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Are our subcenters equipped enough to provide primary health care to the community: A study to explore the gaps in workforce and infrastructure in the subcenters from North India

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      Abstract

      Background:

      A Sub-Centre (SC) is most peripheral and first point of contact between the primary healthcare system and the community in the rural areas. The success of any nationwide program largely depends on well-functioning SCs providing services of acceptable standards to people. Indian Public Health Standards (IPHS) for SCs was prepared keeping in view the minimum standards required to provide quality and need sensitive health care to the community.

      Materials and Methods:

      A cross-sectional study was conducted in Ambala District of Haryana to assess the availability of physical infrastructure, manpower, drugs and equipment in the SCs. A total of 30 SCs from a rural block was selected. The data was statistically analyzed using Microsoft Excel. The deficiencies in the availability of health workers male and female were found to be 66.6% and 50%, respectively. The residential facility for health workers was available only in 33.3% SCs but none being utilized. Although labour room with labour table was present in half of the Sub Centers, the deliveries were found to be conducted in none of those. Only 40% and 26.6% of SCs had stethoscope and functional B.P apparatus. The availability of essential drugs and equipment was also poor.

      Conclusion:

      The physical infrastructure and manpower availability at the SCs needs considerable improvement as per the Indian Public Health Standard (IPHS). Poor availability of essential drugs and equipment needs to be addressed at the earliest.

      Related collections

      Most cited references 7

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      Community utilisation of subcentres in primary health care--an analysis of determinants in Kerala.

      The determinants of utilisation of subcentre services in a random sample of 247 subcentres from three out of 14 districts of Kerala were investigated. Physical verification of the facilities was done in a subset of 90 subcentres and household surveys of 750 households were performed in the service areas of those subcentres. About 30 per cent of the beneficiaries utilised services of the subcentres during the reference period. The relationship of selected predictor variables on utilisation of the services was found out. The district in which a subcentre was physically present was found to be the most important correlate of its utilisation.
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        Study on the availability of physical infrastructure and manpower facilities in sub-centers of Chittoor district of Andhra Pradesh.

         N. Reddy,  G Prabhu,  T Sai (2013)
        The sub-centers (SCs) are under constant criticism for their inability to deliver quality services due to the nonavailability of adequate infrastructure, manpower and supply of drugs.A cross-sectional study was conducted in Chittoor District of Andhra Pradesh to assess the availability of physical infrastructure and manpower in the SCs. A total of 34 SCs were selected by multistage and stratified random sampling technique. The data was statistically analyzed by using Microsoft Excel. The deficiency in the availability of health workers male and female were found to be 67.7% and 27.5%, respectively. The residential facility for health workers was available only in 26.4% SCs. Only 20.6% of SCs had stethoscope and B.P apparatus. The physical infrastructure and manpower availability at the SCs needs considerable improvement as per the Indian Public Health Standard (IPHS). Facilities to conduct the normal delivery and 24-hours emergency referral services need to be addressed at the earliest.
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          Gaps in facilities available at health sub-centers as per Indian public health standards in a district of Haryana

           A Kumar,  MK Goel,  RB Jain (2011)
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            Author and article information

            Affiliations
            [1 ] Department of Community Medicine, School of Public Health, PGIMER, Chandigarh, India
            Author notes
            Address for correspondence: Dr. M. A. Bashar, R. NO-L/184, New Doctor's Hostel, PGIMER, Chandigarh - 160 012, India. E-mail: dr.bashartheultimate86@ 123456gmail.com
            Journal
            J Family Med Prim Care
            J Family Med Prim Care
            JFMPC
            Journal of Family Medicine and Primary Care
            Medknow Publications & Media Pvt Ltd (India )
            2249-4863
            2278-7135
            Apr-Jun 2017
            : 6
            : 2
            : 208-210
            5749058 JFMPC-6-208 10.4103/2249-4863.220027
            Copyright: © 2017 Journal of Family Medicine and Primary Care

            This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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