Lok Sabha Question No. 1433 (UNSTARRED), answered on 2016-03-04
Subject: Infant and Maternal Mortality Rate
Ministry: HEALTH AND FAMILY WELFARE
Asked by: NALIN KUMAR KATEEL

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

## LOK SABHA UNSTARRED QUESTION NO. 1433 TO BE ANSWERED ON 4 TH MARCH, 2016

## INFANT AND MATERNAL MORTALITY RATE

## 1433. SHRI NALIN KUMAR KATEEL:

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

- (a) whether India's infant mortality and maternal mortality rates are very high due to skilled manpower, if so, the details thereof
- (b) the details of cases of infant mortality and maternal mortality reported  from Community Health Centres (CHCs) in the country during the last three years, State/UT -wise;
- (c) whether the Government is aware of the inadequate number of medical specialists and ot supporting staff in the CHCs; and
- (d) if so, the steps being taken by the Government to address the issue?

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

- (a) :    No . The Infant Mortality rate in India has shown constant decline from 47 per 1000 births  in  the  year  2010  to  40  per  1000  live  births  in  2013,  as  per  the  reports  of Registration System (SRS) published by the Registrar G eneral of India (RGI).
- Similarly, Maternal Mortality Ratio (MMR) in India has shown a decline from 212 p 100,000 live births in the period 2007 - 09 to 167 per 100,000 live births in the period 2011 - 13, according to the SRS Reports.
- (b): The RGI provides data on I MR and MMR for the country and major States through its SRS reports . The  state - wise  details  of  IMR  and  MMR  over  last  three  years  are  placed  at Annexure - 1 and 2, respectively.

However, RGI does not capture disaggregated data on IMR and MMR facility - level wise, nor does it provide infant and maternal deaths in absolute numbers.

- (c) : Yes. The State - wise details of specialists and other supporting staff as per the Health  Statistics - 2015 of the MoHFW, GOI are placed at Annexure Nos. -3 to 8.

Contd…..

(d): Public health being a state subject, the primary responsibility to ensure availa health human resources  in public health facilities lies with the State Governments. Ho under the National Health Mission (N HM), support is provided to States/UTs to strengthen their healthcare systems including for engaging of health human resources on contractual basis on the requirements posed by the States/UTs in their P rogramme Implementation Plans.

Support under NH M is provided for multi - skilling of doctors to overcome the shortage of specialists, hard area allowance to doctors/specialists for serving in rural and remote for  their  residential  quarters.  Also,  States  are  advised  to  put  in  place  transparent olici s  of posting and transfer, and ensure rational deployment of doctors/specialists.

As  the  posts  required  for  health  facilities  are  filled  up  by  respective  S Governments, they are impressed upon from time to time to fill up the vacant posts. The Kalyan Samiti (RKS) have been delegated more authority and can now contract - in the services of specialists, Medical/Paramedical staff, professional counsellors, although they cann regular permanent appointments To facilitate the States to obtain specialist services, th has also prepared and shared a guidance note on Str engthening Specialist Support for District Hospitals/ Sub - District Hospitals/ Community Health centres (CHCs) that are the First Refer Units.

……………

## Annexure - 1

## State - wise trend of IMR in India, Source: RGI -Sample Registration System

| S. No.   | State/UTs         |   2011 |   2012 |   2013 |
|----------|-------------------|--------|--------|--------|
| India    | India             |     44 |     42 |     40 |
| 1        | Bihar             |     44 |     43 |     42 |
| 2        | Chhattisgarh      |     48 |     47 |     46 |
| 3        | Himachal Pradesh  |     38 |     36 |     35 |
| 4        | Jammu & Kashmir   |     41 |     39 |     37 |
| 5        | Jharkhand         |     39 |     38 |     37 |
| 6        | Madhya Pradesh    |     59 |     56 |     54 |
| 7        | Odisha            |     57 |     53 |     51 |
| 8        | Rajasthan         |     52 |     49 |     47 |
| 9        | Uttar Pradesh     |     57 |     53 |     50 |
| 10       | Uttarakhand       |     36 |     34 |     32 |
| 11       | Arunachal Pradesh |     32 |     33 |     32 |
| 12       | Assam             |     55 |     55 |     54 |
| 13       | Manipur           |     11 |     10 |     10 |
| 14       | Meghalaya         |     52 |     49 |     47 |
| 15       | Mizoram           |     34 |     35 |     35 |
| 16       | Nagaland          |     21 |     18 |     18 |
| 17       | Sikkim            |     26 |     24 |     22 |
| 18       | Tripura           |     29 |     28 |     26 |
| 19       | Andhra Pradesh *  |     43 |     41 |     39 |
| 20       | Goa               |     11 |     10 |      9 |
| 21       | Gujarat           |     41 |     38 |     36 |
| 22       | Haryana           |     44 |     42 |     41 |
| 23       | Karnataka         |     35 |     32 |     31 |
| 24       | Kerala            |     12 |     12 |     12 |
| 25       | Maharashtra       |     25 |     25 |     24 |
| 26       | Punjab            |     30 |     28 |     26 |
| 27       | Tamil Nadu        |     22 |     21 |     21 |
| 28       | West Bengal       |     32 |     32 |     31 |
| 29       | A & N Islands     |     23 |     24 |     24 |
| 30       | Chandigarh        |     20 |     20 |     21 |
| 31       | D & N Haveli      |     35 |     33 |     31 |
| 32       | Daman & Diu       |     22 |     22 |     20 |
| 33       | Delhi             |     28 |     25 |     24 |
| 34       | Lakshadweep       |     24 |     24 |     24 |
| 35       | Pondicherry       |     19 |     17 |     17 |

