Lok Sabha Question No. 3898 (UNSTARRED), answered on 2017-03-24
Subject: Infant and Maternal Mortality
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAVINDRA KUMAR PANDEY, NALIN KUMAR KATEEL, NEELAM SONKER, RAVINDRA BABU  PANDULA

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

LOK SABHA UNSTARRED QUESTION NO. 3898 TO BE ANSWERED ON 24 th MARCH, 2017

## INFANT AND MATERNAL MORTALITY

## 3898. SHRI RAVINDRA KUMAR PANDEY: SHRI NALIN KUMAR KATEEL: SHRIMATI NEELAM SONKER: DR. RAVINDRA BABU:

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

- (a)  whether  the  country's  infant mortality  and  maternal  mortality  rates  are very  high  in  the country, if so, the details thereof, State/UT - wise;
- (b) whether the lack of skilled manpower is a major reason for the crisis and if so, the details thereof;
- (c)  whether  the  Government  is  aware that  the  more  cases  of  infant  mortality  and maternal mortality cases are reported from Community Health Centres (CHCs) in the country;
- (d) if so, the details thereof including percentage of SCs/STs in infant and maternal mortality rate;
- (e) whether the Government has taken note that the CHCs do not have required number of medical specialists and ot hersupporting staff; and
- (f) if so, the steps being taken to address the Infant mortality and maternal mortality in backward and remote areas of various States including Jharkhand?

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

- (a) & (b): No . The Infant Mortality rate in India has shown constant decline from 47 1000 live births in the year 2010 to 37 per 1000 live births in 2015, as per the reports Registration System (SRS) publi shed by the Registrar General of India (RGI).

Similarly, Maternal Mortality Ratio (MMR) in India has shown a decline from 212 per 100, live births in the period 2007 - 09 to 167 per 100,000 live births in the period 2011 - 13, according to the SRS Reports.

- (c) & (d): The  RGI  provides  data  on  IMR  and  MMR  for  the  country  and  major  States through its SRS reports. The state - wise details of IMR and MMR over last three years are placed at Annexure - 1 and 2, respectively. However, RGI does not capture disaggregate d data on IMR and MMR category - wise.

(e ): Yes.  The  State - wise  details  of  specialists  and  other  supporting  staff  as  per the  Rural Health Statistics - 2016 of the MoHFW, GOI are placed at Annexure Nos. -3 to 8.

(f): The Government of India is implementing t he following interventions under the National Health Mission (NHM) all across the country , including the state of Jharkhand to reduce infant and maternal mortality :

- i. The  Pradhan  Mantri  Surakshit  Matritva  Abhiyan  (PMSMA)  has  been  launched  by  the Ministry o f Health & Family Welfare (MoHFW), Government of India to provide fixed -day assured, comprehensive and quality antenatal care universally to all pregnant w on the 9th of every month.
- ii. Promotion of Institutional deliveries through cash incentive under J anani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK) which entitles all pregnant women delivering  in  public  health  institutions  to  absolutely  free  ante - natal  check - ups,  delivery including Caesarean section, post - natal care and treatment of sick infants till one year of age.
- iii. Strengthening of delivery points for providing comprehensive and quality Reproduct Maternal,  Newborn,  Child  and  Adolescent  Health  (RMNCH+A)  Services,  ensuring essential newborn care at all delivery points, establishment of Maternal and Child Hea Wings  (MCH),  Special  Newborn  Care  Units  (SNCU),  Newborn  Stabilization  Units (NBSU) and Kangaroo Mother Care (KMC) units for care of sick and small babies. Home Based  Newborn  Care  (HBN C)  is  being  provided  by  ASHAs  to  improve  child  care practices.
- iv. Early initiation and exclusive breastfeeding for first six months and appropriate In Young  Child  Feeding  (IYCF)  practices  are  promoted  in  convergence  with  Ministry  o Women  and  Child  D evelopment.  Village  Health  and  Nutrition  Days  (VHNDs)  are observed for provision of maternal and child health services and creating awarene maternal and child care including health and nutrition education. Ministry of Heal Family Welfare launche d MAA -Mothers' Absolute Affection programme in August 2016 for improving  breastfeeding practices (Initial Breastfeeding within one hour, Exc Breastfeeding up to six months and complementary Breastfeeding up to two years)through mass media and capaci ty building of health care providers in health facilities as well communities.
5. v.Universal Immunization Programme (UIP) is being supported to provide vaccination t children against many life threatening diseases such as Tuberculosis, Diphtheria, Pe ussis, Polio,  Tetanus,  Hepatitis  B  and  Measles.  Pentavalent  vaccine  has  been  introduced across the country and 'Mission Indradhanush' has been launched to fully immunize more than 89 lakh children who are either unvaccinated or partially vaccinated; th ose that have not been covered during the rounds of routine immunization for various reasons.
- vi. Name  based  tracking  of  mothers  and  children  till  two  years  of  age  (Mother  and  Ch Tracking  System)  is  done  to  ensure  complete  antenatal,  intranatal,  postnatal c re  and complete immunization as per schedule.
- vii. Rashtriya Bal Swasthya Karyakram (RBSK) for health screening, early detection of bi defects, diseases, deficiencies, development delays including disability and intervention services has been operat ionalized to provide comprehensive care to all the children in the age group of 0 - 18 years in the community.
- viii. Some other important interventions are Iron and folic acid (IFA) supplementation fo prevention  of  anaemia  among  the  vulnerable  age  groups, home  visits  by  ASHAs  to promote exclusive breast feeding and promote use of ORS and Zinc for management of diarrhoea in children.
- ix. Over 21,000 ambulances are being supported under NHM to interalia transport pregna women to institution for delivery and al so for referral.
10. x.Government  of  India  has  adopted  the  Reproductive,  Maternal,  Newborn,  Child  and Adolescent Health Strategy (RMNCH+A) to improve maternal and child health outcomes. The RMNCH+A strategy recognize that child health and survival is inextrica bly linked to women's  health  across  all  life  stages.  Besides  this,  184  high  priority  districts  with relatively weaker status of maternal and child health indicators have been identif the intensification of RMNCH+A efforts.

