Lok Sabha Question No. 1840 (UNSTARRED), answered on 2016-11-25
Subject: Salary of Doctors under NRHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: LALUBHAI BABUBHAI PATEL

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

LOK SABHA UNSTARRED QUESTION NO. 1840 TO BE ANSWERED ON 25 TH NOVEMBER, 2016

## SALARY OF DOCTORS UN DER NRHM

## 1840. SHRI LALUBHAI BABUBHAI PATEL:

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

- (a) whether the Government is aware that salaries of the doctors constitute a major portion of the total health spending of States, if so, the details thereof, State/ UT - wise;
- (b) the amount given to the States of Arunachal Pradesh and Sikkim under National Rural Health Mission (NRHM) scheme from 2015, year - wise and the total number of NRHM health centres, district - wise; and
- (c) the details of salary paid to doctors both MBBS & BDS app ointed under NRHM in these two N.E. States and whetherthe salary is comparableto salary paid to such doctors in other States, if so,the details thereof?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI FAGGAN SINGH KULASTE)

- (a): The Government is aware that salaries of human resources engaged by Health & Famil Welfare Department in the States constitute a significant proportion of the health expend State Governments.

A  Statement  indicating  expenditure  on  H uman  Resources  as  a  percentage  of  total Government  health  expenditure  in  respect  of  some  of  the  States  is  enclosed  at  Annexu -I. Information on expenditure on salaries of doctors is not available.

- (b): The amount given to the States of Arunachal Pradesh and Sikkim under NHM for 2015 -16 and 2016 - 17 is as follows:

Rs. In Crore

| Year     |   Arunachal Pradesh |   Sikkim |
|----------|---------------------|----------|
| 2015- 16 |              162.65 |    41.01 |
| 2016- 17 |               82.22 |     9.25 |

Note:

1. Release for the F.Y. 2016 - 17  is updated up to 28.10.2016 and is provisional.
2. The above Releases relate to Central Govt. Grants .

A Statement indicating number of Health Centres in these two States is given below:

| Name of State     |   Sub - Centers |   Primary Health Centers |   Community Health Centers |
|-------------------|-----------------|--------------------------|----------------------------|
| Arunachal Pradesh |             286 |                      117 |                         52 |
| Sikkim            |             147 |                       24 |                          2 |

District wise information as provided by the State of Sikkim is at Annexure -II.

- (c): The  details  of  salaries  of  doctors  both  MBBS  &  BDS  approved  under  NRHM  in  the States of Arunachal Pradesh and Sikkim including few other States is enclosed at Annexure -II I.

Public  Health  being  a  State  subject,  salaries  of  doctors  vary  from  state  to  st salaries  approved  under  the  NHM/NRHM  are  based  on  the  proposals  from  the  State Government.

Table:  State - wise  expenditure  on  human  resources as  a  percentage  of  total  state  Government expenditure on H ealth, 2013 -14

|   Sl. No | Name of the State                 |   Salaries and Wages (%) |   All other costs related employees (%) |   to Total HR (%) |
|----------|-----------------------------------|--------------------------|-----------------------------------------|-------------------|
|        1 | Andhra Pradesh (Undivided/United) |                     79   |                                     2.2 |              81.2 |
|        2 | Assam                             |                     46.4 |                                     1.9 |              48.3 |
|        3 | Bihar                             |                     59.1 |                                     1.5 |              60.6 |
|        4 | Chattisgarh                       |                     83   |                                     2.3 |              85.3 |
|        5 | Delhi                             |                     69.3 |                                     0.4 |              69.7 |
|        6 | Goa                               |                     72.7 |                                     0.9 |              73.6 |
|        7 | Gujarat                           |                     51.6 |                                     2.7 |              54.3 |
|        8 | Haryana                           |                     88.6 |                                     0.8 |              89.4 |
|        9 | Himachal Pradesh                  |                     77.9 |                                     1.8 |              79.7 |
|       10 | Jammu and Kashmir                 |                     83.6 |                                     3.5 |              87.1 |
|       11 | Jharkhand                         |                     75.4 |                                     1.5 |              76.9 |
|       12 | Karnataka                         |                     50.8 |                                    13.6 |              64.4 |
|       13 | Kerala                            |                     84.1 |                                     3.7 |              87.8 |
|       14 | Madhya Pradesh                    |                     76.4 |                                     2.6 |              79   |
|       15 | Maharashtra                       |                     85.1 |                                     2.3 |              87.4 |
|       16 | Meghalaya                         |                     13.4 |                                     0   |              13.4 |
|       17 | Mizoram                           |                     84.3 |                                     1.2 |              85.5 |
|       18 | Nagaland                          |                     91.9 |                                     1.6 |              93.5 |
|       19 | Odisha                            |                     63.9 |                                     2.8 |              66.7 |
|       20 | Pudducherry                       |                     81   |                                     0.8 |              81.8 |
|       21 | Punjab                            |                     87.8 |                                     4.6 |              92.4 |
|       22 | Rajasthan                         |                     76.5 |                                     2.8 |              79.3 |
|       23 | Sikkim                            |                     51.9 |                                     0.8 |              52.7 |
|       24 | Tamil Nadu                        |                     69.2 |                                     1.2 |              70.4 |
|       25 | Tripura                           |                     60.1 |                                     0.7 |              60.8 |
|       26 | Uttar Pradesh                     |                     61.4 |                                     3   |              64.4 |
|       27 | Uttarakhand                       |                     70.8 |                                     4.4 |              75.2 |
|       28 | West Bengal                       |                     71   |                                     3.8 |              74.8 |

Source : Information is obtained from State Demand for Grants for Medical and Public Health including Family Welfare for all states, by Public Health Foundation of India, as a part of National Health Accounts 2013-14.

| Name of the State   | Name of the District   |   Sub Centers |   PHCs |   CHCs |
|---------------------|------------------------|---------------|--------|--------|
| Sikkim              | East                   |            48 |      6 |      1 |
| Sikkim              | North                  |            19 |      5 |      0 |
| Sikkim              | South                  |            39 |      6 |      1 |
| Sikkim              | West                   |            41 |      7 |      0 |
|                     | Total                  |           147 |     24 |      2 |

Note: As reported by State.

## Statement showing Salaries of Doctors both MBBS & BDS Approved under NRHM

| Category    | Arunachal Pradesh   | Sikkim       | Assam        | J & K        | Nagaland     | Manipur      |
|-------------|---------------------|--------------|--------------|--------------|--------------|--------------|
| MBBS MO     | 38000- 60000        | 40000- 50000 | 36750- 46200 | 30000- 52500 | 31500- 55125 | 33000- 55787 |
| BDS Dentist | 35000- 38000        | 27500- 32559 | 31900- 33495 | 23000- 25358 | 25000- 40000 | 25000- 30000 |