Lok Sabha Question No. 3227 (UNSTARRED), answered on 2022-08-05
Subject: Status of Healthcare System
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Mahesh Sahoo

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

## LOK SABHA UNSTARRED QUESTION NO. 3227 TO BE ANSWERED ON 05 th  AUGUST, 2022

## STATUS OF HEALTHCARE SYSTEM

## 3227. SHRI MAHESH SAHOO:

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

- (a) the present status of healthcare system in the country;
- (b) the average density of population served by each health centre in rural areas;
- (c) whether  the  Government  proposes  to  devise  any  plan  to  improve  the  present  state  of healthcare in rural areas of the country and if so, the details thereof; and
- (d) the number of rural healthcare centres functioning in Odisha, district-wise?

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

(a):  The healthcare system of the country involves a three-tier system with Sub Health Centre (Urban  and  Rural),  Primary  Health  Centre  (Urban  and  Rural)  and  Community  Health  Centre (Urban  and  Rural)  as  the  three  pillars  of  Primary  Health  Care  System  in  India.  Rural  Health Statistics (RHS) is an annual publication, based on Health care administrative data reported by States/UTs.  As  per  RHS  2020-21,  State/UT-wise  number  of  Sub-Centres,  PHCs,  CHCs functioning in rural & urban areas is at Annexure-I .

Similarly,  District  Hospital  (DH),  Sub-District  Hospital  (SDH)  and  First  Referral  Unit  Community  Health  Centres  provide  secondary  care  services  whereas  Medical  Colleges  and State-level Institutions provide tertiary care services. As per RHS 2020-21, the number of SubDivisional  Hospital,  District  Hospital  &  Medical  Colleges  functioning  in  States/UTs  is  at Annexure-II .

(b): As per RHS 2020-21, State/UT-wise details of average rural population covered by SC, PHC and CHC is at Annexure-III.

(c):  Ministry  of  Health  and  Family  Welfare,  Government  of  India  provides  technical  and financial support to the States/UTs to strengthen the public healthcare facilities. To address the healthcare  challenges,  particularly  in  rural  areas,  the  National  Rural  Health  Mission  (NRHM) was  launched  in  2005  to  supplement  the  efforts  of  the  State/UT  governments  to  provide accessible,  affordable  and  quality  healthcare  to  all  those  who  access  public  health  facilities. Currently, NRHM is a sub-mission of National Health Mission (NHM).

Support is provided to states/UTs under the National Health Mission (NHM) for strengthening of health care facilities as per norms based on the requirements posed by them in their Programme Implementation Plans (PIPs) and within their overall resource envelope. Under NHM, States are supported for several interventions towards strengthening the primary healthcare services in the country.

XV-Finance Commission Health Grants through Local Government announced as part of Union Budget 2021-22, for strengthening the healthcare system at primary healthcare level, has recommended grants aggregating to Rs. 70,051 Crores over the period of five years (2021-2026) through local government to strengthen the healthcare system in states.

Pradhan Mantri Ayushman Bharat Health Infrastructure Mission (PM-ABHIM )  with an outlay of Rs. 64,180 Crores aims to fill critical gaps in public health infrastructure especially in critical care facilities and primary care in both urban and rural areas. It is a Centrally Sponsored Scheme  with  some  Central  Sector  components.  The  Centrally  Sponsored  Scheme  (CSS) Components  includes  support  for  infrastructure  development  for  Sub-Health  Centres,  Urban Health and Wellness Centres, Support for Block Public Health Units, Integrated District Public Health Laboratories and Critical Care Hospital Blocks.

(d): As  per  RHS  2020-21,  District-wise  availability  of  Health  Centres  (Rural  and  Urban)  in Odisha is at Annexure-IV.

