The increase in number of patients in medical centres and hospitals across the state due to health programmes under the National Rural Health Mission has prompted the state government to upgrade these medical facilities according to the Indian Public Health Standards (IPHS).
Principal Secretary,Health,Pravir Kumar issued orders earlier this month to Chief Medical Officers and Chief Medical Superintendents of all districts to analyse the gap in earmarked facilities,including community and primary health centres as well as sub-centres,which will be upgraded this year.
The IPHS sets guidelines for basic facilities and standards to be maintained at a hospital in order to render medical services efficiently to patients. However,the hospitals and health centres in the state are hardly able to impart such facilities due to lack of standards and quality control.
The IPHS prescribes standards for upgrading health centres,including availability of basic essential facilities,instruments,equipment and furniture,human resources,medicine,ambulance services and bio-waste management. The health department has accordingly issued a checklist for each health facility to be upgraded in the scheme and asked district authorities to analyse the gaps in each facility. The funds for the upgradation work are already allocated to the districts from the budget for 2012-13 fiscal.
The state has earmarked 18 district-level hospitals,including two combined hospitals and the rest womens hospitals,10 first referral units,57 community health centres,two primary health centres and 34 sub-centres for upgradation as per IPHS norms in the first phase.
The principal secretary has given the districts a deadline of April second week for preparing plans for the scheme. By April-end,the CMOs and CMS of each district have been instructed to survey the facilities and by May,the officials are to complete a component-wise gap analysis and come up with a list of works to be done at each centre. The purchase of equipment,wherever necessary,is to be completed before June end.
The state-level quality assurance cell has been given the task to monitor and evaluate the upgradation process in June,August,October and December,while a team from the Government of India is expected to visit these centres in January 2014.