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Health care facilities and services are essential for creating healthy citizens and society that cna effectively contribute to social and economic development. In India health care facilities are provided through the public sector, private sector, public - private partnership and NGOs. Primary health care services are provided in rural areas, secondary health care services are provided in towns and tertiary health care services are available in cities. Most of the government operated rural health sub-centers and Primary Health Centres (PHCs) are inefficient due to inadequate facilities. In majority of public health centers absenteeism is reportedly high.