Lok Sabha Question No. 1853 (UNSTARRED), answered on 2017-12-29
Subject: Shortage of Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAMA DEVI

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

LOK SABHA UNSTARRED QUESTION NO. 1853 TO BE ANSWERED ON   29 TH DECEMBER, 2017

## SHORTAGE OF HOSPITAL S

## 1853. SHRIMATI RAMA DEVI:

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

- (a) whether there is shortage of hospitals and medical centres proportionate to the popu the country, if so, the details thereof, State/ UT -wise; and
- (b) the efforts made by t he Government to address the said problem?

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

- (a):     As per Rural Health Statistics 2017, there is  shortage of hospitals and medical centres in the rural areas as per 2011 population. The shortfall in health infrastructure at the l centres, Primary Health Centres, and Community Health Centres, State/ UT - wise,  is  given  at Annexure.
- (b): Public Health and hospitals is a State Subject and therefore the primary responsib providing health care services to the citizens lies with the respective State/UT Governme the responsibility of the State government to ensure availability of the adequate number of health facilities  as  per  requirement  of  the  State.  However,  Under  National  Health  Mission  (N support  is  extended  to  States/UTs  to  strengthen  their  healthcare  system  for  provis accessible, affordable and quality health c are to all the citizens based on proposals submitted by the States / UTs in their Programme Implementation Plans. Approvals are given in accord with the Gap Analysis, population norms and case load in the facilities of the State as d the Natio nal  Programme  Coordination  Committee  ( NPCC)  meetings,  within  the  resource envelope available for particular State/UT.

………………..

| SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2017)   |
|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|
| S.No.                                                                                         | State/ UT                                                                                     | Total Population in Rural Areas                                                               | Tribal Population in Rural Areas                                                              | Sub Centres                                                                                   | Sub Centres                                                                                   | Sub Centres                                                                                   | Sub Centres                                                                                   | PHCs                                                                                          | PHCs                                                                                          | PHCs                                                                                          | PHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          |
| S.No.                                                                                         | State/ UT                                                                                     | Total Population in Rural Areas                                                               | Tribal Population in Rural Areas                                                              | R                                                                                             | P                                                                                             | S                                                                                             | % Shortfall                                                                                   | R                                                                                             | P                                                                                             | S                                                                                             | % Shortfall                                                                                   | R                                                                                             | P                                                                                             | S                                                                                             | % Shortfall                                                                                   |
| 1                                                                                             | Andhra Pradesh                                                                                | 34776389                                                                                      | 2293102                                                                                       | 7261                                                                                          | 7458                                                                                          | *                                                                                             | *                                                                                             | 1197                                                                                          | 1147                                                                                          | 50                                                                                            | 4                                                                                             | 299                                                                                           | 193                                                                                           | 106                                                                                           | 35                                                                                            |
| 2                                                                                             | Arunachal Pradesh                                                                             | 1066358                                                                                       | 789846                                                                                        | 318                                                                                           | 312                                                                                           | 6                                                                                             | 2                                                                                             | 48                                                                                            | 143                                                                                           | *                                                                                             | *                                                                                             | 12                                                                                            | 63                                                                                            | *                                                                                             | *                                                                                             |
| 3                                                                                             | Assam                                                                                         | 26807034                                                                                      | 3665405                                                                                       | 5850                                                                                          | 4621                                                                                          | 1229                                                                                          | 21                                                                                            | 954                                                                                           | 1014                                                                                          | *                                                                                             | *                                                                                             | 238                                                                                           | 158                                                                                           | 80                                                                                            | 34                                                                                            |
| 4                                                                                             | Bihar                                                                                         | 92341436                                                                                      | 1270851                                                                                       | 18637                                                                                         | 9949                                                                                          | 8688                                                                                          | 47                                                                                            | 3099                                                                                          | 1899                                                                                          | 1200                                                                                          | 39                                                                                            | 774                                                                                           | 150                                                                                           | 624                                                                                           | 81                                                                                            |
| 5                                                                                             | Chhattisgarh                                                                                  | 19607961                                                                                      | 7231082                                                                                       | 4885                                                                                          | 5186                                                                                          | *                                                                                             | *                                                                                             | 774                                                                                           | 785                                                                                           | *                                                                                             | *                                                                                             | 193                                                                                           | 169                                                                                           | 24                                                                                            | 12                                                                                            |
| 6                                                                                             | Goa                                                                                           | 551731                                                                                        | 87639                                                                                         | 122                                                                                           | 214                                                                                           | *                                                                                             | *                                                                                             | 19                                                                                            | 24                                                                                            | *                                                                                             | *                                                                                             | 4                                                                                             | 4                                                                                             | 0                                                                                             | 0                                                                                             |
| 7                                                                                             | Gujarat                                                                                       | 34694609                                                                                      | 8021848                                                                                       | 8008                                                                                          | 9082                                                                                          | *                                                                                             | *                                                                                             | 1290                                                                                          | 1392                                                                                          | *                                                                                             | *                                                                                             | 322                                                                                           | 363                                                                                           | *                                                                                             | *                                                                                             |
| 8                                                                                             | Haryana                                                                                       | 16509359                                                                                      | 0                                                                                             | 3301                                                                                          | 2589                                                                                          | 712                                                                                           | 22                                                                                            | 550                                                                                           | 366                                                                                           | 184                                                                                           | 33                                                                                            | 137                                                                                           | 112                                                                                           | 25                                                                                            | 18                                                                                            |
| 9                                                                                             | Himachal Pradesh                                                                              | 6176050                                                                                       | 374392                                                                                        | 1285                                                                                          | 2083                                                                                          | *                                                                                             | *                                                                                             | 212                                                                                           | 538                                                                                           | *                                                                                             | *                                                                                             | 53                                                                                            | 89                                                                                            | *                                                                                             | *                                                                                             |
| 10                                                                                            | Jammu & Kashmir                                                                               | 9108060                                                                                       | 1406833                                                                                       | 2009                                                                                          | 2967                                                                                          | *                                                                                             | *                                                                                             | 327                                                                                           | 637                                                                                           | *                                                                                             | *                                                                                             | 81                                                                                            | 84                                                                                            | *                                                                                             | *                                                                                             |
| 11                                                                                            | Jharkhand                                                                                     | 25055073                                                                                      | 7868150                                                                                       | 6060                                                                                          | 3848                                                                                          | 2212                                                                                          | 37                                                                                            | 966                                                                                           | 297                                                                                           | 669                                                                                           | 69                                                                                            | 241                                                                                           | 188                                                                                           | 53                                                                                            | 22                                                                                            |
| 12                                                                                            | Karnataka                                                                                     | 37469335                                                                                      | 3429791                                                                                       | 7951                                                                                          | 9381                                                                                          | *                                                                                             | *                                                                                             | 1306                                                                                          | 2359                                                                                          | *                                                                                             | *                                                                                             | 326                                                                                           | 206                                                                                           | 120                                                                                           | 37                                                                                            |
| 13                                                                                            | Kerala                                                                                        | 17471135                                                                                      | 433092                                                                                        | 3551                                                                                          | 5380                                                                                          | *                                                                                             | *                                                                                             | 589                                                                                           | 849                                                                                           | *                                                                                             | *                                                                                             | 147                                                                                           | 232                                                                                           | *                                                                                             | *                                                                                             |
| 14                                                                                            | Madhya Pradesh                                                                                | 52557404                                                                                      | 14276874                                                                                      | 12415                                                                                         | 9192                                                                                          | 3223                                                                                          | 26                                                                                            | 1989                                                                                          | 1171                                                                                          | 818                                                                                           | 41                                                                                            | 497                                                                                           | 309                                                                                           | 188                                                                                           | 38                                                                                            |
| 15                                                                                            | Maharashtra                                                                                   | 61556074                                                                                      | 9006077                                                                                       | 13512                                                                                         | 10580                                                                                         | 2932                                                                                          | 22                                                                                            | 2201                                                                                          | 1814                                                                                          | 387                                                                                           | 18                                                                                            | 550                                                                                           | 360                                                                                           | 190                                                                                           | 35                                                                                            |
| 16                                                                                            | Manipur                                                                                       | 2021640                                                                                       | 791126                                                                                        | 509                                                                                           | 421                                                                                           | 88                                                                                            | 17                                                                                            | 80                                                                                            | 85                                                                                            | *                                                                                             | *                                                                                             | 20                                                                                            | 17                                                                                            | 3                                                                                             | 15                                                                                            |
| 17                                                                                            | Meghalaya                                                                                     | 2371439                                                                                       | 2136891                                                                                       | 759                                                                                           | 436                                                                                           | 323                                                                                           | 43                                                                                            | 114                                                                                           | 109                                                                                           | 5                                                                                             | 4                                                                                             | 28                                                                                            | 27                                                                                            | 1                                                                                             | 4                                                                                             |
| 18                                                                                            | Mizoram                                                                                       | 525435                                                                                        | 507467                                                                                        | 172                                                                                           | 370                                                                                           | *                                                                                             | *                                                                                             | 25                                                                                            | 57                                                                                            | *                                                                                             | *                                                                                             | 6                                                                                             | 9                                                                                             | *                                                                                             | *                                                                                             |
| 19                                                                                            | Nagaland                                                                                      | 1407536                                                                                       | 1306838                                                                                       | 455                                                                                           | 396                                                                                           | 59                                                                                            | 13                                                                                            | 68                                                                                            | 126                                                                                           | *                                                                                             | *                                                                                             | 17                                                                                            | 21                                                                                            | *                                                                                             | *                                                                                             |
| 20                                                                                            | Odisha                                                                                        | 34970562                                                                                      | 8994967                                                                                       | 8193                                                                                          | 6688                                                                                          | 1505                                                                                          | 18                                                                                            | 1315                                                                                          | 1280                                                                                          | 35                                                                                            | 3                                                                                             | 328                                                                                           | 370                                                                                           | *                                                                                             | *                                                                                             |
| 21                                                                                            | Punjab                                                                                        | 17344192                                                                                      | 0                                                                                             | 3468                                                                                          | 2950                                                                                          | 518                                                                                           | 15                                                                                            | 578                                                                                           | 432                                                                                           | 146                                                                                           | 25                                                                                            | 144                                                                                           | 151                                                                                           | *                                                                                             | *                                                                                             |

