Parliament Question: Shortage of Trained Manpower at PHCs in Solapur

GOVERNMENT OFINDIA MINISTRYOFHEALTHAND FAMILYWELFARE DEPARTMENT OFHEALTH AND FAMILYWELFARE LOK SABHA UNSTARREDQUESTION NO. 3517 TO BE ANSWERED ON13THMARCH,2026 SHORTAGEOFTRAINED MANPOWER ATPHCsINSOLAPUR 3517.MS.PRANITI SUSHILKUMAR SHINDE: Will the Ministerof HEALTH AND FAMILYWELFAREbe pleasedtostate: (a) whether the Government is aware of the inadequate infrastructure, lack of diagnostic equipment, and shortage of trained manpower at Primary Health Centres (PHCs) in Solapur, Maharashtra, if so, the detailsthereof; (b) whether any assessment has been conducted by the Government to identify PHCs that require urgent upgradation of buildings, barrier-free access, diagnostic facilities and maintenancearrangements, if so, the detailsthereof; (c) the steps taken/proposed to be taken by the Government to ensure deployment of trained staff, functional equipment, and regular maintenance systems to provide accessible and qualityprimaryhealthcare inthe country; and (d) the timeline and dedicated funds allocated for the comprehensive upgradation of PHCs in Solapur to meet the healthcare needs of rural populations, including persons with disabilities, pregnantwomen andelderlypatients? ANSWER THE MINISTER OFSTATE IN THE MINISTRYOFHEALTH AND FAMILY WELFARE (SHRIPRATAPRAO JADHAV) (a) to (d): Public Health’ & ‘Hospitals’ are State subjects, hence, the primary responsibility of providing infrastructure, diagnostic equipment and manpower inall public health facilities of the countrylieswith respective State/UTGovernment. Health Dynamics of India (HDI) (Infrastructure & Human Resources), 2022-23 is an annual publication, based on healthcare administrative data reported by States/UTs. Details of availability of healthcare facilities, infrastructure and specialized human resources & gaps in the country, State/UT-wise including Solapur in Maharashtra, may be seen at the following linkof HDI 2022-23: 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 The Government of India provides incentives and honorarium to medical professionals to improve service delivery in rural and remote areas, including Maharashtra. Under National Health Mission (NHM), measures such as Hard Area Allowance for specialist doctors,flexibility to Statesto offer negotiable salaries including “You Quote We Pay”, non-monetary incentives like preferential admission in postgraduate courses and multi-skilling of doctors through training in Comprehensive Emergency Obstetric and Newborn Care (CEmONC) and Life Saving Anaesthesia Skills (LSAS) are supported to address the shortage of specialists in such areas. The Ministry of Health and Family Welfare (MoHFW) has been actively implementing the IPHS 2022 guidelines to provide uniform, high-quality health services across all states. Implementing IPHS is vital for improving healthcare delivery nationwide and ensuring all citizensaccessessential minimumstandards of healthservices. Under National Health Mission, institutional framework has been set up at National (Central Quality Supervisory Committee), State (State Quality Assurance Committee), District (District Quality Assurance Committee) and Facility level (District Quality Team) to oversee the quality assurance activities across the regions in accordance with the National & State’s guidelinestoensure regularand accuratereportingof the variouskeyqualityindicators. Under National Health Mission (NHM), the performance of various health programmes is regularly assessed in the country including remote, hilly and tribal areas, through review meetings, mid term reviews of key deliverables, field visits of senior officials, promoting performance by setting up benchmarks for service delivery & rewarding achievements etc. Common Review Missions (CRM) are conductedannually toassess andmonitor the progress andimplementation status of variousschemes. The Ministry of Health and Family Welfare provides technical and financial support to the States/UTs to strengthen the public healthcare system, based on the proposals received in the form of Programme Implementation Plans (PIPs) underNHM. Government of India provides approval for the proposals in the form of Record of Proceedings (RoPs) as per norms & available resources. The details of RoPs issued to States/UTs including Maharashtra, are availableat following web link: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=1377&lid=744 Through1.83lakhAyushmanArogya Mandirs (AAMs), comprehensive primaryhealthcareis provided by strengthening Sub Health Centres (SHCs) and Primary Health Centres (PHCs). These AAMs provide preventive, promotive, rehabilitative and curative care for an expanded range of services encompassing reproductive and child healthcare services, Communicable diseases, Non-communicable diseases and otherhealthissues. The Fifteenth Finance Commission (FC-XV) has recommended grants through local governments for specific components of the heath sector to the tune of Rs.70,051 crore and the same have been accepted by the Union Government. These grants for health through Local Governments will be spread over the five-yearperiod from FY2021-2022 toFY2025- 26 and will facilitate strengthening of health system at the grass-root level. Total amount of Rs.7063.60 crore has been allocated under FC-XV health grant for the State of Maharashtra includingSolapurfor FY2021-22 toFY2025-26. *****