Lok Sabha Question No. 2117 (UNSTARRED), answered on 2020-09-23
Subject: Health Facilities in Rural/Backward Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Pushpendra Singh Chandel, Mala Rajya Laxmi Shah

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

## LOK SABHA UNSTARRED QUESTION NO. 2117 TO BE ANSWERED ON 23 RD SEPTEMBER, 2020

## HEALTH FACILITIES IN RURAL/BACKWARD AREAS

## 2117. SHRI KUNWAR PUSHPENDRA SINGH CHANDEL: SHRIMATI MALA RAJYA LAXMI SHAH:

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

(a)  whether  the  Government  has  taken  cognizance of  non - availability  of  adequate  health service in financially backward and rural areas and alsoi  Himalayan Regions and if so, the details thereof;

(b) whether the Government has made a provision to make serving in these areas mandatory for doctors passing out from various medical institutions and if so, the details thereof; and

(c) the steps being taken by the Government to ensure that all the citizens of the country especially poor are easily provided with healthcare facilities near their hom s?

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

(a): Rural  Health  Statistics  (RHS)  is  an  annual  publication,  based  on  Health  c administrative data generated by the health care system. RHS provides information on r health infrastructure and requirements of public health facilities in rural areas as r orted by States. As  per  the  RHS  2019,  the  state - wise  details  of  shortfall  of  health  facilities areat Annexure.

(b): 'Public Health and Hospitals' being a State subject, the issues related to posting of Human Resource is being dealt by respective States. Hence, policy action with regard to mandatory service for doctors passing out, in backward & rural areas, lies with the Governments.

(c): 'Public  Health  &  Hospitals'  being  a  State  subject  the  primary  responsibility  for ensuring  healthcare  services  t o  all  the  citizens  of  the  country  especially  poor  lies  wi respective State Government. However, to address the healthcare challenges, particularly in rural  areas,  the  National  Rural  Health  Mission  (NRHM)  was  launched  in  2005  to supplement the efforts of the State/UT governments to provide accessible, affordable and quality healthcare to all those who access public health facilities. Currently, NRHM is -mission of National Health Mission (NHM). NHM support is provided to States/ UTs for setting up of new facilities as per norms and upgradation of existing facilities for bri the infrastructure gaps and to fill up the vacancies of Human Resource on contractual based on the requirement posed by them.

Further, by December, 2022 u nder Ayushman Bharat -Health & Wellness Centres (AB - HWCs), 1.5 lakh Sub Health Centres and Primary Health Centres are to be transformed into  Health  and  Wellness  Centres  (AB - HWCs)  across  the  country  for  provision  of Comprehensive Primary Health Care (CPHC) that include s preventive healthcare and health promotion at the community level with continuum of c are approach.