## State - wise trend of IMR in India, Source: RGI -Sample Registration System

| State/UTs         | 2012   | 2013   |   2014 |   2015 |
|-------------------|--------|--------|--------|--------|
| India             | 42     | 40     |     39 |     37 |
| Bihar             | 43     | 42     |     42 |     42 |
| Chhattisgarh      | 47     | 46     |     43 |     41 |
| Himachal Pradesh  | 36     | 35     |     32 |     28 |
| Jammu & Kashmir   | 39     | 37     |     34 |     26 |
| Jharkhand         | 38     | 37     |     34 |     32 |
| Madhya Pradesh    | 56     | 54     |     52 |     50 |
| Odisha            | 53     | 51     |     49 |     46 |
| Rajasthan         | 49     | 47     |     46 |     43 |
| Uttar Pradesh     | 53     | 50     |     48 |     46 |
| Uttarakhand       | 34     | 32     |     33 |     34 |
| Arunachal Pradesh | 33     | 32     |     30 |     30 |
| Assam             | 55     | 54     |     49 |     47 |
| Manipur           | 10     | 10     |     11 |      9 |
| Meghalaya         | 49     | 47     |     46 |     42 |
| Mizoram           | 35     | 35     |     32 |     32 |
| Nagaland          | 18     | 18     |     14 |     12 |
| Sikkim            | 24     | 22     |     19 |     18 |
| Tripura           | 28     | 26     |     21 |     20 |
| Andhra Pradesh    | 41     | 39     |     39 |     37 |
| Goa               | 10     | 9      |     10 |      9 |
| Gujarat           | 38     | 36     |     35 |     33 |
| Haryana           | 42     | 41     |     36 |     36 |
| Karnataka         | 32     | 31     |     29 |     28 |
| Kerala            | 12     | 12     |     12 |     12 |
| Maharashtra       | 25     | 24     |     22 |     21 |
| Punjab            | 28     | 26     |     24 |     23 |
| Tamil Nadu        | 21     | 21     |     20 |     19 |
| Telangana         | -      | -      |     35 |     34 |
| West Bengal       | 32     | 31     |     28 |     26 |
| A & N Islands     | 24     | 24     |     22 |     20 |
| Chandigarh        | 20     | 21     |     23 |     21 |
| D & N Haveli      | 33     | 31     |     26 |     21 |
| Daman & Diu       | 22     | 20     |     18 |     18 |
| Delhi             | 25     | 24     |     20 |     18 |
| Lakshadweep       | 24     | 24     |     20 |     20 |
| Puducherry        | 17     | 17     |     14 |     11 |

## State - wise t rend of maternal mortality ratio in the country

Source: RGI

-Sample Registration System

| MATERNAL MORTALITY RATIO (per 1,00,000 live births)   | MATERNAL MORTALITY RATIO (per 1,00,000 live births)   | MATERNAL MORTALITY RATIO (per 1,00,000 live births)   |
|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|
| India/States                                          | 2010-12                                               | 2011-13                                               |
| India                                                 | 178                                                   | 167                                                   |
| Andhra Pradesh                                        | 110                                                   | 92                                                    |
| Assam                                                 | 328                                                   | 300                                                   |
| Bihar/Jharkhand                                       | 219                                                   | 208                                                   |
| Gujarat                                               | 122                                                   | 112                                                   |
| Haryana                                               | 146                                                   | 127                                                   |
| Karnataka                                             | 144                                                   | 133                                                   |
| Kerala                                                | 66                                                    | 61                                                    |
| Madhya Pradesh/Chhattisgarh                           | 230                                                   | 221                                                   |
| Maharashtra                                           | 87                                                    | 68                                                    |
| Odisha                                                | 235                                                   | 222                                                   |
| Punjab                                                | 155                                                   | 141                                                   |
| Rajasthan                                             | 255                                                   | 244                                                   |
| Tamil Nadu                                            | 90                                                    | 79                                                    |
| Uttar Pradesh/Uttarakhand                             | 292                                                   | 285                                                   |
| West Bengal                                           | 117                                                   | 113                                                   |

