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VOLUME 27 , ISSUE 4 ( April, 2023 ) > List of Articles

Original Article

Need Analysis of Indian Critical Health Care Delivery in Government Sectors and Its Impact on the General Public: A Time to Revamp Public Health Care Infrastructure

D Prabu, V Gousalya, M Rajmohan, M Dinesh Dhamodhar, VV Bharathwaj, R Sindhu, S Sathiyapriya

Keywords : Critical care, Critical care doctors, Critical care nurses, Human resources, ICU beds, Infrastructure, Manpower, Medicines, Ventilators

Citation Information : Prabu D, Gousalya V, Rajmohan M, Dhamodhar MD, Bharathwaj V, Sindhu R, Sathiyapriya S. Need Analysis of Indian Critical Health Care Delivery in Government Sectors and Its Impact on the General Public: A Time to Revamp Public Health Care Infrastructure. Indian J Crit Care Med 2023; 27 (4):237-245.

DOI: 10.5005/jp-journals-10071-24442

License: CC BY-NC 4.0

Published Online: 31-03-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Background: Poverty is directly linked to public health care delivery in many ways and dimensions. Every aspect of the human sphere is preplanned, but a health crisis is the only emergency which pushes humanity into severe economic stress. Therefore, every nation aims to safeguard its citizens from a health crisis. In this aspect, India needs to improve its public health infrastructure in order to protect its citizens and save them from poverty. Objectives: (1) To assess the current pitfalls in public critical health care delivery, (2) to analyze whether the health care delivery matches the requirements of its population in every state, (3) to produce solutions and guidelines to overcome the stress in this priority area. Materials and methods: Data regarding the critical care workforce, which includes critical care doctors and nurses, were taken from official websites and other sources. Critical care infrastructure data were retrieved from the Internet sources. Data were validated by consulting state government sources and cross-checked for bias elimination. The data were analyzed using the “Statistical Package for Social Sciences” software version 20, and were presented using descriptive statistics. Results: There is a 1:10 percentage of deficit in the case of critical care workforce and infrastructure when compared with its need analysis. Critical care medicine specialists are in 1:75 when compared to other specialties. Conclusion: Overall, the public sector critical care needs a total boost through out of box solutions. According to the Stockholm International Peace Research Institute (SIPRI), India spent the third most on defense in the world in 2021. India spent 76.6 billion dollars on its military in 2021, up 33% from 2012 and 0.9% from 2020. However, since India is considered a fast-growing economy, there is still a huge disparity in critical care. Without resetting critical health care, India cannot grow in welfare indices even if it is among the top gross domestic product (GDP) countries.

  1. International Monetary Fund. World economic outlook. Washington, DC: International Monetary Fund. 2021.
  2. Joyita. Poverty estimation in India. Policy. 2013. Available from:
  3. Kapoor G, Hauck S, Sriram A, Joshi J, Schueller E, Frost I, et al. State-wise estimates of current hospital beds, intensive care unit (ICU) beds and ventilators in India: Are we prepared for a surge in COVID-19 hospitalizations? MedRxiv 2020. DOI:
  4. [Internet]. 2022 [cited 12 July 2022]. Available from:
  5. [Internet]. 2022 [cited 12 July 2022]. Available from:
  6. College and Course Search | NMC [Internet]. 2022 [cited 13 July 2022]. Available from:
  7. [Internet]. 2022 [cited 13 July 2022]. Available from:
  8. Rungta N, Govil D, Nainan S, Munjal M, Divatia J, Jani CK. ICU planning and designing in India–guidelines 2010. ISCCM Guidelines Committee. 2010:1–26.
  9. Rounds D. Unsung glory of India's critical care units - DailyRounds [Internet]. DailyRounds. 2022 [cited 29 July 2022]. Available from:
  10. 2022. Available from:
  12. (Accessed on: 25 July 2020).
  16. Saigal S, Sharma JP, Pakhare A, Bhaskar S, Dhanuka S, Kumar S, et al. Mapping the characteristics of critical care facilities: Assessment, distribution, and level of critical care facilities from central India. Indian J Crit Care Med 2017;21(10):625–633. DOI: 10.4103/ijccm.IJCCM_193_17.
  20. Phua J, Faruq MO, Kulkarni AP, Redjeki IS, Detleuxay K, Mendsaikhan N, et al. Critical care bed capacity in Asian countries and regions. Crit Care Med 2020;48(5):654–662. DOI: 10.1097/CCM.0000000000004222.
  21. At $76.6 bn, India's military spending third highest in the world: SIPRI report [Internet]. 2022 [cited 1 August 2022]. Available from:'s%20military%20expenditure%20of%20USD,based%20defence%20think%2Dtank%20said.
  22. What is healthcare budget? [Internet]. The Economic Times. 2022 [cited 1 August 2022]. Available from:
  23. Jayaram R, Ramakrishnan N. Cost of intensive care in India. Indian J Crit Care Med 2008;12(2):55–61. DOI: 10.4103/0972-5229.42558.
  24. Andrade C, Shah N, Chandra S. The new patent regime: Implications for patients in India. Indian J Psychiatry 2007;49(1):56–59. DOI: 10.4103/0019-5545.31520.
  25. Bafna A. 2022: The push towards innovation and a patent driven future by the Indian Medtech and Pharma sectors [Internet]. The Times of India Blog. 2022 [cited 30 July 2022]. Available from:
  26. Prinja S, Bahuguna P, Tripathy JP, Kumar R. Availability of medicines in public sector health facilities of two North Indian States. BMC Pharmacol Toxicol 2015;16(1):43. DOI: 10.1186/s40360-015-0043-8.
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