Lok Sabha Question No. 1028 (UNSTARRED), answered on 2021-12-03
Subject: Primary Health Centres and Communitry Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Karti P. Chidambaram, Sadashiv Kisan Lokhande, Sanjay Jaiswal, Vijay Baghel

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE

## DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1028 TO BE ANSWERED ON THE 03 rd  DECEMBER, 2021

## PRIMARY HEALTH CENTRES AND COMMUNITRY HEALTH CENTRES

1028.   SHRI KARTI P. CHIDAMBARAM: SHRI SADASHIV KISAN LOKHANDE: DR. SANJAY JAISWAL: SHRI VIJAY BAGHEL:

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

- a) the number of present and proposed Community Health Centre(CHC) and Primary Health Centre (PHC)in the country, State/UT-wise;
- b) whether the Government has reviewed the output/performance of PHCs & CHCs and if so, the details thereof and the measures taken to improve their output;
- c) whether  the  Government  has  taken  note  of  acute  shortage  of  doctors  including  female doctors in such centres in the country and if so, the details thereof along with necessary steps taken by the Government in this regard, State/UT-wise;
- d) whether the Government has formulated or proposes to formulate any scheme to increase the percentage of female doctors in rural areas of the country and if so, the details thereof;
- e) whether the Government has taken note of the fact that the doctors and paramedical staff on duty  are  not  present/available  in  such  centres  and  if  so  the  details  thereof  along  with  the necessary steps taken in this regard; and
- f) the  details  of  current  system  of  recording  attendance  of  staff  at  PHCs  and  CHCs  in  each State/UT and whether the Government proposes to make biometric attendance mandatory at all such centres to check unauthorized absence of doctors and staff at such centres?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (DR. BHARATI PRAVIN PAWAR)

(a):  Rural  Health  Statistics  (RHS)  is  an  annual  publication,  based  on  Health  care administrative data reported by States/UTs. As per RHS 2019-20, the number of Primary Health Centres (PHCs) in place in the country is 30,813 and number of Community Health Centres  (CHCs)  in  the  country,  is  5649.  The  State-wise  number  of  PHCs  and  CHCs functioning in rural & urban areas is at Annexure-I.

(b):  Key  Deliverables  are  identified  for  each  of  the  programme,  intervention  and  important activities  at  the  time  of  finalization  of  the  Program  Implementation  Plans  (PIPs)  under National  Health  Mission.  Progress  on  the  key  deliverables  is  captured  through  the  Health Management  Information  System  (HMIS)  and  through  quarterly  financial  and  physical progress reports. Regular review meetings are held with states for monitoring of progress on the  key  deliverables  for  the  year,  besides  regular  monitoring  visits  from  National  Program Management Unit and Ministry officials.

Several other mechanisms such as, the Annual Common Review Missions (CRM) which comprise  of  teams  of  government  officials  from  different  Ministries,  NITI  Aayog,  public health  experts  and  representatives  of  civil  society  and  development  partners;  data  from  the external  surveys  such  as  Sample  Registration  Survey  (SRS)  and  National  Family  Health Survey (NFHS) also provide information for course correction in implementation strategies. In  addition,  mechanisms  of  third-party  monitoring  of  infrastructure  related  works  is  also envisaged, including geo-tagging of assets created under NHM.

At  the  District  Level,  the  DISHA  Committees,  under  the  Chairmanship  of  Member  of Parliament, monitor the progress of implementation of NHM. RogiKalyanSamitis (RKS) are set  up  at  Public  Health  Facilities  from  Primary  Health  Centre  (PHC)  upwards,  as  an accountability  measure  to  ensure  high  quality  patient  care.  Village  Health,  Sanitation  and Nutrition  Committee  (VHSNC)  constituted  with  representation  of  the  Panchayati  Raj Institutions and MahilaArogyaSamitis for rural and urban areas, to facilitate an active role for communities in action for addressing social and environmental determinants of health.

(c) to (f) : Public health and hospitals is a State subject, the primary responsibility to ensure availability of human  healthcare professionalsdoctors including female doctors and paramedical staff and to check unauthorized absence of doctors and staff in the public health facilities lies with the respective State/UT Governments. Under the National Health Mission (NHM), financial and technical support is provided to States/UTs to strengthen their health care  systems  including  augmenting  health  human  resource  on  contractual  basis  including support  for  in-sourcing  or  engagement  of  doctors,  specialist  doctors  and  other  health professionals for provision of equitable, affordable healthcare based on requirements posed by the States in their Programme Implementation Plans (PIPs) and within their overall resource envelope.

Shortage of health professionals including female doctors and other paramedical staff in public health facilities varies from State to State depending upon their policies and context. States/UTs are advised to put in place transparent policies of posting and transfer, and ensure rational  deployment  of  doctors.  As  the  posts  required  for  health  facilities  are  filled  up  by respective State/UT Governments, they are impressed upon from time to time to fill up the vacant posts. States formulate scheme for reservation / quota in medical admission for women candidates as per their admission policy and gives reservations in their recruitment policy to maintain the parity.

