Human Resource.
This section provides an overview of availability of trained and specialized medical, nursing and paramedical personnel in the State. This will also give an overview of district wise distribution and inter districts disparities.
Average No of person served by Government Doctor/Dental Surgeon/Nurse/ANM/ as on 31/12/2016
| SL. No. | PARTICULARS | EAST | WEST | NORTH | SOUTH | STATE |
|---|---|---|---|---|---|---|
| 1 | ALLOPATHIC DOCTORS | 1620 | 4873 | 1987 | 2771 | 2196 |
| 2 | DENTAL DOCTOR | 10128 | 27287 | 6244 | 16317 | 12461 |
| 3 | NURSE | 2181 | 5457 | 2300 | 5245 | 3023 |
| 4 | ANMs | 1411 | 1605 | 662 | 1335 | 1322 |
Source: PME Division. DHS. State.
NB: Ratio based on Population Census 2011 (State-610577/North-43709/East-283583/South-146850/West-136435).
The average population served by the Government Allopathic Doctors is lowest in east district may be because state referral hospital is situated in the east districts. Number is largest in the west followed by south then north districts. The good figure in the north district may not be because of number of Doctors in the district. It may be because population of north district is smallest. Trend is similar regarding Dental Doctors and ANM. In comparision to national figure state is far better of in respect of allopathy and Dental doctor serving average population. One significant observation noticed in the table is that average number of population served by Nurse is far larger than that of doctors. This indicates severe shortages of Nurses in the State.
District wise Allopath/Ayush Doctors in Position in the State as on 31/12/2016
| Sl.No. | Particulars | STNM/Gangtok/HO | EAST | WEST | NORTH | SOUTH | STATE | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| DH | PHC | DH | PHC | DH | PHC | DH | PHC | ||||
| 1. | PCC/Chief Consultants/Consultants/Specialists | 102 | 12 | - | 7 | - | 2 | - | 17 | - | 140 |
| 2. | Doctors(Other than mentioned in Sl. NO. 1) | 34 | 6 | 3 | 5 | 1 | 2 | 5 | 12 | 4 | 72 |
| 3. | MO(Specialist )(Contractual) | - | 1 | - | 1 | - | - | - | 4 | - | 6 |
| 4. | MO (Contractual) | 1 | 4 | 7 | 4 | 7 | 6 | 5 | 6 | 6 | 46 |
| 5. | MO(AMJI/AYUSH)(Contractual) | 2 | 2 | 1 | 1 | 2 | 1 | 1 | 2 | 2 | 14 |
| TOTAL | 139 | 25 | 11 | 18 | 10 | 11 | 11 | 41 | 12 | 278 |
Source: PME Div. DHS.
Table 1.4.2. The table shows there are total of 278 Allopath Doctors in the state out of which 14 are of Ayush background. District wise distribution is shown in the table.
1.4.3. District wise Dental Doctors in Position in the State
| S.N | Particulars | HO/STNM/GANGTOK | EAST | WEST | NORTH | SOUTH | STATE | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R | C | R | C | R | C | R | C | R | C | R | C | TOTAL | ||
| 1. | Cardiology | 1 | - | - | - | - | - | - | - | - | - | 1 | - | 1 |
| 2. | General Medicine | 7 | - | 2 | - | 1 | - | - | - | - | 1 | 10 | 1 | 11 |
| 3. | Gynaecology & Obstetric | 9 | - | 2 | - | 2 | - | 1 | - | 2 | 1 | 16 | 1 | 17 |
