Lok Sabha Question No. 985 (UNSTARRED), answered on 2019-02-08
Subject: National Health Policy
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RABINDRA KUMAR JENA, KIRRON KHER

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

## LOK SABHA UNSTARRED QUESTION NO. 985 TO BE ANSWERED ON 08 TH FEBRUARY, 2019

## NATIONAL HEALTH POLI CY

## 985. SHRI RABINDRA KUMAR JENA: SHRIMATI KIRRON KHER:

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

- (a)  whether  as  per  Economic  Survey  2016 - 17,  Government  expenditure  (States  +  Centre)  as percentage of GDP for 2016 - 17 (BE) was 1.4 per cent, whereas world average was 5.99 percent;
- (b) if so, the actions being taken by the Government to meet the target of 2.5 percent public spending on health set by the National Health Policy, 2017;
- (c) whether the Government has a roadmap to increase public spending on health to 2.5 perce GDP;
- (d) if so, the details of the plan of action including designated timeline and if not therefor;
- (e) the details of the steps being taken by the Gove rnment to ensure an increase in State sector health spending to the target mentioned in the National Health Policy, 2017; and
- (f) the number of identified high priority districts and whether there has been an incr availability  of  paramedics  an d  doctors  as  per  Indian  Public  Health  Standard  (IPHS)  in  the districts, since the rollout of the Policy, if so, the details thereof?

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

- (a): As per the Economic Survey 2016-17, the total expenditure by Government (Central and State Governments combined) on health as percentage of GDP for 2016-17(BE) was 1.4 per cent while world average was 5.99 per cent (World Bank, 2014).
- (b) to  (e): The National  Health  Policy,  2017  envisages  raising  public  health expenditure to 2.5% of GDP by 2025 in a time bound manner. It also envisages increasing State sector health spending to more than 8% of their budget by 2020.
- (f): The number of Doctors and Paramedics in position in the 257 High Priority Districts during 2017-18 and 2018-19 is given in Annexure.

……………….

## Number of Doctors and Paramedics in position in 257 High Priority Districts

|        |                         | 2017-18       | 2017-18           | 2018-19       | 2018-19           |
|--------|-------------------------|---------------|-------------------|---------------|-------------------|
|        | High Priority Districts | No. of Doctor | No. of paramedics | No. of Doctor | No. of paramedics |
| Andhra | Vishakhapatnam          | 443           | 3348              | 559           | 3808              |
| Andhra | Cuddapah                | 299           | 1981              | 303           | 2203              |
| Andhra | Vizianagaram            | 174           | 1928              | 255           | 1636              |
| Andhra | Anantapur               | 416           | 2547              | 441           | 2574              |
| Andhra | Chittoor                | 544           | 2626              | 600           | 2848              |
| Andhra | Kurnool                 | 437           | 2265              | 482           | 2364              |
|        | Lower Subansiri         | 41            | 208               | 38            | 204               |
|        | Tawang                  | 31            | 146               | 14            | 41                |
|        | Upper Subansiri         | 33            | 177               | 27            | 142               |
|        | Tirap                   | 28            | 93                | 11            | 61                |
|        | East Kameng             | 18            | 97                | 32            | 185               |
|        | Kurung Kumey            | 12            | 54                | 12            | 84                |
|        | Namsai                  | 14            | 107               | 14            | 106               |
|        | Nagaon                  | 220           | 1393              | 271           | 1670              |
|        | Chirang                 | 63            | 336               | 74            | 337               |
|        | Cachar                  | 241           | 1063              | 416           | 1265              |
|        | Karbi Anglong           | 141           | 878               | 169           | 941               |
|        | Goalpara                | 123           | 739               | 151           | 839               |
|        | Karimganj               | 101           | 705               | 113           | 711               |
|        | Hailakandi              | 48            | 452               | 63            | 520               |
|        | Dhubri                  | 114           | 889               | 177           | 1072              |
|        | Darrang                 | 79            | 610               | 84            | 669               |
|        | Barpeta                 | 267           | 1581              | 264           | 1674              |
|        | Udalgiri                | 44            | 469               | 90            | 617               |
|        | Baksa                   | 143           | 604               | 145           | 640               |
|        | Saharsa                 | 115           | 276               | 56            | 394               |
|        | Purnia                  | 252           | 713               | 78            | 491               |
|        | Gaya                    | 170           | 1100              | 172           | 1208              |
|        | Araria                  | 95            | 458               | 47            | 344               |
|        | Jamui                   | 76            | 427               | 104           | 481               |
|        | Sheohar                 | 27            | 53                | 21            | 75                |
|        | Madhepura               | 94            | 386               | 102           | 307               |
|        | Katihar                 | 90            | 546               | 125           | 549               |
|        | Sitamarhi               | 87            | 300               | 76            | 325               |
|        | Madhubani               | 141           | 578               | 158           | 552               |
|        | Darbhanga               | 119           | 529               | 125           | 552               |
|        | Kishanganj              | 43            | 298               | 48            | 260               |
|        | Purba Champaran         | 156           | 613               | 160           | 559               |
|        | Begusarai               | 97            | 750               | 73            | 469               |

