CAG Report conclusions

  CAG report 

 Conclusion 

There was wide variation in availability of Specialist OPD services across DHs and SDCHs, which was the result of inadequate availability and skewed distribution of Specialist Doctors in Health Department. In the test-checked health institutions, audit observed that availability of doctors was not ensured as per the patient load. In IPD services, specialty wise beds were not allocated. OT facility was not available in any of the selected PHCs/UPHCs. Positive isolation room was not available in DH Panipat, SDCH Narnaund, MCH Nalhar (Nuh) and seven out of 12 selected CHCs/ UHCs. Further, the Bed Occupancy Ratio (BOR) of all the test-checked health institutions were below 80 per cent except DHs Hisar and Panipat. LAMA rate of SDCHs Adampur, Samalkha and Narnaund were higher as compared to other institution which shows that these hospitals could not gain trust of patients. In Emergency services, it was noticed that facility of 24 hours Management of emergency services such as accident, first aid, stitching of wounds etc., were available only in seven out 24 selected PHCs/UPHCs. None of the test-checked hospitals had ICU services except DH, Panipat. In Maternity services, institutional births in public health facility remained at 57.5 per cent during the period 2019-21. Further, there was shortfall in conducting review of maternal deaths and neonatal deaths during 2016-17 to 2020-21. Most of the radiology services were not available in selected SDCHs.

*My comments* 

    This summary report reflects the petty situation of Haryana Health Services.

Specialists deficiency is alarming. Radiology services are reflected in a miserable situation. The govt should seriouslyd take up the deficiencies and take action against inefficient drug compnies for supplying sub standard medicines .

 *These are the recommendations of CAG report.The Govt should respond to these urgently.*

Recommendations 1. Government should ensure that all OPD services, IPD services, emergency services, diagnostic services as prescribed under IPHS norms for different health institutions are made available to the beneficiaries. 2. Government should take steps to improve and strengthen auxiliary and support services so that overall healthcare experience is improved. 3. Government should ensure that doctors and other manpower are provided according to the patient load on health institutions.  4. The health institutions should be instructed to comply with safety norms.