Lok Sabha Question No. 89 (UNSTARRED), answered on 2019-06-21
Subject: Healthcare in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Adhir Ranjan Chowdhury, Ramcharan Bohra, Rahul Kaswan

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

LOK SABHA UNSTARRED QUESTION NO. 89 TO BE ANSWERED ON 21 ST JUNE,2019

## HEALTHCARE IN RURAL AREAS

## 89. SHRI ADHIR RANJAN CHOWDHURY: SHRI RAMCHARAN BHORA: SHRI RAHUL KASWAN:

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

- (a) whether healthcare is a major concern in the rural areas of the country and if so, the details thereof an the reasons therefor;
- (b)  the details  of  availability  of healthcare  infrastructure  including manpower  and  affordability  of facilities by the rural people; and
- (c) the steps taken by the Government to address the problems of rural health both at macro and micro levels and to improve t he healthcare sector in rural areas of the country?

## ANSWER

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

- (a): The key health indicators such as Infant Mortality Rate (IMR), Under 5 Mortality Rate Total Fertility Rate (TFR), proportion of institutional deliveries etc are poor in rural are urban areas due to gaps in availability of health hu man resources & health infrastructure in rural area compared to urban areas.
- (b): As per Rural Health Statistics, 2018 the state - wise  details  of  Rural  Health  Infrastructure  is Annexure-I  &  Annexure - II.  The  details  of  availability  of  human  resources vis - à- vis  requirements  in public health facilities, State/UT - wise is given at Annexure -III to VII.

As per Health and Morbidity Survey 2014 of National Sample Survey Office (NSSO), Min of  Statistics  and  Program  Implementation,  Out  of  Pocket  Expenditu re  (OOPE)  per  hospitalized  case (excluding child birth) in Public Health Facilities is Rs 5369 for Rural areas. The OOPE in facilities is much lower than the private sector.

(c): 'Public Health & Hospital' being a State subject, the primary responsibility to provide healthcare to its citizens lies with the State Governments. To address the healthcare challenges, parti areas, the National Rural Health Mission (NRHM) was launched in 2005 to supplement the effor State/UTgovernments to provide accessible, affordable and quality healthcare to all those public health facilities. Currently, NRHM is a sub - mission of National Health Mission.

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

Other  major  initiatives nclude  Janani  Shishu  Suraksha  Karyakram  (JSSK)  (under  which  fre drugs, free diagnostics, free blood and diet, free transport from home to institution, betw case of a referral and drop back home is provided), Rashtriya Bal Swasthya Karya kram (RBS ) (which provides  newborn  and  child  health  screening  and  early  interventions  services  free  of  co defects,  diseases,  deficiencies  and  developmental  delays  to  improve  the  quality  of implementation  of  Free  Drugs  and  Free  Diagn ostics  Service  Initiatives,  PM  National  Dialys Programme and implementation of National Quality Assurance Framework.

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

As  part  of  Ayushman  Bharat,  the  Government  is  supporting  the  States  for  strengthen Centres  and  Primary  Health  Centres  as  Health  and  Wellness  Centres  (AB - HWCs)  for  provision  of comprehensive primary health care that includes preventive and health promotion at the community level with continuum of care approach. Further, Ayushman Bharat, Pradhan Mantri Jan Arogya Yojana -PMJAY) provides health coverage up to Rs. 5.00 lakh per family per year to around 10.74 c and vulnerable famil ies as per Socio Economic Caste Census (SECC).

