Lok Sabha Question No. 645 (UNSTARRED), answered on 2016-02-26
Subject: Healthcare Services
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RAHUL RAMESH SHEWALE, SHRIKANT EKNATH SHINDE, NAGENDRA KUMAR PRADHAN, RANGASWAMY DHRUVANARAYANA, J. JAYASINGH THIYAGARAJ NATTERJEE, VINAYAK BHAURAO RAUT, DALPAT SINGH PARASTE, DILIP PATEL

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

## LOK SABHA UNSTARRED QUESTION NO. 645 TO BE ANSWERED ON 26 TH FEBRUARY, 2016

## HEALTHCARE SERVICES

## 645. SHRI RAHUL SHEWALE:

DR. SHRIKANT EKNATH SHINDE:

SHRI NAGENDRA KUMAR PRADHAN:

SHRI R. DHRUVA NARAYANA:

SHRI J.J.T. NATTERJEE:

SHRI VINAYAK BHAURAO RAUT:

SHRI DALPAT SINGH PARASTE:

SHRI DILIP PATEL:

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

- (a) whether as per the report of the World Health Organization, there is no improvement in the healthcare services of the Government over a period of time and if so, the details thereof;
- (b) whether the majority of healthcare services are concentrated in the urban areas of the country, if so, the details thereof and the reasons therefor;
- (c) the action taken by the Government to bring parity in the healthcare services available in the urban and rural areas;
- (d) whether the Government has taken a decision to monitor the healthcare sector and set up a monitoring mechanism for improving health indicators in the public healthcare sector; and
- (e) if so, the details and status of implementation thereof along with the other measures to supplement the above m ntioned decision?

## ANSWER THE MINISTE R OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a): No such report has come to the notice of the Ministry.
- (b): As per the National Health Profile, 2015, the number of beds in rural hospitals 183602 as against 492177 beds in urban hospitals. The State/UT wise details of number beds are at Annexure.

(c): Public Health being a State subject, the primary responsibility to provide health care services  to  all  the  citizens,  lies  with  the  State  Governments.  The  Government  of  I launched  the  National  Rural  Health  Mission,  now  subsumed  as  a  Sub  Mission  of  the National Health Missio n (NHM) in 2005 to improve the healthcare services, particularly in rural areas. To improve the availability of critical manpower to provide services in publ health facilities, financial support is provided to States under NHM, inter - alia  for  giving hardarea allowance to doctors for serving in rural and remote areas and for their resid quarters, so that doctors find it attractive to join public health facilities in such a have  also  been  advised  to  have  transparent  policies  of  posting  an d  transfer,  and  adopt rational deployment of doctors.

In  order  to  encourage  the  doctors  to  work  in  remote  and  difficult  areas,  the Graduate Medical Education Regulations, 2000 has also been amended to provide:

- (i) 50%  reservation  in  Post  Graduate  Diplom a  C urses  for  Medical  Officers  in  the Government service who have served for at least three years in remote and difficu areas; and,
- (ii) Incentive at the rate of 10% of the marks obtained for each year in service in re or difficult areas up to the maximu m of 30% of the marks obtained in the entrance test for admissions in Post Graduate Medical Courses.

(d) & (e): The implementation and progress of the National Health Mission (NHM) is monitored/  reviewed  at  the  national  level  through  Annual  Common  Review Missions (CRM) which comprise of government officials from different Ministries and NITI Aayog, public health experts and representatives of development partners and civil society. A District Level, the "District Level Vigilance & Monitoring Committee s' are constituted to monitor the progress of implementation of National Rural Health Mission under the overa Framework for Implementation. Other mechanisms include external surveys such as Sample Registration  Survey  (SRS),  the  District  Level  Household  S urvey  (DLHS)  and  National Family  Health  Survey  (NFHS)  besides  regular  monitoring  visits  from  National  Program Management Units to States & districts and from States to districts & blocks. The Hea Management  Information  Systems  (HMIS)  helps  to  monitor  th e  performance  of  public health facilities .

