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Madhya Pradesh

Medical Facilities in Rural Areas

March 19, 2020 01:16 AM

Medical Facilities in Rural Areas

 There is some shortfall in the number of medical facilities in position vis-à-vis requirement in the rural areas of the country.  However, except for Community Health Centres (CHC), there is no shortfall in the numbers Sub Centres & HWC-SCs and Primary Health Centres & HWC-PHCs, in Tripura, as per Rural Health Statistics(RHS) as on 1st July, 2019.  A comparative statement of State/UT-wise position of Sub Centres & HWC-SCs and Primary Health Centres & HWC-PHCs and CHCs in-position against requirement, including in Tripura, is given below:

 

S.No.

State/ UT

Estimated midyear population for Rural areas

Estimated midyear Tribal

population in

Rural areas

Sub Centres and HWC-SCs

PHCs and HWC-PHCs

CHCs

Required

In Position

Shortfall

%

Shorfall

Required

In Position

Shortfall

%

Shorfall

Required

In Position

Shortfall

%

Shorfall

R

P

S

R

P

S

R

P

S

1

Andhra Pradesh

34380000

2266965

7178

7437

*

*

1183

1145

38

3

295

140

155

53

2

Arunachal Pradesh

1133000

839207

338

385

*

*

51

143

*

*

12

63

*

*

3

Assam

29208000

3993696

6374

4643

1731

27

1040

946

94

9

260

177

83

32

4

Bihar

105717000

1454932

21337

9949

11388

53

3548

1899

1649

46

887

150

737

83

5

Chhattisgarh

21366000

7879417

5323

5205

118

2

843

792

51

6

210

170

40

19

6

Goa

435000

69097

96

219

*

*

15

24

*

*

3

5

*

*

7

Gujarat

36235000

6065876

8055

9166

*

*

1308

1476

*

*

327

362

*

*

8

Haryana

17304000

0

3460

2604

856

25

576

379

197

34

144

115

29

20

9

Himachal Pradesh

6567000

398091

1366

2089

*

*

225

586

*

*

56

87

*

*

10

Jammu & Kashmir

9530000

1472006

2102

3025

*

*

342

622

*

*

85

84

1

1

11

Jharkhand

27982000

8787305

6768

3848

2920

43

1079

298

781

72

269

171

98

36

12

Karnataka

37833000

3463079

8028

9758

*

*

1318

2127

*

*

329

198

131

40

13

Kerala

11511000

285346

2340

5380

*

*

388

848

*

*

97

227

*

*

14

Madhya Pradesh

58995000

16025605

13935

10226

3709

27

2233

1199

1034

46

558

309

249

45

15

Maharashtra

64293000

9406508

14112

10668

3444

24

2299

1828

471

20

574

364

210

37

16

Manipur

2132000

834313

537

490

47

9

84

90

*

*

21

23

*

*

17

Meghalaya

2569000

2314912

822

477

345

42

124

118

6

5

31

28

3

10

18

Mizoram

547000

528295

179

370

*

*

27

59

*

*

6

9

*

*

19

Nagaland

1281000

1189355

414

433

*

*

62

126

*

*

15

21

*

*

20

Odisha

35776000

9202138

8382

6688

1694

20

1345

1288

57

4

336

377

*

*

21

Punjab

17814000

0

3562

2950

612

17

593

416

177

30

148

89

59

40

22

Rajasthan

57353000

9681034

12761

13512

*

*

2073

2082

*

*

518

571

*

*

23

Sikkim

389000

142276

96

176

*

*

15

29

*

*

3

2

1

33

24

Tamil Nadu

36348000

644645

7355

8713

*

*

1222

1422

*

*

305

385

*

*

25

Telangana

20535000

2796018

4479

4744

*

*

731

636

95

13

182

85

97

53

26

Tripura

2595000

1069169

661

972

*

*

104

108

*

*

26

18

8

31

27

Uttarakhand

7362000

277051

1509

1847

*

*

250

257

*

*

62

67

*

*

28

Uttar Pradesh

172867000

1147580

34726

20782

13944

40

5781

2936

2845

49

1445

679

766

53

29

West Bengal

62862000

4908121

13226

10357

2869

22

2177

908

1269

58

544

348

196

36

30

A & N Islands

230000

25916

49

124

*

*

8

22

*

*

2

4

*

*

31

Chandigarh

6000

0

1

N App

N App

N App

N App

N App

N App

N App

N App

N App

N App

N App

32

D & N Haveli

197000

162390

61

71

*

*

9

9

0

0

2

2

0

0

33

Daman & Diu

34000

4288

7

23

*

*

1

4

*

*

0

0

N App

N App

34

Delhi

172000

0

34

12

22

65

5

5

0

0

1

0

1

100

35

Lakshadweep

4000

3808

1

14

*

*

0

4

*

*

0

3

*

*

36

Puducherry

459000

0

91

54

37

41

15

24

*

*

3

2

1

33

 

