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Health Care : India
       Infrastructure and Human
                Resource


State Institute of Health and Family Welfare, Jaipur
Health Care Infrastructure




      SIHFW: an ISO 9001: 2008 certified Institution   2
Health Care: Milestones

                      NRHM/IPHS
                  NHP-2002
             NPP-2000
         NHP-1983
    HFA-1978
Bhore committee 1946




        SIHFW: an ISO 9001: 2008 certified Institution   3
Bhore Committee, 1946


PHCS : nodal points for Health care
Phased expansion
Prevention stressed

      Population based




        SIHFW: an ISO 9001: 2008 certified Institution   4
Sub-centers over FYPs
160000                                                                                   145272
                                                                                137311
140000                                                         130165

120000                                                                   136258
100000
                                                     84376
80000

60000                                     47112
40000                          33509

20000        0    0       0
     0
         I       II     III      IV          V        VI         VII     VIII     IX      X
                                    Five Year Plans
                        SIHFW: an ISO 9001: 2008 certified Institution                        5
PHCs over FYPs


25000                                                             22149        22370

20000                                                   18671             22875

15000

                                               9115
10000
                           5283 5484
 5000            2565

   0
        I   II   III        IV         V        VI       VII       VIII   IX      X
                               Five Year Plans
                       SIHFW: an ISO 9001: 2008 certified Institution                  6
CHCs over FYPs

4500                                                                                 4045
4000
3500                                                                          3054
3000                                                                   2633
2500
                                                             1910
2000
1500
1000                                              761
500        0      0            0       214
       0
  0
       I   II   III          IV         V         VI         VII       VIII   IX     X

                           Five Year Plans

                      SIHFW: an ISO 9001: 2008 certified Institution                     7
Hospitals, Beds and Pop. Served per
                    Bed, Dec. 2007

500000                                             482522
450000
400000                                                             India
350000
                                                                   Rajasthan
300000
250000
200000                       475
150000
                 9976                                           32067       1997
100000
 50000
     0                                                                   2339

         No. of Hospitals
                               No. of Beds
                                                               Pop. Per Bed


                        SIHFW: an ISO 9001: 2008 certified Institution             8
Health Infrastructure: Rajasthan
             March 31, 2009

 SC                                   :10742
 PHC                                  :1503
 CHC                                  :367
 DH                                   :33
 Satellite hospitals                  :06
 SDH                                  :12
 City dispensaries                    :199

           SIHFW: an ISO 9001: 2008 certified Institution   9
Human Resource in Health




     SIHFW: an ISO 9001: 2008 certified Institution   10
People are resource
         But
To maintain this resource
  We need Resources



    SIHFW: an ISO 9001: 2008 certified Institution   11
700000

                   598189
600000

500000                                       Doctor : Pop Ratio
                                             Recommended (WHO) 1: 1000
400000

300000

200000                                                                       Source :CBHI

100000
           10605
    0
             Rajasthan

         Average pop. Served by Govt Doctors in Rajasthan(01.01.08)
         Average pop. Served by Govt Dentists in Rajasthan (01.01.08)


                            SIHFW: an ISO 9001: 2008 certified Institution                  12
Staff Position at PHC & CHC, 2006
                  Source: CBHI NHP, 2006
25000
        22272

20000
                        Doctors at PHC
                        Specialists at CHC
15000


10000


 5000           3979
                                   1316
                                                 592
    0
           India                    Rajasthan

                   SIHFW: an ISO 9001: 2008 certified Institution   13
Human Resource in Health
                            Source: CBHI:NHP :Oct 2008
160300
150300                                                                                          147439
140300
130300                  India           Rajasthan
120300
110300
100300
 90300
 80300
 70300
 60300                                                                               62881
 50300
 40300
 30300
               22608                                          15486
 20300                                           20234
                            5117
 10300       1318                                                                  2428          12271
                                600             714                 1358
   300
         Doctors at    Specialists at       HA(M)              HA (F)            HW (M)      HM (F)
           PHC            CHC
                                SIHFW: an ISO 9001: 2008 certified Institution                        14
Health Man Power (31.03.07)
                          Source National Hlth. Profile 2008
800100

