Lok Sabha Question No. 108 (STARRED), answered on 2019-06-28
Subject: Community Health Centres/Primary Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Kirron  Kher, Nihal Chand Chauhan

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

## LOK SABHA STARRED QUESTION NO. 108 TO BE ANSWERED ON THE 28 TH JUNE , 2019 COMMUNITY HEALTH CEN TRES/PRIMARY HEALTH CENTRES

## *108. SHRIMATI KIRRON KHER: SHRI NIHAL CHAND:

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

- (a) the present status of Community Health Centres (CHCs) and Primary Heal Centres (PHCs), State/UT - wise including Chandigarh and Punjab ;
- (b) whether the Government has received proposals from States for opening of CHCs and PHCs, if so, the details thereof, State - wise  including  Punjab  and  the funds proposed to be released for setting up of such PHCs/CHCs in the country
- (c) whether most of the said centres lack basic infrastructure facilities in doctors/nurses and if so, the details thereof along with the steps taken t these shortcomings;
- (d)  whether  the  Government  proposes  to  upgrade  all  the  CHCs/PHCs  as  ISO certi fied  wellness  centres  and  if  so,  the  details  thereof  along  with  the number of ISO certified CHCs/PHCs, State/UT - wise; and
- (e)  the  steps  taken/being  taken  by  the  Government  to  improve  the  qualit services in the PHCs/CHCs?

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

- (a) to (e ):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 108 * FOR 28 TH JUNE , 2019

- (a) The  present  status  of  Community  Health  Centres  (CHCs)  and  Primary Health Centres (PHCs), State/UT - wise including Chandigarh and Punjab, as per  data  uploaded  by  States/UTs  on Health  Management  Information System (HMIS) portal, as on May 2019 , is placed at Annexure - I.
- (b) Public health and hospitals being a State subject, the primary respons of improving the infrastructure and other facilities including opening of new CHCs and PHCs and support for engagement of health human resource to ensure availability of qualified doctors and other health workers, lies with respective State/UT Governments. However, under National Health Mission, technical and financial support is provided to St ates/UTsincluding Punjab for strengthening their healthcare system in the form of Record Proceeding(RoPs) based on the proposals submitted by the States in t Program  Implementation  Plans  (PIPs).    The  details  of  RoPs  of  th States/UTs  including  Punj ab  are  available  in  the  public  domain  and accessible at https://nhm.gov.in/index4.php?lang=1&level=0&linkid=449&lid=53 .

The details of funds approved during the last three years from 2016 - 17  to 2018- 19 for Hospital Strengthening that includes construction/renovation of PHCs and CHCs is given at Annexures - II & III. The funds for all approved activities are released as lumpsum.

new

- ( c) Public health and hospitals is a Stat e subject. Shortage of Doctors/nurses in public health sector varies from State to State depe upon  their  policies  and  context.  However,  as  per  Rural  Health  Stati (RHS) 2018, there is a shortage of doctors and nursing staff in public facili ties and State/UT - wise availability/shortage of doctors and nursing sta is shown at Annexure - IV to IX. Further, as stated above, Public health a hospitals  being  a  State  subject,  the  primary  responsibility  to  ensu availability  of  qualified  doctors and  other  health  workers  lies  with  the State/UT  Governments.  However,  under  the  National  Health  Mission (NHM),  financial  and  technical  support  is  provided  to  States/UTs strengthen  their  healthcare  systems  including  support  for  engagement

health  huma n  resources,  based  on  the  requirements  proposed  by  the States/UTs in their Programme Implementation Plans (PIPs).

The Government has taken various steps to ensure the availability of me staff including specialists, doctors and other paramedical sta ff especially in the rural/remote areas. These efforts include:

- (i) Providing support to the States for hard area allowance and provi residential quarters for serving in rural and remote areas.
- (ii) The  States  are  encouraged  to  adopt  flexible  norms  for engaging specialists at public health facilities. These include mechanisms  for  'contracting  in'  and  'contracting  out'  of  specialist services, providing desired remunerations to the specialist under ' You Quote, We Pay ' initiatives, empanelling priva te medical facilities to provide requisite Specialists etc.

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- (iii)The States are advised to put in place transparent policies of pos transfer and ensure rational deployment of doctors. Further, the are also impressed upon from time to time to fill up the vacant posts.

In addition to the above initiatives under NHM, government has also ta other  remedial  steps  to      increase  the  number  of  Doctors  and  Special Details are as given below:

- The ratio of teachers to students has been revised from 1:1 to 1:2 for all MD/MS disciplines and 1:1 to 1:3 in subjects of Anesthesiology, Foren Medicine,  Radiotherapy,  Medical  Oncology,  Surgical  Oncology  and Psychiatry  in  all  medical  colleges  across  the  country.  Further,  te student ratio in public fun ded Government Medical Colleges for Professor in  MD/MS  courses  has  been  increased  from  1:2  to  1:3  in  all  clini subjects and for Associate Prof. from 1:1 to 1:2 if the Associate Pr unit head. This would result in increase in number of specialists in the country.
- DNB qualification has been recognized for appointment as faculty to t care of shortage of faculty.
- Enhancement of maximum intake capacity at MBBS level from 150 to 250.
- Enhancement  of  age  limit  for  appointment/  extension/  re - employme nt against posts of teachers/dean/principal/ director in medical college 70 years.

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- Relaxation  in  the  norms  of  setting  up  of  Medical  College  in  terms requirement for land, faculty, staff, bed/bed strength and infrastructure.
- Strengthening  /up gradation  of  State  Government  Medical  Colleges  for starting new PG courses/Increase of PG seats.
- Strengthening/ upgradation of existing State Government/Centra Government Medical Colleges to increase MBBS seats.
- Requirement of land for establishment of me dical college in metropolitan cities as notified under Article 243P(c) of the Constitution of Ind been dispensed with.
- Establishment  of  New  Medical  Colleges  by  upgrading  district/referr hospitals  preferably  in  underserved  districts  of  the  country. Under  the Centrally Sponsored Scheme 'Establishment of New Medical Colleges by upgrading  district/referral hospitals' with  fund  sharing  between  the central  government  and  State  in  the  ratio  of  90:10  for  NE/Spec Category States and 60:40 for other States , a total of 82 districts in 21 States  and  UTs  have  been  identified  and  approved  to  establish  n Medical Colleges. Out these, 39 have become functional.
- Cabinet has approved setting up of 15 more new AIIMS in addition to AIIMS sanctioned earlier under Phase I of PMSSY.

