Lok Sabha Question No. 2553 (UNSTARRED), answered on 2020-03-06
Subject: Human Resource Crunch in Healthcare
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Badruddin Ajmal

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

LOK SABHA UNSTARRED QUESTION NO. 2553 TO BE ANSWERED ON 06 TH MARCH, 2020

## HUMAN RESOURCE CRUNC H IN HEALTHCARE

## 2553. SHRI M. BADRUDDIN AJMAL:

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

- (a) whether the Government has taken note of several reports indicating that India is am countries which are facing human resource crunch in healthcare;
- (b) the density of doctors, nurses, paramedical professionals and medical colleges in prop to population in rural and urban areas of the country, State/ UT -wise;
- (c)  whether  the  Government  has  formulated  any  action  plan  to  improve  the  availabilit doct ors, nurses, para - medical professionals and medical colleges, particularly in the States w their ratio/density in proportion to population is lower than the national average; and
- (d) if so, the details thereof and if not, the reasons therefor?

## ANSWER

## THE MINISTER OF HEALTH AND FAMILY WELFARE (DR. HARSH VARDHAN)

(a)to (d) Public health and hospitals being a State subject, the primary responsibility to availability of human healthcare professionals in public health facilities lies with the St /UT Governments.  However,  under  the  National  Health  Mission  (NHM),  financial  and  technica support is provided to States/UTs to strengthen their healthcare systems including supp engagement of doctors on contractual basis, based on the requirements posed by the States/UTs in their Programme Implementation Plans (PIPs) within their overall resource envelope.

As per information provided by the respective regulatory bodies, 12,01,354 allopathic doctors ,885383 Auxiliary Nurses Midwives (ANM), 2129820 Registered Nurse & Registered Midwives (RN&RM), 56644 Lady Health Visitors (LHV) and 276701 Dentists are registered in the Country. The details are as Annexed.

The  Government  has  taken  various  steps  to f urther increase the availability  of human resource in the country which include:

- i. Establishment  of  New  Medical  Colleges  attached  with  district/referral  hospital underserved districts of the country.
- ii. Strengthening/ upgradation of existing State Governmen t/Central Government Medical Colleges to increase MBBS and PG seats.
- iii. Relaxation in the norms for setting up of Medical College in terms of requiremen faculty, staff, bed strength and other infrastructure.
- iv. Minimum requirement of land for establishment of medical college in metropolitan cities as notified under Article 243P(c) of the Constitution of India has been dispensed wi
- v. Enhancement of maximum intake capacity at MBBS level from 150 to 250.
- vi. DNB  qualification  has  been  recognized  for  appointment  as faculty  to  take  care  of shortage of faculty.
- vii. Enhancement of age limit for appointment/ extension/ re - employment  against  posts  of teachers/dean/principal/ director in medical colleges upto 70 years.
- viii. The ratio of teachers to students for Professor has been revised from 1:1 to 1:2 for all MD/MS disciplines and 1:1 to 1:3 in all clinical subjects in Government funded med colleges and in Private medical colleges with 15 years standing. Further, for Ass Professor, the said ratio has been revised from 1 :1 to 1:2 and 1:3 if he/she is a unit head in all clinical subjects in Government medical colleges and in Private medical co with  15  years  standing.  This  would  result  in  increase  in  number  of  PG  seats  in country.
- ix. By amending the regulations, it h as been made mandatory for all medical colleges to start PG  courses  within  3  years  from  the  date  of  their  MBBS  recognition  /continuation recognition.
- x. Colleges are allowed to apply for PG medicalcourses in clinical subjects at the time of 4 th renewal. It will serve to advance the process for starting PG medicalcourses by more than 1 year.
- xi. Provision has been made in the regulations to offer less number of seats to the ap medical college, in case, it falls short of minimum prescribed requ irements of applied intake to avoid wastage of human resources.
- xii. A Consortium (a group of 2 or upto 4 private organizations) has been allowed to esta a medical college.
- xiii. The requirement of land to construct building for School/College of Nursing and Hostel has been relaxed.
- xiv. The requirement of a 100 beded parent hospital has been relaxed for hilly and triba for School/College of Nursing and Hostel .
- xv. The student teacher ratio for M.Sc(N) programme has been relaxed from 1:5 to 1:10.
- xvi. Student patient ratio for Nursing Institutions has been relaxed from 1:5 to 1:3.
- xvii. Distance  from  Nursing  School  to  hospital  has  been  relaxed  from  15  km  to  30  km However,  for  hilly  and  tribal  areas  the  maximum  distance  is  50  km.Super  specil hospital can start M.Sc.(N) without having under graduate programme.

