To mitigate the spread of coronavirus in India, the central government imposed a nation-wide lockdown on March 25, 2020.  The lockdown necessitated the suspension of all economic activities, except the ones classified as ‘essential’ from time to time, and the ones that can be carried out from home.  As a result, all economic activities which require persons to travel or work outside home, such as manufacturing of non-essential goods and construction, have stopped since then.  While this has resulted in a loss of income for many individuals and businesses, the ongoing 40-day lockdown is also going to severely impact the revenue of the central and state governments, primarily the tax revenue that they would have generated from all such economic activities.  

This note discusses the possible effect of the lockdown on the revenue of the central and state governments in 2020-21.  At this stage, the effect of the pandemic and the lockdown are difficult to estimate.  We do not know whether there will be partial restrictions when the current lockdown ends on 3rd May or the possibility of further action during the year.  Therefore, this note can be used as a first estimate to compute the impact under various scenarios.  For example, a reader who believes that the effect on GDP growth would be different than the IMF’s estimate used below can extrapolate the numbers to fit his assumptions.

The central government and most of the state governments passed their budget for the financial year 2020-21 during February-March 2020, before the lockdown.  The central government estimated a 10% growth in the country’s nominal GDP in 2020-21, and more than half of the states estimate their nominal GSDP growth rate in the range of 8%-13%.  Due to the unforeseen impact of the lockdown on the economy, the 2020-21 GDP growth rates are expected to be lower than these estimates.  As a result, the tax revenue that the central and state governments will be able to generate are expected to be much lower than the budgeted estimates, during the period of lockdown.

Centre’s revenue

Table 1 shows the revenue expected by the central government from various sources in 2020-21.  73% of the revenue (Rs 16.36 lakh crore) is expected to come through taxes.   Because of the impact of lockdown, the actual tax revenue realised at the end of the year could be much lower, depending on how much the nominal GDP growth in 2020-21 gets affected.  To estimate the impact on tax revenue, we assume that the tax-GDP ratio (i.e. an estimate of the tax generated out of each unit of economic activity) in 2020-21 will remain the same as the budget estimate.   This may be a conservative estimate of loss of revenue due to lockdown as many permitted activities such as agriculture, government services and essential services have zero or lower-than-average taxes.

Based on this assumption, a 1%-point fall in the nominal GDP growth rate could decrease centre’s net tax revenue by about Rs 15,000 crore in 2020-21, i.e. 0.7% of its total revenue.  The IMF has projected GDP growth for 2020-21 at 1.9%; given the inflation target of 4%, nominal GDP growth could be about 6%.  In that scenario where the nominal GDP growth falls by 4% point from 10% to 6% in 2020-21, net tax revenue loss could be about Rs 60,000 crore (2.7% of total revenue).  As mentioned above, the tax-GDP ratio would likely be lower than the budget estimate because of the type of activities permitted during the lockdown.   This would increase the adverse impact on tax revenue.

There is a further assumption being made above regarding tax-GDP.  While GST tends to move with overall GDP, direct taxes would depend on income growth of individuals and profit growth of companies.  In a lower GDP growth environment, the effect on these two items may be higher than the deceleration of nominal GDP, bringing down the tax-GDP ratio.  Further, customs duties depend on the value of imports, which may have a lower growth.   This would, to some extent, be mitigated by the increase in the rate of excise duty on petroleum products.

These computations have been made considering the 2019-20 revised estimate as the base and the 2020-21 budget estimate as being realistic when it was made.  However, these numbers may also be lower.  For instance, if we extrapolate the net tax revenue growth rate of April 2019 to February 2020 (as released by the Controller General of Accounts) to March 2020, the shortfall is of the order of Rs 1,62,000 crore or 11% of the revised estimate.  Thus, the shortfall in tax collections in 2020-21 may be significantly higher.

