Annexure I

Additional Information to be furnished for finalization of Report of Comptroller and

Auditor General of India on Health Infrastructure and Management of Health Services
in Maharashtra.

Information in the following format in respect of District Hospital/Women

Hospital/ Sub-district hospitals and Rural hospitals may be provided
(information for each hospital to be given separately) -
1. OPD Services
1.1 OPD Services as at the end of March 2023

Sr. No. If yes, whether doctor If service is not

Whether
attending is on regular provided since when
OPD services Provided (Yes
post or on contract (month and year) and
/No)
the reasons
1 ENT
2 General
Medicine
3 Paediatrics
4 General Surgery
5 Ophthalmology
6 Dental
7 Obstetric
8 Gynaecology
9 Psychiatry
10 Orthopedics
11 Dermatology &
venereology
12 Ayush
13 Dermatology

1.2 Average OPD cases per doctor per annum

Year Total Number of doctors in OPD Total OPD cases
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23

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 1.3 Availability of registration counter and average daily patient load per Counter

Year Total Number of Registration Total Registrations

Counters
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23

1.4 Availability of seating arrangement, toilet facility etc as at the end of March 2023

Availability of service Available (Yes/No)

Display of florescent fire exit sign

Enquiry/ May I Help Desk with staff fluent in local language
Directional signage for Emergency, Departments and Utilities
Display of safety, hazard and caution signs were displayed
prominently at relevant places?
Important contacts like higher medical centres, blood banks, and
fire department, police and ambulance services were displayed

Mandatory information (under RTI Act, PNDT Act, etc.) was

displayed
Suitable seating facility
Patient Calling System (Digitalization)
Separate toilets for male and female

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2. IPD Services

2.1 Availability of IPD wards and beds as at the end of March 2023

Sr. Ward Type Required** Available Reasons for

No. District Headquarters Hospital shortfall
and since
101-200 201- 500
when
Bedded 300 Bedded
(month
Bedde
and year)
d
1 General Medicine Beds(M+F) 15 +15 25 +25 40 +40 (Male and
female
separately)
2 New born ward Beds 5 5 10
3 Mothers room Beds 5 5 10
with dining and
toilets
4 Pediatrics ward Beds 10 20 40
5 Critical care Beds 5 10 10
ward–IMCU
6 Isolation Ward Beds 4 5 5
7 Dialysis unit(as Beds 3 3
per
specifications)
8 Thoracic Beds(M+F) 5 +5 10 +10 (Male and
medicine ward female
with room for separately)
pulmonary
function test
9 Blood bank Yes Yes Yes
10 General surgery Beds(M+F) 15 +15 25 +20 35 +35 (Male and
ward (incl. female
Urology, ENT) separately)
11 Post–Operative Beds(M+F) 10 +16 10 +10 15 +15 (Male and
Ward female
separately)
12 Accident and Beds 10 10 15
Trauma ward
13 Labour room Boards 3 8 8
14 Labour room Beds 3 3
(Eclampsia)
15 Septic Labour Boards 2 2
room
16 Ante-natal ward Beds 15 15 30
17 Post-natal ward Beds 15 15 30

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 18 Postpartum ward Beds 20 30 50
19 Postoperative Beds 20 40
ward
20 Ophthalmology Beds 5 10 20
ward
21 Burns Ward Beds - 5 10
Requirement as per norms should be filled in considering the bed capacity

2.2 Availability of Surgical Procedures as at the end of March 2023

Name of procedure (as If not provided since when

per IPHS) Available (Y/N) (month and year) and the
reasons
Hernia
Hydrocele
Appendicitis
Haemorrhoids
Fistula
Intestinal Obstruction
Haemorrhage
Nasal packing
Tracheostomy
Foreign body removal
Fracture reduction
Putting splints/ plaster cast

2.3 Average number of surgeries per surgeon

Year General ENT Ortho EYE Others

No. of Avg. No. No. of Avg. No. of Avg. No. of Avg. No. Avg.
surgeons of surgeons No. of surgeons No. of surgeons No. of of No.
surgeries surgeries surgeries surgerie surge of
s ons surge
ries
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23

