National Minimum Needs Programme

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Historical Background/Periodical Development
The Minimum needs Program (MNP) was introduced in the country in the first year of the Fifth Five Year Plan (1974–78). The objective of the programme is to provide certain basic minimum needs and thereby improve the living standards of the people. It is the expression of the commitment of the government for the social and economic development of the community particularly the underprivileged and undeserved population.

The programme includes the following components
  1. Rural Health.
  2. Rural Water Supply.
  3. Rural Electrification.
  4. Adult Education.
  5. Nutrition.
  6. Environmental improvement of Urban Slums.
  7. Houses for landless labourers.
There are two basic principals which are to be observed in the implementation of MNP
  1. The facilities under MNP are to be first provided to those areas which are at present undeserved so as to remove disparities between different areas.
  2. The facilities under MNP should be provided as a package to an area through intersectoral area projects, to have a greater impact.
In the field of rural health, the objective is to establish: One PHC for 30000 population in plains and 20000 population in tribal and hilly area, one subcentre for a population 5000 people in the plains and for 3000 in tribal and hilly areas, and one community health centre (Rural Hospital) for a population of one lakh or 1 per 5 Primary health Centres. The establishment of PHCs, subcentres, upgradation of PHCs, and construction of buildings thereof are all included in the State Sector of the Minimum Need Programme.
Others

Service Centers Available in each District
District wise locations of Primary Health Centres
District wise location of rural Hospitals

Primary Health Centres

District No. of Primary Health Centres
Tribal Non Tribal Total
Thane 55 24 79
Raigad 3 52 55
Ratnagiri 0 67 67
Nasik 54 52 106
Dhule 14 27 41
Nandurbar 56 2 58
Jalgaon 2 77 79
Ahmednagar 10 87 97
Pune 8 88 96
Solapur 0 77 77
Satara 0 71 71
Kolhapur 0 73 73
Sangli 0 59 59
Sindhudurg 0 38 38
Aurangabad 0 50 50
Jalna 0 38 38
Parbhani 0 31 31
Hingoli 0 24 24
Latur 0 46 46
Osmanabad 0 42 42
Beed 0 50 50
Nanded 15 49 64
Akola 0 30 30
Washim 0 25 25
Amravati 11 45 56
Yeotmal 15 48 63
Buldhana 0 52 52
Nagpur 5 44 49
Wardha 0 27 27
Bhandara 0 33 33
Gondiya 18 21 39
Chandrapur 8 50 58
Gadchiroli 45 0 45
TOTAL 319 1499 1818

Subcentres

District No. of Primary Health Centres
Tribal Non Tribal Total
Thane 343 144 487
Raigad 19 267 286
Ratnagiri 0 374 374
Nasik 299 272 571
Dhule 95 135 230
Nandurbar 259 16 275
Jalgaon 16 422 438
Ahmednagar 66 489 555
Pune 62 473 535
Solapur 0 428 428
Satara 0 397 397
Kolhapur 0 419 419
Sangli 0 317 317
Sindhudurg 0 246 246
Aurangabad 0 275 275
Jalna 0 211 211
Parbhani 0 214 214
Hingoli 0 131 131
Latur 0 250 250
Osmanabad 0 204 204
Beed 0 278 278
Nanded 81 293 374
Akola 0 177 177
Washim 0 153 153
Amravati 95 235 330
Yeotmal 118 314 432
Buldhana 0 278 278
Nagpur 23 278 301
Wardha 0 180 180
Bhandara 0 192 192
Gondiya 104 131 235
Chandrapur 51 285 336
Gadchiroli 374 0 374
TOTAL 2005 8478 10483

Subdistrict hospitals (30, 50, 100 BEDS)

