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Government of Punjab Department of Health and Family Welfare

Government of Punjab Department of Health and Family Welfare. Punjab Profile Population : 2.77 crores (2011 Census). Health Infrastructure. Health Indicators. Health Indicators. Public Health Expenditure. Administrative Set up of the Department. Director Health and Family Welfare

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Government of Punjab Department of Health and Family Welfare

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  1. Government of Punjab Department of Health and Family Welfare

  2. Punjab Profile Population : 2.77 crores (2011 Census)

  3. Health Infrastructure

  4. Health Indicators

  5. Health Indicators

  6. Public Health Expenditure

  7. Administrative Set up of the Department • Director Health and Family Welfare • Primary Health Care, Disease Control Programme, Regulations of Act (Food and Drug) and General Administration. • Director Health Services (Family Welfare) • Implementation of Family Welfare, Maternal RCH, Immunization, JSY and PNDT Act. • Director Health Services (Social Insurance) • Manages 7 ESI Hospitals, 70 ESI Dispensaries for the insured industrial and other workers.

  8. Administrative set up of the Department • Punjab Health Systems Corporation Manages 176 secondary level hospitals. Main agency of the Department for infrastructure development. • State Health Society Manages and monitors implementation of NRHM in the state. • Directorate of Ayurveda • Manages 5 Ayurvedic Hospitals and 524 Ayurvedic Dispensaries. • Licensing Authority of Ayurveda Manufacturing Units. • Handles around 21 lac OPD patients per annum.

  9. Administrative set up of the Department • Homoeopathy Directorate • Manages 264 dispensaries and handles around 27.00 lacs OPD patients per annum. • Punjab State AIDS Control Society • Implement Government of India sponsored National AIDS Control Programme.

  10. Major Achievements of the Department • Infrastructure Development • The Government of India in its 4th report of the Common Review Mission published in January, 2011 rated our health infrastructure as excellent and stated that the Punjab would be the first state to close the gap by 2012. • Major initiatives for upgradation of infrastructure under the Core Plan. • Two district hospitals (Nawan Shahar, Muktsar under construction) • Five new Sub-Divisional Hospitals at Khadoor Sahib (complete), Bholath, Moonak, Tappa, and Guddha in advanced stage of completion and other 3 will be completed by 31.5.2012. • Upgradation of Sub-Divisional Hospitals at Baba Bakala and Badal to be completed by 31.5.2012.

  11. Major Achievements of the Department • Construction of 32 new Community Health Centres. 10 to be completed by 30.4.2012 and the remaining 22 by 31.7.2012. • Manpower • Major recruitment drive in the last two years • Doctors recruited … 804 • Doctors to be recruited by Aug 2012 … 525 • Ayurvedic and Homoeopathy Doctors … 330 • Staff Nurses … 1455 • Paramedical Staff … 1600 • Total No. of doctors presently available … 2143 • Recruitment under process for 574 Specialist doctors, 518 Medical Officers, 114 Dental Doctors and 1650 paramedics.

  12. Major Achievements of the Department • Free Emergency Response Services • 240 Ambulances operationalized. • These Ambulances attend to trauma, medical emergencies and delivery cases. • Daily 800 emergencies are attended. 1.60 lacs lives have been saved (till 14.4.2012). • Total project cost is Rs.70 crore. • Advanced medical Equipment • Aphersis machines, Blood separators, Phaco machines, Dialysis units, New Dental Chairs, Laboratory equipment provided in the hospitals.

  13. Major Achievements of the Department • Drug-De-addiction Centre • 20 Bedded Drug De-addiction Centres operationalized at Talwandi Sabo. Drug De-addiction Centres in 7 district hospitals operationalized. In the remaining 13 districts, these would be operationalized in the current year. • 252 Awareness camps were organized for school children by Homoeopathy Department. • Cancer Control Programme • A corpus of Rs.30 crore was set up for financial assistance up to Rs.1.5 lac per cancer patient. 2329 patients were given assistance of Rs.25 crore.

