1. Health Manpower in India: Critical
Review
DR. BHUSHAN KAMBLE
MODERATOR: DR.SAUDAN SINGH/DR.SHALINI SAMNLA
2. Outline Of The Presentation
Introduction
Types of health manpower
Suggested norms of health manpower
Current status of health manpower
Shortfall in current health manpower
Recommendation of HLEG
3. HEALTH MANPOWER
Health manpower means people who are trained to promote health, to prevent and cure
disease and to rehabilitate the sick.
Health manpower includes:
Those health workers who are already working in the field of health services.
Prospective health workers, i.e., those who are receiving education and training that will
prepare them for employment in the health sector.
Hogarth J. Glossary of health care terminology. Copenhagen, World Health Organization/EURO, 1975.
4. Evolution of health manpower norms in India
Bhore committee 1946 : Each PHC- 40,000 population should have 2 Medical officers, 4 PHNs, 1Nurse, 4
midwives, 4 trained dais, 2 health assistants, 1 pharmacist and 15 other class four employees
Chadha Committee(1963); one laboratory technician per 30,000 population and one health inspector per
20,000 population. 1 basic health worker per 10,000 population and 1 FPHA per 3-4 BHW
Kartar Singh Committee 1974): one male and female health worker each for 3,000 - 3,500 population at
the grassroots, i.e. within a distance of less than 5 kilometers.
Indian Public Health Standards (IPHS) (2007, 2012): 1 Sub center: 3000-5000 with 2 health worker( M& F)
1 PHC: 20000- 30000 with 3 medical officer, 1 AYUSH practitioner, and 20 other staff
1 CHC: 80000-100000 with 5 specialist doctors 1 public health manager, 1 dental surgeon, 6 GDMO 1 AYUSH
Specialist and 1GDMO AYUSH and 64 other staff
5. Types of health manpower
Doctors(Allopathic and AYUSH)
Nurse
Pharmacists
Lab technicians
Radiographer
Health assistant (male & female)
Health worker(male)
ANM
ASHA
Anganwadi worker
Trained Dai
Others(health inspectors, health educator, OT assistant, dieticians etc)
6. Suggested norms for health manpower
Category of health personnel Norms suggested
Doctor 1 per 1000 population
nurse 1 per 500 population
Health worker(male & female) 1 per 5000 population in plain area and
3000 population in tribal/hilly/hard to
reach area
Health assistant (male & female) 1 per 30000 population in plain area
and 20000 population in
tribal/hilly/hard to reach area
Pharmacist 1 per 10000 population
Lab technician 1 per 10000 population
Anganwadi worker 1 per 400-800 population
ASHA 1 per 1000 population
Trained Dai 1 per village
Source: Govt. of India (2008), Annual report 2007-08,Ministry of health and family welfare, New Delhi
7. Current status of Health manpower
Health man power in some countries
Country Doctors per
10000 population
Nurses/midwives per
10000 population
Health workers (Doctor, nurses/
midwives) per 10000 population
India 7 17.1 24.1
Germany 38.9 114.9 153.8
UK 28.1 88 116.1
Qatar 77.4 118.7 196.1
Pakistan 8.3 5.7 14
Niger 0.2 1.4 1.6
Bangladesh 3.2 2.2 5.4
China 14.9 16.6 31.5
Sri lanka 6.8 16.4 23.2
Source: World Health Statistics 2015.
8. The country is producing annually, on an average 31, 298 allopathic doctors.
India has the largest number of medical colleges in the world, with an annual production of over 30,000 doctors
and 18,000 specialists.
The country has 412 medical colleges(212 pvt. + 200 govt.) with total intake capacity of 52175(24995pvt +
27180 govt.)*
India’s average annual output is 100 graduates per medical college
The availability of one doctor per population of 1319 with a nurse/ ANM availability of 2.4 per doctor.
We are still far from the WHO norms of one doctor per 1,000 population and 3 nurses /ANMs per doctor.