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 2.4 Evaluation of IPD services through Outcome Indicators

Year Avg. Avg. BTR DR Avg. ALOS (No. LAMA rate Absconding
BOR (%) ROR of Days) (%) rate (%)
(%) (%)
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23
Bed occupancy rare(BOR), Bed turnover ratio(BTR), Death ratio (DR), Average length of
stay(ALOS), Leave against medical advice (LAMA)

3 Diagnostic Services
Cardiac
Radiology
Investigation
Year X-ray for chest,
Dental
skull, spine, Ultrasonography ECG
X-ray
abdomen, bones
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23

4 Pathology services
Total number of test done during the year

Clinical
Year Pathology Microbiology Serology Biochemistry
pathology
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23

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 5 Emergency Services
Name of emergency service Whether Available If not available since
(Y/N) when and reasons

Emergency OT
Emergency ward
Trauma ward
Triage procedure
Emergency laboratory

Separate provision for examination

of rape/ sexual assault victim
Disaster management plan in
emergency ward.
Treatment of
Assault/Bowel/Head/Stab injuries
Blood bank in close proximity to
emergency
Mobile X-ray/ laboratory, side
labs/plaster room in Accident and
Emergency Service

6 Maternal and Child Services

Year Total number of ANC Total number of Total number of IFA (180 days)
Pregnant received in Pregnant Women Pregnant
Women the first received atleast 4 Women
registered for trimester ANC checkups received TT 2
ANC
2017-18
2018-19
2019-20
21-2020
2021-22
2022-23

Year Number of Number of New Number of New born Number of New born Number of New
New Born born given BCG given OPV vaccine given Hepatitis-B born given
(Live birth) vaccine vaccine Vitamin K
2017-18
2018-19
2019-20

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2020-21
2021-22
2022-23

Year Total no of Total no of Number of Number of Percentage of Reason for

Pregnant registered Institutional women women discharged discharging
Women pregnant women Deliveries discharged within within 48 hours of within the 48
registered for refer to private in Public 48 hours of Institutional hours
ANC another hospital Institution Institutional delivery in Public
for C-Section delivery in Public Institution
Institution
2017-18
2018-19
2019-20
2020-21
2021-22
2022-23

Still Birth Rate

Year Still birth rate

2017-18
2018-19
2019-20
2020-21
2021-22
2022-23

7 Dietary Services
SL.No. Particulars YES/NO If no reasons
1 Availability of Dietary service in the hospital
2 Availability of dedicated kitchen
3 Whether dietician is available? If not, since when
4 Whether food supplied to the patients is patients specific
such as diabetic, semi solid and liquid?
5 Whether system of diet counselling to the patients,
formulation of caloric requirement and accordingly setting
diet for the patients is adopted?
6 Whether dietary services provided is in-house or
outsourced?
7 Whether types of the diets prescribed by the Department. If
so, the details may be furnished.

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 8 Whether diet is provided to the patients as per the Menu
chart?
9 Whether facility of serving trolly is provided?
10 Whether protective gears (apron, head gear, clear plastic
gloves) are used by the cooks in the kitchen those serving
food?
11 Whether proper hygiene of kitchen is maintained?
12 Whether quality of diet is checked by a competent person
on regular basis as prescribed in IPHS Guideline?
13 Whether FSSAI registration certificate were issued under
food safety and standard Act 2006, and it was renewed
regularly?
14 Whether distribution of foods to patients is checked by
Food Inspector or district authorities from time to time?
15 Whether facilities such as refrigerator, water purifier and
storage room are available?
16 Whether commercial gas cylinders are used in kitchen?
17 Whether inventory of kitchen equipment is maintained?
18 Whether minimum number of staffs required for cooking
and distribution of foods to IPD patients is specified and
deployed accordingly?
19 Whether Diet Register is maintained. If so, the details may
be furnished.

