Transcript HEALTH INFRSTRUCTURE

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4-9-2009
HEALTH DEPARTMENT
Wings –
• Director Health Services
• PHSC – Secondary level hospitals
• Drug Controller
• Food Safety – PFA
• Employee State Insurance
• Ayurveda & Homeopathy
• NRHM
• PSACS
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BUDGET FY (2009-10)
Amount in Crores
PLAN
DHS
DFW
PHSC
AYURVEDA
38.29
43.00
0.20
NON
GOI/CSS OTHERS
PLAN
576.98
6.70
22.78
17.38
15.40
7.50 20.00
35.82
6.98
-
0.13
9.21
1.02
-
ESI
-
47.50
-
-
AIDS
-
-
18.15
-
32.71
-
218.05
2.14
114.33
707.69
275.78
22.14
HOMOEPATHY
NRHM
TOTAL
Total
621.97
40.16
85.90
43.00
10.36
47.50
18.15
252.90
1119.94
.
HSE (Excluding Medical Education) is 0.79% of the GDP against desired 2 – 3%
Per Capita Public Expenditure of Health – Rs. 448/- per year.
SUMMARY
STAFF
Sr. No Category
Sanction
Filled
Vacant
3864
3272
592
45
42
3
1
Medical
2
Drug and Food
3
Nursing
3104
2502
602
4
Laboratory
1065
840
225
5
Paramedical
9810
9331
1324
6
IEC
207
104
103
Remarks
Diminishing
Cadre for
Pharmacists
SUMMARY
STAFF
Sr.
No Category
Sanction
Filled
Vacant
7
Malaria Section
254
149
105
8
Technician
202
122
80
9
Statistical
387
272
115
10 Ministerial /Class IV
Paramedical (TB and
11 Leprosy)
Total
9451
8547
904
28
16
12
28427
25197
4065
Remarks
Diminishing
Cadre for
Class IV
STAFF (Medical)
Sr. No
Category
Sanction
Filled
Vacant
Director
Additional
Director
3
2
1
2
0
2
Joint Director
Deputy
Director
Deputy
Director
(Dental)
Senior Medical
Officer
Medical Officer
1
1
0
34
24
10
18
14
4
379
321
58
3142
2752
390
285
158
127
Medical
1
2
3
4
5
6
7
8
Medical Officer
(Dental)
STAFF
Sr. No
1
2
3
(Drug and Food)
Category
Assistant
Drug
Controller
Drug
Inspector
Food
Inspector
Sanction
Filled
Vacant
3
3
0
19
16
3
23
23
-
STAFF (Nursing)
Sr. No Category
Sanction
Filled
Vacant
1
Superintendent Punjab Health
School Amritsar at Mohali
1
-
1
2
Nursing Superintendent
5
-
5
3
Principal Tutor
10
8
2
4
Matron
44
28
16
5
District Public Health Nurse
12
-
12
6
Public Health Nurse (Teaching)
42
34
8
7
Sister Tutor
50
37
13
8
Nursing Sister
410
370
40
9
Staff Nurse
2506
2010
496
10
Lady House Keeper
24
15
9
STAFF (Laboratory- Food & Chemical)
Sr.
No Category
Sanction
Filled
Vacant
1
Bio Chemist
1
1
-
2
Junior Analytical Assistant
5
-
5
3
Senior Analytical Assistant
3
-
3
4
Analyst
31
29
2
5
Public Analyst
1
-
1
6
Deputy District Public Analyst
3
2
1
7
Deputy Chemical Examiner
2
-
2
8
Assistant Chemical Examiner
3
2
1
9
Government Analyst
1
-
1
1
1
0
57
43
14
512
477
35
445
285
160
10 Bio Chemist
Senior Medical Laboratory
11 Technician
Senior Medical Laboratory
12 Technician Grade-1
Medical Laboratory Technician
13 Grade-2
STAFF (Paramedical)
Sr. No Category
Sanction
Multipurpose Health
1 Worker (Female)
3631
Multipurpose Health
2 Worker (Male)
2958
Multipurpose Health
3 Supervisor (Female)
750
Filled
Vacant
3559
72
2153
805
537
213
4
Trained Dai
376
233
143
5
Ophthalmic Officer
199
194
5
6
Senior Radiographer
40
33
7
7
220
143
77
8
Radiographer
Radiographer
(Contract Basis)
115
113
2
9
Pharmacist
1531
2390
0
STAFF (IEC)
Sr. No Category
State Mass Media
1 Information Officer
District Mass Media
2 Information Officer
Sanction
Filled
Vacant
1
-
1
18
16
2
and
and
3
Deputy MEIO
42
29
13
4
Assistant Editor
1
-
1
5
B.E.E
142
56
86
6
1
1
0
7
Photographer
Technical Officer/ Audio
Visual
1
1
0
8
Publicity Supervisor
1
1
0
STAFF (Malaria Section)
Sr.
No Category
Assistant Malaria
1 Officer
Sanction
Filled
Vacant
14
-
14
39
10
29
1
-
1
4
Assistant Unit Officer
