Public health system in India suffers from many problems which includes insufficient funding, shortage of facilities leading to overcrowding and severe shortage of trained health personnel. There is also lack of accountability in the public health delivery mechanisms. These are some of the reasons which have placed India at the lowest rank in the Human Development Index.
India however holds top position in migration of physicians to developed countries like UK and the US. According to Planning Commission the country has a shortfall of six lakh doctors, 10 lakh nurses and two lakh dental surgeons. This has led to a dismal patient-doctor ratio in the country. For every 10,000 Indians, there is just one doctor.
The much publicized National Urban Health Mission is yet to see the light of day. The scheme plans to monitor and improve the health of 22 crore people living in urban slums in 429 cities and towns. It was to be launched mid 2008 but the mission is yet to become functional.NURM is aimed at providing accessible, affordable, effective and reliable primary health care facilities especially to urban poor. Even for NHRM there is limited progress due to lack of standardization of medical facilities.
India has banned tobacco consumption in public places but only 12 states have started implementing the ban. More than 10 lakh people at present die in India every year due to tobacco consumption. At present more than 57% male and 10.9% female consume tobacco while 15% children consume tobacco.
Female feticide continues to tarnish India’s image.The child sex ratio (0-6 years) was 945 (1991 census) and this declined to 927 girls per thousand boys (in 2001 census).The figures are alarming in prosperous states like Punjab(798),Haryana (819),Chandigarh (845),Delhi (868),Gujarat (883) and Himachal Pradesh (896).
| Number of PHCs,CHC and SCs | |||
| Year | CHC | PHC | SC |
| 2007 | 4,045 | 22,370 | 1, 45,272 |
| Infant Mortality Rate | |||
| Year | Rural | Urban | Total |
| 2007 | 61 | 37 | 55 |
| Number of Health Care Workers | ||||
| Year | Doctors at PHCs | Specialists at PHC | Health workers | Health workers |
| Male | Female | |||
| 2007 | 22,608 | 5,117 | 62,881 | 1, 47,439 |
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