(d)& (e) There is no such proposal to upgrade and get all the CHCs/PH as ISO certified wellness centres. However, 1.5 lakh Health Sub Centres and Primary Health Centres are to be transformed into Health and Welln Centres (HWCs) by December, 2022. Under Ayushman Bharat -Health and Wellness Centres (AB - HWC), Comprehensive Primary Healthcare is to be provided  which  i ncludes  promotive,  preventive,  curative, palliative  and rehabilitative  services.  The  AB - HWCs  are  envisioned  to  provide  an expanded range of services including care for non -communicable diseases, as well as Health promotion and wellness activities like Yo ga apart from services  already  being  provided  for  Maternal  and  Child  Health  includ immunization and communicable diseases.

To provide comprehensive health coverage to the beneficiaries, free esse drugs and diagnostic services are also being provisioned through these AB -HWCs.  So  far,  approvals  for  52,744  Ayushman  Bharat - Health  and Wellness Centres (AB - HWCs) have been accorded. The state - wise details of 19,282  operational  Ayushman  Bharat - Health  &  Wellness  Centres  (AB -HWCs) as on 17.06.2019 i s furnished at Annexure - X.

To strengthen the health systems including improving quality of servic CHCs  and  PHCs,  other  steps  taken  to  improve  the  quality  of  services CHCs and PHCs are as under: -

1. National  Quality  Assurance  Programme  (NQAP)  has  bee n  rolled  out, under which, quality standards for different health facilities hav defined  and  these  health  facilities  are  asses sed  against  them  and certified.
2. Quality Assurance Committees have been constituted at National, Sta and  District  level. Under  National  Health  Mission,  dedicated  Human Resource  has  been  provided  to  operationalize  these  committees  an carry out related tasks such as quality assessment, preparing actio and assisting healthcare facilities for quality certification under QAP.
3. The  central  government  has  launched  'Kayakalp'  award  scheme  for transforming public hospitals by improving Sanitation, Hygien Upkeep,  Infection  Control  Practices  and  waste  management  practices All facilities from PHCs, CHCs, District Hospitals and central government hospitals are assessed against a set of defined criteria performing facilities are given annual awards. In the FY 2018 - 19, more than  26,000  facilities  participated  under  Kayakalp  and  out  of  wh 4481 facilities were given Kayaka lp awards. (395 DHs, 1139,

CHCs/SDHs, 2470 PHCs, 477 urban health facilities that have score more than 70%).

4. Support  is  provided  to  States  to  implement  NHM  Free  Diagnostics Services  Initiative  and  NHM  Free  Drugs  Initiative  in  Public  Hea facilities.
5. In order to improve functionality of Medical Equipments, Operation Guidelines  for  Biomedical  Equipment  Management  and  Maintenance Program (BMMP) have been shared with States.
6. Laqshya Programme has been rolled out to improve the quality of ca aroundchildbirth.
7. Regular  capacity  building  of  human  resources  at  different  level undertaken.

## Number of Primary Health Care Centres in the Country

|         | States/ UT          | Number of PHCs   | Number of CHCs   |
|---------|---------------------|------------------|------------------|
| Sl. No. |                     |                  |                  |
| 1.      | A & N Islands       | 27               | 4                |
| 2.      | Andhra Pradesh      | 1499             | 198              |
| 3.      | Arunachal Pradesh   | 121              | 63               |
| 4.      | Assam               | 1006             | 178              |
| 5.      | Bihar               | 2012             | 63               |
| 6.      | Chandigarh          | 47               | 2                |
| 7.      | Chhattisgarh        | 817              | 164              |
| 8.      | Dadra &Nagar Haveli | 9                | 2                |
| 9.      | Daman &Diu          | 4                | 2                |
| 10.     | Delhi               | 537              | 25               |
| 11.     | Goa                 | 31               | 6                |
| 12.     | Gujarat             | 1807             | 374              |
| 13.     | Haryana             | 471              | 126              |
| 14.     | Himachal Pradesh    | 516              | 95               |
| 15.     | Jammu &Kashmir      | 395              | 87               |
| 16.     | Jharkhand           | 343              | 176              |
| 17.     | Karnataka           | 2544             | 207              |
| 18.     | Kerala              | 935              | 230              |
| 19.     | Lakshadweep         | 4                | 3                |

Annexure-I

| 20.   | Madhya Pradesh   |   1313 |   324 |
|-------|------------------|--------|-------|
| 21.   | Maharashtra      |   2637 |   433 |
| 22.   | Manipur          |     90 |    17 |
| 23.   | Meghalaya        |    142 |    28 |
| 24.   | Mizoram          |     65 |    10 |
| 25.   | Nagaland         |    134 |    21 |
| 26.   | Odisha           |   1375 |   384 |
| 27.   | Puducherry       |     40 |     4 |
| 28.   | Punjab           |    521 |   146 |
| 29.   | Rajasthan        |   2459 |   595 |
| 30.   | Sikkim           |     25 |     2 |
| 31.   | Tamil Nadu       |   1892 |   400 |
| 32.   | Telangana        |    775 |    82 |
| 33.   | Tripura          |    113 |    22 |
| 34.   | Uttar Pradesh    |   3403 |   679 |
| 35.   | Uttarakhand      |    273 |    69 |
| 36.   | West Bengal      |   1378 |   405 |
|       | Total            |  29760 |  5626 |

