Lok Sabha Question No. 4334 (UNSTARRED), answered on 2019-12-13
Subject: Irregularities in Hospitals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Anubhav Mohanty

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

## LOK SABHA UNSTARRED QUESTION NO. 4334 TO BE ANSWERED ON 13 TH DECEMBER, 2019

## IRREGULARITIES IN HO SPITALS

## 4334. SHRI ANUBHAV MOHANTY:

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

- (a) whether it is a fact that 60 per cent of the PHCs have only one doctor and 5 per cent have none, if so, the details with reasons thereof;
- (b) whether the Government has taken noteof the fact that most of the patients utilizing the Government hospital facilities are forced to pay for some of the medicines which they are supposed to get free of cost, if so, the corrective steps taken in this regard;
- (c) whether the nexus between the hospital staff and the medicine suppliers is creating this artificial shortage of medicines due to which the needy patients are suffering, if so, the details thereof; and
- (d) the steps the Government has aken to ensure that the nexus between the hospital staff and the medicine suppliers is eliminated and the patients are able to get the medicines free of cost?

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

## (SHRI ASHWINI KUMAR CHOUBEY)

- (a): As per Rural Health Statisti cs (RHS) -2018, State/UT wise details of PHCs with doctors and without doctor, is Annexed.

Public  Health  and  Hospitals  being  a  State  Subject,  all  the  administrative  and  per matters, including that of recruitment of doctors at Primary Health Centres (PHCs), lies with the  State  Governments.  However,  under  National  Health  Mission  (NHM),  financial  and technical support is provided to States/UTs to strengthen their healthcare systems in support for recruitment of doctors on contractual basis, base d on the requirements posed by them in their Programme Implementation Plans (PIPs) within their overall resource envel

- (b) to (d): As stated above, the Public Health and Hospitals being a State Subject, primary responsibility of providing free essential drugs to all patients visiting  pu facilities lies with the respective State/UT Governments. However, t o ensure avail ability of free essential drugs at public health facilities, Government has rolled out Free Drugs Initiative (FDSI) under NHM.  Under this initiative, financial support is also provided setting up robust systems of procurement, quality assuranc e, logisti s & IT infrastructure for improved supply chain management besides having facility level wise Essential Medical (EML), Standard Treatment Guidelines, systems of prescription audit and grievance redressal to ensure rational drug use.

