Lok Sabha Question No. 1265 (UNSTARRED), answered on 2019-06-28
Subject: Health Infrastructure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Rajiv Pratap Rudy

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

## LOK SABHA UNSTARRED QUESTION NO. 1265 TO BE ANSWERED ON 28 TH JUNE, 2019

## HEALTH INFRASTRUCTUR E

## 1265. SHRI RAJIV PRATAP RUDY:

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

- (a)  whether  the  Government  is  aware that  public  health  infrastructure  in  several States  looks extremely bleak due to severe shortage of human resources and basic infrastructure;
- (b)  if  so,  the  details  on  the  status of availability  and  shortage  of  specialist doctors  including surgeons, physicians, paediatricians , lab technicians, radiographers and gynaecologists across all the public health institutions, State - wise;
- (c) the measures taken by the Government toimprove the overall infrastructure of Community HealthCentres and other Public Health Cen res especially in rural areas;
- (d)  whether  the  Government  is incentivizing  the  doctors  and  specialists work ng  in  private hospitals to serve in rural areas and public health centres ; and
- (e) if so, the details thereof and if not, the reasons therefor?

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

- (a) & (b): As per Rural Health Statistics (RHS) 2018, there are shortages in the availability of  human  resource  of  various  categories  in  public  health  facilities  of  the  rural  are country. Shortage of Doctors in public health sector varies from State to State depending upon their policies and context.

The details of availability and shortage of specialist doctors including surgeons, physicians, pediatricians, lab technicians, radiographers and gynecologists vis - à- vis  requirements in public health fac ilities, State/UT - wise is given at Annexure -I to VI.

- (c) : Public Health & hospitals being a State subject, the primary responsibility to improve the overall infrastructure of Community Health Centres and other Public Health Centres espec in rural areas, lies with the State Governments. To address the healthcare challenges, particu in rural areas, the National Rural Health Mission (NRHM) was launched in 2005 to supplem the efforts of the State/UT governments to provide accessible, affordable and quality healthcare to all those who access 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  h ealth,  family  planning,  universal  immunisation  programme, and for major diseases such as Tuberculosis, HIV/ AIDS, vector borne diseases like Mala Dengue and Kala Azar, Leprosy etc.

Other major initiatives include Janani Shishu Suraksha Karyakram (JSS K) (under which free drugs, free diagnostics, free blood and diet, free transport from home to institution facilities  in  case  of  a  referral  and  drop  back  home  is  provided),  Rashtriya  Bal  Sw Karyakram (RBSK) (which provides newborn and child health screening and early interventions services free of cost for birth defects, diseases, deficiencies and deve delays to improve the quality of survival), implementation of Free Drugs and Free Diagno Service Initiatives, PM National Dialys is Programme and implementation of National Quality Assurance Framework.

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

As part of Ayushman Bharat, the Government is supporting the States for strengthening Sub  Centres  and  Primary  Health  Centres  as  Health  and  Wellness  Centres  (AB -HWCs)  for provision of comprehensive primary health care that includes preventive and health promo at the commu nity level with continuum of care approach. Further, Ayushman Bharat, Pradhan Mantri  Jan  Arogya  Yojana  (AB - PMJAY)  provides  health  coverage  up  to  Rs.  5.00  lakh  per family per year to around 10.74 crore poor and vulnerable families as per Socio Economic C e Census (SECC).

