Lok Sabha Question No. 4358 (UNSTARRED), answered on 2019-12-13
Subject: Shortage of Nurses and Midwives
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Vinayak Bhaurao Raut, Rahul Gandhi, Heena Vijaykumar Gavit, Shrirang Appa Barne, Dhanush M Kumar, Soyam Babu Rao, Ganesan Selvam

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

## LOK SABHA UNSTARRED QUESTION NO. 4358 TO BE ANSWERED ON 13 TH DECEMBER, 2019

## SHORTAGE OF NURSES A ND MIDWIVES

4358. SHRI VINAYAK RAUT: SHRI RAHUL GANDHI: DR. HEENA GAVIT: SHRI SHRIRANG APPA BARNE: SHRI DHANUSH M. KUMAR: SHRI SOYAM BAPU RAO: SHRI SELVAM G.:

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

- (a) whether the Government is aware of the shortage of trained nurses and midwivesin rural and backward areas of the country;
- (b) if so, the details thereof and the reasons therefor along with the present nurse - patient ratio in the country;
- (c) whether the Government has taken note of the importance of midwives in the v llag s;
- (d) i f so, whether the Government has taken steps to provide quality training and working conditions for midwives;
- (e) whether the Government has also t ken note of the poor working conditions of the nurses in the Government and private hospitals in rural and backwardareas of the country, if so, the details thereof and the corrective steps taken in this regard;
- (f) the total number of diploma/degree schools and colleges with seats imparting nursing education in the country, State/UTwise and the steps taken/proposed by the Government to open new nursing educational institutions in the country, location and State/UT - wise; and
- (g) whether the Government has received a number of proposals from the Sta es/UTs for setting up/upgradation of nursing instituti ons and if so, the details of proposals cleared and pending thereof and the reasons therefor?

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

- (a) &  (b) As  per  Indian  Nursing  Council  (INC)  records, there  are  around  8,85,383  Auxiliary  Nurse Midwives  (ANM),  21,29,820  Registered  Nurses  and  Registered  Midwives (RN&RM)  and  56,644  Lady Health Visitors (LHV) in the Country .There are around 8500 Nursing Institutions in the country producing about 3 lakh nur sing personnel annually. The Nurse patient ratio in the Country at present is 1.7 nurses per 1000  population.    However,  the  nurse - patient  ratio  varies  from  State  to  State,  District  to  District  an Institution to Institution. The problem is more of skewed distribution, with dense concentration of work force in some areas and lesser concentration in other areas causing challenges in delivery of serv certain areas .
- (c) As per the Lancet Series on Midwifery (2014), safe and effective midwifery care ca n avert 83% of all maternal deaths, stillbirths and newborn deaths. Government of India has rolled out 'Midwifery Services Initiative' in the country to improve the quality of care and ensure respectful care to pregnant women and newborns.

(d)  NursePractitioners  in  Midwifery  course  has  been launched  to  provide  skill  in  accordance  to competencies  prescribed  by  the  International  Confederation  of  Midwives  (ICM),  knowledgeable  and capable  of  providing  compassionate  women - centred,  reproductive,  maternal  a nd  newborn  health  care services.

(e)    Hon'ble  Supreme  Court  vide  judgement  dated  29 th January, 2016 in Writ Petition(C) No. 527/2011 directed Ministry of Health and Family Welfare to look into the grievances of nurses working in pri hospi tals/institut ions  by  forming  a  C ommittee.    Accordingly,  Ministry  of  Health  and  Family  Welfare constituted a C ommittee in February, 201 6.  The recommendations of the Committee w ere forwarded to all State s/UTs  on  20 th September,  2016  for  making  legislation/  guidelines  in this  regard.  However,  Health being a state subject, it is for the concerned State Governments to make legislation / guidelines purpose.

(f) The State - wise details of the total number of diploma/degree schools and colleges with seats impart nursing  education  in  the  country  is  at Annexure - I. Under  the  Centrally  Sponsored  Scheme  of Strengthening/upgradation of Nursing Se rvices  ANM/GNM , the Government has already approved setting up 112 ANM and 136GNM Schools in the Country. The details are at Annexure - II .

