HEALTH HUMAN RESOURCE

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1 HEALTH HUMAN RESOURCE CHAPTER FIVE An overview of trained and specialized medical, nursing and paramedical personnel in the country.

3 5. HEALTH HUMAN RESOURCE Page No. Highlights State/UT wise number of Doctors possessing recognised medical qualifications 217 (Under I.M.C Act) registered with State Medical Councils/Medical Council of India from The year 2010 to 2017 (As on 31st December of the year concerned) 5.2 Number of Dental surgeons registered with Central/State Dental Councils of India State/UT wise Dental surgeons registered under Central/State Dental Councils of 220 India State/UT wise number of Government Allopathic Doctors and Dental Surgeons & 221 Average Population Served in India (Provisional) 5.4 State/UT wise number of registered AYUSH Doctors in India as on State/UT Wise number of registered Nurses & Pharmacists in India State/UT wise Health Human Resource in Rural Areas (Govt.) in India as on st March, Human Resources in Health Sector in Railways as on 31st March, Human Resources in Health Sector in ESI Corporation as on March, State/UT wise list of Post Graduate Diploma/ MD/MS courses and Superspeciality 229 Courses in India as on Dec 2017

4 Human Resources in Health Sector Highlights Human Resources for Health is the most important building block of public health. Availability of adequate number of human resources with suitable skill mix and their appropriate deployment at different levels of health care set-up are essential for providing effective health care services for the population. In many developing countries, such as India, information on human resources in the health sector is incomplete and unreliable. This prevents effective workforce planning and management. National Health Profile aims to address this deficit by producing a more complete picture of India s health workforce. Human Resource indicators provide an overview of availability of trained and specialized medical, nursing and paramedical personnel in the country. These also give an idea regarding regional distribution and disparities. Human Resource indicators cover the details of allopathic doctors, dental surgeons, AYUSH doctors, nursing personnel and various paramedical health man-powers in the country. Number of registered allopathic doctors possessing recognized medical qualifications (under MCI Act) and registered with state medical council for the years 2016 and 2017 were 25,282 and 17,982 respectively. At present, average population served per government allopathic doctor is 11,039. (Table 5.1 and 5.3) There has been a marked improvement in the Dentist to population Ratio. Number of Dental Surgeon registered with Central/State Dental Councils of India up to were 2,51,207. (Table 5.2) India, with its kaleidoscopic variety and rich cultural heritage, is proud of some unique medicinal forms that look at health, disease and causes of disease in completely different ways. Best known as the AYUSH, its main focus is on holistic health and well-being of humans. Over the years with gaining popularity, there is a steady rise in total number of registered AYUSH Doctors in India from 7, 71,468 in 2016 to in 2017.(Table 5.4) AYUSH has maximum number of registered Ayurvedic doctors (55.44%), followed by registered Homeopathy Doctors (36.77%) in India. (Figure 5.4) There is an increase in the availability of Allopathic Medical Practitioners, Dental Surgeon and Nurses per lakh population over the years. Auxiliary Nurse Midwife (ANM) plays very crucial role in providing healthcare services pertaining to maternal and child health. They are having wider linkages with ASHA workers, Anganwadi workers of ICDS and other development sectors like education, water supply and sanitation. There are total of 8,41,279 ANMs serving in the country as on (Table 5.5) There are 19,80,536 Registered Nurses and Registered Midwives (RN & RM) and 56,367 Lady Heath Visitors serving in the country as on National Health Profile 2018

5 5.1 States/UTs wise Number of Doctors Possessing Recognised Medical, Qualifications (Under I.M.C Act) Registered With State Medical Councils/Medical Council of India from the year upto 2010 to S. No. State/UT Upto (Prov.) Total up to Andhra Pradesh NR NR NR Arunachal Pradesh Assam Bihar NR NR NR Chhattisgarh Delhi Goa NR Gujarat NR 578 NR NR Haryana NR NR NR NR NR Himachal Pradesh NR Jammu & Kashmir Jharkhand Karnataka NR NR Madhya Pradesh NR Maharashtra NR NR NR MCI NR NR NR Nagaland NR Odisha NR NR Punjab NR NR Rajasthan Sikkim NR 69 NR NR Tamil Nadu Kerala Uttar Pradesh Uttarakhand West Bengal Telengana Total Source: Medical Council of India Note: N R: Not reported by the State Medical Council National Health Profile