(d) & (e) : The Government has taken various steps to incentivize the doctors and special these efforts include:

- I. Support to States/UTs in term of hard area allowance for specialist doctors who se rural and remote areas as well as for residential quarters for them.
- II. The  States  are  encouraged  to  adopt  flexible  norms  for  engaging  specialists  on contractual  basis  at  public  health  facilities.  These  include  various  mechanism 'contracting  in'  and  'contracting  out'  of specialist  services,  methods  of  engaging specialists outside the government system for service delivery at public facilities mechanism to include requests for these in the state Program Implementation Plans ( under the National Health Mission.
- III. States have also been allowed to offer negotiable salaries to attract Specialists. have flexibility to adopt strategies such as 'You quote, we pay".  Financial suppor provided to States for providing performance - based incentives, provi ding accommodation and transport facilities to human resource engaged in health in rura remote  areas,  sponsoring  training  programmes  etc  to  address  the  issue  of  shortag doctors and other personnel in the public health facilities.

| PHYSICIANS at CHCs (As on 31st March, 2018)   | PHYSICIANS at CHCs (As on 31st March, 2018)   | PHYSICIANS at CHCs (As on 31st March, 2018)   | PHYSICIANS at CHCs (As on 31st March, 2018)   | PHYSICIANS at CHCs (As on 31st March, 2018)   | PHYSICIANS at CHCs (As on 31st March, 2018)   | PHYSICIANS at CHCs (As on 31st March, 2018)   |
|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|
| S. No.                                        | State/UT                                      | Required 1                                    | Sanctioned                                    | In Position                                   | Vacant                                        | Shortfall                                     |
|                                               |                                               | [R]                                           | [S]                                           | [P]                                           | [S-P]                                         | [R-P]                                         |
| 1                                             | Andhra Pradesh                                | 193                                           | 65                                            | 52                                            | 13                                            | 141                                           |
| 2                                             | Arunachal Pradesh                             | 63                                            | NA                                            | 1                                             | NA                                            | 62                                            |
| 3                                             | Assam                                         | 172                                           | NA                                            | 7                                             | NA                                            | 165                                           |
| 4                                             | Bihar                                         | 150                                           | NA                                            | 8                                             | NA                                            | 142                                           |
| 5                                             | Chhattisgarh                                  | 169                                           | 163                                           | 13                                            | 150                                           | 156                                           |
| 6                                             | Goa                                           | 4                                             | 1                                             | 2                                             | *                                             | 2                                             |
| 7                                             | Gujarat                                       | 363                                           | 363                                           | 9                                             | 354                                           | 354                                           |
| 8                                             | Haryana                                       | 113                                           | 9                                             | 1                                             | 8                                             | 112                                           |
| 9                                             | Himachal Pradesh                              | 91                                            | NA                                            | 2                                             | NA                                            | 89                                            |
| 10                                            | Jammu & Kashmir                               | 84                                            | 107                                           | 86                                            | 21                                            | *                                             |
| 11                                            | Jharkhand                                     | 171                                           | 171                                           | 22                                            | 149                                           | 149                                           |
| 12                                            | Karnataka                                     | 206                                           | 206                                           | 106                                           | 100                                           | 100                                           |
| 13                                            | Kerala                                        | 227                                           | 2                                             | 2                                             | 0                                             | 225                                           |
| 14                                            | Madhya Pradesh                                | 309                                           | 309                                           | 45                                            | 264                                           | 264                                           |
| 15                                            | Maharashtra                                   | 361                                           | 153                                           | 45                                            | 108                                           | 316                                           |
| 16                                            | Manipur                                       | 23                                            | 1                                             | 1                                             | 0                                             | 22                                            |
| 17                                            | Meghalaya                                     | 28                                            | 0                                             | 7                                             | *                                             | 21                                            |
| 18                                            | Mizoram #                                     | 9                                             | 5                                             | 0                                             | 5                                             | 9                                             |
| 19                                            | Nagaland                                      | 21                                            | NA                                            | 1                                             | NA                                            | 20                                            |
| 20                                            | Odisha                                        | 377                                           | 382                                           | 37                                            | 345                                           | 340                                           |
| 21                                            | Punjab                                        | 151                                           | 140                                           | 22                                            | 118                                           | 129                                           |
| 22                                            | Rajasthan                                     | 588                                           | 665                                           | 208                                           | 457                                           | 380                                           |
| 23                                            | Sikkim                                        | 2                                             | NA                                            | 0                                             | NA                                            | 2                                             |
| 24                                            | Tamil Nadu                                    | 385                                           | NA                                            | 25                                            | NA                                            | 360                                           |
| 25                                            | Telangana                                     | 91                                            | 71                                            | 21                                            | 50                                            | 70                                            |
| 26                                            | Tripura                                       | 22                                            | 0                                             | 0                                             | 0                                             | 22                                            |
| 27                                            | Uttarakhand                                   | 67                                            | 69                                            | 11                                            | 58                                            | 56                                            |
| 28                                            | Uttar Pradesh                                 | 822                                           | 523                                           | 28                                            | 495                                           | 794                                           |
| 29                                            | West Bengal                                   | 348                                           | 95                                            | 42                                            | 53                                            | 306                                           |
| 30                                            | A& N Islands                                  | 4                                             | 3                                             | 0                                             | 3                                             | 4                                             |
| 31                                            | Chandigarh                                    | 0                                             | 0                                             | 0                                             | 0                                             | 0                                             |
| 32                                            | D & N Haveli                                  | 2                                             | 0                                             | 0                                             | 0                                             | 2                                             |
| 33                                            | Daman & Diu                                   | 2                                             | 0                                             | 0                                             | 0                                             | 2                                             |
| 34                                            | Delhi                                         | 0                                             | 0                                             | 0                                             | 0                                             | 0                                             |
| 35                                            | Lakshadweep                                   | 3                                             | 0                                             | 0                                             | 0                                             | 3                                             |
| 36                                            | Puducherry                                    | 3                                             | 1                                             | 1                                             | 0                                             | 2                                             |
|                                               | All India/ Total                              | 5624                                          | 3504                                          | 805                                           | 2751                                          | 4821                                          |