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

## Annexure - I

| NUMBER S. No.   | OF SUB - State/UT    | CENTRES, PHCs & CHCs FUNCTIONING   | CENTRES, PHCs & CHCs FUNCTIONING   | CENTRES, PHCs & CHCs FUNCTIONING   |
|-----------------|----------------------|------------------------------------|------------------------------------|------------------------------------|
| NUMBER S. No.   | OF SUB - State/UT    | Sub centre                         | PHCs                               | CHCs                               |
| 1               | Andhra Pradesh       | 7458                               | 1147                               | 193                                |
| 2               | Arunachal Pradesh    | 312                                | 143                                | 63                                 |
| 3               | Assam                | 4644                               | 946                                | 172                                |
| 4               | Bihar                | 9949                               | 1899                               | 150                                |
| 5               | Chhattisgarh         | 5200                               | 793                                | 169                                |
| 6               | Goa                  | 214                                | 25                                 | 4                                  |
| 7               | Gujarat              | 9153                               | 1474                               | 363                                |
| 8               | Haryana              | 2589                               | 368                                | 113                                |
| 9               | Himachal Pradesh     | 2084                               | 576                                | 91                                 |
| 10              | Jammu & Kashmir      | 2967                               | 637                                | 84                                 |
| 11              | Jharkhand            | 3848                               | 298                                | 171                                |
| 12              | Karnataka            | 9443                               | 2359                               | 206                                |
| 13              | Kerala               | 5380                               | 849                                | 227                                |
| 14              | Madhya Pradesh       | 11192                              | 1171                               | 309                                |
| 15              | Maharashtra          | 10638                              | 1823                               | 361                                |
| 16              | Manipur              | 429                                | 91                                 | 23                                 |
| 17              | Meghalaya            | 443                                | 108                                | 28                                 |
| 18              | Mizoram              | 370                                | 57                                 | 9                                  |
| 19              | Nagaland             | 396                                | 126                                | 21                                 |
| 20              | Odisha               | 6688                               | 1288                               | 377                                |
| 21              | Punjab               | 2950                               | 432                                | 151                                |
| 22              | Rajasthan            | 14405                              | 2078                               | 588                                |
| 23              | Sikkim               | 147                                | 24                                 | 2                                  |
| 24              | Tamil Nadu           | 8712                               | 1421                               | 385                                |
| 25              | Telangana            | 4744                               | 643                                | 91                                 |
| 26              | Tripura              | 1020                               | 108                                | 22                                 |
| 27              | Uttarakhand          | 1847                               | 257                                | 67                                 |
| 28              | Uttar Pradesh        | 20521                              | 3621                               | 822                                |
| 29              | West Bengal *        | 10357                              | 913                                | 348                                |
| 30              | Andaman & Nicobar    | 123                                | 22                                 | 4                                  |
| 31              | Islands Chandigarh   | 17                                 | 0                                  | 0                                  |
| 32              | Dadra & Nagar Haveli | 71                                 | 9                                  | 2                                  |
| 33              | Daman & Diu          | 26                                 | 4                                  | 2                                  |
| 34              | Delhi                | 12                                 | 5                                  | 0                                  |
| 35              | Lakshadweep          | 14                                 | 4                                  | 3                                  |
| 36              | Puducherry           | 54                                 | 24                                 | 3                                  |
|                 | All India            | 158417                             | 25743                              | 5624                               |

Note:

* 11 PHCs situated at Municipal Area included in it,

NA Not

Applicable

Annexure - II

| NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL & DISTRICT HOSPITAL FUNCTIONING   |
|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| S. No.                                                              | State/UT                                                            | As on 31st March 2018                                               | As on 31st March 2018                                               |
| S. No.                                                              | State/UT                                                            | Sub Divisional Hospital                                             | District Hospital (DH)                                              |
| 1                                                                   | Andhra Pradesh                                                      | (SDH) 31                                                            | 8                                                                   |
| 2                                                                   | Arunachal                                                           | NA                                                                  | 18                                                                  |
| 3                                                                   | Pradesh Assam                                                       | 14                                                                  | 25                                                                  |
| 4                                                                   | Bihar                                                               | 55                                                                  | 36                                                                  |
| 5                                                                   | Chhattisgarh                                                        | 19                                                                  | 26                                                                  |
| 6                                                                   | Goa                                                                 | 2                                                                   | 2                                                                   |
