1. INFRASTRUCTURE OF HEALTH SYSTEM IN INDIA By Dr. Snehal Kasare

2. 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.

3. 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

4. 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 5000 3000 5615 Primary Health Centre (PHC) 30000 20000 34641 Community Health Centre (CHC) 120000 80000 172375

5. Average Rural Area (Sq. Km) covered by Sub Centre21.02 Primary Health Centre (PHC)129.6 6 Community Health Centre (CHC)645.2 1

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

7. Average Radial Distance (Kms) covered by Sub Centre2.59 Primary Health Centre (PHC)6.42 Community Health Centre (CHC) 14.33

8. Progress of Sub Centres

9. Progress of Primary Health Centres

10. Progress of Community Health Centres

11. Average Rural Population (2011- Provisional ) Covered by PHC Rural Population covered by PHCs 3530 to 18998 18999 to 27467 27468 to 34675 34676 to 83864

12. Average Rural Population (2011-Provisional ) Covered by Sub-Centre Rural Population covered by SCs 1009 to 3553 3554 to 4487 4488 to 5924 5924 to 10227

13. Average Rural Population (2011- Provisional ) Covered by CHC Rural Population covered by CHCs 4707 to 81155 81156 to 118727 118728 to 178775 178776 to 1315358

14. 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 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

15. 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 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

16. 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 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

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