INFRASTRUCTURE OF HEALTH SYSTEM IN INDIA By Dr. 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 and 14 subordinate paramedical staff Sub Centre Most peripheral contact point between Primary Health Care System & Community manned with 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 Average Indicator National NormsCoverage Present Average Indicator National NormsCoverage Rural Population (2011) (Provisional) covered by a: General Tribal/Hilly/Desert Rural Population (2011) (Provisional) covered by a: General Tribal/Hilly/Desert Sub Centre Primary Health Centre (PHC) Community Health Centre (CHC)

Average Rural Area (Sq. Km) covered by Sub Centre21.02 Primary Health Centre (PHC) Community Health Centre (CHC)

Average Number of Villages covered by Sub Centre4 Primary Health Centre (PHC)27 Community Health Centre (CHC)133

Average Radial Distance (Kms) covered by Sub Centre2.59 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 PHCs 3530 to to to to 83864

Average Rural Population (2011-Provisional ) Covered by Sub-Centre Rural Population covered by SCs 1009 to to to to 10227

Average Rural Population (2011- Provisional ) Covered by CHC Rural Population covered by CHCs 4707 to to to to

STAFFING PATTERN A. STAFF FOR SUB - CENTRE: Number of Posts 1. Health Worker (Female)/ANM Additional Second ANM (on contract) Health Worker (Male) Voluntary Worker Rs.100/- p.m. as honorarium) Total (excluding contractual staff): A. STAFF FOR SUB - CENTRE: Number of Posts 1. Health Worker (Female)/ANM Additional Second ANM (on contract) Health Worker (Male) Voluntary Worker Rs.100/- p.m. as honorarium) Total (excluding contractual staff):

B. STAFF FOR NEW PRIMARY HEALTH CENTRE 1. Medical Officer Pharmacist Nurse Mid-wife (Staff Nurse) additional Staff Nurses on contract 4. Health Worker (Female)/ANM Health Educator Health Assistant (Male) Health Assistant (Female)/LHV Upper Division Clerk Lower Division Clerk Laboratory Technician Driver (Subject to availability of Vehicle) Class IV Total (excluding contractual staff): Medical Officer Pharmacist Nurse Mid-wife (Staff Nurse) additional Staff Nurses on contract 4. Health Worker (Female)/ANM Health Educator Health Assistant (Male) Health Assistant (Female)/LHV Upper Division Clerk Lower Division Clerk Laboratory Technician Driver (Subject to availability of Vehicle) Class IV Total (excluding contractual staff):

C. STAFF FOR COMMUNITY HEALTH CENTRE : 1. Medical Officer # Nurse Mid– Wife(staff Nurse) Dresser Pharmacist/Compounder Laboratory Technician Radiographer Ward Boys Dhobi Sweepers Mali Chowkidar Aya Peon Total: Medical Officer # Nurse Mid– Wife(staff Nurse) Dresser Pharmacist/Compounder Laboratory Technician Radiographer Ward Boys Dhobi Sweepers Mali Chowkidar Aya Peon Total:

References K Park 22 nd edition Website Health & Family welfare Govt Of India.