(g) Proposals received from the State Governments are examined as per the criteria laid down under Scheme for  upgradation/  strengthening  of  Schools  of  Nursing  to  College  of  Nursing and  subject  to availabili ty  of  funds.      As  of  now,  2  scho ols  in  Gujarat,  3  in  Jharkhand,  1  each  in  Himachal  Pradesh, Manipur and Uttar Pradesh, 5 in Rajasthan and 2 each in Tamil Nadu and West Bengal have be pprov ed by the Government of India .

|                      |             |       |       |       | ANM    | ANM               | ANM               |      |      |       |        | GNM               | GNM               | GNM   | GNM   | GNM      | GNM    | GNM      | GNM   |
|----------------------|-------------|-------|-------|-------|--------|-------------------|-------------------|------|------|-------|--------|-------------------|-------------------|-------|-------|----------|--------|----------|-------|
|                      | Institution | Seats | Seats |       |        | Total Institution | Total Institution |      |      | Seats | Seats  | Total Institution | Total Institution | Seats | Seats | Total    | Total  | Total    |       |
| State                | Govt.       | Pvt.  | Govt. | Pvt.  | Instt. | Seats             | Govt.             | Pvt. | Govt | Pvt   | Instt. | Seats             | Govt.             | Pvt.  | Govt. | Pvt      | Instt. | Seats    |       |
| Andaman & Nicobar    | 1           | 0     | 20    | 0     | 1      | 20                | 1                 | 0    | 20   | 0     | 1      | 20                | 0                 | 0     | 0     | 0        | 0      | 0        |       |
| Andhra Pradesh       | 4           | 28    | 140   | 810   | 32     | 950               | 9                 | 146  | 460  | 6310  | 155    | 6770              | 9                 | 135   | 505   | 7110     | 144    | 7615     |       |
| Arunachal Pradesh    | 4           | 3     | 80    | 90    | 7      | 170               | 4                 | 3    | 110  | 100   | 7      | 210               | 0                 | 1     | 0     | 40       | 1      | 40       |       |
| Assam                | 12          | 23    | 338   | 605   | 35     | 943               | 22                | 32   | 1104 | 1060  | 54     | 2164              | 4                 | 13    | 230   | 520      | 17     | 750      |       |
| Bihar                | 20          | 88    | 525   | 2965  | 108    | 3490              | 7                 | 17   | 371  | 725   | 24     | 1096              | 2                 | 8     | 110   | 360      | 10     | 470      |       |
| Chandigarh           | 1           | 0     | 20    | 0     | 1      | 20                | 0                 | 0    | 0    | 0     | 0      | 0                 | 2                 | 0     | 120   | 0        | 2      | 120      |       |
| Chattisgarh          | 5           | 0     | 210   | 0     | 5      | 210               | 14                | 67   | 480  | 2325  | 81     | 2805              | 9                 | 86    | 470   | 3940     | 95     | 4410     |       |
| Dadra & Nagar Haveli | 0           | 0     | 0     | 0     | 0      | 0                 | 0                 | 0    | 0    | 0     | 0      | 0                 | 1                 | 0     | 60    | 0        | 1      | 60       |       |
| Daman & Diu          | 0           | 0     | 0     | 0     | 0      | 0                 | 0                 | 0    | 0    | 0     | 0      | 0                 | 1                 | 0     | 50    | 0        | 1      | 50       |       |
| Delhi                | 2           | 8     | 80    | 240   | 10     | 320               | 2                 | 16   | 45   | 650   | 18     | 695               | 7                 | 7     | 335   | 330      | 14     | 665      |       |
| Goa                  | 1           | 1     | 40    | 60    | 2      | 100               | 1                 | 0    | 50   | 0     | 1      | 50                | 1                 | 2     | 100   | 80       | 3      | 180      |       |
| Gujarat              | 28          | 103   | 860   | 3020  | 131    | 3880              | 24                | 124  | 970  | 5295  | 148    | 6265              | 8                 | 90    | 400   | 4064     | 98     | 4464     |       |
