The healthcare system in Haryana is ailing. The acute shortage of manpower in district hospitals, sub-divisional hospitals, primary health centres, community health centres and sub health centres in the State continue to affect the rural population, depriving them of adequate healthcare services.
The district-level households and facility survey-4 (DlHS-4) in Haryana has pointed out acute shortage of health workers in the State PHCs, CHCs, SHDs and sub-divisional centres.
The DlHS-4 revealed that only 34.2 per cent Primary Health Centres (PHCs) out of 246 PHCs covered during the survey, have lady medical officers while only 19.1 per cent PHCs have AYUSH doctor. The Community Health Centres (CHCs) having Obstetricians/ Gynaecologist are only 13.2 per cent out of 106 CHC surveyed.
“Only 8.5 per cent CHCs have Anesthetist, 46.2 percent have functional operation theatre. The Sub Divisional Hospitals (SDHs) having Paediatrician are about 28 per cent. Only 9.5 per cent SDHs have regular radiographer, 4.7 per cent have 2D Echo facility, 14.3 per cent have ultrasound facility and 42.8 per cent have critical care areas,” stated the DlHS-4 report.
The report stated that 38.1 per cent district hospitals have regular radiographer, 38.1 per cent have 2D Echo facility while 76.2 per cent have critical care area. About 58.2 per cent SHCs are working with male workers.
The DlHS-4 was conducted in 708 villages of the state covering 673 sub-health centres, 246 PHCs, 106 CHCs including block PHC, 21 SDHs and 21 district hospitals. The village questionnaire contained information on availability of health, education and other facilities in the village, and whether the facilities are accessible throughout the year.
The report further stated that 80.4 per cent villages have sub health centre within 3 km while 87.3 per cent villages have PHCs within 10 km. 96.1 per cent of villages have ASHA (Accredited social health activists) and 43.5 per cent of villages have village health nutrition and sanitation committee.
A significant improvement is registered in few healthcare services. DlHS-4 stated 79.3 per cent PHCs are functioning on 24X7 hours basis as compared to only 39.2 per cent during DlHS-3 (conducted in 2007-08). All CHCs have 24X7 hours normal delivery services, 91.5 per cent CHCs have new born care services on 24x7 hours basis, all SDHs and district hospitals have suggestion and complaint boxes.