Lok Sabha Question No. 2156 (UNSTARRED), answered on 2016-05-06
Subject: NHM
Ministry: HEALTH AND FAMILY WELFARE
Asked by: HEMANT TUKARAM GODSE, FAIZAL P.P. MOHAMMED

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

## LOK SABHA UNSTAR RED  QUESTION NO. 2156 TO BE ANSWERED ON 6 TH MAY, 2016

## NHM

## 2156. SHRI GODSE HEMANT TUKARAM: MOHAMMED FAIZAL:

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

- (a)  the  details  of  projects  undertaken  under  National  Health  Mission  (NHM),  State/UT -wise including Maharashtra;
- (b) whether the Government is aware of shortage of doctors and paramedical staff in va District Health Centres in the country;
- (c) if so, the number of vacant posts in such health centres, State/UT - wise;
- (d) the steps to be taken by the Government in this regard; and
- (e) whether Government proposes to utilise the service under NHM of the nurses returned from United Kingdom and other countries, if so, the details thereof and the steps taken in this re

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

- (a): National Health Mis sion (NHM) aims to improve the health status of the population. Fo this purpose, funds are allocated to States/UTs on the basis of approvals accorded to p contained in their State Programme Implementation Plans (PIPs). The approvals issued u N HM, State/UT wise including Maharashtra, are available at URL: http://nhm.gov.in/nrhm - in state.html .
- (b)& (c) : As per Rural Health Statistics (RHS) 2014 - 15,State/UT - wise details of doctors and paramedical staff in District Health Centres, sanctioned and in position, is at Annexure.
- (d): Public health being a State subject, the primary responsibility to ensure availa healthcare facilities includi ng adequate number of doctors and paramedical staff in public healt facilities  lies  with  the  State  Governments.  However,  under  the  NHM,  financial  and  tech support is provided to States/UTs to strengthen their healthcare systems including supp engaging of doctors and paramedical staff on contractual basis, based on the requirements by the States/UTs in their Programme Implementation Plans (PIPs).

Contd……..

Support under NHM is also provided for multi - ski l ng of doctors, for giving hard area allowance to medical professionals for serving in rural and remote areas and for their r quarters so that they find it attractive to serve in public health facilities in such area are  advised  to  put  in  place  transp arent  policies  of  posting  and  transfer,  and  ensure  ration deployment of medical professionals. As the posts required for health facilities are fil respective  State/UT  Governments,  they  are  impressed  upon  from  time  to  time  to  fill  u vacant p osts.

Further,  in  order  to  encourage  the  doctors  to  work  in  remote  and  difficult  are Medical Council of India with the previous approval of Central Government, has amended Post Graduate Medical Education Regulations, 2000 to provide:

(i) 50% reservation in Post Graduate Diploma Courses for Medical Officers in th Government  service,  who  have  served  for  at  least  three  years  in  remote  and  diff areas; and

(ii) Incentive at the rate of 10% the marks obtained for each year in service in remote or difficult areas as upto the maximum of 30% of the marks obtained in the entranc for admissions in Post Graduate Medical Courses.

The  Government  has  taken  the  following  steps  to  further  augment  the  availabilit doctors in the country:

I. The ratio of teachers to students has been revised from 1:1 to 1:2 for all M disciplines and 1:1 to 1:3 in subjects of Anaesthesiology, Forensic Medic Radiotherapy, Medical Oncology, Surgical Oncology and Psychiatry.

II. DNB qualif ication has been recognized for appointment as faculty to take care shortage of faculty.

III. Enhancement of maximum intake capacity at MBBS level from 150 to 250.

IV. Enhancement of age limit for appointment/extension/re - employm nt against pos ts of teachers/dean/ principal/director in medical colleges from 65 - 70 years.

V. Relaxation in the norms for setting up of a medical college in terms of requir for land, faculty, staff, bed/ bed strength and other infrastructure.

VI. Strength ening/upgradation of State Government Medical Colleges for starting new PG  courses/Increase  of  PG  seats  with  fund  sharing  between  the  Central  and  St Government.

VII. Establishment  of  New  Medical  Colleges  by  upgrading  district/referral  hospit prefe rably in underserved districts of the country with fund sharing between the Ce Government and States.

VIII. Strengthening/  upgradation  of  existing  State  Government/Central  Government Medical  Colleges  to  increase  MBBS  seats  with  fund  sharing  between the  Central Government and States.