6 Source: Medical Council of India 218 National Health Profile 2018

7 5.2 Number of Dental Surgeons Registered With Central/State Dental Councils of India S. No. Year Dental Surgeons Registered Source: Dental Council of India Source: Medical Council of India National Health Profile

8 5.2.1 State/UT wise Dental surgeons Registered under Central / State Dental Councils of India S. No. State/UT Andhra Pradesh Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand NA NA NA NA NA NA NA Karnataka Kerala Madhya Pradesh Maharashtra Manipur Odisha Punjab Rajasthan Tamil Nadu Telangana NR Tripura* Uttar Pradesh Uttarakhand NA West Bengal Chandigarh Delhi Puducherry NA Total Source: Dental Council of India Note: Data as on 31st December of concerned year NA - Not Available NR - Not reported * Started reporting in National Health Profile 2018

9 5.3 State/UT wise Number of Government Allopathic Doctors and Dental Surgeons & Average Population Served in India (Provisional) S. No State/ UT No. of Govt. Allopathic Doctors No. of Govt. Dental Surgeons Provisional/ Projected Population* as on reference period in (000) Averege Population Served/Govt. Allopathic Doctors Averege Population Served /Govt. Dental Surgeon Reference Period 1 Andhra Pradesh ** Arunachal Pradesh Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana** Tripura Uttar Pradesh Uttarakhand West Bengal A & N Islands Chandigarh D & N Haveli Daman & Diu Delhi Lakshadweep Puducherry Total Source: Directorate of State Health Services Note: * Projected population is taken from Report of the Technical Group on Population Projections May 2006, National Commission on Population,Registrar General of India except for Andhra Pradesh and Telangana. ** Projected population provided by respective States National Health Profile

10 222 National Health Profile 2018 Source: Directorate of State Health Services

11 5.4 State/UT wise AYUSH Registered Practitioners (Doctors) in India as on S. No. State/UT Ayurveda Unani Siddha Naturopathy Homeopathy Total 1 Andhra Pradesh^ Arunachal Pradesh Assam^ Bihar Chattisgarh Delhi Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttrakhand West Bengal A&N Islands Chandigarh D&N Haveli Daman& Diu Lakshdweep Puducherry Total Source: Ministry of Ayush Note: 1 Ayurveda :- Figures in r/o of all states Bihar (2015) has been repeated as te current year information not available 2 Unani :- Figures in r/o states of Bihar (2015) and West Bengal (2014) has been repeated as the current year information not available. 3 Siddha :- Figures in r/o states of Kerala, Karnataka and Tamil Nadu has been received from the States. 4 Naturopathy :- Figures in r/o of all states received. 5 Homoeopathy :- Figures in r/o states of Nagaland (2010), Odisha (2015) has been repeated as the current year information not available. 6 Figures integrated in columns marked, Total reflect the total numbers of practitioners in each states. 7 Figures in r/o Manipur, Mizoram, Sikkim, A&N Islands, D&N Haveli, Daman & Diu, Lakshdweep and Puducherry have been indicated Nil in all streams as there is no separate Board/Council for registration of Practitioners in these States. 8 Figures in r/o States of Arunachal Pradesh, Meghalaya, Nagaland, Tripura and Chandigarh have been indicated Nil in Ayurveda, Unani, Siddha and Naturopathy as there is no separate Board/Council for registration of Practitioners in these States. 9 ^ The information of Homeopathy is updated based on information received from CCH as on National Health Profile

