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GOVERNMENT OF KARNATAKA
HEALTH & FAMILY WELFARE DEPARTMENT
PERFORMANCE BUDGET
(2004-2005)
HEALTH & FAMILY WELFARE DEPARTMENT
PERFORMANCE BUDGET
(2004-2005)
PERFORMANCE BUDGET OF HEALTH & FAMILY WELFARE DEPARTMENT
. (2004-2005)
SI.
No.
Name of the Department/ Project
Page No.
1
Health & Family Welfare Services
1 - 27
2
Karnataka State AIDS Prevention Society
28 - 31
3
Family Welfare
32-42
4
Indian System of Medicine & Homeopathy
43 - 54
5
Drugs Controller
55 - 63
6
Karnataka Health Systems Development Project
64-78
THE ORGANIZATION CHART AT THE DIRECTORATE IS GIVEN BELOW
377C-A
1
Directorate of Health and Family Welfare Services
Introduction
Karnataka State is one of the pioneer States in the Country in providing comprehensive Public Health Services to its people. Even before
the concept of Primary Health Centres was conceived by the Government of India, the State had already made a beginning in this regard by
establishing a number of Primary Health Units for providing Comprehensive Health Care in delivery system consisting of "Curative"
"preventive", "Promotive" and "Rehabilitation" Health Care to the people of the State as "HEALTH" is an asset of every community. The
Department is rendering the following Services through its net work of Medical and Health Institutions in the State.
1. Common Minimum need Programme
2. Curative Services
3. Reproductive Child Health Programme.
4. Prevention and control of communicable diseases, National Leprosy Control Programme, National Aids Control Programme, National
Tuberculosis Control Programme, National Guinea worm'Eradication Programme, National programme for control of blindness.
5. National Vector Borne Disease Control Programme including National Anti Malaria Programme. National Filaria Control Programme,
Anti JE Programme and Dengue Control Programme.
6. Laboratory services
7. Implementation of Food Adulteration
8. Environmental sanitation
9. Vital Statistics
10. Nutritional Services
11. Health Education and School Health Services.
3770'3
2
Primary Health Care
Primary Health Care is one of the items under the restructured 20 point programme in Karnataka Development Programme. The State
is following the National Pattern of three tier Health Infrastructure in rendering Primary Health Care through Sub-Centres, Primary Health
Centres and Community Health Centres. The policy of the Government is to establish one Sub-Centre with a Female/Male Health vVorkers
for every 5000 population in plain areas and for 3000 population in hilly and tribal area. One Primary Health Centre for every 30000
population in plain areas and for every 20000 population in hilly and tribal areas and one Community Health Centre for 1,20,000 population
by up-gradation of one out of four Primary Health Centres to function as referral / specialised institution for the rural population.
The earlier policy of establishing Primary Health Units has been discontinued.
At present there are 66 Major Hospitals (Teaching District and specialised Hospitals), 253 Community Health Centres, 1679 Primary
Health Centres, 581 Primary Health Units and 8143 ANM Sub Centres in the State.
Physical Targets and Achievements - Rural Health Services
2002-2003
Target Achievement
2004-05
2003-2004
Target
Achievement
Target
1 Estt. of Primary Health Centres
-
-
-
-
-
2 Establishment of Community
Health Centres
-
-
5
3
10
3 Establishment of ANM Sub
Centres
NIL
NIL
NIL
NEL
NEL
3
Medical Development Programme :
Development of District Hospitals, Major Hospitals and General Hospitals come under this programme.
These Hospitals arc having the following common specialities.
1) Medical
2) Surgery
3) Obstetrics and Gynecology
4) E.N.T
5) Skin
6) Dental
7) Psychiatric etc.,
These departments are also functioning as referral centres. They intend to serve the following objectives: 1) To provide better curative services.
2) To establish I improve blood banks.
3) To improve Laboratory services.
4) To establish Intensive Cardiac Care unit, "Telemedicine" Services, Implementation of Cancer Programme, Mental Health
programme etc.
5) To provide necessary equipments and Man power.
6) To improve the overall facilities in the Hospitals.
7) "Arogya Raksha Samithies constituted and displaying of Citizen Charter in each hospital.
4
National Leprosy Eradication Programme
The aim of National Leprosy Eradication Programme is to bring down the case load to less than 1 per 10000 population, prevent
deformities by early detection, prompt treatment, disseminating correct information about the disease and removing misconception by means
cf Health Education for the community, family and individual, rendering infectious cases to non infectious in a short period by early detection
and multi drug treatment, and to provide rehabilitation services to the cured persons.
The Infrastructure facilities available in Karnataka under this programme are as follows:
Joint Director (Leprosy), ‘EPST’, SSA Units-2, DLOs-25, NLCCs-21, MLCUs-9, ULCs-48, THWs-22, LTCs-2, LRPUs-2. In
addition to this infrastructure, there are 25 Voluntary Organisations working for Eradication of Leprosy. There are 1,110 beds available, of
which, 410 beds are maintained by Voluntary Organisations for which, grant-in-aid is provided by the Govt, of India at the rate of Rs. 185/per bed for adults and Rs.90/- per bed for children.
Physical Targets & Achievements
Year
Case Detection
Target
Achievement
13890
13070
10598
2191
%
94
-
Target
19720
. r
Case Cured
Achievement
15340
12522
2622
%
2002-2003
78
2003-2004
2004-2005
(Upto end
of June 04)
Note: As per GOI letter No. 15015/3/2003/2003/Lep D.G.H.S. (Leprosy Division) Nirman Bhavan, New Delhi, Dated 14-5-2004 not
setting up state wise target for Leprosy Case Detection and case cured since the year 2003-04 and 204-0 also.
Plan of Action for 2004-2005.
°
©
®
e
Training all Health Personnel in the National Leprosy Eradication Programme
Consolidation of MDT Services
Intensification of Health Education Activities.
Integration of Leprosy Programme into General Health Services.
5
National Programme for Control of Blindness
The National Programme for Control of Blindness is formulated in 1976 as a Centrally Sponsored Scheme. India has Blindness Problem,
which is of a very high magnitude. The incidence rate in Karnataka is 1.29%. The estimated incidence is about 4.5 lakhs. To tackle this
aspect the following infrastructure are developed.
One State Ophthalmic Cell
Five Medical Colleges have been upgraded to provide higher clinical Ophthalmic Service
Minto Ophthalmic Hospital, Bangalore has been upgraded as Regional Institute of Ophthalmology to provide an Advance Eye Health care
27 District Hospital and 7 General Hospitals have been developed to provide surgical/ clinical ophthalmic service
31 Mobile Ophthalmic Units have been established to provide clinical and surgical facilities
426 primary health centers were developed with a creation of paramedical ophthalmic assistant post
3 eye banks are functioning at Minto Hospital, Bangalore: K.R.Hospital, Mysore: and District Hospital, Belgaum to provide grafting
services with super specialists
> District blindness control societies have been formed in all 27 districts. Concerned Deputy Commissioner is the Chairman and
District Leprosy Officer will be the Member Secretary of this Society.
> Karnataka Blindness Control Society has been formed under the Chairmanship of the Hon’ble Health Minister. Joint
Director} Ophthalmology} will be the Member Secretary. Govt., of India will release the funds to this Society for distribution of all
District Blindness Control Societies
> 105 Ophthalmic Surgeons have been trained in IOL surgery. 6 Eye Specialists have been trained in SIC Surgery and 197 Staff Nurses
have been trained in NPCB programme.
>
>
>
>
>
>
>
PHYSICAL TARGET AND ACHIEVEMENT:Achievement Percentage
Target
Year
107
2,35,578
2,20,000
,2002-03
117
2,58,097
2,20,000
2003-04
2,20,000
2004-05
Plan of Action for 2004-2005
1. Development of Ophthalmic units at District Hospitals, Koppal & Haven.
2. Development of Ophthalmology Dept., General Hospitals, Kanagapur, Devanahal.
3. Upgradation of 10 PHCs.
3770-4
6
National Vector Borne Disease Control Programme
National Anti-Malaria Programme (Rural) 50 : 50 C.S.S
The main objectives of this
(i)
to prevent deaths occurring due to Pf Malaria,
(ii)
to bring down the Malaria morbidity to the lowest level,
(iii)
to maintain the going achieved,
(iv)
to encourage Community participation in Malaria Control.
Malaria Control activities have been implemented in the State as per the guidelines of the Government of India. Accordingly four
N.M.E.P Zones and 26 District Malaria Units have been established in the State.
The main activities include surveillance and case detection, examination and treatment, residual insecticidal spray operations and bioenvironmental methods of Vector Control, Entomological Studies on Vector Behavior and IEC activities.
Achievements
Total
Positives
132584
Total Pf
cases
29702
RT
ABER
SPR
SFR
API
2002
B.S. Collected
and examined
9426845
131526
18.8
1.4
0.3
2.8
2003
9745047
99889
24034
94794
19.4
1.0
0.2
2.1
-
-
-
-
-
-
-
Year
2004
Note :
ABER - Annual Blood Examination Rate
SPR - Slide Positivity Rate
SFR - Slide Falciparum Rate
API - Annual Parasite Index
RT - Radical treatment
7
Plan of Action for 2004-05:» To bring down the API of the slate to below 2.
o Biologicl Vector Control method will be given more thrust with the help of Malaria Research Centre through out the state.
» Collective approach on Malaria. Filaria. JE & Dengue control measures, in endemic districts.
» Drug resistance studies will be taken in high Pf incidence areas, in co-ordination with the Senior Regional Director/Govemment
treatment of Malaria.
« Blister packs are proposed to be introduced in Project areas and highly problematic Pf predominant areas.
National Anti-Malaria Programme (Urban) 50 : 50
The objective of the Programme is to control Malaria transmission in Urban areas, through vector control measures. The scheme is
implemented by local bodies in eight cities/ towns of the State i.e., Bangalore. Bellary, Belgaum. Chickmagalur. Hospet, Raichur, Hassan and
Tumkur. The urban slums of Bellary and Mangalore are problematic and the Bellary city is under UMS scheme while the existing Filaria
Unit of Mangalore City Corporation is implementing vector control measures for both malaria and filaria control.
Activities under the scheme are mainly anti larval measures which includes weekly larvacidal measures to prevent the breeding of
mosquitoes, space spray with Pyrethrum Extract is done in and around malaria positive houses in addition to detection and treatment of
malaria cases. Biological control methods are also given more thrust under the U.M.S.
____
Physical Achievements
Year
2002
B.S. examined
92818
Total of MPP cases
1849
Total P.F. cases
387
Total R.T. given
1753
2003
125033
2040
352
1908
2004
Plan of Action 2004-05:1. Integrated Vector Control Strategy shall be implemented for Malaria Control in the State and a common budget head for all the 4
programmes has been proposed.
2. Implementation of Biological Vector Control methods by using Larvivorus fish for control of Mosquito breeding to be more
emphasised with the assistance of Malaria Research Centre.
8
National Filaria Control Programme - 50 : 50 C.S.S
The Filaria Control activities are implemented in the Districts of Gulbarga, Bagalkot, Bidar, Koppal, Raichur, D.Kannada, Udupi &
U.Kannada. Eight Filaria control units, 25 Filaria Clinics and one filaria survey cell at Raichur District are functioning in the State.
The main activities under the programme are anti-larval measures earned out through filaria control units while filaria clinics under
take parasitological surveys to detect and treat micro-filaria and disease manifested cases with D.E.C tablets (Diethyl Carbamazine Citrate
Tablets). The objective of these activities is to delimit the problem of filariasis in the Stale.
Physical Achievements[ NO TARGET]
Year
B.S. examined
Total & No. of Micro
Filaria cases detected
Total No. of disease
cases
2002
2003
138394
144756
904
973
6396
6111
Total No. of
cases given
treatment
7300
7067
Micro Filaria
rate %
0.65
0.67
Action Plan 2004-05:
Filaria Day shall be observed on June 5th in 8 Endemic Districts with one day mass drug administration.
Japanese Encephalitis Programme
The epidemic season for the virus disease is normally post-monsoon. The disease usually occurs in the districts of Bellary, Mandya, Kolar,
Raichur and to some extent in Bangalore Urban and Mysore. It is mosquito borne viral disease spread by culex vishnui; affects mainly
children and mortality is found to be high among the affected cases.
YEAR.
2002
2003
2004
SUSPECTED
ATTACKS
152
226
DEATHS
15
10
CONFIRMED
ATTACKS
DEATHS
2
24
38
4
9
Action plan for 2004-2005
•
°
It is proposed to involve agricultural sector for use of "Neem Coated Urea" as a major fertilizer in JE areas, for Vector Control.
Special emphasis on Personal Protection measures and segregation of pig in JE prone areas.
DENGUE FEVER:
Dengue fever is a mosquito home viral disease. The epidemic occurs during the pre and post monsoon periods. The vector mosquito
usually breeds in domestic and peri-domestic water collections such as cement tanks, drums, old tyres, tins, coconut-shells, air-coolers and so
on. The diagnosis is by serological methods and the treatment is symptomatic. Source reduction methods, use of larvicides & adulticides and
fogging operations are some of the control activities adopted.
Bangalore (Urban), Bangalore (Rural), Mandya, Kolar, Dakshina Kannada, Bellary, Raichur, Chitradurga, Davanagere and Mysore districts
are prone to this disease.