## Annexure-I

| S.    | NUMBER OF SUB-CENTRES,             | PHCs, CHCs FUNCTIONING IN RURAL&URBAN AREAS   | PHCs, CHCs FUNCTIONING IN RURAL&URBAN AREAS   | PHCs, CHCs FUNCTIONING IN RURAL&URBAN AREAS   | PHCs, CHCs FUNCTIONING IN RURAL&URBAN AREAS   | PHCs, CHCs FUNCTIONING IN RURAL&URBAN AREAS   | PHCs, CHCs FUNCTIONING IN RURAL&URBAN AREAS   |
|-------|------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|-----------------------------------------------|
| S.    | NUMBER OF SUB-CENTRES,             | Sub centres                                   | Sub centres                                   | PHCs                                          | PHCs                                          | CHCs                                          | CHCs                                          |
| No.   | State/UT                           | Rural                                         | Urban                                         | Rural                                         | Urban                                         | Rural                                         | Urban                                         |
| 1     | Andhra Pradesh                     | 7437                                          | 21                                            | 1142                                          | 259                                           | 141                                           | 57                                            |
| 2     | Arunachal Pradesh                  | 337                                           | 10                                            | 122                                           | 5                                             | 57                                            | 0                                             |
| 3     | Assam                              | 4663                                          | 15                                            | 948                                           | 53                                            | 197                                           | 2                                             |
| 4     | Bihar                              | 10258                                         | 0                                             | 1932                                          | 102                                           | 306                                           | 0                                             |
| 5     | Chhattisgarh                       | 5115                                          | 370                                           | 769                                           | 52                                            | 166                                           | 3                                             |
| 6     | Goa                                | 219                                           | 0                                             | 23                                            | 4                                             | 6                                             | 0                                             |
| 7     | Gujarat                            | 9162                                          | 0                                             | 1477                                          | 322                                           | 333                                           | 27                                            |
| 8     | Haryana                            | 2626                                          | 0                                             | 384                                           | 100                                           | 124                                           | 13                                            |
| 9     | Himachal Pradesh                   | 2114                                          | 1                                             | 553                                           | 19                                            | 98                                            | 0                                             |
| 10    | Jharkhand                          | 3848                                          | 0                                             | 291                                           | 59                                            | 171                                           | 5                                             |
| 11    | Karnataka                          | 8891                                          | 550                                           | 2141                                          | 390                                           | 182                                           | 30                                            |
| 12    | Kerala                             | 5234                                          | 250                                           | 782                                           | 158                                           | 213                                           | 16                                            |
| 13    | Madhya Pradesh                     | 10189                                         | 0                                             | 1234                                          | 284                                           | 295                                           | 25                                            |
| 14    | Maharashtra                        | 10673                                         | 0                                             | 1839                                          | 651                                           | 270                                           | 131                                           |
| 15    | Manipur                            | 416                                           | 0                                             | 86                                            | 9                                             | 17                                            | 0                                             |
| 16    | Meghalaya                          | 448                                           | 3                                             | 121                                           | 24                                            | 28                                            | 0                                             |
| 17    | Mizoram                            | 340                                           | 37                                            | 62                                            | 6                                             | 9                                             | 0                                             |
| 18    | Nagaland                           | 427                                           | 18                                            | 131                                           | 7                                             | 21                                            | 0                                             |
| 19    | Odisha                             | 6688                                          | 0                                             | 1288                                          | 91                                            | 377                                           | 7                                             |
| 20    | Punjab                             | 2951                                          | 0                                             | 422                                           | 100                                           | 150                                           | 10                                            |
| 21    | Rajasthan                          | 13531                                         | 50                                            | 2130                                          | 264                                           | 589                                           | 68                                            |
| 22    | Sikkim                             | 147                                           | 6                                             | 24                                            | 2                                             | 2                                             | 0                                             |
| 23    | Tamil Nadu                         | 8713                                          | 0                                             | 1422                                          | 464                                           | 385                                           | 15                                            |
| 24    | Telangana                          | 4744                                          | 256                                           | 636                                           | 227                                           | 85                                            | 10                                            |
| 25    | Tripura                            | 967                                           | 32                                            | 108                                           | 8                                             | 22                                            | 0                                             |
| 26    | Uttarakhand                        | 1823                                          | 20                                            | 245                                           | 42                                            | 53                                            | 19                                            |
| 27    | Uttar Pradesh                      | 20778                                         | 0                                             | 2923                                          | 593                                           | 753                                           | 12                                            |
| 28    | West Bengal                        | 10357                                         | 0                                             | 915                                           | 454                                           | 348                                           | 0                                             |
| 29    | Andaman &Nicobar Islands           | 124                                           | 0                                             | 22                                            | 5                                             | 4                                             | 0                                             |
| 30    | Chandigarh                         | 0                                             | 0                                             | 0                                             | 42                                            | 0                                             | 2                                             |
| 31    | Dadra &Nagar Haveli and Daman &Diu | 94                                            | 3                                             | 12                                            | 2                                             | 3                                             | 1                                             |
| 32    | Delhi                              | 12                                            | 3                                             | 5                                             | 544                                           | 0                                             | 0                                             |
| 33    | Jammu &Kashmir                     | 2426                                          | 45                                            | 891                                           | 82                                            | 63                                            | 16                                            |
| 34    | Ladakh                             | 289                                           | 0                                             | 32                                            | 0                                             | 7                                             | 0                                             |
| 35 36 | Lakshadweep Puducherry             | 7 53                                          | 0 28                                          | 4 24                                          | 0 15                                          | 3 3                                           | 0 1                                           |

