a nalysis of mmunity health centers in rajasthansihfwrajasthan.com/chc gap analysis.pdfsihfw: an iso...

State In

nstitute

Co

of Healt

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ommun

By

th & Fam

Analysis

ity Hea

Rajasth

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lfare, Ja

ters in

aipur

1

SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan

2

Executive Summary

The Community Health Centers (CHCs), the secondary level of health care, were designed to provide

referral as well as specialist health care to the rural population. These centers are however fulfilling the

tasks entrusted to them only to a limited extent. The RHSDP made a concerted effort to strengthen

these centers in Rajasthan and with the project coming to a close National Rural Health Mission (NRHM)

will have to have a fresh look at their functioning in view of the persistent gaps with reference to IPHS to

achieve and maintain an acceptable standard of quality of care with 24 x 7 operation.

The data was analyzed regarding status and gaps in existing Community Health Centers (CHCs) across

the state. The report is based on the analysis of data provided by RHSDP but the interpretation carries a

caveat as the data relates to only one CHC in each District.

Service delivery, Human Resource and IPHS:

The IPHS prescribes that every CHC has to have a Physician, Surgeon, Ob.& Gy., Anesthetist,

Pediatrician and a Public Health Specialist. With regards to the service delivery out of total 31

Community Health Centers (CHCs), Physicians (Medical specialist) are available at 54.8% (17) of CHCs.

Only 64.5% of CHCs have a surgeon. Obstetricians/ Gynecologists are also not available at 51.6%

CHCs. Pediatric services are not available at majority of CHCs (54.8%) and child population only in the

catchment of 45.2% CHCs is lucky to have pediatrician.

As far as the man power is concerned at 48.4% of CHCs do not have physician, while 9.8% CHCs have

the luxury of having 2 physicians. Majority (54.8%) of CHCs have 1 general surgeon while only (6.4%)

CHCs at Dag (Jhalawar) and Sheoganj (Sirohi) have 2 general surgeons in place. For the provision of

reproductive health, a gynecologist/ Obstetrician are essential but at majority (51.6%) of CHCs

Obstetrician/ Gynecologist is not available. Pediatrician is a luxury for 54.8% of CHCs; only 45.2% CHCs

have Pediatrician. Only 25.8% CHCs have Anesthetist (a must for every CHC to be functional as FRU),

22.6% CHCs having an Ophthalmologist and at 90.4 % CHCs Dresser is not available.

51.6% CHCs have one Pharmacist/Compounder. Availability of Ward Boys is not an issue with 77.5%

CHCs but for 22.5% CHCs. Sweepers are available at majority of places (64.5% CHCs). Statistical

Assistant/ Data Entry operator is available at 22.6% CHCs while in 77.4% CHCs this post is vacant.

Assured services as per IPHS: The standards adopted under IPHS ask for certain “assured services” : Emergency medical and surgical

services, services for LSCS, Blood banking, Essential diagnostics, referral, National Health program


3

delivery, Essential drugs, Diet, Laundry, IPD, OPD, OT, Labor room, X-ray, Pharmacy, citizen charters and

ilk. Further, every CHC is expected to have SOP and standard protocols.

With reference to the said “Assured services”, the analysis shows-

90.3% CHCs provide emergency services except CHCs Atru (Baran), Nagar (Bharatpur) and Tonk. 83.9%

CHCs are providing Family Planning services. 24-Hour delivery Services are available at majority of CHCs

(93.5%) except at Atru (Baran) and Tonk CHCs.Emergency Obstetric Care is available only at 45.2%

CHCs.

New Born Care facility is being provided at 74.2% CHCs (only 45.2% have a pediatrician). Emergency

Care of sick Children Facility is being provided by 64.5% CHCs, while this facility is not available at 35.5%

CHCs. Essential Laboratory Services are available at majority (83.9%) of CHCs. Blood storage facility is

available at 61.3% CHCs.

Referral Transport Services are available at 67.8% Specialist services related to safe Abortion are

available at 67.7% CHCs.Treatment facility for RTI/STI is available at majority (93.5%) of CHCs. Facilities

in Gynecology/ obstetric (96.8).Maternal and Child health Service availability (96.8).

As far as the investigation facility concern 87.1% CHCs has ECG facility while this facility is not available

at 12.9% CHCs. 87.1% CHCs do not have Ultra Sound facility. Majorities (77.4%) of CHCs have sample

collection and transportation facilities, while at 22.6% CHCs services are not available. Diagnostic facility

is available at 22.6% CHCs while 77.4% CHCs outsource this to private lab/hospital.

Infrastructure refers to the basic support system in the form of a proper and regularly maintained

building, and the basic facilities available within the building for the smooth functioning of the health care

establishments. Fortunately 90.4% CHCs are located within the village itself, rest 9.6% CHCs are located

at less than 2 hours of travel distance from the farthest village. 96.8% of CHCs have Govt. buildings, while

CHC Kekri (Ajmer) is housed in rented building.

All the CHCs have Operation Theatre facility except CHC in Tonk. Out of these only 70.0% operation

theatres are used for Obstetric/ Gynecological purpose, while 30.0% CHCs do not use their operation

theatre for Obstetric/ Gynecological purpose.

Majority of OTs (55.3%) are functional for other surgeries too, while in 33.3% of OTs are not functional.

70.9% CHCs have Air conditioner in Operation Theater and out of these 67.7% CHCs have their Air

conditioner in working condition.


4

77.4% CHCs have Generator and Emergency Lights availability in Operation Theater. Out of remaining

22.6% CHCs has neither Generator nor emergency light 38.7% CHCs have reported that they have walk-

in coolers to store the vaccine. Blood storage unit as a must for an FRU is available at 58.1% CHCs, while

this facility is not available at 41.9% CHCs.

At majority (90.3%) of CHCs labor room is available except from CHCs at Atru (Baran), Sardarshahar

(Churu) and Tonk. all 31 CHCs are getting adequate water supply. 64.5% CHCs have vehicles at their

centers while 35.05% CHCs do not have any vehicle. Majority of CHCs (90.3%) CHCs do not have waste

disposal facility

As far as the furnishing is concerned examination table, delivery table, stool for patients, oxygen trolley,

iron bed, bed side locker, instrument tray, chair, wooden table and mattress are available at all the 31

CHCs.CHC at Indergarh (Bundi), don’t have basics like saline stand, wheel chair, stretcher on trolley.

54.9% CHCs doesn’t have availability of standard operating procedures, while only 45.1% CHCs have

this facility. Facility of External Monitoring is not available at 61.2% CHCs, while 38.8% CHCs have this

facility.

Internal Monitoring Facility is not available at 38.8% CHCs, 54.9% CHCs have copies of constitution of

RMRS (RKS), while 45.1% CHCs don’t have this constitution. Majority (80.6%) CHCs have citizen’s charter, while 19.4% don’t citizen’s charter.


5

Introduction: Health care delivery in India has been envisaged at three levels namely primary, Secondary and tertiary.

The secondary level of health care essentially includes Community Health Centers (CHCs), constituting

the First Referral Units (FRUs) and the District hospitals. The CHCs were designed to own referrals from

field units besides referring the screened cases to higher levels of health care services.

Normally, 4 PHCs are included under each CHC thus catering to approximately 80,000 populations in

tribal/ hilly areas and 1, 20,000 populations in plain areas. CHC is a 30-bedded health facility providing

specialist care in medicine, Obstetrics and Gynecology, Surgery and Pediatrics. The launch of the

National Rural Health Mission (NRHM) and subsequent adoption of IPHS at National level offers an

opportunity to have a fresh look at their functioning. Although there are already existing standards as

prescribed by the Bureau of Indian Standards for 30-bedded hospital, these are at present not achievable

as they are very resource-intensive. With awareness and increase in purchasing power parity, there is

bound to be an increase in demand for health services and the system needs to be geared to face the

challenge. Not only does the system require up gradation to handle higher patient load, but emphasis

also needs to be given to quality aspects to increase the level of patient satisfaction. In order to ensure

quality of services, the Indian Public Health Standards are being set up for CHCs so as to provide a

yardstick to measure the services being provided there. This document provides the requirements for a

Minimum Functional Grade of a Community Health Centre.

Objectives of Indian Public Health Standards (IPHS) for CHCs:

• To provide optimal specialist care to the community,

• To achieve and maintain an acceptable standard of quality of care, and

• To make the services more responsive and sensitive to the needs of the Community.

Service delivery in CHCs: The IPHS has laid down a set of services which every CHC has to provide as “Assured Services”, these

are:

• Care of routine and emergency cases in surgery:

This includes Incision and drainage, and surgery for Hernia, hydrocele, Appendicitis,

hemorrhoids, fistula, etc.

Handling of emergencies like intestinal obstruction, hemorrhage, etc.

• Care of routine and emergency cases in medicine:

Specific mention is being made of handling of all emergencies in relation to The National

Health Programs as per guidelines like Dengue Hemorrhagic fever, cerebral malaria, etc.


6

Appropriate guidelines are already available under each program, which should be

compiled in a single manual.

• 24-hour delivery services including normal and assisted deliveries

• Essential and Emergency Obstetric Care including surgical interventions like Caesarean Sections

and other medical interventions

• Full range of family planning services including Laparoscopic Services

• Safe Abortion Services

• New-born Care

• Routine and Emergency Care of sick children

• Other management including nasal packing, tracheotomy, foreign body removal etc.

• All the National Health Programs (NHP) should be delivered through the CHCs. Integration with

the existing programs like blindness control, Integrated Disease Surveillance Project is vital to

provide comprehensive services. The requirements for the important NHPs are being annexed as

separate guidelines with the document.

RNTCP: CHCs are expected to provide diagnostic services through the microscopy centers which

are already established in the CHCs and treatment services as per the Technical Guidelines and

Operational guidelines for Tuberculosis Control.

HIV/AIDS Control Program: The expected services at the CHC level are being provided with this

document which may be suitably implemented.

National Vector –Borne Disease Control Program: The CHCs are to provide diagnostic and

treatment facilities for routine and complicated cases of malaria, filarial, dengue, Japanese

encephalitis and Kala-azar in the respective endemic zones.

National Leprosy Eradication Program: The minimum services that are to be available at the

CHCs are for diagnosis and treatment of cases and Reactions of leprosy along with advice to

patient on Prevention of Deformity.

National Program for Control of Blindness: The eye care services that should be available at the

CHC are diagnosis and treatment of common eye diseases, refraction services and surgical

services including cataract by IOL Implantation at selected CHCs optionally. 1 eye surgeon is

being envisaged for every 5 lakh population.


7

Under Integrated Disease Surveillance Project, the related services include services for diagnosis

for malaria, Tuberculosis, typhoid and tests for detection of faecal contamination of water and

chlorination level. CHC will function as peripheral surveillance unit and collate, analyzed and

report

Information to District Surveillance Unit. In outbreak situations, appropriate action will be initiated.

• Others:

Blood Storage Facility

Essential Laboratory Services

Referral (transport) Services:

Parameters: The IPHS Performa which was used to conduct the analysis is based on following

parameters:-

1. Services

2. Physical Infrastructure

3. Manpower

4. Investigative & Laboratory services

5. Capacity Building

6. Equipment, Furniture & Drugs

7. Quality Control and

8. Findings

The report is based on the analysis of data provided by RHSDP. The gap analysis has punctuation as the data relates to only one CHC in each District and for the limitation the generalization can’t be made, nor a substantial inference can be drawn.

I. SAvailabili

(Bharatpur

Sanchore

facilities.

Obstetricia

(Bikaner),

Jamwaram

Sultanpur

0

10

20

30

40

50

60

70

Percen

tage

0

20

40

60

80

100

Percen

tage

ervices: ity of Specia

r), Gulabpura

(Jalore), Sult

ans/ Gynecol

Indergarh (B

mgarh (Jaipur

(Kota), Makr

Medicine

54.8

45.2

Paediatrics

45.254

alist Services

(Bhilwara), S

tanpur (Kota)

ogists are a

Bundi), Simal

r), Sanchore

rana (Nagau

Surgery

64.5

35.5

s Emse

9

.8

s:

Simalwara (D

, Sheoganj (S

also not avai

lwara (Dunga

(Jalore), Da

r), Khamnore

OBG

48.451.6

ergency ervices

0.3

9.7

Phyat 5(Bha

(Bun

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Tonk

are

to hi

64.5CHC

ungarpur), Ki

Sirohi), Tonk

lable at 51.6

arpur), Kisan

ag (Jhalawar)

e (Rajsaman

CHCs

Pediaof CHcatch

pedia

(Bhar

(Chitt

Surat

Pokra

Hinda

Gang

(Gang

Yes

No

Yes

No

SIHFW: An

sicians (Med54.8% of CHCaratpur), Gu

ndi), Simalwa

war), Suratga

ore), Dag (Jhanpur (Kota),

k and Kuraba

managed wit

gher facilities

5% of CHCs Cs (Atru (Bar

sangarhbas (

and Udaipur

6% CHCs C

ngarhbas (Alw

), Phalodi (Jo

d) and Udai

s have the se

atric serviceHCs (54.8%) hment of 45

atrician-

ratpur), Dung

tor), Sardarsh

tgarh (Ganga

an (Jaisalm

auncity (Ka

gapur city

ganagar) and

ISO 9001:200Analysis o

dical specialCs but for At

labpura (Bh

ara (Dungarp

arh (Gangan

halawar), Hin, Bali (Pali),

ad (Udaipur) w

hout specialis

s.

have a surgran), Chohtan

(Alwar), Noha

r (Kurabad) ,

Chohtan (Bar

war), Suratga

odhpur), Hind

pur (Kurabad

ervices of Ob.

es are not av

and child pop5.2% CHCs

Chohtan (

gargarh (Bik

hahar (Churu

anagar), Noha

mer), Chiraw

arauli), Ma

(SawaiMadh

d Neem ka tha

08 Certified Instof CHCs in Raja

list) are avatru (Baran), N

ilwara), Inde

pur), Kisanga

nagar), San

dauncity (KaSheoganj (S

where patien

st and are ref

geon but 35.5

n (Barmer), N

ar (Hanumang

have no sur

rmer), Dunga

arh (Gangana

dauncity (Ka

d). Only 48.4

&Gy. Specia

vailable at ma

pulation only is lucky to

(Barmer), N

kaner), Nimb

u), Lalsot (Da

ar (Hanumang

wa (Jhunjh

krana (Nag

hopur), Sura

ana (Sikar).

titution asthan

8

ilable Nagar

ergarh

rhbas

chore

rauli), irohi),

ts still

ferred

5% of

Nagar

garh),

rgical

argarh

agar),

rauli),

4% of

alist.

ajority

in the have

Nagar

ahera

ausa),

garh),

hunu),

gaur),

atgarh

Emergeexcept C

the fact th

45.2% haJamwaram

do not hav

0

10

20

30

40

50

60

70

80

Percen

tage

2

4

6

8

10

ency ServiceCHCs of Atru

hat 51.6% of C

ave a pediatrmgarh (Jaipu

ve this facility

EmergencObstetric Ca

45.2

54

0

0

0

0

0

0

24‐ hr dserv

93.5

es (? with m (Baran), Nag

CHCs do not

ician, and th

r) Dag (Jhala

y.

y are

New‐bor

74.2

.8

delivery vices

F

5

6.5

manpower cgar (Bharatpu

have services

is is question

awar), Phalod

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2

6

25.8

Family planningservices

83.9

16.

onstraints) ur) and Tonk.

s of Ob. & Gy

nable), while C

i (Jodhpur), B

ergency re of sick hildren

64.5

35.5

Yes

No

g

1

Yes

No

SIHFW: An

are available

Majority of

Family PlanAtru (Baran

(Bharatpur),

and Tonk Dis

24-Hour deat majority Atru (Baran

observation

y. Specialist.

EmergeavailableKisangar

(Banswa

Gulabpu

(Chittor),

Suratgar

(Hanuma

Chirawa

ka tha

(SawaiM

(Sirohi),

cases as

New Boprovided

CHCs at Atru

Bali (Pali), Kh


e at majority

CHCs (83.9

nning service

n), Chohtan

and Khamn

stricts.

livery Servicof CHCs (

n) and To

needs interp

ncy Obstee only at 4rhbas (Al

ara), Naga

ra (Bhilwa

, Sardars

rh (Ganga

angarh), Po

(Jhunjhunu),

na (Sikar),

Madhopur) a

while 54.8%

s this facility is

orn Care fd at 74.2%(Baran), Gul

amnore (Rajs


of CHCs (90

9%) are prov

es except CH

(Barmer), N

nore (Rajsam

ces are ava(93.5%) exce

onk CHCs.

retation in vi

etric Care45.2% CHCswar), Par

ar (Bhara

ara), Nimb

hahar (Ch

anagar), N

okran (Jaisa

, Bali (Pali), N

Gangapur

and She

% CHCs refe

s not availabl

facility is b% CHCs (?

abpura (Bhilw

samand) and

titution asthan

9

0.3%)

viding

Cs at

Nagar

mand)

ilable ept at

This

ew of

e is s viz.

rtapur

atpur),

ahera

huru),

Nohar

lmer),

Neem

city

eoganj

er the

e.

being only

wara),

Tonk

Emergenavailable

(Dungarp

(Jodhpur)

Referral Chohtan

(Jalore), S

of CHCs.

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Percen

tage

0

10

20

30

40

50

60

70

80

90

Percen

tage

cy Care of sat 35.5% C

ur) Kisangarh

), Bali (Pali), K

Transport S(Barmer), N

Sultanpur (Ko

Safe Abortservices

67.7

Essential Laboratory Services

83.9

16.1

sick ChildrenCHCs viz. A

hbas (Alwar),

Khamnore (Ra

Services areNagar (Bhara

ota), Sheogan

ion s

Trea

32.3

Blood Storagfacility

61.3

38

n Facility is bAtru (Baran),

Jamwaramg

ajsamand) an

e available aatpur), Gulab

nj (Sirohi), Ton

atment of STI /RTI

93.5

6.5

ge Referral &Transporservice

67.8

8.732

being providNagar (Bha

garh (Jaipur),

nd Tonk.

Esat (B

(H

(S

BlCH(B

(D

Kis

Su

Sh

(K

ac

at 67.8% CHbpura (Bhilw

nk and Udaip

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Kis

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pa

or

(B

fo

Yes

No

& rt

2.2

Yes

NO

SIHFW: An

ded by 64.5%aratpur), Gul

Sanchore (Ja

ssential Labomajority (8

Baran), Na

Hanumangarh

SawaiMadhop

lood storageHCs. 38.7% o

Barmer), Du

Dausa),

sangarhbas

ultanpur (Kot

heoganj (S

Kurabad); so

ccount.

