- GS 2: Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.
- Recently, NITI Aayog has released a report titled, ‘Best Practices in the Performance of District Hospital’ where it has accessed the performance the district hospitals across the country.
- This report is the first-ever performance assessment of district hospitals undertaken across the country.
- A few months ago, NITI Aayog released a report on Not-for-Profit Hospital Model Study.
- Average number of functional beds in a district hospital per 1 lakh population
- On an average, a district hospital in India has 24 beds per 1 lakh population.
- The number of functional beds in a district hospital ranges from 1 to 409 beds per 1 lakh population.
- Puducherry had the highest average beds in the country with a district hospital in the UT having an average of 222 beds per 1 lakh population, while Bihar had the lowest average of 6 beds per 1 lakh population.
- Ratio of doctors
- Doctors prescribed by IPHS (Indian Public Health Standards).
- Overall, 189 of 707 district hospitals were found to meet the doctor to bed ratio as per IPHS norms.
- Uttar Pradesh had the highest proportion (12.7%) of doctors in position at district hospitals meeting IPHS norms, followed by Karnataka. However, looking at the percentage of hospitals in each State/UT that meet the IPHS norm, only Chandigarh, Dadra and Nagar Haveli, and Goa had all district hospitals fulfilling IPHS norms for positioned doctors.
- Availability of core health services
- A total 101 out of 707 hospitals fulfilled the criteria of having all 14 functional specialties belonging to States/UTs
- . Tamil Nadu had the highest proportion (16.8%; 17/101) of hospitals with all functional specialties, followed by Karnataka (13.9%; 14/101)
- Availability of diagnostic testing services
- Only 21 hospitals belonging to States/UTs fulfilled the criteria of having all diagnostic testing services available.
- Karnataka had the highest proportion (28.6%) of hospitals with all support services, followed by Telangana (19%).
- Bed Occupancy ratio
- Bed occupancy rate = (Total number of inpatient bed days added for a year × 100) / (Total Functional Beds × 365)
- The bed occupancy rate in many hospitals (n=123) were found to exceed 100% occupancy rate because the government hospitals cannot deny admission to patients.
- Of 707 hospitals, a total of 182 hospitals had bed occupancy rate of 90% or higher.
- Uttar Pradesh (14.8%) had the highest proportion of hospitals with bed occupancy rate greater than or equal to 90%, followed by Madhya Pradesh (10.9%),
- To the Ministry of Health and Family Welfare
- Strengthen HMIS system
- Increase regular trainings on digitisation
- For the states/UTs
- Increase resources to improve quality at district hospital
- Maintain uniformity and continuity in data entry
- Strengthen the health system
- Increase accountability
- For district hospitals
- Improve maintenance of records
- Encourage maximum participation
- Increase both in-person and digital trainings