World Health Organization endorsed threshold of 23 workers per 10000
[WHO]. World Health Statistics 2015. Geneva: WHO; 2015. *source: medical council of india website
Current status of Doctors
9. Current status of Doctors……contd
There is huge expansion of medical colleges across the country since 1990 to meet the demand of doctors
Most of pvt. Medical college are located in southern states of india.
Yogesh Sabde, Vishal Diwan, Ayesha De Costa, and Vijay K Mahadik. Mapping the rapid expansion of India’s medical education sector: planning for the future.
BMC Med Educ2014; 14: 266.
10.
11. Current status of Doctors……contd
There is steady rise of allopathic doctors since 2008. This production is not equal across the
states so leading to unequitable distribution of doctors
12.
13. Current status of dentists
There is a total workforce of 1,54,436 dental practitioners in India at present, which is expected to swell to
2,25,000 shortly
The country has 305 colleges for BDS courses and 224 colleges which conduct MDS courses. There has been
admission of 26,240 in BDS and 5,505 in MDS during 2014-15
WHO recommends, dentist to population ratio of 1:7500.
Dentists-to-population ratio of India, which was 1:300,000 in the 1960’s, At present, in rural India one
dentist is serving 2.5 lakhs of people whereas; the overall ratio of dentists to population in India is 1: 10,000
Due to significant geographic imbalance in the distribution of dental colleges, a great variation in the dentist
to population ratio in the rural and the urban areas is seen
About 80% of dentists work in major cities in India
Very little oral health care services are provided in the rural areas
There are about more than one million unqualified dental health-care providers, or 'quacks', in India. They
have long been blamed for misdiagnosing and mistreating.*
*source: dental council of india website & World Health Statistics 2015
14.
15.
16. Current status of AYUSH doctors
The country is producing annually, on an average 13152 Ayurvedic doctors, 1911 Unani doctors, 410
siddha doctors, 820 Naturopathy doctors and 12808 Homoeopathic doctors
There are 260 Ayurvedic colleges 41 Unani colleges, 8 Siddha colleges, 18 Naturopathy colleges and 18
Homeopathic colleges as on 1st April 2014.
As per CBHI report 2014-15, there is 1 AYUSH Doctor per 1684 population
The concept of mainstreaming of AYUSH was an idea in the IXth five-year plan(1997-02) & it was actually
implemented in the country by NRHM in 2005.
The objective of main-streaming was to provide choice of treatment system to the patients, Strengthen
facility functionally, Strengthen implementation of national health programme.
AYUSH facilities had been collocated in 240 district hospitals, 1716 community health centers and 8938
primary health centers in 2010.
As on 31st march 2015, 10237 PHCs are having AYUSH facility.
source: Ministry of AYUSH &National Rural Health Mission, 2005: Framework of Implementation 2005-2012,GOI.
17.
18.
19. Current status of Nurses and Pharmacists
India has 2865 Institutions producing 1,15, 484 General Nurse Midwives annually and 723 colleges for
pharmacy with an intake capacity of 43,300 as on 31st December 2014
There is 1 nurse per 482 population and 1 pharmacist per 1865 population.
There is availability of 2.4 Nurse/ANM per doctor. It is projected that up to 2022, there will be availability
of 3 Nurse/ANM per Doctor.
No. of institutions and admission capacity in nursing & para-medical courses in India as on 31st December 2014
Courses No. of institutions Admission capacity
General Nurse Midwives 2865 115844
Auxiliary Nurse Midwife
(ANM)
1853 52479
Pharmacists 723 43300
Source: CBHI: National Health Profile 2015
20.
21. Current status of health manpower in
Railway, ESI and Defence services
Sector Medical
officer
Specialist Super
specialist
Dentist ANM nurse pharmacist
Railways 1685 924 26 25 34 4157 1797
ESI 5964 1661 18 32 0 5014 568
Defence 5988 NA NA 658 NA 4600 363
Source: National Health Profile 2015
Sector Total no. of
Dispensaries
Total no. of
Hospital
Total No. Of beds
Railway 613 125 13702
ESI 1303 151 19089
23. Average Rural Population, rural area and radial distance Covered By Health Facility
(Based On Census 2011)
Facility population Rural area (Sq. Km) Radial distance (Km)
Sub-center 5426 20.27 2.54
PHC 32944 123.09 6.26
CHC 154512 577.32 13.55
SHORTFALL IN CURRENT HEALTH MANPOWER
24. As on 31st March, 2015, there are 153655 Sub Centres, 25308 PHCs & 5396 CHCs functioning in the country.
While the Sub Centres, PHCs and CHCs have increased in number in 2014-15, the current numbers are not
sufficient to meet their population norm.
