**Executive Summary**
This document is the answer provided by the Ministry of Health and Family Welfare to Unstarred Question No. 2528 regarding the shortage of medical staff in Primary Health Centres (PHCs) and Community Health Centres (CHCs), and healthcare facilities in Uttar Pradesh. The question was scheduled to be answered on February 13th, 2026. It addresses the availability of medical staff, facilities, and the Government's initiatives to strengthen healthcare infrastructure in aspirational and remote districts.
**Key Points / Main Content**
* **State Government Responsibility:** Improving healthcare facilities is the responsibility of respective State/UT Governments, as Health is a State subject.
* **Medical Staff in Uttar Pradesh:** According to information from the State Government of Uttar Pradesh, there is no shortage of doctors, nurses, and paramedical staff in Primary Health Centres, Community Health Centres, and District Hospitals in the aspirational districts, especially in Shravasti and Balrampur.
* **Health Dynamics of India (HDI):** Details of health facilities functioning across States/UTs can be accessed via a provided link.
* Link: https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastructure%20%26%20Human%20Resources%29%202022-23_RE%20%281%29.pdf
* **Central Government Initiatives:**
* The Central Government supports States in providing quality and affordable healthcare through the National Health Mission (NHM).
* Four mission-mode projects have been launched: PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Arogya Mandir (formerly AB-HWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY), and Ayushman Bharat Digital Mission (ABDM).
* Maternal health services are strengthened via Janani Suraksha Yojana (JSY), Janani Shishu Suraksha Karyakram (JSSK), and Pradhan Mantri Surakshit Matritva Abhiyan (PMSMA), among others.
* The Reproductive, Maternal, Newborn, Child, Adolescent Health and Nutrition (RMNCAH+N) program under NHM addresses nutrition concerns, including in aspirational districts.
* The National Center for Vector Borne Diseases Control (NCVBDC) manages the National Vector Borne Diseases Control Programme (NVBDCP) for prevention and control of vector-borne diseases.
* **Vector-Borne Disease Monitoring in Uttar Pradesh:**
* The UDSP portal is used for continuous monitoring of diseases like malaria, dengue, and chikungunya.
* Targeted interventions are implemented through coordinated efforts to control vector-borne and epidemic-prone diseases.
* **Support for Healthcare Services:**
* The Central Government supports healthcare services for Scheduled Castes/Scheduled Tribes and the poor in flood-affected and forest-bordering areas.
* Mobile Medical Units (MMUs), ambulances, and telemedicine are utilized. Uttar Pradesh has 170 MMUs.
* Technical and financial support is provided for emergency medical services via a functional National Ambulance Service (NAS) network.
* Uttar Pradesh has 375 ALS and 4470 BLS.
* e-Sanjeevani provides free teleconsultation services.
* **Strengthening Healthcare Systems:**
* The Ministry of Health and Family Welfare provides financial and technical support to States/UTs to strengthen their healthcare systems based on the Programme Implementation Plans (PIPs).
* Details of health facilities initiated or on-going can be accessed via a provided link to RoPs in the Ministry's Website.
* Link: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
**Impact Analysis**
**State/UT Governments**
* **Impact:** Responsible for improving healthcare facilities within their jurisdiction.
* **Action Required:** Need to utilize their resources effectively and submit Programme Implementation Plans (PIPs) to the Central Government for financial and technical support.
**Citizens of Uttar Pradesh, especially in aspirational districts like Shravasti and Balrampur**
* **Impact:** Access to healthcare services in these districts should be improving due to various initiatives and monitoring.
* **Action Required:** Utilize available health facilities and services, including MMUs, ambulances, telemedicine, and e-Sanjeevani.
**Central Government (Ministry of Health and Family Welfare)**
* **Impact:** Responsible for providing financial and technical support to the States/UTs and overseeing the implementation of various health programs.
* **Action Required:** Continue to monitor the progress of healthcare initiatives and provide necessary support to the States/UTs to strengthen their healthcare systems.
**Healthcare Professionals (Doctors, Nurses, Paramedical Staff)**
* **Impact:** Impacted by the resource allocation and support for infrastructure and technology to improve healthcare delivery.
* **Action Required:** Continue providing quality healthcare services and utilizing the available resources and support to improve healthcare outcomes.
Key Entities Referenced
National Health Mission (NHM): A centrally sponsored scheme providing financial and technical support to States/UTs for healthcare improvement.
Ministry of Health and Family Welfare: The central government ministry responsible for health and family welfare programs and policies.
Uttar Pradesh: A state in India mentioned as facing a shortage of medical staff in aspirational districts.
Health Dynamics of India (HDI): A report that gives details of health facilities functioning in rural/urban areas.
PM-Ayushman Bharat Health Infrastructure Mission (PM-ABHIM): A mission mode project under the National Health Mission for healthcare infrastructure development.
