Human Resources

in
Health

1
 Medical Education
Existing Capacity

1 Medical colleges in the 143

Government Sector

2 Medical colleges in the Private 157

Sector

TOTAL 300
Total Annual Intake Capacity (MBBS) – 35202
Total Annual Intake Capacity (PG) – 13505
 Regional and State –wise distribution
Sl. Name of the State Number of Total Total number of Total
No. Medical Colleges seats
Govt. Pvt. Govt. Pvt.

NORTH
1 Delhi 5 1 6 630 100 730
2 Haryana 1 2 3 150 200 350
3 Himachal Pradesh 2 - 2 115 - 115
4 J&K 3 1 4 250 100 350
5 Punjab 3 5 8 350 470 820
6 Uttar Pradesh 10 11 21 1112 1100 2212
7 Uttarakhand 2 2 4 200 200 400
8 Chandigarh 1 - 1 50 - 50
 Regional and State –wise distribution
Sl. Name of the State Number of Total Total number of Total
No. Medical Colleges seats
Govt. Pvt. Govt. Pvt.

SOUTH
1 Andhra 13 20 33 1775 2600 4375
37
Pradesh
2 Karnataka 10 29 39 1100 3755 4855
3 Kerala 6 16 22 950 1550 2500
4 Pondicherry 1 7 8 100 900 1000
5 Tamilnadu 16 16 32 1745 2170 3915
 Regional and State –wise distribution
Sl. No. Name of the Number of Total Total number of Total
State Medical Colleges seats
Govt. Pvt. Govt. Pvt.

WEST
1 Gujarat 8 8 16 1255 1000 2255
2 Goa 1 - 1 100 - 100
3 Rajasthan 6 4 10 650 500 1150
4 Maharashtra 19 22 41 2200 2510 4710

Total 34 34 68 4205 4010 8215

CENTRAL
1 Chhatisgarh 3 - 3 300 - 300

2 M.P. 6 5 11 720 650 1370

 Regional and State –wise distribution
Sl. No. Name of the Number of Total Total number Total
State Medical of seats
Colleges
Govt. Pvt. Govt. Pvt.

EAST
1 Bihar 6 3 9 440 220 660
2 Jharkhand 3 - 3 190 - 190
3 Orissa 3 3 6 464 300 764
4 West Bengal 9 1 10 1105 150 1255
 Regional and State –wise distribution
Sl. No. Name of the Number of Total Total number of Total
State Medical Colleges seats
Govt. Pvt. Govt. Pvt.

NORTH EAST
1 Assam 3 - 3 426 - 426
2 Manipur 1 - 1 100 - 100
3 Sikkim - 1 1 50 - 50
4 Tripura 2 0 2 200 200
TOTAL 6 1 7 776 0 776
 Total Number of PG Seats in the Country
Sl. Name of the State Total Sl. No. Name of the Total
No. number of State number of
PG Seats PG Seats
NORTH SOUTH
1 Delhi 501 1 Andhra 1381
2 Haryana 199 Pradesh
3 Himachal Pradesh 50 2 Karnataka 1763
3 Kerala 518
4 J&K 231
5 Punjab 821 4 Pondicherry 225
6 Uttar Pradesh 923 5 Tamilnadu 1499
7 Uttarakhand 71
8 Chandigarh 23
Total 5386
 Total Number of PG Seats in the Country
Sl. No. Name of the Total No. Sl. No. Name of the Total No.
State of PG Seats State of PG Seats
WEST
EAST
1 Gujarat 1159 1 Bihar 293
2 Goa 45 2 Jharkhand 127
3 Rajasthan 405 3 Orissa 190
4 Maharashtra 1813 4 West Bengal 502
Total 3422 Total 1112
CENTRAL NORTH-EAST
1 Chhatisgarh 54 1 Assam 250
2 M.P. 395 2 Manipur 67
449 Total 317
Total
 Unequal Distribution of Medical College/Seats

S. Region % age of medical %age of MBBS seats

No. colleges against against the total
the total number number of MBBS seats
of colleges
1. North 49/300 = 16.33% 5027/35202 = 14.28%
2. South 134/300 = 44.66% 16695/35202 = 47.42%
3. West 68/300 = 22.66% 8215/35202 = 23.33%
4. Central 14/300 = 4.67% 1670/35202 = 4.74%
5. East 28/300 = 9.33% 2869/35202 = 8.15%
6. North- 7/300 = 2.33% 776/35202 = 2.2%
East
 Unequal Distribution of Medical College/Seats