| 7                                                                   | Gujarat                                                             | 37                                                                  | 22                                                                  |
| 8                                                                   | Haryana                                                             | 21                                                                  | 22                                                                  |
| 9                                                                   | Himachal Pradesh                                                    | 71                                                                  | 12                                                                  |
| 10                                                                  | Jammu &                                                             | NA                                                                  | 22                                                                  |
| 11                                                                  | Kashmir Jharkhand                                                   | 13                                                                  | 23                                                                  |
| 12                                                                  | Karnataka                                                           | 146                                                                 | 15                                                                  |
| 13                                                                  | Kerala                                                              | 81                                                                  | 18                                                                  |
| 14                                                                  | Madhya Pradesh                                                      | 66                                                                  | 51                                                                  |
| 15                                                                  | Maharashtra                                                         | 89                                                                  | 23                                                                  |
| 16                                                                  | Manipur                                                             | 1                                                                   | 8                                                                   |
| 17                                                                  | Meghalaya                                                           | 1                                                                   | 12                                                                  |
| 18                                                                  | Mizoram                                                             | 2                                                                   | 9                                                                   |
| 19                                                                  | Nagaland                                                            | NA                                                                  | 11                                                                  |
| 20                                                                  | Odisha                                                              | 33                                                                  | 32                                                                  |
| 21                                                                  | Punjab                                                              | 41                                                                  | 22                                                                  |
| 22                                                                  | Rajasthan                                                           | 19                                                                  | 27                                                                  |
| 23                                                                  | Sikkim                                                              | NA                                                                  | 4                                                                   |
| 24                                                                  | Tamil Nadu                                                          | 278                                                                 | 31                                                                  |
| 25                                                                  | Telangana                                                           | 31                                                                  | 6                                                                   |
| 26                                                                  | Tripura                                                             | 12                                                                  | 7                                                                   |
| 27                                                                  | Uttarakhand                                                         | 18                                                                  | 18                                                                  |
| 28                                                                  | Uttar Pradesh                                                       | NA                                                                  | 171                                                                 |
| 29                                                                  | West Bengal                                                         | 36                                                                  | 23                                                                  |
| 30                                                                  | A & N Islands                                                       | NA                                                                  | 3                                                                   |
| 31                                                                  | Chandigarh                                                          | 1                                                                   | 1                                                                   |
| 32                                                                  | Dadra & Nagar                                                       | 1                                                                   | 1                                                                   |
| 33                                                                  | Haveli Daman & Diu                                                  | NA                                                                  | 2                                                                   |
| 34                                                                  | Delhi                                                               | 9                                                                   | 47                                                                  |
| 35                                                                  | Lakshadweep                                                         | 2                                                                   | 1                                                                   |
| 36                                                                  | Puducherry                                                          | NA                                                                  | 5                                                                   |
|                                                                     | All India/ Total                                                    | 1130                                                                | 764                                                                 |