12 Source: Ministry of Ayush 224 National Health Profile 2018

13 5.5 State/UT Wise Number of Registered Nurses & Pharmacists In India S. No State/UT Total No. of Registered Nurses in India as on Pharmacists as on ANM RN & RM LHV 1 Andhra Pradesh 138, ,621 2, ,754 2 Arunachal Pradesh Assam 27,624 21, ,668 4 Bihar* 8,624 9, ,163 5 Chattisgarh 13,329 13,048 1,352 9,713 6 Goa NA N/A N/A Gujarat 44, ,476 N/A 119,445 8 Haryana* 24,675 28, ,663 9 Himachal Pradesh 11,673 20, , Jharkhand* 4,755 3, , Karnataka* 54, ,643 6,840 52, Kerala 30, ,161 8,507 35, Madhya Pradesh* 39, ,793 1,731 N/A 14 Maharashtra 60, , , Manipur 3,621 7,835 N/A N/A 16 Meghalaya 1,584 4, , Mizoram 2,102 3,405 N/A 1, Nagaland NA N/A N/A 1, Odisha* 62,159 75, , Punjab* 23,029 76,680 2,584 44, Rajasthan* 108, ,171 2,732 38, Tamil Nadu 56, ,718 11,180 58, Tripura* 2,066 2, , Uttar Pradesh 53,515 62,617 2,763 30, Uttarakhand* 1,864 1, , West Bengal 60,739 60,753 12,854 89, Dadra & Nagar Haveli NA N/A N/A N/A 28 Daman & Diu NA N/A N/A Delhi 4,325 61,575 N/A 32, Lakshadweep NA N/A N/A N/A 31 Puducherry NA N/A N/A 2, Telangana 1,857 4,901 N/A N/A Total 841,279 1,980,536 56, ,132 Source: Indian Nursing Council & Pharmacy Council of India Note: 1 ANM: Auxilliary Nurse Midwives 2 RN & RM: Registered Nurses & Registered Midwives 3 LHV: Lady Health Visitors 4 NA: Not Available 5 * Last year data upto for data pertaining to ANM, RN & RM and LHV National Health Profile

14 5.6 State/UT wise Health Human Resource in Rural Areas (Govt.) in India as on S. No. India/State/UT No. of Doctors^ at PHCs Total Specialists at CHCs Health Assistants Health Workers Male Female(LHV) Male Female/ANM India Andhra Pradesh Arunachal Pradesh Assam Bihar Chattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur## Meghalaya Mizoram Nagaland ## N/A Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttar Pradesh Uttarakhand West Bengal A& N Islands Chandigarh# D & N Haveli Daman & Diu Delhi Lakshadweep Puducherry Source: Bulletin on Rural Health Statistics in India 2017, Statistics Division,Ministry of Health & Family Welfare Note: # Data 2016 used for Health worker (Male) ## Data for 2015 used for Health Assistant (Male) ^ Allopathic doctors 226 National Health Profile 2018

15 5.7 Human Resources in Health Sector in Railways as on 31st March, 2017 S No. Zone / PU Total No. of Doctors Total No of Nurses Total No. of Pharmacist No. of Doctors Working # No. of Doctors with Speciality Degree/ Diploma No. of Doctors Super Speciality Degree No. of Dental Surgeon Working * No. of Auxiliary Nurse and Mid - wives (ANM) working ** No. of Nurse and Mid - wives (RN & RM) working ** No. of Pharmacist Working ** 1 Central Railway Eastern Railway East Central Railway East Coast Railway Northern Railway North Central Railway North East Railway North Frontier Railway North Western Railway Southern Railway South East Central Railway South Eastern Railway South Central Railway South Western Railway Western Railway West Cental Railway Intergral Coach Factory Rail Coach Factory Chittaranjan Locomotive Works Diesal Locomotive Works Diesel Modernisation Works Rail Wheel Factory Research Design and Standards Organization 24 Railway Boad MCF/Raebareli Metro/Kolkata NAIR/BRC RWP/Bela Total Source: Ministry of Railways Note: # Figures include Contract Medical Practioner working full time. * Figures include Contract Dental Surgeon working full time. ** Figures include contractually employed workers working full time. National Health Profile

