Lok Sabha Question No. 6598 (UNSTARRED), answered on 2018-04-06
Subject: Setting up of PHCs/CHCs
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PONGULETI SRINIVASA REDDY, GOPAL CHINAYYA SHETTY, VINAYAK BHAURAO RAUT, SHRIKANT EKNATH SHINDE, HEENA VIJAYKUMAR GAVIT, P.R. SUNDARAM, SUPRIYA SADANAND SULE, RAJEEV SHANKARRAO SATAV, JAYAKUMAR JAYAVARDHAN, DHANANJAY BHIMRAO MAHADIK, Shrirang Appa Barne, ADVOCATE NARENDRA KESHAV SAWAIKAR, DHARMENDRA YADAV, SHIVAJI ADHALRAO PATIL, SANJAY HARIBHAU JADHAV

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

LOK SABHA UNSTARRED QUESTION NO. 6598 TO BE ANSWERED ON 6 TH APRIL, 2018

## SETTING UP OF PHC S/CHC S

## 6598. SHRI PONGULETI SRINIVASA REDDY:

SHRI GOPAL SHETTY:

SHRI VINAYAK BHAURAO RAUT:

DR. SHRIKANT EKNATH SHINDE:

DR. HEENA VIJAYKUMAR GAVIT:

SHRI P.R. SUNDARAM:

SHRIMATI SUPRIYA SULE:

SHRI SATAV RAJEEV:

DR. J. JAYAVARDHAN:

SHRI DHANANJAY MAHADIK:

SHRI SHRIRANG APPA BARNE:

ADV. NARENDRA KESHAV SAWAIKAR:

SHRI DHARMENDRA YADAV:

SHRI ADHALRAO PATIL SHIVAJIRAO :

SHRI SANJAY HARIBHAU JADHAV :

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

- (a)  the  present  status  of  Community Health  Centres  (CHCs)  and  Primary Health  Centres (PHCs),State/UT - wiseincluding Maharashtra, Bihar and Madhya Pradesh;
- (b) whether the Government has any proposal to release funds for setting up of PHCs/CHCs in the country and if so, the details thereof, State -wise including Maharashtra;
- (c) whether most of t he said centres lack basic infrastructure facilities including shortage of doctors, nurses and if so, the details thereof;
- (d) whether the Government proposes to make all the CHCs/PHCs ISO certified wellness centres and if so, the details thereof along wi th the number of ISO certified CHCs/PHCs, State - wise; and
- (e) the steps taken/being taken by the Government to improve the quality of service in the PHCs/CHCs and fill the vacancies in these centres?

## ANSWER

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

- (a): As per Rural Health Statistics 2017, details of Community Health Centres (CHC and  Primary  Health  Centres (PHCs)  functioning  in  the  country  including  in  Maharashtra, Bihar and Madhya Pradesh, are given at Annexure -I.

(b): Funds  released  during  FY  2017 - 18  for  infrastructure  facilities  for  the  PHCs/CHCs including for new constructions/ renovation and setti ng up of these health facilities in the country, State - wise, including Maharashtra are given at Annexure -II.

(c): The shortage of Doctors in public health sector varies from State to State depe upon their policies and context. There is some shortage of basic amenities in PHCs and CHCs in the country. The details of PHCs and CHCs functioning as per IPHS norms are given Annexure-I.  The details of doctors, nurses as per Rural Health Statistics 2017, are Annexure-III to Annexure - VI.

## (d): There is no proposal to get PHCs and CHCs, ISO certified.

(e): Public Health being a State subject, the primary responsibility to improve the of  services  in  CHCs  and  PHCs,  lies  with  the  State  Governments.  However,  under  NHM, financial  and  technical assistance  is  provided  to  the  States/UTs  to  strengthen  the  heal systems including improving quality of services in CHCs and PHCs. Various steps taken improve the quality of services in CHCs and PHCs are as under: -