(e): As stated above, public health is a State subject. States/UTs may engage nurse contractual basis under the NHM as per the extant regulations.

……………

## Annexure

| DOCTORS S.No.   | AT DISTRICT HOSPITAL State/UT   | AND SUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | AND SUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | AND SUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | AND SUB DISTRICT/ SUB DIVISIONAL HOSPITAL               | AND SUB DISTRICT/ SUB DIVISIONAL HOSPITAL               | AND SUB DISTRICT/ SUB DIVISIONAL HOSPITAL               |
|-----------------|---------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|---------------------------------------------------------|
| DOCTORS S.No.   | AT DISTRICT HOSPITAL State/UT   | DISTRICT HOSPITAL                           | DISTRICT HOSPITAL                           | DISTRICT HOSPITAL                           | 31st March, 2015) SUB DISTRICT/ SUB DIVISIONAL HOSPITAL | 31st March, 2015) SUB DISTRICT/ SUB DIVISIONAL HOSPITAL | 31st March, 2015) SUB DISTRICT/ SUB DIVISIONAL HOSPITAL |
| DOCTORS S.No.   | AT DISTRICT HOSPITAL State/UT   | Sanctioned                                  | In Position                                 | Vacant                                      | Sanctioned                                              | In Position                                             | Vacant                                                  |
| 1               | Andhra Pradesh                  | 395                                         | 241                                         | 154                                         | 405                                                     | 316                                                     | 89                                                      |
| 2               | Arunachal Pradesh               | NA                                          | 333                                         | NA                                          | 0                                                       | 0                                                       | 0                                                       |
| 3               | Assam                           | NA                                          | 683                                         | NA                                          | NA                                                      | 155                                                     | NA                                                      |
| 4               | Bihar                           | NA                                          | 1088                                        | NA                                          | NA                                                      | 92                                                      | NA                                                      |
| 5               | Chhattisgarh                    | 822                                         | 463                                         | 359                                         | 157                                                     | 38                                                      | 119                                                     |
| 6               | Goa                             | 73                                          | 63                                          | 10                                          | NA                                                      | NA                                                      | NA                                                      |
| 7               | Gujarat                         | NA                                          | NA                                          | NA                                          | NA                                                      | NA                                                      | NA                                                      |
| 8               | Haryana                         | 563                                         | 741                                         | - 178                                       | 225                                                     | 167                                                     | 58                                                      |
| 9               | Himachal Pradesh                | NA                                          | 408                                         | NA                                          | NA                                                      | 299                                                     | NA                                                      |
| 10              | Jammu & Kashmir                 | 1007                                        | 748                                         | 259                                         | NA                                                      | NA                                                      | NA                                                      |
| 11              | Jharkhand                       | 292                                         | 324                                         | - 32                                        | 83                                                      | 80                                                      | 3                                                       |
| 12              | Karnataka                       | 1703                                        | 1254                                        | 449                                         | 1940                                                    | 1329                                                    | 611                                                     |
| 13              | Kerala                          | NA                                          | 498                                         | NA                                          | 487                                                     | 623                                                     | -                                                       |
| 14              | Madhya Pradesh                  | 2143                                        | 1422                                        | 721                                         | 646                                                     | 505                                                     | 141                                                     |
| 15              | Maharashtra                     | 1292                                        | 983                                         | 309                                         | 1362                                                    | 1144                                                    | 218                                                     |
| 16              | Manipur#                        | 261                                         | 199                                         | 62                                          | 17                                                      | 6                                                       | 11                                                      |
| 17              | Meghalaya                       | 266                                         | 265                                         | 1                                           | 11                                                      | 10                                                      | 1                                                       |
| 18              | Mizoram                         | NA                                          | 196                                         | NA                                          | NA                                                      | 35                                                      | NA                                                      |
| 19              | Nagaland                        | NA                                          | 181                                         | NA                                          | 0                                                       | 0                                                       | 0                                                       |
| 20              | Odisha                          | 1598                                        | 858                                         | 740                                         | 363                                                     | 244                                                     | 119                                                     |
| 21              | Punjab                          | 684                                         | 565                                         | 119                                         | 708                                                     | 481                                                     | 227                                                     |
| 22              | Rajasthan                       | 1716                                        | 1110                                        | 606                                         | 498                                                     | 376                                                     | 122                                                     |
| 23              | Sikkim                          | NA                                          | 86                                          | NA                                          | 0                                                       | 0                                                       | 0                                                       |
| 24              | Tamil Nadu                      | 1639                                        | 1339                                        | 300                                         | 2630                                                    | 2298                                                    | 332                                                     |
| 25              | Telangana                       | 297                                         | 184                                         | 113                                         | 309                                                     | 236                                                     | 73                                                      |
| 26              | Tripura                         | 84                                          | 60                                          | 24                                          | 64                                                      | 82                                                      | -                                                       |
| 27              | Uttarakhand                     | 427                                         | 327                                         | 100                                         | 219                                                     | 187                                                     | 32                                                      |
| 28              | Uttar Pradesh                   | 2551                                        | 2108                                        | 443                                         | 0                                                       | 0                                                       | 0                                                       |
| 29              | West Bengal                     | 1065                                        | 882                                         | 183                                         | 1935                                                    | 1307                                                    | 628                                                     |
| 30              | A& N Islands                    | 30                                          | 23                                          | 7                                           | 0                                                       | 0                                                       | 0                                                       |
| 31              | Chandigarh                      | 167                                         | 202                                         | -                                           | 0                                                       | 0                                                       | 0                                                       |
| 32              | D & N Haveli                    | NA                                          | 68                                          | NA                                          | 0                                                       | 0                                                       | 0                                                       |
| 33              | Daman & Diu                     | 39                                          | 24                                          | 15                                          | 0                                                       | 0                                                       | 0                                                       |
| 34              | Delhi                           | NA                                          | NA                                          |                                             |                                                         | NA 8                                                    | NA                                                      |
| 36              | Puducherry                      | 498                                         | 491                                         | NA                                          | NA                                                      |                                                         | 0                                                       |
| 35              | Lakshadweep                     | 34                                          | 19                                          | 15 7                                        | 8 0                                                     | 0                                                       | 0                                                       |