| 6.2.2 State/UT wise Number of Govt. Hospitals & Beds in Rural & Urban Areas (Provisional)   |                   |                         |                         |                         |                         |                         |                         | Provisional/ Projected Population as on reference   | Average Population Served   | (Including CHCs) Reference Period                |
|---------------------------------------------------------------------------------------------|-------------------|-------------------------|-------------------------|-------------------------|-------------------------|-------------------------|-------------------------|-----------------------------------------------------|-----------------------------|--------------------------------------------------|
| S. No.                                                                                      | State/UT/Division | Rural Hospitals (Govt.) | Rural Hospitals (Govt.) | Urban Hospitals (Govt.) | Urban Hospitals (Govt.) | Total Hospitals (Govt.) | Total Hospitals (Govt.) | period in (000)                                     | Per Govt. Hospital          | Average Population Served Per Govt. Hospital Bed |
|                                                                                             |                   | No.                     | Beds                    | No.                     | Beds                    | No.                     | Beds                    |                                                     |                             |                                                  |
|                                                                                             | India             | 16816                   | 183602                  | 3490                    | 492177                  | 20306                   | 675779                  | 1238886                                             | 61011                       | 1833                                             |
| 1                                                                                           | Andhra Pradesh    | 222                     | 7380                    | 56                      | 12468                   | 278                     | 19848                   | 86952                                               | 312778                      | 4381 01.01.2015                                  |
| 2                                                                                           | Arunachal Pradesh | 204                     | 2095                    | 8                       | 218                     | 212                     | 2313                    | 1284                                                | 6057                        | 555 01.01.2015                                   |
| 3                                                                                           | Assam             | 1088                    | 7504                    | 49                      |                         | 1137                    | 13381                   | 31693                                               | 27874                       |                                                  |
| 4                                                                                           | Bihar             | 1325                    |                         | 111                     | 5877 6302               | 1436                    | 11552                   | 101526                                              | 70701                       | 2369 01.01.2014                                  |
| 5                                                                                           | Chattisgarh       | 416                     | 5250 1522               | 221                     | 10490                   | 637                     | 12012                   | 25232                                               | 39611                       | 8789 01.01.2014 2101 01.01.2014                  |
| 6                                                                                           | Goa               | 16                      | 1684                    | 15                      | 1434                    | 31                      | 3118                    | 1915                                                | 61771                       |                                                  |
| 7                                                                                           | Gujarat           | 296                     | 8945                    | 89                      | 18983                   | 385                     | 27928                   | 61329                                               | 159297                      | 614 01.01.2015 2196 01.01.2015                   |
| 8                                                                                           | Haryana           | 80                      | 2454                    | 79                      | 5210                    | 159                     | 7664                    | 26675                                               | 167768                      | 3481 01.01.2014                                  |
| 9                                                                                           | Himachal Pradesh  | 107                     | 3328                    | 53                      | 5448                    | 160                     | 8776                    | 6978                                                | 43615                       | 795 01.01.2015                                   |
| 10                                                                                          | Jammu & Kashmir   | 2368                    | 5867                    | 444                     | 3893                    | 2812                    | 9760                    | 12152                                               | 4321                        | 1245 01.01.2015                                  |
| 11                                                                                          | Jharkhand         | 545                     | 4879                    | 4                       | 535                     | 549                     | 5414                    | 32766                                               | 59682                       | 6052 01.01.2012                                  |
| 12                                                                                          | Karnataka         | 439                     | 9884                    | 215                     | 43138                   | 654                     | 53022                   | 61214                                               | 93599                       | 1154 01.01.2015                                  |
| 13                                                                                          | Kerala            | 1135                    | 18082                   | 143                     | 20318                   | 1278                    | 38400                   | 35258                                               | 27588                       | 918 01.01.2015                                   |
| 14                                                                                          | Madhya Pradesh    | 334                     | 10020                   | 117                     | 18167                   | 451                     | 28187                   | 75614                                               | 167659                      | 2683 01.01.2015                                  |
| 15                                                                                          | Maharashtra       | 450                     | 12420                   | 135                     | 151445                  | 585                     | 163865                  | 117189                                              | 200323                      | 715 01.01.2014                                   |
| 16                                                                                          | Manipur           | 23                      | 730                     | 7                       | 697                     | 30                      | 1427                    | 2534                                                | 84482                       | 1776 01.01.2014                                  |
| 17                                                                                          | Meghalaya         | 28                      | 840                     | 12                      | 2287                    | 40                      | 3127                    | 2712                                                | 67807                       | 867 01.01.2015                                   |
| 18                                                                                          | Mizoram           | 29                      | 1420                    | 7                       | 210                     | 36                      | 1630                    | 1039                                                | 28868                       | 638 01.01.2014                                   |
| 19                                                                                          | Nagaland          | 21                      | 630                     | 32                      | 1797                    | 53                      | 2427                    | 2327                                                | 43912                       | 959 01.01.2013                                   |
| 20                                                                                          | Odisha            | 1659                    | 7099                    | 91                      | 9584                    | 1750                    | 16683                   | 41797                                               | 23884                       | 2505 01.01.2015                                  |
| 21                                                                                          | Punjab            | 94                      | 2900                    | 146                     | 8904                    | 240                     | 11804                   | 28568                                               | 119033                      | 2420 01.01.2015                                  |
| 22                                                                                          | Rajasthan         | 2656                    | 33038                   | 489                     | 13631                   | 3145                    | 46669                   | 70969                                               | 22566                       | 1521 01.01.015                                   |
| 23                                                                                          | Sikkim            | 30                      | 730                     | 3                       | 830                     | 33                      | 1560                    | 633                                                 | 19192                       | 406 01.01.2015                                   |
| 24                                                                                          | Tamil Nadu        | 407                     | 9150                    | 381                     | 55093                   | 788                     | 64243                   | 68654                                               | 87124                       | 1069 01.01.2014                                  |
| 25                                                                                          | Tripura           | 101                     | 1022                    | 21                      | 3115                    | 122                     | 4137                    | 3742                                                | 30671                       | 904 01.01.2015                                   |
| 26                                                                                          | Uttar Pradesh     | 737                     | NA                      | 94                      | NA                      | 831                     |                         | 211217                                              | 254172                      | NA 01.01.2011                                    |
| 27                                                                                          | Uttarakhand       | 666                     | 3746                    | 29                      | 4219                    | 695                     | 7965                    | 10362                                               | 14909                       | 1301 01.01.2009                                  |
| 28                                                                                          | West Bengal       | 1272                    | 19684                   | 294                     | 58882                   |                         |                         | 91920                                               | 58697                       | 1170 01.01.2015                                  |
|                                                                                             |                   |                         |                         |                         |                         | 1566                    | 78566                   |                                                     |                             |                                                  |