HCs, while a

wara), Suratg

ur (Kurabad)

pecialist serve available aHCs (Atru

dergarh (Bu

sangarhbas (

halawar), P

ota), Khamn

atients either

unqualified

aran) and To

r RTI/STI is


% CHCs, while

labpura (Bhil

alore), Dag (J

oratory Serv83.9%) of Cagar (Bha

), Ga

ur) and Tonk

e facility is aof CHCs (Atru

ungargarh (

Simalwara

(Alwar),

ta), Khamno

irohi), Tonk

omehow defy

at 32.2% CH

garh (Ganga

patients man

vices relatedat 67.7% CHC(Baran), Na

ndi), Simalw

(Alwar), Sanc

Phalodi (Jod

nore (Rajsam

must be goin

d practition

onk CHCs, Tavailable at

08 Certified Instof CHCs in Rajae this facility

lwara), Sima

Jhalawar), Ph

ices are avaCHCs except

aratpur), N

ngapur

CHCs.

available at 6u (Baran), Ch

(Bikaner), L

(Dunga

Dag (Jhala

re (Rajsama

k and Ud

y IPHS on

HCs (Atru (Ba

anagar), San

nage of their

d to safe AboCs while at 3

agar (Bhara

wara (Dunga

chore (Jalore)

dhpur), Sult

mand) and

ng to private s

ners.Except

Treatment fa majority (93

titution asthan

10

is not

alwara

halodi

ilable t Atru

Nohar

city

61.3% ohtan

Lalsot

arpur),

awar),

and) ,

daipur

this

aran),

chore

own.

ortion 32.3%

atpur),

arpur),

), Dag

anpur

Tonk

sector

Atru

acility 3.5%)

Facilities

(Sirohi)

counselin

93.6% working maintain examinat

87.1% C/Name pla

Counselli

Separate Toi

InstruSterilizati

s in Gynecolo

and Tonk

g services.

CHCs havspace th

privaction of patien

CHCs have ates to guide

0

ing facility

ilet facility

uments ion facility

ogy/ obstetri

do not of

ve adequaherefore ccy durint.

sign boare the patient

50

19.3

9.6

3.2

Perc

c:

ffer

ate can ng

rds s.

0 1

80

centage

0

10

20

30

40

50

60

70

80

90

100

Percen

tage

100

.7

90.4

96.8

No

Yes

0

0

0

0

0

0

0

0

0

0

0

Sign Bofacilit

87.1

SIHFW: An

All the Gare equ

sterilizin

Simalwa

(Alwar).

90.4%

facility f

running

(Jaipur)

don’t h

80.7%

services

Nagar

Khamno

ard ty

Adeworki

93

12.9


Gynecology uipped with

g instrumen

ara (Dungarp

CHCs have

for males a

water while

and Pokran

have separa

CHCs pro

s to patients

(Bharatpur),

ore (Rajsam

equate ing space

Pe

3.6

6.4


sections at C

the facility

nts except

pur), Kisanga

e separate

and females

e Jamwaram

(Jaisalmer) C

ate toilet fa

ovide couns

but 19.3% C

Dag (Jhala

mand), She

rivacy during examination

93.6

6.4

titution asthan

11

CHCs

y for

from

rhbas

toilet

with

mgarh

CHCs

acility.

seling

CHCs

awar),

eoganj

Yes

No

Maternal

II. ManpA) Clinic

S.N

1.

2.

3.

4.

5.

6.

7.

8.

0

20

40

60

80

100

Percen

tage

and Child he

power: (IPHScal Manpowe

. Clinica

Genera

Obstetr

Physicia

Pediatri

Anesthe

Public H

Ophtha

Genera

Ante‐nataClinics

96.8

3

ealth Service

S norms for cer

l Manpower

al Surgeon

ician / Gynec

an

ician

etist

Health Progra

lmologist

al duty officers

al Post‐nClini

93.6

3.2

e availability

clinical man p

cologist

am Manager

s (Medical Off

natal ics

ImmSe

6 9

6.4

:

power at CH

ficer)

unization essions

96.8

3.2

Yes

No

SIHFW: An

From the

Tonk Crelated the CHC

immuniz

have po

Tonk an

C)

IP


e available da

CHC doesn’to mother aCs has ante

zation facility

st natal clinic

d Khamnore

PHS Norms

1

1

1

1

1

1

1

6(at le

fema

docto


ata, it appear

t have sernd Child. Re

e-natal clinics

y. 93.6% C

cs expect CH

(Rajsamand)

east 2

ale

ors)

titution asthan

12

rs that

rvices est all

s and

CHCs

HCs at

.

1) Gener

Gulabpura

(Hanuman

and Kurab

2) Physic

0

10

20

30

40

50

60

Percen

tsge

ral Surgeon:

a (Bhilwara)

ngarh), Pokra

bad (Udaipur)

cian:

1‐Surgeon

54.8

Availabilit

9.8

48.4 %

Availability

), Lalsot (D

an (Jaisalmer

) are without

2‐Surgeons

6.4

ty of General

41.8 %

8 %

of Physician

Dausa), Sim

), Sanchore (

t a surgeon.

Vacant

38.7

l Surgeon

1 ‐Phy

2‐Phys

vacant

n

M

Ki

At

(B

(C

Ja

(J

(K

G

M

1

(J

ge

Th

at

malwara (Du

Jalore), Sulta

At

(B

Ni

Kis

(Jh

(K

Kh

(K

wh

ph

ysician

sicians

t

SIHFW: An

ajority (54.8

isangarhbas

tru (Baran), D

Bundi), Nimb

Churu),

amwaramgarh

hunjhunu), P

Karauli), Mak

angapur cit

adhopur) ) an

general surg

halawar) an

eneral surgeo

he available

t Chohtan (

ungarpur), K

anpur (Kota),

48.4% of CH

aran), Nagar

mbahera (Ch

sangarhbas (

halawar), Hin

Kota), Makra

hamnore (Ra

Kurabad) pos

hile 9.8% CH

hysicians. Ab


8%) of CHC

(Alwar), Par

Dungargarh (B

ahera (Chitt

Suratgarh

h (Jaip

Phalodi (Jodh

krana (Naga

ty (Gangap

nd Neem ka t

eon while CH

d Sheoganj

ons in place.

data show th

(Barmer), N

Kisangarhbas

Khamnore (R

HCs Kisangar

(Bharatpur),

hittor), Simalw

(Alwar), Sanc

ndauncity (K

ana (Nagau

ajsamand), T

t of physiciaHCs have the

bout 41.8%


Cs Kekri (Aj

rtapur (Bansw

Bikaner), Inde

or), Sardars

(Gangana

ur), Ch

hpur), Hindau

aur), Bali (

ur city (S

thana (Sikar)

HCs (6.4%) a

(Sirohi) ha

hat CHCs (38agar (Bhara

(Alwar), N

Rajsamand) ,

rhbas (Alwar)

Indergarh (B

wara (Dunga

chore (Jalore)

Karauli), Sult

ur), Bali (

Tonk and Ud

an is lying valuxury of hav

CHCs hav

titution asthan

13

jmer),

wara),

ergarh

hahar

agar),

hirawa

uncity

(Pali),

Sawai-

) have

at Dag

ave 2

8.7%) atpur),

Nohar

Tonk,

), Atru

undi),

arpur),

), Dag

anpur

(Pali),

daipur

acant, ving 2

ve 1


14

physician i.e. Partapur (Banswara), Chohtan (Barmer), Gulabpura (Bhilwara), Dungargarh (Bikaner),

Sardarshahar (Churu), Lalsot (Dausa), Nohar (Hanumangarh), Jamwaramgarh (Jaipur), Pokran

(Jaisalmer), Chirawa (Jhunjhunu), Phalodi (Jodhpur), Gangapur city (Sawai-Madhopur) ) and Neem ka

thana (Sikar).

3) Obstetrician/ Gynecologist: For the provision of reproductive health, a

gynecologist/ Obstetrician is essential but at

majority (51.6%) of CHCs (Atru (Baran), Chohtan (Barmer), Dungargarh (Bikaner), Indergarh (Bundi), Simalwara (Dungarpur), Kisangarhbas (Alwar), Suratgarh (Ganganagar), Jamwaramgarh (Jaipur), Sanchore (Jalore), Dag (Jhalawar), Phalodi (Jodhpur), Hindauncity (Karauli), Sultanpur (Kota), Makrana (Nagaur), Khamnore (Rajsamand), Tonk and Udaipur (Kurabad),

Obstetrician/ Gynecologist is not available. Only 48.4% CHCs have Obstetrician/ Gynecologist. 4) Pediatrician: Pediatrician is a luxury for 54.8% of CHCs Kekri (Ajmer), Kisangarhbas (Alwar), Partapur (Banswara),

Atru (Baran), Gulabpura (Bhilwara), Indergarh

(Bundi), Simalwara (Dungarpur), Kisangarhbas

(Alwar), Jamwaramgarh (Jaipur), Sanchore (Jalore),

Dag (Jhalawar), Phalodi (Jodhpur), Sultanpur

(Kota), Bali (Pali), Khamnore (Rajsamand),

Gangapur city (Sawai-Madhopur), Tonk and

Udaipur (Kurabad). Only at 45.2% CHCs Pediatrician is available.

48.4%51.6 %

Availablility of Obstetrician/ Gynecologist

Available

vacant

45.2 %54.8 % Available

vacant

Availability of Pediatrician

5) Anesth

(Rajsama

vacant. Th

country th

6) Public

Lalsot (D

(Hanuman

Chirawa (

(Rajsama

7

Avai

hetist:

and), Gangapu

he availability

hrough its 300

Health Prog

Dausa), Sim

ngarh), Jamw

(Jhunjhunu),

and) Gangapu

74.2 %

Availability o

96.

lability of Pu

ur city (Sawa

y of anestheti

0 Medical Col

gram Manage

alwara (Dun

waramgarh (

Phalodi (Jod

ur city (Sawa

25.8 %

of Anesthetis

3.2 %

8 %

blic Health P

ai-Madhopur),

st will continu

leges produc

er:

ngarpur), Kis

(Jaipur), Po

dhpur), Hinda

ai-Madhopur),

Availab

vacant

st

Av

vac

Program Man

Only every

74.2%

Naga

Dung

Sarda

(Dung

(Gang

Jamw

Sanch

(Jhun

(Kota

Tonk and Ud

ue to torment

ces only 698 o

De

Pu

Pr

Ma(NAt

Kis

At

(B

Du

Ni

sangarhbas

okran (Jaisal

uncity (Karau

, Neem ka th

ble

t

ailable

cant

ager

SIHFW: An

25.8% CHCsy CHC to be

% CHCs Part

r (Bharatp

argarh (Bi

arshahar (Chu

garpur) ,Kisa

ganagar),

waramgarh (

hore (Jalore

njhunu), Hind

), Makran

daipur (Kurab

t the system m

of them for 45

espite the IP

ublic Health

rimary care,

anager isNagaur) CHC

t majority (96

sangarhbas

tru (Baran),

Bharatpur),

ungargarh (

mbahera (C

(Alwar), Sur

mer), Sanch

uli), Sultanpu

hana (Sikar),


s have Anese functional a

tapur (Bansw

ur), Gulab

kaner), Ind

uru), Lalsot (D

angarhbas (A

Nohar

(Jaipur), Po

e), Dag (Jh

dauncity (Ka

na (Naga

bad) post of A

making mock

520 CHC (as o

PHS norms a

as essenti

the Public available o.

6.8%) of CH

(Alwar), Part

Chohtan

Gulabpur

(Bikaner), In

hittor), Sarda

ratgarh (Gan

hore (Jalore),

r (Kota), Bal

Sheoganj (


thetist (a mu

as FRU), wh

ara), Atru (Ba

pura (Bhilw

dergarh (B

Dausa), Sima

Alwar), Sura

(Hanumang

okran (Jaisa

halawar), Ch

arauli), Sult

ur), Kham

Anesthetist is

ery of IPHS a

on Dec 2009)

and recogniti

al compone

Health Proonly at Mak

HCs Kekri (Aj

tapur (Bansw

(Barmer), N

ra (Bhilw

ndergarh (B

arshahar (Ch

nganagar), N

, Dag (Jhala

i (Pali), Kham

(Sirohi), Tonk

titution asthan

15

ust for

hile at

aran),

wara),

undi),

alwara

atgarh

garh),

lmer),

hirawa

anpur

mnore

s lying

as the

).

on of

ent in

ogram krana

jmer),

wara),

Nagar

wara),

undi),

huru),

Nohar

awar),

mnore

k and

Udaipur (

the syste7) Ophtha With juOphthalmdepend operationcontrol managing

(Kisangar

Atru (Ba

(Bharatpu

(Bundi), N

Simalwara

(Alwar), N

(Jhalawar

Gangapur

(Kurabad)

8) G

0

5

10

15

20

25

1 M

2

%

Kurabad), thi

em. almologist:

st 22.6% mologist Syson Camp a

ns-the mainprogram. 77

g without

rhbas (Alwar)

aran), Choht

ur), Gulabpura

Nimbahera (C

a (Dunga

Nohar (Hanu

r), Chirawa

r city (Sawa

).

General Duty

M.O. 2 M.Os M

2.6

16.1

No. of

s post is lying

CHCs hastem will coapproach inn stay of B7.4% of C

t Ophtha), Partapur (B

tan (Barme

a (Bhilwara),

Chittor), Lalso

rpur), Kisa

mangarh), Ja

(Jhunjhunu),

ai-Madhopur),

Officers (Me

3 M.Os

4 M.Os

19.4

12.9

f Medical Off

g vacant. Thi

aving an ontinue to Cataract Blindness CHCs are

almologist Banswara),

r), Nagar

Indergarh

ot (Dausa),

angarhbas

amwaramgarh

Sultanpur

Neem ka

edical Officer

7 M.Os

8 M.Os

3.2 3.2

ficers

is reflects on

h (Jaipur), P

(Kota), Makr

thana (Sikar

r):

Availabi

vacant

22.6

SIHFW: An

n the priority

Pokran (Jaisa

rana (Nagau

r), Sheogan

Apart from

Doctors are

delivery. 22.6

officer (Medi

CHCs have

CHCs have

Medical of

Hindauncity

number of M

respectively.

not have Ge

(Banswara),

77.4 %

lity of Ophth


y that Public

almer), Sanch

ur), Khamnor

nj (Sirohi), T

Specialist, t

e essential

6% CHCs ha

cal Officer) ise 2 Medical

3 and 12.9

fficer. Kekr

(Karauli) CH

Medical Offic

Somehow,

eneral Duty

Nagar (Bha

22.6 %

halmologist/E

08 Certified Instof CHCs in Rajac Health enjo

hore (Jalore),

re (Rajsama

Tonk and Ud

the General

to health

ave 1 genera

s available; 1

Officers, 1

9% CHCS ha

ri (Ajmer)

HCs have hi

cers i.e. 8 a

22.6% CHC

officers (Par

aratpur), Inde

Availab

vacant

Eye Surgeon

titution asthan

16

oys in

, Dag

and) ,

daipur

Duty

care

l duty

16.1%

19.4%

ave 4

and

ighest

and 7

Cs do

rtapur

ergarh

ble

(Bundi), S

B) S 1. Nursin

a.) P

S.N.

1.

2.

3.

4.

5.

6.

7.

0

10

20

30

40

50

60

70

Percen

tsge

Sardarshahar

upport Staff

ng Staff: ublic Health

Nursing Sta

a

b

c

d

Dresser

Pharmacist

Lab. Techni

Radiograph

Ophthalmic

OT Attenda

Vacant

64.5

(Churu), Kha

f: (IPHS norm

Nurse:

aff

a. Public Hea

b. ANM

c. Staff Nurs

d. Nurse/Mid

/ compound

ician

her

c Assistant

nt

1 PHN

32.2

amnore (Rajsa

ms for suppo

Personnel

alth Nurse

se

dwife

der

3 PHN

3.3

amand), Sheo

ort staff)

IPH

povac(Alw

Nim

(Ja

(Ka

Ma

tha

SIHFW: An

oganj (Sirohi)

HS norms, as

st of PHN atcant; howeve

war), Chohta

mbahera (Ch

aisalmer), Ph

arauli), Bali (P

adhopur) hav

ana (Sikar) ha


) and Tonk.

sk for a PHN a

t most of theer 32.2% CH

an (Barmer), N

hittor), Lalsot

halodi (Jodh

Pali) and Gan

e 1 PHN, an

as 3 PHNs.

IPH


at every CHC

e CHCs (64.5HCs Kisanga

Nagar (Bhara

t (Dausa), P

hpur), Hindau

ngapur city (S

nd CHC Nee

HS Norm

1

1

15

2

3

3

2

1

1

titution asthan

17

C. The

5%) is arhbas

atpur),

okran

uncity

Sawai-

em ka

b.) AMajority o

16.2% CH

Pokran (

Neem ka

same tim

Sardarsha

Udaipur (K

sanctione

are from c

c.) S

(Gangana

d.) NIn Majoriposts arnumber li

number li

6.4% CH

between1

0.0

5.0

10.0

15.0

20.0

25.0

30.0

Percen

tage

ANM of CHCs (67

HCs Kekri (Aj

(Jaisalmer),

thana (Sikar)

me 16.2% CH

ahar (Churu),

Kurabad) do

ed posts is 1 A

contractual st

taff Nurse:

agar), Sancho

Nurse Midwifety of CHCs re vacant. es between1

es within the

HCs number

1-20. Howev

Vacant 1‐3

29.0 29

Availab

.6%) have 1

jmer) , Partap

Chirawa (J

) have 3- 4 A

HCs (Gulabp

, Sultanpur (K

not have a s

ANM per CHC

aff.

ore (Jalore) an

e: (45.2%) NurAt 32.3% C

-5. At 12.9%

e range of 6-

r of nurse

ver, only Ke

3 4‐6

.0

16.1

bility of Staff

-2 ANMs wh

pur (Banswar

hunjhunu) a

ANMs and at t

pura (Bhilwar

Kota), Tonk a

single ANM. T

C, extra numb

nd Chirawa (J

rse Midwife CHCs their

CHCs their

10, while at

midwife is

ekri (Ajmer)

7‐10 14‐1

19.4

6.5

f Nurses

hile

ra),

and

the

ra),

and

The

ber

At 26.5%stafCHCKisa

Inde

Hin

Kha

(Sik

san

16.1

Jhunjhunu)) t

0

10

20

30

40

50

60

70

Percen

tage

05

101520253035404550

V

Percen

tage

Ava

18

5

SIHFW: An

29.0% CHCs% CHCs whff nurses i.eCs with 7angarhbas

ergarh (Bun

dauncity (K

amnore (Rajs

kar) have 1

nctioned post

1% CHCs P

here are 4-6 s

Vacant

16.2

acant 1‐5

45.2

32.3

ilability of Nu


there is no hich have exe. 14-18 and

7-10 Nurses(Alwar), Ch

ndi), Simalw

Karauli), S

samand) and

-3 staff nur

t of 7 accord

artapur (Ban

staff nurses.