However,  Government  has  taken  various  steps  to  optimize  the  number  of  doctors  and specialists in the country - such as increasing the number of seats in UG/PG level at various medical educational institutes/medical colleges across the country, an increase of more than 70 % in last 7 years; encouraging doctors to work in remote and difficult areas; encouraging States to adopt flexible norms for engaging specialists for public health facilities by various mechanisms like 'contracting in' and 'contracting out' of specialist services under National Health Mission.

NHM provides for following types of incentives and honorarium to staff for ensuring service delivery in rural and remote areas in the country

-  Honorarium to Gynecologists/ Emergency Obstetric Care ( EmoC) trained, Pediatricians&Anesthetist/ Life Saving Anaesthesia Skills (LSAS)  trained doctors for conducting C Sections.
-  Incentives  for  staff  for  serving  in  rural  and  remote  areas:  Hard  area  allowances  and special packages are provided to attract health HR, especially medical officers and specialists, to remote and difficult areas.
-  Other  incentives  for  service  delivery:  Incentives  like  special  incentives  for  doctors, incentive  for  ANM  for  ensuring  timely  ANC  checkup  and  recording,  incentives  for conducting Adolescent Reproductive and Sexual Health ( ARSH) activities etc
-  States have also been allowed to offer negotiable salaries to attract Specialists including flexibility in strategies such as ''You quote, we pay".

In addition, non-Monetary incentives such as preferential admission in post graduate courses for staff serving in difficult areas and improving accommodation arrangement in rural areas have also been introduced under NHM.

Multi-skilling  of  doctors  is  supported  under  NHM  to  overcome  the  shortage  of  specialists. Skill  upgradation  of  existing  HR  is  another  major  strategy  under  NHM  for  achieving improvement in health outcomes. Government of India has requested the States to formulate HR policies so that availability of health HR is improved. Formulation of State HRH policy is an agreed support under NHM.

States/UTs  have  been  urged  to  fill-up  the  vacancies  in  sanctioned  positions.  As  per  Rural Health  Statistics  (RHS)  -  2019-20,  the  State/UT  wise  status  of  availability  of  doctors  and shortfall thereof in public health facilities both rural and urban areas is given at Annexure II .

