75 percent Shortfall of Obstetricians, Gynecologists at State CHCs: MoS Health

Published On 2021-03-23 04:30 GMT   |   Update On 2021-03-23 07:56 GMT

New Delhi: Providing details regarding the availability of Obstetricians and Gynecologists at Community Health Centers (CHCs) in the rural areas, the Minister of State (Health and Family Welfare), Ashwini Kumar Choubey informed the Parliament that there is an overall 75% shortfall as per the Rural Health Statistics Report, 2019.Through his written reply in the Rajya Sabha, the...

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New Delhi: Providing details regarding the availability of Obstetricians and Gynecologists at Community Health Centers (CHCs) in the rural areas, the Minister of State (Health and Family Welfare), Ashwini Kumar Choubey informed the Parliament that there is an overall 75% shortfall as per the Rural Health Statistics Report, 2019.

Through his written reply in the Rajya Sabha, the Minister was responding to the questions posed by Rajya Sabha member Shri Rajmani Patel. The first question of Shri Patel was about the provision for the constitution of the medical board under the Medical Termination of Pregnancy Act and its proposal to have an obstetrician-gynaecologist as a member.

Answering the query Minister Choubey informed the House that The Medical Termination of Pregnancy (MTP) Amendment Bill 2021 has provision for constitution of Medical Board with gynaecologist as a member.

Patel further wanted to know whether on an average, there is a shortage of 80 per cent of obstetricians and gynaecologists in Indian States and Union Territories and 100 per cent in Arunachal, Meghalaya, Mizoram, and Sikkim.

Replying to this question, Choubey informed the house about the 75% overall shortfall of Obstetricians and Gynecologists at CHCs in States and Union Territories. He further provided the house with the States/ UTs wise details including Arunachal Pradesh, Meghalaya, Mizoram, and Sikkim regarding the matter.

As per the statistics included in the reply, Arunachal Pradesh, Meghalaya, Mizoram, and Sikkim have almost a hundred per cent shortfall of Obstetricians and Gynecologists at the rural CHCs. As of 31st March 2019, against the required number of 63 specialists, only 3 are in the position in Arunachal Pradesh. The required number of Obs and Gynae are respectively 28, 9, and 2 in Meghalaya, Mizoram and Sikkim. Although Meghalaya has 2 operational positions, there are no doctors at all in the other two States.

The shortfall is abnormally high among States like Goa, Himachal Pradesh, Manipur, Nagaland, Tripura, Uttarakhand, A & N Islands, D & N Haveli, Lakshadweep among others. In fact some of these States have no doctors at all to serve at rural CHCs.

Finally addressing the question involving the formation of a medical board without a doctor amidst the shortfall of ob-gyn specialists in the country, Minister Choubey informed the fact of Health being a state subject.

"Health is a state subject. Under National Health Mission, financial and technical support is provided to all the States/UTs in terms of human resource, drugs, diagnostics, etc. as per their requirements posed in the annual Program Implementation Plans (PIPs)," replied the Minister.

Statistics of Obstetricians and Gynaecologists at the Rural CHCs as provided by Choubey reads;

OBSTETRICIANS & GYNAECOLOGISTS at CHCs in Rural Areas

S. No.

State/UT

(As on 31st March, 2019)

Required1

Sanctioned

In Position

Vacant

Shortfall

[R]

[S]

[P]

[S-P]

[R-P]

1

Andhra Pradesh

140

126

102

24

38

2

Arunachal Pradesh

63

NA

3

NA

60

3

Assam

177

NA

82

NA

95

4

Bihar

150

NA

30

NA

120

5

Chhattisgarh

170

170

18

152

152

6

Goa

5

2

1

1

4

7

Gujarat

362

88

48

40

314

8

Haryana

115

18

6

12

109

9

Himachal Pradesh

87

NA

1

NA

86

10

Jammu & Kashmir

84

87

64

23

20

11

Jharkhand

171

171

29

142

142

12

Karnataka

198

198

158

40

40

13

Kerala

227

12

18

*

209

14

Madhya Pradesh

309

309

30

279

279

15

Maharashtra

364

244

211

33

153

16

Manipur

23

1

0

1

23

17

Meghalaya

28

NA

2

NA

26

18

Mizoram

9

NA

0

NA

9

19

Nagaland

21

NA

1

NA

20

20

Odisha

377

383

117

266

260

21

Punjab

89

123

25

98

64

22

Rajasthan

571

276

105

171

466

23

Sikkim

2

NA

0

NA

2

24

Tamil Nadu

385

NA

25

NA

360

25

Telangana

85

244

103

141

*

26

Tripura

18

NA

1

NA

17

27

Uttarakhand

67

68

4

64

63

28

Uttar Pradesh

679

524

115

409

564

29

West Bengal

348

287

51

236

297

30

A& N Islands

4

3

0

3

4

31

Chandigarh

0

0

0

0

0

32

D & N Haveli

2

0

0

0

2

33

Daman & Diu

0

0

0

0

0

34

Delhi

0

0

0

0

0

35

Lakshadweep

3

0

0

0

3

36

Puducherry

2

0

1

*

1

All India/ Total

5335

3334

1351

2135

4002

Notes:

All India figures for Vacancy and Shortfall are the totals of State-wise Vacancy and Shortfall ignoring surplus in some States /

UTs

*:

Surplus

1

One per Community Health Centre as per IPHS norms

NA: Not Available.

Also Read: Rajya Sabha passes Medical Termination of Pregnancy Bill to Allow Abortions Up To 24 Weeks

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