## State - wise t rend of maternal mortality ratio in the country

| MATERNAL MORTALITY RATIO (per 1,00,000 live births)   | MATERNAL MORTALITY RATIO (per 1,00,000 live births)   | MATERNAL MORTALITY RATIO (per 1,00,000 live births)   |
|-------------------------------------------------------|-------------------------------------------------------|-------------------------------------------------------|
| India/States                                          | 2010-12                                               | 2011-13                                               |
| India                                                 | 178                                                   | 167                                                   |
| Andhra Pradesh                                        | 110                                                   | 92                                                    |
| Assam                                                 | 328                                                   | 300                                                   |
| Bihar/Jharkhand                                       | 219                                                   | 208                                                   |
| Gujarat                                               | 122                                                   | 112                                                   |
| Haryana                                               | 146                                                   | 127                                                   |
| Karnataka                                             | 144                                                   | 133                                                   |
| Kerala                                                | 66                                                    | 61                                                    |
| Madhya Pradesh/Chhattisgarh                           | 230                                                   | 221                                                   |
| Maharashtra                                           | 87                                                    | 68                                                    |
| Odisha                                                | 235                                                   | 222                                                   |
| Punjab                                                | 155                                                   | 141                                                   |
| Rajasthan                                             | 255                                                   | 244                                                   |
| Tamil Nadu                                            | 90                                                    | 79                                                    |
| Uttar Pradesh/Uttarakhand                             | 292                                                   | 285                                                   |
| West Bengal                                           | 117                                                   | 113                                                   |

