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HEALTH DEPARTMENTHEALTH DEPARTMENT

Wings –Wings –• Director Health ServicesDirector Health Services• PHSC – Secondary level hospitalsPHSC – Secondary level hospitals• Drug Controller Drug Controller • Food Safety – PFAFood Safety – PFA• Employee State Insurance Employee State Insurance • Ayurveda & HomeopathyAyurveda & Homeopathy• NRHMNRHM• PSACSPSACS

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BUDGET FY (2009-10)BUDGET FY (2009-10)PLANPLAN NON NON

PLANPLANGOI/CSSGOI/CSS OTHEROTHER

SSTotalTotal

DHSDHS 38.2938.29 576.98576.98 6.706.70 -- 621.97621.97DFWDFW -- 22.7822.78 17.3817.38 -- 40.1640.16PHSCPHSC 43.0043.00 15.4015.40 7.507.50 20.0020.00 85.9085.90AYURVEDAAYURVEDA 0.200.20 35.8235.82 6.986.98 -- 43.0043.00

HOMOEPATHHOMOEPATH

YY

0.130.13 9.219.21 1.021.02 --

10.3610.36

ESIESI -- 47.5047.50 -- --47.5047.50

AIDSAIDS -- -- 18.1518.15 --18.1518.15

NRHMNRHM 32.7132.71 -- 218.05218.05 2.142.14252.90252.90

TOTALTOTAL 114.33114.33 707.69707.69 275.78275.78 22.1422.14 1119.941119.94

HSE (Excluding Medical Education) is 0.79% of the GDP against desired 2 – 3%.Per Capita Public Expenditure of Health – Rs. 448/- per year.

Amount in Crores

SUMMARYSTAFF

Sr. No Category Sanction Filled Vacant Remarks

1 Medical 3864 3272 592

2 Drug and Food 45 42 3

3 Nursing 3104 2502 602

4 Laboratory 1065 840 225

5 Paramedical 9810 9331 1324

Diminishing Cadre for

Pharmacists

6 IEC 207 104 103

SUMMARY STAFF

Sr. No Category Sanction Filled Vacant Remarks

7 Malaria Section 254 149 105

8 Technician 202 122 80

9 Statistical 387 272 115

10 Ministerial /Class IV 9451 8547 904

Diminishing Cadre for Class IV

11Paramedical (TB and Leprosy) 28 16 12

Total 28427 25197 4065

STAFF (Medical)Sr. No Category Sanction Filled Vacant

Medical

1 Director 3 2 1

2Additional Director 2 0 2

3 Joint Director 1 1 0

4Deputy Director 34 24 10

5

Deputy Director (Dental) 18 14 4

6Senior Medical Officer 379 321 58

7Medical Officer

3142 2752 390

8Medical Officer (Dental) 285 158 127

STAFF (Drug and Food)

Sr. No Category Sanction Filled Vacant

1

Assistant Drug Controller 3 3 0

2Drug Inspector 19 16 3

3Food Inspector 23 23 -

STAFF (Nursing)


