Lok Sabha Question No. 957 (UNSTARRED), answered on 2016-07-22
Subject: Bed-Population Ratio
Ministry: HEALTH AND FAMILY WELFARE
Asked by: MANOJ KUMAR TIWARI

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

## LOK SABHA UNSTARRED  QUESTION NO. 957 TO BE ANSWERED ON 22 ND JULY, 2016

## BED - POPULATION RATIO

## 957. SHRI MANOJ TIWARI:

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

- (a) the details of bed - population ratio in rural and urban hospitals, State/UT - wise;
- (b) whether the Government has formulated/proposes to formulate any steps to increase th to population ratio; and
- (c) if so, the details thereof along with the details of the funds allocated, released and ut the development of infrastructure in Government hospitals during the last three years current year, State/UT - wise?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

- (a): As per National Health Profile 2015, number of Govt. Hospitals & Beds in Rural & Urb Areas (Including CHCs) in India is at Annexure -I.
- (b): Public Health being a State subject, the primary responsibility to increase the population ratio, lies with the State Governments. However, the Government of India laun the National Rural Health Mission (NRHM) in 2005 to supplement the efforts o f the State/UT governments  to  provide  accessible,  affordable  and  quality  healthcare  to  the  citizen National  Rural  Health  Mission  (NRHM)  has  now  been  subsumed  under  the  National  Health Mission (NHM) as its Sub - Mission, along with National Urban Health Mission (NUHM) as the other Sub - Mission. Under the NHM, support is provided to States/UTs to strengthen their he systems including  support  for  setting  up/upgradation  of  health  Centres on  the  basis  of requirements posed by the States in their Programme Implementation Plans. 492 MCH Wings with bed capacity of more than 30000 have also been approved under NHM.
- ( c) : The  details  of  State/  UT  wise  approval  &  utilisation  under  NHM  for  Hospit strengthening, New Constructions/ renovation and setting up fo r the F.Y 2013 - 14 to 2015 - 16 is at Annexure -II.

…………….

## Annexure - I

| 6.2.2 State/UT wise Number of Govt. Hospitals & Beds in Rural & Urban Areas (Including (Provisional)   |
|--------------------------------------------------------------------------------------------------------|

| 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                                                                                     | 1566                                                                                      | 78566                                                                                     | 91920                                                                                     | 58697                                                                                     | 1170                                                                                      | 01.01.2015                                                                                |
| 29                                                                                        | A&N Island                                                                                | 31                                                                                        | 625                                                                                       | 1                                                                                         | 450                                                                                       | 32                                                                                        | 1075                                                                                      | 533                                                                                       | 16642                                                                                     | 495                                                                                       | 01.01.2012                                                                                |
| 30                                                                                        | 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. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. | Notes: Government hospitals includes central government, state government and local govt. |

Source: National Health Profile 2015

## Annexure-II

Statement Showing the State/UTs wise SPIP Approval & Utilization under Hospital Strengthening (B.4) and New Constructions/ Renovation and Setting up (B.5) from the F.Y. 2013-14 to 2015-16