  14. Major Achievements of the Department • RashtriyaSwasthyaBima Yojana • An insurance cover of Rs.30,000/- to BPL families extended. 2.04 lacs BPL families enrolled. Rs.16 crore claims paid to the BPL families. • State Illness Fund • A corpus of Rs.2.50 crore established to provide financial assistance to BPL families up to Rs.1.50 lacs for treatment of terminal illness. • Trauma Centres • Three Trauma Centres at a cost of Rs.12 crore set up in Civil Hospitals, Pathankot, Amritsar and Jalandhar. 1 more at Khanna will be operational by May, 2012.

  15. Major Achievements of the Department • Nursing Schools • 3 Nursing Schools i.e. at Jalandhar, Patiala and Amritsar were operationalized. 4 more at Gurdaspur, Bathinda, Sangrur and Ropar would be operationalized during the current year. • Super Specialty Cancer Hospital under PPP format • Two 200 bedded super specialty hospitals have been set up under PPP format at Mohali and Bathinda. • 5% of the revenue to be paid by the private providers (MAX Healthcare) to be utilized for treatment of poor patients

  16. Major Centrally Sponsored Programmes

  17. Flagship Programme: National Rural Health Mission • The state signed a Memorandum of Understanding with Government of India on 15.6.2006 for implementation of NRHM in the state. • The main aim of the NRHM is to fill critical gaps in the delivery of Rural Healthcare Services in terms of civil infrastructure, equipment and manpower. • Implementation of Family Welfare, Mother and Child Healthcare Programmes alongwith selected Disease Control Programme in an integrated manner.

  18. Flagship Programme: National Rural Health Mission (Goals of NRHM) • Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR). • Universalize access to Public Health Services for Women’s Health, Child Health, Water, Hygiene, Sanitation and Nutrition. • Prevention and control of Communicable and Non- Communicable Diseases, including locally Endemic Diseases • Access to integrated comprehensive Primary Healthcare. • Ensuring population stabilization, gender and demographic balance. • Revitalize local health traditions and mainstream AYUSH. • Promotion of healthy life styles.

  19. Flagship Programme: National Rural Health Mission • As per latest official figures published so far:- • Infant Mortality Rate declined by 4 points from 38 in 2009 to 34 in 2010 as per SRS bulletin 2011 (very few states have achieved this target). IMR indicator of India is 47. • Maternal Mortality Ratio has come down from 192 (2004-06) to 172 (2007-09) as per SRS bulletin 2011. MMR indicator of India is 212. • Sex Ratio improved from 876 (Census 2001) to 893 (Census 2011). Sex Ratio of India is 914 (Census 2011).

  20. Flagship Programme: National Rural Health Mission • 2011-12 IS THE FIRST AND ONLY YEAR SINCE 2005-06 (The first year of start of NRHM in India) during which fund utilization has been more than 100% over approved plan

  21. Flagship Programme: National Rural Health Mission • Again, 2011-12 emerged as the First and only Year during which NRHM Punjab managed to get released additional Rs 22 Crore in excess of the approved GOI allocation to the state during the year as depicted below

  22. Flagship Programme: National Rural Health Mission • Janani Shishu Suraksha Karyakaram - A new scheme - JSSK was introduced during 2011-12 for providing ‘Free Delivery Services’ to pregnant women. Under this scheme free admission, diagnostics, drugs, consumables, blood and referral transport are provided. Institutional Deliveries in Government Hospitals have registered phenomenal increase as shown below:.

