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  • Hospital services at secondary level play a vital and complimentary role to the tertiary and primary health care systems and together form a comprehensive district based health care system.

  • It was noticed that in the state of Punjab, District Hospitals, Sub-Divisional Hospitals and Community Health Centers were having critical gaps in buildings, equipment, manpower, and skills and were unable to provide required basic health care services.

  • With an objective to improve efficiency and quality of the health care provided at first referral level hospitals, the State Govt. took an initiative to prepare a proposal for seeking aid from the World Bank.

  • On the request of the State Govt., the Bank team visited the State in March-95 to review preparation and pre-appraisal of the proposal for the