A Study to assess Health Care Facilities at community health centres in Udaipur District and their conformance to Indian Public Health Standards 2007

Background: Community health centre is a 30-bedded hospital providing specialist care in Medicine, Obstetrics and Gynaecology, Surgery and Paediatrics. Aims: This study aimed to assess available health care facilities at the community health centres in Udaipur district and to conform available facilities vis-a-vis standards prescribed under "Indian Public Health Standards-2007" for CHCs and find the gaps or lacunae in these services. Materials and Methods: It was a cross-sectional study conducted at all community health centres in Udaipur district and data were collected on predesigned and pre-structured Performa through observation, records available and interviews of medical officer in-charge and concerned staff of CHCs. Results: Emergency Services were available at majority of CHCs (95.2%), family planning only at 7(33.3%), 24-hour delivery services at all CHCs (100%), emergency obstetric care and blood storage facility only at 1(4.8%) of CHCs. Majority (95%) CHCs did not have ophthalmologists, paediatricians and even general duty Medical officers. Only 5(23.8%) of CHCs had the facility of both surgeon and gynaecologist. Similarly, almost 95% of CHCs did not have Ultrasound facility. All CHCs had their Rajasthan Medicare Relief Society and 33 to 38% CHCs could not reveal any documentary proof of any internal or external monitoring. Conclusion: There is an immediate need to ensure availability of specialists and their services, laboratory facilities, infrastructure and regular internal or external monitoring for proper functioning of CHCs.