Lok Sabha Question No. 3833 (UNSTARRED), answered on 2017-03-24
Subject: Lack of Health Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NANABHAU FALGUNRAO PATOLE

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

## LOK SABHA UNSTARRED QUESTION NO. 3833 TO BE ANSWERED ON 24 th MARCH, 2017

## LACK OF HEALTH FACIL ITIES

## 3833. SHRI NANA PATOLE:

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

(a) whether there is a lack of health facilities in the country including Delhi -NCR;

(b) if so, the details thereof;

(c)  whether  non - working  of  AIIMSas  referral  hospital,  non - availability  of better  medical facilities to the patients and hurdles coming in the way of medical education of the country is a matter of great concern; and

(d) if so, the corrective measures taken in this regard?

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

(a) & (b): As  per  Rural  Health  Statistics  (RHS),  there  is  some  shortage  of  public  he facilities as per State/ UT wise details given at Annexure -I. The details are not maintained in respect of NCR.

(c) & (d): A ll efforts are made to provide best possible treatment to all the patients to AIIMS  Delhi emergency department as well as OPD in - patient wards and the ICUs. In - spite of constraints of space and finance, adequate medical care is being provided to al l the patients who come for treatment. Adequate attention is being given by the doctors, nurses and othe to all patients admitted in Casualty & In -patients Wards. The patients who require hospitalization  for  diagnostic  and/or  therapeutic  purpose  are admitted  either  from  the  OPD's (including specialty clinics) or through the casualty/emergency. In the casualty/emergen saving situations, all efforts are made to admit the seriously ill patient in the hospi `practically'  possible.  In case  of  non - availability  of  bed  in  the  emergency,  the  emergency patients are first evaluated and given appropriate treatment as may be required to stabi clinically  and  after  adequate  stabilization,  they  are  sent  to  other  Government  hospi admission and further management.   This practice is in operation because AIIMS hospital policy does not admit any patient on the floor or two patients on one bed. In view of cases that  require hospitalization from OPD's Emergency cannot alwa ys be accommodated in the in - patient wards of the hospital. The AIIMS hospital entertains all referral patients a direct cases coming to AIIMS on their own.

Various  measures  taken  to  improve  medical  education  are  given  at  Annexure -II. Public hea lth being a State subject, the primary responsibility to ensure availability of public health facilities lies with the State Governments. Nonetheless, under NHM, financi technical  support  is  provided  to  States/UTs  to  strengthen  their  healthc are  systems  including setting  up  of/upgradation  of  public  health  facilities,  based  on  the  requirements  posed States/UTs in their Programme Implementation Plans (PIPs).  T o improve access to affordable high quality tertiary medical care facilities, 6 more AIIMS have been set up and 13 more have been planned out of which 5 have been approved.

