Lok Sabha Question No. 1952 (UNSTARRED), answered on 2018-12-21
Subject: Basic Medical Facilities in Tribal Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: JITENDRA CHAUDHURY

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

LOK SABHA UNSTARRED QUESTION NO. 1952 TO BE ANSWERED ON 21 ST DECEMBER, 2018

## BASIC MEDICAL FACILI TIES IN TRIBAL AREAS

## 1952. SHRI JITENDRA CHAUDHURY:

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

- (a) whether it is fact that there is a lack of basic medical facilities in tribal areas i so, the details thereof;
- (b) whether the Government proposes to set up more Government hospitals in tribal areas of country; and
- (c) if so, the details thereof and necessary steps taken in this regard?

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

- (a): As per Rural Health Statistics Bulletin 2017- 18,the state - wise details of number of Sub Centres, Primary Health Centres (PHCs) & Community Health Centres (CHCs) and shortfall in tribal areas is at Annexure.
- (b)& (c) : 'Public Health & hospital' being a State subject, the primary responsibility of setting up of government hospitals in the tribal areas is that of respective State/ UT go . Under National Health Mission (NHM), support is being provided to States for strengthe their healthcare system including for upgradation of existing and setting up new public infrastructure based on requirements posed by the States/UTs in their Programme Implementation  Plans . Under  NHM,  tribal  areas  already  enjoy  relaxed  norms  for  setting  up public health facilities including time to care' norm for setting up sub health Centres in tribal areas within 30 minutes of walk from habitation and relaxed orm for Mobile Medical Units for tribal areas one MMU exceeds 30 patients per day against 60 patients per day in plain ar bringing healthcare delivery to the doorsteps of the population.