Number of ANMs at Sub Centres and PHCs has increased from 133194 in 2005 to 212185 in 2015 which amounts
to an increase of about 59.3%. Percentage
As on 31st March, 2015 the overall shortfall in the posts of HW(F) / ANM at SCs & PHCs was 5.21% of the total
requirement,
SHORTFALL IN CURRENT HEALTH MANPOWER…..contd.
25. Source: Rural Health Statistics 14-15
SHORTFALL IN CURRENT HEALTH MANPOWER…..contd.
27. 2005 2015
Required In position Shortfall Required In position Shortfall
ANM/HW (F) 169262 133194 19311 178963 212185(59.3) 9326
HW(M) 146026 60756 85270 153655 55657 98027
Health Assistant (F)/ LHV at PHCs 23236 19773 3463 25308 13372 12448
Health Assistant (M) at PHCs 23236 20086 3150 25308 12646 15513
Doctors(Allopathic ) at PHCs 23236 20308 1004 25308 27421(35) 3002
Specialists* at CHC 13384 3550 6110 21584 4078 17525
Radiographers at CHC 3346 1337 1176 5396 2150 3406
Pharmacists at PHCs & CHCs 26582 17708 2858 30704 23131 8321
Lab technicians at PHCs & CHCs 26582 12284 7226 30704 17154 13691
Nursing staff at PHCs & CHCs 46658 28930 13352 63080 65039 12953
Source: Rural Health Statistics 14-15 (*PHYSICIAN, OB&GY, SURGEON & PEDIATRICIAN)
SHORTFALL IN CURRENT HEALTH MANPOWER…..contd.
28. Out of 25308 PHCs, 799 are having 4+ doctors, 770 are having 3 doctors, 2041 are without any
doctors, 9649 are without lab technicians and 5553 are without pharmacists
6436 PHCs are having lady doctor.
Total 10237 PHCs are having AYUSH facility, bihar having maximum ayush facility 1384
SHORTFALL IN CURRENT HEALTH MANPOWER…..contd.
29. Reasons for shortfall in health manpower
Skewed production of health manpower
Uneven Human resource deployment and distribution
Disconnected education and training
Lack of job satisfaction
Professional isolation
Lack of rural experience
30. The number of allopathic doctors at PHCs has increased from 20308 in 2005 to 27421 in 2015, which is about
35.0% increase.
Shortfall of allopathic doctors in PHCs was 11.9% of the total requirement for existing infrastructure.
Number of CHCs has increased by 2050 during the period 2005-2015.
In addition to 4078 Specialists, 11822 General Duty Medical Officers (GDMOs) are also available at CHCs as on
31st March, 2015.
There was huge shortfall of surgeons (83.4%), obstetricians & gynaecologists (76.3%), physicians (83.0%) and
paediatricians (82.1%).
Overall, there was a shortfall of 81.2% specialists at the CHCs vis-à-vis the requirement for existing CHCs.
SHORTFALL IN CURRENT HEALTH MANPOWER…..contd.
31. Overall, there was a shortfall of 81.2% specialists at the CHCs as compared to the requirement
for existing CHCs
The shortfall of specialists is significantly high in most of the States.
Source: Rural Health Statistics 14-15
32. Reasons for shortfall and vacancy Doctors at CHCs
Professional isolation, absence of amenities in rural area, lack of rural experience, lack of job satisfaction
and inability to adjust to the rural life.
The uneven distribution of professional colleges and schools has led to severe health system imbalances
across the states
Lack of filling up of all vacancies regularly in a time bound manner.
No Transparent transfer policies and implementation.