## Annexure-I

| SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)   |
|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------|
| S.No.                                                                                         | State/ UT                                                                                     | Total Population in Rural                                                                     | Tribal Population                                                                             | Sub Centres                                                                                   | Sub Centres                                                                                   | Sub Centres                                                                                   | Sub Centres                                                                                   | PHCs                                                                                          | PHCs                                                                                          | PHCs                                                                                          | PHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          | CHCs                                                                                          |
| S.No.                                                                                         | State/ UT                                                                                     | Total Population in Rural                                                                     | in Rural Areas                                                                                | R                                                                                             | P                                                                                             | S                                                                                             | % Shorfal l                                                                                   | R                                                                                             | P                                                                                             | S                                                                                             | % Shorfal l                                                                                   | R                                                                                             | P                                                                                             | S                                                                                             | % Shorfall                                                                                    |
| 1                                                                                             | Andhra Pradesh                                                                                | Areas 34776389                                                                                | 2293102                                                                                       | 7261                                                                                          | 7659                                                                                          | *                                                                                             | *                                                                                             | 1197                                                                                          | 1075                                                                                          | 122                                                                                           | 10                                                                                            | 299                                                                                           | 193                                                                                           | 106                                                                                           | 35                                                                                            |
| 2                                                                                             | Arunachal Pradesh                                                                             | 1066358                                                                                       | 789846                                                                                        | 318                                                                                           | 304                                                                                           | 14                                                                                            | 4                                                                                             | 48                                                                                            | 143                                                                                           | *                                                                                             | *                                                                                             | 12                                                                                            | 63                                                                                            | *                                                                                             | *                                                                                             |
| 3                                                                                             | Assam                                                                                         | 26807034                                                                                      | 3665405                                                                                       | 5850                                                                                          | 4621                                                                                          | 1229                                                                                          | 21                                                                                            | 954                                                                                           | 1014                                                                                          | *                                                                                             | *                                                                                             | 238                                                                                           | 151                                                                                           | 87                                                                                            | 37                                                                                            |
| 4                                                                                             | Bihar                                                                                         | 92341436                                                                                      | 1270851                                                                                       | 18637                                                                                         | 9729                                                                                          | 8908                                                                                          | 48                                                                                            | 3099                                                                                          | 1802                                                                                          | 1297                                                                                          | 42                                                                                            | 774                                                                                           | 148                                                                                           | 626                                                                                           | 81                                                                                            |
| 5                                                                                             | Chhattisgarh                                                                                  | 19607961                                                                                      | 7231082                                                                                       | 4885                                                                                          | 5186                                                                                          | *                                                                                             | *                                                                                             | 774                                                                                           | 790                                                                                           | *                                                                                             | *                                                                                             | 193                                                                                           | 155                                                                                           | 38                                                                                            | 20                                                                                            |
| 6                                                                                             | Goa                                                                                           | 551731                                                                                        | 87639                                                                                         | 122                                                                                           | 212                                                                                           | *                                                                                             | *                                                                                             | 19                                                                                            | 22                                                                                            | *                                                                                             | *                                                                                             | 4                                                                                             | 4                                                                                             | 0                                                                                             | 0                                                                                             |
| 7                                                                                             | Gujarat                                                                                       | 34694609                                                                                      | 8021848                                                                                       | 8008                                                                                          | 8801                                                                                          | *                                                                                             | *                                                                                             | 1290                                                                                          | 1314                                                                                          | *                                                                                             | *                                                                                             | 322                                                                                           | 322                                                                                           | 0                                                                                             | 0                                                                                             |
| 8                                                                                             | Haryana                                                                                       | 16509359                                                                                      | 0                                                                                             | 3301                                                                                          | 2576                                                                                          | 725                                                                                           | 22                                                                                            | 550                                                                                           | 474                                                                                           | 76                                                                                            | 14                                                                                            | 137                                                                                           | 110                                                                                           | 27                                                                                            | 20                                                                                            |
| 9                                                                                             | Himachal Pradesh                                                                              | 6176050                                                                                       | 374392                                                                                        | 1285                                                                                          | 2071                                                                                          | *                                                                                             | *                                                                                             | 212                                                                                           | 518                                                                                           | *                                                                                             | *                                                                                             | 53                                                                                            | 79                                                                                            | *                                                                                             | *                                                                                             |
| 10                                                                                            | Jammu& Kashmir                                                                                | 9108060                                                                                       | 1406833                                                                                       | 2009                                                                                          | 2805                                                                                          | *                                                                                             | *                                                                                             | 327                                                                                           | 637                                                                                           | *                                                                                             | *                                                                                             | 81                                                                                            | 84                                                                                            | *                                                                                             | *                                                                                             |
| 11                                                                                            | Jharkhand                                                                                     | 25055073                                                                                      | 7868150                                                                                       | 6060                                                                                          | 3953                                                                                          | 2107                                                                                          | 35                                                                                            | 966                                                                                           | 327                                                                                           | 639                                                                                           | 66                                                                                            | 241                                                                                           | 188                                                                                           | 53                                                                                            | 22                                                                                            |
| 12                                                                                            | Karnataka                                                                                     | 37469335                                                                                      | 3429791                                                                                       | 7951                                                                                          | 9332                                                                                          | *                                                                                             | *                                                                                             | 1306                                                                                          | 2353                                                                                          | *                                                                                             | *                                                                                             | 326                                                                                           | 206                                                                                           | 120                                                                                           | 37                                                                                            |
| 13                                                                                            | Kerala                                                                                        | 17471135                                                                                      | 433092                                                                                        | 3551                                                                                          | 4575                                                                                          | *                                                                                             | *                                                                                             | 589                                                                                           | 824                                                                                           | *                                                                                             | *                                                                                             | 147                                                                                           | 225                                                                                           | *                                                                                             | *                                                                                             |
| 14                                                                                            | Madhya Pradesh                                                                                | 52557404                                                                                      | 14276874                                                                                      | 12415                                                                                         | 9192                                                                                          | 3223                                                                                          | 26                                                                                            | 1989                                                                                          | 1171                                                                                          | 818                                                                                           | 41                                                                                            | 497                                                                                           | 334                                                                                           | 163                                                                                           | 33                                                                                            |
| 15                                                                                            | Maharashtra                                                                                   | 61556074                                                                                      | 9006077                                                                                       | 13512                                                                                         | 10580                                                                                         | 2932                                                                                          | 22                                                                                            | 2201                                                                                          | 1811                                                                                          | 390                                                                                           | 18                                                                                            | 550                                                                                           | 360                                                                                           | 190                                                                                           | 35                                                                                            |
| 16                                                                                            | Manipur                                                                                       | 2021640                                                                                       | 791126                                                                                        | 509                                                                                           | 421                                                                                           | 88                                                                                            | 17                                                                                            | 80                                                                                            | 85                                                                                            | *                                                                                             | *                                                                                             | 20                                                                                            | 17                                                                                            | 3                                                                                             | 15                                                                                            |
