Rural Health Services in Haryana
In the era of globalisation, health is one of the human
rights everywhere including Haryana- a prosperous state of Indian economy.
Health which refers to the state of complete physical , mental , social and
spiritual well-being and not merely an absence of the disease ; received
prominent place in the construction of Human Development Index since 1990
Along with that there are social determinents also like safe
drinking water, balanced diet, no air pollution,
World Health organisations pointed out the dependency of
health on the availability of better
health infrastructure in terms of health Institutions , medical staff in
medical Institutions and doctor patient ratio , doctor nurse ratio etc.
Therefore provision of health infrastructure ,health
services and related health issues are one of the prime areas of concern .
Here is the attempt to go into details of Haryana Rural
Health Services .
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 above parameters of the Govt. of India are taken in to
consideration.
There are 3 points
which are being taken note of as
follows.
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.
When Haryana Rural Health Services Infrastructure Position is being analysed in
detail a very miserable situation comes out
1.Sub Health Centre :-
*Required Sub Health Centres with respect to Rural
Population of Haryana 1.65 crores in Census 2011 should be 3301
Where as required sub
health centres with respect to Projected Rural Population of Haryana 1.81
crores in 2021 should be 3609. But
the Current /Actual Position of Sub Health Centres in
Mar/Jun 2020 is 2667 . Shortfall is very obvious.
2. Primary Health Centre :-
*Required Primary Health Centres with respect to Rural
Population of Haryana 1.65 crores in Census 2011 should be 550 and
Required Primary Health Centres with
respect to Projected Rural Population of Haryana 1.81 crores in 2021 should be
606, whereas Current /Actual Position of Primary Health Centres in Mar/Jun 2020
is 532. We are lacking in the required numbers .
3. Community Health Centre :-
Required Community Health Centres with respect to Rural
Population of Haryana 1.65 crores in Census 2011 should be 137
and Required
Community Health Centres with respect to Projected Rural Population of
Haryana 1.81 crores in 2021 should be 151, but Current /Actual Position of
Community Health Centres in Mar/Jun2020 is 119. Need more CHCs as per
requirement.
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 is also not up
to the required needs. The details are as follows.
1) Specialists in CHCs:
It is recommended that there should following
specialists in each CHC:-
one each General Surgeon,Physician,Obstetrician &
Gynaecologist , Paediatrucian,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
And 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 in required phcs and chcs as per 2011 population , we
have shortfall of 140 nurses.
Also there will be 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 would 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
is that
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 population, the need of pharmacists is 824, there by shortfall of 419. 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 824, there by shortfall
of 424.
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 new
creation of required posts and filling of vacant posts .
Dr R.S.Dahiya
State core committee member
Jan Swasthaya Abhiyan Haryana
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.
Dr R.S.Dahiya
Retired Sr Professor Surgery,
PGIMS, Rohtak. Haryana
(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
Seeing these conditions of Haryana 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.
Dr R.S.Dahiya
Retired Sr Professor Surgery,
PGIMS, Rohtak. Haryana
