C’garh proves poor in maintaining of infrastructure of public health care

Source: The Hitavada      Date: 31 Dec 2017 11:47:15


Staff Reporter,

Durg,

Dec 30,

Along with insufficient numbers of doctors as well as nurses, in infrastructure too, Chhattisgarh state is in poor state as 60% of public health care units consist of civil hospitals, community health centers and primary health centers have failed the infrastructure rating system. Most of them failed to clear half of the parameters in infrastructure rating system for public health sector introduced by the union ministry of health and family welfare. In this situation, it would become impossible for health department as well as other agencies of state government to fulfill the health needs of population in state.

Most of 50 or 100 bed civil hospitals, 16 bed community health centers and primary health centers across different districts of the Chhattisgarh have fared poorly on several grading parameters that included insufficient number of doctors, nurses or paramedics, lack of laboratory technicians, medical equipments for diagnosing of many ailments or unavailability of separate toilets for men and women. In fact it has also been found that many community health centers as well as primary health centers in state do not hold drugs or medicines of many diseases.

In this situation it would become tough for Chhattisgarh government as well as Chhattisgarh Health Services to get grant from centre and National Health Mission to improve their health status particularly in rural areas and make their civil hospitals and community health centre better in terms of providing medical facilities to poor and needy people of rural and urban areas too. It is noteworthy to mention here that states failing to get less than 50% of their health care facilities matching the grading standards face 5% budgetary cut. Public health sector are graded on the basis of available infrastructure data as uploaded on the Health Management Information System (HMIS) portal. Every state should upload infrastructure and human resources as available at state to get financial grant from centre.

At present there are 29 civil hospitals (of 50, 100 or more than 100 beds) 286 community health centers and 410 primary health centers under Chhattisgarh Health Services.
All of them are struggling to fulfill the basic facilities like sufficient doctors, nurses, paramedical staffs, medical equipments, drugs and proper numbers of beds as well as different toilets for men and women. ‘There are several deficiencies in the public health system in Chhattisgarh. This was evident when we analyzed the infrastructure data uploaded by civil hospitals and health centers in the state on portal of HMIS’ said one senior officer of union ministry of health and family welfare. According to Dr. SP Kesarwani, one of the senior executives in Chhattisgarh Health Services, it is true that some of the hospitals and health centers have not fulfilled all parameters in grading system but still public health services saw an improvement in its infrastructure and its facilities during last one decade.

Dr. BR Ambedkar Memorial Hospital Raipur, Shri Pandurang Ramarao Dongaonkar District Hospital Durg, Chhattisgarh Institute of Medical Science and Research Centre Bilaspur and Civil Hospital of Korba has fulfilled many parameters of grading system in terms of infrastructure as well as medical equipments. Nevertheless, health activists claim that the report of centre is a mirror to the state public health services which has been in a bad shape for a while. ‘We have issued the problems several times but no step has been taken so far but now the report of centre will bring some transparency regarding it’ stated Dr. SK Puri, health activist.When contacted, Ajay Chandrakar, minister of health and family welfare of Chhattisgarh Health Services remained unavailable for comment.