| PHCs WITH DOCTORS AND WITHOUT DOCTOR   | PHCs WITH DOCTORS AND WITHOUT DOCTOR   | PHCs WITH DOCTORS AND WITHOUT DOCTOR   | PHCs WITH DOCTORS AND WITHOUT DOCTOR   | PHCs WITH DOCTORS AND WITHOUT DOCTOR   | PHCs WITH DOCTORS AND WITHOUT DOCTOR   | PHCs WITH DOCTORS AND WITHOUT DOCTOR   | PHCs WITH DOCTORS AND WITHOUT DOCTOR   |
|----------------------------------------|----------------------------------------|----------------------------------------|----------------------------------------|----------------------------------------|----------------------------------------|----------------------------------------|----------------------------------------|
| S. No.                                 | State/UT                               | (As                                    | on 31st March, 2018)                   | on 31st March, 2018)                   | on 31st March, 2018)                   | on 31st March, 2018)                   | on 31st March, 2018)                   |
| S. No.                                 | State/UT                               | Total PHCs functioning                 | with 4+ doctors                        | Number with 3 doctors                  | of PHCs with 2 doctors                 | functioning with 1 doctor              | without doctor                         |
| 1                                      | Andhra Pradesh                         | 1147                                   | 11                                     | 31                                     | 476                                    | 629                                    | 0                                      |
| 2                                      | Arunachal Pradesh                      | 143                                    | 3                                      | 4                                      | 24                                     | 94                                     | 18                                     |
| 3                                      | Assam                                  | 946                                    | 171                                    | 149                                    | 360                                    | 266                                    | 0                                      |
| 4                                      | Bihar                                  | 1899                                   | 439                                    | 41                                     | 56                                     | 1363                                   | 0                                      |
| 5                                      | Chhattisgarh                           | 793                                    | 0                                      | 18                                     | 129                                    | 351                                    | 295                                    |
| 6                                      | Goa                                    | 25                                     | 13                                     | 6                                      | 4                                      | 2                                      | 0                                      |
| 7                                      | Gujarat                                | 1474                                   | 0                                      | 0                                      | 578                                    | 796                                    | 100                                    |
| 8                                      | Haryana                                | 368                                    | 8                                      | 28                                     | 143                                    | 152                                    | 37                                     |
| 9                                      | Himachal Pradesh                       | 576                                    | 0                                      | 4                                      | 62                                     | 403                                    | 107                                    |
| 10                                     | Jammu & Kashmir                        | 637                                    | 61                                     | 86                                     | 159                                    | 191                                    | 140                                    |
| 11                                     | Jharkhand                              | 298                                    | 1                                      | 1                                      | 42                                     | 150                                    | 104                                    |
| 12                                     | Karnataka                              | 2359                                   | 0                                      | 14                                     | 169                                    | 1973                                   | 203                                    |
| 13                                     | Kerala                                 | 849                                    | 1                                      | 110                                    | 47                                     | 694                                    | 0                                      |
| 14                                     | Madhya Pradesh                         | 1171                                   | 25                                     | 71                                     | 309                                    | 614                                    | 152                                    |
| 15                                     | Maharashtra                            | 1823                                   | 0                                      | 93                                     | 1340                                   | 364                                    | 26                                     |
| 16                                     | Manipur                                | 91                                     | 71                                     | 16                                     | 9                                      | 5                                      | 0                                      |
| 17                                     | Meghalaya                              | 108                                    | 0                                      | 13                                     | 48                                     | 46                                     | 1                                      |
| 18                                     | Mizoram                                | 57                                     | 0                                      | 0                                      | 7                                      | 46                                     | 4                                      |
| 19                                     | Nagaland                               | 126                                    | 0                                      | 0                                      | 25                                     | 87                                     | 18                                     |
| 20                                     | Odisha                                 | 1288                                   | 0                                      | 2                                      | 578                                    | 585                                    | 110                                    |
| 21                                     | Punjab                                 | 432                                    | 14                                     | 19                                     | 121                                    | 240                                    | 38                                     |
| 22                                     | Rajasthan                              | 2078                                   | 1                                      | 9                                      | 287                                    | 1773                                   | 8                                      |
| 23                                     | Sikkim                                 | 24                                     | 0                                      | 0                                      | 4                                      | 20                                     | 0                                      |
| 24                                     | Tamil Nadu                             | 1421                                   | 262                                    | 23                                     | 1022                                   | 114                                    | 0                                      |
| 25                                     | Telangana                              | 643                                    | 14                                     | 38                                     | 251                                    | 340                                    | 0                                      |
| 27                                     | Uttarakhand                            | 257                                    | 4                                      | 19                                     | 55                                     | 18                                     | 0                                      |
| 26                                     | Tripura                                | 108                                    | 15                                     | 23                                     | 52                                     | 100                                    | 48                                     |
| 28                                     | Uttar Pradesh                          | 3621                                   | 26                                     | 88                                     | 735                                    | 2772                                   | 0                                      |
| 29                                     | West Bengal                            | 913 22                                 | 3                                      | 33                                     | 204                                    | 588 8                                  | 85 0                                   |
| 30                                     | A& N Islands                           |                                        | 3                                      | 5                                      | 6                                      |                                        |                                        |
| 31                                     | Chandigarh                             | 0                                      | 0                                      | 0                                      | 0                                      | 0                                      | 0                                      |
| 32                                     |                                        | 9                                      | 0                                      |                                        |                                        |                                        | 0                                      |
|                                        | D & N Haveli                           |                                        |                                        | 0                                      | 9                                      | 0                                      |                                        |
| 33                                     | Daman & Diu                            | 4                                      | 0                                      | 1                                      | 2                                      | 1                                      | 0                                      |
| 34                                     | Delhi                                  | 5                                      | 1                                      | 2                                      | 1                                      | 1                                      | 0                                      |
| 35                                     | Lakshadweep All India 1/ Total         | 4 25743                                | 2 1150                                 | 0 954                                  | 7321                                   | 14797                                  | 1494                                   |
| 36                                     | Puducherry                             | 24                                     | 1                                      | 7                                      | 2 5                                    | 0 11                                   | 0 0                                    |

Note:

NA: Not Available.

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