1Superintendent 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

10 Bio Chemist 1 1 0

11Senior Medical Laboratory Technician 57 43 14

12Senior Medical Laboratory Technician Grade-1 512 477 35

13Medical Laboratory Technician Grade-2 445 285 160

STAFF (Paramedical)Sr. No Category Sanction Filled Vacant

1Multipurpose Health Worker (Female) 3631 3559 72

2Multipurpose Health Worker (Male) 2958 2153 805

3Multipurpose Health Supervisor (Female) 750 537 213

4 Trained Dai 376 233 143

5 Ophthalmic Officer 199 194 5

6 Senior Radiographer 40 33 7

7 Radiographer 220 143 77

8Radiographer (Contract Basis) 115 113 2

9 Pharmacist 1531 2390 0

STAFF (IEC)Sr. No Category Sanction Filled Vacant

1State Mass Media and Information Officer 1 - 1

2District Mass Media and Information Officer 18 16 2

3 Deputy MEIO 42 29 13

4 Assistant Editor 1 - 1

5 B.E.E 142 56 86

6 Photographer 1 1 0

7Technical Officer/ Audio Visual 1 1 0

8 Publicity Supervisor 1 1 0

STAFF (Malaria Section)Sr. No Category Sanction Filled Vacant

1Assistant Malaria Officer 14 - 14

2 Assistant Unit Officer 39 10 29

3Entomologist-cum-Parasitamologist 1 - 1

4Entomologist Assistant 5 1 4

5 Insect Setter 1 1 -

6 Insect Collector 29 18 11

7 Draftsman 1 1 -

8Superior Field Worker 151 118 33

9 Biologist 13 - 13

STAFF (Technician)


1Refrigerator Mechanic 16 15 1

2Assistant Dental Mechanic 8 3 5

3 Dental Mechanic 18 2 16

4 Dental Hygienist 20 15 5

5 Dental Electrician 1 0 1

6Dark Room Assistant 21 18 3

7 E.C.G. Technician 13 9 4

8Operation Theatre Assistant 41 34 7

9 Pump Mechanic 12 8 4

10 Field Assistant 1 1 -


11Sanitary Supervisor (Health Core) 11 5 6

12Microscope Mechanic 1 1 -

13 Artist 13 7 6

14 Projectionist 17 1 16

15 Developer 1 0 1

16 Machine Operator 1 0 1

17Tradonal Machine Operator 1 0 1

18 Senior Compositor 1 0 1

19 Compositor 1 0 1

20 Copy Holder 1 1 0

21 Proof Assistant 1 1 0

22Manager off-set Press 1 0 1

23 Cold Chain Officer 1 1 0

STAFF Cont.. (Technician)

STAFF (Statistical)


1Joint Director(Evaluation) 1 0 1

2Deputy Director(Statistics) 1 0 1

3Senior Research Officer 2 1 1

4 Statistical Officer 11 2 9

5Superintendent (Statistics) 22 19 3

6 Statistical Assistant 61 25 36

7Junior Statistical Assistant 25 25 0

8 Computor 264 200 64

STAFF (Ministerial)Sr. No Category Sanction Filled Vacant

1 Administrative Officer 1 0 1

2Registrar (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 4 2 2

8Junior Scale Stenographer 4 4 -

9Senior Scale Stenographer 6 6 -

10Steno-Typist (Head Quarter) 9 9 0


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 Chowkidar 8 8 -23 Class IV (Field) (Total

Posts) 7299 6599 1193

STAFF Cont.. (Ministerial)

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 Norms

Additions 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 Norms

Additions 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.

Shortage of Staff Contd..

Sr. No.

Name of Post Scale Requirement of Posts

Remarks

1 District Immunization Officer 10025-15100

5

2 District Dental Health Officer 10025-15100

3

3 Epidemiologist 7880-13500 54 Deputy Medical Commissioner 10025-

151005

5 Distt. Mass Media & Information Officer

6400-10640 6

6 Deputy Mass Media & Information Officer

5800-9200 6

7 Artist Cum Photographer 5800-9200 88 District Public Health Nurse 6400-10640 89 Food Inspector 4550-7220 610 Assistant Malaria Officer 5800-9200 611 Multipurpose Health

Worker(M)4550-7200 48

12 Superintendent Grade-II 6400-10640 1213 Superintendent Statistics 6400-10640 814 Senior Assistant 5800-9200 2215 Statistical Assistant 5800-9200 11

Details of posts required at Newly created districts

Details of posts required at Newly created districts Contd..

Shortage of Staff Contd..

Sr. No.