Note:

| DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   | DOCTORS + AT PRIMARY HEALTH CENTRES E   |
|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|-----------------------------------------|
| S. No.                                  | State/UT                                | (As on 31st March, 20 18)               | (As on 31st March, 20 18)               | (As on 31st March, 20 18)               | (As on 31st March, 20 18)               | (As on 31st March, 20 18)               |
| 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                          | 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                                      | *                                       | *                                       |
| 35                                      | Lakshadweep                             | 4                                       | 8                                       | 8                                       | 0                                       | *                                       |
| 36                                      | Puducherry                              | 24                                      | 38                                      | 46                                      | *                                       | *                                       |
|                                         | 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 -wiseVacancy andShortfall ignoring surplus in some States / UTs

1 One per Primary Health Centre as per IPHS norms

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

| TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  | TOTAL SPECIALISTS AT CHCs                                  |
|-----------------------------|-----------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|------------------------------------------------------------|
| S. No.                      | State/UT                    | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] | Specialists [Surgeons, OB&GY, Physicians & Paediatricians] |
| S. No.                      | State/UT                    | Required 2                                                 | (As Sanctioned                                             | on 31st March, In Position                                 | 2018) Vacant                                               | Shortfall                                                  |
|                             |                             | [R]                                                        | [S]                                                        | [P]                                                        | [S-P]                                                      | [R-P]                                                      |
| 1                           | Andhra Pradesh              | 772                                                        | 533                                                        | 384                                                        | 149                                                        | 388                                                        |
| 2                           | Arunachal Pradesh           | 252                                                        | NA                                                         | 4                                                          | NA                                                         | 248                                                        |
| 3                           | Assam                       | 688                                                        | NA                                                         | 158                                                        | NA                                                         | 530                                                        |
| 4                           | Bihar                       | 600                                                        | NA                                                         | 82                                                         | NA                                                         | 518                                                        |
| 5                           | Chhattisgarh                | 676                                                        | 652                                                        | 57                                                         | 595                                                        | 619                                                        |
| 6                           | Goa                         | 16                                                         | 5                                                          | 10                                                         | *                                                          | 6                                                          |
| 7                           | Gujarat                     | 1452                                                       | 1177                                                       | 118                                                        | 1059                                                       | 1334                                                       |
| 8                           | Haryana                     | 452                                                        | 59                                                         | 17                                                         | 42                                                         | 435                                                        |
| 9                           | Himachal Pradesh            | 364                                                        | NA                                                         | 4                                                          | NA                                                         | 360                                                        |
| 10                          | Jammu & Kashmir             | 336                                                        | 344                                                        | 256                                                        | 88                                                         | 80                                                         |
| 11                          | Jharkhand                   | 684                                                        | 684                                                        | 92                                                         | 592                                                        | 592                                                        |
| 12                          | Karnataka                   | 824                                                        | 824                                                        | 498                                                        | 326                                                        | 326                                                        |
| 13                          | Kerala                      | 908                                                        | 30                                                         | 40                                                         | *                                                          | 868                                                        |
| 14                          | Madhya Pradesh              | 1236                                                       | 1236                                                       | 248                                                        | 988                                                        | 988                                                        |
| 15                          | Maharashtra                 | 1444                                                       | 823                                                        | 485                                                        | 338                                                        | 959                                                        |
| 16                          | Manipur                     | 92                                                         | 4                                                          | 3                                                          | 1                                                          | 89                                                         |
| 17                          | Meghalaya                   | 112                                                        | 3                                                          | 9                                                          | *                                                          | 103                                                        |
| 18                          | Mizoram                     | 36                                                         | 33                                                         | 0                                                          | 33                                                         | 36                                                         |
| 19                          | Nagaland                    | 84                                                         | NA                                                         | 8                                                          | NA                                                         | 76                                                         |
| 20                          | Odisha                      | 1508                                                       | 1529                                                       | 253                                                        | 1276                                                       | 1255                                                       |
| 21                          | Punjab                      | 604                                                        | 593                                                        | 105                                                        | 488                                                        | 499                                                        |
| 22                          | Rajasthan                   | 2352                                                       | 1731                                                       | 565                                                        | 1166                                                       | 1787                                                       |
| 23                          | Sikkim                      | 8                                                          | NA                                                         | 0                                                          | NA                                                         | 8                                                          |
| 24                          | Tamil Nadu                  | 1540                                                       | NA                                                         | 210                                                        | NA                                                         | 1330                                                       |
| 25                          | Telangana                   | 364                                                        | 320                                                        | 112                                                        | 208                                                        | 252                                                        |
| 26                          | Tripura                     | 88                                                         | 0                                                          | 2                                                          | *                                                          | 86                                                         |
| 27                          | Uttarakhand                 | 268                                                        | 268                                                        | 29                                                         | 239                                                        | 239                                                        |
| 28                          | Uttar Pradesh               | 3288                                                       | 2099                                                       | 192                                                        | 1907                                                       | 3096                                                       |
| 29                          | West Bengal                 | 1392                                                       | 669                                                        | 125                                                        | 544                                                        | 1267                                                       |
| 30                          | A& N Islands                | 16                                                         | 9                                                          | 0                                                          | 9                                                          | 16                                                         |
| 31                          | Chandigarh                  | 0                                                          | 0                                                          | 0                                                          | 0                                                          | 0                                                          |
| 32                          | D & N Haveli                | 8                                                          | 0                                                          | 0                                                          | 0                                                          | 8                                                          |
| 33                          | Daman & Diu                 | 8                                                          | 6                                                          | 3                                                          | 3                                                          | 5                                                          |
| 34                          | Delhi                       | 0                                                          | 0                                                          | 0                                                          | 0                                                          | 0                                                          |
| 35                          | Lakshadweep                 | 12                                                         | 0                                                          | 0                                                          | 0                                                          | 12                                                         |
| 36                          | Puducherry                  | 12                                                         | 4                                                          | 5                                                          | *                                                          | 7                                                          |
|                             | All India 2 / Total         | 22496                                                      | 13635                                                      | 4074                                                       | 10051                                                      | 18422                                                      |

Notes:

NA: Not Available.

