Khaja Banda Nawaz Institute of Medical Sciences, Gulbarga, Karnataka, India.
Indian J Public Health. 2010 Jan-Mar;54(1):36-9. doi: 10.4103/0019-557X.70551.
National Rural Health Mission (NRHM) has provided the opportunities to develop a standard for Sub centers, PHCs and CHCs in the country, popularly known as Indian Public Health Standards (IPHS). The study was carried out to find out and compare to what extent the IPHS were followed by the PHCs in the selected districts of both the Empowered Action Group (EAG) state of Assam and non EAG state of Karnataka. It was a Cross sectional observational study conducted during September-October 2008 where the quality of care and services provided in the selected PHCs as per the IPHS norms was assessed. All the PHCs in both the studied districts were rendering the assured services of OPD, 24hrs general emergency service and referral services while 24 hour delivery services were being provided by 80% of the PHCs of the selected districts of both the states. Functional labor rooms were available only in 80% and 90% of the studied PHCs in Assam and Karnataka respectively. Basic laboratory facilities, for routine blood, urine and stool examination were available in 80% of the studied PHCs in the non-EAG state of Karnataka while it was only in 20% of the studied PHCs of the EAG state of Assam. The findings of the present study revealed important deficiencies as per IPHS norms in the studied PHCs of both Assam and Karnataka.
国家农村卫生使命 (NRHM) 为 Sub centers、PHC 和 CHC 提供了制定标准的机会,这些标准在印度被称为印度公共卫生标准 (IPHS)。本研究旨在调查并比较 EAG 州阿萨姆邦和非 EAG 州卡纳塔克邦选定地区的 PHC 遵循 IPHS 的程度。这是一项横断面观察性研究,于 2008 年 9 月至 10 月进行,评估了根据 IPHS 规范在选定的 PHC 中提供的护理和服务质量。两个研究地区的所有 PHC 都提供了门诊服务、24 小时一般急诊服务和转诊服务,而 24 小时分娩服务则由两个州选定地区的 80%的 PHC 提供。只有 80%和 90%的阿萨姆邦和卡纳塔克邦研究地区的 PHC 提供功能齐全的产房。在非 EAG 州卡纳塔克邦的研究 PHC 中,80%提供了基本的实验室设施,可进行常规血液、尿液和粪便检查,而在 EAG 州阿萨姆邦的研究 PHC 中,只有 20%提供了基本的实验室设施。本研究的结果揭示了阿萨姆邦和卡纳塔克邦研究 PHC 中存在的 IPHS 规范的重要缺陷。