Source:  Data as uploaded by States/UTs on HMIS portal; status as on May 2019

Annexure-II

| Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   | Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   | Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   | Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   | Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   | Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   | Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   | Statement Showing the State/UTs wise Funds Approval under Hospital Strengthening and New Constructions/ Renovation and Setting up under the component of CHCs and PHCs from the F.Y. 2016-17 to 2018-19 under NRHM   |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      | Figures in Lakhs of Rs.                                                                                                                                                                                              | Figures in Lakhs of Rs.                                                                                                                                                                                              |
| S.No.                                                                                                                                                                                                                | State                                                                                                                                                                                                                | 2016-17                                                                                                                                                                                                              | 2016-17                                                                                                                                                                                                              | 2017-18                                                                                                                                                                                                              | 2017-18                                                                                                                                                                                                              | 2018-19                                                                                                                                                                                                              | 2018-19                                                                                                                                                                                                              |
|                                                                                                                                                                                                                      |                                                                                                                                                                                                                      | CHCs                                                                                                                                                                                                                 | PHCs                                                                                                                                                                                                                 | CHCs                                                                                                                                                                                                                 | PHCs                                                                                                                                                                                                                 | CHCs                                                                                                                                                                                                                 | PHCs                                                                                                                                                                                                                 |
| A. High Focus States                                                                                                                                                                                                 |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      | Funds Approval                                                                                                                                                                                                       | Funds Approval                                                                                                                                                                                                       | Funds Approval                                                                                                                                                                                                       | Funds Approval                                                                                                                                                                                                       |
| 1                                                                                                                                                                                                                    | Bihar                                                                                                                                                                                                                | 570.06                                                                                                                                                                                                               | 2914.00                                                                                                                                                                                                              | 7563.00                                                                                                                                                                                                              | 500.00                                                                                                                                                                                                               | 8808.00                                                                                                                                                                                                              | 10298.85                                                                                                                                                                                                             |
| 2                                                                                                                                                                                                                    | Chattisgarh                                                                                                                                                                                                          | 1141.3 5                                                                                                                                                                                                             | 702.06                                                                                                                                                                                                               | 79.38                                                                                                                                                                                                                | 966.86                                                                                                                                                                                                               | 328.64                                                                                                                                                                                                               | 3217.94                                                                                                                                                                                                              |
| 3                                                                                                                                                                                                                    | Himachal Pradesh                                                                                                                                                                                                     | 138.69                                                                                                                                                                                                               | 285.77                                                                                                                                                                                                               | 312.30                                                                                                                                                                                                               | 625.95                                                                                                                                                                                                               | 437.22                                                                                                                                                                                                               | 730.80                                                                                                                                                                                                               |
| 4                                                                                                                                                                                                                    | Jammu& Kashmir                                                                                                                                                                                                       | 1244.8 7                                                                                                                                                                                                             | 260.18                                                                                                                                                                                                               | 240.71                                                                                                                                                                                                               | 949.01                                                                                                                                                                                                               | 140.00                                                                                                                                                                                                               | 745.00                                                                                                                                                                                                               |
| 5                                                                                                                                                                                                                    | Jharkhand                                                                                                                                                                                                            | 0.00                                                                                                                                                                                                                 | 1656.00                                                                                                                                                                                                              | 0.00                                                                                                                                                                                                                 | 1242.00                                                                                                                                                                                                              | 0.00                                                                                                                                                                                                                 | 1242.00                                                                                                                                                                                                              |
| 6                                                                                                                                                                                                                    | Madhya Pradesh                                                                                                                                                                                                       | 3442.0 0                                                                                                                                                                                                             | 1806.50                                                                                                                                                                                                              | 4757.00                                                                                                                                                                                                              | 2578.00                                                                                                                                                                                                              | 241.50                                                                                                                                                                                                               | 0.00                                                                                                                                                                                                                 |
| 7                                                                                                                                                                                                                    | Orissa                                                                                                                                                                                                               | 4392.6 9                                                                                                                                                                                                             | 493.04                                                                                                                                                                                                               | 4509.80                                                                                                                                                                                                              | 135.00                                                                                                                                                                                                               | 7457.00                                                                                                                                                                                                              | 740.00                                                                                                                                                                                                               |
| 8                                                                                                                                                                                                                    | Rajasthan                                                                                                                                                                                                            | 4229.1 5                                                                                                                                                                                                             | 11350.70                                                                                                                                                                                                             | 8570.10                                                                                                                                                                                                              | 10146.00                                                                                                                                                                                                             | 5944.93                                                                                                                                                                                                              | 7474.12                                                                                                                                                                                                              |
| 9                                                                                                                                                                                                                    | Uttar Pradesh                                                                                                                                                                                                        | 7330.2 0                                                                                                                                                                                                             | 387.50                                                                                                                                                                                                               | 3614.40                                                                                                                                                                                                              | 387.50                                                                                                                                                                                                               | 0.00                                                                                                                                                                                                                 | 0.00                                                                                                                                                                                                                 |
| 10                                                                                                                                                                                                                   | Uttarakhand                                                                                                                                                                                                          | 257.79                                                                                                                                                                                                               | 50.14                                                                                                                                                                                                                | 0.00                                                                                                                                                                                                                 | 0.00                                                                                                                                                                                                                 | 1060.00                                                                                                                                                                                                              | 16.00                                                                                                                                                                                                                |
|                                                                                                                                                                                                                      | Sub Total                                                                                                                                                                                                            | 22746. 80                                                                                                                                                                                                            | 19905.89                                                                                                                                                                                                             | 29646.69                                                                                                                                                                                                             | 17530.32                                                                                                                                                                                                             | 24417.29                                                                                                                                                                                                             | 24464.71                                                                                                                                                                                                             |
| B. NE States                                                                                                                                                                                                         |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |                                                                                                                                                                                                                      |
| 11                                                                                                                                                                                                                   | Arunachal Pradesh                                                                                                                                                                                                    | 552.37                                                                                                                                                                                                               | 651.43                                                                                                                                                                                                               | 139.35                                                                                                                                                                                                               | 445.54                                                                                                                                                                                                               | 294.43                                                                                                                                                                                                               | 356.06                                                                                                                                                                                                               |
| 12                                                                                                                                                                                                                   | Assam                                                                                                                                                                                                                | 2858.4                                                                                                                                                                                                               | 1609.54                                                                                                                                                                                                              | 3037.25                                                                                                                                                                                                              | 1707.85                                                                                                                                                                                                              | 1975.00                                                                                                                                                                                                              | 924.33                                                                                                                                                                                                               |

