Lok Sabha Question No. 1143 (UNSTARRED), answered on 2016-07-22
Subject: Rating System for Healthcare Facilities
Ministry: HEALTH AND FAMILY WELFARE
Asked by: ADVOCATE NARENDRA KESHAV SAWAIKAR

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO. 1143 TO BE ANSWERED ON 2 2 ND JULY, 2016

## RATING SYSTEM FOR HE ALTHCARE FACILITIES

## 1143. ADV. NARENDRA KESHAV SAWAIKAR:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

(a) whether the Government proposes to introduce Star Rating System for healthcare facilities, if so, the details thereof;

(b) the details of criteria followed by the Government to rate the healthcare in urban and rural areas including feedback from patients etc.; and

(c) the extent to which the system would enable/encourage upgradation of healthcare in urban and rural areas of the country?

## ANSWER THE MINISTER OF STATE IN THE MINISTRY OF HEALTH AND FAMILY WELFARE (SHRI FAGGAN SINGH KULASTE )

(a) & (b): The  Ministry  of  Health  and  Family  Welfare  has  initiated  Star  Rating  o Community Health Centers (CHCs) in April, 2015. Further, it has been renamed as 'Grading of C HCs'  in  June  2016.    Grading  of  CHCs  is  based  on  monthly  performance  data  and  annual infrastructure data as uploaded on Health Management Information system (HMIS) Portal and generated on quarterly basis on HMIS portal.

The  criteria  followed  in  this  sys tem  to  grade  the  CHCs  (rural  as  well  as  urban)  is annexed.

- (c): The grading of CHCs helps the Programme Managers to identify the gaps in the availa infrastructure  and  service  availability.  It  also  helps  taking  necessary  corrective strengthen / upgrade health facilities. Further, Government of India has put in place a sy incentives/  disincentives  in  the  review  of  Programme  Implementation  Plans  of  States  & based on the above mentioned grades of CHCs both for urban and rural.

## The crit erions followed to grade the CHCs are given below:

## 1. Infrastructure data:

| Category                        | Indicators/ Criteria                                                                            | Grade                                                                                            |
|---------------------------------|-------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------|
| Human Resource & infrastructure | Number of Doctors including specialists ≥ 2                                                     | If CHC satisfies all the under the category , it would eligible for Grading & will grade. public |
| Human Resource & infrastructure | Number of Nurse and Auxiliary Nurse Midwife (ANM) ≥ 6                                           | If CHC satisfies all the under the category , it would eligible for Grading & will grade. public |
| Human Resource & infrastructure | Number ofl aboratory t echnician ≥ 1                                                            | If CHC satisfies all the under the category , it would eligible for Grading & will grade. public |
| Human Resource & infrastructure | Availability of separate utilities for males and females                                        | If CHC satisfies all the under the category , it would eligible for Grading & will grade. public |
| Human Resource & infrastructure | Availability of operation t heatre                                                              | If CHC satisfies all the under the category , it would eligible for Grading & will grade. public |
| Human Resource & infrastructure | Availability of s tandby power facility (generator)                                             | If CHC satisfies all the under the category , it would eligible for Grading & will grade. public |
| Drugs and supplies              | Availability of 2 month s supply of essential drugs                                             | CHC will get 1 grade for all the criteria of this category.                                      |
| Drugs and supplies              | Availability of 2 month s supply of essential vaccines                                          | CHC will get 1 grade for all the criteria of this category.                                      |
| Drugs and supplies              | Availability of 2 month s supply of essential contraceptives                                    | CHC will get 1 grade for all the criteria of this category.                                      |
| Service availability            | Availability of 24 - hour delivery services including normal and assisted deliveries            | CHC will get 1 grade for all the criteria of this category.                                      |
| Service availability            | Availability of emergency care of sick children                                                 | CHC will get 1 grade for all the criteria of this category.                                      |
| Service availability            | Availability of essential l aboratory services                                                  | CHC will get 1 grade for all the criteria of this category.                                      |
| Client orientation              | Availabilit y of p ublicly displayed mechanism, whereby a complaint/grievance can be registered | CHC will get 1 grade for all the criteria of this category.                                      |
| Client orientation              | Availabilit y of publicly displayed Citizen's charter                                           | CHC will get 1 grade for all the criteria of this category.                                      |
| Client orientation              | Provision of m onitoring yb Panchayati Raj Institutions /Zila Parishad / Rogi Kalyan Samiti     | CHC will get 1 grade for all the criteria of this category.                                      |

## 2. Performance / Service Utilization data :

| Category            | Indicators                                                            | Criteria (Non Hilly districts & States/UTs)   | Criteria (Hilly * districts & N orth E astern States; after incorporating 30% relaxation)   | Grade                                                           |
|---------------------|-----------------------------------------------------------------------|-----------------------------------------------|---------------------------------------------------------------------------------------------|-----------------------------------------------------------------|
| Service Utilization | Number of d eliveries conducted at the (Including Caesarean Sections) | facility 100 per month                        | 70 per month                                                                                | CHC will get 1 grade for fulfilling criteria 4 out 5 indicators |
| Service Utilization | Number of new IUCD Insertions at facility                             | 3 per month                                   | 2 per month                                                                                 | CHC will get 1 grade for fulfilling criteria 4 out 5 indicators |
| Service Utilization | Number of infants (0 - 11 months old) who immunized with BCG vaccine  | are 80 per month                              | 56 per month                                                                                | CHC will get 1 grade for fulfilling criteria 4 out 5 indicators |
| Service Utilization | Number of i npatients in CHC (IPD)                                    | the 500 per month                             | 350 per month                                                                               | CHC will get 1 grade for fulfilling criteria 4 out 5 indicators |
| Service Utilization | O ut patients attendance (All)                                        | 750 per month                                 | 525 per month                                                                               | CHC will get 1 grade for fulfilling criteria 4 out 5 indicators |

for

*Hilly States : -Himachal Pradesh ,Jammu & Kashmir (except Srinagar), Uttarakhand (except Dehradun, Haridwar & Udham Singh Nagar).

Final grading of CHC is done after adding grades from all the above mentioned categories. The facility will not be considered for grading if data under the Infrastructure is not the facility.

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