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.

1.4.1. Average number of person served by Government Doctor/Dental Surgeon/Nurse/ANM

SL. No.	PARTICULARS	EAST	WEST	NORTH	SOUTH	STATE
1	Allopathic/AYUSH doctors	1397	2966	1748	2719	1861
2	Dental doctor	7877	11369	3973	12237	8600
3	Nurse	721	1624	1066	1546	996
4	ANMs	1418	1749	1150	1498	1475

      

NB: Ratio based on Population Census 2011 (State-610577/North-43709/East-283583/South-146850/West-136435).
Table 1.4.1. 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 and then north districts. The good figure in the north district may not be because of number of Doctors in the district but because of the small population of the district. In comparison to national figure state is far better in respect of allopathic 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.


1.4.2. District wise Allopath/AYUSH Doctors in Position in the State :
 

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	79	17	4	14	2	6	0	21	4	147
2.	Doctors(Other than mentioned in Sl. NO. 1)	54	8	8	9	11	9	6	10	9	124
3.	MO(Specialist ) (Contractual)	0	0	0	0	0	0	0	3	0	3
4.	MO (Contractual)	18	3	4	3	5	1	1	0	4	39
5.	MO (AMJI/AYUSH) Regular/Contractual	3	3	2	1	1	1	1	2	1	15
	TOTAL	154	31	18	27	19	17	8	36	18	328

Table 1.4.2. The table shows there are total of 328 Allopath Doctors in the state out of which 15 are of AYUSH background. District wise distribution is shown in the table.

1.4.3. District wise Dental Doctors in position in the State:

Sl.No	Designation	STNM/ Gangtok HO	East	West	North	South	State
1.	Pr.Director/ Pr.Chief Consultant	1	0	0	0	0	1
2.	Addl.Director/ Consultant Grade I	6	0	0	0	0	6
3.	Consultants Grade II	5	1	0	0	3	9
4.	Dental Surgeon Senior  Grade	4	2	1	2	0	9
5.	Dental Surgeon Junior Grade	0	3	0	0	1	4
6.	Dental Surgeon (Contract)	2	9	10	8	7	36
7.	Dental Surgeon (NRHM)	0	3	1	1	1	6
	Total	18	18	12	11	12	71

1.4.4. Department wise number of Specialist :
 

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	6	-	1	-	3	-	1	-	2	1	12	1	13
3.	Gynaecology & Obstetric	6	-	2	-	3	-	2	-	5	1	18	1	19
4.	Paediatrician	5	-	4	-	1	-	-	-	1	-	11	-	11
5.	Orthopaedics	3	-	-	-	1	-	-	-	1	-	5	-	5
6.	Surgeon	3	-	1	-	1	-	-	-	1	1	6	1	7
7.	Anaesthesia	5	-	1	-	1	-	-	-	2	-	9	-	9
8.	Psychiatrist	5	-	1	-	-	-	-	-	1	-	7	-	7
9.	Medico Legal	2	-	-	-	-	-	-	-	1	-	3	-	3
10.	Pathology	8	-	2	-	-	-	-	-	-	-	10	-	10
11.	Radiology/Radiotherapy	4	-	-	-	-	-	-	-	1	-	5	-	5
12.	TB & Respiratory	1	-	1	-	1	-	1	-	1	-	4	-	4
13.	Ophthalmology	3	-	-	-	-	-	-	-	-	-	3	-	3
14.	Dermatology	4	-	-	-	1	-	-	-	1	-	6	-	6
15.	Gastro-Enterology	1	-	-	-	-	-	-	-	-	-	1	-	1
16.	ENT	5	-	1	-	1	-	1	-	2	-	10	-	10
17.	Microbiology	5	-	4	-	-	-	-	-	1	-	10	-	10
18.	Community Medicine	5	-	-	-	-	-	1	-	2	-	8	-	8
19.	Pharmacology	1	-	1	-	-	-	-	-	1	-	3	-	3
20.	PMR (Physical Medicine Rehabilitation	1	-	-	-	-	-	-	-	-	-	1	-	1
21.	Physiology	1	-	1	-	-	-	-	-	-	-	2	-	2
22.	Bio Chemistry	4	-	1	-	3	-	1	-	2	-	11	-	11
23.	UG. Tropical Medicine	-	-	-	-	1	-	-	-	-	-	1	-	1
	TOTAL	79	0	21	0	16	0	6	0	25	3	147	3	150

