Leaving these unaddressed will impact healthcare system in region
The latest “Health Dynamics of India: Infrastructure & Human Resources” report from the Union Ministry of Health has cast a spotlight on the troubling state of rural healthcare in Jammu and Kashmir. Despite government initiatives aimed at enhancing healthcare infrastructure, the report reveals significant gaps that continue to affect the delivery of basic medical services in rural areas. These issues, if left unaddressed, will continue to place an undue burden on both patients and the broader healthcare system in the region.
The report identifies that out of 890 Primary Health Centres (PHCs) operating across rural Jammu and Kashmir, only 690 function from government buildings, while the remaining 200 are housed in rented spaces. This lack of permanent infrastructure is a serious concern, as it not only limits the quality of care provided but also forces many patients to seek treatment at district or sub-district hospitals for minor ailments. This overloads larger hospitals and contributes to delays in treatment, particularly in emergencies.
The situation at sub-centres, which play a crucial role in delivering basic healthcare in rural areas, is even more alarming. Of the 2,434 sub-centres in rural J&K, a staggering 1,580 operate from rented buildings, while only 824 have government-owned facilities. An additional 30 are housed in rent-free panchayat buildings. This reliance on rented spaces, often ill-equipped and poorly maintained, undermines the effectiveness of primary care in rural communities. Moreover, 27% of these sub-centres lack a regular water supply, and 21% operate without reliable electricity. Such deficiencies in basic utilities are unacceptable for facilities tasked with delivering essential health services.
While the report does highlight some positive steps, such as all 52 Community Health Centres (CHCs) being housed in government buildings, this stability in infrastructure has not trickled down to the PHC and sub-centre levels. Addressing these challenges will require more than just identifying the gaps—it calls for urgent and targeted action. The government needs to allocate more resources for the construction of permanent healthcare facilities, prioritising the completion of 1,610 new buildings for sub-centres, as outlined in the report.
Involving local communities in maintaining and managing these facilities could be a game-changer. Panchayats and community health workers could be trained and equipped to play a more proactive role in the upkeep of these centres, ensuring they remain functional even in the absence of regular government oversight. By investing in infrastructure, improving access to utilities, and empowering local communities, the government can ensure that rural residents receive the quality healthcare they deserve. Addressing these issues is not just a policy matter—it’s a moral imperative for the betterment of the region’s people.
