Lok Sabha Question No. 3848 (UNSTARRED), answered on 2017-03-24
Subject: Primary Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NIHAL CHAND CHAUHAN, RAJESHBHAI NARANBHAI CHUDASAMA, KAUSHALENDRA KUMAR

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

LOK SABHA UNSTARRED QUESTION NO. 3848 TO BE ANSWERED ON 24 th MARCH, 2017

## PRIMARY HEALTH CENTR ES

## 3848. SHRI NIHAL CHAND: SHRI RAJESHBHAI CHUDASAMA: SHRI KAUSHALENDRA KUMAR:

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

- (a) the Primary Health Centres (PHC) operating in the country, State - wise;
- (b) whether there is a shortage of doctors, trained staff and medical equipmentsin these PHCs especially in rural areas;
- (c) if so, the steps taken to remove these shortcomings;
- (d) whether the Government has received proposals to open new PHC from the States and if so, the details thereof; and
- (e) if so, the funds allocated for this purpose?

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

- (a): The Primary Health Centres (PHC) operating in the Country, State/ UT wise, as per R Health Statisti cs (RHS) 2016 is given at Annexure -I.
- (b): There is some shortage of doctors, trained staff and medical equipments in PHCs in areas. The details of shortfall of doctors and health assistants in PHCs is given at Annex
- (c): Public health being a State subject, the primary responsibility to ensure availab doctors,  trained  staff  and  medical  equipments  in  public  health  facilities  lies  with Governments.  However,  under  the  National  Health  Mission  (NHM),  financial and  technical support is provided to States/UTs to strengthen their healthcare systems including procu of  equipments  and  insourcing  or  engagement  of  doctors  and  other  medical  personnel contractual  basis,  based  on  the  requirements  posed  by  the  Sta tes/UTs  in  their  Programme Implementation Plans (PIPs).

Support is also provided to States/UTs for hard area allowance to doctors for serv rural and remote areas and for their residential quarters so that they find it attractiv public health facilities in such areas.

Some  states  have  introduced  mandatory  rural  postings  for  medical  graduates  fr government institutes to improve the availability of doctors.

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

- (i) 50%  reservation  in  Post  Graduate  Diploma  Courses  for  Medical  Officers  in  th Government service, who have served for at least three years in remote and difficu areas; and
- (ii) Incentive at the rate of 10% the marks obtained for each year in service in rem difficult areas as upto the maximum of 30% of the marks obtained in the entrance for ad missions in Post Graduate Medical Courses.

(d): The proposals in the form of Programme Implementation Plans for 2017 - 18 that   may include  opening  new  PHCs  are  available  at ' http://nrhm.gov.in/nrhm - in - state/state - programimplementation - plans pips.html'

(e): Under  the  NHM,  funds  are  allocated  to  the  States/  UTs  pool - wise  andnot  individual activity - wise.    The  details  regarding  funds  approved  for  construction  of  new  PHCs  and renovation  of  PHCs  in  the  year  2016 - 17  as  per  the  proposals  from  the  States  are  given  at Annexure-III.