## Annexure-I

## STATE WISE NUMBER OF PHCs, CHCs FUNCTIONING IN RURAL & URBAN AREAS

| STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   | STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   | STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   | STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   | STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   | STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   | STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   | STATE WISE NUMBEROFPHCs, CHCs FUNCTIONING IN RURAL&URBANAREAS   |
|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| S. No.                                                          | State/UT                                                        | PHCs                                                            | PHCs                                                            | PHCs                                                            | CHCs                                                            | CHCs                                                            | CHCs                                                            |
|                                                                 |                                                                 | Rural                                                           | Urban                                                           | Total                                                           | Rural                                                           | Urban                                                           | Total                                                           |
| 1                                                               | Andhra Pradesh                                                  | 1142                                                            | 243                                                             | 1385                                                            | 141                                                             | 57                                                              | 198                                                             |
| 2                                                               | Arunachal Pradesh                                               | 119                                                             | 5                                                               | 124                                                             | 60                                                              | 0                                                               | 60                                                              |
| 3                                                               | Assam                                                           | 946                                                             | 56                                                              | 1002                                                            | 190                                                             | 2                                                               | 192                                                             |
| 4                                                               | Bihar                                                           | 1702                                                            | 325                                                             | 2027                                                            | 57                                                              | 7                                                               | 64                                                              |
| 5                                                               | Chhattisgarh                                                    | 792                                                             | 45                                                              | 837                                                             | 170                                                             | 4                                                               | 174                                                             |
| 6                                                               | Goa                                                             | 55                                                              | 4                                                               | 59                                                              | 6                                                               | 0                                                               | 6                                                               |
| 7                                                               | Gujarat                                                         | 1477                                                            | 318                                                             | 1795                                                            | 348                                                             | 14                                                              | 362                                                             |
| 8                                                               | Haryana                                                         | 385                                                             | 100                                                             | 485                                                             | 118                                                             | 13                                                              | 131                                                             |
| 9                                                               | Himachal Pradesh                                                | 564                                                             | 24                                                              | 588                                                             | 85                                                              | 7                                                               | 92                                                              |
| 10                                                              | Jharkhand                                                       | 291                                                             | 60                                                              | 351                                                             | 171                                                             | 6                                                               | 177                                                             |
| 11                                                              | Karnataka                                                       | 2176                                                            | 358                                                             | 2534                                                            | 189                                                             | 19                                                              | 208                                                             |
| 12                                                              | Kerala                                                          | 784                                                             | 148                                                             | 932                                                             | 211                                                             | 16                                                              | 227                                                             |
| 13                                                              | Madhya Pradesh                                                  | 1199                                                            | 277                                                             | 1476                                                            | 309                                                             | 21                                                              | 330                                                             |
| 14                                                              | Maharashtra                                                     | 1829                                                            | 846                                                             | 2675                                                            | 278                                                             | 140                                                             | 418                                                             |
| 15                                                              | Manipur                                                         | 85                                                              | 8                                                               | 93                                                              | 17                                                              | 0                                                               | 17                                                              |
| 16                                                              | Meghalaya                                                       | 119                                                             | 24                                                              | 143                                                             | 28                                                              | 0                                                               | 28                                                              |
| 17                                                              | Mizoram                                                         | 57                                                              | 8                                                               | 65                                                              | 9                                                               | 0                                                               | 9                                                               |
| 18                                                              | Nagaland                                                        | 130                                                             | 7                                                               | 137                                                             | 21                                                              | 0                                                               | 21                                                              |
| 19                                                              | Odisha                                                          | 1288                                                            | 89                                                              | 1377                                                            | 377                                                             | 7                                                               | 384                                                             |
| 20                                                              | Punjab                                                          | 427                                                             | 100                                                             | 527                                                             | 143                                                             | 12                                                              | 155                                                             |
| 21                                                              | Rajasthan                                                       | 2094                                                            | 383                                                             | 2477                                                            | 548                                                             | 66                                                              | 614                                                             |
| 22                                                              | Sikkim                                                          | 24                                                              | 1                                                               | 25                                                              | 2                                                               | 0                                                               | 2                                                               |
| 23                                                              | Tamil Nadu                                                      | 1420                                                            | 464                                                             | 1884                                                            | 385                                                             | 15                                                              | 400                                                             |
| 24                                                              | Telangana                                                       | 636                                                             | 249                                                             | 885                                                             | 85                                                              | 10                                                              | 95                                                              |
| 25                                                              | Tripura                                                         | 107                                                             | 5                                                               | 112                                                             | 22                                                              | 0                                                               | 22                                                              |
| 26                                                              | Uttarakhand                                                     | 257                                                             | 38                                                              | 295                                                             | 56                                                              | 12                                                              | 68                                                              |
| 27                                                              | Uttar Pradesh                                                   | 2880                                                            | 593                                                             | 3473                                                            | 711                                                             | 12                                                              | 723                                                             |
| 28                                                              | West Bengal                                                     | 913                                                             | 456                                                             | 1369                                                            | 348                                                             | 0                                                               | 348                                                             |
| 29                                                              | Andaman &Nicobar Islands                                        | 22                                                              | 5                                                               | 27                                                              | 4                                                               | 0                                                               | 4                                                               |
| 30                                                              | Chandigarh                                                      | 0                                                               | 48                                                              | 48                                                              | 0                                                               | 2                                                               | 2                                                               |
| 31                                                              | Dadra &Nagar Haveli and                                         | 10                                                              | 3                                                               | 13                                                              | 4                                                               | 0                                                               | 4                                                               |
| Daman &Diu                                                      | Daman &Diu                                                      | Daman &Diu                                                      | Daman &Diu                                                      | Daman &Diu                                                      | Daman &Diu                                                      | Daman &Diu                                                      | Daman &Diu                                                      |
| 32                                                              | Delhi                                                           | 5                                                               | 541                                                             | 546                                                             | 0                                                               | 23                                                              | 23                                                              |
| 33                                                              | Jammu &Kashmir                                                  | 923                                                             | 49                                                              | 972                                                             | 77                                                              | 0                                                               | 77                                                              |
| 34                                                              | Ladakh                                                          | 32                                                              | 0                                                               | 32                                                              | 7                                                               | 0                                                               | 7                                                               |
| 35                                                              | Lakshadweep                                                     | 4                                                               | 0                                                               | 4                                                               | 3                                                               | 0                                                               | 3                                                               |
| 36                                                              | Puducherry                                                      | 24                                                              | 15                                                              | 39                                                              | 3                                                               | 1                                                               | 4                                                               |
|                                                                 | All India                                                       | 24918                                                           | 5895                                                            | 30813                                                           | 5183                                                            | 466                                                             | 5649                                                            |

