Ahmedabad, August 10: Even after two decades, acronym ‘BIMARU’ used to define underdevelopment and poor social indices in Bihar, Madhya Pradesh, Rajasthan and Uttar Pradesh seems to ring true as a recently published study by IIM Ahmedabad has picked holes in the healthcare facilities provided by the states.
The study by Indian Institute of Management (IIM) mainly discusses aspects of infrastructure, manpower and operational challenges faced in effective provisioning of specialist services through rural health facilities in these states. “The findings reveal significant dearth of specialist doctors with their concentration at the district level,” said the study done by assistant professor Shreekant Iyenger at Institute of Law in Nirma University and Ravibndra Dholakiya, professor of economics at IIM-Ahmedabad.
“Moreover, there are severe misallocations of the specialist doctors and lack of manpower support, equipment and basic infrastructure within the public health system causing serious challenges in effective provisioning of specialist services for maternal and child healthcare,” said the study. It pointed out that the efforts made by the government for providing additional manpower support for these services are also not giving desired results. One area where the BIMARU states lag significantly is availability of all four specialists including Gynaecologist, Paediatricians, Surgeons and Physicians at Community Health Centres (CHCs) or district hospitals (DHs).
“While it is observed that Bihar (34.3 per cent) has a relatively greater proportion of such CHCs, all other states like Rajasthan (8.3 per cent), MP (1.2 per cent) and UP (one per cent) perform quite poor in terms of presence of all four specialists at CHCs,” said the study. As March 2014, Bihar and UP have only 0.83 and 2.91 specialist doctors per million population in the CHCs, DH and sub district hospitals (SDHs).
“The percentage of district hospitals having HIV test facility in MP (60.9 per cent) and with ultra-sound facility in Bihar (17.6 per cent) and MP (56.5 per cent) are relatively lower,” it said. Moreover, except Rajasthan (84.4 per cent), all the three states including Bihar (52.9 per cent), MP (39.1 per cent) and UP (58.3) have relatively lesser district hospitals with operational blood banks, it added. The study also revealed poor healthcare facilities for newborns in the BIMARU states. PTI
