Friday, 28 July 2017

Healthcare Facilities

Public Health and hospitals being a State subject, the primary responsibility to provide accessible and quality health care services to the people in rural areas lies with State/UT Governments.  However, under the National Health Mission (NHM), financial and technical support is provided to States and UTs to supplement their efforts for improving the healthcare services, particularly in rural areas, based on requirements projected by the States in their Programme Implementation Plan.
As per Rural Health Statistics 2016, there are 1,87,771 healthcare facilities in the public sector (1,55,069 Sub Centres; 25,354 Primary Health Centres; 5,510 Community Health Centre; 1,065 Sub Divisional Hospital and 773 District Hospitals) to meet the health needs of the rural population.  However, there is some shortage in public health facilities, a statement of which is given below:
SHORTFALL IN HEALTH INFRASTRUCTURE AS PER 2011 POPULATION IN INDIA (As on 31st March, 2016)
S.No.
State/ UT
Total
Population in Rural
Areas
Tribal
Population in Rural
Areas
Sub Centres
PHCs
CHCs
R
P
S
%
Shortfall

R
P
S
%
Shortfall

R
P
S
%
Shortfall
1
Andhra Pradesh
34776389
2293102
7261
7659
*
*
1197
1075
122
10
299
193
106
35
2
Arunachal Pradesh
1066358
789846
318
304
14
4
48
143
*
*
12
63
*
*
3
Assam
26807034
3665405
5850
4621
1229
21
954
1014
*
*
238
151
87
37
4
Bihar
92341436
1270851
18637
9729
8908
48
3099
1802
1297
42
774
148
626
81
5
Chhattisgarh
19607961
7231082
4885
5186
*
*
774
790
*
*
193
155
38
20
6
Goa
551731
87639
122
212
*
*
19
22
*
*
4
4
0
0
7
Gujarat
34694609
8021848
8008
8801
*
*
1290
1314
*
*
322
322
0
0
8
Haryana
16509359
0
3301
2576
725
22
550
474
76
14
137
110
27
20
9
Himachal Pradesh
6176050
374392
1285
2071
*
*
212
518
*
*
53
79
*
*
10
Jammu & Kashmir
9108060
1406833
2009
2805
*
*
327
637
*
*
81
84
*
*
11
Jharkhand
25055073
7868150
6060
3953
2107
35
966
327
639
66
241
188
53
22
12
Karnataka
37469335
3429791
7951
9332
*
*
1306
2353
*
*
326
206
120
37
13
Kerala
17471135
433092
3551
4575
*
*
589
824
*
*
147
225
*
*
14
Madhya Pradesh
52557404
14276874
12415
9192
3223
26
1989
1171
818
41
497
334
163
33
15
Maharashtra
61556074
9006077
13512
10580
2932
22
2201
1811
390
18
550
360
190
35
16
Manipur
2021640
791126
509
421
88
17
80
85
*
*
20
17
3
15
17
Meghalaya
2371439
2136891
759
431
328
43
114
109
5
4
28
27
1
4
18
Mizoram
525435
507467
172
370
*
*
25
57
*
*
6
9
*
*
19
Nagaland
1407536
1306838
455
396
59
13
68
126
*
*
17
21
*
*
20
Odisha
34970562
8994967
8193
6688
1505
18
1315
1305
10
1
328
377
*
*
21
Punjab
17344192
0
3468
2951
517
15
578
427
151
26
144
150
*
*
22
Rajasthan
51500352
8693123
11459
14408
*
*
1861
2080
*
*
465
571
*
*
23
Sikkim
456999
167146
113
147
*
*
18
24
*
*
4
2
2
50
24
Tamil Nadu
37229590
660280
7533
8712
*
*
1251
1368
*
*
312
385
*
*
25
Telangana
21585313
2939027
4708
4863
*
*
768
668
100
13
192
114
78
41
26
Tripura
2712464
1117566
691
1033
*
*
109
94
15
14
27
20
7
26
27
Uttarakhand
7036954
264819
1442
1847
*
*
238
257
*
*
59
59
0
0
28
Uttar Pradesh
155317278
1031076
31200
20521
10679
34
5194
3497
1697
33
1298
773
525
40
29
West Bengal
62183113
4855115
13083
10369
2714
21
2153
909
1244
58
538
349
189
35
30
A & N Islands
237093
26715
50
123
*
*
8
22
*
*
2
4
*
*
31
Chandigarh
28991
0
5
17
*
*
0
3
*
*
0
2
*
*
32
Dadra & Nagar Haveli
183114
150944
56
56
0
0
8
11
*
*
2
0
2
100
33
Daman & Diu
60396
7617
13
26
*
*
2
4
*
*
0
2
*
*
34
Delhi
419042
0
83
26
57
69
13
5
8
62
3
0
3
100
35
Lakshadweep
14141
13463
4
14
*
*
0
4
*
*
0
3
*
*
36
Puducherry
395200
0
79
54
25
32
13
24
*
*
3
3
*
*

All India/ Total
833748852
93819162
179240
155069
35110
20
29337
25354
6572
22
7322
5510
2220
30
Notes: The requirement is calculated using the prescribed norms on the basis of rural population from Census, 2011.  All India shortfall is derived by adding state-wise figures of shortfall ignoring the existing surplus in some of the states.
R: Required; P: In Position; S: Shortfall;     *: Surplus

According to the NSSO health and morbidity survey analysis  held in 2014, of ill persons in rural areas 28% sought out patient services from government facilities and of the total hospitalized, 42% were hospitalized in government facilities. As regards child birth, 56% of child births in rural areas took place in public hospitals and 24% in private hospitals. It may be pointed out that in rural areas the cost of care for hospitalized patient was much higher in private hospitals (Rs 21726 ) than in public hospital (Rs 5636) in the rural area.
Some of the key recent measures undertaken by the Government to improve health care services in the rural areas are:-
(i)                 The Government of India has recently approved the National Health Policy (NHP) which provides detailed framework and policy thrust areas to improve healthcare sector in a time bound manner.
(ii)               Over the period of 2005-2016 there has been an addition of 9043 Sub Health Centres (SHCs), 2118 Public Health Centres (PHCs) and 2164 Community Health Centres (CHCs).
(iii)             Transformation of Sub-Health Centres into Health and Wellness Centres has been rolled out to strengthen the delivery of comprehensive primary care.
(iv)              Operational Guidelines for NHM Free Drugs Service Initiative and Free Diagnostics Service Initiative have been shared with states. The objective is to ensure availability of essential drugs and necessary diagnostic services free of cost in public health facilities.
(v)               Bridge Programme in Community Health - for Nurses and for Ayurveda Practitioners- have been finalized and MoU in this regard has been signed with IGNOU. The trained personnel are proposed to be posted at Sub-Centres (SCs) as Community Health Officers – to lead the team at SCs for providing comprehensive promotive and preventive and curative healthcare services.
(vi)             Kayakalp awards have been launched to promote cleanliness, hygiene and infection control practices in public health facilities. Additionally, NQAS quality certification of public hospitals is being undertaken.
(vii)           Pradhan Mantri Shurakshit Matritva  Abhiyan (to improve access to specialist maternal care through voluntary participation of private providers).
(viii)         Pradhan Mantri National Dialysis Program to enable free Dialysis treatment to poor patients with end stage renal diseases.
(ix)             Universal screening of individuals over thirty for early detection and treatment of common non communicable diseases.

The Minister of State (Health and Family Welfare), Sh Faggan Singh Kulaste stated this in a written reply in the Lok Sabha here today.



Courtesy: pib.nic.in

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