Lok Sabha Question No. 2858 (UNSTARRED), answered on 2016-12-02
Subject: Primary Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAJENDRA AGRAWAL, MD. BADARIDDOZA KHAN, KOTHA PRABHAKAR REDDY, Y. S. AVINASH REDDY

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

## LOK SABHA UNSTARRED QUESTION NO. 2858 TO BE ANSWERED ON 2 ND DECEMBER, 2016

## PRIMARY HEALTH CENTR ES

## 2858. SHRI RAJENDRA AGRAWAL:

SHRI MD. BADARUDDOZA KHAN:

SHRI PRABHAKAR REDDY KOTHA:

SHRI Y.S. AVINASH REDDY:

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

- (a) the number of Primary Health Centres (PHCs) in the country including those running i tribal areas, State/UTwise;
- (b) whether the Government proposes to release funds for establishment of PHC in the Sta so the details thereof, Statewise particularly in Telangana and Andhra Pradesh;
- (c) the quantum of funds intended to be released under this new plan;
- (d)  wh ether  the  PHC  fulfil  the  infrastructural  requirements  under  the  Indian  Public Standards, if so, the details thereof and if not, the reasons therefor;
- (e) the number of people who are using primary health centres and sub - centres in rural areas alon g with the details;
- (f) the number of posts of doctors, trained nurses and other support staff that are vaca PHC in the country, State - wise;
- (g) the number of tribal people died due to non - availability of essential drugs, equipments and inad equate healthcare infrastructure in the country in last three years, State -wise; and
- (h) the measures taken by the Government to improve the condition in the PHC and sub - centres in the country?

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

- (a):      As  per  Rural  Health  Statistics  (RHS)  2014 - 15,  the  number  of  Primary  Health  Centres (PHC)  in  the  country,  State/  UT  wise,  and  the  PHCs  functional  in  tribal  areas  are  gi Annexure I & II.

Contd……

(b) & (c):     Approvals for establishing new PHCs/Renovation of existing ones are provi the States/UTs under NHM based on the requirements projected by the States in their PIPs.

(d) : As per RHS 2014 - 15, 5245 PHCs are functioning as per IPHS norm s, the details of which are given at Annexure -III.  Many PHCs are not able to fulfil IPHS norms because of shortage funds, human resources etc.

(e):     Public health being a state subject, no such data is maintained centrally.

(f):     The number of v acant positions of allopathic doctors at PHCs, pharmacists, laborat technicians and nursing staff at PHCs and CHCs as per the Rural Health Statistics 2014 - 15 is given at Annexure IV to VII.

(g) : No such data is maintained.

(h):      Public Health being a State subject, the primary responsibility to improve the condit in PHCs and Sub - Centres lies with the state governments.  However, under NHM, financial an technical  support  is  provided  to  states  for  strengthening  of  health  care  systems  incl ing  for strengthening PHCs and SHCs.  Over Rs. 1.52 lakh crores have been released to the states NHM since inception.

…………

| NUMBER OF PHCs FUNCTIONIG   | NUMBER OF PHCs FUNCTIONIG   | NUMBER OF PHCs FUNCTIONIG   |
|-----------------------------|-----------------------------|-----------------------------|
| S. No.                      | State/UT                    | (As on 31st March 20 15)    |
| 1                           | Andhra Pradesh              | PHCs 1069                   |
| 2                           | ArunachalPradesh            | 117                         |
| 3                           | Assam                       | 1014                        |
| 4                           | Bihar                       | 1883                        |
| 5                           | Chhattisgarh                | 792                         |
| 6                           | Goa                         | 21                          |
| 7                           | Gujarat                     | 1247                        |
| 8                           | Haryana                     | 461                         |
| 9                           | Himachal Pradesh            | 500                         |
| 10                          | Jammu & Kashmir             | 637                         |
| 11                          | Jharkhand                   | 327                         |
| 12                          | Karnataka                   | 2353                        |
| 13                          | Kerala                      | 827                         |
| 14                          | Madhya Pradesh              | 1171                        |
| 15                          | Maharashtra                 | 1811                        |
| 16                          | Manipur*                    | 85                          |
| 17                          | Meghalaya                   | 110                         |
| 18                          | Mizoram                     | 57                          |
| 19                          | Nagaland                    | 128                         |
| 20                          | Odisha 1                    | 1305                        |
| 21                          | Punjab                      | 427                         |
| 22                          | Rajasthan                   | 2083                        |
| 23                          | Sikkim                      | 24                          |
| 24                          | Tamil Nadu                  | 1372                        |
| 25                          | Telangana                   | 668                         |
| 26                          | Tripura                     | 91                          |
| 27                          | Uttarakhand                 | 257                         |
| 28                          | Uttar Pradesh               | 3497                        |
| 29                          | West Bengal                 | 909                         |
| 30                          | Andaman & Nicobar Islands   | 22                          |