# Total 5 Physicians sanctioned in the State

All India figures for Vacancy and Shortfall are the totals of State-wise Vacancy and

Shortfall ignoring surplus in some States / UTs *: Surplus.

1 One per Community Health Centre as per IPHS

Notes:

## Annexure-II

| LABORATORY TECHNICIANS at PHCs & CHCs on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs on 31st March, 2018)   | LABORATORY TECHNICIANS at PHCs & CHCs on 31st March, 2018)   |
|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|
| S. No.                                                       | State/UT                                                     | Required 2                                                   | (As 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                                                           |                                                              |                                                              | 4                                                            | 7                                                            |
|                                                              |                                                              | 0                                                            | 23                                                           | 19                                                           | 0                                                            | 0                                                            |
| 31 32                                                        | Chandigarh D & N Haveli                                      | 11                                                           | 0 7                                                          | 0 17                                                         | *                                                            | *                                                            |
| 33                                                           | Daman & Diu                                                  | 6                                                            | 9                                                            | 5                                                            | 4                                                            | 1                                                            |
| 34                                                           | Delhi                                                        | 5                                                            | 5                                                            | 4                                                            | 1                                                            | 1                                                            |
|                                                              | Puducherry                                                   | 27                                                           |                                                              |                                                              | *                                                            | *                                                            |
| 35                                                           | Lakshadweep                                                  | 7                                                            | 13                                                           | 13                                                           | 0                                                            | *                                                            |
| 36                                                           | All India/Total                                              | 31367                                                        | 10 24668                                                     | 38 19434                                                     | 6214                                                         | 12354                                                        |

# Sanctioned data for year  2013 used

## Sanctioned data for year 2011 used

$ Sanctioned data for year 2015 used

^ Total 92 Lab Technicians sanctioned in the State

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.

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

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

NA: Not Available.

