Lok Sabha Question No. 3943 (UNSTARRED), answered on 2023-03-24
Subject: Primary Health Centres
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nishikant  Dubey, Nihal Chand Chauhan, Manoj Kumar Tiwari

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

## LOK SABHA UNSTARRED QUESTION NO.3943

## TO BE ANSWERED ON 24 TH  MARCH, 2023

## PRIMARY HEALTH CENTRES

## 3943.    DR. NISHIKANT DUBEY: SHRI NIHAL CHAND: SHRI MANOJ TIWARI:

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

- (a) the number of Primary Health Centres (PHCs) functioning across the country, State/UTwise including Rajasthan and Jharkhand;
- (b) whether the said Primary Health Centres (PHCs) have shortage of Doctors, Trained Staff and equipment, if so, the steps taken by the Government to overcome the said shortage; and (c)  whether  the  Government  has  received  the  proposals  from  the  States  for  opening  new Primary Health Centres (PHCs), if so, the details thereof and the funds allocated for the said
- purpose, State/UTwise?

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

(a) to (c) :    As per the norms defined under Indian Public Health Standards(IPHS) 2022, a PHC in rural area can be established for a population of 30,000 in plains and 20,000 in hilly and tribal areas. Urban PHCs can be constructed at a population of 50,000 and as a polyclinic at population of 2.5-3 lakhs.

Rural  Health  Statistics  (RHS)  is  an  annual  publication,  based  on  Health  care administrative data reported by States/UTs.  As per RHS 2021-22, State/UT-wise details of PHCs and shortfall of Doctors & Trained Staff including Rajasthan and Jharkhand may be seen at the following link of RHS 2021-22:

## https://main.mohfw.gov.in/sites/default/files/RHS%202021%2022.pdf

The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in  the  form  of  Programme  Implementation  Plans  (PIPs)  under  National  Health  Mission. Government of India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per norms & available resources.

The details of RoPs issued to States/UTs wise are available at following web link.

Under NHM, allocations to State/UTs are made in flexible pools. Approvals under 'Hospital  Strengthening  and  New  Construction/Renovation  and  Setting  up'  under  NHM during last three years i.e. from F.Y. 2019-20 to 2021-22 is at Annexure.

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.

Under  NHM,  following  types  of  incentives  and  honorarium  are  provided  for encouraging Health Specialists to practice in different regions of the country including rural and remote areas of the country:

-  Hard area allowance to specialist doctors for serving in rural and remote areas and for their residential quarters.
-  Honorarium to Gynecologists/ Emergency Obstetric Care (EmoC) trained, Pediatricians & Anesthetist/ Life Saving Anaesthesia Skills (LSAS) trained doctors.
-  Incentives like special incentives for doctors, incentive for ANM for ensuring timely ANC checkup and recording, incentives for conducting Adolescent Reproductive and Sexual Health activities.
-  States  are  also  allowed  to  offer  negotiable  salary  to  attract  specialist  including flexibility in strategies such as 'You Quote We Pay'.
-  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.

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## Annexure

## State/UT wise SPIP Approvals under Hospital Strengthening (B.4) and New Constructions/ Renovation and Setting up (B.5) from the F.Y. 2019-20 to 2021-22

Rs. In Lakhs

|   S.No. | State                              |   2019-20 |   2020-21 |   2021-22 |
|---------|------------------------------------|-----------|-----------|-----------|
|       1 | Bihar                              |  52056    |  36045.6  |  37358.2  |
|       2 | Chhattisgarh                       |  12783.5  |  14343.6  |  14665.8  |
|       3 | Himachal Pradesh                   |   5516    |   8731    |   3547.39 |
|       4 | Jammu & Kashmir                    |   6694.8  |   4363.21 |   3368.53 |
|       5 | Jharkhand                          |  11191.9  |  10493.2  |   2352    |
|       6 | Madhya Pradesh                     |  28839.8  |  53115.5  |  22886.4  |
|       7 | Odisha                             |  42639.6  |  20665.7  |  32219.8  |
|       8 | Rajasthan                          |  53445.8  |  94252.6  |  82158.8  |
|       9 | Uttar Pradesh                      |  43521.6  | 144398    | 122540    |
|      10 | Uttarakhand                        |   7061.34 |  10428.7  |  12955.7  |
|      11 | Arunachal Pradesh                  |   2539.94 |   2828.89 |   5634.45 |
|      12 | Assam                              |  17637.2  |  32971.2  |  23372.5  |
|      13 | Manipur                            |   1666.57 |   2602.17 |   2858.45 |
|      14 | Meghalaya                          |    895.5  |   1282    |   1609.04 |
|      15 | Mizoram                            |    412    |    557    |     18    |
|      16 | Nagaland                           |   1087.31 |   3855.33 |   1005.04 |
|      17 | Sikkim                             |    692.81 |    376.68 |    371.2  |
|      18 | Tripura                            |   5050.54 |   4491    |   4874    |
|      19 | Andhra Pradesh                     |  43234    |  14399    |   2332.75 |
|      20 | Goa                                |     34.92 |    115.8  |    124.75 |
|      21 | Gujarat                            |   2530    |   1075.17 |    675.3  |
|      22 | Haryana                            |   7306.01 |  16762.4  |  12613.4  |
|      23 | Karnataka                          |  23030    |  16083    |  15103.2  |
|      24 | Kerala                             |  13668.6  |  10734.7  |   5837.16 |
|      25 | Maharashtra                        |  78537.3  |  47508    |  54147.4  |
|      26 | Punjab                             |   6950    |   8925    |   5141.9  |
|      27 | Tamil Nadu                         |  26456    |  32950.9  |  24531.7  |
|      28 | Telangana                          |  31449.8  |  13970.1  |   7512.13 |
|      29 | West Bengal                        |  16269    |  17727.5  |   7851.58 |
|      30 | Andaman & Nicobar Islands          |    340    |    133    |    159    |
|      31 | Chandigarh                         |      0    |      0    |      0    |
|      32 | Dadra & Nagar Haveli & Daman & Diu |      5.76 |      5.76 |      2.88 |
|      33 | Delhi                              |    590    |      0    |    500    |
|      34 | Lakshadweep                        |      0    |      0    |      0    |
|      35 | Puducherry                         |     49    |      4    |     22.8  |
|      36 | Ladakh                             |      0    |   3240.67 |   3125    |

## Note:

1.  The  above  data  comprises  of  inter  alia Hospital  Strengtheining -  Up-  Gradation  of  CHCs,  PHCs,  Dist. Hospitals, Rent and Contingencies, etc. and New Constructions/ Renovation and Setting up -  CHCs, PHCs, SHCs/Sub  Centres,  Setting  up  Infrastructure  wing  for  Civil  works,  Facility  improvement,  Civil  Works  for Operationalising Infection Management & Environment Plan at health facilities, Infrastructure of Training Institutions, SDH, DH and Civil work of DEIC (RBSK), etc.

2. The above data is as per the available Financial Management Report (FMR) submitted by the States/UTs.