| Haryana              | 7           | 78    | 190   | 2480  | 85     | 2670              | 3                 | 78   | 60   | 3230  | 81     | 3290              | 2                 | 35    | 105   | 1610     | 37     | 1715     |       |
| Himachal Pradesh     | 2           | 8     | 70    | 250   | 10     | 320               | 7                 | 32   | 220  | 1180  | 39     | 1400              | 1                 | 29    | 60    | 1080     | 30     | 1140     |       |
| Jammu & Kashmir      | 0           | 14    | 0     | 465   | 14     | 465               | 0                 | 16   | 0    | 635   | 16     | 635               | 5                 | 11    | 250   | 540      | 16     | 790      |       |
| Jharkhand            | 9           | 56    | 290   | 1650  | 65     | 1940              | 6                 | 23   | 210  | 875   | 29     | 1085              | 1                 |       | 9 50  | 370      | 10     | 420      |       |
| Karnataka            | 12          | 14    | 360   | 395   | 26     | 755               | 19                | 461  | 851  | 21396 | 480    | 22247             | 14                | 300   | 865   | 16385    | 314    | 17250    |       |
| Kerala               | 8           | 10    | 205   | 300   | 18     | 505               | 17                | 159  | 475  | 4970  | 176    | 5445              | 9                 | 123   | 585   | 6670     | 132    | 7255     |       |
| Madhya Pradesh       | 19          | 71    | 635   | 2290  | 90     | 2925              | 20                | 372  | 1045 | 14095 | 392    | 15140             | 5                 | 181   | 330   | 7895     | 186    | 8225     |       |
| Maharashtra          | 31          | 514   | 730   | 11265 | 545    | 11995             | 37                | 227  | 1219 | 6385  | 264    | 7604              | 6                 | 99    | 300   | 4385     | 105    | 4685     |       |
| Manipur              | 2           | 5     | 70    | 130   | 7      | 200               | 1                 | 15   | 30   | 480   | 16     | 510               | 1                 | 6     | 40    | 220      | 7      | 260      |       |
| Meghalaya            | 1           | 2     | 20    | 45    | 3      | 65                | 2                 | 6    | 80   | 175   | 8      | 255               | 1                 | 1     | 50    | 40       | 2      | 90       |       |
| Mizoram              | 3           | 1     | 90    | 30    | 4      | 120               | 3                 | 3    | 60   | 100   | 6      | 160               | 2                 | 1     | 65    | 30       | 3      | 95       |       |
| Nagaland             | 1           | 1     | 30    | 30    | 2      | 60                | 3                 | 2    | 100  | 60    | 5      | 160               | 0                 | 1     | 0     | 40       | 1      | 40       |       |
|                      | 20          |       |       | 3160  |        |                   | 10                | 68   |      |       |        |                   |                   | 3     | 150   | 1380     |        | 1530     |       |
| Orissa               |             | 109   | 760   |       | 129    | 3920              |                   |      | 630  | 2385  | 78     | 3015              |                   |       | 30    |          | 33     |          |       |
| Pondicherry          | 1           | 6     | 30    | 150   | 7      | 180               | 2                 | 7    | 60   | 270   | 9      | 330               | 2                 | 13    | 175   | 860      | 15     | 1035     |       |
| Punjab               | 8           | 162   | 290   | 5365  | 170    | 5655              | 9                 | 205  | 430  | 9803  | 214    | 10233             | 5                 | 103   | 260   | 5040     | 108    | 5300     |       |
| Rajasthan            | 19          | 8     | 520   | 230   | 27     | 750               | 11                | 157  | 640  | 7445  | 168    | 8085              | 11                | 139   |       | 790 6405 | 150    | 7195 170 |       |
| Sikkim               | 1           | 0     | 20    | 0     | 1      | 20                | 1                 | 1    | 20   | 20    | 2      | 40                | 0                 |       | 3 0   | 170      | 3      |          |       |

