Lok Sabha Question No. 3275 (UNSTARRED), answered on 2019-07-12
Subject: Public Health Centres in Tribal Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Umesh G. Jadhav

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

LOK SABHA UNSTARRED QUESTION NO. 3275 TO BE ANSWERED ON 12 TH JULY, 2019

## PUBLIC HEALTH CENTRE S IN TRIBAL AREAS

## 3275. DR. UMESH G. JADHAV:

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

- (a) the number of Public Health Centres and sub - centres in Tribal areas, State - wise;
- (b) whether a number of tribal population do not have access to Public Health Centres /faci ities in the country;
- (c) if so, the details thereof along with reasons therefor;
- (d) whether the posts of doctors and other medical personnel are vacant in tribal areas; a
- (e) if so, the details thereof and reasons therefor along with the corrective steps taken by the Government?

## ANSWER

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

- (a) to (e):     As per Rural Health Statistics (RHS) Bulletin 2017 - 18, the state - wise details of number of Sub Centres, Primary Health Centres (PHCs) & Community Health Centres in triba areas is at Annexure - I.

As per RHS 2017 - 18, the details of doctors, specialists and other medical personnel a with their vacancies is at Annexure - II to Annexur e- VI.

'Public Health & Hospitals' being a State subject, the primary responsibility to ensure access of public health facilities to tribal population along with filling of vacant post doctors and  other  medical  personnel  in  these  public  health  faciliti es is  that  of  respective  State Governments.

However, under the National Health Mission (NHM), financial and technical support provided to States/UTs  to strengthen their health care systems including setting - up/upgrading public health facilities and augmenting health human resource on contractual basis for provision of  equitable,  affordable  healthcare  to  all  its  citizens  particularly  the  poor  and population  including  tribal  population  based  on  requirements  posed  by  the  States  in Programme Implementation Plans (PIPs).

Under  NHM,  tribal  areas  already  enjoy  relaxed  norms  for  setting  up  public  hea facilities including 'time to care' norm for setting - up sub health Centres in tribal areas within 30 minutes of walk from habitation and relaxed norm for Mobile Medical Units for tribal a reas;

extra one MMU if it exceeds 30 patients per day against 60 patients per day in plain a bringing healthcare delivery to the doorsteps of the population.

Further,  all  tribal  majority  districts  whose  composite  health  index  is  below  th average have been identified as High Priority Districts (HPDs) and these districts recei resources per capita under the NHM as compared to the rest of the districts in the Stat districts receive higher per capita funding, have enhanced monitor ing and focussed supportive supervision and are encouraged to adopt innovative approaches to address their peculiar challenges.

The  Allocation  of  funds  under  Scheduled  Tribal  Sub - Plan  in  respect  of  major  health schemes/ programme during 2016 - 17 to 2018 - 19 are at Annexure - VII to Annexure - IX.

As per Rural Health Statistics the change in health facilities in Tribal areas v India is given as below:

| Facilities   |   All India |   All India |   Tribal Areas |   Tribal Areas |
|--------------|-------------|-------------|----------------|----------------|
|              |     2005    |     2018    |        2005    |        2018    |
| CHCs         |     3346    |     5624    |         643    |        1017    |
| PHCs         |    23236    |    25743    |        2809    |        3971    |
| SCs          |   146026    |   158417    |       16748    |       28091    |
| Total        |   172608    |   189784    |       20200    |       33079    |
| % increase   |        9.95 |        9.95 |          63.75 |          63.75 |