## Annexure - I

| NUMBER OF PRIMARY HEALTH CENTRES (PHCs ) FUNCTIONING AS ON 31 ST   | NUMBER OF PRIMARY HEALTH CENTRES (PHCs ) FUNCTIONING AS ON 31 ST   | NUMBER OF PRIMARY HEALTH CENTRES (PHCs ) FUNCTIONING AS ON 31 ST   |
|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
| March 2016 S. No.                                                  | per RHS 2016 State/UT                                              | Nos                                                                |
| 1                                                                  | Andhra Pradesh                                                     | 1075                                                               |
| 2                                                                  | Arunachal Pradesh                                                  | 143                                                                |
| 3                                                                  | Assam                                                              | 1014                                                               |
| 4                                                                  | Bihar                                                              | 1802                                                               |
| 5                                                                  | Chhattisgarh                                                       | 790                                                                |
| 6                                                                  | Goa                                                                | 22                                                                 |
| 7                                                                  | Gujarat                                                            | 1314                                                               |
| 8                                                                  | Haryana                                                            | 474                                                                |
| 9                                                                  | Himachal Pradesh                                                   | 518                                                                |
| 10                                                                 | Jammu & Kashmir                                                    | 637                                                                |
| 11                                                                 | Jharkhand                                                          | 327                                                                |
| 12                                                                 | Karnataka                                                          | 2353                                                               |
| 13                                                                 | Kerala                                                             | 824                                                                |
| 14                                                                 | Madhya Pradesh                                                     | 1171                                                               |
| 15                                                                 | Maharashtra                                                        | 1811                                                               |
| 16                                                                 | Manipur                                                            | 85                                                                 |
| 17                                                                 | Meghalaya                                                          | 109                                                                |
| 18                                                                 | Mizoram                                                            | 57                                                                 |
| 19                                                                 | Nagaland                                                           | 126                                                                |
| 20                                                                 | Odisha 1                                                           | 1305                                                               |
| 21                                                                 | Punjab                                                             | 427                                                                |
| 22                                                                 | Rajasthan                                                          | 2080                                                               |
| 23                                                                 | Sikkim                                                             | 24                                                                 |
| 24                                                                 | Tamil Nadu                                                         | 1368                                                               |
| 25                                                                 | Telangana                                                          | 668                                                                |
| 26                                                                 | Tripura                                                            | 94                                                                 |
| 27                                                                 | Uttarakhand                                                        | 257                                                                |
| 28                                                                 | Uttar Pradesh                                                      | 3497                                                               |
| 29                                                                 | West Bengal                                                        | 909                                                                |
| 30                                                                 | Andaman & Nicobar Islands                                          | 22                                                                 |
| 31                                                                 | Chandigarh                                                         | 3                                                                  |
| 32                                                                 | Dadra & Nagar Haveli                                               | 11                                                                 |
| 33                                                                 | Daman & Diu                                                        | 4                                                                  |
| 34                                                                 | Delhi                                                              | 5                                                                  |
| 35                                                                 | Lakshadweep                                                        | 4                                                                  |
| 36                                                                 | Puducherry                                                         | 24                                                                 |
| TOTAL                                                              |                                                                    | 25354                                                              |

| Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   | Status of PHCs functioning, Manpower (Doctors, Health Assistants Male, 31st March 2016)   |
|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| S. No.                                                                                    | State/UT                                                                                  | No. of PHCs FUNCTIO NING                                                                  | DOCTORS+ AT                                                                               | DOCTORS+ AT                                                                               | DOCTORS+ AT                                                                               | HEALTH ASSISTANTS [FEMALE] / LHV at PHCs                                                  | HEALTH ASSISTANTS [FEMALE] / LHV at PHCs                                                  | HEALTH ASSISTANTS [FEMALE] / LHV at PHCs                                                  | HEALTH ASSISTANT [MALE] at PHCs                                                           | HEALTH ASSISTANT [MALE] at PHCs                                                           |
| S. No.                                                                                    | State/UT                                                                                  | No. of PHCs FUNCTIO NING                                                                  | Required 1                                                                                | In Position                                                                               | Shortf all                                                                                | Require d 1                                                                               | In Position                                                                               | Shortfal l Required                                                                       | In Positi on                                                                              | Shortfall                                                                                 |
| S. No.                                                                                    | State/UT                                                                                  | No. of PHCs FUNCTIO NING                                                                  | [R]                                                                                       | [P]                                                                                       | [R-P]                                                                                     | [R]                                                                                       | [P]                                                                                       | [R-P] [R]                                                                                 | [P]                                                                                       | [R-P]                                                                                     |
| 1                                                                                         | Andhra Pradesh                                                                            | 1075                                                                                      | 1075                                                                                      | 1412                                                                                      | *                                                                                         | 1075                                                                                      | 3038                                                                                      | * 1075                                                                                    | 3457                                                                                      | *                                                                                         |
| 2                                                                                         | Arunachal Pradesh                                                                         | 143                                                                                       | 143                                                                                       | 122                                                                                       | 21                                                                                        | 143                                                                                       | 6                                                                                         | 137 143                                                                                   | 81                                                                                        | 62                                                                                        |
| 3                                                                                         | Assam                                                                                     | 1014                                                                                      | 1014                                                                                      | 932                                                                                       | 82                                                                                        | 1014                                                                                      | 308                                                                                       | 706 1014                                                                                  | 106                                                                                       | 908                                                                                       |
| 4                                                                                         | Bihar                                                                                     | 1802                                                                                      | 1802                                                                                      | 1786                                                                                      | 16                                                                                        | 1802                                                                                      | 95                                                                                        | 1707 1802                                                                                 | 212                                                                                       | 1590                                                                                      |
| 5                                                                                         | Chhattisgarh                                                                              | 790                                                                                       | 790                                                                                       | 344                                                                                       | 446                                                                                       | 790                                                                                       | 576                                                                                       | 214 790                                                                                   | 459                                                                                       | 331                                                                                       |
| 6                                                                                         | Goa                                                                                       | 22                                                                                        | 22                                                                                        | 56                                                                                        | *                                                                                         | 22                                                                                        | 9                                                                                         | 13 22                                                                                     | 0                                                                                         | 22                                                                                        |
| 7                                                                                         | Gujarat                                                                                   | 1314                                                                                      | 1314                                                                                      | 1105                                                                                      | 209                                                                                       | 1314                                                                                      | 1007                                                                                      | 307 1314                                                                                  | 862                                                                                       | 452                                                                                       |
| 8                                                                                         | Haryana                                                                                   | 474                                                                                       | 474                                                                                       | 489                                                                                       | *                                                                                         | 474                                                                                       | 286                                                                                       | 188 474                                                                                   | 233                                                                                       | 241                                                                                       |
| 9                                                                                         | Himachal Pradesh                                                                          | 518                                                                                       | 518                                                                                       | 424                                                                                       | 94                                                                                        | 518                                                                                       | 127                                                                                       | 391 518                                                                                   | 69                                                                                        | 449                                                                                       |
| 10                                                                                        | Jammu & Kashmir                                                                           | 637                                                                                       | 637                                                                                       | 761                                                                                       | *                                                                                         | 637                                                                                       | 105                                                                                       | 532 637                                                                                   | 26                                                                                        | 611                                                                                       |
| 11                                                                                        | Jharkhand                                                                                 | 327                                                                                       | 327                                                                                       | 271                                                                                       | 56                                                                                        | 327                                                                                       | 19                                                                                        | 308 327                                                                                   | 19                                                                                        | 308                                                                                       |
| 12                                                                                        | Karnataka                                                                                 | 2353                                                                                      | 2353                                                                                      | 2133                                                                                      | 220                                                                                       | 2353                                                                                      | 1038                                                                                      | 1315 2353                                                                                 | 3378                                                                                      | *                                                                                         |
| 13                                                                                        | Kerala                                                                                    | 824                                                                                       | 824                                                                                       | 1169                                                                                      | *                                                                                         | 824                                                                                       | 13                                                                                        | 811 824                                                                                   | 2197                                                                                      | *                                                                                         |
| 14                                                                                        | Madhya Pradesh                                                                            | 1171                                                                                      | 1171                                                                                      | 946                                                                                       | 225                                                                                       | 1171                                                                                      | 1314                                                                                      | * 1171                                                                                    | 288                                                                                       | 883                                                                                       |
| 15                                                                                        | Maharashtr a                                                                              | 1811                                                                                      | 1811                                                                                      | 2927                                                                                      | *                                                                                         | 1811                                                                                      | 1800                                                                                      | 11 1811                                                                                   | 1620                                                                                      | 191                                                                                       |