| 31   | Chandigarh           |     0 |
|------|----------------------|-------|
| 32   | Dadra & Nagar Haveli |     7 |
| 33   | Daman & Diu          |     3 |
| 34   | Delhi                |     5 |
| 35   | Lakshadweep          |     4 |
| 36   | Puducherry           |    24 |
|      | All India            | 25308 |

Note:

* Data for 2013 - 14 repeated

1

State informed that PHCs include 79 other hospitals which are equi PHCs

## ANNEXURE - II

| NUMBER OF PHCs IN TRIBAL AREAS   | NUMBER OF PHCs IN TRIBAL AREAS   | NUMBER OF PHCs IN TRIBAL AREAS   |
|----------------------------------|----------------------------------|----------------------------------|
| S.No.                            | State/ UT                        | (As on 31st March, 2015)         |
| 1                                | Andhra Pradesh                   | PHCs 130                         |
| 2                                | Arunachal Pradesh #              | 117                              |
| 3                                | Assam                            | 283                              |
| 4                                | Bihar+                           | 6                                |
| 5                                | Chhattisgarh                     | 411                              |
| 6                                | Goa                              | 8                                |
| 7                                | Gujarat                          | 382                              |
| 8                                | Haryana *                        | 0                                |
| 9                                | Himachal Pradesh                 | 43                               |
| 10                               | Jammu & Kashmir                  | 48                               |
| 11                               | Jharkhand                        | 160                              |
| 12                               | Karnataka                        | 64                               |
| 13                               | Kerala                           | 137                              |
| 14                               | Madhya Pradesh                   | 332                              |
| 15                               | Maharashtra                      | 315                              |
| 16                               | Manipur^                         | 45                               |
| 17                               | Meghalaya #                      | 110                              |
| 18                               | Mizoram #                        | 57                               |
| 19                               | Nagaland #                       | 128                              |
| 20                               | Odisha++                         | 426                              |
| 21                               | Punjab *                         | 0                                |
| 22                               | Rajasthan                        | 210                              |
| 23                               | Sikkim                           | 12                               |
| 24                               | TamilNadu                        | 66                               |
| 25                               | Telangana                        | 93                               |
| 26                               | Tripura                          | 45                               |

| 27   | Uttarakhand      | 10   |
|------|------------------|------|
| 28   | Uttar Pradesh    | NA   |
| 29   | West Bengal      | 304  |
| 30   | A&N Island       | 4    |
| 31   | Chandigarh *     | 0    |
| 32   | D&N Haveli #     | 7    |
| 33   | Daman & Diu      | 0    |
| 34   | Delhi *          | 0    |
| 35   | Lakshadweep# (2) | 4    |
| 36   | Puducherry *     | 0    |
|      | India            | 3957 |

## Notes:

- *: State / UT has no separate Tribal Area / Population;
- #:States are predominantly tribal areas
- ++ State informed that there are 23 other hospitals functioning in tribal ar which are equal to PHCs level facilities
- ^ Data for 2013 - 14 repeated
+ Data for 2010 repeated