|                          |                           | 6        |         |         |          |         |          |
|--------------------------|---------------------------|----------|---------|---------|----------|---------|----------|
| 13                       | Manipur                   | 233.07   | 448.44  | 0.00    | 0.00     | 0.00    | 126.70   |
| 14                       | Meghalaya                 | 3.00     | 10.00   | 60.00   | 0.00     | 50.00   | 9.00     |
| 15                       | Mizoram                   | 0.00     | 0.00    | 0.00    | 0.00     | 0.00    | 0.00     |
| 16                       | Nagaland                  | 0.00     | 77.09   | 32.83   | 107.37   | 33.91   | 102.30   |
| 17                       | Sikkim                    | 40.00    | 50.00   | 10.12   | 262.32   | 0.00    | 307.63   |
| 18                       | Tripura                   | 0.00     | 650.00  | 711.24  | 3387.26  | 335.00  | 2140.50  |
|                          | Sub Total                 | 3686.9 0 | 3496.50 | 3990.79 | 5910.34  | 2688.34 | 3966.52  |
| C. Non-High Focus States |                           |          |         |         |          |         |          |
| 19                       | Andhra Pradesh            | 0.00     | 0.00    | 0.00    | 0.00     | 413.44  | 0.00     |
| 20                       | Goa                       | 1.85     | 0.00    | 12.00   | 10.50    | 0.00    | 1.50     |
| 21                       | Gujarat                   | 0.00     | 0.00    | 0.00    | 0.00     | 0.00    | 0.00     |
| 22                       | Haryana                   | 0.00     | 0.00    | 0.00    | 0.00     | 0.00    | 0.00     |
| 23                       | Karnataka                 | 60.00    | 2561.98 | 1424.50 | 4652.50  | 1255.52 | 6368.50  |
| 24                       | Kerala                    | 190.00   | 392.00  | 104.00  | 428.00   | 26.00   | 538.00   |
| 25                       | Maharashtra               | 50.00    | 3438.77 | 175.00  | 9562.02  | 1394.05 | 9955.00  |
| 26                       | Punjab                    | 0.00     | 0.00    | 0.00    | 0.00     | 0.00    | 0.00     |
| 27                       | Tamil Nadu                | 2904.0 0 | 2140.00 | 261.00  | 1200.00  | 1800.00 | 651.15   |
| 28                       | Telangana                 | 0.00     | 0.00    | 0.00    | 200.00   | 0.00    | 630.00   |
| 29                       | West Bengal               | 177.00   | 27.50   | 0.00    | 0.00     | 0.00    | 0.00     |
|                          | Sub Total                 | 3382.8 5 | 8560.25 | 1976.50 | 16053.02 | 4889.01 | 18144.15 |
| D. Small States/UTs      |                           |          |         |         |          |         |          |
| 30                       | Andaman & Nicobar Islands | 7.50     | 28.60   | 1.00    | 16.00    | 0.00    | 8.00     |
| 31                       | Chandigarh                | 0.00     | 0.00    | 0.00    | 0.00     | 0.00    | 0.00     |
| 32                       | Dadra & Nagar Haveli      | 0.00     | 0.00    | 0.00    | 0.00     | 0.00    | 0.00     |

| 33   | Daman& Diu   | 0.00      |    0.00 |   0.00 |    0.00 |    0.00 |    0.00 |
|------|--------------|-----------|---------|--------|---------|---------|---------|
| 34   | Delhi        | 0.00      |     0   |      0 |     0   |     0   |     0   |
| 35   | Lakshadweep  | 0.00      |     0   |      0 |     0   |     0   |     0   |
| 36   | Puducherry   | 0.00      |     0   |      0 |     0   |     0   |     0   |
|      | Sub Total    | 7.50      |    28.6 |      1 |    16   |     0   |     8   |
|      | Grand Total  | 29824. 05 | 31991.2 |  35615 | 39509.7 | 31994.6 | 46583.4 |

1. The Above Figures are as per FMR reported by State/UTs.
2. SPIP stands for State Program implementation Plan.
3. The above data comprises of Hospital Strengthening and New Constructions/Renovations under CHCs and PHCs.
4. Above mentioned Utilization figures are as reported by States/UTs and includes expenditure against Central Release, State share & unspent balances, updated up to 31-03-2019.

## Details of Funds Approval under NUHM for CHCs & PHCs for F.Y. 2016-17 to 2018-19 Rs. in. Lakhs

Annexure-III

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| S.No.                    | State             | 2016-17   | 2016-17   | 2017-18   | 2017-18   | 2018-19   | 2018-19   |
|--------------------------|-------------------|-----------|-----------|-----------|-----------|-----------|-----------|
| S.No.                    | State             | CHCs      | PHCs      | CHCs      | PHCs      | CHCs      | PHCs      |
| A. High Focus States     |                   |           |           |           |           |           |           |
| 1                        | Bihar             | 0.00      | 21.00     | 0.00      | 106.50    | 0.00      | 318.85    |
| 2                        | Chattisgarh       | 0.00      | 0.00      | 0.00      | 72.25     | 15.00     | 77.25     |
| 3                        | Himachal Pradesh  | 40.50     | 0.00      | 0.00      | 49.00     | 0.00      | 22.00     |
| 4                        | Jammu& Kashmir    | 0.00      | 42.88     | 0.00      | 67.75     | 0.00      | 67.75     |
| 5                        | Jharkhand         | 18.00     | 188.00    | 0.00      | 0.00      | 15.00     | 64.25     |
| 6                        | Madhya Pradesh    | 0.00      | 153.00    | 1375.00   | 233.00    | 0.00      | 359.50    |
| 7                        | Orissa            | 518.95    | 1013.34   | 194.49    | 457.42    | 49.09     | 137.00    |
| 8                        | Rajasthan         | 1715.00   | 1393.75   | 1034.70   | 482.98    | 55.00     | 373.68    |
| 9                        | Uttar Pradesh     | 283.31    | 522.21    | 137.50    | 0.00      | 407.60    | 466.33    |
| 10                       | Uttarakhand       | 0.00      | 0.00      | 0.00      | 0.00      | 0.00      | 8.25      |
|                          | Sub Total         | 2575.7 6  | 3334.18   | 2741.69   | 1468.90   | 541.69    | 1894.86   |
| B. NE States             |                   |           |           |           |           |           |           |
| 11                       | Arunachal Pradesh | 0.00      | 49.62     | 0.00      | 146.03    | 0.00      | 5.25      |
| 12                       | Assam             | 0.00      | 57.18     | 10.00     | 130.13    | 10.00     | 175.25    |
| 13                       | Manipur           | 0.00      | 9.00      | 0.00      | 9.00      | 0.00      | 7.00      |
| 14                       | Meghalaya         | 0.00      | 0.00      | 0.00      | 2.60      | 0.00      | 0.00      |
| 15                       | Mizoram           | 0.00      | 100.25    | 0.00      | 111.00    | 0.00      | 95.75     |
| 16                       | Nagaland          | 0.00      | 95.00     | 0.00      | 5.00      | 0.00      | 6.00      |
| 17                       | Sikkim            | 0.00      | 25.00     | 0.00      | 1.75      | 0.00      | 1.75      |
| 18                       | Tripura           | 0.00      | 12.25     | 0.00      | 167.50    | 0.00      | 12.25     |
|                          | Sub Total         | 0.00      | 348.30    | 10.00     | 573.01    | 10.00     | 303.25    |
| C. Non-High Focus States |                   |           |           |           |           |           |           |

