Performance Audit on Public Health Infrastructure and Management of Health Services, Goa

An audit of Goa's public health institutions for 2016-22, covering 19 units under the Directorate of Health Services and Goa Medical College. It found no human resource policy for public health, heavy specialist shortages at the state's only tertiary hospital, no intensive care in either district hospital, and no ASHA workers recruited in the state at all.

State: Goa
Audit period: 1 Apr 2016 — 31 Mar 2022
Presented: 7 Aug 2024

Findings

Goa Medical College, the state's only tertiary hospital, was short of 51 per cent of its doctors and medical officers; vacancies in its super-speciality departments ranged from 18.18 to 81.25 per cent.
“GMCH had shortfall of 51 per cent of doctors/medical officers despite being the only tertiary hospital in the State. Vacancy of doctors ranged from 18.18 to 81.25 per cent in the super-speciality departments of GMCH.”Executive Summary
ASHA workers — the key health personnel at the grassroots — were not recruited in Goa at all.
“ASHA workers who were the key health care personnel at grassroots level were not recruited in the State.”Executive Summary
Intensive care unit services were not available in either district hospital, and there were gaps in essential inpatient services against IPHS norms in both district hospitals and every community health centre in the state.
“Intensive Care Unit (ICU) services were not available in both the District Hospitals of the State. There were gaps in availability of essential IPD services as per IPHS norms in both District Hospitals, in all CHCs in the State and the test-checked Sub-District Hospital.”Executive Summary
The state had no human resource policy for public health institutions; vacancies among doctors, nurses and paramedics were 17.5 per cent in North Goa and 17.9 per cent in South Goa in primary care, and 20.24 and 18.75 per cent in secondary care.
“The State did not have a human resource policy for PHIs. There were vacancies among doctors, nurses and paramedics to the extent of 17.5 per cent in North Goa district and 17.9 per cent in South Goa district under primary health care and to the extent of 20.24 per cent in North Goa district and 18.75 per cent in South Goa district under secondary health care in the State.”Executive Summary

Findings

Goa Medical College, the state's only tertiary hospital, was short of 51 per cent of its doctors and medical officers; vacancies in its super-speciality departments ranged from 18.18 to 81.25 per cent.

“GMCH had shortfall of 51 per cent of doctors/medical officers despite being the only tertiary hospital in the State. Vacancy of doctors ranged from 18.18 to 81.25 per cent in the super-speciality departments of GMCH.”Executive Summary

ASHA workers — the key health personnel at the grassroots — were not recruited in Goa at all.

“ASHA workers who were the key health care personnel at grassroots level were not recruited in the State.”Executive Summary

Intensive care unit services were not available in either district hospital, and there were gaps in essential inpatient services against IPHS norms in both district hospitals and every community health centre in the state.

“Intensive Care Unit (ICU) services were not available in both the District Hospitals of the State. There were gaps in availability of essential IPD services as per IPHS norms in both District Hospitals, in all CHCs in the State and the test-checked Sub-District Hospital.”Executive Summary

The state had no human resource policy for public health institutions; vacancies among doctors, nurses and paramedics were 17.5 per cent in North Goa and 17.9 per cent in South Goa in primary care, and 20.24 and 18.75 per cent in secondary care.

“The State did not have a human resource policy for PHIs. There were vacancies among doctors, nurses and paramedics to the extent of 17.5 per cent in North Goa district and 17.9 per cent in South Goa district under primary health care and to the extent of 20.24 per cent in North Goa district and 18.75 per cent in South Goa district under secondary health care in the State.”Executive Summary