Mani Sunil, Patnaik Sasmita, Lahariya Chandrakant
Division of Energy Access, Council on Energy, Environment and Water (CEEW), New Delhi, India.
Department of Health Systems, World Health Organization Country Office for India, New Delhi, India.
Indian J Community Med. 2021 Jan-Mar;46(1):51-56. doi: 10.4103/ijcm.IJCM_170_20. Epub 2021 Mar 1.
A large number of government primary health-care facilities (GPHCFs) in India do not have access to the regular electricity supply.
To assess the status and change in electricity access, sources, and reliability at primary health centers (PHCs) in India; and to understand the effect of regular electricity supply on health services provision and on workforce availability and retention.
Secondary analysis of data from the lastest two rounds of district-level household survey (DLHS) in India, conducted in 2007-2008 and 2012-2013.
Data of 8619 PHCs from DLHS-3 and 8540 PHCs from DLHS-4 were analyzed. The proportion of PHCs with access to electricity increased from 87% to 91%. However, regular electricity supply was available at only 50% of PHCs in 2012-2013, which was an increase from 36% such PHCs in 2007-2008. PHCs with regular electricity supply provided services to 50% more beneficiaries (deliveries and vaccination) than PHCs without regular or no electricity ( ≤ 0.001). Increased access to regular electricity was associated with improved availability and retention of health staff ( = 0.001).
Government policies should aim to ensure access to regular electricity-supply-beyond just connection from grid-at all GPHCFs, including health sub-centers, PHCs, and community health centers. Indicators on electricity access at GPHCFs could be standardized and integrated into regular health and facility-related surveys as well as in the existing dashboards for real-time data collection. Health policy interventions should be informed by regular data collection and analysis. Improving access to regular electricity supply at GPHCFs can contribute to achieve the goals of National Health Policy of India. This will also help to advance universal health coverage in the country. There are lessons from this study, for other low and middle income countries, on improving health service provision at government health care facilities.
印度大量的政府基层医疗保健机构（GPHCFs）无法获得常规电力供应。
评估印度基层医疗中心（PHCs）的电力供应状况、来源及可靠性的现状和变化；了解常规电力供应对卫生服务提供以及工作人员可用性和留用率的影响。
对印度2007 - 2008年和2012 - 2013年进行的两轮最新的区级家庭调查（DLHS）数据进行二次分析。
分析了DLHS - 3的8619个基层医疗中心和DLHS - 4的8540个基层医疗中心的数据。有电力供应的基层医疗中心比例从87%增至91%。然而，2012 - 2013年只有50%的基层医疗中心有常规电力供应，高于2007 - 2008年的36%。有常规电力供应的基层医疗中心为受益者（分娩和疫苗接种）提供服务的人数比没有常规电力或无电力供应的基层医疗中心多50%（≤0.001）。常规电力供应增加与卫生工作人员可用性和留用率提高相关（=0.001）。
政府政策应旨在确保所有GPHCFs，包括卫生分中心、基层医疗中心和社区卫生中心，不仅能接入电网，还能获得常规电力供应。GPHCFs的电力供应指标可以标准化，并纳入常规卫生和设施相关调查以及现有的实时数据收集仪表盘。卫生政策干预应以定期数据收集和分析为依据。改善GPHCFs的常规电力供应有助于实现印度国家卫生政策的目标。这也将有助于推动该国的全民健康覆盖。这项研究为其他低收入和中等收入国家在改善政府医疗机构的卫生服务提供方面提供了经验教训。