- i. National Quality Assurance Programm e (NQAP) has been rolled out, under which, quality standards for different health facilities have been defined and these facilities are assessed against them and certified.
2. ii.Quality Assurance Committees have been constituted at National, State and D istrict level. Under National Health Mission, dedicated Human Resource has been provided to  operationalize  these  committees  and  carry  out  related  tasks  such  as  qu assessment,  preparing  action  plan  and  assisting  healthcare  facilities  for certif ication under NQAP.
- iii. The  central  government  has  launched  'Kayakalp'  award  scheme  for  transforming public  hospitals  by  improving  Sanitation,  Hygiene,  Upkeep,  Infection  Contr Practices and waste management practices. All facilities from PHCs, CHCs, District Hospitals and central government institutions are assessed against a set of d criteria. Best performing facilities are given annual awards.
4. iv.Support  is  provided  to  States  to  implement  NHM  Free  Diagnostics  Services Initiative and NHM Free Dru gs Initiative in Public Health facilities.
- v. In order to improve functionality of Medical Equipments, Operational Guidelines Biomedical Equipment Management and Maintenance Program (BMMP) have been shared with States.

Public health and hospitals being a State subject, the primary responsibility to fill t vacancies  in  PHCs  and  CHCs  lies  with  the  respective  State/UT  Governments.  Under  th National  Health  Mission,  support  is  being  provided  to  State  UTs  to  strengthen healthcare system including pro vision of health human resource. To increase the availabilit of doctors, several initiatives have been taken such as:

- I.  50%  reservation  in  Post  Graduate  Diploma  Courses  for  Medical  Officers  in  t Government service who have served for at least three ye ars in remote and difficult areas.
2. II.Incentive at the rate of 10% of the marks obtained for each year in service in or difficult areas up to the maximum of 30% of the marks obtained in the entr test for admissions in Post Graduate Medical Cou rses.
- III. Various financial and non - financial incentives are provided by States to encourage health  professionals  to  join  and  remain  within  the  public  health  system.  T include innovations such as walk - in interviews to reduce delays in engaging service providers; providing an extra hardship allowance for serving in remote, rural under - served areas; accommodation arrangements or a housing allowance; facilitating  jobs  for  spouses  and  children's  education;  insurance  facilities,  e.g. medical  cover  and  su pport  for  continuing  medical  education,  e.g.  attendance  at conferences and workshops. In many states, doctors serving in rural areas are extra weightage for post -graduate entrance exams and/or a specific number of post -graduate seats are reserved for doctors serving in rural areas.
- IV. The States are encouraged to adopt flexible norms for engaging specialists at p health facilities. These  include various mechanisms  for  'contracting in'  and 'contracting out' of specialist services, methods of engag ing specialists outside the government  system  for  service  delivery  at  public  facilities  and  the  mechanis include requests for these in the state Program Implementation Plans (PIP) unde National Health Mission.
- V. Strengthening/upgradation of State Government Medical Colleges for starting new PG courses/Increase of PG seats,
6. VI.Establishment  of  New  Medical  Colleges  by  upgrading  district/referral  hospit preferably in underserved districts of the country.
7. VII.Strengthening/  upgradation  of  existing  Sta te  Government/Central  Government Medical Colleges to increase MBBS seats.
- VIII. The  States  are  also  advised  from  time  to  time  to  fill  up  the  vacant  post formulate rational HR policies.
9. IX.The National Health Mission (NHM) provides financial flexibility for s tates to offer negotiable  and  competitive  salaries  in  the  recruitment  of  doctors,  mainly specialists.

## Annexure - I

Status of Community Health Centres (CHCs) and Primary Health Centres (PHCs) functioning in the country as on 31.03.2017 ( Rural Health Statistics, 2017)

