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Highlights

 As on 31st March, 2017, there were 156231 Sub Centres (SCs), 25650 Primary Health
Centres (PHCs) and 5624 Community Health Centres (CHCs) functioning in the
country. While the Sub Centres, PHCs and CHCs have increased in number in 2016-
17, the current numbers are not sufficient to meet their population norm.

Sub Centres

 Number of SCs has increased by 10205 during the period 2005-2017 thereby increase
in existing Sub Centres increased from 146026 in 2005 to 156231 by March 2017.
There is significant increase in the number of Rajasthan (3894), Gujarat (1808),
Chhattisgarh (1368), Karnataka (1238), Jammu & Kashmir (1088), Odisha (761),
Tripura (448), Madhya Pradesh (318) and Kerala (286).

 There has been an addition of 1162 Sub Centres, during the year 2016-17. Significant
increases in the number of Sub Centres have been reported in the States of Kerala
(805) and Gujarat (281).

 Percentage of Sub Centres functioning in the Government buildings has increased


from 49.7% in 2005 to 69.7% in 2017. The increase is mainly due to addition in the
number of government buildings in the States of Uttar Pradesh (11195), West Bengal
(5739), Madhya Pradesh (4250), Karnataka (3126), Chhattisgarh (2476), Maharashtra
(2051), Rajasthan (2018), Odisha (1775), Assam (1054) and Uttarakhand (722).

 As on 31st March, 2017 the overall shortfall in the posts of HW(F) / ANM at SCs &
PHCs was 5.6% of the total requirement, mainly due to shortfall in the States of
Karnataka (4588), Tamil Nadu (2117), Gujarat (1615), Himachal Pradesh (835),
Rajasthan (274), Tripura (360) Maharashtra (259) and Goa (43).

Primary Health Centres (PHCs)

 Number of PHCs has increased by 2414 during the period 2005-2017. Significant
increase is observed in the number of PHCs in the States of Karnataka (678), Assam
(404), Rajasthan (366), Jammu & Kashmir (303) and Chhattisgarh (268) and Bihar
(251).

 The number of PHCs has increased by 296 during the year 2016-17. Significant
increases in the number of PHCs have been observed in the States of Kerala (805) and
Gujarat (281).

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 Number of ANMs at Sub Centres and PHCs has increased from 133194 in 2005 to
220707 in 2017 which amounts to an increase of about 65.7%.

 Percentage of PHCs functioning in government buildings has increased significantly


from 78% in 2005 to 90.9% in 2017. This is mainly due to increase in the government
buildings in the States of Uttar Pradesh (1681), Karnataka (841), Gujarat (450),
Assam (403), Madhya Pradesh (410), Maharashtra (232) and Chhattisgarh (336).

 The number of allopathic doctors at PHCs has increased from 20308 in 2005 to 27124
in 2017, which is about 33.6% increase.

 Shortfall of allopathic doctors in PHCs was 11.8% of the total requirement for
existing infrastructure.

Community Health Centres

 Number of CHCs has increased by 2278 during the period 2005-2017. Significant
increase is observed in the number of CHCs in the States of Uttar Pradesh (436),
Tamil Nadu (350), West Bengal (254), Rajasthan (253), Odisha (139), Jharkhand
(141), Kerala (126), Gujarat (91) and Madhya Pradesh (80).

 There has been an increase of 114 CHCs as on March 2017 when compared to the
numbers reported on March, 2016. Significant increase in the number of CHCs is
observed in the State of Uttar Pradesh (49) and Gujarat (41).

 Number of CHCs functioning in government buildings has also increased during the
period 2005-2017. The percentage of CHCs in Govt. buildings has increased from
91.6% in 2005 to 96.7% in 2017.

 Significant increase in the number of paramedical staff is also observed in 2017 when
compared with the position of 2005.

 In addition to 4156 Specialists, 14350 General Duty Medical Officers (GDMOs) are
also available at CHCs as on 31st March, 2017.

 There was huge shortfall of surgeons (86.5%), obstetricians & gynaecologists


(74.1%), physicians (84.6%) and paediatricians (81%). Overall, there was a shortfall
of 81.6% specialists at the CHCs vis-a-vis the requirement for existing CHCs.

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Comparison of Manpower with previous year

 While number of Sub Centres, PHCs and CHCs has increased during the year 2016-
17, the number of overall specialists at CHCs declined, though marginally from the
position in 2015-16.

 The number of allopathic doctors at PHCs (Statement 14) increased from 26, 464 in
2016 to 27,124 in 2017. Major increase is observed in States of Andhra Pradesh
(232), West Bengal (197), Gujarat (124) and Assam (116). However there is decrease
in the number in state of Haryana (60), Jammu and Kashmir (57) and Rajasthan (40).

 Regarding the specialist doctors at CHCs (Statement 14), the number has been
decreased marginally from 4192 in 2016 to 4151 in 2017. Major reduction has been
noticed in the States of Madhya Pradesh (109), Gujarat (56), Jharkhand (47), Odisha
(36) and Telangana (22).

Coverage of Rural Health Infrastructure (As on 31st March, 2017)

 Average rural population covered by health facility (based on the rural population of
2011 Population Census):

Norm Status (2017)


Sub Centre 3000-5000 5337
Primary Health Centre (PHC) 20000-30000 32505
Community Health Centre (CHC) 80000-120000 148248

 Average rural area (Sq. Km) covered by

Sub Centre 18.90


Primary Health Centre (PHC) 115.15
Community Health Centre (CHC) 525.17

 Average radial distance (Km) covered by

Sub Centre 2.45


Primary Health Centre (PHC) 6.05
Community Health Centre (CHC) 12.93

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 Average number of villages covered by

Sub Centre 4
Primary Health Centre (PHC) 25
Community Health Centre (CHC) 114

Note: The analysis presented above for infrastructure and manpower is based on the data
received from various States / UTs. The States / UTs which do not have relevant data for a
particular item / category, were excluded while calculating percentages for facilities
functioning in Government buildings, manpower vacancies and shortfall etc. Comparative
position of infrastructure and manpower for 2016 and 2017 is given in Statements 12-15.