Entomologist-cumParasitamologist
Entomologist
Assistant
5
1
4
5
Insect Setter
1
1
-
6
Insect Collector
29
18
11
7
1
1
-
8
Draftsman
Superior Field
Worker
151
118
33
9
Biologist
13
-
13
2
3
STAFF (Technician)
Sr. No Category
Refrigerator
1 Mechanic
Assistant Dental
2 Mechanic
Sanction
Filled
Vacant
16
15
1
8
3
5
3
Dental Mechanic
18
2
16
4
Dental Hygienist
20
15
5
5
Dental Electrician
Dark Room
Assistant
1
0
1
21
18
3
13
9
4
8
E.C.G. Technician
Operation Theatre
Assistant
41
34
7
9
Pump Mechanic
12
8
4
10
Field Assistant
1
1
-
6
7
STAFF Cont.. (Technician)
Sr. No Category
Sanitary Supervisor
11
(Health Core)
Microscope
12 Mechanic
Sanction
Filled
Vacant
11
5
6
1
1
-
13
Artist
13
7
6
14
Projectionist
17
1
16
15
Developer
1
0
1
16
1
0
1
17
Machine Operator
Tradonal Machine
Operator
1
0
1
18
Senior Compositor
1
0
1
19
Compositor
1
0
1
20
Copy Holder
1
1
0
21
1
1
0
22
Proof Assistant
Manager off-set
Press
1
0
1
23
Cold Chain Officer
1
1
0
STAFF (Statistical)
Sr. No Category
Joint
1 Director(Evaluation)
Deputy
2 Director(Statistics)
Senior Research
3 Officer
Sanction
Filled
Vacant
1
0
1
1
0
1
2
1
1
11
2
9
22
19
3
61
25
36
7
Statistical Assistant
Junior Statistical
Assistant
25
25
0
8
Computor
264
200
64
4
5
6
Statistical Officer
Superintendent
(Statistics)
STAFF (Ministerial)
Sr. No Category
Sanction
Filled
Vacant
1
0
1
2
Administrative Officer
Registrar (Budget)
DRME
1
0
1
3
Superintendent Grade-1
18
15
3
4
Superintendent Grade-2
14
14
-
5
Senior Assistant
135
135
-
6
Junior Assistant/Clerk
129
96
33
7
Personal Assistant
Junior Scale
Stenographer
Senior Scale
Stenographer
Steno-Typist (Head
Quarter)
4
2
2
4
4
-
6
6
-
9
9
0
1
8
9
10
STAFF Cont.. (Ministerial)
Sr. No Category
Sanction
Filled
Vacant
11
Steno-Typist (Field)
231
166
65
12
Superintendent Grade-2
68
59
9
13
Senior Assistant
298
292
6
14
Clerk
1110
1033
110
15
Librarian
1
1
-
16
Home Science Assistant
1
-
1
17
Senior Scale Stenographer
16
13
3
18
Junior Scale Stenographer
2
2
-
19
Packer / Sweeper
5
4
1
20
Class IV ( Head Quarter)
86
84
2
21
Sweeper (Head Quarter)
5
5
-
22
23
Chowkidar
Class IV (Field) (Total
Posts)
8
7299
8
6599
1193
Requirement of New
Health Institutions – Sub Centers
 2950 Sub- centers are functioning.
 Shortage of 289 Sub Centers as per census 2001 and 687 Sub
Centers as per estimates of 2011 population , as per norm of 1 sub
centre for every 5000 population. Cost of new Sub Center is Rs. 7
lac.
Year
Existing
Required as per Additions
Norms
Required
Fund Required (Rs. in
Crore)
2001
2950
3239
289
20.00
2011
2950
3637
687
48.00
Requirement of New
Health Institutions – PHCs
 394 PHCs are functioning.
 Shortage of 146 as per census 2001 and 212 PHC’c as per 2011
estimated population . Rs. 1 crore per PHC.
Year
Existing
Required as per Additions
Norms
Required
Fund Required
(Rs. in Crore)
2001
394
540
146
146.00
2011
394
606
212
212.00
Requirement of New
Health Institutions – CHCs
 142 Administrative Blocks in the State.
 One CHC is to be provided in each block.
Number of Administrative Block
142
Number of CHC Required as per norms(1 per block +2 for
Block with population more than 1.50 lac)
165
Number of CHCs already functioning under PHSC
114
No of blocks were no CHC Exists (108 out of 142 ok)
34
Number of CHCs more required (6 double) (165-114+6)
57
Number of CHCs under DHS which needs to be strengthen
15
Number of CHCs to be constructed at new places
42
Funds Required for 57 CHCs including CHCs under DHS
(Rs. in Crores) (In the first phase 34 CHCs would suffice)
171
Staff and Building for New Districts