## Status of Specialists at the Community Health Centres (CHCs) (Source:Rural HealthStatistics - 2016)

| TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   |
|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|
| S. No.                                                                                       | State/UT                                                                                     | (As on 31st March, 2016)                                                                     | (As on 31st March, 2016)                                                                     | (As on 31st March, 2016)                                                                     | (As on 31st March, 2016)                                                                     | (As on 31st March, 2016)                                                                     |
| S. No.                                                                                       | State/UT                                                                                     | Required 1                                                                                   | Sanctioned                                                                                   | In Position                                                                                  | Vacant                                                                                       | Shortfall                                                                                    |
| S. No.                                                                                       | State/UT                                                                                     | [R]                                                                                          | [S]                                                                                          | [P]                                                                                          | [S-P]                                                                                        | [R-P]                                                                                        |
| 1                                                                                            | Andhra Pradesh                                                                               | 772                                                                                          | 384                                                                                          | 159                                                                                          | 225                                                                                          | 613                                                                                          |
| 2                                                                                            | Arunachal Pradesh                                                                            | 252                                                                                          | NA                                                                                           | 4                                                                                            | NA                                                                                           | 248                                                                                          |
| 3                                                                                            | Assam                                                                                        | 604                                                                                          | NA                                                                                           | 131                                                                                          | NA                                                                                           | 473                                                                                          |
| 4                                                                                            | Bihar                                                                                        | 592                                                                                          | NA                                                                                           | 40                                                                                           | NA                                                                                           | 552                                                                                          |
| 5                                                                                            | Chhattisgarh                                                                                 | 620                                                                                          | 620                                                                                          | 61                                                                                           | 559                                                                                          | 559                                                                                          |
| 6                                                                                            | Goa                                                                                          | 16                                                                                           | 5                                                                                            | 5                                                                                            | 0                                                                                            | 11                                                                                           |
| 7                                                                                            | Gujarat                                                                                      | 1288                                                                                         | 186                                                                                          | 148                                                                                          | 38                                                                                           | 1140                                                                                         |
| 8                                                                                            | Haryana                                                                                      | 440                                                                                          | 153                                                                                          | 30                                                                                           | 123                                                                                          | 410                                                                                          |
| 9                                                                                            | Himachal Pradesh                                                                             | 316                                                                                          | NA                                                                                           | 7                                                                                            | NA                                                                                           | 309                                                                                          |
| 10                                                                                           | Jammu & Kashmir                                                                              | 336                                                                                          | 344                                                                                          | 190                                                                                          | 154                                                                                          | 146                                                                                          |
| 11                                                                                           | Jharkhand                                                                                    | 752                                                                                          | 131                                                                                          | 122                                                                                          | 9                                                                                            | 630                                                                                          |
| 12                                                                                           | Karnataka                                                                                    | 824                                                                                          | 824                                                                                          | 498                                                                                          | 326                                                                                          | 326                                                                                          |
| 13                                                                                           | Kerala                                                                                       | 900                                                                                          | 30                                                                                           | 40                                                                                           | *                                                                                            | 860                                                                                          |
| 14                                                                                           | Madhya Pradesh                                                                               | 1336                                                                                         | 1336                                                                                         | 289                                                                                          | 1047                                                                                         | 1047                                                                                         |
| 15                                                                                           | Maharashtra                                                                                  | 1440                                                                                         | 823                                                                                          | 505                                                                                          | 318                                                                                          | 935                                                                                          |
| 16                                                                                           | Manipur                                                                                      | 68                                                                                           | 4                                                                                            | 3                                                                                            | 1                                                                                            | 65                                                                                           |
| 17                                                                                           | Meghalaya##                                                                                  | 108                                                                                          | 3                                                                                            | 12                                                                                           | *                                                                                            | 96                                                                                           |
| 18                                                                                           | Mizoram###                                                                                   | 36                                                                                           | 0                                                                                            | 0                                                                                            | 0                                                                                            | 36                                                                                           |
| 19                                                                                           | Nagaland                                                                                     | 84                                                                                           | NA                                                                                           | 8                                                                                            | NA                                                                                           | 76                                                                                           |
| 20                                                                                           | Odisha                                                                                       | 1508                                                                                         | 908                                                                                          | 354                                                                                          | 554                                                                                          | 1154                                                                                         |
| 21                                                                                           | Punjab                                                                                       | 600                                                                                          | 578                                                                                          | 196                                                                                          | 382                                                                                          | 404                                                                                          |
| 22                                                                                           | Rajasthan                                                                                    | 2284                                                                                         | 1654                                                                                         | 497                                                                                          | 1157                                                                                         | 1787                                                                                         |
| 23                                                                                           | Sikkim                                                                                       | 8                                                                                            | NA                                                                                           | 0                                                                                            | NA                                                                                           | 8                                                                                            |
| 24                                                                                           | Tamil Nadu                                                                                   | 1540                                                                                         | NA                                                                                           | 76                                                                                           | NA                                                                                           | 1464                                                                                         |
| 25                                                                                           | Telangana                                                                                    | 456                                                                                          | 284                                                                                          | 147                                                                                          | 137                                                                                          | 309                                                                                          |
| 26                                                                                           | Tripura                                                                                      | 80                                                                                           | 0                                                                                            | 1                                                                                            | *                                                                                            | 79                                                                                           |
| 27                                                                                           | Uttarakhand                                                                                  | 236                                                                                          | 200                                                                                          | 41                                                                                           | 159                                                                                          | 195                                                                                          |
| 28                                                                                           | Uttar Pradesh                                                                                | 3092                                                                                         | 2099                                                                                         | 484                                                                                          | 1615                                                                                         | 2608                                                                                         |
| 29                                                                                           | West Bengal                                                                                  | 1396                                                                                         | 669                                                                                          | 125                                                                                          | 544                                                                                          | 1271                                                                                         |
| 30                                                                                           | A& N Islands                                                                                 | 16                                                                                           | 9                                                                                            | 0                                                                                            | 9                                                                                            | 16                                                                                           |
| 31                                                                                           | Chandigarh**                                                                                 | 8                                                                                            | 11                                                                                           | 14                                                                                           | *                                                                                            | *                                                                                            |
| 32                                                                                           | D & N Haveli                                                                                 | 0                                                                                            | 0                                                                                            | 0                                                                                            | 0                                                                                            | 0                                                                                            |
| 33                                                                                           | Daman & Diu                                                                                  | 8                                                                                            | 2                                                                                            | 0                                                                                            | 2                                                                                            | 8                                                                                            |
| 34                                                                                           | Delhi                                                                                        | 0                                                                                            | 0                                                                                            | 0                                                                                            | 0                                                                                            | 0                                                                                            |
| 35                                                                                           | Lakshadweep                                                                                  | 12                                                                                           | 0                                                                                            | 0                                                                                            | 0                                                                                            | 12                                                                                           |
| 36                                                                                           | Puducherry                                                                                   | 12                                                                                           | 5                                                                                            | 5                                                                                            | 0                                                                                            | 7                                                                                            |
|                                                                                              | All India 2 / Total                                                                          | 22040                                                                                        | 11262                                                                                        | 4192                                                                                         | 7359                                                                                         | 17854                                                                                        |