GOVERNMENTOFINDIA
MINISTRYOFHEALTH AND FAMILYWELFARE
DEPARTMENTOFHEALTH AND FAMILYWELFARE
LOK SABHA
UNSTARREDQUESTION NO. 2528
TO BE ANSWERED ON13thFEBRUARY2026
SHORTAGEOFMEDICALSTAFFIN PHCs AND CHCs
†2528. SHRIRAM SHIROMANI VERMA:
Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate:
(a)whether the Government isaware that there isa huge shortage of doctors, nurses and paramedical
staff in Primary HealthCentres, Community HealthCentres andDistrict Hospitals inthe aspirational
districts of Uttar Pradesh,especially inShravastiandBalrampur, if so, the detailsthereof;
(b) whether adequate health facilities are being provided by the Government in these districts for
maternal and child health services, immunization, nutrition and prevention of water-borne and
infectiousdiseases (such asdengue,malaria, encephalitis),if so, the detailsthereof;
(c)whether Mobile Medical Units, Tele-medicine andAmbulance services have beenstrengthened to
provide timely treatment to Scheduled Castes/Scheduled Tribes and the poor population living in
flood-affected andforest-bordering areasof the country, if so, the detailsthereof;
(d) whether the Government proposes to implement any special scheme to strengthen health
infrastructure, establish new hospitals/Trauma Centres and address the shortage of human resources
inaspirational andremote districts of the country; and
(e)if so, the detailsthereof?
ANSWER
THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILYWELFARE
(SHRIPRATAPRAO JADHAV)
(a) & (b): Health is a state subject, hence, the responsibility for improving the healthcare facilities
lies with the respective State/UT Governments. As per the information provided by State
Government of Uttar Pradesh, there is no shortage of doctors, nurses and paramedical staff in
Primary Health Centres, Community Health Centres and District Hospitals in the aspirational
districts of Uttar Pradesh, especially in Shravasti and Balrampur. As per Health Dynamics of India
(HDI) 2022-23, details of health facilities functioning in the Rural / Urban areas of the country
across allthe States/ UTswith availableresources, can be accessed at the following link:
https://mohfw.gov.in/sites/default/files/Health%20Dynamics%20of%20India%20%28Infrastructure
%20%26%20Human%20Resources%29%202022-23_RE%20%281%29.pdf
Further, the Central Govt. has taken several initiatives for supplementing the efforts of the
State for providing quality and affordable healthcare services to the people. Under National Health
Mission (NHM), the Government has launched four mission mode projects, namely PM-Ayushman
Bharat Health Infrastructure Mission (PM-ABHIM), Ayushman Arogya Mandir erstwhile Ayushman
Bharat Health & Wellness Centres (AB-HWCs), Pradhan Mantri Jan Arogya Yojana (PMJAY) andAyushman Bharat Digital Mission (ABDM) with the objective of providing accessible, affordable
and quality healthcare to all those who access public health facilities. Further, the Government of
India has taken various steps to strengthen the maternal health services across the country through
Janani Suraksha Yojana (JSY), Janani Shishu Suraksha Karyakram (JSSK), Pradhan Mantri
Surakshit Matritva Abhiyan (PMSMA) etc. The Ministry also implements Reproductive, Maternal,
Newborn, Child, Adolescent Health and Nutrition (RMNCAH+N) under National Health Mission
(NHM), which includes interventions to address nutrition concerns among adolescent girls, pregnant
women, lactating mothers and children under 5 years, across the country, including aspirational
districts. The National Center for Vector Borne Diseases Control (NCVBDC) under the Ministry of
Health and Family Welfare administers an umbrella programme, namely, National Vector Borne
Diseases Control Programme(NVBDCP) for preventionand control of vectorborne diseases namely
Malaria, Japanese Encephalitis, Dengue, Chikungunya,Kala-azarandLymphatic Filariasis.
As perthe information provided bythe State Government of Uttar Pradesh, the UDSPportal
is utilized for continuous monitoring of malaria, dengue, chikungunya, AES/JE, and other water-
borne diseases across the State. Further, to ensure effective control of vector-borne and epidemic-
prone diseases such as dengue, chikungunya, and AES/JE, target-based interventions are
implementedthrough coordinated effortsof 12departments.
(c): The Central Government is providing support for the healcare services to the all including
Scheduled Castes/Scheduled Tribes and the poor population living in flood-affected and forest-
bordering areas of the country through Mobile Medicall Units (MMUs), Ambulance and
Telemeddicine. MMUs functions as mobile clinics, delivering preventive, promotive, and curative
healthcare to areas lacking easy access to hospitals or health centers. As per NHM MIS September
2025, there are 170 MMUs in the Uttar Pradesh. NHM provides technical and financial support to
the States/UTs for emergency medical services through a functional National Ambulance Service
(NAS) network which islinkedwith a toll-free number108/102.As perNHM norms, one ambulance
(BLS) per 100,000 population and one ALS per 500,000 population is provided. As per NHM MIS
September2025,there are 375ALS,4470BLSinthe Stateof Uttar Pradesh.
e-Sanjeevani is designed to be an inclusive and accessible platform, providing free
teleconsultation services to all. While the platform does not record the socioeconomic status of
patients, its widespread adoption, especially in rural and underserved areas, indicates that many
underprivileged individuals have gained access to essential healthcare services without financial
barriers.
(d) & (e): As Public Health and Hospitals is a State Subject, the responsibility for strengthening of
healthcare system includingvacant post of doctors, nurses, andparamedical staff lies with respective
State/UT Governments. However, under National Health Mission (NHM), Ministry of Health and
Family Welfare, provides financial and technical support to the States/UTs to strengthen their
healthcare systems based on the Programme Implementation Plans (PIPs) submitted by the
States/UTs within their overall resource envelope as per their requirement. The details of health
facilities initiated or on-going during the last three years, across all the states/ UTs exclusively in the
aspirational / tribal areas canbe accessed year-wise with the help of the following linktoRoPs inthe
Ministry’sWebsite,which hasthe relevantdata on thisaspect viz.
https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744
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