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A Study to assess Health Care Facilities at community health centres in Udaipur District and their conformance to Indian Public Health Standards 2007

Chandra Prakash Sharma, Manish Mittal, Sandeep Uppadhaya, Shalabh Sharma, Arun kumar, Sandeep Sharma.

Abstract
Background: Community health centre is a 30-bedded hospital providing specialist care in Medicine, Obstetrics and Gynaecology, Surgery and Paediatrics. Aims: This study aimed to assess available health care facilities at the community health centres in Udaipur district and to conform available facilities vis-a-vis standards prescribed under “Indian Public Health Standards-2007” for CHCs and find the gaps or lacunae in these services. Materials and Methods: It was a cross-sectional study conducted at all community health centres in Udaipur district and data were collected on predesigned and pre-structured Performa through observation, records available and interviews of medical officer in-charge and concerned staff of CHCs. Results: Emergency Services were available at majority of CHCs (95.2%), family planning only at 7(33.3%), 24-hour delivery services at all CHCs (100%), emergency obstetric care and blood storage facility only at 1(4.8%) of CHCs. Majority (95%) CHCs did not have ophthalmologists, paediatricians and even general duty Medical officers. Only 5(23.8%) of CHCs had the facility of both surgeon and gynaecologist. Similarly, almost 95% of CHCs did not have Ultrasound facility. All CHCs had their Rajasthan Medicare Relief Society and 33 to 38% CHCs could not reveal any documentary proof of any internal or external monitoring. Conclusion: There is an immediate need to ensure availability of specialists and their services, laboratory facilities, infrastructure and regular internal or external monitoring for proper functioning of CHCs.

Key words: Community health centres, IPHS-2007



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