Table 1:  Central government's revenue in 2020-21 (Rs crore)

Source

Revenue

Share in Total Revenue

Net Tax Revenue

16,35,909

73%

Non-Tax Revenue

3,85,017

17%

Dividends and Profits

1,55,395

6.9%

Capital Receipts

2,24,967

10%

Disinvestment

2,10,000

9.4%

Total Revenue

22,45,893

-

Note:   Capital receipts and total revenue do not include borrowings.
Sources:  Union Budget Documents; PRS.

Other than taxes, the centre’s receipts consist of non-tax revenue and capital receipts.  A significant part of non-tax revenue is from dividends and profits of public sector enterprises (PSEs) and the RBI (Rs 1.55 lakh crore).  If profitability gets impacted, then there could be an adverse impact in these figures.  The major chunk of capital receipts is budgeted from disinvestment of PSEs (Rs 2.1 lakh crore).  Equity markets have declined sharply over the last month.  If equity markets remain volatile, the disinvestment process and consequently the disinvestment receipts could get affected.  Note that disinvestment receipts were targeted at Rs 2,10,000 crore, significantly higher than the Rs 50,299 crore raised in 2019-20.

Devolution to States

Like the centre, states also rely on taxes for most of their revenue.  As per their 2020-21 budget, on an average, nearly 70% of their revenue is estimated to come from taxes (45% from their own taxes and 25% from their share of centre’s taxes).  Lower collections in centre’s taxes because of the lockdown will also impact states’ share in them (also known as devolution).  Table 2 shows the share of states in centre’s tax revenue and how they could get impacted by a lower economic growth rate due to the lockdown.

Table 2:  Impact of lower economic growth during the lockdown on devolution in 2020-21 (Rs crore)

State/ UT

Share in divisible pool (%)

Devolution

Impact of 1% point drop in national nominal GDP growth rate on Devolution

Revenue impact as a percentage of state’s revenue receipts

Andhra Pradesh

4.11

32,238*

293

NA

Arunachal Pradesh

1.76

13,802

125

0.61%

Assam

3.13

26,776

243

0.26%

Bihar

10.06

91,181

829

0.45%

Chhattisgarh

3.42

26,803

244

0.29%

Delhi

-

-

-

-

Goa

0.39

3,027

28

0.21%

Gujarat

3.4

26,646

242

0.15%

Haryana

1.08

8,485

77

0.09%

Himachal Pradesh

0.8

6,266

57

0.15%

Jammu and Kashmir

-

15,200

138

0.16%

Jharkhand

3.31

25,980

236

0.31%

Karnataka

3.65

28,591

260

0.14%

Kerala

1.94

20,935

190

0.17%

Madhya Pradesh

7.89

61,841* 

562

NA

Maharashtra

6.14

48,109

437

0.13%

Manipur

0.72

5,630

51

0.28%

Meghalaya

0.77

5,999*

55

NA

Mizoram

0.51

3,968

36

0.37%

Nagaland

0.57

4,493

41

0.28%

Odisha

4.63

36,300

330

0.27%

Punjab

1.79

14,021

127

0.14%

Rajasthan

5.98

46,886

426

0.25%

Sikkim

0.39

3,043

28

0.35%

Tamil Nadu

4.19

32,849

299

0.14%

Telangana

2.13

16,727

152

0.11%

Tripura

0.71

5,560

51

0.30%

Uttar Pradesh

17.93

1,52,863

1,389

0.33%

Uttarakhand

1.1

8,657

79

0.19%

West Bengal

7.52

65,835

598

0.33%

Total 

100

8,38,710

7,624

0.22%

Note:  *Andhra Pradesh, Madhya Pradesh, and Meghalaya passed a vote on account, so their devolution data has been computed as the total devolution to states provided in the union budget multiplied by their share.  The devolution data for all other states has been taken from the state budget documents, which may not match with the union budget data in case of a few states.  Revenue receipts data not available for Andhra Pradesh, Madhya Pradesh, and Meghalaya.   The total for revenue receipt share has been computed excluding these three states.
Sources:  Union and State Budget Documents; 15th Finance Commission Report for 2020-21; PRS.

