INTRODUCTION : Initiated by Government of India in 2013, the National Quality Assurance Standards (NQAS) program
aims to elevate the quality of care provided in public health facilities nationwide. This study examines the performance of
Community Health Centres (CHCs) in Tamil Nadu concerning the NQAS. Despite its significance, some CHCs fail to meet
NQAS standards, prompting an exploration into the underlying factors contributing to this shortfall.
METHODS : Through a descriptive cross-sectional study, data from CHCs not recommended for certification were analysed
to identify challenges and areas for improvement.
RESULTS : This study reveals significant shortcomings in quality management, support services, clinical care, and human
resources. Results indicate that out of 423 CHCs, 30.7% participated in the NQAS assessment, with 7.7% failing to meet
certification requirements.
CONCLUSION : Identified challenges include deficiencies in quality management, support services, and clinical care,
along with potential human resource constraints. Recommendations include strengthening quality management systems,
enhancing support services, prioritizing clinical care, addressing HR constraints and improving linkage services.