Source: RGI

-Sample Registration System

## Annexure: 2

## Annexure: 3

## Status of Specialists at the Community Health Centres (CHCs) (Source:Rural HealthStatistics - 2015)

| TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs   | TOTAL SPECIALISTS AT CHCs                                    | TOTAL SPECIALISTS AT CHCs                                    | TOTAL SPECIALISTS AT CHCs                                    | TOTAL SPECIALISTS AT CHCs                                    | TOTAL SPECIALISTS AT CHCs                                    |
|-----------------------------|-----------------------------|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|--------------------------------------------------------------|
|                             | Total                       | OB&GY, Physicians & Paediatricians] (As on 31st March, 2015) | OB&GY, Physicians & Paediatricians] (As on 31st March, 2015) | OB&GY, Physicians & Paediatricians] (As on 31st March, 2015) | OB&GY, Physicians & Paediatricians] (As on 31st March, 2015) | OB&GY, Physicians & Paediatricians] (As on 31st March, 2015) |
| S. No.                      | State/UT                    | Required 1                                                   | Sanctioned                                                   | In Position                                                  | Vacant                                                       | Shortfall                                                    |
| 1                           | Andhra Pradesh              | [R] 716                                                      | [S] 384                                                      | [P] 159                                                      | [S-P] 225                                                    | [R-P] 557                                                    |
| 2                           | Arunachal Pradesh           | 208                                                          | NA                                                           | 1                                                            | NA                                                           | 207                                                          |
| 3                           | Assam                       | 604                                                          | NA                                                           | 121                                                          | NA                                                           | 483                                                          |
| 4                           | Bihar                       | 280                                                          | NA                                                           | 63                                                           | NA                                                           | 217                                                          |
| 5                           | Chhattisgarh                | 620                                                          | 628                                                          | 78                                                           | 550                                                          | 542                                                          |
| 6                           | Goa                         | 16                                                           | 5                                                            | 4                                                            | 1                                                            | 12                                                           |
| 7                           | Gujarat#                    | 1280                                                         | NA                                                           | 74                                                           | NA                                                           | 1206                                                         |
| 8                           | Haryana                     | 436                                                          | 153                                                          | 30                                                           | 123                                                          | 406                                                          |
| 9                           | Himachal Pradesh            | 312                                                          | 0                                                            | 7                                                            | *                                                            | 305                                                          |
| 10                          | Jammu & Kashmir             | 336                                                          | 343                                                          | 167                                                          | 176                                                          | 169                                                          |
| 11                          | Jharkhand                   | 752                                                          | 131                                                          | 128                                                          | 3                                                            | 624                                                          |
| 12                          | Karnataka                   | 824                                                          | 824                                                          | 502                                                          | 322                                                          | 322                                                          |
| 13                          | Kerala                      | 888                                                          | 30                                                           | 39                                                           | *                                                            | 849                                                          |
| 14                          | Madhya Pradesh              | 1336                                                         | 897                                                          | 263                                                          | 634                                                          | 1073                                                         |
| 15                          | Maharashtra                 | 1440                                                         | 823                                                          | 578                                                          | 245                                                          | 862                                                          |
| 16                          | Manipur^                    | 68                                                           | 4                                                            | 3                                                            | 1                                                            | 65                                                           |
| 17                          | Meghalaya                   | 108                                                          | 3                                                            | 3                                                            | 0                                                            | 105                                                          |
| 18                          | Mizoram                     | 36                                                           | 0                                                            | 0                                                            | 0                                                            | 36                                                           |
| 19                          | Nagaland                    | 84                                                           | 0                                                            | 4                                                            | *                                                            | 80                                                           |
| 20                          | Odisha                      | 1508                                                         | 908                                                          | 356                                                          | 552                                                          | 1152                                                         |
| 21                          | Punjab                      | 600                                                          | 563                                                          | 173                                                          | 390                                                          | 427                                                          |
| 22                          | Rajasthan                   | 2272                                                         | 1566                                                         | 526                                                          | 1040                                                         | 1746                                                         |
| 23                          | Sikkim                      | 8                                                            | NA                                                           | 0                                                            | NA                                                           | 8                                                            |
| 24                          | Tamil Nadu 3                | 1540                                                         | 0                                                            | 0                                                            | 0                                                            | 1540                                                         |
| 25                          | Telangana                   | 456                                                          | 284                                                          | 116                                                          | 168                                                          | 340                                                          |
| 26                          | Tripura                     | 80                                                           | 3                                                            | 3                                                            | 0                                                            | 77                                                           |
| 27                          | Uttarakhand                 | 236                                                          | 197                                                          | 49                                                           | 148                                                          | 187                                                          |
| 28                          | Uttar Pradesh               | 3092                                                         | 2099                                                         | 484                                                          | 1615                                                         | 2608                                                         |
| 29                          | West Bengal                 | 1388                                                         | 1792                                                         | 114                                                          | 1678                                                         | 1274                                                         |
| 30                          | A& N Islands                | 16                                                           | 9                                                            | 0                                                            | 9                                                            | 16                                                           |
| 31                          | Chandigarh##                | 8                                                            | 11                                                           | 27                                                           | *                                                            | *                                                            |
| 32                          | D & N Haveli                | 4                                                            | 0                                                            | 2                                                            | *                                                            | 2                                                            |
| 33                          | Daman & Diu                 | 8                                                            | 2                                                            | 1                                                            | 1                                                            | 7                                                            |
| 34                          | Delhi                       | 0                                                            | 0                                                            | 0                                                            | 0                                                            | 0                                                            |
| 35                          | Lakshadweep                 | 12                                                           | 0                                                            | 0                                                            | 0                                                            | 12                                                           |
| 36                          | Puducherry                  | 12                                                           | 2                                                            | 3                                                            | *                                                            | 9                                                            |
|                             | All India 2                 | 21584                                                        | 11661                                                        | 4078                                                         | 7881                                                         | 17525                                                        |

Notes:

# Data  for 2013 repeated

^Data for 2013

- 14 repeated

##Sanctioned data for 2013

- 14 used

- NA: Not Available.
- 1 Four per Community Health Centre
- *: Surplus. All India figures for Vacancy and Shortfall are the totals of State - wise Vacancy and Shortfall ignoring surplus in some States / UTs
- 2 For calculating the overall percentages of vacancy and shortfall, the States/UTs for which manpower position is not available, may be excluded
- 3 Specialists are attending CHCs on hiring basis

