Lok Sabha Question No. 1336 (UNSTARRED), answered on 2019-06-28
Subject: Shortage of Doctors and Medical Seats
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Sushil Kumar Singh

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

## LOK SABHA UNSTARRED QUESTION NO. 1336 TO BE ANSWERED ON 28 TH JUNE, 2019

## SHORTAGE OF DOCTORS AND MEDICAL SEATS

## 1336. SHRI SUSHIL KUMAR SINGH:

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

- (a)  whether  there  is  severe  shortage of  MBBS  Ayurvedic  and  Homoeopathic doctors  in  the country, if so, the details thereof, State/UT - wise including Bihar;

(b) the steps taken to fill up suchvacancies;

- (c)  whether  any  steps  have  been  taken to  i crease  the  number  of  seats  in  various medical educational  institutes/medical colleges  across  the  country  during  the  last three  years  and  the current year, if so, the details thereof;
- (d) whether new medical colleges are being set up to enhance the number of medical seats in various States including Uttar Pradesh keeping in view the provision of reservation for various categories; and

(e) if so, the details thereof and if not, the reasons therefor ?

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

(a) : As  per  information  provided  by  Medical  Council  of  India  (MCI),  there  are  a  to 11,57,771  allopathic  doctors  registered  with  the  State  Medical Councils/Medical  Council  of India as on 31 st January, 2019. Assuming 80% availability, it is estimated that around 9.26 doctors may be actually available for active service. It gives a doctor - population ratio of 1:1457 as per current population estima te of 1.35 billion, which is lower than the WHO norm of 1:1000. Besides, there are 7.8 8 lakh Ayurveda, Unani and Homeopathy (AUH) doctors in the country. Assuming  80%  availability,  it  is  estimated  that  around  6. 30  lakh Ayurveda,  Unani  and Homeopathy (AUH) doctors may be actually available for service and considered together w allopathic doctors, it gives a doctor population ratio of 1:868. Further, the State / UT regarding doctor -population ratio is not maintained centrally. However, the deta ils of number of allopathic doctors registered with the State Medic al Councils / MCI is at Annexure - I and State    wise  details  of  registered  number  of  Ayurveda,  Unani  and  Homoeopathy  doctors  i Annexure -II .

(b): Health ,being a state subject, th e primary responsibility of making recruitment of doctors lies with the respective states.

(c): The  Government  has  taken  several  steps  to  increase  the  number  of seats  in  various medical educational institutes/medical colleges across the country .Theseinclude:

## For increasing UG Seats: -

- I. Enhancement of maximum intake capacity at MBBS level from 150 to 250.
- II. Relaxation in the norms for setting up of Medical College in terms of requiremen land, faculty, staff, bed/bed strength and other infrastructure.
- III. Strengthening/ upgradation of existing State Government/Central Government   Medic Colleges to increase MBBS seats.
- IV. Establishment of New Medical Colleges attached with district/referral preferably in underserved districts of the country.

## For increasing PG Seats: -

- I. The ratio of teachers to students has been revised from 1:1 to 1:2 for all M disciplines and from 1:1 to 1:3 in subjects of Anesthesiology, Forensic Medic Radiotherapy,  Medical  Oncology,  Surgical  Oncology  and  Psychiatry  in all medical  colleges  across  the  country.  Further,  teacher:  student  ratio  in funded Government Medical Colleges for Professor has been increased from 1:2 to 1:3 in all clinical subjects and for Asso. Prof. from 1:1 to 1:2 if the As is a unit head. The same has also been extended to the private medical college with certain conditions. This would result in increase in number of PG seats country.
- II. DNB qualifications have been equated with MD/MS/DM/MCh qualifications and recognized for ap pointment as faculty in medical colleges.
- III. Enhancement  of  age  limit  for  appointment/  extension/  re - employment  against posts of teachers/dean/principal/ director in medical colleges  upto 70 years.
- IV. Strengthening/  upgradation  of  State  Government  Medical  Co lleges  for  starting new PG courses/Increase of PG seats.
- V. By amending the regulations, it has been made mandatory for all medical colle to  start  PG  courses  within  3  years  from  the  date  of  their  MBBS  recognitio continuation of recognition.
- VI. College s are allowed to apply for PG courses in clinical subjects at the time renewal it will serve to advance the process for starting PG courses by more 1 year.