District SDH 30 SDH 50 SDH 100
  T NT TOT T NT TOT T NT TOT
Thane 5 4 9 1 0 1 3 0 3
Raigad 1 9 10 0 2 2 0 1 1
Ratnagiri 0 9 9 0 2 2 0 0 0
Nasik 12 12 24 0 3 3 1 0 1
Dhule 1 4 5 1 1 2 1 0 1
Nandurbar 7 2 9 1 0 1 0 1 1
Jalgaon 1 16 17 0 2 2 0 1 1
Ahmednagar 3 20 23 0 2 2 0 0 0
Pune 2 18 20 0 3 3 0 0 0
Solapur 0 10 10 0 2 2 0 1 1
Satara 0 15 15 0 1 1 0 1 1
Kolhapur 0 16 16 0 1 1 0 1 1
Sangli 0 11 11 0 2 2 0 0 0
Sindhudurg 0 7 7 0 2 2 0 1 1
Aurangabad 0 10 10 0 2 2 0 1 1
Jalna 0 8 8 0 1 1 0 0 0
Parbhani 0 6 6 0 2 2 0 0 0
Hingoli 0 3 3 0 1 1 0 1 1
Latur 0 9 9 0 1 1 0 1 1
Osmanabad 0 7 7 0 1 1 0 1 1
Beed 0 11 11 0 1 1 0 1 1
Nanded 2 10 12 1 2 3 0 1 1
Akola 0 5 5 0 0 0 0 1 1
Washim 0 7 7 0 0 0 0 1 1
Amravati 2 7 9 1 2 3 0 1 1
Yeotmal 4 10 14 1 2 3 0 0 0
Buldhana 0 12 12 0 1 1 0 1 1
Nagpur 1 8 9 1 1 2 0 0 0
Wardha 0 6 6 0 1 1 0 1 1
Bhandara 0 5 5 0 2 2 0 1 1
Gondiya 6 2 8 0 1 1 0 0 0
Chandrapur 3 8 11 0 2 2 0 0 0
Gadchiroli 9 0 9 3 0 3 0 0 0
TOTAL 59 287 346 10 46 56 5 19 24

Functions of the subcentre
The functions of a subcentre are limited mainly towards mother and child health care, family planning and Immunization, Simple laboratory investigations like routine examination of urine for albumin and sugar. The work at Subcentre is supervised by male and female health assistants.

Staffing Pattern of Subcentre
Health Worker (Female)/ANM: 1
Health Worker (Male) (MPW): 1
Part time attendent: 1

Functions of the primary health centre
The functions of Primary Health Centres cover all the 8 "essential" elements of primary health care as outlined in the Alma - Ata declaration. They are
  1. Medical Care.
  2. MCH including family planning.
  3. Safe Water supply and basic sanitation.
  4. Prevention and control of locally endemic diseases.
  5. Collection and reporting of vital statistics.
  6. Education about health.
  7. National Health Programmes - as relevant.
  8. Referral services.
  9. Training of Health guides, health workers local dais and health assistants.
  10. Basic laboratory services.
Staffing Pattern at Primary Health Centre

Category of Staff No. of Posts
Tribal Non Tribal
Medical Officer Group A 1 2
Medical Officer Group B 1 0
Health Assistant (Male) 1 1
Health Assistant (female) 1 1
A.N.M. 1 1
Lab Technician 1 0
Pharmacists 1 1
Junior Clerk 1 1
Driver 1 1
Sweeper 1 1
Lady Attendent 1 1
Male Attendent 3 3
Total 14 13

Security, Sweeping, and Transport Services are on contract basis.

Functions of the community health centre
Community Health Centre mainly provides currative services and deals with more complex problems which cannot be dealt at Primary Health Centre, Subcentre level. Community Health Centres serves as the first refel level in the Health System.

Staffing Pattern at Community Health Centre. (30 Bedded)

Medical Superintendent Class I 1
Medical officer Class II 3
Staff Nurse 7
X-Ray Technician 1
Lab Technician 1
Pharmacist 1
Stuart 1
Junior clerk 1
Clerk cum Typist 1
Ward Boy 4
Lab Assistant 1
Peon 1
Sweeper 2
Total 25

Security, Sweeping, Diet and Transport Services are on contract basis.