All India/ Total

874021000

97338441

189765

157411

43736

23

31074

24855

8764

28

7756

5335

2865

37

Notes: The requirement is calculated using the prescribed norms on the basis of rural population estimation for mid year for the year 2019.  All India shortfall is derived by adding state-wise figures of shortfall ignoring the existing surplus in some of the states.(Mid year Tribal population for the year 2019 calculated based on the percentages of Tribal population in the Rural areas in Census 2011) R: Required; P: In Position; S: Shortfall;     *: Surplus

N App- Not Applicable

 

The NRHM interventions are aligned to achieve the objectives of National Health Policy and the progress towards the same is on track. The physical achievements/progress by National Health Mission(NHM) that includes National Rural Health Mission(NRHM) and National Urban Health Mission(NUHM) as on September, 2019,  State/UT-wise, are given below:

 

Physical Achievement/Progress under National Health Mission (As on Sept 2019)*

 

 

S.N

 

 

State/UTs

Health Human Resources Augmentation

Functional FRUs (First Referral Units)

Mobile Medical Units (MMUs)

 

Ambulances (Operational)

 

Accredited Social Health Activists (ASHAs)

 

No of PHCs working on 24X7 basis

 

Setting up RogiKalyanSamitis

Village Health Sanitation and Nutrition

Committees constituted

1

Bihar

13612

68

6

1102

89437

496

2006

8406

2

Chhattisgarh

6048

37

30

589

69515

251

1003

19180

3

Himachal Pradesh

820

16

3

323

32376

81

667

7790

4

Jammu & Kashmir

 

7492

55

11

331

 

12356

204

795

6741

5

Jharkhand

7938

59

92

2140

41312

114

582

30012

6

Madhya Pradesh

 

10886

148

150

1358

 

77531

754

1635

49567

7

Odisha

9187

66

8

1004

46566

116

1795

46060

8

Rajasthan

8739

82

214

1353

64243

982

3008

43440

9

Uttar Pradesh

32681

334

144

4720

163407

439

1710

71944

10

Uttarakhand

2120

50

5

234

12212

87

330

15296

11

Arunachal Pradesh

 

1531

13

16

149

 

3880

64

228

3772

12

Assam

15092

73

130

938

32256

314

1226

27673

13

Manipur

1528

7

9

43

4009

66

126

3878

14

Meghalaya

1692

8

4

43

6697

61

150

6249

15

Mizoram

1120

9

9

60

1170

41

85

830

16

Nagaland

933

16

11

82

1992

33

167

1346

17

Sikkim

301

3

4

9

656

24

30

641

18

Tripura

497

11

0

0

8044

84

153

1038

19

Andhra Pradesh

9522

240

52

439

42346

596

1385

12940

20

Goa

492

2

0

54

0

13

37

247

21

Gujarat

11659

132

74

587

46287

311

2201

17644

22

Haryana

8757

37

12

377

20115

248

640

6049

23

Karnataka

12773

163

70

911

43500

1006

2930

26087

24

Kerala

4844

87

30

43

30113

171

1296

19692

25

Maharashtra

20952

227

50

3611

70282

759

3481

39788

26

Punjab

5293

205

33

242

21470

211

670

12982

27

Tamil Nadu

24389

573

415

936

3965

1315

2587

15015

28

Telangana

13261

156

0

632

32575

314

1086

10426

29

West Bengal

16152

143

49

3759

61545

234

1251

46862

30

A & N Islands

326

1

0

1

422

20

29

275

31

Chandigarh

523

4

0

15

18

0

6

0

32

D & N Haveli

310

2

1

0

542

7

6

61

33

Daman & Diu

114

2

0

11

134

2

6

28

34

Delhi

1670

32

2

200

6035

0

34

0

35

Lakshadweep

217

6

0

14

110

4

9

9

36

Puducherry

467

4

4

11

206

23

48

100

TOTAL

253938

3071

1638

26321

1047324

9445

33398

552068

§ Source: - NHM-MIS report

 *Cumulative figures as on Sept 2019.