## Stat us of General Duty Medical Officers (GDMOs) -Allopathic at CHCs (Source:Rural HealthStatistics - 2015)

| General Duty Medical Officers (GDMOs) -Allopathic at CHCs (As on 31st March, 2015)   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs (As on 31st March, 2015)   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs (As on 31st March, 2015)   | General Duty Medical Officers (GDMOs) -Allopathic at CHCs (As on 31st March, 2015)   |
|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------|
| S. No.                                                                               | State/UT                                                                             | Sanctioned                                                                           | In Position                                                                          |
| 1                                                                                    | Andhra Pradesh                                                                       | [S] 312                                                                              | [P] 272                                                                              |
| 2                                                                                    | Arunachal Pradesh                                                                    | NA                                                                                   | 114                                                                                  |
| 3                                                                                    | Assam                                                                                | NA                                                                                   | 456                                                                                  |
| 4                                                                                    | Bihar^                                                                               | NA                                                                                   | 285                                                                                  |
| 5                                                                                    | Chhattisgarh                                                                         | 628                                                                                  | 334                                                                                  |
| 6                                                                                    | Goa                                                                                  | 12                                                                                   | 10                                                                                   |
| 7                                                                                    | Gujarat#                                                                             | 1060                                                                                 | 747                                                                                  |
| 8                                                                                    | Haryana                                                                              | 410                                                                                  | 265                                                                                  |
| 9                                                                                    | Himachal Pradesh                                                                     | 234                                                                                  | 208                                                                                  |
| 10                                                                                   | Jammu & Kashmir                                                                      | 772                                                                                  | 533                                                                                  |
| 11                                                                                   | Jharkhand                                                                            | 564                                                                                  | 757                                                                                  |
| 12                                                                                   | Karnataka                                                                            | 255                                                                                  | 224                                                                                  |
| 13                                                                                   | Kerala                                                                               | 781                                                                                  | 1019                                                                                 |
| 14                                                                                   | Madhya Pradesh                                                                       | 1109                                                                                 | 864                                                                                  |
| 15                                                                                   | Maharashtra                                                                          | 512                                                                                  | 486                                                                                  |
| 16                                                                                   | Manipur^                                                                             | 97                                                                                   | 94                                                                                   |
| 17                                                                                   | Meghalaya                                                                            | 91                                                                                   | 74                                                                                   |
| 18                                                                                   | Mizoram                                                                              | NA                                                                                   | 11                                                                                   |
| 19                                                                                   | Nagaland                                                                             | 42                                                                                   | 53                                                                                   |
| 20                                                                                   | Odisha                                                                               | 449                                                                                  | 463                                                                                  |
| 21                                                                                   | Punjab                                                                               | 174                                                                                  | 372                                                                                  |
| 22                                                                                   | Rajasthan                                                                            | 1442                                                                                 | 1071                                                                                 |
| 23                                                                                   | Sikkim                                                                               | NA                                                                                   | 4                                                                                    |
| 24                                                                                   | Tamil Nadu                                                                           | 1919                                                                                 | 1740                                                                                 |
| 25                                                                                   | Telangana                                                                            | 226                                                                                  | 197                                                                                  |
| 26                                                                                   | Tripura                                                                              | 64                                                                                   | 64                                                                                   |
| 27                                                                                   | Uttarakhand                                                                          | 61                                                                                   | 54                                                                                   |
| 28                                                                                   | Uttar Pradesh                                                                        | 0                                                                                    | 0                                                                                    |
| 29                                                                                   | West Bengal                                                                          | 1800                                                                                 | 980                                                                                  |
| 30                                                                                   | A& N Islands                                                                         | 13                                                                                   | 13                                                                                   |
| 31                                                                                   | Chandigarh##                                                                         | 6                                                                                    | 19                                                                                   |
| 32                                                                                   | D & N                                                                                | 0                                                                                    |                                                                                      |
|                                                                                      | Haveli                                                                               |                                                                                      | 6                                                                                    |
| 34                                                                                   | Delhi                                                                                | 0                                                                                    | 0                                                                                    |
| 35 36                                                                                | Lakshadweep                                                                          | 11                                                                                   | 11                                                                                   |
|                                                                                      | Puducherry Total 2                                                                   | 18 13066                                                                             | 18 11822                                                                             |

Notes:

# Data  for 2013 repeated

^Data for 2013 - 14 repeated

##Sanctioned data for 2013 - 14 used

NA: Not Available

2 For calculating the overall percentages of vacancy,  the States/UTs for which manpower position is not available, may be excluded