## Annexure-I

| NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,           | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   | NUMBER OF SUB CENTRES,   |
|--------------------------|--------------------------|----------------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|
| S.N o.                   | State/ UT                | Sub                              | Sub                      | Sub                      | Sub                      | March, 2018)             | March, 2018)             | March, 2018)             | CHCs                     | CHCs                     |
| S.N o.                   | State/ UT                | Tribal Population in Rural Areas | R                        | P                        | S                        | R                        | P S                      | R                        | P                        | S                        |
| 1                        | Andhra Pradesh           | 2293102                          | 764                      | 804                      | **                       | 114                      | 153 **                   | 28                       | 19                       | 9                        |
| 2                        | Arunachal Pradesh#       | 789846                           | 263                      | 312                      | **                       | 39                       | 143 **                   | 9                        | 63                       | **                       |
| 3                        | Assam                    | 3665405                          | 1221                     | 768                      | 453                      | 183                      | 176 7                    | 45                       | 26                       | 19                       |
| 4                        | Bihar                    | 1270851                          | 423                      | NA                       | NA                       | 63                       | NA NA                    | 15                       | NA                       | NA                       |
| 5                        | Chhattisgarh             | 7231082                          | 2410                     | 2811                     | **                       | 361                      | 396 **                   | 90                       | 80                       | 10                       |
| 6                        | Goa                      | 87639                            | 29                       | 66                       | **                       | 4                        | 8 **                     | 1                        | 1                        | 0                        |
| 7                        | Gujarat                  | 8021848                          | 2673                     | 2775                     | **                       | 401                      | 421 **                   | 100                      | 92                       | 8                        |
| 8                        | Haryana *                | N App                            | N App                    | N App                    | N App                    | N App                    | N App N App              | N App                    | N App                    | N App                    |
| 9                        | Himachal Pradesh         | 374392                           | 124                      | 104                      | 20                       | 18                       | 47 *                     | 4                        | 8                        | **                       |
| 10                       | Jammu & Kashmir          | 1406833                          | 468                      | 307                      | 161                      | 70                       | 48 22                    | 17                       | 11                       | 6                        |
| 11                       | Jharkhand                | 7868150                          | 2622                     | 2465                     | 157                      | 393                      | 165 228                  | 98                       | 94                       | 4                        |
| 12                       | Karnataka                | 3429791                          | 1143                     | 321                      | 822                      | 171                      | 64 107                   | 42                       | 7                        | 35                       |
| 13                       | Kerala                   | 433092                           | 144                      | 831                      | **                       | 21                       | 137 **                   | 5                        | 12                       | **                       |
| 14                       | Madhya Pradesh           | 14276874                         | 4758                     | 3545                     | 1213                     | 713                      | 332 381                  | 178                      | 104                      | 74                       |
| 15                       | Maharashtra              | 9006077                          | 3002                     | 2057                     | 945                      | 450                      | 315 135                  | 112                      | 67                       | 45                       |
| 16                       | Manipur                  | 791126                           | 263                      | 234                      | 29                       | 39                       | 53 **                    | 9                        | 7                        | 2                        |
| 17                       | Meghalaya #              | 2136891                          | 712                      | 443                      | 269                      | 106                      | 108 **                   | 26                       | 28                       | **                       |
| 18                       | Mizoram #                | 507467                           | 169                      | 370                      | **                       | 25                       | 57 **                    | 6                        | 9                        | **                       |
| 19                       | Nagaland #               | 1306838                          | 435                      | 396                      | 39                       | 65                       | 126 **                   | 16                       | 21                       | **                       |
| 20                       | Odisha                   | 8994967                          | 2998                     | 2701                     | 297                      | 449                      | 427 22                   | 112                      | 133                      | **                       |
| 21                       | Punjab *                 | N App                            | N App                    | N App                    | N App                    | N App                    | N App N App              | N App                    | N App                    | N App                    |
| 22                       | Rajasthan                | 8693123                          | 2897                     | 1659                     | 1238                     | 434                      | 210 224                  | 108                      | 65                       | 43                       |
| 23                       | Sikkim                   | 167146                           | 55                       | 48                       | 7                        | 8                        | 12 **                    | 2                        | 0                        | 2                        |
| 24                       | Tamil Nadu               | 660280                           | 220                      | 432                      | **                       | 33                       | 105 **                   | 8                        | 25                       | **                       |
| 25                       | Telangana                | 2939027                          | 979                      | 698                      | 281                      | 146                      | 93 53                    | 36                       | 23                       | 13                       |
| 26                       | Tripura                  | 1117566                          | 372                      | 484                      | **                       | 55                       | 48 7                     | 13                       | 9                        | 4                        |
| 27                       | Uttarakhand              | 264819                           | 88                       | 148                      | **                       | 13                       | 12 1                     | 3                        | 5                        | **                       |
| 28                       | Uttar Pradesh            | 1031076                          | 343                      | NA                       | NA                       | 51                       | NA NA                    | 12                       | NA                       | NA                       |
| 29                       | West Bengal              | 4855115                          | 1618                     | 3206                     | **                       | 242                      | 300 **                   | 60                       | 104                      | **                       |
| 30                       | A&N Island               | 26715                            | 8                        | 41                       | **                       | 1                        | 4 **                     | 0                        | 1                        | **                       |
| 31                       | Chandigarh *             | N App                            | N App                    | N App                    | N App                    | N App                    | N App N App              | N App                    | N App                    | N App                    |
| 32                       | D&N Haveli #             | 150944                           | 50                       | 46                       | 4                        | 7                        | 7 0                      | 1                        | 0                        | 1                        |

| 33   | Daman & Diu      | 7617     | 2     | 5     | **    | 0     | 0     | 0     | 0     | 0     | 0     |
|------|------------------|----------|-------|-------|-------|-------|-------|-------|-------|-------|-------|
| 34   | Delhi *          | N App    | N App | N App | N App | N App | N App | N App | N App | N App | N App |
| 35   | Lakshadweep# (2) | 13463    | 4     | 14    | **    | 0     | 4     | **    | 0     | 3     | **    |
| 36   | Puducherry *     | N App    | N App | N App | N App | N App | N App | N App | N App | N App | N App |
|      | All India/Total  | 93819162 | 31257 | 28091 | 5935  | 4675  | 3971  | 1187  | 1156  | 1017  | 275   |

Notes: The requirement is calculated using the prescribed norms on the basis of  rural population from Census India shortfall is derived by adding state -wise  figures of shortfall ignoring the existing surplus in some of the states. R: Required; P: In Position; S: Shortfall;     **: Surplus,       *: State / UT has no separate Tribal Area / #:States are predominently tribal areas