State GST

Out of the 45% revenue coming from state’s own taxes, 35% revenue is estimated to come from three taxes – state GST (19%), sales tax/ VAT (10%), and state excise (6%).  State GST is levied on the consumption of most goods and services within the state.  While state GST is the largest component of states’ own tax revenue, states do not have the autonomy to change tax rates on their own as the rates are decided by the GST Council.  Thus, due to lower GST revenue during the lockdown period, if a state wishes to increase GST rates for the remaining part of the year, it cannot do this on its own.

Table 3 shows the possible impact of a 1%-point decrease in the growth rates of nominal GSDP (GDP of the state) and its impact on state GST revenue in the year 2020-21.  These estimates are based on the assumption that the tax-GSDP ratio during the lockdown remains same as estimated for the 2020-21 budget.  However, as discussed earlier, the tax-GDP ratio for taxes such as GST is likely to decline.  The analysis estimates the minimum impact on states’ GST revenue and does not captures its full extent.

 Table 3:  Impact of lower GSDP growth during the lockdown on state GST revenue in 2020-21 (Rs crore) 

State/ UT

State GST revenue

Impact of 1% point drop in nominal GSDP growth rate on State GST revenue

Revenue impact as a percentage of state’s revenue receipts

Andhra Pradesh

NA 

NA

NA

Arunachal Pradesh

324

3

0.01%

Assam

13,935

128

0.14%

Bihar

20,800

187

0.10%

Chhattisgarh

10,701

97

0.12%

Delhi

23,800

215

0.39%

Goa

2,772

26

0.19%

Gujarat

33,050

292

0.18%

Haryana

22,350

198

0.22%

Himachal Pradesh

3,855

35

0.09%

Jammu and Kashmir

6,065

55

0.06%

Jharkhand

9,450

85

0.11%

Karnataka

47,319

445

0.25%

Kerala

32,388

289

0.25%

Madhya Pradesh

 NA

NA

NA

Maharashtra

1,07,146

957

0.28%

Manipur

914

8

0.05%

Meghalaya

NA

NA

NA

Mizoram

504

4

0.04%

Nagaland

541

5

0.04%

Odisha

15,469

139

0.11%

Punjab

15,859

141

0.16%

Rajasthan

28,250

255

0.15%

Sikkim

650

5

0.07%

Tamil Nadu

46,196

410

0.19%

Telangana

27,600

242

0.17%

Tripura

1,311

12

0.07%

Uttar Pradesh

55,673

525

0.12%

Uttarakhand

5,386

49

0.12%

West Bengal

33,153

298

0.17%

Total 

5,65,461

5,104

0.17%

Note:  Andhra Pradesh, Madhya Pradesh, and Meghalaya passed a vote on account, so data not available.  2020-21 GSDP data for Delhi was not available, so the GSDP growth rate in 2020-21 has been assumed to be the same as the growth rate in 2019-20 (10.5%).
Sources:  State Budget Documents; PRS.

Sales tax/ VAT and State Excise

These two taxes have been major sources of revenue for states, estimated to contribute 16% of states’ revenue in 2020-21.  With implementation of GST, states can now levy sales tax only on petroleum products (petrol, diesel, crude oil, natural gas, and aviation turbine fuel) and alcohol for human consumption.  However, the lockdown has severely impacted the consumption, and thus sale, of all of these goods as most of the transportation is prohibited and businesses selling alcohol are also shut.  As a result, the revenue coming from these taxes is likely to see a much larger impact as compared to the other taxes. 

In addition, alcohol is also subject to state excise.   Table 4 shows the average monthly impact of the lockdown on revenue from state excise.  That is, this estimates the loss of revenue for each month of lockdown, with the assumption that there is no production of alcohol for human consumption during such periods.

