Gap Analysis of District Hospital Sirohi, Rajasthan as Per IPHS Norms
Agency : IPHS Standards, Gap analysis, Public Health
Objective : The objective of the study was to assess the existing service delivery status of the hospital as per IPHS guidelines, to identify the gaps if any, as per IPHS guidelines and to provide suggestions so as to meet the requirements as per IPHS guidelines.
Background : The performance of district hospitals can be assessed against a set of standards such as Indian Public Health Standards (IPHS) which contains the standards to bring the District Hospitals to a minimum acceptable functional grade with scope for further improvement in it.
Methodology : Information regarding the organization, location, history, manpower, organizational hierarchy, and other details were collected from hospitalís manual and concerned authorities. Various departments of the hospital were identified. A schedule of visit to the identified area was prepared and coordinator of that respective department was contacted. The surveillance findings and the information collected were compiled to generate a report. Both primary and secondary data were collected using IPHS facility survey format and observations were made along with interaction with concerned authorities. Hospital manuals and records were also studied. Quantitative data was analyzed using MS excel.
Findings : In the Gap analysis survey for IPHS for 101-200 bedded District Hospital, against maximum score of 1756, District Hospital Sirohi has scored 840 with a gap of 916 points which implies that there is less than 50% utilization/ provision of services. When the DH was evaluated for its services, service mix, infrastructure, manpower, investigations, capacity building and quality control, the score was 414 with a gap of 396 against a total of 810. For equipments and furniture, score is 277 with a gap identification of 149 against the total of 426. For drugs and surgical items, score is 149 with a gap of 371 against maximum score of 520.
Recommendations : To ease patient flow and congestion, proper layout of various departments should be done. To minimize possible hospital acquired infections and maximize patient safety infection control norms should be followed. Prevention of bottlenecks and delays in procurements can be done by regular audits.
the study was to assess the existing service delivery status of the hospital as per IPHS guidelines