2 The population is less than the norm (CHC) of 80,000.

N App -Not applicable

N A -Data not available

|       |                   | DOCTORS 2 AT PHCs IN TRIBAL AREA (As on 31st March, 2018)   | DOCTORS 2 AT PHCs IN TRIBAL AREA (As on 31st March, 2018)   | DOCTORS 2 AT PHCs IN TRIBAL AREA (As on 31st March, 2018)   | DOCTORS 2 AT PHCs IN TRIBAL AREA (As on 31st March, 2018)   | DOCTORS 2 AT PHCs IN TRIBAL AREA (As on 31st March, 2018)   |
|-------|-------------------|-------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------|-------------------------------------------------------------|
| S.No. | State/UT          | Required 1                                                  | Sanctioned                                                  | In Position                                                 | Vacant                                                      | Shortfall                                                   |
| S.No. | State/UT          | [R]                                                         | [S]                                                         | [P]                                                         | [S-P]                                                       | [R-P]                                                       |
| 1     | Andhra Pradesh    | 153                                                         | 364                                                         | 343                                                         | 21                                                          | **                                                          |
| 2     | Arunachal Pradesh | 143                                                         | NA                                                          | 125                                                         | NA                                                          | 18                                                          |
| 3     | Assam             | 176                                                         | NA                                                          | 227                                                         | NA                                                          | **                                                          |
| 4     | Bihar             | NA                                                          | NA                                                          | NA                                                          | NA                                                          | NA                                                          |
| 5     | Chhattisgarh      | 396                                                         | 409                                                         | 167                                                         | 242                                                         | 229                                                         |
| 6     | Goa               | 8                                                           | 19                                                          | 18                                                          | 1                                                           | **                                                          |
| 7     | Gujarat           | 421                                                         | 812                                                         | 358                                                         | 454                                                         | 63                                                          |
| 8     | Haryana *         | N App                                                       | N App                                                       | N App                                                       | N App                                                       | N App                                                       |
| 9     | Himachal Pradesh  | 47                                                          | 62                                                          | 42                                                          | 20                                                          | 5                                                           |
| 10    | Jammu & Kashmir   | 48                                                          | 61                                                          | 53                                                          | 8                                                           | **                                                          |
| 11    | Jharkhand         | 165                                                         | 292                                                         | 179                                                         | 113                                                         | **                                                          |
| 12    | Karnataka         | 64                                                          | 64                                                          | 38                                                          | 26                                                          | 26                                                          |
| 13    | Kerala            | 137                                                         | 227                                                         | 229                                                         | - 2                                                         | **                                                          |
| 14    | Madhya Pradesh    | 332                                                         | 364                                                         | 287                                                         | 77                                                          | 45                                                          |
| 15    | Maharashtra       | 315                                                         | 370                                                         | 354                                                         | 16                                                          | **                                                          |
| 16    | Manipur           | 53                                                          | 130                                                         | 73                                                          | 57                                                          | **                                                          |
| 17    | Meghalaya # ^     | 108                                                         | 128                                                         | 130                                                         | **                                                          | **                                                          |
| 18    | Mizoram # ^       | 57                                                          | 152                                                         | 59                                                          | 93                                                          | **                                                          |
| 19    | Nagaland #        | 126                                                         | 108                                                         | 118                                                         | **                                                          | 8                                                           |
| 20    | Odisha            | 427                                                         | 444                                                         | 327                                                         | 117                                                         | 100                                                         |
| 21    | Punjab *          | N App                                                       | N App                                                       | N App                                                       | N App                                                       | N App                                                       |
| 22    | Rajasthan         | 210                                                         | 438                                                         | 383                                                         | 55                                                          | **                                                          |
| 23    | Sikkim +          | 12                                                          | 20                                                          | 11                                                          | 9                                                           | 1                                                           |
| 24    | Tamil Nadu        | 105                                                         | 132                                                         | 94                                                          | 38                                                          | 11                                                          |
| 25    | Telangana         | 93                                                          | 211                                                         | 196                                                         | 15                                                          | **                                                          |
| 26    | Tripura           | 48                                                          | 0                                                           | 93                                                          | **                                                          | **                                                          |
| 27    | Uttarakhand       | 12                                                          | 10                                                          | 12                                                          | **                                                          | 0                                                           |
| 28    | Uttar Pradesh     | NA                                                          | NA                                                          | NA                                                          | NA                                                          | NA                                                          |
| 29    | West Bengal       | 300                                                         | 424                                                         | 356                                                         | 68                                                          | **                                                          |
| 30    | A& N Islands      | 4                                                           | 9                                                           | 3                                                           | 6                                                           | 1                                                           |
| 31    | Chandigarh *      | N App                                                       | N App                                                       | N App                                                       | N App                                                       | N App                                                       |
| 32    | D & N Haveli #    | 7                                                           | 1                                                           | 15                                                          | **                                                          | **                                                          |
| 33    | Daman & Diu       | 0                                                           | 0                                                           | 0                                                           | 0                                                           | 0                                                           |
| 34    | Delhi *           | N App                                                       | N App                                                       | N App                                                       | N App                                                       | N App                                                       |
| 35    | Lakshadweep#      | 4                                                           | 8                                                           | 8                                                           | 0                                                           | **                                                          |
| 36    | Puducherry *      | N App                                                       | N App                                                       | N App                                                       | N App                                                       | N App                                                       |

Notes:

# States with predominently tribal areas

^ Sanctioned data for year 2015used

+ Santioned data for year 2011 used

NA: Data not Available.   ** Surplus.

