India’s health infrastructure and health care is made up of a three-tier system —primary, secondary and tertiary. Primary health care includes education concerning prevailing health problems and methods of identifying, preventing and controlling them; promotion of food supply and proper nutrition and adequate supply of water and basic sanitation; maternal and child health care; immunisation against major infectious diseases and injuries; promotion of mental health and provision of essential drugs. Auxiliary Nursing Midwife (ANM) is the first person who provides primary healthcare in rural areas. When the condition of a patient is not managed by PHCs, they are referred to secondary or tertiary hospitals. Hospitals which have better facilities for surgery, X-ray, Electro Cardio Gram (ECG) are called secondary health care institutions. The tertiary sector also includes many premier institutes which not only impart quality medical education and conduct research but also provide specialised health care.
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