S. Region %age of PG seats against the total

No. number of PG seats
1. North 2819/13505 = 20.87%
2. South 5386/13505 = 39.88%
3. West 3422/13505 = 25.33%
4. Central 449/13505 = 3.3%
5. East 1112/13505 = 8.3%
6. North-East 317/13505 = 2.34%
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 Issues for Discussion
 Amendments to Medical Council of India
Regulations
 Increase of seats in Post Graduate Medical Courses
 Scheme for strengthening and up-gradation of
State Government Medical Colleges
 Setting up of National Council for Human
Resources in Health
 Private Medical / Dental Educational Institutions
(Regulation of Admission and Fee) Draft Bill
 Introduction of New 3½ years Bachelor in Rural
Medicine and Surgery (BRMS) course.
 Amendments to Medical Council of
India Regulations
MCI Regulations have been amended to rationalize
the existing norms:
Land Requirement.
Bed strength and bed occupancy norms.
Staff and Infrastructure requirements.
Eligibility for establishment of colleges –
Corporate Sector permitted.
Current maximum cap of 150 MBBS seats has
been raised to 200-250.
 Amendments to Medical Council of
India Regulations
 Teaching Norms for PG and Superspeciality
courses.
 Recognition of foreign degree and their teaching
experience.
 Incentivization of rural posting of doctors –
 50% reservation in PG diploma seats for in-
service doctors serving in difficult areas
 10 % weightage in PG entrance exam for every
year of service rendered in rural areas upto a
maximum of 30% in 3 years.
14
 Increase of seats in Post Graduate Medical
Courses

• Post Graduate Medical Education Regulations, 2000

have been amended recently wherein the teacher
student ratio has been revised from 1:1 to 1:2
enabling the medical colleges to have increased
seats in Post Graduate Medical Courses.
• State Governments were requested to instruct the
Government medical colleges in their States to
send necessary information in the prescribed
format for increase of PG seats.
Increase of seats in Post Graduate Medical Courses

• The information received from 64 medical colleges

across 14 States/U.Ts has been considered and
recommended by the Medical Council of India(MCI).
Approximately 1100 seats in various postgraduate
courses have been approved.
• Ministry of Health and Family Welfare has reminded
14 States to send the information in respect of 55
Medical Colleges.
• Medical Education Secretaries are requested to send
this information on priority both to the Ministry and
MCI by 22nd January, 2010.
 Scheme for strengthening and up-gradation
of State Government Medical Colleges
The scheme is for strengthening/upgradation of State
Government medical colleges by way of one time grant
under a new Centrally Sponsored Scheme (CSS) during
the XI Five Year Plan amounting to Rs. 1350 crore for
starting PG courses/ increasing seats in PG courses with
funding pattern of 75% by Central Government and 25%
by State Government.
The objective of the present scheme is to meet the
shortage of faculty in pre and para clinical disciplines
which is bottleneck for starting new medical colleges and
to ensure that specialists with requisite clinical disciplines
are available at PHCs/CHCs/District level to ensure service
guarantee under NRHM.
 Priority disciplines (Illustrative)
Pre/Para-clinical Disciplines Clinical disciplines
 Anatomy  Obst. & Gynaecology
 Microbiology  Paediatrics
 Physiology  Anaesthesiology
 Pharmacology  General Medicine
 Bio-chemistry  General Surgery
 Forensic Medicine
 Community Medicine

New disciplines
•Geriatric
•Transfusion Medicine
•Emergency Medicine
 Scheme for strengthening and upgradation
of State Government Medical Colleges
• Amount earmarked for the scheme during the XIth
Plan – Rs. 1,350 crore.
• Funds will be disbursed directly to the Head of the
Institute in two instalments. State Governments will
undertake to refund the funds if the stipulated
increase in PG seats/starting PG disciplines do not
fructify within the prescribed period.
• Proposals have been received from
65 Government Medical Colleges in 18 States.
 Issues
• A Technical committee would be visiting
shortly for on the spot assessment of the
proposals submitted by the Colleges.