Annexure - I

|               | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   | State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October, 2019   |
|---------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------|
|               | ANM                                                                                                     | ANM                                                                                                     | ANM                                                                                                     | ANM                                                                                                     | ANM                                                                                                     | GNM                                                                                                     | GNM                                                                                                     | GNM                                                                                                     | GNM                                                                                                     | GNM                                                                                                     | GNM                                                                                                     | B. Sc (N)                                                                                               | B. Sc (N)                                                                                               | B. Sc (N)                                                                                               | B. Sc (N)                                                                                               | B. Sc (N)                                                                                               | B. Sc (N)                                                                                               | B. Sc (N)                                                                                               | B. Sc (N)                                                                                               |
|               | Institution                                                                                             | Seats                                                                                                   | Seats                                                                                                   | Total                                                                                                   | Total                                                                                                   | Institution                                                                                             | Institution                                                                                             | Seats                                                                                                   | Seats                                                                                                   | Total                                                                                                   | Total                                                                                                   | Institution                                                                                             | Institution                                                                                             | Seats                                                                                                   | Seats                                                                                                   | Total                                                                                                   | Total                                                                                                   | Total                                                                                                   | Total                                                                                                   |
| State         | Govt.                                                                                                   | Pvt.                                                                                                    | Govt.                                                                                                   | Pvt.                                                                                                    | Instt.                                                                                                  | Seats                                                                                                   | Govt.                                                                                                   | Pvt.                                                                                                    | Govt                                                                                                    | Pvt                                                                                                     | Instt.                                                                                                  | Seats                                                                                                   | Govt.                                                                                                   | Pvt.                                                                                                    | Govt.                                                                                                   | Pvt                                                                                                     | Instt.                                                                                                  | Seats                                                                                                   |                                                                                                         |
| Tamilnadu     | 13                                                                                                      | 32                                                                                                      | 700                                                                                                     | 920                                                                                                     | 45                                                                                                      | 1620                                                                                                    | 23                                                                                                      | 181                                                                                                     | 2050                                                                                                    | 5125                                                                                                    | 204                                                                                                     | 7175                                                                                                    | 5                                                                                                       | 176                                                                                                     | 250                                                                                                     | 10410                                                                                                   | 181                                                                                                     | 10660                                                                                                   |                                                                                                         |
| Telangana     | 3                                                                                                       | 14                                                                                                      | 60                                                                                                      | 435                                                                                                     | 17                                                                                                      | 495                                                                                                     | 6                                                                                                       | 84                                                                                                      | 300                                                                                                     | 3752                                                                                                    | 90                                                                                                      | 4052                                                                                                    | 5                                                                                                       | 79                                                                                                      | 280                                                                                                     | 4410                                                                                                    | 84                                                                                                      | 4690                                                                                                    |                                                                                                         |
| Tripura       | 3                                                                                                       | 2                                                                                                       | 125                                                                                                     | 90                                                                                                      | 5                                                                                                       | 215                                                                                                     | 2                                                                                                       | 4                                                                                                       | 100                                                                                                     | 150                                                                                                     | 6                                                                                                       | 250                                                                                                     | 0                                                                                                       | 4                                                                                                       | 0                                                                                                       | 180                                                                                                     | 4                                                                                                       | 180                                                                                                     |                                                                                                         |
| Uttar Pradesh | 13                                                                                                      | 226                                                                                                     | 290                                                                                                     | 7940                                                                                                    | 239                                                                                                     | 8230                                                                                                    | 6                                                                                                       | 270                                                                                                     | 220                                                                                                     | 12150                                                                                                   | 276                                                                                                     | 12370                                                                                                   | 8                                                                                                       | 95                                                                                                      | 530                                                                                                     | 4120                                                                                                    | 103                                                                                                     | 4650                                                                                                    |                                                                                                         |
| Uttarakhand   | 7                                                                                                       | 14                                                                                                      | 170                                                                                                     | 425                                                                                                     | 21                                                                                                      | 595                                                                                                     | 4                                                                                                       | 28                                                                                                      | 160                                                                                                     | 1045                                                                                                    | 32                                                                                                      | 1205                                                                                                    | 7                                                                                                       | 16                                                                                                      | 360                                                                                                     | 760                                                                                                     | 23                                                                                                      | 1120                                                                                                    |                                                                                                         |
| West Bengal   | 14                                                                                                      | 14                                                                                                      | 595                                                                                                     | 550                                                                                                     | 28                                                                                                      | 1145                                                                                                    | 41                                                                                                      | 34                                                                                                      | 2280                                                                                                    | 1580                                                                                                    | 75                                                                                                      | 3860                                                                                                    | 10                                                                                                      | 15                                                                                                      | 470                                                                                                     | 960                                                                                                     | 25                                                                                                      | 1430                                                                                                    |                                                                                                         |
| Grand Total   | 275                                                                                                     | 1615                                                                                                    | 8563                                                                                                    | 46385                                                                                                   | 1890                                                                                                    | 54948                                                                                                   | 317                                                                                                     | 2838                                                                                                    | 14850                                                                                                   | 113771                                                                                                  | 3155                                                                                                    | 128621                                                                                                  | 147                                                                                                     | 1811                                                                                                    | 8345                                                                                                    | 90404                                                                                                   | 1958                                                                                                    | 98749                                                                                                   |                                                                                                         |

| State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October,   |
|----------------------------------------------------------------------------------------------------|

| State - wise distribution of Nursing Institutions and the Admission Capacity as on 31st October,   |
|----------------------------------------------------------------------------------------------------|

