A cross sectional study to assess the existing manpower in community health centres in a district of Tamilnadu.
Journal Title: National Journal of Research in Community Medicine - Year 2017, Vol 6, Issue 3
Abstract
BACKGROUND: Community health centres (CHC) provide referral and speciality care. Under National Rural Health Mission, Indian Public Health Standards were set for CHCs in 2007, and revised in 2012. Manpower is one of the essential resource to provide good quality of health care. The objective of this study was to assess the existing manpower in CHCs of a district, Tamil Nadu. MATERIALS AND METHODS: A Cross Sectional Study was conducted in 13 CHCs of a district and data were collected in terms of Manpower from October – November 2016, using a standard structured IPHS facility survey format for CHC. RESULTS: Obstetricians and Gynaecologists were present in only 4 CHCs and Anaesthetist were present in 3 CHCs. None of the other specialists as prescribed in IPHS were available in any of the CHCs. All the specialists/general duty medical officer posts were occupied by MBBS doctors. About 56.4% (66 out of 117) Nursing staff (includes Staff nurse, ANM) were available. About 76.9% (20 out of 26) Lab technicians and 92.3% (12 out of 13) Ophthalmic assistants were available. Pharmacists were available as recommended. Nil Radiographers present. Data Entry Operators were available more than needed. Only 23.1% (3 out of 13) Dressers, 3.8% (1 out of 26) ward boys, 15.4% (2 out of 13) OT attendants were present. But 23 in place of 13 Multipurpose Workers were available. About 30.8% (4 out of 13) OPD attendants, 7.7% (1 out of 13) Chowkidars and 30.8% (12 out of 39) Sweepers were present. CONCLUSION: As per IPHS standards, human resources availability was less, which is one of the basic resource to provide good quality of care. The policy makers have to ensure the availability of adequate manpower in CHC.
Authors and Affiliations
Chitra A, Kaleeswaran S, Sudharshini S.
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