1‐2 ANM

67.6

6‐10 1

3

12.9

urses Midwif


Staff Nursexcess numbd another 1s. 29.0% C

hohtan (Bar

wara (Dunga

Sultanpur (K

d Neem ka

rses (agains

ding to IPHS

swara), Sura

3‐4 ANM

16.2

1‐20 21‐25

6.43.2

fe

titution asthan

18

while ber of 19.4% CHCs

rmer),

arpur),

Kota),

thana

st the

S). At

atgarh

CHC has

2. D

This posOne at

Nimbaher

(Gangana

dressers a

4. L

Majority

Technicia

except

Technicia

CHCs do

0

10

20

30

40

50

60

Percen

tage

Ava

25 nurse mid

Dresser

st is lying vKisangarhba

ra (Chittor) C

agar) CHC, i

at CHCs acro

ab. Technici

of CHCs (

an under the

Lalsot (Dau

ans are ava

not have any

Vacant

6.4

ailability of P

dwives and th

vacant at 90as (Alwar)

CHC and 10

s the overal

oss the State.

an

(61.3%) hav

e sanctioned

usa) where

ilable. Howe

y Lab. Technic

1

51.6

Pharmacist /

is number is q

0.4 % CHCs.

CHC, 2 in

in Suratgarh

ll strength of

ve 1 Lab.

d strength,

e 2 Lab.

ever 35.5%

cian.

2

42.0

Compounder

questionable.

.

n

h

f

3. P51.6

Pha

(2)

Pha

r

61.3%

0

20

40

60

80

100

Percen

tage

SIHFW: An

.

Pharmacist / 6% C

armacist/Com

while 6.4%

armacist/Com

3.2%

Availability o

Vacant 1 D

90.4

Availabilit


CompoundeCHCs

pounder, 42%

% CHCs do

pounder.

35.5%

of Lab. Techn

Dresser 2 Dres

3.2 3

ty of Dresse


er have

% CHCs hav

o not have

Vacant

1 Lab T

2 Lab T

nician

sser 10 Dresser

.2 3.2

r

titution asthan

19

one

ve two

any

t

Tech.

Tech

r

5. Ra

6. O

Majority

Assistant

sanctione

(Bharatpu

(Dausa),

(Karauli),

and Neem

Assistant

(Chittor),

Kisangarh

Hindaunc

(Sikar) ha

61

diographer:

Ophthalmic A

of CHCs do

and OT A

ed post of 1). O

ur), Nimbah

Pokran (J

Gangapur

m ka thana (

and 16.2

Simalw

hbas (Alwar)

ity (Karauli)

ave OT Attend

1.3%

9.7%

Availabil

Assistant and

o not have

Attendant (a

Only 22.6% C

hera (Chitto

Jaisalmer),

city (Sawa

(Sikar) have

% CHCs

wara (

), Chirawa (

and Neem

dant.

29.0%

lity of Radiog

d OT Attenda

Ophthalmic

against the

CHCs Nagar

or), Lalsot

Hindauncity

i-Madhopur)

Ophthalmic

(Nimbahera

Dungarpur),

(Jhunjhunu),

m ka thana

Vacant

1 Radiogr

2 Radiogr

grapher

ant:

rapher

rapher

0102030405060708090

Percen

tage

Availability

SIHFW: An

61.3% CHCs

CHCs have

CHCs do not

OphthalmicAssistant

77.4

22

y of Ophthalm


s have 1 Ra

2 Radiogr

t have any ra

c OT

2.6

mic Assistant a


adiographer.

raphers but

adiographer.

Attendant

83.8

16.2

Vac

Ava

and OT Attend

titution asthan

20

9.7%

29% .

cant

ailable

dant

C) Ancilla

1. W

2. COPD atte

i.e. only

(Hanuman

majority o

vacant. C

of places

S.N.

1.

2.

3.

4.

5.

6.

0

20

40

60

80

Percen

tage

Availab

ary Staff: (IP

Ward Boys an

Chowkidar anndant is avai

y at two

ngarh) and

of CHCs (93

howkidar is a

s (90.4% C

Ancillary St

Ward boys /

Sweepers

Chowkidar

OPD Attend

Statistical A

Registration

Ward boys/ Nursing order

77.5

22.

bility of Ward

HS norms fo

nd Sweepers

nd OPD attenlable only at

places v

Pokran (Jai

3.5%) this p

also not availa

HCs), while

taff

/ nursing orde

dant

Assistant / Dat

n Clerk

rlySwee

64.5

.5

Boys and Swe

or Ancillary S

s:

ndant 6.5% CHCs

viz. Nohar

salmer)), at

post is lying

able majority

at Phalodi

erly

ta entry opera

pers

5

35.5

yesno

eepers

Staff)

Availabili

CHCs bu

(Bhilwara

(Gangan

(Karauli)

Sweeper

CHCs),

Gulabpur

(Dausa),

(Jaisalme

(Karauli)

and Tonk

ator

0

20

40

60

80

100

Percen

tage

Ava

SIHFW: An

ity of Ward B

ut for 22.5%

a), Dungar

agar), Pha

, and Tonk.

rs are availab

while at 3

ra (Bhilwara)

Suratgar

er), Chiraw

, Sultanpur (

k.

Chowkida

9.6

90

ailability of C


Boys is not an

CHCs Atru (

rgarh (Bika

lodi (Jodhp

ble at majority

35.5% CHC

), Dungargarh

h (Ganga

wa (Jhunjhu

(Kota), Neem

IPH

ar OPD

0.4

Chokidar and


n issue with 7

Baran), Gula

aner), Sura

pur), Hindau

y of places (6

Cs Atru (Ba

h (Bikaner), L

nagar), P

nu), Hindau

m ka thana (S

S Norm

5

5

5

1

2

2

Attendant

6.5

93.5

OPD attenda

titution asthan

21

77.5%

bpura

atgarh

uncity

64.5%

aran),

Lalsot

okran

uncity

Sikar)

yes

no

ant

(Jodhpur)

3. Statist

25.8% CH

Phalodi (J

D) TraininTraining r

the previo

trainings i

Insertion,

defies the

strengthe

MOs trainMedical o

not traine

officers a

(Alwar),

(Jhunjhun

only at P

Medical o

(Baran),

0

20

40

60

80

percen

tage

Availab

), Pokran (Jais

tical Assista

HCs Inderga

Jodhpur), Mak

ng of MOs durefers to the

ous year. Th

in key areas l

Emergency

e efforts of N

ning delivery

ned in Steriliofficers in ma

ed in Steriliza

are trained

Nimbaher

nu)), three m

Partapur (Ban

officer is trai

Gulabpura

Statistical AsData entroperator

22.6

77

bility of StatisticReg

salmer) and N

nt/ Data Entr

rh (Bundi), N

krana (Nagau

uring 2010: percentage o

he melanchol

ike BEmOC,

obstetric care

RHM. The ca

system; impa

zation ajority of CHC

ation techniqu

at 3 CHCs

ra (Chitto

medical office

nswara) CHC

ined at 19.4

(Bhilwara)

sstt./ ry r

Regist

2

7.4

cal Asstt/ Data Egistration clerk

Nohar (Hanum

ry operator a

Nimbahera (C

ur), Nohar (Ha

of CHCs whe

ic situation in

sterilization,

e, Emergency

apacity buildi

assivity towa

Cs (67.7%) a

ue, two medic

Kisangarhb

or), Chiraw

ers are train

C and only o

% CHCs (A

, Dungarga

tration Clerk

25.8

74.2

Entry operator a

mangarh) (9.6

and Registrat

St

av

Pa

In

Ki

an

CH

M

re

th

an

Chittor), Sima

anumangarh)

re at least on

n all the dist

Comprehens

y contracepti

ng is one of

rds which has

are

cal

bas

wa

ned

one

Atru

arh

yes

no

and

0

10

20

30

40

50

60

70

Percen

tage

N

SIHFW: An

6%CHCs) this

tion clerk:

tatistical Ass

vailable at 22

artapur (Ban

dergarh (Bu

sangarhbas

nd Pokran (J

HCs this post

ajority of

gistration cle

is job which

nd short manp

alwara (Dung

, Pokran (Jais

ne doctor rec

tricts with ma

ive abortion c

on, MTP, RT

the key com

s to be addres

1 MO

19.4

No. of MOs t


s post is filled

istant/ Data

2.6% CHCs

nswara), Na

ndi), Simalw

(Alwar), Noha

aiselmer) on

t is vacant.

CHCs (74.2

erk (put their

is a crimina

power), this p

garpur), Kisa

selmer) and S

ceived in-serv

ajority of MO

care, Routine

TI/STI/ HIV an

mponents for i

ssed, earlier t

2 MO 3 M

9.7

rained in Ste

08 Certified Instof CHCs in Rajad.

Entry opera

i.e. Kekri (Aj

agar (Bhara

wara (Dunga

ar (Hanuman

ly, while in 7

2%) don’t

r Nursing sta

al waste of s

post is filled o

angarhbas (A

Sanchore (Ja

vice training d

Os not expos

Immunizatio

nd new born

improving an

the better.

MO Not Trained

3.2

67.7

rilization

titution asthan

22

tor is

jmer),

atpur),

arpur),

ngarh)

77.4%

have

aff on

skilled

only at

Alwar),

lore).

during

sed to

n IUD

care;

d / or

d

7

(Bikaner),

MOs train

Majority o

not trained

22.6% CH

6.5% CH

trained in

2 medica

(Rajsama

Kekri (Ajm

has 7 MO

MOs train

MOs train At 77.4%not traine12.9% CH

and CHC

Kurabad

officers. 7

010203040506070

Percen

tage

No. of M

, Dag (Jhalaw

ned in IUD In

of Medical offi

d in IUD Inse

HCs have 1

HCs have thr

IUCD.

al officers are

and) CHC ha

mer) has 5 an

Os trained in IU

ned in Emerg

ned in Emerg

% of CHCs med in EmergHCs have 1 t

Cs at Mak

(Udaipur) ha

7 medical offic

1 MO 2 M

25.8

Os trained in

war), Hindaun

nsertions

cers in CHCs

rtions. medical offic

ree (3) medi

e trained on

as two MOs

nd Chirawa (J

UCD techniqu

gency obstet

gency contra

medical officgency contratrained medic

krana (Naga

ave 3 trained

cers had gone

MO 4 MO

6.5 3.

n Emergency o

city (Karauli),

s (61.3%) are

cer trained, a

ical officers

ly in Khamn

s trained wh

Jhunjhunu) C

ues.

tric care

aception

cers are aception.

cal officer

aur) and

d medical

e through

O Not Trained

2

64.5

obstetric care

, Makrana (Na

and

are

nore

hile,

CHC

Me(64ob25

tra

an

ar

CH

wosuwi

010203040506070

Percen

tage

N

d

e

0

20

40

60

80

1

Percen

tage

No. of MO

SIHFW: An

agaur).

edical offic4.5%) are

bstetric care5.8% CHCs,

ained in 6.5%

nd Neem ka t

e trained on

HC. This caorking on tufficient numthout any exc

22.6

3.2

No. of MOs tr

MO 3 MO

12.96.

Os trained in


cers in manot trained, 1 medical o

and 2 me

% CHCs (Ni

thana (Sikar)

nly in Suratg

lls for immetraining loadmbers, for m

cuse at the ea

6.5 3.2

rained in IUD

O 7 MO

5 3.2

Emergency c


ajority of Cd in Emergofficer is train

dical officers

imbahera (C

. 4medical of

arh (Gangan

ediate actiod, nominatinmandatory tra

arliest.

3.2

61.3

Insertions

Not Trained

77.4

contraception

titution asthan

23

CHCs gency ned in

s are

hittor)

fficers

nagar)

n for ng in aining

n

training fo

MOs train 58.1% Ctrained ihave 1 tra

(Ajmer) a

medical o

in Chirawa

to pay he MOs train

0

10

20

30

40

50

60

70

1

Percen

tage

No. o

or Emergency

ned in RTI / S

CHCs do non RTI / STIained medica

and Sanchor

officers. 7 med

a (Jhunjhunu

eed to this?

ned in Newbo

MO 2 MO

29.1

3.2

of MOs traine

y contraceptio

STI, HIV/ AID

ot have me, HIV/ AIDS

al officer and

re (Jalore) h

dical officers

) CHC. Will R

orn care

O 3 MO

2 3.2

ed in New Bo

on at Chirawa

DS

edical officeS. 32.2% CH

CHCs at Ke

have 2 train

are trained o

RSACS be ab

4 MO NTra

3.2

6

orn care

(Jhunjhunu)

ers Cs

ekri

ned

nly

ble

M

a

C

Not ined

61.3

0

10

20

30

40

50

60

Percen

tage

SIHFW: An

CHC.

Medical office

are not train

CHCs have 1

0

0

0

0

0

0

0

1 MO

32.2

No. of MOs t


ers in majority

ed in new

medical offic

2 MO

6.5

trained in RTI


y of CHCs (6

born care, 2

cer trained.

7 MO NTra

3.2

5

I/STI, HIV/AID

titution asthan

24

1.3%)

29.1%

Not ained

58.1

DS

III. Invest

87.1% CHfacility is87.1% Cfacility K

Partapur

(Barmer),

(Bhilwara

(Bundi),

(Dausa),

Jamwaram

Sanchore

(Jhunjhun

(Kota), M

ka thana

30 CHCs

(Nagaur),

0

Yes

No

tigative Facil

HCs have E not availabl

CHCs do noKekri (Ajmer),

(Banswara),

Nagar (B

), Dungargar

Sardarshah

Nohar

mgarh (Jaipu

e (Jalore), Da

nu), Hindaunc

akrana (Naga

(Sikar), She

have X-Ray

Sheoganj (S

0.0

12.9

2

ities:

ECG facility le at 12.9% Cot have Ult, Kisangarhb

Atru (Baran

Bharatpur),

rh (Bikaner),

har (Churu

r (Hanu

ur), Pokran (

ag (Jhalawar

city (Karauli)

aur), Bali (Pa

eoganj (Sirohi

facility at the

Sirohi) and To

50.0

22.6

Labouthos

Lab

while this CHCs. tra Sound as (Alwar),

n), Chohtan

Gulabpura

Indergarh

u), Lalsot

umangarh),

(Jaisalmer),

r), Chirawa

, Sultanpur

ali), Khamnore

i), Tonk and

eir centre.

nk, while 77.4

1

8

77.4

b/Diagnostic Tetsourced to prispital

b Test Facility

e (Rajsamand

Udaipur (Kur

M

c

2

(

K

(

c

a

A

c

L

C

4% CHCs ou

0.0

20.0

40.0

60.0

80.0

100.0

Percen

tage

100.0

87.1

est ivate lab /

SIHFW: An

d), Gangapu

rabad). Excep

Majority (77.

collection and

22.6% CHC

(Bhilwara),

Kisangarhbas

(Jaipur), Kha

city (Sawai-

available.

As far as

concerned, it

Lalsot (Dau

Chottorgarh,

tsource this

ECG

87.1

12.9


urcity (Sawai-

pt CHC Inde

.4%) of CH

d transportatio

Cs Atru (Ba

Simalwara

s (Alwar),

mnore (Rajsa

Madhopur)

the diagnt is available

usa), Nohar

Phalodi (Jo

to private la

X‐Ray

96.8

3.2


-Madhopur), N

ergarh (Bund

Cs have sa

on facility, wh

aran), Gula

a (Dunga

Jamwaram

amand), Gan

services are

ostic facilite at 22.6% C

(Hanumang

odhpur), Ma

ab/hospital.

Ultrasound

12.9

87

titution asthan

25

Neem

di), all

ample

hile at

bpura

arpur),

mgarh

gapur

e not

ty is

CHCs

garh),

krana

d

.1

YesNo

t

IV. Physic

2. B

96.8% ofCHC Kek

0

20

40

60

80

100

percen

tage

cal Infrastruc

Building owne

f CHCs haveri (Ajmer) is h

Yes

90.4

Locatio

cture:

ership: Govt

e Govt. builhoused in rent

N

on Of CHC

t. /Rented

dings, while

ted building.

o

9.6

Within VillageLocality

1

Fortuthe v(Chu

(Nag

these

Hinda

locate

from

e

e

SIHFW: An

. Location

unately 90.4village itself, ru), Hindaun

aur)) are loc

e 3 CHC

auncity (Kara

ed at less th

the farthest v


of CHC

4% CHCs arrest 9.6% C

ncity (Karau

cated outside

Cs Sardars

auli) and Mak

han 2 hours

village.

96.8

3.2


re located wHCs Sardars

uli) and Ma

e the village

shahar (Ch

krana (Nagau

of travel dis

G

R

titution asthan

26

within hahar

krana

e and

huru),

r) are

stance

Govt.

Rented

3. A

4. O

Majority o

other surg

(Atru (Bar

(Bhilwara

(Hanuman

Sanchore

Khamnore

(Sirohi))

sometime

(Barmer),

(Dausa)

Kisangarh

0

20

40

60

80

100

percen

tage

Availability of

Other surgeri

of OTs (55.3

geries too, w

ran), Nagar (

), Suratgarh

ngarh), Jam

e (Jalore),

e (Rajsam

other surge

es only. Rest

Sardarsha

and Sim

hbas (Alwar))

O.T. avail

96.8

Availability o

f Facilities in

es carried ou

3%) are func

while in 33.3%

(Bharatpur), G

(Ganganaga

mwaramgarh

Sultanpur

mand)and

eries are ca

t 13.4% OTs

ahar (Churu

malwara (Du

are not funct

lable O

8

3.2

of Operation

n Operation T

ut in availab

ctional for

% of OTs

Gulabpura

ar), Nohar

(Jaipur),

(Kota),

Sheoganj

arried out

s Chohtan

), Lalsot

ungarpur),

tional.

O.T. used for obGynae purpose

70.0

30

Theatre

Theatre:

le O.T.

1

3

bs/ e

0.0

Yes

No

SIHFW: An

All the CH

facility exconly 70.0%for Obstetwhile 30.0%

(Barmer),

Sardarshah

SimKisang

(Jaipur),

(Jodhpur) a

their oper

Gynecolog

13.4%

33.3%


HCs have O

ept CHC in T% operation t

tric/ Gyneco% CHCs Atru

Dungarg

har (Chur

arhbas (Alwa

Sanchore

and Sultanpu

ration theatr

ical purpose.

53.3%

Here, T


Operation Th

Tonk. Out of

theatres are ological purpu (Baran), Ch

arh (Bika

ru), Dunga

ar), Jamwaram

(Jalore), Ph

r (Kota) do no

re for Obs

Yes

No

Some

Total CHCs=30

titution asthan

27

heatre

these

used pose, ohtan

aner),

arpur-

mgarh

halodi

ot use

stetric/

etime

5. R

6. A

Majority

Operation

Jamwaram

sufficient

7.17.1

0

10

20

30

40

50

60

70

80

Percen

tage

Reasons for n

Availability of

of CHCs h

n Theater. On

mgarh (Jaipu

space for Op

78.6

9.7

A.C. in OT

70.9

29.1

non-Function

f Enough spa

have enoug

nly CHCs at

ur) and Tonk

eration Theat

A.C.Fun/N

67.7

nal OTs:

ace in OT

h space fo

Kekri (Ajmer)

do not have

ter.

