In order to achieve the target of health for all by 2000 A.D. we she have to control all types of diseases. Leprosy, Malaria, Tuberculosis, Fileria and many such epidemics happened to be fatal before independence.
Due to poverty, illiteracy, unawareness and population growth, the government have not been very successful in providing sufficient medical facilities and the communicable diseases could not be completely controlled either.
However the governments have paid a special attention towards this problem which resulted in considerable control on malaria, tuberculosis and cholera which were causing havoc to the public.
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The primary health care arrangement provides the first level of contact between the health care providers and their clients and forms the common platform for implementation of all the health and family welfare programmes in the country.
It provides integrated promotive, preventive, curative and rehabilitative services needed to population close to the residence.
In the rural areas, services are provided through a network of integrated health and family welfare delivery system. As on 30 June, 1996 an extensive network of 2,424 Community Health Centres, 21,854 PHCs and 1,32,730 sub-centres has been set up to provide primary health care at the grass root level.
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In some areas the existing primary health care institutions are functioning sub-optionally because of one or more of the following factors:
1. In appropriate location, poor access, lack of maintenance.
2. Lack of staff at the clerical posts.
3. Mismatch between the requirement and availability of staff specially physicians at PHC.
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4. Lack of funds for essential drugs.
These problems need be resolved quickly at the local level through involvement of the Panchayati Raj representatives.