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(d)& (e): The Ministry of Health & Family Welfare is implementing a Centrally Sponsored Scheme namely ' Establishment of new Medical Colleges attached with existing district/refe hospitals' with fund sharing between the Central Government and States in the ratio of 90:10 NE/special category States and 60:40 for other states. Under the scheme, 82 districts hospitals in 21 States/UTincluding 13 in Uttar Pradesh were identified to establish new Medical Colleges attached with existing district/referral hospitals. Out of these, 39 have become functiona l.The admission  policy  including  reservation  in  these  colleges  is  decided  by  the  concerned Government.

## Number of Doctors Registered with State Medical Councils / Medical Council of India as on 31 st January, 2019

| S. No.   | Name of theState          | Number of Registered Doctors   |
|----------|---------------------------|--------------------------------|
| 1.       | Andhra Pradesh            | 100587                         |
| 2.       | Arunachal Pradesh         | 973                            |
| 3.       | Assam                     | 23902                          |
| 4.       | Bihar                     | 40649                          |
| 5.       | Chattisgarh               | 8771                           |
| 6.       | Delhi                     | 21394                          |
| 7.       | Goa                       | 3840                           |
| 8.       | Gujarat                   | 66944                          |
| 9.       | Haryana                   | 5717                           |
| 10.      | Himachal                  | 3054                           |
| 11.      | Jammu & Kashmir           | 15038                          |
| 12.      | Jharkhand                 | 5829                           |
| 13.      | Karnataka                 | 122875                         |
| 14.      | Madhya Pradesh            | 38180                          |
| 15.      | Maharashtra               | 173384                         |
| 16.      | Kerala                    | 59353                          |
| 17.      | Mizoram                   | 74                             |
| 18.      | Nagaland                  | 116                            |
| 19.      | Orissa                    | 22521                          |
| 20.      | Punjab                    | 48351                          |
| 21.      | Rajasthan                 | 43388                          |
| 22.      | Sikkim                    | 1405                           |
| 23.      | Tamil Nadu                | 133918                         |
| 24.      | Uttar Pradesh             | 77549                          |
| 25.      | Uttrakhand                | 8617                           |
| 26.      | West Bengal               | 72016                          |
| 27.      | Tripura                   | 1718                           |
| 28.      | Telangana                 | 4942                           |
| 29.      | Medical Council of India* | 52666                          |
|          | Total                     | 11, 57,7 71                    |

Note - The other State / UTs do not have their own Medical Registration Council. Hence, their workers get registration with the Councils of other neighbouring States.

* 52666 doctors were registered only with MCI. They are presumably working in States / U Ts which do not have a medical register or anywhere in the country.