Non‐availaman powe

Lack of eqpoor phys

No power

Other reas

Not Fun

32.3

Yes

NO

Mfmf

r

T

piC

a

s

f

or

),

e

7. AvOT. 70.9% CHC

and out

conditioner

ability of er

uipment/ ical state

supply

son

SIHFW: An

Major reasfunctional OTman power followed by 2

reason could

Third cause

physical statn operationChirawa (Jhu

and Kurabad

surgeries are

face problems

vailability an

Cs have Air c

of these 6

r in working c

9.7

Adequate


son (78.6%Ts lies with n(doctors/ a

21.4% CHCs

be singled ou

is lack of ete of OT and n theatre. At

unjhunu), Hin

d (Udaipur)

performed in

s for reasons

nd condition

conditioner in

67.7% CHCs

condition.

90.3%

7 %

space in OT


%) behindnon availabilanesthetist/

where no sp

ut by respond

equipments/ no power su

t Dag (Jhala

ndauncity (Ka

are CHCs w

good numbe

cited above.

of A.C. fitt

Operation Th

s have thei

titution asthan

28

non lity of staff)

pecific

dents.

poor upply awar),

arauli)

where

er, still

ed in

heater

ir Air

Yes

No

8. A

Regular about 87.

not being

The numbeing dis

about 80

CHCs this

0

10

20

30

40

50

60

70

80

Percen

tage

Availability

Availability of

fumigation

1% CHCs, w

done.

mber of sterisplayed on

0.6% CHCs,

s facility is no

Generator

77.4

22.

of Generator

f Generator &

is being don

while in 12.9%

ilization daynotice board

while in 19

t available.

Emerge

77

6

r & Emergenc

& Emergency

ne in

% it is

ys is

d in

9.4%

Ye

No

ency light

.4

22.6

Avai

Not A

cy Light in OT

y Light in OT

7

T

L

C

a

G

(

C

E

J

(

G

0

es

o12.

1

lable

Available

T

SIHFW: An

T

77.4% CHCs

Theater. Sam

Lights availab

CHCs- Choht

and Sancho

Generator, w

Dungarpur),

Chirawa (Jh

Emergency

Jamwaramga

Rajsamand)

Generator nor

50

9

19.4

Percentage


have Gene

me is the figu

bility. Out of

tan (Barmer),

ore (Jalore)

while Atru (B

Kisangarhb

hunjhunu) do

light. How

rh (Jaipu

and and T

r emergency

10

87.

80.6

e

Sterilizaton notice

fumigat


rator in Ope

ure for Emerg

remaining 2

Indergarh (B

do not

Baran), Sima

bas (Alwar)

o not have

wever CHCs

ur), Kham

Tonk has n

light.

0

.1

tion days displae board

ion done regul

titution asthan

29

ration

gency

22.6%

Bundi)

have

alwara

and

e an

s at

mnore

either

ayed

larly

9. A EMO Ma(83.8%) d

while at o

(Bhilwara

(Dausa),

thana (Sik

Cardiac (61.3%)

38.7%

Dungarga

(Bundi),

Jamwaram

(Jalore), C

have card

0

10

20

30

40

50

60

70

80

90

100

Percen

tage

Availability of

achine: - M

doesn’t have

only 16.2% C

), Nimbahera

Makrana (Na

kar) it is availa

Monitor :- M

have cardiac

CHCs Cho

arh (Bikan

Suratgarh

mgarh (Jaip

Chirawa (Jhu

diac monitor.

Defibrillator

38.7

61

f Operation T

ajority of C

e EMO mach

CHCs Gulabp

a (Chittor), La

agaur), Neem

able.

Majority of C

c monitor, w

ohtan (Barm

er), Inderg

(Ganganag

pur), Sanch

njhunu), Sult

r V

.3

Theatre Equi

HCs

hine,

pura

alsot

m ka

HCs

while

mer),

garh

gar),

hore

anpur (Kota),

1

2

3

4

5

6

7

8

9

Percen

tage

Ventilator

6.5

93.5

pment

, Sheoganj (S

Dd

C

(

(

(

(

(

(

VvL

fa

0

10

20

30

40

50

60

70

80

90

EMO

1

Yes

No

SIHFW: An

Sirohi), Tonk

Defibrillator: doesn’t have

CHCs Nag

Bhilwara),

Dausa), Sur

Jaisalmer),

Jhalawar), P

Karauli), Bal

Sikar) it is av

Ventilator: -ventilator inLalsot (Dausa

acility.

O Machine

16.2

83.8


and Udaipur

- Majority o

this equipme

ar (Bharat

Nimbahera

ratgarh (Gan

Sanchore

Phalodi (Jodh

li (Pali) and

vailable.

93.5% CHC their OT,

a), Pokran (Ja

Cardiac

61


(Kurabad) d

of CHCs (6

ent, while at 3

pur), Gula

(Chittor), L

nganagar), P

(Jalore),

hpur), Hindau

Neem ka

Cs doesn’t only 6.5% C

aisalmer) hav

Monitor

1.3

38.7

titution asthan

30

do not

1.3%)

38.7%

bpura

Lalsot

okran

Dag

uncity

thana

have CHCs

ve this

Yes

No

Shadow l64.5% CH

Partapur

Gulabpura

Indergarh

Nohar (

Khamnore

(Kurabad)

Shadow 64.5% CH

CHCs K

Sardarsha

(Dungarp

Nohar

(Jaipur), D

OT care/ (Bundi), N

do not hav

Oxygen c

(Dausa),

(Sirohi) C

0

10

20

30

40

50

60

70

80

Percen

tage

less lamp- cHCs have th

(Banswara)

a (Bhilwara),

(Bundi), Si

Hanumangar

e (Rajsaman

) do not hav

less lamp peHCs have this

Kekri (Ajmer)

ahar (C

ur), Suratg

(Hanumanga

Dag (Jhalawa

FumigationNohar (Hanum

ve OT care/ F

cylinder: - De

Dungarpur, H

HCs are equi

Oxygen cylin

54.8

eiling track mhis lamp, wh

, Nagar (B

Dungargarh

malwara (Du

rh), Dag (J

d), Tonk and

e this lamp.

edestal for ms lamp, while

), Indergarh

huru), S

garh (Gan

arh), Jamw

ar), Sultanpur

apparatus: mangarh), Ja

Fumigation ap

espite being a

Hindauncity (

ipped with thi

nder NitrC

45.2

mounted: ile 35.5%

Bharatpur),

(Bikaner),

ungarpur),

Jhalawar),

d Udaipur

minor OT: e at 35.5%

(Bundi),

Simalwara

nganagar),

waramgarh

(Kota), Kham

- Majority of

amwaramgarh

pparatus.

a life saving m

(Karauli), Bal

s type of cylin

rous Oxide Cylinders

29.1

70.9

mnore (Rajsam

f CHCs (80.6

h (Jaipur), Da

measure, OxyCHPa

Gu

Ni

Su

(H

Kh

(S

To

NiCH29

i (Pali), Gan

nder.

Yes

No

0

10

20

30

40

50

60

70

80

90

Slatra

Percen

tsge

SIHFW: An

mand) and To

6%) has this

ag (Jhalawar)

ygen CylindeHCs, while

artapur (Ban

ulabpura (Bh

mbahera (C

uratgarh

anumangarh

hamnore (R

awaiMadhop

onk do not hav

trous oxide HCs does no9.1 % Atru (Ba

gapur city (S

hadowless amp ceiling ak mounted

64.5

35.5


onk doesn’t h

facility, while

), Tonk and U

ers are availa45.2% CHC

nswara), Na

ilwara), Dung

hittor), Sarda

(Ganganag

), Makra

Rajsamand),

ur), Neem ka

ve oxygen cy

cylinder: - Mot have thesaran), Chohta

SawaiMadhop

Shadowless lamp pedesta

64.5

35.5


ave this lamp

e 19.4% Inde

Udaipur (Kur

able only at 5Cs Kekri (Aj

agar (Bhara

gargarh (Bika

arshahar (Ch

gar), N

ana (Nag

Gangapur

a thana (Sikar

ylinder.

Majority (70.9e cylinders,

an (Barmer), L

pur) and She

l OT carefumigatioapparatu

80.6

5

1

titution asthan

31

p.

ergarh

abad)

54.8% jmer),

atpur),

aner),

huru),

Nohar

gaur),

city

r) and

%) of while

Lalsot

eoganj

e/ on us

19.4

Yes

No

Gloves &Kekri (

Indergarh

Sardarsha

(Dungarp

(Jaisalme

(Karauli),

Gangapur

Gloves &

(58.1%) d

HorizontaMajority o

while

Kisangarh

(Bundi), N

Pokran (J

thana (Sik

0

10

20

30

40

50

60

70

80

90

H

Percen

tage

& Dusting M(Ajmer), K

(Bundi),

ahar (C

ur), Jamwara

er), Sanchore

Makrana (N

r city (Saw

& Dusting M

doesn’t have t

al High Pof CHCs (61

38.7% C

hbas (Alwar)

Nimbahera (C

Jaisalmer), S

kar), Sheogan

Hydraulic OperTable

74.2

Machine:- 41

isangarhbas

Nimbahera

Churu),

amgarh (Jaipu

e (Jalore), H

Nagaur), Bali

waiMadhopur

Machine, whil

this facility.

ressure Ste.3%) has this

CHCsKekri

), Nagar (Bh

Chittor), Sima

anchore (Jal

nj (Sirohi), To

ration Bo

25.8

.9% CHCs

(Alwar),

(Chittor),

Simalwara

ur), Pokran

Hindauncity

(Pali) and

)) have

le majority

erilizer: - s sterilizer,

(Ajmer),

haratpur), Gu

alwara (Dung

ore), Dag (Jh

onk and Udaip

oyles apparatus

87.1

12.9

ulabpura (Bh

garpur), Noha

halawar), Ba

pur (Kurabad)

s

9

Yes

No

0

10

20

30

40

50

60

70

80

Gdm

4

Percen

tsge

SIHFW: An

Hydraulic (74.2%) of

25.8% C

(Hanumanga

(Kota), Ma

(Rajsamand

CHCs are no

table.

Boyle’s appwhile 12.9%

Nohar (Hanu

and Tonk no

hilwara), Dun

ar (Hanumang

li (Pali), Kha

) do not have

loves & dusting achines

HHi

41.9

58.1


Operation tCHCs has

Chohtan (B

arh), Dag (Jh

akrana (Nag

), Sheoganj

ot equipped w

paratus: - 87

% CHCs C

umangarh), M

ot equipped

ngargarh (Bi

garh), Jamwa

mnore (Rajsa

e this.

Horizontal gh Pressure Sterilizer

61.3

38.7


table: - Ma

this table,

Barmer), N

halawar), Sult

gaur), Kham

(Sirohi) and

with this type

7.1% CHCs

Chohtan (Bar

Makrana (Nag

ikaner), Inde

aramgarh (Ja

amand), Nee

Vertical High Pressure sterilizer

77.4

22.6

Y

N

titution asthan

32

ajority

while

Nohar

anpur

mnore

Tonk

of OT

have,

rmer),

gaur),

ergarh

aipur),

em ka

Yes

No

percen

tage

Vertical H(Bundi), S

Khamnore

10. B

11. N

20-30 capmale & fe

31-50Cap60-70 Camale & fe

75-100 Ca

0

10

20

30

40

50

les4

percen

tage

High PressurSuratgarh (G

e (Rajsamand

Bed Occupan

No. of Beds (Mpacity: - CH

male both are

pacity: - 26.9

apacity: - CH

male both are

apacity: - 11

s than 40%

40 to

16.2

re Sterilizer: Ganganagar),

d) and Tonk C

ncy in the las

Male & FemaCs having 2

e 57.7%.

% for males &

HCs having 6

e 3.9%.

.5% for male

o 60% More60

29

4

- Majority of

Nohar (Ha

CHCs do not

st 12 months

ale) 0-30 bed cap

& females.

0-70 bed cap

and females.

e than 0%

Informno

availa

41.9

1

CHCs (77.4%

numangarh),

have this faci

pacity of

pacity of

.

mation ot able

2.9

SIHFW: An

%) has this st

Chirawa (J

ility.

IPD load o

CHCs have

29% CHCs

40% to 60%

60% bed o

CHCs prefe

Information

CHCs. CHC

Pokran (Karauli), G(Sawai-Madprovide infof beds in t

No. of Bed

20-30

31-50

60-70

75-100


terilizer, while

hunjhunu), P

of CHCs is v

bed occupan

have bed oc

%, 41.9% CHC

occupancy a

rred to be sile

was receiv

Cs at Nohar(Jaisalmer)

Gangapur citdhopur) andformation retheir CHC.

ds Tot(M

08 Certified Instof CHCs in Rajae 22.6% (Inde

Phalodi (Jodh

variable as 1

ncy less than

ccupancy bet

Cs have more

and about 1

ent on this iss

ed only from

r (Hanumang, Hindauty (Gangapud Tonk didelated to nu

tal No. of BeMale & Femal

(%)

57.7

26.9

3.9

11.5

titution asthan

33

ergarh

hpur),

16.2%

40%,

tween

e than

12.9%

sue.

m 26

garh), uncity r city

d not umber

ds e)

Wards: - (54.8%) is

condition

Toilet clewhile they

CHC premin 48.4%

Good an

premises.

0

10

20

30

40

50

60

70

O

61.

Percen

tage

0

20

40

60

80

100

Percen

tage

The conditio

s rated as fai

is rated as G

eanliness: - Ity are in good

mises: - The

CHCs, Good

d only 9.7%

.

OPD O

.367.7

38.7

Garbage du

83.8

16

on of wards i

r, while in 45

ood.

t is rated as F

condition in 4

condition of C

d in 41.9% CH

% CHCs hav

OT Room

7

58.1

29.1

4

3.2

mp Catt

6.6.2

Ogo

O67

ra

co

Rgo

in majority of

5.2% CHCs th

Fair in 54.8%

45.2% CHCs.

CHC premise

HCs the cond

ve poor cond

ms

1.9

GoodFairPoor

le shed

.5

93.5ye

no

12. CleanOPD: - Majorit

ood condition

Operation Th7.7% CHCs h

ated as fair c

ondition.

Rooms: - 58.1

ood, while 41

f CHCs

he ward

CHCs,

es is fair

dition is

ditioned

Garbafacility

while

Cattlehave c

Percen

tage

es

o

SIHFW: An

liness: ty of CHCs (6

n, while 38.7%

heatre: - In

have rated as

condition. On

1% CHCs hav

.9% CHCs ha

age dumpiny for dumpin

16.2% CHCs

e shed: - Maj

cattle shed w

0

10

20

30

40

50

60

Ward

45.2

54.8g


61.3%) has ra

% CHCs have

Operation Th

s good, while

nly Tonk CHC

ve rated their

ave rated as f

g yard: - 8

ng Garbage

s do not have

ority (93.5%)

while 6.5% CH

ds Toilet

45.2

8 54.8


ated their OP

e rated as Fair

heatre clean

29.1% CHCs

C has OT in

r room conditi

fair.

3.8% CHCs

before tran

Garbage dum

of CHCs doe

HCs have.

s Premise

41.9

848.4

titution asthan

34

PDs in

r.

liness

s have

poor

on as

have

sport,

mp.

es not

es

4

9.7

GoodFairPoor

Stagnanthave this

pool.

Pollutionare free f

CHC are f

13. AH

(Kota), Ba

ka thana

districts h

Charitabl(Bhilwara

Phalodi (J

41.3% dis

(Bharatpu

Kisangarh

Prlaboratory/h

H

Char

Hosp

No

Yes

t pool: - 90

pool, while

from indusfrom industry

facing this pro

Availability ofHealth Facility

ali (Pali), Kha

(Sikar), Ton

ave such hos

le Hospital: ), Dungargar

Jodhpur) Ma

stricts (Kisan

ur), Indergarh

hbas (Alwar),

rivate ospital/Nursinome

ritable Hospita

ital run by NGO

.3% CHCs d

9.7% have

stry: - 96.8%

pollution, wh

oblem.

f Private Secy in the area

amnore (Rajs

k and Udaip

spitals.

- There are rh (Bikaner),

krana (Nagau

ngarhbas (Alw

h (Bundi), N

, Suratgarh (

0 20 40

ng

al

O 12.9

22.

Perce

does not

stagnant

% CHCs

hile 3.2%

ctor :

amand), Gan

pur (Kurabad)

no such hos, Nohar (Ha

ur), Bali (Pal

war), Partapu

imbahera (C

(Ganganagar

60 80 100

77.5

41.3

5

58.7

87

ntage

Hospihave Kisang

(Bhilw

(Barm

(Bikan

Sarda

(Dung

(Gang

(Jaise

Phalod

ngapur city (S

) but 12.9%

spitals in 58anumangarh)

i), Sawai- Ma

ur (Banswara

Chittor), Sarda

),Sanchore (

0

7.1

0

20

40

60

80

100

Percen

tage

SIHFW: An

ital run by Na NGO r

garhbas (Alw

wara), Parta

mer), Nagar

ner), Indergar

rshahar (Chu

garpur), Noha

ganagar), Jam

lmer), Dag (J

di (Jodhpur),H

Sawai-Madho

(Makrana (N

8.7% of distrSanchore (

adhopur and

a), Atru (Bara

arshahar (Ch

Jalore), Jaise

Stagnant pool

9.7

90.3


NGO: - 87.1%run Hospitawar), Atru (B

apur (Bans

r (Bharatpu

rh (Bundi), Ni

uru), Lalsot (D

ar (Hanuma

mwaramgarh

halawar), Ch

Hindauncity (

opur), Sheog

Nagaur) and

ricts Kekri (A

Jalore), Chir

Neem ka th

an), Chohtan

huru), Simalw

elmer-Pokran

Pollutioindu

3.2


% Districts dal Kekri (Aj

Baran), Gula

swara), Ch

ur), Dunga

mbahera (Ch

Dausa), Sima

ngarh), Sura

(Jaipur), P

irawa (Jhunjh

Karauli), Sult

anj (Sirohi), N

Sanchore (J

Ajmer) , Gula

rawa (Jhunjh

hana (Sikar),

n (Barmer), N

wara (Dunga

n, Dag (Jhala

on from ustry

2

96.8

titution asthan

35

o not jmer),

bpura

ohtan

argarh

hittor),

alwara

atgarh

okran

hunu),

anpur

Neem

alore)

bpura

hunu),

while

Nagar

arpur),

awar),

yes

no

Hindaunc

(Kurabad)

14. P

in

by

ar

(B

S

S

(K

(S

C

an

15. A

Khamnore

Waiting ropatien

Emergency RCasualt

Separate wamales and f

ity (Karauli),

) have one or

vt. Laboraton areas of Lab

y entering int

re- Kekri (Ajm

Bikaner), Ind

uratgarh (Ga

anchore (Ja

Karauli), Ma

SawaiMadhop

Chohtan (Barm

nd Kurabad (

Availability of

e (Rajsamand

0

oom for nts

Room / ty

ards for females

Sultanpur (K

r the other cha

ory/hospital/Nboratory supp

o a PPP mod

mer), Kisanga

dergarh (Bun

anganagar),

alore), Dag

akrana (Na

pur), Neem k

mer), Sardars

Udaipur) and

f Building:

d), Sheoganj

50

22.6

19.4

6.5

Percentage

Kota), Khamn

aritable hospi

Nursing Homport, Nursing

de for service

arhbas (Alwa

ndi), Gulabpu

Nohar (Hanu

(Jhalawar),

gaur), Bali

ka thana (Sika

shahar (Chur

Sultanpur (K

(Sirohi) and T

100

77.4

80.6

93.5

nore (Rajsam

ital.

me: - The preHome or Hos

s which are n

ar), Partapur

ura (Bhilwar

umangarh), J

Chirawa (Jh

(Pali), K

ar) and She

ru), Simalwar

Kota) do not h

In m

warSar

Em80.619.4

(Bik

(Du

(Ga

AvapreKek

Jam

Tonk this facil

No

Yes

SIHFW: An

mand) Sheoga

esence of prispital can be

not available i

(Banswara),

ra), Nimbahe

Jamwaramga

hunjhunu), P

hamnore (R

eoganj (Sirohi

ra (Dungarpu

have this facili

majority of CH

rds are s

rdarshahar (C

ergency roo6% CHCs; wh

4% CHCs N

kaner), Sard

ungarpur), Kis

anganagar) an

ailability of sent at 77.4%

kri (Ajmer)

mwaramgarh

lity is not ava


anj (Sirohi), T

vate sector exploited to S

in Public sect

Nagar (Bhar

era (Chittor),

arh (Jaipur),

halodi (Jodh

Rajsamand),

i). 22.5% dist

ur) Kisangarh

ity.