Notes:

1

*:

**Sanctioned data for 2013 - 14 used

##Sanctioned data for 2015 used ### Data for 2015 repeated

NA: Not Available.

Four per Community Health Centre

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

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

Annexure: 3

## Stat us of General Duty Medical Officers (GDMOs) -Allopathic at CHCs (Source:Rural HealthStatistics - 2016)

|        | General Duty Medical Officers (GDMOs) -Allopathic at CHCs (As   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs (As   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs (As   |
|--------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| S. No. | State/UT                                                        | Sanctioned                                                      | on 31st March, In Position                                      |
| 1      | Andhra Pradesh                                                  | [S] 312                                                         | [P] 272                                                         |
| 2      | Arunachal Pradesh                                               | NA                                                              | 128                                                             |
| 3      | Assam                                                           | NA                                                              | 350                                                             |
| 4      | Bihar                                                           | NA                                                              | 735                                                             |
| 5      | Chhattisgarh                                                    | 321                                                             | 393                                                             |
| 6      | Goa                                                             | 12                                                              | 10                                                              |
| 7      | Gujarat                                                         | 1049                                                            | 812                                                             |
| 8      | Haryana                                                         | 410                                                             | 265                                                             |
| 9      | Himachal Pradesh                                                | 234                                                             | 220                                                             |
| 10     | Jammu & Kashmir                                                 | 751                                                             | 604                                                             |
| 11     | Jharkhand                                                       | 564                                                             | 594                                                             |
| 12     | Karnataka                                                       | 255                                                             | 218                                                             |
| 13     | Kerala                                                          | 781                                                             | 1019                                                            |
| 14     | Madhya Pradesh                                                  | 1854                                                            | 904                                                             |
| 15     | Maharashtra                                                     | 512                                                             | 486                                                             |
| 16     | Manipur                                                         | 97                                                              | 93                                                              |
| 17     | Meghalaya##                                                     | 91                                                              | 64                                                              |
| 18     | Mizoram                                                         | NA                                                              | 13                                                              |
| 19     | Nagaland                                                        | 42                                                              | 51                                                              |
| 20     | Odisha                                                          | 449                                                             | 722                                                             |
| 21     | Punjab                                                          | 206                                                             | 398                                                             |
| 22     | Rajasthan                                                       | 1442                                                            | 1045                                                            |
| 23     | Sikkim                                                          | NA                                                              | 3                                                               |
| 24     | Tamil Nadu                                                      | 2100                                                            | 1787                                                            |
| 25     | Telangana                                                       | 226                                                             | 197                                                             |
| 26     | Tripura###                                                      | 64                                                              | 58                                                              |
| 27     | Uttarakhand                                                     | 57                                                              | 47                                                              |
| 28     | Uttar Pradesh                                                   | 778                                                             | 778                                                             |
| 29     | West Bengal                                                     | 790                                                             | 876                                                             |
| 30     | A& N Islands                                                    | 13                                                              | 13                                                              |
| 31     | Chandigarh^                                                     | 6                                                               | 18                                                              |
| 32     | D & N Haveli                                                    | 0                                                               | 0                                                               |
| 33     | Daman & Diu                                                     | 4                                                               | 4                                                               |
| 34     | Delhi                                                           | 0                                                               | 0                                                               |
| 35     | Lakshadweep                                                     | 12                                                              | 12                                                              |
| 36     | Puducherry                                                      | 18                                                              | 18                                                              |
| All    | India/Total 2                                                   | 13450                                                           | 13207                                                           |

