Health services in rural Haryana
There should be one sub health centre on 5000 population .There needs to be one Primary Health Centre (PHC) for 30,000 population.
It is recommended that there should be one Community Health Centre(CHC) on
80000 hilly area and plain area 1,20000 population.
(As per data by Rural Health Statistics 2019-2020)
The condition of rural health services in Haryana is very miserable as per the parameters of the Govt. of India are taken in to consideration.
There are 3 points to be taken note of .
1. The condition of Haryana Health Services which should have been as per the required norms set by Govt. of India as per rural population of Haryana 1.65 crores in Census 2011.
2. The condition of Haryana Health Services as per projected April 2021 rural population of Haryana 181 crores in 2021.
3.The actual condition of Haryana Health Services infrastructure and staffing as per the available data of Mar/Jun 2020.
Haryana Rural Health Services Infrastructure Position
Sub Health Centre :-
*Required Sub Health Centres with respect to Rural Population of Haryana 1.65 crores in Census 2011 should be 3301
**Required Sub Health Centres with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 3609
***Current /Actual Position of Sub Health Centres in Mar/Jun 2020 is 2667
Primary Health Centre :-
*Required Primary Health Centres with respect to Rural Population of Haryana 1.65 crores in Census 2011 should be 550
**Required Primary Health Centres with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 606
***Current /Actual Position of Primary Health Centres in Mar/Jun 2020 is 532
Community Health Centre :-
*Required Community Health Centres with respect to Rural Population of Haryana 1.65 crores in Census 2011 should be 137
**Required Community Health Centres with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 151
***Current /Actual Position of Community Health Centres in Mar/Jun2020 is 119
If we go through the data of rural health services in Haryana , as per 2011 rural population of Haryana norms , we do not find required infrastructure upto the mark.
*We have deficiency of 634 Sub Health Centres, 18 Primary Health Centres and 18 Community Health Centres.*
Similarly if we consider the Haryana projected rural population of April,2021, then it is still more miserable.
*Then we have deficiency of 942 Sub Health Centres, 74 Primary Health Centres and 32 Community Health Centres*
The staff which is required in these is also not as per required norms.
Haryana Rural Health Services Staff Position :
1) Specialists in CHCs:
It is recommended that there should following specialists in each CHC:-
General Surgeon-1
Physician- 1
Obstetrician &
Gynaecologist-1
Paediatrucian-1
Orthopedic surgeon 1
Orthopedics surgeon 1
Anaethetist-1
*Required specialists with respect to Rural Population of Haryana 1.65 crores in census 2011 should be 822
**Required specialists with respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be 906
***Current /Actual Position of specialists in Mar/Jun 2020 is 27
There are only 27 specialists in position whereas we need 906 specialists with respect to Projected Rural Population of Haryana 1. 81 crores . So there is shortfall of 879 specialists.
2) Medical officers in PHC :
We have at present 491 Medical officers for 532 Primary Health Centres where as we need 1212 Medical officers with respect to Projected Population of Haryana 1.81 crores in 2021. There is shortfall of 721 Medical officers .
3) Nursing staff at PHC and CHC:
* Required nurses at PHC and CHC with respect to Rural Population of Haryana 1.65 crores in census 2011 should be 2333
**Required nurses at PHC and CHC with respect to Projected Population of Haryana 1.81 crores should be 2571
***Current /Actual Position of staff nurses in Mar/Jun 2020 is 2193
So there is shortfall of 378 nurses with respect to projected Rural Population of Haryana 1.81 crores in 2021.
4) Radiographers at CHC
At present in 119 CHCs,
there are 38 radiographers where as we need 119. There is a shortfall of 81 radiographers. As per 2011 population there should be 137 CHCs , then shortfall will be of 99 radiographers.
As per April,2021 projected population, there should be 151 chc's , then there should have been 151 radiographers . But position at present the
radiographers are 38. So we will need 113 radiographers more in that case .
5) Pharmacist at PHC and CHC
There are at present 405 pharmacists in position. As per 2011 , the need of pharmacists is 790, there by shortfall of 385. As per projected population in April, 2021, we need 908 pharmacists. Shortfall comes out to be of 503 pharmacists .
6) Lab technicians at PHC and CHC
There are at present 400 lab technicians in position. As per 2011 rural population, the need of lab technicians is 790, there by shortfall of 390. As per projected rural haryana population in April, 2021, we need 908 lab technicians. Shortfall comes out to be of 508 lab technicians .
Seeing these conditions of Haryana Rural Health Services, Jan Swasthya Abhiyan Haryana suggests and demands :
1. The health services infrastructure should be immediately updated to face probable third wave of Covid pandemic or otherwise to provide quality health care facilities to citizens of Haryana
2. Allocate immediately more funds for health services infrastructure strengthening.
3. Guarantee comprehensive , accessible, quality health services for all,Covid and non Covid patients.
4. Along with this there should be proper and immediate training of health work force on line or otherwise for covid 19 norms and post covid 19 situations.
5. At the same time the government should work on the social determinants of health which include
A) Promotion of food security by universalisation and expansion of the public distribution system.
B) Safe drinking water for all C) Sanitation facilities
D) Full employment to all
E) Education for all
F) Decent and adequate housing.
G)The gender dimensions of health should also be addressed adequately.
6. Guarantee comprehensive , accessible, quality health services for all women for all their health needs which includes but is not limited to maternal care.
7. Create more posts for the entire range of health personnel in the public health system as per latest population requirements .
8. Regularise contractual employees and provide ASHAs ANMs and all levels of public health system staff with adequate skills, salaries and decent working conditions.
Extreme inequality in access to health care services and the poor living conditions of people are responsible for the poor conditions of health in India and Haryana as well.
While people who can pay are able to receive world class treatment facilities , for most people in the state a major illness in the family plunges the family in to extreme poverty and destitution .
The corona pandemic also shows this rich poor gap in the management of covid cases who need hospitalisation. The Govt should see remedies for these inequalities also.
It is sincere effort of JAN SAWASTHAYA ABHIYAN HARYANA to make the people aware about these issues so that people make Health as people's agenda and struggle for it collectively and request the Haryana Govt. to take immediate remedial measures.
With regards
Professor Satnam Singh Convenor
+91 94662 90728
Suresh Kumar Co convenor
+91 94162 32339
Mrs Savita JMS
+91 94169 74185
Mrs Surekha CITU
+91 97283 51260
Mr Virender Malik CITU
+91 94163 51090
Pramod Gouri HGVS
+91 98120 44915
Dr R.S.Dahiya HGVS
+91 9812139001
Professor Mrs Amita
+91 94163 80762
Sandeep Kumar DYFI
+91 94673 38550
(Data Source :Rural Health Statistics 2019-20)
And
http://haryanahealth.nic.in/Documents/CHC.pdf
Documents/PHCsubcenter.pdf
http://haryanahealth.nic.in/infrastructure.htm/
Mission https://ejalshakti.gov.in