750100   725190
700100

650100

600100

550100                                                                         India
500100
                                                                               Rajasthan
450100

400100

350100

300100

250100

200100

150100

100100                                73057                            84852
50100             26592
                                                6285                           364
   100

         Total Doctors              Govt. Doctors                   Dental Surgeons
                            SIHFW: an ISO 9001: 2008 certified Institution                 15
1000               971574
         950
         900
         850
                                       Health Man Power (31.03.07)
         800                              Source National Health Profile 2008
         750
         700                                                                 681692
         650
         600
Thousands




               549292
         550
         500
         450
         400                                                                              India
         350
                                                                                          Rajasthan
         300
         250
         200
         150
         100                                          51497
                                  37667                                           18214
          50        2239                                       085
           0

                 ANM          GNM                         LHV                Pharmacist
                            SIHFW: an ISO 9001: 2008 certified Institution                    16
Nursing Schools
Indian Nursing Council Nov.2009

                291
                                       632

                                                          ANM
  1227                                                    GNM
                                                          B Sc.
                                                          M Sc.


                               1988




         SIHFW: an ISO 9001: 2008 certified Institution           17
Medical Education
                        Source MCI/DCI


Colleges                                India                       Rajasthan
Medical Colleges                          300                          10
Recognized                                211                          7
Non Recognized                             89                          3
Dental Colleges                           290                          13
Recognized                                154                          8
Non Recognized                            136                          5
                   SIHFW: an ISO 9001: 2008 certified Institution               18
CHCs – IPHS Vs PG seats (March 2008)
4500   4276

4000

3500

3000

2500

2000
              1529   1444
1500

1000                           894                                     897
                                            708         698
500                                                                          338   337

  0




                      SIHFW: an ISO 9001: 2008 certified Institution                     19
• Total Doctors-
   – India        : 696747 (MCI, Dec.2007)
   – Rajasthan : 6950 ( 31.3.09)
• Doctor : Pop Ratio
   – Recommended (WHO) 1: 1000
   – Existing
      • Raj.            1: 8132 (2008-09)
      • India           1: 5970 (WHO-2004)
• Dentist :population ratio 1:7,500 (WHO)
• India: Dentist :population ratio 1:22,500.
• Medical College Norm: 1 per 5 million pop.

                SIHFW: an ISO 9001: 2008 certified Institution   20
Thank You
For more details log on to
www. sihfwrajasthan.com
             or
 contact : Director-SIHFW
            on

   sihfwraj@yahoo.co.in

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Health Care Infrastructure & Human Resource

