Performance Audit of District Hospitals in Mizoram

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2021
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CAG of India
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Abstract

This Stand Alone Report of the Comptroller and Auditor General of India contains the results of Performance Audit of Select Public Health facilities of secondary care (District Hospitals) and primary care (one Community Health Centre and One Primary Health Centre in each selected districts) in Mizoram for the period 2014-19. In this Performance Audit we have focused on patient care given by the primary and secondary care levels in the State. We assessed the availability of basic infrastructure facilities in the State, adequacy of manpower in the selected DHs and various Services provided therein like Out-Patient and In-Patient Services, Maternity Services, Emergency Services, Drug Management, Infection Control, Bio Medical Waste Management, Diagnostic Services, Fire control measures, etc. based on pre-determined performance indicators/ criteria in the sampled district level and block level hospitals (CHC and PHC). We have adopted the Indian Public Health Standards (IPHS) guidelines as prescribed by Government of India which are a set of uniform standards envisaged to improve the quality of health care delivery in the country for benchmarking various audit findings. Audit Objectives: The objectives of carrying out this Performance Audit of select DHs are to assess whether: i. adequate and essential resources - manpower, drugs, infrastructure, equipment and consumables are available for effective functioning of the district hospitals; ii. timely and quality healthcare is delivered through line services like OPD, IPD, ICU, OT, trauma & emergency, etc. and diagnostic services; iii. support services like drug storage, sterilisation, hygiene, waste management, infection control, ambulance, power back-up/ UPS, etc. are aiding the line departments in providing a safe and sterile environment; and iv. the adequacy and timeliness of healthcare services relating to maternal and infant care, cancer, and HIV/ AIDS.

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