Source: Rural Health Statistics, 2019-20

## Annexure-II

| DOCTORS + AT PRIMARY HEALTH CENTRES in Rural Areas   | DOCTORS + AT PRIMARY HEALTH CENTRES in Rural Areas   | DOCTORS + AT PRIMARY HEALTH CENTRES in Rural Areas   | DOCTORS + AT PRIMARY HEALTH CENTRES in Rural Areas   | DOCTORS + AT PRIMARY HEALTH CENTRES in Rural Areas   | DOCTORS + AT PRIMARY HEALTH CENTRES in Rural Areas   | DOCTORS + AT PRIMARY HEALTH CENTRES in Rural Areas   |
|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|
| S. No.                                               | State/UT                                             | Required 1 [R]                                       | (As on Sanctioned [S]                                | 31st March, In Position [P]                          | 2020) Vacant [S-P]                                   | Shortfall [R-P]                                      |
| 1                                                    | Andhra Pradesh                                       | 1142                                                 | 1861                                                 | 1798                                                 | 63                                                   | *                                                    |
| 2                                                    | Arunachal Pradesh                                    | 119                                                  | NA                                                   | 194                                                  | NA                                                   | *                                                    |
| 3                                                    | Assam                                                | 946                                                  | 906                                                  | 1424                                                 | *                                                    | *                                                    |
| 4                                                    | Bihar                                                | 1702                                                 | 4129                                                 | 1745                                                 | 2384                                                 | *                                                    |
| 5                                                    | Chhattisgarh                                         | 792                                                  | 811                                                  | 388                                                  | 423                                                  | 404                                                  |
| 6                                                    | Goa                                                  | 55                                                   | 72                                                   | 75                                                   | *                                                    | *                                                    |
| 7                                                    | Gujarat                                              | 1477                                                 | 1869                                                 | 1490                                                 | 379                                                  | *                                                    |
| 8                                                    | Haryana                                              | 385                                                  | 766                                                  | 491                                                  | 275                                                  | *                                                    |
| 9                                                    | Himachal Pradesh                                     | 564                                                  | 722                                                  | 471                                                  | 251                                                  | 93                                                   |
| 10                                                   | Jharkhand                                            | 291                                                  | 330                                                  | 222                                                  | 108                                                  | 69                                                   |
| 11                                                   | Karnataka                                            | 2176                                                 | 2323                                                 | 2071                                                 | 252                                                  | 105                                                  |
| 12                                                   | Kerala                                               | 784                                                  | 1237                                                 | 1028                                                 | 209                                                  | *                                                    |
| 13                                                   | Madhya Pradesh                                       | 1199                                                 | 1525                                                 | 1065                                                 | 460                                                  | 134                                                  |
| 14                                                   | Maharashtra                                          | 1829                                                 | 3587                                                 | 2848                                                 | 739                                                  | *                                                    |
| 15                                                   | Manipur                                              | 85                                                   | 170                                                  | 311                                                  | *                                                    | *                                                    |
| 16                                                   | Meghalaya                                            | 119                                                  | 91                                                   | 190                                                  | *                                                    | *                                                    |
| 17                                                   | Mizoram                                              | 57                                                   | NA                                                   | 58                                                   | NA                                                   | *                                                    |
| 18                                                   | Nagaland                                             | 130                                                  | 113                                                  | 120                                                  | *                                                    | 10                                                   |
| 19                                                   | Odisha                                               | 1288                                                 | 1288                                                 | 827                                                  | 461                                                  | 461                                                  |
| 20                                                   | Punjab                                               | 427                                                  | 585                                                  | 391                                                  | 194                                                  | 36                                                   |
| 21                                                   | Rajasthan                                            | 2094                                                 | 2170                                                 | 1845                                                 | 325                                                  | 249                                                  |
| 22                                                   | Sikkim                                               | 24                                                   | 48                                                   | 34                                                   | 14                                                   | *                                                    |
| 23                                                   | Tamil Nadu                                           | 1420                                                 | 2976                                                 | 2708                                                 | 268                                                  | *                                                    |
| 24                                                   | Telangana                                            | 636                                                  | 1254                                                 | 1213                                                 | 41                                                   | *                                                    |
| 25                                                   | Tripura                                              | 107                                                  | N App                                                | 222                                                  | N App                                                | *                                                    |
| 26                                                   | Uttarakhand                                          | 257                                                  | 476                                                  | 346                                                  | 130                                                  | *                                                    |
| 27                                                   | Uttar Pradesh                                        | 2880                                                 | 3578                                                 | 2759                                                 | 819                                                  | 121                                                  |
| 28                                                   | West Bengal                                          | 913                                                  | 1390                                                 | 1098                                                 | 292                                                  | *                                                    |
| 29                                                   | Andaman &NicobarIslands                              | 22                                                   | 30                                                   | 48                                                   | *                                                    | *                                                    |
| 30                                                   | Chandigarh                                           | 0                                                    | N App                                                | N App                                                | N App                                                | N App                                                |
| 31                                                   | Dadra &Nagar Haveli and Daman &Diu                   | 10                                                   | 9                                                    | 13                                                   | *                                                    | *                                                    |
| 32                                                   | Delhi                                                | 5                                                    | 19                                                   | 18                                                   | 1                                                    | *                                                    |
| 33                                                   | Jammu &Kashmir                                       | 923                                                  | 1477                                                 | 940                                                  | 537                                                  | *                                                    |
| 34                                                   | Ladakh                                               | 32                                                   | 23                                                   | 10                                                   | 13                                                   | 22                                                   |
| 35                                                   | Lakshadweep                                          | 4                                                    | 10                                                   | 10                                                   | 0                                                    | *                                                    |
| 36                                                   | Puducherry                                           | 24                                                   | 45                                                   | 45                                                   | 0                                                    | *                                                    |
| All India 2 /                                        | Total                                                | 24918                                                | 35890                                                | 28516                                                | 8638                                                 | 1704                                                 |

Notes:

NA: Not Available.                     N App - Not Applicable

+: Allopathic Doctors

All India figures for Vacancy and Shortfall are the totals of State-wise Vacancy and Shortfall ignoring surplus in some States / UTs

*:  Surplus.