| 16                                                                                        | Manipur                                                                                   | 85                                                                                        | 85                                                                                        | 194                                                                                       | *                                                                                         | 85                                                                                        | 59                                                                                        | 26 85                                                                                     | 65                                                                                        | 20                                                                                        |
| 17                                                                                        | Meghalaya                                                                                 | 109                                                                                       | 109                                                                                       | 105                                                                                       | 4                                                                                         | 109                                                                                       | 75                                                                                        | 34 109                                                                                    | 61                                                                                        | 48                                                                                        |
| 18                                                                                        | Mizoram                                                                                   | 57                                                                                        | 57                                                                                        | 71                                                                                        | *                                                                                         | 57                                                                                        | 19                                                                                        | 38 57                                                                                     | 22                                                                                        | 35                                                                                        |
| 19                                                                                        | Nagaland                                                                                  | 126                                                                                       | 126                                                                                       | 120                                                                                       | 6                                                                                         | 126                                                                                       | 24                                                                                        | 102 126                                                                                   | 53                                                                                        | 73                                                                                        |
| 20                                                                                        | Odisha#                                                                                   | 1305                                                                                      | 1305                                                                                      | 959                                                                                       | 346                                                                                       | 1305                                                                                      | 802                                                                                       | 1305                                                                                      | 0                                                                                         | 1305                                                                                      |
| 21                                                                                        | Punjab                                                                                    | 427                                                                                       | 427                                                                                       | 494                                                                                       | *                                                                                         | 427                                                                                       | 467                                                                                       | 503 * 427                                                                                 | 264                                                                                       | 163                                                                                       |
| 22                                                                                        | Rajasthan                                                                                 | 2080                                                                                      | 2080                                                                                      | 2422                                                                                      | *                                                                                         | 2080                                                                                      | 1106                                                                                      | 974 2080                                                                                  | 34                                                                                        | 2046                                                                                      |
| 23                                                                                        | Sikkim                                                                                    | 24                                                                                        | 24                                                                                        | 26                                                                                        | *                                                                                         | 24                                                                                        | 16                                                                                        | 8 24                                                                                      | 1                                                                                         | 23                                                                                        |
| 24                                                                                        | Tamil Nadu                                                                                | 1368                                                                                      | 1368                                                                                      | 2751                                                                                      | *                                                                                         | 1368                                                                                      | 991                                                                                       | 377 1368                                                                                  | 1013                                                                                      | 355                                                                                       |
| 25                                                                                        | Telangana                                                                                 | 668                                                                                       | 668                                                                                       | 1024                                                                                      | *                                                                                         | 668                                                                                       | 944                                                                                       | * 668                                                                                     | 0                                                                                         | 668                                                                                       |
| 26                                                                                        | Tripura                                                                                   | 94                                                                                        | 94                                                                                        | 147                                                                                       | *                                                                                         | 94                                                                                        | 0                                                                                         | 94 94                                                                                     | 41                                                                                        | 53                                                                                        |
| 27                                                                                        | Uttarakhand                                                                               | 257                                                                                       | 257                                                                                       | 215                                                                                       | 42                                                                                        | 257                                                                                       | 155                                                                                       | 102 257                                                                                   | 13                                                                                        | 244                                                                                       |
| 28                                                                                        | Uttar Pradesh                                                                             | 3497                                                                                      | 3497                                                                                      | 2209                                                                                      | 1288                                                                                      | 3497                                                                                      | 1916                                                                                      | 1581 3497                                                                                 | 954 86                                                                                    | 2543 823                                                                                  |
| 29                                                                                        | West Bengal                                                                               | 909                                                                                       | 909                                                                                       | 721                                                                                       | 188                                                                                       | 909                                                                                       | 121                                                                                       | 788 909                                                                                   |                                                                                           |                                                                                           |
| 30                                                                                        | A & N Islands                                                                             | 22                                                                                        | 22                                                                                        | 36                                                                                        | *                                                                                         | 22                                                                                        |                                                                                           | 2 22                                                                                      | 11                                                                                        | 11                                                                                        |
| 31                                                                                        | Chandigarh                                                                                | 3                                                                                         | 3                                                                                         | 2                                                                                         | 1                                                                                         | 3                                                                                         | 20 3                                                                                      | 0 3                                                                                       | NA                                                                                        | NA                                                                                        |
|                                                                                           | Dadra &                                                                                   |                                                                                           |                                                                                           |                                                                                           |                                                                                           |                                                                                           |                                                                                           |                                                                                           |                                                                                           |                                                                                           |
| 32                                                                                        | Nagar Haveli                                                                              | 11                                                                                        | 11                                                                                        | 11                                                                                        | 0                                                                                         | 11                                                                                        | 0                                                                                         | 11 11                                                                                     | 7                                                                                         | 4                                                                                         |

