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Infrastructure

• Under  National Health Mission (NHM), Financial support is provided to States to strengthen the public health system including upgradation of existing or construction of new infrastructure.

• Under NHM high focus states can spend upto 33% and other States upto 25% of their NHM funds on infrastructure.

• The population Norms for setting up of public health facilities are as under :

  • Sub Centre: 1 per 5,000 population in general areas and 1 per 3,000 population in difficult/tribal and hilly areas
  • Primary Health Centre1 per 30,000 population in general areas and 1 per 20,000 population in difficult/tribal and hilly areas
  • Community Health Centre1 per 1,20,000 population in general areas and 1 per 80,000 population in difficult/tribal and hilly areas. 

• A new norm has also been adopted for setting up a SHC based on ‘time to care’ within 30 minutes by walk from a habitation has been adopted for selected district of hilly and Desert areas.

• It has also been decided to strengthen Sub-Health Centres based on 'time to care' within minutes by walk from habitations has been adopted in selected districts of hilly States and desert areas.

• As per the Rural Health Statistics (RHS) 2016, as on 31.3.2016 the status of public health facilities function in the Country is as under:

  o 1, 55,069 Sub Centres (SCs),

  o 25,354 Primary Health Centres (PHCs),

  o 5,510 Community Health Centres (CHCs),

  o 1065 Sub-divisional Hospitals (SDHs) & 773 Districts Hospitals (DH) in the country

• There is  a shortfall of 35110 SCs (20%), 6572 PHCs (22%) and 2220 CHCs (30%) across the country as per the Rural Health Statistics (RHS) 2016. 

• First Referral Units (FRU) provides comprehensive obstetric care services including like cesarean section,  newborn care,emergency care of sick children, full range of  family planning services, safe abortion services treatment of STI/RTI availability of blood storage unit and referral transport services. Number of FRUs has increased significantly from 940 in 2005 to  2724 in 2016 (upto 31.12.2016).

• There are 9279 PHCs that are operational as 24X7 facilities as on 31.12.2016