Lok Sabha Question No. 2964 (UNSTARRED), answered on 2018-08-03
Subject: Doctor-Population Ratio
Ministry: HEALTH AND FAMILY WELFARE
Asked by: SUSHMITA DEV, JYOTIRADITYA MADHAVRAO SCINDIA, BALKA SUMAN

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

LOK SABHA UNSTARRED QUESTION NO. 2964 TO BE ANSWERED ON 3 rd AUGUST, 2018

## DOCTOR - POPULATION RATIO

## 2964. KUMARI SUSHMITA DEV: SHRI JYOTIRADITYA M. SCINDIA: SHRI SUMAN BALKA:

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

- (a) whether allopathic Government doctor in India on an average serves a population of 11,082, which is more than 10 times the recommended doctor population ra tio of 1:1000 and if so, the details thereof;
- (b) whether doctor - population ratio in developing countries is far less than India and if so, the details thereof;
- (c) whether there is a huge gap between States -while one doctor serves a population of 28,391 in Bihar, the ratio in Delhi is 1:2,203 and if so, the reaction of the Government thereto;
- (d) whether the Government has taken any steps to ensure the availability of doctors and bring down doctor - population ratio in the country; and
- (e) if so, the det ails thereof?

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

(a) to (c): National  Health  Profile  (NHP) -2018  depicts  only  the  data  of  Government doctors serving in the country. As per NHP there are 1,14,969 Allopathic doctors serving in the Government across the country and an average population of 11,082 is served by one allopathic doctor . The State -wise availability of allopathic doctors serving in Government as per NHP (provisional) is at Annex ure -I .  However, the availability of doctors is measured in terms o total number of doctors available for service including those working outside the Gover sector.  The  WHO  ratio  is  also  expressed  in  terms  of  total  number  of  doctors  per  tho population. As  per  information  provided  by  Medical  Council  of India (MCI), there total 10,78,732 allopathic doctors registered with the State Medical Councils/Medical Cou India as on 31 st March, 2018.

Assuming 80% availability, it is estimated that around 8.63 lakh doctors may be act available for active service. It gives a doctor - population ratio of 1:1541 as per current population estimate of 1.33 billion. Besides, there are 7.63 lakh Ayurveda, U nani and Homeopathy (AUH) doctors in the country. Assuming 80% availability, it is estimated that around 6.10 lak doctors  may  be  actually  available  for  active  service  and  considered  together  with  all doctors, it gives a doctor population ratio of 1:902 which is better than the WHO prescribed ratio of 1:1000. The number of allopathic doctors registered with the State Medical Councils / MC at Annexure -II. The data on doctor - population ratio in developing countries is not maintained centrally .

(d) & (e): The Government has taken various steps to increase availability of doctors i country which include:

- I. The  ratio  of  teachers  to  students  has  been  revised  from  1:1  to  1:2  for  all  M disciplines and 1:1 to 1:3 in subjects of Anaesthesiology, Forensic Medicine, Radiotherapy,  Medical  Oncology,  Surgical  Oncology  and  Psychiatry.  Further,  teache student  ratio  in  public  funded  Government  Medical  Colleges  for  Professor  has  be increased from 1:2 to 1:3 in all clinical subjects and for Asso. Prof. from 1:1 to 1:2 if the Asso.  Prof.  is  a  unit  head.  The  same  has  also  been  extended  to  the  private  me colleges with certain conditions. This would result in increase in number of PG se the country.
- II. DNB  qualification  has  been  re cognized  for  appointment  as  faculty  to  take  care  of shortage of faculty.
- III. Enhancement of maximum intake capacity at MBBS level from 150 to 250.
- IV. Relaxation in the norms of setting up of Medical College in terms of requirement faculty, staff, bed/bed st rength and other infrastructure.
- V. Requirement  of  land  for  establishment  of  medical  college  in  metropolitan  citie notified under Article 243P(c) of the Constitution of India has been dispensed with.
- VI. Strengthening/upgradation of State Government Medical Colleges for starting new PG courses/Increase of PG seats.
- VII. Establishment of New Medical Colleges by upgrading district/referral preferably in underserved districts of the country.
- VIII. Strengthening/ upgradation of existing State Government/Centr al Government Medical Colleges to increase MBBS seats.
- IX. Enhancement of age limit for appointment/ extension/ re - employment  against  posts  of teachers/dean/principal/ director in medical colleges from 65 - 70 years.

hospit

5.3  State /UT wise Number of Government Allopathic Doctors and Average  Population Served in India (Provisional) as per National Health Profile, 2018

