Lok Sabha Question No. 34 (UNSTARRED), answered on 2019-06-21
Subject: Healthcare Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Shrirang Appa Barne, Pritam Gopinath Munde, Shrikant Eknath Shinde

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

LOK SABHA UNSTARRED QUESTION NO. 34 TO BE ANSWERED ON 21 ST JUNE, 2019

## HEALTHCARE INFRASTRU CTURE

## 34. SHRI SRIRANGA APPA BARNE: DR. PRITAM GOPINATHRAO MUNDE: DR. SHRIKANT EKNATH SHINDE:

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

- (a)  whether  according  to  the  statistics  released  by  Government,  India's  elemental  healthcare infrastructure  seems  to  be  in  'critical  condition'  with  a  meagre  19  per  cent  availability  of specialist doctors and para medics in the Community Health Centers (CHCs) across the coun if so, the details thereof and necessary steps taken in this regard;
- (b) whether the Government hav e made any study to find out the causes for this shortfall, if the details thereof and the action taken by the Government in this regard;
- (c) whether India will need 2.07 million more doctors by 2030 to achieve a modest doct - to population ratio of 1:1000, if so, the details thereof;
- (d) whether healthcare is a major concern in the rural areas of the country and if so, thereof and the reasons therefor; and
- (e) the details of the steps taken to address the problems of rural health bothat macro and micro levels and to improve the healthcare sector in rural areas of the country?

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

- (a):   As per RHS 2018, there are shortages in the ava ilability of human resource of various categories  in  public  health  facilities . The  details  of  availability  of  human  resources  vis - à- vis requirements in public health facilities, State/UT -wise is given at Annexure -I to VI.

The Government has taken various steps to train more health professionals and dep them in rural areas, these efforts include:

- (i)  50%  reservation  in  Post  Graduate  Diploma  Courses  for  Medical  Officers  in Government service who have served for at least three years in remote and difficult areas.
- (ii) Incentive at the rate of 10% of the marks obtained for each year in service in difficult areas up to the maximum of 30% of the marks obtained in the entrance tes admissions in Post Gradu ate Medical Courses.
- (iii)  Support  is  provided  to  States/UTs  for  hard  area  allowance  to  specialist  doc serving in rural and remote areas and for their residential quarters so that the attractive to serve in public health facilities in suc h areas.
- (iv) The States are encouraged to adopt flexible norms for engaging specialists at health facilities. These include various mechanisms for 'contacting in' and 'contracting out'  of  specialist  services,  methods  of  engaging  specialists  outside the  government system for service delivery at public facilities (l ucrative flexible salary: 'You quote We pay') .

(v)Further steps taken to attract Health Professionals to rural areas include;

- Provision for paying performance - based team incentives to staff after achieving over and above defined threshold of performance.
- Higher remuneration for staff posted in rural areas compared to those posted in urban areas.
- Providing  proper  working  conditions  in  terms  of  availability  of  team,  equipment suppli es to practice specialty.

(b):     Shortage of Doctors in public health sector varies from State to State depending policies  and  context. Public  Health  and  hospitals  being  a  state  subject,  the  shortfall  is managed  at  the  State  level.  Government  both  at  central  and  state  level  regularly  moni status.

The  main  reasons  for  shortfall  in  infrastructure  and  human  resource  are  histo al underfunding in rural health infrastructure and unwillingness of health professional to rural areas.

(c):          As  per  information  provided  by  Medical  Council  of  India  (MCI),  there  are 11,46,044  allopathic  doctors  registered  with  the  Stat e  Medical  Councils/Medical  Council  of India as on 31.12.2018.  Assuming 80% availability, it is estimated that around 9.17 lakh may be actually available for active service.  It gives a doctor - population ratio of 1:1472 as per current  population  es timate  of  1.35  billion,  which  is  lower  than  the  WHO  norm  of  1:1000. Besides, there are 7.63 lakh Ayurveda, Unani and Homeopathy (AUH) doctors in the countr Assuming  80%  availability,  it  is  estimated  that  around  6.10  lakh  Ayurveda,  Unani Homeopathy (AUH) doctors  may be actually available for service and considered together w allopathic doctors, it gives a doctor - population ratio of 1:884.  The MBBS intake capacity in the country is around 75,000 seats per annum.

