Lok Sabha Question No. 89 (STARRED), answered on 2015-12-04
Subject: Availability of Health Care Professionals
Ministry: HEALTH AND FAMILY WELFARE
Asked by: RENUKA BUTTA, RAM CHARITRA

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

## LOK SABHA STARRED QUESTION NO. 89 TO BE ANSWERED ON THE 04 TH DECEMBER 2015 AVAILABILITY OF HEAL TH CARE PROFESSIONAL S

## †*89. SHRIMATI BUTTA RENUKA: SHRI RAM CHARITRA NISHAD :

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

- (a) the total number of registered doctors and other healthcare professional country, State/UT - wise;
- (b)  whether  the  annual  increase  in  the  number  of  doctors  and  other  health professionals is commensurate with the rise in number of patients, particul the rural and remote areas of the country, if so, the details thereof and reasons therefor;
- (c) the ratio of doctors and other healthcare professionals in the rural areas  of  the  country  vis - a- vis  its  population  compared  to  global  ratio  and  th standards laid down by the World Health Organisation (WHO);
- (d) the steps taken/ proposed to be taken by the Government to fill up the vaca posts of healthcare professionals in Government hospitals and health care c across the country; and
- (e)  the  measures  taken/proposed  to  be  taken  by  the  Government  to  meet required numb er of doctors and other health - care professionals in the country?

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

- (a) to (e ):  A statement is laid on the Table of the House

## STATEMENT REFERRED TO IN REPLY TO LOK SABHA STARRED QUESTION NO. 89 * FOR 04 TH DECEMBER, 2015

(a)  As per information provided by respective regulatory bodies, 9,59,198 d 7,89,796  Auxiliary  Nurse  Midwives  (ANM),  17,93,337  Registered  Nurse  & Registered  Midwives  (RN&RM)  and  6,74,782  Pharmacists  are  reg istered  in  the country. No such data for Allied Health is maintained centrally.  State/U details are at Annexure .

(b) There  has  been  consistent  increase  in  the  intake  capacity  of  doctor other healthcare professionals in the country. The intake capacity at MBBS and PG level  has  increased  from  37192  and  18972  in  2010 - 11  to  57138  and  25850 respectively in 2015 - 16. Likewise ,the capacity in nursing sector has gone up from 1.88 lakh to 2.94 lakh between 2010 and 2015.

(c)              Assuming  80%  availability  of  the  9.59  lakh  doctors  registere estimated  that  around  7.67  lakh  doctors  may  be  actually  available  for service. It gives a doctor - population ratio of 1:1681. Besides ,there are 6.77 lakhs Ayurveda, Unan i and Homeopathy (AUH) doctors in the country. If the Allopathi and AUH streams are considered together, it gives a doctor population ratio 893. The WHO norms for doctor population ratio is 1:1000. The HRH density, t composite index of health manp ower per 10,000 population, is 26 in India against the WHO norm of 23.

- (d) Filling up of vacant posts of the healthcare professionals in the Gove Hospitals and health care centers is a continuous process.
- (e) A number of measures have been taken in order to meet the need of doctors and other healthcare professionals in the country; these include:
- i. The ratio of teachers to students has been revised from 1:1 to 1:2 MD/MS disciplines and 1:1 to 1:3 in subjects of Anaesthesiology, Foren Med icine, Radiotherapy, Medical Oncology and Surgical Oncology.
- ii. DNB qualification has been recognized for appointment as faculty to t care of shortage of faculty.
- iii. Enhancement of maximum intake capacity at MBBS level from 150 to 250.
- iv. Enhanceme nt of age limit for appointment/extension/re - employment against posts  of  teachers/dean/principal/  director  in  medical  colleges  from - 70 years.
- v. Relaxation  in  the  norms  for  setting  up  of  a  medical  college  in  ter requirement for land, faculty, staff , bed/ bed strength and other infrastructure.
- vi. Strengthening/upgradation  of  State  Government  Medical  Colleges  for starting new PG courses/Increase of PG seats.
- vii. Establishment  of  New  Medical  Colleges  by  upgrading  district/referr hospitals prefera bly in underserved districts of the country.
- viii.Admission  to  nursing  courses  allowed  for  married  candidates,  stude patient ratio relaxed from 1:5 to 1:3, distance of nursing school from and eligibility criteria for admission relaxed
- ix. Upgradation/strengthening of Nursing Services (ANM/GNM).
- x. Setting up and strengthening of State institutions of Allied Health Sc in Government Medical Colleges.
- xi. Strengthening/Up - gradation  of  pharmacy  institutions  in the States  and continuing education programme for faculty and practicing pharmacists.