Impact of shortfall of health manpower at SC, PHC & CHC:
Over 20% of deliveries are outside health facilities in 485 districts.
Over 15% of children in 358 districts receive only partial immunization.
62% of PHCs are conducting less than 10 deliveries in a month,
10% of CHCs do not provide 24x7 normal delivery services,
only 19% of CHCs offer caesarean section deliveries
33. Population Norms under ICDS For AWCs in Rural/Urban Projects 400-800population per AWC
Currently 7,076 Projects and 14 lakh AWCs number of operational projects and Anganwadi
have been approved.
As per available information, there are 12.93 lakh Anganwadi Workers (AWWs) and 11.65
lakh Anganwadi Helpers (AWHs) in-position/ working in these AWCs as on 31.12.2014.*
There is Short fall of 1.1 lac AWWs
India has 907918 ASHA workers in place, out of which 848169 has received training as on
31st march 2015#
Village health guide : 1VHG per village
There are 3.23 lakh VHG at present
SHORTFALL IN CURRENT HEALTH MANPOWER…..contd.
*Minister of Women and Child Development 07-May-2015 #source: National health mission website
34. Newer initiatives from the Recommendations Of High Level Expert Group Report On
Universal Health Coverage(HLEG) For India
1). Provide one additional Community Health Worker (CHW) at the village level and one
urban CHW low-income urban populations, for primary healthcare.
one additional CHW at the village level (1 per 500 population) & in underserved urban
areas for low income populations (1 per 1,000 population).
The new CHW may be a male or female, belonging to the same village/area.
The control of communicable and non- communicable diseases may be assigned to the
second CHW with specific job responsibilities that include basic health promotion and
prevention activities
CHWs should be de facto members of the (village or urban-equivalent) Health and
Sanitation Committee, which will be involved in monitoring of CHW and disburse a
monthly fixed payment of Rs.1500 to each CHW.
The performance based monthly compensation of Rs.1500 should be through ANMs in rural
areas and their corresponding equivalent in urban areas.
The estimated availability of roughly 19 lakh CHWs by 2022.
35. 2. Mid-level Professional Rural Health Care Practitioner
Each Sub-Health Centre (SHC), covering 3,000 to 5,000 population, should have a mid-level professional Rural
Health Care Practitioner, two ANMs and a Male Health Worker. In urban settings, trained and qualified Nurse
Practitioners are recommended in lieu of Rural Health Care Practitioners.
HLEG endorses a ‘Bachelor of Rural Health Care’ (BRHC) course with a 3-year curriculum which should have an
intensive component covering primary and preventive healthcare
It should be mandated through legislation that a graduate of the BRHC programme is licensed to serve only in
specific notified areas in the government health system.
BRHC college exists in all districts with populations of over 5 lakh. These colleges will be co-located with or
closely aligned to District Health Knowledge Institute
It is expected that full coverage of BRHCs at the sub centre will be achieved by 2030.
Similarly, Nurse Practitioners would be positioned to serve vulnerable urban populations and supervise urban
CHWs.
BSc (community health) has been approved by Central govt. on August2014 and Assam govt. has started this
course since june 2015.
36. 3. Increase HRH density to achieve WHO norms of at least 23 health workers (doctors, nurses, and midwives)
per 10,000 population as well as 3 nurses/ANMs per doctor (allopathic).
This will be done by increasing financial allocation for strengthening the infra-structure for SC, PHC & CHCs
and creating new medical college at each district.
4: Provide adequately skilled ANMs at SHCs, PHCs and CHCs through the addition of Auxiliary Nurse Midwife
(ANM) schools in 9 priority states phased from 2012 to 2017.
5: Increase the availability of skilled nurses to achieve a 2:1:1 ratio of nurses to Auxiliary Nurse Midwives, (i.e.
minimum of 2 nurses and one ANM) to allopathic doctors, through the provisioning of new nursing schools and
colleges.
To fulfill these recommendations Simultaneously progress towards making available at least one ANM school in
all districts with over 5 lakh population and Strengthen Lady Health Visitor (LHV) training centres to ensure
adequately trained CHW and ANM supervisors
37.