YEAR
2002
2003
2004
ATTACKS
428
1226
DEATHS
1
7
Action Plan for 2004-05:
Special emphaisi on IEC activities and publicity about source reduction in Domestic and Peri domestic situations as well as personal
protection.
National Tuberculosis Control Programme (50:50 C.S.S)
Introduction :
This is a centrally sponsored scheme on a 50:50 sharing basis. There is a state TB Centre in Bangalore and DTC in all the 27
Districts. In addition to these, there are 5 additional DTCs situated in Yadgir, Sirsi, Sira, chikkaballapura and Hospet. There is also one After
Care Rehabilitation and Training Centre in Bangalore.
3770-5-
10
Revised NTBCP has been implemented in a phased manner in 22 Districts of the State. The remaining 5 Districts are undergoing
preparatory activities and are likely to be implemented in about one months time.
From 1998 onwards with the World Bank assistance, Revised National Tuberculosis Control Programme has been started in a phased
manner in 27 Districts.
Objectives :
1.
2.
3.
4.
Detection and treatment of all the TB cases.
To provide optimum treatment nearer to the residence of the patient ley DOTS.
To prevent infection of TB by doing B.C.G. vaccination to children.
Health education to encourage patient for Case finding and complete treatment.
Infrastructure under TB Control Programme in Karnataka :
1.
2.
3.
4.
5.
6.
7.
8.
9.
One Stale TB Centre in Bangalore for training, monitoring, supervision, complication of reports and records and administration.
One District TB Centre in each district at district headquarters and 5 additional district TB centre are functioning.
Government TB and Chest diseases hospital - 9
2836 TB beds in Government hospitals.
862 Microscopy centres.
881 Referral centres.
188 X-ray centres.
One after care and rehabilitation training centre at Bangalore.
Short course Chemotherapy is provided in all districts except three districts out of 27 districts.
Physical Targets and Achievement:
Year
2002-2003
2003-2004
2004-2005
Target
72811
72311
72311
New T.B. Cases detected
Achievement
74074
60216
-
%
101
83
-
Target
267289
267289
267289
Sputum Examination
Achievement
271815
279816
-
%
102
105
-
11
Nutrition Programme
The bureau of nutrition is actively involved in implementing the following programmes.
I. Prophylaxis programme against Vit. A deficiency
2. Integrated Child Development Services
3. Nutrition Education activities including training
4. National Iodine deficiency dis -orders control programme.
5. Akshara Dasoha Programme
1) Prophylaxis programme against Vit. A. deficiency
In order to prevent severe form of Vitamin 'A' deficiency leading to blindness, among pre-school children, oral massive dose of
Vitamin 'A' concentrate is being administered to the children between the age group of 9 months to 3 years. 1 ml. of Vita. A concentrate
containing one lakh LU. is being given along with measles Immunisation, 2 ml. Vitamin 'A' concentrate containing 2 Lakhs I.U. is being
administered to the children of 1 -3 years at 6 monthly intervals. Vitamin 'A' concentrate is supplied free of cost by Government of India.
Physical Targets and Achievements :
Measles link Vit. A
progm.
Prophylaxis progm. For
1-3 years children
Target
2003-04
Achievement
%
2004-05
Target
40
982260
478712
49
982260 ■
36
1416170
1136124
80
1413170
Target
2002-03
Achievement
%
1014000
325990
1452000
824325
(Vitamin ‘A’ supplementation programme upto Nov’2003)
Integrated Child Development Services Scheme:
This programme is being implemented through Anganawadies with the co-ordination of Department of Health & FW Services and
Department of Women and Child Development. The beneficiaries of this programme are 0-6 years children and pregnant and lactating
mother. A package of services like immunisations, supplementary nutrition, Health checkups, referal Services, non formal pre school
education, nutrition and health education etc., are rendered. At present 184 project are monitoring the Health Nutrition sector regularly.
12
National Iodine Deficiency Disorders Control Programme (100 % C.S.S)
This programme is being implemented in order to control severe form of Iodine deficiency such as Mental retardation, cretinism,
Deaf-mutism, Sub-normal intelligence etc. Chickmagalur, Dakshina Kannada, Kodagu and Uttara Kannada are identified as endemic districts.
As per Government of India policy, of universal access to iodized salt, notification banning the sale of non-Iodised salt in the entire state has
been issued and is in force as on today.
11323 Health functionaries from 27 districts have been trained on IDD and its control. 'In order to create awareness amoung the public
about the importance of consumption of iodised salt for prevention of IDD, different health education activities are being taken up in all the
districts. Printed materials like posters, folders and placards have been prepared and supplied to all the districts.
In view of the Global IDD day on 21s1 Oct. 2003. taluk level Jatha by the School children in all the taluks and also in the state head
quarters were organized.
Physical Performance. (NO TARGETS)
Goiter Cases
Year
2002-2003
2003-2004
2004-2005
Cases detected
795
1240
Samples of Salt tested by the Health functionaries with the help of field Kits. (NO TARGETS)
Year
2002-2003
Total samples
1300044
2003-2004
1060825
2004-2005
1060825
Above 15 PPM
633847
(48.8%)
486913
(45.9%)
Below 15 PPM
390830
(30.0%)
323108
(30.5%)
OPPM
275317
(21.2%)
250804
(23.6%)
13
No. of Samples analyzed under Non-PFA
No.of Sample analyzed
905
544
Year
2002-2003
2003-2004
Not satisfactory
581 (64.2%)
354 (65.0%)
Satisfactory
324(35.8%)
190 (35.0%)
Action Plan 2004-05
(i)
The programmes activities will be continued.
(ii)
Vit."A" supplementation through campaign approach initiated in 6 Districts will be continued.
Akshara Dasoha Programme:
This programme is being implemented in the state from 2003-04, under which Mid-day-meals alongwith Albendazole, Vitamin ‘A’,
IFA tablets are provided to the children of 1st to 5lh standard of all Govt Primary Schools.
For this purpose, during 2003-04 Rs.5.00 Crores grant is provided to this Department and the required tablets have been supplied to
all the Deputy Directors of Dept of Public Instructions in the State.
Diarrhoeal Diseases and Communicable Diseases Control Programme.
Control activities are being taken against Gastroenteritis, Cholera, Viral Hepatitis, Kayasanur Forest disease, Leptospirosis and
Handigodu Syndrome diseases.
Incidence of Communicable Diseases : (NO TARGETS)
2002
Attacks
Deaths
2518
146
Gastroenteritis
384
Nil
Cholera
15
4579
Viral Hepatitis
Kayasanur Forest Disease
306
11
02
42936
Typhoid Fever
27
Nil
Leptospirosis
2004
2003
Attacks
25949
179.
4192
306
35393
164
Deaths
155
Nil
16
II
07
01
Attacks
815
6
531
23
2242
Nil
Deaths
3
Nil
1
Nil
2
Nil
14
National Guinea worm Eradication Programme - 50:50 CSS
Guinea worm Eradication programme has been taken up in the State in the year 1983. There is zero incidence maintained since 1995.
WHO has declared that Karnataka is free from “Guinea worm disease” during the year 2000. As per the guidelines of Government of India
and NICD, Routine Surveillance of this disease and every year in the month of June-July one “active case search operation” is maintained in
the state till Global Eradication is achieved.
Incidence of Guinea worm. (NO TARGETS)
Year
2002-2003
2003-2004
Attacks
NIL
NIL
Deaths
NIL
NIL
Plan of Action 2004-05
1. To immunize all risk groups with KFD vaccine and bring down the case incidence.
2. To immunize all the high risk group of health staff in the State against Hepatitis 'B'.
3. All the District Surveillance Units are strengthened.
4. Institute of Animal Husbandry and Veterinary Biologicals, Hebbal is manufacturing and supplying according to Department neds, 200304 -1.10 lakh and 2004-05 -1.30 lakh doses required.
5. It has been decided that production of Neural Tissue ARV at Vaccine Institute Belgaum to be discontinued from 31-3-2004 and to procure
Tissue culture ARV at competitive rates from open market, for the use of dog bites cases in all Government Health Institutions.
6. a) It is proposed to establish the Physiotherapy unit at Bale Honnur, Chikkamagalur Dist to provide Physiotherapy services to the
Handigodu patients.
b) The ICMR Units activities to be taken up in Chikkamagalur Dist from April 2004 to establish extra course of the disease and its
prevalence in the Dist.
15
HEALTH EDUCATION AND TRAINING
The activities earned under this programme are
I) SCHOOL HEALTH PROGRAMME
a) Medical examination of school children of 1st to 10lh standard students.
b) Immunization- D &T immunization for 1st Standard Students
TT immunization I Booster to 4th Standard Students.
TT immunization II Booster to 10th Standard Students.
c) Teachers Training
d) Supply of Medical Kits.
e) Medical examination of Children of Child Labour Rehabilitation Centres.
f) Medical examination of Children of Residential Schools coming under Social Welfare Department.
g) Medical examination of Children of Morarji Desai Residential Schools.
II
Health and Family Welfare exhibitions are conducted at Health Melas and in Jatras.
HI
Celebration of World Health Days.
IV
Deputation of Officials of the Department to Haj Yatras.
V
Deputation of Medical and Non Medical officials to various trainings.
VI
Distribution of special incentives to SC/ST ANM trainees.
16
Name of the Programme
1.
2004-05
2003-04 (Upto Jan 2004)
2002-03
SI.
No.
%
Annual
Target
Cumulative
Achievement
6885662
95.97
8098370
6495095
80.2
1195499
910087
76.13
1005570
751201
74.7
1st Booster Dose of TT
Immunization for 4th std students.
1166746
950742
81.49
1303965
545128
41.8
•4.
2nd Booster Dose of TT
Immunization for 10th std students.
519986
592799
114.00
620344
320371
51.6
5.
Teachers Training
42736
18215
42.62
72831
9374
12.64
Annual
Target
Cumulative
Achievement
Medical Examination of students
studying in 1st to 7th std.
7174843
2.
D&T Immunization for 1st std
students.
3.
6.
Medical Kits supplied to Schools
2000
%
340
Deputation for various trainings:
Sl.No.
Deputation Particulars
1
Within the State
2
3
4
Outside the State
Outside the Country
Haj-Medical Mission
Year
2002-03
2003-04
76
489
33
* 01
12
37
01
23
Remarks
PHC M.O.s training under RCI at
KIMS, Hibli and AIISH, MYsore
From 1999 to 12/2003
Total trained-1657
Annual Target
17
Transport
The State Health Transport Organisation working under the control of the Director, Health & FW Services is attending to the repairs
and maintenance of vehicles attached to the Directorate of Health & Family Welfare Services and Directorate of Medical Education.
1.
2.
3.
4.
No. of Vehicles in Health & FW Department
No. of Vehicles disposed off in Public auction
No. of emergency Vehicles distributed by GOI to various Health Institutions
No. of Vehicles exchanged to old Vehicles and distributed to FW Services by GOI
1816
203
120
205
Public Health Institute, Bangalore
The Public Health Institute is the State Level Health Laboratory. The objectives of this institution is to control quality of foods through
implementation of prevention of Food Adulteration Act 1954 and to control Water pollution under Water Pollution Act. Besides Chemical
and Bacteriological Analysis of Food and Water samples, Excise Samples under Excise Act, Lokayuktha cases under Prevention of
Corruption Act, Blood and Urine samples to confirm Alcohol contents analyzing Pesticides under National Anti Malaria Programme are
undertaken. Detection of Cholera, (Viral Fever). Testing of germs present in the food articles, inoculating of iodine in cooking salt, treating
the international travelers with Hepatitis 'B' vaccine, inoculating Haj Piligrims with " Meningitis".
Pradhana Mantri’s Gramodaya Yojana
The Pradhana Mantri’s Gramodaya Yojana has been launched under 10th 5 year plan from the year 2000-01. The Planning
Commission has allocated an additional central assistance of Rs.11.27 Crores during 2000-01, Rs.13.00 Crores during 2001-02, Rs. 13.00
Crores during 2002-03 and Rs. 15.50 Crores during 2003-04 and are utilized for the following activities.
1.
2.
3.
4.
5.
6.
7.
Additional Fixed Travelling Allowances for ANMs at the rate of Rs. 100 per month.
Supply of additional Drugs to PHCs worth Rs. 10,000 per annum.
To provide facilities like water, electricity and building repairs.
For maintenance of installed machineries.
To provide waste management facilities to PHCs.
To supply medicine to Department of ISM.
Solar Lights to be installed in 270 PHCs
3770-7
18
Karnataka State Drugs Logistics & Warehousing Society
Karnataka State Drugs Logistics and Warehousing Society is a project aided by European Commission and Government of India for
implementation of Drugs Logistics and Warehousing Project” that came into existence in the year 2003 with the aim of logistic management
in procurement, distribution, storage of Drugs, Chemicals and Miscellaneous items for the Health & Family Welfare Department of the entire
state, to serve poor people with right drug, in right quality/quantity, in right dosage, in right time by ensuring that drugs of assured quality are
made available at all levels upto the sub centers and used rationally with due monitoring.
The Society caters to the needs of all its Institutions through Warehouses situated in 14 districts. All the Warehouses are established
with good storage practice, scientific inventory management, IT enabled services and connected on-line to the Head Office for monitoring of
drug movements and all other related activities. Also Tendering, Placement of purchase orders, organizing supplies, distribution and payment
will be through e-govemance so as to facilitate perfect transparency.
A passbook will be issued to all Institutions to draw their needs from the District warehouse as per their budget allocations. This
ensures availability of required life saving and day-to-day needed drugs and health care materials on time up to the sub-centre level.
