which states in India don't have sufficient Public Health facilities
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India’s rural public health facilities need urgent fixing
Facilities require urgent attention. There are two elements. One is fundamental—strengthen infrastructure, improve physical access and ensure adequate human resources

Only 11% sub-centres, 13% primary health centres and 16% community health centres meet the Indian Public Health Standards. Photo: Indranil Bhoumik/Mint
Ashok Alexander
Kamla is a young mother in a north Indian village. Her one-year-old, Gopi, has been suffering from high fever. She decides to visit the auxiliary nurse midwife (ANM) at a health sub-centre in the neighbouring village. Kamla and her husband are subsistence-wage farm labourers with no means of transport. In blazing sun, carrying Gopi, Kamla walks 5km to see the ANM. Realizing the severity of Gopi’s condition, the ANM advises Kamla to take him to the next higher facility.
To appreciate Kamla’s challenges, it’s important to understand India’s rural public health system. It is a tiered structure. At the bottom of the pyramid are sub-centres, catering to a population of 3,000-5,000 each, roughly five villages. Primary health centres (PHCs) are the first base for doctors, acting as referral units typically for six sub-centres. PHCs function as the core, and flow into community health centres (CHCs), followed by sub-district and district hospitals. At the apex are medical colleges and advanced research institutes such as the All India Institute of Medical Sciences.
Impressive though it looks, the system is broken for large segments of India’s population. National surveys indicate that less than half the households approach government medical institutions. Poor healthcare quality, absence of facilities nearby and long waiting times are common. Only 11% sub-centres, 13% PHCs and 16% CHCs meet the Indian Public Health Standards.
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Facilities require urgent attention. There are two elements. One is fundamental—strengthen infrastructure, improve physical access and ensure adequate human resources

Only 11% sub-centres, 13% primary health centres and 16% community health centres meet the Indian Public Health Standards. Photo: Indranil Bhoumik/Mint
Ashok Alexander
Kamla is a young mother in a north Indian village. Her one-year-old, Gopi, has been suffering from high fever. She decides to visit the auxiliary nurse midwife (ANM) at a health sub-centre in the neighbouring village. Kamla and her husband are subsistence-wage farm labourers with no means of transport. In blazing sun, carrying Gopi, Kamla walks 5km to see the ANM. Realizing the severity of Gopi’s condition, the ANM advises Kamla to take him to the next higher facility.
To appreciate Kamla’s challenges, it’s important to understand India’s rural public health system. It is a tiered structure. At the bottom of the pyramid are sub-centres, catering to a population of 3,000-5,000 each, roughly five villages. Primary health centres (PHCs) are the first base for doctors, acting as referral units typically for six sub-centres. PHCs function as the core, and flow into community health centres (CHCs), followed by sub-district and district hospitals. At the apex are medical colleges and advanced research institutes such as the All India Institute of Medical Sciences.
Impressive though it looks, the system is broken for large segments of India’s population. National surveys indicate that less than half the households approach government medical institutions. Poor healthcare quality, absence of facilities nearby and long waiting times are common. Only 11% sub-centres, 13% PHCs and 16% CHCs meet the Indian Public Health Standards.
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ORISSA AND BIHAR ARE THE states in India don't have sufficient Public Health facilities
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