Lok Sabha Question No. 2945 (UNSTARRED), answered on 2018-12-28
Subject: Shortage of Human Resources in Health Sector
Ministry: HEALTH AND FAMILY WELFARE
Asked by: PRITAM GOPINATH MUNDE, Shrirang Appa Barne, ANANDRAO  ADSUL, SHIVAJI ADHALRAO PATIL

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

## LOK SABHA UNSTARRED QUESTION NO. 2945 TO BE ANSWERED ON 28 TH DECEMBER, 2018

## SHORTAGE OF HUMAN RE SOURCES IN HEALTH SECTOR

## 2945. DR. PRITAM GOPINATH MUNDE: SHRI SHRIRANG APPA BARNE: SHRI ANANDRAO ADSUL: SHRI ADHALRAO PATIL SHIVAJIRAO:

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

(a) whether healthcare service delivery requires intensive human resource inputs, if so, the details of steps taken by the Gov rnment;

(b) whether the Central Government has complied data on requirement of human resources, if so, the present total requirement of General Duty Medical Officers Specialists, Paramedics (Allied Health Professionals), Auxilia ry Nurse Midwifes (ANMs), Staff Nurses, Public Health Managers and Programme Management staffs etc., if so, the details and the outcome thereof along with the present availability of the said staff; and

(c) the steps taken by the Central Government ofIndia to fill the gaps in human resources?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE

(SHRI ASHWINI KUMAR CHOUBEY)

(a)to (c): Public  health  and  hospitals  being  a  State  subject,  the  primary  responsib ensure  availabi lity  of  healthcare  professionals  in  public  health  facilities  lies  with  t Governments.  However,  under  the  National  Health  Mission  (NHM),  financial  and  techn support  is  provided  to  States/UTs  to  strengthen  their  healthcare  systems  including  s pport  for engagement of doctors on contractual basis, based on the requirements posed by the State their Programme Implementation Plans (PIPs) within their overall resource envelope.

There  are499  medical  colleges,  313  dental  colleges,  more  than  70,000  MBBS approximately  45,000  Post  Graduate  medical  seats,  approximately  27000 Bachelor  of  Dental Surgery(BDS) and 6300Master of Dental Surgery (MDS) seats available in the country. Besides, there are around 8,000 Nursing Institutes producing about 2.9 lakh nursing personnel annua

Further, as per the information available with the respective Councils, 8.93 lakh doctors, 2.01 lakh dentists and 19.10 lakh nursing personnel may actually be available for active services.

The Government has taken various steps to further increase theavailability of human resource in the country which include:

- I. The  ratio  of  teachers  to  students  has  been  revised  from  1:1  to  1:2  for  all disciplines and 1:1 to 1:3 in subjects of Anaesthesiology, Forensic Med Radiotherapy,  Medical  Oncology,  Surgical  Oncology  and  Psychiatry.  Further,  tea student  ratio n  public  funded  Government  Medical  Colleges  for  Professor  has  be

increased from 1:2 to 1:3 in all clinical subjects and for Associate Professor fro if the Associate Professor is a unit head. The same has also been extended to t me dical colleges with certain conditions. This would result in increase in numb seats in the country.

- II. Diplomate of National Board (DNB) qualification has been recognized for appointme faculty to take care of shortage of faculty.
- III. Enhancement of maximum intake capacity at MBBS level from 150 to 250.
- IV. Relaxation  in  the  norms  of  setting  up  of  Medical  College  in  terms  of  requirem faculty, staff, bed strength and other infrastructure.
- V. Requirement of land for establishment of medical college in metropolitan cities as notified under Article 243P(c) of the Constitution of India has been dispensed with.
- VI. Strengthening/upgradation  of  State  Government  Medical  Colleges  for  starting  new courses/Increase of PG seats.
- VII. Establishment of New Medical Colleges by upgrading district/referral hospitals prefer in underserved districts of the country.
- VIII. Strengthening/  upgradation  of  existing  State  Government/Central  Government  Medi Colleges to increase MBBS seats.
- IX. Enhancement  of  age  limit  for  appoi ntment/  extension/  re - employment  against  posts  of teachers/dean/principal/ director in medical colleges from 65 - 70 years.
- X. Under the Centrally Sponsored Scheme of Strengthening / upgradation of Nursing Ser (Auxiliary Nurses Midwives [ANM] / General Nu rse Midwives [GNM]), the Government has approved 128 ANM and 137 GNM Schools to be set up in the country.