*: State / UT has no separate Tribal Area / Population

1 One per Primary Health Centre as per IPHS norms

2 Allopathic Doctors

N App -Not

applicable

| S.No.   | State/UT          | COMMUNITY HEALTH CENTRES IN TRIBAL AREA   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA   |
|---------|-------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|-------------------------------------------|
| S.No.   | State/UT          | Required 1 [R]                            | Sanctioned [S]                            | In Position [P]                           | Vacant [S-P]                              | Shortfall [R-P]                           |
| 1       | Andhra Pradesh    | 76                                        | 43                                        | 17                                        | 26                                        | 59                                        |
| 2       | Arunachal Pradesh | 252                                       | NA                                        | 4                                         | NA                                        | 248                                       |
| 3       | # Assam           | 104                                       | NA                                        | 6                                         | NA                                        | 98                                        |
| 4       | Bihar             | NA                                        | NA                                        | NA                                        | NA                                        | NA                                        |
| 5       | Chhattisgarh      | 320                                       | 328                                       | 22                                        | 306                                       | 298                                       |
| 6       | Goa               | 4                                         | 4                                         | 2                                         | 2                                         | 2                                         |
| 7       | Gujarat           | 368                                       | 248                                       | 27                                        | 221                                       | 341                                       |
| 8       | Haryana *         | N App                                     | N App                                     | N App                                     | N App                                     | N App                                     |
| 9       | Himachal Pradesh  | 32                                        | 0                                         | 0                                         | 0                                         | 32                                        |
| 10      | Jammu & Kashmir   | 44                                        | 40                                        | 11                                        | 29                                        | 33                                        |
| 11      | Jharkhand         | 376                                       | 206                                       | 29                                        | 177                                       | 347                                       |
| 12      | Karnataka         | 28                                        | 44                                        | 9                                         | 35                                        | 19                                        |
| 13      | Kerala            | 48                                        | 8                                         | 9                                         | **                                        | 39                                        |
| 14      | Madhya Pradesh    | 416                                       | 420                                       | 67                                        | 353                                       | 349                                       |
| 15      | Maharashtra       | 268                                       | 79                                        | 118                                       | **                                        | 150                                       |
| 16      | Manipur           | 28                                        | 18                                        | 0                                         | 18                                        | 28                                        |
| 17      | Meghalaya #       | 112                                       | 3                                         | 9                                         | **                                        | 103                                       |
| 18      | Mizoram #         | 36                                        | 0                                         | 0                                         | 0                                         | 36                                        |
| 19      | Nagaland #        | 84                                        | NA                                        | 8                                         | NA                                        | 76                                        |
| 20      | Odisha            | 532                                       | 532                                       | 44                                        | 488                                       | 488                                       |
| 21      | Punjab *          | N App                                     | N App                                     | N App                                     | N App                                     | N App                                     |
| 22      | Rajasthan         | 260                                       | 185                                       | 108                                       | 77                                        | 152                                       |
| 23      | Sikkim            | 0                                         | 0                                         | 0                                         | 0                                         | 0                                         |
| 24      | Tamil Nadu        | 100                                       | NA                                        | 5                                         | NA                                        | 95                                        |
| 25      | Telangana         | 92                                        | 16                                        | 13                                        | 3                                         | 79                                        |
| 26      | Tripura           | 36                                        | 0                                         | 2                                         | - 2                                       | 34                                        |
| 27      | Uttarakhand       | 20                                        | 57                                        | 22                                        | 35                                        | - 2                                       |
| 28      | Uttar Pradesh     | NA                                        | NA                                        | NA                                        | NA                                        | NA                                        |
| 29      | West Bengal       | 416                                       | 159                                       | 46                                        | 113                                       | 370                                       |
| 30      | A& N Islands      | 4                                         | 2                                         | 0                                         | 2                                         | 4                                         |
| 31      | Chandigarh *      | N App                                     | N App                                     | N App                                     | N App                                     | N App                                     |
| 32      | D & N Haveli #    | 0                                         | 0                                         | 0                                         | 0                                         | 0                                         |
| 33      | Daman & Diu       | 0                                         | 0                                         | 0                                         | 0                                         | 0                                         |
| 34      | Delhi *           | N App                                     | N App                                     | N App                                     | N App                                     | N App                                     |
| 35      | Lakshadweep#      | 12                                        | 0                                         | 0                                         | 0                                         | 12                                        |
| 36      | Puducherry *      | N App                                     | N App                                     | N App                                     | N App                                     | N App                                     |

Notes:

# States with predominently tribal areas

*: State / UT has no separate Tribal Area / Population

1 Four per Community Health Centre  as per IPHS norms

** Surplus       NA: Data not Available.

N App -not applicable

- $ Sanctioned data for year 2015 used

## Sanctioned and In Position data for year 2013

- # States with predominently tribal areas
- *: State / UT has no separate Tribal Area / Population
- 1 One per Community Health Centre as per IPHS norms
- ** Surplus    NA: Data not Available.

