GOVERNMENT OF INDIA

MINISTRY OF HEALTH AND FAMILY WELFARE

DEPARTMENT OF HEALTH AND FAMILY WELFARE

 

RAJYA SABHA

UNSTARRED QUESTION NO.1314

TO BE ANSWERED ON 8TH  MARCH, 2011

Shortage of doctors under NRHM

 

1314. SHRIMATI VIPLOVE THAKUR:

 

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

 

(a) whether there is an acute shortage of doctors including lady doctors and specialist doctors and para-medical staff sanctioned under the National Rural Health Mission (NRHM) in the country including Himachal Pradesh;

 

(b) if so, the details thereof along with the reasons therefor, State-wise and the steps taken/being taken by Government to meet this shortage;

 

(c) the number of sanctioned posts of doctors/specialist doctors/lady doctors

lying vacant in the country under the National Rural Health Mission (NRHM) in Rural Health Centres, Primary Health Centres and Community Health Centres, State-wise including Himachal Pradesh; and

 

(d) the time by which these posts are likely to be filled up?

 

ANSWER

 THE MINISTER OF HEALTH & FAMILY WELFARE

(SHRI GHULAM NABI AZAD)

(a) &  (b) A state wise statement  showing the  shortage of doctors, specialist and para-medical staff in Sub-Centres[SCs], Primary Health Centres[PHCs] and Community Health Centres[CHCs] across the country including Himachal Pradesh  as per the Bulletin on Rural Health Statistics in India, 2009 is at Annexure A . 

 

         Various reasons attributed for the shortage include, non availability of requisite number of doctors and paramedics, shortage of medical colleges and training institutes, unwillingness to work in difficult and hard to reach areas, lack of accommodation, unavailability of general infrastructure in rural areas etc.

 

 

 

          Augmentation of human resources is one of the thrust area under the National Rural Health Mission [NRHM]. Financial support is provided to States under NRHM for engagement of staff on contractual basis. Multi-skilling  of doctors to overcome the shortage of specialists, provision of incentives to serve in rural areas, improved accommodation arrangements, measure to set up more medical colleges, GNM Schools, ANM Schools to produce more doctors and paramedics are some of the measure taken to bridge the gap in human resources. Under NRHM, the following staff has been appointed by States on contractual basis across the country:

 

SNo

Designation and Place of Posting

No of staff added

1

Specialists at CHCs

1572

2

General Duty Medical Officers

8284

3

AYUSH Doctors

9578

4

Staff Nurses

26734

5

ANM

53552

6

Para Medics

18272

 

(c) A statement showing the number of sanctioned posts of doctors/specialist doctors lying vacant in the above said centres in different States including Himachal Pradesh is at Annexure B.

 

(d ) Health being a State subject, the posts are sanctioned and filled up by respective State/UT Governments. During meetings and review, State Governments are impressed upon to make efforts to fill up the vacant posts on priority.

--

 

SHORTFALL OF DOCTORS/SPECIALISTS & PARAMEDICAL STAFF (as on March 2009)

State/UT

Doctors [PHC]

Specialists [CHC]

HW(F)/ANM at sub center& PHC

Health Worker [M] at SCs

Health Assistants  [M] at PHCs

Radiographers at CHCs

Pharmacists at PHC & CHC

Lab Technician at PHC & CHC

Nurse Midwife/ Staff Nurse at PHC & CHC

Andhra Pradesh

*

188

*

6395

*

102

123

374

*

Arunachal Pradesh

29

167

452

436

116

37

94

108

112

Assam

500

290

*

4233

NA

NA

661

395

*

Bihar

211

176

1507

7784

1142

55

1407

1711

841

Chhattisgarh

*

431

440

2245

601

64

371

489

976

Goa

*

6

*

36

19

*

*

*

*

Gujarat

65

1048

1927

2390

326

147

407

576

322

Haryana

10

293

*

790

371

45

168

335

*

Himachal Pradesh

88

292

795

826

399

36

249

367

58

Jammu & Kashmir

*

202

323

1448

301

21

*

61

288

Jharkhand

*

435

*

2025

*

179

167

134

1250

Karnataka

*

605

2308

4381

1535

294

464

1205

*

Kerala

*

110

*

1921

153

216

5

576

*

Madhya Pradesh

614

1087

*

5324

1037

195

1157

1104

1655

Maharashtra

*

1066

*

674

*

82

216

1364

*

Manipur

*

62

*

0

9

5

*

*

*

Meghalaya

*

108

*

317

18

3

*

3

127

Mizoram

6

36

*

*

3

1

13

29

*

Nagaland

*

82

*

156

108

20

31

42

*

Orissa

413

553

1049

5143

1238

221

*

1322

2254

Punjab

45

262

*

946

*

51

*

24

*

Rajasthan

*

870

*

8423

789

98

*

*

*

Sikkim

*

*

*

14

23

*

0

*

*

Tamil Nadu

6

1024

199

5653

969

143

308

667

*

Tripura

*

40

223

297

48

0

31

37

*

Uttarakhand

113

181

*

1689

167

47

66

276

356

Uttar Pradesh

1689

1442

3187

18424

*

382

2251

3120

3955

West Bengal

*

1161

*

6275

138

108

153

922

*

A& N Islands

*

16

*

92

19

*

*

*

*

Chandigarh

0

*

*

12

0

*

*

*

*

D & N Haveli

0

4

*

29

6

0

0

0

*

Daman & Diu

*

7

*

10

0

1

*

1

4

Delhi

*

0

*

41

4

0

5

2

8

Lakshadweep

*

12

4

1

4

*

*

*

*

Puducherry

*

7

*

53

19

0

*

*

*

All India

3789

12263

12414

88483

9562

2553

8347

15244

12206

*SURPLUS

             NA : Not Available

 

 

 

  Shortfall = required posts- In position

 

 

 

 

Requirement for Doctor is based on norm of one Doctor per PHC

 

 

 

 

 

 

 

 

 

Requirement forSpecialists is based on norm of four Specialists per CHC

 

 

Requirement for ANM is based on norm of one ANM  per each exsisting SC and PHC

 

 

 

 

 

 

 

 

Requirement for HW(M)is based on norm of one HW(M)  per each exsisting SC

 

Requirement for HA(M)is based on norm of one HA(M)  per each exsisting PHC

 

Requirement for Radiographer is based on norm of one Radigrapher  per each exsisting CHC

Requirement for Pharmacists is based on norm of one Pharmacists  per each PHC and  CHC

Requirement for Lab technician is based on norm of one Lab technician  per each PHC and  CHC

Requirement for Nurse Midwife/SN is based on norm of one NM/SN  per  PHC and  seven per CHC