8 Laundry Services
Sr. Name of the item Required Available
No.
101-200 201-300 301-500 Available Reasons for
Bedded bedded Bedded shortfall (since
when -month and
year)

1 Bedsheets 800 1200 2000

2 Bedspreads 1200 1800 3000
3 Blankets Red and blue 50 100 125
4 Patna towels 300 1000 1500
5 Tablecloth 60 75 100
6 Draw sheet 100 150 200
7 Doctor’s overcoat 60 90 150
8 Hospital worker OT coat 250 400 500
9 Patients house coat(for 600 900 1500
female)
10 Patients Pyjama (for 300 400 600
male)Shirt
11 Over shoes pairs 80 100 150

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12 Pillows 300 450 600
13 Pillows covers 600 900 1500
14 Mattress(foam)Adult 200 300 500
15 Paediatric Mattress 20 40 55
16 Abdominal sheets for OT 150 200 250
17 Pereneal sheets for OT 150 200 250
18 Leggings 100 150 200
19 Uniform/Apron
20 Mortuary sheet 50 70 100
21 Mats(Nylon) 100 200 300

9 Mortuary Services

SL.No. Particulars YES/NO In no reasons

1 Whether the facility of mortuary services is
available?
23 Whether it is located in separate building on
ground floor?
4 Whether it is easily accessible from wards,
Accident, emergency department and Operation
Theatre?
5 Whether Post-mortem room have stainless
steel autopsy table with sink, a sink with
running water for specimen washing and
cleaning and cup-board for keeping
instruments?
6 Whether there is Proper illumination and air
conditioning in the postmortem room ?

7 Whether there is separate room for body storage

with at least two deep freezers for preserving the
body?
8 Whether there is waiting area for relatives and
a space for religious rites?
9 Whether the facility has uniform and user-friendly
signage system
10 Whether Post mortem records of deceased are
issued to police/next kin of deceased as per state
guideline?
11 Whether Corridors of Mortuary area are wide
enough toallow passage of trolleys?
12 Whether Physical condition of buildings are safe
for providing patient care?
13 Whether the Hospital has adequate specialist
doctors as per serviceprovision?

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 14 Whether the hospital has adequate support /general
staff ?

10 Ambulance Services

Required Available Reasons for

shortfall
and since
when(month
and year)
Ambulance 101-200 201-300 301-500
bedded bedded bedded
Requirement 3 3 4

SL.No. Particulars YES/NO REMARKS

2 Whether sufficient drivers are available for
transport of ambulances?
3 Whether ambulances are fitted with life
support required as per IPHS norms?
4 Whether cases of non-availability of
ambulances occurred?

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11 1)Department wise Manpower Availability
Mandatory Available Sanctioned Strength In-position Excess (+)/Shortage (-) % Excess (+)/Shortage (-)
Department
as per norms
(list below is
illustrative
only)
Yes/No Doctors Nurses Paramedics Others Doctors/ Nurses Paramedics Others Doctors/ Nurses Paramedics Others Doctors/ Nurses Paramedics Others
/Specialists Specialists Specialists Specialists

ENT

General
Medicine

Pediatrics

General
Surgery

Ophthalmology

Dental

Obstetric

Gynaecology

Psychiatry

Orthopedics

Dermatology
&
venereology

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 Other if any
maybe
mentioned

* The field of expertise for specialists maybe mentioned

12 2)Service wise manpower availability

A) Line Services
Mandatory as per norms (list Available Sanctioned Strength Person in Position
below is illustrative only) Yes/No
Nurses Paramedics Others Nurses Paramedics Others

Emergency Services
Imaging Services
Pathology Services
Ambulance Services
Blood Bank
Dietary Services
Laundry Services
Bio-Medical Waste
management
ICU
Oxygen Services
Mortuary Services
Other if any maybe
mentioned

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 B) Support Services
Available Sanctioned Strength Person in Position
Yes/No
Dietician Washermen Others Dietician Washermen Others
Dietary Services
Laundry Services
Other if any maybe
mentioned

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