1 One per Primary Health Centre as per IPHS norms

2 For calculating the overall percentages of vacancy, the States/UTs for which manpower position is not available, are excluded

| General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Rural Areas (As on 31st March, 2020)   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Rural Areas (As on 31st March, 2020)   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Rural Areas (As on 31st March, 2020)   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Rural Areas (As on 31st March, 2020)   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Rural Areas (As on 31st March, 2020)   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Rural Areas (As on 31st March, 2020)   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Rural Areas (As on 31st March, 2020)   |
|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------|
| S. No.                                                                                               | State/UT                                                                                             | Required 1                                                                                           | Sanctioned                                                                                           | In Position                                                                                          | Vacant                                                                                               | Shortfall                                                                                            |
| 1                                                                                                    | Andhra Pradesh                                                                                       | [R] 282                                                                                              | [S] 192                                                                                              | [P] 174                                                                                              | [S-P] 18                                                                                             | [R-P] 108                                                                                            |
| 2                                                                                                    | Arunachal Pradesh                                                                                    | 120                                                                                                  | NA                                                                                                   | 135                                                                                                  | NA                                                                                                   | *                                                                                                    |
| 3                                                                                                    | Assam                                                                                                | 380                                                                                                  | 230                                                                                                  | 626                                                                                                  | *                                                                                                    | *                                                                                                    |
| 4                                                                                                    | Bihar                                                                                                | 114                                                                                                  | 935                                                                                                  | 152                                                                                                  | 783                                                                                                  | *                                                                                                    |
| 5                                                                                                    | Chhattisgarh                                                                                         | 340                                                                                                  | 478                                                                                                  | 565                                                                                                  | *                                                                                                    | *                                                                                                    |
| 6                                                                                                    | Goa                                                                                                  | 12                                                                                                   | 28                                                                                                   | 32                                                                                                   | *                                                                                                    | *                                                                                                    |
| 7                                                                                                    | Gujarat                                                                                              | 696                                                                                                  | 1103                                                                                                 | 1071                                                                                                 | 32                                                                                                   | *                                                                                                    |
| 8                                                                                                    | Haryana                                                                                              | 236                                                                                                  | 698                                                                                                  | 366                                                                                                  | 332                                                                                                  | *                                                                                                    |
| 9                                                                                                    | Himachal Pradesh                                                                                     | 170                                                                                                  | 344                                                                                                  | 170                                                                                                  | 174                                                                                                  | 0                                                                                                    |
| 10                                                                                                   | Jharkhand                                                                                            | 342                                                                                                  | 752                                                                                                  | 648                                                                                                  | 104                                                                                                  | *                                                                                                    |
| 11                                                                                                   | Karnataka                                                                                            | 378                                                                                                  | 190                                                                                                  | 181                                                                                                  | 9                                                                                                    | 197                                                                                                  |
| 12                                                                                                   | Kerala                                                                                               | 422                                                                                                  | 533                                                                                                  | 516                                                                                                  | 17                                                                                                   | *                                                                                                    |
| 13                                                                                                   | Madhya Pradesh                                                                                       | 618                                                                                                  | 713                                                                                                  | 609                                                                                                  | 104                                                                                                  | 9                                                                                                    |
| 14                                                                                                   | Maharashtra                                                                                          | 556                                                                                                  | 660                                                                                                  | 525                                                                                                  | 135                                                                                                  | 31                                                                                                   |
| 15                                                                                                   | Manipur                                                                                              | 34                                                                                                   | 102                                                                                                  | 110                                                                                                  | *                                                                                                    | *                                                                                                    |
| 16                                                                                                   | Meghalaya                                                                                            | 56                                                                                                   | 29                                                                                                   | 89                                                                                                   | *                                                                                                    | *                                                                                                    |
| 17                                                                                                   | Mizoram                                                                                              | 18                                                                                                   | NA                                                                                                   | 23                                                                                                   | NA                                                                                                   | *                                                                                                    |