…………………

Annexure

| NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   | NUMBER OF SUB CENTRES, PHCs & CHCs IN TR IBAL AREAS   |
|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|
| S.No.                                                 | State/ UT                                             | Sub                                                   | Centres                                               | Sub                                                   | (As on 31st March,                                    | PHCs                                                  | (As on 31st March,                                    | 2018 CHCs                                             | 2018 CHCs                                             | 2018 CHCs                                             |
|                                                       |                                                       | R                                                     | P                                                     | S                                                     | R                                                     | P                                                     | S                                                     | R                                                     | P                                                     | S                                                     |
| 1                                                     | Andhra Pradesh                                        | 764                                                   | 804                                                   | **                                                    | 114                                                   | 153                                                   | **                                                    | 28                                                    | 19                                                    | 9                                                     |
| 2                                                     | Arunachal Pradesh#                                    | 263                                                   | 312                                                   | **                                                    | 39                                                    | 143                                                   | **                                                    | 9                                                     | 63                                                    | **                                                    |
| 3                                                     | Assam                                                 | 1221                                                  | 768                                                   | 453                                                   | 183                                                   | 176                                                   | 7                                                     | 45                                                    | 26                                                    | 19                                                    |
| 4                                                     | Bihar                                                 | 423                                                   | NA                                                    | NA                                                    | 63                                                    | NA                                                    | NA                                                    | 15                                                    | NA                                                    | NA                                                    |
| 5                                                     | Chhattisgarh                                          | 2410                                                  | 2811                                                  | **                                                    | 361                                                   | 396                                                   | **                                                    | 90                                                    | 80                                                    | 10                                                    |
| 6                                                     | Goa                                                   | 29                                                    | 66                                                    | **                                                    | 4                                                     | 8                                                     | **                                                    | 1                                                     | 1                                                     | 0                                                     |
| 7                                                     | Gujarat                                               | 2673                                                  | 2775                                                  | **                                                    | 401                                                   | 421                                                   | **                                                    | 100                                                   | 92                                                    | 8                                                     |
| 8                                                     | Haryana *                                             | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 |
| 9                                                     | Himachal Pradesh                                      | 124                                                   | 104                                                   | 20                                                    | 18                                                    | 47                                                    | *                                                     | 4                                                     | 8                                                     | **                                                    |
| 10                                                    | Jammu & Kashmir                                       | 468                                                   | 307                                                   | 161                                                   | 70                                                    | 48                                                    | 22                                                    | 17                                                    | 11                                                    | 6                                                     |
| 11                                                    | Jharkhand                                             | 2622                                                  | 2465                                                  | 157                                                   | 393                                                   | 165                                                   | 228                                                   | 98                                                    | 94                                                    | 4                                                     |
| 12                                                    | Karnataka                                             | 1143                                                  | 321                                                   | 822                                                   | 171                                                   | 64                                                    | 107                                                   | 42                                                    | 7                                                     | 35                                                    |
| 13                                                    | Kerala                                                | 144                                                   | 831                                                   | **                                                    | 21                                                    | 137                                                   | **                                                    | 5                                                     | 12                                                    | **                                                    |
| 14                                                    | Mad hya Pradesh                                       | 4758                                                  | 3545                                                  | 1213                                                  | 713                                                   | 332                                                   | 381                                                   | 178                                                   | 104                                                   | 74                                                    |
| 15                                                    | Mah arashtra                                          | 3002                                                  | 2057                                                  | 945                                                   | 450                                                   | 315                                                   | 135                                                   | 112                                                   | 67                                                    | 45                                                    |
| 16                                                    | Man ipur                                              | 263                                                   | 234                                                   | 29                                                    | 39                                                    | 53                                                    | **                                                    | 9                                                     | 7                                                     | 2                                                     |
| 17                                                    | Meg halaya #                                          | 712                                                   | 443                                                   | 269                                                   | 106                                                   | 108                                                   | **                                                    | 26                                                    | 28                                                    | **                                                    |
| 18                                                    | Mizoram #                                             | 169                                                   | 370                                                   | **                                                    | 25                                                    | 57                                                    | **                                                    | 6                                                     | 9                                                     | **                                                    |
| 19                                                    | Nagaland #                                            | 435                                                   | 396                                                   | 39                                                    | 65                                                    | 126                                                   | **                                                    | 16                                                    | 21                                                    | **                                                    |
| 20                                                    | Odisha                                                | 2998                                                  | 2701                                                  | 297                                                   | 449                                                   | 427                                                   | 22                                                    | 112                                                   | 133                                                   | **                                                    |
| 21                                                    | Punjab *                                              | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 | N App                                                 |
| 22                                                    | Rajasthan                                             | 2897                                                  | 1659                                                  | 1238                                                  | 434                                                   | 210                                                   | 224                                                   | 108                                                   | 65                                                    | 43                                                    |
| 23                                                    | Sikkim                                                | 55                                                    | 48                                                    | 7                                                     | 8                                                     | 12                                                    | **                                                    | 2                                                     | 0                                                     | 2                                                     |
| 24                                                    | Tamil Nadu                                            | 220                                                   | 432                                                   | **                                                    | 33                                                    | 105                                                   | **                                                    | 8                                                     | 25                                                    | **                                                    |
| 25                                                    | Telangana                                             | 979                                                   | 698                                                   | 281                                                   | 146                                                   | 93                                                    | 53                                                    | 36                                                    | 23                                                    | 13                                                    |
| 26                                                    | Tri pura                                              | 372                                                   | 484                                                   | **                                                    | 55                                                    | 48                                                    | 7                                                     | 13                                                    | 9                                                     | 4                                                     |
| 27                                                    | Utt arakhand                                          | 88                                                    | 148                                                   | **                                                    | 13                                                    | 12                                                    | 1                                                     | 3                                                     | 5                                                     | **                                                    |
| 28                                                    | Utt ar Pradesh                                        | 343                                                   | NA                                                    | NA                                                    | 51                                                    | NA                                                    | NA                                                    | 12                                                    | NA                                                    | NA                                                    |
| 29                                                    | Wes t Bengal                                          | 1618                                                  | 3206                                                  | **                                                    | 242                                                   | 300                                                   | **                                                    | 60                                                    | 104                                                   | **                                                    |

| 30   | A&N Island       | 8     | 41    | **    | 1     | 4     | **    | 0     | 1     | **    |
|------|------------------|-------|-------|-------|-------|-------|-------|-------|-------|-------|
| 31   | Chandigarh *     | N App | N App | N App | N App | N App | N App | N App | N App | N App |
| 32   | D&N Haveli #     | 50    | 46    | 4     | 7     | 7     | 0     | 1     | 0     | 1     |
| 33   | Dam an & Diu     | 2     | 5     | **    | 0     | 0     | 0     | 0     | 0     | 0     |
| 34   | Delhi *          | N App | N App | N App | N App | N App | N App | N App | N App | N App |
| 35   | Lakshadweep# (2) | 4     | 14    | **    | 0     | 4     | **    | 0     | 3     | **    |
| 36   | Puducherry *     | N App | N App | N App | N App | N App | N App | N App | N App | N App |
|      | All India/Total  | 31257 | 28091 | 5935  | 4675  | 3971  | 1187  | 1156  | 1017  | 275   |

Notes: The requirement is calculated using the prescribed norms on the basis of  rural population from Census, 2011.  All In shortfall is derived by adding state -wise  figures of shortfall ignoring the existing surplus in some of the states R: Required; P: In Position; S: Shortfall;     **: Surplus,       *: State / UT has no separate Tribal Area / Po ul ion; #:States are predominently tribal areas 2 The population is less than the norm (CHC) of 80,000. N App -Not applicable N A -Data not available