Note:

Chandigarh has no Rural area

Delhi has no CHCs

## Annexure-II

| NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL& MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL& MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL& MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL& MEDICAL COLLEGES FUNCTIONING   | NUMBER OF SUB DIVISIONAL HOSPITAL, DISTRICT HOSPITAL& MEDICAL COLLEGES FUNCTIONING   |
|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|
| S. No.                                                                               | State/UT                                                                             | (As on 31st Divisional Hospital (SDH)                                                | March 2021) District Hospital (DH)                                                   | Medical Colleges                                                                     |
| 1                                                                                    | Andhra Pradesh                                                                       | 28                                                                                   | 14                                                                                   | 12                                                                                   |
| 2                                                                                    | Arunachal Pradesh                                                                    | 0                                                                                    | 19                                                                                   | 0                                                                                    |
| 3                                                                                    | Assam                                                                                | 14                                                                                   | 24                                                                                   | 8                                                                                    |
| 4                                                                                    | Bihar                                                                                | 45                                                                                   | 36                                                                                   | 10                                                                                   |
| 5                                                                                    | Chhattisgarh                                                                         | 12                                                                                   | 27                                                                                   | 8                                                                                    |
| 6                                                                                    | Goa                                                                                  | 2                                                                                    | 2                                                                                    | 1                                                                                    |
| 7                                                                                    | Gujarat                                                                              | 54                                                                                   | 20                                                                                   | 20                                                                                   |
| 8                                                                                    | Haryana                                                                              | 23                                                                                   | 22                                                                                   | 6                                                                                    |
| 9                                                                                    | Himachal Pradesh                                                                     | 83                                                                                   | 9                                                                                    | 6                                                                                    |
| 10                                                                                   | Jharkhand                                                                            | 13                                                                                   | 23                                                                                   | 6                                                                                    |
| 11                                                                                   | Karnataka                                                                            | 150                                                                                  | 22                                                                                   | 21                                                                                   |
| 12                                                                                   | Kerala                                                                               | 87                                                                                   | 47                                                                                   | 8                                                                                    |
| 13                                                                                   | Madhya Pradesh                                                                       | 92                                                                                   | 51                                                                                   | 10                                                                                   |
| 14                                                                                   | Maharashtra                                                                          | 91                                                                                   | 23                                                                                   | 23                                                                                   |
| 15                                                                                   | Manipur                                                                              | 1                                                                                    | 7                                                                                    | 2                                                                                    |
| 16                                                                                   | Meghalaya                                                                            | 0                                                                                    | 11                                                                                   | 1                                                                                    |
| 17                                                                                   | Mizoram                                                                              | 2                                                                                    | 12                                                                                   | 1                                                                                    |
| 18                                                                                   | Nagaland                                                                             | 0                                                                                    | 11                                                                                   | 0                                                                                    |
| 19                                                                                   | Odisha                                                                               | 33                                                                                   | 32                                                                                   | 7                                                                                    |
| 20                                                                                   | Punjab                                                                               | 42                                                                                   | 22                                                                                   | 3                                                                                    |
| 21                                                                                   | Rajasthan                                                                            | 25                                                                                   | 28                                                                                   | 39                                                                                   |
| 22                                                                                   | Sikkim                                                                               | 1                                                                                    | 4                                                                                    | 0                                                                                    |
| 23                                                                                   | Tamil Nadu                                                                           | 282                                                                                  | 20                                                                                   | 40                                                                                   |
| 24                                                                                   | Telangana                                                                            | 37                                                                                   | 5                                                                                    | 9                                                                                    |
| 25                                                                                   | Tripura                                                                              | 12                                                                                   | 7                                                                                    | 2                                                                                    |
| 26                                                                                   | Uttarakhand                                                                          | 19                                                                                   | 13                                                                                   | 3                                                                                    |
| 27                                                                                   | Uttar Pradesh                                                                        | 0                                                                                    | 168                                                                                  | 20                                                                                   |
| 28                                                                                   | West Bengal                                                                          | 60                                                                                   | 18                                                                                   | 18                                                                                   |
| 29                                                                                   | Andaman &Nicobar Islands                                                             | 0                                                                                    | 3                                                                                    | 0                                                                                    |
| 30                                                                                   | Chandigarh                                                                           | 1                                                                                    | 1                                                                                    | 2                                                                                    |
| 31                                                                                   | Dadra &Nagar Haveli and Daman & Diu                                                  | 1                                                                                    | 2                                                                                    | 1                                                                                    |
| 32                                                                                   | Delhi                                                                                | 9                                                                                    | 37                                                                                   | 10                                                                                   |
| 33                                                                                   | Jammu &Kashmir                                                                       | 0                                                                                    | 16                                                                                   | 8                                                                                    |
| 34                                                                                   | Ladakh                                                                               | 0                                                                                    | 2                                                                                    | 0                                                                                    |
| 36                                                                                   | Puducherry                                                                           | 3                                                                                    | 5                                                                                    | 2                                                                                    |