| Sl. No.   | State/UT          | Number of CHCs functioning   | CHCs Functioning as per IPHS norms   | Number of PHCs functioning   | PHCs Functioning as per IPHS norms   |
|-----------|-------------------|------------------------------|--------------------------------------|------------------------------|--------------------------------------|
|           |                   | (1)                          | (2)                                  | (3)                          | (4)                                  |
| 1         | Andhra Pradesh    | 193                          | 0                                    | 1147                         | 514                                  |
| 2         | Arunachal Pradesh | 63                           | 0                                    | 143                          | 0                                    |
| 3         | Assam             | 158                          | 0                                    | 1014                         | 0                                    |
| 4         | Bihar             | 150                          | NA                                   | 1899                         | NA                                   |
| 5         | Chhattisgarh      | 169                          | 0                                    | 785                          | 0                                    |
| 6         | Goa               | 4                            | 4                                    | 24                           | 24                                   |
| 7         | Gujarat           | 363                          | 0                                    | 1392                         | 0                                    |
| 8         | Haryana           | 112                          | 8                                    | 366                          | 3                                    |
| 9         | Himachal Pradesh  | 89                           | 0                                    | 538                          | 0                                    |
| 10        | Jammu & Kashmir   | 84                           | NA                                   | 637                          | NA                                   |
| 11        | Jharkhand         | 188                          | 0                                    | 297                          | 0                                    |
| 12        | Karnataka         | 206                          | 0                                    | 2359                         | 0                                    |
| 13        | Kerala            | 232                          | 7                                    | 849                          | 0                                    |
| 14        | Madhya Pradesh    | 309                          | 6                                    | 1171                         | 0                                    |
| 15        | Maharashtra       | 360                          | 156                                  | 1814                         | 770                                  |
| 16        | Manipur           | 17                           | 0                                    | 85                           | 0                                    |
| 17        | Meghalaya         | 27                           | 0                                    | 109                          | 0                                    |
| 18        | Mizoram           | 9                            | 0                                    | 57                           | 0                                    |
| 19        | Nagaland          | 21                           | 0                                    | 126                          | 0                                    |
| 20        | Odisha            | 370                          | 0                                    | 1280                         | 0                                    |
| 21        | Punjab            | 151                          | NA                                   | 432                          | NA                                   |
| 22        | Rajasthan         | 579                          | NA                                   | 2079                         | 0                                    |
| 23        | Sikkim            | 2                            | 0                                    | 24                           | 24                                   |
| 24        | Tamil Nadu        | 385                          | 349                                  | 1362                         | 1271                                 |
| 25        | Telangana         | 114                          | 0                                    | 689                          | 0                                    |
| 26        | Tripura           | 21                           | 19                                   | 93                           | 66                                   |
| 27        | Uttarakhand       | 60                           | 31                                   | 257                          | 69                                   |
| 28        | Uttar Pradesh     | 822                          | 134                                  | 3621                         | 170                                  |
| 29        | West Bengal       | 349                          | 189                                  | 914                          | 308                                  |
| 30        | A& N Islands      | 4                            | 4                                    | 22                           | 21                                   |
| 31        | Chandigarh        | 2                            | 2                                    | 3                            | 3                                    |
| 32        | D & N Haveli      | 2                            | 2                                    | 9                            | 7                                    |
| 33        | Daman & Diu       | 2                            | 2                                    | 4                            | 4                                    |
| 34        | Delhi             | 0                            | 0                                    | 5                            | 5                                    |
| 35        | Lakshadweep       | 3                            | 3                                    | 4                            | 4                                    |
| 36        | Puducherry        | 4                            | 4                                    | 40                           | 40                                   |
|           | All India/Total   | 5624                         | 920                                  | 25650                        | 3303                                 |

