In the public health sector, a Sub-health Centre (SHC) is the most critical and first contact point between the primary healthcare system and the community. As per the population norms, one Sub-Centre is established for every 3000 population in hilly/tribal/desert areas. The efficiency of any health care system is dependent on the community’s strength to participate in not only the implementation but also in designing the delivery of services. The freedom to develop and manage such services empower the community with improved access, accountability, and transparency especially in the most backward districts in the country.
Dakshin Bastar Dantewada is a rapidly growing district of Bastar division, Chhattisgarh. Being an LWE affected district, it’s a challenge to ensure healthcare services in some of the interior areas. In Hiroli village (left-wing extremist area) of Dantewada, a Sub-Health Centre was functional from a single room of the Indian Postal Service office (which was just used as an emergency labor room). It was catering to 4 villages around the area with an approximate population of 3100 people. Due to financial limitations, limited supervision, and lack of resources, the sub-health center was unable to deliver adequate services to people in the tribal areas. The healthcare workers were only able to provide medicines and deliver babies in case of emergencies only.