Review of Status of Rural Health Infrastructure in

Review of Status of Rural Health Infrastructure in the Country and Underlying Issues Infrastructure Division Ministry of Health and Family Welfare 1

Introduction § The Primary Health Care Infrastructure - developed as a three tier system § Sub Centre, Primary Health Centre (PHC) and Community Health Centre (CHC) - the three pillars of Primary Health Care System 2

§ Primary Health Care - one of the priority areas of concern for the planners and policy makers § Ministry regularly compiling and disseminating information on rural health care services § Bulletin on Rural Health Statistics Ø Based on data received from States / UTs Ø Quarterly Progress Report on Rural Health Schemes 3

§ Strengthening of the Rural Health Care Infrastructure v One of the important interventions stressed and emphasized by National Rural Health Mission (NRHM) v To monitor the outcome of various programmes undertaken and new programmes proposed 4

§ Latest information about health care infrastructure - imperative formulation of effective policies and programmes § Information to be available at state as well as local government level § Relevance and importance of reliable and up-to-date statistics on rural health care services increased manifolds 5

The Statistics (As on March, 2006) 6

Growth 7

Current Requirement and Shortfall 8

Building Scenario 9

Manpower Issues § Existing manpower - an important prerequisite for efficient functioning of Rural Health Infrastructure § Issues § Shortfall as compared to requirement based on existing infrastructure (ignoring excess in some states) § Vacancies even in sanctioned posts 10

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Status of Facilities Available 14

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§ New Items of Information incorporated in QPR on RHS based on new initiatives under NRHM & RCH-II NRHM ü Number of Districts where the scheme of ASHA has been implemented ü District-wise number of Villages where ASHA is functioning ü Number of PHCs providing 24 hour 16 service

ü Number of AYUSH Doctors, if any, in these 24 Hours PHCs ü Number of PHCs with two doctors including AYUSH practitioner ü Number of CHCs upgraded as First Referral Units (FRUs) 17

ü Number of CHCs / FRUs having a Rogi Kalyan Samity / Hospital Management Society ü Number of SCs/PHCs/CHCs having a regular supply of generic drugs (both AYUSH & Allopathic) for common ailments ü Number of districts having a Mobile Medical Unit 18

ü Number of PHCs/CHCs providing 24 hours delivery services ü Number of PHCs/CHCs having a post of computor/statistical assistant for proper MIS ü Number of FRUs available in the State ü Number of FRUs having blood storage facilities 19

ü Number of Sub Centres / PHCs/ CHCs having the facility of referral transport available ü Position of rural health infrastructure, manpower and building position in the tribal areas separately 20

ü Manpower ü Additional ANMs ü Consultants (Maternal Health) at PHC / CHC level ü Anesthetists (Case to case basis) ü Contractual Consultants at State & District Level (MIS, Finance, Programme Manager) 21

Issues ü (A). Review of the existing proforma for Rural Health Statistics ü (B). Timely reporting of the up-todate data in the prescribed proforma ü (C). Consistency and completeness of data as per the instructions in the proforma 22

THANK YOU! 23