Question : OPENING COMMUNITY PRIMARY HEALTH CENTRES



(a) whether the Government proposes to open Primary/Community Health Centres in all the villages and particularly the backward villages of the country;

(b) if so, the State-wise number of villages where no Community/ Primary Health Centre have been opened so far;

(c) the quantum of funds allocated by the Government as on date, State-wise, to open new Community /Primary Health Centres during each of the last three years and the current year; and

(d) the targeted number of Community/ Primary Health Centres to be opened during the next financial year and the amount to be allocated for the purpose?

Answer given by the minister

THE MINISTER OF STATE IN THE MINISTRY OF HEALTH & FAMILY WELFARE (SMT. PANABAKA LAKSHMI)

(a) & (b) The health care infrastructure in rural areas has been developed as a three tier system and is based on the following population norms:

Population Norms

Centre Plain Area Hilly/Tribal/Difficult Area Sub-centre 5000 3000 Primary Health 30,000 20,000 Centre Community Health 1,20,000 80,000 Centre


Average number of villages covered by a PHC is 27 and by a CHC is 191. There are 23236 PHCs and 3346 CHCs functioning in the country as on September, 2005. As per 2001 norms, the shortfall in the number of PHCs countrywide is 4337 as against the requirement of 26022 PHCs. The number of CHCs in shortfall are 3206 as against the requirement of 6491 CHCs.


(c) State-wise approved, revised outlay and actual expenditure 2003-04, 2004-05; approved & revised outlay 2005-06 and approved outlay 2006-07 under Medical and Public Health from which expenditure for setting up of new PHCs/CHCs is done is at Annexure-I.


(d) The 10th Plan target for opening up of PHCs and CHCs is 1714 and 2565 respectively. State/UT-wise achievements during 10th Plan is at Annexure-II.


MEDICAL AND PUBLIC HEALTH                        ANNEXURE-I
          
   Rs. in lakhs
S.N Name of                2003-04                     2004-05                2005-06       2006-07
o.  State/UT
Ap      Re.      Act.      Ap        Re.      Act.     Ap       Re.       Ap.
outlay  outlay   Exp.      outlay    outlay   Exp.     outlay   outlay    Outlay
1 Andhra         40995. 38615.0  35362.36  40995.44   40995.4  31427.7  43269.2  34769.24  53574.2
Pradesh            06       4                             4        2        4                  4
2 Aruncahal      2201.0 2201.05   2099.23   2781.50   2781.35  3185.00            1417.00  1970.00
Pradesh             5
3 Assam          7682.0 7882.00   7631.46   6529.00   6529.00  6529.00  5687.00   7882.00 
0
4 Bihar          13698. 10993.5  12343.11  14182.02   15082.0  14389.7  12721.8  16318.30  13700.0
79       9                             2        8        0                  0
5 Chhattisgarh   8083.0 8083.00  11736.00  15076.00   15076.0  12462.5  14287.4  12122.33  33249.9
0                                     0        2        4                  0
6 Goa            3174.9 2624.70   2568.54   3521.33   4070.05  3149.21            2568.54  4495.00
9
7 Gujarat        25221. 22221.0  21472.13  25294.00   25294.0  25294.0  43494.0  21472.13  45994.0
00       0                             0        0        0                  0
8 Haryana        7800.0 5900.00   5757.51   7124.00   6314.00  5843.76  10200.0  10250.00  11450.0
0                                                       0                  0
9 Himachal       19517. 20196.2  18066.07  18295.79   18779.9  19734.2  18476.6  19050.81  19948.9
Pradesh            07       2                             8        7        0                  2
10 Jammu &        14863. 15695.6  13752.90  16330.87   18933.2  17748.7  21061.7  13752.90  21864.2
Kashmir            66       6                             9        8        0                  5
11 Jharkhand      9700.0 9700.00   6339.98  14040.00   14040.0  13371.5  15000.0  15000.00  26800.0
0                                     0        9        0                  0
12 Karnataka      13974. 16884.6  19189.66  18011.51   15731.5  15731.5  33239.2  28920.80  34098.6
00       6                             1        1        9                  1
13 Kerala         9748.0 8485.00   5882.27  10130.00   5227.25  6813.87  10035.0  11901.56  9650.00
0                                                       0
14 Madhya         4528.5 13088.1  15444.43  20298.09   20292.4  17763.9  20587.0  15444.43  16961.9
Pradesh             0       5                             4        5        0                  1
15 Maharashtra    76435. 62065.4  33244.78  18663.93   18663.9  31192.0  77874.1  33244.78  88228.5
18       1                             3        5        0                  4
16 Manipur        2280.0 2280.00    940.96   1915.91   1965.91   789.52   351.00    940.96  2837.00
0
17 Meghalaya      3550.0 3800.00   3773.09   4042.00   4242.00  4071.33  4484.00   3773.00  4750.00
0
18 Mizoram        2975.0 4105.40   4185.67   3000.00   3027.90  2950.10  3480.00   4185.67  4000.00
0
19 Nagaland       2383.0 2383.00   2514.00   2207.15   2219.15  2114.87  2263.00   2514.00  2363.00
0
20 Orissa         21694. 13449.4   9256.11  11739.19   6474.19  10281.4  14348.1   9256.11  4052.20
42       2                                      1        9
21 Punjab         10450. 12192.2   5971.99   7508.93   8766.20  2133.32  2743.13   5971.99  5019.10
47       9
22 Rajastjam      8236.0 7458.98   5434.80  10811.56   10963.8  9736.64  18605.5   5434.80  20618.6
2                                     8                 9                  0
23 Sikkim         1606.0 1626.00   1454.87   2210.00   2210.00  2200.56  1840.00   1454.87  1690.00
0
24 Tamil Nadu     16314. 16164.4  15963.39  19400.66   19400.6  17402.6  26874.1  15963.39 
44       4                             6        0        7
25 Tripura        2013.3 3198.44   2107.23   2535.36   4452.31  3040.42  2813.10   2243.86  6459.60
4
26 Uttaranchal    7358.7 7358.71   6315.44   8759.31   8759.31  9978.76  8790.92   6302.53  18600.0
1                                                                          0
27 Uttar          33927. 22600.0  19745.93  33009.00   33009.0  38352.8  85421.0  19745.93  188763.
Pradesh            00       0                             0        2        0                 00
28 West Bengal    21192. 26715.9  18584.87  23739.80   19261.6  15392.0  40207.8  18590.41  44289.6
98       6                             9        6        0                  8
29 A& N Islands   2150.0 2160.00   2312.26   2390.00   2390.00  2382.96  3321.00   2312.26  3200.00
0
30 Chandigarh     3111.0 3111.00   3546.75   3477.00   3477.00  3355.33  3392.00   3546.75  3587.00
0
31 Dadra &        266.00  266.00    301.67    343.00    343.00   403.20   400.00    301.67   470.00
Nagar Haveli
32 Daman & Diu    228.00  227.00    282.85    290.00    290.00   301.03   350.00    282.85   414.00
33 Delhi          42692. 42179.5  38942.11  53775.00   52306.6  46989.1  60600.0  38942.11  69120.0
00       5                             0        6        0                  0
34 Lakshadweep    227.00  235.00    228.24    225.00    225.00   166.73   242.00    264.90  17800.0
                        0
35 Pondicherry    3205.0 3264.48   3259.04   4160.00   4149.04  4196.59  5635.00   3259.04  9485.00
0
                 
