खालीलपैकी कोणता घटक ग्रामीण आरोग्य पायाभूत सुविधेपैकी एक नाही ?

The correct answer is Option D (Government Civil Hospitals).

Key Points:
• Rural Health Infrastructure in India is structured under a three-tier system to deliver healthcare in rural areas:
• Sub-Centres & PHCs: Primary Health Centres (PHCs) and Sub-Centres form the foundational rural healthcare delivery pillars.
• Community Health Centres (CHCs): Serve as referral centers for PHCs in rural/block areas.
• ASHA (Accredited Social Health Activist): Community health workers instituted under the National Rural Health Mission (NRHM) to act as an interface between the community and the rural public health system.
• Government Civil Hospitals: These are typically located at district headquarters or urban centers catering to urban populations and serving as apex district referral hospitals, hence not part of the primary rural healthcare infrastructure tier.
• Therefore, option (4) is the correct answer.
• Key Takeaway: Government civil hospitals are urban/district facilities, whereas PHCs, CHCs, and ASHA form rural health infrastructure.