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Community health centres in dire need of specialists

Sentinel Digital DeskBy : Sentinel Digital Desk

  |  22 Sep 2015 12:00 AM GMT

India’s public-health system needs urgent attention, investment -especially in the rural areas - and attention, reveals an IndiaSpend alysis. There is an 83 percent shortage of specialist medical professiols in community health centres (CHCs), according to the Rural Health Statistics-2015, released by the Ministry of Health and Family Welfare. The CHCs constitute the secondary level of health care and provide specialist care to patients referred from primary health centres (PHCs), four of which feed into each CHC, serving roughly 80,000 people in tribal, hill or desert areas and 120,000 on the plains.

An ideal CHC is a 30-bedded hospital providing specialist care in medicine, obstetrics and gyecology, surgery, paediatrics, dental and ayurveda, yoga and turopathy, uni, siddha and homoeopathy (AYUSH), according to the Indian Public Health Standards prescribed by the Ministry of Health and Family Welfare in 2012. In the 2015 Union Budget, the government cut India’s healthcare budget by 15 percent — a widely criticised move. The government recently announced it would raise the budget for healthcare, sanitation and child development programmes and sought parliamentary approval, according to reports. There is also an 83-percent shortage of surgeons in the CHCs across India. Aruchal Pradesh, Kerala, Manipur, Meghalaya and Tamil du are some of the states that have no surgeons in their CHCs.

Then there is a 76-percent shortage of obstetricians and gyecologists in CHCs tionwide. India bears the world’s greatest burden of materl, newborn and child deaths, according to the World Health Organization (WHO). While infant mortality rate declined from 83 per 1,000 live births in 1990 to 44 per 1,000 live births in 2011, and materl mortality ratio reduced from 570 per 100,000 live births in 1990 to 212 in 2007-2009, both indicators remain high compared to other BRICS countries like Brazil, Russia, Chi and South Africa, said the WHO. Such statistics mean that specialised healthcare treatment in rural India is difficult, which has driven rising numbers of people to costlier private healthcare. In rural India, 58 percent of hospitalised treatment was carried out in private hospitals, while in urban India the figure was 68 percent, according to the Key Indicators of Social Consumption on Health 2014 survey, carried out by tiol Sample Survey Office (NSSO). For non-hospitalised treatment, 72 percent of health needs in rural areas were treated by the private sector — including private doctors, nursing homes and private hospitals and charitable institutions, the survey said. (IANS)

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