## Annexure - II

## List of Auxiliary Nurse Midwives (ANM) and General Nurse Midwives (GNM) Schools  alrea approved for setting up in various States

| Sl.No.   | State             | ANM Schools (Districts)   | GNM Schools (Districts)   |
|----------|-------------------|---------------------------|---------------------------|
| 1        | Andhra Pradesh    | Narsapuram                | Tirupati                  |
|          |                   | Vijayawada                | Eluru                     |
|          |                   | Kakinada                  | Ongole                    |
| 2        | Arunachal Pradesh | Lohit                     | U. Subansiri              |
|          |                   | Tawang                    | East Siang (Pasighat)     |
|          |                   | West Siang                | Naharlagun (Papampure)    |
| 3        | Assam             | Baksa                     | Bongaigaon                |
|          |                   | Udalguri                  |                           |
|          |                   | Chirang                   |                           |
| 4        | Bihar             | Aurangabad                | Banka                     |
|          |                   | Jamui                     | Buxsar                    |
|          |                   | Kaimur(Bhabua)            | Jehanabad                 |
|          |                   | Khagaria                  | Saran                     |
|          |                   | Lakhisarai                | Sheikhpura                |
|          |                   | Nawada                    | Vaishaii                  |
|          |                   | Sheohar                   | Kishanganj                |
|          |                   | Siwan                     | Purnia                    |
|          |                   | Supaul                    | Sasaram,Rohtas            |
|          |                   | Darbanga                  | Madhepura                 |
|          |                   | Arraria                   | West Champaran            |
|          |                   | Arwal                     | Katihar                   |
|          |                   |                           | Saharsa                   |
| 5        | Chhattisgarh      | Bijapur                   | Dantewada                 |
|          |                   | Kawardha/ Kabirdham       | JanjgirChampa             |
|          |                   | Narayanpur                | Kanker                    |
|          |                   | Bastar                    | Korba                     |
|          |                   | Bilasur                   | Korea                     |
|          |                   |                           | Mahasamund                |
| 6        | Gujarat           | Ahmedabad                 | Anand                     |
|          |                   | Jamnagar                  | Bhavnagar                 |
|          |                   | Patan                     | Kheda                     |
|          |                   | Valsad                    | Porbandar                 |
|          |                   | Tapi                      |                           |
| 7        | Haryana           | CharkhiDadri              | Palwal                    |
|          |                   | Rewari                    | Mewat                     |
|          |                   |                           | Kurukshetra               |
| 8        | Himachal Pradesh  | Kullu                     | Nahan                     |
|          |                   |                           | Chamba                    |
|          |                   |                           | Mandi                     |
| 9        | Jammu & Kashmir   | Bandipura                 | Budgam                    |
|          |                   | Kargil                    | Ganderbal                 |
|          |                   | Kishtwar                  | Kulgam                    |
|          |                   | Ramban                    | Pulwama                   |
|          |                   | Bhadarwah                 | Reasi                     |
|          |                   | Anantanag                 | Samba                     |
|          |                   | Billawer                  | Shopian                   |
|          |                   | Thanamandi                | Udhampur                  |
|          |                   | Surankote                 | Kathua                    |
|          |                   | Kokornag                  | Doda                      |
|          |                   |                           | Rajouri                   |