## Notes:

1

| OBSTETRICIANS   | OBSTETRICIANS     | OBSTETRICIANS      | OBSTETRICIANS      | OBSTETRICIANS      | OBSTETRICIANS      | OBSTETRICIANS      |
|-----------------|-------------------|--------------------|--------------------|--------------------|--------------------|--------------------|
|                 | State/UT          | (As on 31st March, | (As on 31st March, | (As on 31st March, | (As on 31st March, | (As on 31st March, |
| S. No.          |                   | Required 3         | Sanctioned         | In Position        | Vacant             | Shortfall          |
|                 |                   | [R]                | [S]                | [P]                | [S-P]              | [R-P]              |
| 1               | Andhra Pradesh    | 193                | 242                | 190                | 52                 | 3                  |
| 2               | Arunachal Pradesh | 63                 | NA                 | 3                  | NA                 | 60                 |
| 3               | Assam             | 172                | NA                 | 92                 | NA                 | 80                 |
| 4               | Bihar             | 150                | NA                 | 30                 | NA                 | 120                |
| 5               | Chhattisgarh      | 169                | 163                | 21                 | 142                | 148                |
| 6               | Goa               | 4                  | 2                  | 3                  | *                  | 1                  |
| 7               | Gujarat           | 363                | 363                | 48                 | 315                | 315                |
| 8               | Haryana           | 113                | 15                 | 8                  | 7                  | 105                |
| 9               | Himachal Pradesh  | 91                 | NA                 | 1                  | NA                 | 90                 |
| 10              | Jammu& Kashmir    | 84                 | 87                 | 64                 | 23                 | 20                 |
| 11              | Jharkhand         | 171                | 171                | 29                 | 142                | 142                |
| 12              | Karnataka         | 206                | 206                | 170                | 36                 | 36                 |
| 13              | Kerala            | 227                | 14                 | 20                 | *                  | 207                |
| 14              | Madhya Pradesh    | 309                | 309                | 69                 | 240                | 240                |
| 15              | Maharashtra       | 361                | 244                | 211                | 33                 | 150                |
| 16              | Manipur           | 23                 | 1                  | 0                  | 1                  | 23                 |
| 17              | Meghalaya #       | 28                 | 3                  | 2                  | 1                  | 26                 |
| 18              | Mizoram ##        | 9                  | 11                 | 0                  | 11                 | 9                  |
| 19              | Nagaland          | 21                 | NA                 | 3                  | NA                 | 18                 |
| 20              | Odisha            | 377                | 383                | 124                | 259                | 253                |
| 21              | Punjab            | 151                | 155                | 28                 | 127                | 123                |
| 22              | Rajasthan         | 588                | 306                | 108                | 198                | 480                |
| 23              | Sikkim            | 2                  | NA                 | 0                  | NA                 | 2                  |
| 24              | Tamil Nadu        | 385                | NA                 | 31                 | NA                 | 354                |
| 25              | Telangana         | 91                 | 83                 | 40                 | 43                 | 51                 |
| 26              | Tripura           | 22                 | 0                  | 1                  | *                  | 21                 |
| 27              | Uttarakhand       | 67                 | 66                 | 4                  | 62                 | 63                 |
| 28              | Uttar Pradesh     | 822                | 524                | 64                 | 460                | 758                |
| 29              | West Bengal       | 348                | 287                | 58                 | 229                | 290                |
| 30              | A& N Islands      | 4                  | 3                  | 0                  | 3                  | 4                  |
| 31              | Chandigarh        | 0                  | 0                  | 0                  | 0                  | 0                  |
| 32              | D & N Haveli      | 2                  | 0                  | 0                  | 0                  | 2                  |
| 33              | Daman& Diu        | 2                  | 2                  | 1                  | 1                  | 1                  |
|                 | Delhi             | 0                  | 0                  | 0                  | 0                  | 0                  |
| 34              | Lakshadweep       | 3                  | 0                  | 0                  | 0                  | 3                  |
| 35 36           | Puducherry        | 3                  | 0                  | 1                  | *                  | 2                  |
|                 | All India/ Total  | 5624               | 3640               | 1424               | 2385               | 4200               |