Posts - 8 New districts i.e. Mansa, Moga, Muktsar, SBS Nagar, SAS Nagar, Barnala,
F.G.Sahib and Tarn Taran were created after 1992 but all the required posts for the office of
Civil Surgeons have not been sanctioned. In all 274 new posts of other than Class-IV are
required.

Office - There is no office accommodation for the office of Civil Surgeons in these 8
districts. The office of Civil Surgeon at Amritsar, Ludhiana, Patiala, Gurdaspur and Hoshiarpur
required to be constructed at proper place. The total requirement of funds would be about Rs.
26 crore.

Residence - Civil Surgeons of districts Amritsar, Barnala, F.G.Sahib, Hoshiarpur,
Kapurthala, Mansa, Moga & SBS Nagar do not have residential accommodation earmarked. They
are staying in the premises of Senior Medical Officers or in Private Accommodation.
Details of posts required
at Newly created districts
Sr.
Name of Post
No.
1
District Immunization Officer
Shortage of Staff
Contd..
Scale
10025-15100
Requirement of
Posts
5
2
District Dental Health Officer
10025-15100
3
3
4
Epidemiologist
Deputy Medical Commissioner
7880-13500
10025-15100
5
5
5
Distt. Mass Media & Information
Officer
Deputy Mass Media & Information
Officer
Artist Cum Photographer
District Public Health Nurse
Food Inspector
Assistant Malaria Officer
Multipurpose Health Worker(M)
Superintendent Grade-II
Superintendent Statistics
Senior Assistant
Statistical Assistant
6400-10640
6
5800-9200
6
6
7
8
9
10
11
12
13
14
15
5800-9200
6400-10640
4550-7220
5800-9200
4550-7200
6400-10640
6400-10640
5800-9200
5800-9200
8
8
6
6
48
12
8
22
11
Remarks
Shortage of Staff
Contd..
Details of posts required at Newly
created districts Contd..
Sr.
No.
Name of Post
Scale
Requirement of
Posts
16
Steno Typist
3330-6200
16
17
Clerk
3120-5160
60
18
19
20
Computer/ Statistical Clerk
3120-5160
Multi Purpose Supervisor (M)/ Health 4550-7220
Supervisor
Driver
3330-6200
21
Senior Lab. Technician
5000-8100
8
22
Medical Laboratory Technician Grade II 3330-6200
8
23
24
25
Lab. Attendant
District TB Officer
Medical Laboratory Technician Grade I
3120-5160
7880-13500
4020-6200
8
8
8
26
27
28
29
Medical Officers
Medical Officer (Dental)
Public Health Nurse
Class IV
7880-13500
7880-13500
5000-8100
2520-4140
8
8
8
128
16
(Helper/ Watchman/ Sweeper)
Steno Typist
3330-6200
Remarks
6
5
64
16
For District
Malaria
Laboratory
For TB Clinics
For
School
Health
Clinics
Food and Drug Control
Drug Inspectors

19 posts of Drug Inspectors are sanctioned in the state . 1
Inspector for 1 district.