(d):     The key health indicator s such as Infant Mortality Rate (IMR), Under 5 Mortality Rate (U5MR), Total Fertility Rate (TFR), proportion of institutional deliveries etc. are poor areas as compared to urban areas due to gaps in availability of health human resources & infrastructure in rural areas as compared to urban areas.

(e):     Public Health & hospitals being a State subject, the primary responsibility to provide healthcare to its citizens lies with the State Governments. To address the healthcare cha particularly in rural areas, the National Rural Health Mission (NRHM) was launched in 200 supplement  the  efforts  of  the  State/UT  governments  to  provide  accessible,  affordable quality healthcare to all those who access public health facilities. Curr ently, NRHM is a sub -mission of National Health Mission.

This support under NHM includes provision of a host of free services such as maternal health,  child  health,  adolescent  health,  family  planning,  universal  immunisation  progr and for major disease s such as Tuberculosis, HIV/ AIDS, vector borne diseases like Malaria Dengue and Kala Azar, Leprosy etc.

Other major initiatives include Janani Shishu Suraksha Karyakram (JSSK) (under whic free drugs, free diagnostics, free blood and diet, free transpor t om home t institution, between facilities  in  case  of  a  referral  and  drop  back  home  is  provided),  Rashtriya  Bal  Sw Karyakram (RBSK) (which provides newborn and child health screening and early interventions services free of cost for birth defects , diseases, deficiencies and developmental delays to improve the quality of survival), implementation of Free Drugs and Free Diagno Service Initiatives, PM National Dialysis Programme and implementation of National Quali Assurance Framework.

Mobile Medical Units (MMUs) & Telemedicine are also being implemented with NHM support to improve healthcare access particularly in rural areas.

As part of Ayushman Bharat, the Government is supporting the States for strengtheni Sub  Centres  and  Primary  Health Centres  as  Health  and  Wellness  Centres  (AB -HWCs)  for provision of comprehensive primary health care that includes preventive and health promo at the community level with continuum of care approach. Further, Ayushman Bharat, Pradha Mantri  Jan  Arogya  Yo jana  (AB - PMJAY)  provides  health  coverage  up  to  Rs.  5.00  lakh  per family per year to around 10.74 crore poor and vulnerable families as per Socio Economic C Census (SECC).

To improve availability of doctors & specialists in underserved areas, the Govern ment is upgrading District Hospitals to Medical Colleges in 82 districts which do not have any M College thereby providing at least one Medical College for every three contiguous Parliamentary Constituencies.

| DOCTORS +   | DOCTORS +                      | DOCTORS +                | DOCTORS +                | DOCTORS +                | DOCTORS +                |
|-------------|--------------------------------|--------------------------|--------------------------|--------------------------|--------------------------|
| S. No.      | State/UT                       | (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                |
|             |                                | [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                      | *                        | *                        |
| 18          | Mizoram ###                    | 57                       | 130 152 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                       |
| 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 All India 2 / Total | 24 25743                 | 38 46 34417 27567        | * 8572                   | * 3673                   |