38. 7: Utilize available AYUSH doctors within the state At PHCs, CHCs And
District Hospitals.
Optimally utilize available AYUSH doctors will be done in the following ways:
Facilitate the skill up-gradation of AYUSH doctors for the provision of primary healthcare at SHCs through a 3-6
month bridge course.
Create posts of AYUSH doctors at the PHCs, CHCs and district hospitals. This gives patients the option of availing
of AYUSH or allopathic services, as per their preference.
Support AYUSH practice through the use of an AYUSH Essential Drugs List. This will enable AYUSH practitioners to
use their system-specific knowledge.
Create career trajectories in public health and health management for this cadre.
Training opportunities be ensured for these cadres with opportunities for skill-building, and career
advancement
39. - Plans to set up six AIIMS like institute in J&K, Punjab, Tamil Nadu, Himachal,
Assam and Bihar
40. References
Ministry of Health and Family Welfare [MOHFW]. Rural Health Statistics Report 2014-15. New Delhi: MOHFW,
Government of India; 2011.
Ministry of Health & Family Welfare [MOHFW]. National Health Profile, 2015. Central Bureau of Health
Intelligence. New Delhi: MOHFW, Government of India; 2011.
Ministry of Health and Family Welfare [MOHFW]. Annual Report to the People on Health 2015. New Delhi: MOHFW,
Government of India; 2010.
Ministry of Health and Family Welfare [MOHFW]. Indian Public Health Standards [IPHS] for Sub- Health Centre-
Revised.New Delhi: MOHFW, Government of India; 2012.
Anand S, Fan V. The Health Workforce in India, 2001: A Report prepared for the Planning Commission, Government
of India. First Draft; 2010 Dec 21.
Ministry of Health and Family Welfare [MOHFW]. Making a difference everywhere. New Delhi: National Rural
HealthMission, MOHFW, Government of India; 2009.
World Health Organisation [WHO]. World Health Statistics 2015. Geneva: WHO; 2011.
Medical Council of India: List of Medical colleges recognized/permitted. [Internet] 2016 [cited 2016Jan 6];
Availablefrom: http://www.mciindia.org/InformationDesk/ForColleges/ Programmes.aspx.
Ministry of Health and Family Welfare [MOHFW]. Indian High Level Expert Group Report on Universal Health
Coverage for India. New Delhi: MOHFW, Government of India; 2011.
Hinweis der Redaktion
ivate health sector has grown exponentially in the country. From initially providing 8% of healthcare facilities in 1949, the private sector now accounts for 93% of the hospitals and 85% of doctors in India.
extremely underserved. For example,
in 2006, only 26% of doctors resided in rural areas, serving 72% of India’s population.13 Another study has found that the urban density of doctors is nearly four
times that in rural areas, and that of nurses is three times higher than rural areas.14 (National Commission on Macroeconomics and Health.2005)
6th fyp 1983-88 current phc norm Bhw- visit house to house in a month to implement malaria activities and be as MPW for family planning and vital statistics
Kartar 1 male supervisor -4mpw (m) 1 female supervisor – mpw (f)
1948 Sokhey Committee Report on National Health 1952 Community Development Programme 1962 Mudaliar Committee Report on Health Survey and Planning 1966 Mukheree Committee Reports on Basic Health Services 1967 Jungalwalla Committee Report on Integration of Health Services 1973 Kartar singh Committee report on Multipurpose Health Workers 1975 Shrivastav Committee Report on Medical Education and Support manpower 1977 Rural Health Scheme: Community Health Volunteer Scheme-Village Health guides. 1983 Mehta Committee on Medical Education Review 1983 First National Health Policy 1987 Bajaj Committee on Health Manpower Planning, Production and Management 1996 Bajaj Committee on Public Health Systems 2000 National Population Policy 2002 Second National Health Policy
he pr
Delhi's hospital bed to population ratio is 2.71 little more than half of the WHO's recommended standard of 5 beds per 1,000 population. National 9bed/1000
Delhi economy survey 2014-15
Commission on Macroeconomics and Health (2005), and the Planning Commission Task Force on Planning for HRH (2007)
World Health Statistics Report (2011), the density of doctors in India is 6 for a population of 10,000 and that of nurses and midwives is 13 per 10,000, which represents 19 health workers for a population of 10,000.
