Lok Sabha Question No. 306 (STARRED), answered on 2018-03-16
Subject: National Health Profile
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HARI BABU KAMBHAMPATI

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA STARRED QUESTION NO. 306 TO BE ANSWERED ON THE 16 TH MARCH, 2018 NATIONAL HEALTH PROF ILE

## *306. DR. KAMBHAMPATI HARIBABU:

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

- (a) whether the country's public healthcare is in terminal crisis;
- (b) if so, the details thereof;
- (c)  whether  the  Government  has  noticed  any  shortcomings  in  the  Nation Health  Prof ile - 2017  and  if  so,  the  details  thereof  along  with  the  remed suggested to overcome the same; and
- (d)  whether  the  World  Health  Organisation  (WHO)  has  commented  on  the competence of doctors working in rural India and if so, the details thereo

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE

## ( SHRI JAGAT PRAKASH NADDA )

- (a)to ( d) : A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 306* FOR 16 TH MARCH, 2018

(a)& (b) It is not true to say that public health care is in terminal c status  of  public  healthcare  system  in  reference  to  availability  of  sp doctors and staff in public health facilities varies from state to state upon their polic ies and context. As per Rural Health Statistics 2017, there gaps in the availability of health facilities on the basis of population n shortfall in Health infrastructure at the level of Sub Ccentres, Primary Centres,  Community  Health  Ce ntres&  Human  Resources  are  given  at Annexure - I to VI.

Public  Health  and  Hospitals  is  a  State  subject.  However,  under  the  Nat Health Mission (NHM), the Central Government has been supplementing the efforts of the State Governments to strengthen the p ublic healthcare system and there have been significant gains in progress of key health indicators. NHM as on 30.09.2017, more than 2.26 lakh health human resources have been added.

(c) The challenges  mentioned  in the  National  Health  profile - 2017  and  the initiatives taken by Government in this regard are at Annexure - VII .

(d) World Health Organization in its report published in 2016 on the He workforce  in  India  has  mentioned  that  many  individuals  claiming  to doctors  in  rural  India  do  not  have  the  requisite  professional  qualifi The detailed report is available in the public domain http://www.who.int/hrh/resources/16058health\_workforce\_India.pdf .