| 10   | Jharkhand      | Chatra        | Gumla               |
|------|----------------|---------------|---------------------|
|      |                | Godda         | Latehar             |
|      |                | Khunti        | Seraikela           |
|      |                | Ramgarh       | Hazaribagh          |
|      |                | Garhwa        | Palamau             |
|      |                |               | Ranchi              |
|      |                |               | Jamtara             |
| 11   | Madhya Pradesh | Anuppur       | Mandasaur           |
|      |                | Alirajpur     | Dewas               |
|      |                | Ashok Nagar   |                     |
|      |                | Burhanpur     |                     |
|      |                | Dindori       |                     |
|      |                | Harda         |                     |
|      |                | Neemuch       |                     |
|      |                | Rewa          |                     |
|      |                | Shazapur      |                     |
|      |                | Sheopur       |                     |
|      |                | Singrauli     |                     |
|      |                | Umaria        |                     |
| 12   | Maharashtra    | Gadchiroli    | Gadchiroli          |
|      |                | Pusad/Yeotmal | Ratnagiri           |
|      |                | Ratnagiri     | Washim              |
|      |                |               | Nandurbar           |
|      |                |               | Sindhudurg Bhandara |
|      |                |               | Amravati            |
|      |                |               | Gondia              |
| 13   | Manipur        |               | Bishnupur           |
|      |                |               | Chandel             |
|      |                |               | Senapati            |
|      |                |               | Tamenglong          |
|      |                |               | Thoubal             |
|      |                |               | Ukhrul              |
| 14   | Meghalaya      |               | East Garo Hills     |
|      |                |               | Ribhoi              |
|      |                |               | South GaroHills     |
|      |                |               | West Khasi Hills    |
| 15   | Mizoram        | Lawngtlai     | Champhai            |
|      |                | Mamit         | Kolasib             |
|      |                | Aizwal        | Saiha               |
|      |                |               | Serchhip            |
| 16   | Nagaland       | Zunheboto     | Mon                 |
|      |                | Kohima        | Phek                |
|      |                | Mokokchung    | Tuensang            |
| 17   | Odisha         | Boudh         | Nabarangapur        |
|      |                | Subarnapur    | Kalahandi           |
|      |                | Gajapati      | Sundergarh          |
|      |                | Rayagada      | Khandhamal          |
|      |                | Malkangiri    | Dhenkanal           |
|      |                |               | Keonjhar            |
|      |                |               | Mayurbhanj          |
|      |                |               | Koraput             |
|      |                |               | Balasore            |
| 18   | Puducherry     | Mahe          | Karaikal            |
|      |                | Yanam         |                     |
| 19   | Punjab         |               | Rupnagar            |
|      |                |               | Bhatinda            |
|      |                |               | Gurdaspur           |
|      |                |               | Sangrur             |

|    |               |                               | Patiala                    |
|----|---------------|-------------------------------|----------------------------|
| 20 | Rajasthan     | Pratapgarh                    | Baran                      |
|    |               | Alwar                         | Bikaner                    |
|    |               |                               | Nagaur                     |
|    |               |                               | Jhunjhunu                  |
|    |               |                               | Chittorgarh                |
| 21 | Sikkim        | East Sikkim                   |                            |
|    |               | West Sikkim                   |                            |
| 22 | Tamil Nadu    | Theni (Veerapandi,PHC)        |                            |
|    |               | Namakkal (Manicampalayam PHC) |                            |
|    |               | Sivaganga (Poovanthi,PHC)     |                            |
| 23 | Telangana     |                               | Karimnagar                 |
| 24 | Tripura       | West Tripura                  |                            |
| 25 | Uttar Pradesh | Auraiya                       | Ambedkar Nagar             |
|    |               | Balrampur                     | Budaun                     |
|    |               | Bulandshahr                   | Farrukhabad                |
|    |               | Chandauli                     | Firozabad                  |
|    |               | Mahamaya Nagar                | Hardoi                     |
|    |               | JyotibaPhule Nagar            | Jalaun                     |
|    |               | Kanpur Dehat                  | Kannauj                    |
|    |               | Kanshiram                     | Mahoba                     |
|    |               | Kaushambi                     | Siddharth Nagar            |
|    |               | Kushinagar                    | Unnao                      |
|    |               | Lalitpur                      | Kheri                      |
|    |               | Maharajganj                   | Mainpuri                   |
|    |               | Saint Kabir Nagar             | Faizabad                   |
|    |               | Saint Ravidas Nagar           | Rampur/Saharanpur          |
|    |               | Shravasti                     | Balia                      |
|    |               | Sonbhadra                     | Gonda                      |
|    |               | Amethi                        | Moradabad                  |
|    |               | FatehpurSikri                 | Jhansi                     |
|    |               | Sambhal                       | Barabanki                  |
|    |               | Etah                          | Aligarh                    |
|    |               | Mau                           | Rai Bareli                 |
|    |               | Jaunpur                       | Etawah                     |
|    |               | Sultanpur                     | Ghazipur                   |
| 26 | Uttarakhand   | Bageshwar                     | Haridwar                   |
|    |               | Champawat                     | Nanital                    |
|    |               | Rudraprayag                   | Roorkee                    |
|    |               | Uttarkashi                    |                            |
| 27 | West Bengal   |                               | Ghatal, PaschimMedinipur   |
|    |               |                               | Barasat, 24 North Praganas |
|    |               |                               | Tamluk, PurbaMedinipur     |
|    |               |                               | Jangipur, Murshidabad      |
|    |               |                               | Jhargram, West Medinipore  |
|    |               |                               | Uluberia, Howarah          |
|    |               |                               | Sagar Dutta, Kolkata       |
|    |               |                               | Basirhat ,                 |
|    |               | 112                           | 24 North Praganas 136      |