Human Resource Challenges and Service Delivery in Indian Public Health Centres: A Case Study of Nagpur District

Abstract

Primary Health Centres (PHCs) are pivotal in delivering healthcare services to rural populations in India. However, challenges in human resources significantly impact their efficiency. A descriptive study was conducted across 16 talukas in Nagpur district, Maharashtra, covering a population of 772,601. Data were collected using structured questionnaires focusing on infrastructure, accessibility, human resources, and patient care quality. Findings revealed substantial deficits in specialized medical staff, inconsistent availability of medicines, and limited training programs. Despite infrastructural setups, service delivery was compromised due to understaffing and inadequate resource allocation. Addressing human resource challenges is crucial for enhancing the effectiveness of PHCs. Policy reforms focusing on mandatory rural postings, improved funding allocation, and enhanced training for medical personnel are recommended.