applicable

## Annexure-IV

|       | RADIOGRAPHER      | COMMUNITY HEALTH CENTRES IN TRIBAL AREA (As on 31st March, 2018)   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA (As on 31st March, 2018)   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA (As on 31st March, 2018)   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA (As on 31st March, 2018)   | COMMUNITY HEALTH CENTRES IN TRIBAL AREA (As on 31st March, 2018)   |
|-------|-------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|--------------------------------------------------------------------|
| S.No. | State/UT          | Required 1                                                         | Sanctioned                                                         | In Position                                                        | Vacant                                                             | Shortfall                                                          |
|       | RADIOGRAPHER      | [R]                                                                | [S]                                                                | [P]                                                                | [S-P]                                                              | [R-P]                                                              |
| 1     | Andhra Pradesh    | 19                                                                 | 15                                                                 | 3                                                                  | 12                                                                 | 16                                                                 |
| 2     | Arunachal Pradesh | 63                                                                 | NA                                                                 | 7                                                                  | NA                                                                 | 56                                                                 |
| 3     | Assam##           | 26                                                                 | 25                                                                 | 19                                                                 | 6                                                                  | 7                                                                  |
| 4     | Bihar             | NA                                                                 | NA                                                                 | NA                                                                 | NA                                                                 | NA                                                                 |
| 5     | Chhattisgarh      | 80                                                                 | 113                                                                | 72                                                                 | 41                                                                 | 8                                                                  |
| 6     | Goa               | 1                                                                  | 1                                                                  | 1                                                                  | 0                                                                  | 0                                                                  |
| 7     | Gujarat           | 92                                                                 | 92                                                                 | 14                                                                 | 78                                                                 | 78                                                                 |
| 8     | Haryana *         | N App                                                              | N App                                                              | N App                                                              | N App                                                              | N App                                                              |
| 9     | Himachal Pradesh  | 8                                                                  | 5                                                                  | 3                                                                  | 2                                                                  | 5                                                                  |
| 10    | Jammu & Kashmir   | 11                                                                 | 38                                                                 | 38                                                                 | 0                                                                  | **                                                                 |
| 11    | Jharkhand         | 94                                                                 | 104                                                                | 60                                                                 | 44                                                                 | 34                                                                 |
| 12    | Karnataka         | 7                                                                  | 7                                                                  | 5                                                                  | 2                                                                  | 2                                                                  |
| 13    | Kerala            | 12                                                                 | 2                                                                  | 4                                                                  | **                                                                 | 8                                                                  |
| 14    | Madhya Pradesh    | 104                                                                | 101                                                                | 49                                                                 | 52                                                                 | 55                                                                 |
| 15    | Maharashtra       | 67                                                                 | 14                                                                 | 12                                                                 | 2                                                                  | 55                                                                 |
| 16    | Manipur           | 7                                                                  | 1                                                                  | 1                                                                  | 0                                                                  | 6                                                                  |
| 17    | Meghalaya # $     | 28                                                                 | 19                                                                 | 18                                                                 | 1                                                                  | 10                                                                 |
| 18    | Mizoram #         | 9                                                                  | 5                                                                  | 3                                                                  | 2                                                                  | 6                                                                  |
| 19    | Nagaland #        | 21                                                                 | 1                                                                  | 1                                                                  | 0                                                                  | 20                                                                 |
| 20    | Odisha            | 133                                                                | 37                                                                 | 15                                                                 | 22                                                                 | 118                                                                |
| 21    | Punjab *          | N App                                                              | N App                                                              | N App                                                              | N App                                                              | N App                                                              |
| 22    | Rajasthan         | 65                                                                 | 36                                                                 | 18                                                                 | 18                                                                 | 47                                                                 |
| 23    | Sikkim            | 0                                                                  | 0                                                                  | 0                                                                  | 0                                                                  | 0                                                                  |
| 24    | Tamil Nadu        | 25                                                                 | 8                                                                  | 4                                                                  | 4                                                                  | 21                                                                 |
| 25    | Telangana         | 23                                                                 | 10                                                                 | 2                                                                  | 8                                                                  | 21                                                                 |
| 26    | Tripura           | 9                                                                  | 0                                                                  | 6                                                                  | **                                                                 | 3                                                                  |
| 27    | Uttarakhand       | 5                                                                  | 9                                                                  | 5                                                                  | 4                                                                  | 0                                                                  |
| 28    | Uttar Pradesh     | NA                                                                 | NA                                                                 | NA                                                                 | NA                                                                 | NA                                                                 |
| 29    | West Bengal       | 104                                                                | 40                                                                 | 25                                                                 | 15                                                                 | 79                                                                 |
| 30    | A& N Islands      | 1                                                                  | 3                                                                  | 2                                                                  | 1                                                                  | **                                                                 |
| 31    | Chandigarh *      | N App                                                              | N App                                                              | N App                                                              | N App                                                              | N App                                                              |
| 32    | D & N Haveli #    | 0                                                                  | 0                                                                  | 0                                                                  | 0                                                                  | 0                                                                  |
| 33    | Daman & Diu       | 0                                                                  | 0                                                                  | 0                                                                  | 0                                                                  | 0                                                                  |
| 34    | Delhi *           | N App                                                              | N App                                                              | N App                                                              | N App                                                              | N App                                                              |
| 35    | Lakshadweep#      | 3                                                                  | 5                                                                  | 5                                                                  | 0                                                                  | **                                                                 |
| 36    | Puducherry *      | N App                                                              | N App                                                              | N App                                                              | N App                                                              | N App                                                              |