Present strength is grossly inadequate for about 22000 shops.

38 posts of Drug Inspectors are more required so as to have one
Drug Inspector for every 600 chemist shop.
Food and Drug Control
Food Inspectors

23 Food Inspectors – sanctioned. Only 1 inspector for a district.

There should be at least 1 Food Inspector in every Sub-Division.

53 more Posts of Food Inspectors are required.
Requirement of funds for existing Health
Institutions
•
Sub-Centres – Out of 2950 Sub-Centres 1030 are functioning from
Dharmshalas etc. New buildings would require Rs. 60 crore.
•
PHCs - 80 PHCs out of 394 PHCs are similarly situated. A sum of Rs.
80 crore is required for these new buildings.
Requirement of Medicines
SN Institution Requirement
(Cr.)
Rs.
Provision
Source
Gap
1
SHC (1187)
10.68
11.79
Non-Plan (RDP)
Nil
2
SC (2950)
1.00
1.00
GoI in Kind
Nil
3
PHC (394)
8.00
11.00
NRHM (1.00),
Non-Plan (10.00)
Nil
4
CHC/SDH/DH
19.00
14.00
NRHM (6.00),
Non-Plan (2.50),
User Charges (5.50)
5.00
38.68
37.79
TOTAL
5.00
Requirement of Equipments
SN Institution Requirement
Provision
(Cr.)
Rs(Cr.)
Source
Gap
1
SHC (1187)
11.87
Nil
Non-Plan (RDP)
11.87
2
SC (2950)
2.90
2.90
NRHM Untied funds
Nil
3
PHC (394)
10.00
5.58
NRHM (3.25),
Non-Plan (2.33)
4.41
4
CHC/SDH/DH
80.00
14.24
NRHM (13.24),
Plan (1.00)
65.76
104.77
22.72
TOTAL
82.04
Requirement for Infrastructure
[As per 2011 Estimates]
SN Institution Requirement
Provision
(Cr.)
Rs(Cr.)
Source
Gap
1
SC (2950)
48.00
10.00 per
year
NRHM
18.00
2
PHC (394)
212.00
5.00 per
year
NRHM
200.00
3
CHC/SDH/DH
153.00
5.00 per
year
NRHM + 25.00 Cr.
State Plan
113.00
413.00
60.00
25.00
328.00
TOTAL
Shortage of Vehicles/ Ambulances

Ambulances were procured more than 10 years back and majority of them are not
road worthy.

172 vehicles (Ambassador (27), Gypsy(26), Trucks(10), Buses(39), Jeep(59) and
Ambulances(11) were condemned and Rs.95.47 lacs was deposited in the State Treasury.