| 18                                                                                                   | Nagaland                                                                                             | 42                                                                                                   | 39                                                                                                   | 39                                                                                                   | 0                                                                                                    | 3                                                                                                    |
| 19                                                                                                   | Odisha                                                                                               | 754                                                                                                  | 405                                                                                                  | 1063                                                                                                 | *                                                                                                    | *                                                                                                    |
| 20                                                                                                   | Punjab                                                                                               | 286                                                                                                  | 381                                                                                                  | 387                                                                                                  | *                                                                                                    | *                                                                                                    |
| 21                                                                                                   | Rajasthan                                                                                            | 1096                                                                                                 | 1696                                                                                                 | 1343                                                                                                 | 353                                                                                                  | *                                                                                                    |
| 22                                                                                                   | Sikkim                                                                                               | 4                                                                                                    | 4                                                                                                    | 4                                                                                                    | 0                                                                                                    | 0                                                                                                    |
| 23                                                                                                   | Tamil Nadu                                                                                           | 770                                                                                                  | 2053                                                                                                 | 1874                                                                                                 | 179                                                                                                  | *                                                                                                    |
| 24                                                                                                   | Telangana                                                                                            | 170                                                                                                  | 353                                                                                                  | 231                                                                                                  | 122                                                                                                  | *                                                                                                    |
| 25                                                                                                   | Tripura                                                                                              | 44                                                                                                   | N App                                                                                                | 80                                                                                                   | N App                                                                                                | *                                                                                                    |
| 26                                                                                                   | Uttarakhand                                                                                          | 112                                                                                                  | 115                                                                                                  | 179                                                                                                  | *                                                                                                    | *                                                                                                    |
| 27                                                                                                   | Uttar Pradesh                                                                                        | 1422                                                                                                 | 1793                                                                                                 | 1793                                                                                                 | 0                                                                                                    | *                                                                                                    |
| 28                                                                                                   | West Bengal                                                                                          | 696                                                                                                  | 2361                                                                                                 | 1716                                                                                                 | 645                                                                                                  | *                                                                                                    |
| 29                                                                                                   | Andaman &Nicobar Islands                                                                             | 8                                                                                                    | 16                                                                                                   | 16                                                                                                   | 0                                                                                                    | *                                                                                                    |
|                                                                                                      | Chandigarh                                                                                           |                                                                                                      |                                                                                                      |                                                                                                      |                                                                                                      |                                                                                                      |
| 30                                                                                                   |                                                                                                      | 0                                                                                                    | N App                                                                                                | N App                                                                                                | N App                                                                                                | N App                                                                                                |
| 31                                                                                                   | Dadra &Nagar Haveli and Daman &Diu                                                                   | 8                                                                                                    | 5                                                                                                    | 13                                                                                                   | *                                                                                                    | *                                                                                                    |
| 32                                                                                                   | Delhi                                                                                                | 0                                                                                                    | N App                                                                                                | N App                                                                                                | N App                                                                                                | N App                                                                                                |
| 33 34                                                                                                | Jammu &Kashmir                                                                                       | 154                                                                                                  | 729                                                                                                  | 571                                                                                                  | 158                                                                                                  | *                                                                                                    |
| 35                                                                                                   | Ladakh Lakshadweep                                                                                   | 14 6                                                                                                 | 10 14                                                                                                | 7 14                                                                                                 | 3 0                                                                                                  | 7 *                                                                                                  |
| 36                                                                                                   | Puducherry                                                                                           | 6                                                                                                    | 20                                                                                                   | 20                                                                                                   | 0                                                                                                    | *                                                                                                    |
|                                                                                                      | All India 2 /Total                                                                                   | 10366                                                                                                | 16981                                                                                                | 15342                                                                                                | 3168                                                                                                 | 355                                                                                                  |