Districtwise physical Backlog identified by the Indicator and Backlog Committee & the Physical backlog removed
Primary health centres

District Backlog as per March 94 Removed Backlog as on 31 December, 2005 Remaining Backlog as on 1 January, 2006
  TSP N.T. TOT TSP N.T. TOT TSP N.T. TOT
Thane 6 0 6 6 0 6 0 0 0
Sindhudurg 0 0 0 0 0 0 0 0 0
Raigad 0 0 0 0 0 0 0 0 0
Ratnagiri 0 0 0 0 0 0 0 0 0
Kokan 6 0 6 6 0 6 0 0 0
Nasik 4 0 4 4 0 4 0 0 0
Dhule 0 0 0 0 0 0 0 0 0
Nandurbar 0 0 0 0 0 0 0 0 0
Jalgaon 0 1 1 0 1 1 0 0 0
Ahmednagar 0 9 9 0 9 9 0 0 0
Pune 1 9 10 1 9 10 0 0 0
Solapur 0 11 11 0 11 11 0 0 0
Satara 0 2 2 0 2 2 0 0 0
Kolhapur 0 6 6 0 6 6 0 0 0
Sangli 0 0 0 0 0 0 0 0 0
Western Maharashtra 5 38 43 5 38 43 0 0 0
Rest of Maharashtra 11 38 49 11 38 49 0 0 0
Aurangabad 0 7 7 0 7 7 0 0 0
Jalna 0 5 5 0 5 5 0 0 0
Parbhani 0 0 0 0 0 0 0 0 0
Hingoli 0 4 4 0 4 4 0 0 0
Latur 0 0 0 0 0 0 0 0 0
Osmanabad 0 0 0 0 0 01 0 0 0
Beed 0 5 5 0 5 5 0 0 0
Nanded 3 3 6 3 3 6 0 0 0
Marathwada 3 24 27 3 24 27 0 0 0
Akola 0 0 0 0 0 0 0 0 0
Washim 0 1 1 0 1 1 0 0 0
Amravati 0 0 0 0 0 0 0 0 0
Yeotmal 2 0 2 2 0 2 0 0 0
Buldhana 0 3 3 0 3 3 0 0 0
Nagpur 1 0 1 1 0 1 0 0 0
Wardha 0 0 0 0 0 0 0 0 0
Bhandara 0 2 2 0 2 2 0 0 0
Gondiya 0 0 0 0 0 0 0 0 0
Chandrapur 0 0 0 0 0 0 0 0 0
Gadchiroli 0 0 0 0 0 0 0 0 0
vidarbh 3 6 9 3 6 9 0 0 0
TOTAL state 17 68 85 17 68 85 0 0 0

Districtwise physical Backlog identified by the Indicator and Backlog Committee & the Physical backlog removed.

