Kataria Ghulam Mustafa, Kaul Rauf Ur Rashid
Senior Resident, Department of Community Medicine, Government Medical College, Rajouri, Jammu and Kashmir, India.
Professor, Department of Community Medicine, Sher I Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
J Family Med Prim Care. 2023 Jul;12(7):1348-1351. doi: 10.4103/jfmpc.jfmpc_2092_22. Epub 2023 Jul 14.
Subcentre is the lowest rung of a referral pyramid of health facilities. The purpose of health subcentre is mainly providing preventive and promotive services, but it also provides a basic level of curative services.
To assess the existing services availability at subcentres and identification of gaps between minimum requirements as per Indian public health standards and actual availability of services at subcentres.
It was a cross sectional observational study. Study units were subcentres. Fifty percent of subcentres of the district were selected using simple random sampling method. Check list prepared from Indian public health standards facility survey formats was used for data collection and collected data were analysed using statistical package for social sciences.
Majority (58.8%) of the subcentres were catering a population in the range of 1000-3000. Ante-natal and child care related services were available in all subcentres. Intra-natal services were available in only two subcentres. Eighty five percent of subcentres were involved in providing school health related services.
Most of the services as recommended by Indian public health standards were available in the studied subcentres. The lack of some services was mainly due to inadequate staff and infrastructure at subcentres. Comprehensive efforts are required to ensure adequate service delivery at all health centres.
基层医疗中心是卫生设施转诊金字塔的最底层。基层医疗中心的主要目的是提供预防和促进性服务,但也提供基本的治疗服务。
评估基层医疗中心现有服务的可及性,并找出印度公共卫生标准规定的最低要求与基层医疗中心实际服务可及性之间的差距。
这是一项横断面观察性研究。研究单位为基层医疗中心。采用简单随机抽样方法选取该地区50%的基层医疗中心。使用根据印度公共卫生标准设施调查格式编制的检查表进行数据收集,并使用社会科学统计软件包对收集到的数据进行分析。
大多数(58.8%)基层医疗中心服务的人口范围在1000 - 3000人之间。所有基层医疗中心都提供产前和儿童保健相关服务。只有两个基层医疗中心提供产时服务。85%的基层医疗中心参与提供学校卫生相关服务。
研究中的基层医疗中心提供了印度公共卫生标准推荐的大部分服务。一些服务的缺失主要是由于基层医疗中心人员和基础设施不足。需要做出全面努力以确保所有卫生中心都能提供充足的服务。