| State            | High Priority Districts    | 2017-18       | 2017-18           | 2018-19       | 2018-19           |
|------------------|----------------------------|---------------|-------------------|---------------|-------------------|
| State            | High Priority Districts    | No. of Doctor | No. of paramedics | No. of Doctor | No. of paramedics |
|                  | Sheikhpura                 | 64            | 269               | 61            | 256               |
|                  | Khagaria                   | 72            | 331               | 75            | 360               |
|                  | Aurangabad                 | 89            | 411               | 94            | 479               |
|                  | Banka                      | 67            | 576               | 73            | 622               |
|                  | Muzaffarpur                | 49            | 242               | 9             | 46                |
|                  | Nawada                     | 72            | 342               | 92            | 390               |
| Chhattisgarh     | Bijapur                    | 66            | 344               | 58            | 343               |
|                  | Surguja                    | 103           | 788               | 120           | 833               |
|                  | Kabirdham                  | 84            | 468               | 41            | 441               |
|                  | Jashpur                    | 87            | 804               | 94            | 746               |
|                  | Bastar                     | 82            | 642               | 105           | 683               |
|                  | Narayanpur                 | 29            | 186               | 31            | 206               |
|                  | Dakshin Bastar (Dantewada) | 69            | 412               | 79            | 476               |
|                  | Korba                      | 127           | 592               | 116           | 657               |
|                  | Mahasamund                 | 66            | 718               | 56            | 701               |
|                  | Kanker                     | 125           | 882               | 126           | 818               |
|                  | Kondagaon                  | 68            | 480               | 52            | 479               |
|                  | Rajnandgaon                | 100           | 998               | 63            | 952               |
|                  | Sukma                      | 34            | 153               | 36            | 210               |
|                  | South Delhi                | 122           | 367               | 102           | 349               |
| Delhi            | North West Delhi           | 229           | 1226              | 125           | 550               |
| Gujarat          | Narmada                    | 66            | 751               | 67            | 705               |
|                  | Sabarkantha                | 165           | 1062              | 160           | 1082              |
|                  | Valsad                     | 126           | 1247              | 123           | 1040              |
|                  | Kachchh                    | 116           | 1148              | 132           | 1136              |
|                  | Banaskantha                | 243           | 2711              | 267           | 2756              |
|                  | Kheda                      | 169           | 1294              | 146           | 1382              |
|                  | Panchmahal                 | 119           | 962               | 134           | 1130              |
|                  | Dohad                      | 225           | 2235              | 181           | 2082              |
|                  | The Dangs                  | 33            | 286               | 51            | 296               |
|                  | Morbi                      | 166           | 589               | 89            | 721               |
| Haryana          | Panipat                    | 72            | 557               | 75            | 508               |
| Haryana          | Faridabad                  | 119           | 708               | 114           | 552               |
| Haryana          | Gurgaon                    | 159           | 746               | 181           | 793               |
| Haryana          | Palwal                     | 81            | 523               | 92            | 564               |
| Haryana          | Mewat                      | 90            | 332               | 66            | 208               |
|                  | Lahul & Spiti              | 31            | 83                | 32            | 90                |
| Himachal Pradesh | Bilaspur                   | 118           | 347               | 100           | 393               |
| Himachal Pradesh | Sirmaur                    | 61            | 261               | 119           | 449               |
| Himachal Pradesh | Chamba                     | 88            | 367               | 106           | 260               |
| Jammu&           | Punch                      | 84            | 410               | 105           | 413               |
| Kashmir          | Reasi                      | 57            | 209               | 64            | 270               |