## Annexure-III

| AVERAGE RURAL POPULATION COVERED by SC, PHC and CHC   | AVERAGE RURAL POPULATION COVERED by SC, PHC and CHC   | AVERAGE RURAL POPULATION COVERED by SC, PHC and CHC                                         | AVERAGE RURAL POPULATION COVERED by SC, PHC and CHC                                         | AVERAGE RURAL POPULATION COVERED by SC, PHC and CHC                                         |
|-------------------------------------------------------|-------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------|
| S. No.                                                |                                                       | (As on 31st March, 2021) Average Rural Population [mid-year population as on 1st July 2021] | (As on 31st March, 2021) Average Rural Population [mid-year population as on 1st July 2021] | (As on 31st March, 2021) Average Rural Population [mid-year population as on 1st July 2021] |
|                                                       | State/UT                                              |                                                                                             |                                                                                             |                                                                                             |
|                                                       |                                                       | Sub Centre                                                                                  | covered PHC                                                                                 | CHC                                                                                         |
| 1                                                     | Andhra Pradesh                                        | 4,586                                                                                       | 29,863                                                                                      | 2,41,872                                                                                    |
| 2                                                     | Arunachal Pradesh                                     | 3,409                                                                                       | 9,418                                                                                       | 20,158                                                                                      |
| 3                                                     | Assam                                                 | 6,381                                                                                       | 31,388                                                                                      | 1,51,046                                                                                    |
| 4                                                     | Bihar                                                 | 10,594                                                                                      | 56,247                                                                                      | 3,55,131                                                                                    |
| 5                                                     | Chhattisgarh                                          | 4,249                                                                                       | 28,264                                                                                      | 1,30,934                                                                                    |
| 6                                                     | Goa                                                   | 1,849                                                                                       | 17,609                                                                                      | 67,500                                                                                      |
| 7                                                     | Gujarat                                               | 3,985                                                                                       | 24,716                                                                                      | 1,09,628                                                                                    |
| 8                                                     | Haryana                                               | 6,638                                                                                       | 45,396                                                                                      | 1,40,581                                                                                    |
| 9                                                     | Himachal Pradesh                                      | 3,143                                                                                       | 12,016                                                                                      | 67,806                                                                                      |
| 10                                                    | Jharkhand                                             | 7,441                                                                                       | 98,399                                                                                      | 1,67,450                                                                                    |
| 11                                                    | Karnataka                                             | 4,248                                                                                       | 17,643                                                                                      | 2,07,544                                                                                    |
| 12                                                    | Kerala                                                | 1,919                                                                                       | 12,844                                                                                      | 47,155                                                                                      |
| 13                                                    | Madhya Pradesh                                        | 5,929                                                                                       | 48,956                                                                                      | 2,04,786                                                                                    |
| 14                                                    | Maharashtra                                           | 6,070                                                                                       | 35,227                                                                                      | 2,39,933                                                                                    |
| 15                                                    | Manipur                                               | 5,185                                                                                       | 25,081                                                                                      | 1,26,882                                                                                    |
| 16                                                    | Meghalaya                                             | 5,839                                                                                       | 21,620                                                                                      | 93,429                                                                                      |