| 19                  | Andhra Pradesh            | 0.00     | 345.50   | 0.00    | 0.00     | 0.00    | 0.00    |
|---------------------|---------------------------|----------|----------|---------|----------|---------|---------|
| 20                  | Goa                       | 0.00     | 1.60     | 0.00    | 1.60     | 0.00    | 1.20    |
| 21                  | Gujarat                   | 16.25    | 470.00   | 30.00   | 1039.00  | 10.50   | 540.50  |
| 22                  | Haryana                   | 12.00    | 65.45    | 12.00   | 72.00    | 12.00   | 84.25   |
| 23                  | Karnataka                 | 179.60   | 4261.71  | 137.50  | 1246.25  | 145.00  | 380.00  |
| 24                  | Kerala                    | 0.00     | 197.50   | 0.00    | 145.25   | 0.00    | 188.25  |
| 25                  | Maharashtra               | 37.00    | 3325.00  | 5.00    | 2642.00  | 77.50   | 791.00  |
| 26                  | Punjab                    | 1015.00  | 138.00   | 0.00    | 0.00     | 55.00   | 206.00  |
| 27                  | Tamil Nadu                | 1695.00  | 1062.75  | 637.50  | 2203.25  | 675.00  | 745.10  |
| 28                  | Telangana                 | 100.00   | 1046.25  | 0.00    | 368.50   | 5.00    | 367.75  |
| 29                  | West Bengal               | 0.00     | 1135.00  | 0.00    | 591.38   | 0.00    | 2911.95 |
|                     | Sub Total                 | 3054.8 5 | 12048.76 | 822.00  | 8309.23  | 980.00  | 6216.00 |
| D. Small States/UTs |                           |          |          |         |          |         |         |
| 30                  | Andaman & Nicobar Islands | 0.00     | 8.75     | 0.00    | 8.75     | 0.00    | 8.75    |
| 31                  | Chandigarh                | 10.00    | 5.25     | 15.52   | 0.00     | 10.00   | 5.25    |
| 32                  | Dadra & Nagar Haveli      | 0.00     | 7.98     | 0.00    | 1.92     | 0.00    | 1.92    |
| 33                  | Daman& Diu                | 0.00     | 0.00     | 0.00    | 0.00     | 0.00    | 0.00    |
| 34                  | Delhi                     | 160.00   | 131.50   | 135.00  | 120.50   | 145.00  | 125.50  |
| 35                  | Lakshadweep               | 0.00     | 0.00     | 0.00    | 0.00     | 0.00    | 0.00    |
| 36                  | Puducherry                | 0.00     | 5.00     | 0.00    | 23.00    | 0.00    | 3.00    |
|                     | Sub Total                 | 170.00   | 158.48   | 150.52  | 154.17   | 155.00  | 144.42  |
|                     | Grand Total               | 5800.6 1 | 15889.72 | 3724.21 | 10505.31 | 1686.69 | 8558.53 |

Note:

2. SPIP stands for State Program implementation Plan. 3. The above data comprises of New Constructions, Renovation and Setting up and Untied Grants to UCHCs,PHCs

4. Above mentioned Utilization figures are as reported by States/UTs and includes expenditure against Central Release, State share & unspent balances, updated up to 31-03-2019.

<!-- image -->

| DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   |
|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
| S. No.                                  | State/UT                                | (As on 31st March, 2018)                | (As on 31st March, 2018)                | (As on 31st March, 2018)                | (As on 31st March, 2018)                | (As on 31st March, 2018)                |
| S. No.                                  | State/UT                                | Required 1                              | Sanctioned                              | In Position                             | Vacant                                  | Shortfall                               |
| S. No.                                  | State/UT                                | [R]                                     | [S]                                     | [P]                                     | [S-P]                                   | [R-P]                                   |
| 1                                       | Andhra Pradesh                          | 1147                                    | 2267                                    | 2045                                    | 222                                     | *                                       |
| 2                                       | Arunachal Pradesh                       | 143                                     | NA                                      | 125                                     | NA                                      | 18                                      |
| 3                                       | Assam                                   | 946                                     | NA                                      | 1376                                    | NA                                      | *                                       |
| 4                                       | Bihar #                                 | 1899                                    | 2078                                    | 1786                                    | 292                                     | 113                                     |
| 5                                       | Chhattisgarh                            | 793                                     | 793                                     | 359                                     | 434                                     | 434                                     |
| 6                                       | Goa                                     | 25                                      | 48                                      | 56                                      | *                                       | *                                       |
| 7                                       | Gujarat                                 | 1474                                    | 1865                                    | 1321                                    | 544                                     | 153                                     |
| 8                                       | Haryana                                 | 368                                     | 551                                     | 491                                     | 60                                      | *                                       |
| 9                                       | Himachal Pradesh                        | 576                                     | 636                                     | 622                                     | 14                                      | *                                       |
| 10                                      | Jammu& Kashmir                          | 637                                     | 1347                                    | 694                                     | 653                                     | *                                       |
| 11                                      | Jharkhand                               | 298                                     | 556                                     | 340                                     | 216                                     | *                                       |
| 12                                      | Karnataka                               | 2359                                    | 2359                                    | 2136                                    | 223                                     | 223                                     |
| 13                                      | Kerala                                  | 849                                     | 1120                                    | 1169                                    | *                                       | *                                       |
| 14                                      | Madhya Pradesh                          | 1171                                    | 1771                                    | 1112                                    | 659                                     | 59                                      |
| 15                                      | Maharashtra                             | 1823                                    | 3009                                    | 2929                                    | 80                                      | *                                       |
| 16                                      | Manipur                                 | 91                                      | 238                                     | 194                                     | 44                                      | *                                       |
| 17                                      | Meghalaya ##                            | 108                                     | 128                                     | 130                                     | *                                       | *                                       |
| 18                                      | Mizoram ###                             | 57                                      | 152                                     | 59                                      | 93                                      | *                                       |
| 19                                      | Nagaland                                | 126                                     | 108                                     | 118                                     | *                                       | 8                                       |
| 20                                      | Odisha                                  | 1288                                    | 1326                                    | 917                                     | 409                                     | 371                                     |
| 21                                      | Punjab                                  | 432                                     | 593                                     | 480                                     | 113                                     | *                                       |
| 22                                      | Rajasthan                               | 2078                                    | 2751                                    | 2396                                    | 355                                     | *                                       |
| 23                                      | Sikkim                                  | 24                                      | NA                                      | 24                                      | NA                                      | 0                                       |
| 24                                      | Tamil Nadu                              | 1421                                    | 3136                                    | 2780                                    | 356                                     | *                                       |
| 25                                      | Telangana                               | 643                                     | 1254                                    | 1066                                    | 188                                     | *                                       |
| 26                                      | Tripura                                 | 108                                     | 0                                       | 119                                     | *                                       | *                                       |
| 27                                      | Uttarakhand                             | 257                                     | 425                                     | 241                                     | 184                                     | 16                                      |