Annexure

| 22   | Rajasthan        |   51500352 |   8693123 |   11459 |   14406 | *     | *    |   1861 |   2079 | *    | *   |   465 |   579 | *    | *   |
|------|------------------|------------|-----------|---------|---------|-------|------|--------|--------|------|-----|-------|-------|------|-----|
| 23   | Sikkim           |     456999 |    167146 |     113 |     147 | *     | *    |     18 |     24 | *    | *   |     4 |     2 | 2    | 50  |
| 24   | Tamil Nadu       |   37229590 |    660280 |    7533 |    8712 | *     | *    |   1251 |   1362 | *    | *   |   312 |   385 | *    | *   |
| 25   | Telangana        |   21585313 |   2939027 |    4708 |    4797 | *     | *    |    768 |    689 | 79   | 10  |   192 |   114 | 78   | 41  |
| 26   | Tripura          |    2712464 |   1117566 |     691 |     987 | *     | *    |    109 |     93 | 16   | 15  |    27 |    21 | 6    | 22  |
| 27   | Uttarakhand      |    7036954 |    264819 |    1442 |    1847 | *     | *    |    238 |    257 | *    | *   |    59 |    60 | *    | *   |
| 28   | Uttar Pradesh    |  155317278 |   1031076 |   31200 |   20521 | 10679 | 34   |   5194 |   3621 | 1573 | 30  |  1298 |   822 | 476  | 37  |
| 29   | West Bengal      |   62183113 |   4855115 |   13083 |   10369 | 2714  | 21   |   2153 |    914 | 1239 | 58  |   538 |   349 | 189  | 35  |
| 30   | A & N Islands    |     237093 |     26715 |      50 |     123 | *     | *    |      8 |     22 | *    | *   |     2 |     4 | *    | *   |
| 31   | Chandigarh       |      28991 |         0 |       5 |      17 | *     | *    |      0 |      3 | *    | *   |     0 |     2 | *    | *   |
| 32   | D & N Haveli     |     183114 |    150944 |      56 |      71 | - 15  | - 27 |      8 |      9 | *    | *   |     2 |     2 | 0    | 0   |
| 33   | Daman & Diu      |      60396 |      7617 |      13 |      26 | *     | *    |      2 |      4 | *    | *   |     0 |     2 | *    | *   |
| 34   | Delhi            |     419042 |         0 |      83 |      10 | 73    | 88   |     13 |      5 | 8    | 62  |     3 |     0 | 3    | 100 |
| 35   | Lakshadweep      |      14141 |     13463 |       4 |      14 | *     | *    |      0 |      4 | *    | *   |     0 |     3 | *    | *   |
| 36   | Puducherry       |     395200 |         0 |      79 |      81 | *     | *    |     13 |     40 | *    | *   |     3 |     4 | *    | *   |
|      | All India/ Total |  833748852 |  93819162 |  179240 |  156231 | 34946 | 19   |  29337 |  25650 | 6409 | 22  |  7322 |  5624 | 2168 | 30  |

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

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