# Sanctioned data for year 2015 used

## Total 11 O & G specialists sanctioned in the State

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

3 One per Community Health Centre as per IPHS norms NA: Not Available.

Notes:

## Annexure-IV

| PAEDIATRICIANS at CHCs 31st March, 2018)   | PAEDIATRICIANS at CHCs 31st March, 2018)   | PAEDIATRICIANS at CHCs 31st March, 2018)   | PAEDIATRICIANS at CHCs 31st March, 2018)   | PAEDIATRICIANS at CHCs 31st March, 2018)   | PAEDIATRICIANS at CHCs 31st March, 2018)   | PAEDIATRICIANS at CHCs 31st March, 2018)   |
|--------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|
| S. No.                                     | State/UT                                   | (As on Required 4                          | Sanctioned                                 | In Position                                | Vacant                                     | Shortfall                                  |
| 1                                          | Andhra Pradesh                             | [R] 193                                    | [S]                                        | [P] 101                                    | [S-P] 94                                   | [R-P] 92                                   |
| 2                                          | Arunachal Pradesh                          | 63                                         | 195 NA                                     | 0                                          | NA                                         | 63                                         |
| 3                                          | Assam                                      | 172                                        | NA                                         | 50                                         | NA                                         | 122                                        |
| 4                                          | Bihar                                      | 150                                        | NA                                         | 31                                         | NA                                         | 119                                        |
| 5                                          | Chhattisgarh                               | 169                                        | 163                                        | 12                                         | 151                                        | 157                                        |
| 6                                          | Goa                                        | 4                                          | 0                                          | 2                                          | *                                          | 2                                          |
| 7                                          | Gujarat                                    | 363                                        | 88                                         | 30                                         | 58                                         | 333                                        |
| 8                                          | Haryana                                    | 113                                        | 18                                         | 5                                          | 13                                         | 108                                        |
| 9                                          | Himachal Pradesh                           | 91                                         | NA                                         | 0                                          | NA                                         | 91                                         |
| 10                                         | Jammu & Kashmir                            | 84                                         | 61                                         | 52                                         | 9                                          | 32                                         |
| 11                                         | Jharkhand                                  | 171                                        | 171                                        | 16                                         | 155                                        | 155                                        |
| 12                                         | Karnataka                                  | 206                                        | 206                                        | 94                                         | 112                                        | 112                                        |
| 13                                         | Kerala                                     | 227                                        | 14                                         | 17                                         | *                                          | 210                                        |
| 14                                         | Madhya Pradesh                             | 309                                        | 309                                        | 59                                         | 250                                        | 250                                        |
| 15                                         | Maharashtra                                | 361                                        | 224                                        | 200                                        | 24                                         | 161                                        |
| 16                                         | Manipur                                    | 23                                         | 2                                          | 2                                          | 0                                          | 21                                         |
| 17                                         | Meghalaya                                  | 28                                         | 0                                          | 0                                          | 0                                          | 28                                         |
| 18                                         | Mizoram #                                  | 9                                          | 10                                         | 0                                          | 10                                         | 9                                          |
| 19                                         | Nagaland                                   | 21                                         | NA                                         | 2                                          | NA                                         | 19                                         |
| 20                                         | Odisha                                     | 377                                        | 382                                        | 53                                         | 329                                        | 324                                        |
| 21                                         | Punjab                                     | 151                                        | 150                                        | 21                                         | 129                                        | 130                                        |
| 22                                         | Rajasthan                                  | 588                                        | 224                                        | 100                                        | 124                                        | 488                                        |
| 23                                         | Sikkim                                     | 2                                          | NA                                         | 0                                          | NA                                         | 2                                          |
| 24                                         | Tamil Nadu                                 | 385                                        | NA                                         | 12                                         | NA                                         | 373                                        |
| 25                                         | Telangana                                  | 91                                         | 83                                         | 33                                         | 50                                         | 58                                         |
| 26                                         | Tripura                                    | 22                                         | 0                                          | 1                                          | *                                          | 21                                         |
| 27                                         | Uttarakhand                                | 67                                         | 71                                         | 9                                          | 62                                         | 58                                         |
| 28                                         | Uttar Pradesh                              | 822                                        | 523                                        | 47                                         | 476                                        | 775                                        |
| 29                                         | West Bengal                                | 348                                        | 287                                        | 25                                         | 262                                        | 323                                        |
| 30                                         | A& N Islands                               | 4                                          | 0                                          | 0                                          | 0                                          | 4                                          |
| 31                                         | Chandigarh                                 | 0                                          | 0                                          | 0                                          | 0                                          | 0                                          |
| 32                                         | D & N Haveli                               | 2                                          | 0                                          | 0                                          | 0                                          | 2                                          |
| 33                                         | Daman & Diu                                | 2                                          | 3                                          | 1                                          | 2                                          | 1                                          |
|                                            | Delhi                                      | 0                                          | 0                                          | 0                                          | 0                                          | 0                                          |
| 34                                         |                                            |                                            |                                            |                                            |                                            |                                            |
| 35                                         | Lakshadweep                                | 3                                          | 0                                          | 0                                          | 0                                          | 3                                          |
| 36                                         | Puducherry                                 | 3                                          | 3                                          | 3                                          | 0                                          | 0                                          |
|                                            | All India/ Total                           | 5624                                       | 3187                                       | 978                                        | 2310                                       | 4646                                       |