………………….

## Annexure

## Number of Doctors Registered with State Medical Councils / Medical Council of India as on 30 th September, 2019

| S. No.   | Name of the State         | Number of Registered Doctors   |
|----------|---------------------------|--------------------------------|
| 1.       | Andhra Pradesh            | 100587                         |
| 2.       | Arunachal Pradesh         | 1021                           |
| 3.       | Assam                     | 23902                          |
| 4.       | Bihar                     | 44642                          |
| 5.       | Chattisgarh               | 9355                           |
| 6.       | Delhi                     | 24999                          |
| 7.       | Goa                       | 3890                           |
| 8.       | Gujarat                   | 69746                          |
| 9.       | Haryana                   | 12345                          |
| 10.      | Himachal                  | 3054                           |
| 11.      | Jammu & Kashmir           | 15422                          |
| 12.      | Jharkhand                 | 6468                           |
| 13.      | Karnataka                 | 124663                         |
| 14.      | Madhya Pradesh            | 39044                          |
| 15.      | Maharashtra               | 179783                         |
| 16.      | Kerala                    | 60565                          |
| 17.      | Mizoram                   | 74                             |
| 18.      | Nagaland                  | 134                            |
| 19.      | Orissa                    | 22521                          |
| 20.      | Punjab                    | 48351                          |
| 21.      | Rajasthan                 | 43992                          |
| 22.      | Sikkim                    | 1414                           |
| 23.      | Tamil Nadu                | 138821                         |
| 24.      | Uttar Pradesh             | 81348                          |
| 25.      | Uttarakhand               | 8617                           |
| 26.      | West Bengal               | 74054                          |
| 27.      | Tripura                   | 1945                           |
| 28.      | Telangana                 | 7931                           |
| 29.      | Medical Council of India* | 52666                          |
|          | Total                     | 12,01,354                      |