| 4. | Paediatrician | 7 | - | 2 | - | 1 | - | - | - | 1 | - | 11 | - | 11 |
| 5. | Orthopaedics | 3 | - | - | - | - | - | - | - | 1 | - | 4 | - | 4 |
| 6. | Surgeon | 5 | - | - | - | - | - | - | - | 2 | 1 | 7 | 1 | 8 |
| 7. | Anaesthesist/DA | 6 | - | 1 | - | 1 | - | - | - | 1 | - | 9 | - | 9 |
| 8. | Psychiatrist | 3 | - | 1 | - | - | 1 | - | - | 1 | - | 5 | 1 | 6 |
| 9. | Medico Legal | 2 | - | 1 | - | - | - | - | - | - | - | 3 | - | 3 |
| 10. | Pathology/DCP | 9 | - | 1 | - | - | - | - | - | 2 | - | 12 | - | 12 |
| 11. | Radiology/Dip. In Radiology | 3 | - | - | - | - | - | - | - | 1 | - | 4 | - | 4 |
| 12. | TB & Respiratory | 4 | - | - | - | - | - | - | - | - | - | 4 | - | 4 |
| 13. | Opthalmology | 3 | - | - | 1 | - | - | - | - | - | 1 | 3 | 2 | 5 |
| 14. | Dermatology | 4 | - | - | - | - | - | - | - | 1 | - | 5 | - | 5 |
| 15. | GastroEnterology | 1 | - | - | - | - | - | - | - | - | - | 1 | - | 1 |
| 16. | ENT | 5 | - | - | - | 1 | - | 1 | - | 1 | - | 8 | - | 8 |
| 17. | Microbiology | 9 | - | - | - | 1 | - | - | - | 1 | - | 11 | - | 11 |
| 18. | Community Medicine | 9 | - | - | - | - | - | - | - | 2 | - | 11 | - | 11 |
| 20. | Pharmalogy | 2 | - | 1 | - | - | - | - | - | - | - | 3 | - | 3 |
| 21 | PMR (Physical Medicine of Rehabitation | 1 | - | - | - | - | - | - | - | - | - | 1 | - | 1 |
| 22 | Physiology | 2 | - | - | - | - | - | - | - | - | - | 2 | - | 2 |
| 23 | Bio Chemistry | 7 | - | 1 | - | - | - | - | - | 1 | - | 9 | - | 9 |
| TOTAL | 102 | - | 12 | 1 | 7 | 1 | 2 | - | 17 | 4 | 140 | 6 | 146 |
Source:PME. Div. DHS.
Department wise No. of Specialist as on 31/12/2016.
| Sl. N. | Designation | STNM/HO | East | West | North | South | State |
|---|---|---|---|---|---|---|---|
| 1. | Joint Director (Nursing) | 1 | - | - | - | - | 1 |
| 2. | Community Nursing Officer | - | - | - | - | 1 | 1 |
| 3. | Principal Nursing Officer | 1 | - | - | - | - | 1 |
| 4. | Nursing Supdt. | 1 | - | - | - | - | 1 |
| 5. | Senior CHO | - | - | - | - | - | - |
| 6. | Deputy Director Nursing | 2 | - | - | - | - | 2 |
| 7. | Sr. PHNO | 1 | 1 | - | 1 | 1 | 4 |
| 8. | Sr. Sister Tutor | 5 | - | - | - | - | 5 |
| 9. | Dy. Nursing superintendent | 4 | - | - | - | - | 4 |
| 10. | Asstt. Director Nursing | 2 | - | - | - | - | 2 |
| 11. | CHO | 2 | 4 | 1 | - | 3 | 10 |
| 12. | PHNO | 1 | 1 | - | 1 | 1 | 4 |
| 13. | Jr. Sister Tutor | - | - | - | - | - | - |
| 14. | Assistant Nursing Superintendent | 16 | 1 | 1 | 1 | 1 | 20 |
| 15 | LHV/HA(F) | - | 8 | 2 | 2 | 4 | 16 |
| 16. | Staff Nurse | 96 | 13 | 8 | 5 | 18 | 140 |
| 17. | Sr.ANM(Selection Grade) | 22 | 14 | 6 | 4 | 18 | 64 |
| 18. | ANM (G-I) | 44 | 38 | 19 | 17 | 50 | 168 |
| 19. | ANM/MPHW (G-II) | 12 | 35 | 21 | 8 | 12 | 88 |
| 20. | ANM/MPHW G-III) | 2 | 11 | 15 | 17 | 14 | 59 |
| 21. | Staff Nurse (NRHM) | 3 | 18 | 17 | 14 | 10 | 62 |
| 22. | ANM/MPHW (NRHM) | 1 | 22 | 24 | 20 | 16 | 83 |
| TOTAL | 216 | 166 | 144 | 90 | 149 | 735 |
Source: PME.Div.DHS.