| High Priority Districts   | 2017-18       | 2017-18           | 2018-19       | 2018-19           |
|---------------------------|---------------|-------------------|---------------|-------------------|
| High Priority Districts   | No. of Doctor | No. of paramedics | No. of Doctor | No. of paramedics |
| Kistwar                   | 41            | 92                | 62            | 131               |
| Rajouri                   | 110           | 664               | 112           | 667               |
| Ramban                    | 46            | 271               | 53            | 305               |
| Doda                      | 93            | 475               | 85            | 488               |
| Kupwara                   | 183           | 824               | 178           | 705               |
| Baramula                  | 229           | 830               | 251           | 721               |
| Saraikela Kharsawan       | 55            | 464               | 63            | 431               |
| Godda                     | 53            | 407               | 52            | 425               |
| Gumla                     | 56            | 565               | 68            | 599               |
| Pakur                     | 33            | 203               | 14            | 39                |
| Lohardaga                 | 33            | 236               | 40            | 250               |
| Palamu                    | 97            | 475               | 91            | 447               |
| Garhwa                    | 63            | 250               | 52            | 198               |
| Latehar                   | 52            | 334               | 47            | 318               |
| Sahibganj                 | 54            | 417               | 42            | 351               |
| Chatra                    | 42            | 254               | 41            | 252               |
| Simdega                   | 53            | 389               | 34            | 363               |
| Pashchimi Singhbhum       | 90            | 732               | 68            | 704               |
| Purbi Singhbhum           | 101           | 664               | 66            | 589               |
| Ramgarh                   | 50            | 168               | 67            | 157               |
| Ranchi                    | 155           | 894               | 169           | 787               |
| Bokara                    | 87            | 348               | 117           | 314               |
| Dumka                     | 83            | 794               | 101           | 833               |
| Girdih                    | 73            | 373               | 91            | 333               |
| Hazaribagh                | 102           | 368               | 89            | 401               |
| Khunti                    | 42            | 368               | 74            | 464               |
| Bellary                   | 362           | 1471              | 197           | 1552              |
| Gadag                     | 83            | 837               | 94            | 801               |
| Shimoga                   | 263           | 2056              | 258           | 2056              |
| Bijapur                   | 125           | 1265              | 148           | 1440              |
| Gulbarga                  | 224           | 1891              | 216           | 1775              |
| Uttar Kannada             | 192           | 1069              | 213           | 1266              |
| Raichur                   | 181           | 1539              | 76            | 474               |
| Chikmagalur               | 178           | 1201              | 182           | 1229              |
| Koppal                    | 94            | 827               | 130           | 968               |
| Yadgir                    | 63            | 751               | 92            | 571               |
| Kalaburgi                 | 224           | 1891              | 216           | 1775              |
| Kasaragod                 | 340           | 1367              | 240           | 1422              |
| Alappuzha                 | 338           | 2634              | 341           | 1784              |
| Malappuram                | 366           | 2342              | 335           | 2250              |
| Wayanad                   | 143           | 839               | 187           | 994               |

