Lok Sabha Question No. 25 (STARRED), answered on 2023-02-03
Subject: Doctor Patient Ratio
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Ravi Kishan Shukla, Ravindra Kushawaha

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

## LOK SABHA STARRED QUESTION NO. 25 TO BE ANSWERED ON THE 3 RD  FEBRUARY, 2023

## DOCTOR PATIENT RATIO

## *25. SHRI RAVI KISHAN: SHRI RAVINDRA KUSHWAHA:

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

- (a) whether it is a fact that the ratio of patients to Doctors and Nurses in the country is not adequate;
- (b) if so, the details thereof, State/UT-wise;
- (c) whether any steps have been taken/being taken to increase the number of seats in various medical institutes/colleges throughout the country; and
- (d) if so, the details thereof during the last three years and the current year?

## THE MINISTER OF HEALTH AND FAMILY WELFARE

## ANSWER (DR MANSUKH MANDAVIYA)

- (a) to (  d) A Statement is laid on the Table of the House.

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 25 FOR 3 RD  FEBRUARY, 2023

(a)  to  (d):  As  informed  by  the  National  Medical  Commission  (NMC),  there  are 13,08,009  allopathic  doctors  registered  with  the  State  Medical  Councils  and  the National Medical Commission (NMC) as on June, 2022. Assuming 80% availability of registered  allopathic  doctors  and  5.65  lakh  AYUSH  doctors,  the  doctor-population ratio in the country is 1:834. Also, as per the Indian Nursing Council (INC) records, there  are  35.14  lakh  registered  nursing  personnel  in  the  country  giving  a  nurse  to population ration of 2.06 nurses per 1000 population. The total number of allopathic doctors  registered  with  the  respective  State  and  National  Councils  is  placed  at Annexure I  and    total  number  of  trained  nurses  in  the  country,  State/UT  wise  is  at Annexure-II.

The  government  has  increased  number  of  medical  colleges  and  subsequently increased  MBBS  seats.  There  is  an  increase  of  69%  in  Medical  Colleges  from  387 before 2014 to 654 as of now. Further, there is an increase of 94% in MBBS seats from 51348 before 2014 to 99763 as of now and increase of 107% in PG seats from 31185 before  2014  to  64559  as  of  now.  There  is  an  increase  of  26.20%  in  Nursing  seats, including Diploma and Specialised courses from 285989 before 2014 to 360905 as on 31.03.2022.

The measures/steps taken by the Government to increase the number of medical seats in the Country include:-

- i. Centrally  Sponsored  Scheme  for  establishment  of  new  medical  college  by upgrading  district/  referral  hospital  under  which  94  new  medical  colleges  are already functional out of 157 approved.
- ii. Centrally  Sponsored  Scheme  for  strengthening/  upgradation  of  existing  State Government/Central  Government  Medical  Colleges  to  increase  MBBS  and  PG seats.
- iii. Under 'Upgradation of Government Medical Colleges by construction of Super Specialty  Blocks'  of  Pradhan  Mantri  Swasthya  Suraksha  Yojana  (PMSSY) scheme,  a  total  of  75  projects  have  been  approved,  of  which  60  projects  are complete.
- iv. Under the Central Sector Scheme for setting up of new AIIMS, 22 AIIMS have been approved. Undergraduate courses have started in 19 of these.
- v. Relaxation in the norms for setting up of Medical College in terms of requirement for faculty, staff, bed strength and other infrastructure.
- vi. DNB qualification has been recognized for appointment as faculty to take care of shortage of faculty.
- vii. Enhancement  of  age  limit  for  appointment/  extension/  re-employment  against posts of teachers/Dean/Principal/ Director in medical colleges upto 70 years.

Further, the Government has taken following steps to increase the nursing seats in the country:-

- i. For Nursing Educational Programmes student patient ratio has been relaxed from 1:5 to 1:3
- ii. The land requirement for Nursing Educational Institutes from  3 acres has been relaxed  to  construct  building  of  54,000  sq.  ft.  for  School/College  of  Nursing including Hostel.
- iii. To  open  GNM  and  B.Sc.  (Nursing)  programme  100  bedded  parent  hospital  is essential since 2013-2014. However, this is relaxed for hilly and tribal areas.
- iv. Relaxed norms for teaching faculty to start B.Sc. (N) Programme.
5.  At least 2 M.Sc. (N) faculty to be available
6.  Qualification and Experience of the Nursing Teachers has been relaxed.
- v. Relaxation for opening M.Sc.(N) programme. Super speciality Hospital can start M.Sc. (N) without having under graduate programme.
8.  Relaxation  of  student  teacher  ratio  for  M.Sc.(N)  programme  has  been relaxed from 1:5 to 1:10
- vi. Age of superannuation increased for Faculty in Nursing to 70 years
- vii. Maximum of 100 seats  will  be  granted  to  the  institutions  for  B.Sc.(N)/GNM programmes which are having parent hospital with 300 beds without insisting on Medical College
- viii. Distance from school to hospital has been relaxed.
- ix. Eligibility Criteria for admission to nursing programmes relaxed:
13.  Aggregate Marks for Diploma and Degree has been relaxed.
14.  Candidates  from  recognized  State  Open  School  and  National  Institute  of Open School (NIOS) are also eligible.
- X. Under  the  scheme  'Development  of  Nursing  Services'  funds  are  provided  to States to upgrade Schools of Nursing into Colleges of Nursing.

