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India’s healthcare in critical condition: 4 out of 5 public health centers below par, reveals new Govt report

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In a recent self-assessment conducted by the Indian government, it has come to light that a vast majority of the country’s public health facilities are falling short of essential standards mandated by the government. This comprehensive evaluation covered over two lakh healthcare facilities, encompassing district hospitals, sub-district hospitals, community health centers, primary health centers, and Ayushman Arogya Mandirs.

Detailed Assessment of Public Health Facilities

According to data published on the Indian Public Health Standards (IPHS) dashboard, only approximately 20% of the assessed facilities achieved a score of 80% or higher, meeting the required benchmarks for infrastructure, human resources, drugs, diagnostics, and equipment. This indicates a significant shortfall in meeting basic healthcare standards across the majority of public health facilities in India.

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Challenges Unveiled by the Assessment
Out of the facilities assessed, a substantial 42%, totaling 17,190 facilities, scored below 50%, revealing critical deficiencies in crucial healthcare areas. An additional 15,172 facilities scored between 50% to 80%, illustrating varying levels of inadequacy prevalent throughout the public healthcare system.Government Initiatives and Future Plans
Addressing the findings, a senior health ministry official emphasized the importance of the self-assessment as a crucial first step towards enhancing healthcare quality nationwide. The government aims to accelerate efforts to ensure that 70,000 health institutions achieve IPHS compliance within the first 100 days of the new government’s tenure. This initiative aims to identify shortcomings and prompt states and union territories (UTs) to improve facilities, supported by central government assistance.Inspection and Quality Assurance Measures
Beyond self-assessment, the government plans to conduct surprise inspections to verify facility claims and ensure adherence to IPHS standards. Moreover, facilities will undergo evaluations under the National Quality Assurance Standards (NQAS), which assess higher levels of healthcare practices, including essential medicines, infection control measures, and patient rights. While physical assessments will continue for most facilities, a new provision for virtual assessments has been introduced for Ayushman Arogya Mandirs to streamline evaluations and enhance efficiency.

Financial Support and Collaborative Efforts
Under the National Health Mission (NHM), the central government provides 60% of the funding for public health facilities, with states bearing the remaining costs. This funding structure highlights the collaborative effort required to improve healthcare infrastructure and service delivery across the country.

The revelations from the self-assessment underscore the urgent need for comprehensive reforms in India’s public health sector. By identifying deficiencies and mobilizing resources, the government aims to elevate healthcare standards, promising improved health outcomes and a more equitable healthcare system for all citizens.

(With inputs from TOI)