  23. Flagship Programme: National Rural Health Mission Janani SurakshaYojana- (Cash incentive to BPL mothers for institutional deliveries @ Rs.700 for Rural & Rs 600 for urban area and Rs 500 for home delivery) Under this scheme during 2011-12, there has been a spurt in number of beneficiaries availing benefits as shown below:-

  24. Flagship Programme: National Rural Health Mission • Strengthening of healthcare deliveries specifically Emergency Obstetric Care in Community Health Centres and strengthening of 24x7 delivery services in Primary Health Centres. • Establishment of 25 Blood Storage Units in 25 CHCs and in remaining 89 CHCs, the work is in progress. • For proper implementation of these schemes, 19 Gynecologists, 24 Pediatricians, 40 Female Medical Officers, 1131 Staff Nurses and 1282 ANMs have been recruited on contract basis under NRHM.

  25. Flagship Programme: National Rural Health Mission • National Vector Borne Disease Control Programme: • For effective control of the endemic Dengue and Malaria in the state. • National Iodine Deficiency Disorder Control Programme: • The Government of India has appreciated the efforts of the State IDD Cell in effectively implementing the programme and considers the model adopted as “Unique” in the country. • State and District IDD Labs established. • Survey completed in five districts (2011-12).

  26. Flagship Programme: National Rural Health Mission • School Health Programme • Extensive School Health Check-ups in all 19810 (Government + Government aided/recognized) undertaken. • Out of 33224 school visits planned, 32458 (98%) visits completed. • Under this programme 22.80 lacs students were examined and advised to get services through State Health Network where ever required . • School going children suffering from Congenital Heart Disease, Rheumatic Heart Disease, Cancer and Thalassemia are provided free treatment in PGI, CMC, DMC, Silver Oak, IVY and MD Oswal Cancer Hospitals – 735 RHD & CHD cases operated. 221 Cancer and 108 Thalassemia ailing children put on treatment.

  27. Flagship Programme: National Rural Health Mission • ASHA (Community Level Healthcare) • Total number of ASHAs selected : 16800 in villages. • Total number of ASHA Facilitators selected: 898 • Total number of ASHAs trained : 16214 • Total number of ASHAs provided with drug kits: 16463 • State trainers have been trained • ASHAs have been provided with I-cards. • ASHAs have been provided with Uniform. • Bank accounts of ASHAs have been opened up and payment is being made through Bank account only

  28. Flagship Programme: National Rural Health Mission • Infrastructure Upgradation under NRHM • Continuing the effort, infrastructure up gradation of Health Institutions (All DHs, 25 SDHs, 123 CHCs, 246 PHCs and 460 Sub- Centres) undertaken. • Civil Works of Rs. 90 crores completed and of Rs. 50 crores under progress • The Maternity Wards and Labour Rooms of the District Hospitals are being upgraded. 11 work completed. • Major Civil Work has been taken up in 3 SDHs Patti, Pathankot & Batalawork has been completed. • CHCs Lehragagga being upgraded to 50-bedded Hospital at the cost of Rs. 3.08 Crore • CHC Dhakoli (Mohali) has been taken up for major construction at a cost of Rs. 292.25 lakh work and the work is completed.

  29. FLAGSHIP PROGRAMME: NATIONAL RURAL HEALTH MISSION • Infrastructure Upgradation under NRHM • Other important Civil Work under NRHM • Major Civil Work of 5 District Hospitals were undertaken. 4 Completed (Mohali, Ludhiana, Patiala & Bathinda) and 1 in progress (40% completed in Gurdaspur) • Civil Work at 211 PHCs undertaken. Work completed 140, Work assigned to Department of Rural Development 46. • Repair & Renovation of 253 Sub-Centres undertaken – Work at 127 completed, rest in progress. • 207 New Buildings of existing Sub-Centres are being constructed – 84 work completed.

  30. Flagship Programme: National Rural Health Mission (Immunization) • No polio case in the state since 2009. • 2nd doze of measles – launched on 20/12/2010. All children receive Measles-2 along with DPT Booster at the age of 1½ years.

