The Report is about the Results of a Performance Audit of Select Public Health Facilities of Secondary Care (District-level Hospitals), in the State of Assam. We covered the period from 2014-15 to 2018-19. The Audit examination included records maintained in the office of the Commissioner & Secretary, Health and Family Welfare Department, Director of Health Services (DHS), Mission Director of National Health Mission (NHM), Joint Director of Health Services (JDHS) of seven selected districts i.e., Kamrup, Nagaon, Kokrajhar, Tinsukia, Karbi Anglong, Hailakandi and Jorhat and Superintendents of Selected District Hospitals (DHs).
In this Performance Audit, we have focused on patient care given by secondary care levels in the State. We assessed the availability of basic infrastructure facilities in the State, adequacy of manpower in the selected DHs and various Services provided therein like Out-Patient and In-patient Services, Maternity Services, Emergency Services, Drug Management, Infection Control Bio Medical Waste Management, Diagnostic Services, etc. based on pre-determined performance indicators/ criteria in the sampled district level. We have adopted the Indian Public Health Standards (IPHS) guidelines as prescribed by Government of India, which are a set of uniform standards envisaged to improve the quality of health care delivery in the country applicable for benchmarking various audit findings.