 

Some of the outcomes achieved under NHM

  • Decline in the Maternal Mortality Ratio (MMR) to 122 during 2015-17 from 130 during 2014-16;
  • Decline in the Infant Mortality Rate (IMR) to 33 in 2017 as compared to 42 in 2012. 
  • Decline in the Under 5 Mortality Rate (U5MR) to 37 in 2017 from 52 in 2012.
  • Decline in the Total Fertility Rate (TFR) to 2.2 in 2017.

 

Further various diseases-related health indicators have also shown improvement, such as:

  • Annual Parasite Incidence (API) of Malaria Cases has declined to 0.02 in 2019 from 1.10 in 2011.
  • The incidence of Tuberculosis (TB) per 1 lakh population has been reduced to 204 in 2017, from 234 in 2012.
  • The target of prevalence of leprosy <1/one lakh population has been achieved nationally.
  • At the end of November 2019, 92% Kala-azar endemic blocks have achieved the elimination target of <1 Kala Aazar case per 10,000 population at block level.
  • The prevalence of tobacco use has reduced by six percentage points from 34.6% (2009-10) to 28.6% (2016-17) as per Global Adult Tobacco Survey (GATS-2)]

 

The Government has sanctioned setting up of Super Specialty Blocks in some existing Government Medical Colleges/Institutions (GMCIs) in various parts of the country, which may include rural areas, under different phases of Pradhan Mantri Swasthya Suraksha Yojana (PMSSY). Details of Government Medical Colleges taken up for Up-gradation under PMSSY where Super Specialty Blocks have been sanctioned during the last three years including current year, are given below:

 

Up-gradation of Government Medical Colleges(GMC)Completed during 2017-18

 

S. No

Name of the GMC/Institute

Executing Agency

Phase

1

Government Medical College, Amritsar

HSCC

II

 

Up-gradation of Government Medical Colleges Completed during 2018-19

 

S. No

Name of the GMC/Institute

Executing Agency

Phase

1

Kolkata Medical College, Kolkata

HSCC

I

2

Government Medical College, Madurai*

HLL

II

3

Siddhartha Medical College, Vijayawada

HSCC

III

4

Karnataka Institute of Medical Sciences, Hubli*

HITES

III

5

Govt. Medical College, Rewa

HSCC

III

6

Netaji Subhash Chandra Bose Medical College, Jabalpur

HSCC

III

7

Govt. Medical College,  Latur

HSCC

III

8

MKCG Medical College, Behrampur

HSCC

III

9

Govt Medical College, Patiala

HSCC

III

10

SP Medical College, Bikaner

HSCC

III

11

Govt Medical College, Kota

HSCC

III

12

Thanjavur Medical College, Thanjavur

HITES

III

13

Tirunelveli Medical College, Tirunelveli

HITES

III

14

Govt Medical College, Gorakhpur

CPWD

III

15

LLRM Medical College, Meerut

CPWD

III

 

List of Up-gradation of GMC Projects completed during 2019-20

 

 

S. No.

Name of the GMC/Institute

Executing Agency

Phase

  1.  

GMC, Aurangabad (Maharashtra)

HSCC

III

  1.  

GMC Akola (Maharashtra)

CPWD

III

  1.  

GR Medical College, Gwalior

 (Madhya Pradesh)

HSCC

III

  1.  

GMC Udaipur (Rajasthan)

HSCC

III

  1.  

MLB Medical College, Jhansi (UP)

HSCC

III

  1.  

IMS-BHU, Varanasi (UP)

CPWD

V(A)

  1.  

PDU Govt. Medical College, Rajkot (Gujarat)

HITES

III

  1.  

PGIMS Rohtak (Haryana)

HLL

II

  1.  

BS Medical College, Bankura (WB)

CPWD

III

  1.  

GMC Guwahati (Assam)

HSCC

III

 

The Minister of State (Health and Family Welfare), Sh Ashwini Kumar Choubey stated this in a written reply in the Rajya Sabha here today.

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