The Challenges Confronting Public Hospitals in India, Their Origins, and Possible Solutions

Table 5

Number of specialists and MBBS doctors serving in public sector rural health care in the EAG states, non-EAG states, and all India.

State	CHCs				PHCs		Total GDMOs		Shortfall		Physicians per 10,000 rural population
	Specialists		GDMOs*		GDMOs				Specialists	GDMOs
	Req.	In pos.	Req.	In pos.	Req.	In pos.	Req.	In pos.	%	%
Bihar	420	151	490	451	1863	3532	2353	3983	64%	−69.3%	0.5
Chhattisgarh	894	71	1043	347	755	435	1798	782	92%	56.5%	0.4
Jharkhand	1128	86	1316	757	330	407	1646	1164	92.4%	29.3%	0.5
Madhya Pradesh	1998	267	2331	678	1156	814	3487	1492	86.6%	57.2%	0.3
Odisha	2262	317	2639	278	1226	1069	3865	1347	86%	65.15%	0.5
Rajasthan	2292	148	2674	265	1528	1755	4202	2020	93.5%	51.9%	0.4
Uttar Pradesh	3090	1740	3605	167	3692	2861	7297	3028	43.7%	58.5%	0.3
Uttarakhand	354	51	413	40	257	205	670	245	85.6%	63.4%	0.4
EAG states total	12438	2831	14511	2983	10807	11078	25318	14061	77.2%	44.5%	0.4
Non-EAG states	6894	3027	19320	6928	13242	17906	32562	24834	56.1%	23.7%	0.9
All India	19332	5858	33831	9911	24049	28984	57880	38895	69.7%	32.8%	0.6

Source: based on data taken from RHS Bulletin, 2012 [2]. Note: to calculate the required strength of specialists and GDMOs, we have multiplied the strength recommended as per the IPHS (Indian Public Health Standard) norms, given in Annexure 1 of the same source, with the number of CHCs and PHCs given in Statement 1 of the same source. The required strength of doctors at PHC and CHC as given in Statements 6 and 7, respectively, of the same source has not been considered here as the same is grossly below the recommended IPHS norms. GDMO* is the general duty medical officer and in the case of CHCs it includes one dental officer.