HCs (93.5%)

separate ex

Churu) & Tonk

om/Casualtyhile this facilit

Nagar (Bhara

arshahar (C

sangarhbas (

nd Tonk.

waiting room% CHCs, wh

), Sardars

(Jaipur), P

ilable.

08 Certified Instof CHCs in RajaTonk and Ud

in 77.5% disSytem’s adva

tor. These Dis

ratpur),Dunga

, Lalsot (Da

Jaiselmer-Po

hpur), Hindau

Gangapur

tricts Atru (Ba

hbas (Alwar),

male and fexcept CHCs

k.

y is availabty is unavaila

atpur), Dunga

Churu), Sima

(Alwar), Sura

m for patienile at 22.6% C

shahar (Ch

Phalodi (Jodh

titution asthan

36

daipur

stricts

ntage

stricts

argarh

ausa),

okran,

uncity

city

aran),

Tonk

emale s at

ble at able at

argarh

alwara

atgarh

nts is

CHCs

huru),

hpur),

have this

16. L

Av

OPD room

Adequate no.in the room f

air in eac

Family W

facility.

aboratory:

9.7%

vailability of

0

ms / cubicles

of windows for light and ch room

elfare Clinic

90.3%

Laboratory

0

6.5

12.9

22.6

Percentage

Yes

No

50

77

FCS

(G

S

T

p

8

C

(C

rs

S

In the

CHCs

Tonk,

CHCs

100

93.5

87.1

7.4

No

Yes

SIHFW: An

Family welfarCHCs. 22.6%

Sardarshahar

Ganganagar)

Sanchore (Ja

Tonk. Adequproper ventila

87.1% CHCs

CHCs (Inder

Churu), Phal

ooms/ Cubispecialties a

Sardarshahar

context of

Atru (Baran

laboratory fa

(90.3%).


re clinic is a% of CHCs N

(Churu

), Nohar

alore), Sulta

uate numbertion and sunl

, while it is

rgarh (Bund

odi (Jodhpur

cles are ava

t 93.5% C

(Churu) &

provision of

n), Sardarsha

acility is availa


available at 7Nagar (Bhara

u), Sura

(Hanumang

anpur (Kota)

r of windowlight is availa

lacking at 1

di), Sardars

) and Tonk).

ailable for va

HCs, while

Tonk CHCs

laboratory e

ahar (Churu)

able at majo

titution asthan

37

77.4% atpur),

atgarh

garh),

and

ws for

ble at

12.9%

hahar

OPD arious

only

don’t

except

) and

rity of

17. CCold ch

Immuniza

complace

(Ajmer), I

(Chittor),

(Gangana

Chirawa

(Jodhpur)

(Pali),Gan

and Nee

reported coolers to

not suppcold chain

Just 48.4(Dungarp

Hindaunc

(Sirohi) an

0

Yes

No

Cold Chain: hain is vita

ation, with little

ency. 38.7%ndergarh (Bu

Lalsot (Da

agar), Pokra

(Jhunjhu

), Hindauncit

ngapur city (S

em ka than

that they o store the va

osed to haven facility.

4% CHCs Ke

ur), Suratgar

ity (Karauli),

nd Udaipur (K

12.9

16.2

al to effec

e elbow room

% CHCs K

undi), Nimbah

ausa), Suratg

an (Jaisalm

nu), Pha

ty (Karauli),

Sawai-Madho

a (Sikar) hhave wal

accine (how e a Walk in c

ekri (Ajmer),

rh (Gangana

Bali (Pali), G

Kurabad) hav

50%

laboratororderly m

Availabiliequipme

ctive

m for

Kekri

hera

garh

mer),

alodi

Bali

opur)

have lk-in come, fail to

cooler or Fre

Indergarh (B

gar), Pokran

Gangapur city

ve walk-in fre

100

87.1

83.8

ry maintained manner

ity of adequatent and chemic

2

4

6

8

%

AdeqCHC

Sard

83.8

laboCHC

Sard

and T

o understandeezer) while 6

Bundi), Nimb

n (Jaisalmer)

y (Sawai-Ma

eezers.

in

te cals

0

20

40

60

80

SIHFW: An

quate equipCs, except at A

darshahar (Ch

% CHCs a

oratory in oCs Atru (

darshahar (C

Tonk.

d and calls f61.3% CHCs

ahera (Chitto

, Chirawa (J

dhopur), Nee

Yes

38.748.4


ments are a

Atru (Baran),

huru) and Ton

are able to

rderly mannBaran), Ind

huru), Kham

for interrogado not have

or), Lalsot (D

Jhunjhunu), P

em ka thana

61


available at 8

Indergarh (B

nk.

o maintain ner except 1

dergarh (B

nore (Rajsam

ation as CHCwalk-in coole

Dausa), Sima

Phalodi (Jodh

(Sikar), She

No

1.3

51.6

Availabliin cooler

Availabliin freeze

titution asthan

38

87.1%

undi),

their 16.2%

undi),

mand)

Cs are ers for

alwara

hpur),

eoganj

ility of Walk‐rs

ility of Walk‐ers

18. B

Blood stFRU is athis facili

CHCs At

Dungarga

Sardarsha

(Jaipur),

(Kota), M

(Rajsama

and Udaip

58.1% CH(Barmer),

SimKisan

(Sirohi), T

Blood stNimbaher

0

20

40

60

80

100

percen

tage

Blood Storage

torage unit available at 5ity is not a

ru (Baran),

arh (Bikaner),

ahar (Churu

Dag (Jha

Makrana (Na

and), Sheoga

pur (Kurabad)

HCs have theDungargarh

garhbas (Alw

Tonk and Uda

torage facilira (Chittor),

Icelined freezers

87.1

12.

e Unit:

as a must f58.1% CHCs,vailable at

Nagar (Bhar

Indergarh (B

u), Jamwara

lawar), Sul

agaur), Kha

anj (Sirohi),

).

eir linkages (Bikaner), In

war), Sultanp

aipur (Kurabad

ity is availaSuratgarh (G

Deep freez

90.3

9 9

for an , while

41.9%

atpur),

Bundi),

mgarh

tanpur

mnore

Tonk

with Districtndergarh (Bu

pur (Kota), M

d) do not hav

able only aGanganagar)

Percen

tage

zers Refrigera

83.9

9.7

t Blood Bankndi), Sardars

Makrana (Na

ve any linkage

at 32.2% CH, Nohar (Ha

0

10

20

30

40

50

60

70

AvailabBlood S

U

58

ators

16.1

Yes

No

SIHFW: An

87.1 % CH12.9% CH

(Bharatpur),

Makrana (N

freezers. A

(Churu) and

freezer.

(Churu), Khamnore (Sirohi) Cfunctional r

k, while 41.9%

shahar (Chur

agaur), Kham

es.

HCs Kekri (A

anumangarh)

bility of Storage nit

LinDis

.1

41.9


HCs have icHCs Atru

Sardarshah

agaur)) do n

Atru (Baran

Tonk CHCs

Atru (BaranNohar

(RajsamandHCs do n

refrigerators.

% CHCs Atru

u), Lalsot (D

mnore (Rajsa

Ajmer), Gula

, Pokran (Ja

nkage with trict Blood Bank

58.1

41.9


e lined free(Baran), N

har (Churu)

not have ice

n), Sardars

do not have

n), Sardarsh(Hanumang

d) and Sheonot have .

u (Baran), Ch

ausa), Dunga

amand), She

abpura (Bhilw

aisalmer), Ph

Regular Blood Supply

32.2

67.8

titution asthan

39

ezers, Nagar

and

lined

hahar

deep

hahar garh), oganj even

ohtan

arpur-

eoganj

wara),

halodi

Yes

No

(Jodhpur)

this facility

Room fo

and Udaip

19. L

At majorit

available

Sardarsha

room is no

80.7%

5

), Hindauncity

y is not availa

or Ancillary S

pur-Kurabad.

abor room:

ty (90.3%) of

except from

ahar (Churu)

ot available.

19

58.1

y (Karauli), Ba

able.

Staff:

While 41.9%

f CHCs labo

CHCs at Atru

and Tonk wh

9.3%

ali (Pali) and N

% CHCs have

r room is

u (Baran),

here labor

2

Only(Dau

Makr

while

Yes

No

41.9

YesNo

Neem ka than

Majorit

rooms

(Ajmer

(Bansw

Nagar

Dunga

Nimba

Simalw

Chiraw

Khamn

rooms for An

20. Laundry

y 19.3% CHCusa), Pokran

rana (Nagau

e majorities (8

s

SIHFW: An

na (Sikar), wh

ty of CHCs (

for Ancillary

r), Kisanga

wara), Atru

(Bharatpu

argarh (Bik

ahera (Chitt

wara (Dunga

wa (Jhunjhu

nore (Rajsam

cillary staff.

facility

Cs Kekri (Ajm

n (Jaisalmer

ur)) CHCs h

80.7%) of CH

9.7%


hile at majority

(58.1%)do no

y staff, these

arhbas (A

(Baran), C

ur), Gulabp

kaner), Ind

tor), Sardar

arpur), Kisan

unu), Kara

mand), Sheog

mer), Chohtan

r), Chirawa

ave laundry

Cs do not ha

90.3%

08 Certified Instof CHCs in Rajay of CHCs (67

ot have faci

e CHCs are

Alwar), Par

Chohtan (Bar

pura (Bhilw

dergarh (B

rshahar (Ch

ngarhbas (A

uli-Hindaun

ganj (Sirohi),

n (Barmer), L

(Jhunjhunu)

facility avai

ve.

Yes

No

titution asthan

40

7.8%)

lity of

Kekri

rtapur

rmer),

wara),

undi),

huru),

Alwar),

city,

Tonk

Lalsot

and

ilable,

21. W

22. EElectric l All CHCs

of the ho

Madhopu

electric su

Standby f

0

20

40

60

80

100

percen

tage

Water supply

lectricity supine in all par

have supply

ospital except

r) and Tonk

upply in all pa

facility (Gen

Yes

80.7

pply: rts of the hos

of electricity

t Gangapur c

k which do

arts of the hos

erator):

96.8%

3.2%

No

7

1

spital

in all parts

city (Sawai-

not have

spital.

o

19.3

Exce

water

Standbavailab19.3%

Inderga

Ganga

have g

Yes

No

0102030405060708090100

percen

tage

SIHFW: An

pt Tonk all 3

r supply.

by facility ible at majo

CHCs Atru

arh (Bundi)

apur city (Saw

enerator at th

Yes

93.


31 CHCs are

n the form ority (80.7%)u (Baran), C

), Khamno

wai-Madhopur

heir centers.

.5


e getting ade

of generat) of CHCs,Chohtan (Bar

re (Rajsam

r) )and Tonk d

No

6.5

titution asthan

41

quate

tor is while

rmer),

mand),

do not

23. V

24. WAs far as

figure pre

CHCs (90facility; (Barmer),

and Makr

at their ce

25. C Te

010203040506070

percen

tage

Vehicle:

Waste disposs the waste

esents a ver

0.3%) CHCs only CHCs

Pokran (Jai

rana (Nagaur

enters.

Communicatilephone

Yes

64.5

93

6.4%

sal : disposal faci

ry bleak pict

do not haveat Kekri (A

salmer), Chir

r) have waste

on facilities:

No

3.6%

ility is conce

ture. Majoritye waste dispAjmer), Cho

rawa (Jhunjh

e disposal fa

:

o

35.5

Ye

N

64.5%while

Choht

(Bund

Makra

Ganga

Tonk

vehicl

rned

y of osal

ohtan

unu)

acility

As fa

concer

hospita

Tonk.

es

o

SIHFW: An

% CHCs hav35.05% C

tan (Barmer)

di), Sanchore

ana (Nagau

apur city (Sa

and Udaipur

e.

r as the

ned all the C

al except fro

90.


ve vehicles CHCs (Kisan

, Nagar (Bha

(Jalore), Ch

ur), Khamno

wai-Madhopu

r (Kurabad)

communicati

CHCs have

om Chirawa

3%


at their cengarhbas (A

aratpur), Inde

irawa (Jhunjh

ore (Rajsam

ur) -Gangapu

do not have

ion facilities

telephone at

(Jhunjhunu)

9.7%

titution asthan

42

enters

Alwar),

ergarh

hunu),

mand)

r city,

e any

s are

t their

) and

Yes

No

Office au

i. OMajority o

for office

CHCs a

(Barmer),

(Jaipur),

not have

(Dausa), S

(Alwar), P

Khamnore

store room

0

20

40

60

80

100

percen

tage

tomation: PC

Other Room Oof CHCs (80.

and storage

at Partapur

Lalsot (D

Khamnore (R

e office room

Simalwara (D

Phalodi (Jod

e (Rajsaman

m facility.

Yes

80.6 80.6

76.8

Cs /E-mail

Office room/6%) have se

e facility at

(Banswara

Dausa), Jam

Rajsamand)a

m and CHC

Dungarpur), K

dhpur), Sulta

d)and Tonk

No

19.4

6

Pers

E.M

3.2

/Store roomeparate room

their center.

a), Chohtan

mwaramgarh

nd Tonk do

Cs at Lalsot

Kisangarhbas

npur (Kota),

do not have

o

19.4

sonal Compute

ail

Yes

No

Excep

(Ganga

Kuraba

have Khamn

compu

Inderga

does n

Kitche

None obut for

er

0

Yes

No

s

SIHFW: An

pt CHCs

anagar), Chi

ad (Udaipur)

computer nore (Rajsam

uter but have

arh (Bundi)

not have E-Ma

en

of the CHCsSanchore (Ja

19.

19


Atru (Ba

irawa (Jhunj

) majority owith intern

mand) does n

e-mail facility

have perso

ail facility.

have kitchealore) CHC.

50

.4

9.4

percentag


aran), Sura

hunu), Tonk

of CHCs (80et facility.not have per

y. In contrary

nal compute

en at their ce

80

80

ge

Store

Office

titution asthan

43

atgarh

k and

0.6%) CHC

rsonal

y CHC

er but

enters

100

.6

0.6

room

room

26. A

Cooking patients:

93.6% CH

families o

Nimbaher

ii. ST

o

a) C

anesthetis

General O

PublProgram

NoYes

Accommodat

facility for

HCs do not pr

of admitted

ra (Chittor) an

Staff quartersThe Lodging

observations o

Clinical Manp

st.

Anaesthetist

Duty Medical Officer

ic Health me Manager

Eye Surgeon

77.4

ion facility fo

r families

rovide cookin

patients exce

nd Bali (Pali).

s facility is a

on record vou

power

0 50

9.7

6.5

12.9

%

22.6

or families of

of admitted

ng facilities fo

ept CHCs a

big constrai

uch for it.

100

48.4

90.3

51.6

93.5

87.1

Yes

No

f admitted pa Majority

accommo

at Kekri

(Chittor),

accommo

admitted

Suratgarh

attached

have acc

toilet faci

d

r

t

nt in motivat

Majority

facilities

Dungarg

Bali (Pa

CHCs

(Sawai-

health

(Hanum

Kurabad

3

5

SIHFW: An

atients.

of CHCs

odation facilit

(Ajmer), In

Sardarshaha

odation faci

patients. CH

h (Ganganag

toilet. She

commodation

lity.

ting the spe

y of CHCs are

s for clinical

garh (Bikaner

ali) have sta

at Phalodi (

Madhopur) h

program m

mangarh), Ne

d (Udaipur)

93.6


s (77.4%)

ty for admitte

ndergarh (B

ar (Churu), an

lity with at

HCs at Choh

gar) have stay

eoganj (Siroh

facility but m

cialist to sta

e not providin

staff. CHCs

r), Suratgarh

aff quarters f

(Jodhpur) an

have lodging

manager. C

eem ka th

) have sta

6.4%

6%


do not

ed patients. C

undi), Nimb

nd Bali (Pali)

ttached toile

htan (Barmer

ying facility w

hi) CHC doe

mentioned atta

ay at HQ an

ng accommod

at Kekri (Aj

(Ganganagar

for eye surg

nd Gangapu

facility for p

CHCs at N

ana (Sikar)

aff quarters

titution asthan

44

have

CHCs

ahera

have

et for

r) and

without

es not

ached

d the

dation

jmer),

r) and

geons.

r city

public

Nohar

and

s for

Yes

No

b) S

Majority o

facility for

this facility

Staff Nurfacility, wfor Staff N

ANMs of

residence

facility.

Public Hehave this

Gen

OG

No

Yes

Opht

No

Yes

upport Manp

of CHCs (58.

r Nurse/Midwy.

rses of 67.7while 32.3% C

Nurses.

58.1% CHCs

e quarters; o

ealth Nurse

facility.

neral Surgeon

Physician

Obstetrician / Gynaecologist

Paediatrics

Pharmaciscompound

Lab. Technici

Radiograph

thalmic Assista

power:

1%) do not h

wife, while 41.

7% CHCs haCHCs do not h

s do not hav

nly 41.9% C

Of 80.6% CH

0 20 4

22.

%

0 20 4

st / der

ian

her

ant

16.

2

19

9.7

%

have residen

.9% CHCs ha

ave residenthave this faci

ve this facility

CHCs have t

HCs do not h

40 60 80

45.2

45.2

54.8

.6

54.8

54.8

45.2

7

40 60 80 1

1

25.8

.4

8

74.2

80

77.4%facilitdo haSimila

facility

45.2%

case

54.8%

45.2%

tial

ave

tial ility

y of

this

ave this facil

Majo

facili

CHC

CHC

do n

Techfacili

have

83.9

0

77.4

Public

N

100

83.9

2

0.6

90.3

SIHFW: An

% CHCs doies for pedive accommo

arly 54.8% C

y to their obs% do not have

for Physicia% CHCs do

% CHCs have

ity of residen

ority of CHCs

ity for OphthCs have this f

Cs has reside

not have this

hnician of 74

ity of residen

e this facility

% CHCs doe

Health Nurse

ANM

Staff Nurse

urse/Midwife


not have iatricians, w

odation faciliCHCs provid

stetrician/gyne this facility.

ans & Genenot have sta

residential fa

nce quarters;

s 90.3% do n

halmic Assisfacility. Radioential facility,

facility for R

4.2 % CHCs

ce quarters,

. Pharmacises not have re

0 20 40

19.4

3

%


accommodwhile 22.6% C

ity. e accommod

necologists,

. Vice-versa

ral Surgeonaff quarters,

acility.

only 19.4% C

ot have resid

stant, while

ographer of 1

while 80.6 C

Radiographer

s do not have

only 25.8% C

st/Compoundesidential faci

0 60 80 1

41.9

67.7

41.9

80

58.1

2.3

58.1

titution asthan

45

dation CHCs

dation

while

is the

ns i.e.

while

CHCs

dential

9.7%

19.4%

CHCs

r. Lab e this

CHCs

der of

lity.