Due to its condemnation and auction there is huge shortage of vehicles.
More Vehicles Required
Type of Vehicles Required
Qty
Place
Ambulances
50
for district hospitals, sub
division hospitals and
community health centers
Ambassadors
25
Tata Sumo, Gypsy etc
85
The offices of Civil
Surgeons and Head Office
district and state head
quarters
CANCER CONTROL
India – 200- 250 cases per one lakh population.
Punjab -
As per survey conducted by Health Department in
Districts Mukatsar, Bathinda , Faridkot and Mansa the prevalence
of cancer patients is 52.2 per lakh population (2005 survey).
SN
District
Population
No. of cancer
patients
No. of cancer
patients per lakh
population
1
2
Muktsar
Bathinda
8,27,906
12,00,736
453
711
56.6
59.3
3
4
Faridkot
Mansa
5,85,500
7,31,535
164
420
28.0
57.5
CANCER CONTROL
Contd..
• The number of deaths because of Cancer in
2007 in Bathinda, Faridkot, Mansa, Muktsar,
Sangrur, Barnala, Patiala, Ludhiana and
Ferozepur (Malwa districts) was 591.
• The number of Cancer patients in whole of
Punjab in Government Institutions was 2300.
CANCER CONTROL . . .Contd..
Detection of Cancer
Imaging:
o X-Ray: CHC, SDH, DH and Medical College Hospitals.
o Ultrasound: Sub-Divisional, District and Govt. Medical College Hospitals
o CT Scan: All Govt. Medical College Hospitals.
Biopsy: CH Jalandhar and Govt. Medical College Hospitals.
Mammography: CH Bathinda and Mata Kaushalya Hospital, Patiala
Laboratory : Fine Needle Aspiration Cytology, Peripheral Blood Smear
examination available at District Hospitals and Medical College Hospitals
Cancer Control .. Contd..
Treatment :
Surgery : Sub-Divisional, District and Medical College Hospitals.
Chemotherapy : Medical College Hospitals.
Radiotherapy : Medical College Patiala.
PGIMER, Chandigarh has been approved as Regional Cancer Centre
for Punjab by Govt.of India. Regional Cancer Centre provides
comprehensive cancer treatment services and training to Medical &
Para-medical staff for detection & prevention of cancer and
supportive care to patients. It is also a referral centre for other
hospitals.
Palliative Care: It is provided at all levels. It includes relief of pain
and symptomatic treatment of terminally ill patients. It also
includes provision of psychosocial support and aims at improving
quality of life of patients.
Cancer Control .. Contd..
Projects completed:
• Mammography unit at Civil Hospital Bathinda and
Mata Kaushalya Hospital Patiala.
• Brachytherapy Machine costing Rs 70 lacs for the
treatment of cancer patients has been installed at
Govt. Medical College Patiala.
• Cobalt Source for the treatment of cancer
patients has been installed at Sri Guru Ram Dass
Institute of Medical Sciences and Research with
assistance of Rs. 25.00 Lac from Govt. of Punjab.
Cancer Control .. Contd..
Ongoing Projects:
• Multispecialty & Cancer Hospitals are being setup at Mohali and
Bathinda in Public Private Partnership mode in collaboration with
M/S Max Health Care India.
• Regional Cancer Centre at Medical College Amritsar: Government
of India has provided Rs. 2.00 Crore for machinery and equipment.
• Simulator and Treatment Planning system for Govt. Medical College
Patiala. Government of India has provided Rs. 2.00 Crore for this
purpose.
• Mammography unit is to be installed at Medical College Patiala. Rs.
30 lacs have been provided for this.
• Radiotherapy unit at Sri Guru Gobind Singh Medical College
Faridkot. Rs. 3.00 Crore have been provided by Govt. of India for
machinery and equipment and construction.
Cancer Control .. Contd..
Projects under consideration of Govt. of India :
• Onconet Service- A Tele Medicine Service is to be
established by Govt. of India. Regional Cancer
Centre PGI will be connected to four district
Hospitals namely Hoshiarpur, Sangrur, Bathinda
and Muktsar for this service.
• Setting up of a Cancer Registry in Districts
Bathinda & Muktsar.
• District Cancer Control Programme for districts
Hoshiarpur and Patiala. This programme is to be
implemented by PGI Chandigarh.
Cancer Control .. Contd..
