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Item Performance Audit of Four Major Public Hospitals in Delhi (2001-2006)(CAG of India, 2007) CAG of IndiaA performance audit of the functioning of four major public hospitals in Delhi was conducted to assess their performance in terms of providing proper medical care by efficient use of available resources and infrastructure. The hospitals reviewed were Lok Nayak Hospital (LNH) and Deen Dayal Upadhyay Hospital (DDUH) under the Government of Delhi, Hindu Rao Hospital (HRH) under the Municipal Corporation of Delhi and Charak Palika Hospital (CPH) under the New Delhi Municipal Council.Item Avoidable Expenditure on Water Supply Contract for District Hospitals in Mizoram(CAG of India, 16-02-2023) CAG of IndiaDirectorate of Hospital and Medical Education (DHME), Health and Family Welfare Department, Government of Mizoram (GoM), Aizawl entered (May and December 2012) into Memorandum of Understandings (MoU) with a firm M/s Intergen Energy Limited (IGEL), New Delhi for installation of renewable energy and water treatment plant to supply water at nine Hospitals which include Referral Hospital, Falkawn and all eight District Hospitals of Mizoram. This was based on the suo-moto proposal submitted (February 2012) by the firm to GoM, for installation of Water Treatment Plant with solar power water pumping system to supply water on the basis of BOOT at the nine Hospitals. Audit observed that all Hospitals were getting water supplies on priority from Public Health Engineering (PHE) Department and there were no insufficiency in supply of water to the Hospitals reported, before or during the period of MoU with IGEL. Hence, engagement of IGEL was arbitrary and proposal of the firm was agreed to by the Department without ascertaining the actual need for water supply in the Hospital. Thus, expenditure of ₹ 0.50 crore for installation of Water Treatment Plants in five Hospitals and ₹ 4.80 crore on buy-back MoU in June 2019 totalling ₹ 5.30 crore was avoidable as there was no scarcity of water in the Hospitals prior to signing of agreement with the firm. Hospitals also did not report any issue in water supply during the stoppage of operation of the firm. Hence, there was a total avoidable expenditure of ₹ 5.30 crore in addition to committed liability of ₹ 4.20 crore against the balance payable on MoU on buy-back of equipment and water supplied. Further, Department, was supposed to terminate the MoUs on failure of IGEL to supply the required volume of water but entered into an unnecessary buy-back agreement.Item Performance Audit of District Hospitals in Manipur(CAG of India, 2021) CAG of IndiaThis Stand Alone Report of the Comptroller and Auditor General of India contains the results of Performance Audit of Select Public Health facilities of tertiary care (Medical College & Hospitals), secondary care (District-level Hospitals), and primary care (one CHC and one PHC in selected districts) in the State of Manipur covering the period 2014-15 to 2018-19. In this Performance Audit we have focused on patient care given by secondary and tertiary 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, Emergency Services, Drug Management, Infection Control, Bio Medical Waste Management, Diagnostic Services, Fire control measures etc. and select services of maternity and child care, Cancer and HIV/ AIDS, based on pre-determined performance indicators/criteria in the sampled hospitals. 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 as well as State norms as applicable for benchmarking various audit findings.Item Idle Expenditure on MCH Building at Konark in Odisha(CAG of India, 03-04-2021) CAG of IndiaConstruction of Maternal and Child Health building without making plan for its operationalisation led to idling of the building, thereby rendering the expenditure of ₹ 5.96 crore incurred on construction of the building idle.Item Unfruitful Expenditure on 300 Bed Hospital in Faizabad, Uttar Pradesh(CAG of India, 26-03-2015) CAG of IndiaNot only the construction of the hospital building was incomplete (₹ 51.34 crore), even after three years of scheduled date of completion, the decision for procurement of equipment (₹ 4.40 crore) without ensuring completion of the hospital building in Faizabad district, was injudicious.Item Performance Audit of District Hospitals in Meghalaya(CAG of India, 2020) CAG of IndiaThis 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-level Hospitals) and primary care (one CHC and one PHC in selected districts), in the State of Meghalaya covering the period 2014-15 to 2018-19. 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 as well as State norms as applicable for benchmarking various audit findings. Audit Objectives: The objectives of carrying out this Performance Audit of selected district hospitals in Meghalaya were to assess whether: i. adequate and essential resources - manpower, drugs, infrastructure, equipment, and consumables were available for effective functioning of the district hospitals; ii. timely and quality healthcare was 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. were aiding the line departments in providing a safe and sterile environment in the hospitals; and iv. adequate and timely healthcare services were available in selected services relating to maternal and infant care and specialities like cancer care.Item Unfruitful Expenditure Arising from Non-Functional Upgraded Building of Hospital at Badal Punjab(CAG of India, 27-02-2020) CAG of IndiaDue to laxity on the part of the Department and Baba Farid University of Health Sciences in providing requisite grant-in-aid and additional staff, the upgraded building constructed at a cost of INR 4.88 crore could not be put to use even after more than four years of its taking over by Senior Medical Officer, Civil Hospital, Badal, thereby rendering the expenditure of INR 4.88 crore unfruitful.Item Non Completion of Maternal and Child Health Block in Kakinada District Hospital(CAG of India, 25-09-2023) CAG of IndiaThe construction of Maternity and Child Health block at Government General Hospital, Kakinada was stalled after incurring an expenditure of ০12.99 crore due to non-release of timely funds by Government of Andhra Pradesh received under National Health Mission from Government of India (GoI). Also, the intended purpose of providing maternity and child health care with requisite facility could not be achieved even after a lapse of seven years from the date of provisioning of funds by GoI and the expenditure made became wasteful.Item Performance Audit of District Hospitals in Assam(CAG of India, 2021) CAG of IndiaThis stand alone report of the CAG of India contains Performance Audit of Select District Hospitals in Assam for the period 2014-15 to 2018-19. District Hospitals are set up for providing a plethora of services for preventive, diagnostic and curative health care to the people in the district, at an acceptable level of quality, and be responsive and sensitive to the needs of the people. The focus of the audit is to assess the role of the district hospitals in providing the envisaged health care services to the people in an affordable and timely manner to the expected quality standard. Audit Objectives: The objectives of carrying out an outcome audit of district hospitals were to assess: i. adequate and essential resources - manpower, drugs, infrastructure, equipment, and consumables were available for effective functioning of the district hospitals; ii. timely and quality healthcare was 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, etc., were aiding the line departments in providing a safe and sterile environment in the hospitals; and iv. adequate and timely healthcare services were available in selected services relating to maternal and infant care.Item Construction of Hospital and Medical College Buildings by PWD in Madhya Pradesh(CAG of India, 25-12-2021) CAG of IndiaAudit observed deficiencies during execution of work not only led to excess payment and extra cost to work but affected quality of work as well. There were instances of adoption of incorrect rates, payment of transportation charges and excess payment on consumption of cement to the contractor. As a result, some parts of the works created extra financial burden on the Department, even though the quality of the work was not assured.
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