State In
nstitute
Co
of Healt
A
ommun
By
th & Fam
Analysis
ity Hea
Rajasth
mily We
s of
lth Cen
han
lfare, Ja
ters in
aipur
1
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
2
Executive Summary
The Community Health Centers (CHCs), the secondary level of health care, were designed to provide
referral as well as specialist health care to the rural population. These centers are however fulfilling the
tasks entrusted to them only to a limited extent. The RHSDP made a concerted effort to strengthen
these centers in Rajasthan and with the project coming to a close National Rural Health Mission (NRHM)
will have to have a fresh look at their functioning in view of the persistent gaps with reference to IPHS to
achieve and maintain an acceptable standard of quality of care with 24 x 7 operation.
The data was analyzed regarding status and gaps in existing Community Health Centers (CHCs) across
the state. The report is based on the analysis of data provided by RHSDP but the interpretation carries a
caveat as the data relates to only one CHC in each District.
Service delivery, Human Resource and IPHS:
The IPHS prescribes that every CHC has to have a Physician, Surgeon, Ob.& Gy., Anesthetist,
Pediatrician and a Public Health Specialist. With regards to the service delivery out of total 31
Community Health Centers (CHCs), Physicians (Medical specialist) are available at 54.8% (17) of CHCs.
Only 64.5% of CHCs have a surgeon. Obstetricians/ Gynecologists are also not available at 51.6%
CHCs. Pediatric services are not available at majority of CHCs (54.8%) and child population only in the
catchment of 45.2% CHCs is lucky to have pediatrician.
As far as the man power is concerned at 48.4% of CHCs do not have physician, while 9.8% CHCs have
the luxury of having 2 physicians. Majority (54.8%) of CHCs have 1 general surgeon while only (6.4%)
CHCs at Dag (Jhalawar) and Sheoganj (Sirohi) have 2 general surgeons in place. For the provision of
reproductive health, a gynecologist/ Obstetrician are essential but at majority (51.6%) of CHCs
Obstetrician/ Gynecologist is not available. Pediatrician is a luxury for 54.8% of CHCs; only 45.2% CHCs
have Pediatrician. Only 25.8% CHCs have Anesthetist (a must for every CHC to be functional as FRU),
22.6% CHCs having an Ophthalmologist and at 90.4 % CHCs Dresser is not available.
51.6% CHCs have one Pharmacist/Compounder. Availability of Ward Boys is not an issue with 77.5%
CHCs but for 22.5% CHCs. Sweepers are available at majority of places (64.5% CHCs). Statistical
Assistant/ Data Entry operator is available at 22.6% CHCs while in 77.4% CHCs this post is vacant.
Assured services as per IPHS: The standards adopted under IPHS ask for certain “assured services” : Emergency medical and surgical
services, services for LSCS, Blood banking, Essential diagnostics, referral, National Health program
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
3
delivery, Essential drugs, Diet, Laundry, IPD, OPD, OT, Labor room, X-ray, Pharmacy, citizen charters and
ilk. Further, every CHC is expected to have SOP and standard protocols.
With reference to the said “Assured services”, the analysis shows-
90.3% CHCs provide emergency services except CHCs Atru (Baran), Nagar (Bharatpur) and Tonk. 83.9%
CHCs are providing Family Planning services. 24-Hour delivery Services are available at majority of CHCs
(93.5%) except at Atru (Baran) and Tonk CHCs.Emergency Obstetric Care is available only at 45.2%
CHCs.
New Born Care facility is being provided at 74.2% CHCs (only 45.2% have a pediatrician). Emergency
Care of sick Children Facility is being provided by 64.5% CHCs, while this facility is not available at 35.5%
CHCs. Essential Laboratory Services are available at majority (83.9%) of CHCs. Blood storage facility is
available at 61.3% CHCs.
Referral Transport Services are available at 67.8% Specialist services related to safe Abortion are
available at 67.7% CHCs.Treatment facility for RTI/STI is available at majority (93.5%) of CHCs. Facilities
in Gynecology/ obstetric (96.8).Maternal and Child health Service availability (96.8).
As far as the investigation facility concern 87.1% CHCs has ECG facility while this facility is not available
at 12.9% CHCs. 87.1% CHCs do not have Ultra Sound facility. Majorities (77.4%) of CHCs have sample
collection and transportation facilities, while at 22.6% CHCs services are not available. Diagnostic facility
is available at 22.6% CHCs while 77.4% CHCs outsource this to private lab/hospital.
Infrastructure refers to the basic support system in the form of a proper and regularly maintained
building, and the basic facilities available within the building for the smooth functioning of the health care
establishments. Fortunately 90.4% CHCs are located within the village itself, rest 9.6% CHCs are located
at less than 2 hours of travel distance from the farthest village. 96.8% of CHCs have Govt. buildings, while
CHC Kekri (Ajmer) is housed in rented building.
All the CHCs have Operation Theatre facility except CHC in Tonk. Out of these only 70.0% operation
theatres are used for Obstetric/ Gynecological purpose, while 30.0% CHCs do not use their operation
theatre for Obstetric/ Gynecological purpose.
Majority of OTs (55.3%) are functional for other surgeries too, while in 33.3% of OTs are not functional.
70.9% CHCs have Air conditioner in Operation Theater and out of these 67.7% CHCs have their Air
conditioner in working condition.
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
4
77.4% CHCs have Generator and Emergency Lights availability in Operation Theater. Out of remaining
22.6% CHCs has neither Generator nor emergency light 38.7% CHCs have reported that they have walk-
in coolers to store the vaccine. Blood storage unit as a must for an FRU is available at 58.1% CHCs, while
this facility is not available at 41.9% CHCs.
At majority (90.3%) of CHCs labor room is available except from CHCs at Atru (Baran), Sardarshahar
(Churu) and Tonk. all 31 CHCs are getting adequate water supply. 64.5% CHCs have vehicles at their
centers while 35.05% CHCs do not have any vehicle. Majority of CHCs (90.3%) CHCs do not have waste
disposal facility
As far as the furnishing is concerned examination table, delivery table, stool for patients, oxygen trolley,
iron bed, bed side locker, instrument tray, chair, wooden table and mattress are available at all the 31
CHCs.CHC at Indergarh (Bundi), don’t have basics like saline stand, wheel chair, stretcher on trolley.
54.9% CHCs doesn’t have availability of standard operating procedures, while only 45.1% CHCs have
this facility. Facility of External Monitoring is not available at 61.2% CHCs, while 38.8% CHCs have this
facility.
Internal Monitoring Facility is not available at 38.8% CHCs, 54.9% CHCs have copies of constitution of
RMRS (RKS), while 45.1% CHCs don’t have this constitution. Majority (80.6%) CHCs have citizen’s charter, while 19.4% don’t citizen’s charter.
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
5
Introduction: Health care delivery in India has been envisaged at three levels namely primary, Secondary and tertiary.
The secondary level of health care essentially includes Community Health Centers (CHCs), constituting
the First Referral Units (FRUs) and the District hospitals. The CHCs were designed to own referrals from
field units besides referring the screened cases to higher levels of health care services.
Normally, 4 PHCs are included under each CHC thus catering to approximately 80,000 populations in
tribal/ hilly areas and 1, 20,000 populations in plain areas. CHC is a 30-bedded health facility providing
specialist care in medicine, Obstetrics and Gynecology, Surgery and Pediatrics. The launch of the
National Rural Health Mission (NRHM) and subsequent adoption of IPHS at National level offers an
opportunity to have a fresh look at their functioning. Although there are already existing standards as
prescribed by the Bureau of Indian Standards for 30-bedded hospital, these are at present not achievable
as they are very resource-intensive. With awareness and increase in purchasing power parity, there is
bound to be an increase in demand for health services and the system needs to be geared to face the
challenge. Not only does the system require up gradation to handle higher patient load, but emphasis
also needs to be given to quality aspects to increase the level of patient satisfaction. In order to ensure
quality of services, the Indian Public Health Standards are being set up for CHCs so as to provide a
yardstick to measure the services being provided there. This document provides the requirements for a
Minimum Functional Grade of a Community Health Centre.
Objectives of Indian Public Health Standards (IPHS) for CHCs:
• To provide optimal specialist care to the community,
• To achieve and maintain an acceptable standard of quality of care, and
• To make the services more responsive and sensitive to the needs of the Community.
Service delivery in CHCs: The IPHS has laid down a set of services which every CHC has to provide as “Assured Services”, these
are:
• Care of routine and emergency cases in surgery:
This includes Incision and drainage, and surgery for Hernia, hydrocele, Appendicitis,
hemorrhoids, fistula, etc.
Handling of emergencies like intestinal obstruction, hemorrhage, etc.
• Care of routine and emergency cases in medicine:
Specific mention is being made of handling of all emergencies in relation to The National
Health Programs as per guidelines like Dengue Hemorrhagic fever, cerebral malaria, etc.
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
6
Appropriate guidelines are already available under each program, which should be
compiled in a single manual.
• 24-hour delivery services including normal and assisted deliveries
• Essential and Emergency Obstetric Care including surgical interventions like Caesarean Sections
and other medical interventions
• Full range of family planning services including Laparoscopic Services
• Safe Abortion Services
• New-born Care
• Routine and Emergency Care of sick children
• Other management including nasal packing, tracheotomy, foreign body removal etc.
• All the National Health Programs (NHP) should be delivered through the CHCs. Integration with
the existing programs like blindness control, Integrated Disease Surveillance Project is vital to
provide comprehensive services. The requirements for the important NHPs are being annexed as
separate guidelines with the document.
RNTCP: CHCs are expected to provide diagnostic services through the microscopy centers which
are already established in the CHCs and treatment services as per the Technical Guidelines and
Operational guidelines for Tuberculosis Control.
HIV/AIDS Control Program: The expected services at the CHC level are being provided with this
document which may be suitably implemented.
National Vector –Borne Disease Control Program: The CHCs are to provide diagnostic and
treatment facilities for routine and complicated cases of malaria, filarial, dengue, Japanese
encephalitis and Kala-azar in the respective endemic zones.
National Leprosy Eradication Program: The minimum services that are to be available at the
CHCs are for diagnosis and treatment of cases and Reactions of leprosy along with advice to
patient on Prevention of Deformity.
National Program for Control of Blindness: The eye care services that should be available at the
CHC are diagnosis and treatment of common eye diseases, refraction services and surgical
services including cataract by IOL Implantation at selected CHCs optionally. 1 eye surgeon is
being envisaged for every 5 lakh population.
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
7
Under Integrated Disease Surveillance Project, the related services include services for diagnosis
for malaria, Tuberculosis, typhoid and tests for detection of faecal contamination of water and
chlorination level. CHC will function as peripheral surveillance unit and collate, analyzed and
report
Information to District Surveillance Unit. In outbreak situations, appropriate action will be initiated.
• Others:
Blood Storage Facility
Essential Laboratory Services
Referral (transport) Services:
Parameters: The IPHS Performa which was used to conduct the analysis is based on following
parameters:-
1. Services
2. Physical Infrastructure
3. Manpower
4. Investigative & Laboratory services
5. Capacity Building
6. Equipment, Furniture & Drugs
7. Quality Control and
8. Findings
The report is based on the analysis of data provided by RHSDP. The gap analysis has punctuation as the data relates to only one CHC in each District and for the limitation the generalization can’t be made, nor a substantial inference can be drawn.
I. SAvailabili
(Bharatpur
Sanchore
facilities.
Obstetricia
(Bikaner),
Jamwaram
Sultanpur
0
10
20
30
40
50
60
70
Percen
tage
0
20
40
60
80
100
Percen
tage
ervices: ity of Specia
r), Gulabpura
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Indergarh (B
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54.8
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alist Services
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64.5
35.5
s Emse
9
.8
s:
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ergency ervices
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Yes
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Yes
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SIHFW: An
sicians (Med54.8% of CHCaratpur), Gu
ndi), Simalwa
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k and Kuraba
managed wit
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and Udaipur
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atrician-
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ISO 9001:200Analysis o
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ad (Udaipur) w
hout specialis
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ervices of Ob.
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08 Certified Instof CHCs in Raja
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where patien
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0
10
20
30
40
50
60
70
80
Percen
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8
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ency ServiceCHCs of Atru
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64.5
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No
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Yes
No
SIHFW: An
are available
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(Bharatpur),
and Tonk Dis
24-Hour deat majority Atru (Baran
observation
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Gulabpu
(Chittor),
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(Hanuma
Chirawa
ka tha
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(Sirohi),
cases as
New Boprovided
CHCs at Atru
Bali (Pali), Kh
ISO 9001:200Analysis o
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CHCs (83.9
nning service
n), Chohtan
and Khamn
stricts.
livery Servicof CHCs (
n) and To
needs interp
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(Jhunjhunu),
na (Sikar),
Madhopur) a
while 54.8%
s this facility is
orn Care fd at 74.2%(Baran), Gul
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08 Certified Instof CHCs in Raja
of CHCs (90
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es except CH
(Barmer), N
nore (Rajsam
ces are ava(93.5%) exce
onk CHCs.
retation in vi
etric Care45.2% CHCswar), Par
ar (Bhara
ara), Nimb
hahar (Ch
anagar), N
okran (Jaisa
, Bali (Pali), N
Gangapur
and She
% CHCs refe
s not availabl
facility is b% CHCs (?
abpura (Bhilw
samand) and
titution asthan
9
0.3%)
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Nagar
mand)
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This
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rtapur
atpur),
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lmer),
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eoganj
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being only
wara),
Tonk
Emergenavailable
(Dungarp
(Jodhpur)
Referral Chohtan
(Jalore), S
of CHCs.
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tage
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10
20
30
40
50
60
70
80
90
Percen
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Safe Abortservices
67.7
Essential Laboratory Services
83.9
16.1
sick ChildrenCHCs viz. A
hbas (Alwar),
Khamnore (Ra
Services areNagar (Bhara
ota), Sheogan
ion s
Trea
32.3
Blood Storagfacility
61.3
38
n Facility is bAtru (Baran),
Jamwaramg
ajsamand) an
e available aatpur), Gulab
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atment of STI /RTI
93.5
6.5
ge Referral &Transporservice
67.8
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being providNagar (Bha
garh (Jaipur),
nd Tonk.
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ac
at 67.8% CHbpura (Bhilw
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No
& rt
2.2
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SIHFW: An
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Sanchore (Ja
ssential Labomajority (8
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Barmer), Du
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ultanpur (Kot
heoganj (S
Kurabad); so
ccount.
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halawar), P
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unqualified
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r RTI/STI is
ISO 9001:200Analysis o
% CHCs, while
labpura (Bhil
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ta), Khamno
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08 Certified Instof CHCs in Rajae this facility
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20
30
40
50
60
70
80
90
100
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No
Yes
0
0
0
0
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0
0
0
0
0
0
Sign Bofacilit
87.1
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All the Gare equ
sterilizin
Simalwa
(Alwar).
90.4%
facility f
running
(Jaipur)
don’t h
80.7%
services
Nagar
Khamno
ard ty
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93
12.9
ISO 9001:200Analysis o
Gynecology uipped with
g instrumen
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CHCs have
for males a
water while
and Pokran
have separa
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s to patients
(Bharatpur),
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3.6
6.4
08 Certified Instof CHCs in Raja
sections at C
the facility
nts except
pur), Kisanga
e separate
and females
e Jamwaram
(Jaisalmer) C
ate toilet fa
ovide couns
but 19.3% C
Dag (Jhala
mand), She
rivacy during examination
93.6
6.4
titution asthan
11
CHCs
y for
from
rhbas
toilet
with
mgarh
CHCs
acility.
seling
CHCs
awar),
eoganj
Yes
No
Maternal
II. ManpA) Clinic
S.N
1.
2.
3.
4.
5.
6.
7.
8.
0
20
40
60
80
100
Percen
tage
and Child he
power: (IPHScal Manpowe
. Clinica
Genera
Obstetr
Physicia
Pediatri
Anesthe
Public H
Ophtha
Genera
Ante‐nataClinics
96.8
3
ealth Service
S norms for cer
l Manpower
al Surgeon
ician / Gynec
an
ician
etist
Health Progra
lmologist
al duty officers
al Post‐nClini
93.6
3.2
e availability
clinical man p
cologist
am Manager
s (Medical Off
natal ics
ImmSe
6 9
6.4
:
power at CH
ficer)
unization essions
96.8
3.2
Yes
No
SIHFW: An
From the
Tonk Crelated the CHC
immuniz
have po
Tonk an
C)
IP
ISO 9001:200Analysis o
e available da
CHC doesn’to mother aCs has ante
zation facility
st natal clinic
d Khamnore
PHS Norms
1
1
1
1
1
1
1
6(at le
fema
docto
08 Certified Instof CHCs in Raja
ata, it appear
t have sernd Child. Re
e-natal clinics
y. 93.6% C
cs expect CH
(Rajsamand)
east 2
ale
ors)
titution asthan
12
rs that
rvices est all
s and
CHCs
HCs at
.