Name of Post Scale Requirement of Posts

Remarks

16 Steno Typist 3330-6200 16

17 Clerk 3120-5160 60

18 Computer/ Statistical Clerk 3120-5160 619 Multi Purpose Supervisor (M)/

Health Supervisor4550-7220 5

20 Driver 3330-6200 64

21 Senior Lab. Technician 5000-8100 8 For District Malaria Laboratory

22 Medical Laboratory Technician Grade II

3330-6200 8

23 Lab. Attendant 3120-5160 824 District TB Officer 7880-13500 8 For TB

Clinics25 Medical Laboratory Technician Grade I

4020-6200 8

26 Medical Officers 7880-13500 8 For School Health Clinics

27 Medical Officer (Dental) 7880-13500 828 Public Health Nurse 5000-8100 829 Class IV

(Helper/ Watchman/ Sweeper)

2520-4140 128

16 Steno Typist 3330-6200 16

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.)

Provision GapRs. Source

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

TOTAL 38.68 37.79 5.00

Requirement of Equipments

SN


Provision GapRs(Cr.) Source

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

TOTAL 104.77 22.72 82.04

Requirement for Infrastructure [As per 2011 Estimates]

SN


Provision GapRs(Cr.) Source

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

TOTAL 413.00 60.00 25.00 328.00

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.

Type of Vehicles Required Qty Place

Ambulances 50 for district hospitals, sub division hospitals and community health centers

Ambassadors 25 The offices of Civil Surgeons and Head Office

Tata Sumo, Gypsy etc 85 district and state head quarters

More Vehicles Required

CANCER CONTROLIndia – 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 Muktsar 8,27,906 453 56.62 Bathinda 12,00,736 711 59.33 Faridkot 5,85,500 164 28.04 Mansa 7,31,535 420 57.5

CANCER CONTROLContd..

• 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.

Detection of CancerImaging:

o X-Ray: CHC, SDH, DH and Medical College Hospitals.o Ultrasound: Sub-Divisional, District and Govt. Medical College Hospitalso 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 Smearexamination available at District Hospitals and Medical College Hospitals

CANCER CONTROL . . .Contd..

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.

• 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..

Preparedness to Combat Drug Abuse In The State.. Contd..

• Trained Manpower: -

S.No. Item Number1 Total Districts 20

2 Psychiatrist in State Health Services 26

3 Districts with a Psychiatrist 18

4 Districts without a Psychiatrist 02 (Fatehgarh Sahib, SBS Nagar)

5 Psychiatrists Trained as Master Trainer 20

6 Health employees Trained in Opioid Substitution Therapy

10

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).

Drug De-Addiction Program Contd..

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.

Prevention of Food Adulteration

Code No. Sub-Head/Name of the Scheme

11th Plan(2007-12)Approved

Outlay

Annual Plan(2007-08)

Expenditure

Annual Plan (2008-09) Annual Plan (2009-10)

Approved Outlay

Revised Outlay Expenditure Approved

Outlay

DIRECTORATE OF HEALTH SERVICES(DHS)Department of Health and Family Welfare

Centrally Sponsored/Funded Schemes

DHS 1 National Malaria Eradication Programme (Rural)- (50:50) 200.00 29.66 40.00 40.00 21.19 45.00

DHS 2 National Malaria Eradication Programme (Urban) - (50:50) 100.00 3.34 20.00 20.00 15.72 25.00

DHS 3 Punjab Nirogi Yojana- (33:67) 200.00 100.00 100.00 100.00 100.00 200.00DHS 4 Integrated Disease Surveillance Project(IDSP),

Punjab -(70:30) 57.52 0.00 34.50 34.50 0.00 34.50

State Funded Schemes DHS 5 Implementation of Tele-medicine Application in

the State of Punjab 147.00 0.00 150.00 150.00 150.00 0.00

DHS 9 Balri Rakshak Yojana 300.00 8.72 100.00 50.00 26.04 60.00

DHS 10 Construction of new hospitals (PAP Jalandhar and Nangal) 1000.00 0.00 837.00 837.00 500.00 300.00