| 30     | A&N Island                                                                                | 31                                                                                        | 625                                                                                       | 1                                                                                         | 450                                                                                       | 32                                                                                        | 1075                                                                                      | 533                                                                                       | 16642                                                                                     | 495 01.01.2012                                                                            |                                                                                           |
|--------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------|
| 29     | Chandigarh                                                                                | 0                                                                                         | 0                                                                                         | 4                                                                                         | 700                                                                                       | 4                                                                                         | 700                                                                                       | 1651                                                                                      | 412851                                                                                    | 2359 01.01.2015                                                                           |                                                                                           |
| 31     | D&N Haveli                                                                                | 1                                                                                         | 100                                                                                       | 1                                                                                         | 272                                                                                       | 2                                                                                         | 372                                                                                       | 402                                                                                       | 200850                                                                                    | 1080 13.05.2015                                                                           |                                                                                           |
| 32     | Daman & Diu                                                                               | 0                                                                                         | 0                                                                                         | 4                                                                                         | 200                                                                                       | 4                                                                                         | 200                                                                                       | 305                                                                                       | 76144                                                                                     | 1523 01.01.2014                                                                           |                                                                                           |
| 33     | Delhi                                                                                     | 0                                                                                         | 0                                                                                         | 109                                                                                       | 24383                                                                                     | 109                                                                                       | 24383                                                                                     | 20092                                                                                     | 184331                                                                                    | 824 01.01.2015                                                                            |                                                                                           |
| 34     | Lakshadweep                                                                               | 9                                                                                         | 300                                                                                       | 0                                                                                         | 0                                                                                         | 9                                                                                         | 300                                                                                       | 78                                                                                        | 8698                                                                                      | 261 01.01.2015                                                                            |                                                                                           |
| 35     | Puducherry                                                                                | 27                                                                                        | 274                                                                                       | 26                                                                                        | 2997                                                                                      | 53                                                                                        | 3271                                                                                      | 1573                                                                                      | 29677                                                                                     | 481 01.01.2014                                                                            |                                                                                           |
| Notes: | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies | Government hospitals includes central government, state government and local govt. bodies |

Source: Directorate General of State Health Services