Lok Sabha Question No. 714 (UNSTARRED), answered on 2021-02-05
Subject: Healthcare Centres in Bihar
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Alok Kumar Suman

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

## LOK SABHA UNSTARRED QUESTION NO. 714 TO BE ANSWERED ON 5 TH February, 2021

## HEALTHCARE CENTRES I N BIHAR

## 714. DR. ALOK KUMAR SUMAN:

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

- (a) the number of healthcare/CGHS centers functional in Bihar particularly in Gopalganj district;
- (b) the number of such centres sponsored by Union and the State Government, separately;
- (c) the details of s taff, doctors and nurses posted at all the healthcare /CGHS centres, district -wise in Bihar;
- (d) whether the Government has any scheme to establish more healthcare/CGHS centres in Bihar particularly in Gopalganj district; and
- (e) if so, the detail thereof and if not, the reasons refor?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI ASHWINI KUMAR CHOUBEY)

- (a) to (e): 'Public Health & Hospitals' being a State subject the primary responsibility for ensuring healthcare services including establishing more public health care facilities respective State Government.

However, to address the healthcare challenges, particularly in rural areas, the Na 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 public health facilities. Currently, NRHM is a sub - mission of National Health Mission (NHM).

NHM support is provided to States/ UTs for setting up of new facilities as per norm upgradation of existing facilities for bridging the infrastructure gaps and to fill up th of Human Resource on contractual basis based on the requirement po sed by them. Similarly, the establishment of new CGHS centres at new location from time to time depends on the established norms like number of CGHS beneficiaries subject to availability of resource present, there is no such proposal under consider ati .

Rural Health Statistics (RHS) is  an annual publication, based on  Health c administrative  data  generated  by  the  health  care  system.  RHS  provides  information  on health  infrastructure  and  requirements  of  public  health  facilities  in  rural  areas  as  r orted  by States. As  per  the  RHS  2019, the District - wise  details  of  the  availability  of  health  centres Bihar including Gopalganj District may be seen at Annexure - 1 .

Further, t here are total 09 Central Government Health Scheme (CGHS) Wellness Centre in Bihar which is sponsored by the Central Government . Details the Information regarding the manpower in CGHS Centres may be seen at Annexure - 2.

As per the RHS 2019, the Information regarding the Health Manpower in the State Bihar may be seen at Annexure - 3 .

## Annexure-1

| States   | Name of the District           |             |           |             |                      |                         |                   |
|----------|--------------------------------|-------------|-----------|-------------|----------------------|-------------------------|-------------------|
|          | Name of the District           | Sub Centres | PHCs      | Number CHCs | functional HWC- PHCs | Sub Divisional Hospital | District Hospital |
|          | Araria Arwal                   | 242 65      | 26 26     | 2 0         | 0 0 0                | 1 0                     | 1 1               |
|          | Aurangabad                     |             | 55        | 6           | 12 6 18              | 1                       | 1                 |
|          | Banka                          | 254 237     |           |             | 12                   | 0                       | 1                 |
|          | Begusarai                      | 288         |           |             | 2                    |                         |                   |
|          |                                |             | 30 27 49  | 4           | 4                    |                         |                   |
|          |                                | 354         | 31        | 2           | 17 8                 | 4 2                     | 1                 |
|          | Bhagalpur                      |             |           | 4           | 29 0 14              |                         | 1                 |
|          | Bhojpur Buxar Darbhanga        | 298         |           | 4           | 0                    | 2                       | 1                 |
|          |                                | 160 398     | 29 79     | 1 8 11      | 11 0 24 13           | 1 1 3                   | 1 0 1             |
|          |                                |             |           |             | 3                    |                         |                   |
|          | E-Champaran Gaya               | 529         | 40        |             | 1                    |                         |                   |
|          | Gopalganj                      | 260 460 179 | 52 53     | 9 8         | 20 9 7 8             | 2 1 0                   | 1 1               |
|          | Jamui Jehanabad                | 102         | 28 33     | 6 2         | 6 7                  |                         |                   |
|          | Kaimur                         |             | 27        |             | 5                    |                         | 1                 |
|          |                                |             |           |             | 3                    | 0                       | 1 1 1             |
|          | Katihar                        | 276         |           | 4           | 5 1                  | 1 2 0                   | 1                 |
|          |                                | 174         | 16        | 4           | 16 4                 |                         |                   |
|          | Khagaria Kishanganj Lakhisarai | 323 186 156 | 49 20 8   | 1 1         | 8 0 10               |                         | 1                 |
|          |                                | 98          | 11        |             | 0                    | 0                       |                   |
|          |                                | 272         | 12        | 1 1 4       | 9 4 7 22             | 0 1 4                   | 1 1 1             |
|          | Madhepura                      |             |           | 2           | 0 12                 | 2                       |                   |
|          | Madhubani Munger Muzaffarpur   | 376 152     |           |             | 21                   | 0                       |                   |
|          | Nalanda                        | 494         | 75 12 78  | 9 3         | 25                   | 2                       | 1 1 1             |
|          |                                |             |           |             | 0 2 5 1 3            |                         |                   |
|          | Nawada Patna                   | 367 171 234 | 58 33 103 | 2 4 2       | 9 38 20              |                         |                   |
|          |                                |             |           |             |                      | 1 4 3                   | 1 0 1             |
|          |                                | 169         |           |             | 6 10 9 10            | 2                       | 1 1 1             |
|          |                                |             |           |             | 0                    |                         |                   |
|          | Purnia Rohtas Saharsa          | 306 251     | 42 44     | 6 1 8       |                      |                         |                   |
|          |                                |             |           |             | 0                    |                         |                   |
|          |                                |             |           |             | 2 12                 | 1                       |                   |
|          | Samastipur Saran Sheikhpura    | 355 412     | 32 65 58  | 9 1         | 3 2 3                | 4 2 0                   | 1 1               |
|          |                                | 85          | 19        | 0           | 4                    |                         | 1                 |
|          | Sitamarhi Siwan Supaul         | 91 204 375  | 5 49 55   | 5 9 2       | 13 8 8               |                         |                   |
|          | Sheohar                        |             |           |             | 0 0 4 3 3            | 0 2 1 1                 | 1 1 1             |
|          | Vaishali W- Champaran          | 178 334     | 23 28     | 2 2         | 13 0 24              | 2 2                     | 1 1               |