Rs. In lakhs

| S. No.                    | Name of the State / UT    | 2017- 18           |
|---------------------------|---------------------------|--------------------|
| A. High Focus States      |                           |                    |
| 1                         | Bihar                     | 8970.50            |
| 2                         | Chattisgarh               | 3078.14            |
| 3                         | Himachal Pradesh          | 2055.80            |
| 4                         | Jammu & Kashmir           | 2101.38            |
| 5                         | Jharkhand                 | 1934.73            |
| 6                         | Madhya Pradesh            | 11325.89           |
| 7                         | Orissa                    | 7544.59            |
| 8                         | Rajasthan                 | 24927.52           |
| 9                         | Uttar Pradesh             | 10092.21           |
| 10                        | Uttarakhand               | 650.13             |
| B. NE States              |                           |                    |
| 11                        | Arunachal Pradesh         | 1181.67            |
| 12                        | Assam                     | 6473.91            |
| 13                        | Manipur                   | 154.19             |
| 14                        | Meghalaya                 | 390.10             |
| 15                        | Mizoram                   | 255.75             |
| 16                        | Nagaland                  | 276.02             |
| 17                        | Sikkim                    | 320.24             |
| 18                        | Tripura                   | 4530.50            |
| Sub Total 13582.38        | Sub Total 13582.38        | Sub Total 13582.38 |
| C. Non- High Focus States |                           |                    |
| 19                        | Andhra Pradesh            | 2846.25            |
| 20                        | Goa                       | 41.25              |
| 21                        | Gujarat                   | 5326.75            |
| 22                        | Haryana                   | 802.12             |
| 23                        | Karnataka                 | 12288.00           |
| 24                        | Kerala                    | 703.08             |
| 25                        | Maharashtra               | 16161.81           |
| 26                        | Punjab                    | 581.60             |
| 27                        | Tamil Nadu                | 8202.35            |
| 28                        | Telangana                 | 1393.80            |
| 29                        | West Bengal               | 2955.13            |
| D. Small States/UTs       |                           |                    |
| 30                        | Andaman & Nicobar Islands | 50.05              |
| 31                        | Chandigarh                | 15.52              |
| 32                        | Dadra & Nagar Haveli      | 1.92               |
| 33                        | Daman & Diu               | 4.00               |
| 34                        | Delhi                     | 255.50             |
| 35                        | Lakshadweep               | 9.12               |
| 36                        | Puducherry                | 77.13              |
| Sub Total 413.24          | Sub Total 413.24          | Sub Total 413.24   |
|                           | Grand Total               | 137978.65          |

Note:

1. SPIP stands for State Program Implementation Plan.

2.  The  above  data  comprises 1.  Hospital  Strengthening -(i)Up - gradation  of  CHCs,  PHCs, 2.  New  Constructions/  Renovation  and Setting up (i) CHCs (ii) PHCs 3. Untied Funds/Annual Maintenance Grants /Corpus Grants to HMS/RKS (i) CHCs (ii) PHCs 4. Major civil works for operationalization of 24 hour services at PHCs 5. Infra tructure Strengthen ing (i) New constructions of UPSC, UCHC (ii) Renovation/Upgradation of UPHC, UCHC 6. Untied Grants (i) Untied grants to UPHCs (ii) Untied grants to UCHCs.