Table 4:  Average monthly impact of the lockdown on state excise revenue in 2020-21 (Rs crore)

State/ UT

State excise revenue

Average monthly impact on state excise revenue

Monthly revenue impact as a percentage of state’s revenue receipts

Andhra Pradesh

NA 

NA

NA

Arunachal Pradesh

157

13

0.06%

Assam

1,750

146

0.16%

Bihar

0

0

0.00%

Chhattisgarh

5,200

433

0.52%

Delhi

6,300

525

0.95%

Goa

548

46

0.34%

Gujarat

144

12

0.01%

Haryana

7,500

625

0.69%

Himachal Pradesh

1,788

149

0.39%

Jammu and Kashmir

1,450

121

0.14%

Jharkhand

2,301

192

0.25%

Karnataka

22,700

1,892

1.05%

Kerala

2,801

233

0.20%

Madhya Pradesh

 NA

NA

NA

Maharashtra

19,225

1,602

0.46%

Manipur

15

1

0.01%

Meghalaya

NA

NA

NA

Mizoram

1

0

0.00%

Nagaland

6

0

0.00%

Odisha

5,250

438

0.35%

Punjab

6,250

521

0.59%

Rajasthan

12,500

1,042

0.60%

Sikkim

248

21

0.26%

Tamil Nadu

8,134

678

0.31%

Telangana

16,000

1,333

0.93%

Tripura

266

22

0.13%

Uttar Pradesh

37,500

3,125

0.74%

Uttarakhand

3,400

283

0.67%

West Bengal

12,732

1,061

0.59%

Total 

1,74,164

14,514

0.48%

Note:  Andhra Pradesh, Madhya Pradesh, and Meghalaya passed a vote on account, so data not available.
Sources:  State Budget Documents; PRS.

Sales tax/VAT is collected from sale of alcohol and petroleum products.  We do not have any data on the reduction of sale of these items -- news reports indicating sale of alcohol in some states while petroleum products would be used by providers of essential services.  For estimating the impact on sales tax/ VAT revenue, we have assumed the following three scenarios: (i) 40% shortfall in tax collections, (ii) 60% shortfall in tax collections, and (iii) 80% shortfall in tax collections in any month of lockdown.   Table 5 shows the average monthly impact of the lockdown on sales tax/ VAT revenue under the three scenarios.  

Table 5:  Impact of lockdown on sales tax/ VAT revenue in 2020-21 (Rs crore)