16 5.8 Human Resources in Health Sector in ESI Corporation as on March, 2017 S. No. State /UT Medical Officer Specialist Super Specialist Dental Surgeon* Total No. of Nurses (RN & RM) Total No. of Pharmacist* 1 Andhra Pradesh NIL 2 Assam Bihar Chandigarh Chhattisgarh NIL 6 Delhi Goa NIL 8 Gujarat Himachal Pradesh Haryana J & K Jharkhand Karnataka Kerala Madhya Pradesh Meghalaya NIL 17 Maharashtra Nagaland NIL 19 Odisha Puducherry NIL 21 Punjab Rajasthan Sikkim NIL 24 Telangana Tamil Nadu Tripura NIL 27 Uttar Pradesh Uttarakhand NIL 29 West Bengal Total Source: Employees s State Insurance Corporation Note: The data does not include staff of Medical Education, ESIC * Figure indicate in - position staff of ESIC Hospitals only and not state run ESI hospital. 228 National Health Profile 2018

17 5.9 State/ UT wise list of Post Graduate Diploma/ MD/MS Courses and Superspeciality Courses in India as on Dec Dermatology, Venereology & Leprosy Anesthesia Child Health Diploma Courses Clinical pathology S. No. State/ UT 1 Andhra Pradesh Arunachal Pradesh 3 Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya 18 Mizoram 19 Nagaland 20 Odisha Punjab Rajasthan Sikkim 24 Tamil Nadu Telangana Tripura 27 Uttarakhand Uttar Pradesh West Bengal A & N Islands 31 Chandigarh 32 D & N Haveli 33 Daman & Diu 34 Delhi Lakshadweep 0 36 Puducherry India Source: Medical Council of India Forensic medicine Health Education Community Medicine Health Administration Obstretics & Gynecology Ophthalmology Orthopedics National Health Profile

18 5.9 (Contd.) State/ UT wise list of Post Graduate Diploma/ MD/MS courses and Superspeciality Courses in India as on Dec Diploma Courses S. No. State/ UT Oto-Rhino-laryngology Physical Medicine & rehabilitation Psychological medicine Public Health Radiotherapy Radio-Diagnosis Sports Medicine TB & Chest Diseases 1 Andhra Pradesh Arunachal Pradesh 3 Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir 6 11 Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur 17 Meghalaya 18 Mizoram 19 Nagaland 20 Odisha 0 21 Punjab Rajasthan Sikkim 24 Tamil Nadu Telangana Tripura 27 Uttarakhand 3 28 Uttar Pradesh West Bengal A & N Islands 31 Chandigarh 32 D & N Haveli 33 Daman & Diu 34 Delhi Lakshadweep 36 Puducherry India Source: Medical Council of India 230 National Health Profile 2018

19 5.9 (Contd.) State/ UT wise list of Post Graduate Diploma/ MD/MS courses and Superspeciality Courses in India as on Dec Anaesthesiology Aviation Medicine/ Aerospace Medicine Bio-Chemistry MD / MS Courses Dermatology, Venereology & Leprosy Forensic Medicine/ Forensic Medicine & Toxicology General Medicine Hospital Administration & Community Health Administration S. No. State/ UT 1 Andhra Pradesh Arunachal Pradesh 3 Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram 19 Nagaland 20 Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttarakhand Uttar Pradesh West Bengal A & N Islands 31 Chandigarh D & N Haveli 33 Daman & Diu 34 Delhi Lakshadweep 36 Puducherry India Source: Medical Council of India Immuno Hematology & Blood transfusion Microbiology Paediatrics National Health Profile