Thus, the Society reaches and helps all, particularly the poorest of poor in getting Health Care by providing drugs at all times.
(Rs.in lakhs)
2002-03
2003-04
Budget released
Budget utilized
Budget released
Budget utilized
4032.88
Health Non Plan
3095.20
3916.16
3906.36
172.55
172.55
Health Plan
468.15
199.36
656.56
456.66
Medical Education
802.70
749.83
Total
4861.99
3724.41
5187.01
4855.55
19
ANNEXURE-A
2210-Medical & Public Health(STATE SECTOR)
(Rs. in Lakhs)
SI.
No.
OBJECTIVE
CLASSIFICATION
1
1
2
Direction and
Administration
Urban Health Service
(Allopathy)
Prevention & Control
of Diseases
Training Programme
Lab. Services
Sera & Vaccine
Central Sponsored
Schemes Central share
50% + 100%.
Health Education and
publicity
Other Programmes
2
3
4
5
6
7
8
9
10
Capital Outlay
(Buildings including
Minor works)
Grand Total
26.02
420.03
7.28
448.73
7.28
416.71
Expdr. Upto end of
March 2003-04
NonPlan
plan
6
416.38
5.12
303.99
7565.50
621.18
8725.37
621.18
7781.40
516.88
7637.90
341.97
9093.31
1531.90
1602.97
1730.89
2502.69
1810.89
2277.16
1641.09
1878.61
1616.24
185.74
0.45
1.41
1531.17
72.71
114.61
113.41
111.23
J 805.75
167.33
175.02
127.50
186.57
1805.75
161.30
163.79
120.73
180.21
1685.50
122.81
126.18
113.41
142.65
1611.59
175.28
167.73
122.38
194.38
1.75
46.04
-
54.14
-
48.18
-
50.59
-
53.18
1894.09
3333.66
2642.24
3783.85
3263.14
4283.23
684.49
4117.23
3598.06
6242.03
176.03
526.20
55.10
570.50
1130.10
270.50
63.81
-
30.00
560.00
5466.81
13906.37
6800.06
16751.70
8637.34
15703.21
4596.89
14605.76
7205.79
17229.49
ACCOUNTS
2002-03
Non-plan
Plan
Budget 2003-04
Non-plan
Plan
Revised 2003-04
Nonplan
Plan
5
4
3
Budget 2004-05
Non-plan
Plan
7.50
435.46
7
20
ANNEXURE-B
2210- MEDICAL & PUBLIC HEALTH (STATE SECTOR)
SI.
No.
Head of Account
(RS. IN LAKHS)
Budget 2004-05
Non
Plan
plan
Expr.2003-04
Non
Plan
plan
Accounts 2002-03
Non
Plan
plan
Budget 2003-04
Non
Plan
plan
-
526.20
-
-
-
-
-
-
-
-
Revised 2003-04
Non
Plan
plan
STATE SECTOR OUTLAY
1
2210 Buildings
2
4210- Major Buildings
176.03
-
50.00
-
125.00
-
63.00
-
20.00
-
Grand Total
176.03
526.20
50.00
-
125.00
-
63.00
-
20.00
-
21
ANNEXURE-C.
MEDICAL & PUBLIC HEALTH (STATE SECTOR)
STATEMENT SHOWING THE FINANCIAL REQUIREMENTS AND OBJECTIVE CLASSIFICATIONS
(Rs. in Lakhs)
1
001
Salaries
2273.94
6959.35
3628.10
7456.89
3183.46
7889.36
BUDGET FOR
2004-05
NON
PLAN
PLAN
6
9505.64
3698.92
041
051
052
058
059
Travel expenses
Office expenses
Telephone charges/Gen Exps
Electric & water charges
Other charges/expenditure
0.29
0.26
306.43
55.34
260.76
33.44
352.30
12.83
3.00
68.67
5.00
535.09
64.98
158.38
120.01
46.19
30.00
68.67
5.00
535.09
50.28
118.49
410.62
20.37
47.87
1376.94
211.63
-
104
112
180
192
195
150
147.86
0.48
241.89
-
0.43
391.24
28.26
60.58
-
100.00
64.89
-
2.45
230.15
115.00
-
20.45
34.89
8.90
-
-
0.50
106.77
92.89
-
10.00
55.00
-
2.49
234.77
117.27
99.87
310.00
82.00
310.00
79.20
325.00
83.64
221
222
223
Contributions
Stipends/ Wages/Scholarships
Machineries and Equipment's
Repairs to Motor Vehicles
Fuel & Oil expenses/Transport
Repairs
Maintenance/Non
clinical
facilities
Materials & Supplies
Drugs & Chemicals
Chemicals & Glassware
1.41
394.47
-
124.91
3023.11
-
251.00
-
150.00
4282.90
-
251.00
-
287.00
-
568.81
4368.54
-
230
Hospital Accessories
-
913.99
-
383.88
-
250.39
50.00
391.55
231
Bedding & Clothing
-
1.67
-
-
-
-
-
-
CODE
NO
200
3770-Q
ACCOUNTS 2002-03
OBJECT HEADS
PLAN
2
Revised Budget for
2003-04
NON
PLAN
PLAN
NON-PLAN
Expenditure
5
4
3
NON
PLAN
PLAN
100.93
4264.23
66.31
116.16
44.48
428.40
47.10
-
22
2
1
234
Diet expenses
-
369.83
235
X-ray films
-
1.66
-
101
Grant-in-aid
195.87
653.66
659.90
313
Equipment's & Apparatus
-
48.87
386
Constructions
-
500
Lump sum/Subsidiary Exps
226
6
5
4
3
-
372.18
-
-
-
-
-
r
1014.22
659.90
849.55
390.00
694.33
-
-
-
-
-
-
-
690.00
-
690.00
-
-
-
656.74
19.68
-
-
70.49
-
150.00
-
Cost of materials supplied by
Government of India
-
-
-
-
-
-
-
-
071
Buildings (Minor works)
-
526.20
-
270.50
-
466.33
-
560.00
139
Capital outlay (Major works)
-
-
125.00
-
63.81
-
590.00
-
233
RIDF
-
-
1000.10
- -
-
-
10.00
-
4219.64
13937.98
7440.66
14785.23
■ 5904.66
15072.09
7202.36
17229.49
Total
407.68
23
STATEMENT - A
2210 MEDICAL & PUBLIC HEALTH
SL.
NO.
1
1
1
2
3
II
1
2
3
4
5
6
7
8
HEAD OF ACCOUNT
2
DIRECTION &ADMINISTRATION
2210-01-001-0-02 Office of the D.S.,
Bangalore, Mysore & Bellary
2210-06-001-0-01 D.H. &F.W.S.
2210-06-001-0-02 Divisional Estt.
TOTAL(l)
ACCOUNTS
FOR 2002-03
NON
PLAN
PLAN
3
BUDGET 2003-04
NON
PLAN
PLAN
4
REVISED
BUDGET 2003-04
NON
PLAN
PLAN
5
(RS.IN LAKHS)
BUDGET
EXPR. 2003-04
2004-05
NON
NON
PLAN
PLAN
PLAN
PLAN
7
6
-
9.53
-
-
-
-
-
-
-
7
26.02
26.02
316.73
93.77
420.03
7.28
7.28
448.73
448.73
7.28
7.28
416.71
416.71
5.12
5.12
416.38
416.38
7.50
7.50
435.46
435.46
URBAN HEALTH SERVICES (Allopathy)
2210-01-110-1-22 Est. of Psychiatric
Clinics & Major Hospitals, Blood Banks
* Head of A/c merged with 2210-01110-1-22
2210-01-110-2-06 Other Major & Dist.
165.88
Hospitals
2210-01-110-2-08 E.D. Hospital
6.02
2210-01-110-2-11 Est. of Blood Banks.
42.59
Merged with 2210-01-110-1-22
2210-01-110-2-34
Urban
Health
83.19
Services.
0.93
2210-01-110-3-04 Other TB Sanatoria.
0.61
2210-02-110-0-01 TQ. Level General
Hospitals.
4.77
2210-03-110-0-04
Re-furnishing of
existing PHCs
303.99
TOTAL (II)
-
7.64
1009.20
207.64
914.98
204.02
893.30
226.09
7556.86
5637.40
215.72
6309.30
215.72
5652.69
181.23
5645.42
-
-
171.46
6.98
84.02
10.37
84.02
9.31
40.04
9.15
-
113.70
-
113.70
•-
91.59
-
462.14
1286.02
0.10
1406.50
0.10
1201.42
-
-
-
-
8735.37
621.18
7781.40
516.88
•7564.50
-
621.18
1090.03
1 ■ i ki
7637.90
105.88
10.00
1456.45
7
-
341.97
9093.31
24
III
1
__ £
4
5
6
7
8
9
10
IV
1
V
1
VI
1
PREVENTION &CONTROL OF DISEASES
2210-01-110-3-06
National
T.B.
31.47
Control Programme.
2210-06-101-1-02 (NAMP Rural)
1433.83
2210-06-101-1-07 N.M.E.P.
2210-06-101-3-01 Cholera Control
-■
Programme.
Merged with 2210-06-101-1-06
2210-06-101-4-01 Central
42.99
Leprosarium
Merged with 2210-06-101-1-06
2210-06-101-4-06 Vol. Health Orgn.
For Leprosy Control (GIA)
Merged with 2210-06-101-1-06
2210-06-101-6-02
Filaria Control
5.00
Scheme.
2210-06-101-7-01 K.F. D.,Shi moga.
2.16
Merged with 2210-06-101-1-06
2210-06-101-7-07
1.77
Anti Japanese Encephalitis .
14.68
2210-06-101-8-03 Control of
Blindness.
1531.90
TOTAL (III)
2210-06-003-0-03
H.&F.W.T.C
Mysore & Ramanagara Etc.
TOTAL (IV)
0.45
0.45
2210-06-107-0-01 P.H.I.
Bangalore.
TOTAL (V)
-
2210-06-106-0-01 Vaccine_______
1.41
-
86.69
14.42
56.18
17.94
75.74
14.54
1591.78
-
£
1648.48
1591.78
-
1340.01
1400.00
-
-
-
5.69
-
5.15
-
-
403.83
50.07
383.57
41.35
315.13
-
-
-
25.71
-
25.71
-
15.25
25.92
-
1.00
-
1.00
-
0.99
-
-
73.76
1.25
78.14
1.25
67.81
1.19
78.14
-
-
-
-
-
-
-
-
--
103.67
0.10
139.05
0.10
131.48
0.10
106.99
0.50
145.28
1641.09
1878.61
1616.24
185.74
-
122.81
161.30
-
122.81
-
175.28
163.79
-
126.18
*
167.73
163.79
-
126.18
-
167.73
12.43
86.69
1014.22
1591.78
-
4.69
-
1831.72
5.69
374.99
50.07
19.21
18.65
1602.97 1730.89 2502.79
1860.89
2277.16
TRAINING PROGRAMMES
72.71
167.33
161.30
72.71
167.33
LABORATORY SERVICES
114.61
175.02
175.02
114.61
. SERA & VACCINE
113.41 L_
127.50
120.73
i
-
1
113.41
175.28
.1
-
1
122.38
25
Institute, Belgaum
TOTAL (VI)
VII
1
1.41
2210-06-112-0-01 Bureau of
Health Education
TOTAL (VII)
1.75
1.75
120.73
127.50
113.41
HEALTH EDUCATION & PUBLICITY
48.18
54.14
46.04
-
113.41
53.18
50.59
48.18
54.14
46.04
(A) 50% CENTRALLY SPONSORED SCHEMES
1.00
1.00
-
50.59
-
-
-
1.00
-
0.26
2
2210-06-101-1-02 National Anti
Malaria Programme (Rural)
1433.83
-
1591.78
3
2210-06-101-7-06 Guinea Worm
Eradication Programme
1.62
-
4.66
1434.88
-
1597.44
-
122.38
-
-
VIII
1
2210-06-101-6-01 National Filaria
Control Programme
Sub Total (A)
-
1591.78
-
1539.01
-
1400.00
4.66
-
1.18
-
2.42
1597.44
-
1540.19
-
1403.42
53.18
VIII .(B) 100% Centrally Sponsored Schemes
1
2
3
4
5
6
3770-3
2210-3-800-0-14 Health Care
5.73
Facilities in Tribal Group
2210-06-101-4-05
8.57
National
Leprosy
Control
Programme
2210-06-101-7-10
National
7.37
Iodine Deficiency Disorders
Control Programme.
71.13
2210-06-101-8-01
National
Programme for
Control of
Blindness
2210-06-101-1-03 National Anti Malaria Programme (Urban)
2210-06-101-7-14
Diseases
Programme
Integrated
Surveillance
-
8.81
-
8.81
-
4.87
-
9.17
-
7.77
50.00
33.67
50.00
28.64
15.11
19.87
50.00
35.80
-
7.50
-
7.50
-
7.77
-
8.00
-
103.46
100.00
152.90
100.00
151.57
76.57
122.78
100.00
158.58
40.00
T
40.00
-
0.99
7?