Notes:

N App - Not Applicable

*: Surplus.

1 Two per Community Health Centre as per IPHS norms

2 For calculating the overall percentages of vacancy,  the States/UTs for which manpower position is not available, are excluded

|        | DOCTORS                            | AT PRIMARY HEALTH CENTRES in Urban Areas (As on 31st March, 2020)   | AT PRIMARY HEALTH CENTRES in Urban Areas (As on 31st March, 2020)   | AT PRIMARY HEALTH CENTRES in Urban Areas (As on 31st March, 2020)   | AT PRIMARY HEALTH CENTRES in Urban Areas (As on 31st March, 2020)   | AT PRIMARY HEALTH CENTRES in Urban Areas (As on 31st March, 2020)   |
|--------|------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------|
| S. No. | State/UT                           | Required 1                                                          | Sanctioned                                                          | In Position                                                         | Vacant                                                              | Shortfall                                                           |
| 1      | Andhra Pradesh                     | 243                                                                 | 243                                                                 | 243                                                                 | 0                                                                   | 0                                                                   |
| 2      | Arunachal Pradesh                  | 5                                                                   | NA                                                                  | 20                                                                  | NA                                                                  | *                                                                   |
| 3      | Assam                              | 56                                                                  | 60                                                                  | 74                                                                  | *                                                                   | *                                                                   |
| 4      | Bihar                              | 325                                                                 | 437                                                                 | 166                                                                 | 271                                                                 | 159                                                                 |
| 5      | Chhattisgarh                       | 45                                                                  | 82                                                                  | 65                                                                  | 17                                                                  | *                                                                   |
| 6      | Goa                                | 4                                                                   | 6                                                                   | 6                                                                   | 0                                                                   | *                                                                   |
| 7      | Gujarat                            | 318                                                                 | 317                                                                 | 116                                                                 | 201                                                                 | 202                                                                 |
| 8      | Haryana                            | 100                                                                 | 101                                                                 | 93                                                                  | 8                                                                   | 7                                                                   |
| 9      | Himachal Pradesh                   | 24                                                                  | 20                                                                  | 22                                                                  | *                                                                   | 2                                                                   |
| 10     | Jharkhand                          | 60                                                                  | 46                                                                  | 23                                                                  | 23                                                                  | 37                                                                  |
| 11     | Karnataka                          | 358                                                                 | 350                                                                 | 356                                                                 | *                                                                   | 2                                                                   |
| 12     | Kerala                             | 148                                                                 | 207                                                                 | 184                                                                 | 23                                                                  | *                                                                   |
| 13     | Madhya Pradesh                     | 277                                                                 | 173                                                                 | 141                                                                 | 32                                                                  | 136                                                                 |
| 14     | Maharashtra                        | 846                                                                 | 944                                                                 | 914                                                                 | 30                                                                  | *                                                                   |
| 15     |                                    | 8                                                                   |                                                                     | 16                                                                  | *                                                                   | *                                                                   |
| 16     | Manipur Meghalaya                  | 24                                                                  | 12 10                                                               | 24                                                                  | *                                                                   | 0                                                                   |
| 17     | Mizoram                            | 8                                                                   | NA                                                                  | 8                                                                   | NA                                                                  | 0                                                                   |
| 18     | Nagaland                           | 7                                                                   | 8                                                                   | 8                                                                   | 0                                                                   | *                                                                   |
| 19     | Odisha                             | 89                                                                  | 89                                                                  | 87                                                                  | 2                                                                   | 2                                                                   |
| 20     | Punjab                             | 100                                                                 | 186                                                                 | 154                                                                 | 32                                                                  | *                                                                   |
| 21     | Rajasthan                          | 383                                                                 | 375                                                                 | 396                                                                 | *                                                                   | *                                                                   |
| 22     | Sikkim                             | 1                                                                   | 1                                                                   | 1                                                                   | 0                                                                   | 0                                                                   |
| 23     | Tamil Nadu                         | 464                                                                 | 628                                                                 | 592                                                                 | 36                                                                  | *                                                                   |
| 24     | Telangana                          | 249                                                                 | 498                                                                 | 470                                                                 | 28                                                                  | *                                                                   |
| 25     | Tripura                            | 5                                                                   | N App                                                               | 5                                                                   | N App                                                               | 0                                                                   |
| 26     | Uttarakhand                        | 38                                                                  | 38                                                                  | 31                                                                  | 7                                                                   | 7                                                                   |
| 27     | Uttar Pradesh                      | 593                                                                 | 623                                                                 | 494                                                                 | 129                                                                 | 99                                                                  |
| 28     | West Bengal                        | 456                                                                 | 924                                                                 | 543                                                                 | 381                                                                 | *                                                                   |
| 29     | Andaman& Nicobar Islands           | 5                                                                   | 2                                                                   | 7                                                                   | *                                                                   | *                                                                   |
| 30     | Chandigarh                         | 48                                                                  | 34                                                                  | 70                                                                  | *                                                                   | *                                                                   |
| 31     | Dadra &Nagar Haveli and Daman &Diu | 3                                                                   | 2                                                                   | 3                                                                   | *                                                                   | 0                                                                   |
| 32     | Delhi                              | 541                                                                 | 843                                                                 | 955                                                                 | *                                                                   | *                                                                   |
| 33     | Jammu &Kashmir                     | 49                                                                  | 99                                                                  | 87                                                                  | 12                                                                  | *                                                                   |
| 34     | Ladakh                             | 0                                                                   | N App                                                               | N App                                                               | N App                                                               | N App                                                               |
| 35     | Lakshadweep                        | 0                                                                   | N App                                                               | N App                                                               | N App                                                               | N App                                                               |
| 36     | Puducherry                         | 15                                                                  | 25                                                                  | 25                                                                  | 0                                                                   | *                                                                   |
|        | All India 2 / Total                | 5895                                                                | 7383                                                                | 6399                                                                | 1232                                                                | 653                                                                 |

## Notes:

NA: Not Available.                           N App - Not Applicable

+: Allopathic Doctors

*:  Surplus.