## Notes:

| PHARMACISTS AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | PHARMACISTS AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | PHARMACISTS AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | PHARMACISTS AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | PHARMACISTS AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | PHARMACISTS AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | PHARMACISTS AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   |
|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|----------------------------------------------------------------------|
| S.No.                                                                | State/UT                                                             | Required 1                                                           | Sanctioned                                                           | In Position                                                          | Vacant                                                               | Shortfall                                                            |
| 1                                                                    | Andhra Pradesh                                                       | 172                                                                  | 192                                                                  | 133                                                                  | 59                                                                   | 39                                                                   |
| 2                                                                    | Arunachal Pradesh                                                    | 206                                                                  | NA                                                                   | 89                                                                   | NA                                                                   | 117                                                                  |
| 3                                                                    | Assam^                                                               | 202                                                                  | 276                                                                  | 286                                                                  | **                                                                   | **                                                                   |
| 4                                                                    | Bihar                                                                | NA                                                                   | NA                                                                   | NA                                                                   | NA                                                                   | NA                                                                   |
| 5                                                                    | Chhattisgarh                                                         | 476                                                                  | 572                                                                  | 431                                                                  | 141                                                                  | 45                                                                   |
| 6                                                                    | Goa                                                                  | 9                                                                    | 9                                                                    | 7                                                                    | 2                                                                    | 2                                                                    |
| 7                                                                    | Gujarat                                                              | 513                                                                  | 513                                                                  | 387                                                                  | 126                                                                  | 126                                                                  |
| 8                                                                    | Haryana *                                                            | N App                                                                | N App                                                                | N App                                                                | N App                                                                | N App                                                                |
| 9                                                                    | Himachal Pradesh                                                     | 55                                                                   | 52                                                                   | 22                                                                   | 30                                                                   | 33                                                                   |
| 10                                                                   | Jammu & Kashmir                                                      | 59                                                                   | 95                                                                   | 86                                                                   | 9                                                                    | **                                                                   |
| 11                                                                   | Jharkhand                                                            | 259                                                                  | 264                                                                  | 83                                                                   | 181                                                                  | 176                                                                  |
| 12                                                                   | Karnataka                                                            | 71                                                                   | 78                                                                   | 35                                                                   | 43                                                                   | 36                                                                   |
| 13                                                                   | Kerala                                                               | 149                                                                  | 143                                                                  | 153                                                                  | **                                                                   | **                                                                   |
| 14                                                                   | Madhya Pradesh                                                       | 436                                                                  | 517                                                                  | 430                                                                  | 87                                                                   | 6                                                                    |
| 15                                                                   | Maharashtra                                                          | 382                                                                  | 498                                                                  | 516                                                                  | **                                                                   | **                                                                   |
| 16                                                                   | Manipur                                                              | 60                                                                   | 61                                                                   | 61                                                                   | 0                                                                    | **                                                                   |
| 17                                                                   | Meghalaya #                                                          | 136                                                                  | 135                                                                  | 149                                                                  | **                                                                   | **                                                                   |
| 18                                                                   | Mizoram #                                                            | 66                                                                   | 99                                                                   | 53                                                                   | 46                                                                   | 13                                                                   |
| 19                                                                   | Nagaland #                                                           | 147                                                                  | 135                                                                  | 116                                                                  | 19                                                                   | 31                                                                   |
| 20                                                                   | Odisha                                                               | 560                                                                  | 585                                                                  | 571                                                                  | 14                                                                   | **                                                                   |
| 21                                                                   | Punjab *                                                             | N App                                                                | N App                                                                | N App                                                                | N App                                                                | N App                                                                |
| 22                                                                   | Rajasthan                                                            | 275                                                                  | 152                                                                  | 54                                                                   | 98                                                                   | 221                                                                  |
| 23                                                                   | Sikkim++                                                             | 12                                                                   | 10                                                                   | 7                                                                    | 3                                                                    | 5                                                                    |
| 24                                                                   | Tamil Nadu                                                           | 130                                                                  | 130                                                                  | 65                                                                   | 65                                                                   | 65                                                                   |
| 25                                                                   | Telangana                                                            | 116                                                                  | 103                                                                  | 74                                                                   | 29                                                                   | 42                                                                   |
| 26                                                                   | Tripura                                                              | 57                                                                   | 0                                                                    | 76                                                                   | **                                                                   | **                                                                   |
| 27                                                                   | Uttarakhand                                                          | 17                                                                   | 13                                                                   | 18                                                                   | **                                                                   | **                                                                   |
| 28                                                                   | Uttar Pradesh                                                        | NA                                                                   | NA                                                                   | NA                                                                   | NA                                                                   | NA                                                                   |
| 29                                                                   | West Bengal                                                          | 404                                                                  | 534                                                                  | 482                                                                  | 52                                                                   | **                                                                   |
| 30                                                                   | A & N Islands                                                        | 5                                                                    | 11                                                                   | 1                                                                    | 10                                                                   | 4                                                                    |
| 31                                                                   | Chandigarh *                                                         | N App                                                                | N App                                                                | N App                                                                | N App                                                                | N App                                                                |
| 32                                                                   | D & N Haveli #                                                       | 7                                                                    | 4                                                                    | 14                                                                   | **                                                                   | **                                                                   |
| 33                                                                   | Daman & Diu                                                          | 0                                                                    | 0                                                                    | 0                                                                    | 0                                                                    | 0                                                                    |
| 34                                                                   | Delhi *                                                              | N App                                                                | N App                                                                | N App                                                                | N App                                                                | N App                                                                |
| 35                                                                   | Lakshadweep#                                                         | 7                                                                    |                                                                      | 16                                                                   | 0                                                                    | **                                                                   |
| 36                                                                   | Puducherry *                                                         | N App                                                                | 16 N App                                                             | N App                                                                | N App                                                                | N App                                                                |

## Notes:

# States with predominently tribal areas

*: State / UT has no separate Tribal Area / Population

^ Sanctioned and In Position data for year 2013

++ Sanctioned data for year 2011 used

1 One per PHC and Community Health Centre as per IPHS norms

- ** Surplus       NA: Data not Available.