Annexure-I

| SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   | SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011   |
|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|--------------------------------------------------|
| S.No.                                            | State/ UT                                        | Total Population in Rural Areas                  | Tribal Population in Rural Areas                 | Sub Centres                                      | Sub Centres                                      | Sub Centres                                      | Sub Centres                                      | PHCs                                             | PHCs                                             | PHCs                                             | PHCs                                             | CHCs                                             | CHCs                                             | CHCs                                             | CHCs                                             |
| S.No.                                            | State/ UT                                        | Total Population in Rural Areas                  | Tribal Population in Rural Areas                 | R                                                | P                                                | S                                                | % Shorfall                                       | R                                                | P                                                | S                                                | % Shorfall                                       | R                                                | P                                                | S                                                | % Shorfall                                       |
| 1                                                | Andhra Pradesh                                   | 34776389                                         | 2293102                                          | 7261                                             | 7458                                             | *                                                | *                                                | 1197                                             | 1147                                             | 50                                               | 4                                                | 299                                              | 193                                              | 106                                              | 35                                               |
| 2                                                | Arunachal Pradesh                                | 1066358                                          | 789846                                           | 318                                              | 312                                              | 6                                                | 2                                                | 48                                               | 143                                              | *                                                | *                                                | 12                                               | 63                                               | *                                                | *                                                |
| 3                                                | Assam                                            | 26807034                                         | 3665405                                          | 5850                                             | 4621                                             | 1229                                             | 21                                               | 954                                              | 1014                                             | *                                                | *                                                | 238                                              | 158                                              | 80                                               | 34                                               |
| 4                                                | Bihar                                            | 92341436                                         | 1270851                                          | 18637                                            | 9949                                             | 8688                                             | 47                                               | 3099                                             | 1899                                             | 1200                                             | 39                                               | 774                                              | 150                                              | 624                                              | 81                                               |
| 5                                                | Chhattisgarh                                     | 19607961                                         | 7231082                                          | 4885                                             | 5186                                             | *                                                | *                                                | 774                                              | 785                                              | *                                                | *                                                | 193                                              | 169                                              | 24                                               | 12                                               |
| 6                                                | Goa                                              | 551731                                           | 87639                                            | 122                                              | 214                                              | *                                                | *                                                | 19                                               | 24                                               | *                                                | *                                                | 4                                                | 4                                                | 0                                                | 0                                                |
| 7                                                | Gujarat                                          | 34694609                                         | 8021848                                          | 8008                                             | 9082                                             | *                                                | *                                                | 1290                                             | 1392                                             | *                                                | *                                                | 322                                              | 363                                              | *                                                | *                                                |
| 8                                                | Haryana                                          | 16509359                                         | 0                                                | 3301                                             | 2589                                             | 712                                              | 22                                               | 550                                              | 366                                              | 184                                              | 33                                               | 137                                              | 112                                              | 25                                               | 18                                               |
| 9                                                | Himachal Pradesh                                 | 6176050                                          | 374392                                           | 1285                                             | 2083                                             | *                                                | *                                                | 212                                              | 538                                              | *                                                | *                                                | 53                                               | 89                                               | *                                                | *                                                |
| 10                                               | Jammu & Kashmir                                  | 9108060                                          | 1406833                                          | 2009                                             | 2967                                             | *                                                | *                                                | 327                                              | 637                                              | *                                                | *                                                | 81                                               | 84                                               | *                                                | *                                                |
| 11                                               | Jharkhand                                        | 25055073                                         | 7868150                                          | 6060                                             | 3848                                             | 2212                                             | 37                                               | 966                                              | 297                                              | 669                                              | 69                                               | 241                                              | 188                                              | 53                                               | 22                                               |
| 12                                               | Karnataka                                        | 37469335                                         | 3429791                                          | 7951                                             | 9381                                             | *                                                | *                                                | 1306                                             | 2359                                             | *                                                | *                                                | 326                                              | 206                                              | 120                                              | 37                                               |
| 13                                               | Kerala                                           | 17471135                                         | 433092                                           | 3551                                             | 5380                                             | *                                                | *                                                | 589                                              | 849                                              | *                                                | *                                                | 147                                              | 232                                              | *                                                | *                                                |
| 14                                               | Madhya Pradesh                                   | 52557404                                         | 14276874                                         | 12415                                            | 9192                                             | 3223                                             | 26                                               | 1989                                             | 1171                                             | 818                                              | 41                                               | 497                                              | 309                                              | 188                                              | 38                                               |
| 15                                               | Maharashtra                                      | 61556074                                         | 9006077                                          | 13512                                            | 10580                                            | 2932                                             | 22                                               | 2201                                             | 1814                                             | 387                                              | 18                                               | 550                                              | 360                                              | 190                                              | 35                                               |
| 16                                               | Manipur                                          | 2021640                                          | 791126                                           | 509                                              | 421                                              | 88                                               | 17                                               | 80                                               | 85                                               | *                                                | *                                                | 20                                               | 17                                               | 3                                                | 15                                               |
| 17                                               | Meghalaya                                        | 2371439                                          | 2136891                                          | 759                                              | 436                                              | 323                                              | 43                                               | 114                                              | 109                                              | 5                                                | 4                                                | 28                                               | 27                                               | 1                                                | 4                                                |
| 18                                               | Mizoram                                          | 525435                                           | 507467                                           | 172                                              | 370                                              | *                                                | *                                                | 25                                               | 57                                               | *                                                | *                                                | 6                                                | 9                                                | *                                                | *                                                |
| 19                                               | Nagaland                                         | 1407536                                          | 1306838                                          | 455                                              | 396                                              | 59                                               | 13                                               | 68                                               | 126                                              | *                                                | *                                                | 17                                               | 21                                               | *                                                | *                                                |
| 20                                               | Odisha                                           | 34970562                                         | 8994967                                          | 8193                                             | 6688                                             | 1505                                             | 18                                               | 1315                                             | 1280                                             | 35                                               | 3                                                | 328                                              | 370                                              | *                                                | *                                                |
| 21                                               | Punjab                                           | 17344192                                         | 0                                                | 3468                                             | 2950                                             | 518                                              | 15                                               | 578                                              | 432                                              | 146                                              | 25                                               | 144                                              | 151                                              | *                                                | *                                                |
| 22                                               | Rajasthan                                        | 51500352                                         | 8693123                                          | 11459                                            | 14406                                            | *                                                | *                                                | 1861                                             | 2079                                             | *                                                | *                                                | 465                                              | 579                                              | *                                                | *                                                |
| 23                                               | Sikkim                                           | 456999                                           | 167146                                           | 113                                              | 147                                              | *                                                | *                                                | 18                                               | 24                                               | *                                                | *                                                | 4                                                | 2                                                | 2                                                | 50                                               |

