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The Indian Rural Health Care System

Info: 2274 words (9 pages) Nursing Essay
Published: 11th Feb 2020

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Country Health is one of indispensable components of provincial life. India being a country of towns requires a concentrated approach towards country wellbeing. About 75 percent of wellbeing framework and other wellbeing assets are packed in urban zones. Regardless of whether a few government programs for development of rustic social insurance have been started, the procedure delay in execution prompts its inadequacy. Country regions have been tainted with different infectious ailments like loose bowels, amoebiasis, typhoid, irresistible hepatitis, worm invasions, measles, intestinal sickness, tuberculosis, challenging hack, respiratory contaminations, pneumonia and conceptive tract contaminations. The insanitary states of families exasperate development of these infections which is further advanced by unresponsiveness of individuals and government.


India is having spotlight at worldwide front not just in wording of its detonating populace however its wellbeing situation moreover. Indeed after India’s Independence, its populace is as yet fermenting under the scourge of debased wellbeing framework. There are about 716 million rustic individuals who are continually fighting for essential human services benefits in their environment. This situation is exacerbated through existing acts of neglect going ahead in provincial social insurance. The obsolete convictions of tribal that any malady might be relieved by enchantment, have ruled over the psyches of provincial ancestral populace of India. Because of this sort of idea, the country zones are affected by different superstitions which at last prompts barricade in the headway of present day pathology there. The enchantment based treatment is nothing in any case, utilization of tantra and serenades by holy people after feeble individual. Regardless of whether there is accessibility of present day pathology-based wellbeing foundations like PHC in their area, yet the inborn individuals embrace this indigenous enchantment based drug. Be that as it may, the financial, social and political attacks, emerging somewhat from the unpredictable misuse of human and material assets, have imperiled the normally sound condition


     This Health Care System  provides different health sector such as public and private health care sector

     Public healthcare sector:

In public health care sector, treatment is free of cost for those, who are under poverty line. At level of villages or in rural areas public healthcare taids to do trained birth attendant (TBA), village health guides (VHG), a gundi workers (AWS) and accredited social health activate.

     Function of trained birth attendant (TBA):

  • Conduction of delivery
  • Antenatal care
  • Care to infant
  • Postnatal care – 42 days
  • Family planning service

     Function of village health guide (VHG):

  • Treatment of minor alignments
  • First aid
  • Maternal & child health service (MCH)
  • Family planning
  • Sanitation Service
  • Referral

     Function of A gnawed worker (AWS):

  • Health checkup i.e. W8 & H8
  • Immunization
  • Supplementary nutrition
  • Health education
  • Non – Formal preschool education
  • Referral services

     Sub – Centre level: Norms

  • I sub capture for 5000 population in the plain area and for 3000 population in the hilly area.

     Staffing Pattern of Sub centres:

  • MPHW(M) (1) Multi-Purpose health workers
  • MPHW (F) (1) Also Called ANM
  • Voluntary works (1)

     Function of  Sub  Centre:

  • MCH Service
  • Family Planning
  • Treatment of minor alignment
  • Health Education
  • Visiting Home

     Primary Health Centres (PHC), for 25000 to 30000 population there is only one primary health centre.

     Staff:-

  • Medical officer (1)
  • Pharmacist (1)
  • Nurse Midwife (1) [GNM or BSC]
  • ANM (1)
  • Block extension educator
  • Health Assistant (M) (1)
  • Health Assistant  (F) (1) LHV ( Lady Health Visit)
  •  UDC (1) (Upper Division Clerk)
  • LDC (1) ( Lawn Division Clerk)
  • Lab Technician  (1)
  • Driven (1)
  • Class 4 workers (4)

Total number of Staff is 15

     Service of PHC :

  • OPD Service
  • Basic Lab Suuestigation
  • MCH Service
  • Immunization, Family Planning
  • Home Visiting
  • Referral Service
  • Training of Voluntary Workers

     Secondary Level: – which includes hospitals and health centres.