## Stat us of Radiographers at CHCs (Source: Rural Health Statistics - 2015)

| RADIOGRAPHERS at CHCs   | RADIOGRAPHERS at CHCs   | RADIOGRAPHERS at CHCs    | RADIOGRAPHERS at CHCs    | RADIOGRAPHERS at CHCs    | RADIOGRAPHERS at CHCs    | RADIOGRAPHERS at CHCs    |
|-------------------------|-------------------------|--------------------------|--------------------------|--------------------------|--------------------------|--------------------------|
| S.                      |                         | (As on 31st March, 2015) | (As on 31st March, 2015) | (As on 31st March, 2015) | (As on 31st March, 2015) | (As on 31st March, 2015) |
|                         | State/UT                | Required 1               | Sanctioned               | In Position              | Vacant                   | Shortfall                |
| No.                     |                         | [R]                      | [S]                      | [P]                      | [S-P]                    | [R-P]                    |
| 1                       | Andhra Pradesh          | 179                      | 96                       | 37                       | 59                       | 142                      |
| 2                       | Arunachal Pradesh       | 52                       | NA                       | 7                        | NA                       | 45                       |
| 3                       | Assam##                 | 151                      | 145                      | 65                       | 80                       | 86                       |
| 4                       | Bihar+                  | 70                       | 89                       | 13                       | 76                       | 57                       |
| 5                       | Chhattisgarh            | 155                      | 157                      | 128                      | 29                       | 27                       |
| 6                       | Goa                     | 4                        | 4                        | 4                        | 0                        | 0                        |
| 7                       | Gujarat#                | 320                      | 330                      | 175                      | 155                      | 145                      |
| 8                       | Haryana                 | 109                      | 79                       | 53                       | 26                       | 56                       |
| 9                       | Himachal Pradesh        | 78                       | 65                       | 43                       | 22                       | 35                       |
| 10                      | Jammu & Kashmir         | 84                       | 320                      | 239                      | 81                       | *                        |
| 11                      | Jharkhand               | 188                      | 188                      | 58                       | 130                      | 130                      |
| 12                      | Karnataka               | 206                      | 206                      | 169                      | 37                       | 37                       |
| 13                      | Kerala                  | 222                      | 16                       | 18                       | *                        | 204                      |
| 14                      | Madhya Pradesh          | 334                      | 287                      | 169                      | 118                      | 165                      |
| 15                      | Maharashtra             | 360                      | 140                      | 104                      | 36                       | 256                      |
| 16                      | Manipur^                | 17                       | 13                       | 13                       | 0                        | 4                        |
| 17                      | Meghalaya               | 27                       | 19                       | 19                       | 0                        | 8                        |
| 18                      | Mizoram                 | 9                        | NA                       | 5                        | NA                       | 4                        |
| 19                      | Nagaland                | 21                       | 3                        | 1                        | 2                        | 20                       |
| 20                      | Odisha                  | 377                      | 61                       | 56                       | 5                        | 321                      |
| 21                      | Punjab                  | 150                      | 171                      | 136                      | 35                       | 14                       |
| 22                      | Rajasthan               | 568                      | 767                      | 229                      | 538                      | 339                      |
| 23                      | Sikkim                  | 2                        | NA                       | 0                        | NA                       | 2                        |
| 24                      | Tamil Nadu              | 385                      | 294                      | 195                      | 99                       | 190                      |
| 25                      | Telangana               | 114                      | 71                       | 28                       | 43                       | 86                       |
| 26                      | Tripura                 | 20                       | 4                        | 4                        | 0                        | 16                       |
| 27                      | Uttarakhand             | 59                       | 30                       | 16                       | 14                       | 43                       |
| 28                      | Uttar Pradesh           | 773                      | 230                      | 82                       | 148                      | 691                      |
| 29                      | West Bengal             | 347                      | 366                      | 68                       | 298                      | 279                      |
| 30                      | A& N Islands            | 4                        | 0                        | 0                        | 0                        | 4                        |
| 31                      | Chandigarh^^            | 2                        | 5                        | 4                        | 1                        | *                        |
| 32                      | D & N Haveli            | 1                        | 0                        | 1                        | *                        | 0                        |
| 33                      | Daman & Diu             | 2                        | 3                        | 3                        | 0                        | *                        |
| 34                      | Delhi                   | 0                        | 0                        | 0                        | 0                        | 0                        |
| 35                      | Lakshadweep             | 3                        |                          |                          |                          | *                        |
| 36                      | Puducherry              | 3                        | 5 3                      | 5                        | 0 0                      | 0                        |
|                         | AllIndia                | 5396                     | 4167                     | 3 2150                   | 2032                     | 3406                     |

Notes:

# Data  for 2013 repeated

+ Data for 2011 repeated

##Sanctioned data for 2013 used

^Data for 2013 - 14 repeated

- ^^Sanctioned data for 2013 - 14 used

1 One per Community Health Centre

*: Surplus. All India figures for Vacancy and Shortfall are the totals of State - wise Vacancy and Shortfall ignoring surplus in some States / UTs NA: Not Available.