NA -Data not available

## ANNEXURE - III

| FACILITIES AT PRIMARY HEALTH CENTRES   | FACILITIES AT PRIMARY HEALTH CENTRES   | FACILITIES AT PRIMARY HEALTH CENTRES      |
|----------------------------------------|----------------------------------------|-------------------------------------------|
|                                        |                                        | (As on 31st March, 2015)                  |
| S.No.                                  | States / UT                            | No. of PHCs Functioning as per IPHS norms |
| 1                                      | Andhra Pradesh                         | 1069                                      |
| 2                                      | Arunachal Pradesh                      | 0                                         |
| 3                                      | Assam                                  | NA                                        |
| 4                                      | Bihar                                  | NA                                        |
| 5                                      | Chhattisgarh                           | 0                                         |
| 6                                      | Goa                                    | 21                                        |
| 7                                      | Gujarat#                               | 358                                       |
| 8                                      | Haryana 1                              | 8                                         |
| 9                                      | Himachal Pradesh                       | 0                                         |
| 10                                     | Jammu & Kashmir                        | NA                                        |
| 11                                     | Jharkhand                              | 0                                         |
| 12                                     | Karnataka                              | 0                                         |
| 13                                     | Kerala                                 | 1                                         |
| 14                                     | Madhya Pradesh                         | 0                                         |
| 15                                     | Maharashtra                            | 693                                       |
| 16                                     | Manipur^                               | 0                                         |
| 17                                     | Meghalaya                              | 0                                         |
| 18                                     | Mizoram                                | 0                                         |
| 19                                     | Nagaland                               | 0                                         |
| 20                                     | Odisha                                 | NA                                        |
| 21                                     | Punjab                                 | NA                                        |
| 22                                     | Rajasthan                              | 555                                       |
| 23                                     | Sikkim                                 | 23                                        |
| 24                                     | Tamil Nadu                             | 1271                                      |
| 25                                     | Telangana                              | 668                                       |
| 26                                     | Tripura                                | 51                                        |

| 27   | Uttarakhand   |   71 |
|------|---------------|------|
| 28   | Uttar Pradesh |  170 |
| 29   | West Bengal   |  223 |
| 30   | A& N Islands  |   21 |
| 31   | Chandigarh    |    0 |
| 32   | D & N Haveli  |    7 |
| 33   | Daman & Diu   |    2 |
| 34   | Delhi         |    5 |
| 35   | Lakshadweep   |    4 |
| 36   | Puducherry    |   24 |
|      | All India 1   | 5245 |

## Notes:

# Data  for 2013 repeated

1

Facility status exclude that of 109 PHCs in Haryana which are co - located with CHCs ^Data for 2013 - 14 repeated

## VACANCY POSITION OF ALLOPATHIC DOCTORS AT PHCs

| S. No.   | State/UT          | Sanctioned   | In Position   | Vacant   |
|----------|-------------------|--------------|---------------|----------|
|          |                   | [S]          | [P]           | [S-P]    |
| 1        | Andhra Pradesh    | 2270         | 1412          | 858      |
| 2        | Arunachal Pradesh | NA           | 102           | NA       |
| 3        | Assam             | NA           | 1355          | NA       |
| 4        | Bihar###          | 2078         | 2521          | *        |
| 5        | Chhattisgarh      | 752          | 368           | 384      |
| 6        | Goa               | 48           | 56            | *        |
| 7        | Gujarat#          | 1504         | 889           | 615      |
| 8        | Haryana           | 635          | 489           | 146      |
| 9        | Himachal Pradesh  | 636          | 571           | 65       |
| 10       | Jammu &Kashmir    | 1352         | 834           | 518      |
| 11       | Jharkhand         | 327          | 372           | *        |
| 12       | Karnataka         | 2353         | 2196          | 157      |
| 13       | Kerala            | 1120         | 1169          | *        |
| 14       | Madhya Pradesh    | 1658         | 999           | 659      |
| 15       | Maharashtra       | 3009         | 2937          | 72       |
| 16       | Manipur^          | 238          | 199           | 39       |
| 17       | Meghalaya         | 128          | 114           | 14       |
| 18       | Mizoram##         | 152          | 49            | 103      |
| 19       | Nagaland          | 108          | 133           | *        |
| 20       | Odisha 3          | 1312         | 1008          | 304      |
| 21       | Punjab            | 490          | 441           | 49       |
| 22       | Rajasthan         | 2807         | 2412          | 395      |
| 23       | Sikkim            | NA           | 29            | NA       |
| 24       | Tamil Nadu        | 2744         | 2375          | 369      |
| 25       | Telangana         | 1318         | 1024          | 294      |
| 26       | Tripura           | 158          | 158           | 0        |
| 27       | Uttarakhand**     | 325          | 160           | 165      |
| 28       | Uttar Pradesh     | 4509         | 2209          | 2300     |
| 29       | West Bengal       | 2600         | 723           | 1877     |
| 30       | A& N Islands      | 42           | 36            | 6        |
| 31       | Chandigarh        | 0            | 0             | 0        |
| 32       | D &NHaveli        | 6            | 8             | *        |
| 33       | Daman &Diu        | 3            | 5             | *        |
| 34       | Delhi             | 21           | 21            | 0        |
| 35       | Lakshadweep       | 9            | 9             | 0        |
| 36       | Puducherry        | 38           | 38            | 0        |
|          | All India 2       | 34750        | 27421         | 9389     |