  • 1. Health Care : India Infrastructure and Human Resource State Institute of Health and Family Welfare, Jaipur
  • 2. Health Care Infrastructure SIHFW: an ISO 9001: 2008 certified Institution 2
  • 3. Health Care: Milestones NRHM/IPHS NHP-2002 NPP-2000 NHP-1983 HFA-1978 Bhore committee 1946 SIHFW: an ISO 9001: 2008 certified Institution 3
  • 4. Bhore Committee, 1946 PHCS : nodal points for Health care Phased expansion Prevention stressed Population based SIHFW: an ISO 9001: 2008 certified Institution 4
  • 5. Sub-centers over FYPs 160000 145272 137311 140000 130165 120000 136258 100000 84376 80000 60000 47112 40000 33509 20000 0 0 0 0 I II III IV V VI VII VIII IX X Five Year Plans SIHFW: an ISO 9001: 2008 certified Institution 5
  • 6. PHCs over FYPs 25000 22149 22370 20000 18671 22875 15000 9115 10000 5283 5484 5000 2565 0 I II III IV V VI VII VIII IX X Five Year Plans SIHFW: an ISO 9001: 2008 certified Institution 6
  • 7. CHCs over FYPs 4500 4045 4000 3500 3054 3000 2633 2500 1910 2000 1500 1000 761 500 0 0 0 214 0 0 I II III IV V VI VII VIII IX X Five Year Plans SIHFW: an ISO 9001: 2008 certified Institution 7
  • 8. Hospitals, Beds and Pop. Served per Bed, Dec. 2007 500000 482522 450000 400000 India 350000 Rajasthan 300000 250000 200000 475 150000 9976 32067 1997 100000 50000 0 2339 No. of Hospitals No. of Beds Pop. Per Bed SIHFW: an ISO 9001: 2008 certified Institution 8
  • 9. Health Infrastructure: Rajasthan March 31, 2009 SC :10742 PHC :1503 CHC :367 DH :33 Satellite hospitals :06 SDH :12 City dispensaries :199 SIHFW: an ISO 9001: 2008 certified Institution 9
  • 10. Human Resource in Health SIHFW: an ISO 9001: 2008 certified Institution 10
  • 11. People are resource But To maintain this resource We need Resources SIHFW: an ISO 9001: 2008 certified Institution 11
  • 12. 700000 598189 600000 500000 Doctor : Pop Ratio Recommended (WHO) 1: 1000 400000 300000 200000 Source :CBHI 100000 10605 0 Rajasthan Average pop. Served by Govt Doctors in Rajasthan(01.01.08) Average pop. Served by Govt Dentists in Rajasthan (01.01.08) SIHFW: an ISO 9001: 2008 certified Institution 12
  • 13. Staff Position at PHC & CHC, 2006 Source: CBHI NHP, 2006 25000 22272 20000 Doctors at PHC Specialists at CHC 15000 10000 5000 3979 1316 592 0 India Rajasthan SIHFW: an ISO 9001: 2008 certified Institution 13
  • 14. Human Resource in Health Source: CBHI:NHP :Oct 2008 160300 150300 147439 140300 130300 India Rajasthan 120300 110300 100300 90300 80300 70300 60300 62881 50300 40300 30300 22608 15486 20300 20234 5117 10300 1318 2428 12271 600 714 1358 300 Doctors at Specialists at HA(M) HA (F) HW (M) HM (F) PHC CHC SIHFW: an ISO 9001: 2008 certified Institution 14
  • 15. Health Man Power (31.03.07) Source National Hlth. Profile 2008 800100 750100 725190 700100 650100 600100 550100 India 500100 Rajasthan 450100 400100 350100 300100 250100 200100 150100 100100 73057 84852 50100 26592 6285 364 100 Total Doctors Govt. Doctors Dental Surgeons SIHFW: an ISO 9001: 2008 certified Institution 15
  • 16. 1000 971574 950 900 850 Health Man Power (31.03.07) 800 Source National Health Profile 2008 750 700 681692 650 600 Thousands 549292 550 500 450 400 India 350 Rajasthan 300 250 200 150 100 51497 37667 18214 50 2239 085 0 ANM GNM LHV Pharmacist SIHFW: an ISO 9001: 2008 certified Institution 16
  • 17. Nursing Schools Indian Nursing Council Nov.2009 291 632 ANM 1227 GNM B Sc. M Sc. 1988 SIHFW: an ISO 9001: 2008 certified Institution 17
  • 18. Medical Education Source MCI/DCI Colleges India Rajasthan Medical Colleges 300 10 Recognized 211 7 Non Recognized 89 3 Dental Colleges 290 13 Recognized 154 8 Non Recognized 136 5 SIHFW: an ISO 9001: 2008 certified Institution 18
  • 19. CHCs – IPHS Vs PG seats (March 2008) 4500 4276 4000 3500 3000 2500 2000 1529 1444 1500 1000 894 897 708 698 500 338 337 0 SIHFW: an ISO 9001: 2008 certified Institution 19
  • 20. • Total Doctors- – India : 696747 (MCI, Dec.2007) – Rajasthan : 6950 ( 31.3.09) • Doctor : Pop Ratio – Recommended (WHO) 1: 1000 – Existing • Raj. 1: 8132 (2008-09) • India 1: 5970 (WHO-2004) • Dentist :population ratio 1:7,500 (WHO) • India: Dentist :population ratio 1:22,500. • Medical College Norm: 1 per 5 million pop. SIHFW: an ISO 9001: 2008 certified Institution 20
  • 21. Thank You For more details log on to www. sihfwrajasthan.com or contact : Director-SIHFW on sihfwraj@yahoo.co.in