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

Notes: The requirement is calculated using the prescribed norms on the basis of rural population from Census, 2011.  All Indi a shortfall is derived by adding state - wise figures of shortfall ignoring the existing surplus in some of the states. R: Required; P: In Position; S: Shortfall;     *: Surplus

| TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons,   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons,   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons,   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons,   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons,   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons,   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons,   |
|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|----------------------------------------------------------|
| S. No.                                                   | State/UT                                                 | OB&GY, Physicians & Paediatricians]                      | OB&GY, Physicians & Paediatricians]                      | OB&GY, Physicians & Paediatricians]                      | OB&GY, Physicians & Paediatricians]                      | OB&GY, Physicians & Paediatricians]                      |
| S. No.                                                   | State/UT                                                 | Required 1                                               | (As on Sanctioned                                        | 31st March, In Position                                  | 2017) Vacant [S- P]                                      | Shortfall [R-P]                                          |
| 1                                                        | Andhra Pradesh                                           | [R] 772                                                  | [S] 533                                                  | [P] 348                                                  | 185                                                      | 424                                                      |
| 2                                                        | Arunachal Pradesh                                        | 252                                                      | NA                                                       | 4                                                        | NA                                                       | 248                                                      |
| 3                                                        | Assam                                                    | 632                                                      | NA                                                       | 139                                                      | NA                                                       | 493                                                      |
| 4                                                        | Bihar                                                    | 600                                                      | NA                                                       | 82                                                       | NA                                                       | 518                                                      |
| 5                                                        | Chhattisgarh                                             | 676                                                      | 620                                                      | 59                                                       | 561                                                      | 617                                                      |
| 6                                                        | Goa                                                      | 16                                                       | 5                                                        | 4                                                        | 1                                                        | 12                                                       |
| 7                                                        | Gujarat                                                  | 1452                                                     | 611                                                      | 92                                                       | 519                                                      | 1360                                                     |
| 8                                                        | Haryana                                                  | 448                                                      | 74                                                       | 16                                                       | 58                                                       | 432                                                      |
| 9                                                        | Himachal Pradesh                                         | 356                                                      | NA                                                       | 12                                                       | NA                                                       | 344                                                      |
| 10                                                       | Jammu & Kashmir                                          | 336                                                      | 344                                                      | 191                                                      | 153                                                      | 145                                                      |
| 11                                                       | Jharkhand                                                | 752                                                      | 424                                                      | 75                                                       | 349                                                      | 677                                                      |
| 12                                                       | Karnataka                                                | 824                                                      | 824                                                      | 498                                                      | 326                                                      | 326                                                      |
| 13                                                       | Kerala                                                   | 928                                                      | 30                                                       | 40                                                       | *                                                        | 888                                                      |
| 14                                                       | Madhya Pradesh                                           | 1236                                                     | 1236                                                     | 180                                                      | 1056                                                     | 1056                                                     |
| 15                                                       | Maharashtra                                              | 1440                                                     | 823                                                      | 508                                                      | 315                                                      | 932                                                      |
| 16                                                       | Manipur                                                  | 68                                                       | 4                                                        | 3                                                        | 1                                                        | 65                                                       |
| 17                                                       | Meghalaya                                                | 108                                                      | 3                                                        | 13                                                       | *                                                        | 95                                                       |
| 18                                                       | Mizoram                                                  | 36                                                       | 33                                                       | 0                                                        | 33                                                       | 36                                                       |
| 19                                                       | Nagaland                                                 | 84                                                       | NA                                                       | 8                                                        | NA                                                       | 76                                                       |
| 20                                                       | Odisha                                                   | 1480                                                     | 884                                                      | 318                                                      | 566                                                      | 1162                                                     |
| 21                                                       | Punjab                                                   | 604                                                      | 593                                                      | 203                                                      | 390                                                      | 401                                                      |
| 22                                                       | Rajasthan                                                | 2316                                                     | 1593                                                     | 497                                                      | 1096                                                     | 1819                                                     |
| 23                                                       | Sikkim                                                   | 8                                                        | NA                                                       | 1                                                        | NA                                                       | 7                                                        |
| 24                                                       | Tamil Nadu                                               | 1540                                                     | NA                                                       | 78                                                       | NA                                                       | 1462                                                     |
| 25                                                       | Telangana                                                | 456                                                      | 284                                                      | 125                                                      | 159                                                      | 331                                                      |
| 26                                                       | Tripura                                                  | 84                                                       | 0                                                        | 0                                                        | 0                                                        | 84                                                       |
| 27                                                       | Uttarakhand                                              | 240                                                      | 200                                                      | 41                                                       | 159                                                      | 199                                                      |
| 28                                                       | Uttar Pradesh                                            | 3288                                                     | 2099                                                     | 484                                                      | 1615                                                     | 2804                                                     |
| 29                                                       | West Bengal                                              | 1396                                                     | 669                                                      | 117                                                      | 552                                                      | 1279                                                     |
| 30                                                       | A& N Islands                                             | 16                                                       | 9                                                        | 0                                                        | 9                                                        | 16                                                       |
| 31                                                       | Chandigarh                                               | 8                                                        | 9                                                        | 15                                                       | *                                                        | *                                                        |
| 32                                                       | D & N Haveli                                             | 8                                                        | 0                                                        | 0                                                        | 0                                                        | 8                                                        |
| 33                                                       | Daman & Diu                                              | 8                                                        | 2                                                        | 0                                                        | 2                                                        | 8                                                        |
| 34                                                       | Delhi                                                    | 0                                                        | 0                                                        | 0                                                        | 0                                                        | 0                                                        |
| 35                                                       | Lakshadweep                                              | 12                                                       | 0                                                        | 0                                                        | *                                                        | 12                                                       |
| 36                                                       | Puducherry 2                                             | 16                                                       | 4                                                        | 5                                                        | 0                                                        | 11                                                       |