Notes: # Sanctioned data for year 2011 used

| 28   | Uttar Pradesh       |   3621 |   4509 |   1344 | 3165   | 2277   |
|------|---------------------|--------|--------|--------|--------|--------|
| 29   | West Bengal         |    913 |   1268 |   1016 | 252    | *      |
| 30   | A& N Islands        |     22 |     42 |     34 | 8      | *      |
| 31   | Chandigarh          |      0 |      0 |      0 | 0      | 0      |
| 32   | D&NHaveli           |      9 |     15 |      8 | 7      | 1      |
| 33   | Daman& Diu          |      4 |      5 |      4 | 1      | 0      |
| 34   | Delhi               |      5 |     21 |     22 | *      | *      |
| 35   | Lakshadweep         |      4 |      8 |      8 | 0      | *      |
| 36   | Puducherry          |     24 |     38 |     46 | *      | *      |
|      | All India 2 / Total |  25743 |  34417 |  27567 | 8572   | 3673   |

## 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

<!-- image -->

<!-- image -->

| 33   | Daman &Diu       |    2 |    0 |   0 |    0 |    2 |
|------|------------------|------|------|-----|------|------|
| 34   | Delhi            |    0 |    0 |   0 |    0 |    0 |
| 35   | Lakshadweep      |    3 |    0 |   0 |    0 |    3 |
| 36   | Puducherry       |    3 |    1 |   1 |    0 |    2 |
|      | All India/ Total | 5624 | 3504 | 805 | 2751 | 4821 |

# Total 5 Physicians sanctioned in the State

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

One per Community Health Centre as per IPHS norms NA: Not Available.

Notes:

Annexure-VI

<!-- image -->

| TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   |
|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|
|                             |                             | (As on 31st March, 2018)    | (As on 31st March, 2018)    | (As on 31st March, 2018)    | (As on 31st March, 2018)    | (As on 31st March, 2018)    |
| No.                         | State/UT                    | Required 3                  | Sanctioned                  | In Position                 | Vacant                      | Shortfall                   |
|                             |                             | [R]                         | [S]                         | [P]                         | [S-P]                       | [R-P]                       |
| 1                           | Andhra Pradesh              | 772                         | 533                         | 384                         | 149                         | 388                         |
| 2                           | Arunachal Pradesh           | 252                         | NA                          | 4                           | NA                          | 248                         |
| 3                           | Assam                       | 688                         | NA                          | 158                         | NA                          | 530                         |
| 4                           | Bihar                       | 600                         | NA                          | 82                          | NA                          | 518                         |
| 5                           | Chhattisgarh                | 676                         | 652                         | 57                          | 595                         | 619                         |
| 6                           | Goa                         | 16                          | 5                           | 10                          | *                           | 6                           |
| 7                           | Gujarat                     | 1452                        | 1177                        | 118                         | 1059                        | 1334                        |
| 8                           | Haryana                     | 452                         | 59                          | 17                          | 42                          | 435                         |
| 9                           | Himachal Pradesh            | 364                         | NA                          | 4                           | NA                          | 360                         |
| 10                          | Jammu &Kashmir              | 336                         | 344                         | 256                         | 88                          | 80                          |
| 11                          | Jharkhand                   | 684                         | 684                         | 92                          | 592                         | 592                         |
| 12                          | Karnataka                   | 824                         | 824                         | 498                         | 326                         | 326                         |
| 13                          | Kerala                      | 908                         | 30                          | 40                          | *                           | 868                         |
| 14                          | Madhya Pradesh              | 1236                        | 1236                        | 248                         | 988                         | 988                         |
| 15                          | Maharashtra                 | 1444                        | 823                         | 485                         | 338                         | 959                         |
| 16                          | Manipur                     | 92                          | 4                           | 3                           | 1                           | 89                          |
| 17                          | Meghalaya                   | 112                         | 3                           | 9                           | *                           | 103                         |
| 18                          | Mizoram                     | 36                          | 33                          | 0                           | 33                          | 36                          |
| 19                          | Nagaland                    | 84                          | NA                          | 8                           | NA                          | 76                          |
| 20                          | Odisha                      | 1508                        | 1529                        | 253                         | 1276                        | 1255                        |
| 21                          | Punjab                      | 604                         | 593                         | 105                         | 488                         | 499                         |
| 22                          | Rajasthan                   | 2352                        | 1731                        | 565                         | 1166                        | 1787                        |
| 23                          | Sikkim                      | 8                           | NA                          | 0                           | NA                          | 8                           |
| 24                          | Tamil Nadu                  | 1540                        | NA                          | 210                         | NA                          | 1330                        |
| 25                          | Telangana                   | 364                         | 320                         | 112                         | 208                         | 252                         |
| 26                          | Tripura                     | 88                          | 0                           | 2                           | *                           | 86                          |
| 27                          | Uttarakhand                 | 268                         | 268                         | 29                          | 239                         | 239                         |
| 28                          | Uttar Pradesh               | 3288                        | 2099                        | 192                         | 1907                        | 3096                        |
| 29                          | West Bengal                 | 1392                        | 669                         | 125                         | 544                         | 1267                        |
| 30                          | A& N Islands                | 16                          | 9                           | 0                           | 9                           | 16                          |

| 31   | Chandigarh          |     0 |     0 |    0 | 0     |     0 |
|------|---------------------|-------|-------|------|-------|-------|
| 32   | D &NHaveli          |     8 |     0 |    0 | 0     |     8 |
| 33   | Daman &Diu          |     8 |     6 |    3 | 3     |     5 |
| 34   | Delhi               |     0 |     0 |    0 | 0     |     0 |
| 35   | Lakshadweep         |    12 |     0 |    0 | 0     |    12 |
| 36   | Puducherry          |    12 |     4 |    5 | *     |     7 |
|      | All India 2 / Total | 22496 | 13635 | 4074 | 10051 | 18422 |

