FACILITIES AVAILABLE AT HEALTH SUB CENTRES AFTER LAUNCH OF NRHM. A COMPARATIVE STUDY.

Background: Sub centre is the first contact between community and the health care provider. Since then ten years had been passed with the launch of National Rural Health Mission(NRHM), many changes has been seen regarding infrastructure, equipment, supplies etc. This study is done to assess the facilities available at health sub–centre as per Indian Public Health Standard (IPHS) after launch of NRHM and to compare the same between two blocks of different districts. Material and methods: Main objectives of this study were to assess the availability of manpower, physical infrastructure and services availability at sub- centers as per Indian Public Health Standard (IPHS) and to compare between two blocks of Kashmir divisions one rural block (Leh) and one urban block (Hazratbal). It was a health facility based cross-sectional study. Two stage sampling technique was used to draw the sample. Results: Almost all parameters were comparable between both blocks except for few parameters. Services like ANC registration, immunization, JSY, promotion of sanitation, field visit and treatment of minor ailments, it has been found that the coverage in all sub-centre’s were satisfactory. On other hand services like conducting delivery, intranatal care, postnatal care, and referral of high risk pregnancies were very poor in most of sub-centre in both blocks. ASHA training and supervision of work of ASHA was satisfactory. Adequate FMPHW were seen in both blocks, but gaps were seen in male health workers and voluntary workers. Most of sub centre’s were designated government building and within the villages, but gaps were seen in continuous electricity and water supply in most of sub-centre. Gaps were also seen in internal and external monitoring of sub-centres.