| 17                                                                                            | Meghalaya                                                                                     | 2371439                                                                                       | 2136891                                                                                       | 759                                                                                           | 431                                                                                           | 328                                                                                           | 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                                                                                          | 1305                                                                                          | 10                                                                                            | 1                                                                                             | 328                                                                                           | 377                                                                                           | *                                                                                             | *                                                                                             |
| 21                                                                                            | Punjab                                                                                        | 17344192                                                                                      | 0                                                                                             | 3468                                                                                          | 2951                                                                                          | 517                                                                                           | 15                                                                                            | 578                                                                                           | 427                                                                                           | 151                                                                                           | 26                                                                                            | 144                                                                                           | 150                                                                                           | *                                                                                             | *                                                                                             |
| 22                                                                                            | Rajasthan                                                                                     | 51500352                                                                                      | 8693123                                                                                       | 11459                                                                                         | 14408                                                                                         | *                                                                                             | *                                                                                             | 1861                                                                                          | 2080                                                                                          | *                                                                                             | *                                                                                             | 465                                                                                           | 571                                                                                           | *                                                                                             | *                                                                                             |
| 23                                                                                            | Sikkim                                                                                        | 456999                                                                                        | 167146                                                                                        | 113                                                                                           | 147                                                                                           | *                                                                                             | *                                                                                             | 18                                                                                            | 24                                                                                            | *                                                                                             | *                                                                                             | 4                                                                                             | 2                                                                                             | 2                                                                                             | 50                                                                                            |
| 24                                                                                            | Tamil Nadu                                                                                    | 37229590                                                                                      | 660280                                                                                        | 7533                                                                                          | 8712                                                                                          | *                                                                                             | *                                                                                             | 1251                                                                                          | 1368                                                                                          | *                                                                                             | *                                                                                             | 312                                                                                           | 385                                                                                           | *                                                                                             | *                                                                                             |
| 25                                                                                            | Telangana                                                                                     | 21585313                                                                                      | 2939027                                                                                       | 4708                                                                                          | 4863                                                                                          | *                                                                                             | *                                                                                             | 768                                                                                           | 668                                                                                           | 100                                                                                           | 13                                                                                            | 192                                                                                           | 114                                                                                           | 78                                                                                            | 41                                                                                            |
| 26                                                                                            | Tripura                                                                                       | 2712464                                                                                       | 1117566                                                                                       | 691                                                                                           | 1033                                                                                          | *                                                                                             | *                                                                                             | 109                                                                                           | 94                                                                                            | 15                                                                                            | 14                                                                                            | 27                                                                                            | 20                                                                                            | 7                                                                                             | 26                                                                                            |
| 27                                                                                            | Uttarakhand                                                                                   | 7036954                                                                                       | 264819                                                                                        | 1442                                                                                          | 1847                                                                                          | *                                                                                             | *                                                                                             | 238                                                                                           | 257                                                                                           | *                                                                                             | *                                                                                             | 59                                                                                            | 59                                                                                            | 0                                                                                             | 0                                                                                             |
| 28                                                                                            | Uttar Pradesh                                                                                 | 155317278                                                                                     | 1031076                                                                                       | 31200                                                                                         | 20521                                                                                         | 10679                                                                                         | 34                                                                                            | 5194                                                                                          | 3497                                                                                          | 1697                                                                                          | 33                                                                                            | 1298                                                                                          | 773                                                                                           | 525                                                                                           | 40                                                                                            |
| 29                                                                                            | West Bengal                                                                                   | 62183113                                                                                      | 4855115                                                                                       | 13083                                                                                         | 10369                                                                                         | 2714                                                                                          | 21                                                                                            | 2153                                                                                          | 909                                                                                           | 1244                                                                                          | 58                                                                                            | 538                                                                                           | 349                                                                                           | 189                                                                                           | 35                                                                                            |
| 30                                                                                            | A&NIslands                                                                                    | 237093                                                                                        | 26715                                                                                         | 50                                                                                            | 123                                                                                           | *                                                                                             | *                                                                                             | 8                                                                                             | 22                                                                                            | *                                                                                             | *                                                                                             | 2                                                                                             | 4                                                                                             | *                                                                                             | *                                                                                             |
| 31                                                                                            | Chandigarh                                                                                    | 28991                                                                                         | 0                                                                                             | 5                                                                                             | 17                                                                                            | *                                                                                             | *                                                                                             | 0                                                                                             | 3                                                                                             | *                                                                                             | *                                                                                             | 0                                                                                             | 2                                                                                             | *                                                                                             | *                                                                                             |
| 32                                                                                            | Dadra & Nagar Haveli                                                                          | 183114                                                                                        | 150944                                                                                        | 56                                                                                            | 56                                                                                            | 0                                                                                             | 0                                                                                             | 8                                                                                             | 11                                                                                            | *                                                                                             | *                                                                                             | 2                                                                                             | 0                                                                                             | 2                                                                                             | 100                                                                                           |
| 33                                                                                            | Daman& Diu                                                                                    | 60396                                                                                         |                                                                                               |                                                                                               |                                                                                               |                                                                                               | *                                                                                             |                                                                                               |                                                                                               | *                                                                                             | *                                                                                             | 0                                                                                             | 2                                                                                             | *                                                                                             |                                                                                               |
|                                                                                               |                                                                                               |                                                                                               | 7617                                                                                          | 13                                                                                            | 26                                                                                            | *                                                                                             |                                                                                               | 2                                                                                             | 4                                                                                             | 8                                                                                             | 62                                                                                            |                                                                                               |                                                                                               |                                                                                               | *                                                                                             |
| 34                                                                                            | Delhi                                                                                         | 419042                                                                                        | 0                                                                                             | 83                                                                                            | 26                                                                                            | 57                                                                                            | 69 *                                                                                          | 13 0                                                                                          | 5 4                                                                                           | *                                                                                             | *                                                                                             | 3                                                                                             | 0                                                                                             | 3                                                                                             | 100 *                                                                                         |
| 35 36                                                                                         | Lakshadweep                                                                                   | 14141 395200                                                                                  | 13463 0                                                                                       | 4 79                                                                                          | 14 54                                                                                         | * 25                                                                                          | 32                                                                                            | 13                                                                                            | 24                                                                                            | *                                                                                             | *                                                                                             | 0 3                                                                                           | 3 3                                                                                           | * *                                                                                           | *                                                                                             |
|                                                                                               | Puducherry All India/ Total                                                                   | 833748852                                                                                     | 93819162                                                                                      | 179240                                                                                        | 155069                                                                                        | 35110                                                                                         | 20                                                                                            | 29337                                                                                         | 25354                                                                                         | 6572                                                                                          | 22                                                                                            | 7322                                                                                          | 5510                                                                                          | 2220                                                                                          | 30                                                                                            |