Rs. In crore

| S.                       | State                    | 2013-14                  | 2013-14                  | 2014-15                  | 2014-15                  | 2015-16                  | 2015-16                  |
|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|
| No                       |                          | SPIP                     | Exp                      | SPIP                     | Exp                      | SPIP                     | Exp                      |
| . A. High Focus          | . A. High Focus          | . A. High Focus          | . A. High Focus          | . A. High Focus          | . A. High Focus          | . A. High Focus          | . A. High Focus          |
| States 1                 | Bihar                    | 37.53                    | 15.03                    | 71.12                    | 39.87                    | 53.32                    | 41.22                    |
| 2                        | Chattisgarh              | 107.29                   | 65.80                    | 48.79                    | 104.63                   | 29.48                    | 121.65                   |
| 3                        | Himachal                 | 20.70                    | 26.45                    | 6.55                     | 8.72                     | 37.22                    | 31.25                    |
| 4                        | Pradesh Jammu & Kashmir  | 77.53                    | 101.53                   | 118.77                   | 123.77                   | 49.97                    | 65.38                    |
| 5                        | Jharkhand                | 64.85                    | 87.87                    | 36.58                    | 29.03                    | 24.21                    | 47.29                    |
| 6                        | Madhya Pradesh           | 123.49                   | 32.46                    | 58.83                    | 72.94                    | 115.74                   | 187.14                   |
| 7                        | Orissa                   | 149.40                   | 109.30                   | 150.88                   | 191.65                   | 162.95                   | 184.55                   |
| 8                        | Rajasthan                | 243.04                   | 192.98                   | 298.31                   | 236.11                   | 312.14                   | 276.29                   |
| 9                        | Uttar Pradesh            | 458.71                   | 69.20                    | 6.35                     | 353.94                   | 541.76                   | 587.02                   |
| 10                       | Uttarakhand              | 4.98                     | 10.03                    | 14.57                    | 15.49                    | 2.94                     | 12.29                    |
|                          | Sub Total                | 1287.52                  | 710.66                   | 810.76                   | 1176.17                  | 1329.73                  | 1554.08                  |
| B. NE States             | B. NE States             | B. NE States             | B. NE States             | B. NE States             | B. NE States             | B. NE States             | B. NE States             |
| 11                       | Arunachal Pradesh        | 10.39                    | 20.71                    | 20.24                    | 8.45                     | 25.42                    | 55.91                    |
| 12                       | Assam                    | 191.74                   | 48.81                    | 149.39                   | 81.01                    | 169.71                   | 185.24                   |
| 13                       | Manipur                  | 8.14                     | 0.31                     | 9.50                     | 19.12                    | 7.64                     | 12.34                    |
| 14                       | Meghalaya                | 18.32                    | 5.30                     | 15.37                    | 15.84                    | 26.85                    | 19.59                    |
| 15                       | Mizoram                  | 1.12                     | 5.06                     | 1.44                     | 0.00                     | 2.12                     | 0.76                     |
| 16                       | Nagaland                 | 18.77                    | 10.35                    | 6.82                     | 1.90                     | 7.65                     | 0.10                     |
| 17                       | Sikkim                   | 0.88                     | 4.33                     | 3.33                     | 3.38                     | 4.77                     | 1.87                     |
| 18                       | Tripura                  | 36.00                    | 24.61                    | 22.62                    | 30.06                    | 4.59                     | 5.70                     |
|                          | Sub Total                | 285.36                   | 119.48                   | 228.70                   | 159.74                   | 248.75                   | 281.51                   |
| C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States | C. Non-High Focus States |
| 19                       | Andhra Pradesh           | 158.62                   | 60.20                    | 104.32                   | 120.70                   | 104.40                   | 74.57                    |
| 20                       | Goa                      | 2.55                     | 2.43                     | 1.66                     | 0.08                     | 0.19                     | 0.02                     |
| 21                       | Gujarat                  | 75.78                    | 101.88                   | 103.78                   | 53.91                    | 76.23                    | 117.96                   |
| 22                       | Haryana                  | 24.13                    | 1.56                     | 9.05                     | 5.18                     | 8.81                     | 0.85                     |
| 23                       | Karnataka                | 143.78                   | 83.52                    | 105.33                   | 91.07                    | 84.09                    | 85.88                    |
| 24                       | Kerala                   | 83.05                    | 32.75                    | 51.56                    | 32.69                    | 46.32                    | 48.84                    |
| 25                       | Maharashtra              | 169.16                   | 163.20                   | 125.80                   | 64.30                    | 174.40                   | 82.39                    |
| 26                       | Punjab                   | 66.76                    | 29.71                    | 8.43                     | 27.50                    | 38.19                    | 43.05                    |

| 27        | Tamil Nadu                | 270.75   | 290.03   | 216.82   | 474.92   | 149.25   | 208.70   |
|-----------|---------------------------|----------|----------|----------|----------|----------|----------|
| 28        | Telangana                 | 0.00     | 0.00     | 90.97    | 60.67    | 22.50    | 24.60    |
| 29        | West Bengal               | 128.67   | 179.68   | 81.73    | 84.04    | 46.55    | 145.13   |
|           | Sub Total                 | 1123.25  | 944.96   | 899.46   | 1015.05  | 750.92   | 831.99   |
| D. Sm     |                           |          |          |          |          |          |          |
| all St 30 | Andaman & Nicobar Islands | 0.00     | 1.50     | 0.25     | 0.92     | 0.45     | 0.00     |
| ate s/ 31 | Chandigarh                | 0.00     | 0.00     | 0.00     | 0.00     | 0.00     | 0.00     |
| UT s 32   | Dadra & Nagar Haveli      | 0.00     | 0.00     | 0.00     | 0.00     | 0.13     | 0.00     |
| 33        | Daman & Diu               | 0.03     | 0.01     | 0.03     | 0.01     | 0.05     | 0.01     |
| 34        | Delhi                     | 41.52    | 8.53     | 60.77    | 64.51    | 3.00     | 16.68    |
| 35        | Lakshadweep               | 0.00     | 0.00     | 0.00     | 0.00     | 0.00     | 0.00     |
| 36        | Puducherry                | 0.07     | 0.16     | 0.09     | 0.05     | 0.05     | 0.06     |
|           | Sub Total                 | 41.62    | 10.20    | 61.14    | 65.49    | 3.68     | 16.75    |
|           | Grand Total               | 2737.75  | 1785.29  | 2000.06  | 2416.46  | 2333.07  | 2684.33  |

## Note:

- Implementation Plan. 2. Above mentioned Utilization figures are as reported by States/UTs and includes expenditure against Central Release, State share & unspent balances, updated up to 31-032016.
1. SPIP- State Programme
3.  The  above  data  comprises  of Hospital  Strengtheining -Up- Gradation  of  CHCs,  PHCs, Dist.  Hospitals,  Strengthening of Districts, Sub Divisional Hospitals, CHCs,  PHCs and Sub Centre Rent and contingencies and New Constructions/ Renovation and Setting up - CHCs, PHCs, SHCs/Sub Centres, Setting up Infrastructure wing for Civil works, Govt. Dispensaries/ others renovations and Construction of BHO, Facility improvement, civil work, BemOC and CemOC  centres,  Major  civil  works  for  operationalization  of  FRUS,  Major  civil  works  for operationalization  of  24  hour  services  at  PHCs,  Civil  Works  for  Operationalising  Infection Management & Environment Plan at health facilities, Infrastructure of Training Institutions, SDH, DH and Civil work of DEIC (RBSK).
4. FMR for the FY 2016-17 is not recd. Yet.