The density of beds in Chinese hospitals is more than four per one thousand population. In Sri Lanka, Britain and the United States, there are more than two beds in three hospitals in Thailand and Brazil per one thousand population. The density of beds in hospitals in Bihar, Odisha, Chhattisgarh, Jammu and Kashmir, Jharkhand, Manipur, Madhya Pradesh and Assam is very low. The density of beds in public hospitals in Gujarat, Uttar Pradesh, Maharashtra, Andhra Pradesh, Haryana and Telangana is relatively low. An attempt has been made to fill them from the beds of private hospitals.
According to the report, in rural areas, health out post i.e. 23% of sub centers, 37% of primary health centers and more than 28% of community health centers have come down. There is a severe shortage of public health facilities in Bihar, Jharkhand, Uttar Pradesh and West Bengal. There were 11.54 lakh registered allopathic medical practitioners, 29.66 lakh nurses and 11.25 lakh pharmacists in India till three years ago. From a population point of view, the ratio between physicians and nurses is much lower than the standard set by the WHO.
The ratio of doctors to population in India is 1: 1511. In comparison, the ratio of nurses is 1: 670. According to the Ministry of Health, the standards set by the World Health Organization are contrary to 1: 1000 and 1: 300, respectively. Even if it is assumed that all the allopathic doctors registered in the state medical councils are practicing in the same state, then there is a wide difference in the proportion of population and allopathic doctors among the states. Among the major states, states like Jharkhand, Haryana, Chhattisgarh, Uttar Pradesh and Bihar are in very poor condition.
In states like Bihar, Chhattisgarh, Jharkhand, Madhya Pradesh, Maharashtra and UP, the proportion of government doctors is much lower than the population. Bihar, Jharkhand, Sikkim and Telangana have the largest shortage of nurses. There is a shortage of all categories of health workers in government health facilities. The number of seats in the medical colleges of various states is highly skewed. Because, two-thirds of the total medical and surgical undergraduate ‘MBBS’ seats are concentrated in only seven states of the country (Tamil Nadu, Kerala, Andhra Pradesh, Telangana, Karnataka, Maharashtra, Gujarat).
It has been recommended by the National Health Policy that expenditure on primary health be increased to two-thirds of the total health expenditure. However, so far only 53 per cent of this has been done. Investment in primary health care, including prevention and promotion, results in better health and development at a much lower cost. It helps reduce the need for expensive, complex care by preventing disease and promoting general health. There is a huge difference in per capita expenditure related to health.
This expenditure can be seen as lowest in Bihar, Uttar Pradesh, Jharkhand, Madhya Pradesh and West Bengal. Their per capita health expenditure is about half of Kerala and Tamil Nadu. All the states except Meghalaya are spending less than eight percent of their budget on the health sector. Punjab, Telangana, Maharashtra, Haryana, Madhya Pradesh, Karnataka, Uttar Pradesh, Andhra Pradesh, Bihar and Nagaland are spending less than five per cent of their budgets on health.