## Annexure

| SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   | SHORTFALL IN HEALTH FACILITIES AS PER ESTIMATION OF MID YEAR POPULATION (as on 1st July 2019) IN INDIA IN RURAL AREAS   |
|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| S.N o.                                                                                                                  |                                                                                                                         | Sub Centres and SCs                                                                                                     | Sub Centres and SCs                                                                                                     | Sub Centres and SCs                                                                                                     | PHCs and HWC -PHCs                                                                                                      | PHCs and HWC -PHCs                                                                                                      | PHCs and HWC -PHCs                                                                                                      | CHCs                                                                                                                    | CHCs                                                                                                                    | CHCs                                                                                                                    |
| S.N o.                                                                                                                  | State/ UT                                                                                                               | Requi red                                                                                                               | In Positio n                                                                                                            | Shortf all                                                                                                              | Requi red                                                                                                               | In Positio n                                                                                                            | Shortf all                                                                                                              | Requi red                                                                                                               | In Positio n                                                                                                            | Shortf all                                                                                                              |
| S.N o.                                                                                                                  |                                                                                                                         | R                                                                                                                       | P                                                                                                                       | S                                                                                                                       | R                                                                                                                       | P                                                                                                                       | S                                                                                                                       | R                                                                                                                       | P                                                                                                                       | S                                                                                                                       |
| 1                                                                                                                       | Andhra Pradesh                                                                                                          | 7178                                                                                                                    | 7437                                                                                                                    | *                                                                                                                       | 1183                                                                                                                    | 1145                                                                                                                    | 38                                                                                                                      | 295                                                                                                                     | 140                                                                                                                     | 155                                                                                                                     |
| 2                                                                                                                       | Arunachal Pradesh                                                                                                       | 338                                                                                                                     | 385                                                                                                                     | *                                                                                                                       | 51                                                                                                                      | 143                                                                                                                     | *                                                                                                                       | 12                                                                                                                      | 63                                                                                                                      | *                                                                                                                       |
| 3                                                                                                                       | Assam                                                                                                                   | 6374                                                                                                                    | 4643                                                                                                                    | 1731                                                                                                                    | 1040                                                                                                                    | 946                                                                                                                     | 94                                                                                                                      | 260                                                                                                                     | 177                                                                                                                     | 83                                                                                                                      |
| 4                                                                                                                       | Bihar                                                                                                                   | 2133 7                                                                                                                  | 9949                                                                                                                    | 1138 8                                                                                                                  | 3548                                                                                                                    | 1899                                                                                                                    | 1649                                                                                                                    | 887                                                                                                                     | 150                                                                                                                     | 737                                                                                                                     |
| 5                                                                                                                       | Chhattisgarh                                                                                                            | 5323                                                                                                                    | 5205                                                                                                                    | 118                                                                                                                     | 843                                                                                                                     | 792                                                                                                                     | 51                                                                                                                      | 210                                                                                                                     | 170                                                                                                                     | 40                                                                                                                      |
| 6                                                                                                                       | Goa                                                                                                                     | 96                                                                                                                      | 219                                                                                                                     | *                                                                                                                       | 15                                                                                                                      | 24                                                                                                                      | *                                                                                                                       | 3                                                                                                                       | 5                                                                                                                       | *                                                                                                                       |
| 7                                                                                                                       | Gujarat                                                                                                                 | 8055                                                                                                                    | 9166                                                                                                                    | *                                                                                                                       | 1308                                                                                                                    | 1476                                                                                                                    | *                                                                                                                       | 327                                                                                                                     | 362                                                                                                                     | *                                                                                                                       |
| 8                                                                                                                       | Haryana                                                                                                                 | 3460                                                                                                                    | 2604                                                                                                                    | 856                                                                                                                     | 576                                                                                                                     | 379                                                                                                                     | 197                                                                                                                     | 144                                                                                                                     | 115                                                                                                                     | 29                                                                                                                      |
| 9                                                                                                                       | Himachal Pradesh                                                                                                        | 1366                                                                                                                    | 2089                                                                                                                    | *                                                                                                                       | 225                                                                                                                     | 586                                                                                                                     | *                                                                                                                       | 56                                                                                                                      | 87                                                                                                                      | *                                                                                                                       |
| 10                                                                                                                      | Jammu & Kashmir                                                                                                         | 2102                                                                                                                    | 3025                                                                                                                    | *                                                                                                                       | 342                                                                                                                     | 622                                                                                                                     | *                                                                                                                       | 85                                                                                                                      | 84                                                                                                                      | 1                                                                                                                       |
| 11                                                                                                                      | Jharkhand                                                                                                               | 6768                                                                                                                    | 3848                                                                                                                    | 2920                                                                                                                    | 1079                                                                                                                    | 298                                                                                                                     | 781                                                                                                                     | 269                                                                                                                     | 171                                                                                                                     | 98                                                                                                                      |
| 12                                                                                                                      | Karnataka                                                                                                               | 8028                                                                                                                    | 9758                                                                                                                    | *                                                                                                                       | 1318                                                                                                                    | 2127                                                                                                                    | *                                                                                                                       | 329                                                                                                                     | 198                                                                                                                     | 131                                                                                                                     |
| 13                                                                                                                      | Kerala                                                                                                                  | 2340                                                                                                                    | 5380                                                                                                                    | *                                                                                                                       | 388                                                                                                                     | 848                                                                                                                     | *                                                                                                                       | 97                                                                                                                      | 227                                                                                                                     | *                                                                                                                       |
| 14                                                                                                                      | Madhya Pradesh                                                                                                          | 1393 5                                                                                                                  | 10226                                                                                                                   | 3709                                                                                                                    | 2233                                                                                                                    | 1199                                                                                                                    | 1034                                                                                                                    | 558                                                                                                                     | 309                                                                                                                     | 249                                                                                                                     |
| 15                                                                                                                      | Maharashtra                                                                                                             | 1411 2                                                                                                                  | 10668                                                                                                                   | 3444                                                                                                                    | 2299                                                                                                                    | 1828                                                                                                                    | 471                                                                                                                     | 574                                                                                                                     | 364                                                                                                                     | 210                                                                                                                     |
| 16                                                                                                                      | Manipur                                                                                                                 | 537                                                                                                                     | 490                                                                                                                     | 47                                                                                                                      | 84                                                                                                                      | 90                                                                                                                      | *                                                                                                                       | 21                                                                                                                      | 23                                                                                                                      | *                                                                                                                       |
| 17                                                                                                                      | Meghalaya                                                                                                               | 822                                                                                                                     | 477                                                                                                                     | 345                                                                                                                     | 124                                                                                                                     | 118                                                                                                                     | 6                                                                                                                       | 31                                                                                                                      | 28                                                                                                                      | 3                                                                                                                       |
| 18                                                                                                                      | Mizoram                                                                                                                 | 179                                                                                                                     | 370                                                                                                                     | *                                                                                                                       | 27                                                                                                                      | 59                                                                                                                      | *                                                                                                                       | 6                                                                                                                       | 9                                                                                                                       | *                                                                                                                       |
| 19                                                                                                                      | Nagaland                                                                                                                | 414                                                                                                                     | 433                                                                                                                     | *                                                                                                                       | 62                                                                                                                      | 126                                                                                                                     | *                                                                                                                       | 15                                                                                                                      | 21                                                                                                                      | *                                                                                                                       |
| 20                                                                                                                      | Odisha                                                                                                                  | 8382                                                                                                                    | 6688                                                                                                                    | 1694                                                                                                                    | 1345                                                                                                                    | 1288                                                                                                                    | 57                                                                                                                      | 336                                                                                                                     | 377                                                                                                                     | *                                                                                                                       |
| 21                                                                                                                      | Punjab                                                                                                                  | 3562                                                                                                                    | 2950                                                                                                                    | 612                                                                                                                     | 593                                                                                                                     | 416                                                                                                                     | 177                                                                                                                     | 148                                                                                                                     | 89                                                                                                                      | 59                                                                                                                      |
| 22                                                                                                                      | Rajasthan                                                                                                               | 1276 1                                                                                                                  | 13512                                                                                                                   | *                                                                                                                       | 2073                                                                                                                    | 2082                                                                                                                    | *                                                                                                                       | 518                                                                                                                     | 571                                                                                                                     | *                                                                                                                       |
| 23                                                                                                                      | Sikkim                                                                                                                  | 96                                                                                                                      | 176                                                                                                                     | *                                                                                                                       | 15                                                                                                                      | 29                                                                                                                      | *                                                                                                                       | 3                                                                                                                       | 2                                                                                                                       | 1                                                                                                                       |
| 24                                                                                                                      | Tamil Nadu                                                                                                              | 7355                                                                                                                    | 8713                                                                                                                    | *                                                                                                                       | 1222                                                                                                                    | 1422                                                                                                                    | *                                                                                                                       | 305                                                                                                                     | 385                                                                                                                     | *                                                                                                                       |
| 25                                                                                                                      | Telangana                                                                                                               | 4479                                                                                                                    | 4744                                                                                                                    | *                                                                                                                       | 731                                                                                                                     | 636                                                                                                                     | 95                                                                                                                      | 182                                                                                                                     | 85                                                                                                                      | 97                                                                                                                      |
| 26                                                                                                                      | Tripura                                                                                                                 | 661                                                                                                                     | 972                                                                                                                     | *                                                                                                                       | 104                                                                                                                     | 108                                                                                                                     | *                                                                                                                       | 26                                                                                                                      | 18                                                                                                                      | 8                                                                                                                       |