Notes:

## Data for 2015 used

### Sanctioned data for 2015 used

^ Sanctioned data for 2013 - 14 used

NA: Not Available

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

## Stat us of Radiographers at CHCs (Source: Rural Health Statistics - 2016)

|        |                   | RADIOGRAPHERS at CHCs (As on 31st March, 2016)   | RADIOGRAPHERS at CHCs (As on 31st March, 2016)   | RADIOGRAPHERS at CHCs (As on 31st March, 2016)   | RADIOGRAPHERS at CHCs (As on 31st March, 2016)   | RADIOGRAPHERS at CHCs (As on 31st March, 2016)   |
|--------|-------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| S. No. | State/UT          | Required 1                                       | Sanctioned                                       | In Position                                      | Vacant                                           | Shortfall                                        |
| 1      | Andhra Pradesh    | [R] 193                                          | [S] 96                                           | [P] 37                                           | [S-P] 59                                         | [R-P] 156                                        |
| 2      | Arunachal Pradesh | 63                                               | NA                                               | 7                                                | NA                                               | 56                                               |
| 3      | Assam#            | 151                                              | 145                                              | 59                                               | 86                                               | 92                                               |
| 4      | Bihar##           | 148                                              | 89                                               | 1                                                | 88                                               | 147                                              |
| 5      | Chhattisgarh      | 155                                              | 155                                              | 137                                              | 18                                               | 18                                               |
| 6      | Goa               | 4                                                | 4                                                | 4                                                | 0                                                | 0                                                |
| 7      | Gujarat           | 322                                              | 322                                              | 156                                              | 166                                              | 166                                              |
| 8      | Haryana           | 110                                              | 79                                               | 53                                               | 26                                               | 57                                               |
| 9      | Himachal Pradesh  | 79                                               | 65                                               | 43                                               | 22                                               | 36                                               |
| 10     | Jammu & Kashmir   | 84                                               | 305                                              | 198                                              | 107                                              | *                                                |
| 11     | Jharkhand         | 188                                              | 188                                              | 39                                               | 149                                              | 149                                              |
| 12     | Karnataka         | 206                                              | 206                                              | 167                                              | 39                                               | 39                                               |
| 13     | Kerala            |                                                  | 16                                               | 18                                               | *                                                | 207                                              |
| 14     | Madhya Pradesh    | 225 334                                          | 312                                              | 174                                              | 138                                              | 160                                              |
| 15     | Maharashtra       | 360                                              | 140                                              | 106                                              | 34                                               | 254                                              |
| 16     | Manipur           |                                                  | 13                                               | 13                                               | 0                                                | 4                                                |
| 17     | Meghalaya**       | 17 27                                            | 19                                               | 20                                               | *                                                | 7                                                |
| 18     | Mizoram           | 9                                                | NA                                               | 7                                                | NA                                               | 2                                                |
| 19     | Nagaland          | 21                                               | 1                                                | 1                                                | 0                                                | 20                                               |
| 20     | Odisha            | 377                                              | 61                                               | 56                                               | 5                                                | 321                                              |
| 21     | Punjab            | 150                                              | 171                                              | 139                                              | 32                                               | 11                                               |
| 22     | Rajasthan         | 571                                              | 767                                              | 205                                              | 562                                              | 366                                              |
| 23     | Sikkim            | 2                                                | NA                                               | 0                                                | NA                                               | 2                                                |
| 24     | Tamil Nadu        | 385                                              | 294                                              | 119                                              | 175                                              | 266                                              |
| 25     | Telangana         | 114                                              | 71                                               | 28                                               | 43                                               | 86                                               |
| 26     | Tripura **        | 20                                               | 4                                                | 7                                                | *                                                | 13                                               |
| 27     | Uttarakhand       | 59                                               | 32                                               | 15                                               | 17                                               | 44                                               |
| 28     | Uttar Pradesh     | 773                                              | 230                                              | 82                                               | 148                                              | 691                                              |
| 29     | West Bengal       | 349                                              | 119                                              | 78                                               | 41                                               | 271                                              |
| 30     | A& N Islands      | 4                                                | 0                                                | 0                                                | 0                                                | 4                                                |
| 31     | Chandigarh^^      | 2                                                | 5                                                | 5                                                | 0                                                | *                                                |
| 32     | D & N Haveli      | 0                                                | 0                                                | 0                                                | 0                                                | 0                                                |
| 33     | Daman & Diu       | 2                                                | 3                                                | 3                                                | 0                                                | *                                                |
| 34     | Delhi             | 0                                                | 0                                                | 0                                                | 0                                                | 0                                                |
| 35     | Lakshadweep       | 3                                                | 5                                                | 5                                                | 0                                                | *                                                |
| 36     | Puducherry        | 3                                                | 3                                                | 3                                                | 0                                                | 0                                                |
|        | All India/Total   | 5510                                             | 3920                                             | 1985                                             | 1955                                             | 3645                                             |

