INFRASTRUCTURE OF HEALTH SYSTEM IN INDIA

ByDr. Snehal Kasare

INTRODUCTION• The Ministry of Health and family welfare has been

bringing out a regular titled “Rural Health statistics in India” providing detailed statistics on rural health infrastructure and manpower in order to cater to the needs of health planners, policy makers other government and non government organizations and research institution working in the field. The present issue gives information upto March 2012 and is based on the data provided by the states and UTs .

RURAL HEALTH CARE SYSTEM IN INDIA

Primary Health Centre (PHC)A Referal Unit for 6 Sub Centres 4-6 beded manned with a

Medical Officer Incharge and14 subordinate paramedical staff

Sub CentreMost peripheral contact point between Primary Health Care

System & Community mannedwith one HW(F)/ANM & one HW(M)

Community Health Centre (CHC)A 30 beded Hospital/Referal Unit for 4 PHCs with Specialised

services

RURAL HEALTH INFRASTRUCTURE - NORMS AND LEVEL OF ACHIEVEMENTS (ALL INDIA)

Present AverageIndicator National Norms Coverage

Rural Population (2011) (Provisional)covered by a: General Tribal/Hilly/Desert

Sub Centre 5000 3000 5615

Primary Health Centre (PHC) 30000 20000 34641

Community Health Centre (CHC) 120000 80000 172375

Average Rural Area (Sq. Km) covered by

Sub Centre 21.02

Primary Health Centre (PHC) 129.66

Community Health Centre (CHC) 645.21

Average Number of Villages covered by

Sub Centre 4

Primary Health Centre (PHC) 27

Community Health Centre (CHC) 133

Average Radial Distance (Kms) covered by

Sub Centre 2.59

Primary Health Centre (PHC) 6.42

Community Health Centre (CHC)

14.33

Progress of Sub Centres

Progress of Primary Health Centres

Progress of Community Health Centres

Average Rural Population (2011-Provisional ) Covered by PHC

Rural Population covered by PHCs3530 to 18998

18999 to 27467

27468 to 34675

34676 to 83864

Average Rural Population (2011-Provisional ) Covered by Sub-Centre

Rural Population covered by SCs1009 to 3553

3554 to 4487

4488 to 5924

5924 to 10227

Average Rural Population (2011-Provisional ) Covered by CHC

Rural Population covered by CHCs4707 to 81155

81156 to 118727

118728 to 178775

178776 to 1315358

STAFFING PATTERN• A. STAFF FOR SUB - CENTRE: Number of Posts• 1. Health Worker

(Female)/ANM...........................................................1• 2. Additional Second ANM (on

contract).....................................................................1• 3. Health Worker

(Male) ............................................1• 4. Voluntary Worker (Paid @ Rs.100/- p.m. as

honorarium) ...........................1• Total (excluding contractual staff): ............................3

B. STAFF FOR NEW PRIMARY HEALTH CENTRE

1. Medical Officer.............................................................................................1 2. Pharmacist...................................................................................................1 3. Nurse Mid-wife (Staff Nurse) .........1 + 2 additional Staff Nurses on contract 4. Health Worker (Female)/ANM.....................................................................1 5. Health Educator...........................................................................................15 6. Health Assistant (Male) ...............................................................................1 7. Health Assistant (Female)/LHV ...................................................................1 8. Upper Division Clerk....................................................................................1 9. Lower Division Clerk....................................................................................1 10. Laboratory Technician ..............................................................................1 11. Driver (Subject to availability of Vehicle) .....................................................1 12. Class IV .......................................................................................................4 Total (excluding contractual staff): ..................................................................15

C. STAFF FOR COMMUNITY HEALTH CENTRE:

• 1. Medical Officer #..........................................................................................4• 2. Nurse Mid– Wife(staff Nurse) ......................................................................7• 3. Dresser........................................................................................................1• 4. Pharmacist/Compounder.............................................................................1• 5. Laboratory Technician.................................................................................1• 6. Radiographer...............................................................................................1• 7. Ward Boys...................................................................................................2• 8. Dhobi ...........................................................................................................1• 9. Sweepers.....................................................................................................3• 10. Mali ..............................................................................................................1• 11. Chowkidar ...................................................................................................1• 12. Aya ..............................................................................................................1• 13. Peon ............................................................................................................1• Total: ...............................................................................................25

References

• K Park 22nd edition• Website Health & Family welfare Govt Of

India.

THANK YOU.