Pradesh.
The mission is an articulation of the commitment
of the government to raise public spending on health from 0.9% of GDP to 2-3% of GDP.
Global 13.9 28.6 2.8
. These HRH shortfalls have resulted in skewing the distribution of all cadres of health workers, such that vulnerable populations in rural, tribal and hilly areas continue to be extremely underserved
India ranked 52 of the 57 countries facing an health manpower crisis
Yogesh Sabde, Vishal Diwan, Ayesha De Costa, and Vijay K Mahadik. Mapping the rapid expansion of India’s medical education sector: planning for the future. BMC Med Educ. 2014; 14: 266.
According to national surveys conducted by the Indian government, these provinces have relatively poor socioeconomic indicators such as economic wealth and levels of poverty. These provinces have relatively higher maternal mortality ratios (MMRs), infant mortality rates (IMR) and lower life expectancy at birth than the national averages [2
Out of 358 medical colleges, information m 38 medical colleges was not received in 2011-12
12fyp pg 36the end of Thirteenth Plan. If we
adopt a goal of 500 health workers per lakh population
by the end of Thirteenth Plan, we would need
an additional 240 medical colleges, 500 General
Nursing and Midwifery (GNM)/nursing colleges
and 970 ANMs training institutes. If work on these
new teaching institutions begins from the 2013–
More than 70% of the people of India live in more than 5,50,000 villages, and the remainder in more than 200 towns and cities.
However, the dentists: population in the Indian Army is far better at 1: 5,000; due to the fact that it is mandatory to see every individual’s teeth atleast once in a year in tVhe Army
In 1986, there were a total of 1,043 dentists posted at the PHC level in different rural areas. Thus not even 20 percent of the existing primary health centers in India have the services of a dentist available for the population. Also, there are no set criteria for posting a dentist at the PHC level in rural areas around the country.
On the other hand, there has been stagnation in the growth of government colleges, probably due to decrease of the funds provided by the government for the health sector. At present there are nearly four times as many private colleges as government colleges.
The number of dentists registered from 2004 to 2009 have increased from 55,000 to over 1,04,000 in a short span of four years
*Sandesh N, Mohapatra AK. Street dentistry: Time to tackle quackery. Indian J Dent Res 2009;20:1-2
Existing AYUSH institutions will likely sustain a decadal increase of AYUSH doctors by over 25%.
NRHM came in to play in 2005 but implemented at ground level in 2006 and introduced the concept of mainstreaming of AYUSH and revitalization of local health traditions to strengthen public health services The objective of main-streaming Choice of treatment system to the patients, Strengthen facility functionally, Strengthen implementation of national health programmes
About 39.8% District Hospitals (DH), 38% Community Health Centers (CHC) and 38.2% Primary Health Centers (PHC) had been collocated with AYUSH facilities by 2010.
0. About 30.9 lakhs rural population were being served by district hospitals, 4.3 lakhs of rural population were being served by CHCs and 0.8 lakhs of rural population were being served by PHCs in various states/UTs wherever the corresponding facilities exist. Equitable distribution of health workforce is of paramount importance in achieving both the horizontal and vertical health equity in rural India which is doable with proper implementation of AYUSH workforce
Total no . Of ayush hosp and dispensaries
State/ut 3601 25492
Cghs & cg orgn. 30 610
Bihar is havng 11 ayurvedic colleges and maharshtra 60 but bihar is having maximum ayurvedic practitiners
THERE 130 ARMED FORCES HOSPITAL FROM SHORT SERVICE COMISSION (SSC) AND AFMC cadet
Number of PHCs has increased by 2072 during the period 2005-2015.
Significant increase is observed in the number of PHCs in the States of
Assam, Bihar, Chhattisgarh, Jammu & Kashmir, Karnataka and
Rajasthan.
ii
The number of PHCs has increased by 288 during the year 2014-15. States of Karnataka (120) and Gujarat (89).