100

0.6

No

Yes

c) AA

Majority o

facility for

have this

CHCs has

do not

Assistantdo not ha

only 3.2 C

of 96.8%

Ward b

Ancillary StafAssistant / Dat

of CHCs 80.5

r Registrationfacility. Amb

s residential f

have th

t/Data entry ave this facil

CHCs have th

do not have r

Dresser

boys / nursing orderly

Sweepers

Chowkidar

ff: (Ward boy

ta entry opera

5 %do not ha

n Clerk, while

bulance Drivfacility, while 8

his facility.

operator of 9

lity of reside

his facility.OPresidential fac

0 5

9.7

9.7

3

ys / nursing o

ator and Regi

ve residentia

e 6.5% CHCs

ver of 16.1%

83.9 % CHCs

Statistica96.8 % CHCs

nce quarters

PD Attendantcility.

0 100

61.3

41.9

90

38.7

58.1

90

%

rderly, Sweep

stration Clerk

M

re

C

C

C

Wh

3

Dfa

al

s

%

s

l s

,

t

0.3

0.3No

Yes

Statisticaent

A

R

No

Yes

SIHFW: An

pers, Chowki

k.

Majority of

esidential fac

CHCs have th

CHCs have re

CHCs do not

Ward boys/Nuave this facil

8.7 % CHC

Dressers of 9

acility.

OPD Attenda

al Assistant / Datry operator

Ambulance driv

Registration Cle


dar, OPD Att

CHCs 90.3%

ility for Chowhis facility. Swesidential fac

have this fac

ursing orderl

lity of residen

Cs do not h

90.3 % do no

0 20 4

ant

ata

ver

erk

3.2

3.2

16.

6.5

%

08 Certified Instof CHCs in Rajatendant, Stati

% do not

wkidar, while

weepers of 4

cility, while 58

cility for Swee

ly of 61.3 % C

nce quarters

have this fa

ot have resid

40 60 80 1

.18

80

titution asthan

46

stical,

have

9.7%

41.9%

8.1 %

epers.

CHCs

, only

acility.

dential

100

96.8

96.8

83.9

0.5

27. L

Facility

Box/Com87.1% CH

do not hav

77.4% C

utilities f

22.6% CH

Contracevitamin Aavailable

majority (

CHCs do

the entran

Promboards i/ Char

Regist

Phadisp

ocation:

of

mplaint Box HCs; remainin

ve these boxe

HCs have sfor male and

HCs do not h

eptives, OA and vaccin

at the entran

(90.3%) CHC

not provide t

nce of their C

minent display n local languagrter of Patient Rights

ration counter

armacy for druensing and drustorage

Suggestis available

ng 12.9% CH

es.

separate pubd female, wh

have this facil

ORS packenation facilitynce of CHCs

Cs, while 9.

hese facilities

HCs.

0

ge

rs

g ug

2

12.9

Pecentag

ion at

HCs

blic hile

lity.

ets, y is

s in

7%

s at

50

7

70

22.6

9

29.1

ge

Acont

packeVaccin

Separat

Sugge

100

77.4

87.1

0.9

No

Yes

Availability of raceptives, ORts, Vitamin A anation at entran

te public utiliti

estion / complabox

SIHFW: An

Pharmacy storage is a29.1% CHCs

Registrationmajority (87.

do not provid

Display Borights are p22.6% do no

0

RS and nce

es

aint

9.

1

Perce


for drug available at 7s do not have

n counter .1%) CHCs, w

de this facility

oards/ charpresent in 7ot provide this

50

7

22.6

12.9

entage


dispensing 70.9% CHCs,

e this facility.

is availabl

while 12.9% C

y.

rter of pat77.4% CHCss facility.

10

9

77.4

87

N

Y

titution asthan

47

and while

e at

CHCs

ient’s s, rest

00

90.3

7.1

No

Yes

28. BAll the hea

incidence

paramedic

charging e

CHC. Ex

procedure

Jamwaram

ensures p

the entire

provision

desired se

VI. FurnitAs far as

trolley, iro

the 31 CH

CHC at ICHC at L

height me

(Jaisalme

facility an

Hindaunc

All the CH

VII. Quali

0

20

40

60

80

Percen

tage

Behavior of thad of CHCs r

of any sexua

cal. As far as

extra money

xaminations o

es conducted

mgarh (Jaipu

privacy and d

e duration an

to transfer th

ervice is avail

ture: the furniture

on bed, bed s

HCs.

ndergarh (BLalsot (Dausa

easuring stan

er), Sanchore

nd CHCS at

ity (Karauli),

HCs have wai

ty Control:

Yes

38.845.1

he CHC staffreported that t

al advances,

s the dishone

for any of the

on woman p

d under con

r) and Sanch

dignity. All the

nd if the hea

e patient imm

lable.

e facility is co

side locker, in

undi), don’t ), Chirawa (J

d. CHCs at N

(Jalore), Dag

Partapur (B

Makrana (Na

ting bench fo

No

61.2

External

AvailabilOperatin

f with the pattheir staffs’ be

oral or physic

esty is concer

e service prov

patients are

nditions that

hore (Jalore)

e patients wit

alth centre is

mediately with

oncerned exa

nstrument tray

have basicsJhunjhunu), K

Nimbahera (C

g (Jhalawar),

Banswara), L

gaur), Bali (P

r patients/ att

o

54.9

monitoring

lity of Standardng Procedures

tient: ehavior is cou

cal abuse, se

rned they res

vided, receipt

conducted

ensure priva

woman patie

th chronic illn

s unequipped

hout delay, wit

amination tab

y, chair, wood

s like salineKhamnore (Ra

Chittor), Lalso

, Makrana (N

Lalsot (Dausa

Pali) and Sheo

tendants exce

54.9%stand45.1%

Monito

38.8%

d

SIHFW: An

urteous with t

xual harassm

spond that the

t always give

in presence

acy, Except

ents are inter

nesses receiv

d to provide

th all the relev

le, delivery ta

den table and

stand, wheajsamand) an

ot (Dausa), Su

Nagaur), Bali

a), Pokran (J

oganj (Sirohi)

ept CHC Kisa

% CHCs dodard operati% CHCs have

oring is not a

% CHCs have


the patient an

ment by the do

ere is no cor

n for the mon

of a woma

CHCs at C

rviewed in an

ve adequate c

the services

vant papers,

able, stool fo

d mattress a

el chair, strend Sawai-.Ma

uratgarh (Gan

(Pali), and T

Jaisalmer), S

) have bed sid

angarhbas (Al

oesn’t haveing proced

e this facility.

available at 6

this facility.


nd there wasn

octors or any

ruption in ter

ney charged

an attendant,

Chohtan (Bar

n environmen

care and drug

s needed, the

to a site whe

or patients, ox

are available

etcher on tradhopur don’t

nganagar), P

onk have Sid

Sanchore (Ja

de attendant

war).

e availabilitures, while

Facility of Ex

1.2% CHCs,

titution asthan

48

n’t any

other

rms of

at the

, and

rmer),

nt that

gs for

ere is

re the

xygen

at all

olley.

t have

okran

de rail

alore),

chair.

ty of only

xternal

while

0

10

20

30

40

50

60

70

80

90

Percen

tage

Yes

80.6

54.961.2

N

19.4

4

2

Cit

CoKaInt

o

45.138.8

tizen's charter

onstitution of Rlyan Samititernal monitor

Intern

38.8%

consti

don’t

CHCscitizen

Rogi

ing

SIHFW: An

al Monitoring

% CHCs, 54

itution of RM

have this c

s have citizen’s charter.


g Facility is

4.9% CHCs

MRS (RKS), w

constitution.

en’s charter,


not availab

have copie

while 45.1% C

Majority (80while 19.4%

titution asthan

49

ble at

es of

CHCs

0.6%) don’t

Key PerfoAll the dis

analyzed

interventio

A) LAjme

42466 res

In 2007 Y

Gulabpura

For 2006(Bhilwara

200

400

600

800

1000

1200

No. OPD

Patients

ormance Indstricts from wh

in relation to

ons.

Load in OPDr Zone: Kekr

spectively.

Year, all thre

a (Bhilwara) &

6, the ambula

) and Makran

0

000

000

000

000

000

000

2009

1020964760246013

icators: here informat

o OPD, IPD,

: ri (Ajmer) Gula

ee CHC wer

& Makrana (N

atory care wa

na (Nagaur) re

2008

59234 41347

46013

42466

Y

tion was avail

, Surgeries,

abpura (Bhilw

re at par wit

Nagaur) CHCs

as offered to

espectively.

2007

386013433834264

Year

able are divid

Bed occupan

wara), Makran

th 38601, 34

s respectively

45252, 415

2006

452524158734957

AJMER

BHILWARA

NAGAUR

SIHFW: An

ded on the ba

ncy, Normal

na (Nagaur), a

No of OPFrom the

(Ajmer),

Makrana

kekri had

reference

patients w

CHC at G

(Nagaur)

in OPD, re

In the yeamaximum

while at

Makrana (

4338 and 34

y.

85 and 3495


asis of Zones

Delivery, and

and Tonk D patients information

Gulabpura

(Nagaur); it a

d maximum

years. In 2were attended

Gulabpura (Bh

had 47602 a

espectively.

ar 2008 also

at Kekri (Ajm

Gulabpura

(Nagaur) the

264 patients

57 at Kekri (A


and the data

d Family Pla

available for

(Bhilwara)

appears that

load in al

009 year, 10

d in OPD at

hilwara) & Ma

and 46013 pa

, patient Load

mer) CHC (59

(Bhilwara)

load was 413

in Kekri (Aj

Ajmer), Gula

titution asthan

50

a were

anning

Kekri

and

CHC

ll the

02096

Kekri

krana

atients

d was

9234),

and

347 &

jmer),

bpura

Bikaner Z(Hanuman

No of OPAs eviden

case load

CHC fro

Dungarga

(Churu) a

had 9047

respective

In 2008

CHC had

Dungarga

were 786

dropped i

In 2007 Y

71961, 73

In 2006,

(Gangana

Bharatpu

0

20000

40000

60000

80000

No. of O

PD Patients

Zone: (Dunga

ngarh)). PD patients nt from the b

d was in Sura

m 2007 to

arh (Bikane

and Nohar (H

75, 92484 a

ely in their OP

year, Surat

d foot fall o

arh (Bikaner)

658, at Sarda

n the OPD.

Year, the loa

3968 respectiv

Sardarshah

agar) and Noh

ur Zone: Naga

0

0

0

0

0

2009

73686

argarh (Bikan

bar graph, m

atgarh (Gang

2009. For

er), Sarda

Hanumangarh

and 96869

PD.

tgarh (Gang

of 113094, w

no of OPD

arshahar (Ch

d was almos

vely, and for S

ar (Churu) C

har (Hanuman

ar (Bharatpur

2008

77492

Year

er), Sardarsh

aximum

ganagar)

r 2009,

arshahar

h) CHC

patients

ganagar)

while at

patients

uru) load wa

st the same f

Suratgarh (G

CHC has m

ngarh) CHCs

r), Hindauncit

No. of O

PD Patients

2007 20

6289068

BHAR

hahar (Churu)

as 80666 and

for Dungarga

anganagar) lo

maximum loa

the load was

ty (Karauli) an

0

20000

40000

60000

80000

100000

120000

90475

006

8490

ATPUR

SIHFW: An

), Suratgarh (G

d at Nohar (

arh (Bikaner)

oad were 102

d of 85682

s 77777 and 8

nd Gangapur

The informa

Nagar (Bha

73686 patien

77492 patien

62890 and in

68490 patien

2009 20

90475

78658

92484

80666

10686496869


Ganganagar)

(Hanumangar

and Sardars

2867.

patients wh

83676 respec

city (Sawai-M

ation was re

aratpur). In

nts, in year 2

nts, in year 2

n the year 20

nts in OPD.

008 200

71961

80666

73968

11309461687

Year

08 Certified Instof CHCs in Raja), and Nohar

rh) 61687 pa

shahar (Churu

hile for Sura

ctively.

Madhopur).

eceived only

2009 load

2008 the load

2007 the load

06 the load w

07 2006

8367685682

102867 77777

BIKANERCHURUGANGANA

titution asthan

51

atients

u) i.e.

atgarh

from

were

d was

d was

was of

6

77777

AGAR

Jaipur ZoNeem ka

maximum

catered to

(Jaipur) h

Neem ka

at Chiraw

Jamwaram

patients in

In year 2(Sikar) C

(Alwar) C

only.

0

20000

40000

60000

80000

100000

120000

140000

No. of O

PD Patients

one: (Kisanga

Thana (Sikar

m (126275) O

o 62177 pat

ad 46621 pa

Thana (Sikar

wa (Jhunjhunu

mgarh (Jaipu

n OPD.

006, Chirawa

HC followed

CHC catered t

0

0

0

0

0

0

0

0

2009

5094782123

51396118249116361

arhbas (Alwar

r)

OPD load, Ch

ients, Alwar-

atients.

r) CHC servic

u) CHC was

ur) CHC man

a (Jhunjhunu)

with 110755

to 42731 pat

2008

5071662177 46621

116050

116361

126275

Ye

r), Lalsot (Dau

hirawa (Jhunj

Kishangarhba

ced 117645 p

113971 pati

aged 44977

) CHC with 1

5 patients, L

tients and at

2007

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150

200

250

tetrician avai

orms just 3 de

ur Zone:

one: 4 districts Ki

(Dausa) an

Neem ka than

ee project

hbas, Lalsot

e performanc

s have bee

over the refe

dausa), whic

numbers can

e reported is

e. Though th

at all the thr

ikar) is not a

0

0

0

0

0

0

2009

1915

lable but no

eliveries per d

sangarhbas (

nd Jamwara

na (Sikar); th

facilities

t and Nee

ce at all the re

en quite lo

erence year

ch in view

nnot be justifi

s a matter o

he labor roo

ree Jamvaram

available.

2008

2076

labor room, t

day.

(Alwar),

amgarh

he zone

namely

em Ka

eported

w and

but for

of the

ied and

of plain

ms are

mgarh does n

NO

OfNormal

Deliveries

2007 20

2019

1

BHA

the only avail

not have an o

0

5000

10000

15000

20000

25000

NO. Of Normal Deliveries

006

1063

ARATPUR

SIHFW: An

lable informa

Comprising

(Bharatpur,

Dholpur) an

facility (Hin

available on

Consequentl

with regard t

obstetrician. T

2009 2

1375

1364

2757

2

2758

Ye


tion for 2009

four ad

Karauli, Saw

nd the only

ndaun); the

nly for CHC

ly, no compa

o normal deli

The informa

2008 200

1364

1168

24105

2103

2985

ear

08 Certified Instof CHCs in Raja9 indicates tha

ministrative

waimadhopur

y project su

e informatio

Nagar-Bhar

rison can be

very load.

ation for Nee

07 2006

105

2103

1935

2627

1600

ALWARDAUSAJAIPUR

titution asthan

62

at the

unit

r and

upport

n is

atpur.

done

em ka

1600

RA

Jodhpur

availabilinumber o

Kota Zon In Sultanp

increase

2006-200

Obstetrici

of informa

compariso

0

200

400

600

800

1000

1200

No. of Normal D

eliveries

Zone:

ty of an obf normal deliv

ne:

pur (Kota) the

in normal

9 even

an available

ation from ot

on can’t be m

2009

107010801163

301

bstetrician hveries going u

ere is a signifi

deliveries

without

but then for w

ther districts,

made.

2008 2

961

515

6891027

409

Year

as performeup from just e

icant

from

the

want

, the

2007 20080

236 189

726300

4

1

1

No. Of Normal D

eliveries

ed exceedinighty to 1070

06

474 367

JALOREJODHPURPALISIROHI

0

200

400

600

800

000

200

2009

113

SIHFW: An

Jodhpu

and S

supporSheogashown normal

support

availabi

contrary

status perform(Jaloreamazin

ngly well ove.

9 2008

331021

Ye


r zone (Jalo

Sirohi) has

rted facilitiesanj (Sirohi).considerabl

institutiona

t from an

ility of labo

y Sheoganj swith Bali do

mance. C

) on thengly even er the refer

2007

851

ear


ore, Jodhpur

s two prs Bali (Pali) Only Bali le improvemal delivery

obstetrician

or room, on

sharing the oes not matcCHC Sance other h

without rence period

2006

507

titution asthan

63

, Pali

roject ) and

had ent in

with

and

n the

same ch the chore hand,

the d with

Udaipur Z

but stead e) NumbeInformatio

and analy

Ajmer ZoFor the A

0

100

200

300

400

500

600

700

No. Of Fam

ily Plann

ing Ope

ration

s

0

200

400

600

800

1000

1200

1400

1600

1800

2000

No. Of Normal D

eliveries

Zone:

dy increase i

er of Family on regarding

yzed.

one: Ajmer zone, T

2009

540548

438

0

0

0

0

0

0

0

0

0

0

0

2009

1835

695

353

n deliveries

Planning Opnumber of su

Tonk did not

2008 2

434

516478500

Year

2008

1858

608

3 327

Year

between 200

perations: urgical interve

report.

2007 200

516

431

628

632

428

2007

1421

3787245

06-2009; des

ention for Fam

06

632366

AJMER

BHILWAR

NAGAUR

2006

579

236312

BANSWARARAJASAMANDUDAIPUR

SIHFW: An

UdaipurRajsama

Udaipur

Nimbaheproject shows th

(Banswafacility cof obstesignificanumber

Khamnopite obstetri

mily Planning

All the

status

support

momen

family p

RA

R

D


r zone

and, Dungar

has no infoeda (Chittor)supported

hat from 200

ara), which complimenteetrician and lant increase

of normal

ore (Rajsamacian being n

at various C

e CHCs irre

(project su

ted) mainta

ntum with ref

planning.


with Bans

rpur, chittor

ormation for ), incidentallCHC The t

06-2009, Paris a non pr

ed by a preslabor room, he in max

deliveries.

and) had a not available

HCs was gat

espective of

upported or

ained the

ference to ter

titution asthan

64

swara,

and

CHC ly the trends

rtapur roject sence had a

ximum

CHC small

hered

their

non

same

rminal

Bikaner Z

Bharatpu

2009

2008

2007

2006

Year

0

200

400

600

800

1000

1200

No. of Fam

ily Plann

ing Ope

ration

s

Zone:

ur Zone:

0

No. of Fam

0

0

0

0

0

0

0

2009

946

500

mily Planning

2008

1017

Ye

1

743

642

800

829

782

765

Operations

2007

758

ear

000

968

988

GANGANAGA

BIKANER

2006

932

SIHFW: An

For Bika

is availa

Bikaner

Dungarg

Suratga

on the c

towards

maintain

but with

2009.

