7,683 subcentres (1991), now estimated at 23,190 subcentres for the projected population in Year 2002. Capital cost of one subcentre is Rs. 3 lacs, with a recurring cost of Rs. 0.5 lacs. The Finance Minister in his Budget Speech, 1999-2000, announced a scheme for strengthening rural health infrastructure, to be implemented with responsibility for funding shared between the panchayat, state and central governments. Accordingly, the Department of Family Welfare is formulating a scheme for opening new subcentres where required, providing buildings and equipment to existing subcentres, wherever necessary.

A shortage of 1,513 primary health centres (1991), now estimated at 4,212 PHCs for the population projected in 2002. Capital cost of one PHC is Rs. 24.50 lacs, with a recurring liability of Rs 13 lacs. These expenditures are met by the State Governments under the basic minimum services (BMS) programme. However, the financial position of the State Governments does not enable them to make these investments in health infrastructure.

A shortage of 2,899 community health centres (1991), now estimated at 3,776 CHCs for the projected population for the year 2000. CHCs serve, mostly, as the First Referral Units and are critical for reducing the MMR and IMR, besides serving as operating theatres for family planning services. Capital cost of one CHC is Rs. 80.5 lacs, with a recurring liability of 27 lacs, currently met by State Governments under the BMS programme.

The Department of Family Welfare funds 5,435 Rural FW Centres, some of which are being used as First Referral Units. Others are functioning as block-level PHCs.

Shortage in manpower is estimated as 27,501 ANMs, 64,860 male muti-purpose workers, and 4,224 LHVs, 5,126 Health Assistants (male), 2,475 medical officers in PHCs, 1,429 surgeons, 1,446 gynaecologists, 1,525 physicians, 1,774 pediatricians, and an overall shortage of 6,635 specialists.

Other health manpower reflects a shortfall of 1,171 radiographers, 6,045 pharmacists, 12,793 Lab Technicians, and 18,851 nuse mid-wives, in the rural primary health care delivery system. The financial requirement to address these unmet needs for trained manpower is approximately Rs. 2,300 crores.

For safe abortion services, no MTP kits have been made available since 1997. However, during the CSSM programme, 1,748 MTP kits were distributed to the FRUs. Most of these are lying unused, on account of shortage of trained manpower. This year an additional 180 MTP sets are being procured.

For training, since the population policy emphasises convergence of training requirements as well as decentralisation to sub-district and village levels, the estimated additionality for the present is Rs. 10 crores.