Vol. 2, Issue 12 (2016)
Evaluation of Indian public health standards for CHCs of Ahmedabad District with reference to physical infrastructure and manpower
Author(s): Dr. Shashank Patel, Dr. Mitin Parmar, Dr. Kartik Ninama, Dr. Niti Talsania
Abstract: Background: Three tier system exists in India. The upper most is the CHC. The CHC provides specialist services to the rural people and is usually located at the block level. The CHCs are under constant criticism for their inability to deliver quality services. The main reasons are the lack of proper manpower, inadequate infrastructure. In order to provide optimal level of quality health care, a set of standards called IPHS were submitted. In the above context, the present study was undertaken with the objective to assess the infrastructure facilities & availability of manpower in the CHCs of Ahmedabad district, Gujarat. Method and Materials: Study was carried out from April 2014 to December 2015. It is Cross-sectional study. Predesigned and pretested questionnaire made from IPHS revised guideline 2012. It was planned to study at least 2/3rd (70%) of the existing means CHCs i.e. 7 CHCs. So, it was randomly selected 7 CHCs by chit method. Result: 100% CHCs had building but only 57.14% CHCs had male female separate wards and toilets. 100% CHCs had OT and Labour room, but only 28.57% CHCs had Blood storage facility and none of the CHCs had USG facility. The availability of medical staff and support manpower was also poor. 100% CHCs had done Pathological tests. X-ray were done in 71.42% CHCs and ECG were done in 28.57% CHCs. Conclusion: Pooling of human resources needs to be done especially Specialists and promoting partnership with the private sector in providing human resources. There is need to be strengthen physical infrastructure like male:female separate wards and toilets, investigation facility.
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