Other facilities to cancer patients:
• Financial assistance under State Illness fund to
cancer patients belong in to below poverty line
families up to the tune of Rs. 1.5 Lacs.
• School children suffering from cancer are
provided free treatment by Punjab Government.
• Punjab Government provides free travel facility to
cancer patient and one attendant.
• Health Education activities are under taken to
make people aware about the causes signs and
symptoms and prevention of cancer.
Preparedness to Combat Drug Abuse
In The State
• There are 12 De-addiction Centers functional, 3 in State medical Colleges
i.e. Patiala, Amritsar and Faridkot and 9 in Govt. Hospitals Tarn Taran,
Pathankot, Kapurthala, Jullandhar, Bathinda, Faridkot, Muktsar, Hoshiarpur
and Badal. 2 De- Addiction Centers at Civil Hospitals Talwandi Saboo and
Ferozpur are in the process of being established. A state level 50 bedded
Drug Dependence Treatment Center is being set up at Government
Medical College, Amritsar.
• 22 De-addiction Centers/Counseling Centers in Punjab are being run under
the control of Ministry of Social Welfare, Govt. of India. Out of this 13
centres are run by Indian Red Cross Society and 09 by Non-Govt.
Organizations. 37 such centers in Punjab (33 functional and 4 under
construction) is insufficient to handle the drug abuse problem in the State.
In 33 functional DDTCs there are 142 beds out of which 30 beds are with
State Medical Colleges and 112 are with the Department of Health and
Family Welfare, Punjab in various Civil Hospitals.
Preparedness to Combat Drug Abuse
In The State.. Contd..
•
•
•
•
There are 26 Psychiatrists within the department working at different health
institutions of the state and are providing services in drug abuse prevention at
their place of postings. All of them can be judiciously and optimally utilized to
manage/advisor to DDDAC/any drug de-addiction centers in every district.)
The NDDTC, AIIMS has already trained 20 psychiatrists as Master Trainers in
Drug Abuse Prevention. It has also trained 10 health personnel from four
districts of the state (4 psychiatrists, 3 staff nurses, 3 laboratory technicians)
for Opioid Substitution Clinics which are going to be established by GOI to
prevent IDU in collaboration with NACO.
Health department has already commissioned a study on “Drug abuse in the
border districts of Punjab” funded by National Rural Health Mission, (NRHM),
Punjab at the cost of Rs. 5.0 lakh in 2009. The study will be completed by
March 2010. There are many steps being taken to establish de-addiction
centers like
DHS (16):- Annual Plan 2009-10- Rs. 200.0 lakh, Total Plan Outlay =Rs. 330.0
lakh
DHS (17) State Level Drug Dependence Treatment Center (SDDTC), Govt.
Medical College, Amritsar (Swami Viveka Nand Drug Dependence Treatment
Center ):-Annual Plan2009-10 Rs. 200.0 lakh, Total Plan Outlay =Rs. 334.0 lakh,
Preparedness to Combat Drug Abuse
In The State.. Contd..
• Trained Manpower: -
S.No. Item
Total Districts
1
Psychiatrist in State Health Services
2
Districts with a Psychiatrist
3
Districts without a Psychiatrist
4
5
6
Number
20
26
18
02 (Fatehgarh Sahib,
SBS Nagar)
Psychiatrists Trained as Master Trainer
20
Health employees Trained in Opioid
Substitution Therapy
10
Drug De-Addiction Program Contd..
 Drug Menace: During the year 2008, 617 Joint raids were conducted by the
Drug Inspectors with the help of police department to check the menace of
drug addiction.
 37 licenses of chemist shops have been cancelled and licenses of 294
chemists were suspended due to various contraventions of drug and cosmetics
Act.
 Drugs worth Rs. 3.18 crore have been seized during the year 2008 and action
taken against the defaulters.
 Drugs worth Rs. 1.34 crore have been seized during the year 2009 (upto July)
and action taken against the defaulters.
 329 Joint raids were conducted and 119 licenses of chemist shops have been
cancelled and 244 chemist's licences were suspended during 2009(upto July).
Prevention of Food Adulteration