  • Community health centre: – 30 bedded hospitals, it causes population of 80,000 to 1.2 lakh.
  • Staff:- medical Officer (4) – (1) Physician

(1)   Surgeon

(2)   Pediatrician

(3)   Obstipation

  • Nurse Midwife (4)
  • Dressers (1)
  • Pharmacist (1)
  • Radio graphics (1)
  • Ward Boys (1)
  • Dhobi (1)
  • Sweepers (3)
  • Mali (1)
  • Aya (1)
  • Chownkidas (1)
  • Peon (1)

Total people = 25

     District Hospital (civil hospital)

     Specialist hospital

     Teaching Hospital & Multispecialty hospital

     Private Centre:-

  • Private Hospitals
  • Poly Clinic
  • NSG home
  • Dispensaries
  • General position & clinics
  • Speciality Hospital
  • Non – Teaching & Teaching Hospitals

     Indigenous System of  Medicine:

  • AYUSH ( Ayurveda yoga unani siddha  homeopathy)
  • Unregistered position


It is launched by the government of India for the rural health and services are provided at villages level gives an illustrative structure of health care system, that included services from lower level upper level and it included village level services, gram panchayat at in which sub-centers then primary centers and upper level there is block level hospitals that provide 24 hours emergency.

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There some problems in the rural health care  approximately 70% of population living in the rural areas and experience the low level of health facilities the major basic medicines and majority problems is lack of quality. Infrastructure non access to basic medicines and majority of 700 million people lives in rural are where the condition of medicines health deplorable.

Challenges for Rural Health System – An Overview the poor condition of the wellbeing framework in provincial zones isn’t the result of a specific event yet a united outgrowth of debased framework. It implies lacunae in existing strategy and foundation as well as blockage in potential advancement too. The consumption on general wellbeing has not exclusively been overlooked by the state yet by regular man too. The Common man terms consumption on general wellbeing as pointless. In their view, the nature of treatment and meds in government-run healing centers has corrupted. Their redirected interest in private specialist and private doctor’s facilities has declined general wellbeing framework in India. The thwarted expectation and dissatisfaction with the developing insufficiency of the administration area is steadily driving destitute individuals to look for help of the private part, along these lines compelling them to spend immense totals of cash using a credit card, or they are left to the kindness of ‘quacks’. Along these lines, it is exceptionally fundamental for us to survey essential components for corruption of Public wellbeing framework in India.

Inefficient Physical Infrastructure The sub-focus (SC) is the most fringe establishment or first contact point between Primary Health Center (PHC) and network. Each sub-focus is kept an eye on by one Auxiliary Nursing Mid-spouse (ANM) and one Multi-Purpose Worker (MPW). The sub-focuses are required for dealing with essential wellbeing needs of men, ladies and youngsters. Aside from it, PHC additionally keeps an imperative position in wellbeing administrations. It gives coordinated therapeutic and preventive human services to the provincial populace with an accentuation on preventive and promotive angles. At upper dimension, remains CHC. The real capacity of CHC is to give complete inclusion of human services to patients alluded from PHC. In this issue, poor foundation of the healing centers involves genuine concern. According to government records, 49.7 percent of sub-focuses, 78 percent of PHCs and 91.5 percent of CHCs are situated in weather beaten government structures. There are 12,760 doctor’s facilities having 576,793 beds in the nation. Out of these, 6795 doctor’s facilities are in provincial zones with 149,690 beds and 3,748 clinics are in urban territories with 399,195 beds. Normal Population served per Government Hospital is 90,972 and normal populace served per government healing center bed is 2,012 (Kumar, Avenues and Saurav Gupta, 2012). Indeed, even as far as accessibility of immunizations in these healing facilities, the circumstance is extremely horrid. The accessibility of life sparing immunizations is additionally not up to the stamp, e.g. the hole among interest and supply of DPT in 2009-10 was over 26 percent while that of antibodies of Tetanus Toxoid (TT) was around 16 percent (Kumar, Avaneesh and Saurav Gupta, 2012). Infiltration of fundamental foundation accessibility is low in all the BIMAROU states (India Development Report, 2012/13). 4 percent of PHCs were working without power


Indian rural healthcare system is on worse condition, as according to findings the staffing pattern in rural healthcare is not so good.  India is an issue of concern example there is only one physician for 7870 people in rural area, as rural population is more of India. There are 597,467 census villages in India as the up to 2018 census, there is only 28850 primary health care centers and one primary health care center are superiors 6 sub-centers and serve about 5000 population in plain area   and 3000 approx. in hilly areas because of unviability   of resource and not that good infrastructure the health issues of rural population because chorionic and current system of care cannot do job. Indian rural finds out problems those are faced by the people especially in medical service area. The solutions are provided for improvement the rural health care system in India.  A research strategy involved in detailed review for sub-centers for villages. According to national health policy 2002, the government contribution to health sector constitutes only 0.9 percent of the GDP. In India public expenditure on health is 17.3 % of the total health experience.



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