| DOCTORS + AT PRIMARY HEALTH CENTRES   | DOCTORS + AT PRIMARY HEALTH CENTRES   | DOCTORS + AT PRIMARY HEALTH CENTRES   | DOCTORS + AT PRIMARY HEALTH CENTRES   | DOCTORS + AT PRIMARY HEALTH CENTRES   | DOCTORS + AT PRIMARY HEALTH CENTRES   | DOCTORS + AT PRIMARY HEALTH CENTRES   |
|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|
| S. No.                                |                                       | (As on 31st March, 2017)              | (As on 31st March, 2017)              | (As on 31st March, 2017)              | (As on 31st March, 2017)              | (As on 31st March, 2017)              |
| S. No.                                |                                       | Required 1                            | Sanctioned                            | In Position                           | Vacant                                | Shortfall                             |
|                                       | State/UT                              | [R]                                   | [S]                                   | [P]                                   | [S- P]                                | [R- P]                                |
| 1                                     | Andhra Pradesh                        | 1147                                  | 1952                                  | 1644                                  | 308                                   | *                                     |
| 2                                     | Arunachal Pradesh                     | 143                                   | NA                                    | 122                                   | NA                                    | 21                                    |
| 3                                     | Assam                                 | 1014                                  | NA                                    | 1048                                  | NA                                    | *                                     |
| 4                                     | Bihar #                               | 1899                                  | 2078                                  | 1786                                  | 292                                   | 113                                   |
| 5                                     | Chhattisgarh                          | 785                                   | 798                                   | 341                                   | 457                                   | 444                                   |
| 6                                     | Goa                                   | 24                                    | 48                                    | 56                                    | *                                     | *                                     |
| 7                                     | Gujarat                               | 1392                                  | 1769                                  | 1229                                  | 540                                   | 163                                   |
| 8                                     | Haryana                               | 366                                   | 687                                   | 429                                   | 258                                   | *                                     |
| 9                                     | Himachal Pradesh                      | 538                                   | 636                                   | 492                                   | 144                                   | 46                                    |
| 10                                    | Jammu & Kashmir                       | 637                                   | 1347                                  | 704                                   | 643                                   | *                                     |
| 11                                    | Jharkhand                             | 297                                   | 569                                   | 331                                   | 238                                   | *                                     |
| 12                                    | Karnataka                             | 2359                                  | 2359                                  | 2136                                  | 223                                   | 223                                   |
| 13                                    | Kerala                                | 849                                   | 1120                                  | 1169                                  | *                                     | *                                     |
| 14                                    | Madhya Pradesh                        | 1171                                  | 1771                                  | 954                                   | 817                                   | 217                                   |
| 15                                    | Maharashtra                           | 1814                                  | 3009                                  | 2929                                  | 80                                    | *                                     |
| 16                                    | Manipur                               | 85                                    | 238                                   | 194                                   | 44                                    | *                                     |
| 17                                    | Meghalaya ##                          | 109                                   | 128                                   | 112                                   | 16                                    | *                                     |
| 18                                    | Mizoram ###                           | 57                                    | 152                                   | 56                                    | 96                                    | 1                                     |
| 19                                    | Nagaland                              | 126                                   | 108                                   | 122                                   | *                                     | 4                                     |
| 20                                    | Odisha                                | 1280                                  | 1285                                  | 940                                   | 345                                   | 340                                   |
| 21                                    | Punjab                                | 432                                   | 593                                   | 568                                   | 25                                    | *                                     |
| 22                                    | Rajasthan                             | 2079                                  | 2664                                  | 2382                                  | 282                                   | *                                     |
| 23                                    | Sikkim                                | 24                                    | NA                                    | 30                                    | NA                                    | *                                     |
| 24                                    | Tamil Nadu                            | 1362                                  | 2927                                  | 2759                                  | 168                                   | *                                     |
| 25                                    | Telangana                             | 689                                   | 1318                                  | 966                                   | 352                                   | *                                     |
| 26                                    | Tripura                               | 93                                    | 0                                     | 156                                   | *                                     | *                                     |
| 27                                    | Uttarakhand                           | 257                                   | 386                                   | 215                                   | 171                                   | 42                                    |
| 28                                    | Uttar Pradesh                         | 3621                                  | 4509                                  | 2209                                  | 2300                                  | 1412                                  |
| 29                                    | West Bengal                           | 914                                   | 1390                                  | 918                                   | 472                                   | *                                     |
| 30                                    | A& N Islands                          | 22                                    | 42                                    | 34                                    | 8                                     | *                                     |
| 31                                    | Chandigarh                            | 3                                     | 0                                     | 3                                     | *                                     | 0                                     |
| 32                                    | D & N Haveli                          | 9                                     | 15                                    | 8                                     | 7                                     | 1                                     |
| 33                                    | Daman & Diu                           | 4                                     | 3                                     | 7                                     | *                                     | *                                     |
| 34                                    | Delhi                                 | 5                                     | 21                                    | 21                                    | 0                                     | *                                     |
| 36                                    | Puducherry                            | 40                                    | 38                                    | 46                                    | *                                     | *                                     |
|                                       | All India 2 /Total                    | 25650                                 | 33968                                 | 27124                                 | 8286                                  | 3027                                  |

Notes:

# Sanctioned data for year 2011 used

# Sanctioned data for year 2015 used

### Sanctioned data for year 2013- 14 used NA: Not Available.

+: Allopathic Doctors

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

1 For calculating the overall percentages of vacancy, the States/UTs for which manpower position is not available, are ex cluded

