Indian
Public Health Standards (IPHS) have been developed for Sub-centres, Primary
Health Centres (PHCs), Community Health Centres (CHCs), Sub-District and
District Hospitals. IPHS are a set of uniform standards envisaged to improve
the quality of health care delivery in the country and have been used as the
reference point for public health care infrastructure planning and up-gradation
in the States and UTs. As per IPHS guidelines, the services that different
levels of facilities are expected to provide are grouped under two categories
i.e. “Minimum Assured Services” or Essential Services and ‘Desirable Services’.
Essential Services should be available at the facility which includes
promotive, preventive, curative, referral services and all the national health
programmes. The services which are indicated as ‘Desirable’ are for the purpose
that States should aspire to achieve for the particular level of the facility.
The IPHS guidelines are available in public domain at http://nrhm.gov.in/nhm/nrhm/guidelines/indian-public-health-standards.html
IPHS
guidelines are recommendatory in nature and not mandatory. Health being a State
subject, the primary responsibility of bringing up facilities to IPHS norms is
that of the States government. Under NHM, financial support is provided to
States inter-alia to bring up facilities to IPHS norms.
Under
National Health Mission, financial support is provided to the States through
following key programme components to strengthen their health facilities:
a)
Reproductive
& Child Health
b)
Immunization
& Pulse Polio Programme
c)
Family
Planning
d)
Adolescent
Health
e)
National
Urban Health Mission
f)
Health
System Strengthening including Human Resource, renovation and creation of
infrastructure, drugs & supplies, procurement of equipments, Quality
Assurance, RogiKalyanSamitis, Untied funds, and training of medical and para
medical staff.
g)
National
Disease Control Programmes (Revised National Tuberculosis Control Programme,
National Vector Born Disease Control Programme, Integrated Disease Surveillance
Progarmme, National Leprosy Eradication Programme)
h)
Non
Communicable Disease Control Programmes (National Programme for Control of
Diabetes, Cancer and Stroke, National Programme for Control of Blindness,
National Programme for the Health Care of Elderly etc.)
i)
Infrastructure
Maintenance
Human
Resource: 16204
Human Resources (medical and paramedical both) have been added in the State
which includes 145 Specialists, 28 GDMOs, 350 AYUSH Doctors, 1787 Staff Nurses,
10678 ANMs, 1622 Paramedics & 1594 AYUSH Paramedics.
Ambulances:752
BLS Ambulances (Dial 108) are supportedunder NHM
Mobile
Medical Units: 475 Mobile Medical Units are provided financial
support
Infrastructure: 2331
infrastructure works have so far been sanctioned which include financial
support for creation of 2238 new facilities (122 CHCs, 397 PHCs, and 1719 SCs)
and renovation/up-gradation work of 93 facilities.
AYUSH:
AYUSH services are available at 982 health facilities with NHM support
ASHA:
70700 ASHAs selected and 70700 trained up to 5th Module and 37052 ASHAs are
trained in Round 1 & 14,538 ASHAs are trained in Round 2 of 6th & 7th
Modules. Drug kits have been provided to 64827 ASHAs.
RKS
& VHSNCs: RKSshave been registered for 2109 facilities that
includes 17 DHs, 292 CHCs, 91 Other than CHCs, 1709 PHCs. 21916 VHSNCs (Village
Health Sanitation & Nutrition Committees) have so far been constituted.
The Health Minister stated
this in a written reply in the RajyaSabha here today.
*****
MV/BK