Lok Sabha Question No. 83 (UNSTARRED), answered on 2019-06-21
Subject: Primary Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Prataprao  Jadhav

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

## LOK SABHA UNSTARRED QUESTION NO. 83 TO BE ANSWERED ON 21 ST JUNE,2019

## PRIMARY HEALTH CENTR ES

## 83. SHRI PRATAPRAO JADHAV:

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

- (a)  whether  one  women  dies  every seven  minutes  in  each  State  due  to complications  arising during child birth, if so, the details thereof;
- (b) whether there is any proposal to set up more Primary Health Centres (PHCs) in rural and remote areas of the country in this regard, if so, the details thereof;
- (c) whether the existing PHCs lack necessary medicines, doctors and para medical staff, if so, the details thereof; and
- (d) the number of complaints received inthis regard during each of the last three years?

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

- (a) : No. As per latest SRS 2014 - 16 reports, MMR of India is 130 per 100,000 live births.State wise st atus of MMR is given at Annexure I
- (b): Public health and hospitals being a State subject, the primary responsibility to se public health facilities including PHCs lies with the State Governments.Under NHM, technical and  financial  support  is  provided  to  State/UTs  to  strengthen  their  public  health  f including setting up PHCs as per Indian Public Health Standards(IPHS), based on the requi proposed by the States/UTs in their annual Programme Implementation Plans(PIPs) within their overall resource envelope.
- (c) : Under  NHM,  funds  are  also  provided under  Free  Drugs  Services  Initiative  (FDSI)  to provide  essential  medicines  at  public  health  facilities,  free  of  cost .  An  indicative  list  of  285 ess ential medicines at PHCs has been communicated to the States/UTs, which can be modifi and adapted by the State / UT based on their disease burden.29 States/UT have IT enabled and vaccine management system.

Under Free Drugs Service initiative, funds allocated to the States in past  three given at Annexure II.

Shortage of Doctors and Para Medical Staff in public health facilities including PHCs varies  from  State  to  State  depending  upon  their  policies and  cont xt.  As  per  Rural  Health Statistics (RHS) -2018, State/UT wise availability of doctors at PHCs, and of Lab Technicia Pharmacists and Nursing staff in PHCs and CHCs in rural areas and shortfall thereof is g Annexure III.

(d) : As stated a bove, public health &hospitals being a State subject,complaints received respect of PHCs lacking necessary medicines, doctors and para medical staff are forward respective State Governments for examination and appropriate action.

## Annexure I

| MMR -2014- 16-SRS   | MMR -2014- 16-SRS         | MMR -2014- 16-SRS   |
|---------------------|---------------------------|---------------------|
| Sl. No              | India/States              | 2014-16             |
| 1                   | Uttar Pradesh/Uttarakhand | 201                 |
| 2                   | Kerala                    | 46                  |
| 3                   | Other States              | 97                  |
| 4                   | India                     | 130                 |
| 5                   | Madhya Pr/Chhatisgarh     | 173                 |
|                     | Assam                     | 237                 |
| 6                   | Bihar/Jharkhand           | 165                 |
| 7                   | Haryana                   | 101                 |
| 8                   | Andhra Pradesh            | 74                  |
| 9                   | Odisha                    | 180                 |
| 10                  | Karnataka                 | 108                 |
| 11                  | Gujarat                   | 91                  |
| 12                  | Rajasthan                 | 199                 |
| 13                  | Tamil Nadu                | 66                  |
| 16                  | Punjab                    | 122                 |
| 14                  | West Bengal               | 101                 |
| 15                  | Maharashtra               | 61                  |
| 16                  | Telangana                 | 81                  |

## Annexure II

*Does not include NUHM ** Being finalised

| Fund Allocation under Free DrugsService Initiative (FDSI) (Rs in   | Fund Allocation under Free DrugsService Initiative (FDSI) (Rs in   | Fund Allocation under Free DrugsService Initiative (FDSI) (Rs in   | Fund Allocation under Free DrugsService Initiative (FDSI) (Rs in   |
|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
| FY                                                                 | Total Approvals Cash Grants under NHM                              | Kind Grants                                                        | Total                                                              |
| 2015- 16                                                           | 2198.35                                                            | 1017.97                                                            | 3216.32                                                            |
| 2016- 17                                                           | 2619.75                                                            | 1043.32                                                            | 3663.07                                                            |
| 2017- 18                                                           | 3279.1 0                                                           | 4655.47                                                            | 7934.47                                                            |
| 2018- 19                                                           | 3350.94*                                                           | **                                                                 | 3350.94                                                            |
| Grand Total                                                        | 11448.14                                                           | 6716.76                                                            | 18164.8                                                            |

