Lok Sabha Question No. 1553 (UNSTARRED), answered on 2023-02-10
Subject: Government Hospitals at par with Population
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. 1553 TO BE ANSWERED ON 10 TH  FEBRUARY, 2023

## GOVERNMENT HOSPITALS AT PAR WITH POPULATION

## 1553. SHRI ANUMULA REVANTH REDDY:

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

- (a) whether the Government is aware of the fact that less than 45 percent of the Primary Health Centres in the country function on a 24 × 7 basis in rural areas and if so, the reasons therefor;
- (b)  the  time  by  which  at  least  90  percent  of  Primary  Health  Centres  in  rural  areas  will become 24 × 7 operational;
- (c) whether there are only five Government hospitals per 100,000 population in rural India and if so, the details thereof along with the details of such States/UTs where there is less than five Government hospital per 100,000 population; and
- (d) the details of steps being taken by the Government to increase the number of hospitals in rural areas to be at par with the increasing population?

## THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY

## ANSWER WELFARE (DR. BHARATI PRAVIN PAWAR)

(a)  to  (d): National  Health  Mission  (NHM)  envisages  achievement  of  universal  access  to equitable, affordable & quality health care services that are accountable and responsive to people's needs. The healthcare system of the country involves a three-tier system with Sub Health  Centre  (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. As per Rural  Health  Statistics  2021-22,  as  on  31.03.2022,  total  number  of  PHCs  functioning  is 24,935. Out of which, 11,250 PHCs are functioning on 24x7 basis which is 45.1%. The details of State/UT-wise PHCs functioning on 24x7 basis is attached at Annexure .

As per established norms, in rural areas a Sub Health Centre for a population of 5,000 (in plain) and 3000 (in hilly and tribal area), a Primary Health Centre for a population of 30,000 (in plains) and 20,000 (in hilly and tribal areas) and Community Health Centre for a population of 1,20,000 (in plain) and 80,000 (in hilly and tribal area) is sugessted. Further, for urban area one  Urban  Health  Wellness  Centre  is  recommended  for  a  urban  population  of  15,000  to 20,000, one U-PHC for a urban population of 30,000 to 50,000, One U-CHC for every 2.5 lakh population in non-metro cities (above 5 lakh population) and one U-CHC for every 5 lakh population in the metro cities. Further, District Hospital (DH), Sub-District Hospital (SDH) and First Referral Unit provide secondary care services for rural & urban area.

Details  of  State/UT-wise  number  of  Sub-Centres,  PHCs,  CHCs,  Sub-Divisional  Hospital, District  Hospital  &  Medical  Colleges  functioning  in  urban,  rural  &  tribal  areas  alongwith details of shortfall in Sub-Centres, PHCs, CHCs may be seen at the following link of RHS 2021-22:

## https://main.mohfw.gov.in/sites/default/files/RHS%202021%2022.pdf

The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) under National Health Mission. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources.

To improve health infrastructure and services in public health facilities, the government has laid down Indian Public Health Standards (IPHS) 2022. These standards include norms for services, infrastructure, human resources, diagnostics, equipment, medicines etc. They are the reference point for public health care infrastructure planning and up-gradation in the States and UTs.

*****

## Annexure-

| INFRASTRUCTURE   | FACILITIES AT State/UT              | PRIMARY HEALTH CENTRES in Rural Areas-I   | PRIMARY HEALTH CENTRES in Rural Areas-I                         | PRIMARY HEALTH CENTRES in Rural Areas-I                         |
|------------------|-------------------------------------|-------------------------------------------|-----------------------------------------------------------------|-----------------------------------------------------------------|
| INFRASTRUCTURE   | FACILITIES AT State/UT              | Number of PHCs Functioning                | Number of Primary Health Centres PHCs functioning on 24X7 basis | Number of Primary Health Centres PHCs functioning on 24X7 basis |
| INFRASTRUCTURE   | FACILITIES AT State/UT              | Number of PHCs Functioning                | Number                                                          | %                                                               |
| 1                | Andhra Pradesh                      | 1142                                      | 1142                                                            | 100.0                                                           |
| 2                | Arunachal Pradesh                   | 126                                       | 42                                                              | 33.3                                                            |
| 3                | Assam                               | 920                                       | 280                                                             | 30.4                                                            |
| 4                | Bihar                               | 1492                                      | 630                                                             | 42.2                                                            |
| 5                | Chhattisgarh                        | 770                                       | 477                                                             | 61.9                                                            |
| 6                | Goa                                 | 24                                        | 13                                                              | 54.2                                                            |
| 7                | Gujarat                             | 1474                                      | 504                                                             | 34.2                                                            |
| 8                | Haryana                             | 394                                       | 242                                                             | 61.4                                                            |
| 9                | Himachal Pradesh                    | 553                                       | 28                                                              | 5.1                                                             |
| 10               | Jharkhand                           | 291                                       | 216                                                             | 74.2                                                            |
| 11               | Karnataka                           | 2138                                      | 904                                                             | 42.3                                                            |
| 12               | Kerala                              | 780                                       | 159                                                             | 20.4                                                            |
| 13               | Madhya Pradesh                      | 1266                                      | 791                                                             | 62.5                                                            |
| 14               | Maharashtra                         | 1853                                      | 248                                                             | 13.4                                                            |
| 15               | Manipur                             | 74                                        | 72                                                              | 97.3                                                            |
| 16               | Meghalaya                           | 122                                       | 61                                                              | 50.0                                                            |
| 17               | Mizoram                             | 57                                        | 41                                                              | 71.9                                                            |
| 18               | Nagaland                            | 129                                       | 31                                                              | 24.0                                                            |
| 19               | Odisha                              | 1288                                      | 316                                                             | 24.5                                                            |
| 20               | Punjab                              | 422                                       | 206                                                             | 48.8                                                            |
| 21               | Rajasthan                           | 2133                                      | 810                                                             | 38.0                                                            |
| 22               | Sikkim                              | 24                                        | 24                                                              | 100.0                                                           |
| 23               | Tamil Nadu                          | 1422                                      | 1316                                                            | 92.5                                                            |
| 24               | Telangana                           | 578                                       | 285                                                             | 49.3                                                            |
| 25               | Tripura                             | 108                                       | 93                                                              | 86.1                                                            |
| 26               | Uttarakhand                         | 531                                       | 59                                                              | 11.1                                                            |
| 27               | Uttar Pradesh                       | 2919                                      | 1775                                                            | 60.8                                                            |
| 28               | West Bengal                         | 915                                       | 229                                                             | 25.0                                                            |
| 29               | Andaman & Nicobar Islands           | 22                                        | 22                                                              | 100.0                                                           |
| 30               | Chandigarh                          | 0                                         | N App                                                           | N App                                                           |
| 31               | Dadra & Nagar Haveli and Daman &Diu | 12                                        | 9                                                               | 75.0                                                            |
| 32               | Delhi                               | 5                                         | 1                                                               | 20.0                                                            |
| 33               | Jammu &Kashmir                      | 891                                       | 190                                                             | 21.3                                                            |
| 34               | Ladakh                              | 32                                        | 12                                                              | 37.5                                                            |
| 35               | Lakshadweep                         | 4                                         | 3                                                               | 75.0                                                            |
| 36               | Puducherry All India/Total          | 24 24935                                  | 19 11250                                                        | 79.2 45.1                                                       |

Data Source: Rural Health Statistics 2021-22