Assessment of infrastructure facilities, manpower and services at health sub-centres from a rural block of Haryana, North India

Authors

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20221767

Keywords:

Sub-centres, Healthcare, Rural, Indian public health standards, Quality, Gaps

Abstract

Background: A sub-centre is the most peripheral and first point of contact between the health care system and the Community. The success of any nationwide programme largely depends on well-functioning sub-centres providing services of acceptable standard to people. Indian Public Health Standards (IPHS) were programmed with an objective to standardize the health care infrastructure and services. Current study was undertaken with the aim to assess the infrastructure facilities, manpower and services of a sample of sub-centers from North India against the IPHS standards.

Methods: A cross sectional study was carried out from February 2014 to October 2014 in 30 of the 32 sub-centres in a rural block of district Ambala in the state of Haryana, North India using a specially designed semi structured questionnaire to compare the existing physical infrastructure, manpower, quality control and service delivery in these sub-centres against the IPHS standards.

Results: Significant gaps existed in available physical infrastructure and availability of manpower (especially male worker). The parameters designed for quality control like citizen’s charter, internal and external monitoring were also found to be deficient. Record keeping and reporting was also unsatisfactory. However, availability of the requisite services and service delivery was found to be satisfactory.

Conclusions: There is urgent need to equip the sub-centres with the necessary infrastructure and logistics along with need of regular monitoring and supervision of the sub-centers by internal and external agencies so as to improve the quality of facilities and services provided by them.

Author Biography

M. D. Abu Bashar, Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India

Assistant Professor of Community Medicine & Family Medicine at AIIMS, Gorakhpur(U.P.), India

References

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Mission Directorate, National Rural Health Mission, annual Report 2007-08: National Rural Health Mission. Bhubaneswar: Department of Health and Family Welfare, Government of Orissa. 2008;33-47.

Public Health and Family Welfare Department, Government of Madhya Pradesh, Madhya Pradesh health sector reform strategy (HSRS): 2006-2012. Bhopal: Public Health and Family Welfare Department, Government of Madhya Pradesh. Available at: http://www.mp.gov.in/health/reform-Strategy.pdf. Accessed on 16 November 2019.

National Rural Health Mission, Government of India (2009), Haryana State Report. New Delhi: Ministry of Health and Family Welfare, Government of India. Available at: https://www.nhm.gov.in/images/pdf/nrhm-in-state/ state-wise-information/haryana/haryana_report.pdf. Accessed on 16 November 2019.

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Published

2022-06-28

How to Cite

Bashar, M. D. A. (2022). Assessment of infrastructure facilities, manpower and services at health sub-centres from a rural block of Haryana, North India. International Journal Of Community Medicine And Public Health, 9(7), 2965–2969. https://doi.org/10.18203/2394-6040.ijcmph20221767

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Original Research Articles