World Rural Health Conference
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 254
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 102-108

Are the subcenters adequately equipped to deliver primary healthcare? A study of public health manpower and infrastructure in the health district in Andhra Pradesh, India


Department of Health Services Policy and Management, University of South Carolina, Columbia, South Carolina, USA

Correspondence Address:
Dr. Shyamkumar Sriram
Department of Health Services Policy and Management, University of South Carolina, Columbia, South Carolina
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_223_18

Rights and Permissions

Background: India has a vast public health infrastructure, with 23,391 primary health centers (PHCs) and 145,894 subcenters (SCs) providing health services to 72.2% of the country's population living in rural areas. Although the numbers look impressive, their functional status needs to be studied in terms of physical infrastructure, manpower, equipment, drugs, and other logistical supplies that are greatly needed for ensuring quality services. This work aims to study the infrastructure facilities and manpower in a sample of SCs in the district of Nellore in the state of Andhra Pradesh in India. Methods: Thirty SCs selected by multistage sampling have been studied using a structured and pretested performance standard questionnaire. Data have been analyzed with reference to the Indian Public Health Standards (IPHS) for SCs. Results: Many deficiencies were identified in the infrastructure and manpower in the SCs studied. Some of the important findings were that the deficiency of health workers (HWs) (male) was 76.7%. Only 6.7% of the SCs operate in a designated government building. Communication facilities, such as telephones, are present in only 3.3% of the SCs. About 73% of the SCs were located more than 5 km from the remotest village in the coverage area. Residential accommodations for HWs (female) were available in only 3.3% of the SCs. There is also a severe deficiency of drugs and equipment in the SCs as per the IPHS. Conclusion: SCs lack the manpower and vital infrastructure necessary to function and deliver services effectively to the rural population.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed36    
    Printed2    
    Emailed0    
    PDF Downloaded12    
    Comments [Add]    

Recommend this journal