Subcentres

District Backlog as per March 94 Removed Backlog as on 31 December, 2005 Remaining Backlog as on 1 January, 2006
  TSP N.T. TOT TSP N.T. TOT TSP N.T. TOT
Thane 31 0 31 31 0 31 0 0 0
Sindhudurg 0 9 9 0 9 9 0 0 0
Raigad 0 0 0 0 0 0 0 0 0
Ratnagiri 0 0 0 0 0 0 0 0 0
Kokan 31 9 40 31 9 40 0 0 0
Nasik 54 0 54 54 0 54 0 0 0
Dhule 70 22 92 70 22 92 0 0 0
Nandurbar 0 0 0 0 0 0 0 0 0
Jalgaon 0 42 42 0 42 42 0 0 0
Ahmednagar 0 66 66 0 66 66 0 0 0
Pune 0 34 34 0 34 34 0 0 0
Solapur 0 99 99 0 99 99 0 0 0
Satara 0 88 88 0 88 88 0 0 0
Kolhapur 0 38 38 0 38 38 0 0 0
Sangli 0 47 47 0 47 47 0 0 0
Western Maharashtra 124 436 560 124 436 560 0 0 0
Rest of Maharashtra 155 445 600 155 145 600 0 0 0
Aurangabad 0 29 29 0 29 29 0 0 0
Jalna 0 40 40 0 40 40 0 0 0
Parbhani 0 0 0 0 0 0 0 0 0
Hingoli 0 0 0 0 0 0 0 0 0
Latur 0 14 14 0 14 14 0 0 0
Osmanabad 0 0 0 0 0 0 0 0 0
Beed 0 25 25 0 25 25 0 0 0
Nanded 20 0 20 20 0 20 0 0 0
Marathwada 20 108 128 20 108 128 0 0 0
Akola 0 0 0 0 0 0 0 0 0
Washim 0 0 0 0 0 0 0 0 0
Amravati 0 10 10 0 10 10 0 0 0
Yeotmal 58 0 58 58 0 58 0 0 0
Buldhana 0 14 14 0 14 14 0 0 0
Nagpur 1 0 1 1 0 1 0 0 0
Wardha 0 0 0 0 0 0 0 0 0
Bhandara 0 0 0 0 0 0 0 0 0
Gondiya 0 0 0 0 0 0 0 0 0
Chandrapur 0 0 0 0 0 0 0 0 0
Gadchiroli 0 0 0 0 0 0 0 0 0
vidarbh 59 24 83 59 24 83 0 0 0
TOTAL state 234 577 811 234 577 811 0 0 0

Districtwise physical Backlog identified by the Indicator and Backlog Committee & the Physical backlog removed.

Community health centres

District Backlog as per March 94 Removed Backlog as on 31 December, 2005 Remaining Backlog as on 1 January, 2006
TSP N.T. TOT TSP N.T. TOT TSP N.T. TOT
Thane 7 2 9 7 2 9 0 0 0
Sindhudurg 0 0 0 0 0 0 0 0 0
Raigad 0 2 2 0 2 2 0 0 0
Ratnagiri 0 2 2 0 1 1 0 1 1
Kokan 7 6 13 7 5 12 0 1 1
Nasik 6 2 8 5 2 7 1 0 1
Dhule 0 3 3 0 2 2 0 1 1
Nandurbar 7 0 7 6 0 6 1 0 1
Jalgaon 0 5 5 0 5 5 0 0 0
Ahmednagar 1 12 13 1 12 13 0 0 0
Pune 1 9 10 1 9 10 0 0 0
Solapur 0 9 9 0 6 6 0 3 3
Satara 0 6 6 0 5 5 0 1 1
Kolhapur 0 5 5 0 5 5 0 0 0
Sangli 0 5 5 0 4 4 0 1 1
Western Maharashtra 15 56 71 13 50 63 2 6 8
Rest of Maharashtra 22 62 84 20 55 75 2 7 9
Aurangabad 0 6 6 0 6 6 0 0 0
Jalna 0 4 4 0 3 3 0 1 1
Parbhani 0 3 3 0 3 3 0 0 0
Hingoli 0 2 2 0 1 1 0 1 1
Latur 0 3 3 0 3 3 0 0 0
Osmanabad 0 2 2 0 2 2 0 0 0
Beed 0 5 5 0 5 5 0 0 0
Nanded 0 5 5 0 5 5 0 0 0
Marathwada 0 30 30 0 28 28 0 2 2
Akola 0 2 2 0 2 2 0 0 0
Washim 0 3 3 0 3 3 0 0 0
Amravati 1 4 5 1 3 4 0 1 1
Yeotmal 2 1 3 2 1 3 0 0 0
Buldhana 0 6 6 0 6 6 0 0 0
Nagpur 0 3 3 0 3 3 0 0 0
Wardha 0 0 0 0 0 0 0 0 0
Bhandara 0 4 4 0 3 3 0 1 1
Gondiya 1 0 1 0 0 0 1 0 1
Chandrapur 0 1 1 0 1 1 0 0 0
Gadchiroli 1 0 1 1 0 1 0 0 0
vidarbh 5 24 29 4 22 26 1 2 3
TOTAL state 21 116 143 24 105 129 3 11 14