Shortfall of anm : mainly due to shortfall in the States of Arunachal Pradesh, Chhattisgarh, Gujarat, Himachal Pradesh, Karnataka, Rajasthan, Tamil Nadu, Tripura,Uttarakhand and Uttar PradesSignificant increases in the number of PHCs have been observed in the
States of Karnataka (120) and Gujarat (89).
sc phc chc subdivisional hosp distrct hosp mobile medical unit
2005 146026 23236 3346
153655 25308 5396 1022 763 1253
HW(M) OUT OF 153655 required 55657 are in position & 98027 are shortfall except Mizoram excess 29
AP- 923 MH-860 UP-705 ORRISA- 1162
The total number of AWWs includes 176030 (Uttar Pradesh), 107235 (West Bengal), 105262 (Maharastra) and 91860 (Bihar) among others.
This also includes a provision of 20,000 AWCs 'on demand
For Mini-AWC 150-400 1 Mini-AWC
For Tribal/Riverine/Desert, Hilly and other difficult areas/Projects
300-800 1 AWC For Mini-AWC 150-300 1 Mini-AWC
Anganwadi on Demand (AOD) Where a settlement has at least 40 children under 6 but no AWC
Launched in 1975 in 33 Blocks (Projects) with 4,891 AWCs. Gradually expanded to 5,652 Projects with nearly 6 lakh AWCs by the end of 9th Plan
Asha Round 4183873
Induction training of ASHA to be of 23 days in all, spread over 12 months. On the
job training would continue throughout the year.
For allopathic doctors at PHC, there was a shortfall of 11.9% of the total requirement. This is again mainly due to significant shortfall of doctors at PHCs in the States of Chhattisgarh, Gujarat, Karnataka, Madhya Pradesh, Odisha, Uttarakhand, Uttar Pradesh and West Bengal.
Significant increase is observed in the number of CHCs in the States of Gujarat, Jharkhand, Kerala, Madhya Pradesh, Odisha, Rajasthan, Tamil Nadu, Uttar Pradesh and WB .
There has been an increase of 33 CHCs from the number reported upto March, 2014. Significant increase in the number of CHCs are observed in the State of Gujarat (20).
around the control of malaria, filaria, TB, HIV, leprosy and other infectious diseases, safe water and sanitation. The additional CHW proposed will
expand the scope of health promotion on key primary health issues and emerging local health problems. The
Supervision of CHWs will be by Health Workers (male / female) of the respective SHCs and Nurse Practitioners in urban areas.
The other members of the expert group are: Abhay Bhang (Society for Education, Action and Research in Community Health), A.K. Shiva Kumar (member, National Advisory Council), Amarjeet Sinha (senior IAS officer), Anu Garg (Principal Secretary-cum-Commissioner (Health and Family Welfare department, Orissa), Gita Sen (Centre for Public Policy, IIM Bangalore), G.N. Rao (Chair of Eye Health, L.V. Prasad Eye Institute, Hyderabad), Jashodhara Dasgupta (SAHYOG, Lucknow), Leila Caleb Varkey (Public Health researcher), Govinda Rao (Director, National Institute of Public Finance and Policy), Mirai Chatterjee (Director, Social Security, SEWA), Nachiket Mor (Sughavazhu Healthcare), Vinod Paul (AIIMS), Yogesh Jain (Jan Swasthya Sahyog, Bilaspur), a representative of the Ministry of Health and Family Welfare, and N.K. Sethi (Advisor (Health), Planning Commission).
The BRHC course should be offered at District Health Knowledge Institutes and the BRHC degree linked to State Health Sciences Universities.
The course should focus on an essential skills package to ensure a high quality of competence in preventive, promotive and rehabilitative services required for rural populations with pedagogy focussed on primary healthcare
AYUSH
doctors who are available in surplus in Bihar,
Madhya Pradesh, Rajasthan, Uttarakhand and
Uttar Pradesh2 may be selected for these courses
to lead primary healthcare teams at the SHC.