| 17                                                    | Mizoram                                               | 1,626                                                                                       | 8,919                                                                                       | 61,444                                                                                      |
| 18                                                    | Nagaland                                              | 2,911                                                                                       | 9,489                                                                                       | 59,190                                                                                      |
| 19                                                    | Odisha                                                | 5,578                                                                                       | 28,966                                                                                      | 98,960                                                                                      |
| 20                                                    | Punjab                                                | 6,056                                                                                       | 42,348                                                                                      | 1,19,140                                                                                    |
| 21                                                    | Rajasthan                                             | 4,330                                                                                       | 27,504                                                                                      | 99,462                                                                                      |
| 22                                                    | Sikkim                                                | 2,503                                                                                       | 15,333                                                                                      | 1,84,000                                                                                    |
| 23                                                    | Tamil Nadu                                            | 4,131                                                                                       | 25,310                                                                                      | 93,483                                                                                      |
| 24                                                    | Telangana                                             | 4,270                                                                                       | 31,851                                                                                      | 2,38,318                                                                                    |
| 25                                                    | Tripura                                               | 2,643                                                                                       | 23,667                                                                                      | 1,16,182                                                                                    |
| 26                                                    | Uttarakhand                                           | 4,071                                                                                       | 30,294                                                                                      | 1,40,038                                                                                    |
| 27                                                    | Uttar Pradesh                                         | 8,499                                                                                       | 60,413                                                                                      | 2,34,513                                                                                    |
| 28                                                    | West Bengal                                           | 6,065                                                                                       | 68,646                                                                                      | 1,80,491                                                                                    |
| 29                                                    | Andaman &Nicobar Islands                              | 1,839                                                                                       | 10,364                                                                                      | 57,000                                                                                      |
| 30                                                    | Chandigarh                                            | N App                                                                                       | N App                                                                                       | N App                                                                                       |
| 31                                                    | Dadra &Nagar Haveli and Daman &Diu                    | 2,447                                                                                       | 19,167                                                                                      | 76,667                                                                                      |
| 32                                                    | Delhi                                                 | 10,583                                                                                      | 25,400                                                                                      | N App                                                                                       |
| 33                                                    | Jammu &Kashmir                                        | 3,872                                                                                       | 10,542                                                                                      | 1,49,095                                                                                    |
| 34                                                    | Ladakh                                                | 723                                                                                         | 6,531                                                                                       | 29,857                                                                                      |
| 35 36                                                 | Lakshadweep Puducherry                                | 286                                                                                         | 500                                                                                         | 667                                                                                         |
|                                                       |                                                       | 8,981                                                                                       | 19,833                                                                                      | 1,58,667                                                                                    |

