**Executive Summary**
This document presents the responses to unstarred question number 2335 in Lok Sabha, concerning government health facilities, to be answered on February 13, 2026. It details the number of doctors, nurses, and paramedical staff in government health facilities, central assistance for health human resources, the status of nursing and paramedical training colleges, incentives for doctors in rural areas, and plans to increase PG medical seats in Uttar Pradesh, Bihar, and Madhya Pradesh.
**Key Points / Main Content**
* **Staffing Levels:**
* State/UT-wise details of doctors, nurses, and paramedical staff in government health facilities, including Uttar Pradesh, Bihar, and Madhya Pradesh, are available on the Ministry of Health and Family Welfare website.
* **Central Assistance for Health Human Resources:**
* The Ministry of Health and Family Welfare provides technical and financial support to States/UTs including Uttar Pradesh, Bihar, and Madhya Pradesh to strengthen the public healthcare system in rural areas.
* Approvals are given as per Record of Proceedings (RoPs).
* Funding released to Uttar Pradesh, Bihar, and Madhya Pradesh under the National Health Mission (NHM):
* Uttar Pradesh: ₹5,133.59 crore (2022-23), ₹4,928.14 crore (2023-24), ₹5,853.43 crore (2024-25).
* Bihar: ₹1,586.57 crore (2022-23), ₹2,032.95 crore (2023-24), ₹2,367.18 crore (2024-25).
* Madhya Pradesh: ₹2,582.10 crore (2022-23), ₹2,545.68 crore (2023-24), ₹2,430.91 crore (2024-25).
* **Nursing and Paramedical Training Colleges:**
* Number of functional and operational nursing colleges as on October 31, 2025:
* Uttar Pradesh: 33 Government, 365 Private, 398 Total.
* Bihar: 56 Government, 76 Private, 132 Total.
* Madhya Pradesh: 39 Government, 297 Private, 336 Total.
* **Incentives for Doctors in Rural Areas (Under NHM):**
* Hard area allowance for specialist doctors.
* Honorarium for Gynaecologists/EmOC trained, Pediatricians & Anesthetist/LSAS trained doctors.
* Incentives for doctors and Auxiliary Nurse and Midwife (ANM).
* Negotiable salaries to attract specialists (“You Quote We Pay”).
* Non-Monetary incentives (preferential admission in PG courses, improved accommodation).
* Multi-skilling of doctors.
* **Increase in PG Medical Seats:**
* Under the CSS, 8058 seats have been approved, including 556 seats in Uttar Pradesh, 849 seats in Madhya Pradesh, and 314 seats in Bihar.
**Impact Analysis**
**Uttar Pradesh, Bihar, and Madhya Pradesh State Governments**
* **Impact:** Receipt of Central assistance to strengthen the public healthcare system. Increased availability of medical staff and incentives for rural service.
* **Action Required:** Utilize funds effectively, ensure proper staffing in healthcare facilities, and administer incentives to attract doctors to rural areas.
**Doctors, Nurses, and Paramedical Staff**
* **Impact:** Potential for better facilities, increased financial and non-financial incentives for rural service. Opportunity for skill development and postgraduate education.
* **Action Required:** Consider serving in rural areas to benefit from incentives, participate in skill development programs.
**Patients in Rural Areas**
* **Impact:** Improved access to healthcare due to increased staffing, better-equipped facilities, and availability of specialists.
* **Action Required:** None specified in the document.
Key Entities Referenced
Ministry of Health and Family Welfare: Primary ministry responsible for the subject matter of the unstarred question regarding government health facilities.
National Health Mission (NHM): A scheme under which the Ministry provides financial support to states for strengthening healthcare, including human resources, and incentivizing rural service.
Uttar Pradesh: One of the states specifically referenced in the question and answer concerning health facilities and resources.
Bihar: One of the states specifically referenced in the question and answer concerning health facilities and resources.