Of th

(Bhara

Sawai

projec

Hinda

is ava

(Bharsuppo

the p

comm

inform

R


aner Zone al

able only for

. The com

garh (Bika

rh (Gangana

contribution of

couple prot

ned its rhythm

h distorted n

he four distr

atpur, Karau

imadhopur), t

ct supporte

un. The infor

ailable for onl

ratpur) wh

orted under

erformance

mented on

mation


so the inform

r Ganganaga

mpiled data

aner) and

agar) CHCs r

f terminal me

tection rate w

m for 2006 &

notes for 20

ricts in the

uli, Dholpur

there was onl

ed facility

rmation, some

y one CHC-Nhich was

RHSDP. As

of Zone can

faor wan

titution asthan

65

mation

r and

a for

for

reflect

ethods

which

2007,

008 &

zone

and

ly one

y-CHC

ehow,

Nagar not

such

n’t be

t of

Jaipur Z

Jodhpur

0

200

400

600

800

1000

1200

1400

1600

No. of Family Plann

ing Ope

ration

s

0

100

200

300

400

500

600

700

No. Of Family Plann

ing Ope

ration

Zone:

Zone:

2009

723326

1225 1042

2009

671587 521

19

2008 2

953

645

3471357

1051

Year

2008

697 642

497408

62

Year

2007 20

645 489325

347

11621129

2007

642

647

505417

77

006347

14161016

ALWAR

JAIPUR

JHUNJH

SIKAR

2006

647537

30774

JALO

JOD

PAL

SIRO

SIHFW: An

The

Alwa

and

CHC

avail

(JhuthesNeem

Jamv

botto

proje

Kish

main

CHpiin(Jstat thr

Th

Baimto

me

R

R

HUNU

ORE

DHPUR

LI

OHI


zone has

ar, Dausa, J

Sikar; but

C Lalsot (

lable. Cunjhunu) topse years fo

m ka Than

varamgarh

om betrays th

ect sup

angarhbas (

ntain.

HC Sheogancked up deputs, while

alore) with eadily perfo

the top

roughout the

he project ali (Pali)

mproved in pe

terminal

ethods.


five districts

Jaipur, Jhun

information

(Dausa) is

CHC Chs the list ov

ollowed by

na (Sikar).

(Jaipur) at

he system, an

pported

(Alwar) could

nj (Sirohi) nspite the pr

CHC Sancno extra in

ormed and out of the

reference pe

supported has const

erformance re

family pla

titution asthan

66

s viz.

njhunu

from

not

irawa ver all

CHC

CHC

the

nd the

CHC

d not

never roject chore nputs stays

four

riod.

CHC tantly elated

anning

Kota Zon

Udaipur Z

0

100

200

300

400

500

No. Of Family Plann

ing Ope

ration

0

200

400

600

800

1000

1200

1400

No. Of Family Plann

ing Ope

ration

ne

Zone

2009

456

2009

1078711

31562

2008

405

Year

2008

1273826

233 152

Yea

2007

254

2007

1075263

111

113

ar

2006

303

2006

552356

174 132

BANSWARA

DUNGARPU

RAJASAMA

UDAIPUR

SIHFW: An

Of th

Jhala

availa

(Kotaperfo

time

cann

No iprojeNimbAmaz

CHC

maxim

opera

(Dung

with a

comp

Rajsa

make

A

UR

AND


he four distri

awar and Kot

able refers to

a) which hormance slow

but for the s

ot be inferred

information ect supbahera

zingly the no

Partapur (B

mum number

ations and

garpur) con

almost 12% d

pare to 2

amand and

e a dent here.


icts Baran, B

a, only inform

o CHC Sultahas improvewly over peri

solitary centr

d by any stand

is availablepported

(Chittorg

on project fa

Banswara) s

r of family pla

CHC Sima

nstantly imp

decline in 20

2008. CHCs

Udaipur faile

.

titution asthan

67

Bundi-

mation

anpur ed its

od of

e this

dards

e for CHC

garh).

acility-

shows

anning

alwara

roved

09 as

s at

ed to

f) Bed OcAs one of

critical for

effectiven

Ajme

Bikaner Z

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

percen

tage

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

45.00

50.00

2

percen

tage

ccupancy: f the indicator

r assessment

ess of care.

r- Zone:

Zone:

0

0

0

0

0

0

0

0

0

0

2009

82.00

39.85

2009 2

22.16

31

40.71

rs of quality th

of service uti

2008 20

75.0083

5 39.75

Year

008 200

1.70

14.7

42.14

4

Year

he Average Le

ilization by cli

007 2006

.0087.00

57.26

69.

07 2006

73

39.90

48.11

1

ength Of Stay

ent thereby r

07

AJMER

BHILWAR

6

19.84

BIKANER

HANUMANGA

SIHFW: An

y (ALOS) and

eflecting on th

CHC 2009

maintaspeaki

perform

project

availab

CHC

the pro

into thereafacility

not ev

With f

and j

under

Nohar

none (Dunacrossewhich

utilizat

RA

ARH


d bed occupan

he efficiency,

Kekri (Ajmhad a bed ained welling volume

mance of C

t support

bility of huma

Gulabpura (B

oject for 2006

complacafter. The oth

y- CHC Makrven bother to

four districts,

just two fa

project nam

; it is astonis

of thargarh, Surated 50% mark

is fair re

tion.


ncy rates are

efficacy and

er) during

occupancyl above es about

CHC which

besides

n resource.

Bhilwara) ho

6 & 07 but slicent sluher project su

rana (Nagauro report.

two not rep

acilities supp

ely Suratgarh

shing to note

ose repotgarh) have

k in bed occup

eflection of

titution asthan

68

2006-

y rate 80%,

the

had

the

nored

ipped umber upport

r) did

porting

ported

h and

e that

orting ever

pancy

poor

percen

tage

Bharatpu

Jaipur ZoCHC Nee

bed occu

could not

2009. CH

and main

2006-200

performan

increasing

Jodhpur

0

10

20

30

40

50

60

percen

tage

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

30.00

percen

tage

ur Zone:

one: em ka Thana

upancy from

t maintain its

HC at Chiraw

tained its bed

9. At Jam

nce had b

g from 30% to

Zone:

2009 20

59.74 5

2009 2

3000

30.00

30.1663.76

41.55

(Sikar) which

2006 to 2

s credibility f

wa (Jhunjhu

d occupancy

waramgarh

been slow

o 50%.

008 200

58.9552

Year

2008 20

30.0020.14

16.83

75.1744.79

Year

h improved its

2007(98.85%)

for 2008 and

nu) improved

rate between

(Jaipur) the

yet steady

07 2006

2.9

19.5

007 200

30.001683

16.85

79.8347.78

s

),

d

d

n

e

y,

5

0.0

20.0

40.0

60.0

80.0

100.0

percen

tage

06

70.2166.56

BARM

JALOR

PALI

SIROH

SIHFW: An

One again

punctuates t

the Zone a

fiasco is Nagoccupancy

over periodmaximum o

The

(Pali)

relativ

thoug

2009.

Sheog

while

some

quo.

00

00

00

00

00

00

2009

50.0090.00

52.12

MER

RE

HI


the availabil

the analysis

s the only C

gar (Bharatpis shown to

d from 2006f 59.74% in 2

project supp

has utilized

vely better (

gh has marg

. Another su

ganj (Sirohi)

CHC Ch

ehow could m

2008 20

50.00

30.00

93.0062.75

Year


lity of inform

and inferenc

CHC reportin

pur) where th

o have incre6 to 2009 w2009.

ported CHC

d bed compl

(more than 7

ginally slippe

uch facility-

failed to cap

hohttan (Ba

maintain the s

007 2006

30.00

92.00

72.00

98.85

10.7

JAJHSI

titution asthan

69

mation

ce for

ng its

e bed

eased with a

Bali

liment

70%),

ed in

CHC

italize

armer)

status

AIPURHUNJHUNUIKAR

Kota Zon

Udaipur ZCHC

surprising

bed occup

Whereas

the “best

Zone. Re

either had

or slip ov

Unfortuna

supported

(Chittor)

projecting

.

0

10

20

30

40

50

Percen

tage

ne:

Zone: Khurabad

gly continued

pancy overall

Partapur (Ba

t” bed occup

est of the f

d a marginal

ver the refer

ately the o

d facility CHC

did not

g its performa

2009 2

40.25

(Udaipur)

d with 30%

l these years

answara) had

pancy in the

facilities also

improvement

rence period

only project

C Nimbahera

believe in

nce.

2008 200

31.75

20

Year

)

%

.

d

e

o

t

.

t

a

n

07 2006

0.67

13.7

0.00

5.00

10.00

15.00

20.00

25.00

30.00

35.00

40.00

45.00

50.00

percen

tage

T

4t

6

70

2009

38.0027.85

20.0030.00

SIHFW: An

The only CHSultanpur h40.25% oveterms of bed

2008

36.0033.30

3.6030.00

Year


HC reporting as graduater a period

d complimen

2007

48.00 42.00

28.304.30

30.00


for Kota zoned from 13.0

of four yeant utilization.

2006

4200

24.523.17

30.00

BANSWA

DUNGARP

RAJASAM

UDAIPUR

titution asthan

70

ne i.e. 70 to

ars in

RA

PUR

MAND


71

S.No. Personnel

IPHS Norm

Availability (%)

Ajmer (Kekri)

Alwar (Kishangarhbas)

Banswara

(Garhi) Baran (Atru)

Barmer (Chohta

n)

Bharatpur

(Nagar)

Bhilwara (Gulabpu

ra)

Bikaner (Dungar

garh)

Bundi (Inderg

arh)

Chittorgarh(Nimbahera)

Churu(Sardarshahar)

Dausa (Lalsot

)

Dungarpur(Simalwara)

Ganganagar(Suratg

arh)

Hanumangarh(Nohar)

Jaipur(Jamwa Ramgar

h)

I. Services

Yes No

1.1. Specialist services available

a. Medicine

54.84%

45.16% Yes Yes Yes No Yes No No Yes No Yes Yes yes No No Yes Yes

b. Surgery 64.50%

35.50% Yes Yes Yes No No No No Yes Yes Yes Yes yes No Yes No Yes

c. OBG 48.40%

51.60% Yes Yes Yes No No Yes Yes No No Yes Yes Yes No No Yes No

d. Paediatrics 45.20%

54.80% No No No No Yes Yes No Yes No Yes Yes yes No Yes Yes No

e. Emergency services (24 Hours)

90.33%

9.67% Yes No Yes No Yes No Yes Yes Yes Yes Yes yes Yes Yes Yes Yes

f.

24 - hour delivery services including normal and assisted deliveries

93.50%

6.50% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes yes Yes Yes Yes Yes

g.

Emergency Obstetric Care including surgical interventions like Caesarean Sections and other medical interventions

45.20%

54.80% No Yes Yes No No Yes Yes No No Yes Yes No No Yes Yes No

h. New-born care 74.20%

25.80% Yes Yes Yes No Yes Yes No Yes Yes Yes Yes yes Yes Yes Yes No

i. Emergency care of sick children

64.50%

35.50% Yes Yes Yes No Yes No No Yes Yes Yes Yes yes No Yes Yes No


72

j.

Full range of family planning services including Laproscopic Services

83.90%

16.10% Yes Yes Yes No No No Yes Yes Yes Yes Yes yes Yes Yes Yes yes

k. Safe abortion services

67.70%

32.30% Yes Yes Yes No No Yes Yes Yes No Yes Yes yes No Yes Yes Yes

l. Treatment of STI / RTI

93.50%

6.50% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes yes Yes Yes Yes yes

m.

Essential Laboratory Services (Specify the type of lab tests conducted)

83.90%

16.10% Yes Yes Yes No Yes No Yes Yes Yes Yes Yes yes Yes Yes yes

n. Blood storage facility

61.30%

38.70% Yes Yes Yes No Yes No Yes No No Yes Yes No No Yes Yes No

o. Referral transport service

67.80%

32.20% Yes Yes Yes No No No No Yes No Yes Yes yes Yes No Yes Yes

1.2.

Maternal and Child health

Service availability

a. Ante-natal Clinics 96.80

% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

b. Post-natal Clinics 93.60

% 6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

c. Immunization Sessions

96.80%

3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

1.3.

Availability of facilities for out-patient department in Gynecology/ obstetric

a.

Sign Board /Name plates to guide the clients

87.10%

12.90% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes

b. Adequate working space

93.60%

6.40% Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes


73

c. Privacy during examination

93.60%

6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes

d. Facility for counselling

80.70%

19.30% Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes

e. Separate toilet with running water

90.40%

9.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No

f.

Facility for Starilizing instruments

96.80%

3.20%

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes

II. Manpower

A. Clinical Manpower Yes No

2.1. General Surgeon 1 61.30%

38.70% 1 1 1 1 0 0 0 1 1 1 1 0 0 1 0 1

2.2. Physician 1 51.60%

48.40% 2 0 1 0 1 0 1 1 0 0 1 1 0 2 1 1

2.3. Obstetrician / Gynaecologist 1 48.40

% 51.60

% 1 1 1 0 0 1 1 0 0 1 1 1 0 0 1 0

2.4. Paediatrics 1 45.20%

54.80% 0 0 0 0 1 1 0 1 0 1 1 1 0 1 1 0

2.5. Anaesthetist 1 25.80%

74.20% 1 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0

2.6. Public Health Programme Manager

1 3.20%

96.80%

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2.7. Eye Surgeon

1(1 for

every five

CHCs)

22.60%

77.40%

1 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0

2.8. General duty officers (Medical Officer)

6(at least

2 femal

e docto

rs) 77.40

% 22.60

%

8 4 0 1 1 0 3 1 0 2 0 2 2 4 1 3

B. Support Manpower


74

2.9. Nursing Staff

a. Public Health Nurse 1 35.30

% 64.70

% 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 0

b. ANM 1 67.70%

32.30% 4 1 4 Yes 1 1 0 1 1 1 0 1 1 2 2 1

c. Staff Nurse 15

70.90%

29.10% 0 2 5 0 1 0 14 9 1 0

7 0 3 4 0 10

d. Nurse/Midwife 54.80%

45.20% 25 2 7 Yes 1 2+4 0 0 1 0 1 4 10 11 0

2.10. Dresser 2 9.60%

90.40% 0 1 0 0 0 0 0 0 0 2 0 0 0 10 0 0

2.11. Pharmacist / compounder 3 93.54

% 6.46% 1 1 0 Yes 0 0 1 1 1 0 0 2 1 0 1 1

2.12 Lab. Technician 3 64.50%

35.50% 2 2 2 0 2 1 2 2 1 2 1 2 1 1 1 1

2.13. Radiographer 2 70.90%

29.10% 1 1 1 0 0 0 1 1 0 2 1 1 0 1 0 0

2.14. Ophthalmic Assistant 1 22.60

% 77.40

% 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0

2.15. Ward boys / nursing orderly 5 77.50

% 22.50

% 13 8 6 0 Yes 2 0 0 2 Yes 6 Yes 2 0 2 3

2.16. Sweepers 5 64.50%

35.50% 2 2 2 0 Yes 1 0 0 2 Yes 4 0 3 0 3 Yes

2.17. Chowkidar 5 9.60%

90.40% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0

2.18. OPD Attendant 1 6.50%

93.50% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0

2.19. Statistical Assistant / Data entry operator

2 22.60%

77.40% 1 0 2 0

0 1 0

0 1 0 0

0 1 0 1 0

2.20. Registration Clerk 2 25.80%

74.20% 0 0 0 0 0 0 0 0 1 Yes 0 0 1 0 Yes 0

III. Investigative Facilities

S.No

. IPHS Norm Yes No


75

3.1. Availability of ECG facilities

87.10%

12.90% Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes

3.2. X-Ray facility 96.80%

3.20% Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes

3.3. Ultrasound facility 12.90%

87.10% No No No No No No No No No Yes No Yes No Yes No No

3.4. Lab test facilities 77.40%

22.60% Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes No

IV. Physical Infrastructure (As per specifications)

4.1. CHC location

Within Village Locality

90.40%

9.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes

4.2.

Prominent display boards in local

language / Charter of Patient Rights

77.40%

22.60% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes

4.3. Registration counters

87.10%

12.90% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

a. Pharmacy for drug

dispensing and drug storage

70.90%

29.10% Yes Yes No Yes Yes No Yes Yes Yes Yes No Yes No No Yes Yes

b.