State/ UT

Loss of sales tax/ VAT revenue per lockdown month

As a percentage of state’s revenue receipts

40% shortfall

60% shortfall

80% shortfall

40% shortfall

60% shortfall

80% shortfall

Andhra Pradesh

NA

NA

NA

NA

NA

NA

Arunachal Pradesh

9

14

18

0.04%

0.07%

0.09%

Assam

178

267

356

0.19%

0.29%

0.39%

Bihar

194

292

389

0.11%

0.16%

0.21%

Chhattisgarh

138

207

276

0.16%

0.25%

0.33%

Delhi

207

310

413

0.37%

0.56%

0.75%

Goa

41

62

83

0.31%

0.47%

0.62%

Gujarat

774

1,162

1,549

0.48%

0.72%

0.95%

Haryana

357

535

713

0.40%

0.59%

0.79%

Himachal Pradesh

56

84

112

0.15%

0.22%

0.29%

Jammu and Kashmir

50

75

100

0.06%

0.09%

0.11%

Jharkhand

195

293

391

0.26%

0.39%

0.52%

Karnataka

593

889

1,186

0.33%

0.49%

0.66%

Kerala

775

1,163

1,551

0.68%

1.01%

1.35%

Madhya Pradesh

NA

NA

NA

NA

NA

NA

Maharashtra

1,333

2,000

2,667

0.38%

0.58%

0.77%

Manipur

9

14

18

0.05%

0.08%

0.10%

Meghalaya

NA

NA

NA

NA

NA

NA

Mizoram

3

4

5

0.03%

0.04%

0.06%

Nagaland

9

13

18

0.06%

0.09%

0.12%

Odisha

292

438

583

0.23%

0.35%

0.47%

Punjab

186

279

372

0.21%

0.32%

0.42%

Rajasthan

700

1,050

1,400

0.40%

0.61%

0.81%

Sikkim

7

11

15

0.09%

0.14%

0.18%

Tamil Nadu

1,868

2,802

3,736

0.85%

1.28%

1.70%

Telangana

880

1,320

1,760

0.61%

0.92%

1.23%

Tripura

15

22

30

0.09%

0.13%

0.17%

Uttar Pradesh

943

1,414

1,886

0.22%

0.33%

0.45%

Uttarakhand

66

98

131

0.15%

0.23%

0.31%

West Bengal

251

377

503

0.14%

0.21%

0.28%

Total 

10,130

15,195

20,260

0.34%

0.51%

0.67%

Note:   Andhra Pradesh, Madhya Pradesh, and Meghalaya passed a vote on account, so data not available.
Sources:  State Budget Documents; PRS.

How much can GST compensation help?

The shortfall in state GST revenue could get offset by the GST compensation provided to states by the central government.   The GST (Compensation to States) Act, 2017, requires the central government to provide compensation to states for loss of revenue arising due to GST implementation until 2022.  For this purpose, the Act guarantees a 14% annual growth rate in state GST revenue, which is much higher than the growth likely in the year 2020-21.  As a result, the central government would be required to provide states a compensation equivalent to the shortfall in growth in their state GST revenue, in comparison to the 14% growth.

However, it is likely that there may not be sufficient funds to provide compensation to states in 2020-21.  Compensation to states is given out of the GST Compensation Fund, which consists of collections of a cess levied specifically to generate funds for this purpose.  The cess is levied on coal, tobacco and its products, pan masala, automobiles, and aerated drinks.  The cess collections may see a shortfall as the sale of many of these goods is likely to be affected this year.  Note that domestic automobile sales declined 18% in 2019-20 over the previous year while coal production stayed constant.

In the 2020-21 budget, the central government estimated to provide Rs 1,35,368 crore as compensation to states, which is close to the total compensation estimated by states in their budgets.  However, due to the lockdown, the cess collections financing these grants are estimated to decrease, whereas the compensation requirement of states is estimated to increase due to lower GST collections.   While there is a risk that any incremental requirement may not be met, states’ revenue can see a much larger impact if cess collections are not even sufficient to meet their existing amounts as per the 2020-21 budgets (Table 6).  States, on an average, depend on GST compensation grants for 4.4% of their revenue in 2020-21.  However, states such as Gujarat, Punjab, and Delhi expect almost 14-15% of their revenue in 2020-21 to come in the form of GST compensation grants.

Table 6:   GST compensation grants estimated by states in 2020-21 (Rs crore)

State/ UT

GST Compensation

GST compensation as a percentage of state’s revenue receipts

Andhra Pradesh

NA 

NA

Arunachal Pradesh

0

0.0%

Assam

1,000

1.1%

Bihar

3,500

1.9%

Chhattisgarh

2,938

3.5%

Delhi

7,800

14.1%

Goa

1,358

10.2%

Gujarat

22,510

13.9%

Haryana

7,000

7.8%

Himachal Pradesh

3,338

8.7%

Jammu and Kashmir

3,177

3.6%

Jharkhand

1,568

2.1%

Karnataka

16,116

9.0%

Kerala

0

0.0%

Madhya Pradesh

 NA

NA

Maharashtra

10,000

2.9%

Manipur

0

0.0%

Meghalaya

NA

NA

Mizoram

0

0.0%

Nagaland

0

0.0%

Odisha

6,200

5.0%

Punjab

12,975

14.7%

Rajasthan

4,800

2.8%

Sikkim

0

0.0%

Tamil Nadu

10,300

4.7%

Telangana

0

0.0%

Tripura

208

1.2%

Uttar Pradesh

7,608

1.8%

Uttarakhand

3,571

8.4%

West Bengal

4,928

2.7%

Total 

1,30,894

4.4%

Note:   Andhra Pradesh, Madhya Pradesh, and Meghalaya passed a vote on account, so data not available.
Sources:  State Budget Documents; PRS.