-
-
-
40.00
1.00
-
40.00
1.00
—•
26
7
2210-06-800-0-11
Logistic Project
SUB TOTAL (B)
TOTAL (A+B)
1
1
2
3
1
4
5
6
7
8
9
10
11
12
13
2210-01-104-0-01 Government
Medical Stores, Bangalore
2210-01-110-2-31
Peripheral
Cancer Centres
2210-01-110-2-37 Rajiv Gandhi
Hospital, Raichur
Merged under 2210-01-110-2-16
2210-01-110-2-39 KHSDP
1.00
3.49
-
96.29
1531.17
111.23
111.23
-
2683.92
208.31
186.57
208.31
186.57
1805.75
1805.75
IX OTHER PROGRAMMES
3270.99
-
1.00
-
25.00
1.00
-
-
-
-
1.00
-
180.21
180.21
145.31
1685.50
142.65
142.65
208.17
1611.59
194.38
194.38
3263.81
-
3332.96
3268.51
-
-
-
1224.25 -
1375.00
-
-
500.00
-
300.00
-
10.00
-
360.00
-■
360.00
-
-
1225.00
-
1225.00
-
-
-
2210-01-110-2-40
Tele New Project
Medicine
3.14
2210-01-800-0-01 Maintenance
Unit for Health Equipment
277.74
2210-01-800-0-05 EPC Grants
RDL
3.50
2210-03-796-0-03 Tribal Area
Sub Plan
2210-03-800-0-03 Maintenance
31.01
of Dispensaries by
Municipalities (GIA)
2210-01-110-2-38 Trauma
0.57
Centres
2210-03-800-0-06 Incentive of
2.49
SC/ST under Gen. Sub Plan
5.14
9.41
2210-03-800-0-08 School Health
Services
2210-03-110-0-05 PMGY
1359.83
-
-
-
27.00
-
4.03
-
1.00
-
-
-
-
-
■-
-
-
960.93
-
760.93
-
590.83
-
4.22
-
3.78
r
•4.66
13.29
-
13.29
-
12.00
-
13.50
1.00
-
1.00
-
0.48
-
-
-
0.10
-
0.10
■
-
0.10
-
1.50
12.27
0.10
10.94
0.10
10.45
0.10
4.22
-
-
1300.00
-
1300.00
1019.14
-
1830.86
-
-
-
-
411.00
-
5.06
-
-
TJ
14
15
16
17
18
2210-06-101-1-06
Mental
5.19
Health Project
2210-01-110-2-16
Bangalore • 195.87
Accident
Re-habilitation
Services Society (GIA)
2210-06-101-7-15
Karnataka
State AIDS Prevention Society
(GIA)
2210-06-101-8-04
Karnataka
State Blindness Control Society
(GIA)
2210-06-101-7-12
Dengue
Control Programme
1894.09
Total (IX)
2.57
0.04
0.83
0.04
0.83
0.04
0.75
44.56
2212.81
322.37
30.00
71.74
30.00
30.00
25.00
71.74
50.00
75.00
-
-
-
-
40.00
-
100.00
-
-
•-
-
200.00
-
-
75.00
-
3333.66
2642.24
3783.85
■-
75.00
-
70.49
-
3267.14
4283.23
684.49
4117.23
3598.06
6242.03
-
20.00
-
-
CAPITAL OUT LAY (BUILDINGS)
X
1
229.90
(Major
-
50.00
-
125.00
-
63.00
-
5.00
570.50
5.00
270.50
-
-
-
-
-
-
-
-
1000.10
-
-
-
10.00
-
1130.10
270.50
63.00
-
30.00
560.00
2
4210-01-110-1-01
Buildings)
2210-01-110-1-21
Buildings
for
Services
3
2210-01-110-1-15
-
526.20
-
3
2210-03-110-0-06 RIDF
-
-
0.10
176.03
526.20
55.10
Total (X)
176.03
z
Health
570.50
560.00
28
National AIDS Control Programme in Karnataka - 100 % CSS
To control HIV infection and to take preventive measures implementation and also effective control is the main objective of this
programme.
In this direction, the State AIDS Cell was established in the Directorate of Health & FW Services, Bangalore, during 1992 and also for
the effective implementation of the programme. The Karnataka State AIDS Prevention Society has been establishe as per aw unng
697; and the Society is functioning independently. This is a 100% Centrally Sponsored Scheme.
Objectives of Phase - II AIDS Control Project
1. To reduce the spread of HIV infection in Karnataka State
2. To strengthen Karnataka State's capacity to respond to HIV/AfDS on long term basis.
Project interventions:
a)
b)
c)
d)
To keep HIV prevalence rate below 3% of adult population in Karnataka.
To reduce blood borne transmission of HIV to less than 1%.
To attain awareness level of not less than 90% among the youth and others in the reproductive age group.
To achieve condom use of not less than 90% among high risk behavior groups.
Programme components:
Sl.No
1
Component No.
Component -1
2
3
4
5
Component - II
Component - III
Component - IV
Component - V
Description
Targetted Intervention, STD/RTI Services including
Condom Promotion
IEC, Blood Safety & VTC
Institutional Strengthening
Low Cost Care & Capacity Building
Intersectoral Collaboration including AIDS Education
in Schools.____________
29
1. STD Control Programme
At present 37 STD centers strengthened, by way of supply of Drugs and Chemicals.
2. Information , Education and Communication:
To create awareness on HIV/AIDS in the community, Information, Education and Communication activities are being implemented. Ah
India Radio, Doordarshan and leading daily news papers are also utilized for conveying the messages to the community. TV spots on
HIV/AIDS with the involvement of religious leaders and cine artists are being advertised through Doordarshan.
3. BLOOD SAFETY
Under Blood Safety programme 52 Blood Banks were modernized (34 Govt. Blood Banks, 9 Voluntary Blood Banks run by NGO's
and 9 ZBTC's) and strengthened with the NACO assistance by way of providing drugs and chemicals, consumables and supporting staff.
4. NGO support
Targeted Interventions for Vulnerable populations:
Targeted Interventions through NGOs is a very crucial component of NACP II. Under this Programme the State AIDS Society has
been successful in reaching out to vulnerable populations who are otherwise not reachable through the government system.
NGOs are being supported financially and technically to reach and intervene with these vulnerable populations. The main aim of the
programme is to reduce vulnerability and promote safer behaviour by promoting condom usage, with populations who are most vulnerable to
the epidemic of HIV/AIDS due to various socio - economic and occupational reasons.
The existing 30 targeted interventions funded by KSAPS include 6 Migrant workers projects, 10 Commercial Sex Workers projects, 9
Truckers project, 1 project each with street children, MSM & Transsexuals, 2 Telephone counseling and People living with HIV/AIDS.
Care and Support is a priority area for Karnataka. Providing care and support to People Living with HIV/AIDS helps the care
providers to break the myths and misconceptions about HIV in the community and increase acceptability of PLWHA. This component aims at
providing timely and quality treatment of opportunistic infection and sexually transmitted diseases
3770-10
30
The existing Care and Support centres established with the involvement of NGOs are:
Freedom Foundation, Bangalore.
Snehadaan, Bangalore.
Snehasadan, Mangalore.
Freedom Foundation, Udupi.
Freedom Foundation, Bellary
ACCEPT, Bangalore
Moolika Samvruddhi Arogyabhivruddhi Prathishtana, Shimoga
Samuha Samraksha, Kustagi
5. Training
Training Programmes were conducted by KSAPS to the following category of staff during 2003-04
1. Doctors/Medical Officers (District Hospitals, Major Hospitals, Block Level Hospitals, PHCs, PHUs, & Private Medical
practitioners). Medical Officer incharge of STD Clinic/Blood Banks.
2. Training of District Surgeons, District Health & FW Officers, District AIDS Nodal Officers and Principals of District Training
Centres.
3. Training of ANMs, MPWs, LHVs, Block Health Educators Supervisory Staff, Staff Nurses and Dental Doctors and will be taken
at State Level and District Level.
4. Faculty Members of Health & Family Welfare Training Centres, ANM, LHVs, Training Centres and Staff Nurses.
5. Faculty Members of Govt. & Private Dental Colleges.
6. Sensitization workshops for elected representatives, School teachers and Staff of other key Government Departments.
6. Surveillance:
The analysis Of Sentinel Surveillance round 2003 shows that the medium prevalence in general population is 1.46 % and estimated
number of people infected with HIV is 5.00Lakhs.
31
1. HIV SERO -SURVEILLANCE - ROUND 2002
Cumulative
5,38,839
Number of Persons Screened
25,554
Number of Persons Sero-Positive
4.74
Percentage ( % )
2. AIDS CASES IN KARNATAKA REPORTED FROM 1987 TO 2003.
Cumulative
1524
Males
383
Females
1907
Total
7. PPTCT (PREVENTION OF PARENT TO CHILD TRANSMISSION)
The HIV/AIDS is an epidemic in Karnataka and as a result a large number of HIV positive children are being bom to HIV + mothers.
As per NACO guidelines we have established PPTCT Programme in 17 medical colleges excluding the Centre of Excellence at Vani Vilas
Hospital, Bangalore. The PPTCT Programme is also established in 22 District hospitals during 2003-04 and the same is continued. Vani
Vilas Hospital, Bangalore is working as Centre of Excellence under PPTCT Programme. Nevarapine drug is administered during labour and
same the drug is administered to the new bom child with the free supply of drug from UNICEF.
During 2003-04 we are establishing 5 new PPTCT centres totally there are 45 PPTCT centres in the state including Centre of
Excellence these are funded by NACO.
8. VOLUNTARY COUNSELLING AND TESTING CENTRE
There are 34 VCTCs functioning in Karnataka out of which 31 are funded by NACO and 2 are funded by I-CHAP and 1 VCTC sadhan clinic
at Suratkal, Mangalore is run by NGO PSI. All these existing VCTCs will be continued during 2004-05.
The Government of Karnataka has sanctioned 40 VCTC/PPTCT combined centres for Taluk and other Hospitals during financial year
2003-04. These VCTC/PPTCT combine centres are established during February 2004.
^1OV - / 2 o
08622
32
Family Welfare, MCH and Immunisation Programmes
(FAMILY WELFARE PROGRAMME)
Karnataka has been a pioneer State in the launching of Family Welfare Programme in the country. It has performed fairly well and has
brought down not only annual growth rate of population to 1.7% by 2001 census but also the crude birth rate, the crude death rate and Infant
morality rate considerably.
The latest vital Indicators are reflected below: -
STATE: KARNATAKA
ANTICIPATED
SI. No.
Indicators
2002
2003
1
Birth Rate
22.0
21.5
2004
21.0
2.
Death Rate
7.2
7.6
7.5
3.
Infant Mortality Rate
55
55
50
4.
Couple Protection Rate
60.7%
60.5%
61.0%
^Source: Sample Registration System.
The overall objective of the Family Welfare Programme is to stabilise the population growth, besides reducing Maternal Mortality Rate
and Infant Mortality Rate through promotion of spacing methods. Its specific goals were to decrease by 2000 A.D., crude birth to 21 and
death rate to below 9, which has already been achieved in Karnataka, the same being 22 CBR and CDR 7.2. Further, the I.M.R has to be
brought to 60 which has already been done, the same being 55 (as per2002 SRS estimate) The Couple protection rate has been increased to
60.5% in 2003. The maternal mortality rate is 195.(SRS 98)
33
The targets and achievement under various methods of Family Welfare programme for 2001-2002,2002-2003 and 2003-2004 are shown
below: -
SI.
No.
Programme
2001-2002
Target
2002-2003
1.
2.
Sterilisation
4.10
Achieve
merit
4.03
98.26
4.10
Achieve
ment
3.95
96.4
4.13
I.U.D
3.16
3.24
102.56
3.18
3.07
96.7
3.21
3.
C C Users
2.44
2.83
115.93
2.49
2.87
115.4
2.91
4.
O.P Users
1.91
1.58
82.75
1.88
1.62
85.9
2.02
1.53
%
Target
(In lakhs)
1/2004 to
3/04
Anticipated
(in lakhs)
2003-2004
(upto March 2004)
%
Target
Achieve
ment
2.89
%
69.8
1.24
2.26
70.4
0.95
2.81
96.5
2.91
75.7
2.02
II. Maternal and Child Health Programme
The Maternal and Child Health programme aims at providing antenatal and postnatal services to Pregnant Women and Mothers. These
include immunisation of Pregnant Women and Child against the Six killer diseases, Prophylaxis against nutritional anameia and Vitamin ‘A’
deficiency diseases.
The Targets and Achievements from to 2002-2003 to 2003-2004 are given below: -
SI.
No.
Target
1.
2.
377511
T.T(P.W)
A.N.C
11.30
11.30
Achieve
ment
11.84
11.84
2003-2004
(upto March 2004)
2002-2003
2001-2002
No.
Methods
%
Target
10.99
Achieve
ment
11.33
103.0
11.71
Achieve
ment
7.68
10.99
11.33
103.0
11.71
7.68
%
Target
104.8
104.8
(In lakhs)
1/2004 to 3/04
(in lakhs)
(Anticipated
. %
65.58
4.03
65.58
4.03
34
III.
Universal Immunisation Programme.
All the districts of the State have been covered under the universal immunisation programme with the objective of
a) Immunising 100% Pregnant Women against Tetanus
b) Giving 100% of infants, three doses each of DPT and Oral Polio, One dose of BCG and one Dose of Measles vaccine
c) To reduce the incidence of paralytic Poliomyelitis to less than 1 per Lakh population from existing 3 per lakh population.
d) To reduce neo-natal Tetanus incidence to less than 1 per 1000 live births from the existing 3 per 1000 live births.
The target and achievement under immunization are as follows.