# Data for 2013 -14

repeated

| PARA S.No.   | State/UT          | DISTRICT HOSPITAL AND SUB DISTRICT/ SUB DIVISIONAL   | DISTRICT HOSPITAL AND SUB DISTRICT/ SUB DIVISIONAL   | DISTRICT HOSPITAL AND SUB DISTRICT/ SUB DIVISIONAL   | DISTRICT HOSPITAL AND SUB DISTRICT/ SUB DIVISIONAL   | DISTRICT HOSPITAL AND SUB DISTRICT/ SUB DIVISIONAL   | DISTRICT HOSPITAL AND SUB DISTRICT/ SUB DIVISIONAL   |
|--------------|-------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|------------------------------------------------------|
| PARA S.No.   | State/UT          | (As on 31st DISTRICT HOSPITAL                        | (As on 31st DISTRICT HOSPITAL                        | (As on 31st DISTRICT HOSPITAL                        | March, 2015) SUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | March, 2015) SUB DISTRICT/ SUB DIVISIONAL HOSPITAL   | March, 2015) SUB DISTRICT/ SUB DIVISIONAL HOSPITAL   |
| PARA S.No.   | State/UT          | Sanctioned                                           | In Position                                          | Vacant                                               | Sanctioned                                           | In Position                                          | Vacant                                               |
| 1            | Andhra Pradesh    | 1019                                                 | 922                                                  | 97                                                   | 1002                                                 | 873                                                  | 129                                                  |
| 2            | Arunachal Pradesh | NA                                                   | 503                                                  | NA                                                   | 0                                                    | 0                                                    | 0                                                    |
| 3            | Assam             | NA                                                   | 2810                                                 | NA                                                   | NA                                                   | 435                                                  | NA                                                   |
| 4            | Bihar             | NA                                                   | 278                                                  | NA                                                   | NA                                                   | 120                                                  | NA                                                   |
| 5            | Chhattisgarh      | 1720                                                 | 1442                                                 | 278                                                  | 284                                                  | 139                                                  | 145                                                  |
| 6            | Goa               | 164                                                  | 170                                                  | -                                                    | NA                                                   | NA                                                   | NA                                                   |
| 7            | Gujarat           | NA                                                   | NA                                                   | NA                                                   | NA                                                   | NA                                                   | NA                                                   |
| 8            | Haryana           | 2534                                                 | 2135                                                 | 399                                                  | 665                                                  | 557                                                  | 108                                                  |
| 9            | Himachal Pradesh  | NA                                                   | 694                                                  | NA                                                   | 557                                                  | 454                                                  | 103                                                  |
| 10           | Jammu & Kashmir   | 1478                                                 | 1182                                                 | 296                                                  | NA                                                   | NA                                                   | NA                                                   |
| 11           | Jharkhand         | 374                                                  | 773                                                  | -                                                    | 108                                                  | 125                                                  | -                                                    |
| 12           | Karnataka         | 6402                                                 | 4554                                                 | 1848                                                 | 6956                                                 | 4761                                                 | 2195                                                 |
| 13           | Kerala            | NA                                                   | 1097                                                 | NA                                                   | NA                                                   | 1377                                                 | NA                                                   |
| 14           | Madhya Pradesh    | 8382                                                 | 5313                                                 | 3069                                                 | 1092                                                 | 866                                                  | 226                                                  |
| 15           | Maharashtra       | 4721                                                 | 4376                                                 | 345                                                  | 2529                                                 | 2130                                                 | 399                                                  |
| 16           | Manipur#          | 705                                                  | 290                                                  | 415                                                  | 47                                                   | 23                                                   | 24                                                   |
| 17           | Meghalaya         | 646                                                  | 630                                                  | 16                                                   | 11                                                   | 11                                                   | 0                                                    |