• States/Medical Colleges are required to start

the preparatory work
 Setting up of National Council for Human
Resources in Health (NCHRH)
To reform the current regulatory framework and enhanced the
supply of skilled personnel in the Health sector, the Central
Government has proposed to set up a National Council for Human
Resources in Health (NCHRH) as an overarching regulatory body.
A task force under the chairmanship of Union Health Secretary
submitted the report on 31st July, 2009 along with a draft bill.
The draft bill has been sent to State Governments for their
comments and suggestions. Only nine States/UTs (Andhra
Pradesh, Assam, Delhi, Uttar Pradesh, Gujarat, Rajasthan,
Andaman & Nicobar Islands, Dadra & Nagar Haveli, and Delhi)
have furnished their comments.
The remaining states may expedite the comments latest by 31st
January, 2010.
Private Medical/Dental Educational Institutions (Regulation of
Admission & Fee) Draft Bill
 In the absence of Central Legislation currently admissions
and fees in medical/dental institutions are guided by the
Judgment of the Supreme Court.
 As per judgement dated 14.8.2003 in Islamic Academy of
Education vs State of Karnataka, State Governments are
required to constitute two Committees – one to regulate
fees and other for admissions – under the chairmanship
of retired High Court Judge.
 Central Government has circulated a Draft Bill for
comments of the States/U.Ts.
 Comments have been received only from State of
Maharashtra.
 Remaining States are requested to send their comments
by 31st January, 2010.
 Introduction of New 3½ years Bachelor in
Rural Medicine and Surgery (BRMS)
course.
Concept paper has been circulated to all the Medical
Education Secretaries today.
Medical Council of India is organizing a two days
workshop in New Delhi on 4- 5 February, 2010 to discuss
and debate on the issue.
Vice chancellor, Principal, Dean, Director of Medical
Education and Secretary (Medical Education ) from all the
states would be invited to this workshop.
Secretary (Medical Education ) from all the states are
requested to ensure participation in this very important
workshop.
Development of Nursing
Services
 Nursing Scenario
NURSE POPULATION RATIO
INDIA 1:1100
EUROPE 1:100/150
SRI LANKA 1:1100
NURSE PHYSICIAN RATIO
THAILAND 1:850
INTERNATIONAL NORM 3:1
INDIA 1.4:1
AMERICA 3:1
EUROPE 3:1

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 Number of Nursing Educational
Institutions and Existing Capacity
S. No. Programmes Number Total Capacity

1. ANM Government 310 628 21183

Private 318
2. GNM Government 179 2055 80129
Private 1876
3. B.Sc (N) Government 56 1270 63793
Private 1214
4. M.Sc (N) Government 22 281 4368
Private 259

o 310 ANM schools are funded by Govt. of India to meet their

recurring expenditure.

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 ASSESSMENT OF ANM Training Centre
by Indian Nursing Council
• Shortfall in student intake compared to capacity

• Shortfall in faculty compared to INC norms

• Shortfall in qualification of faculty and Principal

• Condition of more than 50% ANM schools not good

• Shortage of classrooms

• Shortage of furniture

• 88% did not have a library

• 1/3 parent institutions only have requisite number of beds

• 74% institutions did not have MCH laboratory

• Knowledge of faculty not found satisfactory

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• Overall the quality of ANM training is not satisfactory
 Some Observations
• Currently there is no scheme/ modality for:

• Quality assurance

• Monitoring and feedback on nursing services

• Patient satisfaction
• Support system for quality assurance

• Need to introduce institutional mechanisms to

ensure quality services
• GOI is providing financial assistance @ Rs. 1 Crore
for strengthening of the Nursing Cells and Nursing
Councils to the States. 28
 GAP
Auxiliary Nursing and Midwifery (ANM)
• Number of additional ANM required -1.93 lakhs
( 2 ANMs per SC)

General Nursing and Midwifery (GNM)

• Additional Nurses to be trained -9.55 lakhs
(Includes 3 and 9 Staff Nurses at PHC and
CHC respectively and for tertiary care)

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 STRATEGY TO MEET THE GAPS

 Opening of New ANM & GNM Schools

 Scheme for unserved districts to reduce

Ensuring availability regional imbalance
of Nurses
 Relaxation of norms by INC

 Faculty development scheme as a short

term measure
 Additional Number of Nursing educational
Institution likely to be established in XI year plan
Opening of new ANM Schools : 132 (60 intake per year)
(@ Rs. 5 Crores per school)

Opening of new GNM Schools : 137 (intake of 100 per

(@ Rs. 10 Crores per school) year)
Opening of College of Nursing : 7 (intake of 100 per year)
(in AIIMS like institution) (@ Rs. 20 Crores per
College)