State wise AYUSH Registered Practioners (Doctors) as on 1 - 1- 2018

| S. No.   | States/Uts        |   Ayurveda |   Unani |   Homoeopathy |   Total |
|----------|-------------------|------------|---------|---------------|---------|
| 1.       | 2                 |          3 |       4 |             5 |       6 |
| 1.       | Andhra Pradesh    |      15921 |     702 |          5247 |   21870 |
| 2.       | Arunachal Pradesh |         55 |       1 |           336 |     392 |
| 3.       | Assam             |       1018 |       0 |          1160 |    2178 |
| 4.       | Bihar             |      96841 |    7123 |         32506 |  136470 |
| 5.       | Chhattisgarh      |       3430 |     148 |          1927 |    5505 |
| 6.       | Delhi             |       4661 |    2570 |          4965 |   12196 |
| 7.       | Goa               |        668 |       0 |           714 |    1382 |
| 8.       | Gujarat           |      26716 |     327 |         22930 |   49973 |
| 9.       | Haryana           |       8319 |     216 |          5586 |   14121 |
| 10.      | Himachal Pradesh  |      10338 |       0 |          1283 |   11620 |
| 11.      | Jammu & Kashmir   |       3123 |    2596 |           410 |    6129 |
| 12.      | Jharkhand         |        219 |      54 |           538 |     811 |
| 13.      | Karnataka         |      35886 |    2074 |          9450 |   47410 |
| 14.      | Kerala            |      25142 |     118 |         13847 |   39107 |
| 15.      | Madhya Pradesh    |      46981 |    1783 |         18284 |   67048 |
| 16.      | Maharashtra       |      79200 |    7000 |         66947 |  153147 |
| 17.      | Manipur           |          0 |       0 |             0 |       0 |
| 18.      | Meghalaya         |          0 |       0 |           368 |     368 |
| 19.      | Mizoram           |          0 |       0 |             0 |       0 |
| 20.      | Nagaland          |          0 |       0 |           143 |     143 |
| 21.      | Odisha            |       4874 |      26 |          9825 |   14725 |
| 22.      | Punjab            |      11374 |     211 |          4411 |   15996 |
| 23.      | Rajasthan         |       9762 |     983 |          8063 |   18808 |
| 24.      | Sikkim            |          0 |       0 |             0 |       0 |
| 25.      | Tamil Nadu        |       4357 |    1182 |          5596 |   11135 |
| 26.      | Telangana         |      10937 |    4762 |          4911 |   20612 |
| 27.      | Tripura           |          0 |       0 |           447 |     447 |
| 28.      | Uttar Pradesh     |      37262 |   13884 |         34343 |   85489 |
| 29.      | Uttarakhand       |       3117 |     133 |           823 |    4073 |
| 30.      | West Bengal       |       3503 |    5215 |         38231 |   46949 |
| 31.      | A&N Islands       |          0 |       0 |             0 |       0 |
| 32.      | Chandigarh        |          0 |       0 |           165 |     165 |
| 33.      | D&N Haveli        |          0 |       0 |             0 |       0 |
| 34.      | Daman&Diu         |          0 |       0 |             0 |       0 |
| 35.      | Lakshdweep        |          0 |       0 |             0 |       0 |
| 36       | Puducherry        |          0 |       0 |             0 |       0 |
|          | Total             |     443704 |   51110 |        293455 |  788269 |

Source: State Boards/Councils

Ayurveda :  Figures  in  no  states  of  Andhra  Pradesh  (2017),  Bihar  (2016),  Chhattishgarh  (2017),  Rajasthan(20 Tamilnadu  (2016),  Telangana  (2017)  and  West  Bengal(2017)  has  been  repeated  as  the  current  year information  not available.

Unani  : Figures  in  no  states  of  Andhra  Pradesh  (2017),  Bihar  (2016),  Chhattishgarh(2017),  Rajasthan(201 Tamilnadu(2016) and Telangana(2017) has been repeated as the current year information not available.

Homoeopathy :Figures in no states of Andhra Pradesh(2017), Assam(2017) and Punjab(2017) has been repeated as th current year information not available.

Note : figures in no Manipur, Mizoram, Sikkim, A&N Islands, D&N Haveli, Daman & Diu, Laksdweep and Puducherry have  b een  indicated  Nil  in  all  streams  as  there  is  no  separate  Board/Council  for  registration  of  practitioner states. Note : figures in r/o Meghalya, Nagaland, Tripura and Chandigarh have been indicated Nil in Ayurveda, Unani, a there is no separate Board/Council for registration of practitioners in these states. Note : "The information of Ayurveda, Unani  for  the  state  of  Andhra  Pradesh  (as  on  31.03.2014)  and  Ayurveda  for  the  State  of  Bihar  (as  on  31.03.20 updated based on the information receive d from CCIM.