1.4.5. District wise postings of Nursing personnel:
 

Sl. no.	Designation	STNM/HO	East	West	North	South	State
1.	Joint Director(Nursing)	1	-	-	-	-	1
2.	Community Nursing Officer	-	-	-	1	-	1
3.	Principal Nursing Officer	-	-	-	-	-	-
4.	Nursing Supdt.	4	4	-	-	-	8
5.	Senior CHO	1	2	-	2	-	5
6.	Deputy Director Nursing	1	-	-	-	-	1
7.	Sr. PHNO	-	-	-	-	-	-
8.	Sr. Sister Tutor	-	-	-	-	-	-
9.	Deputy Nursing superintendent	12	1	1	1	1	16
10.	Assistant Director Nursing	2	-	-	-	-	2
11.	CHO	-	4	3	-	2	9
12.	PHNO	2	8	2	-	4	16
13.	Jr. Sister Tutor	8	-	-	-	-	8
14.	Assistant Nursing Superintendent	60	7	3	2	6	78
15	LHV/HA(F)	2	10	3	3	3	21
16.	Staff Nurse	305	79	77	39	91	591
17.	Sr.ANM(Selection Grade)	8	12	6	1	12	39
18.	ANM (G-I)	44	30	27	11	50	162
19.	ANM/MPHW (G-II & III)	12	70	21	05	19	127
20.	Staff Nurse (NRHM)	-	9	7	2	4	22
21.	ANM/MPHW (NRHM)	-	22	24	21	17	86
	TOTAL	462	260	174	88	209	1193

1.4.6. District wise position of Paramedics (Group A & B) :
 

Sl. No	Particulars	STNM/HO	EAST	WEST	NORTH	SOUTH	STATE
1	Joint Director (CHSO)	1	-	-	-	-	1
2	Joint Director (PFA)	1	-	-	-	-	1
3	Joint. Director (IEC)	-	-	-	-	-	-
4	Dy. Director (IEC)	-	-	-	-	-	1
5	Joint. Director (Sanitation)	1	-	-	-	-	1
6	Health Edn. Officer (IEC)	-	5	2	2	-	9
7	Non- Med. Leprosy Officer	1	5	4	2	2	14
8	Community Health Officer (CHO)	-	2	-	-	-	2
9	Technical Officer	36	15	10	9	18	88
10	Dietician	1	-	-	-	1	2
11	Asstt. Director (Sanitation)	-	2	1	-	-	3
12	Physiotherapist	2	1	1	-	1	5
13	Clinical Psychologist	2	-	-	-	-	2
14	Sr. Drug Inspector	2	-	-	-	-	2
15	Sr. NML Officer	-	1	-	-	-	1
16	Medical Store Officer	-	2	-	1	2	5
17	Entomologist(NRHM)	1					1
18	Sr. Physiotherapist	1	-	-	-	-	1
19	Designated Officer FSSA	-	2	-	-	-	2
	TOTAL	49	35	19	14	24	141

1.4.7. District wise position of Paramedics (Group C) :
 

Sl.No	Particulars	STNM/HO	EAST	WEST	NORTH	SOUTH	STATE
1	MPHW (M)	05	69	37	15	42	168
2	MRT	-	-	-	1	-	1
3	X- Ray- Technician	3	2	2	1	2	10
4	Radiographer/CT Scan	2	-	-	-	1	3
5	ECG Technician	4	-	-	-	1	5
6	Lab. Tech. (I, II & III)	7	5	-	1	1	14
7	Blood Bank Tech.	1	-	-	-	1	2
8	Ortho Technicians	4	1	-	-	1	6
9	OT Technician	2	1	1	-	1	5
10	Health Educator	-	2	-	1	1	4
11	Dental Assistant	3	1	1	1	-	6
12	Dental Hygienist	1	-	1	-	-	2
13	Treatment Organizer	1	1	1	-	1	4
14	Asstt. Physiotherapist	2	-	1	1	2	6
15	Ward Master	3	1	-	-	1	5
16	Store Inspector	1	2	-	-	1	4
17	Sanitary Inspector	-	-	-	1	1	2
18	Insect Collector	-	5	-	-	-	5
19	Dark Room Asstt.	-	-	-	-	1	1
20	Audiometrician	1	-	-	-	-	1
21	Lab Tech. (NRHM)	-	3	6	2	4	15
22	X – Ray Tech. (NRHM)	1	2	3	1	1	8
23	Paramedics (AYUSH) NRHM	-	1	2	1	2	6
24	Pharmacist (NRHM)-	-	3	5	5	5	18
25	MPHW (M) (NRHM)	-	2	-	-	-	2
26	Dental Tech.(NRHM)	-	3	-	-	3	6
27	O T Tech. (NRHM)	-	1	1	-	1	3
28	Ophthalmic Assistant (NRHM)	5	7	6	2	3	23
	TOTAL	46	112	67	33	77	335

Source: Annual Report 2018-19