Annual Report - National Human Rights Commission

Annexure 8
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c. Internal medical audit mechanisms should be instituted.
5. With strengthening of these three levels we should be able to ensure that social security
services like CGHS, Railways and ESIC should not be sending their patients to private
corporate institutions.
6. a. Reporting of notifiable diseases and medical certification of deaths should be strictly
implemented by all institutions (government and private) and private practitioners.
b. Public should have access to information about availability of services at each level,
availability of beds at a point of time; other linkages like networking of blood banks
are also necessary.
7. a. Independent monitoring of health services through social audit:
b. Grievance redressal mechanisms within each agency providing public health services.
8. There are 4 state level medical colleges and one national apex institute (AIIMS). There
should not be any more increase in medical colleges. The content of medical education
needs to be appropriate for operationlizing the public health services as detailed above –
including training for managerial roles, a public health perspective and rational therapeutics.
Training of field workers need to be strengthened.
Recommendations for Health Services in Himachal Pradesh
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Rationalization of staff
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Filling up of all vacant posts
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Contract system be abolished
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Free diagnostic tests and no user charges
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Each PHC should have a lady doctor
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Per Diem system for different trainings be removed
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Incentive for trained birth attendant for promoting safe deliveries
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Basic facilities at sub centre level be ensured
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