## Notes:

1

NA: Not Available.

Four per Community Health Centre

- All India figures for Vacancy and Shortfall are the tot ls of State - wise Vacancy and
- *: Surplus.
- Shortfall ignoring surplus in some States / UTs 2 For calculating the overall percentages of vacancy and shortfall, the States/UTs f

which manpower position is not available, are excluded

Notes:

Total # Sanctioned data for year 2011 used

## Annexure - III

| 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.                                | State/UT                              | (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.                                | State/UT                              | Required 1                            | Sanctioned                            | In Position                           | Vacant                                | Shortfall                             |
| S. No.                                | State/UT                              | [R]                                   | [S]                                   | [P]                                   | [S-P]                                 | [R-P]                                 |
| 1                                     | Andhra                                | 1147                                  | 1952                                  | 1644                                  | 308                                   | *                                     |
| 2                                     | Pradesh Arunachal                     | 143                                   | NA                                    | 122                                   | NA                                    | 21                                    |
| 3                                     | Pradesh 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                              | 538                                   | 636                                   | 492                                   | 144                                   | 46                                    |
| 10                                    | Pradesh Jammu &                       | 637                                   | 1347                                  | 704                                   | 643                                   | *                                     |
| 11                                    | Kashmir Jharkhand                     | 297                                   | 569                                   | 331                                   | 238                                   | *                                     |
| 12                                    | Karnataka                             | 2359                                  | 2359                                  | 2136                                  | 223                                   | 223                                   |
| 13                                    | Kerala                                | 849                                   | 1120                                  | 1169                                  | *                                     | *                                     |
| 14                                    | Madhya                                | 1171                                  | 1771                                  | 954                                   | 817                                   | 217                                   |
| 15                                    | Pradesh 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                                     | *                                     |
| 35                                    | Lakshadweep                           | 4                                     | 8                                     | 8                                     | 0                                     | *                                     |
| 36                                    | Puducherry                            | 40                                    | 38                                    | 46                                    | *                                     | *                                     |
|                                       | All India 2 /                         | 25650                                 | 33968                                 | 27124                                 | 8286                                  | 3027                                  |

# 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

- *: Surplus.
- 1 One per Primary Health Centre

Notes:

- 1

# Sanctioned data  for year 2013 used

## Annexure - IV

| LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2017)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2017)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2017)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2017)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2017)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2017)   |
|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|
| S. No.                                                           | State/UT                                                         | Required 1                                                       | Sanctioned Position                                              | Vacant                                                           | Shortfall                                                        |
| S. No.                                                           | State/UT                                                         | [R]                                                              | In [S]                                                           | [S-P]                                                            | [R-P]                                                            |
| 1                                                                | Andhra Pradesh                                                   | 1340                                                             | [P] 1174 779                                                     | 395                                                              | 561                                                              |
| 2                                                                | Arunachal Pradesh                                                | 206                                                              | NA 123                                                           | NA                                                               | 83                                                               |
| 3                                                                | Assam #                                                          | 1172                                                             | 860 1202                                                         | *                                                                | *                                                                |
| 4                                                                | Bihar                                                            | 2049                                                             | 683 611                                                          | 72                                                               | 1438                                                             |
| 5                                                                | Chhattisgarh                                                     | 954                                                              | 956 727                                                          | 229                                                              | 227                                                              |
| 6                                                                | Goa                                                              | 28                                                               | 45 41                                                            | 4                                                                | *                                                                |
| 7                                                                | Gujarat                                                          | 1755 1756                                                        | 1704                                                             | 52                                                               | 51                                                               |
| 8                                                                | Haryana                                                          | 478                                                              | 549 367                                                          | 182                                                              | 111                                                              |
| 9                                                                | Himachal Pradesh                                                 | 627                                                              | 300 160                                                          | 140                                                              | 467                                                              |
| 10                                                               | Jammu & Kashmir                                                  | 721                                                              | 826 796                                                          | 30                                                               | *                                                                |
| 11                                                               | Jharkhand ##                                                     | 485                                                              | 515 250                                                          | 265                                                              | 235                                                              |
| 12                                                               | Karnataka                                                        | 2565                                                             | 1790 1532                                                        | 258                                                              | 1033                                                             |
| 13                                                               | Kerala                                                           | 1081                                                             | 324 365                                                          | *                                                                | 716                                                              |
| 14                                                               | Madhya Pradesh                                                   | 1480                                                             | 1808 1378                                                        | 430                                                              | 102                                                              |
| 15                                                               | Maharashtra                                                      | 2174                                                             | 1474 1308                                                        | 166                                                              | 866                                                              |
| 16                                                               | Manipur                                                          | 102                                                              | 102 70                                                           | 32                                                               | 32                                                               |
| 17                                                               | Meghalaya ###                                                    | 136                                                              | 118 162                                                          | *                                                                | *                                                                |
| 18                                                               | Mizoram ^                                                        | 66                                                               | 92 82                                                            | 10                                                               | *                                                                |
| 19                                                               | Nagaland                                                         | 147                                                              | 72 73                                                            | *                                                                | 74                                                               |
| 20                                                               | Odisha                                                           | 1650                                                             | 461 547                                                          | *                                                                | 1103                                                             |
| 21                                                               | Punjab                                                           | 583                                                              | 616 582                                                          | 34                                                               | 1                                                                |
| 22                                                               | Rajasthan                                                        | 2658                                                             | 3571 1996                                                        | 1575                                                             | 662                                                              |
| 23                                                               | Sikkim                                                           | 26                                                               | NA 21                                                            | NA                                                               | 5                                                                |
| 24                                                               | Tamil Nadu                                                       | 1747                                                             | 2132 1395                                                        | 737                                                              | 352                                                              |
| 25                                                               | Telangana                                                        | 803                                                              | 811 640                                                          | 171                                                              | 163                                                              |
| 26                                                               | Tripura                                                          | 114                                                              | 0 91                                                             | *                                                                | 23                                                               |
| 27                                                               | Uttarakhand                                                      | 317                                                              | 106 65                                                           | 41                                                               | 252                                                              |
| 28                                                               | Uttar Pradesh                                                    | 4443                                                             | 1331 963                                                         | 368                                                              | 3480                                                             |
| 29                                                               | West Bengal                                                      | 1263                                                             | 1360 803                                                         | 557                                                              | 460                                                              |
| 30                                                               | A& N Islands                                                     | 26                                                               | 23 19                                                            | 4                                                                | 7                                                                |
| 31                                                               | Chandigarh^^                                                     | 5                                                                | 8 22                                                             | *                                                                | *                                                                |
| 32                                                               | D & N Haveli                                                     | 11                                                               | 7 17                                                             | *                                                                | *                                                                |
| 33                                                               | Daman & Diu                                                      | 6                                                                | 4 6                                                              | *                                                                | 0                                                                |
| 34                                                               | Delhi                                                            | 5                                                                | 5 4                                                              | 1                                                                | 1                                                                |
| 35                                                               | Lakshadweep                                                      | 7                                                                | 13 13                                                            | 0                                                                | *                                                                |
| 36                                                               | Puducherry                                                       | 44                                                               | 10 38                                                            | *                                                                | 6                                                                |
|                                                                  | All India/Total                                                  | 31274                                                            | 23902 18952                                                      | 5753                                                             | 12511                                                            |