## DOCTORS + AT PRIMARY HEALTH CENTRES

| S.   |                     | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   |
|------|---------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| No.  | State/UT            | Required 1                 | Sanctioned                 | In Position                | Vacant                     | Shortfall                  |
| S.   |                     | [R]                        | [S]                        | [P]                        | [S- P]                     | [R-P]                      |
| 1    | Andhra Pradesh      | 1147                       | 2267                       | 2045                       | 222                        | *                          |
| 2    | Arunachal Pradesh   | 143                        | NA                         | 125                        | NA                         | 18                         |
| 3    | Assam               | 946                        | NA                         | 1376                       | NA                         | *                          |
| 4    | Bihar #             | 1899                       | 2078                       | 1786                       | 292                        | 113                        |
| 5    | Chhattisgarh        | 793                        | 793                        | 359                        | 434                        | 434                        |
| 6    | Goa                 | 25                         | 48                         | 56                         | *                          | *                          |
| 7    | Gujarat             | 1474                       | 1865                       | 1321                       | 544                        | 153                        |
| 8    | Haryana             | 368                        | 551                        | 491                        | 60                         | *                          |
| 9    | Himachal Pradesh    | 576                        | 636                        | 622                        | 14                         | *                          |
| 10   | Jammu & Kashmir     | 637                        | 1347                       | 694                        | 653                        | *                          |
| 11   | Jharkhand           | 298                        | 556                        | 340                        | 216                        | *                          |
| 12   | Karnataka           | 2359                       | 2359                       | 2136                       | 223                        | 223                        |
| 13   | Kerala              | 849                        | 1120                       | 1169                       | *                          | *                          |
| 14   | Madhya Pradesh      | 1171                       | 1771                       | 1112                       | 659                        | 59                         |
| 15   | Maharashtra         | 1823                       | 3009                       | 2929                       | 80                         | *                          |
| 16   | Manipur             | 91                         | 238                        | 194                        | 44                         | *                          |
| 17   | Meghalaya ##        | 108                        | 128                        | 130                        | *                          | *                          |
| 18   | Mizoram ###         | 57                         | 152                        | 59                         | 93                         | *                          |
| 19   | Nagaland            | 126                        | 108                        | 118                        | *                          | 8                          |
| 20   | Odisha              | 1288                       | 1326                       | 917                        | 409                        | 371                        |
| 21   | Punjab              | 432                        | 593                        | 480                        | 113                        | *                          |
| 22   | Rajasthan           | 2078                       | 2751                       | 2396                       | 355                        | *                          |
| 23   | Sikkim              | 24                         | NA                         | 24                         | NA                         | 0                          |
| 24   | Tamil Nadu          | 1421                       | 3136                       | 2780                       | 356                        | *                          |
| 25   | Telangana           | 643                        | 1254                       | 1066                       | 188                        | *                          |
| 26   | Tripura             | 108                        | 0                          | 119                        | *                          | *                          |
| 27   | Uttarakhand         | 257                        | 425                        | 241                        | 184                        | 16                         |
| 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 & N Haveli        | 9                          | 15                         | 8                          | 7                          | 1                          |
| 33   | Daman & Diu         | 4                          | 5                          | 4                          | 1                          | 0                          |
| 34   | Delhi               | 5                          | 21                         | 22                         | *                          | *                          |
|      |                     | 24                         | 38                         | 46                         | *                          | *                          |
| 36   | Puducherry          |                            |                            |                            |                            |                            |
|      | All India 2 / Total | 25743                      | 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

- *: Surplus.

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

## 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)   |
|----------|-------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| S. No.   | State/UT          | Required 1                 | Sanctioned                 | In Position                | Vacant                     | Shortfall                  |
| S. No.   |                   | [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        | HimachalPradesh   | 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                       |

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
- 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

*:

Surplus.

NA: Not Available.

- wise Vacancy and Shortfall ignoring surplus in some States / UTs

## LABORATORY TECHNICIANS 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)   |
|----------|-------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| S. No.   | State/UT          | Required 1                 | Sanctioned                 | In Position                | Vacant                     | Shortfall                  |
| S. No.   |                   | [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        | 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       |                            |                            |                            |                            |                            |
| 36       | Puducherry        | 7 27                       | 13                         | 13 38                      | 0                          | * *                        |
|          | All India/Total   | 31367                      | 10 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.

NA: Not Available.

## NURSING STAFF at PHCs & CHCs

|        |                   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   |
|--------|-------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| 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                         | *                          |
| 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 & N Haveli      | 23                         | 14                         | 45                         | *                          | *                          |
| 33     | Daman & Diu       | 18                         | 64                         | 49                         | 15                         | *                          |
| 34     | Delhi             | 5                          | 5                          | 6                          | *                          | *                          |
| 35     | Lakshadweep       | 25                         | 54                         | 54                         | 0                          | *                          |
| 36     | Puducherry        | 45                         | 131                        | 139                        | *                          | *                          |
|        | All India/Total   | 65111                      | 91407                      | 84567                      | 13098                      | 8262                       |

## Notes:

# 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
- *: Surplus.

NA: Not Available.

- wise Vacancy and Shortfall ignoring surplus in some States / UTs