Madhya Pradesh: One of the states specifically referenced in the question and answer concerning health facilities and resources.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2335
TO BE ANSWERED ON13.02.2026
GOVERNMENT HEALTHFACILITIES
2335.SHRIATULGARG:
SMT.SHAMBHAVI:
DR.LATAWANKHEDE:
DR.D. PURANDESWARI:
SHRIRAJESH VERMA:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a) the total number of doctors, nurses and paramedical staff currently serving in the
Government health facilities against the sanctioned posts in the country, State/UT-wise,
particularly inUttar Pradesh,Bihar andMadhya Pradesh;
(b) the details of the Central assistance provided to these States for the recruitment and
training of healthhumanresources;
(c) the current status of functional and operational nursing colleges and paramedical
training institutes inthese States;
(d) the measures taken by the Government to incentivize the doctors to serve in the rural
andremote areasof these States;and
(e) whether the Government has any plan to increase the number of PG medical seats in
the collegesof these States?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND
FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a) The State/UT-wise detailsof doctors, nursesandparamedical staffcurrentlyserving in
the Government health facilities against the sanctioned posts in the country, including Uttar
Pradesh, Bihar and Madhya Pradesh are available at website of Ministry of Health and
FamilyWelfare at the Uniform Resources Locator(URL) asunder:https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastr
ucture%20%26%20Human%20Resources%29%202022-23_RE%20%281%29.pdf
(b): The primary responsibility of strengthening public healthcare system, including
recruitment and training of health human resources lies with the respective State/UT
Governments. The Ministry of Health and Family Welfare provides technical and financial
support to the States/UTs including Uttar Pradesh, Bihar and Madhya Pradesh to strengthen
the public healthcare system in rural areas based on the proposals received in the form of
Programme Implementation Plans (PIPs) under National Health Mission. Government of
India provides approval for the proposal in the form of Record of Proceedings (RoPs) as per
norms & available resources. Details of the approvals given for the strengthening healthcare
in Uttar Pradesh, Bihar and Madhya Pradesh are available at website of Ministry of Health
andFamilyWelfare at the Uniform Resources Locator(URL) asunder:
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
The details of the Funds released to the states of Uttar Pradesh, Bihar and Madhya
PradeshunderNHM are asunder:
State/UT-wise CentralRelease underNationalHealthMission forthe FY2022-23 to FY
2024-25
(Rs.InCrore)
S.No. Name of theStates 2022-23 2023-24 2024-25
1 Uttar Pradesh 5,133.59 4,928.14 5,853.43
2 Bihar 1,586.57 2,032.95 2,367.18
3 MadhyaPradesh 2,582.10 2,545.68 2,430.91
Note:
1. Expenditure includes expenditure against Central Release, State release & unspent balances at the
beginningoftheyear.ExpenditureisasperFMRssubmittedbyStates/UTsandisprovisional.
2. TheabovereleasesrelatetoCentralGovt.Grants&donotincludeStatesharecontribution
(c): The details of functional and operational nursing colleges in Uttar Pradesh, Bihar and
Madhya Pradeshason31st October, 2025are asunder:
States Total Numberof Institutions
Government Private Total
Uttar Pradesh 33 365 398
Bihar 56 76 132
Madhya Pradesh 39 297 336(d) Under NHM, following types of incentives and honorarium are provided for
encouraging doctors to serve in the rural and remote areas of the country including Uttar
Pradesh,Bihar andMadhya Pradesh:
• Hard area allowance to specialist doctors for serving inrural and remote areasand for
their residential quarters so that they find it attractive to serve in public health
facilitiesinsuch areas.
• Honorarium to Gynaecologists/ Emergency Obstetric Care (EmOC) trained,
Pediatricians & Anesthetist/ Life Saving Anaesthesia Skills (LSAS) trained doctors is
also provided to increase availability of specialists for conducting Cesarean Sections
inrural & remote area.
• Incentives like special incentives for doctors, incentive for Auxiliary Nurse and
Midwife (ANM) for ensuring timely Antenatal Checkup (ANC) checkup and
recording, incentives for conducting Adolescent Reproductive and Sexual Health
activities.
• States are also allowed to offer negotiable salary to attract specialist including
flexibilityinstrategies such as“YouQuote We Pay”.
• Non-Monetary incentives such as preferential admission in post graduate courses for
staff serving in difficult areas and improving accommodation arrangement in rural
areashave also beenintroduced underNHM.
• Multi-skilling of doctors is supported under NHM to overcome the shortage of
specialists. Skill upgradation of existing HR is another major strategy under NRHM
for achievingimprovement inhealthoutcomes.
(e) Under the CSS for ‘Strengthening and upgradation of Government medical colleges
for increase of PG seats’, 8058 seats, including 556 PG seats in Uttar Pradesh, 849 PG seats
inMadhya Pradeshand314seats inBihar have beenapprovedintwo Phases.
*****