Lok Sabha Question No. 5007 (UNSTARRED), answered on 2022-04-01
Subject: Shortage of Staff in Primary Health Centre
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Nama Nageswara Rao

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

## LOK SABHA UNSTARRED QUESTION NO. 5007 TO BE ANSWERED ON 01.04.2022

## SHORTAGE OF STAFF IN PRIMARY HEALTH CENTRE

## 5007: SHRI NAMA NAGESWARA RAO:

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

- (a)  the  details  of  vacancies  of  medical  and  para-medical  and  other  staff  at  Primary  Health  Centres (PHCs) in the country as on date, State-wise;
- (b)  the  details  of  expenditure  incurred  by  the  Government  on  the  staff  in  PHCs  during  the  last  three years both in absolute terms and as a percentage of total health budget of the Government; and
- (c) the steps taken by the Government to address acute shortage of staff in PHCs in the country?

## ANSWER

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

- (a): As per Rural Health Statistics (RHS), 2019-20 report published by the Ministry of Health & Family welfare  (MoH&FW), the  State/  UT-wise  details  of  vacancies  of  medical  and  para-medical  and  other staff at Primary Health Centres is given at Annexure-I .
- (b)  and  (c):  Public  Health  and  Hospitals  is  a  State  Subject  and  all  the  administrative  and    personnel matters, including support for outsourcing or engagement of doctors and other health human resources lies  with  the  respective  State  Governments/UT  Administration.  Further,  under  NHM,  Government  of India  provides  financial  and  technical  support  to  States/UTs  to  strengthen  their  healthcare  systems including  support  for  recruitment  of  doctors  and  other  health  human  resources  on  contractual  basis, based on the requirements posed by them in their Programme Implementation Plans (PIPs) within their overall resource envelope.

State/UT wise approvals towards Human Resources (HR) under NHM during the last    three years i.e. from Financial Year 2018-19 to 2020-21 is given at Annexure II.

The Government of India has taken number of initiatives in the form of incentives and honorarium to the health professionals for ensuring better service delivery in rural and remote areas in the country, which includes:

-  Hard area allowances and special packages are provided to attract health HR, especially medical officers and specialists, to remote and difficult areas.
-  Incentives like special incentives for doctors, incentive for Auxiliary Nurse Midwife (ANM) for ensuring timely Ante Natal Care (ANC) checkup and recording, incentives for conducting Adolescent Reproductive and Sexual Health activities.
-  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 National Rural Health Mission (NRHM) for achieving improvement in health outcomes.