District wise postings of Nursing personnels (Nurse/LHV/ANM ) regular and contractual in position as on 31/12/2016.
| Sl.No | Particulars | STNM/HO | EAST | WEST | NORTH | SOUTH | STATE |
|---|---|---|---|---|---|---|---|
| 1 | Joint Med. Store Officer | 1 | - | - | - | - | 1 |
| 2 | Joint Director (PFA) | - | 1 | - | - | - | 1 |
| 3 | Dy. Director (IEC) | 1 | - | - | - | - | 1 |
| 4 | Dy. Director (Sanitation) | 1 | - | - | - | - | 1 |
| 5 | Joint Director (Drugs) | - | - | - | - | - | - |
| 6 | Sr. Public Analyst | - | - | - | - | - | - |
| 7 | Sr. Med. Store Officer | - | - | - | - | - | - |
| 8 | Sr. Food Inspector | 1 | - | - | - | 1 | 2 |
| 9 | Sr. Tech. Officer | - | - | - | - | - | - |
| 10 | Health Edn. Officer (IEC) | 2 | 3 | - | - | 1 | 6 |
| 11 | Sr./Non- Med. Leprosy Officer | - | 1 | 1 | 1 | 1 | 4 |
| 12 | Community Health Officer (CHO) | 1 | 1 | - | - | 02 | 4 |
| 13 | Technical Officer | 24 | 5 | 8 | 4 | 10 | 51 |
| 14 | Entomologist (NRHM) | 1 | - | - | - | - | 1 |
| 15 | Dietician | 1 | - | - | - | 1 | 2 |
| 16 | Asstt. Director (Sanitation) | - | 1 | 1 | 1 | - | 3 |
| 17 | Counselor (on Deputation to another deptt. | 1 | - | - | - | - | 1 |
| 18 | Physiotherapist | 3 | 1 | 1 | - | 1 | 6 |
| 19 | Clinical Psychologist | 1 | - | - | - | - | 1 |
| 20 | Sr. Drug Inspector | - | 2 | - | - | - | 2 |
| 21 | Med. Store Officer | 1 | 1 | 1 | 1 | 1 | 5 |
| TOTAL | 40 | 16 | 12 | 7 | 18 | 93 |
Source: PME. Div.DHS.
District wise Position of Paramedics (Group A & B) as on 31/12/2016.
| Sl.No | Particulars | STNM/HO | EAST | WEST | NORTH | SOUTH | STATE |
|---|---|---|---|---|---|---|---|
| 1 | MPHW (M) | 6 | 72 | 38 | 21 | 36 | 173 |
| 2 | MRT | - | - | - | 01 | - | 1 |
| 3 | X- Ray- Technician | 3 | 1 | 3 | 1 | 07 | 15 |
| 4 | Radiographer/CT Scan | 3 | - | - | 2 | 1 | 6 |
| 5 | ECG Technician | 4 | 1 | 1 | - | - | 6 |
| 6 | Lab. Tech. (1, II & III) | 9 | 13 | 9 | 6 | 14 | 51 |
| 7 | Blood Bank Tech. | 1 | - | - | - | 3 | 4 |
| 8 | Orth.Tech. | 4 | 1 | - | - | 2 | 7 |
| 9 | OT Technician | 5 | 1 | 2 | - | 3 | 11 |
| 10 | Ophthalmic Assistant | 3 | - | 1 | 1 | 1 | 6 |
| 11 | Health Educator | - | 2 | 1 | 2 | 3 | 8 |
| 12 | Counsellor Drug De – adddic. | 1 | - | - | - | - | 1 |
| 13 | Non Med. Supervisor | 3 | 3 | 4 | 2 | 4 | 16 |
| 14 | PMW | 1 | - | 1 | - | - | 2 |
| 15 | Dental Assistant | 2 | 1 | 2 | 2 | 2 | 9 |
| 16 | Dental Hygienist | 2 | 1 | - | - | 1 | 4 |
| 17 | Treatment Organiser | - | 1 | - | - | 1 | 2 |
| 18 | Asstt. Pgysiotherapist | 3 | - | 1 | - | 2 | 6 |
| 19 | Ward Master | 2 | 1 | - | - | 1 | 4 |
| 20 | Store Inspector | - | 1 | - | - | - | 1 |
| 21 | Sanitary Inspector | - | - | - | 1 | 1 | 2 |
| 22 | Drug Inspector | - | - | - | - | - | - |
| 23 | Autopsy Technician | 1 | - | - | - | - | 1 |
| 24 | Insect Collector | 4 | 1 | - | - | - | 5 |
| 25 | Dark Room Asstt. | 1 | - | - | - | 1 | 2 |
| 26 | Lab Tech. (NRHM) | - | 3 | 6 | 2 | 4 | 15 |
| 27 | X – Ray Tech. (NRHM) | 1 | 2 | 3 | 1 | 1 | 8 |
| 28 | Paramedics (Ayush) NRHM | - | 1 | 2 | 1 | 2 | 6 |
| 29 | Pharmacist (NRHM)- | - | 3 | 5 | 5 | 5 | 18 |
| 30 | MPHW (M) (NRHM) | - | - | - | - | - | - |
| 31 | Dental Assistant (NRHM) | - | 3 | - | - | 3 | 6 |
| 32 | O T Tech. (NRHM) | - | 1 | 1 | - | 1 | 3 |
| 33 | Ophthalmic Assistant (NRHM) | 1 | - | - | - | - | 1 |
| 34 | ECG Tech. (NRHM) | 1 | 1 | - | - | - | 2 |
| TOTAL | 61 | 114 | 80 | 48 | 99 | 402 |
Source: PME.DIV. DHS>
District wise Position of Paramedics (Group C) as on 31/12/2016.