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Annexure State wise details of available health care professionals in the Country

| Sl. No.   | State                    | Registered Doctors   | Registered ANM   | Registered RN & RM   | Registered Pharmacists   |
|-----------|--------------------------|----------------------|------------------|----------------------|--------------------------|
| 1         | Andhra Pradesh           | 70799                | 134694           | 210000               | 43958                    |
| 2         | Arunachal Pradesh        | 610                  | 641              | 510                  | 279                      |
| 3         | Assam                    | 21480                | 24043            | 18506                | 2715                     |
| 4         | Bihar                    | 38260                | 8624             | 9413                 | 4163                     |
| 5         | Chhattisgarh             | 6115                 | 8018             | 7851                 | 9713                     |
| 6         | Delhi                    | 10932                | 3720             | 50197                | 25030                    |
| 7         | Dadra & Nagar Haveli     | --                   | --               | --                   | 91                       |
| 8         | Damn & Diu               | --                   | --               | --                   | 52                       |
| 9         | Goa                      | 3318                 | --               | --                   | 466                      |
| 10        | Gujarat                  | 53954                | 40694            | 99125                | 32030                    |
| 11        | Haryana                  | 5717                 | 22850            | 28356                | 8757                     |
| 12        | Himachal Pradesh         | 2035                 | 11448            | 15424                | 2818                     |
| 13        | Jammu & Kashmir          | 13393                | --               | --                   | --                       |
| 14        | Jharkhand                | 4475                 | 4071             | 2355                 | --                       |
| 15        | Karnataka                | 101273               | 54039            | 231643               | 79508                    |
| 16        | Kerala                   | 45772                | 29710            | 215708               | 25481                    |
| 17        | Lakshadweep              | --                   | --               | --                   | 3082                     |
| 18        | Madhya Pradesh           | 31043                | 37199            | 108855               | 1381                     |
| 19        | Maharashtra              | 153513               | 51456            | 106155               | 156315                   |
| 20        | Manipur                  | --                   | 3220             | 5503                 | --                       |
| 21        | Meghalaya                | --                   | 1066             | 3235                 | 619                      |
| 22        | Mizoram                  | --                   | 1932             | 2973                 | 330                      |
| 23        | Nagaland                 | 111                  | --               | --                   | 1553                     |
| 24        | Orissa                   | 19188                | 59281            | 75358                | 14312                    |
| 25        | Puducherry               | --                   | --               | --                   | 2493                     |
| 26        | Punjab                   | 42013                | 23029            | 76680                | 41533                    |
| 27        | Rajasthan                | 35168                | 107673           | 186821               | 38156                    |
| 28        | Sikkim                   | 864                  | --               | --                   | --                       |
| 29        | Tamil Nadu               | 111325               | 55975            | 236161               | 58466                    |
| 30        | Tripura                  | --                   | 2040             | 2259                 | 257                      |
| 31        | Uttar Pradesh            | 65343                | 43488            | 42612                | 30276                    |
| 32        | Uttarakhand              | 5693                 | 1864             | 1513                 | 1318                     |
| 33        | West Bengal              | 64138                | 59021            | 56124                | 89630                    |
| 34        | Medical Council of India | 52666                | --               | --                   | --                       |
|           | TOTAL                    | 959198               | 789796           | 1793337              | 674782                   |