# Sanctioned data for year  2013 used

## Sanctioned data for year 2011 used

$ Sanctioned data for year 2015 used

^ Total 5 Radiographers sanctioned in the State

5 One per Community Health Centre as per IPHS norms

All India figures for Vacancy and Shortfall are the totals of State

States / UTs *: Surplus NA: Not Available.

-wise Vacancy and Shortfall ignoring surplus in some

Annexure-V

| S. No.   | State/UT                   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   | (As on 31st March, 2018)   |
|----------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
| S. No.   | State/UT                   | Required 5                 | Sanctioned                 | In Position                | Vacant                     | Shortfall                  |
| S. No.   | State/UT                   | [R]                        | [S]                        | [P]                        | [S-P]                      | [R-P]                      |
| 1        | Andhra Pradesh             | 193                        | 160                        | 72                         | 88                         | 121                        |
| 2        | Arunachal Pradesh          | 63                         | NA                         | 7                          | NA                         | 56                         |
| 3        | Assam #                    | 172                        | 145                        | 82                         | 63                         | 90                         |
| 4        | Bihar ##                   | 150                        | 89                         | 1                          | 88                         | 149                        |
| 5        | Chhattisgarh               | 169                        | 177                        | 161                        | 16                         | 8                          |
| 6        | Goa                        | 4                          | 4                          | 4                          | 0                          | 0                          |
| 7        | Gujarat                    | 363                        | 363                        | 118                        | 245                        | 245                        |
| 8        | Haryana                    | 113                        | 82                         | 47                         | 35                         | 66                         |
| 9        | Himachal Pradesh           | 91                         | 65                         | 24                         | 41                         | 67                         |
| 10       | Jammu& Kashmir             | 84                         | 305                        | 224                        | 81                         | *                          |
| 11       | Jharkhand                  | 171                        | 171                        | 59                         | 112                        | 112                        |
| 12       | Karnataka                  | 206                        | 206                        | 167                        | 39                         | 39                         |
| 13       | Kerala                     | 227                        | 16                         | 18                         | *                          | 209                        |
| 14       | Madhya Pradesh             | 309                        | 312                        | 261                        | 51                         | 48                         |
| 15       | Maharashtra                | 361                        | 140                        | 107                        | 33                         | 254                        |
| 16       | Manipur                    | 23                         | 13                         | 13                         | 0                          | 10                         |
| 17       | Meghalaya $                | 28                         | 19                         | 18                         | 1                          | 10                         |
| 18       | Mizoram ^                  | 9                          | 5                          | 3                          | 2                          | 6                          |
| 19       | Nagaland                   | 21                         | 1                          | 1                          | 0                          | 20                         |
| 20       | Odisha                     | 377                        | 57                         | 55                         | 2                          | 322                        |
| 21       | Punjab                     | 151                        | 171                        | 123                        | 48                         | 28                         |
| 22       | Rajasthan                  | 588                        | 787                        | 250                        | 537                        | 338                        |
| 23       | Sikkim                     | 2                          | NA                         | 2                          | NA                         | 0                          |
| 24       | Tamil Nadu                 | 385                        | 246                        | 92                         | 154                        | 293                        |
| 25       | Telangana                  | 91                         | 87                         | 57                         | 30                         | 34                         |
| 26       | Tripura                    | 22                         | 0                          | 12                         | *                          | 10                         |
| 27       | Uttarakhand                | 67                         | 31                         | 8                          | 23                         | 59                         |
| 28       | Uttar Pradesh              | 822                        | 230                        | 0                          | 230                        | 822                        |
| 29       | West Bengal                | 348                        | 280                        | 131                        | 149                        | 217                        |
| 30       | A& N Islands               | 4                          | 0                          | 0                          | 0                          | 4                          |
| 31       | Chandigarh                 | 0                          | 0                          | 0                          | 0                          | 0                          |