  31. Flagship Programme: National Rural Health Mission • Accessibility and promotion of Health Schemes • Service Guarantee • IEC & reference material for service guarantee designed and displayed for the service provider and community. • Unique Signages for the FRUs and 24x7 PHCs. • Protocol for EmOC displayed at labour room for reference. • IEC material on available services for community. • Radio & TV Spots, Print Media, Hoardings, LED Displays at prominent places and other folk media.

  32. Flagship Programme: National Rural Health Mission • Mainstreaming of AYUSH • Ayurveda • 524 Dispensaries and 5 (50-bedded) Hospitals, 7 ISM Wings in District Hospitals operational –Medical Officers & Dispensers provided alongwith that there is a provision of Rs. 50,000 for drugs for each institution. • Homeopathy • 111 Dispensaries operational –Medical Officers & Dispensers provided. Drugs worth Rs. 7 Lakh provided. • Co-location under NRHM • Provision of one Ayurvedic Doctor and Dispenser in 236 PHCs (24x7), one Homeopathy Doctor & Dispenser in 114 CHCs and two Homeopathy Doctor & Dispenser 20 DHs • 205 Ayurvedic doctors in PHCs and 104 Homeopathic doctors in CHCs recruited on contract basis under NRHM. • 182 Ayurvedic Dispensers in PHCs and 107 Homeopathic Dispensers in CHCs recruited on contract basis under NRHM.

  33. Flagship Programme: National Rural Health Mission Proposed PIP Budget for the Financial Year 2012-13Rs. in Crores

  34. Flagship Programme: National Rural Health Mission Proposed PIP Budget for the Financial Year 2012-13

  35. Flagship Programme: National Rural Health Mission New initiatives proposed in PIP 2012-13 • Free diagnostics through Mammography Units & cervical cancer among women. • Setting up of New Born Stabilization Units at 10 DHs, 12 SDHs and 6 CHCs conducting more than 50 deliveries. • Infant Death Audit – approximately 16000 deaths apprehended. • Programme for Cancer Control – screening camps in districts – 1080 camps and IEC. • Tobacco Control Programme – public awareness material & mobility support. • Capacity Building Programme for management units under NRHM i.e. Training of Government rules/ procedures etc. to all employees, employed under NRHM but never trained (Around 4,000) • Dental check-up of all school going children. • Besides this, during discussion with GOI a pilot project on universal screening of 40+age will be discussed to approve over and above the NRHM PIP.

  36. Flagship Programme: National Rural Health Mission Highlights of the proposed PIP 2012-13 • Implementation of Janani Shishu Suraksha Karyakaram, JSY and Family Welfare. • School Health Programme including routine check-up of all school going children and treatment of complicated diseases among children – CHD/ RHD, Thalassemia, Cancer etc. • Tracking Machines for 900 ultrasound centres. • Trainings - focusing on Maternal, Child Health and other programmes. • ASHA Programme – trainings, drug kits & incentives. • Mandatory Grants.

  37. Flagship Programme: National Rural Health Mission Highlights of the proposed PIP 2012-13 • Infrastructure up-gradation of 10 DH and 5 SDH based on NABH / ISO standards. • Construction of Maternity Ward at District Hospital Barnala and OPD Block at Sub-Divisional Hospital Khanna. • Construction of new building of 40 Sub-Centres and repair and renovation of 75 Sub-Centres. • Procurement and supply of equipment and drugs. • Contractual appointment of one AYUSH Doctor and Dispensers in all 24x7 PHCs (Ayurveda) in all CHCs, SDH and 2 in all DH (Homoeopathy).

  38. Other major Centrally Sponsored Schemes Punjab Nirogi Yojana: Financial assistance to the tune of Rs. 1.50 lacs is being provided to BPL families for treatment of life threatening diseases Rashtriya Swasthya Bima Yojana: Under this scheme, indoor medical care is being provided to a BPL family up to Rs.30000/- in the 147 Government and 185 Private Hospitals. Establishment of Trauma Centre: It is a 100% Government of India sponsored scheme, 3 Trauma Centres has been set up and 1 is under completion. Upgradation and Strengthening of Nursing Services (Human Resource Health): The Government of India has sanctioned Rs.50 crore for establishment of 5 Nursing Schools in the District Hospitals. Strengthening of Teaching Facilities in Government Mental Hospital, Amritsar : This is a 100% centrally sponsored scheme.

