Annual Report - National Human Rights Commission

Annexure 8
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b. Equipment and infrastructure backup should be available in dispensaries and PHCs
including laboratory support and emergency backup services.
c. Vacant posts of personnel should be filled up, their allocation rationalized and regular
attendance and performance ensured.
d. The Maternal & Child Welfare Centres and Family Welfare Centres should provide
full range of primary gynaecologic and paediatric services.
e. The sub-centre network should be expanded in rural areas that should be linked to the
respective PHCs.
f. Public health programmes and personnel need to be reorganized/restructured and
these institutions need to integrate with the local curative institutions.
g. Involvement of local communities (through Local Health Committees, for example) in
local level planning and implementation of services; the departments of health, water,
sanitation and social welfare should be involved and accountable to these local
committees.
3. Secondary Level Hospitals:
a. 100 bedded hospitals and 30/40 bedded colony hospitals should have full range of
secondary level services operational from its inception; hospitals like Sanjay Gandhi
Hospital, Mangolpuri took more than 10 years to develop all services – the present
new hospitals are in a similar state.
b. The secondary level institutions should be linked with the local primary level
institutions with a proper referral mechanism.
c. Secondary level speciality services and requisite equipment and supplies should be
available.
d. Rational prescribing practices should be implemented.
e. Special emphasis needs to be given on environmental and occupational health problems
4. Tertiary Level Hospitals (all agencies):
a. The above measures will decrease unnecessary overload at this level.
b. Adequate supply of drugs and supplies, based on rational drug formularies, should be
available.
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