SI.
No.
ANTIGEN
2001-2002
Target
1.
2.
3.
4.
DPT
Polio
B.C.G
| Measles
10.13
10.13
10.13
| 10.13
Achieve
ments
10.92
10.92
11.29
10.39
(In lakhs)
2003-2004
(upto 12/2003)
2002-2003
%
107.78
107.78
111.45
102.51
Target
10.26
10.26
10.26
10.26
Achieve
ment
10.71
10.71
10.82
10.13
%
104.4
104.4
105.5
98.7
Target
10.76
10.76
10.76
10.76
Achieve
ment
7.77
7.78
8.20
6.66
1/2004 to
3/04
(in lakhs)
(Anticipated
%
72.2
72.3
76.2
61.9
2.99
2.98
2.56
4.10
PULSE POLIO IMMUNISATION PROGRAMME
The State is committed to the goal of eradication of Poliomyelitis. In pursuance of this, the pulse polio immunisation programme was
continued during the years, 1999-2000,2000-2001,2001-2002 AND 2003-2004.
35
The achievements are as follows: -
PULSE POLIO PROGRAMME PERFORMANCE IN KARNATAKA STATE
SI.NO.
YEAR
I
1999-2000
2
2000-2001
3.
2001-2002
4.
2002-2003
5
2003-04
Iv.
ROUND
I
n
ni
IV
i
n
i
n
i
n
i
n
ESTIMATED CHILDREN
(0-5YEARS)
62.40
63.30
64.20
65.10
66.74
66.74
70.70
71.07
71.49
71.49
71.64
71.30
OPV GIVEN TO CHILDREN
BELOW 5 YEARS
64.70
66.50
66.80
69.10
69.86
68.09
70.39
71.67
70.88
72.29
70.33
71.24
(In lakhs)
% •
ACHIEVEMENT
103.7
105.0
104.0
106.1
104.7
102.0
99.6
100.8
99.15
101.1
98.18
99.91
Oral Rehydration Therapy Scheme:
Oral Rehydration Therapy Scheme is being implemented in all the districts of the State where Universal Immunisation Programme is
being implemented. Under the Scheme, training of personnel from the level of Programme Officers to that of Health Assistants, supply of
ORS packets and intensifying the Health Education Campaigns to popularize oral rehydration therapy have been taken up.
V.
Training Programme
The statistics of Medical/ Para Medical Personnel trained, during the last 3 years is given below:
36
Sl.NO.
1
rr
' 2
4
5
VI.
2001-2002
NUMBER TRAINED
2002-2003
2003-2004
120
126
70
-
570
120
24
26
-
588
117
35
17
-
A.N.M.
L.H.V.
Doctors in MTP
Doctors in Laproscopy
Doctors in No Scalpel Vasectomy
Reproductive And Child Health Programme:
The RCH Programme incorporates the components of the Child survival and safe motherhood programme and further includes two
additional components one relating to sexually transmitted infections (STI) and the other relating to reproductive tract infections (RTI) . The
highlights of the RCH programme are:
I.
II.
III.
IV.
V.
VI.
Integration of all interventions for fertility regulation and maternal and maternal and child health with reproductive health
programmes for both men and women.
Reorienting the provision of services to make these client centred, demand driven, high quality and based on the needs of
the community, assessed through decentralised participatory planning approach.
Upgradation of the level of facilities for providing various inerventions with due attention to quality. The First Referral
Units(FRUs) being set up at sub district level will hereafter provide comprhensive emergency obstetric and new bom care.
Similarly RCH facilities in PHCs will be substantially upgraded.
All round improvement in the accessibility various services to the community. It is proposed to provide facilities for MTP
at the PHCs and counselling and IUD insertion at the sub centres, in a phased manner.
Provision of greater access to out reach services, particularly for the vulnerable groups of the population who have, till now
been left out of the planning process. For this, special programmes will be taken ulp for urban slum-dwellers, the tribal
population and the adolescents.
In order to strenthen the implementation of the the RCH programme the following administrative changes have been
introduced.
37
a) The Government order implementing the RCH programme was issued on 17-6-1998
b) The Head of the State Family Welfare Bureau redesignated from Additional Director(FW&MCH) to Project Director(RCH)
c) The post of Joint Director(FW&MCH) has been redesignated as Joint Project Director(RCH)
d) The post of Distict Immunization Officer has been redesignated as District RCH Officer.
e) Appointment of 3 Consultants to the project.
Government Orders have been issued for the following activities under RCH
1. Hiring of Anganawadi Workers on pail time basis
2. Appointment of Contractual Doctors and Staff Nurses
3. Hiring of Vehicles.
4. Referral Transport.
VII.
The Karnataka StateHealth System Development Project has been identified as the procurement support Agency(PSA) and the
Construction agency for Civil Works for the RCH project.
VI1L
The State Institute for Health and Family Welfare has been made responsible for training.
IX.
Mmanuals and formats for the implementation of community needs assessment approach are being printed.
X.
Awareness programmes on RCH have been completed for all the concrened officers, at State and Divisional levels.
VII
Information Education and (Communication (IEC):
IEC activities are carried out in the State through the (a) Districts Health Education Officers, Deputy Health Educators and Block
Health Educators in rural area, and (b) Post Partum Centres and Urban Family Welfare Centres in Urban Areas. Targets and Achievements
under IEC activities are given in Annex.I.
VIII
Budget Allotment & Expenditure:
The allotment and expenditure under Family Welfare for the years , 2001-2002 to 2002-2003 2003-04 (up to December 2003) are
given in Annexure-II.
38
IX
Action Plan for the year 2004-2005
(a)
Number of living children at which eligible couples accept sterilization is of crucial importance in determining the ultimate impact in
terms of reduction in the birth rate. It is therefore necessary to motivate more and more young couples with lesser number of children
to accept sterilization.
(b)
It was aimed to register 100% of antenatal cases during 2003-2004. Besides it is also targeted to conduct cent percent of the deliveries
through trained personnel.
(c)
The Reproductive and Child Health Services Programme, the World Bank aided project will be implemented. A series of training
programmes for different levels officers and staff has been under progress.
(d)
The foremost objectives of Reproductive and Child Health Services, which combines Family Welfare and Health of the Child and the
Women is not regulation of Population growth but also upgrading the Health Status of Child and of the Women throughout their life
span.
Follow up of services is an important activity after acceptance of any Family Welfare method. These services, in curative, promotive
and re-assurance aspects are rendered by both institutional and the peripheral staff.
(e)
(f)
Television undoubtedly is an effective medium but its availability in rural area is comparatively limited. It is proposed to promote
community TV viewing by providing TV sets. For villages, which are outside the reach of TV transmission or without electricity, it is
proposed to undertake a programme of providing video cassette players and generators with TV set.
(g)
The age at marriage has a direct bearing on the fertility of the women. To reduce the fertility level ,the community will have to be
educated to postpone the age of marriage. Effective propagation of this message was ensured during the IX Plan.
(h)
It has been decided to give a new dimension to the monitoring, review and evaluation of the Health and Family Welfare Programme in
the State with the introduction of Health evaluation of the Health and Family Welfare Programme in the State with the introduction of
Health Management Information System (HMIS). Uniform reporting system, quick and qualitative information generation, working
out different indicators etc., are main aims of this system.
(i)
In the light of the shift in the mode of acceptance from sterilization to spacing methods and also in accordance with the policy of
Government of India, more emphasis will be laid on these methods with s watch on quality.
39
(j)
Voluntary organisations play a vital role in the promotion of Family Welfare Programme. Many of them have been provided with
Urban FW Centres on Grant-in-aid basis to carry out FW & MCH activities in the assigned areas. Incidentally, it may be noted that at
present the activities of the Voluntary Organisations are concentrated in the urban regions only. It is therefore proposed to involve all
Voluntary Organisations intensively in the State by inviting them to take up the programme in rural areas also through scheme.
(k)
Family Welfare Programme being a National Programme, its implementation is not the responsibility of Health and Family Welfare
Department only but also of other Departments of the State. Therefore their involvement will have to be made more meaningful.
2004-2005 Reproductive Child Health Programme:
The Change over to community needs assessment approach (Formerly target free approach) necessitate decentralized planning in
consultation with the community at the grass root level to provide quality services under RCH Programme. Besides, the Monitoring
and Evaluation of the performance also requires a fresh look at the issues of quality of care at different levels of the Primary Health
Care system. The demand of the community for quality services would be expected to become the driving force behind the
programme and making it a peoples’ programme. This system is in existence for the Seventh year.
40
ANNEXURE-1
Targets and achievement for 2000-2001.2001-2002 and 2002-2003
(No.s)
SI. No.
Name of the activity
2002-2003
2001-2002
2003-2004(up to
March-2004)
Achieve
Target
ment
39996
Anticipated
Achievement
l\04 to 3\04
1.
Exhibition
4800
Achieve
ment
1573
2.
Folk Media Programme
2500
1810
2500
3166
2500
432
2068
3.
Film Shows
4800
450
4800
12775
4800
1151
3649
4.
Press Advertisement
270
1524
-
1509
-
-
-
5.
Press release
-
-
-
975
-
929
-
6.
Multimedia Programme
-
-
-
201
-
1337
4151
7.
Mahila Arogya Sanghs- Healthy
68
68
5488
5306
5488
-
-
-
-
-
-
-
Target
Target
4800
Achieve
ment
58877
-
Baby Shows
8.
Voluntary
Training
Organisations
9.
Athe mathu sose programme
10.
Women’s day
11
Awareness of No
vasectomy programme
Scalpel
-
-
-
-
-
-
-
3144
2410
5488
5386
-
-
-
67
67
-
-
-
-
41
ANNEXURE -II
Statement showing the Budget Allocation and Expenditure for the years 2001-02 and 2003-2004 under the
Head of Account “2211-Family Welfare and “4211-Capital outlay on FW”
________ (Rs. In Lakhs)
Expenditure
2003Revised Budget
SI.
Budget 2004-05
Budget 2003-04
Budget 2002-03
Schemes
04
2003-04
No.
Non
Non
Non
Non
Non
Plan
Plan
Plan
Plan
Plan
Plan
Plan
Plan
Plan
Plan
Direction &
1.
247.26
176.77
214.79
214.79
169.22
Administration
573.35
377.95
478.48
2.
474.48
342.77
Training
733.52
497.01
602.26
602.26
503.04
Urban F.W.Service
3.
Maternity
Child
4.
■3181.54
3276.00
3436.00
- 3436.00
1863.85
Health
130.00
108.47
123.91
130.00
92.63
Transportation
5.
607.00
607.00
581.07
610.00
486.63
Compensation
6.
75.00
75.00
Mass Education
13.01
74.76
100.00
7.
Selected Area
8.
Programme-Including
838.44
279.00 337.52
379.00
247.05
304.01
*25.34 300.00
311.97
350.00
IPP
Assistant to Local
9.
bodies, Corporation
9746.25
551.71
*
etc.,
10. Assistant to Zilla
- 10882.54 633.40 10854.38
564.02
7777.26
600.00 10870.75 565.00
Panchayat
11. Other Services and
1083.23
1273.47
1273.47
1253.09
- 1396.69
suppliers
*Expenditure
2211-00-108-0-07
15138.47
855.72 17974.54 970.92 17946.38
Total
811.07 14053.26
900.00 18243.45 915.00
42
4211 Capital Outlay
on Family Welfare
1
RCH-NC
531.25
-
600.00
-
600.00
2
RCk-SP-Bellary
155.16
-
50.00
-
50.00
Total
686.41
-
650.00
-
650.00
-
-
1009.58
1009.58
600.00
-
50.00
-
650.00
-
Abstract 2211- Family Welfare
(Rs.in lakhs)
SI.
Schemes
No.
Budget 2002-03
Non
Plan
Plan
1
Centrally Sponsored
Schemes
2
State Plan
3
State Non-Plan
Total
Non
Plan
Plan
Expenditure
Revised Budget
2003-04
Budget 2003-04
Non
Plan
Plan
Budget 2004-05
2003-04
Non
Plan
Plan
Non
Plan
Plan
14681.03
-
17415.67
-
17415.67
-
13824.40
-
17695.34
-
457.44
-
558.87
-
530.71
-
228.86
-
548.11
-
-
855.72
-
970.92
-
811.07
-
900.00
-
-
15138.47
855.72
17974.54
970.92
17946.38
811.07
14053.26
900.00
18243.45
1 ?-
43
ORGANISATIONAL SET-UP (KARNATAKA)
DIRECTOR OF INDIAN SYSTEMS OF MEDICINE AND HOMOEOPATHY
DIRECTORATE LEVEL
CHIEF ADMINISTRATIVE OFFICER
Deputy
Deputy
Director Director
(Ayurveda) (Unani)
Deputy
Deputy
Director Director
(Homoeo) (N.C. & Y)
SUBORDINATE LEVEL
Drug Adminis- Accounts Principals Deputy
Divisi Physician
Inspectors(2) trative
Officer ofISM&H Director
onal Grade-1
Officer
Colleges & (Pharmacy) level ofDist.
attached
G.C.P.
Deputy level
Hospitals Bangalore. Directors ISM &H
ofISM&H Hospitals
(4)
Physician Gr-II of ISM & H Hospitals
Dispensaries which comes under ZP/TP
Aided Colleges,
Hospitals GrantIn-aid Institutions
44
DEPARTMENT OF INDIAN SYSTEMS OF MEDICINE AND HOMOEOPATHY
The Department of Indian Systems of Medicine and Homoeopathy is rendering preventive, curative services to the society in
Ayurveda, Unani, Homoeopathy, Naturopathy Yoga systems of medicine and also imparting education under these systems besides
controlling and manufacture of Ayurvedic and Unani medicines.