| S. No   | State/ UT         |   No. of Govt. Allopathic Doctors |   Provisional/ Projected Population* as on reference period in (000) |   Average Population Served/Govt. Allopathic Doctors | Reference Period   |
|---------|-------------------|-----------------------------------|----------------------------------------------------------------------|------------------------------------------------------|--------------------|
| 1       | Andhra Pradesh ** |                              5114 |                                                                52105 |                                                10189 | 01.01.2017         |
| 2       | Arunachal Pradesh |                               549 |                                                                 1327 |                                                 2417 | 31.12.2017         |
| 3       | Assam             |                              6082 |                                                                32810 |                                                 5395 | 31.12.2017         |
| 4       | Bihar             |                              3576 |                                                               101526 |                                                28391 | 01.01.2015         |
| 5       | Chhattisgarh      |                              1626 |                                                                25879 |                                                15916 | 01.01.2017         |
| 6       | Goa               |                               521 |                                                                 2023 |                                                 3883 | 31.12.2017         |
| 7       | Gujarat           |                              5475 |                                                                62825 |                                                11475 | 01.01.2017         |
| 8       | Haryana           |                              2618 |                                                                26675 |                                                10189 | 01.01.2015         |
| 9       | Himachal Pradesh  |                              1517 |                                                                 7037 |                                                 4639 | 01.01.2016         |
| 10      | Jammu & Kashmir   |                              4058 |                                                                12419 |                                                 3060 | 01.01.2017         |
| 11      | Jharkhand         |                              1793 |                                                                33203 |                                                18518 | 01.01.2016         |
| 12      | Karnataka         |                              5047 |                                                                68415 |                                                13556 | 31.12.2017         |
| 13      | Kerala            |                              5239 |                                                                35677 |                                                 6810 | 01.01.2017         |
| 14      | Madhya Pradesh    |                              4593 |                                                                78964 |                                                17192 | 01.01.2017         |
| 15      | Maharashtra       |                              6981 |                                                               118652 |                                                16996 | 31.12.2015         |
| 16      | Manipur           |                              1099 |                                                                 2592 |                                                 2358 | 01.01.2017         |
| 17      | Meghalaya         |                               585 |                                                                 2803 |                                                 4791 | 31.12.2017         |
| 18      | Mizoram           |                               437 |                                                                 1074 |                                                 2458 | 31.12.2017         |
| 19      | Nagaland          |                               437 |                                                                 2354 |                                                 5386 | 01.01.2016         |
| 20      | Odisha            |                              3359 |                                                                42808 |                                                12744 | 31.12.2017         |
| 21      | Punjab            |                              2992 |                                                                29372 |                                                 9817 | 31.12.2017         |
| 22      | Rajasthan         |                              7227 |                                                                79324 |                                                10976 | 31.12.2017         |
| 23      | Sikkim            |                               268 |                                                                  653 |                                                 2437 | 31.12.2017         |
| 24      | Tamil Nadu        |                              7233 |                                                                69030 |                                                 9544 | 01.01.2016         |
| 25      | Telangana**       |                              4123 |                                                                38520 |                                                 9343 | 01.01.2017         |
| 26      | Tripura           |                              1273 |                                                                 3867 |                                                 3038 | 31.12.2017         |
| 27      | Uttar Pradesh     |                             10754 |                                                               214671 |                                                19962 | 01.01.2016         |
| 28      | Uttarakhand       |                              1344 |                                                                10632 |                                                 7911 | 01.01.2017         |
| 29      | West Bengal       |                              8829 |                                                                91920 |                                                10411 | 01.01.2015         |
| 30      | A & N Islands     |                                72 |                                                                  551 |                                                 7653 | 01.01.2017         |
| 31      | Chandigarh        |                               141 |                                                                 1780 |                                                12624 | 01.01.2017         |
| 32      | D & N Haveli      |                                98 |                                                                  437 |                                                 4459 | 31.12.2017         |
| 33      | Daman & Diu       |                                59 |                                                                  330 |                                                 5593 | 01.01.2017         |
| 34      | Delhi             |                              9121 |                                                                20092 |                                                 2203 | 01.01.2015         |
| 35      | Lakshadweep       |                                29 |                                                                   78 |                                                 2699 | 01.01.2015         |
| 36      | Puducherry        |                               700 |                                                                 1669 |                                                 2384 | 01.01.2017         |
|         | Total             |                            114969 |                                                              1274095 |                                                11082 |                    |

Source

:  Directorate of State Health Services

Note:

.

*  Projected  population  is  taken  from  Report  of  the  Technial Group  on  Population  Projections  May  2006, National Commission on population, Registrar General of India except for Andhra Pradesh and Telangana

** Projected population provided by respective States.

## Number of Doctors Registered with State Medical Councils / Medical Council of India as on 31 st March, 2018

| S. No.   | Name of the State         | Number of Registered Doctors   |
|----------|---------------------------|--------------------------------|
| 1.       | Andhra Pradesh            | 93756                          |
| 2.       | Arunachal Pradesh         | 880                            |
| 3.       | Assam                     | 23559                          |
| 4.       | Bihar                     | 40649                          |
| 5.       | Chattisgarh               | 7489                           |
| 6.       | Delhi                     | 16833                          |
| 7.       | Goa                       | 3487                           |
| 8.       | Gujarat                   | 59252                          |
| 9.       | Haryana                   | 5717                           |
| 10.      | Himachal                  | 2849                           |
| 11.      | Jammu & Kashmir           | 14641                          |
| 12.      | Jharkhand                 | 5165                           |
| 13.      | Karnataka                 | 104794                         |
| 14.      | Madhya Pradesh            | 36455                          |
| 15.      | Maharashtra               | 158998                         |
| 16.      | Kerala                    | 56999                          |
| 17.      | Nagaland                  | 801                            |
| 18.      | Orissa                    | 21681                          |
| 19.      | Punjab                    | 46264                          |
| 20.      | Rajasthan                 | 40863                          |
| 21.      | Sikkim                    | 1166                           |
| 22.      | Tamil Nadu                | 127848                         |
| 23.      | Uttar Pradesh             | 72757                          |
| 24.      | Uttrakhand                | 7408                           |
| 25.      | West Bengal               | 69097                          |
| 26.      | Tripura                   | 1716                           |
| 27.      | Telangana                 | 4942                           |
| 28.      | Medical Council of India* | 52666                          |
|          | Total                     | 10,78,732                      |