Lucknow: The Niti Aayog has ranked six district hospitals in Uttar Pradesh as top performers in an assessment for the Union ministry of health and family welfare.The exercise, which assessed the performance of 700-plus government hospitals across India on 10 framework indicators, evaluated the hospitals in three domains: structure, processes and output/outcomes.
The rankings showed that four hospitals, including Balrampur Hospital, Lucknow, were found to be the best in the OPD consultations category. The most remarkable among them was surgical productivity index in which Tej Bahadur Sapru Hospital, Prayagraj, has been ranked best in the country.
Other UP hospitals in the list included, Malkhan Singh District Hospital Aligarh, RNM District Joint Hospital Firozabad, District Women Hospital Mau and Combined District Hospital Kannauj.
Experts, however, believed that the top slot in case of ‘ratio of paramedical staff in position to IPHS Norms’ given to Combined District Hospital Kannauj was no real achievement. Reason: the hospital had six times more paramedical staff which shows skewed distribution of available workforce and speaks for myopic vision of the appointees.
“Despite large funding allocation for district hospitals, as well as their critical role in healthcare provision, there is no comprehensive system to assess their performance based upon their outcomes,” said the background document on the exercise titled, ‘The Health of Hospital’.
It also showed that a list of indicators and their weightage was drawn after consultation with the states. Data from the Hospital Management Information System was fetched to rank hospitals.
Declarations and assessment under Mission Kayakalp was also referred to before assigning scores.
Health officers said Niti Aayog has asked for a background note of the best hospitals in a pre-decided format for release of the rankings in an official report which aims to provide a template for emulation.