N App -Not applicable

|    |                   | STAFF AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | STAFF AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | STAFF AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | STAFF AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   | STAFF AT PHCs & CHCs IN TRIBAL AREA (As on 31st March, 2018)   |
|----|-------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|----------------------------------------------------------------|
|    |                   | Required 1                                                     | Sanctioned                                                     | In Position                                                    | Vacant                                                         | Shortfall                                                      |
| 1  | Andhra Pradesh    | 286                                                            | 611                                                            | 503                                                            | 108                                                            | **                                                             |
| 2  | Arunachal Pradesh | 584                                                            | NA                                                             | 498                                                            | NA                                                             | 86                                                             |
| 3  | # Assam           | 358                                                            | NA                                                             | 433                                                            | NA                                                             | **                                                             |
| 4  | Bihar             | NA                                                             | NA                                                             | NA                                                             | NA                                                             | NA                                                             |
| 5  | Chhattisgarh      | 956                                                            | 1416                                                           | 1008                                                           | 408                                                            | **                                                             |
| 6  | Goa               | 15                                                             | 41                                                             | 55                                                             | **                                                             | **                                                             |
| 7  | Gujarat           | 1065                                                           | 1973                                                           | 1599                                                           | 374                                                            | **                                                             |
| 8  | Haryana *         | N App                                                          | N App                                                          | N App                                                          | N App                                                          | N App                                                          |
| 9  | Himachal Pradesh  | 103                                                            | 62                                                             | 36                                                             | 26                                                             | 67                                                             |
| 10 | Jammu & Kashmir   | 125                                                            | 157                                                            | 150                                                            | 7                                                              | **                                                             |
| 11 | Jharkhand         | 823                                                            | 368                                                            | 394                                                            | **                                                             | 429                                                            |
| 12 | Karnataka         | 113                                                            | 144                                                            | 93                                                             | 51                                                             | 20                                                             |
| 13 | Kerala            | 221                                                            | 223                                                            | 245                                                            | **                                                             | **                                                             |
| 14 | Madhya Pradesh    | 1060                                                           | 1132                                                           | 832                                                            | 300                                                            | 228                                                            |
| 15 | Maharashtra       | 784                                                            | 684                                                            | 468                                                            | 216                                                            | 316                                                            |
| 16 | Manipur           | 102                                                            | 142                                                            | 132                                                            | 10                                                             | **                                                             |
| 17 | Meghalaya # $     | 304                                                            | 413                                                            | 596                                                            | **                                                             | **                                                             |
| 18 | Mizoram #         | 120                                                            | 570                                                            | 198                                                            | 372                                                            | **                                                             |
| 19 | Nagaland #        | 273                                                            | 175                                                            | 394                                                            | **                                                             | **                                                             |
| 20 | Odisha            | 1358                                                           | 592                                                            | 769                                                            | **                                                             | 589                                                            |
| 21 | Punjab *          | N App                                                          | N App                                                          | N App                                                          | N App                                                          | N App                                                          |
| 22 | Rajasthan         | 665                                                            | 1302                                                           | 1187                                                           | 115                                                            | **                                                             |
| 23 | Sikkim            | 12                                                             | NA                                                             | 14                                                             | NA                                                             | **                                                             |
| 24 | Tamil Nadu        | 280                                                            | 413                                                            | 232                                                            | 181                                                            | 48                                                             |
| 25 | Telangana         | 254                                                            | 281                                                            | 201                                                            | 80                                                             | 53                                                             |
| 26 | Tripura           | 111                                                            | 0                                                              | 244                                                            | **                                                             | **                                                             |
| 27 | Uttarakhand       | 47                                                             | 27                                                             | 39                                                             | **                                                             | 8                                                              |
| 28 | Uttar Pradesh     | NA                                                             | NA                                                             | NA                                                             | NA                                                             | NA                                                             |
| 29 | West Bengal       | 1028                                                           | 1826                                                           | 1720                                                           | 106                                                            | **                                                             |
| 30 | A& N Islands      | 11                                                             | 49                                                             | 20                                                             | 29                                                             | **                                                             |
| 31 | Chandigarh *      | N App                                                          | N App                                                          | N App                                                          | N App                                                          | N App                                                          |
| 32 | D & N Haveli #    | 7                                                              | 4                                                              | 62                                                             | **                                                             | **                                                             |
| 33 | Daman & Diu       | 0                                                              | 0                                                              | 0                                                              | 0                                                              | 0                                                              |
| 34 | Delhi *           | N App                                                          | N App                                                          | N App                                                          | N App                                                          | N App                                                          |
| 35 | Lakshadweep #     | 25                                                             | 54                                                             | 54                                                             | 0                                                              | **                                                             |
| 36 | Puducherry *      | N App                                                          | N App                                                          | N App                                                          | N App                                                          | N App                                                          |

## Notes:

- $ Sanctioned data for year 2015 used
- # States with predominently tribal areas
- *: State / UT has no separate Tribal Area / Population

1 One per PHC and 7 per Community Health Centre as per IPHS norms

NA:  Data not Available.          ** Surplus

N App -Not

applicable

## Allocation of funds under Scheduled Tribal Sub-Plan in respect of major health schemes/programme during 2016-17  (Rs in Crores)

| No.   | Name of Scheme                                                                                        |     STC |
|-------|-------------------------------------------------------------------------------------------------------|---------|
| A.    | National Mental Health Programme (NMHP)                                                               |    4.12 |
| B.    | Trauma Centres                                                                                        |   22.16 |
| C.    | National Programme for Prevention and Control of Diabetes, Cardiovascular Disease and Stroke (NPCDCS) |   30.58 |
| D.    | National Programme for Health Care for the Elderly (NPHCE)                                            |    2.5  |
| E.    | Human Resources for Health                                                                            |   65.93 |
| F.    | NRHM- RCH Flexi Pool                                                                                  | 1328.16 |
| G.    | National Urban Health Mission -Flexi Pool                                                             |  109.18 |
| H.    | Flexible Pool for Communicable Diseases                                                               |  138.36 |
| I.    | Flexible Pool for Non-Communicable Diseases, Injury & Trauma                                          |   62.16 |
| J.    | Infrastructure Maintenance                                                                            |  596.54 |
| K.    | Rashtriya Swasthya SuraksPha Yojana                                                                   |  212.5  |
|       | TOTAL                                                                                                 | 2572.19 |

