Performance Audit on Public Health Infrastructure and Management of Health Services, Jammu & Kashmir

An audit of public health infrastructure and health services in Jammu & Kashmir for 2016-21, updated to 2021-22 where possible. It found large shortfalls in sub-centres and community health centres against IPHS norms, essential OPD and inpatient services missing across district and sub-district hospitals, shortages of drugs and equipment in every institution test-checked, and 238 of 415 construction works left incomplete.

State: Jammu and Kashmir
Audit period: 1 Apr 2016 — 31 Mar 2022
Presented: 30 Mar 2026

Findings

In the six sampled districts there was a shortage of 45 per cent of sub-centres and 81 per cent of community health centres against IPHS norms.
“In the six sampled Districts, there was shortage of SCs (45 per cent) and CHCs (81 per cent).”Executive Summary
Of 415 construction works taken up under the National Health Mission, the Prime Minister's Development Programme and the languishing projects programme, 177 were completed and 238 remained incomplete.
“Out of 415 construction works taken up for execution under National Health Mission, Prime Minister's Development Programme (PMDP) and Languishing Projects programme, 177 works were completed and 238 works remained incomplete.”Executive Summary
ENT, psychiatry, ophthalmology and skin OPD services were unavailable in eight, nine, six and 13 district hospitals respectively; of 52 primary health centres sampled, only two had an operation theatre and 19 an ambulance.
“The Outpatient Department (OPD) services of ENT, Psychiatry, Ophthalmology and Skin & VD were not available in eight, nine, six and 13 DHs respectively... Out of 52 sampled PHCs, only two PHCs (Majalta and Achabal) had OT facility... ambulance service was available in only 19 out of 52 sampled PHCs.”Executive Summary
There was a shortage of essential drugs and equipment in every health institution test-checked, with delays in finalising rate contracts and in empanelling testing laboratories.
“There was shortage of essential drugs and equipment in all test-checked HIs. Availability of the prescribed essential equipment was also found deficient in test-checked institutions. There was delay in finalisation of rate contracts.”Executive Summary

Findings

In the six sampled districts there was a shortage of 45 per cent of sub-centres and 81 per cent of community health centres against IPHS norms.

“In the six sampled Districts, there was shortage of SCs (45 per cent) and CHCs (81 per cent).”Executive Summary

Of 415 construction works taken up under the National Health Mission, the Prime Minister's Development Programme and the languishing projects programme, 177 were completed and 238 remained incomplete.

“Out of 415 construction works taken up for execution under National Health Mission, Prime Minister's Development Programme (PMDP) and Languishing Projects programme, 177 works were completed and 238 works remained incomplete.”Executive Summary

ENT, psychiatry, ophthalmology and skin OPD services were unavailable in eight, nine, six and 13 district hospitals respectively; of 52 primary health centres sampled, only two had an operation theatre and 19 an ambulance.

“The Outpatient Department (OPD) services of ENT, Psychiatry, Ophthalmology and Skin & VD were not available in eight, nine, six and 13 DHs respectively... Out of 52 sampled PHCs, only two PHCs (Majalta and Achabal) had OT facility... ambulance service was available in only 19 out of 52 sampled PHCs.”Executive Summary

There was a shortage of essential drugs and equipment in every health institution test-checked, with delays in finalising rate contracts and in empanelling testing laboratories.

“There was shortage of essential drugs and equipment in all test-checked HIs. Availability of the prescribed essential equipment was also found deficient in test-checked institutions. There was delay in finalisation of rate contracts.”Executive Summary