
The declining economic situation of the country is slowly starting to show its color in every sector. Providing basic health facilities to the people is the primary responsibility of the government, but in the province of Punjab, decisions are being taken on the contrary. It was started in 2013, but in the middle, there was a silence when the PTI government came. The reasons for which he is describing are as follows: The Secretary Health Care Department has decided to phase out dispensaries, new health centers due to the performance of the department. At present only 40 to 45 patients are being seen, the notification issued by the Secretary Primary and Secondary Health Care Department is very disappointed with the performance of his department, it is not fulfilling the purpose for which the department was created, DHQs, The performance of all other health services units, including THQs, is very poor. Rural dispensaries were created not to provide health services but only to recruit new recruits who no longer have a role to play in Primary Health Centers or DHQs. HQs, need to improve existing units instead of creating new units which are decided to be phased out Health centers and other unit projects not present in Salana Development Program 2022-2022 also decided to be phased out A detailed notification has been issued according to which the Secretary Primary and Secondary Health Care Department has informed that the Primary and Secondary Health Department was created separately in 2015-16 with the aim of providing better health services across Punjab. While the field of drug control should not have been the only focus, primary health care is providing a variety of health services including immunization, health education, screening for common diseases and health conditions, maternal and child health services, chronic disease management, Health promotion etc. are included. At present, 2505 primary health units and 318 rural health centers are working in the province, in which about 50 thousand lady health workers, lady health supervisors, vaccinators, and school health and nutrition supervisors are working. According to further information, according to the design with which these primary health centers were built and the medical facilities provided, 100 to 130 patients were to be visited daily in them, while 300 to 400 were visited in the RHC. Patients can be attended but at present only 40 to 45 patients are being seen in the primary health units and 150 to 200 patients are being seen in the rural health centers which are very less than the prescribed number while both these health The average number of patient admissions in the units is 20 beds minimum and all other medical facilities are available in these centers so further upgrading or building of these BHUs and RHCs is now necessary. There is a waste of time and funds while replacing the existing DHOs and RHCs by making changes and improving them so that more patients can get better medical service delivery.It is further revealed that rural dispensaries and MCH centers which were created under the local government and later handed over to the Primary and Secondary Health Care Department, but these dispensaries and MCHs have no role in service delivery at that time. There is no role, other departments also have reservations in this regard. In view of this situation, the provincial health department decided that they will be closed soon, for which an action plan is being prepared, it is further stated. At present, there are 26 district headquarters hospitals and 100 tehsil headquarters hospitals in the province, in which the utilization of several tehsil headquarters hospitals is almost non-existent and less than 50%, while the utilization of several DHQ hospitals. This is also the situation, it further revealed that specialization units including trauma centers, cardiac units, dialysis units, have now become a major problem for the department and have emerged as a failed model. It has become very difficult for the shortage, so the work started by the department to improve DHQ hospitals and THQ hospitals across the province during 2016-17, 25 DHQs in phase one. Hospitals and 15 tehsil headquarter hospitals were to be improved while in the second phase 85 tehsil headquarter hospitals were to be improved. It has been further learned that there is a need for revamping of all these health units. 3 million. Similarly, the cost of building a rural health center is estimated at 175 million, while its revamping costs only 10 million and its operational cost is only 25 million, while building a new tehsil headquarters hospital costs 6 million. million is spent and its operational cost is 150 million while the expenditure of SNE is 112 million. 2,000 million for constructing quarter hospital, its operational cost is 300 million and SNE costs are 394 million while only 300 million is spent on revamping. It was decided that no new Primary Health Centers will be constructed in any Union Council on the basis of delimitation of 2013 or on any other basis while construction of new Dispensaries, Mother and Health Care Centres, Primary Health Units, and Rural Health Centers will be done. A complete ban is being imposed on DHQ Hospitals and THQ to DHQ Hospital upgrading, construction of any new DHQs, THQs, Trauma Centres, or Regarding the upgradation, it will be very necessary to first fully convince the department and prepare the budget, after which permission will be given to build any new unit. The heads of the department would have done better, but the people of Pakistan who are grinding in the mill of poverty and they are basicIt is the responsibility of the government to provide health facilities, now they want to take away this basic right from them so that a large population of Pakistan, which is below the poverty line and consists of the middle class, cannot get their treatment, but it is privatized. Hospitals should be indebted. Rather than closing down government hospitals and making them ghost bungalows, it is better to give them to the private sector to run them or else to privatize the entire health sector across Punjab and charge a normal fee. It should be given so that the common man can also benefit from it and the hospitals can also work under your help. In this way, just like food and drink items are subsidized, health cards should be given so that the elites are removed from it instead of all people. Only the middle and poor people can get their treatment through this card, which fulfills the responsibility of the government and provides basic treatment facilities to the common man, but if this is not done, then millions of people will be deprived of such basic needs. will be done and will be forced not to get their treatment. To avoid this, the government should review its policy and formulate a coherent and comprehensive plan and make a strict policy that either they hand over the health sector to the private sector. It should be monitored by the Punjab government or the monitoring system of the Punjab government should be made more strict for these institutions. Funds should be provided to the health sector in all circumstances, which are of utmost importance. A healthy society can take charge of the country and if they do not have such basic health facilities, how will they be able to treat themselves because Elites do not get treatment in Pakistan, their wealth is also outside and they also get their treatment outside, so the government should consider it.From the supply of medicines to medical equipment and all the operational needs should be kept in the hospitals, any other sector should be cut and funds should be provided to the health sector in all circumstances, which are of utmost importance for a healthy society in the country. and if they do not have such basic health facilities, how will they be able to get their treatment because the elites do not get treatment in Pakistan, their wealth is also outside and they also get their treatment outside, so the government Consider itFrom the supply of medicines to medical equipment and all the operational needs should be kept in the hospitals, any other sector should be cut and funds should be provided to the health sector in all circumstances, which are of utmost importance for a healthy society in the country. and if they do not have such basic health facilities, how will they be able to get their treatment because the elites do not get treatment in Pakistan, their wealth is also outside and they also get their treatment outside, so the government Consider it