Source :- Annual Report 2016-17 MoH&FW

## Allocation of funds under Scheduled Tribal Sub-Plan in respect of major health schemes/program during 2017-18  (Rs in Crores)

| Sl. No.             | Name of Scheme                                                                                                                                              | TSP                 |
|---------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------|
| A                   | National Rural Health Mission                                                                                                                               |                     |
| 1                   | RCH Flexible Pool including Routine Immunization Programme, Pulse Polio Immunization Programme, National Iodine Deficiency Disorders Control Programme etc. | 483.22              |
| 2                   | Health Systems Strengthening under NRHM                                                                                                                     | 932.16              |
| 3                   | Flexible Pool for Communicable Diseases                                                                                                                     | 179.56              |
| 4                   | Flexible Pool for Non-Communicable Diseases, Injury and Trauma                                                                                              | 110.66              |
| 5                   | Infrastructure Maintenance                                                                                                                                  | 589.51              |
| 6                   | Prime Minister's Development Plan for Jammu and Kashmir                                                                                                     | 37.17               |
|                     | Total National Rural Health Mission                                                                                                                         | 2332.28             |
| B                   | National Urban Health Mission                                                                                                                               | 24.15               |
| C                   | National Health Protection Scheme                                                                                                                           | 107.40              |
| D                   | Tertiary Care Programme                                                                                                                                     |                     |
| 1                   | National Mental Health Programme                                                                                                                            | 4.12                |
| 2                   | Capacity Building for Trauma Centres                                                                                                                        | 20.42               |
| 3                   | National Programme for Prevention and Control of Cancer, Diabetes, Cardio-Vascular Disease and Stroke                                                       | 27.92               |
| 4                   | National Programme for Health Care for Elderly                                                                                                              | 6.12                |
|                     | Total- Tertiary Care Programme                                                                                                                              | 58.58               |
| E                   | Human Resources for Health and Medical Education                                                                                                            |                     |
| 1                   | Strengthening Government Medical Colleges(UG Seats) and Central Govt Health Institutions                                                                    | 51.55               |
| 2                   | Establishing New Medical Colleges (Upgrading District Hospitals)                                                                                            | 398.90              |
|                     | Total - Human Resources for Health and Medical Education                                                                                                    | 450.45              |
| Grand Total 2972.86 | Grand Total 2972.86                                                                                                                                         | Grand Total 2972.86 |

Source : -Annual Report 2017 - 18 MoH&FW

## Annexure-IX

## Allocation of funds under Scheduled Tribal Sub-Plan in respect of major health schemes/programme during 2018-19  (Rs in Crores)

(Rs. in Crores)

| Sl. No.   | Details of the Schemes                                                                                                                                      | ST Allocation 2018-19   |
|-----------|-------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|
| A         | National Rural Health Mission                                                                                                                               |                         |
| 1         | RCH Flexible Pool including Routine Immunization Programme, Pulse Polio Immunization Programme, National Iodine Deficiency Disorders Control Programme etc. | 776.20                  |
| 2         | Health System Strengthening under NRHM                                                                                                                      | 1073.54                 |
| 3         | Flexible Pool for Communicable Diseases                                                                                                                     | 204.14                  |
| 4         | Flexible Pool for Non-Communicable Diseases, Injury and Trauma                                                                                              | 51.02                   |
| 5         | Infrastructure Maintenance                                                                                                                                  | 718.69                  |
| 6         | Forward Linkages                                                                                                                                            | 0.00                    |
| 7         | Strengthening of State Drug Regulatory System                                                                                                               | 22.24                   |
| 8         | Other Health Schemes (PILOT)                                                                                                                                | 0.00                    |
| 9         | Prime Minister's Development Plan for Jammu and Kashmir                                                                                                     | 32.59                   |
| 10        | Strengthening of National Programme Management of theNHM                                                                                                    | 0.00                    |
| 11        | ASHA Benefits Packages                                                                                                                                      | 51.77                   |
|           | Total - National Rural Health Mission                                                                                                                       | 2930.19                 |
| B         | National Urban Health Mission                                                                                                                               | 26.33                   |
| C         | Tertiary Care Programme                                                                                                                                     |                         |
| 1         | National Mental Health Programme                                                                                                                            |                         |
| 2         | Capacity Building for Trauma Centres                                                                                                                        |                         |
| 3         | National Programme for prevention and control of Cancer, Diabetes, Cardio-vascular Disease and Stroke                                                       | 14.95                   |
| 4         | National Programme for Health Care for the Elderly                                                                                                          |                         |
| 5         | National Programme for Control of Blindness                                                                                                                 |                         |
| 6         | Tobacco Control Programme & Drug De-addiction Programme                                                                                                     |                         |
| 7         | Telemedicine                                                                                                                                                |                         |
|           | Total - Tertiary Care Programme                                                                                                                             | 14.95                   |
| D         | Human Resources for Health and Medical Education                                                                                                            |                         |
| 1         | Upgradation/Strengthening of Nursing Services (ANM/GNM).                                                                                                    |                         |
| 2         | Strengthening/upgradation of Pharmacy School/Colleges.                                                                                                      |                         |
| 3         | District Hospitals - Upgradation of State Govt. Medical Colleges (PG                                                                                        | Seats)                  |

| 4   | Strengthening Government Medical College (UG Seats) and Central Government Health Institutions                         | 85.76   |
|-----|------------------------------------------------------------------------------------------------------------------------|---------|
| 5   | Establishing New Medical Colleges (Upgrading District Hospitals)                                                       | 299.29  |
| 6   | Setting up State Institutions of Para-Medical Sciences in States and Setting up of Colleges of Para-Medical Education. | 0.00    |
|     | Total - Human Resources for Health and Medical Education                                                               | 385.05  |
|     | Total - National Health Mission                                                                                        | 3356.52 |
| E   | Rashtriya Swasthya Bima Yojna (RSBY)                                                                                   |         |
| 1   | Support from Gross Budgetary                                                                                           | 25.80   |
| 2   | Support from National Investment                                                                                       | 0.00    |
|     | Total Rashtriya Swasthya Bima Yojna (RSBY)                                                                             | 25.80   |
|     | Grand Total                                                                                                            | 3382.32 |

Source - Budget Division MoH&FW