A similar scenario played out last year when due to the economic slowdown, the cess collections were not sufficient to meet states’ compensation requirements.  As a result, states have received the GST compensation only till November 2019.  Note that the GST (Compensation to States) Act, 2017 provides that the GST Council can recommend other funding mechanisms for the Compensation Fund.  For instance, this can be done when there is a shortfall of money in the Fund for providing compensation to states.

Impact on State Finances

In light of such severe stress on the revenue side, states will have to either cut their budgeted expenditure or increase their borrowings to meet the budget targets.  Note that because of the coronavirus pandemic and the lockdown, states are also making unforeseen expenditure in the health sector and for providing relief from the lockdown.  As a result, many states have already started working on the former by drawing up plans to defer or cut their planned expenditure, or divert funds for planned expenditure towards these immediate requirements.  With relatively less flexibility on the side of revenue expenditure, capital expenditure could see a larger cut in many states.  For instance, revenue expenditure includes expenditure committed towards payment of interest, salaries, and pension.  On average, this committed expenditure uses up 50% of states’ revenue.  However, some states have already gone ahead and deferred or cut the expenditure towards payment of salaries.  Also, with private consumption and investment expected to remain sluggish, reduction of government expenditure could lead to a further decline in GDP.

The other option for states is to increase their borrowings.  However, states’ borrowings are limited by their FRBM laws at 3% of their GSDP (with a further 0.5% of GSDP if they fulfil some conditions).  States also need the consent of the central government to borrow money.  While most states had already budgeted their fiscal deficit for 2020-21 near the upper limit, it seems some states do have some fiscal space to borrow more (Table 7).   However, with GSDP expected to take a hit because of the lockdown, fiscal deficit as a percentage of GSDP for all states could be higher than budgeted targets, even if they do not make any additional borrowings.

Table 7:  Fiscal deficit estimates for 2020-21 as a percentage of GSDP

State/ UT

2019-20 (Revised)

2020-21 (Budgeted)

Andhra Pradesh

NA 

NA

Arunachal Pradesh

3.1%

2.4%

Assam

5.7%

2.3%

Bihar

9.5%

3.0%

Chhattisgarh

6.4%

3.2%

Delhi

-0.1%

0.5%

Goa

4.7%

5.0%

Gujarat

1.6%

1.8%

Haryana

2.8%

2.7%

Himachal Pradesh

6.4%

4.0%

Jammu and Kashmir

NA 

5.0%

Jharkhand

2.3%

2.1%

Karnataka

2.3%

2.6%

Kerala

3.0%

3.0%

Madhya Pradesh

NA 

NA

Maharashtra

2.7%

1.7%

Manipur

8.9%

4.1%

Meghalaya

 NA

 NA

Mizoram

8.3%

1.7%

Nagaland

9.0%

4.8%

Odisha

3.4%

3.0%

Punjab

3.0%

2.9%

Rajasthan

3.2%

3.0%

Sikkim

4.3%

3.0%

Tamil Nadu

3.0%

2.8%

Telangana

2.3%

3.0%

Tripura

6.2%

3.5%

Uttar Pradesh

3.0%

3.0%

Uttarakhand

2.5%

2.6%

West Bengal

2.6%

2.2%

Centre

3.8%

3.5%

Note:   Andhra Pradesh, Madhya Pradesh, and Meghalaya passed a vote on account, so data not available.
Sources:  Union and State Budget Documents; PRS.