During 2008, 290 samples out of 3520 samples were
found to be adulterated.

During 2009 (upto July) 183 samples out of 1981
samples were found to be adulterated.
Scheme Wise Outlay & Expenditure
Code
No.
DHS 1
DHS 2
DHS 3
DHS 4
DHS 5
DHS 9
DHS 10
DHS 11
DHS 12
Sub-Head/Name of the Scheme
DIRECTORATE OF HEALTH SERVICES(DHS)
Department of Health and Family Welfare
Centrally Sponsored/Funded Schemes
National Malaria Eradication Programme
(Rural)- (50:50)
National Malaria Eradication Programme
(Urban) - (50:50)
Punjab Nirogi Yojana- (33:67)
Integrated Disease Surveillance Project(IDSP),
Punjab -(70:30)
State Funded Schemes
Implementation of Tele-medicine Application in
the State of Punjab
Balri Rakshak Yojana
Construction of new hospitals (PAP Jalandhar
and Nangal)
Upgradation and expansion of existing Health
Institutions
National Rural Health Mission (NRHM) (85:15)
Annual Plan
11th Plan
Annual Plan (2008-09)
Annual Plan
(2009-10)
(2007-12)
(2007-08)
Approved
Approved Revised
Approved
Expenditure
Expenditure
Outlay
Outlay
Outlay
Outlay
200.00
29.66
40.00
40.00
21.19
45.00
100.00
3.34
20.00
20.00
15.72
25.00
200.00
100.00
100.00
100.00
100.00
200.00
57.52
0.00
34.50
34.50
0.00
34.50
147.00
0.00
150.00
150.00
150.00
0.00
300.00
8.72
100.00
50.00
26.04
60.00
1000.00
0.00
837.00
837.00
500.00
300.00
0.00
0.00
0.00
250.00
0.00
2500.00
19567.10
0.00
3000.00
2884.00
2884.00
4125.00
0.00
0.00
0.00
0.00
0.00
100.00
New Scheme
DHS 12(i) National Urban Health Mission (NUHM) (85:15)
Scheme Wise Outlay & Expenditure
Code
No.
DHS 13
DHS 15
DHS 16
DHS 17
DHS 18
DHS 19
DHS 20
Sub-Head/Name of the Scheme
State Funded Schemes
Medical Equipment/Diagnostic Services in the
hospitals
Setting up of Urban Healthcare Centres in
Muncipal Corporation Town, Bathinda (ACA2008-09)
Establishment of De-addiction Centres in the
State
Establishment of State Level Drug Dependence
Treatment Centre
Specialized Healthcare Services in the Rural
areas of the State and Continuing Medical
Education through tele-medicine
Assistance to NGOs/District Administration for
enforcement of PNDT Act, monitoring of
pregnancies, helpline etc.
Centrally Sponsored/Funded Scheme
Rashtriya Swasthya Bima Yojana for workers
covered under BPL (75:25)
Annual Plan
11th Plan
Annual Plan (2008-09)
Annual Plan
(2009-10)
(2007-12)
(2007-08)
Approved
Approved Revised
Approved
Expenditure
Expenditure
Outlay
Outlay
Outlay
Outlay
500.00
13.16
165.00
210.00
206.15
100.00
5000.00
0.00
1000.00
1000.00
0.00
500.00
330.00
0.00
165.00
40.00
0.00
200.00
383.00
0.00
200.00
0.10
0.00
200.00
1000.00
0.00
0.10
0.00
0.00
0.00
500.00
0.00
100.00
0.00
0.00
0.00
0.00
0.00
200.00
100.00
100.00
200.00
0.00
0.00
0.00
0.00
0.00
100.00
New Schemes
State Funded Scheme
DHS 21
Implementation of Emergency Response
Services in the State
Scheme Wise Outlay & Expenditure
Code
No.
DHS 22
DHS 23
DHS 24
DHS 25
AY 1
HM 1
Sub-Head/Name of the Scheme
Annual Plan
11th Plan
Annual Plan (2008-09)
Annual Plan
(2009-10)
(2007-12)
(2007-08)
Approved
Approved Revised
Approved
Expenditure
Expenditure
Outlay
Outlay
Outlay
Outlay
Assistance for Institutional deliveries to poor
0.00
families
Providing hotline facilities in the district as well
as sub-divisional hospitals (more than 100 beds)
0.00
for maintaining emergency services.
Setting up of mobile cancer detection units in
0.00
the State.
Setting up of Urban Healthcare Centres in
Jalandhar, Ludhiana and Malerkotla for urban
0.00
poor and slum dwellers
Total (DHS)
29284.62
AYURVEDA
Department of Health & Family Welfare
State Funded Schemes
Upgradation and Extension of Govt. Ayurvedic
50.00
Pharmacy and Stores, Patiala
Total(Ayurveda)
50.00
HOMOEOPATHY
Department of Health & Family Welfare
State Funded Schemes
Strengthening of Existing Govt. Homoeopathic
65.00
Dispensaries
Total (Homoeopathy)
65.00
Grand Total (Medical & Public Health)
40621.00
0.00
0.00
0.00
0.00
1000.00
0.00
0.00
0.00
0.00
200.00
0.00
0.00
0.00
0.00
1.00
0.00
0.00
0.00
0.00
1500.00
154.88
6111.60
5715.60
4003.10
11390.50
0.00
20.00
20.00
9.00
10.00
0.00
20.00
20.00
9.00
10.00
0.00
13.00
13.00
11.98
13.00
0.00
324.40
13.00
9544.60
13.00
9614.97
11.98
4423.74
13.00
16938.92
Summary – Issues and Challenges
1.
2.
3.
Food Adulteration – Significant seizures but requirement for
extra enforcement staff – 53 Food Inspectors (One per SubDivision).