1 One per Primary Health Centre

|        |                          | PHYSICIANS at CHCs   | PHYSICIANS at CHCs   | PHYSICIANS at CHCs   | PHYSICIANS at CHCs   | PHYSICIANS at CHCs   |
|--------|--------------------------|----------------------|----------------------|----------------------|----------------------|----------------------|
| S. No. | State/UT                 | Require d 3          | Sanctioned           | In Position          | Vacant               | Shortfall            |
| 1      | Andhra Pradesh           | [R] 193              | [S] 65               | [P] 56               | [S-P] 9              | [R-P] 137            |
| 2      | Arunachal Pradesh        | 63                   | NA                   | 1                    | NA                   | 62                   |
| 3      | Assam ###                | 158                  | NA                   | 31                   | NA                   | 127                  |
| 4      | Bihar                    | 150                  | NA                   | 8                    | NA                   | 142                  |
| 5      | Chhattisgarh             | 169                  | 155                  | 9                    | 146                  | 160                  |
| 6      | Goa                      | 4                    | 1                    | 1                    | 0                    | 3                    |
| 7      | Gujarat                  | 363                  | 62                   | 9                    | 53                   | 354                  |
| 8      | Haryana                  | 112                  | 12                   | 4                    | 8                    | 108                  |
| 9      | Himachal Pradesh         | 89                   | NA                   | 5                    | NA                   | 84                   |
| 10     | Jammu & Kashmir          | 84                   | 107                  | 45                   | 62                   | 39                   |
| 11     | Jharkhand                | 188                  | 190                  | 8                    | 182                  | 180                  |
| 12     | Karnataka                | 206                  | 206                  | 106                  | 100                  | 100                  |
| 13     | Kerala                   | 232                  | 2                    | 2                    | 0                    | 230                  |
| 14     | Madhya                   | 309                  | 309                  | 41                   | 268                  | 268                  |
| 15     | Maharashtra              | 360                  | 153                  | 45                   | 108                  | 315                  |
| 16     | Manipur                  | 17                   | 1                    | 1                    | 0                    | 16                   |
| 17     | Meghalaya #              | 27                   | 0                    | 12                   | *                    | 15                   |
| 18     | Mizoram ##               | 9                    | 5                    | 0                    | 5                    | 9                    |
| 19     | Nagaland                 | 21                   | NA                   | 0                    | NA                   | 21                   |
| 20     | Odisha                   | 370                  | 128                  | 58                   | 70                   | 312                  |
| 21     | Punjab                   | 151                  | 140                  | 48                   | 92                   | 103                  |
| 22     | Rajasthan                | 579                  | 665                  | 189                  | 476                  | 390                  |
| 23     | Sikkim                   | 2                    | NA                   | 1                    | NA                   | 1                    |
| 24     | Tamil Nadu               | 385                  | NA                   | 11                   | NA                   | 374                  |
| 25     | Telangana                | 114                  | 71                   | 21                   | 50                   | 93                   |
|        |                          | 21                   |                      |                      | 0                    |                      |
| 26     | Tripura                  |                      | 0                    | 0                    |                      | 21                   |
| 27     | Uttarakhand              | 60                   | 49                   | 11                   | 38                   | 49                   |
| 28     | Uttar Pradesh            | 822                  | 523                  | 103                  | 420                  | 719                  |
| 29     | West Bengal              | 349                  | 95                   | 36                   | 59                   | 313                  |
| 30     | A& N Islands             | 4                    | 3                    | 0                    |                      | 4                    |
| 31     | Chandigarh #             | 2                    | 2                    | 1                    |                      | 1                    |
| 32 33  | D & N Haveli Daman & Diu | 2 2                  | 0 0                  | 0 0                  |                      | 2 2                  |

Notes:

- wise Vacancy and Shortfall ignoring surplus in some States /

# Sanctioned data for year 2015 used ## Total 5 Physicians sanctioned in the State ### Datafor year 2016 used All India figures for Vacancy and Shortfall are the totals of State UTs *: Surplus.