## Annexure: 5

## Annexure 6

## Statusof Pharmacists at PHCs & CHCs ( Source: Rural Health Statistics - 2015)

| PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs       | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   | PHARMACISTS at PHCs & CHCs   |
|------------------------------|----------------------------------|------------------------------|------------------------------|------------------------------|------------------------------|------------------------------|
| S. No.                       |                                  | (As on 31st March, 2015)     | (As on 31st March, 2015)     | (As on 31st March, 2015)     | (As on 31st March, 2015)     | (As on 31st March, 2015)     |
|                              | State/UT                         | Require d 1                  | Sanctione d                  | In Position                  | Vacan t                      | Shortfa ll                   |
|                              |                                  | [R]                          | [S]                          | [P]                          | [S-P]                        | [R-P]                        |
| 1                            | Andhra Pradesh                   | 1248                         | 1279                         | 951                          | 328                          | 297                          |
| 2                            | ArunachalPradesh                 | 169                          | NA                           | 97                           | NA                           | 72                           |
| 3                            | Assam##                          | 1165                         | 1284                         | 1347                         | *                            | *                            |
| 4                            | Bihar+                           | 1953                         | 989                          | 250                          | 739                          | 1703                         |
| 5                            | Chhattisgarh                     | 947                          | 1081                         | 844                          | 237                          | 103                          |
| 6                            | Goa                              | 25                           | 17                           | 16                           | 1                            | 9                            |
| 7                            | Gujarat#                         | 1567                         | 1550                         | 879                          | 671                          | 688                          |
| 8                            | Haryana                          | 570                          | 568                          | 508                          | 60                           | 62                           |
| 9 10                         | Himachal Pradesh Jammu & Kashmir | 578 721                      | 594 1057                     | 456 872                      | 138 185                      | 122 *                        |
| 11                           | Jharkhand                        | 515                          | 515                          | 305                          | 210                          | 210                          |
| 12                           | Karnataka                        |                              |                              | 2521                         |                              | 38                           |
| 13                           | Kerala                           | 2559 1049                    | 2668 1036                    | 1102                         | 147 *                        | *                            |
| 14                           | Madhya Pradesh                   | 1505                         | 1443                         | 1023                         | 420                          | 482                          |
| 15                           | Maharashtra                      | 2171                         | 2355                         | 2100                         | 255                          | 71                           |
| 16                           | Manipur^                         | 102                          | 145                          | 146                          | *                            | *                            |
| 17                           | Meghalaya                        | 137                          | 135                          | 135                          | 0                            | 2                            |
| 18                           | Mizoram                          | 66                           | NA                           | 46                           | NA                           | 20                           |
| 19                           | Nagaland                         | 149                          | 135                          | 101                          | 34                           | 48                           |
| 20                           | Odisha                           | 1682                         | 1819                         | 1499                         | 320                          | 183                          |
| 21                           | Punjab                           | 577                          | 841                          | 806                          | 35                           | *                            |
| 22                           | Rajasthan                        | 2651                         | 1282                         | 667                          | 615                          | 1984                         |
| 23                           | Sikkim                           | 26                           | NA                           | 14                           | NA                           | 12                           |
| 24                           | Tamil Nadu                       | 1757                         | 1799                         | 1526                         | 273                          | 231                          |
| 25                           | Telangana                        | 782                          | 928                          | 691                          | 237                          | 91                           |
| 26                           | Tripura                          | 111                          | 102                          | 131                          | *                            | *                            |
| 27                           | Uttarakhand                      | 316                          | 312                          | 100                          | 212                          | 216                          |
| 28                           | Uttar Pradesh                    | 4270                         | 2952                         | 2883                         | 69                           | 1387                         |
| 29                           | West Bengal                      | 1256                         |                              | 966                          |                              |                              |
|                              |                                  |                              | 1229                         |                              | 263                          | 290                          |
| 30 31                        | A& N Islands Chandigarh^^        | 26 2                         | 62 16                        | 60 17                        | 2 *                          | * *                          |
| 32 33                        | D & N Haveli Daman & Diu         | 8 5                          | 7 5                          | 9                            | *                            | * 0                          |
| 34                           | Delhi                            | 5                            |                              | 5                            | 0                            |                              |
|                              |                                  |                              | 6                            | 6                            | 0                            | *                            |
| 35                           | Lakshadweep                      | 7                            | 15                           | 15                           | 0                            | *                            |
| 36                           | Puducherry                       | 27                           | 42                           | 37                           | 5                            | *                            |
|                              | All India                        | 30704                        | 28268                        | 23131                        | 5456                         | 8321                         |

Notes:

+ Sanctioned data  for 2010 repeated

# Data  for 2013 repeated

##Sanctioned data for 2013 used

^^Sanctioned data for 2013 - 14 used

^Data for 2013 - 14 repeated

1 One per each Primary Health Centre and Community Health Centre

*: Surplus. All India figures for Vacancy and Shortfall are the totals of Stat- wise Vacancy and Shortfall ignoring surplus in some States / UTs

NA: Not Available.

