DEVELOPMENT OF HEALTH SERVICES
Health care facilities and personnel increased sustainability between the early 1980s. But because of fast population growth, the number of licensed medical practitioners per 10,000 individuals had fallen by the late 1980s to three per 10,000 in 1991, and there were approximately ten hospitals beds per 10000 individuals. Primary health centres are the corner stone’s of the rural health care system. By 1991, India had about 22,400 primary health centres, 116,200 hospitals, and 27,400 dispensaries. These facilities are part of tiered health care system that funnels cases that is more difficult in to urban hospitals while attempting to provide routine medical care to the vast majority in the country side. Primary health centres and sub centres rely on trained paramedical to meet most of their needs. The main problems affecting the success of primary health centre are the paramedical to meet most of their needs. The main problems affecting the success of primary health centre are the predominance of clinical and curative concerns over the intended emphasis on preventive work and the reluctance of staff to work in rural areas. In addition, the integration of health services with family planning programme often causes the local population to perceive the health centres as hostile to their traditional preferences for large families. Therefore, primary health centres often play an adversarial role in local effort to the implement national health policies.