The  details  of  requirement  and  availability  of  General  Duty  Medical  Officer  (G Specialists, Laboratory Technicians, Pharmacists Radiographers, ANM and Staff Nurse at PHCs and CHCs as per the Rural Health Statistics (RHS) Bullet in, 2017 -18 is at Annexure .

| S. No.   | State/UT                     | (As on Sanctioned   | 31st March, In Position   | Vacant    |
|----------|------------------------------|---------------------|---------------------------|-----------|
| 1        | Andhra Pradesh               | [S] 247             | [P] 203                   | [S- P] 44 |
| 2        | Arunachal Pradesh            | NA                  | 119                       | NA        |
| 3        | Assam                        | NA                  | 493                       | NA        |
| 4        | Bihar                        | NA                  | 714                       | NA        |
| 5        | Chhattisgarh                 | 453                 | 546                       | *         |
| 6        | Goa                          | 12                  | 19                        | *         |
| 7        | Gujarat                      | 1151                | 792                       | 359       |
| 8        | Haryana                      | 494                 | 317                       | 177       |
| 9        | Himachal Pradesh             | 234                 | 165                       | 69        |
| 10       | Jammu & Kashmir              | 751                 | 586                       | 165       |
| 11       | Jharkhand                    | 849                 | 704                       | 145       |
| 12       | Karnataka                    | 255                 | 218                       | 37        |
| 13       | Kerala                       | 781                 | 1019                      | *         |
| 14       | Madhya Pradesh               | 1854                | 881                       | 973       |
| 15       | Maharashtra                  | 512                 | 486                       | 26        |
| 16       | Manipur                      | 97                  | 93                        | 4         |
| 17       | Meghalaya #                  | 91                  | 82                        | 9         |
| 18       | Mizoram                      | NA                  | 16                        | NA        |
| 19       | Nagaland                     | 42                  | 42                        | 0         |
| 20       | Odisha                       | 405                 | 731                       | *         |
| 21       | Punjab                       | 282                 | 408                       | *         |
| 22       | Rajasthan                    | 1403                | 1150                      | 253       |
| 23       | Sikkim                       | NA                  | 5                         | NA        |
| 24       | Tamil Nadu                   | 4942                | 4942                      | 0         |
| 25       | Telangana                    | 184                 | 145                       | 39        |
| 26       | Tripura                      | 0                   | 65                        | *         |
| 27       | Uttarakhand                  | 117                 | 94                        | 23        |
| 28       | Uttar Pradesh                | 778                 | 778                       | 0         |
| 29       | West Bengal                  | 1330                | 1150                      | 180       |
| 30       | A& N Islands                 | 13                  | 13                        | 0         |
|          | Chandigarh                   |                     | 0                         |           |
| 31       |                              | 0                   |                           | 0         |
| 32       | D & N Haveli                 | 0                   | 6                         | *         |
| 33       | Daman & Diu                  | 12                  | 5                         | 7         |
| 34       | Delhi                        | 0                   | 0                         | 0         |
| 35       | Lakshadweep                  | 14                  | 14                        | 0         |
| 36       | Puducherry All India/Total 2 | 18 17321            | 18 17019                  | 0 2510    |

Notes:

# Sanctioned data for year 2015 used NA: Not Available

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

Table 31.

| S. No.   | State/UT          | 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.   | State/UT          | Required 1                              | (As Sanctioned                          | on 31st March, In Position              | Vacant                                  | Shortfall [R- P]                        |
| S. No.   | State/UT          | [R]                                     | [S]                                     | [P]                                     | [S- 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        | Himachal Pradesh  | 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:

# Sanctioned data for year  2013 used

## Sanctioned data for year 2011 used

$ Sanctioned data for year 2015 used

^ Total 92 Lab Technicians sanctioned in the State

1 One per each Primary Health Centre and Community Health Centre as per IPHS norms

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

| S. No.   | State/UT          |   Required 1 | Sanctioned   |   In Position | Vacant   | Shortfall   |
|----------|-------------------|--------------|--------------|---------------|----------|-------------|
| 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          |
| 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        |

year 2011 used

$ Sanctioned data for year

2015 used

^ Total 99 Pharmacists sanctioned in the State

1 One per each Primary Health Centre and Community Health Centre as per IPHS norms

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

*: Surplus.

