INDIAN PUBLIC HEALTH STANDARDS IPHS ITS MONITORING RAJESH

INDIAN PUBLIC HEALTH STANDARDS (IPHS) & ITS MONITORING RAJESH BHATIA DD(RHS) MINISTRY OF HEALTH & FAMILY WELFARE

Indian Public Health Standards (IPHS) Describe benchmarks for quality expected from various components of health care organizations Standards for quality of services, facilities, infrastructure, manpower, machines & equipment, drugs etc. Main driver for continuous improvements in quality Standards for assessing performance of health care delivery system 2

Why Standards? Functioning of Rural Health Care Institutions not satisfactory Lack of comprehensive and realistic mandatory standards for Public Health Institutions in Indian context Needed to ensure Quality management Quality Assurance Effective, economical and accountable health care delivery system Optimal level of services 3

Process Setting standards – a dynamic process Current standards prepared keeping in view available resources Minimum standards for functional requirements of buildings, manpower, instruments & equipments, drugs and other facilities 4

Existing Standards Hospital Standards by Bureau of Indian Standards (BIS) BIS Standards considered very resource intensive in current scenario No such standards for primary health care institutions National Rural Health Mission (NRHM) – opportunity to prescribe Indian Public Health Standards for rural health care 5

Process of Formulating IPHS Constitution of Expert Committee under DGHS Discussion with members comprised of ministry officials, State Governments representatives, academicians, management experts, economists, donor agencies, public health professionals, and other organizations such as NGOs etc. 6

Circulation of draft IPHS for public health institutions in rural areas Putting drafts standard on website Finalization of draft IPHS for public health institutions 7

Implementation and Monitoring • Under National Rural Health Mission (NRHM) States / UTs to upgrade CHCs, PHCs and Sub Centres upto IPHS levels • Govt. of India also provided funds @ Rs. 20 Lakhs per CHCs for all CHCs to various States / UTs 8

Strengthening health infrastructure in terms of trained staff, infrastructure, equipment and supplies required Prerequisite to obtain knowledge of existing situation at different levels of health facilities 9

IPHS Facility Survey Main objectives of IPHS Facility Survey To assess existing facilities as per the norms under IPHS and identify gaps To assess utilisation of facilities provided To assess quality of services using appropriate outcome indicators 10

Proforma designed and circulated among all States / UTs which could be used for conducting IPHS facility surveys States / UTs in the process of conducting facility surveys Reports of IPHS facility survey for identified CHCs received from 15 States / UTs 11

Monitoring Proforma for Identifying Gaps for IPHS based on Facility Survey To properly analyse and monitor process of upgradation of CHCs to IPHS Proforma designed to highlight gaps To judge situation at a particular centre just by giving a look at proforma 12

Monitoring Proforma to be kept as benchmark record for each centre Monitoring process for ensuring proper and effective implementation 13

IPHS- Other Requirements Capacity Building at all levels Optimal Use of available infrastructure Quality Assurance & Accountability Standard Treatment protocols/ Standard Operating Guidelines Rogi Kalyan Samiti Charter of Patients’ Rights (Citizen’s Charter) 14

Monitoring mechanism Internal & External monitoring by PRIs and RKS/HMS Audits – Social, Economic, Medical & Technical Checklist for minimum requirement for following components Services, Manpower, Physical infrastructure, Equipment, Drugs 15

THANK YOU ! 16