| 18           | Mizoram           | NA                                                   | 565                                                  | NA                                                   | NA                                                   | 55                                                   | NA                                                   |
| 19           | Nagaland          | 372                                                  | 441                                                  | -                                                    | 0                                                    | 0                                                    | 0                                                    |
| 20           | Odisha            | 1645                                                 | 1918                                                 | -                                                    | 601                                                  | 709                                                  | -                                                    |
| 21           | Punjab            | 2182                                                 | 1765                                                 | 417                                                  | 2412                                                 | 2132                                                 | 280                                                  |
| 22           | Rajasthan         | 4960                                                 | 3957                                                 | 1003                                                 | 2155                                                 | 1161                                                 | 994                                                  |
| 23           | Sikkim            | NA                                                   | 295                                                  | NA                                                   | 0                                                    | 0                                                    | 0                                                    |
| 24           | Tamil Nadu        | 4977                                                 | 4092                                                 | 885                                                  | 6864                                                 | 5775                                                 | 1089                                                 |
| 25           | Telangana         | 743                                                  | 684                                                  | 59                                                   | 726                                                  | 632                                                  | 94                                                   |
| 26           | Tripura           | 276                                                  | 221                                                  | 55                                                   | 231                                                  | 238                                                  | -                                                    |
| 27           | Uttarakhand       | 908                                                  | 873                                                  | 35                                                   | 476                                                  | 452                                                  | 24                                                   |
| 28           | Uttar Pradesh     | 6768                                                 | 5696                                                 | 1072                                                 | 0                                                    | 0                                                    | 0                                                    |
| 29           | West Bengal       | 5204                                                 | 5131                                                 | 73                                                   | 5197                                                 | 3674                                                 | 1523                                                 |
| 30           | A& N Islands      | 57                                                   | 60                                                   | -                                                    | 0                                                    | 0                                                    | 0                                                    |
| 31           | Chandigarh        | NA                                                   | 367                                                  | NA                                                   | 0                                                    | 0                                                    | 0                                                    |
| 32           | D & N Haveli      | NA                                                   | 155                                                  | NA                                                   | 0                                                    | 0                                                    | 0                                                    |
| 33           | Daman & Diu       | 95                                                   | 82                                                   | 13                                                   | 0                                                    | 0                                                    | 0                                                    |
| 34           | Delhi             | NA                                                   | NA                                                   | NA                                                   | NA                                                   | NA                                                   | NA                                                   |
| 35           | Lakshadweep       | 45                                                   | 45                                                   | 0                                                    | 18                                                   | 18                                                   | 0                                                    |
| 36           | Puducherry        | 2186                                                 | 2126                                                 | 60                                                   | 0                                                    | 0                                                    | 0                                                    |
|              | All India         | 58563                                                | 55642                                                | 2921                                                 | 31931                                                | 26717                                                | 5214                                                 |