Assessment of available health services as per Indian public health standards at sub-centers of Vadodara district of middle Gujarat, India

ABSTRACT

Background: Setting standards are a dynamic process. To provide quality care at sub-centers (SC), Indian Public Health Standards (IPHS) standards are prescribed by Government of India. Objective: The objective of the study was to assess the availability of health services provided by SCs of Vadodara district. Materials and Methods: It was a cross-sectional study carried out at SCs of Primary Health Centres (PHCs) using IPHS standards as a checklist. The assessment was made by visiting 40 SCs of Vadodara district in Gujarat by a single observer. Descriptive statistics were used to present data. Results: About 36 (90%) of the SCs were located within the village and 38 (95%) SCs were easily accessible. The median distance of SC from PHC was 6 km. About 72.5% of SCs were having designated government building. About 52.5% SCs had a residential facility for frontline health workers. Availability for most of the drugs was very poor (below 25% age). Records of oral contraceptive pills usages were available in 34 (85%) of the SCs. The antenatal care services were improved by up to 25% in 10 SCs, while it was decreased to 25% in 13 SCs. Conclusion: The gaps existed in the availability of facilities and its standards at sub-centers. The availability of physical infrastructure and furniture was poor. There was worsening of the performance indicators in the majority of the components as compared to previous year records.