*****

State/ UT wise Vacancy Position at PHCs

| S No.   | States/ UTs                        | HEALTHWORKER [FEMALE] /ANMAT PHC   | HEALTHWORKER [FEMALE] /ANMAT PHC   | DOCTORS (Allopathic) at PHCs   | DOCTORS (Allopathic) at PHCs   | PHARMACISTS at PHCs   | PHARMACISTS at PHCs   |
|---------|------------------------------------|------------------------------------|------------------------------------|--------------------------------|--------------------------------|-----------------------|-----------------------|
| S No.   | States/ UTs                        | Rural                              | Urban                              | Rural                          | Urban                          | Rural                 | Urban                 |
| 1       | Andhra Pradesh                     | 0                                  | 0                                  | 63                             | 0                              | 198                   | 0                     |
| 2       | Arunachal Pradesh                  | NA                                 | NA                                 | NA                             | NA                             | NA                    | NA                    |
| 3       | Assam                              | *                                  | *                                  | *                              | *                              | *                     | *                     |
| 4       | Bihar                              | 1346                               | 107                                | 2384                           | 271                            | 897                   | 129                   |
| 5       | Chhattisgarh                       | 60                                 | 122                                | 423                            | 17                             | 116                   | 4                     |
| 6       | Goa                                | *                                  | 2                                  | *                              | 0                              | *                     | 0                     |
| 7       | Gujarat                            | 636                                | 2251                               | 379                            | 201                            | 168                   | 352                   |
| 8       | Haryana                            | 147                                | 28                                 | 275                            | 8                              | 157                   | 2                     |
| 9       | Himachal Pradesh                   | NA                                 | NA                                 | 251                            | *                              | 177                   | *                     |
| 10      | Jharkhand                          | 36                                 | 190                                | 108                            | 23                             | 139                   | 9                     |
| 11      | Karnataka                          | 1076                               | 170                                | 252                            | *                              | 508                   | *                     |
| 12      | Kerala                             | 14                                 | 0                                  | 209                            | 23                             | 105                   | 5                     |
| 13      | Madhya Pradesh                     | 312                                | *                                  | 460                            | 32                             | 211                   | 79                    |
| 14      | Maharashtra                        | 479                                | 466                                | 739                            | 30                             | 218                   | 30                    |
| 15      | Manipur                            | *                                  | *                                  | *                              | *                              | *                     | 2                     |
| 16      | Meghalaya                          | *                                  | *                                  | *                              | *                              | *                     | *                     |
| 17      | Mizoram                            | NA                                 | NA                                 | NA                             | NA                             | NA                    | NA                    |
| 18      | Nagaland                           | *                                  | *                                  | *                              | 0                              | 0                     | 0                     |
| 19      | Odisha                             | 170                                | *                                  | 461                            | 2                              | 131                   | *                     |
| 20      | Punjab                             | 44                                 | 30                                 | 194                            | 32                             | 148                   | 12                    |
| 21      | Rajasthan                          | 550                                | 45                                 | 325                            | *                              | 684                   | 96                    |
| 22      | Sikkim                             | *                                  | 0                                  | 14                             | 0                              | 2                     | NA                    |
| 23      | Tamil Nadu                         | 372                                | 131                                | 268                            | 36                             | 190                   | 24                    |
| 24      | Telangana                          | 0                                  | 318                                | 41                             | 28                             | 149                   | 37                    |
| 25      | Tripura                            | N App                              | N App                              | N App                          | N App                          | N App                 | N App                 |
| 26      | Uttarakhand                        | 41                                 | *                                  | 130                            | 7                              | *                     | 115                   |
| 27      | Uttar Pradesh                      | 618                                | *                                  | 819                            | 129                            | 14                    | 43                    |
| 28      | West Bengal                        | 0                                  | 0                                  | 292                            | 381                            | 55                    | 99                    |
| 29      | Andaman &Nicobar Islands           | *                                  | NA                                 | *                              | *                              | *                     | *                     |
| 30      | Chandigarh                         | N App                              | 0                                  | N App                          | *                              | N App                 | *                     |
| 31      | Dadra &Nagar Haveli and Daman &Diu | *                                  | 0                                  | *                              | *                              | *                     | *                     |
| 32      | Delhi                              | 0                                  | *                                  | 1                              | *                              | 0                     | *                     |
| 33      | Jammu &Kashmir                     | 67                                 | 1                                  | 537                            | 12                             | 155                   | 1                     |
| 34      | Ladakh                             | *                                  | N App                              | 13                             | N App                          | 2                     | N App                 |
| 35      | Lakshadweep                        | 0                                  | N App                              | 0                              | N App                          | 0                     | N App                 |
| 36      | Puducherry                         | 0                                  | 0                                  | 0                              | 0                              | *                     | *                     |

Source: Rural Health Statistics 2019-20 (as on 31st March 2020)

Note:

NA - Not Available

N App - Not Applicable

* - Surplus

State/ UT wise Vacancy Position at PHCs

| S No.   | States/ UTs                        | LABORATORY TECHNICIANS at PHCs   | LABORATORY TECHNICIANS at PHCs   | NURSING STAFF (STAFF NURSE) at PHCs   | NURSING STAFF (STAFF NURSE) at PHCs   | AYUSH Doctors at PHCs   | HEALTH ASSISTANT (male + female) at PHCs   |
|---------|------------------------------------|----------------------------------|----------------------------------|---------------------------------------|---------------------------------------|-------------------------|--------------------------------------------|
| S No.   | States/ UTs                        | Rural                            | Urban                            | Rural                                 | Urban                                 | Rural                   | Rural                                      |
| 1       | Andhra Pradesh                     | 326                              | 0                                | 230                                   | 0                                     | 145                     | 0                                          |
| 2       | Arunachal Pradesh                  | NA                               | NA                               | NA                                    | NA                                    | NA                      | NA                                         |
| 3       | Assam                              | *                                | *                                | *                                     | *                                     | *                       | 67                                         |
| 4       | Bihar                              | 867                              | 81                               | 1497                                  | 185                                   | 460                     | 681                                        |
| 5       | Chhattisgarh                       | 171                              | 7                                | 160                                   | 0                                     | 128                     | 224                                        |
| 6       | Goa                                | *                                | *                                | *                                     | *                                     | *                       | 1                                          |
| 7       | Gujarat                            | 163                              | 376                              | 386                                   | 157                                   | 34                      | 911                                        |
| 8       | Haryana                            | 179                              | 2                                | 293                                   | 12                                    | 38                      | 94                                         |
| 9       | Himachal Pradesh                   | 155                              | 1                                | 155                                   | NA                                    | 0                       | 137                                        |
| 10      | Jharkhand                          | 109                              | 17                               | 41                                    | 70                                    | 20                      | 84                                         |
| 11      | Karnataka                          | 187                              | *                                | *                                     | *                                     | *                       | 1215                                       |
| 12      | Kerala                             | 9                                | 14                               | 50                                    | 13                                    | NA                      | NA                                         |
| 13      | Madhya Pradesh                     | 844                              | 89                               | 62                                    | 472                                   | NA                      | 1360                                       |
| 14      | Maharashtra                        | 515                              | 12                               | 486                                   | 180                                   | 159                     | 431                                        |
| 15      | Manipur                            | *                                | 1                                | *                                     | *                                     | *                       | 19                                         |
| 16      | Meghalaya                          | *                                | *                                | *                                     | *                                     | *                       | *                                          |
| 17      | Mizoram                            | NA                               | NA                               | NA                                    | NA                                    | *                       | 0                                          |
| 18      | Nagaland                           | 0                                | 0                                | 0                                     | 0                                     | 0                       | *                                          |
| 19      | Odisha                             | *                                | *                                | *                                     | *                                     | *                       | 0                                          |
| 20      | Punjab                             | 196                              | 17                               | 402                                   | 67                                    | 73                      | 26                                         |
| 21      | Rajasthan                          | 618                              | 93                               | 968                                   | 153                                   | 300                     | 666                                        |
| 22      | Sikkim                             | *                                | 0                                | *                                     | 0                                     | 1                       | *                                          |
| 23      | Tamil Nadu                         | 682                              | 7                                | 640                                   | 185                                   | 57                      | 222                                        |
| 24      | Telangana                          | 46                               | 20                               | 164                                   | 57                                    | 151                     | 0                                          |
| 25      | Tripura                            | N App                            | N App                            | N App                                 | NA                                    | N App                   | N App                                      |
| 26      | Uttarakhand                        | 43                               | 10                               | 37                                    | 0                                     | 6                       | 0                                          |
| 27      | Uttar Pradesh                      | 633                              | 74                               | 1192                                  | 35                                    | 466                     | 1228                                       |
| 28      | West Bengal                        | 318                              | 149                              | 319                                   | 284                                   | 196                     | 0                                          |
| 29      | Andaman &Nicobar Islands           | *                                | *                                | *                                     | *                                     | *                       | 3                                          |
| 30      | Chandigarh                         | N App                            | *                                | N App                                 | *                                     | N App                   | N App                                      |
| 31      | Dadra &Nagar Haveli and Daman &Diu | *                                | *                                | *                                     | *                                     | *                       | 1                                          |
| 32      | Delhi                              | 1                                | *                                | 0                                     | *                                     | 0                       | 2                                          |
| 33      | Jammu &Kashmir                     | 93                               | 1                                | 166                                   | 5                                     | *                       | 39                                         |
| 34      | Ladakh                             | 0                                | N App                            | *                                     | N App                                 | 0                       | 0                                          |
| 35      | Lakshadweep                        | 0                                | N App                            | 0                                     | N App                                 | 0                       | 0                                          |
| 36      | Puducherry                         | 3                                | 2                                | *                                     | *                                     | 0                       | 0                                          |