2 Four per Community Health Centre as per IPHS norms

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

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

|     |                   | PHARMACISTS at PHCs & CHCs (As on 31st March, 2018)   | PHARMACISTS at PHCs & CHCs (As on 31st March, 2018)   | PHARMACISTS at PHCs & CHCs (As on 31st March, 2018)   | PHARMACISTS at PHCs & CHCs (As on 31st March, 2018)   | PHARMACISTS at PHCs & CHCs (As on 31st March, 2018)   |
|-----|-------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|
| S.  | State/UT          | Required 3                                            | Sanctioned                                            | In Position                                           | Vacant                                                | Shortfall                                             |
| No. | State/UT          | [R]                                                   | [S]                                                   | [P]                                                   | [S- P]                                                | [R- P]                                                |
| 1   | Andhra Pradesh    | 1340                                                  | 1384                                                  | 1004                                                  | 380                                                   | 336                                                   |
| 2   | Arunachal Pradesh | 206                                                   | NA                                                    | 89                                                    | NA                                                    | 117                                                   |
| 3   | Assam #           | 1118                                                  | 1284                                                  | 1735                                                  | *                                                     | *                                                     |
| 4   | Bihar ##          | 2049                                                  | 989                                                   | 287                                                   | 702                                                   | 1762                                                  |
| 5   | Chhattisgarh      | 962                                                   | 1107                                                  | 936                                                   | 171                                                   | 26                                                    |
| 6   | Goa               | 29                                                    | 48                                                    | 53                                                    | *                                                     | *                                                     |
| 7   | Gujarat           | 1837                                                  | 1847                                                  | 1584                                                  | 263                                                   | 253                                                   |
| 8   | Haryana           | 481                                                   | 504                                                   | 397                                                   | 107                                                   | 84                                                    |
| 9   | Himachal Pradesh  | 667                                                   | 594                                                   | 378                                                   | 216                                                   | 289                                                   |
| 10  | Jammu & Kashmir   | 721                                                   | 1137                                                  | 974                                                   | 163                                                   | *                                                     |
| 11  | Jharkhand         | 469                                                   | 469                                                   | 241                                                   | 228                                                   | 228                                                   |
| 12  | Karnataka         | 2565                                                  | 2674                                                  | 2523                                                  | 151                                                   | 42                                                    |
| 13  | Kerala            | 1076                                                  | 1036                                                  | 1102                                                  | *                                                     | *                                                     |
| 14  | Madhya Pradesh    | 1480                                                  | 1905                                                  | 1778                                                  | 127                                                   | *                                                     |
| 15  | Maharashtra       | 2184                                                  | 2355                                                  | 2055                                                  | 300                                                   | 129                                                   |
| 16  | Manipur           | 114                                                   | 145                                                   | 152                                                   | *                                                     | *                                                     |
| 17  | Meghalaya $       | 136                                                   | 135                                                   | 149                                                   | *                                                     | *                                                     |
| 18  | Mizoram ^         | 66                                                    | 99                                                    | 53                                                    | 46                                                    | 13                                                    |
| 19  | Nagaland          | 147                                                   | 135                                                   | 116                                                   | 19                                                    | 31                                                    |
| 20  | Odisha            | 1665                                                  | 1741                                                  | 1623                                                  | 118                                                   | 42                                                    |
| 21  | Punjab            | 583                                                   | 841                                                   | 790                                                   | 51                                                    | *                                                     |
| 22  | Rajasthan         | 2666                                                  | 1127                                                  | 1172                                                  | *                                                     | 1494                                                  |
| 23  | Sikkim            | 26                                                    | NA                                                    | 11                                                    | NA                                                    | 15                                                    |
| 24  | Tamil Nadu        | 1806                                                  | 2656                                                  | 2097                                                  | 559                                                   | *                                                     |
| 25  | Telangana         | 734                                                   | 763                                                   | 700                                                   | 63                                                    | 34                                                    |
| 26  | Tripura           | 130                                                   | 0                                                     | 133                                                   | *                                                     | *                                                     |
| 27  | Uttarakhand       | 324                                                   | 408                                                   | 282                                                   | 126                                                   | 42                                                    |
| 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

3 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 Sho rtfall ignoring surplus in some States / UTs *: Surplus.

NA: Not Available.

| LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs (As on 31st March, 2018)   |
|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|------------------------------------------------------------------|
| S. No.                                                           | State/UT                                                         | Required 4                                                       | Sanctioned                                                       | In Position                                                      | Vacant                                                           | Shortfall                                                        |
| 1                                                                | Andhra Pradesh                                                   | [R] 1340                                                         | [S] 1185                                                         | [P] 789                                                          | [S-P] 396                                                        | [R-P] 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                                                                |                                                                  | 1                                                                | 1                                                                |
|                                                                  |                                                                  |                                                                  |                                                                  | 4                                                                |                                                                  |                                                                  |
| 35                                                               | Lakshadweep                                                      | 7                                                                | 13                                                               | 13                                                               | 0                                                                | *                                                                |
| 36                                                               | Puducherry                                                       | 27                                                               | 10                                                               | 38                                                               | *                                                                | *                                                                |

Notes:

# Sanctioned data for year  2013 used

## Sanctioned data for year 2011 used

$ Sanctioned data for year 2015 used

4 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)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2018)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2018)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2018)   | NURSING STAFF at PHCs & CHCs (As on 31st March, 2018)   |
|-----|-------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| S.  | State/UT          | Required 1                                              | Sanctioned                                              | In Position                                             | Vacant                                                  | Shortfall                                               |
| No. | State/UT          | [R1]                                                    | [S]                                                     | [P]                                                     | [S-P]                                                   | [R1-P]                                                  |
| 1   | Andhra Pradesh    | 2498                                                    | 4518                                                    | 3505                                                    | 1013                                                    | *                                                       |
| 2   | Arunachal Pradesh | 584                                                     | NA                                                      | 498                                                     | NA                                                      | 86                                                      |
| 3   | Assam #           | 2150                                                    | 2798                                                    | 3203                                                    | *                                                       | *                                                       |
| 4   | Bihar ##          | 2949                                                    | 1662                                                    | 1211                                                    | 451                                                     | 1738                                                    |
| 5   | Chhattisgarh      | 1976                                                    | 2809                                                    | 2458                                                    | 351                                                     | *                                                       |
| 6   | Goa               | 53                                                      | 126                                                     | 146                                                     | *                                                       | *                                                       |
| 7   | Gujarat           | 4015                                                    | 4391                                                    | 3160                                                    | 1231                                                    | 855                                                     |
| 8   | Haryana           | 1159                                                    | 1894                                                    | 1797                                                    | 97                                                      | *                                                       |
| 9   | Himachal Pradesh  | 1213                                                    | 837                                                     | 452                                                     | 385                                                     | 761                                                     |
| 10  | Jammu & Kashmir   | 1225                                                    | 1710                                                    | 1405                                                    | 305                                                     | *                                                       |
| 11  | Jharkhand         | 1495                                                    | 2179                                                    | 1182                                                    | 997                                                     | 313                                                     |
| 12  | Karnataka         | 3801                                                    | 2667                                                    | 3339                                                    | *                                                       | 462                                                     |
| 13  | Kerala            | 2438                                                    | 3610                                                    | 3969                                                    | *                                                       | *                                                       |
| 14  | Madhya Pradesh    | 3334                                                    | 4624                                                    | 3308                                                    | 1316                                                    | 26                                                      |
| 15  | Maharashtra       | 4350                                                    | 3218                                                    | 2296                                                    | 922                                                     | 2054                                                    |
| 16  | Manipur           | 252                                                     | 484                                                     | 400                                                     | 84                                                      | *                                                       |
| 17  | Meghalaya $       | 304                                                     | 413                                                     | 596                                                     | *                                                       | *                                                       |
| 18  | Mizoram ^         | 120                                                     | 570                                                     | 198                                                     | 372                                                     | *                                                       |
| 19  | Nagaland          | 273                                                     | 175                                                     | 394                                                     | *                                                       | *                                                       |
| 20  | Odisha            | 3927                                                    | 1666                                                    | 2327                                                    | *                                                       | 1600                                                    |
| 21  | Punjab            | 1489                                                    | 2189                                                    | 2029                                                    | 160                                                     | *                                                       |
| 22  | Rajasthan         | 6194                                                    | 12712                                                   | 9887                                                    | 2825                                                    | *                                                       |
| 23  | Sikkim            | 38                                                      | NA                                                      | 48                                                      | NA                                                      | *                                                       |
| 24  | Tamil Nadu        | 4116                                                    | 7963                                                    | 6360                                                    | 1603                                                    | *                                                       |
| 25  | Telangana         | 1280                                                    | 2208                                                    | 2027                                                    | 181                                                     | *                                                       |
| 26  | Tripura           | 262                                                     | 0                                                       | 581                                                     | *                                                       | *                                                       |
| 27  | Uttarakhand       | 726                                                     | 623                                                     | 359                                                     | 264                                                     | 367                                                     |
| 28  | Uttar Pradesh     | 9375                                                    | 17974                                                   | 20546                                                   | *                                                       | *                                                       |
| 29  | West Bengal       | 3349                                                    | 6981                                                    | 6464                                                    | 517                                                     | *                                                       |
| 30  | A& N Islands      | 50                                                      | 138                                                     | 129                                                     | 9                                                       | *                                                       |
| 31  | Chandigarh        | 0                                                       | 0                                                       | 0                                                       | 0                                                       | 0                                                       |
| 32  | D & 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 -wise Vacancy and Shortfall ignoring surplus in some States / UTs

- *: Surplus.

NA: Not Available.