State health sector fails to clear various rating parameters
|Source: The Hitavada Date: 02 Jan 2017 10:03:42|
It is necessary for public health sector of all states, union territories to clear the parameters set by Union Ministry of Health and Family Welfare, otherwise it would become difficult for state health services to get funds from centre
It is impossible to believe that more than two thirds of the public health sector across Chhattisgarh is deprived of basic facilities such as sufficient doctors as per doctor-patient ratio describe by Medical Council of India, nurses, technicians, paramedical staffs, medical equipments, beds, hygiene and also separate toilets for men and women. Because of it, many government hospitals as well as community health centres of the State failed to clear all parameters of rating system introduced by Union Ministry of Health and Family Welfare and are in dilemma state regarding their funds.
It may be mentioned here that to analyze the quality of public hospitals and community health centres as per regulations of World Health Organisation (WHO) and Medical Council of India (MCI); centre has launched a rating system and made some parameters. For public health sector of all states as well as union territories, it is necessary to clear the parameters otherwise it would become difficult for state health services to get funds from centre for improving their health qualities or install medical equipments in public health units. But a shocking fact is that, in Chhattisgarh most of the public health sector units failed to clear half of parameters too.
At present Chhattisgarh have 29 civil hospitals with 50,100 or more than 100 beds followed by 286 community health centres with 16 beds in its all 27 districts. In the grading system of Union Ministry of Health and Family Welfare, it has been found that, more than 65% of them failed to clear the parameters and do not fulfil their responsibilities to give better health services to common men. Out of 29 civil hospitals, only 4 ones succeeded to clear around 50% or more parameters while other 25 ones especially located in districts of Bastar and Surguja division, could not clear one fourth of parameters of the rating system.
Majority of these hospitals and health centres of public health services in state have fared poorly on several grading parameters that included insufficient number of doctors particularly specialist ones, nurses, technicians, paramedical staffs, lack of laboratory technicians, medical equipments for diagnosing of many ailments or unavailability of separate toilets for men
and women. Some of them do not hold sufficient storage of medicines and drugs of many ailments too. ‘There are various deficiencies in public health system of Chhattisgarh. This was evident when we analyzed the infrastructure data uploaded by civil hospitals and health centres in the state on portal of Health Management Information System (HMIS) of Union Ministry of Health and Family Welfare’ said one senior executive of the health and family welfare of centre.
After failing many of the parameters, it would become difficult for Chhattisgarh Health Services as well as State Government to get funds from centre and its different schemes to improve health quality of state by installing medical equipments or appointing more number of doctors, technicians and other paramedical staffs. Thus lack of facilities in public health units, leave no choice for poor and rural patients to go private hospitals to undergo treatment by taking debts or selling their valuable things. Public health service of any state failing to clear 50% of their health care facilities should face 10% to 15% budgetary cut in their grants which will be released by union ministry of health and family welfare and their flagship scheme, National Health Mission.
According to Dr A Dani, senior executive of Chhattisgarh Health Services, public health sector of state has been improved a lot and would not face any problem in their funds.
When contacted, Subrato Sahoo, health secretary of Chhattisgarh Health Services, he remained unavailable for comment.