## STATE/ UT-WISE LIST OF DOCTORS POSSESSING RECOGNISED MEDICAL QUALIFICATIONS  AND REGISTERED WITH STATE MEDICAL COUNCILS / THE ERSTWHILE MEDICAL COUNCIL OF  INDIA/ NATIONAL MEDICAL COMMISSION AS ON JUNE, 2022

|   SI. No. | Name of State Medical Council          |   Total number of allopathic doctors |
|-----------|----------------------------------------|--------------------------------------|
|         1 | Andhra Pradesh Medical Council         |                               105799 |
|         2 | Arunachal Pradesh Medical Council      |                                 1461 |
|         3 | Assam Medical Council                  |                                25561 |
|         4 | Bihar Medical Council                  |                                48192 |
|         5 | Chattisgarh Medical Council            |                                10020 |
|         6 | Delhi Medical Council                  |                                30817 |
|         7 | Goa Medical Council                    |                                 4035 |
|         8 | Gujarat Medical Council                |                                72406 |
|         9 | Haryana Medical Council                |                                15687 |
|        10 | Himachal Pradesh Medical Council       |                                 5038 |
|        11 | Jammu &Kashmir Medical Council         |                                17574 |
|        12 | Jharkhand Medical Council              |                                 7374 |
|        13 | Karnataka Medical Council              |                               134426 |
|        14 | Madhya Pradesh Medical Council         |                                42596 |
|        15 | Maharashtra Medical Council            |                               188545 |
|        16 | Erstwhile Medical Council of India     |                                52669 |
|        17 | Mizoram Medical Council                |                                  156 |
|        18 | Nagaland Medical Council               |                                  141 |
|        19 | Orissa Council of Medical Registration |                                26924 |
|        20 | Punjab Medical Council                 |                                51689 |
|        21 | Rajasthan Medical Council              |                                48232 |
|        22 | Sikkim Medical Council                 |                                 1501 |
|        23 | Tamil Nadu Medical Council             |                               148217 |
|        24 | Travancore Medical Council             |                                72999 |
|        25 | Uttar Pradesh Medical Council          |                                89287 |
|        26 | Uttaranchal Medical Council            |                                10243 |
|        27 | West Bengal Medical Council            |                                78740 |
|        28 | Tripura Medical Council                |                                 2681 |
|        29 | Telangana Medical Council              |                                14999 |

Source: The National Medical Commission

Note:- Erstwhile MCI had stopped the registration since 2015.

State/UT wise number of trained nurses as on 31.12.2021

|   S.No. | STATE             |    ANM |   RN&RM | LHV   |
|---------|-------------------|--------|---------|-------|
|       1 | Andhra Pradesh    | 139812 |  262076 | 2480  |
|       2 | Arunachal Pradesh |   7972 |    8352 | 346   |
|       3 | Assam             |  30174 |   28599 | 452   |
|       4 | Bihar             |  19499 |   26421 | 511   |
|       5 | Chhattisgarh      |  15154 |   28465 | 1352  |
|       6 | Delhi             |   5171 |   80484 | 0*    |
|       7 | Goa               |    330 |    1081 | 0*    |
|       8 | Gujarat           |  54364 |  141477 | 0*    |
|       9 | Haryana           |  31989 |   41518 | 694   |
|      10 | Himachal Pradesh  |  12007 |   26611 | 500   |
|      11 | Jharkhand         |  10900 |    6773 | 142   |
|      12 | Karnataka         |  54039 |  231643 | 6840  |
|      13 | Kerala            |  31302 |  315620 | 8507  |
|      14 | Madhya Pradesh    |  39563 |  118793 | 1731  |
|      15 | Maharashtra       |  81218 |  152845 | 685   |
|      16 | Meghalaya         |   2224 |    9603 | 242   |
|      17 | Manipur           |   4361 |   12136 | 0*    |
|      18 | Mizoram           |   2465 |    4824 | 0*    |
|      19 | Orissa            |  70679 |   85561 | 238   |
|      20 | Punjab            |  23029 |   76680 | 2584  |
|      21 | Rajasthan         | 110443 |  209554 | 2732  |
|      22 | Tamil Nadu        |  61465 |  332030 | 11284 |
|      23 | Tripura           |   2708 |    7510 | 148   |
|      24 | Uttar Pradesh     |  75671 |  111860 | 2763  |
|      25 | Uttarakhand       |   9779 |   16947 | 37    |
|      26 | West Bengal       |  69709 |   76318 | 12854 |
|      27 | Telangana         |  10219 |   53314 | 0*    |
|      28 | Sikkim            |    236 |    1860 | 0*    |
|      29 | Nagaland          |   1186 |    1365 | 0*    |
|      30 | Jammu and Kashmir |   5264 |    3999 | 0*    |

Source: Respective State Nurses Registration Council

*State Nursing Councils have not reported LHVs  in these states

ANM: Auxiliary Nurse Midwives, RN & RM : Registered Nurses & Registered Midwives, LHV : Lady Health Visitors

*****