## Status of Laboratory Technicians at PHCs & CHCs (Source: Rural Health Statistics - 2015)

| LABORATORY TECHNICIANS at   | LABORATORY TECHNICIANS at   | LABORATORY TECHNICIANS at   | LABORATORY TECHNICIANS at   | LABORATORY TECHNICIANS at   | LABORATORY TECHNICIANS at   | LABORATORY TECHNICIANS at   |
|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|-----------------------------|
| S. No.                      | State/UT                    | Required 1                  | Sanctione d                 | In Positio n                | Vacan t                     | Shortfal l                  |
|                             | Andhra Pradesh              | [R]                         | [S]                         | [P]                         | [S-P]                       | [R-P]                       |
| 1 2                         | Arunachal Pradesh           | 1248 169                    | 1053                        | 776 74                      | 277 NA                      | 472                         |
| 3                           | Assam##                     |                             | NA                          |                             | *                           | 95                          |
|                             |                             | 1165                        | 860                         | 1225                        |                             | *                           |
| 4                           | Bihar+                      | 1953                        | 683                         | 611                         | 72                          | 1342                        |
| 6                           | Goa                         | 25                          | 15                          | 14                          | 1                           | 11                          |
| 7                           | Gujarat#                    |                             |                             |                             |                             | 166                         |
| 8                           | Haryana                     | 1567 570                    | 1556                        | 1401 437                    | 155 80                      | 133                         |
| 9                           | Himachal                    |                             | 517                         |                             |                             |                             |
|                             | Pradesh                     | 578                         | 352                         | 157                         | 195                         | 421                         |
| 10                          | Jammu & Kashmir             | 721                         | 930                         | 763                         | 167                         | *                           |
| 11                          | Jharkhand                   | 515                         | 515                         | 301                         | 214                         | 214                         |
| 12                          | Karnataka                   | 2559                        | 1790                        | 1294                        | 496                         | 1265                        |
| 13                          | Kerala                      | 1049                        | 324                         | 365                         | *                           | 684                         |
| 14                          | Madhya Pradesh              | 1505                        | 1043                        | 892                         | 151                         | 613                         |
| 15                          | Maharashtra                 | 2171                        | 1474                        | 1387                        | 87                          | 784                         |
| 16                          | Manipur^                    | 102                         | 102                         | 96                          | 6                           | 6                           |
| 17                          | Meghalaya                   | 137                         | 118                         | 125                         | *                           | 12                          |
| 18                          | Mizoram                     | 66                          | NA                          | 61                          | NA                          | 5                           |
| 19                          | Nagaland                    | 149                         | 72                          | 72                          | 0                           | 77                          |
| 20                          | Odisha^                     | 1682                        | 476                         | 378                         | 98                          | 1304                        |
| 21                          | Punjab                      | 577                         | 578                         | 482                         | 96                          | 95                          |
| 22                          | Rajasthan                   | 2651                        | 3425                        | 1930                        | 1495                        | 721                         |
| 23                          | Sikkim                      | 26                          | NA                          | 31                          | NA                          | *                           |
| 24                          | Tamil Nadu                  | 1757                        | 2142                        | 1314                        | 828                         | 443                         |
| 25                          | Telangana                   | 782                         | 765                         | 566                         | 199                         | 216                         |
| 26                          | Tripura                     | 111                         | 50                          | 67                          | *                           | 44                          |
| 27                          | Uttarakhand                 | 316                         | 127                         | 157                         | *                           | 159                         |
| 28                          | Uttar Pradesh               | 4270                        | 1331                        | 963                         | 368                         | 3307                        |
| 29                          | West Bengal                 | 1256                        | 1185                        | 448                         | 737                         | 808                         |
| 30                          | A& N Islands                | 26                          | 29                          | 27                          | 2                           | *                           |
| 31                          | Chandigarh^^                | 2                           | 8                           | 19                          | *                           | *                           |
| 32                          | D & N Haveli                | 8                           | 7                           | 9                           | *                           | *                           |
| 33                          | Daman & Diu                 | 5                           | 4                           | 4                           | 0                           | 1                           |
| 34                          | Delhi                       | 5                           | 5                           | 2                           | 3                           | 3                           |
| 35                          | Lakshadweep                 | 7                           | 11                          | 11                          | 0                           | *                           |
| 36                          | Puducherry                  | 27                          | 10                          | 38                          | *                           | *                           |

Notes

+ Sanctioned data  for 2011 repeated

# Data  for 2013 repeated

##Sanctioned data for 2013 used

^Data for 2013

- 14 repeated

- ^^Sanctioned data for 2013 - 14 used
- 1 One per each Primary Health Centre and Community Health Centre
- *: Surplus.All India figures for Vacancy and Shortfall are the totals of State - wise Vacancy and Shortfall ignoring surplus in some States / UTs

NA: Not Available.

