If the pictures of patients lying on the hospital floor or pharmacists treating them are a dozen in rural Odisha, here’s a reality check of Odisha’s main secondary health centers – the county hospitals.
In Odisha, medium-sized district hospitals only have 18 functional beds per 1 lakh population, while the Indian Public Health Standard (IPHS) requires 22 per lakh population. Similarly, the number of major county hospitals in the state is 21 per lakh. The national average in both categories is 23 and 33 per lakh population, respectively.
Less than a third of Odisha district hospitals only have 22 functional beds per lakh. Among the big states, Karnataka did well to top the list.
Such dire testimony from Odisha district hospitals was brought to the fore by a NITI Aayog report released today.
Less bed impact
According to IPHS standards, a district hospital should have at least 22 functional beds per lakh population in order to guarantee an annual total bed occupancy of 80 percent.
In Odisha, the annual bed occupancy rate in the state in small district hospitals was only 65 percent due to the lack of beds, compared to the requirement of 90 percent.
Likewise, it is only 69 percent in medium-sized district hospitals and around 64 percent in large district hospitals in Odisha.
Shortage of doctors in district hospitals
Contrary to the norm of 29 doctors per 100 beds, Odisha only has about 19. Similarly, if 45 nurses are needed per 100 beds, the state has nearly 40 nurses in district hospitals. The report says that the use of paramedics is good in small hospitals.
In hospitals with 200 beds, doctors in Odisha were around 28 per 100 beds versus the IPHS standard of 34. If the standard also requires 90 nurses to be employed, Odisha gets by with only 43.
Also in district hospitals with a bed size of more than 300 but less than or equal to 400 beds, the shortage of doctors needed and in position was high. Nursing care is poor in the county hospitals, the report shows.
Overall, according to the Niti Report, only 8 district hospitals, or only 25 percent of those hospitals, have employed doctors in accordance with IPHS standards. Karnataka is at the top with 45 percent.
The Niti report rated Balangir and Mayurbhanj DHH as good because they exceeded IPHS standards and ranked number 2 and 3 in medium-sized hospitals in the country.
The result: a doctor can treat 34 patients at the OPD in just 2 DHHs. Only 2 meet the IPHS standard.
According to the report, only 3 percent of the district hospitals in Odisha 14 were able to provide patient support services such as water supply, diet services, hospital transport (ambulance), medicines and pharmacy, etc. Bengal.
Odisha District Hospital was only able to offer 10 support services to patients, compared with 14 such services.
Reality of the ground: a few Years ago, the episode of Dana Majhi chasing the streets to his village by shouldering his wife’s body hit national headlines. The place was the Kalahandi District Hospital.
Specialized treatment in Odisha hospitals
When it comes to offering 14 specialized core treatments ranging from general medicine to radiology, only 5 percent of Odisha district hospitals offer it. The state is lagging behind West Bengal and Andhra Pradesh. Tamil Nadu tops the list in providing specialized core services. Only 11 such services are available in Odisha DHs.
Balangir DHH ranks second in the country’s medium-sized hospitals. It offers all 14 services.
Diagnostic services in Odisha
Although the Naveen Patnaik cited the government’s claim that all diagnostic services are provided free of charge in DHHs, the Niti report sticks out the claim.
The report finds that only 21 DHHs across the country offer all diagnostic services. And none of Odisha made it onto the list. Andhra Pradesh and Rajasthan are ahead.
Odisha DHHs only offer 9 diagnostic services to visiting patients against the requirement of 14.
Blood banks in red
Although blood donation camps dominate the political landscape of Odisha, the state is doing badly when it comes to supplying patients with blood.
According to the Niti report, the blood replacement rate in Odisha is high at 38 units. Haryana tops the list of major states as the blood replacement rate is only 2 units per year.