1) Gener
Gulabpura
(Hanuman
and Kurab
2) Physic
0
10
20
30
40
50
60
Percen
tsge
ral Surgeon:
a (Bhilwara)
ngarh), Pokra
bad (Udaipur)
cian:
1‐Surgeon
54.8
Availabilit
9.8
48.4 %
Availability
), Lalsot (D
an (Jaisalmer
) are without
2‐Surgeons
6.4
ty of General
41.8 %
8 %
of Physician
Dausa), Sim
), Sanchore (
t a surgeon.
Vacant
38.7
l Surgeon
1 ‐Phy
2‐Phys
vacant
n
M
Ki
At
(B
(C
Ja
(J
(K
G
M
1
(J
ge
Th
at
malwara (Du
Jalore), Sulta
At
(B
Ni
Kis
(Jh
(K
Kh
(K
wh
ph
ysician
sicians
t
SIHFW: An
ajority (54.8
isangarhbas
tru (Baran), D
Bundi), Nimb
Churu),
amwaramgarh
hunjhunu), P
Karauli), Mak
angapur cit
adhopur) ) an
general surg
halawar) an
eneral surgeo
he available
t Chohtan (
ungarpur), K
anpur (Kota),
48.4% of CH
aran), Nagar
mbahera (Ch
sangarhbas (
halawar), Hin
Kota), Makra
hamnore (Ra
Kurabad) pos
hile 9.8% CH
hysicians. Ab
ISO 9001:200Analysis o
8%) of CHC
(Alwar), Par
Dungargarh (B
ahera (Chitt
Suratgarh
h (Jaip
Phalodi (Jodh
krana (Naga
ty (Gangap
nd Neem ka t
eon while CH
d Sheoganj
ons in place.
data show th
(Barmer), N
Kisangarhbas
Khamnore (R
HCs Kisangar
(Bharatpur),
hittor), Simalw
(Alwar), Sanc
ndauncity (K
ana (Nagau
ajsamand), T
t of physiciaHCs have the
bout 41.8%
08 Certified Instof CHCs in Raja
Cs Kekri (Aj
rtapur (Bansw
Bikaner), Inde
or), Sardars
(Gangana
ur), Ch
hpur), Hindau
aur), Bali (
ur city (S
thana (Sikar)
HCs (6.4%) a
(Sirohi) ha
hat CHCs (38agar (Bhara
(Alwar), N
Rajsamand) ,
rhbas (Alwar)
Indergarh (B
wara (Dunga
chore (Jalore)
Karauli), Sult
ur), Bali (
Tonk and Ud
an is lying valuxury of hav
CHCs hav
titution asthan
13
jmer),
wara),
ergarh
hahar
agar),
hirawa
uncity
(Pali),
Sawai-
) have
at Dag
ave 2
8.7%) atpur),
Nohar
Tonk,
), Atru
undi),
arpur),
), Dag
anpur
(Pali),
daipur
acant, ving 2
ve 1
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
14
physician i.e. Partapur (Banswara), Chohtan (Barmer), Gulabpura (Bhilwara), Dungargarh (Bikaner),
Sardarshahar (Churu), Lalsot (Dausa), Nohar (Hanumangarh), Jamwaramgarh (Jaipur), Pokran
(Jaisalmer), Chirawa (Jhunjhunu), Phalodi (Jodhpur), Gangapur city (Sawai-Madhopur) ) and Neem ka
thana (Sikar).
3) Obstetrician/ Gynecologist: For the provision of reproductive health, a
gynecologist/ Obstetrician is essential but at
majority (51.6%) of CHCs (Atru (Baran), Chohtan (Barmer), Dungargarh (Bikaner), Indergarh (Bundi), Simalwara (Dungarpur), Kisangarhbas (Alwar), Suratgarh (Ganganagar), Jamwaramgarh (Jaipur), Sanchore (Jalore), Dag (Jhalawar), Phalodi (Jodhpur), Hindauncity (Karauli), Sultanpur (Kota), Makrana (Nagaur), Khamnore (Rajsamand), Tonk and Udaipur (Kurabad),
Obstetrician/ Gynecologist is not available. Only 48.4% CHCs have Obstetrician/ Gynecologist. 4) Pediatrician: Pediatrician is a luxury for 54.8% of CHCs Kekri (Ajmer), Kisangarhbas (Alwar), Partapur (Banswara),
Atru (Baran), Gulabpura (Bhilwara), Indergarh
(Bundi), Simalwara (Dungarpur), Kisangarhbas
(Alwar), Jamwaramgarh (Jaipur), Sanchore (Jalore),
Dag (Jhalawar), Phalodi (Jodhpur), Sultanpur
(Kota), Bali (Pali), Khamnore (Rajsamand),
Gangapur city (Sawai-Madhopur), Tonk and
Udaipur (Kurabad). Only at 45.2% CHCs Pediatrician is available.
48.4%51.6 %
Availablility of Obstetrician/ Gynecologist
Available
vacant
45.2 %54.8 % Available
vacant
Availability of Pediatrician
5) Anesth
(Rajsama
vacant. Th
country th
6) Public
Lalsot (D
(Hanuman
Chirawa (
(Rajsama
7
Avai
hetist:
and), Gangapu
he availability
hrough its 300
Health Prog
Dausa), Sim
ngarh), Jamw
(Jhunjhunu),
and) Gangapu
74.2 %
Availability o
96.
lability of Pu
ur city (Sawa
y of anestheti
0 Medical Col
gram Manage
alwara (Dun
waramgarh (
Phalodi (Jod
ur city (Sawa
25.8 %
of Anesthetis
3.2 %
8 %
blic Health P
ai-Madhopur),
st will continu
leges produc
er:
ngarpur), Kis
(Jaipur), Po
dhpur), Hinda
ai-Madhopur),
Availab
vacant
st
Av
vac
Program Man
Only every
74.2%
Naga
Dung
Sarda
(Dung
(Gang
Jamw
Sanch
(Jhun
(Kota
Tonk and Ud
ue to torment
ces only 698 o
De
Pu
Pr
Ma(NAt
Kis
At
(B
Du
Ni
sangarhbas
okran (Jaisal
uncity (Karau
, Neem ka th
ble
t
ailable
cant
ager
SIHFW: An
25.8% CHCsy CHC to be
% CHCs Part
r (Bharatp
argarh (Bi
arshahar (Chu
garpur) ,Kisa
ganagar),
waramgarh (
hore (Jalore
njhunu), Hind
), Makran
daipur (Kurab
t the system m
of them for 45
espite the IP
ublic Health
rimary care,
anager isNagaur) CHC
t majority (96
sangarhbas
tru (Baran),
Bharatpur),
ungargarh (
mbahera (C
(Alwar), Sur
mer), Sanch
uli), Sultanpu
hana (Sikar),
ISO 9001:200Analysis o
s have Anese functional a
tapur (Bansw
ur), Gulab
kaner), Ind
uru), Lalsot (D
angarhbas (A
Nohar
(Jaipur), Po
e), Dag (Jh
dauncity (Ka
na (Naga
bad) post of A
making mock
520 CHC (as o
PHS norms a
as essenti
the Public available o.
6.8%) of CH
(Alwar), Part
Chohtan
Gulabpur
(Bikaner), In
hittor), Sarda
ratgarh (Gan
hore (Jalore),
r (Kota), Bal
Sheoganj (
08 Certified Instof CHCs in Raja
thetist (a mu
as FRU), wh
ara), Atru (Ba
pura (Bhilw
dergarh (B
Dausa), Sima
Alwar), Sura
(Hanumang
okran (Jaisa
halawar), Ch
arauli), Sult
ur), Kham
Anesthetist is
ery of IPHS a
on Dec 2009)
and recogniti
al compone
Health Proonly at Mak
HCs Kekri (Aj
tapur (Bansw
(Barmer), N
ra (Bhilw
ndergarh (B
arshahar (Ch
nganagar), N
, Dag (Jhala
i (Pali), Kham
(Sirohi), Tonk
titution asthan
15
ust for
hile at
aran),
wara),
undi),
alwara
atgarh
garh),
lmer),
hirawa
anpur
mnore
s lying
as the
).
on of
ent in
ogram krana
jmer),
wara),
Nagar
wara),
undi),
huru),
Nohar
awar),
mnore
k and
Udaipur (
the syste7) Ophtha With juOphthalmdepend operationcontrol managing
(Kisangar
Atru (Ba
(Bharatpu
(Bundi), N
Simalwara
(Alwar), N
(Jhalawar
Gangapur
(Kurabad)
8) G
0
5
10
15
20
25
1 M
2
%
Kurabad), thi
em. almologist:
st 22.6% mologist Syson Camp a
ns-the mainprogram. 77
g without
rhbas (Alwar)
aran), Choht
ur), Gulabpura
Nimbahera (C
a (Dunga
Nohar (Hanu
r), Chirawa
r city (Sawa
).
General Duty
M.O. 2 M.Os M
2.6
16.1
No. of
s post is lying
CHCs hastem will coapproach inn stay of B7.4% of C
t Ophtha), Partapur (B
tan (Barme
a (Bhilwara),
Chittor), Lalso
rpur), Kisa
mangarh), Ja
(Jhunjhunu),
ai-Madhopur),
Officers (Me
3 M.Os
4 M.Os
19.4
12.9
f Medical Off
g vacant. Thi
aving an ontinue to Cataract Blindness CHCs are
almologist Banswara),
r), Nagar
Indergarh
ot (Dausa),
angarhbas
amwaramgarh
Sultanpur
Neem ka
edical Officer
7 M.Os
8 M.Os
3.2 3.2
ficers
is reflects on
h (Jaipur), P
(Kota), Makr
thana (Sikar
r):
Availabi
vacant
22.6
SIHFW: An
n the priority
Pokran (Jaisa
rana (Nagau
r), Sheogan
Apart from
Doctors are
delivery. 22.6
officer (Medi
CHCs have
CHCs have
Medical of
Hindauncity
number of M
respectively.
not have Ge
(Banswara),
77.4 %
lity of Ophth
ISO 9001:200Analysis o
y that Public
almer), Sanch
ur), Khamnor
nj (Sirohi), T
Specialist, t
e essential
6% CHCs ha
cal Officer) ise 2 Medical
3 and 12.9
fficer. Kekr
(Karauli) CH
Medical Offic
Somehow,
eneral Duty
Nagar (Bha
22.6 %
halmologist/E
08 Certified Instof CHCs in Rajac Health enjo
hore (Jalore),
re (Rajsama
Tonk and Ud
the General
to health
ave 1 genera
s available; 1
Officers, 1
9% CHCS ha
ri (Ajmer)
HCs have hi
cers i.e. 8 a
22.6% CHC
officers (Par
aratpur), Inde
Availab
vacant
Eye Surgeon
titution asthan
16
oys in
, Dag
and) ,
daipur
Duty
care
l duty
16.1%
19.4%
ave 4
and
ighest
and 7
Cs do
rtapur
ergarh
ble
(Bundi), S
B) S 1. Nursin
a.) P
S.N.
1.
2.
3.
4.
5.
6.
7.
0
10
20
30
40
50
60
70
Percen
tsge
Sardarshahar
upport Staff
ng Staff: ublic Health
Nursing Sta
a
b
c
d
Dresser
Pharmacist
Lab. Techni
Radiograph
Ophthalmic
OT Attenda
Vacant
64.5
(Churu), Kha
f: (IPHS norm
Nurse:
aff
a. Public Hea
b. ANM
c. Staff Nurs
d. Nurse/Mid
/ compound
ician
her
c Assistant
nt
1 PHN
32.2
amnore (Rajsa
ms for suppo
Personnel
alth Nurse
se
dwife
der
3 PHN
3.3
amand), Sheo
ort staff)
IPH
povac(Alw
Nim
(Ja
(Ka
Ma
tha
SIHFW: An
oganj (Sirohi)
HS norms, as
st of PHN atcant; howeve
war), Chohta
mbahera (Ch
aisalmer), Ph
arauli), Bali (P
adhopur) hav
ana (Sikar) ha
ISO 9001:200Analysis o
) and Tonk.
sk for a PHN a
t most of theer 32.2% CH
an (Barmer), N
hittor), Lalsot
halodi (Jodh
Pali) and Gan
e 1 PHN, an
as 3 PHNs.
IPH
08 Certified Instof CHCs in Raja
at every CHC
e CHCs (64.5HCs Kisanga
Nagar (Bhara
t (Dausa), P
hpur), Hindau
ngapur city (S
nd CHC Nee
HS Norm
1
1
15
2
3
3
2
1
1
titution asthan
17
C. The
5%) is arhbas
atpur),
okran
uncity
Sawai-
em ka
b.) AMajority o
16.2% CH
Pokran (
Neem ka
same tim
Sardarsha
Udaipur (K
sanctione
are from c
c.) S
(Gangana
d.) NIn Majoriposts arnumber li
number li
6.4% CH
between1
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Percen
tage
ANM of CHCs (67
HCs Kekri (Aj
(Jaisalmer),
thana (Sikar)
me 16.2% CH
ahar (Churu),
Kurabad) do
ed posts is 1 A
contractual st
taff Nurse:
agar), Sancho
Nurse Midwifety of CHCs re vacant. es between1
es within the
HCs number
1-20. Howev
Vacant 1‐3
29.0 29
Availab
.6%) have 1
jmer) , Partap
Chirawa (J
) have 3- 4 A
HCs (Gulabp
, Sultanpur (K
not have a s
ANM per CHC
aff.
ore (Jalore) an
e: (45.2%) NurAt 32.3% C
-5. At 12.9%
e range of 6-
r of nurse
ver, only Ke
3 4‐6
.0
16.1
bility of Staff
-2 ANMs wh
pur (Banswar
hunjhunu) a
ANMs and at t
pura (Bhilwar
Kota), Tonk a
single ANM. T
C, extra numb
nd Chirawa (J
rse Midwife CHCs their
CHCs their
10, while at
midwife is
ekri (Ajmer)
7‐10 14‐1
19.4
6.5
f Nurses
hile
ra),
and
the
ra),
and
The
ber
At 26.5%stafCHCKisa
Inde
Hin
Kha
(Sik
san
16.1
Jhunjhunu)) t
0
10
20
30
40
50
60
70
Percen
tage
05
101520253035404550
V
Percen
tage
Ava
18
5
SIHFW: An
29.0% CHCs% CHCs whff nurses i.eCs with 7angarhbas
ergarh (Bun
dauncity (K
amnore (Rajs
kar) have 1
nctioned post
1% CHCs P
here are 4-6 s
Vacant
16.2
acant 1‐5
45.2
32.3
ilability of Nu
ISO 9001:200Analysis o
there is no hich have exe. 14-18 and
7-10 Nurses(Alwar), Ch
ndi), Simalw
Karauli), S
samand) and
-3 staff nur
t of 7 accord
artapur (Ban
staff nurses.
1‐2 ANM
67.6
6‐10 1
3
12.9
urses Midwif
08 Certified Instof CHCs in Raja
Staff Nursexcess numbd another 1s. 29.0% C
hohtan (Bar
wara (Dunga
Sultanpur (K
d Neem ka
rses (agains
ding to IPHS
swara), Sura
3‐4 ANM
16.2
1‐20 21‐25
6.43.2
fe
titution asthan
18
while ber of 19.4% CHCs
rmer),
arpur),
Kota),
thana
st the
S). At
atgarh
CHC has
2. D
This posOne at
Nimbaher
(Gangana
dressers a
4. L
Majority
Technicia
except
Technicia
CHCs do
0
10
20
30
40
50
60
Percen
tage
Ava
25 nurse mid
Dresser
st is lying vKisangarhba
ra (Chittor) C
agar) CHC, i
at CHCs acro
ab. Technici
of CHCs (
an under the
Lalsot (Dau
ans are ava
not have any
Vacant
6.4
ailability of P
dwives and th
vacant at 90as (Alwar)
CHC and 10
s the overal
oss the State.
an
(61.3%) hav
e sanctioned
usa) where
ilable. Howe
y Lab. Technic
1
51.6
Pharmacist /
is number is q
0.4 % CHCs.
CHC, 2 in
in Suratgarh
ll strength of
ve 1 Lab.
d strength,
e 2 Lab.
ever 35.5%
cian.
2
42.0
Compounder
questionable.
.
n
h
f
3. P51.6
Pha
(2)
Pha
r
61.3%
0
20
40
60
80
100
Percen
tage
SIHFW: An
.
Pharmacist / 6% C
armacist/Com
while 6.4%
armacist/Com
3.2%
Availability o
Vacant 1 D
90.4
Availabilit
ISO 9001:200Analysis o
CompoundeCHCs
pounder, 42%
% CHCs do
pounder.
35.5%
of Lab. Techn
Dresser 2 Dres
3.2 3
ty of Dresse
08 Certified Instof CHCs in Raja
er have
% CHCs hav
o not have
Vacant
1 Lab T
2 Lab T
nician
sser 10 Dresser
.2 3.2
r
titution asthan
19
one
ve two
any
t
Tech.
Tech
r
5. Ra
6. O
Majority
Assistant
sanctione
(Bharatpu
(Dausa),
(Karauli),
and Neem
Assistant
(Chittor),
Kisangarh
Hindaunc
(Sikar) ha
61
diographer:
Ophthalmic A
of CHCs do
and OT A
ed post of 1). O
ur), Nimbah
Pokran (J
Gangapur
m ka thana (
and 16.2
Simalw
hbas (Alwar)
ity (Karauli)
ave OT Attend
1.3%
9.7%
Availabil
Assistant and
o not have
Attendant (a
Only 22.6% C
hera (Chitto
Jaisalmer),
city (Sawa
(Sikar) have
% CHCs
wara (
), Chirawa (
and Neem
dant.
29.0%
lity of Radiog
d OT Attenda
Ophthalmic
against the
CHCs Nagar
or), Lalsot
Hindauncity
i-Madhopur)
Ophthalmic
(Nimbahera
Dungarpur),
(Jhunjhunu),
m ka thana
Vacant
1 Radiogr
2 Radiogr
grapher
ant:
rapher
rapher
0102030405060708090
Percen
tage
Availability
SIHFW: An
61.3% CHCs
CHCs have
CHCs do not
OphthalmicAssistant
77.4
22
y of Ophthalm
ISO 9001:200Analysis o
s have 1 Ra
2 Radiogr
t have any ra
c OT
2.6
mic Assistant a
08 Certified Instof CHCs in Raja
adiographer.
raphers but
adiographer.
Attendant
83.8
16.2
Vac
Ava
and OT Attend
titution asthan
20
9.7%
29% .
cant
ailable
dant
C) Ancilla
1. W
2. COPD atte
i.e. only
(Hanuman
majority o
vacant. C
of places
S.N.
1.
2.
3.
4.
5.
6.
0
20
40
60
80
Percen
tage
Availab
ary Staff: (IP
Ward Boys an
Chowkidar anndant is avai
y at two
ngarh) and
of CHCs (93
howkidar is a
s (90.4% C
Ancillary St
Ward boys /
Sweepers
Chowkidar
OPD Attend
Statistical A
Registration
Ward boys/ Nursing order
77.5
22.
bility of Ward
HS norms fo
nd Sweepers
nd OPD attenlable only at
places v
Pokran (Jai
3.5%) this p
also not availa
HCs), while
taff
/ nursing orde
dant
Assistant / Dat
n Clerk
rlySwee
64.5
.5
Boys and Swe
or Ancillary S
s:
ndant 6.5% CHCs
viz. Nohar
salmer)), at
post is lying
able majority
at Phalodi
erly
ta entry opera
pers
5
35.5
yesno
eepers
Staff)
Availabili
CHCs bu
(Bhilwara
(Gangan
(Karauli)
Sweeper
CHCs),
Gulabpur
(Dausa),
(Jaisalme
(Karauli)
and Tonk
ator
0
20
40
60
80
100
Percen
tage
Ava
SIHFW: An
ity of Ward B
ut for 22.5%
a), Dungar
agar), Pha
, and Tonk.
rs are availab
while at 3
ra (Bhilwara)
Suratgar
er), Chiraw
, Sultanpur (
k.
Chowkida
9.6
90
ailability of C
ISO 9001:200Analysis o
Boys is not an
CHCs Atru (
rgarh (Bika
lodi (Jodhp
ble at majority
35.5% CHC
), Dungargarh
h (Ganga
wa (Jhunjhu
(Kota), Neem
IPH
ar OPD
0.4
Chokidar and
08 Certified Instof CHCs in Raja
n issue with 7
Baran), Gula
aner), Sura
pur), Hindau
y of places (6
Cs Atru (Ba
h (Bikaner), L
nagar), P
nu), Hindau
m ka thana (S
S Norm
5
5
5
1
2
2
Attendant
6.5
93.5
OPD attenda
titution asthan
21
77.5%
bpura
atgarh
uncity
64.5%
aran),
Lalsot
okran
uncity
Sikar)
yes
no
ant
(Jodhpur)
3. Statist
25.8% CH
Phalodi (J
D) TraininTraining r
the previo
trainings i
Insertion,
defies the
strengthe
MOs trainMedical o
not traine
officers a
(Alwar),
(Jhunjhun
only at P
Medical o
(Baran),
0
20
40
60
80
percen
tage
Availab
), Pokran (Jais
tical Assista
HCs Inderga
Jodhpur), Mak
ng of MOs durefers to the
ous year. Th
in key areas l
Emergency
e efforts of N
ning delivery
ned in Steriliofficers in ma
ed in Steriliza
are trained
Nimbaher
nu)), three m
Partapur (Ban
officer is trai
Gulabpura
Statistical AsData entroperator
22.6
77
bility of StatisticReg
salmer) and N
nt/ Data Entr
rh (Bundi), N
krana (Nagau
uring 2010: percentage o
he melanchol
ike BEmOC,
obstetric care
RHM. The ca
system; impa
zation ajority of CHC
ation techniqu
at 3 CHCs
ra (Chitto
medical office
nswara) CHC
ined at 19.4
(Bhilwara)
sstt./ ry r
Regist
2
7.4
cal Asstt/ Data Egistration clerk
Nohar (Hanum
ry operator a
Nimbahera (C
ur), Nohar (Ha
of CHCs whe
ic situation in
sterilization,
e, Emergency
apacity buildi
assivity towa
Cs (67.7%) a
ue, two medic
Kisangarhb
or), Chiraw
ers are train
C and only o
% CHCs (A
, Dungarga
tration Clerk
25.8
74.2
Entry operator a
mangarh) (9.6
and Registrat
St
av
Pa
In
Ki
an
CH
M
re
th
an
Chittor), Sima
anumangarh)
re at least on
n all the dist
Comprehens
y contracepti
ng is one of
rds which has
are
cal
bas
wa
ned
one
Atru
arh
yes
no
and
0
10
20
30
40
50
60
70
Percen
tage
N
SIHFW: An
6%CHCs) this
tion clerk:
tatistical Ass
vailable at 22
artapur (Ban
dergarh (Bu
sangarhbas
nd Pokran (J
HCs this post
ajority of
gistration cle
is job which
nd short manp
alwara (Dung
, Pokran (Jais
ne doctor rec
tricts with ma
ive abortion c
on, MTP, RT
the key com
s to be addres
1 MO
19.4
No. of MOs t
ISO 9001:200Analysis o
s post is filled
istant/ Data
2.6% CHCs
nswara), Na
ndi), Simalw
(Alwar), Noha
aiselmer) on
t is vacant.
CHCs (74.2
erk (put their
is a crimina
power), this p
garpur), Kisa
selmer) and S
ceived in-serv
ajority of MO
care, Routine
TI/STI/ HIV an
mponents for i
ssed, earlier t
2 MO 3 M
9.7
rained in Ste
08 Certified Instof CHCs in Rajad.
Entry opera
i.e. Kekri (Aj
agar (Bhara
wara (Dunga
ar (Hanuman
ly, while in 7
2%) don’t
r Nursing sta
al waste of s
post is filled o
angarhbas (A
Sanchore (Ja
vice training d
Os not expos
Immunizatio
nd new born
improving an
the better.
MO Not Trained
3.2
67.7
rilization
titution asthan
22
tor is
jmer),
atpur),
arpur),
ngarh)
77.4%
have
aff on
skilled
only at
Alwar),
lore).
during
sed to
n IUD
care;
d / or
d
7
(Bikaner),
MOs train
Majority o
not trained
22.6% CH
6.5% CH
trained in
2 medica
(Rajsama
Kekri (Ajm
has 7 MO
MOs train
MOs train At 77.4%not traine12.9% CH
and CHC
Kurabad
officers. 7
010203040506070
Percen
tage
No. of M
, Dag (Jhalaw
ned in IUD In
of Medical offi
d in IUD Inse
HCs have 1
HCs have thr
IUCD.
al officers are
and) CHC ha
mer) has 5 an
Os trained in IU
ned in Emerg
ned in Emerg
% of CHCs med in EmergHCs have 1 t
Cs at Mak
(Udaipur) ha
7 medical offic
1 MO 2 M
25.8
Os trained in
war), Hindaun
nsertions
cers in CHCs
rtions. medical offic
ree (3) medi
e trained on
as two MOs
nd Chirawa (J
UCD techniqu
gency obstet
gency contra
medical officgency contratrained medic
krana (Naga
ave 3 trained
cers had gone
MO 4 MO
6.5 3.
n Emergency o
city (Karauli),
s (61.3%) are
cer trained, a
ical officers
ly in Khamn
s trained wh
Jhunjhunu) C
ues.
tric care
aception
cers are aception.
cal officer
aur) and
d medical
e through
O Not Trained
2
64.5
obstetric care
, Makrana (Na
and
are
nore
hile,
CHC
Me(64ob25
tra
an
ar
CH
wosuwi
010203040506070
Percen
tage
N
d
e
0
20
40
60
80
1
Percen
tage
No. of MO
SIHFW: An
agaur).
edical offic4.5%) are
bstetric care5.8% CHCs,
ained in 6.5%
nd Neem ka t
e trained on
HC. This caorking on tufficient numthout any exc
22.6
3.2
No. of MOs tr
MO 3 MO
12.96.
Os trained in
ISO 9001:200Analysis o
cers in manot trained, 1 medical o
and 2 me
% CHCs (Ni
thana (Sikar)
nly in Suratg
lls for immetraining loadmbers, for m
cuse at the ea
6.5 3.2
rained in IUD
O 7 MO
5 3.2
Emergency c
08 Certified Instof CHCs in Raja
ajority of Cd in Emergofficer is train
dical officers
imbahera (C
. 4medical of
arh (Gangan
ediate actiod, nominatinmandatory tra
arliest.
3.2
61.3
Insertions
Not Trained
77.4
contraception
titution asthan
23
CHCs gency ned in
s are
hittor)
fficers
nagar)
n for ng in aining
n
training fo
MOs train 58.1% Ctrained ihave 1 tra
(Ajmer) a
medical o
in Chirawa
to pay he MOs train
0
10
20
30
40
50
60
70
1
Percen
tage
No. o
or Emergency
ned in RTI / S
CHCs do non RTI / STIained medica
and Sanchor
officers. 7 med
a (Jhunjhunu
eed to this?
ned in Newbo
MO 2 MO
29.1
3.2
of MOs traine
y contraceptio
STI, HIV/ AID
ot have me, HIV/ AIDS
al officer and
re (Jalore) h
dical officers
) CHC. Will R
orn care
O 3 MO
2 3.2
ed in New Bo
on at Chirawa
DS
edical officeS. 32.2% CH
CHCs at Ke
have 2 train
are trained o
RSACS be ab
4 MO NTra
3.2
6
orn care
(Jhunjhunu)
ers Cs
ekri
ned
nly
ble
M
a
C
Not ined
61.3
0
10
20
30
40
50
60
Percen
tage
SIHFW: An
CHC.
Medical office
are not train
CHCs have 1
0
0
0
0
0
0
0
1 MO
32.2
No. of MOs t
ISO 9001:200Analysis o
ers in majority
ed in new
medical offic
2 MO
6.5
trained in RTI
08 Certified Instof CHCs in Raja
y of CHCs (6
born care, 2
cer trained.
7 MO NTra
3.2
5
I/STI, HIV/AID
titution asthan
24
1.3%)
29.1%
Not ained
58.1
DS
III. Invest
87.1% CHfacility is87.1% Cfacility K
Partapur
(Barmer),
(Bhilwara
(Bundi),
(Dausa),
Jamwaram
Sanchore
(Jhunjhun
(Kota), M
ka thana
30 CHCs
(Nagaur),
0
Yes
No
tigative Facil
HCs have E not availabl
CHCs do noKekri (Ajmer),
(Banswara),
Nagar (B
), Dungargar
Sardarshah
Nohar
mgarh (Jaipu
e (Jalore), Da
nu), Hindaunc
akrana (Naga
(Sikar), She
have X-Ray
Sheoganj (S
0.0
12.9
2
ities:
ECG facility le at 12.9% Cot have Ult, Kisangarhb
Atru (Baran
Bharatpur),
rh (Bikaner),
har (Churu
r (Hanu
ur), Pokran (
ag (Jhalawar
city (Karauli)
aur), Bali (Pa
eoganj (Sirohi
facility at the
Sirohi) and To
50.0
22.6
Labouthos
Lab
while this CHCs. tra Sound as (Alwar),
n), Chohtan
Gulabpura
Indergarh
u), Lalsot
umangarh),
(Jaisalmer),
r), Chirawa
, Sultanpur
ali), Khamnore
i), Tonk and
eir centre.
nk, while 77.4
1
8
77.4
b/Diagnostic Tetsourced to prispital
b Test Facility
e (Rajsamand
Udaipur (Kur
M
c
2
(
K
(
c
a
A
c
L
C
4% CHCs ou
0.0
20.0
40.0
60.0
80.0
100.0
Percen
tage
100.0
87.1
est ivate lab /
SIHFW: An
d), Gangapu
rabad). Excep
Majority (77.
collection and
22.6% CHC
(Bhilwara),
Kisangarhbas
(Jaipur), Kha
city (Sawai-
available.
As far as
concerned, it
Lalsot (Dau
Chottorgarh,
tsource this
ECG
87.1
12.9
ISO 9001:200Analysis o
urcity (Sawai-
pt CHC Inde
.4%) of CH
d transportatio
Cs Atru (Ba
Simalwara
s (Alwar),
mnore (Rajsa
Madhopur)
the diagnt is available
usa), Nohar
Phalodi (Jo
to private la
X‐Ray
96.8
3.2
08 Certified Instof CHCs in Raja
-Madhopur), N
ergarh (Bund
Cs have sa
on facility, wh
aran), Gula
a (Dunga
Jamwaram
amand), Gan
services are
ostic facilite at 22.6% C
(Hanumang
odhpur), Ma
ab/hospital.
Ultrasound
12.9
87
titution asthan
25
Neem
di), all
ample
hile at
bpura
arpur),
mgarh
gapur
e not
ty is
CHCs
garh),
krana
d
.1
YesNo
t
IV. Physic
2. B
96.8% ofCHC Kek
0
20
40
60
80
100
percen
tage
cal Infrastruc
Building owne
f CHCs haveri (Ajmer) is h
Yes
90.4
Locatio
cture:
ership: Govt
e Govt. builhoused in rent
N
on Of CHC
t. /Rented
dings, while
ted building.
o
9.6
Within VillageLocality
1
Fortuthe v(Chu
(Nag
these
Hinda
locate
from
e
e
SIHFW: An
. Location
unately 90.4village itself, ru), Hindaun
aur)) are loc
e 3 CHC
auncity (Kara
ed at less th
the farthest v
ISO 9001:200Analysis o
of CHC
4% CHCs arrest 9.6% C
ncity (Karau
cated outside
Cs Sardars
auli) and Mak
han 2 hours
village.
96.8
3.2
08 Certified Instof CHCs in Raja
re located wHCs Sardars
uli) and Ma
e the village
shahar (Ch
krana (Nagau
of travel dis
G
R
titution asthan
26
within hahar
krana
e and
huru),
r) are
stance
Govt.
Rented
3. A
4. O
Majority o
other surg
(Atru (Bar
(Bhilwara
(Hanuman
Sanchore
Khamnore
(Sirohi))
sometime
(Barmer),
(Dausa)
Kisangarh
0
20
40
60
80
100
percen
tage
Availability of
Other surgeri
of OTs (55.3
geries too, w
ran), Nagar (
), Suratgarh
ngarh), Jam
e (Jalore),
e (Rajsam
other surge
es only. Rest
Sardarsha
and Sim
hbas (Alwar))
O.T. avail
96.8
Availability o
f Facilities in
es carried ou
3%) are func
while in 33.3%
(Bharatpur), G
(Ganganaga
mwaramgarh
Sultanpur
mand)and
eries are ca
t 13.4% OTs
ahar (Churu
malwara (Du
are not funct
lable O
8
3.2
of Operation
n Operation T
ut in availab
ctional for
% of OTs
Gulabpura
ar), Nohar
(Jaipur),
(Kota),
Sheoganj
arried out
s Chohtan
), Lalsot
ungarpur),
tional.
O.T. used for obGynae purpose
70.0
30
Theatre
Theatre:
le O.T.
1
3
bs/ e
0.0
Yes
No
SIHFW: An
All the CH
facility exconly 70.0%for Obstetwhile 30.0%
(Barmer),
Sardarshah
SimKisang
(Jaipur),
(Jodhpur) a
their oper
Gynecolog
13.4%
33.3%
ISO 9001:200Analysis o
HCs have O
ept CHC in T% operation t
tric/ Gyneco% CHCs Atru
Dungarg
har (Chur
arhbas (Alwa
Sanchore
and Sultanpu
ration theatr
ical purpose.
53.3%
Here, T
08 Certified Instof CHCs in Raja
Operation Th
Tonk. Out of
theatres are ological purpu (Baran), Ch
arh (Bika
ru), Dunga
ar), Jamwaram
(Jalore), Ph
r (Kota) do no
re for Obs
Yes
No
Some
Total CHCs=30
titution asthan
27
heatre
these
used pose, ohtan
aner),
arpur-
mgarh
halodi
ot use
stetric/
etime
5. R
6. A
Majority
Operation
Jamwaram
sufficient
7.17.1
0
10
20
30
40
50
60
70
80
Percen
tage
Reasons for n
Availability of
of CHCs h
n Theater. On
mgarh (Jaipu
space for Op
78.6
9.7
A.C. in OT
70.9
29.1
non-Function
f Enough spa
have enoug
nly CHCs at
ur) and Tonk
eration Theat
A.C.Fun/N
67.7
nal OTs:
ace in OT
h space fo
Kekri (Ajmer)
do not have
ter.
Non‐availaman powe
Lack of eqpoor phys
No power
Other reas
Not Fun
32.3
Yes
NO
Mfmf
r
T
piC
a
s
f
or
),
e
7. AvOT. 70.9% CHC
and out
conditioner
ability of er
uipment/ ical state
supply
son
SIHFW: An
Major reasfunctional OTman power followed by 2
reason could
Third cause
physical statn operationChirawa (Jhu
and Kurabad
surgeries are
face problems
vailability an
Cs have Air c
of these 6
r in working c
9.7
Adequate
ISO 9001:200Analysis o
son (78.6%Ts lies with n(doctors/ a
21.4% CHCs
be singled ou
is lack of ete of OT and n theatre. At
unjhunu), Hin
d (Udaipur)
performed in
s for reasons
nd condition
conditioner in
67.7% CHCs
condition.
90.3%
7 %
space in OT
08 Certified Instof CHCs in Raja
%) behindnon availabilanesthetist/
where no sp
ut by respond
equipments/ no power su
t Dag (Jhala
ndauncity (Ka
are CHCs w
good numbe
cited above.
of A.C. fitt
Operation Th
s have thei
titution asthan
28
non lity of staff)
pecific
dents.
poor upply awar),
arauli)
where
er, still
ed in
heater
ir Air
Yes
No
8. A
Regular about 87.
not being
The numbeing dis
about 80
CHCs this
0
10
20
30
40
50
60
70
80
Percen
tage
Availability
Availability of
fumigation
1% CHCs, w
done.
mber of sterisplayed on
0.6% CHCs,
s facility is no
Generator
77.4
22.
of Generator
f Generator &
is being don
while in 12.9%
ilization daynotice board
while in 19
t available.
Emerge
77
6
r & Emergenc
& Emergency
ne in
% it is
ys is
d in
9.4%
Ye
No
ency light
.4
22.6
Avai
Not A
cy Light in OT
y Light in OT
7
T
L
C
a
G
(
C
E
J
(
G
0
es
o12.
1
lable
Available
T
SIHFW: An
T
77.4% CHCs
Theater. Sam
Lights availab
CHCs- Choht
and Sancho
Generator, w
Dungarpur),
Chirawa (Jh
Emergency
Jamwaramga
Rajsamand)
Generator nor
50
9
19.4
Percentage
ISO 9001:200Analysis o
have Gene
me is the figu
bility. Out of
tan (Barmer),
ore (Jalore)
while Atru (B
Kisangarhb
hunjhunu) do
light. How
rh (Jaipu
and and T
r emergency
10
87.
80.6
e
Sterilizaton notice
fumigat
08 Certified Instof CHCs in Raja
rator in Ope
ure for Emerg
remaining 2
Indergarh (B
do not
Baran), Sima
bas (Alwar)
o not have
wever CHCs
ur), Kham
Tonk has n
light.
0
.1
tion days displae board
ion done regul
titution asthan
29
ration
gency
22.6%
Bundi)
have
alwara
and
e an
s at
mnore
either
ayed
larly
9. A EMO Ma(83.8%) d
while at o
(Bhilwara
(Dausa),
thana (Sik
Cardiac (61.3%)
38.7%
Dungarga
(Bundi),
Jamwaram
(Jalore), C
have card
0
10
20
30
40
50
60
70
80
90
100
Percen
tage
Availability of
achine: - M
doesn’t have
only 16.2% C
), Nimbahera
Makrana (Na
kar) it is availa
Monitor :- M
have cardiac
CHCs Cho
arh (Bikan
Suratgarh
mgarh (Jaip
Chirawa (Jhu
diac monitor.
Defibrillator
38.7
61
f Operation T
ajority of C
e EMO mach
CHCs Gulabp
a (Chittor), La
agaur), Neem
able.
Majority of C
c monitor, w
ohtan (Barm
er), Inderg
(Ganganag
pur), Sanch
njhunu), Sult
r V
.3
Theatre Equi
HCs
hine,
pura
alsot
m ka
HCs
while
mer),
garh
gar),
hore
anpur (Kota),
1
2
3
4
5
6
7
8
9
Percen
tage
Ventilator
6.5
93.5
pment
, Sheoganj (S
Dd
C
(
(
(
(
(
(
VvL
fa
0
10
20
30
40
50
60
70
80
90
EMO
1
Yes
No
SIHFW: An
Sirohi), Tonk
Defibrillator: doesn’t have
CHCs Nag
Bhilwara),
Dausa), Sur
Jaisalmer),
Jhalawar), P
Karauli), Bal
Sikar) it is av
Ventilator: -ventilator inLalsot (Dausa
acility.
O Machine
16.2
83.8
ISO 9001:200Analysis o
and Udaipur
- Majority o
this equipme
ar (Bharat
Nimbahera
ratgarh (Gan
Sanchore
Phalodi (Jodh
li (Pali) and
vailable.
93.5% CHC their OT,
a), Pokran (Ja
Cardiac
61
08 Certified Instof CHCs in Raja
(Kurabad) d
of CHCs (6
ent, while at 3
pur), Gula
(Chittor), L
nganagar), P
(Jalore),
hpur), Hindau
Neem ka
Cs doesn’t only 6.5% C
aisalmer) hav
Monitor
1.3
38.7
titution asthan
30
do not
1.3%)
38.7%
bpura
Lalsot
okran
Dag
uncity
thana
have CHCs
ve this
Yes
No
Shadow l64.5% CH
Partapur
Gulabpura
Indergarh
Nohar (
Khamnore
(Kurabad)
Shadow 64.5% CH
CHCs K
Sardarsha
(Dungarp
Nohar
(Jaipur), D
OT care/ (Bundi), N
do not hav
Oxygen c
(Dausa),
(Sirohi) C
0
10
20
30
40
50
60
70
80
Percen
tage
less lamp- cHCs have th
(Banswara)
a (Bhilwara),
(Bundi), Si
Hanumangar
e (Rajsaman
) do not hav
less lamp peHCs have this
Kekri (Ajmer)
ahar (C
ur), Suratg
(Hanumanga
Dag (Jhalawa
FumigationNohar (Hanum
ve OT care/ F
cylinder: - De
Dungarpur, H
HCs are equi
Oxygen cylin
54.8
eiling track mhis lamp, wh
, Nagar (B
Dungargarh
malwara (Du
rh), Dag (J
d), Tonk and
e this lamp.
edestal for ms lamp, while
), Indergarh
huru), S
garh (Gan
arh), Jamw
ar), Sultanpur
apparatus: mangarh), Ja
Fumigation ap
espite being a
Hindauncity (
ipped with thi
nder NitrC
45.2
mounted: ile 35.5%
Bharatpur),
(Bikaner),
ungarpur),
Jhalawar),
d Udaipur
minor OT: e at 35.5%
(Bundi),
Simalwara
nganagar),
waramgarh
(Kota), Kham
- Majority of
amwaramgarh
pparatus.
a life saving m
(Karauli), Bal
s type of cylin
rous Oxide Cylinders
29.1
70.9
mnore (Rajsam
f CHCs (80.6
h (Jaipur), Da
measure, OxyCHPa
Gu
Ni
Su
(H
Kh
(S
To
NiCH29
i (Pali), Gan
nder.
Yes
No
0
10
20
30
40
50
60
70
80
90
Slatra
Percen
tsge
SIHFW: An
mand) and To
6%) has this
ag (Jhalawar)
ygen CylindeHCs, while
artapur (Ban
ulabpura (Bh
mbahera (C
uratgarh
anumangarh
hamnore (R
awaiMadhop
onk do not hav
trous oxide HCs does no9.1 % Atru (Ba
gapur city (S
hadowless amp ceiling ak mounted
64.5
35.5
ISO 9001:200Analysis o
onk doesn’t h
facility, while
), Tonk and U
ers are availa45.2% CHC
nswara), Na
ilwara), Dung
hittor), Sarda
(Ganganag
), Makra
Rajsamand),
ur), Neem ka
ve oxygen cy
cylinder: - Mot have thesaran), Chohta
SawaiMadhop
Shadowless lamp pedesta
64.5
35.5
08 Certified Instof CHCs in Raja
ave this lamp
e 19.4% Inde
Udaipur (Kur
able only at 5Cs Kekri (Aj
agar (Bhara
gargarh (Bika
arshahar (Ch
gar), N
ana (Nag
Gangapur
a thana (Sikar
ylinder.
Majority (70.9e cylinders,
an (Barmer), L
pur) and She
l OT carefumigatioapparatu
80.6
5
1
titution asthan
31
p.
ergarh
abad)
54.8% jmer),
atpur),
aner),
huru),
Nohar
gaur),
city
r) and
%) of while
Lalsot
eoganj
e/ on us
19.4
Yes
No
Gloves &Kekri (
Indergarh
Sardarsha
(Dungarp
(Jaisalme
(Karauli),
Gangapur
Gloves &
(58.1%) d
HorizontaMajority o
while
Kisangarh
(Bundi), N
Pokran (J
thana (Sik
0
10
20
30
40
50
60
70
80
90
H
Percen
tage
& Dusting M(Ajmer), K
(Bundi),
ahar (C
ur), Jamwara
er), Sanchore
Makrana (N
r city (Saw
& Dusting M
doesn’t have t
al High Pof CHCs (61
38.7% C
hbas (Alwar)
Nimbahera (C
Jaisalmer), S
kar), Sheogan
Hydraulic OperTable
74.2
Machine:- 41
isangarhbas
Nimbahera
Churu),
amgarh (Jaipu
e (Jalore), H
Nagaur), Bali
waiMadhopur
Machine, whil
this facility.
ressure Ste.3%) has this
CHCsKekri
), Nagar (Bh
Chittor), Sima
anchore (Jal
nj (Sirohi), To
ration Bo
25.8
.9% CHCs
(Alwar),
(Chittor),
Simalwara
ur), Pokran
Hindauncity
(Pali) and
)) have
le majority
erilizer: - s sterilizer,
(Ajmer),
haratpur), Gu
alwara (Dung
ore), Dag (Jh
onk and Udaip
oyles apparatus
87.1
12.9
ulabpura (Bh
garpur), Noha
halawar), Ba
pur (Kurabad)
s
9
Yes
No
0
10
20
30
40
50
60
70
80
Gdm
4
Percen
tsge
SIHFW: An
Hydraulic (74.2%) of
25.8% C
(Hanumanga
(Kota), Ma
(Rajsamand
CHCs are no
table.
Boyle’s appwhile 12.9%
Nohar (Hanu
and Tonk no
hilwara), Dun
ar (Hanumang
li (Pali), Kha
) do not have
loves & dusting achines
HHi
41.9
58.1
ISO 9001:200Analysis o
Operation tCHCs has
Chohtan (B
arh), Dag (Jh
akrana (Nag
), Sheoganj
ot equipped w
paratus: - 87
% CHCs C
umangarh), M
ot equipped
ngargarh (Bi
garh), Jamwa
mnore (Rajsa
e this.
Horizontal gh Pressure Sterilizer
61.3
38.7
08 Certified Instof CHCs in Raja
table: - Ma
this table,
Barmer), N
halawar), Sult
gaur), Kham
(Sirohi) and
with this type
7.1% CHCs
Chohtan (Bar
Makrana (Nag
ikaner), Inde
aramgarh (Ja
amand), Nee
Vertical High Pressure sterilizer
77.4
22.6
Y
N
titution asthan
32
ajority
while
Nohar
anpur
mnore
Tonk
of OT
have,
rmer),
gaur),
ergarh
aipur),
em ka
Yes
No
percen
tage
Vertical H(Bundi), S
Khamnore
10. B
11. N
20-30 capmale & fe
31-50Cap60-70 Camale & fe
75-100 Ca
0
10
20
30
40
50
les4
percen
tage
High PressurSuratgarh (G
e (Rajsamand
Bed Occupan
No. of Beds (Mpacity: - CH
male both are
pacity: - 26.9
apacity: - CH
male both are
apacity: - 11
s than 40%
40 to
16.2
re Sterilizer: Ganganagar),
d) and Tonk C
ncy in the las
Male & FemaCs having 2
e 57.7%.
% for males &
HCs having 6
e 3.9%.
.5% for male
o 60% More60
29
4
- Majority of
Nohar (Ha
CHCs do not
st 12 months
ale) 0-30 bed cap
& females.
0-70 bed cap
and females.
e than 0%
Informno
availa
41.9
1
CHCs (77.4%
numangarh),
have this faci
pacity of
pacity of
.
mation ot able
2.9
SIHFW: An
%) has this st
Chirawa (J
ility.
IPD load o
CHCs have
29% CHCs
40% to 60%
60% bed o
CHCs prefe
Information
CHCs. CHC
Pokran (Karauli), G(Sawai-Madprovide infof beds in t
No. of Bed
20-30
31-50
60-70
75-100
ISO 9001:200Analysis o
terilizer, while
hunjhunu), P
of CHCs is v
bed occupan
have bed oc
%, 41.9% CHC
occupancy a
rred to be sile
was receiv
Cs at Nohar(Jaisalmer)
Gangapur citdhopur) andformation retheir CHC.
ds Tot(M
08 Certified Instof CHCs in Rajae 22.6% (Inde
Phalodi (Jodh
variable as 1
ncy less than
ccupancy bet
Cs have more
and about 1
ent on this iss
ed only from
r (Hanumang, Hindauty (Gangapud Tonk didelated to nu
tal No. of BeMale & Femal
(%)
57.7
26.9
3.9
11.5
titution asthan
33
ergarh
hpur),
16.2%
40%,
tween
e than
12.9%
sue.
m 26
garh), uncity r city
d not umber
ds e)
Wards: - (54.8%) is
condition
Toilet clewhile they
CHC premin 48.4%
Good an
premises.
0
10
20
30
40
50
60
70
O
61.
Percen
tage
0
20
40
60
80
100
Percen
tage
The conditio
s rated as fai
is rated as G
eanliness: - Ity are in good
mises: - The
CHCs, Good
d only 9.7%
.
OPD O
.367.7
38.7
Garbage du
83.8
16
on of wards i
r, while in 45
ood.
t is rated as F
condition in 4
condition of C
d in 41.9% CH
% CHCs hav
OT Room
7
58.1
29.1
4
3.2
mp Catt
6.6.2
Ogo
O67
ra
co
Rgo
in majority of
5.2% CHCs th
Fair in 54.8%
45.2% CHCs.
CHC premise
HCs the cond
ve poor cond
ms
1.9
GoodFairPoor
le shed
.5
93.5ye
no
12. CleanOPD: - Majorit
ood condition
Operation Th7.7% CHCs h
ated as fair c
ondition.
Rooms: - 58.1
ood, while 41
f CHCs
he ward
CHCs,
es is fair
dition is
ditioned
Garbafacility
while
Cattlehave c
Percen
tage
es
o
SIHFW: An
liness: ty of CHCs (6
n, while 38.7%
heatre: - In
have rated as
condition. On
1% CHCs hav
.9% CHCs ha
age dumpiny for dumpin
16.2% CHCs
e shed: - Maj
cattle shed w
0
10
20
30
40
50
60
Ward
45.2
54.8g
ISO 9001:200Analysis o
61.3%) has ra
% CHCs have
Operation Th
s good, while
nly Tonk CHC
ve rated their
ave rated as f
g yard: - 8
ng Garbage
s do not have
ority (93.5%)
while 6.5% CH
ds Toilet
45.2
8 54.8
08 Certified Instof CHCs in Raja
ated their OP
e rated as Fair
heatre clean
29.1% CHCs
C has OT in
r room conditi
fair.
3.8% CHCs
before tran
Garbage dum
of CHCs doe
HCs have.
s Premise
41.9
848.4
titution asthan
34
PDs in
r.
liness
s have
poor
on as
have
sport,
mp.
es not
es
4
9.7
GoodFairPoor
Stagnanthave this
pool.
Pollutionare free f
CHC are f
13. AH
(Kota), Ba
ka thana
districts h
Charitabl(Bhilwara
Phalodi (J
41.3% dis
(Bharatpu
Kisangarh
Prlaboratory/h
H
Char
Hosp
No
Yes
t pool: - 90
pool, while
from indusfrom industry
facing this pro
Availability ofHealth Facility
ali (Pali), Kha
(Sikar), Ton
ave such hos
le Hospital: ), Dungargar
Jodhpur) Ma
stricts (Kisan
ur), Indergarh
hbas (Alwar),
rivate ospital/Nursinome
ritable Hospita
ital run by NGO
.3% CHCs d
9.7% have
stry: - 96.8%
pollution, wh
oblem.
f Private Secy in the area
amnore (Rajs
k and Udaip
spitals.
- There are rh (Bikaner),
krana (Nagau
ngarhbas (Alw
h (Bundi), N
, Suratgarh (
0 20 40
ng
al
O 12.9
22.
Perce
does not
stagnant
% CHCs
hile 3.2%
ctor :
amand), Gan
pur (Kurabad)
no such hos, Nohar (Ha
ur), Bali (Pal
war), Partapu
imbahera (C
(Ganganagar
60 80 100
77.5
41.3
5
58.7
87
ntage
Hospihave Kisang
(Bhilw
(Barm
(Bikan
Sarda
(Dung
(Gang
(Jaise
Phalod
ngapur city (S
) but 12.9%
spitals in 58anumangarh)
i), Sawai- Ma
ur (Banswara
Chittor), Sarda
),Sanchore (
0
7.1
0
20
40
60
80
100
Percen
tage
SIHFW: An
ital run by Na NGO r
garhbas (Alw
wara), Parta
mer), Nagar
ner), Indergar
rshahar (Chu
garpur), Noha
ganagar), Jam
lmer), Dag (J
di (Jodhpur),H
Sawai-Madho
(Makrana (N
8.7% of distrSanchore (
adhopur and
a), Atru (Bara
arshahar (Ch
Jalore), Jaise
Stagnant pool
9.7
90.3
ISO 9001:200Analysis o
NGO: - 87.1%run Hospitawar), Atru (B
apur (Bans
r (Bharatpu
rh (Bundi), Ni
uru), Lalsot (D
ar (Hanuma
mwaramgarh
halawar), Ch
Hindauncity (
opur), Sheog
Nagaur) and
ricts Kekri (A
Jalore), Chir
Neem ka th
an), Chohtan
huru), Simalw
elmer-Pokran
Pollutioindu
3.2
08 Certified Instof CHCs in Raja
% Districts dal Kekri (Aj
Baran), Gula
swara), Ch
ur), Dunga
mbahera (Ch
Dausa), Sima
ngarh), Sura
(Jaipur), P
irawa (Jhunjh
Karauli), Sult
anj (Sirohi), N
Sanchore (J
Ajmer) , Gula
rawa (Jhunjh
hana (Sikar),
n (Barmer), N
wara (Dunga
n, Dag (Jhala
on from ustry
2
96.8
titution asthan
35
o not jmer),
bpura
ohtan
argarh
hittor),
alwara
atgarh
okran
hunu),
anpur
Neem
alore)
bpura
hunu),
while
Nagar
arpur),
awar),
yes
no
Hindaunc
(Kurabad)
14. P
in
by
ar
(B
S
S
(K
(S
C
an
15. A
Khamnore
Waiting ropatien
Emergency RCasualt
Separate wamales and f
ity (Karauli),
) have one or
vt. Laboraton areas of Lab
y entering int
re- Kekri (Ajm
Bikaner), Ind
uratgarh (Ga
anchore (Ja
Karauli), Ma
SawaiMadhop
Chohtan (Barm
nd Kurabad (
Availability of
e (Rajsamand
0
oom for nts
Room / ty
ards for females
Sultanpur (K
r the other cha
ory/hospital/Nboratory supp
o a PPP mod
mer), Kisanga
dergarh (Bun
anganagar),
alore), Dag
akrana (Na
pur), Neem k
mer), Sardars
Udaipur) and
f Building:
d), Sheoganj
50
22.6
19.4
6.5
Percentage
Kota), Khamn
aritable hospi
Nursing Homport, Nursing
de for service
arhbas (Alwa
ndi), Gulabpu
Nohar (Hanu
(Jhalawar),
gaur), Bali
ka thana (Sika
shahar (Chur
Sultanpur (K
(Sirohi) and T
100
77.4
80.6
93.5
nore (Rajsam
ital.
me: - The preHome or Hos
s which are n
ar), Partapur
ura (Bhilwar
umangarh), J
Chirawa (Jh
(Pali), K
ar) and She
ru), Simalwar
Kota) do not h
In m
warSar
Em80.619.4
(Bik
(Du
(Ga
AvapreKek
Jam
Tonk this facil
No
Yes
SIHFW: An
mand) Sheoga
esence of prispital can be
not available i
(Banswara),
ra), Nimbahe
Jamwaramga
hunjhunu), P
hamnore (R
eoganj (Sirohi
ra (Dungarpu
have this facili
majority of CH
rds are s
rdarshahar (C
ergency roo6% CHCs; wh
4% CHCs N
kaner), Sard
ungarpur), Kis
anganagar) an
ailability of sent at 77.4%
kri (Ajmer)
mwaramgarh
lity is not ava
ISO 9001:200Analysis o
anj (Sirohi), T
vate sector exploited to S
in Public sect
Nagar (Bhar
era (Chittor),
arh (Jaipur),
halodi (Jodh
Rajsamand),
i). 22.5% dist
ur) Kisangarh
ity.
HCs (93.5%)
separate ex
Churu) & Tonk
om/Casualtyhile this facilit
Nagar (Bhara
arshahar (C
sangarhbas (
nd Tonk.
waiting room% CHCs, wh
), Sardars
(Jaipur), P
ilable.
08 Certified Instof CHCs in RajaTonk and Ud
in 77.5% disSytem’s adva
tor. These Dis
ratpur),Dunga
, Lalsot (Da
Jaiselmer-Po
hpur), Hindau
Gangapur
tricts Atru (Ba
hbas (Alwar),
male and fexcept CHCs
k.
y is availabty is unavaila
atpur), Dunga
Churu), Sima
(Alwar), Sura
m for patienile at 22.6% C
shahar (Ch
Phalodi (Jodh
titution asthan
36
daipur
stricts
ntage
stricts
argarh
ausa),
okran,
uncity
city
aran),
Tonk
emale s at
ble at able at
argarh
alwara
atgarh
nts is
CHCs
huru),
hpur),
have this
16. L
Av
OPD room
Adequate no.in the room f
air in eac
Family W
facility.
aboratory:
9.7%
vailability of
0
ms / cubicles
of windows for light and ch room
elfare Clinic
90.3%
Laboratory
0
6.5
12.9
22.6
Percentage
Yes
No
50
77
FCS
(G
S
T
p
8
C
(C
rs
S
In the
CHCs
Tonk,
CHCs
100
93.5
87.1
7.4
No
Yes
SIHFW: An
Family welfarCHCs. 22.6%
Sardarshahar
Ganganagar)
Sanchore (Ja
Tonk. Adequproper ventila
87.1% CHCs
CHCs (Inder
Churu), Phal
ooms/ Cubispecialties a
Sardarshahar
context of
Atru (Baran
laboratory fa
(90.3%).
ISO 9001:200Analysis o
re clinic is a% of CHCs N
(Churu
), Nohar
alore), Sulta
uate numbertion and sunl
, while it is
rgarh (Bund
odi (Jodhpur
cles are ava
t 93.5% C
(Churu) &
provision of
n), Sardarsha
acility is availa
08 Certified Instof CHCs in Raja
available at 7Nagar (Bhara
u), Sura
(Hanumang
anpur (Kota)
r of windowlight is availa
lacking at 1
di), Sardars
) and Tonk).
ailable for va
HCs, while
Tonk CHCs
laboratory e
ahar (Churu)
able at majo
titution asthan
37
77.4% atpur),
atgarh
garh),
and
ws for
ble at
12.9%
hahar
OPD arious
only
don’t
except
) and
rity of
17. CCold ch
Immuniza
complace
(Ajmer), I
(Chittor),
(Gangana
Chirawa
(Jodhpur)
(Pali),Gan
and Nee
reported coolers to
not suppcold chain
Just 48.4(Dungarp
Hindaunc
(Sirohi) an
0
Yes
No
Cold Chain: hain is vita
ation, with little
ency. 38.7%ndergarh (Bu
Lalsot (Da
agar), Pokra
(Jhunjhu
), Hindauncit
ngapur city (S
em ka than
that they o store the va
osed to haven facility.
4% CHCs Ke
ur), Suratgar
ity (Karauli),
nd Udaipur (K
12.9
16.2
al to effec
e elbow room
% CHCs K
undi), Nimbah
ausa), Suratg
an (Jaisalm
nu), Pha
ty (Karauli),
Sawai-Madho
a (Sikar) hhave wal
accine (how e a Walk in c
ekri (Ajmer),
rh (Gangana
Bali (Pali), G
Kurabad) hav
50%
laboratororderly m
Availabiliequipme
ctive
m for
Kekri
hera
garh
mer),
alodi
Bali
opur)
have lk-in come, fail to
cooler or Fre
Indergarh (B
gar), Pokran
Gangapur city
ve walk-in fre
100
87.1
83.8
ry maintained manner
ity of adequatent and chemic
2
4
6
8
%
AdeqCHC
Sard
83.8
laboCHC
Sard
and T
o understandeezer) while 6
Bundi), Nimb
n (Jaisalmer)
y (Sawai-Ma
eezers.
in
te cals
0
20
40
60
80
SIHFW: An
quate equipCs, except at A
darshahar (Ch
% CHCs a
oratory in oCs Atru (
darshahar (C
Tonk.
d and calls f61.3% CHCs
ahera (Chitto
, Chirawa (J
dhopur), Nee
Yes
38.748.4
ISO 9001:200Analysis o
ments are a
Atru (Baran),
huru) and Ton
are able to
rderly mannBaran), Ind
huru), Kham
for interrogado not have
or), Lalsot (D
Jhunjhunu), P
em ka thana
61
08 Certified Instof CHCs in Raja
available at 8
Indergarh (B
nk.
o maintain ner except 1
dergarh (B
nore (Rajsam
ation as CHCwalk-in coole
Dausa), Sima
Phalodi (Jodh
(Sikar), She
No
1.3
51.6
Availabliin cooler
Availabliin freeze
titution asthan
38
87.1%
undi),
their 16.2%
undi),
mand)
Cs are ers for
alwara
hpur),
eoganj
ility of Walk‐rs
ility of Walk‐ers
18. B
Blood stFRU is athis facili
CHCs At
Dungarga
Sardarsha
(Jaipur),
(Kota), M
(Rajsama
and Udaip
58.1% CH(Barmer),
SimKisan
(Sirohi), T
Blood stNimbaher
0
20
40
60
80
100
percen
tage
Blood Storage
torage unit available at 5ity is not a
ru (Baran),
arh (Bikaner),
ahar (Churu
Dag (Jha
Makrana (Na
and), Sheoga
pur (Kurabad)
HCs have theDungargarh
garhbas (Alw
Tonk and Uda
torage facilira (Chittor),
Icelined freezers
87.1
12.
e Unit:
as a must f58.1% CHCs,vailable at
Nagar (Bhar
Indergarh (B
u), Jamwara
lawar), Sul
agaur), Kha
anj (Sirohi),
).
eir linkages (Bikaner), In
war), Sultanp
aipur (Kurabad
ity is availaSuratgarh (G
Deep freez
90.3
9 9
for an , while
41.9%
atpur),
Bundi),
mgarh
tanpur
mnore
Tonk
with Districtndergarh (Bu
pur (Kota), M
d) do not hav
able only aGanganagar)
Percen
tage
zers Refrigera
83.9
9.7
t Blood Bankndi), Sardars
Makrana (Na
ve any linkage
at 32.2% CH, Nohar (Ha
0
10
20
30
40
50
60
70
AvailabBlood S
U
58
ators
16.1
Yes
No
SIHFW: An
87.1 % CH12.9% CH
(Bharatpur),
Makrana (N
freezers. A
(Churu) and
freezer.
(Churu), Khamnore (Sirohi) Cfunctional r
k, while 41.9%
shahar (Chur
agaur), Kham
es.
HCs Kekri (A
anumangarh)
bility of Storage nit
LinDis
.1
41.9
ISO 9001:200Analysis o
HCs have icHCs Atru
Sardarshah
agaur)) do n
Atru (Baran
Tonk CHCs
Atru (BaranNohar
(RajsamandHCs do n
refrigerators.
% CHCs Atru
u), Lalsot (D
mnore (Rajsa
Ajmer), Gula
, Pokran (Ja
nkage with trict Blood Bank
58.1
41.9
08 Certified Instof CHCs in Raja
e lined free(Baran), N
har (Churu)
not have ice
n), Sardars
do not have
n), Sardarsh(Hanumang
d) and Sheonot have .
u (Baran), Ch
ausa), Dunga
amand), She
abpura (Bhilw
aisalmer), Ph
Regular Blood Supply
32.2
67.8
titution asthan
39
ezers, Nagar
and
lined
hahar
deep
hahar garh), oganj even
ohtan
arpur-
eoganj
wara),
halodi
Yes
No
(Jodhpur)
this facility
Room fo
and Udaip
19. L
At majorit
available
Sardarsha
room is no
80.7%
5
), Hindauncity
y is not availa
or Ancillary S
pur-Kurabad.
abor room:
ty (90.3%) of
except from
ahar (Churu)
ot available.
19
58.1
y (Karauli), Ba
able.
Staff:
While 41.9%
f CHCs labo
CHCs at Atru
and Tonk wh
9.3%
ali (Pali) and N
% CHCs have
r room is
u (Baran),
here labor
2
Only(Dau
Makr
while
Yes
No
41.9
YesNo
Neem ka than
Majorit
rooms
(Ajmer
(Bansw
Nagar
Dunga
Nimba
Simalw
Chiraw
Khamn
rooms for An
20. Laundry
y 19.3% CHCusa), Pokran
rana (Nagau
e majorities (8
s
SIHFW: An
na (Sikar), wh
ty of CHCs (
for Ancillary
r), Kisanga
wara), Atru
(Bharatpu
argarh (Bik
ahera (Chitt
wara (Dunga
wa (Jhunjhu
nore (Rajsam
cillary staff.
facility
Cs Kekri (Ajm
n (Jaisalmer
ur)) CHCs h
80.7%) of CH
9.7%
ISO 9001:200Analysis o
hile at majority
(58.1%)do no
y staff, these
arhbas (A
(Baran), C
ur), Gulabp
kaner), Ind
tor), Sardar
arpur), Kisan
unu), Kara
mand), Sheog
mer), Chohtan
r), Chirawa
ave laundry
Cs do not ha
90.3%
08 Certified Instof CHCs in Rajay of CHCs (67
ot have faci
e CHCs are
Alwar), Par
Chohtan (Bar
pura (Bhilw
dergarh (B
rshahar (Ch
ngarhbas (A
uli-Hindaun
ganj (Sirohi),
n (Barmer), L
(Jhunjhunu)
facility avai
ve.
Yes
No
titution asthan
40
7.8%)
lity of
Kekri
rtapur
rmer),
wara),
undi),
huru),
Alwar),
city,
Tonk
Lalsot
and
ilable,
21. W
22. EElectric l All CHCs
of the ho
Madhopu
electric su
Standby f
0
20
40
60
80
100
percen
tage
Water supply
lectricity supine in all par
have supply
ospital except
r) and Tonk
upply in all pa
facility (Gen
Yes
80.7
pply: rts of the hos
of electricity
t Gangapur c
k which do
arts of the hos
erator):
96.8%
3.2%
No
7
1
spital
in all parts
city (Sawai-
not have
spital.
o
19.3
Exce
water
Standbavailab19.3%
Inderga
Ganga
have g
Yes
No
0102030405060708090100
percen
tage
SIHFW: An
pt Tonk all 3
r supply.
by facility ible at majo
CHCs Atru
arh (Bundi)
apur city (Saw
enerator at th
Yes
93.
ISO 9001:200Analysis o
31 CHCs are
n the form ority (80.7%)u (Baran), C
), Khamno
wai-Madhopur
heir centers.
.5
08 Certified Instof CHCs in Raja
e getting ade
of generat) of CHCs,Chohtan (Bar
re (Rajsam
r) )and Tonk d
No
6.5
titution asthan
41
quate
tor is while
rmer),
mand),
do not
23. V
24. WAs far as
figure pre
CHCs (90facility; (Barmer),
and Makr
at their ce
25. C Te
010203040506070
percen
tage
Vehicle:
Waste disposs the waste
esents a ver
0.3%) CHCs only CHCs
Pokran (Jai
rana (Nagaur
enters.
Communicatilephone
Yes
64.5
93
6.4%
sal : disposal faci
ry bleak pict
do not haveat Kekri (A
salmer), Chir
r) have waste
on facilities:
No
3.6%
ility is conce
ture. Majoritye waste dispAjmer), Cho
rawa (Jhunjh
e disposal fa
:
o
35.5
Ye
N
64.5%while
Choht
(Bund
Makra
Ganga
Tonk
vehicl
rned
y of osal
ohtan
unu)
acility
As fa
concer
hospita
Tonk.
es
o
SIHFW: An
% CHCs hav35.05% C
tan (Barmer)
di), Sanchore
ana (Nagau
apur city (Sa
and Udaipur
e.
r as the
ned all the C
al except fro
90.
ISO 9001:200Analysis o
ve vehicles CHCs (Kisan
, Nagar (Bha
(Jalore), Ch
ur), Khamno
wai-Madhopu
r (Kurabad)
communicati
CHCs have
om Chirawa
3%
08 Certified Instof CHCs in Raja
at their cengarhbas (A
aratpur), Inde
irawa (Jhunjh
ore (Rajsam
ur) -Gangapu
do not have
ion facilities
telephone at
(Jhunjhunu)
9.7%
titution asthan
42
enters
Alwar),
ergarh
hunu),
mand)
r city,
e any
s are
t their
) and
Yes
No
Office au
i. OMajority o
for office
CHCs a
(Barmer),
(Jaipur),
not have
(Dausa), S
(Alwar), P
Khamnore
store room
0
20
40
60
80
100
percen
tage
tomation: PC
Other Room Oof CHCs (80.
and storage
at Partapur
Lalsot (D
Khamnore (R
e office room
Simalwara (D
Phalodi (Jod
e (Rajsaman
m facility.
Yes
80.6 80.6
76.8
Cs /E-mail
Office room/6%) have se
e facility at
(Banswara
Dausa), Jam
Rajsamand)a
m and CHC
Dungarpur), K
dhpur), Sulta
d)and Tonk
No
19.4
6
Pers
E.M
3.2
/Store roomeparate room
their center.
a), Chohtan
mwaramgarh
nd Tonk do
Cs at Lalsot
Kisangarhbas
npur (Kota),
do not have
o
19.4
sonal Compute
ail
Yes
No
Excep
(Ganga
Kuraba
have Khamn
compu
Inderga
does n
Kitche
None obut for
er
0
Yes
No
s
SIHFW: An
pt CHCs
anagar), Chi
ad (Udaipur)
computer nore (Rajsam
uter but have
arh (Bundi)
not have E-Ma
en
of the CHCsSanchore (Ja
19.
19
ISO 9001:200Analysis o
Atru (Ba
irawa (Jhunj
) majority owith intern
mand) does n
e-mail facility
have perso
ail facility.
have kitchealore) CHC.
50
.4
9.4
percentag
08 Certified Instof CHCs in Raja
aran), Sura
hunu), Tonk
of CHCs (80et facility.not have per
y. In contrary
nal compute
en at their ce
80
80
ge
Store
Office
titution asthan
43
atgarh
k and
0.6%) CHC
rsonal
y CHC
er but
enters
100
.6
0.6
room
room
26. A
Cooking patients:
93.6% CH
families o
Nimbaher
ii. ST
o
a) C
anesthetis
General O
PublProgram
NoYes
Accommodat
facility for
HCs do not pr
of admitted
ra (Chittor) an
Staff quartersThe Lodging
observations o
Clinical Manp
st.
Anaesthetist
Duty Medical Officer
ic Health me Manager
Eye Surgeon
77.4
ion facility fo
r families
rovide cookin
patients exce
nd Bali (Pali).
s facility is a
on record vou
power
0 50
9.7
6.5
12.9
%
22.6
or families of
of admitted
ng facilities fo
ept CHCs a
big constrai
uch for it.
100
48.4
90.3
51.6
93.5
87.1
Yes
No
f admitted pa Majority
accommo
at Kekri
(Chittor),
accommo
admitted
Suratgarh
attached
have acc
toilet faci
d
r
t
nt in motivat
Majority
facilities
Dungarg
Bali (Pa
CHCs
(Sawai-
health
(Hanum
Kurabad
3
5
SIHFW: An
atients.
of CHCs
odation facilit
(Ajmer), In
Sardarshaha
odation faci
patients. CH
h (Ganganag
toilet. She
commodation
lity.
ting the spe
y of CHCs are
s for clinical
garh (Bikaner
ali) have sta
at Phalodi (
Madhopur) h
program m
mangarh), Ne
d (Udaipur)
93.6
ISO 9001:200Analysis o
s (77.4%)
ty for admitte
ndergarh (B
ar (Churu), an
lity with at
HCs at Choh
gar) have stay
eoganj (Siroh
facility but m
cialist to sta
e not providin
staff. CHCs
r), Suratgarh
aff quarters f
(Jodhpur) an
have lodging
manager. C
eem ka th
) have sta
6.4%
6%
08 Certified Instof CHCs in Raja
do not
ed patients. C
undi), Nimb
nd Bali (Pali)
ttached toile
htan (Barmer
ying facility w
hi) CHC doe
mentioned atta
ay at HQ an
ng accommod
at Kekri (Aj
(Ganganagar
for eye surg
nd Gangapu
facility for p
CHCs at N
ana (Sikar)
aff quarters
titution asthan
44
have
CHCs
ahera
have
et for
r) and
without
es not
ached
d the
dation
jmer),
r) and
geons.
r city
public
Nohar
and
s for
Yes
No
b) S
Majority o
facility for
this facility
Staff Nurfacility, wfor Staff N
ANMs of
residence
facility.
Public Hehave this
Gen
OG
No
Yes
Opht
No
Yes
upport Manp
of CHCs (58.
r Nurse/Midwy.
rses of 67.7while 32.3% C
Nurses.
58.1% CHCs
e quarters; o
ealth Nurse
facility.
neral Surgeon
Physician
Obstetrician / Gynaecologist
Paediatrics
Pharmaciscompound
Lab. Technici
Radiograph
thalmic Assista
power:
1%) do not h
wife, while 41.
7% CHCs haCHCs do not h
s do not hav
nly 41.9% C
Of 80.6% CH
0 20 4
22.
%
0 20 4
st / der
ian
her
ant
16.
2
19
9.7
%
have residen
.9% CHCs ha
ave residenthave this faci
ve this facility
CHCs have t
HCs do not h
40 60 80
45.2
45.2
54.8
.6
54.8
54.8
45.2
7
40 60 80 1
1
25.8
.4
8
74.2
80
77.4%facilitdo haSimila
facility
45.2%
case
54.8%
45.2%
tial
ave
tial ility
y of
this
ave this facil
Majo
facili
CHC
CHC
do n
Techfacili
have
83.9
0
77.4
Public
N
100
83.9
2
0.6
90.3
SIHFW: An
% CHCs doies for pedive accommo
arly 54.8% C
y to their obs% do not have
for Physicia% CHCs do
% CHCs have
ity of residen
ority of CHCs
ity for OphthCs have this f
Cs has reside
not have this
hnician of 74
ity of residen
e this facility
% CHCs doe
Health Nurse
ANM
Staff Nurse
urse/Midwife
ISO 9001:200Analysis o
not have iatricians, w
odation faciliCHCs provid
stetrician/gyne this facility.
ans & Genenot have sta
residential fa
nce quarters;
s 90.3% do n
halmic Assisfacility. Radioential facility,
facility for R
4.2 % CHCs
ce quarters,
. Pharmacises not have re
0 20 40
19.4
3
%
08 Certified Instof CHCs in Raja
accommodwhile 22.6% C
ity. e accommod
necologists,
. Vice-versa
ral Surgeonaff quarters,
acility.
only 19.4% C
ot have resid
stant, while
ographer of 1
while 80.6 C
Radiographer
s do not have
only 25.8% C
st/Compoundesidential faci
0 60 80 1
41.9
67.7
41.9
80
58.1
2.3
58.1
titution asthan
45
dation CHCs
dation
while
is the
ns i.e.
while
CHCs
dential
9.7%
19.4%
CHCs
r. Lab e this
CHCs
der of
lity.
100
0.6
No
Yes
c) AA
Majority o
facility for
have this
CHCs has
do not
Assistantdo not ha
only 3.2 C
of 96.8%
Ward b
Ancillary StafAssistant / Dat
of CHCs 80.5
r Registrationfacility. Amb
s residential f
have th
t/Data entry ave this facil
CHCs have th
do not have r
Dresser
boys / nursing orderly
Sweepers
Chowkidar
ff: (Ward boy
ta entry opera
5 %do not ha
n Clerk, while
bulance Drivfacility, while 8
his facility.
operator of 9
lity of reside
his facility.OPresidential fac
0 5
9.7
9.7
3
ys / nursing o
ator and Regi
ve residentia
e 6.5% CHCs
ver of 16.1%
83.9 % CHCs
Statistica96.8 % CHCs
nce quarters
PD Attendantcility.
0 100
61.3
41.9
90
38.7
58.1
90
%
rderly, Sweep
stration Clerk
M
re
C
C
C
Wh
3
Dfa
al
s
%
s
l s
,
t
0.3
0.3No
Yes
Statisticaent
A
R
No
Yes
SIHFW: An
pers, Chowki
k.
Majority of
esidential fac
CHCs have th
CHCs have re
CHCs do not
Ward boys/Nuave this facil
8.7 % CHC
Dressers of 9
acility.
OPD Attenda
al Assistant / Datry operator
Ambulance driv
Registration Cle
ISO 9001:200Analysis o
dar, OPD Att
CHCs 90.3%
ility for Chowhis facility. Swesidential fac
have this fac
ursing orderl
lity of residen
Cs do not h
90.3 % do no
0 20 4
ant
ata
ver
erk
3.2
3.2
16.
6.5
%
08 Certified Instof CHCs in Rajatendant, Stati
% do not
wkidar, while
weepers of 4
cility, while 58
cility for Swee
ly of 61.3 % C
nce quarters
have this fa
ot have resid
40 60 80 1
.18
80
titution asthan
46
stical,
have
9.7%
41.9%
8.1 %
epers.
CHCs
, only
acility.
dential
100
96.8
96.8
83.9
0.5
27. L
Facility
Box/Com87.1% CH
do not hav
77.4% C
utilities f
22.6% CH
Contracevitamin Aavailable
majority (
CHCs do
the entran
Promboards i/ Char
Regist
Phadisp
ocation:
of
mplaint Box HCs; remainin
ve these boxe
HCs have sfor male and
HCs do not h
eptives, OA and vaccin
at the entran
(90.3%) CHC
not provide t
nce of their C
minent display n local languagrter of Patient Rights
ration counter
armacy for druensing and drustorage
Suggestis available
ng 12.9% CH
es.
separate pubd female, wh
have this facil
ORS packenation facilitynce of CHCs
Cs, while 9.
hese facilities
HCs.
0
ge
rs
g ug
2
12.9
Pecentag
ion at
HCs
blic hile
lity.
ets, y is
s in
7%
s at
50
7
70
22.6
9
29.1
ge
Acont
packeVaccin
Separat
Sugge
100
77.4
87.1
0.9
No
Yes
Availability of raceptives, ORts, Vitamin A anation at entran
te public utiliti
estion / complabox
SIHFW: An
Pharmacy storage is a29.1% CHCs
Registrationmajority (87.
do not provid
Display Borights are p22.6% do no
0
RS and nce
es
aint
9.
1
Perce
ISO 9001:200Analysis o
for drug available at 7s do not have
n counter .1%) CHCs, w
de this facility
oards/ charpresent in 7ot provide this
50
7
22.6
12.9
entage
08 Certified Instof CHCs in Raja
dispensing 70.9% CHCs,
e this facility.
is availabl
while 12.9% C
y.
rter of pat77.4% CHCss facility.
10
9
77.4
87
N
Y
titution asthan
47
and while
e at
CHCs
ient’s s, rest
00
90.3
7.1
No
Yes
28. BAll the hea
incidence
paramedic
charging e
CHC. Ex
procedure
Jamwaram
ensures p
the entire
provision
desired se
VI. FurnitAs far as
trolley, iro
the 31 CH
CHC at ICHC at L
height me
(Jaisalme
facility an
Hindaunc
All the CH
VII. Quali
0
20
40
60
80
Percen
tage
Behavior of thad of CHCs r
of any sexua
cal. As far as
extra money
xaminations o
es conducted
mgarh (Jaipu
privacy and d
e duration an
to transfer th
ervice is avail
ture: the furniture
on bed, bed s
HCs.
ndergarh (BLalsot (Dausa
easuring stan
er), Sanchore
nd CHCS at
ity (Karauli),
HCs have wai
ty Control:
Yes
38.845.1
he CHC staffreported that t
al advances,
s the dishone
for any of the
on woman p
d under con
r) and Sanch
dignity. All the
nd if the hea
e patient imm
lable.
e facility is co
side locker, in
undi), don’t ), Chirawa (J
d. CHCs at N
(Jalore), Dag
Partapur (B
Makrana (Na
ting bench fo
No
61.2
External
AvailabilOperatin
f with the pattheir staffs’ be
oral or physic
esty is concer
e service prov
patients are
nditions that
hore (Jalore)
e patients wit
alth centre is
mediately with
oncerned exa
nstrument tray
have basicsJhunjhunu), K
Nimbahera (C
g (Jhalawar),
Banswara), L
gaur), Bali (P
r patients/ att
o
54.9
monitoring
lity of Standardng Procedures
tient: ehavior is cou
cal abuse, se
rned they res
vided, receipt
conducted
ensure priva
woman patie
th chronic illn
s unequipped
hout delay, wit
amination tab
y, chair, wood
s like salineKhamnore (Ra
Chittor), Lalso
, Makrana (N
Lalsot (Dausa
Pali) and Sheo
tendants exce
54.9%stand45.1%
Monito
38.8%
d
SIHFW: An
urteous with t
xual harassm
spond that the
t always give
in presence
acy, Except
ents are inter
nesses receiv
d to provide
th all the relev
le, delivery ta
den table and
stand, wheajsamand) an
ot (Dausa), Su
Nagaur), Bali
a), Pokran (J
oganj (Sirohi)
ept CHC Kisa
% CHCs dodard operati% CHCs have
oring is not a
% CHCs have
ISO 9001:200Analysis o
the patient an
ment by the do
ere is no cor
n for the mon
of a woma
CHCs at C
rviewed in an
ve adequate c
the services
vant papers,
able, stool fo
d mattress a
el chair, strend Sawai-.Ma
uratgarh (Gan
(Pali), and T
Jaisalmer), S
) have bed sid
angarhbas (Al
oesn’t haveing proced
e this facility.
available at 6
this facility.
08 Certified Instof CHCs in Raja
nd there wasn
octors or any
ruption in ter
ney charged
an attendant,
Chohtan (Bar
n environmen
care and drug
s needed, the
to a site whe
or patients, ox
are available
etcher on tradhopur don’t
nganagar), P
onk have Sid
Sanchore (Ja
de attendant
war).
e availabilitures, while
Facility of Ex
1.2% CHCs,
titution asthan
48
n’t any
other
rms of
at the
, and
rmer),
nt that
gs for
ere is
re the
xygen
at all
olley.
t have
okran
de rail
alore),
chair.
ty of only
xternal
while
0
10
20
30
40
50
60
70
80
90
Percen
tage
Yes
80.6
54.961.2
N
19.4
4
2
Cit
CoKaInt
o
45.138.8
tizen's charter
onstitution of Rlyan Samititernal monitor
Intern
38.8%
consti
don’t
CHCscitizen
Rogi
ing
SIHFW: An
al Monitoring
% CHCs, 54
itution of RM
have this c
s have citizen’s charter.
ISO 9001:200Analysis o
g Facility is
4.9% CHCs
MRS (RKS), w
constitution.
en’s charter,
08 Certified Instof CHCs in Raja
not availab
have copie
while 45.1% C
Majority (80while 19.4%
titution asthan
49
ble at
es of
CHCs
0.6%) don’t
Key PerfoAll the dis
analyzed
interventio
A) LAjme
42466 res
In 2007 Y
Gulabpura
For 2006(Bhilwara
200
400
600
800
1000
1200
No. OPD
Patients
ormance Indstricts from wh
in relation to
ons.
Load in OPDr Zone: Kekr
spectively.
Year, all thre
a (Bhilwara) &
6, the ambula
) and Makran
0
000
000
000
000
000
000
2009
1020964760246013
icators: here informat
o OPD, IPD,
: ri (Ajmer) Gula
ee CHC wer
& Makrana (N
atory care wa
na (Nagaur) re
2008
59234 41347
46013
42466
Y
tion was avail
, Surgeries,
abpura (Bhilw
re at par wit
Nagaur) CHCs
as offered to
espectively.
2007
386013433834264
Year
able are divid
Bed occupan
wara), Makran
th 38601, 34
s respectively
45252, 415
2006
452524158734957
AJMER
BHILWARA
NAGAUR
SIHFW: An
ded on the ba
ncy, Normal
na (Nagaur), a
No of OPFrom the
(Ajmer),
Makrana
kekri had
reference
patients w
CHC at G
(Nagaur)
in OPD, re
In the yeamaximum
while at
Makrana (
4338 and 34
y.
85 and 3495
ISO 9001:200Analysis o
asis of Zones
Delivery, and
and Tonk D patients information
Gulabpura
(Nagaur); it a
d maximum
years. In 2were attended
Gulabpura (Bh
had 47602 a
espectively.
ar 2008 also
at Kekri (Ajm
Gulabpura
(Nagaur) the
264 patients
57 at Kekri (A
08 Certified Instof CHCs in Raja
and the data
d Family Pla
available for
(Bhilwara)
appears that
load in al
009 year, 10
d in OPD at
hilwara) & Ma
and 46013 pa
, patient Load
mer) CHC (59
(Bhilwara)
load was 413
in Kekri (Aj
Ajmer), Gula
titution asthan
50
a were
anning
Kekri
and
CHC
ll the
02096
Kekri
krana
atients
d was
9234),
and
347 &
jmer),
bpura
Bikaner Z(Hanuman
No of OPAs eviden
case load
CHC fro
Dungarga
(Churu) a
had 9047
respective
In 2008
CHC had
Dungarga
were 786
dropped i
In 2007 Y
71961, 73
In 2006,
(Gangana
Bharatpu
0
20000
40000
60000
80000
No. of O
PD Patients
Zone: (Dunga
ngarh)). PD patients nt from the b
d was in Sura
m 2007 to
arh (Bikane
and Nohar (H
75, 92484 a
ely in their OP
year, Surat
d foot fall o
arh (Bikaner)
658, at Sarda
n the OPD.
Year, the loa
3968 respectiv
Sardarshah
agar) and Noh
ur Zone: Naga
0
0
0
0
0
2009
73686
argarh (Bikan
bar graph, m
atgarh (Gang
2009. For
er), Sarda
Hanumangarh
and 96869
PD.
tgarh (Gang
of 113094, w
no of OPD
arshahar (Ch
d was almos
vely, and for S
ar (Churu) C
har (Hanuman
ar (Bharatpur
2008
77492
Year
er), Sardarsh
aximum
ganagar)
r 2009,
arshahar
h) CHC
patients
ganagar)
while at
patients
uru) load wa
st the same f
Suratgarh (G
CHC has m
ngarh) CHCs
r), Hindauncit
No. of O
PD Patients
2007 20
6289068
BHAR
hahar (Churu)
as 80666 and
for Dungarga
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ISO 9001:200Analysis o
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other fac
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r
BIKANE
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titution asthan
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view ility.
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2006
1053
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0
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2009
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1430 13
464
BANSW
RAJASA
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0
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200
300
400
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600
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f Surgeries
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ISO 9001:200Analysis o
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008 2007
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ISO 9001:200Analysis o
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08 Certified Instof CHCs in Raja
for Kota zoned from 13.0
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24.523.17
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SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
71
S.No. Personnel
IPHS Norm
Availability (%)
Ajmer (Kekri)
Alwar (Kishangarhbas)
Banswara
(Garhi) Baran (Atru)
Barmer (Chohta
n)
Bharatpur
(Nagar)
Bhilwara (Gulabpu
ra)
Bikaner (Dungar
garh)
Bundi (Inderg
arh)
Chittorgarh(Nimbahera)
Churu(Sardarshahar)
Dausa (Lalsot
)
Dungarpur(Simalwara)
Ganganagar(Suratg
arh)
Hanumangarh(Nohar)
Jaipur(Jamwa Ramgar
h)
I. Services
Yes No
1.1. Specialist services available
a. Medicine
54.84%
45.16% Yes Yes Yes No Yes No No Yes No Yes Yes yes No No Yes Yes
b. Surgery 64.50%
35.50% Yes Yes Yes No No No No Yes Yes Yes Yes yes No Yes No Yes
c. OBG 48.40%
51.60% Yes Yes Yes No No Yes Yes No No Yes Yes Yes No No Yes No
d. Paediatrics 45.20%
54.80% No No No No Yes Yes No Yes No Yes Yes yes No Yes Yes No
e. Emergency services (24 Hours)
90.33%
9.67% Yes No Yes No Yes No Yes Yes Yes Yes Yes yes Yes Yes Yes Yes
f.
24 - hour delivery services including normal and assisted deliveries
93.50%
6.50% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes yes Yes Yes Yes Yes
g.
Emergency Obstetric Care including surgical interventions like Caesarean Sections and other medical interventions
45.20%
54.80% No Yes Yes No No Yes Yes No No Yes Yes No No Yes Yes No
h. New-born care 74.20%
25.80% Yes Yes Yes No Yes Yes No Yes Yes Yes Yes yes Yes Yes Yes No
i. Emergency care of sick children
64.50%
35.50% Yes Yes Yes No Yes No No Yes Yes Yes Yes yes No Yes Yes No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
72
j.
Full range of family planning services including Laproscopic Services
83.90%
16.10% Yes Yes Yes No No No Yes Yes Yes Yes Yes yes Yes Yes Yes yes
k. Safe abortion services
67.70%
32.30% Yes Yes Yes No No Yes Yes Yes No Yes Yes yes No Yes Yes Yes
l. Treatment of STI / RTI
93.50%
6.50% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes yes Yes Yes Yes yes
m.
Essential Laboratory Services (Specify the type of lab tests conducted)
83.90%
16.10% Yes Yes Yes No Yes No Yes Yes Yes Yes Yes yes Yes Yes yes
n. Blood storage facility
61.30%
38.70% Yes Yes Yes No Yes No Yes No No Yes Yes No No Yes Yes No
o. Referral transport service
67.80%
32.20% Yes Yes Yes No No No No Yes No Yes Yes yes Yes No Yes Yes
1.2.
Maternal and Child health
Service availability
a. Ante-natal Clinics 96.80
% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
b. Post-natal Clinics 93.60
% 6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
c. Immunization Sessions
96.80%
3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
1.3.
Availability of facilities for out-patient department in Gynecology/ obstetric
a.
Sign Board /Name plates to guide the clients
87.10%
12.90% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes
b. Adequate working space
93.60%
6.40% Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
73
c. Privacy during examination
93.60%
6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes
d. Facility for counselling
80.70%
19.30% Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes
e. Separate toilet with running water
90.40%
9.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No
f.
Facility for Starilizing instruments
96.80%
3.20%
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes
II. Manpower
A. Clinical Manpower Yes No
2.1. General Surgeon 1 61.30%
38.70% 1 1 1 1 0 0 0 1 1 1 1 0 0 1 0 1
2.2. Physician 1 51.60%
48.40% 2 0 1 0 1 0 1 1 0 0 1 1 0 2 1 1
2.3. Obstetrician / Gynaecologist 1 48.40
% 51.60
% 1 1 1 0 0 1 1 0 0 1 1 1 0 0 1 0
2.4. Paediatrics 1 45.20%
54.80% 0 0 0 0 1 1 0 1 0 1 1 1 0 1 1 0
2.5. Anaesthetist 1 25.80%
74.20% 1 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0
2.6. Public Health Programme Manager
1 3.20%
96.80%
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2.7. Eye Surgeon
1(1 for
every five
CHCs)
22.60%
77.40%
1 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0
2.8. General duty officers (Medical Officer)
6(at least
2 femal
e docto
rs) 77.40
% 22.60
%
8 4 0 1 1 0 3 1 0 2 0 2 2 4 1 3
B. Support Manpower
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
74
2.9. Nursing Staff
a. Public Health Nurse 1 35.30
% 64.70
% 0 1 0 0 1 1 0 0 0 1 0 1 0 0 0 0
b. ANM 1 67.70%
32.30% 4 1 4 Yes 1 1 0 1 1 1 0 1 1 2 2 1
c. Staff Nurse 15
70.90%
29.10% 0 2 5 0 1 0 14 9 1 0
7 0 3 4 0 10
d. Nurse/Midwife 54.80%
45.20% 25 2 7 Yes 1 2+4 0 0 1 0 1 4 10 11 0
2.10. Dresser 2 9.60%
90.40% 0 1 0 0 0 0 0 0 0 2 0 0 0 10 0 0
2.11. Pharmacist / compounder 3 93.54
% 6.46% 1 1 0 Yes 0 0 1 1 1 0 0 2 1 0 1 1
2.12 Lab. Technician 3 64.50%
35.50% 2 2 2 0 2 1 2 2 1 2 1 2 1 1 1 1
2.13. Radiographer 2 70.90%
29.10% 1 1 1 0 0 0 1 1 0 2 1 1 0 1 0 0
2.14. Ophthalmic Assistant 1 22.60
% 77.40
% 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0
2.15. Ward boys / nursing orderly 5 77.50
% 22.50
% 13 8 6 0 Yes 2 0 0 2 Yes 6 Yes 2 0 2 3
2.16. Sweepers 5 64.50%
35.50% 2 2 2 0 Yes 1 0 0 2 Yes 4 0 3 0 3 Yes
2.17. Chowkidar 5 9.60%
90.40% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
2.18. OPD Attendant 1 6.50%
93.50% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
2.19. Statistical Assistant / Data entry operator
2 22.60%
77.40% 1 0 2 0
0 1 0
0 1 0 0
0 1 0 1 0
2.20. Registration Clerk 2 25.80%
74.20% 0 0 0 0 0 0 0 0 1 Yes 0 0 1 0 Yes 0
III. Investigative Facilities
S.No
. IPHS Norm Yes No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
75
3.1. Availability of ECG facilities
87.10%
12.90% Yes Yes Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes
3.2. X-Ray facility 96.80%
3.20% Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes
3.3. Ultrasound facility 12.90%
87.10% No No No No No No No No No Yes No Yes No Yes No No
3.4. Lab test facilities 77.40%
22.60% Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes No
IV. Physical Infrastructure (As per specifications)
4.1. CHC location
Within Village Locality
90.40%
9.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes
4.2.
Prominent display boards in local
language / Charter of Patient Rights
77.40%
22.60% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes
4.3. Registration counters
87.10%
12.90% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
a. Pharmacy for drug
dispensing and drug storage
70.90%
29.10% Yes Yes No Yes Yes No Yes Yes Yes Yes No Yes No No Yes Yes
b.
Counter near entrance of
hospital to obtain contraceptives, ORS packets, Vitamin A and Vaccination
90.40%
9.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
4.4. Separate public utilities for males
and females
77.40%
22.60% Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes
4.5. Suggestion / complaint box
87.10%
12.90% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
4.6. OPD rooms / cubicles
93.50%
6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes
4.7. Adequate no. of windows in the
room for light and 87.10
% 12.90
% Yes Yes Yes Yes Yes Yes Yes Yes No Yes No yes Yes Yes Yes Yes
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
76
air in each room
4.8. Family Welfare Clinic
77.40%
22.60% Yes Yes Yes Yes Yes No Yes Yes Yes Yes No Yes Yes No No Yes
4.9. Waiting room for patients
77.40%
22.60% No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No
4.10. Emergency Room / Casualty
80.60%
19.40% Yes Yes Yes Yes Yes No Yes No Yes Yes No Yes No No Yes Yes
4.11. Separate wards for males and
females 93.50
% 6.50%
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes
4.12. Operation Theatre 96.80%
3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
4.13. Operaion Theatre Equipment
Boyles apparatus 87.10%
12.90% Yes Yes Yes Yes Yes yes Yes Yes No Yes Yes Yes Yes Yes No Yes
EMO Machine 16.20%
83.80% No No No No No No Yes No No Yes No Yes No No No No
Cardiac Monitor for OT
61.30%
38.70% No Yes Yes Yes No Yes Yes No No Yes Yes Yes Yes No Yes No
Defibrillator for OT 38.70%
61.30% No No No No No yes Yes No No Yes No Yes No Yes No No
Ventilator for OT 6.50%
93.50% No No No No No No No No No No No Yes No No No No
Horizontal High Pressure Sterilizer
61.30%
38.70% No No Yes Yes Yes No No No No No Yes Yes No Yes No No
Vertical High
Pressure sterilizer 2/3 drum capacity
77.40%
22.60%
Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes No No yes
Shadowless lamp
ceiling trak mounted
64.50%
35.50%
Yes Yes No Yes Yes No No No No Yes Yes Yes No Yes No Yes
Shadowless lamp pedestal for minor
OT 64.50
% 35.50
% No Yes Yes Yes Yes Yes Yes Yes No Yes No Yes No No No No
OT care / fumigation apparatus
80.60%
19.40%
Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
77
Gloves & dusting machines
41.90%
58.10% Yes Yes No No No No No No Yes Yes Yes NO Yes No No yes
Oxygen cylinder 660 Ltrs 10
cylinders for 1 Boyles Apparatus
54.80%
45.20% No 220 Lt No Yes Yes No No No Yes No No yes Yes No No Yes 9
Nitrous Oxide Cylinder 1780 Ltr. 8 for one Boyles
Apparatus
29.10%
70.90% No No No Yes Yes No No No No No No yes Yes No No No
Hydraulic Operation Table
74.20%
25.80% Yes Yes Yes Yes No Yes Yes Yes YES Yes Yes yes Yes Yes No Yes
4.14. Labour room 90.30%
9.70% Yes Yes Yes No Yes Yes Yes Yes Yes Yes no yes Yes Yes Yes Yes
4.15. Laboratory:
a. Laboratory 90.30%
9.70% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes
b.
adequate equipment and
chemicals available
87.10%
12.90%
Yes Yes Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes
c. laboratory
maintained in orderly manner
83.80%
16.20%
Yes Yes Yes No Yes Yes Yes Yes No Yes No Yes Yes Yes Yes Yes
4.16. Cold Chain
a. Walk-in coolers 38.70%
61.30% Yes No No No No No No No Yes Yes No Yes No Yes No No
b. Walk-in freezers available
48.40%
51.60% Yes No No No No No No No Yes Yes No Yes Yes Yes No No
c. Icelined freezers 87.10%
12.90% Yes Yes Yes No Yes No Yes Yes Yes Yes No Yes Yes Yes Yes Yes
d. Deep freezers 90.30%
9.70% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes
e. Refrigerators 83.90%
16.10% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes
4.17. Blood Storage Unit
58.10%
41.90% Yes Yes Yes No Yes No Yes No No Yes No Yes Yes Yes Yes No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
78
4.18. Water supply 96.80%
3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
4.19. Waste disposal 9.70%
90.30% No No No Yes No No No No No No Yes No No No No No
4.20. Electricity 93.50%
6.50% yes yes yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes yes
Standby facility (generator )
77.40%
22.60% Yes Yes Yes No No Yes Yes Yes No Yes Yes Yes yes yes yes yes
4.21. Telephone 93.60%
6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
4.22. Vehicles 64.50%
35.50% yes No Yes Yes No No yes Yes No Yes Yes Yes yes yes yes yes
4.23. Office room 80.60%
19.40% Yes Yes No Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No
4.24. Store room 80.60%
19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes Yes
4.25. Kitchen 22.60%
77.40% No No No No No No No No No No No No No No No NO
4.26. Residential facility for the staff with living condition
General Surgeon 45.20%
54.80% Yes Yes No Yes Yes No No No No No Yes Yes No Yes No No
Physician 45.20%
54.80% Yes Yes Yes Yes Yes No No Yes No No Yes Yes No Yes Yes No
Obstetrician / Gynaecologist
54.80%
45.20% Yes Yes Yes No Yes Yes Yes No No Yes No Yes No No Yes No
Paediatrics 22.60%
77.40% No No No No Yes Yes No yes No No Yes No No No No No
Anaesthetist 9.70%
90.30% No No No No No No No No No No No No No No Yes No
General Duty Medical Officer
48.40%
51.60% No No Yes Yes Yes No No Yes Yes No No No Yes Yes Yes No
Public Health Programme
Manager
6.50% 93.50
% No No No No No No No No No No No No No No No No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
79
Eye Surgeon 12.90%
87.10% Yes No No No No No No yes No No No No No Yes No No
Public Health Nurse
19.40%
80.60% No No No No No No No No No No No No No No No No
ANM 41.90%
58.10% No No No Yes Yes Yes No No Yes No No No No No No Yes
Staff Nurse 67.70%
32.30% No Yes Yes No Yes No Yes No Yes Yes Yes Yes Yes Yes Yes No
Nurse/Midwife 41.90%
58.10% Yes Yes No No Yes yes No No No No No No No Yes No No
Dresser 9.70%
90.30% No No No No No No No No Yes No No No No No No No
Pharmacist / compounder
16.10%
83.90% No No No Yes No No No No Yes No No No No No No No
Lab. Technician 25.80%
74.20% No No No No No Yes No No Yes No No No No No No No
Radiographer 19.40%
80.60% No No No No No No No No No Yes No No No No No No
Ophthalmic Assistant
9.70%
90.30% No No No Yes No No No No No Yes No No No No No No
Ward boys / nursing orderly
61.30%
38.70% Yes Yes No Yes Yes Yes No No Yes Yes No Yes Yes No No No
Sweepers 41.90%
58.10% No No No No Yes No No No Yes Yes Yes No Yes No Yes No
Chowkidar 9.70%
90.30% No No No No No No No No No No No No No No No No
OPD Attendant 3.20%
96.80% No No No No No No No No No No No No No No No No
Statistical
Assistant / Data entry operator
3.20% 96.80
% No No No Yes No No No No Yes No No No No No No No
Ambulance driver 16.10%
83.90% No No No Yes No No No No Yes Yes No No No No No No
Registration Clerk 19.40%
80.60% No No No No No No No No Yes No No No No No No No
V. Quality Control
Yes
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
80
5.1. Citizen's charter
80.60%
19.40% Yes Yes Yes No Yes Yes No Yes No No Yes Yes Yes Yes Yes Yes
5.2. Internal monitoring 61.20%
38.80%
Yes Yes No No Yes
No No Yes No Yes No No No Yes No Yes
5.3. External monitoring
38.80%
61.20%
No No No No No No No Yes No Yes No No No No Yes Yes
5.4. Availability of Standard Operating Procedures (SOP)
45.10%
54.90%
No No Yes No No Yes No Yes No No No Yes No No No Yes
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
81
S.No. Personnel IPHS
Norm Availability (%) Jaisalmer(Pokara
n)
Jalor(Sanchor
e)
Jhalawar(D
ag)
Jhunjhunu(Chirawa)
Jodhpur(Phalod
i)
Karauli(Hindauncit
y)
Kota(Sultanp
ur)
Nagaur(Makaran
a)
Pali(Bali)
Rajsamand(Khamnore
)
S.Madhopur(Gangapur city)
Sikar(Neem
ka thana)
Sirohi(Sheog
anj) Tonk
Udaipur(Kurabad)
I. Services Yes No 1.1. Specialist services available
a. Medicine
54.84% 45.16% Yes No No Yes Yes No No Yes No Yes Yes Yes No No No b. Surgery 64.50% 35.50% Yes No Yes Yes Yes Yes No Yes Yes Yes Yes Yes No No No c. OBG 48.40% 51.60% Yes No Yes Yes No No No No Yes No Yes Yes Yes No No d. Paediatrics 45.20% 54.80% Yes No Yes Yes No Yes No Yes No No Yes Yes No No No e. Emergency services (24 Hours) 90.33% 9.67% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
f. 24 - hour delivery services including normal and assisted deliveries 93.50% 6.50% Yes Yes yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
g. Emergency Obstetric Care including surgical interventions like Caesarean Sections and other medical interventions
45.20% 54.80% Yes No No Yes No No No No Yes No Yes Yes Yes No No
h. New-born care 74.20% 25.80% Yes Yes No Yes No Yes Yes Yes No No Yes Yes Yes No Yes i. Emergency care of sick children 64.50% 35.50% Yes No No Yes No Yes Yes Yes No No Yes Yes Yes No Yes
j. Full range of family planning services including Laproscopic Services 83.90% 16.10% Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No yes
k. Safe abortion services 67.70% 32.30% Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes l. Treatment of STI / RTI 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
m. Essential Laboratory Services (Specify the type of lab tests conducted) 83.90% 16.10% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes
n. Blood storage facility 61.30% 38.70% Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes No No No
o. Referral transport service 67.80% 32.20% Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No No No
1.2.
Maternal and Child health Service availability
Yes
a. Ante-natal Clinics 96.80% 3.20%
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
82
b. Post-natal Clinics 93.60% 6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes
c. Immunization Sessions 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
1.3. Availability of facilities for out-patient department in Gynecology/ obstetric
a. Sign Board /Name plates to guide the clients 87.10% 12.90% Yes Yes Yes No Yes Yes Yes Yes Yes No Yes Yes Yes Yes No
b. Adequate working space 93.60% 6.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes c. Privacy during examination 93.60% 6.40% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes d. Facility for counselling 80.70% 19.30% Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes No No Yes e. Separate toilet with running water 90.40% 9.60% No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
f. Facility for Starilizing instruments 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
II. Manpower A. Clinical Manpower Yes No
2.1. General Surgeon 1 61.30% 38.70% 0 0 2 1 1 1 0 1 1 0 1 1 2 0 0 2.2. Physician 1 51.60% 48.40% 1 0 0 1 1 0 0 0 0 0 1 1 2 0 0 2.3. Obstetrician / Gynaecologist 1 48.40% 51.60% 1 0 0 1 0 0 0 0 1 0 1 1 1 0 0 2.4. Paediatrics 1 45.20% 54.80% 1 0 0 1 0 1 0 1 0 0 0 1 1 0 0 2.5. Anaesthetist 1 25.80% 74.20% 0 0 0 0 1 0 0 0 1 0 0 1 1 0 0 2.6. Public Health Programme Manager 1 3.20% 96.80% 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0
2.7. Eye Surgeon
1(1 for every five
CHCs) 22.60% 77.40%
0 0 0 0 1 1 0 0 1 0 0 0 0 0 0
2.8. General duty officers (Medical Officer)
6(at least
2 femal
e doctor
s) 77.40% 22.60%
2 2 1 3 1 7 1 3 3 0 4 4 0 0 3 M.O.
B. Support Manpower 2.9. Nursing Staff
a. Public Health Nurse 1 35.30% 64.70% 1 0 0 0 1 1 0 0 1 0 Yes 3 0 0 0
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
83
b. ANM 1 67.70% 32.30% 3 2 1 3 1 2 0 1 2 1 Yes 4 1 0 0 c. Staff Nurse
15 70.90% 29.10% 0 6 0 4 7 1 3 7 18
3 Yes 3 7 0 6 d. Nurse/Midwife 54.80% 45.20% 0 0 1 0 0 0 1 0 2 Yes 18 0 0 7
2.10. Dresser 2 9.60% 90.40% 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.11. Pharmacist / compounder 3 93.54% 6.46% 1 1 0 1 1 1 0 1 1 0 Yes 1 0 0 1 2.12 Lab. Technician 3 64.50% 35.50% 2 1+1 1 2 1 1 2 1 2 1 Yes 1 1 0 1 2.13. Radiographer 2 70.90% 29.10% 1 1 1 2 0 1 1 1 1 1 Yes 2 1 0 1 2.14. Ophthalmic Assistant 1 22.60% 77.40% 1 0 0 0 0 1 0 0 0 0 Yes 1 0 0 0 2.15. Ward boys / nursing orderly 5 77.50% 22.50% 2 4 2 1 0 0 Yes 3 Yes 3 Yes 2 3 0 Yes 2.16. Sweepers 5 64.50% 35.50% 0 3 1 0 Yes 0 0 1 Yes 1 Yes No 1 0 Yes 2.17. Chowkidar 5 9.60% 90.40% Yes 0 0 0 Yes 0 0 0 0 0 0 0 0 0 0 2.18. OPD Attendant 1 6.50% 93.50% Yes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.19. Statistical Assistant / Data entry operator 2 22.60% 77.40% Yes 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.20. Registration Clerk 2 25.80% 74.20% Yes 1 0 0 yes 0 0 1 0 0 0 0 0 0 0 III. Investigative Facilities S.No. IPHS Norm
Yes No 3.1. Availability of ECG facilities 87.10% 12.90% Yes Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes 3.2. X-Ray facility 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes 3.3. Ultrasound facility 12.90% 87.10% No No No No Yes No No No No No No No No No No 3.4. Lab test facilities 77.40% 22.60% Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes Yes
IV. Physical Infrastructure (As per specifications) 4.1. CHC location
Within Village Locality 90.40% 9.60% Yes Yes Yes yes Yes No Yes No Yes yes Yes Yes Yes yes Yes
4.2. Prominent display boards in local language / Charter of Patient Rights 77.40% 22.60% No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes No No No
4.3. Registration counters 87.10% 12.90% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No
a. Pharmacy for drug dispensing and drug storage 70.90% 29.10% Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes No No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
84
b. Counter near entrance of hospital to obtain contraceptives, ORS packets,
Vitamin A and Vaccination 90.40% 9.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No
4.4. Separate public utilities for males and females 77.40% 22.60% Yes Yes Yes Yes No Yes Yes Yes Yes No Yes No Yes No No
4.5. Suggestion / complaint box 87.10% 12.90% Yes Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No No No 4.6. OPD rooms / cubicles 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
4.7. Adequate no. of windows in the room for light and air in each room 87.10% 12.90%
Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes No Yes
4.8. Family Welfare Clinic 77.40% 22.60% Yes No Yes Yes Yes Yes No Yes Yes Yes Yes Yes Yes No Yes
4.9. Waiting room for patients 77.40% 22.60% Yes Yes Yes Yes No Yes Yes Yes Yes No Yes Yes No No Yes 4.10. Emergency Room / Casualty 80.60% 19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.11. Separate wards for males and females 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.12. Operation Theatre 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.13. Operaion Theatre Equipment
Boyles apparatus 87.10% 12.90% Yes Yes Yes yes Yes Yes Yes No Yes Yes Yes Yes Yes No Yes EMO Machine 16.20% 83.80% No No No No No No No yes No No No Yes No No No Cardiac Monitor for OT 61.30% 38.70% Yes No Yes No Yes Yes No yes Yes Yes Yes Yes No No No Defibrillator for OT 38.70% 61.30% Yes Yes Yes No Yes Yes No No Yes No No yes No No No Ventilator for OT 6.50% 93.50% Yes No No No No No No No No No No No No No No Horizontal High Pressure Sterilizer 61.30% 38.70% No No No Yes Yes Yes Yes Yes No No Yes No No No No
Vertical High Pressure sterilizer 2/3 drum capacity 77.40% 22.60%
Yes Yes Yes No No Yes Yes Yes Yes No Yes Yes Yes No Yes
Shadowless lamp ceiling trak mounted 64.50% 35.50% Yes Yes No Yes Yes Yes Yes Yes Yes No Yes Yes Yes No No Shadowless lamp pedestal for minor OT 64.50% 35.50% Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes Yes No Yes OT care / fumigation apparatus 80.60% 19.40% Yes Yes No Yes Yes Yes Yes Yes Yes YES Yes Yes Yes No No Gloves & dusting machines 41.90% 58.10% Yes Yes No No No Yes No Yes Yes No Yes No No No No
Oxygen cylinder 660 Ltrs 10 cylinders for 1 Boyles Apparatus 54.80% 45.20% Yes Yes Yes 1 Yes Yes Yes No Yes No No No Yes No Yes
Nitrous Oxide Cylinder 1780 Ltr. 8 for one Boyles Apparatus 29.10% 70.90% No No Yes No No Yes No No Yes No Yes No Yes No No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
85
Hydraulic Operation Table 74.20% 25.80% Yes Yes No 2 Yes Yes No No Yes No Yes yes No No Yes 4.14. Labour room 90.30% 9.70% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.15. Laboratory:
a. Laboratory 90.30% 9.70% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
b. adequate equipment and chemicals available 87.10% 12.90% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes
c. laboratory maintained in orderly manner 83.80% 16.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes 4.16. Cold Chain
a. Walk-in coolers 38.70% 61.30% Yes No No Yes Yes yes No No Yes No Yes Yes No No No b. Walk-in freezers available 48.40% 51.60% Yes No No Yes Yes yes No No Yes No Yes Yes Yes No Yes c. Icelined freezers 87.10% 12.90% Yes Yes Yes Yes Yes yes Yes No Yes Yes Yes Yes Yes Yes Yes d. Deep freezers 90.30% 9.70% Yes Yes Yes Yes Yes yes Yes Yes Yes Yes Yes Yes Yes No Yes e. Refrigerators 83.90% 16.10% Yes Yes Yes Yes Yes yes Yes Yes Yes No Yes Yes No yes Yes
4.17. Blood Storage Unit 58.10% 41.90% Yes Yes No Yes yes yes No No Yes No Yes Yes No No No
4.18. Water supply 96.80% 3.20% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
4.19. Waste disposal 9.70% 90.30% No No No No No Yes No No No No No No No No No
4.20. Electricity 93.50% 6.50% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes
Standby facility (generator )
77.40% 22.60% Yes Yes Yes Yes Yes Yes Yes Yes Yes No No Yes Yes No Yes
4.21. Telephone 93.60% 6.40% Yes Yes Yes No Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes 4.22. Vehicles 64.50% 35.50% Yes No Yes No Yes Yes Yes No Yes No No Yes Yes No No 4.23. Office room 80.60% 19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes 4.24. Store room 80.60% 19.40% Yes Yes Yes Yes No Yes No Yes Yes No Yes Yes Yes No Yes 4.25. Kitchen 22.60% 77.40% No Yes No No No No Yes Yes No No No No No No No
4.26. Residential facility for the staff with living condition
General Surgeon 45.20% 54.80% No Yes Yes Yes Yes Yes No No Yes No No Yes No No No Physician 45.20% 54.80% No Yes No Yes Yes No No No No No No Yes No No No Obstetrician / Gynaecologist 54.80% 45.20% Yes No Yes Yes No Yes No yes Yes No Yes Yes No No No Paediatrics 22.60% 77.40% Yes No No Yes No Yes No No No No No No No No No
SIHFW: An ISO 9001:2008 Certified Institution Analysis of CHCs in Rajasthan
86
*Total no of CHC =31
Anaesthetist 9.70% 90.30% No No No No No No No No No No No Yes No No Yes General Duty Medical Officer 48.40% 51.60% Yes Yes Yes No Yes No Yes Yes No Yes No No No No No Public Health Programme Manager 6.50% 93.50% No No No No Yes No No No No No Yes No No No No Eye Surgeon 12.90% 87.10% No No No No No No No No Yes No No No No No No Public Health Nurse 19.40% 80.60% Yes Yes No No Yes No No No Yes No Yes No No No Yes ANM 41.90% 58.10% Yes No Yes No Yes Yes No No Yes Yes Yes No No No Yes Staff Nurse 67.70% 32.30% Yes Yes No Yes Yes Yes No Yes Yes No Yes Yes No No Yes Nurse/Midwife 41.90% 58.10% No Yes Yes No Yes No Yes Yes Yes No Yes No Yes No No Dresser 9.70% 90.30% No No No No Yes No No No No No No No No No Yes Pharmacist / compounder 16.10% 83.90% Yes No No No No No No No No No Yes No No No Yes Lab. Technician 25.80% 74.20% Yes No Yes No Yes No No No Yes No Yes No No No Yes Radiographer 19.40% 80.60% Yes No Yes No Yes No No No Yes No Yes No No No No Ophthalmic Assistant 9.70% 90.30% Yes No No No No No No No No No No No No No No Ward boys / nursing orderly 61.30% 38.70% Yes Yes Yes Yes No No No No Yes Yes Yes Yes Yes No Yes Sweepers 41.90% 58.10% yes Yes Yes No No No No No Yes No Yes No Yes No Yes Chowkidar 9.70% 90.30% No Yes No No Yes No No Yes No No No No No No No OPD Attendant 3.20% 96.80% No No No No Yes No No No No No No No No No No Statistical Assistant / Data entry operator 3.20% 96.80% No No No No No No No No No No No No No No No Ambulance driver 16.10% 83.90% Yes No Yes No No No No No No Yes No No No No No Registration Clerk 19.40% 80.60% Yes No No No No No No No No No No No No No No
V. Quality Control 5.1. Citizen's charter
80.60% 19.40% Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No Yes Yes No Yes
5.2. Internal monitoring 61.20% 38.80%
Yes Yes Yes Yes Yes Yes No Yes Yes Yes No Yes Yes No No
5.3. External monitoring 38.80% 61.20%
Yes Yes Yes No Yes No Yes Yes Yes Yes No No No No No
5.4. Availability of Standard Operating Procedures (SOP) 45.10% 54.90% Yes Yes Yes No No Yes Yes Yes Yes No No No No No No