| Sl.No | Designation | STNM/Gangtok HO | East | West | North | South | State |
|---|---|---|---|---|---|---|---|
| 1. | Pr.Director/Chief Consultant | 1 | - | - | - | - | 1 |
| 2. | Addl.Director/Consultant Grd I | 1 | - | - | - | - | 1 |
| 3. | ConsultantsGrade II | 5 | - | - | - | - | 5 |
| 4. | Dental SurgeonSenior Grade | 6 | 2 | 1 | 2 | 3 | 14 |
| 5. | Dental Surgeon Junior Grade | 2 | 2 | 1 | 2 | 1 | 8 |
| 6. | Dental Surgeon (Contract) | 2 | 5 | - | 2 | 2 | 11 |
| 7. | Dental Surgeon (NRHM) | 0 | 2 | 3 | 1 | 3 | 9 |
| Total | 17 | 11 | 5 | 7 | 9 | 49 |
Source : PME Div.Table 1.4.7.
Many Vacant post of different category of Para medical personnel in the District and state is observed in the table. It indicates urgent need of Cadre review and immediate filling up of post priority wise and in a phased manner.
Health Infrastructure.
Health infrastructure is an important indicator to understand the healthcare delivery provision and mechanism in the state. It also indicates priority accorded to the health sector by the state. This section has been divided into two i.e Service infrastructure and Educational infrastructure.
Service Infrastructure.
No of Health Institutions in Sikkim.
| SL.NO. | HEALTH INSTITUTION | EAST | WEST | NORTH | SOUTH | STATE |
|---|---|---|---|---|---|---|
| 1 | STATE REFERRAL HOSPITAL/STNM HOSPITAL | 1 | - | - | - | 1 |
| 2 | DISTRICT HOSPITAL | 1 | 1 | 1 | 1 | 4 |
| 3 | COMMUNITY HEALTH CENTRE | 1 | - | - | 1 | 2 |
| 4 | PRIMARY HEALTH CENTRE | 6 | 7 | 5 | 6 | 24 |
| 5 | PRIMARY HEALTH SUB CENTRE | 48 | 41 | 18 | 39 | 146 |
| 6 | DISTRICT TUBERCULOSIS CENTRE,NAMCHI | - | - | - | 1 | 1 |
| 7 | CENTRE REFERRAL HOSPITAL MANIPAL TADONG (PPP.) | 1 | - | - | - | 1 |
| 8 | TOTAL | 58 | 49 | 24 | 48 | 179 |
Hospital Beds Sanctioned Strength in the State of Sikkim as on 31/12/2016
| SLNO | HEALTH INSTITUTIONS | NO. OF BEDS | ||||
|---|---|---|---|---|---|---|
| EAST | WEST | NORTH | SOUTH | STATE | ||
| 1 | STATE REFERRAL HOSPITAL | 300 | NA | NA | NA | 300 |
| 2 | DISTRICT HOSPITAL | 100 | 100 | 100 | 100 | 400 |
| 3 | COMMUNITY HEALTH CENTRE | 30 | NA | NA | 30 | 60 |
| 4 | PRIMARY HEALTH CENTRE | 60 | 70 | 50 | 60 | 240 |
| 4 | DISTRICT TUBERCULOSIS CENTRE,NAMCHI | NA | NA | NA | 60 | 60 |
| 5 | CENTRAL REFERRAL HOSPITAL, MANIPAL TADONG (PVT.) | 500 | NA | NA | NA | 500 |
| TOTAL | 990 | 170 | 150 | 50 | 1560 |