Lok Sabha Question No. 1944 (UNSTARRED), answered on 2015-07-31
Subject: Healthcare Facilities in Rural Areas
Ministry: HEALTH AND FAMILY WELFARE
Asked by: B. S. YEDDYURAPPA

**GOVERNMENT OF INDIA**

**MINISTRY OF HEALTH AND FAMILY WELFARE**

**DEPARTMENT OF HEALTH AND FAMILY WELFARE**

**LOK SABHA**

**UNSTARRED QUESTION NO.1944**

**TO BE ANSWERED ON 31** **ST** **JULY, 2015**

**Healthcare Facilities in Rural Areas**

**1944. SHRI B.S. YEDIYURAPPA:**

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

(a) whether the Government has conducted/proposes to conduct any survey/study to ascertain the requirement of healthcare facilities in rural and remote areas of the country;

(b) if so, the details and the findings thereof along with the follow up action taken/being taken by the Government thereon; and

(c) the other steps taken/being taken by the Government to improve healthcare facilities especially in the rural and remote areas of the country?

**ANSWER**

**THE MINISTER OF HEALTH AND FAMILY WELFARE**

**(SHRI JAGAT PRAKASH NADDA)**

(a) to (c):		As per Rural Health Statistics (RHS) Bulletin, 2014, the State/ UT wise statement regarding the number of required, in-position and shortfall of Sub- Centres (SCs), Primary Health Centres (PHCs) and Community Health Centres (CHCs) as on 31st March, 2014  as reported by the State/UT Governments is placed at Annexure.

Public Health being a State subject, the primary responsibility to ensure adequacy of public health facilities and of improving public health facilities lies with the State/UT Governments. Under the National Health Mission (NHM), support is provided to States/UTs to strengthen their healthcare systems including for improving healthcare facilities based on the requirements posed by States/UTs in their Programme Implementation Plans (PIPs).