1

Four per Community Health Centre as per IPHS norms

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

<!-- image -->

| PHARMACISTS at PHCs &CHCs   | PHARMACISTS at PHCs &CHCs   | PHARMACISTS at PHCs &CHCs   | PHARMACISTS at PHCs &CHCs   | PHARMACISTS at PHCs &CHCs   | PHARMACISTS at PHCs &CHCs   | PHARMACISTS at PHCs &CHCs   |
|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|
| S. No.                      |                             | (As on 31st March, 2018)    | (As on 31st March, 2018)    | (As on 31st March, 2018)    | (As on 31st March, 2018)    | (As on 31st March, 2018)    |
|                             | State/UT                    | Required 4                  | Sanctioned                  | In Position                 | Vacant                      | Shortfall                   |
|                             | State/UT                    | [R]                         | [S]                         | [P]                         | [S-P]                       | [R-P]                       |
| 1                           | Andhra Pradesh              | 1340                        | 1384                        | 1004                        | 380                         | 336                         |
| 2                           | Arunachal Pradesh           | 206                         | NA                          | 89                          | NA                          | 117                         |
| 3                           | Assam #                     | 1118                        | 1284                        | 1735                        | *                           | *                           |
| 4                           | Bihar ##                    | 2049                        | 989                         | 287                         | 702                         | 1762                        |
| 5                           | Chhattisgarh                | 962                         | 1107                        | 936                         | 171                         | 26                          |
| 6                           | Goa                         | 29                          | 48                          | 53                          | *                           | *                           |
| 7                           | Gujarat                     | 1837                        | 1847                        | 1584                        | 263                         | 253                         |
| 8                           | Haryana                     | 481                         | 504                         | 397                         | 107                         | 84                          |
| 9                           | Himachal Pradesh            | 667                         | 594                         | 378                         | 216                         | 289                         |
| 10                          | Jammu& Kashmir              | 721                         | 1137                        | 974                         | 163                         | *                           |
| 11                          | Jharkhand                   | 469                         | 469                         | 241                         | 228                         | 228                         |
| 12                          | Karnataka                   | 2565                        | 2674                        | 2523                        | 151                         | 42                          |
| 13                          | Kerala                      | 1076                        | 1036                        | 1102                        | *                           | *                           |
| 14                          | Madhya Pradesh              | 1480                        | 1905                        | 1778                        | 127                         | *                           |
| 15                          | Maharashtra                 | 2184                        | 2355                        | 2055                        | 300                         | 129                         |
| 16                          | Manipur                     | 114                         | 145                         | 152                         | *                           | *                           |
| 17                          | Meghalaya $                 | 136                         | 135                         | 149                         | *                           | *                           |
| 18                          | Mizoram ^                   | 66                          | 99                          | 53                          | 46                          | 13                          |
| 19                          | Nagaland                    | 147                         | 135                         | 116                         | 19                          | 31                          |
| 20                          | Odisha                      | 1665                        | 1741                        | 1623                        | 118                         | 42                          |
| 21                          | Punjab                      | 583                         | 841                         | 790                         | 51                          | *                           |
| 22                          | Rajasthan                   | 2666                        | 1127                        | 1172                        | *                           | 1494                        |
| 23                          | Sikkim                      | 26                          | NA                          | 11                          | NA                          | 15                          |
| 24                          | Tamil Nadu                  | 1806                        | 2656                        | 2097                        | 559                         | *                           |
| 25                          | Telangana                   | 734                         | 763                         | 700                         | 63                          | 34                          |
| 26                          | Tripura                     | 130                         | 0                           | 133                         | *                           | *                           |

All India figures for Vacancy and Shortfall are the totals of State

/ UTs *: Surplus.

NA: Not Available.

-wise Vacancy and Shortfall ignoring surplus in some States

<!-- image -->

| 27   | Uttarakhand     |   324 |   408 |   282 | 126   | 42   |
|------|-----------------|-------|-------|-------|-------|------|
| 28   | Uttar Pradesh   |  4443 |  5697 |  4717 | 980   | *    |
| 29   | West Bengal     |  1261 |  1459 |  1422 | 37    | *    |
| 30   | A& N Islands    |    26 |    53 |    49 | 4     | *    |
| 31   | Chandigarh      |     0 |     0 |     0 | 0     | 0    |
| 32   | D&NHaveli       |    11 |    10 |    12 | *     | *    |
| 33   | Daman& Diu      |     6 |    16 |     9 | 7     | *    |
| 34   | Delhi           |     5 |     6 |     4 | 2     | 1    |
| 35   | Lakshadweep     |     7 |    16 |    16 | 0     | *    |
| 36   | Puducherry      |    27 |    42 |    37 | 5     | *    |
|      | All India/Total | 31367 | 32682 | 28680 | 4825  | 4938 |

# Sanctioned data for year 2013 used ## Sanctioned data for year 2011 used $ Sanctioned data for year 2015 used ^ Total 99 Pharmacists sanctioned in the State

Notes:

<!-- image -->

<!-- image -->

| 29   | West Bengal     |   1261 |   966 |   874 | 92   | 387   |
|------|-----------------|--------|-------|-------|------|-------|
| 30   | A& N Islands    |     26 |    23 |    19 | 4    | 7     |
| 31   | Chandigarh      |      0 |     0 |     0 | 0    | 0     |
| 32   | D&NHaveli       |     11 |     7 |    17 | *    | *     |
| 33   | Daman& Diu      |      6 |     9 |     5 | 4    | 1     |
| 34   | Delhi           |      5 |     5 |     4 | 1    | 1     |
| 35   | Lakshadweep     |      7 |    13 |    13 | 0    | *     |
| 36   | Puducherry      |     27 |    10 |    38 | *    | *     |
|      | All India/Total |  31367 | 24668 | 19434 | 6214 | 12354 |

# Sanctioned data for year  2013 used ## Sanctioned data for year 2011 used $ Sanctioned data for year 2015 used

1 One per each Primary Health Centre and Community Health Centre as per IPHS norms All India figures for Vacancy and Shortfall are the totals of State -wise  Vacancy and Shortfall ignoring surplus in some States /UTs *: Surplus.