Notes:

## Sanctioned data for 2011 used

**Sanctioned data for 2015 used

# Data  for 2013 used

^^Sanctioned data for 2013 - 14 used

1 One per Community Health Centre

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

*: Surplus

NA: Not Available.

## Statusof Pharmacists at PHCs & CHCs ( Source: Rural Health Statistics - 2016)

## PHARMACISTS at PHCs & CHCs

| S. No.   |                   | (As on 31st March, 2016)   | (As on 31st March, 2016)   | (As on 31st March, 2016)   | (As on 31st March, 2016)   | (As on 31st March, 2016)   |
|----------|-------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| S. No.   | State/UT          | Require d 1                | Sanctione d                | In Position                | Vacan t                    | Shortfa ll                 |
| 1        | Andhra Pradesh    | 1268                       | 1325                       | 1069                       | 256                        | 199                        |
| 2        | Arunachal Pradesh | 206                        | NA                         | 89                         | NA                         | 117                        |
| 3        | Assam#            | 1165                       | 1284                       | 1369                       | *                          | *                          |
| 4        | Bihar             | 1950                       | 989                        | 287                        | 702                        | 1663                       |
| 5        | Chhattisgarh      | 945                        | 1064                       | 862                        | 202                        | 83                         |
| 6        | Goa               | 26                         | 17                         | 16                         | 1                          | 10                         |
| 7        | Gujarat           | 1636                       | 1669                       | 1343                       | 326                        | 293                        |
| 8        | Haryana           | 584                        | 568                        | 508                        | 60                         | 76                         |
| 9        | Himachal Pradesh  | 597                        | 594                        | 485                        | 109                        | 112                        |
| 10       | Jammu & Kashmir   | 721                        | 1137                       | 738                        | 399                        | *                          |
| 11       | Jharkhand         | 515                        | 515                        | 236                        | 279                        | 279                        |
| 12       | Karnataka         | 2559                       | 2668                       | 2522                       | 146                        | 37                         |
| 13       | Kerala            | 1049                       | 1036                       | 1102                       | *                          | *                          |
| 14       | Madhya Pradesh    | 1505                       | 3076                       | 2583                       | 493                        | *                          |
| 15       | Maharashtra       | 2171                       | 2355                       | 2112                       | 243                        | 59                         |
| 16       | Manipur           | 102                        | 145                        | 152                        | *                          | *                          |
| 17       | Meghalaya**       | 136                        | 135                        | 164                        | *                          | *                          |
| 18       | Mizoram           | 66                         | NA                         | 50                         | NA                         | 16                         |
| 19       | Nagaland          | 147                        | 114                        | 101                        | 13                         | 46                         |
| 20       | Odisha            | 1682                       | 1819                       | 1650                       | 169                        | 32                         |
| 21       | Punjab            | 577                        | 841                        | 805                        | 36                         | *                          |
| 22       | Rajasthan         | 2651                       | 1240                       | 623                        | 617                        | 2028                       |
| 23       | Sikkim            | 26                         | NA                         | 10                         | NA                         | 16                         |
| 24       | Tamil Nadu        | 1753                       | 1795                       | 1528                       | 267                        | 225                        |
| 25       | Telangana         | 782                        | 928                        | 691                        | 237                        | 91                         |
| 26       | Tripura**         | 114                        | 102                        | 156                        | *                          | *                          |
| 27       | Uttarakhand       | 316                        | 325                        | 307                        | 18                         | 9                          |
| 28       | Uttar Pradesh     | 4270 1258                  | 2952                       | 2883                       | 69                         | 1387                       |
| 29       | West Bengal       |                            | 1300                       | 1067                       | 233                        | 191                        |
| 30       | A& N Islands      | 26                         | 53                         | 49                         | 4                          | *                          |
| 31       | Chandigarh^^      | 5                          | 16                         | 20                         | *                          | *                          |
| 32       | D & N Haveli      | 11                         | 7                          | 11                         | *                          | 0                          |
| 33       | Daman & Diu       | 6                          | 5                          | 7                          | *                          | *                          |
| 34       | Delhi             | 5                          | 7                          | 7                          | 0                          | *                          |
| 35       | Lakshadweep       | 7                          | 15                         | 15                         | 0                          | *                          |
| 36       | Puducherry        | 27                         | 42                         | 37                         | 5                          | *                          |
|          | All India/Total   | 30864                      | 30138                      | 25654                      | 4884                       | 6969                       |

Notes:

# Data  for 2013 used

**Sanctioned data for 2015 used

^^Sanctioned data for 2013 - 14 used

1 One per each Primary Health Centre and Community Health Centre

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

NA: Not Available.