Annexure - 8 - 2015)

## Status of Nursing Staff at PHCs & CHCs ( Source: Rural Health S tatistics

| NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   | NURSING STAFF at PHCs & CHCs   |
|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|--------------------------------|
| S. No.                         |                                | (As on 31st March, 2015)       | (As on 31st March, 2015)       | (As on 31st March, 2015)       | (As on 31st March, 2015)       | (As on 31st March, 2015)       |
|                                | State/UT                       | Required 1                     | Sanction ed                    | In Position                    | Vacant                         | Shortfal l 1                   |
|                                |                                | [R1]                           | [S]                            | [P]                            | [S-P]                          | [R1-P]                         |
| 1                              | Andhra Pradesh                 | 2322                           | 2300                           | 2006                           | 294                            | 316                            |
| 2                              | Arunachal Pradesh              | 481                            | NA                             | 319                            | NA                             | 162                            |
| 3                              | Assam##                        | 2071                           | 2798                           | 3056                           | *                              | *                              |
| 4                              | Bihar#                         | 2373                           | 1662                           | 1736                           | *                              | 637                            |
| 5                              | Chhattisgarh                   | 1877                           | 2495                           | 1511                           | 984                            | 366                            |
| 6                              | Goa                            | 49                             | 80                             | 86                             | *                              | *                              |
| 7                              | Gujarat+                       | 3487                           | 4058                           | 2705                           | 1353                           | 782                            |
| 8                              | Haryana                        | 1224                           | 1783                           | 1685                           | 98                             | *                              |
| 9                              | Himachal Pradesh               | 1046                           | 819                            | 635                            | 184                            | 411                            |
| 10                             | Jammu & Kashmir                | 1225                           | 1616                           | 1184                           | 432                            | 41                             |
| 11                             | Jharkhand                      | 1643                           | 703                            | 1230                           | *                              | 413                            |
| 12                             | Karnataka                      | 3795                           | 3457                           | 3176                           | 281                            | 619                            |
| 13                             | Kerala                         | 2381                           | 3610                           | 3969                           | *                              | *                              |
| 14                             | Madhya Pradesh                 | 3509                           | 4189                           | 3629                           | 560                            | *                              |
| 15                             | Maharashtra                    | 4331                           | 3218                           | 2535                           | 683                            | 1796                           |
| 16                             | Manipur^                       | 204                            | 484                            | 433                            | 51                             | *                              |
| 17                             | Meghalaya                      | 299                            | 413                            | 413                            | 0                              | *                              |
| 18                             | Mizoram                        | 120                            | NA                             | 224                            | NA                             | *                              |
| 19                             | Nagaland                       | 275                            | 117                            | 378                            | *                              | *                              |
| 20                             | Odisha^                        | 3944                           | 903                            | 1260                           | *                              | 2684                           |
| 21                             | Punjab                         | 1477                           | 2189                           | 1907                           | 282                            | *                              |
| 22                             | Rajasthan                      | 6059                           | 13435                          | 9250                           | 4185                           | *                              |
| 23                             | Sikkim                         | 38                             | NA                             | 41                             | NA                             | *                              |
| 24                             | Tamil Nadu                     | 4067                           | 8177                           | 7349                           | 828                            | *                              |
| 25                             | Telangana                      | 1466                           | 1666                           | 1453                           | 213                            | 13                             |
| 26                             | Tripura                        | 231                            | 421                            | 421                            | 0                              | *                              |
| 27                             | Uttarakhand                    | 670                            | 275                            | 456                            | *                              | 214                            |
| 28                             | Uttar Pradesh                  | 8908                           | 4497                           | 4412                           | 85                             | 4496                           |
| 29                             | West Bengal                    | 3338                           | 8285                           | 7047                           | 1238                           | *                              |
| 30                             | A& N Islands                   | 50                             | 191                            | 185                            | 6                              | *                              |
| 31                             | Chandigarh^^                   | 14                             | 47                             | 99                             | *                              | *                              |
| 32                             | D & N Haveli                   | 14                             | 8                              | 37                             | *                              | *                              |
| 33                             | Daman & Diu                    | 17                             | 14                             | 14                             | 0                              | 3                              |
| 34                             | Delhi                          | 5                              | 5                              | 7                              | *                              | *                              |
| 35                             | Lakshadweep                    | 25                             | 52                             |                                | 0                              | *                              |
| 36                             | Puducherry                     | 45                             | 131                            | 52 139                         | *                              | *                              |
|                                | All India                      | 63080                          | 74098                          | 65039                          | 11757                          | 12953                          |

Notes:

+ Data  for 2013 repeated

# Data  for 2011 repeated

## Sanctioned data for 2012 used

- ^Data for 2013 - 14 repeated
- ^^Sanctioned data for 2013 - 14 used
- 1 One per Primary Health Centre and seven per Community Health Centre
- *: Surplus. All India figures for Vacancy and Shortfall are the totals of State - wise Vacancy and Shortfall ignoring surplus in some States / UTs

NA: Not Available.