement fo faculty, s taff, bed/bed strength and other infrastructure.

(vi)  Strengthening/upgradation  of  State  Government  Medical  Colleges  for  starting  new courses/Increase of PG seats.

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

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

(ix) Strengthening of districts hospitals to run DNB/CPS courses.

Further, in ord er to encourage doctors to work in remote and difficult areas, the Medi Council  of  India,  with  the  previous  approval  of  Central  Government,  has  amended  the Graduate Medical Education Regulations, 2000 to provide:

50%  reservation  in  Post  Graduate  Di ploma  Courses  for  Medical  Officers  in  the Government service, who have served for at least three years in remote and difficult (including for women doctors); and

Incentive at the rate of 10% the marks obtained for each year in service in rem difficult areas as upto the maximum of 30% of the marks obtained in the entrance te admissions in Post Graduate Medical Courses, including for women doctors.

Public  health  and  hospital  being  a  State  subject,  the  primary  responsibility  to health care services lies with the respective State/UT Governments and all administrati personnel  matters  pertaining  to  health  human  resource  (Health  HR)  too  fall  wi thin  the jurisdiction of the respective State/UT Governments. However, under National Health Mis (NHM)  technical  and  financial  support  is  provided  to  the  State/UT  Governments  f strengthening  their  Health  systems,  including  for  availing  services  of  He alth  HR  on  contract basis -services  of  retired  /  private  doctors,  based  on  proposals  received  from  them  i Programme  Implementation  Plans  (PIPs)  within  their  overall  resource  envelope.  Further, State and UT Governments are also advised from time to time to expedite recruitment of Health HR to fill the vacant posts in various public health facilities.

.................

Table 21

## Annexure

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

Notes:

- # Sanctioned data for year 2011 used

# Sanctioned data for year 2015 used

### Sanctioned data for year 2013 -14 used

NA: Not Available.

- +: Allopathic Doctors

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

- *: Surplus.

1 One per Primary Health Centre

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

Table 28A

| General Duty Medical Officers (GDMOs) -Allopathic at CHCs on 31st March,   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs on 31st March,   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs on 31st March,   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs on 31st March,   |
|----------------------------------------------------------------------------|----------------------------------------------------------------------------|----------------------------------------------------------------------------|----------------------------------------------------------------------------|
| S. No.                                                                     | State/UT                                                                   | (As Sanctioned                                                             | 2017) In Position                                                          |
| 1                                                                          | Andhra Pradesh                                                             | 247                                                                        | 273                                                                        |
| 2                                                                          | Arunachal Pradesh                                                          | NA                                                                         | 119                                                                        |
| 3                                                                          | Assam                                                                      | NA                                                                         | 386                                                                        |
| 4                                                                          | Bihar                                                                      | NA                                                                         | 714                                                                        |
| 5                                                                          | Chhattisgarh                                                               | 353                                                                        | 434                                                                        |
| 6                                                                          | Goa                                                                        | 12                                                                         | 10                                                                         |
| 7                                                                          | Gujarat                                                                    | 1151                                                                       | 966                                                                        |
| 8                                                                          | Haryana                                                                    | 494                                                                        | 262                                                                        |
| 9                                                                          | Himachal Pradesh                                                           | 234                                                                        | 214                                                                        |
| 10                                                                         | Jammu & Kashmir                                                            | 751                                                                        | 618                                                                        |
| 11                                                                         | Jharkhand                                                                  | 954                                                                        | 651                                                                        |
| 12                                                                         | Karnataka                                                                  | 255                                                                        | 218                                                                        |
| 13                                                                         | Kerala                                                                     | 781                                                                        | 1019                                                                       |
| 14                                                                         | Madhya Pradesh                                                             | 1854                                                                       | 797                                                                        |
| 15                                                                         | Maharashtra                                                                | 512                                                                        | 486                                                                        |
| 16                                                                         | Manipur                                                                    | 97                                                                         | 93                                                                         |
| 17                                                                         | Meghalaya #                                                                | 91                                                                         | 75                                                                         |
| 18                                                                         | Mizoram                                                                    | NA                                                                         | 16                                                                         |
| 19                                                                         | Nagaland                                                                   | 42                                                                         | 52                                                                         |
| 20                                                                         | Odisha                                                                     | 439                                                                        | 726                                                                        |
| 21                                                                         | Punjab                                                                     | 282                                                                        | 404                                                                        |
| 22                                                                         | Rajasthan                                                                  | 1293                                                                       | 1045                                                                       |
| 23                                                                         | Sikkim                                                                     | NA                                                                         | 3                                                                          |
| 24                                                                         | Tamil Nadu                                                                 | 2873                                                                       | 2547                                                                       |
| 25                                                                         | Telangana                                                                  | 464                                                                        | 368                                                                        |
| 26                                                                         | Tripura                                                                    | 0                                                                          | 84                                                                         |
| 27                                                                         | Uttarakhand                                                                | 57                                                                         | 47                                                                         |
| 28                                                                         | Uttar Pradesh                                                              | 778                                                                        | 778                                                                        |
| 29                                                                         | West Bengal                                                                | 790                                                                        | 871                                                                        |
| 30                                                                         | A& N Islands                                                               | 13                                                                         | 12                                                                         |
| 31                                                                         | Chandigarh ##                                                              | 6                                                                          | 20                                                                         |
| 32                                                                         | D & N Haveli                                                               | 0                                                                          | 6                                                                          |
| 33                                                                         | Daman & Diu                                                                | 4                                                                          | 4                                                                          |
| 34                                                                         | Delhi                                                                      | 0                                                                          | 0                                                                          |
| 35                                                                         | Lakshadweep                                                                | 14                                                                         | 14                                                                         |
| 36                                                                         | Puducherry                                                                 | 18                                                                         | 18                                                                         |
| All                                                                        | India/Total 2                                                              | 14859                                                                      | 14350                                                                      |

Notes:

# Sanctioned data for year 2015 used

## Sanctioned data for year 2013 - 14 used

NA: NotAvailable

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