| 33   | Daman & Diu   |     4 |     4 |     7 | *    |     4 |     0 | 4     |     4 |     2 | 2     |
|------|---------------|-------|-------|-------|------|-------|-------|-------|-------|-------|-------|
| 34   | Delhi         |     5 |     5 |    20 | *    |     5 |     8 | *     |     5 |     0 | 5     |
| 35   | Lakshadwee p  |     4 |     4 |     7 | *    |     4 |     1 | 3     |     4 |     0 | 4     |
| 36   | Puducherry    |    24 |    24 |    46 | *    |    24 |    12 | 12    |    24 |    34 | *     |
|      | All India     | 25354 | 25354 | 26464 | 3244 | 25354 | 16480 | 11299 | 25354 | 15668 | 14473 |

## Note:

1  One per Primary Health Centre

# State reported that PHCs including 1226 PHCs(N) & 79 Other Hospitals.

NA: Not Available.

For Health Assistant (Male) Data for 2015 used for the states Madhya Pradesh, Manipur, Nagaland and Tripura

For Health Assistant (Male) Data for 2013 used for the state of Odhisa

## +: Allopathic Doctors

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

## * Surplus.

## Annexure - III

## Funds approved to States/ UTs for setting up and renovation of PHCs under Health System Strengthening

| Sl. No                   | State                    | 2016-17 Hospital Strengthening of PHCs and New Constructions/ Renovation and Setting up of under Health System Strengthening Rs. In Lakhs   |
|--------------------------|--------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|
| A. High Focus States     |                          | PHCs                                                                                                                                        |
|                          |                          | State Programme Implementation Plan Approval                                                                                                |
| 1 2                      | Bihar Chattisgarh        | 2914.00 702.06                                                                                                                              |
| 4 5                      | Jammu &Kashmir Jharkhand | 260.18 1656.00                                                                                                                              |
| 6                        | Madhya Pradesh           | 1806.50                                                                                                                                     |
| 7                        | Orissa                   | 493.04                                                                                                                                      |
| 8                        | Rajasthan                | 11114.75                                                                                                                                    |
| 9                        | Uttar Pradesh            | 387.50                                                                                                                                      |
| 10                       | Uttarakhand              | 50.14                                                                                                                                       |
|                          |                          | 19479.43                                                                                                                                    |
| B. NE States             | Sub Total                |                                                                                                                                             |
| 11                       | Arunachal Pradesh        | 143.96                                                                                                                                      |
| 12                       | Assam                    | 1609.54                                                                                                                                     |
| 13                       | Manipur                  | 448.44                                                                                                                                      |
| 14                       | Meghalaya                | 10.00                                                                                                                                       |
| 15                       | Mizoram                  | 0.00                                                                                                                                        |
| 16                       | Nagaland                 | 77.09                                                                                                                                       |
| 17                       | Sikkim                   | 50.00                                                                                                                                       |
| 18                       |                          |                                                                                                                                             |
|                          | Tripura                  | 650.00                                                                                                                                      |
|                          | Sub Total                | 2989.03                                                                                                                                     |
| C. Non-High Focus States |                          |                                                                                                                                             |
| 19                       | Andhra Pradesh           | 0.00                                                                                                                                        |
| 20                       | Goa                      | 0.00                                                                                                                                        |
| 21                       | Gujarat                  | 0.00                                                                                                                                        |
| 22                       | Haryana                  | 0.00                                                                                                                                        |
| 23                       | Karnataka                | 2561.98                                                                                                                                     |
| 24                       | Kerala                   | 392.00                                                                                                                                      |
| 25                       | Maharashtra              | 3000.00                                                                                                                                     |
| 26                       | Punjab                   | 0.00                                                                                                                                        |
|                          | Sub                      |                                                                                                                                             |
|                          | Total                    |                                                                                                                                             |
| 29                       |                          |                                                                                                                                             |
|                          |                          | 0.00                                                                                                                                        |
|                          | Telangana                |                                                                                                                                             |
| 28                       |                          |                                                                                                                                             |
|                          | Tamil Nadu               |                                                                                                                                             |
| 27                       |                          |                                                                                                                                             |
|                          |                          | 480.00                                                                                                                                      |
|                          | West Bengal              |                                                                                                                                             |
|                          |                          | 27.50                                                                                                                                       |
|                          |                          | 6461.48                                                                                                                                     |

| D. Small States/UTs   |                           |         |
|-----------------------|---------------------------|---------|
| 30                    | Andaman & Nicobar Islands |    28.6 |
| 31                    | Chandigarh                |     0   |
| 32                    | Dadra &Nagar Haveli       |     0   |
| 33                    | Daman &Diu                |     0   |
| 34                    | Delhi                     |     0   |
| 35                    | Lakshadweep               |     0   |
| 36                    | Puducherry                |     0   |
|                       | Sub Total                 |    28.6 |
|                       | Grand Total               | 28958.5 |

## Note:

1. SPIP- State Programme Implementation Plan.
2. Utilization includes Utilization against Central Release, State share & Unspent balances at the beginning of the year and it is updated upto 31.12.2016.
3. The above figures are as per FMR submitted by the State/UTs.