Lok Sabha Question No. 906 (UNSTARRED), answered on 2021-02-05
Subject: Shortage of Doctors in Telangana
Ministry: HEALTH AND FAMILY WELFARE
Asked by: Anumula Revanth Reddy

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

LOK SABHA UNSTARRED QUESTION NO. 906 TO BE ANSWERED ON 5 TH FEBRUARY, 2021

## SHORTAGE OF DOCTORS IN TELANGANA

## 906. SHRI ANUMULA RE VANTH REDDY:

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

(a) whether the Government is aware of the fact that there is acute shortage of doctors in the state ofTelangana especially in Primary and Community Health Centres which is adversely affe cting the poor patients availing treatment at these centres generally and especially during the ongoing Coronavirus Pandemic;

- (b) if so, the details thereof and reasons for the shortage of doctors;
- (c)  the  number  of  Primary  Health  Centres  that  fulfil the  p arameters  of  infrastructure  and manpower as laid down in the Indian Public Health Standards, district wise in Telangana;
- (d) the number and details of the Primary Health Centres that do not fulfil the parameters of infrastructure and manpower as laid down i the Indian Public Health Standards, district - wise in Telangana; and
- (e) the remedial measures which Government proposes to take in this regard?

## ANSWER

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

(a) &(b) : Public Health and Hospitals being a State Subject, all the administrative and per matters,  including  that  of  recruitment/appointment/engagement  of  doctors,  lies  wit respective State Governments. However, under National Health Mission, fin ancial and technical support is provided to States/UTs to strengthen their healthcare systems including supp engagement  of  doctors  based  on  the  requirement  posed  by  them  in  their  Programme Implementation Plans (PIPs) subject to availability of resou rces. As per Rural Health Statistics, 2018- 19 the details of availability doctors and shortfall thereof at Primary Health Centre and Community Health Centres (CHCs), inthe State of Telangana is given at Annexure -I.

(c) : Out of 636 Primary Healt h Centers (PHCs) in the State of Telangana, 628 are having the infrastructure and man power as per Indian Public Health Standards.  District - wise  details of these PHCs is given at Annexure -II.

(d) : A statement showing District - wise details of   Primary He lth Centers (PHCs) in Telangana, which are not having the infrastructure and manpower as per the Indian Public Health Stan is given at Annexure -III.

(e) :  As stated above, Public health is State subject, the primary responsibility enga health human resource and creation of infrastructure in public health facilities includin Health  Centres  vests  with  the  respective  State/UT.  However,  under  National  Health  Miss financial and technical support is provided to States/UTs to stre ngthen their healthcare systems including  support  for    creation  of  healthcare  infrastructure  and  engagement  of  manpow public  health  centres,    based  on  the  requirement  posed  by  them  in  their  Progra Implementation Plans (PIPs) subject to availability to resources.

## ANNEXURE-I

## Details of Shortage Doctors in Primary Health Centers (PHCs) and Community Health Centers (CHCs) as per Rural Health Statistics 2018-19

As on 31-03-2019

| Primary Health Centers (PHCs)                      | Primary Health Centers (PHCs)   | Primary Health Centers (PHCs)   | Primary Health Centers (PHCs)   | Primary Health Centers (PHCs)   | Primary Health Centers (PHCs)   |
|----------------------------------------------------|---------------------------------|---------------------------------|---------------------------------|---------------------------------|---------------------------------|
|                                                    | Rural Areas                     | Rural Areas                     | Rural Areas                     | Rural Areas                     | Rural Areas                     |
|                                                    | Required#                       | Sanctioned                      | In Position                     | Vacant                          | Shortfall                       |
| Doctors at PHC                                     | 636                             | 1254                            | 1213                            | 41                              | *                               |
|                                                    | Urban Areas                     | Urban Areas                     | Urban Areas                     | Urban Areas                     | Urban Areas                     |
| Doctors at PHC                                     | Required#                       | Sanctioned                      | In Position                     | Vacant                          | Shortfall                       |
| Doctors at PHC                                     | 249                             | 498                             | 470                             | 28                              | *                               |
| Community Health Centers (CHCs)                    | Community Health Centers (CHCs) | Community Health Centers (CHCs) | Community Health Centers (CHCs) | Community Health Centers (CHCs) | Community Health Centers (CHCs) |
| Rural Areas                                        | Rural Areas                     | Rural Areas                     | Rural Areas                     | Rural Areas                     | Rural Areas                     |
| General Duty Medical Officers (GDMOs) -            | Required#                       | Sanctioned                      | In Position                     | Vacant                          | Shortfall                       |
| Allopathic                                         | 170                             | 353                             | 231                             | 122                             | *                               |
| Total Specialists                                  | 340                             | 625                             | 258                             | 367                             | 82                              |
| Urban Areas                                        | Urban Areas                     | Urban Areas                     | Urban Areas                     | Urban Areas                     | Urban Areas                     |
| General Duty Medical Officers (GDMOs) - Allopathic | Required#                       | Sanctioned                      | In Position                     | Vacant                          | Shortfall                       |
|                                                    | 20                              | 15                              | 15                              | 0                               | 5                               |
| Total Specialists                                  | 40                              | 113                             | 52                              | 61                              | *                               |

Source -RHS -2018- 19, Note:  *: Surplus .