Recently, the Standing Committee on Health and Family Welfare submitted its report to the Parliament on the National Commission for Human Resource for Health Bill, 2011.  The objective of the Bill is to “ensure adequate availability of human resources in the health sector in all states”.  It seeks to set up the National Commission for Human Resources for Health (NCHRH), National Board for Health Education (NBHE), and the National Evaluation and Assessment Council (NEAC) in order to determine and regulate standards of health education in the country.  It separates regulation of the education sector from that of professions such as law, medicine and nursing, and establishes professional councils at the national and state levels to regulate the professions. See here for PRS Bill Summary. The Standing Committee recommended that this Bill be withdrawn and a revised Bill be introduced in Parliament after consulting stakeholders.  It felt that concerns of the professional councils such as the Medical Council of India and the Dental Council of India were not adequately addressed.  Also, it noted that the powers and functions of the NCHRH and the National Commission on Higher Education and Research (to be established under the Higher Education and Research Bill, 2011 to regulate the higher education sector in the country) were overlapping in many areas.  Finally, it also expressed concern over the acute shortage of qualified health workers in the country as well as variations among states and rural and urban areas.  As per the 2001 Census, the estimated density of all health workers (qualified and unqualified) is about 20% less than the World Health Organisation’s norm of 2.5 health workers per 1000 population. See here for PRS Standing Committee Summary. Shortfall of health workers in rural areas Public health care in rural areas is provided through a multi-tier network.  At the lowest level, there are sub health-centres for every population of 5,000 in the plains and 3,000 in hilly areas.  The next level consists of Primary Health Centres (PHCs) for every population of 30,000 in the plains and 20,000 in the hills.  Generally, each PHC caters to a cluster of Gram Panchayats.  PHCs are required to have one medical officer and 14 other staff, including one Auxiliary Nurse Midwife (ANM).  There are Community Health Centres (CHCs) for every population of 1,20,000 in the plains and 80,000 in hilly areas.  These sub health centres, PHCs and CHCs are linked to district hospitals.  As on March 2011, there are 14,8124 sub health centres, 23,887 PHCs and 4809 CHCs in the country.[i]  Sub-Health Centres and Primary Health Centres

  • § Among the states, Chhattisgarh has the highest vacancy of doctors at 71%, followed byWest Bengal(44%),Maharashtra(37%), and Uttar Pradesh (36%). On the other hand, Rajasthan (0.4%), Andhra Pradesh (3%) and Kerala (7%) have the lowest vacancies in PHCs.
  • § Nine states do not have any doctor vacancies at all at the PHC level. These states includeBihar, Jharkhand andPunjab.
  • § Ten states have vacancy in case of ANMs.  These are: Manipur, Uttar Pradesh, Chhattisgarh,Gujarat,Goa, Himachal Pradesh, Tamil Nadu, Haryana, Kerala and Andhra Pradesh.
  • § The overall vacancy for ANMs in the country is 5% while for doctors it is 24%.

Table 1: State-wise comparison of vacancy in PHCs

 

