Essay on condition of health care services in india
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Health care facilities and personnel increased substantially between the early 1950s and early 1980s, but because of fast population growth, the number of licensed medical practitioners per 10,000 individuals had fallen by die late 1980s to three per 10,000 from the 1981 level of four per 10,000. In 1991 there were approximately ten hospital beds per 10,000 individuals.
Primary health centres are the cornerstones of the rural health care system. By 1991, India had about 22,400 primary health centres, 11,200 hospitals, and 27,400 dispensaries. These facilities are part of a tiered health care system that funnels more difficult cases into urban hospitals while attempting to provide routine medical care to the vast majority in the countryside. Primary health centres and sub-centres rely on trained paramedics to meet most of their needs.
The main problems affecting the success primary health centres are the predominance of clinical and curative concerns over the intended emphasis on preventive work and the reluctance of staff to work in rural areas. In addition, die integration of health services with family planning programmes often causes the local population to perceive the primary health centres as hostile to their traditional preference for large families. Therefore, primary health centres often play an adversarial role in local efforts to implement national health policies.
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