2014-15

Source: Rural Health Statistics (RHS)

Note: # Data  for 2013 repeated ###Inposition data for 2013-14 & Sanctioned data for 2011 used ^Data for 2013-14 repeated ## Sanctioned data for 2011 used

- 1 One per Primary Health Centre

2 Total given in the Table are not strictly comparable as figures for some of the States were not available in 2005. For calculating the overall percentages of vacancy and shortfall, the States/UTs for which manpower position is not available, may be excluded

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

## VACANCY POSITION OF PHARMACISTS AT PHCs & CHCs

## Annexure - V

| S. No.   | State/UT          | Sanctioned   | In Position   | Vacant   |
|----------|-------------------|--------------|---------------|----------|
|          |                   | [S]          | [P]           | [S- P]   |
| 1        | Andhra Pradesh    | 1279         | 951           | 328      |
| 2        | Arunachal Pradesh | NA           | 97            | NA       |
| 3        | Assam##           | 1284         | 1347          | *        |
| 4        | Bihar+            | 989          | 250           | 739      |
| 5        | Chhattisgarh      | 1081         | 844           | 237      |
| 6        | Goa               | 17           | 16            | 1        |
| 7        | Gujarat#          | 1550         | 879           | 671      |
| 8        | Haryana           | 568          | 508           | 60       |
| 9        | Himachal Pradesh  | 594          | 456           | 138      |
| 10       | Jammu & Kashmir   | 1057         | 872           | 185      |
| 11       | Jharkhand         | 515          | 305           | 210      |
| 12       | Karnataka         | 2668         | 2521          | 147      |
| 13       | Kerala            | 1036         | 1102          | *        |
| 14       | Madhya Pradesh    | 1443         | 1023          | 420      |
| 15       | Maharashtra       | 2355         | 2100          | 255      |
| 16       | Manipur^          | 145          | 146           | *        |
| 17       | Meghalaya         | 135          | 135           | 0        |
| 18       | Mizoram           | NA           | 46            | NA       |
| 19       | Nagaland          | 135          | 101           | 34       |
| 20       | Odisha            | 1819         | 1499          | 320      |
| 21       | Punjab            | 841          | 806           | 35       |
| 22       | Rajasthan         | 1282         | 667           | 615      |
| 23       | Sikkim            | NA           | 14            | NA       |
| 24       | Tamil Nadu        | 1799         | 1526          | 273      |
| 25       | Telangana         | 928          | 691           | 237      |
| 26       | Tripura           | 102          | 131           | *        |
| 27       | Uttarakhand       | 312          | 100           | 212      |
| 28       | Uttar Pradesh     | 2952         | 2883          | 69       |
| 29       | West Bengal       | 1229         | 966           | 263      |
| 30       | A& N Islands      | 62           | 60            | 2        |
| 31       | Chandigarh^^      | 16           | 17            | *        |
| 32       | D & N Haveli      | 7            | 9             | *        |
| 33       | Daman & Diu       | 5            | 5             | 0        |
| 34       | Delhi             | 6            | 6             | 0        |
| 35       | Lakshadweep       | 15           | 15            | 0        |
| 36       | Puducherry        | 42           | 37            | 5        |
|          | All India 2       | 28268        | 23131         | 5456     |

## Source: Rural Health Statistics (RHS) 2014- 15

Notes:

+ Sanctioned data  for 2010 repeated
- # Data  for 2013 repeated
- ^^Sanctioned data for 2013 - 14 used
- 1 One per each Primary Health Centre and Community Health Centre
- 2 Total given in the Table are not strictly comparable as figures for some of the States were not available in 2005. For calculating the overall percentages of vacancy and shortfall, the States/UTs for which manpower position is not available, may be excluded

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

## VACANCY POSITION OF LABORATORY TECHNICIAN AT PHCs & CHCs

| S. No.   | State/UT         | Sanctioned   | In Position   | Vacant   |
|----------|------------------|--------------|---------------|----------|
|          |                  | [S]          | [P]           | [S- P]   |
| 1        | Andhra Pradesh   | 1053         | 776           | 277      |
| 2        | ArunachalPradesh | NA           | 74            | NA       |
| 3        | Assam##          | 860          | 1225          | *        |
| 4        | Bihar+           | 683          | 611           | 72       |
| 5        | Chhattisgarh     | 1069         | 657           | 412      |
| 6        | Goa              | 15           | 14            | 1        |
| 7        | Gujarat#         | 1556         | 1401          | 155      |
| 8        | Haryana          | 517          | 437           | 80       |
| 9        | Himachal Pradesh | 352          | 157           | 195      |
| 10       | Jammu & Kashmir  | 930          | 763           | 167      |
| 11       | Jharkhand        | 515          | 301           | 214      |
| 12       | Karnataka        | 1790         | 1294          | 496      |
| 13       | Kerala           | 324          | 365           | *        |
| 14       | Madhya Pradesh   | 1043         | 892           | 151      |
| 15       | Maharashtra      | 1474         | 1387          | 87       |
| 16       | Manipur^         | 102          | 96            | 6        |
| 17       | Meghalaya        | 118          | 125           | *        |
| 18       | Mizoram          | NA           | 61            | NA       |
| 19       | Nagaland         | 72           | 72            | 0        |
| 20       | Odisha^          | 476          | 378           | 98       |
| 21       | Punjab           | 578          | 482           | 96       |
| 22       | Rajasthan        | 3425         | 1930          | 1495     |
| 23       | Sikkim           | NA           | 31            | NA       |

## Annexure - VI

| 24   | Tamil Nadu    |   2142 |   1314 | 828   |
|------|---------------|--------|--------|-------|
| 25   | Telangana     |    765 |    566 | 199   |
| 26   | Tripura       |     50 |     67 | *     |
| 27   | Uttarakhand   |    127 |    157 | *     |
| 28   | Uttar Pradesh |   1331 |    963 | 368   |
| 29   | West Bengal   |   1185 |    448 | 737   |
| 30   | A& N Islands  |     29 |     27 | 2     |
| 31   | Chandigarh^^  |      8 |     19 | *     |
| 32   | D & N Haveli  |      7 |      9 | *     |
| 33   | Daman & Diu   |      4 |      4 | 0     |
| 34   | Delhi         |      5 |      2 | 3     |
| 35   | Lakshadweep   |     11 |     11 | 0     |
| 36   | Puducherry    |     10 |     38 | *     |
|      | All India 2   |  22626 |  17154 | 6139  |

## Source: Rural Health Statistics (RHS) 2014 -

15

## Notes

+ Sanctioned data  for 2011 repeated
- # Data  for 2013 repeated
- ^Data for 2013 - 14 repeated
- 1 One per each Primary Health Centre and Community Health Centre

2 Total given in the Table are not strictly comparable as figures for some of the Stat were not available in 2005. For calculating the overall percentages of vacancy and shortfall, the States/UTs for which manpower position is not available, may be exclud ed