All India figures for Vacancy and Shortfall are the totals of State-wise Vacancy and Shortfall ignoring surplus in some States / UTs

1 One per Primary Health Centre as per IPHS norms

2   For calculating the overall percentages of vacancy, the States/UTs for which manpower position is not available, are excluded

|        | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Urban Areas   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Urban Areas   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Urban Areas   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Urban Areas   | General Duty Medical Officers (GDMOs) - Allopathic at CHCs in Urban Areas   |
|--------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|-----------------------------------------------------------------------------|
| S. No. |                                                                             | Required 1                                                                  | (As on 31st March, 2020) In                                                 | (As on 31st March, 2020) In                                                 | (As on 31st March, 2020) In                                                 |
|        | State/UT                                                                    |                                                                             | Sanctioned Position                                                         | Vacant                                                                      | Shortfall                                                                   |
|        |                                                                             | [R]                                                                         | [S] [P]                                                                     | [S-P]                                                                       | [R-P]                                                                       |
| 1      | Andhra Pradesh                                                              | 114                                                                         | 81 84                                                                       | *                                                                           | 30                                                                          |
| 2      | Arunachal Pradesh                                                           | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 3      | Assam                                                                       | 4                                                                           | 0 1                                                                         | *                                                                           | 3                                                                           |
| 4      | Bihar                                                                       | 14                                                                          | 27 24                                                                       | 3                                                                           | *                                                                           |
| 5      | Chhattisgarh                                                                | 8                                                                           | 5 4                                                                         | 1                                                                           | 4                                                                           |
| 6      | Goa                                                                         | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 7      | Gujarat                                                                     | 28                                                                          | 0 0                                                                         | 0                                                                           | 28                                                                          |
| 8      | Haryana                                                                     | 26                                                                          | 29 25                                                                       | 4                                                                           | 1                                                                           |
| 9      | Himachal Pradesh                                                            | 14                                                                          | 18 12                                                                       | 6                                                                           | 2                                                                           |
| 10     | Jharkhand                                                                   | 12                                                                          | 6 1                                                                         | 5                                                                           | 11                                                                          |
| 11     | Karnataka                                                                   | 38                                                                          | 21 15                                                                       | 6                                                                           | 23                                                                          |
| 12     | Kerala                                                                      | 32                                                                          | 50                                                                          | 0                                                                           | *                                                                           |
| 13     | Madhya Pradesh                                                              | 42                                                                          | 50 126 48                                                                   | 78                                                                          | *                                                                           |
| 14     | Maharashtra                                                                 | 280                                                                         | 474 416                                                                     | 58                                                                          | *                                                                           |
| 15     | Manipur                                                                     | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 16     | Meghalaya                                                                   | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 17     | Mizoram                                                                     | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 18     | Nagaland                                                                    | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 19     | Odisha                                                                      | 14                                                                          | 14 19                                                                       | *                                                                           | *                                                                           |
| 20     | Punjab                                                                      | 24                                                                          | 33 32                                                                       | 1                                                                           | *                                                                           |
| 21     | Rajasthan                                                                   | 132                                                                         | 187 138                                                                     | 49                                                                          | *                                                                           |
| 22     | Sikkim                                                                      | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 23     | Tamil Nadu                                                                  | 30                                                                          | 15 21                                                                       | *                                                                           | 9                                                                           |
| 24     | Telangana                                                                   | 20                                                                          | 15 15                                                                       | 0                                                                           | 5                                                                           |
| 25     | Tripura                                                                     | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 26     | Uttarakhand                                                                 | 24                                                                          | 23 25                                                                       | *                                                                           | *                                                                           |
| 27     | Uttar Pradesh                                                               | 24                                                                          | 35 14                                                                       | 21                                                                          | 10                                                                          |
| 28     | West Bengal                                                                 | 0                                                                           | 0 0                                                                         | 0                                                                           | 0                                                                           |
| 29     | A&NIslands                                                                  | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 30     | Chandigarh                                                                  | 4                                                                           | NA 22                                                                       | NA                                                                          | *                                                                           |
| 31     | D &NHaveli and Daman &Diu                                                   | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 32     | Delhi                                                                       | 46                                                                          | 52 55                                                                       | *                                                                           | *                                                                           |
| 33     | Jammu &Kashmir                                                              | 0                                                                           | N App N App                                                                 | N App                                                                       | N App                                                                       |
| 34     | Ladakh                                                                      | 0                                                                           | N App App                                                                   |                                                                             | N App                                                                       |
| 35     | Lakshadweep                                                                 | 0                                                                           | N N App N App                                                               | N App N App                                                                 | N App                                                                       |
| 36     | Puducherry                                                                  | 2                                                                           | 6 7                                                                         | *                                                                           | *                                                                           |
|        | All India 2 /Total                                                          | 932                                                                         | 1217 1028                                                                   | 232                                                                         | 126                                                                         |

Notes:

NA: Not Available.                   N App: Not Applicable

*:  Surplus.

1 Two per Community Health Centre as per IPHS norms

- 2   For calculating the overall percentages of vacancy,  the States/UTs for which manpower position is not available, are excluded