DIRECTION AND ADMINISTRATION:
There is one Chief Administrative Officer, 4 Deputy Directors for Ayurveda, Unani, Homoeopathy and Nature Cure and yoga systems
in the Directorate and one Administrative Officer and one Accounts Officer are working who are under the direct control of the Director.
There are four Divisional Deputy Directors at Mysore, Bangalore, Gulbarga and Belgaum. These officers control the Administration
of the Dispensaries and Hospitals coming under their Divisions.
ACHIEVEMENTS DURING 2003-2004.
STATE SECTOR:
1) The Service of 96 Indian Systems of Medicine and Homoeopathy contract doctors have been regularised.
2)
3)
Provision has been created for the promotion of Physicians by upgrading 78 posts of Physician Gr-II as Physician Gr-I.
Sanction has been accorded to stare Post Graduation Education in ISM at GAMC Bangalore and Mysore under 100% CSS.
4) Rs:77.042 lakhs of grant in aid has been released for the development of ISM&H Government Colleges, Private aided and unaided
colleges.
5) For the overall development of the Government Ayurveda Medical Colleges of Bangalore, action has been taken to get Rs:980.00 lakhs
as grants from Central Government and in this regard Rs: 150.0 lakhs has been released.
6) Selection of the candidates for the ISM&H Medical Colleges has been made transperently through CET from this year.
7) The construction of the Government Unani Medical Coliege has been completed.
8)
■ Government have issued the preliminary orders for opening 10 district level offices of ISM&H.
45
PROPOSED PROGRAMMES FOR 2004-2005:
STATE SECTOR:
1) It is proposed to provide Medical Aid to the public under one roof through the IS&MH systems by opening the units at 21 District
General Hospitals under CSS.
2) Action will be taken to implement GMP compulsorily in the drugs manufacturing units.
3)
Action will be taken to open 50 ISM&H dispensaries and 10 Taluk level hospitals depending upon the budget allocation in the Zilla
Panchayaths.
4)
Action will be taken to get more grants from Central Government for the development of Private aided and unaided and Government
Colleges of ISM&.
5) To raise herbal gardens with the co-operation of Private Coleges and Public, lands will be taken with the co-ordination of Revenue Dept,
Forest Dept and Irrigation Dept.
6)
Development of Dhanvantrivana.Completion of the existing costruction works of the hospitals and colleges in the department.
CENTRALLY SPONSORED SCHEMES-
No CSS have been reflected in the Budget Estimates during 2003-2004. Afterwards, Government of India have released Grants to
CSS as slated below-
1) Development of Degree Colleges of ISM&H (including Private and
Govt. Colleges).
2) Purchase of Essential drugs for the Rural dispensaries.
3) Supply of Horne Remedy Kits under CSS
Rs. 174.00 lakhs.
Rs.75.00 lakhs.
NIL. '
Government of India have permitted and sanctioned initial grants of Rs.31.73 lakhs to start One Post-Graduate course in
Panchakarma at Government Ayurvedic Medical College, Bangalore and one in Ayurveda Siddantha at Government Ayurveda Medical
College, Mysore.
Health department has released 2% of PMGY amount Rs. 13.00 lakhs and Rs. 15.00 lakhs for the purchase of medicines. It is
proposed to get Rs:500.00 lakhs from the Central Government during 2004-2005.
46
RESEARCH:
Research work in "Tamakaswasa' (Bronchities) is being held at Sri Jayachamarajendra Insitute of Indian Medicine, Bangalore.
YOGA CAMP:
Yoga camps are being conducted at Government Ayurvedic Medical College, Bangalore, Mysore and Tharanatha Government
Ayurvedic Medical College and Hospital, Bellary.
MANUFACTURE OF AYURVEDIC AND UNANI MEDICINES:
Ayurvedic and Unani Medicines are being manufactured at Government Central Pharmacy, Bangalore and being supplied to all
Government Hospitals and Dispensaries of Indian Systems of Medicine and Homoeopathy, subsidized medical practitioners centres and
dispensaries run by the legal bodies as per their requirements. During 2003-2004 a sum of Rs. 123.53 lakhs has been provided and in the
Supplimentary Estimates Rs.20.00 lakhs has been reduced for the manufacture of medicines. Tender has been approved for the manufacture
of medicines Under Transparency Act in January 2004 and the expenditure occurred towards drugs manufacture is Rs. 103.35 lakhs.
HERB GARDEN:
Herb Gardens are being maintained at Bangalore, Mysore and Bellary hospitals attached to the Ayurvedic Colleges necessary, herbs
are being cultivated and used for daily requirements in the hospitals and also for demonstration to the college students. Dhanvantrivana is
established in 30 acres of land near Bangalore University campus with the co-ordination of Forest Department where more than 500 herbs are
available . Action is being taken to grow more useful plants.
DRUG CONTROL:
Manufacture and sale of medicines under Indian Systems of Medicine and Homoeopathy systems is regulated by the Department
under the provisions of Drugs and cosmetics Act 1940 and rules thereunder. A Drug Licensing unit is attached to the Directorate of Indian
Systems of medicine and Homoeopathy, Bangalore. There are two Drug Inspectors in the unit who are under the control of the Director. The
details of Drug License issued to end of 31-03-2004 are as follows.
47
Sl.No
SYSTEMS
MANUFACTURING
LICENSE.
1
2
3
Ayurveda
Unani
Homoeopathy
Total
202
04
10
216
loan
license
SALE LICENSE
retail
52
—
—
52
—
—
49
49
wholesale
—
118
118
PUBLICATION CELL:
A Publication cell is functioning in the Directorate. The cell is entrusted with the work of translation of literatures on Indian
Medicines from Sanskrit to English and Kannada besides printing and publishing them for the benefit of students, teachers and public. As on
31-03-2004 58 books ( English-6, Kannada-52) have been printed and published by the publication cell.
FIXATION OF TUT1ON AND OTHER TYPES OF FEES FOR INDIAN SYSTEMS OF MEDICINE AND HOMOEOPATHY
COLLEGES:Government of Karnataka have accorded approval to revise the existing fees structures for Indian Systems of Medicine and
Homoeopathy colleges from the Academic year 2000-2001 vide Government order No.HFW 415 PIM 2000 dtd: 06-08-2000.
Development
Fund
—
Other Fees
Total
4.090.00
9,090.00
5,000.00
3,000.00
4,090.00
12,090.00
5,000.00
5,000.00
4,090.00
14,090.00
Tution
Types of Colleges
----- — Fees
>
Government Colleges 5,000.00
Private
Colleges
Aided
Un-aided Colleges
48
The details of Medical Colleges, Hospitals, bed Strength and dispensaries functioning under the Department is as follows.:
SI.
No
Systems
No. of Govt.
Colleges.
No. of Govt. Hospitals
Hospitals Bed strength
No. of
Dispensaries
1
Ayurveda
03
75
1147
541
2
Unani
01
11
202
51
3
Homoeopathy
01
10
135
42
4
Nature Cure
01
03
26
05
5
Yoga
—
03
15
—
6
Siddha
—
01
10
—
06
103
1535
639
TOTAL
BUDGET PROVISION FOR 2003-2004.
The Budgetary provision for 2002-2003 is furnished in Annexure 1, 2 and 3.
49
ANNEXURE-I
BUDGET ESTIMATES FOR 2004-2005
SI.
No
1
1
'
2
3
4
5
Non-Plan
4
473.25
Budget Provision
2003-04
Plan
Non-Plan
5
6
11.90
521.76
Revised Budget
2003-2004
Plan
Non-Plan
7
8
11.90
498.27
Expenditure
2003-04
Plan
Non-Plan
9
10
11.50
492.09
473.25
156.10
11.90
38.91
521.76
185.30
11.90
28.88
498.27
173.19
11.50
16.86
492.09
177.68
14.30
41.54
510.75
187.71
156.10
38.91
185.30
28.88
173.19
16.86
177.68
41.54
187.71
1897.94
106.58
86.58
18.62
2109.72
40.25
31.18
64.05
19.69
155.17
-
1210.43
122.46
101.11
18.37
1452.37
-
40.25
16.18
64.05
28.00
148.48
109.61
1094.39
116.75
87.48
13.22
1311.84
15.71
15.97
53.58
10.89
96.15
102.08
1080.44
100.76
99.58
14.36
1295.14.
-
21.14
20.03
53.94
11.91
107.02
435.00
1129.30
119.99
107.13
16.05
1372.47
-
-
-
---gy
-
-•
-
Head of Account
Accounts for 2002-03
2
Plan
3
11.93
2210-Medical Education
& Public Health
02-Urban Health
Services- Other
Systems of Medicines
02-Total
11.93
04- Rural Health Services
21.05
-Other Medical Systems
04-Total
21.05
05-Mcdical Education,
Training & Research
18.33
101-Ayurveda
12.51
102-Homoeopathy
2.18
103-Unani
47.33
200-Other Systems
80.35
05-Total
Centrally Sponsored
Schemes
2210-01-110-1-16
Buildings
42.10
4210-03-101-1-01
Buildings
42.10
Total buildings
Grand Total___________ ___ 155.43
•
2739.07
205.98
2159.33
298.87
1983.30
r- E.
226.59
Budget Provision
2004-2005
Plan
Non-Plan
11
12
14.30
510.75
4.00
1964.91
4.00
601.86
2070.93
50
ANNEXURE-II
FINANCIAL ACHIEVEMENTS, CLASSIFICATION AND ACTIVITIES FOR 2004-2005
SI.
No
1
1
2
3
4
5
6
7
Head of Account
2
2210-02-101-1-01
Directorate of ISM&H.
2210-02-101-1-02
Divisional Offices of
ISM&H
2210-02-101-1-03
Directorate and Divisio
nal offices of ISM&H
2210-02-101-2-01
Sri Jayachamarajendra
Institute of Indian
Medicine, B'lore.
Merged with 2210-02-101-1-03
2210-02-101-2-02
Govt. Ayurveda and
Unani Hosps. Mysore.
Merged with 2210-02-101-1-03
02-Total
2210-04-101-1-01
SMP centres ( GIA)
2210-04-101-1-06
Opening & Maintenance of
of Ayurveda Hospitals
in Dist. Level.- • MergedVvith 2i2-l0-04-101-1-01
Accounts for 2002-03
Plan
3
1.02
Non-Plan
4
90.25
10.91
30.86
-
■
Budget Provision
2003-04
Plan
5
11.90
Non-Plan
6
143.09
Revised Budget
Provision
2003-2004
Non-Plan
Plan
8
7
-
-
-
11.90
139.03
Provisional Exp.
( Dec 2003)
Plan
9
Non-Plan
10
Budget Provision
2004-2005
Plan
11
Non-Plan
12_______
-
-
11.50
137.78
219.97
235.18
221.09
218.1 1
132.19
143.39
138.15
136.20
14.30
510.75
-
11.93
473.25
11.90
521.66
11.90
498.27
11.50
492.09
14.30
510.75
-
7.23
-
2.00
-
2.00
-
2.00
41.54
187.71
21.05
148.87
38.91
183.30
28.88
171.19
16.86
175.68
51
04-Total
8
9
10
11
12
13
14
15
16
17
2210-05-101-1-03
Colleges with attached
hospitals (GIA)
2210-05-101-1-05
Taranatha Ayurvda
Hospital, Bellary.
Merged under 2210-05-101-1-02
2216-05-101-1-12
Increase of Beds Strength
is ISM&H hospitals
Merged under 2210-05-101-1-02
2210-05-101-1-13
Govt. Ayurveda Medical
Colleges
Merged under 2210-05-101-1-02
2210-05-101-3-01
Govt. Central Pharmacy
Bangalore.
2210-05-101-6-00
Dev. of Medicinal Plants
05-101 Total
2210-05-102-0-02
Govt. Homoeopathy
hospital. Bangalore
2210-05-102-0-04
Govt. Homoeopathy
Medical College. B'lore
05-102 Total
2210-05-103-0-01
Govt. Unani Medical
College, Bangalore.
2210-05-103-0-02
National Institute of
Unani Medicine.
Merged under 210-05-103-0-01
21.05
156.10
38.91
185.30
28.88
173.19
16.86
177.68
41.54
187.71
922.39
1213.70
350.00
350.00
350.00
16.63
-
42.71
48.15
43.71
45.31
-
5.67
83.80
8.99
105.28
8.99
84.49
2.77
94.08
3.52
393.13
27.70
497.23
27.70
436.45
11.34
408.02
7.21
162.20
0.83
20.8.37
0.83
178.90
0.36
181.78
1.51
206.03
1.93
2.40
2.73
1.40
2.73
0.84
1.24
1.25
3.00
0.88
18.33
-
1897.94
29.59
40.25
1210.43
32.90
40.25
1094.39
15.71
1080.44
26.58
21.14
1129.30
12.51
76.99
31.18
89.56
16.18
84.75
15.97
67.98
-
12.51
106.58
31.18
122.46
16.18
116.75
15.97
100.76
20.03
119.99
2.18
86.58
14.05
101.11
14.05
87.48
8.58
99.58
53.94
107.13
50.00
50.00
GtOV - ! 1-0
08622
45.00
-
52
18
19
20
21
22
23
24
25
53.94
107.13
6.40
7.26
0.49
lo.Uj
10.89
6.82
7.10
-
17.11
-
10.89
18.37.