Doctors at PHCs

ANM at PHCs and Sub-Centres

State Sanctioned post Vacancy % of vacancy Sanctioned post Vacancy % of vacancy
 Chhattisgarh 1482 1058 71 6394 964 15
 West Bengal 1807 801 44 10,356 NA 0
 Maharashtra 3618 1326 37 21,122 0 0
 Uttar Pradesh 4509 1648 36 25,190 2726 11
 Mizoram 57 20 35 388 0 0
 Madhya Pradesh 1238 424 34 11,904 0 0
 Gujarat 1123 345 31 7248 817 11
 Andaman & Nicobar Isld 40 12 30 214 0 0
 Odisha 725 200 28 7442 0 0
 Tamil Nadu 2326 622 27 9910 136 1
 Himachal Pradesh 582 131 22 2213 528 24
 Uttarakhand 299 65 22 2077 0 0
 Manipur 240 48 20 984 323 33
 Haryana 651 121 19 5420 386 7
 Sikkim 48 9 19 219 0 0
 Meghalaya 127 23 18 667 0 0
 Delhi 22 3 14 43 0 0
 Goa 46 5 11 260 20 8
 Karnataka 2310 221 10 11,180 0 0
 Kerala 1204 82 7 4232 59 1
 Andhra Pradesh 2424 76 3 24,523 2876 12
 Rajasthan 1478 6 0.4 14,348 0 0
 Arunachal Pradesh  NA  NA NA NA NA 0
 Assam  NA  NA NA NA NA 0
 Bihar 2078  0 NA NA NA 0
 Chandigarh 0 0 NA 17 0 0
 Dadra & Nagar Haveli 6 0 NA 40 0 0
 Daman & Diu 3  0 NA 26 0 0
 Jammu & Kashmir 750  0 NA 2282 0 0
 Jharkhand 330  0 NA 4288 0 0
 Lakshadweep 4  0 NA NA NA 0
 Nagaland  NA  NA NA NA NA 0
 Puducherry 37 0 NA 72 0 0
 Punjab 487 0 NA 4044 0 0
 Tripura  NA  NA NA NA NA 0
 India 30,051 7,246 24 1,77,103 8,835 5
Sources: National Rural Health Mission (available here), PRS.Note: The data for all states is as of March 2011 except for some states where data is as of 2010.  For doctors, these states are Bihar, UP, Mizoram and Delhi.  For ANMs, these states are Odisha and Uttar Pradesh.

 

Community Health Centres

  • § A CHC is required to be manned by four medical specialists (surgeon, physician, gynaecologist and paediatrician) and 21 paramedical and other staff.
  • § As of March 2011, overall there is a 39% vacancy of medical specialists in CHCs.  Out of the sanctioned posts, 56% of surgeons, 47% of gynaecologists, 59% of physicians and 49% of paediatricians were vacant.
  • States such as Chhattisgarh, Manipur and Haryana have a high rate of vacancies at the CHC level.

Table 2: Vacancies in CHCs of medical specialists

  Surgeons Gynaecologists Physicians Paediatricians
State

% of vacancy

 Andaman & NicobarIsland 100 100 100 100
 Andhra Pradesh 74 0 45 3
 Arunachal Pradesh NA NA NA NA
 Assam NA NA NA NA
 Bihar 41 44 60 38
 Chandigarh 50 40 50 100
 Chhattisgarh 85 85 90 84
 Dadra & Nagar Haveli 0 0 0 0
 Daman & Diu 0 100 0 100
 Delhi 0 0 0 0
 Goa 20 20 67 66
 Gujarat 77 73 0 91
 Haryana 71 80 94 85
 Himachal Pradesh NA NA NA NA
 Jammu & Kashmir 34 34 53 63
 Jharkhand 45 0 81 61
 Karnataka 33 NA NA NA
 Kerala NA NA NA NA
 Lakshadweep 0 0 100 0
 Madhya Pradesh 78 69 76 58
 Maharashtra 21 0 34 0
 Manipur 100 94 94 87
 Meghalaya 50 NA 100 50
 Mizoram NA NA NA NA
 Nagaland NA NA NA NA
 Odisha 44 45 62 41
 Puducherry 0 0 100 NA
 Punjab 16 36 40 48
 Rajasthan 57% 46 49 24
 Sikkim NA NA NA NA
 Tamil Nadu 0 0 0 0
 Tripura NA NA NA NA
 Uttar Pradesh NA NA NA NA
 Uttarakhand 69 63 74 40
 West Bengal 0 57 0 78
 India 56 47 59 49
Sources: National Rural Health Mission (available here), PRS.

[i].  “Rural Healthcare System in India”, National Rural Health Mission (available here).