Notes:

No CHC functioning in Delhi under rural areas

Chandigarh UT has no Rural area

Annexure-IV District-wise availability of Health Centres (Rural and Urban) in Odisha

| S No.   | the              | (As on 31st March, 2021)   | (As on 31st March, 2021)   | (As on 31st March, 2021)   | (As on 31st March, 2021)   | (As on 31st March, 2021)   |
|---------|------------------|----------------------------|----------------------------|----------------------------|----------------------------|----------------------------|
|         | Name of District | Sub Centres                | PHCs                       | CHCs                       | Sub Divisional Hospital    | District Hospital          |
| 1       | Anugul           | 166                        | 31                         | 9                          | 3                          | 1                          |
| 2       | Balangir         | 226                        | 48                         | 15                         | 2                          | 1                          |
| 3       | Baleshwar        | 275                        | 73                         | 17                         | 1                          | 1                          |
| 4       | Bargarh          | 204                        | 49                         | 15                         | 1                          | 1                          |
| 5       | Bhadrak          | 178                        | 54                         | 7                          | 0                          | 1                          |
| 6       | Boudh            | 67                         | 12                         | 5                          | 0                          | 1                          |
| 7       | Cuttack          | 332                        | 73                         | 22                         | 2                          | 0                          |
| 8       | Deogarh          | 42                         | 8                          | 4                          | 0                          | 1                          |
| 9       | Dhenkanal        | 167                        | 38                         | 10                         | 2                          | 1                          |
| 10      | Gajapati         | 136                        | 22                         | 8                          | 0                          | 1                          |
| 11      | Ganjam           | 460                        | 101                        | 28                         | 4                          | 0                          |
| 12      | Jagatsinghapur   | 189                        | 35                         | 11                         | 0                          | 1                          |
| 13      | Jajapur          | 260                        | 62                         | 12                         | 0                          | 1                          |
| 14      | Jharsuguda       | 66                         | 20                         | 6                          | 0                          | 1                          |
| 15      | Kalahandi        | 242                        | 46                         | 18                         | 1                          | 1                          |
| 16      | Kandhamal        | 172                        | 40                         | 14                         | 1                          | 1                          |
| 17      | Kendrapara       | 227                        | 46                         | 8                          | 1                          | 1                          |
| 18      | Kendujhar        | 351                        | 67                         | 17                         | 2                          | 1                          |
| 19      | Khordha          | 202                        | 75                         | 16                         | 0                          | 1                          |
| 20      | Koraput          | 307                        | 51                         | 16                         | 0                          | 0                          |
| 21      | Malkangiri       | 158                        | 27                         | 6                          | 2                          | 1                          |
| 22      | Mayurbhanj       | 589                        | 88                         | 28                         | 3                          | 1                          |
| 23      | Nabarangpur      | 289                        | 41                         | 10                         | 1                          | 1                          |
| 24      | Nayagarh         | 166                        | 38                         | 12                         | 1                          | 1                          |
| 25      | Nuapada          | 95                         | 17                         | 5                          | 1                          | 1                          |
| 26      | Puri             | 241                        | 52                         | 17                         | 0                          | 1                          |
| 27      | Rayagada         | 235                        | 39                         | 11                         | 1                          | 1                          |
| 28      | Sambalpur        | 167                        | 36                         | 11                         | 2                          | 0                          |
| 29      | Sonepur          | 89                         | 20                         | 5                          | 1                          | 1                          |
| 30      | Sundargarh       | 390                        | 69                         | 21                         | 1                          | 2                          |