Notes:

| NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   |
|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|
| S. No.                         |                                | (As on 31st March, 2018)       | (As on 31st March, 2018)       | (As on 31st March, 2018)       | (As on 31st March, 2018)       | (As on 31st March, 2018)       |
|                                | State/UT                       | Required 1                     | Sanctioned                     | In Position                    | Vacant                         | Shortfall                      |
|                                |                                | [R1]                           | [S]                            | [P]                            | [S-P]                          | [R1-P]                         |
| 1                              | Andhra Pradesh                 | 2498                           | 4518                           | 3505                           | 1013                           | *                              |
| 2                              | Arunachal Pradesh              | 584                            | NA                             | 498                            | NA                             | 86                             |
| 3                              | Assam #                        | 2150                           | 2798                           | 3203                           | *                              | *                              |
| 4                              | Bihar ##                       | 2949                           | 1662                           | 1211                           | 451                            | 1738                           |
| 5                              | Chhattisgarh                   | 1976                           | 2809                           | 2458                           | 351                            | *                              |
| 6                              | Goa                            | 53                             | 126                            | 146                            | *                              | *                              |
| 7                              | Gujarat                        | 4015                           | 4391                           | 3160                           | 1231                           | 855                            |
| 8                              | Haryana                        | 1159                           | 1894                           | 1797                           | 97                             | *                              |
| 9                              | Himachal Pradesh               | 1213                           | 837                            | 452                            | 385                            | 761                            |
| 10                             | Jammu& Kashmir                 | 1225                           | 1710                           | 1405                           | 305                            | *                              |
| 11                             | Jharkhand                      | 1495                           | 2179                           | 1182                           | 997                            | 313                            |
| 12                             | Karnataka                      | 3801                           | 2667                           | 3339                           | *                              | 462                            |
| 13                             | Kerala                         | 2438                           | 3610                           | 3969                           | *                              | *                              |
| 14                             | Madhya Pradesh                 | 3334                           | 4624                           | 3308                           | 1316                           | 26                             |
| 15                             | Maharashtra                    | 4350                           | 3218                           | 2296                           | 922                            | 2054                           |
| 16                             | Manipur                        | 252                            | 484                            | 400                            | 84                             | *                              |
| 17                             | Meghalaya $                    | 304                            | 413                            | 596                            | *                              | *                              |
| 18                             | Mizoram ^                      | 120                            | 570                            | 198                            | 372                            | *                              |
| 19                             | Nagaland                       | 273                            | 175                            | 394                            | *                              | *                              |
| 20                             | Odisha                         | 3927                           | 1666                           | 2327                           | *                              | 1600                           |
| 21                             | Punjab                         | 1489                           | 2189                           | 2029                           | 160                            | *                              |
| 22                             | Rajasthan                      | 6194                           | 12712                          | 9887                           | 2825                           | *                              |
| 23                             | Sikkim                         | 38                             | NA                             | 48                             | NA                             | *                              |
| 24                             | Tamil Nadu                     | 4116                           | 7963                           | 6360                           | 1603                           | *                              |

<!-- image -->

| 25   | Telangana       |   1280 |   2208 |   2027 | 181   | *    |
|------|-----------------|--------|--------|--------|-------|------|
| 26   | Tripura         |    262 |      0 |    581 | *     | *    |
| 27   | Uttarakhand     |    726 |    623 |    359 | 264   | 367  |
| 28   | Uttar Pradesh   |   9375 |  17974 |  20546 | *     | *    |
| 29   | West Bengal     |   3349 |   6981 |   6464 | 517   | *    |
| 30   | A& N Islands    |     50 |    138 |    129 | 9     | *    |
| 31   | Chandigarh      |      0 |      0 |      0 | 0     | 0    |
| 32   | D & N Haveli    |     23 |     14 |     45 | *     | *    |
| 33   | Daman& Diu      |     18 |     64 |     49 | 15    | *    |
| 34   | Delhi           |      5 |      5 |      6 | *     | *    |
| 35   | Lakshadweep     |     25 |     54 |     54 | 0     | *    |
| 36   | Puducherry      |     45 |    131 |    139 | *     | *    |
|      | All India/Total |  65111 |  91407 |  84567 | 13098 | 8262 |

Notes:

- 1

# Sanctioned data for year 2013 used ## Sanctioned data for year 2011 used $ Sanctioned data for year 2015 used ^ Total 570 Nursing Staff sanctioned in the State One per Primary Health Centre and seven per Community Health Centre as per IPHS norms 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-X

|   Sl. No. | State / UT                |   HWCs Operational TOTAL |
|-----------|---------------------------|--------------------------|
|         1 | Andaman & Nicobar Islands |                       30 |
|         2 | Andhra Pradesh            |                     2106 |
|         3 | Arunachal Pradesh         |                       54 |
|         4 | Assam                     |                      935 |
|         5 | Bihar                     |                      600 |
|         6 | Chandigarh                |                       10 |
|         7 | Chhattisgarh              |                      793 |
|         8 | Dadra &Nagar Haveli       |                       31 |
|         9 | Daman &Diu                |                       23 |
|        10 | Delhi                     |                        0 |
|        11 | Goa                       |                        5 |
|        12 | Gujarat                   |                     1628 |
|        13 | Haryana                   |                      452 |
|        14 | Himachal Pradesh          |                       17 |
|        15 | Jammu &Kashmir            |                      231 |
|        16 | Jharkhand                 |                      364 |
|        17 | Karnataka                 |                      706 |
|        18 | Kerala                    |                      673 |
|        19 | Lakshadweep               |                        0 |
|        20 | Madhya Pradesh            |                      227 |
|        21 | Maharashtra               |                     2479 |
|        22 | Manipur                   |                       65 |
|        23 | Meghalaya                 |                        7 |
|        24 | Mizoram                   |                        4 |
|        25 | Nagaland                  |                       46 |

| 26                     | Odisha                 |   1001 |
|------------------------|------------------------|--------|
| 27                     | Puducherry             |     17 |
| 28                     | Punjab                 |    848 |
| 29                     | Rajasthan              |    535 |
| 30                     | Sikkim                 |     29 |
| 31                     | Tamil Nadu             |   1572 |
| 32                     | Telangana              |   1120 |
| 33                     | Tripura                |     71 |
| 34                     | Uttar Pradesh          |   2071 |
| 35                     | Uttarakhand            |    133 |
| 36                     | West Bengal            |    399 |
| Total HWCs Operational | Total HWCs Operational |  19282 |

Source: HWC Portal