Despite 4 years of clean India, 38% of government hospitals in rural India are still without staff toilets

 Despite 4 years of clean India, 38% of government hospitals in rural India are still without staff toilets

When Prime Minister Narendra Modi launched Swachh Bharat Mission (Swachh Bharat Mission) on 2 October 2014, he said that it aims to improve the cleanliness of India. Apart from general sanitation, PM Modi emphasized on the construction of toilets, stating that about 60 percent of people in rural India were still defecating in the open. He called the practice a "blot" that India should clean up on its own.

Since then, the government has reiterated the Swachh Bharat Mission as one of its successes.

But, while the government may pat itself with its claim of building more than 9.5 crore toilets across India since 2014, an analysis of the latest data on rural health infrastructure shows that 38 percent of government in rural India There are no health centers. There is a toilet for its employees.

This data is presented by Union Health Minister Dr. Accessed by Harshavardhan's written reply in Lok Sabha on 22 November, which in turn is based on 'Rural Health Statistics 2018', a report prepared by the central government.

In 10 states and three union territories, more than 50 percent of government health centers in rural areas are without staff toilets. These include large states like Telangana, Rajasthan, Gujarat, West Bengal and Madhya Pradesh.

These health centers include sub centers, primary health centers (PHCs) and community health centers (CHCs) - the backbone of India's public health services.

If we break this figure, we find that as of March 31, 2018, at least 60 percent of sub-centers, 18 percent of PHCs and 12 percent of CHCs in India were without staff toilets.

Sub-centers are the smallest units in India's rural health infrastructure. They are under the charge of an ANM (assistant nurse midwife) and have been set up to ensure availability of last mile trained medical services in rural areas. They provide all primary health services.
A PHC on the other hand is a government hospital that serves as the first contact point with the local community and usually caters to about 25 villages. It is subjected to a qualified MBBS physician, who is assisted by pharmacists, 4-5 nurses and other medical staff. PHC treats patients with regular illness and is also equipped to handle delivery cases, organize sterilization camps, etc.
Meanwhile, a CHC is a very large hospital, which usually has 30 beds and 5 medical specialists, including a surgeon and more than 10 nurses. There are around 120 villages in a CHC.

States: work and go bad

Talking about toilet facilities in health centers, Telangana is the worst in major states. There are 4,744 sub-centers in rural areas in the state and none of them have employee toilets. Overall, 86 percent of government health centers in rural Telangana do not have such toilets. (The overall figure includes data from PHCs and CHCs.)

The situation in Telangana is completely opposite to its parent state Andhra Pradesh, where all 7,458 sub-centers have toilets. Not only this, all the PHCs and CHCs of Andhra Pradesh are also equipped with such toilets.

During the campaign for a separate Telangana state, Telangana leaders alleged that the region was neglected and faced discrimination that affected their progress.

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