DHS 11 Upgradation and expansion of existing Health Institutions 0.00 0.00 0.00 250.00 0.00 2500.00

DHS 12 National Rural Health Mission (NRHM) (85:15) 19567.10 0.00 3000.00 2884.00 2884.00 4125.00 New Scheme

DHS 12(i) National Urban Health Mission (NUHM) (85:15) 0.00 0.00 0.00 0.00 0.00 100.00

Scheme Wise Outlay & Expenditure



Outlay


Expenditure


Approved Outlay


Outlay

State Funded Schemes

DHS 13 Medical Equipment/Diagnostic Services in the hospitals 500.00 13.16 165.00 210.00 206.15 100.00

DHS 15Setting up of Urban Healthcare Centres in Muncipal Corporation Town, Bathinda (ACA-2008-09)

5000.00 0.00 1000.00 1000.00 0.00 500.00

DHS 16 Establishment of De-addiction Centres in the State 330.00 0.00 165.00 40.00 0.00 200.00

DHS 17 Establishment of State Level Drug Dependence Treatment Centre 383.00 0.00 200.00 0.10 0.00 200.00

DHS 18Specialized Healthcare Services in the Rural areas of the State and Continuing Medical Education through tele-medicine

1000.00 0.00 0.10 0.00 0.00 0.00

DHS 19Assistance to NGOs/District Administration for enforcement of PNDT Act, monitoring of pregnancies, helpline etc.

500.00 0.00 100.00 0.00 0.00 0.00

Centrally Sponsored/Funded Scheme

DHS 20 Rashtriya Swasthya Bima Yojana for workers covered under BPL (75:25) 0.00 0.00 200.00 100.00 100.00 200.00

New Schemes State Funded Scheme

DHS 21 Implementation of Emergency Response Services in the State 0.00 0.00 0.00 0.00 0.00 100.00




Outlay


Expenditure


Approved Outlay


Outlay

DHS 22 Assistance for Institutional deliveries to poor families 0.00 0.00 0.00 0.00 0.00 1000.00

DHS 23Providing hotline facilities in the district as well as sub-divisional hospitals (more than 100 beds) for maintaining emergency services.

0.00 0.00 0.00 0.00 0.00 200.00

DHS 24 Setting up of mobile cancer detection units in the State. 0.00 0.00 0.00 0.00 0.00 1.00

DHS 25Setting up of Urban Healthcare Centres in Jalandhar, Ludhiana and Malerkotla for urban poor and slum dwellers

0.00 0.00 0.00 0.00 0.00 1500.00

Total (DHS) 29284.62 154.88 6111.60 5715.60 4003.10 11390.50

AYURVEDADepartment of Health & Family Welfare


AY 1 Upgradation and Extension of Govt. Ayurvedic Pharmacy and Stores, Patiala 50.00 0.00 20.00 20.00 9.00 10.00

Total(Ayurveda) 50.00 0.00 20.00 20.00 9.00 10.00

HOMOEOPATHYDepartment of Health & Family Welfare


HM 1 Strengthening of Existing Govt. Homoeopathic Dispensaries 65.00 0.00 13.00 13.00 11.98 13.00

Total (Homoeopathy) 65.00 0.00 13.00 13.00 11.98 13.00 Grand Total (Medical & Public Health) 40621.00 324.40 9544.60 9614.97 4423.74 16938.92


Summary – Issues and Challenges 1. Food Adulteration – Significant seizures but requirement

for extra enforcement staff – 53 Food Inspectors (One per Sub-Division).

2. 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.

3. 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.

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.


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.


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.


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 non-performers.

14. Community Monitoring – Payment of allowances and incentives to ANMs/Staff Nurses and other Doctors enganged under NRHM through the Planning and Monitoring Committees.


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.


18. Funds for equipments for PHSC.19. HMIS in all Hospitals for effective

monitoring of service delivery.


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.


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