Counter near entrance of

hospital to obtain contraceptives, ORS packets, Vitamin A and Vaccination

90.40%


4.4. Separate public utilities for males

and females

77.40%

22.60% Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes

4.5. Suggestion / complaint box

87.10%


4.6. OPD rooms / cubicles

93.50%

6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes

4.7. Adequate no. of windows in the

room for light and 87.10

% 12.90

% Yes Yes Yes Yes Yes Yes Yes Yes No Yes No yes Yes Yes Yes Yes


76

air in each room

4.8. Family Welfare Clinic

77.40%

22.60% Yes Yes Yes Yes Yes No Yes Yes Yes Yes No Yes Yes No No Yes

4.9. Waiting room for patients

77.40%

22.60% No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No

4.10. Emergency Room / Casualty

80.60%

19.40% Yes Yes Yes Yes Yes No Yes No Yes Yes No Yes No No Yes Yes

4.11. Separate wards for males and

females 93.50

% 6.50%

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes

4.12. Operation Theatre 96.80%


4.13. Operaion Theatre Equipment

Boyles apparatus 87.10%

12.90% Yes Yes Yes Yes Yes yes Yes Yes No Yes Yes Yes Yes Yes No Yes

EMO Machine 16.20%

83.80% No No No No No No Yes No No Yes No Yes No No No No

Cardiac Monitor for OT

61.30%

38.70% No Yes Yes Yes No Yes Yes No No Yes Yes Yes Yes No Yes No

Defibrillator for OT 38.70%

61.30% No No No No No yes Yes No No Yes No Yes No Yes No No

Ventilator for OT 6.50%

93.50% No No No No No No No No No No No Yes No No No No

Horizontal High Pressure Sterilizer

61.30%

38.70% No No Yes Yes Yes No No No No No Yes Yes No Yes No No

Vertical High

Pressure sterilizer 2/3 drum capacity

77.40%

22.60%

Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No No yes

Shadowless lamp

ceiling trak mounted

64.50%

35.50%

Yes Yes No Yes Yes No No No No Yes Yes Yes No Yes No Yes

Shadowless lamp pedestal for minor

OT 64.50

% 35.50

% No Yes Yes Yes Yes Yes Yes Yes No Yes No Yes No No No No

OT care / fumigation apparatus

80.60%

19.40%

Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No


77

Gloves & dusting machines

41.90%

58.10% Yes Yes No No No No No No Yes Yes Yes NO Yes No No yes

Oxygen cylinder 660 Ltrs 10

cylinders for 1 Boyles Apparatus

54.80%

45.20% No 220 Lt No Yes Yes No No No Yes No No yes Yes No No Yes 9

Nitrous Oxide Cylinder 1780 Ltr. 8 for one Boyles

Apparatus

29.10%

70.90% No No No Yes Yes No No No No No No yes Yes No No No

Hydraulic Operation Table

74.20%

25.80% Yes Yes Yes Yes No Yes Yes Yes YES Yes Yes yes Yes Yes No Yes

4.14. Labour room 90.30%

9.70% Yes Yes Yes No Yes Yes Yes Yes Yes Yes no yes Yes Yes Yes Yes

4.15. Laboratory:

a. Laboratory 90.30%

9.70% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes

b.

adequate equipment and

chemicals available

87.10%

12.90%

Yes Yes Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes

c. laboratory

maintained in orderly manner

83.80%

16.20%

Yes Yes Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes

4.16. Cold Chain

a. Walk-in coolers 38.70%

61.30% Yes No No No No No No No Yes Yes No Yes No Yes No No

b. Walk-in freezers available

48.40%

51.60% Yes No No No No No No No Yes Yes No Yes Yes Yes No No

c. Icelined freezers 87.10%

12.90% Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes Yes Yes Yes Yes

d. Deep freezers 90.30%

9.70% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes

e. Refrigerators 83.90%

16.10% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes

4.17. Blood Storage Unit

58.10%

41.90% Yes Yes Yes No Yes No Yes No No Yes No Yes Yes Yes Yes No


78

4.18. Water supply 96.80%


4.19. Waste disposal 9.70%

90.30% No No No Yes No No No No No No Yes No No No No No

4.20. Electricity 93.50%

6.50% yes yes yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes yes

Standby facility (generator )

77.40%

22.60% Yes Yes Yes No No Yes Yes Yes No Yes Yes Yes yes yes yes yes

4.21. Telephone 93.60%


4.22. Vehicles 64.50%

35.50% yes No Yes Yes No No yes Yes No Yes Yes Yes yes yes yes yes

4.23. Office room 80.60%

19.40% Yes Yes No Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No

4.24. Store room 80.60%

19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes

4.25. Kitchen 22.60%

77.40% No No No No No No No No No No No No No No No NO

4.26. Residential facility for the staff with living condition

General Surgeon 45.20%

54.80% Yes Yes No Yes Yes No No No No No Yes Yes No Yes No No

Physician 45.20%

54.80% Yes Yes Yes Yes Yes No No Yes No No Yes Yes No Yes Yes No

Obstetrician / Gynaecologist

54.80%

45.20% Yes Yes Yes No Yes Yes Yes No No Yes No Yes No No Yes No

Paediatrics 22.60%

77.40% No No No No Yes Yes No yes No No Yes No No No No No

Anaesthetist 9.70%

90.30% No No No No No No No No No No No No No No Yes No

General Duty Medical Officer

48.40%

51.60% No No Yes Yes Yes No No Yes Yes No No No Yes Yes Yes No

Public Health Programme

Manager

6.50% 93.50

% No No No No No No No No No No No No No No No No


79

Eye Surgeon 12.90%

87.10% Yes No No No No No No yes No No No No No Yes No No

Public Health Nurse

19.40%

80.60% No No No No No No No No No No No No No No No No

ANM 41.90%

58.10% No No No Yes Yes Yes No No Yes No No No No No No Yes

Staff Nurse 67.70%

32.30% No Yes Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes Yes No

Nurse/Midwife 41.90%

58.10% Yes Yes No No Yes yes No No No No No No No Yes No No

Dresser 9.70%

90.30% No No No No No No No No Yes No No No No No No No

Pharmacist / compounder

16.10%

83.90% No No No Yes No No No No Yes No No No No No No No

Lab. Technician 25.80%

74.20% No No No No No Yes No No Yes No No No No No No No

Radiographer 19.40%

80.60% No No No No No No No No No Yes No No No No No No

Ophthalmic Assistant

9.70%

90.30% No No No Yes No No No No No Yes No No No No No No

Ward boys / nursing orderly

61.30%

38.70% Yes Yes No Yes Yes Yes No No Yes Yes No Yes Yes No No No

Sweepers 41.90%

58.10% No No No No Yes No No No Yes Yes Yes No Yes No Yes No

Chowkidar 9.70%


OPD Attendant 3.20%


Statistical

Assistant / Data entry operator

3.20% 96.80

% No No No Yes No No No No Yes No No No No No No No

Ambulance driver 16.10%

83.90% No No No Yes No No No No Yes Yes No No No No No No

Registration Clerk 19.40%

80.60% No No No No No No No No Yes No No No No No No No

V. Quality Control

Yes


80

5.1. Citizen's charter

80.60%

19.40% Yes Yes Yes No Yes Yes No Yes No No Yes Yes Yes Yes Yes Yes

5.2. Internal monitoring 61.20%

38.80%

Yes Yes No No Yes

No No Yes No Yes No No No Yes No Yes

5.3. External monitoring

38.80%

61.20%

No No No No No No No Yes No Yes No No No No Yes Yes

5.4. Availability of Standard Operating Procedures (SOP)

45.10%

54.90%

No No Yes No No Yes No Yes No No No Yes No No No Yes


81

S.No. Personnel IPHS

Norm Availability (%) Jaisalmer(Pokara

n)

Jalor(Sanchor

e)

Jhalawar(D

ag)

Jhunjhunu(Chirawa)

Jodhpur(Phalod

i)

Karauli(Hindauncit

y)

Kota(Sultanp

ur)

Nagaur(Makaran

a)

Pali(Bali)

Rajsamand(Khamnore

)

S.Madhopur(Gangapur city)

Sikar(Neem

ka thana)

Sirohi(Sheog

anj) Tonk

Udaipur(Kurabad)

I. Services Yes No 1.1. Specialist services available

a. Medicine

54.84% 45.16% Yes No No Yes Yes No No Yes No Yes Yes Yes No No No b. Surgery 64.50% 35.50% Yes No Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No No c. OBG 48.40% 51.60% Yes No Yes Yes No No No No Yes No Yes Yes Yes No No d. Paediatrics 45.20% 54.80% Yes No Yes Yes No Yes No Yes No No Yes Yes No No No e. Emergency services (24 Hours) 90.33% 9.67% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes

f. 24 - hour delivery services including normal and assisted deliveries 93.50% 6.50% Yes Yes yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes

g. Emergency Obstetric Care including surgical interventions like Caesarean Sections and other medical interventions

45.20% 54.80% Yes No No Yes No No No No Yes No Yes Yes Yes No No

h. New-born care 74.20% 25.80% Yes Yes No Yes No Yes Yes Yes No No Yes Yes Yes No Yes i. Emergency care of sick children 64.50% 35.50% Yes No No Yes No Yes Yes Yes No No Yes Yes Yes No Yes

j. Full range of family planning services including Laproscopic Services 83.90% 16.10% Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No yes

k. Safe abortion services 67.70% 32.30% Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes l. Treatment of STI / RTI 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes

m. Essential Laboratory Services (Specify the type of lab tests conducted) 83.90% 16.10% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes

n. Blood storage facility 61.30% 38.70% Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes No No No

o. Referral transport service 67.80% 32.20% Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No

1.2.

Maternal and Child health Service availability

Yes

a. Ante-natal Clinics 96.80% 3.20%

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes


82

b. Post-natal Clinics 93.60% 6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes

c. Immunization Sessions 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes

1.3. Availability of facilities for out-patient department in Gynecology/ obstetric

a. Sign Board /Name plates to guide the clients 87.10% 12.90% Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes Yes No

b. Adequate working space 93.60% 6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes c. Privacy during examination 93.60% 6.40% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes d. Facility for counselling 80.70% 19.30% Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes No No Yes e. Separate toilet with running water 90.40% 9.60% No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

f. Facility for Starilizing instruments 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

II. Manpower A. Clinical Manpower Yes No

2.1. General Surgeon 1 61.30% 38.70% 0 0 2 1 1 1 0 1 1 0 1 1 2 0 0 2.2. Physician 1 51.60% 48.40% 1 0 0 1 1 0 0 0 0 0 1 1 2 0 0 2.3. Obstetrician / Gynaecologist 1 48.40% 51.60% 1 0 0 1 0 0 0 0 1 0 1 1 1 0 0 2.4. Paediatrics 1 45.20% 54.80% 1 0 0 1 0 1 0 1 0 0 0 1 1 0 0 2.5. Anaesthetist 1 25.80% 74.20% 0 0 0 0 1 0 0 0 1 0 0 1 1 0 0 2.6. Public Health Programme Manager 1 3.20% 96.80% 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0

2.7. Eye Surgeon

1(1 for every five

CHCs) 22.60% 77.40%

0 0 0 0 1 1 0 0 1 0 0 0 0 0 0

2.8. General duty officers (Medical Officer)

6(at least

2 femal

e doctor

s) 77.40% 22.60%

2 2 1 3 1 7 1 3 3 0 4 4 0 0 3 M.O.

B. Support Manpower 2.9. Nursing Staff

a. Public Health Nurse 1 35.30% 64.70% 1 0 0 0 1 1 0 0 1 0 Yes 3 0 0 0


83

b. ANM 1 67.70% 32.30% 3 2 1 3 1 2 0 1 2 1 Yes 4 1 0 0 c. Staff Nurse

15 70.90% 29.10% 0 6 0 4 7 1 3 7 18

3 Yes 3 7 0 6 d. Nurse/Midwife 54.80% 45.20% 0 0 1 0 0 0 1 0 2 Yes 18 0 0 7

2.10. Dresser 2 9.60% 90.40% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.11. Pharmacist / compounder 3 93.54% 6.46% 1 1 0 1 1 1 0 1 1 0 Yes 1 0 0 1 2.12 Lab. Technician 3 64.50% 35.50% 2 1+1 1 2 1 1 2 1 2 1 Yes 1 1 0 1 2.13. Radiographer 2 70.90% 29.10% 1 1 1 2 0 1 1 1 1 1 Yes 2 1 0 1 2.14. Ophthalmic Assistant 1 22.60% 77.40% 1 0 0 0 0 1 0 0 0 0 Yes 1 0 0 0 2.15. Ward boys / nursing orderly 5 77.50% 22.50% 2 4 2 1 0 0 Yes 3 Yes 3 Yes 2 3 0 Yes 2.16. Sweepers 5 64.50% 35.50% 0 3 1 0 Yes 0 0 1 Yes 1 Yes No 1 0 Yes 2.17. Chowkidar 5 9.60% 90.40% Yes 0 0 0 Yes 0 0 0 0 0 0 0 0 0 0 2.18. OPD Attendant 1 6.50% 93.50% Yes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.19. Statistical Assistant / Data entry operator 2 22.60% 77.40% Yes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.20. Registration Clerk 2 25.80% 74.20% Yes 1 0 0 yes 0 0 1 0 0 0 0 0 0 0 III. Investigative Facilities S.No. IPHS Norm

Yes No 3.1. Availability of ECG facilities 87.10% 12.90% Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes 3.2. X-Ray facility 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 3.3. Ultrasound facility 12.90% 87.10% No No No No Yes No No No No No No No No No No 3.4. Lab test facilities 77.40% 22.60% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes

IV. Physical Infrastructure (As per specifications) 4.1. CHC location

Within Village Locality 90.40% 9.60% Yes Yes Yes yes Yes No Yes No Yes yes Yes Yes Yes yes Yes

4.2. Prominent display boards in local language / Charter of Patient Rights 77.40% 22.60% No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No No No

4.3. Registration counters 87.10% 12.90% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No

a. Pharmacy for drug dispensing and drug storage 70.90% 29.10% Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes No No


84

b. Counter near entrance of hospital to obtain contraceptives, ORS packets,

Vitamin A and Vaccination 90.40% 9.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No

4.4. Separate public utilities for males and females 77.40% 22.60% Yes Yes Yes Yes No Yes Yes Yes Yes No Yes No Yes No No

4.5. Suggestion / complaint box 87.10% 12.90% Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No No 4.6. OPD rooms / cubicles 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes

4.7. Adequate no. of windows in the room for light and air in each room 87.10% 12.90%

Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No Yes

4.8. Family Welfare Clinic 77.40% 22.60% Yes No Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes

4.9. Waiting room for patients 77.40% 22.60% Yes Yes Yes Yes No Yes Yes Yes Yes No Yes Yes No No Yes 4.10. Emergency Room / Casualty 80.60% 19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.11. Separate wards for males and females 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.12. Operation Theatre 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.13. Operaion Theatre Equipment

Boyles apparatus 87.10% 12.90% Yes Yes Yes yes Yes Yes Yes No Yes Yes Yes Yes Yes No Yes EMO Machine 16.20% 83.80% No No No No No No No yes No No No Yes No No No Cardiac Monitor for OT 61.30% 38.70% Yes No Yes No Yes Yes No yes Yes Yes Yes Yes No No No Defibrillator for OT 38.70% 61.30% Yes Yes Yes No Yes Yes No No Yes No No yes No No No Ventilator for OT 6.50% 93.50% Yes No No No No No No No No No No No No No No Horizontal High Pressure Sterilizer 61.30% 38.70% No No No Yes Yes Yes Yes Yes No No Yes No No No No

Vertical High Pressure sterilizer 2/3 drum capacity 77.40% 22.60%

Yes Yes Yes No No Yes Yes Yes Yes No Yes Yes Yes No Yes

Shadowless lamp ceiling trak mounted 64.50% 35.50% Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No Shadowless lamp pedestal for minor OT 64.50% 35.50% Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes OT care / fumigation apparatus 80.60% 19.40% Yes Yes No Yes Yes Yes Yes Yes Yes YES Yes Yes Yes No No Gloves & dusting machines 41.90% 58.10% Yes Yes No No No Yes No Yes Yes No Yes No No No No

Oxygen cylinder 660 Ltrs 10 cylinders for 1 Boyles Apparatus 54.80% 45.20% Yes Yes Yes 1 Yes Yes Yes No Yes No No No Yes No Yes

Nitrous Oxide Cylinder 1780 Ltr. 8 for one Boyles Apparatus 29.10% 70.90% No No Yes No No Yes No No Yes No Yes No Yes No No


85

Hydraulic Operation Table 74.20% 25.80% Yes Yes No 2 Yes Yes No No Yes No Yes yes No No Yes 4.14. Labour room 90.30% 9.70% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.15. Laboratory:

a. Laboratory 90.30% 9.70% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes

b. adequate equipment and chemicals available 87.10% 12.90% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes

c. laboratory maintained in orderly manner 83.80% 16.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes 4.16. Cold Chain

a. Walk-in coolers 38.70% 61.30% Yes No No Yes Yes yes No No Yes No Yes Yes No No No b. Walk-in freezers available 48.40% 51.60% Yes No No Yes Yes yes No No Yes No Yes Yes Yes No Yes c. Icelined freezers 87.10% 12.90% Yes Yes Yes Yes Yes yes Yes No Yes Yes Yes Yes Yes Yes Yes d. Deep freezers 90.30% 9.70% Yes Yes Yes Yes Yes yes Yes Yes Yes Yes Yes Yes Yes No Yes e. Refrigerators 83.90% 16.10% Yes Yes Yes Yes Yes yes Yes Yes Yes No Yes Yes No yes Yes

4.17. Blood Storage Unit 58.10% 41.90% Yes Yes No Yes yes yes No No Yes No Yes Yes No No No

4.18. Water supply 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

4.19. Waste disposal 9.70% 90.30% No No No No No Yes No No No No No No No No No

4.20. Electricity 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes

Standby facility (generator )

77.40% 22.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes No Yes

4.21. Telephone 93.60% 6.40% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.22. Vehicles 64.50% 35.50% Yes No Yes No Yes Yes Yes No Yes No No Yes Yes No No 4.23. Office room 80.60% 19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes 4.24. Store room 80.60% 19.40% Yes Yes Yes Yes No Yes No Yes Yes No Yes Yes Yes No Yes 4.25. Kitchen 22.60% 77.40% No Yes No No No No Yes Yes No No No No No No No

4.26. Residential facility for the staff with living condition

General Surgeon 45.20% 54.80% No Yes Yes Yes Yes Yes No No Yes No No Yes No No No Physician 45.20% 54.80% No Yes No Yes Yes No No No No No No Yes No No No Obstetrician / Gynaecologist 54.80% 45.20% Yes No Yes Yes No Yes No yes Yes No Yes Yes No No No Paediatrics 22.60% 77.40% Yes No No Yes No Yes No No No No No No No No No


86

*Total no of CHC =31

Anaesthetist 9.70% 90.30% No No No No No No No No No No No Yes No No Yes General Duty Medical Officer 48.40% 51.60% Yes Yes Yes No Yes No Yes Yes No Yes No No No No No Public Health Programme Manager 6.50% 93.50% No No No No Yes No No No No No Yes No No No No Eye Surgeon 12.90% 87.10% No No No No No No No No Yes No No No No No No Public Health Nurse 19.40% 80.60% Yes Yes No No Yes No No No Yes No Yes No No No Yes ANM 41.90% 58.10% Yes No Yes No Yes Yes No No Yes Yes Yes No No No Yes Staff Nurse 67.70% 32.30% Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes No No Yes Nurse/Midwife 41.90% 58.10% No Yes Yes No Yes No Yes Yes Yes No Yes No Yes No No Dresser 9.70% 90.30% No No No No Yes No No No No No No No No No Yes Pharmacist / compounder 16.10% 83.90% Yes No No No No No No No No No Yes No No No Yes Lab. Technician 25.80% 74.20% Yes No Yes No Yes No No No Yes No Yes No No No Yes Radiographer 19.40% 80.60% Yes No Yes No Yes No No No Yes No Yes No No No No Ophthalmic Assistant 9.70% 90.30% Yes No No No No No No No No No No No No No No Ward boys / nursing orderly 61.30% 38.70% Yes Yes Yes Yes No No No No Yes Yes Yes Yes Yes No Yes Sweepers 41.90% 58.10% yes Yes Yes No No No No No Yes No Yes No Yes No Yes Chowkidar 9.70% 90.30% No Yes No No Yes No No Yes No No No No No No No OPD Attendant 3.20% 96.80% No No No No Yes No No No No No No No No No No Statistical Assistant / Data entry operator 3.20% 96.80% No No No No No No No No No No No No No No No Ambulance driver 16.10% 83.90% Yes No Yes No No No No No No Yes No No No No No Registration Clerk 19.40% 80.60% Yes No No No No No No No No No No No No No No

V. Quality Control 5.1. Citizen's charter

80.60% 19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes

5.2. Internal monitoring 61.20% 38.80%

Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes Yes No No

5.3. External monitoring 38.80% 61.20%

Yes Yes Yes No Yes No Yes Yes Yes Yes No No No No No

5.4. Availability of Standard Operating Procedures (SOP) 45.10% 54.90% Yes Yes Yes No No Yes Yes Yes Yes No No No No No No

a nalysis of mmunity health centers in rajasthansihfwrajasthan.com/chc gap analysis.pdfsihfw: an iso...

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