Several states and trade unions (UTS)-are covered by populations such as Uttar Pradesh, Maharashtra, Delhi, Gujarat, Western Bengal and Bihar, including less than 40% of basic drugs and diagnostic services available in hospitals and health centers. As shown in the documents, as shown in the documents, and how it is shown in the documents, and how it is shown in the document, and how it is shown in the document, and how it is shown in the document and how it shows the matter.
At the same time, the center passed its misfortune to states and UTS that consumers do not know about the key system of the central government to provide free drugs in public health centers.
Gaps during implementation
Communication from the Ministry of Health of trade unions on 7 May to States and UT, seen by Mint, pointed out the gaps in the FDSI program (initiative for drugs and diagnostics) within the national medical mission (NHM).
“This includes gaps in the announcement of the average number of drugs and diagnostics available across devices compared to the recommended numbers listed in the national basic drug and diagnostic lists according to IPHS (Indian public health standards),” said communication, adding that there is also a noticeable gap in state reports and data updated in the government monitoring panel.
However, the above -mentioned official who spoke of the state of anonymity stated that the matter of the data gap was not worrying. “States/Government UT must update data on the government portal for effective FDSI monitoring and evaluation,” the person said. “This is not a big problem; (it’s) a regular matter.”
Currently, the diagnostic module is piloted in DVDMS (Drug and vaccine control system) to monitor the availability of diagnostic agents and consumables. DVDMS is an IT application that facilitates FDSI implementation and improves supplier chain of drugs, stitches and surgical objects for district drug warehouses throughout India.
The Ministry of Health has now told states and UTS to update their lists of basic drugs and diagnostic instruments that correspond to national instructions. It must also evaluate their specific needs and provide feedback to any medicine or diagnostic service.
Questions by the Minister of Health of the Union JP Nadda, Minister of Health Punya Salil Srivastava and spokesperson of the Ministry of Health remained unanswered until the press.
Prof. Dr. The Srinath Reddy, a former, President of the Indian Public Health Foundation (PHFI): “The availability of basic drugs and diagnostics in all public health care facilities is crucial for meeting both major indicators of universal health coverage, which are financial protection and service protection.
Drugs and diagnostics contribute to a very high level of pocket expenditure, resulting in financial problems to those who need health care, especially for chronic conditions. Health results will be bad if health care providers are affected by the absence of basic drugs and diagnostic aids. The state and central governments must make all efforts to fill these gaps urgently. ”
What are the minimum thresholds?
The center tried to implement instructions for Indian public health standards (IPHS) 2022 to provide uniform, high -quality health services in all countries. IPHS are necessary scale, which provides minimal basic services through public health facilities, including district hospitals, hospitals in the area of sub-stress, community health centers, primary health centers and substitute centers.
In 2015, the Ministry of Health initiated Union FDSI to provide free essential medicine in all public health facilities to reduce pocket expenditures (OOPE). Both Marquee initiatives are carried out within the national health mission (NHM) to achieve universal health coverage (UHC) and provide fair, affordable and quality health care.
According to the instructions, the district hospital should have at least 375 basic drugs such as anti-infectious agents, cardiovascular drugs, anti-diabetic drugs, antidepressants, painkillers, antineoplastic drugs, vitamin and mineral Medicinal, and at least 171 medicines, and the least therapeutic, and least therapeutic and medical, and least therapeutic, and at least 171 medicines, and at least 171 medicines, and at least 171 drugs, and the least medicinal additions, and the least medicinal drugs, and the least medicinal drug The sub-healer centers must store 105 medicines.
Regarding free diagnostic services, the district hospitals should have at least 134 diagnostic services, hospital for sub-tresses (111), Community Health Center (97), primary health center (63) and a sub-center, which must provide 14 services.
Where are the gaps?
According to the reviewed coin, states and UTS, which were marked red for having less than 40% of the availability of drugs, as on April 25, 2025 are: Chhattisgarh, Kerala, Maharashtra, Mizoram, Nagaland, Pandjab, Arunacal Pradesh, Assam, Assam, Assam, Assam, Assam, Assam ASSAM, ASSAM, ASSAM, DELH & DLH & DD) (DELH & DD), DELH & DDH & DD), DELH AND DENH & DDH & DDH & DD), DELH AND D. GUJARAT, HARYANA, J&K Uttarakhand and West Bengal.
Further, The Following Have Less than 40% Availability of Diagnostic Services at the Government Health Facillities: Andaman & Nicobar Island, Arunacal Pradesh, Assam, Bihar, Chhattisgarh, Delhi, DNH & DD Assam, Bihar, DNH & DD, Delhi, Goa, Gujarat, Haryana, Himachal Pradesh, Jammu and Kashmir, Jharkhand and Karnataka, Ladakh, Lakshadweep, Madhya Pradesh, Mahashtra, Manipur PANDJAB, PANDJAB, PANDJAB, PANDJAB, PANDJAB, PANDJAB, PANJABHAN, UTTARAND AND WEST BENGASH AND WEST BENGRESS AND WEST BENGASH, UPTALAND, UPTALAND, UTHEAND, UTHEAND, UTTADE, NAGALAND, NAGALAND, NAGALAND, NAGALAND, NAGALAND, NAGALAND, Nagaland, Nagaland, Nagaland, Nagaland, Nagaland.
Message
The center also aroused concerns about ordinary citizens and local public representatives, who often remain unconscious FDSI, which limits their ability to fully use these basic services.
The Ministry of Health has ordered state and UTS to develop comprehensive strategies to support campaigns to raise awareness and compulsory manifestations of available drugs and diagnostic services in all healthcare facilities.
Dr. Rajeev Jayadevan, a public health expert and former past President Indian Medical Association (IMA), Cochin Chapter, noted that despite their goal to provide basic drugs and tests without public health costs, many citizens – even in urban areas – do not apparently know about these justice.
“This resulted in the abyss between planning and implementation,” Jayadevan said. “Limited public awareness and logistics obstacles are the main barriers.
(Tagstotranslate) Essential Medicines (T) Diagnostic Services (T) Public Health System (T) Free Drugs (T) Universal Health Coverage