## Annexure-2

Information regarding the manpower in CGHS Centres in Bihar

| S.No.   | CGHSWC District wise in Bihar   | Details of Staff, Doctor and Nurses   | Details of Staff, Doctor and Nurses   | Details of Staff, Doctor and Nurses   |
|---------|---------------------------------|---------------------------------------|---------------------------------------|---------------------------------------|
|         |                                 | Posts                                 | Sanctioned Strength 31                | Filled in                             |
| 1       | Patna                           | Doctors Nurses                        | 07                                    | 27 06                                 |
| 1       | Patna                           | All                                   | 89                                    | 70                                    |
| 1       | Patna                           | other Staff Doctors                   |                                       |                                       |
| 2       | Gaya                            |                                       |                                       |                                       |
| 2       | Gaya                            |                                       | 02 01                                 | 01 01                                 |
| 2       | Gaya                            | Nurses All other Staff Doctors        |                                       |                                       |
| 3       | Darbhanga                       |                                       | 05 01 01                              | 02 01 (contractual)                   |
| 3       | Darbhanga                       | Nurses other Staff                    |                                       | 00 02 02                              |
| 4       | Chhapra                         | All Doctors Nurses                    | 04                                    | 00                                    |
| 4       | Chhapra                         |                                       | 02 01                                 |                                       |
| 4       | Chhapra                         | other Staff                           |                                       |                                       |
| 5       | Muzaffarpur                     | All Doctors                           | 04                                    | 01 01                                 |
| 5       | Muzaffarpur                     | Nurses                                | 02                                    |                                       |
| 5       | Muzaffarpur                     |                                       | 01                                    | 01                                    |

