Overview

• Over 40% of public health centres below the district level lack essential diabetes and hypertension medicines, with 39% of sub-centres and 40% of CHCs ill-equipped for basic care.
• Service readiness scores are lowest at sub-centres (61%) and CHCs (59%), while public PHCs record 73% and district hospitals and tertiary facilities exceed 70%.
• Chronic stockouts of Metformin and Amlodipine lasting one to seven months in many sub-centres force patients to discontinue treatment or purchase expensive drugs privately.
• Community Health Centres report vacancies of 82.2% for physicians and 83.2% for surgeons, undermining their capacity to manage secondary-level complications.
• Private primary health centres also underperform, with 43% failing to meet WHO-standard readiness benchmarks for managing diabetes and hypertension.