  39. Other major Centrally Sponsored Schemes Mainstreaming of AYUSH under NRHM for procurement and supply of essential drugs: Upgradation of AYUSH hospitals. Strengthening of Drug Testing Laboratory of Ayush. Establishment of ISM & H Wing of District Allopathic Hospitals. Establishment of 116 OPD clinics in PHCs. Upgradation of Government Ayurvedic Dispensaries.

  40. Other Major State Plan Schemes • Providing Hotline facilities in the District and Sub Divisional Hospitals • Strengthening of Logistic Services • Strengthening of Hospital Management Information Systems • Strengthening of Fire Safety Services • Strengthening of Drug De-addiction Centres • Cancer Relief Fund

  41. Other Major State Plan Schemes • Strengthening of Urban Health Infrastructure • Establishment of Mobile Cancer Detection Units • Incentive for delivery under Mata Kaushalya Scheme • Incentives for IMR • Strengthening of Civil Registration System • Upgradation and extension of Ayurvedic Pharmacy and Stores.

  42. Achievements under other National Programmes • Tuberculosis Control Programme • All 20 Districts implementing DOTS programme and by July 2012, all will start implementing DOTS plus programme. • During 2011, total 39,206 patients enrolled. • Cure Rate of TB is 88%. • AIDS Control Programme • Punjab State is a high vulnerable State. • Estimated adult prevalence 0.32% (India : 0.31%) • Total HIV cases detected in ICTC 30466 cases • 8719 AIDS Cases undergoing treatment in 6 ART Centres in the state.

  43. Achievements under other National Programmes • Leprosy Control Programme • State is a low prevalence State. • Prevalence rate is 0.23 per 10000 • 532 patients are under treatment • State has achieved the GOI goal i.e. <1/10000 • Polio Eradication Programme • Polio free State. • No case of Polio in the State in 2010 and 2011

  44. Achievements under other National Programmes • Blindness Control Programme • 2.10 lakh cataract operations done in State in the year 2011-12 which is amongst highest per lakh population in the country. • National School Health Programme • 34.59 lakh students were medically checked up in 2011. • 4.03 lakh schools covered under Intensive Dental Health School Programme

  45. Secondary Healthcare Services

  46. PHSC MANAGES 176 SECONDARY LEVEL HOSPITALS • 19 District Hospitals (DH) • 2 Special Hospitals (SH) • 36 Sub-Divisional Hospitals (SDH) • 119 Block Level Community Health Centres (CHC) • One special Institute of Mental Health (Government Mental Hospital), • Amritsar. • New Upgradation and construction under Core Plan: • District Hospitals – 2 • Sub-Divisional Hospitals : New – 5, Upgradation – 2 • Community Health Centres : New – 29, Upgradation – 3

  47. Performance of Secondary Hospitals

  48. Collection and Utilization Of User Charges • User Charges which are collected by the Secondary level Health Institutions are being utilized by the hospitals itself • 45% of collections are being spent for purchase of drugs • 25% on improving facilities to patients • 15% each on building and equipment maintenance. • During the FY 11/12, Rs.30.28 crore user charges were collected as against Rs.26.33 crore during the FY 10/11. CONT…

  49. Collection and Utilization Of User Charges {Rs. Lakhs}

  50. Important Projects of the PHSC (Not Previously Covered) • Jan Aushadhi Stores in Districts • Implementation of Telemedicine Project • Monitoring Referral Ambulances Project • Strengthening of Mortuary Services • Accreditation of Hospitals with NABH and ISO • Strengthening of Physiotherapy Services

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