All other Staff

06

02

## Health Manpower in Bihar

| S. No.   | Health Manpower                                          | HRin Bihar (RHA Data 2019, As on 31st March, 2019)   | HRin Bihar (RHA Data 2019, As on 31st March, 2019)   | HRin Bihar (RHA Data 2019, As on 31st March, 2019)   | HRin Bihar (RHA Data 2019, As on 31st March, 2019)   | HRin Bihar (RHA Data 2019, As on 31st March, 2019)   |
|----------|----------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|
| S. No.   | Health Manpower                                          | Required 1                                           | Sanctioned                                           | In Position                                          | Vacant                                               | Shortfall                                            |
| S. No.   | Health Manpower                                          | [R1]                                                 | [S]                                                  | [P]                                                  | [S-P]                                                | [R1-P]                                               |
| 1        | HEALTH WORKER [FEMALE]/ANMATSUB CENTRE in Rural Areas    | 9949                                                 | NA                                                   | 20570                                                | NA                                                   | *                                                    |
| 2        | HEALTHWORKER [MALE] AT SUB CENTRES in Rural Areas        | 9949                                                 | NA                                                   | 1244                                                 | NA                                                   | 8705                                                 |
| 3        | HEALTHWORKER [FEMALE]/ANMAT PHCs in Rural Areas          | 1899                                                 | NA                                                   | 3658                                                 | NA                                                   | *                                                    |
| 4        | HEALTH ASSISTANTS [FEMALE] / LHV at PHCs in Rural Areas  | 1899                                                 | NA                                                   | 95                                                   | NA                                                   | 1804                                                 |
| 5        | HEALTH ASSISTANT [MALE] at PHCs in Rural Areas           | 1899                                                 | NA                                                   | 212                                                  | NA                                                   | 1687                                                 |
| 6        | DOCTORS+ AT PRIMARY HEALTH CENTRES in Rural Areas        | 1899                                                 | NA                                                   | 2085                                                 | NA                                                   | *                                                    |
| 7        | AYUSH Doctors at Primary Health Centres in Rural Areas   | 1899                                                 | NA                                                   | 1803                                                 | NA                                                   |                                                      |
| 8        | AYUSH Doctors at Community Health Centres in Rural Areas | 150                                                  | NA                                                   | 9                                                    | NA                                                   | 141                                                  |
| 9        | Dental Surgeon at PHCs in Rural Areas                    | 1899                                                 | NA                                                   | NA                                                   | NA                                                   |                                                      |
| 10       | Dental Surgeon at CHCs in Rural Areas                    | 300                                                  | NA                                                   | NA                                                   | NA                                                   | NA                                                   |
| 11       | SURGEONS at CHCs in Rural Areas                          | 150                                                  | NA                                                   | 13                                                   | NA                                                   | 137                                                  |
| 12       | OBSTETRICIANS& GYNAECOLOGISTS at CHCs in Rural Areas     | 150                                                  | NA                                                   | 30                                                   | NA                                                   | 120                                                  |
| 13       | PHYSICIANS at CHCs in Rural Areas                        | 150                                                  | NA                                                   | 8                                                    | NA                                                   | 142                                                  |
| 14       | PAEDIATRICIANS at CHCs in Rural Areas                    | 150                                                  | NA                                                   | 31                                                   | NA                                                   | 119                                                  |
| 15       | TOTAL SPECIALISTS AT CHCs in Rural Areas                 | 600                                                  | NA                                                   | 82                                                   | NA                                                   | 518                                                  |

## Annexure-3

General Duty Medical

|   16 | Officers (GDMOs) - Allopathic at CHCs in Rural Areas                  | 300   | NA     |   714 | NA   | *    |
|------|-----------------------------------------------------------------------|-------|--------|-------|------|------|
|   17 | DOCTORS AT DISTRICT HOSPITAL                                          |       | 888    |  1301 |      |      |
|   18 | DOCTORS AT DISTRICT HOSPITALAND SUB DISTRICT/ SUB DIVISIONAL HOSPITAL |       | 55     |   286 |      |      |
|   19 | PARA MEDICAL STAFF AT DISTRICT HOSPITAL                               |       | NA     |  1916 |      |      |
|   20 | PARA MEDICAL STAFF AT SUB DISTRICT/ SUB DIVISIONAL HOSPITAL           |       | NA     |   288 |      |      |
|   21 | RADIOGRAPHERS at CHCs in Rural Areas                                  | 150   | NA     |     1 | NA   | 149  |
|   22 | PHARMACISTS at PHCs in Rural Areas                                    | 1899  | NA     |   235 | NA   | 1664 |
|   23 | PHARMACISTS at CHCs in Rural Areas                                    | 150   | NA     |    52 | NA   | 98   |
|   24 | LABORATORY TECHNICIANS at PHCs in Rural Areas                         | 1899  | NA     |   453 | NA   | 1446 |
|   25 | LABORATORY TECHNICIANS at CHCs in Rural Areas                         | 150   | NA     |   158 | NA   | *    |
|   26 | NURSING STAFF at PHCs in Rural Areas                                  | 1899  | NA     |  1296 | NA   | 603  |
|   27 | NURSING STAFF at CHCs in Rural Areas                                  | 1050  | NA     |   334 | NA   | 716  |
|   28 | STATE/ UT wise STATUS                                                 |       | 104239 | 89439 |      |      |

Note:

OF ASHAs

NA - Not available.