| 32       | D&NHaveli                  | 2                          | 0                          | 0                          | 0                          | 2                          |
| 33       | Daman& Diu                 | 2                          | 4                          | 3                          | 1                          | *                          |
| 34       | Delhi                      | 0                          | 0                          | 0                          | 0                          | 0                          |
| 35       |                            | 3                          | 5                          | 5                          | 0                          |                            |
| 36       | Lakshadweep                |                            |                            |                            | 0                          | * 0                        |
|          | Puducherry All India/Total | 3 5624                     | 3 4174                     | 3 2128                     | 2069                       | 3639                       |

Notes:

## Annexure-VI

| TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   | TOTAL SPECIALISTS AT CHCs Total Specialists [Surgeons, OB&GY, Physicians & Paediatricians]   |
|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------|
| S. No.                                                                                       | State/UT                                                                                     | (As on 31st March, 2018)                                                                     | (As on 31st March, 2018)                                                                     | (As on 31st March, 2018)                                                                     | (As on 31st March, 2018)                                                                     | (As on 31st March, 2018)                                                                     |
| S. No.                                                                                       | State/UT                                                                                     | Required 6                                                                                   | Sanctioned                                                                                   | In Position                                                                                  | Vacant                                                                                       | Shortfall                                                                                    |
| 1                                                                                            | Andhra Pradesh                                                                               | [R] 772                                                                                      | [S] 533                                                                                      | [P] 384                                                                                      | [S-P] 149                                                                                    | [R-P] 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                                                                                           | Uttar Pradesh                                                                                | 3288                                                                                         | 268                                                                                          | 29                                                                                           | 239                                                                                          | 239                                                                                          |
| 28                                                                                           | Uttarakhand                                                                                  | 268                                                                                          | 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                                                                                            |                                                                                              |                                                                                              | 3                                                                                            | 5                                                                                            |
|                                                                                              | Delhi                                                                                        | 0                                                                                            | 6                                                                                            | 3                                                                                            | 0                                                                                            |                                                                                              |
| 34                                                                                           |                                                                                              | 12                                                                                           | 0                                                                                            | 0                                                                                            |                                                                                              | 0                                                                                            |
| 35 36                                                                                        | Lakshadweep Puducherry 2                                                                     | 12                                                                                           | 0 4                                                                                          | 0 5                                                                                          | 0 *                                                                                          | 12 7                                                                                         |

NA: Not Available.

Four per Community Health Centre as per IPHS norms

Notes:

6

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