Source: Rural Health Statistics 2019-20 (as on 31

st March 2020)

Note:

NA - Not Available N App - Not Applicable * - Surplus

## State/UT wise details of Sanctions towards Human Resources under NHM during the period of F.Y. 2018-19 to 2020-21

(Rs. in lakhs)

|   S.No. | State/UT                 | 2018-19   | 2019-20   | 2020-21   |
|---------|--------------------------|-----------|-----------|-----------|
|       1 | Andaman &Nicobar Islands | 2265.81   | 2604.36   | 2855.34   |
|       2 | Andhra Pradesh           | 33777.73  | 31686.34  | 46431.93  |
|       3 | Arunachal Pradesh        | 6546.72   | 4282.08   | 4300.21   |
|       4 | Assam                    | 48778.76  | 39050.22  | 50152.57  |
|       5 | Bihar                    | 58420.73  | 62934.2   | 84161.3   |
|       6 | Chandigarh               | 1032.08   | 773.72    | 770.88    |
|       7 | Chhattisgarh             | 23160.78  | 24076.57  | 29861.12  |
|       8 | Dadra &Nagar Haveli      | 1890.58   | 1765.53   | 2158.96   |
|       9 | Daman &Diu               | 1075.9    | 808.38    |           |
|      10 | Delhi                    | 9471.33   | 10151.87  | 11638.89  |
|      11 | Goa                      | 1536.51   | 1511.08   | 1954.19   |
|      12 | Gujarat                  | 29894.94  | 44598.12  | 55992.08  |
|      13 | Haryana                  | 22157.21  | 24901.66  | 26532.48  |
|      14 | Himachal Pradesh         | 3703.02   | 5827.03   | 9124      |
|      15 | Jammu &Kashmir           | 24564.89  | 29353.77  | 31240.22  |
|      16 | Jharkhand                | 27259.44  | 34874.4   | 37378.25  |
|      17 | Karnataka                | 43149.5   | 49899.68  | 60789.48  |
|      18 | Kerala                   | 19783.53  | 21323.46  | 27387.85  |
|      19 | Ladakh                   | -         | -         | 4139.79   |
|      20 | Lakshadweep              | 526.55    | 457.93    | 298.81    |
|      21 | Madhya Pradesh           | 43717.59  | 52364.78  | 84228.9   |
|      22 | Maharashtra              | 51834.24  | 72305.95  | 104074.45 |
|      23 | Manipur                  | 3670.3    | 4705.63   | 5967.62   |
|      24 | Meghalaya                | 4601.59   | 5437.18   | 5421.35   |
|      25 | Mizoram                  | 4070.81   | 3902.84   | 4751.9    |
|      26 | Nagaland                 | 3561.77   | 3694.5    | 5344.42   |
|      27 | Odisha                   | 25777.13  | 31151.3   | 29849.34  |
|      28 | Puducherry               | 1453.2    | 1675.9    | 2143.45   |
|      29 | Punjab                   | 16923.18  | 20797.2   | 28137.61  |
|      30 | Rajasthan                | 31654.14  | 29035.11  | 55709.93  |
|      31 | Sikkim                   | 1299.27   | 1672.1    | 1951.92   |
|      32 | Tamil Nadu               | 51402.01  | 52362.33  | 58634.97  |
|      33 | Telangana                | 35597.14  | 32774.58  | 37236.61  |
|      34 | Tripura                  | 2464.01   | 3765.85   | 4894.38   |
|      35 | Uttar Pradesh            | 128811.03 | 183140.07 | 223583.43 |
|      36 | Uttarakhand              | 6971.43   | 7789.03   | 9964.42   |
|      37 | West Bengal              | 34412.87  | 40073.36  | 49749.54  |

## Note:

1. The above data comprises of Nurses and Paramedical Staff, Specialists, Other Specialists, Dental Staff, Medical Officers, AYUSH Staff, RBSK teams (Exclusive mobile health team & DEIC Staff), Staff for NRC, Staff for MMU/ MHV, Administrative Staff, Support Staff for Health Facilities, Annual increment for all the existing positions, etc.

2. The above data is as per the available Financial Management Reports (FMRs) reported by the States/UTs.