|                         | 2017-18       | 2017-18           | 2018-19       | 2018-19           |
|-------------------------|---------------|-------------------|---------------|-------------------|
| High Priority Districts | No. of Doctor | No. of paramedics | No. of Doctor | No. of paramedics |
| Mandla                  | 166           | 719               | 113           | 775               |
| Damoh                   | 162           | 415               | 83            | 586               |
| Satna                   | 109           | 978               | 136           | 947               |
| Ashoknagar              | 53            | 339               | 59            | 304               |
| Dindori                 | 55            | 703               | 61            | 642               |
| Chhatarpur              | 197           | 657               | 154           | 755               |
| Shahdol                 | 72            | 693               | 74            | 686               |
| Tikamgarh               | 85            | 717               | 80            | 655               |
| Sheopur                 | 52            | 251               | 30            | 225               |
| Panna                   | 28            | 363               | 59            | 435               |
| Singrauli               | 21            | 338               | 42            | 284               |
| Vidisha                 | 89            | 518               | 101           | 576               |
| Barwani                 | 112           | 915               | 116           | 835               |
| Sidhi                   | 210           | 351               | 61            | 522               |
| Jhabua                  | 168           | 449               | 104           | 508               |
| Alirajpur               | 59            | 391               | 70            | 341               |
| Khandwa                 | 68            | 514               | 63            | 518               |
| Rajgarh                 | 66            | 395               | 117           | 558               |
| Guna                    | 67            | 568               | 61            | 509               |
| Aurangabad              | 232           | 1227              | 411           | 1627              |
| Jalna                   | 202           | 1046              | 276           | 989               |
| Yavatmal                | 247           | 1587              | 338           | 1575              |
| Nashik                  | 409           | 2933              | 592           | 2983              |
| Thane                   | 693           | 2613              | 627           | 2667              |
| Ahmednagar              | 397           | 1744              | 335           | 1760              |
| Nanded                  | 226           | 1409              | 353           | 1538              |
| Hingoli                 | 123           | 525               | 148           | 600               |
| Jalgaon                 | 195           | 1982              | 267           | 1990              |
| Dhule                   | 135           | 894               | 160           | 881               |
| Nandurbar               | 193           | 1113              | 190           | 1150              |
| Gadchiroli              | 320           | 1386              | 238           | 1466              |
| Washim                  | 90            | 575               | 103           | 590               |
| Osmanabad               | 324           | 852               | 212           | 991               |
| Chandel                 | 66            | 222               | 109           | 194               |
| Ukhrul                  | 39            | 151               | 46            | 174               |
| Tamenglong              | 37            | 139               | 34            | 163               |
| West Khasi Hills        | 74            | 421               | 69            | 451               |
| Jaintia Hills           | 64            | 327               | 65            | 427               |
| East Garo Hills         | 36            | 232               | 33            | 241               |
| Ribhoi Lunglei          | 45 49         | 265 423           | 56 47         | 299 413           |
| Saiha                   | 10            | 124               | 16            | 97                |
| Mamit                   | 18            | 142               | 18            | 158               |

|                            | 2017-18       | 2017-18           | 2018-19       | 2018-19           |
|----------------------------|---------------|-------------------|---------------|-------------------|
| High Priority Districts    | No. of Doctor | No. of paramedics | No. of Doctor | No. of paramedics |
| Lawngthlai                 | 17            | 135               | 20            | 148               |
| Tuensang                   | 35            | 338               | 30            | 303               |
| Kiphire                    | 14            | 149               | 17            | 152               |
| Longleng                   | 12            | 62                | 11            | 63                |
| Mon                        | 31            | 224               | 25            | 170               |
| Baudh                      | 59            | 249               | 58            | 248               |
| Nuapada                    | 60            | 421               | 85            | 388               |
| Debagarh                   | 39            | 214               | 46            | 181               |
| Kandhamal                  | 160           | 686               | 171           | 663               |
| Malkangiri                 | 88            | 539               | 101           | 504               |
| Rayagada                   | 130           | 742               | 119           | 653               |
| Koraput                    | 185           | 825               | 164           | 802               |
| Nabarangapur               | 132           | 811               | 130           | 775               |
| Gajapati                   | 88            | 429               | 86            | 418               |
| Kendujhar                  | 222           | 1297              | 222           | 1134              |
| Kalahandi                  | 186           | 1030              | 190           | 1006              |
| Dhenkanal                  | 146           | 577               | 150           | 568               |
| Balangir                   | 203           | 854               | 207           | 808               |
| Fatehgarh Sahib            | 104           | 326               | 108           | 361               |
| Firozpur                   | 86            | 517               | 136           | 457               |
| Sangrur                    | 137           | 815               | 213           | 770               |
| Sahibzada Ajit singh Nagar | 161           | 503               | 183           | 508               |
| Ludhiana                   | 211           | 1037              | 299           | 1127              |
| Moga                       | 72            | 532               | 71            | 466               |
| Karauli                    | 284           | 722               | 144           | 827               |
| Banswara                   | 183           | 1342              | 211           | 1268              |
| Chittaurgarh               | 191           | 963               | 175           | 980               |
| Dhaulpur                   | 133           | 829               | 127           | 696               |
| Jalor                      | 145           | 844               | 129           | 828               |
| Sirohi                     | 97            | 619               | 106           | 623               |
| Bharatpur                  | 216           | 1173              | 225           | 1046              |
| Udaipur                    | 253           | 1564              | 270           | 1319              |
| Jaisalmer                  | 99            | 431               | 100           | 337               |
| Barmer                     | 297           | 1185              | 242           | 1105              |
| West District              | 28            | 210               | 32            | 231               |
| East District              | 92            | 342               | 42            | 333               |
| Krishnagiri                | 312           | 1259              | 326           | 1297              |
| Madurai                    | 252           | 1276              | 294           | 1241              |
| Tiruchirappalli            | 410           | 1394              | 339           | 1832              |
| Viluppuram                 | 433           | 2569              | 462           | 1907              |
| Nagapattinam               | 252           | 1188              | 293           | 1146              |
| Tiruvannamalai             | 509           | 1524              | 440           | 1697              |