Annexure 7 Status of Laboratory Technicians at PHCs & CHCs (Source: Rural Health Statistics - 2016)

| LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   |
|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
| S. No.                                  | State/UT                                | 1                                       | (As on Sanctioned                       | 31st March, In Position                 | 2016) Vacant                            | Shortfall                               |
|                                         |                                         | Required [R]                            | [S]                                     | [P]                                     | [S-P]                                   | [R-P]                                   |
| 1 2                                     | Andhra Pradesh                          | 1268                                    | 1053                                    | 806                                     | 247                                     | 462                                     |
|                                         | Arunachal Pradesh                       | 206                                     | NA                                      | 123                                     | NA                                      | 83                                      |
| 3                                       | Assam#                                  | 1165                                    | 860                                     | 1260                                    | *                                       | *                                       |
| 4                                       | Bihar                                   | 1950                                    | 683                                     | 611                                     | 72                                      | 1339                                    |
| 5                                       | Chhattisgarh                            | 945                                     | 945                                     | 690                                     | 255                                     | 255                                     |
| 6                                       | Goa                                     | 26                                      | 15                                      | 14                                      | 1                                       | 12                                      |
| 7                                       | Gujarat                                 | 1636                                    | 1649                                    | 1128                                    | 521                                     | 508                                     |
| 8                                       | Haryana                                 | 584                                     | 517                                     | 437                                     | 80                                      | 147                                     |
| 9                                       | Himachal Pradesh                        | 597                                     | 300                                     | 146                                     | 154                                     | 451                                     |
| 10                                      | Jammu & Kashmir                         | 721                                     | 826                                     | 734                                     | 92                                      | *                                       |
| 11                                      | Jharkhand                               | 515                                     | 515                                     | 276                                     | 239                                     | 239                                     |
| 12                                      | Karnataka                               | 2559                                    | 1790                                    | 1532                                    | 258                                     | 1027                                    |
| 13                                      | Kerala                                  | 1049                                    | 324                                     | 365                                     | *                                       | 684                                     |
| 14                                      | Madhya Pradesh                          | 1505                                    | 1731                                    | 1279                                    | 452                                     | 226                                     |
| 15                                      | Maharashtra                             | 2171                                    | 1474                                    | 1411                                    | 63                                      | 760                                     |
| 16                                      | Manipur                                 | 102                                     | 102                                     | 70                                      | 32                                      | 32                                      |
| 17                                      | Meghalaya                               | 136                                     | 118                                     | 148                                     | *                                       | *                                       |
| 18                                      | Mizoram                                 | 66                                      | NA                                      | 81                                      | NA                                      | *                                       |
| 19                                      | Nagaland                                | 147                                     | 72                                      | 73                                      | *                                       | 74                                      |
| 20                                      | Odisha                                  | 1682                                    | 476                                     | 465                                     | 11                                      | 1217                                    |
| 21                                      | Punjab                                  | 577                                     | 737                                     | 670                                     | 67                                      | *                                       |
| 22                                      | Rajasthan                               | 2651                                    | 3571                                    | 1996                                    | 1575                                    | 655                                     |
| 23                                      | Sikkim                                  | 26                                      | NA                                      | 21                                      | NA                                      | 5                                       |
| 24                                      | Tamil Nadu                              | 1753                                    | 2138                                    | 893                                     | 1245                                    | 860                                     |
| 25                                      | Telangana                               | 782                                     | 765                                     | 566                                     | 199                                     | 216                                     |
| 26                                      | Tripura**                               | 114                                     | 50                                      | 86                                      | *                                       | 28                                      |
| 27                                      | Uttarakhand                             | 316                                     | 106                                     | 65                                      | 41                                      | 251                                     |
| 28                                      | Uttar Pradesh                           | 4270                                    | 1331                                    | 963                                     | 368                                     | 3307                                    |
| 29                                      | West Bengal                             | 1258                                    | 1083                                    | 444                                     | 639                                     | 814                                     |
| 30                                      | A& N Islands                            | 26                                      | 23                                      | 19                                      | 4                                       | 7                                       |
| 31                                      | Chandigarh^^                            | 5                                       | 8                                       | 16                                      | *                                       | *                                       |
| 32                                      | D & N Haveli                            | 11                                      | 7                                       | 15                                      | *                                       | *                                       |
| 33                                      | Daman & Diu                             | 6                                       | 4                                       | 6                                       | *                                       | 0                                       |
| 34                                      | Delhi                                   | 5                                       | 5                                       | 5                                       | 0                                       | 0                                       |
| 35                                      | Lakshadweep                             | 7                                       | 11                                      | 11                                      | 0                                       | *                                       |
| 36                                      | Puducherry                              | 27                                      | 10                                      | 38                                      | *                                       | *                                       |
|                                         | All India/Total                         | 30864                                   | 23299                                   | 17463                                   | 6615                                    | 13659                                   |

Notes:

# Data  for 2013 used

**Sanctioned data for 2015 used

^^Sanctioned data for 2013 - 14 used

1 One per each Primary Health Centre and Community Health Centre

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

*:

Surplus.