28.00
13.22
10.89
64.05
87.48
9.04
-
10.89
9.33
5.02
8.80
18.62
19.69
2.18
86.58
2210-05-200-0-01
Development of Yoga.
2210-05-200-0-02
Govt. Nature Cure
college. Mysore.
2210-05-200-0-04
PG Education in ISM
TGAMC Bellary.
05-200 Total
7.00
7.55
-
6.05
40.33
47.33
2210-01-110-1-16
Buildings
4210-03-101-1-01
Buildings
Buildings-Total
99.58
101.11
05-103 Total
64.05
53.58
11.42
11.91
16.05
42.10
4.00
-
42.10
4.00
14.36
Total State Sector
205.98
2210-05-200-0-05
Centrally Sponsored
Scheme. (Grant in Aid)
2210-05-200-0-09
Supply of Home remedy Kits
and ISM drugs In rural areas
2210-05-200-0-10
PG course in Panchakarma
CSS Total
-
89.04
-
20.57
-
20.57
-
200.00
-
-
-
-
-
35.00
-
Grand Total
-
-
-
-
-
-
-
155.43
2739.07
205.98
2159.33
-
96.75
81.51
109.61
2159.33
298.87
1428.48
200.00
102.08
1983.30
226.59
435.00
1964.91
601.86
2070.93
53
ANNEXURE-IIl
Classification of expenditure under each detailed Head.
SI.
No
Head of Account
Accounts for 2002-03
Budget 2003-04
Plan
Non-Plan
Plan
Non-Plan
Revised Budget
2003-2004
Plan
Non-Plan
Budget 2004-2005
Expenditure upto
March 2004-05
Non-Plan
Plan
Plan
Non-Plan
9
25.80
10
215.37
11
28.28
12
265.03
18.26
464.82
■452.55
1
1
2
3
12..06
4
5
002-Pay Officers
136.64
55.27
6
311.03
7
47.77
8
267.90
2
003-Pay Staff
27.33
566.27
34.08
493.15
28.05
447.90
12.36
512.43
3
011-Dearness Allowance
19.49
350.55
51.87
466.46
40.87
413.83
24.32
399.90
28.86
4
014-Other Allowance
4.28
101.65
10.39
109.17
10.39
98.50
9.60
105.73
5.06
100.58
5
015-Subsidiary Expenses
-
-
0.20
0.20
-
0.19
-
0.50
6
041-Travel Expenses
2.13
-
3.80
3.80
-
2.17
0.60
4.19
7
050-Office Expenses
26.31
-
-
-
-
-
-
-
8
051-General Expenses
-
-
21.29
21.29
-
18.85
6.69
20.90
9
052-Telephone Charges
1.78
-
-
-
-
058-Water & Electricity
22.26
-
-
-
-
-
-
4.37
1.76
3.87
1.76
1.66
-
-
-
-
-
-
69.54
-
69.54
10
-
2.24
-
-
7.24
11.97
1.89
-
-
-
-
64.96
5.50
70.40
-
-
-
-
-
356.00
45.00
356.00
45.14
.356.00
-
-
-
Charges.
11
059-Other Expenses
12
060-Other Charges
13
071-Building expenses
14
072-Rent,Rates &Taxes
15
075-Libraries & periodi
-
28.94
-
35.11
-
-
41.64
1225.95
50.00
356.00
cals
16
101-Grant in Aid
17
lll-Scholorship&
Stipend
38.12
50.00
53
ANNEXURE-IIl
Classification of expenditure under each detailed Head.
SI.
No
Head of Account
I
2
1
002-Pay Officers
2
Accounts for 2002-03
Budget 2003-04
Plan
Non-Plan
Plan
3
12..06
4
136.64
5
55.27
003-Pay Staff
27.33
566.27
3
011-Dearness Allowance
19.49
4
014-Other Allowance
4.28
5
015-Subsidiary Expenses
-
6
041-Travel Expenses
2.13
7
050-Office Expenses
8
9
10
Expenditure upto
March 2004-05
Plan
Non-Plan
Budget 2004-2005
Non-Plan
Revised Budget
2003-2004
Plan
Non-Plan
Plan
Non-Plan
6
311.03
7
47.77
8
267.90
9
25.80
10
215.37
11
28.28
12
265.03
34.08
493.15
28.05
447.90
12.36
512.43
18.26
464.82
350.55
51.87
466.46
40.87
413.83
24.32
399.90
28.86
•452.55
101.65
10.39
109.17
10.39
98.50
9.60
105.73
5.06
100.58
0.20
-
0.20
-
0.19
-
0.50
3.80
-
3.80
-
2.17
0.60
4.19
26.31
-
-
-
-
-
-
051-General Expenses
-
21.29
-
21.29
-
18.85
6.69
20.90
052-Telephone Charges
1.78
-
-
-
-
-
-
2.24
058-Water & Electricity
22.26
-
-
*
-
-
-
-
Charges.
059-Othcr Expenses
-
-
4.37
1.76
3.87
1.76
1.66
7.24
11.97
1.89
12
060-Other Charges
-
28.94
-
-
-
-
-
-
-
-
13
071-Building expenses
-
-
69.54
-
69.54
-
64.96
5.50
70.40
14
072-Rent,Rates &Taxes
-
35.11
-
-
-
-
-
-
-
-
15
075-Libraries & periodi
101-Grant in Aid
41.64
1225.95
50.00
356.00
50.00
356.00
45.00
356.00
45.14
. 356.00
111-Scholorship &
-■
38.12
Hi
■
•-
11
cals
16
17
Stipend
54
18
117-Scholorship &
-
-
-
88.73
8.31
88.73
6.58
76.33
7.00
87.83
incentives.
19
180-Machinery & Equip. -
2.08
-
5.01
-
5.01
-
3.10
1.00
5.09
20
191-Fuel & oil expenses
-
1.88
-
-
-
-
-
-
-
-
192-Repairs of Motor
-
0.41
-
-
-
-
-
-
21
-
vehicles
22
195-Transport expenses
-
3.91
3.91
-
3.46
0.50
4.43
23
200-Maintenance
0.31
0.08
0.08
-
0.06
0.08
-
24
221-Materials & supplies
1.18
1.20
1.20
-
1.05
2.50
21.94
25
222- Drugs & Chemicals
158.86
193.00
169.00
1.78
165.57
1.00
196.86
26
230-Hospita! Accessories
12.23
15.00
15.00
0.41
12.99
4.50
15.60
27
231-Bedding & Clothing
-
-
-
-
- .,
-
-
28
234-Diet
19.35
20.00
20.00
-
19.51
-
-
29
235-X-ray films
30
313-Equipments and
-
-
-
0.38
-
-
-
-
-
-
-
0.10
-
-
-
-
-
-
Apparatus
31
316-Rewards
32
382-Honorarium to
-
doctors
33
384-Awards to doctors
-
0.36
-
-
-
-
-
-
34
500-Lumpsum
8.53
4.69
-
-
-
-
-
-
35
2210- Capital Outlay
36
4210-Capital Outlay
42.10
-
-
-
-
-
-
-
4.00
a
37
Centrally Sponsored
-S
-
-
-
109.61
-
102.08
-
435.00
-
155.43
2739.07
205.98
2159.33
298.87
1983.30
226.59
1964.91
601.80
2070.93
-
Schemes
Grand Total
55
ORGANISATION CHART OF DRUGS CONTROL DEPARTMENT
56
DRUGS CONTROL DEPARTMENT
INTRODUCTION:
The important aims and objectives of the Department are quality control of Drugs, consumer protection by exercising strict control
and vigilance on the drugs which are being manufactured and/or marketed, thereby ensuring drugs of standard quality, purity and strength are
available to the public at controlled prices.
OBJECTIVES OF THE SCHEMES OF THE DEPARTMENT:
The Department, from the point of day today administration, is organized in to three wings:
1.
Enforcenient/Administration
2.
Drugs testing Laboratory, and
3.
Pharmacy Education.
A total provision of Rs.707.65 lakhs under Non Plan, Rs.83.00 lakhs under State Plan and a Provision of Rs 44 00 lakhs under
Centrally sponsored scheme has been allocated for the year 2003-2004 both under Revenue and Capital Expenditure
57
DIRECTION AND ADMINISTRATION
A. ENFORCEMENT/ADMINISTRATION
The Department discharges the statutory functions involved in the enforcement of the following enactments.
1.
Drugs and Cosmetics Act 1940 and Rules thereunder.
2.
Drugs (Prices Control,) Order, 1995. (An Order issued under Essential Commodities Act).
3.
Drugs and Magic Remedies (Objectionable advertisements) Act, 1954 and Rules thereunder.
4.
Pharmacy Act, 1948 and Education Regulations thereunder.
5.
Poisons act, 1919 and Karnataka Poisons Rules, 1966
6
Narcotics and Psychotropic Substances Act, 1985 in relation to licit use of Psychotropic substances.
58
BRIEF NOTE ON THE PERFORMANCE OF THE ENFORCEMENT WING.
Particulars
2003-2004
as on 31/12/2003
*
Number of Manufacturers in the State ;
(a) Regular Licensees
(b) Loan Licensees
(c) Cosmetics Licensees
(d) Repacking Licensees
(e) Laboratory Licensees
(f) Cosmetics Loan Licensees
(g) Blood Banks
Total Number of Sales premises in the State
Target for
2004-2005
224
282
74
05
08
08
137
18,552
NUMBER OF INSPECTIONS CARRIED OUT:
Sales Premises:
Manufacturing Premises
Hospital Stores attached to Govt. Hospital
Blood Banks
17730
330
457
309
19,000
400
480
380
Cancellation
1297
**
Suspension
Prosecution launched under both Drugs & Cosmetics Act and Drugs
(Prices Control) order
Convictions
Blood Bank - Show Cause Notice - Compliance Advise - Warning
- Suspension
- Cancellation
455
264
**
**
24
41
02
04
01
26
-
Action taken:
* No Target is fixed since the number depends upon the entrepreneurs seeking grant of licenses.
** No Target can be fixed since the number depends upon violations that may be detected.
59
DRUGS TESTING LABORATORY, BANGALORE
Drugs Testing Laboratory is equipped to Analyse all categories of Drugs except Vaccine, Sera and Blood. To increase the number of
samples to be analysed the Laboratory needs to be improved in terms of Technical Staff, latest Analytical equipments and chemicals,
reagents, glassware etc.,
The Laboratory is having library facility.
The functions of the Laboratory are:-
1. Testing and Analysis of the legal samples of Drugs and Cosmetics sent by the Drugs Inspectors to ascertain the Quality,
Purity and strength of the Drugs/Formulations and to issue reports in the prescribed form.
The Laboratory is having the following Sections at present.
1.
Pharmaceutical Chemistry.
2.
Bacteriology
3.
4.
Pharmacology
Pharmacognosy
5.
Bio-Chemistry
A full fledged Animal House is also attached to the Drugs Testing Laboratory.
60
DETAILS OF SAMPLES ANALYSED
2003-04 as on 3103-2004
2004-2005
3648
3520
4000
3368
2959
-
285
247
-
No openion
-
273
Rejected
-
41
SI.
No.
1.
Samples analysed
2.
Samples found to be standard quality
3.
Samples found to be Not of standard Quality
4.
5.
Particulars
2002-03
(Target)___________
-
Targets for 2004-2005
The Technical staff has been strengthened in the laboratory. Consequently, it is targeted to analyse 4000 samples
during 2004-2005.
PHARMACY EDUCATION
The Department is entrusted with the responsibility of conducting Examination to students of Diploma in Pharmacy as per the
Education Regulations of the Pharmacy Council of India, a statutory body to oversee the standard of education in Pharmacy in the Country.
For this purpose, the Government has constituted Board of Examining Authority with Principal, Government College of Pharmacy,
Bangalore as the Chairman and Professor of the said College as Member Secretary.
In addition to Board of Examining Authority, Government College of Pharmacy al Bangalore comes under the administrative control
of this Department.
The activity of the Board of Examining Authority and Government College of Pharmacy in brief is as follows.
Government College of Pharmacy, Bangalore
The Government College of Pharmacy is functioning under the administrative control of this Department where teaching facilities are
provided for Diploma, Degree and Post-Graduate levels. The intake capacity is 50 students for Degree and 60 students for Diploma Courses
Post Graduate Courses in four faculties viz; Pharmaceutical Technology, Pharmacology, Pharmacognosy and Pharmaceutical Chemistry are
also conducted with an intake capacity of six students in each faculty.
7
The following is the teaching staff pattern.
61
SI.
Name of the Cadre
No.
No. of Posts
sanctioned
No. posts filled
Vacant
1
PrinciapI
1
1
-
2
Professor
6
2
4
3
Assistant Professor
8
5
3
4
Lecturer (Pharmacy & Non Pharmacy)
22
3+6*
*(On Contract Basis)
19
** Recruitment of 7 lecturers on contract basis is in the process by Selection Committee
PERFORMANCE OF THE STUDENTS IN THE GOVERNMENT COLLEGE OF PHARMACY, BANGALORE
Appeared during 2003-04 for
final examination
Duration of the
Course
Admission
Strength
M.Pharm (Master Degree in Pharmacy)
18 months
24
Final Year
B.Pharm (Degree in Pharmacy)
4 years
50
Final Year
D. Pharm (Diploma in Pharmacy)
2 year
60
Final Year - ER-91-
Name of the Course
-
—
Passed
23
23
50
30
51
40
(b) BOARD OF EXAMINING AUTHORITY
The Board of Examining Authority is functioning under the Chairmanship of the Principal, Government College of Pharmacy and one
of the professors at Government College of Pharmacy is also functioning as the Member secretary. In the state 87 private institutions and One
Govt. College of Pharmacy recognized by Pharmacy council of India are functioning and conducting D. Pharm course.