| VACANCY POSITION OF NURSING STAFF AT PHCs & CHCs   | VACANCY POSITION OF NURSING STAFF AT PHCs & CHCs   | VACANCY POSITION OF NURSING STAFF AT PHCs & CHCs   | VACANCY POSITION OF NURSING STAFF AT PHCs & CHCs   | VACANCY POSITION OF NURSING STAFF AT PHCs & CHCs   |
|----------------------------------------------------|----------------------------------------------------|----------------------------------------------------|----------------------------------------------------|----------------------------------------------------|
| S. No.                                             | State/UT                                           | Sanctioned                                         | In Position                                        | Vacant                                             |
|                                                    |                                                    | [S]                                                | [P]                                                | [S- P]                                             |
| 1                                                  | Andhra Pradesh                                     | 2300                                               | 2006                                               | 294                                                |
| 2                                                  | Arunachal Pradesh                                  | NA                                                 | 319                                                | NA                                                 |
| 3                                                  | Assam##                                            | 2798                                               | 3056                                               | *                                                  |
| 4                                                  | Bihar#                                             | 1662                                               | 1736                                               | *                                                  |
| 5                                                  | Chhattisgarh                                       | 2495                                               | 1511                                               | 984                                                |
| 6                                                  | Goa                                                | 80                                                 | 86                                                 | *                                                  |
| 7                                                  | Gujarat+                                           | 4058                                               | 2705                                               | 1353                                               |
| 8                                                  | Haryana                                            | 1783                                               | 1685                                               | 98                                                 |
| 9                                                  | Himachal Pradesh                                   | 819                                                | 635                                                | 184                                                |
| 10                                                 | Jammu & Kashmir                                    | 1616                                               | 1184                                               | 432                                                |
| 11                                                 | Jharkhand                                          | 703                                                | 1230                                               | *                                                  |
| 12                                                 | Karnataka                                          | 3457                                               | 3176                                               | 281                                                |
| 13                                                 | Kerala                                             | 3610                                               | 3969                                               | *                                                  |
| 14                                                 | Madhya Pradesh                                     | 4189                                               | 3629                                               | 560                                                |
| 15                                                 | Maharashtra                                        | 3218                                               | 2535                                               | 683                                                |
| 16                                                 | Manipur^                                           | 484                                                | 433                                                | 51                                                 |
| 17                                                 | Meghalaya                                          | 413                                                | 413                                                | 0                                                  |
| 18                                                 | Mizoram                                            | NA                                                 | 224                                                | NA                                                 |
| 19                                                 | Nagaland                                           | 117                                                | 378                                                | *                                                  |
| 20                                                 | Odisha^                                            | 903                                                | 1260                                               | *                                                  |
| 21                                                 | Punjab                                             | 2189                                               | 1907                                               | 282                                                |
| 22                                                 | Rajasthan                                          | 13435                                              | 9250                                               | 4185                                               |
| 23                                                 | Sikkim                                             | NA                                                 | 41                                                 | NA                                                 |
| 24                                                 | Tamil Nadu                                         | 8177                                               | 7349                                               | 828                                                |
| 25                                                 | Telangana                                          | 1666                                               | 1453                                               | 213                                                |
| 26                                                 | Tripura                                            | 421                                                | 421                                                | 0                                                  |
| 27                                                 | Uttarakhand                                        | 275                                                | 456                                                | *                                                  |
| 28                                                 | Uttar Pradesh                                      | 4497                                               | 4412                                               | 85                                                 |
| 29                                                 | West Bengal                                        | 8285                                               | 7047                                               | 1238                                               |
| 30                                                 | A& N Islands                                       | 191                                                | 185                                                | 6                                                  |
| 31                                                 | Chandigarh^^                                       | 47                                                 | 99                                                 | *                                                  |
| 32                                                 | D & N Haveli                                       | 8                                                  | 37                                                 | *                                                  |
| 33                                                 | Daman & Diu                                        | 14                                                 | 14                                                 | 0                                                  |
| 34                                                 | Delhi                                              | 5                                                  | 7                                                  | *                                                  |

| 35   | Lakshadweep   |    52 |    52 | 0     |
|------|---------------|-------|-------|-------|
| 36   | Puducherry    |   131 |   139 | *     |
|      | All India 2   | 74098 | 65039 | 11757 |

Source: Rural Health Statistics (RHS) 2014 - 15

## Note:

1

- *:

NA: Not Available.

One per Primary Health Centre and 7 per Community Health Centre

Surplus.

2 Total given in the Table are not strictly comparable as figures for some the States were not available in 2005. For calculating the overall percent of vacancy and shortfall, the States/UTs for which manpower position is no available, ma y be excluded

+ Data  for 2013 repeated

# Data  for 2011 repeated