**Annexure**

**Shortfall in Health Infrastructure as per 2011 population (provisional) in India (as on March, 2014)**

| **SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2014)**                                                                                                                                                      |                                                           |                           |                 |            |           |                 |           |           |      |          |      |                 |          |          |          |                 |     |     |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|---------------------------|-----------------|------------|-----------|-----------------|-----------|-----------|------|----------|------|-----------------|----------|----------|----------|-----------------|-----|-----|
| **S.No.**                                                                                                                                                                                                                                            |                                                           | **State/ UT**             | **Sub Centres** |            |           |                 | **PHCs**  |           |      |          |      |                 | **CHCs** |          |          |                 |     |     |
|                                                                                                                                                                                                                                                      |                                                           |                           | **R**           | **P**      | **S**     | **% Shortfall** | **R**     | **P**     |      | **S**    |      | **% Shortfall** | **R**    | **P**    | **S**    | **% Shortfall** |     |     |
| 1                                                                                                                                                                                                                                                    | 1                                                         | Andhra Pradesh            | 11969           | 12522      | *         | *               | 1965      | 1709      | 1709 | 256      | 256  | 13              | 491      | 292      | 199      | 41              |     |     |
| 2                                                                                                                                                                                                                                                    | 2                                                         | Arunachal Pradesh         | 318             | 286        | 32        | 10              | 48        | 117       | 117  | *        | *    | *               | 12       | 52       | *        | *               |     |     |
| 3                                                                                                                                                                                                                                                    | 3                                                         | Assam                     | 5850            | 4621       | 1229      | 21              | 954       | 1014      | 1014 | *        | *    | *               | 238      | 151      | 87       | 37              |     |     |
| 4                                                                                                                                                                                                                                                    | 4                                                         | Bihar                     | 18637           | 9729       | 8908      | 48              | 3099      | 1883      | 1883 | 1216     | 1216 | 39              | 774      | 70       | 704      | 91              |     |     |
| 5                                                                                                                                                                                                                                                    | 5                                                         | Chhattisgarh              | 4885            | 5161       | *         | *               | 774       | 783       | 783  | *        | *    | *               | 193      | 157      | 36       | 19              |     |     |
| 6                                                                                                                                                                                                                                                    | 6                                                         | Goa                       | 122             | 207        | *         | *               | 19        | 21        | 21   | *        | *    | *               | 4        | 4        | 0        | 0               |     |     |
| 7                                                                                                                                                                                                                                                    | 7                                                         | Gujarat                   | 8008            | 7274       | 734       | 9               | 1290      | 1158      | 1158 | 132      | 132  | 10              | 322      | 300      | 22       | 7               |     |     |
| 8                                                                                                                                                                                                                                                    | 8                                                         | Haryana                   | 3301            | 2542       | 759       | 23              | 550       | 454       | 454  | 96       | 96   | 17              | 137      | 109      | 28       | 20              |     |     |
| 9                                                                                                                                                                                                                                                    | 9                                                         | Himachal Pradesh          | 1285            | 2068       | *         | *               | 212       | 489       | 489  | *        | *    | *               | 53       | 78       | *        | *               |     |     |
| 10                                                                                                                                                                                                                                                   | 10                                                        | Jammu & Kashmir           | 2009            | 2265       | *         | *               | 327       | 637       | 637  | *        | *    | *               | 81       | 84       | *        | *               |     |     |
| 11                                                                                                                                                                                                                                                   | 11                                                        | Jharkhand                 | 6060            | 3958       | 2102      | 35              | 966       | 330       | 330  | 636      | 636  | 66              | 241      | 188      | 53       | 22              |     |     |
| 12                                                                                                                                                                                                                                                   | 12                                                        | Karnataka                 | 7951            | 9264       | *         | *               | 1306      | 2233      | 2233 | *        | *    | *               | 326      | 193      | 133      | 41              |     |     |
| 13                                                                                                                                                                                                                                                   | 13                                                        | Kerala                    | 3551            | 4575       | *         | *               | 589       | 829       | 829  | *        | *    | *               | 147      | 224      | *        | *               |     |     |
| 14                                                                                                                                                                                                                                                   | 14                                                        | Madhya Pradesh            | 12415           | 8764       | 3651      | 29              | 1989      | 1157      | 1157 | 832      | 832  | 42              | 497      | 334      | 163      | 33              |     |     |
| 15                                                                                                                                                                                                                                                   | 15                                                        | Maharashtra               | 13512           | 10580      | 2932      | 22              | 2201      | 1811      | 1811 | 390      | 390  | 18              | 550      | 360      | 190      | 35              |     |     |
| 16                                                                                                                                                                                                                                                   | 16                                                        | Manipur                   | 509             | 421        | 88        | 17              | 80        | 85        | 85   | *        | *    | *               | 20       | 17       | 3        | 15              |     |     |
| 17                                                                                                                                                                                                                                                   | 17                                                        | Meghalaya                 | 759             | 422        | 337       | 44              | 114       | 108       | 108  | 6        | 6    | 5               | 28       | 27       | 1        | 4               |     |     |
| 18                                                                                                                                                                                                                                                   | 18                                                        | Mizoram                   | 172             | 370        | *         | *               | 25        | 57        | 57   | *        | *    | *               | 6        | 9        | *        | *               |     |     |