Total          457059 419411.  356011.7  426812.2   415743.  400876.  612095.    389402  767639.
.29       2                             1        4        1                  3


Annexure-II Tenth Plan Targets and Achievements against the targets in Rur al Health Infrastructure
PHC CHC S.No. State/UT Tenth Plan Achievements during Tenth Plan Achievements Target Tenth Plan (upto Target during Tenth September, 2005) Plan (upto September, 2005) 1 Andhra Pradesh 321 184 208 0 2 Aruncahal Pradesh 3 Assam 116 0 81 0 4 Bihar 319 6 403 14 5 Chhattisgarh 159 0 26 0 6 Goa 4 0 1 0 7 Gujarat 4 4 8 Haryana 12 6 39 8 9 Himachal Pradesh 10 Jammu & Kashmir 11 Jharkhand 115 0 122 0 12 Karnataka 19 5 13 Kerala 75 1 14 Madhya Pradesh 123 0 100 0 15 Maharashtra 88 31 16 Manipur 17 Meghalaya 6 6 18 Mizoram 19 Nagaland 8 8 5 5 20 Orissa 108 74 21 Punjab 14 11 22 Rajastjam 49 49 23 Sikkim 2 2 24 Tamil Nadu 237 0 25 Tripura 38 15 13 0 26 Uttaranchal 8 0 36 14 27 Uttar Pradesh 588 106 28 West Bengal 464 0 332 0 29 A &N Islands 30 Chandigarh 2 0 31 Dadra & Nagar Haveli 1 0 1 0 32 Daman & Diu 33 Delhi 24 0 8 0 34 Lakshadweep 35 Pondicherry All India 1714 219 2565 330


Note: The achievement are based on the number of centres reported functioning by the States/UTs in the Quarterly Progress.


Report on Rural Health Services, ignoring the surplus as compared to targets given in some states. The achievement is worked out on the basis of addition in centres reported functioning as compared the position at the beginning of Tenth Five Year Plan. The figures of achievement are provisional.