NA: Not Available.

|        | RADIOGRAPHERS at   |            |            |             |        |           |
|--------|--------------------|------------|------------|-------------|--------|-----------|
| S. No. | State/UT           | Required 1 | Sanctioned | In Position | Vacant | Shortfall |
| S. No. | State/UT           | [R]        | [S]        | [P]         | [S- P] | [R- P]    |
| 1      | Andhra Pradesh     | 193        | 160        | 72          | 88     | 121       |
| 2      | Arunachal Pradesh  | 63         | NA         | 7           | NA     | 56        |
| 3      | Assam #            | 172        | 145        | 82          | 63     | 90        |
| 4      | Bihar ##           | 150        | 89         | 1           | 88     | 149       |
| 5      | Chhattisgarh       | 169        | 177        | 161         | 16     | 8         |
| 6      | Goa                | 4          | 4          | 4           | 0      | 0         |
| 7      | Gujarat            | 363        | 363        | 118         | 245    | 245       |
| 8      | Haryana            | 113        | 82         | 47          | 35     | 66        |
| 9      | Himachal Pradesh   | 91         | 65         | 24          | 41     | 67        |
| 10     | Jammu & Kashmir    | 84         | 305        | 224         | 81     | *         |
| 11     | Jharkhand          | 171        | 171        | 59          | 112    | 112       |
| 12     | Karnataka          | 206        | 206        | 167         | 39     | 39        |
| 13     | Kerala             | 227        | 16         | 18          | *      | 209       |
| 14     | Madhya Pradesh     | 309        | 312        | 261         | 51     | 48        |
| 15     | Maharashtra        | 361        | 140        | 107         | 33     | 254       |
| 16     | Manipur            | 23         | 13         | 13          | 0      | 10        |
| 17     | Meghalaya $        | 28         | 19         | 18          | 1      | 10        |
| 18     | Mizoram ^          | 9          | 5          | 3           | 2      | 6         |
| 19     | Nagaland           | 21         | 1          | 1           | 0      | 20        |
| 20     | Odisha             | 377        | 57         | 55          | 2      | 322       |
| 21     | Punjab             | 151        | 171        | 123         | 48     | 28        |
| 22     | Rajasthan          | 588        | 787        | 250         | 537    | 338       |
| 23     | Sikkim             | 2          | NA         | 2           | NA     | 0         |
| 24     | Tamil Nadu         | 385        | 246        | 92          | 154    | 293       |
| 25     | Telangana          | 91         | 87         | 57          | 30     | 34        |
| 26     | Tripura            | 22         | 0          | 12          | *      | 10        |
| 27     | Uttarakhand        | 67         | 31         | 8           | 23     | 59        |
| 28     | Uttar Pradesh      | 822        | 230        | 0           | 230    | 822       |
| 29     | West Bengal        | 348        | 280        | 131         | 149    | 217       |
| 30     | A& N Islands       | 4          | 0          | 0           | 0      | 4         |
| 31     | Chandigarh         | 0          | 0          | 0           | 0      | 0         |
| 32     | D & N Haveli       | 2          | 0          | 0           | 0      | 2         |
| 33     | Daman & Diu        | 2          | 4          | 3           | 1      | *         |
| 34     | Delhi              | 0          | 0          | 0           | 0      | 0         |
| 35     | Lakshadweep        | 3          | 5          | 5           | 0      | *         |
| 36     | Puducherry         | 3          | 3          | 3           | 0      | 0         |
|        | All India/Total    | 5624       | 4174       | 2128        | 2069   | 3639      |

Notes:

# Sanctioned data for

year

$

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

^ Total 5 Radiographers sanctioned in the State

One 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 Sta tes / UTs Surplus

NA: Not Available

1

*:

| S. No.   | State/UT                       | Required 1   | Sanctioned   | In Position   | Vacant     | Shortfall   |
|----------|--------------------------------|--------------|--------------|---------------|------------|-------------|
| 1        | Andhra Pradesh                 | [R1] 8605    | [S] 14317    | [P] 13698     | [S- P] 619 | [R1- P] *   |
| 2        | Arunachal Pradesh              | 455          | NA           | 481           | NA         | *           |
| 3        | Assam #                        | 5590         | 5962         | 10230         | *          | *           |
| 4        | Bihar                          | 11848        | NA           | 23390         | NA         | *           |
| 5        | Chhattisgarh                   | 5993         | 5993         | 6799          | *          | *           |
| 6        | Goa                            | 239          | 150          | 273           | *          | *           |
| 7        | Gujarat                        | 10627        | 10627        | 8340          | 2287       | 2287        |
| 8        | Haryana                        | 2957         | 4106         | 4374          | *          | *           |
| 9        | Himachal Pradesh               | 2660         | 2267         | 1846          | 421        | 814         |
| 10       | Jammu & Kashmir                | 3604         | 4886         | 4582          | 304        | *           |
| 11       | Jharkhand                      | 4146         | 7994         | 6632          | 1362       | *           |
| 12       | Karnataka                      | 11802        | 9919         | 7156          | 2763       | 4646        |
| 13       | Kerala                         | 6229         | 7929         | 7950          | *          | *           |
| 14       | Madhya Pradesh                 | 12363        | 13720        | 12353         | 1367       | 10          |
| 15       | Maharashtra                    | 12461        | 18636        | 14605         | 4031       | *           |
| 16       | Manipur                        | 520          | 1065         | 923           | 142        | *           |
| 17       | Meghalaya #                    | 551          | 1118         | 1080          | 38         | *           |
| 18       | Mizoram ##                     | 427          | 405          | 629           | *          | *           |
| 19       | Nagaland #                     | 522          | 539          | 913           | *          | *           |
| 20       | Odisha                         | 7976         | 7686         | 8108          | *          | *           |
| 21       | Punjab                         | 3382         | 5011         | 4525          | 486        | *           |
| 22       | Rajasthan                      | 16483        | 23859        | 18257         | 5602       | *           |
| 23       | Sikkim #                       | 171          | 219          | 227           | *          | *           |
| 24       | Tamil Nadu                     | 10133        | 10133        | 7854          | 2279       | 2279        |
| 25       | Telangana                      | 5387         | 8996         | 7679          | 1317       | *           |
| 26       | Tripura #                      | 1128         | 476          | 601           | *          | 527         |
| 27       | Uttarakhand                    | 2104         | 2218         | 1760          | 458        | 344         |
| 28       | Uttar Pradesh                  | 24142        | 27410        | 25751         | 1659       | *           |
| 29       | West Bengal                    | 11270        | 20386        | 17583         | 2803       | *           |
| 30       | A& N Islands                   | 145          | 290          | 274           | 16         | *           |
| 31       | Chandigarh                     | 17           | NA           | 33            | NA         | *           |
| 32       | D & N Haveli                   | 80           | 36           | 90            | *          | *           |
| 33       | Daman & Diu                    | 30           | 41           | 34            | 7          | *           |
| 34       | Delhi                          | 17           | 36           | 33            | 3          | *           |
|          | Lakshadweep All India/ 2 Total | 184160       | 216665       | 219326        | 27964      | 10907       |
| 35       |                                | 18           | 47           | 51            | *          | *           |
| 36       | Puducherry                     | 78           | 188          | 212           | *          | *           |

Notes:

NA -Not Available

# Sanctioned data for year 2015 used

## Total 405number of ANMs 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.

1 one per each existing Sub Centre & PHC as per IPHS norms

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

| S. No.   | State/UT                         | Required 1   | Sanctioned   | In Position   | Vacant      | Shortfall   |
|----------|----------------------------------|--------------|--------------|---------------|-------------|-------------|
| 1        | Andhra Pradesh                   | [R1] 2498    | [S] 4518     | [P] 3505      | [S- P] 1013 | [R1-P] *    |
| 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          | *           |
|          |                                  |              | 837          |               |             |             |
| 9 10     | Himachal Pradesh Jammu & Kashmir | 1213 1225    | 1710         | 452 1405      | 385 305     | 761 *       |
| 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         |
|          |                                  | 9375         | 17974        |               | *           | *           |
| 28       | Uttar Pradesh                    | 3349         | 6981         | 20546         | 517         |             |
| 29       | West Bengal                      |              |              | 6464          |             | *           |
| 30       | A& N Islands                     | 50           | 138          | 129           | 9           | *           |
| 31       | Chandigarh                       | 0            | 0            | 0             | 0           | 0           |
| 32       | D & N Haveli                     | 23           | 14           | 45            | *           | *           |
| 33       | Daman & Diu                      | 18           | 64           | 49            | 15          | *           |
| 34       | Delhi                            | 25           | 5            | 6 54          | *           | *           |
| 35       | Lakshadweep                      | 5            | 54           |               | 0           | *           |
| 36       | Puducherry                       | 45           | 131          | 139           | *           | *           |

Notes: # Sanctioned data for year 2013 used ## Sanctioned data for year 2011 used $ Sanctioned data for year 2015 used ^ Total 570 Nursing Staff sanctioned in the State 1 One per Primary Health Centre and seven per Community Health Centre as per IPHS norms All India figures for Vacancy and Shortfall are the totals of State -wise Vacancy and Shortfall ignoring surplus in some States / UTs *:  Surplus.

NA: Not Avail able