| 19                                                                                                                                                                                                                                                   | 19                                                        | Nagaland                  | 455             | 396        | 59        | 13              | 68        | 126       | 126  | *        | *    | *               | 17       | 21       | *        | *               |     |     |
| 20                                                                                                                                                                                                                                                   | 20                                                        | Odisha                    | 8193            | 6688       | 1505      | 18              | 1315      | 1305      | 1305 | 10       | 10   | 1               | 328      | 377      | *        | *               |     |     |
| 21                                                                                                                                                                                                                                                   | 21                                                        | Punjab                    | 3468            | 2951       | 517       | 15              | 578       | 427       | 427  | 151      | 151  | 26              | 144      | 150      | *        | *               |     |     |
| 22                                                                                                                                                                                                                                                   | 22                                                        | Rajasthan                 | 11459           | 14407      | *         | *               | 1861      | 2082      | 2082 | *        | *    | *               | 465      | 567      | *        | *               |     |     |
| 23                                                                                                                                                                                                                                                   | 23                                                        | Sikkim                    | 113             | 147        | *         | *               | 18        | 24        | 24   | *        | *    | *               | 4        | 2        | 2        | 50              |     |     |
| 24                                                                                                                                                                                                                                                   | 24                                                        | Tamil Nadu                | 7533            | 8706       | *         | *               | 1251      | 1369      | 1369 | *        | *    | *               | 312      | 385      | *        | *               |     |     |
| 25                                                                                                                                                                                                                                                   | 25                                                        | Tripura                   | 691             | 972        | *         | *               | 109       | 84        | 84   | 25       | 25   | 23              | 27       | 18       | 9        | 33              |     |     |
| 26                                                                                                                                                                                                                                                   | 26                                                        | Uttarakhand               | 1442            | 1847       | *         | *               | 238       | 257       | 257  | *        | *    | *               | 59       | 59       | 0        | 0               |     |     |
| 27                                                                                                                                                                                                                                                   | 27                                                        | Uttar Pradesh             | 31200           | 20521      | 10679     | 34              | 5194      | 3497      | 3497 | 1697     | 1697 | 33              | 1298     | 773      | 525      | 40              |     |     |
| 28                                                                                                                                                                                                                                                   | 28                                                        | West Bengal               | 13083           | 10356      | 2727      | 21              | 2153      | 909       | 909  | 1244     | 1244 | 58              | 538      | 347      | 191      | 36              |     |     |
| 29                                                                                                                                                                                                                                                   | 29                                                        | Andaman & Nicobar Islands | 50              | 119        | *         | *               | 8         | 22        | 22   | *        | *    | *               | 2        | 4        | *        | *               |     |     |
| 30                                                                                                                                                                                                                                                   | 30                                                        | Chandigarh                | 5               | 16         | *         | *               | 0         | 0         | 0    | 0        | 0    | 0               | 0        | 2        | *        | *               |     |     |
| 31                                                                                                                                                                                                                                                   | 31                                                        | Dadra & Nagar Haveli      | 56              | 51         | 5         | 9               | 8         | 7         | 7    | 1        | 1    | 13              | 2        | 1        | 1        | 50              |     |     |
| 32                                                                                                                                                                                                                                                   | 32                                                        | Daman & Diu               | 13              | 26         | *         | *               | 2         | 3         | 3    | *        | *    | *               | 0        | 2        | *        | *               |     |     |
| 33                                                                                                                                                                                                                                                   | 33                                                        | Delhi                     | 83              | 27         | 56        | 67              | 13        | 5         | 5    | 8        | 8    | 62              | 3        | 0        | 3        | 100             |     |     |
| 34                                                                                                                                                                                                                                                   | 34                                                        | Lakshadweep               | 4               | 14         | *         | *               | 0         | 4         | 4    | *        | *    | *               | 0        | 3        | *        | *               |     |     |
| 35                                                                                                                                                                                                                                                   | 35                                                        | Puducherry                | 79              | 53         | 26        | 33              | 13        | 24        | 24   | *        | *    | *               | 3        | 3        | 0        | 0               |     |     |
|                                                                                                                                                                                                                                                      |                                                           | **India**                 | **179240**      | **152326** | **36346** | **20**          | **29337** | **25020** |      | **6700** |      | **23**          | **7322** | **5363** | **2350** | **32**          |     |     |
|                                                                                                                                                                                                                                                      |                                                           |                           |                 |            |           |                 |           |           |      |          |      |                 |          |          |          |                 |     |     |
| *Notes: The requirement is calculated using the prescribed norms on the basis of rural population from Census, 2011.  All India shortfall is derived by adding state-wise figures of shortfall ignoring the existing surplus in some of the states.* |                                                           |                           |                 |            |           |                 |           |           |      |          |      |                 |          |          |          |                 |     |     |
|                                                                                                                                                                                                                                                      |                                                           |                           |                 |            |           |                 |           |           |      |          |      |                 |          |          |          |                 |     |     |
|                                                                                                                                                                                                                                                      | *R: Required; P: In Position; S: Shortfall;   *: Surplus* |                           |                 |            |           |                 |           |           |      |          |      |                 |          |          |          |                 |     |     |