|        |                     | Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   |
|--------|---------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
| S. No. | State/UT            | Required 4                                                         | Sanctioned                                                         | In Position                                                        | Vacant                                                             |
| 1      | Andhra Pradesh      | 772                                                                | 533                                                                | 348                                                                | 185                                                                |
| 2      | Arunachal Pradesh   | 252                                                                | NA                                                                 | 4                                                                  | NA                                                                 |
| 3      | Assam               | 632                                                                | NA                                                                 | 139                                                                | NA                                                                 |
| 4      | Bihar               | 600                                                                | NA                                                                 | 82                                                                 | NA                                                                 |
| 5      | Chhattisgarh        | 676                                                                | 620                                                                | 59                                                                 | 561                                                                |
| 6      | Goa                 | 16                                                                 | 5                                                                  | 4                                                                  | 1                                                                  |
| 7      | Gujarat             | 1452                                                               | 611                                                                | 92                                                                 | 519                                                                |
| 8      | Haryana             | 448                                                                | 74                                                                 | 16                                                                 | 58                                                                 |
| 9      | Himachal Pradesh    | 356                                                                | NA                                                                 | 12                                                                 | NA                                                                 |
| 10     | Jammu & Kashmir     | 336                                                                | 344                                                                | 191                                                                | 153                                                                |
| 11     | Jharkhand           | 752                                                                | 424                                                                | 75                                                                 | 349                                                                |
| 12     | Karnataka           | 824                                                                | 824                                                                | 498                                                                | 326                                                                |
| 13     | Kerala              | 928                                                                | 30                                                                 | 40                                                                 | *                                                                  |
| 14     | Madhya Pradesh      | 1236                                                               | 1236                                                               | 180                                                                | 1056                                                               |
| 15     | Maharashtra         | 1440                                                               | 823                                                                | 508                                                                | 315                                                                |
| 16     | Manipur             | 68                                                                 | 4                                                                  | 3                                                                  | 1                                                                  |
| 17     | Meghalaya           | 108                                                                | 3                                                                  | 13                                                                 | *                                                                  |
| 18     | Mizoram             | 36                                                                 | 33                                                                 | 0                                                                  | 33                                                                 |
| 19     | Nagaland            | 84                                                                 | NA                                                                 | 8                                                                  | NA                                                                 |
| 20     | Odisha              | 1480                                                               | 884                                                                | 318                                                                | 566                                                                |
| 21     | Punjab              | 604                                                                | 593                                                                | 203                                                                | 390                                                                |
| 22     | Rajasthan           | 2316                                                               | 1593                                                               | 497                                                                | 1096                                                               |
| 23     | Sikkim              | 8                                                                  | NA                                                                 | 1                                                                  | NA                                                                 |
| 24     | Tamil Nadu          | 1540                                                               | NA                                                                 | 78                                                                 | NA                                                                 |
| 25     | Telangana           | 456                                                                | 284                                                                | 125                                                                | 159                                                                |
| 26     | Tripura             | 84                                                                 | 0                                                                  | 0                                                                  | 0                                                                  |
| 27     | Uttarakhand         | 240                                                                | 200                                                                | 41                                                                 | 159                                                                |
| 28     | Uttar Pradesh       | 3288                                                               | 2099                                                               | 484                                                                | 1615                                                               |
| 29     | West Bengal         | 1396                                                               | 669                                                                | 117                                                                | 552                                                                |
| 30     | A& N Islands        | 16                                                                 | 9                                                                  | 0                                                                  | 9                                                                  |
| 31     | Chandigarh          | 8                                                                  | 9                                                                  | 15                                                                 | *                                                                  |
| 32     | D & N Haveli        | 8                                                                  | 0                                                                  | 0                                                                  | 0                                                                  |
| 33     | Daman & Diu         | 8                                                                  | 2                                                                  | 0                                                                  | 2                                                                  |
| 34     | Delhi               | 0                                                                  | 0                                                                  | 0                                                                  | 0                                                                  |
| 35     | Lakshadweep         | 12                                                                 | 0                                                                  | 0                                                                  | 0                                                                  |
| 36     | Puducherry          | 16                                                                 | 4                                                                  | 5                                                                  | *                                                                  |
|        | All India 5 / Total | 22496                                                              | 11910                                                              | 4156                                                               | 8105                                                               |

Notes:

NA: Not Available.