Notes: # Sanctioned data for year 2011 used

## Sanctioned data for year 2015 used ### Sanctioned data for year 2013-14 used NA: Not Available.

+: Allopathic Doctors

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

1 One per Primary Health Centre as per IPHS norms

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

| PHYSICIANS at CHCs   | PHYSICIANS at CHCs   | PHYSICIANS at CHCs   | PHYSICIANS at CHCs   | PHYSICIANS at CHCs        | PHYSICIANS at CHCs   | PHYSICIANS at CHCs   |
|----------------------|----------------------|----------------------|----------------------|---------------------------|----------------------|----------------------|
| S. No.               | State/UT             | (As Required 2       | Sanctioned           | on31st March, In Position | Vacant               | Shortfall            |
| S. No.               | State/UT             | [R]                  | [S]                  | [P]                       | [S- P]               | [R-P]                |
| 1                    | Andhra Pradesh       | 193                  | 65                   | 52                        | 13                   | 141                  |
| 2                    | Arunachal Pradesh    | 63                   | NA                   | 1                         | NA                   | 62                   |
| 3                    | Assam                | 172                  | NA                   | 7                         | NA                   | 165                  |
| 4                    | Bihar                | 150                  | NA                   | 8                         | NA                   | 142                  |
| 5                    | Chhattisgarh         | 169                  | 163                  | 13                        | 150                  | 156                  |
| 6                    | Goa                  | 4                    | 1                    | 2                         | *                    | 2                    |
| 7                    | Gujarat              | 363                  | 363                  | 9                         | 354                  | 354                  |
| 8                    | Haryana              | 113                  | 9                    | 1                         | 8                    | 112                  |
| 9                    | Himachal Pradesh     | 91                   | NA                   | 2                         | NA                   | 89                   |
| 10                   | Jammu & Kashmir      | 84                   | 107                  | 86                        | 21                   | *                    |
| 11                   | Jharkhand            | 171                  | 171                  | 22                        | 149                  | 149                  |
| 12                   | Karnataka            | 206                  | 206                  | 106                       | 100                  | 100                  |
| 13                   | Kerala               | 227                  | 2                    | 2                         | 0                    | 225                  |
| 14                   | Madhya Pradesh       | 309                  | 309                  | 45                        | 264                  | 264                  |
| 15                   | Maharashtra          | 361                  | 153                  | 45                        | 108                  | 316                  |
| 16                   | Manipur              | 23                   | 1                    | 1                         | 0                    | 22                   |
| 17                   | Meghalaya            | 28                   | 0                    | 7                         | *                    | 21                   |
| 18                   | Mizoram #            | 9                    | 5                    | 0                         | 5                    | 9                    |
| 19                   | Nagaland             | 21                   | NA                   | 1                         | NA                   | 20                   |
| 20                   | Odisha               | 377                  | 382                  | 37                        | 345                  | 340                  |
| 21                   | Punjab               | 151                  | 140                  | 22                        | 118                  | 129                  |
| 22                   | Rajasthan            | 588                  | 665                  | 208                       | 457                  | 380                  |
| 23                   | Sikkim               | 2                    | NA                   | 0                         | NA                   | 2                    |
| 24                   | Tamil Nadu           | 385                  | NA                   | 25                        | NA                   | 360                  |
| 25                   | Telangana            | 91                   | 71                   | 21                        | 50                   | 70                   |
| 26                   | Tripura              | 22                   | 0                    | 0                         | 0                    | 22                   |
| 27                   | Uttarakhand          | 67                   | 69                   | 11                        | 58                   | 56                   |
| 28                   | Uttar Pradesh        | 822                  | 523                  | 28                        | 495                  | 794                  |
| 29                   | West Bengal          | 348                  | 95                   | 42                        | 53                   | 306                  |

| 30   | A& N Islands     |    4 |    3 |   0 |    3 |    4 |
|------|------------------|------|------|-----|------|------|
| 31   | Chandigarh       |    0 |    0 |   0 |    0 |    0 |
| 32   | D & N Haveli     |    2 |    0 |   0 |    0 |    2 |
| 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 |

Notes:

# 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.

Annexure - III

| 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                      |
|-----------------------------|-----------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|------------------------------------------------|
| S. No.                      |                             | Total Specialists [Surgeons, OB&GY, Physicians | Total Specialists [Surgeons, OB&GY, Physicians | Total Specialists [Surgeons, OB&GY, Physicians | Total Specialists [Surgeons, OB&GY, Physicians | Total Specialists [Surgeons, OB&GY, Physicians |
| S. 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 59                                        | 118                                            | 1059                                           | 1334                                           |
| 8                           | Haryana                     | 452                                            |                                                | 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 & N Haveli                | 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                                              |
|                             | AllIndia 2 / Total          | 22496                                          | 13635                                          | 4074                                           | 10051                                          | 18422                                          |

Notes: NA: Not available

3 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.

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

## Annexure - IV

| 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                          | *                            | *                            |
| 27                           | Uttarakhand                  | 324                          | 408                          | 282                          | 126                          | 42                           |

States / UTs *: Surplus.

NA: Not Available.

| 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 & N Haveli    |     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 |