| High Priority Districts   | 2017-18       | 2017-18           | 2018-19       | 2018-19           |
|---------------------------|---------------|-------------------|---------------|-------------------|
| High Priority Districts   | No. of Doctor | No. of paramedics | No. of Doctor | No. of paramedics |
| Ariyalur                  | 213           | 478               | 146           | 499               |
| Ramanathapuram            | 269           | 966               | 280           | 961               |
| Tirunelveli               | 488           | 1515              | 502           | 1670              |
| Virudhunagar              | 295           | 1248              | 334           | 1290              |
| Thoothukkudi              | 348           | 1073              | 288           | 1049              |
| Adilabad                  | 94            | 731               | 53            | 425               |
| Nizamabad                 | 135           | 850               | 241           | 1046              |
| Mahbubnagar               | 279           | 684               | 55            | 603               |
| Bhoopalpalli              | 57            | 801               | 58            | 609               |
| Asifabad                  | 32            | 321               | 49            | 309               |
| Khammam                   | 159           | 718               | 141           | 904               |
| Dhalai                    | 101           | 563               | 99            | 507               |
| North Tripura             | 80            | 461               | 104           | 430               |
| Bareilly                  | 187           | 998               | 209           | 1114              |
| Etah                      | 73            | 434               | 54            | 364               |
| Faizabad                  | 227           | 725               | 97            | 631               |
| San Kabir Nagar           | 0             | 266               | 0             | 0                 |
| Kashi Ram Nagar           | 65            | 392               | 64            | 390               |
| Kannauj                   | 348           | 546               | 85            | 392               |
| Auraiya                   | 85            | 354               | 88            | 353               |
| Fatehpur                  | 122           | 798               | 128           | 697               |
| Banda                     | 64            | 615               | 76            | 645               |
| Sonbhadra                 | 86            | 547               | 89            | 408               |
| Farrukhabad               | 59            | 451               | 57            | 461               |
| Sitapur                   | 240           | 1034              | 184           | 1086              |
| Bara Banki                | 183           | 1037              | 215           | 950               |
| Hardoi                    | 134           | 839               | 153           | 1122              |
| Shahjahanpur              | 192           | 792               | 115           | 763               |
| Kheri                     | 129           | 766               | 157           | 719               |
| Gonda                     | 129           | 676               | 120           | 746               |
| Budaun                    | 193           | 663               | 133           | 670               |
| Kaushambi                 | 90            | 491               | 105           | 474               |
| Siddharthnagar            | 66            | 512               | 137           | 635               |
| Shrawasti                 | 65            | 359               | 62            | 312               |
| Balrampur                 | 72            | 501               | 82            | 447               |
| Bahraich                  | 169           | 658               | 100           | 630               |
| Chitrakoot                | 47            | 315               | 51            | 270               |
| Chanduli                  | 129           | 474               | 129           | 514               |
| Tehri Garhwal             | 83            | 376               | 127           | 408               |
| Udham Singh Nagar         | 72            | 556               | 20            | 144               |
| Hardwar                   | 84            | 567               | 76            | 439               |
| Koch Bihar                | 197           | 1745              | 192           | 1793              |
| South 24-Pargana          | 539           | 4120              | 743           | 5058              |

|       |                         | 2017-18       | 2017-18           | 2018-19       | 2018-19           |
|-------|-------------------------|---------------|-------------------|---------------|-------------------|
| State | High Priority Districts | No. of Doctor | No. of paramedics | No. of Doctor | No. of paramedics |
|       | Dakshin Dinajpur        | 139           | 1219              | 145           | 1210              |
|       | Murshidabad             | 438           | 3980              | 601           | 4394              |
|       | Puruliya                | 221           | 1687              | 293           | 1824              |
|       | Maldah                  | 299           | 1843              | 422           | 2419              |
|       | Uttar Dinajpur          | 165           | 1397              | 194           | 1661              |
|       | Birbhum                 | 270           | 2247              | 267           | 2468              |
|       | Nadia                   | 405           | 2514              | 407           | 3077              |

Source: Data as uploaded by States/UT's on HMIS portal, status as on 6 Feb, 2019