1 Four per Community Health Centre

4 Four per Community Health Centre

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

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

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

|        |                   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   |
|--------|-------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|
| S. No. | State/UT          | Required 1                     | Sanctioned                     | In Position                    | Vacant                         | Shortfall1                     |
| 1      | Andhra Pradesh    | 2498                           | 4307                           | 3541                           | 766                            | *                              |
| 2      | Arunachal Pradesh | 584                            | NA                             | 498                            | NA                             | 86                             |
| 3      | Assam#            | 2120                           | 2798                           | 2793                           | 5                              | *                              |
| 4      | Bihar##           | 2949                           | 1662                           | 1142                           | 520                            | 1807                           |
| 5      | Chhattisgarh      | 1968                           | 2685                           | 1918                           | 767                            | 50                             |
| 6      | Goa               | 52                             | 132                            | 129                            | 3                              | *                              |
| 7      | Gujarat           | 3933                           | 3994                           | 3529                           | 465                            | 404                            |
| 8      | Haryana           | 1150                           | 1929                           | 1675                           | 254                            | *                              |
| 9      | Himachal Pradesh  | 1161                           | 837                            | 542                            | 295                            | 619                            |
| 10     | Jammu & Kashmir   | 1225                           | 1710                           | 1480                           | 230                            | *                              |
| 11     | Jharkhand ###     | 1613                           | 703                            | 1136                           | *                              | 477                            |
| 12     | Karnataka         | 3801                           | 2667                           | 3339                           | *                              | 462                            |
| 13     | Kerala            | 2473                           | 3610                           | 3969                           | *                              | *                              |
| 14     | Madhya Pradesh    | 3334                           | 4624                           | 3211                           | 1413                           | 123                            |
| 15     | Maharashtra       | 4334                           | 3218                           | 2519                           | 699                            | 1815                           |
| 16     | Manipur           | 204                            | 484                            | 397                            | 87                             | *                              |
| 17     | Meghalaya ^       | 298                            | 413                            | 610                            | *                              | *                              |
| 18     | Mizoram $         | 120                            | 570                            | 212                            | 358                            | *                              |
| 19     | Nagaland          | 273                            | 175                            | 387                            | *                              | *                              |
| 20     | Odisha            | 3870                           | 866                            | 1817                           | *                              | 2053                           |
| 21     | Punjab            | 1489                           | 2189                           | 2019                           | 170                            | *                              |
| 22     | Rajasthan         | 6132                           | 12472                          | 9311                           | 3161                           | *                              |
| 23     | Sikkim            | 38                             | NA                             | 33                             | NA                             | 5                              |
| 24     | Tamil Nadu        | 4057                           | 8133                           | 7487                           | 646                            | *                              |
| 25     | Telangana         | 1487                           | 2130                           | 1904                           | 226                            | *                              |
| 26     | Tripura           | 240                            | 0                              | 597                            | *                              | *                              |
| 27     | Uttarakhand       | 677                            | 307                            | 349                            | *                              | 328                            |
| 28     | Uttar Pradesh     | 9375                           | 4497                           | 4412                           | 85                             | 4963                           |
| 29     | West Bengal       | 3357                           | 10380                          | 9248                           | 1132                           | *                              |
| 30     | A& N Islands      | 50                             | 199                            | 193                            | 6                              | *                              |
| 31     | Chandigarh^^      | 17                             | 47                             | 80                             | *                              | *                              |
| 32     | D & N Haveli      | 23                             | 14                             | 45                             | *                              | *                              |
| 33     | Daman & Diu       | 18                             | 14                             | 16                             | *                              | 2                              |
| 34     | Delhi             | 5                              | 5                              | 7                              | *                              | *                              |
| 35     | Lakshadweep       | 25                             | 54                             | 54                             | 0                              | *                              |
| 36     | Puducherry        | 68                             | 131                            | 139                            | *                              | *                              |
|        | All India/Total   | 65018                          | 77956                          | 70738                          | 11288                          | 13194                          |

Notes: # Sanctioned data for year 2013 used ## Sanctioned data for year 2011 used ### Sanctioned data for year 2016 used ^ Sanctioned data for year 2015 used $ Total 570 Staff Nurses sanctioned in the State ^^Sanctioned data for year 2013 -14 used

1 One per Primary Health Centre and seven per Community Health Centre All India figures for Vacancy and Shortfall are the totals of State -wise V cancy and Shortfall ignoring surplus in some States / UTs

*: Surplus.

NA: Not Available