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

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

## STATE WISE NUMBER OF REGISTERED NURSES IN INDIA

| S. No.   | STATE             | Total No. of Registered Nurses & Auxiliary Nurses in India as on 31.12.2018   | Total No. of Registered Nurses & Auxiliary Nurses in India as on 31.12.2018   | Total No. of Registered Nurses & Auxiliary Nurses in India as on 31.12.2018   |
|----------|-------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|-------------------------------------------------------------------------------|
| S. No.   | STATE             | ANM                                                                           | RN & RM                                                                       | LHV                                                                           |
| 1        | Andhra Pradesh*   | 138435                                                                        | 232621                                                                        | 2480                                                                          |
| 2        | Arunachal Pradesh | 2591                                                                          | 2437                                                                          | 77                                                                            |
| 3        | Assam*            | 27925                                                                         | 22388                                                                         | 353                                                                           |
| 4        | Bihar*            | 8624                                                                          | 9413                                                                          | 511                                                                           |
| 5        | Chattisgarh       | 14491                                                                         | 16829                                                                         | 1352                                                                          |
| 6        | Delhi             | 4516                                                                          | 67416                                                                         | 0                                                                             |
| 7        | Goa               | 75                                                                            | 154                                                                           | 0                                                                             |
| 8        | Gujarat           | 48517                                                                         | 123170                                                                        | 0                                                                             |
| 9        | Haryana           | 26607                                                                         | 30430                                                                         | 694                                                                           |
| 10       | Himachal Pradesh  | 11823                                                                         | 23690                                                                         | 500                                                                           |
| 11       | Jharkhand         | 6479                                                                          | 4119                                                                          | 142                                                                           |
| 12       | Karnataka*        | 54039                                                                         | 231643                                                                        | 6840                                                                          |
| 13       | Kerala            | 30706                                                                         | 275544                                                                        | 8507                                                                          |
| 14       | Madhya Pradesh*   | 39563                                                                         | 118793                                                                        | 1731                                                                          |
| 15       | Maharashtra       | 71079                                                                         | 139247                                                                        | 671                                                                           |
| 16       | Meghalaya         | 1846                                                                          | 6637                                                                          | 206                                                                           |
| 17       | Manipur           | 3877                                                                          | 8798                                                                          | 0                                                                             |
| 18       | Mizoram           | 2255                                                                          | 4006                                                                          | 0                                                                             |
| 19       | Orissa            | 64258                                                                         | 78101                                                                         | 238                                                                           |
| 20       | Punjab*           | 23029                                                                         | 76680                                                                         | 2584                                                                          |
| 21       | Rajasthan*        | 108688                                                                        | 200171                                                                        | 2732                                                                          |
| 22       | Tamil Nadu        | 58411                                                                         | 293105                                                                        | 11247                                                                         |
| 23       | Tripura*          | 2232                                                                          | 4140                                                                          | 148                                                                           |
| 24       | Uttar Pradesh*    | 60258                                                                         | 74777                                                                         | 2763                                                                          |
| 25       | Uttarakhand       | 3066                                                                          | 4758                                                                          | 14                                                                            |
| 26       | West Bengal       | 68670                                                                         | 67395                                                                         | 12854                                                                         |
| 27       | Telangana         | 3107                                                                          | 12214                                                                         | 0                                                                             |
| 28       | Sikkim            | 216                                                                           | 1144                                                                          | 0                                                                             |
|          | Total             | 885383                                                                        | 2129820                                                                       | 56644                                                                         |

Source : Respective State Nurses Registration Council ANM: Auxiliary Nurse Midwives, RN & RM: Registered Nurses & Registered Midwives, LHV: Lady Health Visitores, NA: Not Available

## STATE WISE NUMBER OF REGISTERED DENTISTS IN INDIA

| S.No.   | State/UT                                       | Numbers   |
|---------|------------------------------------------------|-----------|
| 1       | Andhra Pradesh State Dental Council            | 21355     |
| 2       | Arunachal Pradesh State Dental Council         | 266       |
| 3       | Assam State Dental Council                     | 2737      |
| 4       | Bihar State Dental Council                     | 8595      |
| 5       | Chhatisgarh State Dental Council               | 3825      |
| 6       | Delhi State Dental Council                     | 15322     |
| 7       | Dental Council of Chandigarh                   | 1082      |
| 8       | Goa State Dental Council                       | 1359      |
| 9       | Gujarat State Dental Council                   | 15011     |
| 10      | Haryana State Dental Council                   | 8836      |
| 11      | Himachal Pradesh State Dental Council          | 2462      |
| 12      | J &KState Dental Council                       | 4029      |
| 13      | Jharkhand State Dental Council                 | 146       |
| 14      | Karnataka State Dental Council                 | 43876     |
| 15      | Kerala State Dental Council                    | 21226     |
| 16      | Madhya Pradesh State Dental Council            | 8015      |
| 17      | Maharashtra State Dental Council               | 40457     |
| 18      | Manipur State Dentists Registration Tribunal   | 520       |
| 19      | Meghalaya State Dentists Registration Tribunal | 145       |
| 20      | Orissa State Dental Council                    | 2027      |
| 21      | Punjab State Dental Council                    | 15610     |
| 22      | Rajasthan State Dental Council                 | 7197      |
| 23      | Sikkim Dental Registration Tribunal            | 46        |
| 24      | State Dental Council, Puducherry               | 723       |
| 25      | Tamil Nadu State Dental Council                | 25167     |
| 26      | Telangana State Dental Council                 | 1001      |
| 27      | Tripura State Dental Council                   | 185       |
| 28      | Uttar Pradesh State Dental Council             | 18488     |
| 29      | Uttarakhand Dentists Registration Tribunals    | 1325      |
| 30      | West Bengal State Dental Council               | 5668      |
| Total   |                                                |           |
| 276701  | 276701                                         | 276701    |