## Notes:

# 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

5

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

# Sanctioned data for year  2013 used

## Sa nctioned data for year 2011 used

$ Sanctioned data for year 2015 used

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

Annexure -V

| LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   | LABORATORY TECHNICIANS at PHCs & CHCs   |
|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
| S. No.                                  |                                         | (As on 31st                             | (As on 31st                             | March,                                  | 2018)                                   | (As on 31st                             |
|                                         | State/UT                                | Required 5                              | Sanctioned                              | In Position                             | Vacant                                  | Shortfall                               |
|                                         |                                         | [R]                                     | [S]                                     | [P]                                     | [S- P]                                  | [R-P]                                   |
| 1                                       | Andhra Pradesh                          | 1340                                    | 1185                                    | 789                                     | 396                                     | 551                                     |
| 2                                       | Arunachal Pradesh                       | 206                                     | NA                                      | 123                                     | NA                                      | 83                                      |
| 3                                       | Assam #                                 | 1118                                    | 860                                     | 1390                                    | *                                       | *                                       |
| 4                                       | Bihar ##                                | 2049                                    | 683                                     | 611                                     | 72                                      | 1438                                    |
| 5                                       | Chhattisgarh                            | 962                                     | 1063                                    | 823                                     | 240                                     | 139                                     |
| 6                                       | Goa                                     | 29                                      | 40                                      | 40                                      | 0                                       | *                                       |
| 7                                       | Gujarat                                 | 1837                                    | 1837                                    | 1658                                    | 179                                     | 179                                     |
| 8                                       | Haryana                                 | 481                                     | 504                                     | 356                                     | 148                                     | 125                                     |
| 9                                       | HimachalPradesh                         | 667                                     | 300                                     | 131                                     | 169                                     | 536                                     |
| 10                                      | Jammu & Kashmir                         | 721                                     | 826                                     | 798                                     | 28                                      | *                                       |
| 11                                      | Jharkhand                               | 469                                     | 640                                     | 264                                     | 376                                     | 205                                     |
| 12                                      | Karnataka                               | 2565                                    | 1790                                    | 1532                                    | 258                                     | 1033                                    |
| 13                                      | Kerala                                  | 1076                                    | 324                                     | 365                                     | *                                       | 711                                     |
| 14                                      | Madhya Pradesh                          | 1480                                    | 1808                                    | 1238                                    | 570                                     | 242                                     |
| 15                                      | Maharashtra                             | 2184                                    | 1474                                    | 1296                                    | 178                                     | 888                                     |
| 16                                      | Manipur                                 | 114                                     | 102                                     | 70                                      | 32                                      | 44                                      |
| 17                                      | Meghalaya $                             | 136                                     | 118                                     | 155                                     | *                                       | *                                       |
| 18                                      | Mizoram ^                               | 66                                      | 92                                      | 83                                      | 9                                       | *                                       |
| 19                                      | Nagaland                                | 147                                     | 72                                      | 87                                      | *                                       | 60                                      |
| 20                                      | Odisha                                  | 1665                                    | 497                                     | 567                                     | *                                       | 1098                                    |
| 21                                      | Punjab                                  | 583                                     | 616                                     | 585                                     | 31                                      | *                                       |
| 22                                      | Rajasthan                               | 2666                                    | 3644                                    | 2091                                    | 1553                                    | 575                                     |
| 23                                      | Sikkim                                  | 26                                      | NA                                      | 21                                      | NA                                      | 5                                       |
| 24                                      | Tamil Nadu                              | 1806                                    | 2222                                    | 967                                     | 1255                                    | 839                                     |
| 25                                      | Telangana                               | 734                                     | 749                                     | 597                                     | 152                                     | 137                                     |
| 26                                      | Tripura                                 | 130                                     | 0                                       | 105                                     | *                                       | 25                                      |
| 27                                      | Uttarakhand                             | 324                                     | 135                                     | 78                                      | 57                                      | 246                                     |
| 28                                      | Uttar Pradesh                           | 4443                                    | 2054                                    | 1644                                    | 410                                     | 2799                                    |
| 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 & N Haveli                            | 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                                   |

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.                        | State/UT                      | (As on 31st March,            | (As on 31st March,            | (As on 31st March,            | (As on 31st March,            | (As on 31st March,            |
| S. No.                        | State/UT                      | Required 1                    | Sanctioned                    | In Position                   | Vacant                        | Shortfall                     |
|                               | Andhra Pradesh                | [R1]                          | [S]                           | [P]                           | [S-P]                         | [R1-P]                        |
| 1                             |                               | 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                          | *                             |
| 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 &NHaveli                    | 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                          |

# Sanctioned data for year 2013 used

## Sanctioned data for year 2011 used

- ^ Total 570 Nursing Staff sanctioned in the State

$ Sanctioned data for year 2015 used

- 1 One per Primary Health Centre and seven per Community Health Centre as per IPHS norms

*: Surplus.

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

NA: Not Available.

## Notes: