Eleventh Five Year Plan

64 Eleventh Five Year Plan90807060504034465865778388 9030201059122001994–951995–961996–971997–981998–991999–20002000–012001–022002–032003–042004–052005–06Source: Annual Report, MoHFW (2006–07).FIGURE 3.1.7: Percentage of Cataract Surgeries with IOLHealth Care Infrastructure and HumanResources: The Gaps3.1.28 To address the gaps in health infrastructure andhuman resources, the National Rural Health Mission(NRHM) was launched on 12 April 2005. A genericpublic health delivery system envisioned underNRHM from the village to block level is illustrated inFigure 3.1.8.3.1.29 The details of existing and required physicalinfrastructure have been provided in Table 3.1.5. Maximumshortage at the Community Health Centres(CHCs) level is adversely affecting the secondary healthcare and linkages.3.1.30 Availability of appropriate and adequatelytrained human resources is an essential concomitantof Rural Health Infrastructure. The present position,requirement, and shortfall regarding public health carehuman resources have been shown in Table 3.1.6.Across rural areas, there are considerable shortfalls plusa large number of vacant positions of doctors, nurses,and paramedical personnel. There is also wide variationin number of persons served by a specialist in ruralareas (Figure 3.1.9). Despite the existing shortages,whatever few formally trained and qualified doctorsare available, are mainly through the public healthcare system. A large proportion of population visitsprivate providers for their health care needs. Thechallenge is to resolve these problems and providethe poor access to subsidized or free public healthservices.3.1.31 During the last few years there has been a greatchange in the availability of secondary and tertiaryhealth care facilities in the country. Number ofgovernment hospitals increased from 4571 in 2000 to7663 in 2006, that is, an increase of 67.6%. Number ofbeds in these hospitals increased from 430539to 492698, that is, an increase of 14.4%. Currentfigures are not available on number of private andNGO hospitals as well as on human resources in theTABLE 3.1.5Shortfall in Health Infrastructure—All IndiaAs per 2001 Population Required Existing Shortfall % ShortfallSub-Centres 158792 144998 20903 13.16PHCs 026022 022669 04803 18.46CHCs 006491 003910 02653 40.87Notes: All India shortfall is derived by adding State-wise figures of shortfall ignoring the existing surplus in some ofthe States.Source: Bulletin of Rural Health Statistics in India, Special Revised Edition, MOHFW, GoI (2006).