## Sanctioned data  for year 2016 used

### Sanctioned data  for year 2015 used

^ Total 92 Lab. Technicians sanctioned in the State

^^Sanctioned data for 2013-14 used

- One per each Primary Health Centre and 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.

|     |                   | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   |
|-----|-------------------|------------------------------|------------------------------|------------------------------|------------------------------|------------------------------|
| S.  | State/UT          | Required 1                   | Sanctioned                   | In Position                  | Vacant                       | Shortfall                    |
| No. |                   | [R]                          | [S]                          | [P]                          | [S-P]                        | [R-P]                        |
| 1   | Andhra Pradesh    | 1340                         | 1355                         | 994                          | 361                          | 346                          |
| 2   | Arunachal Pradesh | 206                          | NA                           | 89                           | NA                           | 117                          |
| 3   | Assam #           | 1172                         | 1284                         | 1384                         | *                            | *                            |
| 4   | Bihar ##          | 2049                         | 989                          | 287                          | 702                          | 1762                         |
| 5   | Chhattisgarh      | 954                          | 1086                         | 887                          | 199                          | 67                           |
| 6   | Goa               | 28                           | 53                           | 51                           | 2                            | *                            |
| 7   | Gujarat           | 1755                         | 1792                         | 1665                         | 127                          | 90                           |
| 8   | Haryana           | 478                          | 563                          | 419                          | 144                          | 59                           |
| 9   | Himachal Pradesh  | 627                          | 594                          | 394                          | 200                          | 233                          |
| 10  | Jammu & Kashmir   | 721                          | 1137                         | 737                          | 400                          | *                            |
| 11  | Jharkhand ##      | 485                          | 515                          | 238                          | 277                          | 247                          |
| 12  | Karnataka         | 2565                         | 2674                         | 2523                         | 151                          | 42                           |
| 13  | Kerala            | 1081                         | 1036                         | 1102                         | *                            | *                            |
| 14  | Madhya Pradesh    | 1480                         | 1905                         | 1687                         | 218                          | *                            |
| 15  | Maharashtra       | 2174                         | 2355                         | 2082                         | 273                          | 92                           |
| 16  | Manipur           | 102                          | 145                          | 152                          | *                            | *                            |
| 17  | Meghalaya ###     | 136                          | 135                          | 166                          | *                            | *                            |
| 18  | Mizoram ^         | 66                           | 99                           | 59                           | 40                           | 7                            |
| 19  | Nagaland          | 147                          | 135                          | 101                          | 34                           | 46                           |
| 20  | Odisha            | 1650                         | 1781                         | 1691                         | 90                           | *                            |
| 21  | Punjab            | 583                          | 841                          | 779                          | 62                           | *                            |
| 22  | Rajasthan         | 2658                         | 1240                         | 623                          | 617                          | 2035                         |
| 23  | Sikkim            | 26                           | NA                           | 10                           | NA                           | 16                           |
| 24  | Tamil Nadu        | 1747                         | 1789                         | 1391                         | 398                          | 356                          |
| 25  | Telangana         | 803                          | 928                          | 814                          | 114                          | *                            |
| 26  | Tripura           | 114                          | 0                            | 148                          | *                            | *                            |
| 27  | Uttarakhand       | 317                          | 325                          | 307                          | 18                           | 10                           |
| 28  | Uttar Pradesh     | 4443                         | 2952                         | 2883                         | 69                           | 1560                         |
| 29  | West Bengal       | 1263                         | 1458                         | 1381                         | 77                           | *                            |
| 30  | A& N Islands      | 26                           | 53                           | 49                           | 4                            | *                            |
| 31  | Chandigarh^^      | 5                            | 16                           | 21                           | *                            | *                            |
| 32  | D & N Haveli      | 11                           | 10                           | 12                           | *                            | *                            |
| 33  | Daman & Diu       | 6                            | 5                            | 7                            | *                            | *                            |
| 34  | Delhi             | 5                            | 7                            | 7                            | 0                            | *                            |
| 35  | Lakshadweep       | 7                            | 16                           | 16                           | 0                            | *                            |
| 36  | Puducherry        | 44                           | 42                           | 37                           | 5                            | 7                            |
|     | All India/Total   | 31274                        | 29315                        | 25193                        | 4582                         | 7092                         |