NA: Not Available.

## Status of Nursing Staff at PHCs & CHCs (Source: Rural Health S tatistics - 2016)

|       |                   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   |
|-------|-------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|
| S.    | State/UT          | Required 1                     | (As on Sanctioned              | 31st March, In Position        | 2016) Vacant                   | Shortfall 1                    |
| No.   | Andhra Pradesh    | [R1]                           | [S]                            | [P]                            | [S-P]                          | [R1-P]                         |
| 1 2   | Arunachal Pradesh | 2426 584                       | 5117                           | 4672                           | 445                            | * 95                           |
| 3     | Assam#            | 2071                           | NA 2798                        | 489 2552                       | NA 246                         | *                              |
| 4     | Bihar##           | 2838                           | 1662                           | 1884                           | *                              | 954                            |
| 5     | Chhattisgarh      | 1875                           | 2335                           | 1476                           | 859                            | 399                            |
| 6     | Goa               | 50                             | 80                             | 86                             | *                              | *                              |
| 7     | Gujarat           | 3568                           | 3203                           | 2710                           | 493                            | 858                            |
| 8     | Haryana           | 1244                           | 1783                           | 1685                           | 98                             | *                              |
| 9     | Himachal          |                                |                                |                                |                                | 405                            |
|       | Pradesh           | 1071                           | 837                            | 666                            | 171                            |                                |
| 10    | Jammu & Kashmir   | 1225                           | 1410                           | 1391                           | 19                             | *                              |
| 11    | Jharkhand         | 1643                           | 703                            | 1054                           | *                              | 589                            |
| 12 13 | Karnataka Kerala  | 3795                           | 3459                           | 3293                           | 166                            | 502                            |
|       |                   | 2399                           | 3610                           | 3969                           | *                              | *                              |
| 14    | Madhya Pradesh    | 3509                           | 4624                           | 3463                           | 1161                           | 46                             |
| 16    | Manipur           | 4331                           | 3218                           | 2429 397                       | 789 87                         | 1902 *                         |
|       |                   | 204                            | 484                            |                                |                                |                                |
| 17    | Meghalaya**       | 298                            | 413                            | 582                            | *                              | *                              |
| 18    | Mizoram Nagaland  | 120                            | NA                             | 219                            | NA                             | *                              |
| 19    |                   | 273                            | 175                            | 334                            | *                              | *                              |
| 20 21 | Odisha Punjab     | 3944                           | 903                            | 1411 2124                      | * 65                           | 2533                           |
| 22    | Rajasthan         | 1477 6077                      | 2189 13435                     | 9311                           | 4124                           | * *                            |
|       | Sikkim            | 38                             | NA                             | 44                             | NA                             | *                              |
| 23 24 | Tamil Nadu        | 4063                           | 8133                           | 7172                           | 961                            | *                              |
| 25    | Telangana         | 1466                           | 1666                           | 1453                           | 213                            | 13                             |
| 26    | Tripura **        | 234                            | 421                            | 540                            | *                              | *                              |
| 27    | Uttarakhand       | 670                            | 307                            | 349                            | *                              | 321                            |
| 28    | Uttar Pradesh     | 8908                           | 4497                           | 4412                           | 85                             | 4496                           |
| 29    | West Bengal       | 3352                           | 10677                          | 8403                           | 2274                           |                                |
|       |                   |                                |                                |                                |                                | *                              |
| 30    | A& N Islands      | 50                             | 138                            | 129                            | 9                              | *                              |
| 31    | Chandigarh^^      | 17                             | 47                             | 79                             | *                              | *                              |
| 32    | D & N Haveli      | 11                             | 8                              | 32                             | *                              | *                              |
| 33    | Daman & Diu       | 18                             | 14                             | 16                             | *                              | 2                              |
| 34    | Delhi             | 5                              | 5                              | 7                              | *                              | *                              |
| 35    | Lakshadweep       | 25                             | 52                             | 52                             | 0                              | *                              |
| 36    | Puducherry        | 45                             | 127                            | 137                            | *                              | *                              |
|       | All India/Total   | 63924                          | 78530                          | 69022                          | 12265                          | 13115                          |

Notes:

# Data for 2013 used

## Sanctioned data for 2011 used

**Sanctioned data for 2015 used

^^Sanctioned data for 2013 - 14 used

- 1 One per Primary Health Centre and seven per Community Health Centre

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

States / UTs

- *: Surplus.

NA: Not Available.