Establishment of Center of Excellence : 24 (with intake of 100 per

(@ Rs. 20 Crore per Centre) year for B.Sc (N)

Establishment of Regional Institute of Nursing : 4 (with intakeof 100 per

(@ Rs. 50 Crores per institute) year for B.Sc (N))
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Establishment of 24 Centers of excellence in States
 Commencement of PG Courses
 B.Sc. (N),
 M.Sc (N),
 PhD (N),
 Speciality nursing programmes:
•Emergency and Trauma nursing Oncology nursing
• Cardiothoracic Neo-Natal nursing Psychiatric nursing
•Operation Room nursing Neuro Sciences nursing
•Orthopedic nursing Geriatric nursing
•Critical Care nursing Nurse Practitioner in
Midwifery

Continuing Education Programmes

 In service training/ CMEs
 Teleconferencing facility
 Maintenance of continuing education roster
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Strengthening of 20 State Nursing Councils

• Provision of Rs 1 crore to State Nursing

Councils
• Capacity building
• Computerization
• To commence live Registers
• To streamline data and registers

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Strengthening of Nursing Cells at State level

• Provision of Rs 1 crore to State Nursing Cells

• To strengthen / establish a nursing cell
• Human resource
• To help in data base etc
• To help supervision & monitoring
• To coordinate nursing services in the State
Faculty Development Programme for difficult States
Estimated cost Rs.23.64 crores
 A dedicated MSc section would be established for
faculty development of Government sponsored
candidates from high focused states in the following
institutions:
 SNDT College of Nursing, Mumbai
 PGIMER, Chandigarh
 Govt College of Nursing, SSKM Hospital,
Kolkata
 Annually 60 candidates would get trained to join as
faculty in Nursing Colleges.
The Scheme will train 300 candidates as faculty.
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 EXISTING SCHEME OF DEVELOPMENT OF NURSING SERVICES

I. COMPONENT - TRAINING OF NURSES

 Staff Nurses : Clinical Specialty
 Nursing Administrator : Management Technique
 Nursing Teachers : Education Technology

• Old Norm
 Rs. 75,000 per course of 10 days duration for 30 candidates

• Revised Norm (Rs. in lakhs)

• Rs. 1.65 lakhs per course of 7 days duration for 30 candidates

• An amount of Rs. 1 Crore is being released to the State during this financial Year
• States are requested to submit their proposals for release of funds along with
the utilization certificate.

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 EXISTING SCHEME OF DEVELOPMENT OF NURSING
SERVICES
II. COMPONENT - UPGRADATION OF SCHOOL OF
NURSING INTO COLLEGES OF NURSING
• Government sector has only 50 nursing colleges in the country.
There is a need to have more colleges.
• With this schemes schools of nursing attached to about 100
Govt. medical colleges can be upgraded into college of nursing.
• During the plan period 25 schools of nursing would be upgraded
to colleges with a grant of Rs. 6 crores for each institution.
• 18 institution have been provided grant of Rs. 1.5 crore each. As
per the revised scheme thery would receive remaining Rs. 4.5
crores. States are advised to submit proposal along with Ucs. (AP,
Bihar, Chandigarh, Chhattisgarh, Karnataka, Kerala, MP, TN, UP, J&K, Mizoram,
Nagaland, Orissa, Maharastra, WB and Goa)
 EXISTING SCHEME OF DEVELOPMENT OF NURSING
SERVICES

III. COMPONENT - STRENGTHENING OF SCHOOL/

COLLEGES OF NURSING
Components Old Norm Revised Norm
(Rs. in lakhs)
• Civil Work Rs. 10.00 lakhs per Rs. 25.00 lakhs per
• A.V. Aids institution during plan institution during plan
• Books, period period
• Lab. Equipments
• Furniture

During the Plan period it is proposed to strengthen 310 ANM and GNMs Schools
in the country

States are requested to submit the proposals along with the UCs

38
 National Awards for Nursing Personnel
• Outstanding ANMs, LHVs, Nurses working in
Government, Private/Missionary. Awards will be
given by President of India on May 12th in 2010

• Letters have been issued to the states last date for

submission is 15th March 2010

• Wide publicity is to be given in the states for

obtaining names
• Proforma and Application form are available in
MoH&FW and Indian Nursing Council website
39