| 27   | Uttarakhand      | 1509    | 1847    | *      | 250    | 257   | *     | 62    | 67    | *     |
|------|------------------|---------|---------|--------|--------|-------|-------|-------|-------|-------|
| 28   | Uttar Pradesh    | 3472 6  | 20782   | 1394 4 | 5781   | 2936  | 2845  | 1445  | 679   | 766   |
| 29   | West Bengal      | 1322 6  | 10357   | 2869   | 2177   | 908   | 1269  | 544   | 348   | 196   |
| 30   | A & N Islands    | 49      | 124     | *      | 8      | 22    | *     | 2     | 4     | *     |
| 31   | Chandigarh       | 1       | N App   | N App  | N App  | N App | N App | N App | N App | N App |
| 32   | D & N Haveli     | 61      | 71      | *      | 9      | 9     | 0     | 2     | 2     | 0     |
| 33   | Daman & Diu      | 7       | 23      | *      | 1      | 4     | *     | 0     | 0     | N App |
| 34   | Delhi            | 34      | 12      | 22     | 5      | 5     | 0     | 1     | 0     | 1     |
| 35   | Lakshadweep      | 1       | 14      | *      | 0      | 4     | *     | 0     | 3     | *     |
| 36   | Puducherry       | 91      | 54      | 37     | 15     | 24    | *     | 3     | 2     | 1     |
|      | All India/ Total | 1897 65 | 15741 1 | 4373 6 | 3107 4 | 24855 | 8764  | 7756  | 5335  | 2865  |

Notes: The requirement is calculated using the prescribed norms on the basis of rural population estimation for mid year for the year 2019. All India shortfall is derived by adding state - w se figures of shortfall ignoring the existing surplus in some of t he states.(Mid year Tribal population for the year 2019 calculated based on the percentages of Tribal population in the Rural areas in Census 2011)

R: Required; P: In Position; S: Shortfall;     *: Surplus

N App-Not

Applicable