Notes: The requirement is calculated using the prescribed norms on the basis of rural population from Census, 2011.  All India 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

1) With  the  amendment  in  IMC  Act,  1956  and  the  Dentist  Act,  1948,  'Uniform  Entrance Examination' known as NEET (National Eligibility cum Entrance Test) has been introduced for admission in educational institutions at UG and PG level.

2) With  the  amendment  in  Postgraduate  Medical  Education  Regulations,  2000,  a  common counseling  for  admission  to  all  Postgraduate  Courses  (Diploma/MD/  MS/DM/M.Ch.)  in  all Medical  Educational  Institutions  on  the  basis  of  merit  list  of  the  National  Eligibi y- cum Entrance Test has been introduced with Directorate General of Health Services as desig authority  for  counseling  for  the  50%  All  India  Quota  seats  and  State  Government  fo Postgraduate Courses (Diploma/MD/MS/DM/M.Ch.) in all Medical Education al Institutions in a State/Union  Territory,  including  Medical  Educational  Institutions  established  by  the Government, State Government University, Deemed University, Trust, Society or Company/Minority Institutions/Corporations.

3) With  the  a mendment  in  Graduate  Medical  Education  Regulations,  1997,  a  common counseling for admission to all Undergraduate Courses in all Medical Educational Institut the basis of merit list of the National Eligibility - cum - Entrance  Test  has  been  introduced wi th Directorate General of Health Services as designated authority for counseling for the 1 India  Quota  seats  and  State  Government  for  all  Undergraduate  Courses  in  all  Medi Educational Institutions in a State/Union Territory, including Medical Educ ational Institutions established by the Central Government, State Government University, Deemed University, Tru Society or a Company/Minority Institutions/Corporations.

4) An amendment has been made in Minimum Standard Requirements Regulations for 50 to 250 Annual MBBS seats for installation of biometric fingerprint attendance machine and circuit television (CCTV) in all medical colleges across the country to maintain constant the standard of medical education in the country.