Drug Menace – Campaign launched and habit forming drugs
worth more than Rs. 6.00 Cr. seized during last 2½ years.
Need for increasing the strength of Drug Inspectors from 19
to 57 so as to have 1 Drug Inspector per every 600 Chemist
Shops.
Sex Ratio – Latest data shows an improvement from 796 in
2001 to 838 in 2006 as per SRS 2007. Need for
strengthening the schemes for girl child. Some States are
depositing upto Rs. 30,000/- per girl child at birth to enable
her to receive staggered payment through academic career.
Summary – Issues and Challenges
4.
Access to Health Care – Free delivery, free referral for
school students, free treatment for BPL families in Govt.
Hospitals.
Implementation of RSBY for BPL families in all the districts
for cashless treatment upto Rs. 30,000/-.
Implementation of Bhai Kanhaya by Cooperation Deptt.
for cashless treatment upto Rs. 2,00,000/- for members of
Co-op. Societies.
State illness fund for BPL families.
Need – Definition of BPL families restrictive and need for
enlarging the scope of insurance scheme for greater
number of poor people.
Supply of free medicines – more medicines should be
added.
Summary – Issues and Challenges
5. Telemedicine – Made functional but needs to be
strengthened. Greater involvement of medical
colleges.
6. PPP Projects – Two Hospitals awarded. Case of 3
Hospitals – Mother and Child Hospital, FGH Sahib,
SDH Nangal and Nabha being referred to PIDB.
7. Jan Aushadhi Stores – 8 opened and remaining 12
would be opened by 30-11-2009 for sale of
cheaper generic medicines manufactured mostly
by CPSUs.
Summary – Issues and Challenges
8. EMRI – Emergency Medical Response System
needs to be made functional. 16 States have
already undertaken this work and GoI is
encouraging it under NRHM.
9. Recruitment of Staff – After many years Govt. has
allowed recruitment of MOs, MO Dental and
Specialists which needs to be continued on regular
basis. 191 more Ayurvedic Doctors needs to be
recruited.
10. ESI – Recruitment of Doctors on contract basis. ESI
willing to set up a Medical College provided State
Govt. arranges 30 acres of land.
Summary – Issues and Challenges
11. Institutional Deliveries – Significant increase but
still deliveries in Govt. Institutions account for
about 15% of all births and 23% of total
institutional deliveries. (5 lakh birth, 62%
institutional deliveries and 70000 deliveries in
Govt. Hospitals).
Need for more incentives for poor people.
Provision of delivery kit of Rs. 1500/- per child
during 2009-10.
Need for strengthening the community
monitoring system specially at PHCs and SCs level.
Involvement of private parties in under served
pockets.
Summary – Issues and Challenges
12. Work of ANMs – Hardly any vacancy of ANMs in
2950 SCs. Bigger SCs have 2 ANMs. They are being
provided mobiles and an application based on
mobiles for online monitoring of their
performance.
13. ASHAs – Proper selection and weeding out of nonperformers.
14. Community Monitoring – Payment of allowances
and incentives to ANMs/Staff Nurses and other
Doctors enganged under NRHM through the
Planning and Monitoring Committees.
Summary – Issues and Challenges
15. Monitoring of Staff – A website of NRHM,
Computerization of service particulars and
administrative maps by PRSC, Ludhiana.
Involvement of District Administration and PRIs
in District Health Societies and Missions. Need for
greater accountability on the part of the staff in the
field.
16. Staff and Buildings in New Districts – New 24
Health Blocks.
17. Upgradation of DH/SDH/CHCs and new
constructions as per norms.
Summary – Issues and Challenges
18. Funds for equipments for PHSC.
19. HMIS in all Hospitals for
monitoring of service delivery.
effective
Summary – Issues and Challenges
20. Rationalization of postings and transfers – End to irrational
deployment of Doctors and Other Paramedical Staff for the
first time. Need to continue this.
Deputation- 82 doctors on deputation with UT and many for
more than 25 years.
Doctors should return after
completion of their tenure of 3-5 years after replacement.
Similarly about 45 doctors are with Medical Colleges. These
doctors did not return after completion of SR and PG and
were adjusted in an irregular manner by the Medical
Education Department against the post of Teaching faculty.