Notes :# As per IPHS norms -One  doctor at per Primary Health Centre, Two  GDMO and four specialists at CHCs.

## Annexure -II

| District-wise details of Primary Health Centres in Telangana having the infrastructure and manpower as per Indian Public Health Standards   | District-wise details of Primary Health Centres in Telangana having the infrastructure and manpower as per Indian Public Health Standards   | District-wise details of Primary Health Centres in Telangana having the infrastructure and manpower as per Indian Public Health Standards   |
|---------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                                                       | District                                                                                                                                    | Number of PHCs                                                                                                                              |
| 1                                                                                                                                           | Adilabad                                                                                                                                    | 22                                                                                                                                          |
| 2                                                                                                                                           | Bhadradri Kothagudem                                                                                                                        | 29                                                                                                                                          |
| 3                                                                                                                                           | Hyderabad                                                                                                                                   | 0                                                                                                                                           |
| 4                                                                                                                                           | Jagtial                                                                                                                                     | 18                                                                                                                                          |
| 5                                                                                                                                           | Jangaon                                                                                                                                     | 16                                                                                                                                          |
| 6                                                                                                                                           | Jayashankar Bhupalapally                                                                                                                    | 17                                                                                                                                          |
| 7                                                                                                                                           | Jogulamba Gadwal                                                                                                                            | 10                                                                                                                                          |
| 8                                                                                                                                           | Kamareddy                                                                                                                                   | 20                                                                                                                                          |
| 9                                                                                                                                           | Karimnagar                                                                                                                                  | 20                                                                                                                                          |
| 10                                                                                                                                          | Khammam                                                                                                                                     | 26                                                                                                                                          |
| 11                                                                                                                                          | Komaram Bheem Asifabad                                                                                                                      | 20                                                                                                                                          |
| 12                                                                                                                                          | Mahabubabad                                                                                                                                 | 20                                                                                                                                          |
| 13                                                                                                                                          | Mahabubnagar                                                                                                                                | 16                                                                                                                                          |
| 14                                                                                                                                          | Mancherial                                                                                                                                  | 17                                                                                                                                          |
| 15                                                                                                                                          | Medak                                                                                                                                       | 18                                                                                                                                          |
| 16                                                                                                                                          | Medchal Malkajgiri                                                                                                                          | 3                                                                                                                                           |
| 17                                                                                                                                          | Mulugu                                                                                                                                      | 11                                                                                                                                          |
| 18                                                                                                                                          | Nagarkurnool                                                                                                                                | 24                                                                                                                                          |
| 19                                                                                                                                          | Nalgonda                                                                                                                                    | 34                                                                                                                                          |
| 20                                                                                                                                          | Narayanpet                                                                                                                                  | 11                                                                                                                                          |
| 21                                                                                                                                          | Nirmal                                                                                                                                      | 17                                                                                                                                          |
| 22                                                                                                                                          | Nizamabad                                                                                                                                   | 26                                                                                                                                          |
| 23                                                                                                                                          | Peddapalli                                                                                                                                  | 18                                                                                                                                          |
| 24                                                                                                                                          | Rajanna Sircilla                                                                                                                            | 14                                                                                                                                          |
| 25                                                                                                                                          | Rangareddy                                                                                                                                  | 30                                                                                                                                          |
| 26                                                                                                                                          | Sangareddy                                                                                                                                  | 31                                                                                                                                          |
| 27                                                                                                                                          | Siddipet                                                                                                                                    | 32                                                                                                                                          |
| 28                                                                                                                                          | Suryapet                                                                                                                                    | 23                                                                                                                                          |
| 29                                                                                                                                          | Vikarabad                                                                                                                                   | 23                                                                                                                                          |
| 30                                                                                                                                          | Wanaparthy                                                                                                                                  | 11                                                                                                                                          |
| 31                                                                                                                                          | Warangal Rural                                                                                                                              | 17                                                                                                                                          |
| 32                                                                                                                                          | Warangal Urban                                                                                                                              | 14                                                                                                                                          |
| 33                                                                                                                                          | Yadadri Bhongir                                                                                                                             | 20                                                                                                                                          |
|                                                                                                                                             | Grand Total                                                                                                                                 | 628                                                                                                                                         |

## Annexuxre-III

| District-wise details of Primary Health Centres in Telangana which are not having the infrastructure manpower as per Indian Public Health Standards   | District-wise details of Primary Health Centres in Telangana which are not having the infrastructure manpower as per Indian Public Health Standards   | District-wise details of Primary Health Centres in Telangana which are not having the infrastructure manpower as per Indian Public Health Standards   | District-wise details of Primary Health Centres in Telangana which are not having the infrastructure manpower as per Indian Public Health Standards   |
|-------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------|
| S.No.                                                                                                                                                 | and District                                                                                                                                          | Number of PHCs                                                                                                                                        | Remarks                                                                                                                                               |
| 1                                                                                                                                                     | Adilabad                                                                                                                                              |                                                                                                                                                       |                                                                                                                                                       |
| 2                                                                                                                                                     | Bhadradri Kothagudem                                                                                                                                  |                                                                                                                                                       |                                                                                                                                                       |
| 3                                                                                                                                                     | Hyderabad                                                                                                                                             |                                                                                                                                                       |                                                                                                                                                       |
| 4                                                                                                                                                     | Jagtial                                                                                                                                               |                                                                                                                                                       |                                                                                                                                                       |
| 5                                                                                                                                                     | Jangaon                                                                                                                                               |                                                                                                                                                       |                                                                                                                                                       |
| 6                                                                                                                                                     | Jayashankar Bhupalapally                                                                                                                              |                                                                                                                                                       |                                                                                                                                                       |
| 7                                                                                                                                                     | Jogulamba Gadwal                                                                                                                                      |                                                                                                                                                       |                                                                                                                                                       |
| 8                                                                                                                                                     | Kamareddy                                                                                                                                             | 1                                                                                                                                                     |                                                                                                                                                       |
| 9                                                                                                                                                     | Karimnagar                                                                                                                                            |                                                                                                                                                       |                                                                                                                                                       |
| 1                                                                                                                                                     | Khammam                                                                                                                                               |                                                                                                                                                       |                                                                                                                                                       |
| 11                                                                                                                                                    | Komaram Bheem Asifabad                                                                                                                                |                                                                                                                                                       |                                                                                                                                                       |
| 12                                                                                                                                                    | Mahabubabad                                                                                                                                           |                                                                                                                                                       |                                                                                                                                                       |
| 13                                                                                                                                                    | Mahabubnagar                                                                                                                                          | 1                                                                                                                                                     |                                                                                                                                                       |
| 14                                                                                                                                                    | Mancherial                                                                                                                                            |                                                                                                                                                       |                                                                                                                                                       |
| 15                                                                                                                                                    | Medak                                                                                                                                                 |                                                                                                                                                       |                                                                                                                                                       |
| 16                                                                                                                                                    | Medchal Malkajgiri                                                                                                                                    |                                                                                                                                                       |                                                                                                                                                       |
| 17                                                                                                                                                    | Mulugu                                                                                                                                                |                                                                                                                                                       |                                                                                                                                                       |
| 18                                                                                                                                                    | Nagarkurnool                                                                                                                                          | 2                                                                                                                                                     |                                                                                                                                                       |
| 19                                                                                                                                                    | Nalgonda                                                                                                                                              |                                                                                                                                                       |                                                                                                                                                       |
| 2                                                                                                                                                     | Nirmal                                                                                                                                                |                                                                                                                                                       |                                                                                                                                                       |
| 21                                                                                                                                                    | Nizamabad                                                                                                                                             | 1                                                                                                                                                     |                                                                                                                                                       |
| 22                                                                                                                                                    | Narayanpet                                                                                                                                            |                                                                                                                                                       |                                                                                                                                                       |
| 23                                                                                                                                                    | Peddapalli                                                                                                                                            |                                                                                                                                                       |                                                                                                                                                       |
| 24                                                                                                                                                    | Rajanna Sircilla                                                                                                                                      | 1                                                                                                                                                     |                                                                                                                                                       |
| 25                                                                                                                                                    | Rangareddy                                                                                                                                            |                                                                                                                                                       |                                                                                                                                                       |
| 26                                                                                                                                                    | Sangareddy                                                                                                                                            |                                                                                                                                                       |                                                                                                                                                       |
| 27                                                                                                                                                    | Siddipet                                                                                                                                              |                                                                                                                                                       |                                                                                                                                                       |
| 28                                                                                                                                                    | Suryapet                                                                                                                                              |                                                                                                                                                       |                                                                                                                                                       |
| 29                                                                                                                                                    | Vikarabad                                                                                                                                             |                                                                                                                                                       |                                                                                                                                                       |
| 3                                                                                                                                                     | Wanaparthy                                                                                                                                            | 2                                                                                                                                                     |                                                                                                                                                       |
| 31                                                                                                                                                    | Warangal Rural                                                                                                                                        |                                                                                                                                                       |                                                                                                                                                       |
| 32                                                                                                                                                    | Warangal Urban                                                                                                                                        |                                                                                                                                                       |                                                                                                                                                       |
| 33                                                                                                                                                    | Yadadri Bhongir Grand Total                                                                                                                           | 8                                                                                                                                                     |                                                                                                                                                       |