Notes:

# Sanctioned data  for the year 2013 used

## Sanctioned data  for the year 2016 used

### Sanctioned data  for the year 2015 used

^^Sanctioned data for the year 2013 - 14 used

- ^ Total 99 Pharmacists sanctioned in the State

One per each Primary Health

- 1 Centre and 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.

NA: Not Available.

## Annexure VI

|        |                   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2017)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2017)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2017)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2017)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2017)   |
|--------|-------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| S. No. | State/UT          | Required 1                                              | Sanctioned                                              | In Position                                             | Vacant                                                  | Shortfall 1                                             |
| 1      | Andhra Pradesh    | [R1] 2498                                               | [S] 4307                                                | [P] 3541                                                | [S-P] 766                                               | [R1-P] *                                                |
| 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 Vacancy and Shortfall ignoring surplus in some States / UTs

- *: Surplus.

NA: Not Available.

initiation

(Integrated

- five children, children of 5 to 10 years of age,

Child  Protection  Card  are  the  joint  initiative  of  the

Mission in

over for

|   S.No. | Shortcoming identified                 | Government initiatives                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     |
|---------|----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|       1 | Malnutrition                           | 'MAA program' to Promote infant and young child feeding practices that include early breastfeeding, exclusive breastfeeding till 6 age and appropriate complementary feeding months of age. Management of malnutrition and com mon neonatal childhood illnesses at community and facility training service providers in IMNCI Management of Neonatal and Childhood training. Treatment of children with severe acute special units called the Nutrition Rehabilitation (NRCs), set up at public health facilities. WIFS program to prevent and combat deficiencies of Vitamin A and Iron & Folic in under - five children, children of 5 to 10 and adoles cents. Village Health and Nutrition Days and Child Protection Card are the joint Ministries of Health & Family welfare and the of Woman and Child for addressing the concerns in children, pregnant women and lactating mothers. |
|       2 | Low Immunization rate                  | Mission Indradhanushand Intensified Indradhanushwere launched to capture the left - behind children which has demonstrated good progress improving immunization coverage by 5% inthejust one year.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |
|       3 | Hygiene, sanitation infectious disease | and Kayakalp initiative launched in 2016 under the NHM to inculcate the practice ofhygiene, sanitation, effective waste management and infection control public health facilities. The competition awardsintroduced under Kayakalp has been well received by all th e States and significant in sanitation standards are being witnessed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |

of

Stroke universal

bed net

Fortnight control

of

|   4 | Lifestyle changes increased the risk of cardiovascular disease, diabetes ,COPD and cancer   | National Programme for Prevention and Diabetes, Cardiovascular Disease and has implemented to cater Non communicable (NCDs). As part of Ayushman Bharat, screening based NCD screening for five common NCDs such as Hypert ension, Diabetes, and Breast, Cervix and oral has been initiated.                                                                 |
|-----|---------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|   5 | Communicable disease like TB, M alaria, K ala azar, Dengue                                  | Government of India has implemented the Vector Borne Disease Control Programme to prevent and contr l vector borne diseases. control measures for vector borne diseases NVBDCP include control of insects, bed distribution etc. It has also successfully implemented the National Tuberculosis Control Programme and Leprosy Era dication Programme (NLEP). |
|   6 | Waterborne diseases diarrhoea                                                               | like Intensive focus is given on reduction of Diarrhoeal cases through improved WASH Improvement in treatment part through community facility level interventions like av ailability of Rehydration Solution (ORS) at community as facility, Intensified Diarrhoea Control (IDCF) launched for prevention and Diarrhoea.                                     |