20 5.9 State/ UT wise list of Post Graduate Diploma/ MD/MS Courses and Superspeciality Courses in India as on Dec MD / MS Courses S. No. State/ UT Physical Medicine & Rehabilitation Physiology Psychiatry Radio Diagnosis/ Radiology Radiotherapy Social & Preventive Medicine/ Community Medicine TB & Respiratory Diseases/ Pulmonary Medicine 1 Andhra Pradesh Arunachal Pradesh 3 Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram 19 Nagaland 20 Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttarakhand Uttar Pradesh West Bengal A & N Islands 31 Chandigarh D & N Haveli 33 Daman & Diu 34 Delhi Lakshadweep 36 Puducherry India Source: Medical Council of India Anatomy Obstretics & Gynaecology Ophthalmology Emergency Medicine 232 National Health Profile 2018

21 5.9 (Contd.) State/ UT wise list of Post Graduate Diploma/ MD/MS Courses and Superspeciality Courses in India as on Dec MD / MS Courses Pathology Pharmacology Nuclear Medicine S. No. State/ UT 1 Andhra Pradesh Arunachal Pradesh 3 Assam Bihar Chhattisgarh Goa Gujarat Haryana Himachal Pradesh Jammu & Kashmir Jharkhand Karnataka Kerala Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram 19 Nagaland 20 Odisha Punjab Rajasthan Sikkim Tamil Nadu Telangana Tripura Uttarakhand Uttar Pradesh West Bengal A & N Islands 31 Chandigarh D & N Haveli 33 Daman & Diu 34 Delhi Lakshadweep 36 Puducherry India Source: Medical Council of India Sports Medicine Transfusion Medicine ENT General Surgery Orthopaedics National Health Profile

22 5.9 (Contd.) State/ UT wise list of Post Graduate Diploma/ MD/MS courses and Superspeciality Courses in India as on Dec DM / MCH Courses Cardiology Clinical Pharmacology Endocrinology Gastroenterology S. No. State/ UT 1 Andhra Pradesh Arunachal Pradesh 3 Assam Bihar 2 5 Chhattisgarh 6 Goa 7 Gujarat Haryana Himachal Pradesh 2 10 Jammu & Kashmir Jharkhand 12 Karnataka Kerala Madhya Pradesh Maharashtra Manipur 17 Meghalaya 2 18 Mizoram 19 Nagaland 20 Odisha Punjab Rajasthan Sikkim 24 Tamil Nadu Telangana Tripura 27 Uttarakhand 28 Uttar Pradesh West Bengal A & N Islands 31 Chandigarh D & N Haveli 33 Daman & Diu 34 Delhi Lakshadweep 36 Puducherry India Source: Medical Council of India Neonatology Nephrology Neurology Oncology Head and Neck Surgery Cardiac - Anaes 234 National Health Profile 2018

23 5.9 (Contd.) State/ UT wise list of Post Graduate Diploma/ MD/MS Courses and Superspeciality Courses in India as on as on Dec Pulmonary Medicine Rheumatology Cardio Thoracic Surgery DM / MCH Courses Cardio Thoracic vascular Surgery Endocrine Surgery S. No. State/ UT 1 Andhra Pradesh Arunachal Pradesh 3 Assam Bihar Chhattisgarh 6 Goa 2 7 Gujarat Haryana Himachal Pradesh 2 10 Jammu & Kashmir Jharkhand 1 12 Karnataka Kerala Madhya Pradesh Maharashtra Manipur 2 17 Meghalaya 18 Mizoram 19 Nagaland 20 Odisha Punjab Rajasthan Sikkim 24 Tamil Nadu Telangana Tripura 27 Uttarakhand 28 Uttar Pradesh West Bengal A & N Islands 31 Chandigarh D & N Haveli 33 Daman & Diu 34 Delhi Lakshadweep 36 Puducherry India Source: Medical Council of India Note: Regarding other Specialities and Superspecialities, data is not available Neuro Surgery Plastic Surgery Surgical Gastroenterology/ G I Surgery Surgical Oncology Thoracic Surgery Urology/ Genito Urinary Surgery Vascular Surgery Paeditric Surgery National Health Profile

According to the Census of India, rural

AAJEEVIKA-A FRESH LEASE OF LIFE FOR THE RURAL PEOPLE Dr. Mukesh Kumar Shrivastava According to the Census of India, rural population constitutes 68.84 percent of the total population of the country. Though,