The details of students appeared and passed in the examination during 2003-2004 are as follows:
62
SI.
No.
2003-04
(upto 31/03/2004)
ER-91
____
DIPLOMA IN PHARMACY
7259
Items
1
Number of students appeared for Preliminary D. Pharm
2
Number of students passed (Preliminary)
3258
3
Number of students appeared for final D. Pharm
4841
4
Number of students passed in final D .Pharm
2722
_______ _______
The details of the allocation is as follows:
FINANCIAL REQUIREMENT ACTIVITY CLASSIFICATION_______________________
SI.
No.
Activity Classification
1
Direction and administration
2
Drugs Testing Laboratory
Strengthening of Equipments &
Machineries
Pharmacy Education (degree & Diploma
Courses in Pharmacy
Construction of Building (4210)]
Construction of Building (2210) |
Central Plan Scheme:
1. Development of Post Graduate
course in Pharmacy at the
Government College of
Pharmacy.
3
4}
5}
6
2.
Total
Drug Testing Facilities
Rs. in lakhs
Budget Estimates for
the year 2004-2005
Accounts for the Year
2002-03
Budget Estimates for
~ 2003-04
Revised Estimates for the
year 2003-04
Plan
44.23
Non Plan
274.98
Plan
47.63
Non Plan
321.00
Plan
47.63
Non Plan
305.70
Plan
47.00
Non Plan
298.48
185.22
-
219.25
-
217.68
-
213.76
5.32
125.09
10.37
154.40
10.37
129.23
10.00
127.21
6.08
5.00
25.00
-
25.00
-
26.00
20.00
-
7.18
32.97
-
43.00
-
43.00
-
42.00
-
1.00
-
1.00
-
1.00
127.00
694.35
127.00
652.63
126.05
-
93.60
592.47
639.45
63
FINANCIAL REQUIREMENT ACTIVITY CLASSIFICATION
SI.
No.
A. 1
2
3
4
5
6
7
B
Head of Account
2210-06-104-0-01
01- Drugs Controller
2210-06-104-0-02
02 - Drugs Testing Laboratory
2210-06-104-0-04
04 - Creation of Additional, Technical
& Supporting Staff
Merged with 2210-06-104-0-01
2210-06-104-0-05
05 - Creation of Vigilance Cell
Merged with 2210-06-104-0-01
2210-05-105-1-14
14-Government College of Pharmacy
4210-03-105-02-01
01-Capital Outlay
Meraed with 4210-03-105-1-01
2216-01-110-1-17 ’
17-Buildings for Drugs Control Department
Total (A)
Centrally Sponsored Scheme
1. 2210-06-104-0-10
10- Drugs Testing facilities
2. 2210-05-105-1-15
15- Central Plan Scheme for
Development of Post Graduate
courses and Research work at
Government College of Pharmacy.
Bangalore.
_______
Total (B)
Grand Total of (A+B)
(State & Central Plan & Non Plan)
Accounts for the year
2002-03
Budget Estimates for the
year 2003-2004
Plan
-
Non Plan
235.44
Plan
-
Non Plan
254.88
Plan
-
Non Plan
245.15
Plan
47.00
Non Plan
298.48
-
185.44
-
219.25
-
217.68
-
213.76
5.56
21.95
10.32
39.08
10.32
39.65
38.67
17.59
37.31
27.04.
37.31
20.90
-
-
5.32
125.09
10.37
154.40
10.37
129.21
10.00
127.21
6.08
-
25.00
-
25.00
-
26.00
--
5.00
7.18
-
-
-
-
592.47
83.00
694.35
83.00
652.59
83.00
639.45
60.63
'
Revised Estimates for the
year 2003-2004
-
1.00
1.00
1.00
Budget Estimate
for the year 2004-2005
32.97
32.97
93.60
-
43.00
-
43.00
-
42.00
-
592.47
44.00
127.00
694.35
44.00
127.00
652.59
43.00
126.00
639.45
64
Karnataka Health Systems Development Project (KHSDP)
Title
Secondary State Health System Development
Project (K) under IDA (WB)
Credit No,
Cr. 2833-IN
Date of effectiveness
27-06-1996
Date of closing (Original)
(Revised)
31-03-2002
31-03-2004
Loan Amount
Rs.47,776.40 lakhs for Karnataka Component out
of a total of Rs. 166,914.00 lakhs for India.
I
Project Objectives
1. Improve efficiency in the allocation and use of
health
resources
through
policy
and
institutional development.
2. Improve performance of the health care system
through improvements in the quality effectiveness and coverage of health services
at the first referral level and selective coverage
at the primary level to better serve the neediest
section of society.__________________
65
KARNATAKA HEALTH SYSTEMS DEVELOPMENT PROJECT
1. INTRODUCTION
The Government of Karnataka have taken up the following Externally Aided Projects to strengthen the Secondary Health
Systems in the State.
1. KHSDP:
Karnataka Health Systems Development Project has been taken up with the assistance of International Development Association (The
World Bank) The Project was launched during June 1996. It envisages the up-gradation and expansion of 204 hospitals in the four
Revenue Divisions of Bangalore, Mysore, Belgaum and Gulbarga. The total revised project cost is estimated at Rs.65,215.00 lakhs with
a Project period of 7 years. The closing date of the Project is 31-3-2004. As on 31-12-2003 Cumulative expenditure incurred for project
stood at Rs.60715.50 lakhs.
2.
KfW - Phase -I :
German assisted KfW Project was launched during April 1998. Under this Project 26 hospitals have been proposed to be
upgraded in Gulbarga Revenue Division. Out of 26 Hospital building works coming under KFW Phase-I, 22 have been
already completed. Another 2 hospitals are expected to be completed by March 2004, another 1 hospital building would be
completed by the end of June 2004 and the remaining one by December 2004.
The total revised estimated cost of the Project is Rs.6399.30 lakhs. The closing date of the Project period is 31-12-2003. As on
31-12-2003 cumulative expenditure for KfW Project stood at Rs.4307.47 lakhs. Under the KfW Phase -I Project, the financial
Assistance is in the form of grant directly payable to the Project Executing Agency.
KfW Phase-II Civil Works taken up under World Bank Assisted K.H.S.D.P.
GOK has approved the German assisted KfW Phase - II Project at an estimated cost of Rs.75.00 crores, out of which the KfW
Germany assistance in the form of grant is Rs.60.89 crores. Out of 25 Hospital Buildings proposed for improvement under KfW
Phase - II, four hospitals, namely GH Chittapur, CHC Munirabad, CHC Kanakagiri and CHC Chitaguppa have been taken up by
KHSDP under World Bank Assistances. Remaining 21 Civil works are proposed to be taken up under German assisted KfW
Project Phase-II.
66
2. OBJECTIVES
The Objectives of the all the Projects mentioned above i.e., KHSDP & KfW are as follows.
a) To improve the efficiency in allocation and use of health resources through policy and institutional development.
b) To improve the performance of Health Care Systems by improving the quality, effectiveness and coverage of health
services. The ultimate goal of the Projects are to improve the Health status of the people especially the poor by reducing
mortality morbidity and disability.
The Project component aims at improving service and clinical effectiveness at district, sub-division and community level hospitals.
Under the project, 39 Community Health Centres, 110 Taluk Level Hospitals, 13 MCH Hospitals, 23 Sub-divisional Hospitals, 3 ED
Hospitals and 16 District Hospitals are to be renovated and expanded. An additional 5835 beds will be added to the existing bed strength of
13499 at first referral level. The project aims at providing better access to health care to the Schedule Caste and Schedule Tribe population of
the state and also for women.
General overview : The KHSDP became effective from June 27, 1996. The project could not make much progress during the year
1996-97. However, the project has been making a steady progress since then. The Project activities have been reviewed by the
World Bank Supervision Mission during March 1997, November 1997, May 1998, November 1998, June 1999. November 1999,
May 2000 and November 2001, September 2002, May 2003 and Nov 2003. The World Bank teams have rated the Project
activities as satisfactory in some review missions and highly satisfactory in others.
1. Civil works : As per the original programme, renovation and expansion of 204 KHSDP Hospitals should have been taken up in
four phases during the years 1997-2002. In order to avoid cost escalation on civil works a decision was taken by the Project
Governing Board with the approval of the World Bank to initiate civil works in all the hospitals simultaneously. The present status
of the Civil Works is as follows. The cumulative expenditure on Civil Works stood at Rs.34612.60 lakhs.
SI.
No
1
Works
Renovation and Expansion of 204
Hospitals
Total
Numbers
Physically
Completed
To be
completed
204
200
4
b7
2
3
District E.M.Centres
Blood Banks
21
27
21
26
4
5
6
District Laboratories
Office Buildings (No. of works)
Trauma Care Centres
21
38
34
21
38
33
-
l(Gadag
New Dist
1*
* Extra expenditure, hence construction of Trauma Care Centre at Hunsur is dropped.
Additional works taken up after Mid-term Review of the project.
No. of hospitals earlier included in Phase II of KFW now taken up under KHSDP.
4
No. of Preliminary Drawings cleared by the World Bank Architect
4
3. Equipment (Medical & Others) The Procuremenl Plan covered various medical and other equipment to be procured for the
hospitals included in third and fourth phases. The medical equipment like X-rays and Dental Equipment have been procured
and installed equipment needs additional space. Ultrasound Scanners with two probes, Dental X-ray and Blood Gas Amalysers
have been procured under ICB. The cumulative expenditure on major medical equipment and other equipment stood at
Rs.4009.30 lakhs.
4.
Vehicles:
Type of Vehicles
TATA SUMO
Armoda Jeeps, Ambassador
Car, Tata Safari, Maruthi Van
/Car
Equipment
Maintenance
Vehicles_________________ __
No. of Vehicles
purchased
180
Users / Consignees
Taluk Medical Officers, District Surgeons.
17
District Surveillance Officers Engineering Officers of the Project.
21
District Equipment Maintenance Centres
68
Ambulances
116
Tempo Trax Jeeps
62
Total
396
Project Hospitals
Taluk Medical Officers of the Revenue Sub-divisional Head
Quarters, District Surgeons and District Surveillance of newly
formed Districts.
The cumulative expenditure on vehicles stood at Rs. 1292.43 lakhs.
Medicines : Various important drugs have been procured and supplied to the hospitals. The cumulative expenditure stood at
Rs.2482.60 lakhs.
4.
5. Professional services studies, work shops consultants, Local training, Fellowship, etc. : Cumulative expenditure stood at
Rs.1761.20 lakhs.
a) Studies: As per the allocation of World Bank funds from Govt, of India Rs.165.10 lakhs are available for entrustment of
studies and the cumulative expenditure stood at Rs. 159.50 lakhs leaving a balance of Rs.5.60 lakhs. The entire
expenditure is met out of funds received from the World Bank. The studies are concentrating on issues like the user
charges, manpower planning, microbial contamination in the hospitals, patients satisfaction, waste management in
hospital, evaluation of training, impact of Yellow card scheme, etc.
b) Workshops: For Doctors and paramedical staffs workshops have been conducted in the areas of referral system,
Surveillance Disease, Hospital management information systems, Hospital re-commissioning, quality management ISO
9002, Hospital waste management Disposal. Nearly 4058 Doctors / paramedical staffs have been trained in these
categories.
Recurrent Costs : Cumulative expenditure stood at Rs. 14536.60 lakhs. This includes salary and allowances, Building and
Equipment maintenance cost, and also other recurrent cost.
’
a
6.
69
7.
Training:
___ __ ______________________ Category_____________________________
No. persons trained.
Training for Specialist Doctors in different specialties like Paediatrics,
Orthopaedics, ICCU, OBG, Neurology, Neurosurgery, Psychiatry, Medico legal.
1406
Training for Doctors in Administrative Procedures
219
Induction Training for newly recruited Doctors.
291
Trainers Training Programme for Doctors to develop Master Trainers.
150
464
District Level Training for Doctors.
Training for nurses General Nursing
2506
Specialist Nursing training in ICCU, Ophthalmic Nursing, Neuronursing and
Psychiatric Nursing.
1004
Training for Laboratory Technician
1036
Training for X-ray Technician
97
Training for Equipment Maintenance Technicians
38
Training for Chief Pharmacists/Graduate Pharmacists
28
Training for Pharmacists
191
Conferences
1110
Work shops
4058
Human Resources Management
Training Abroad
300
41
Other Trainings
93
Abstract of Financial Progress/Reimbursement Status upto the end 31.03.2003 exhibited in Annexure IV.
70
ANNEXURE - II
Secondary level health care facilities in Gulbarga Division
Status of KfW Works (Phase -1)
ABSTRACT
SI.
No.
Particulars
No. of
Hospitals
1.
No. of Civil Works
26
2.
Estimates Sanctioned
26
3.
Bids Approved
26
4.
Agreement executed
26
Secondary level health care facilities in Gulbarga Division
Status of KfW Works (Phase - II)(25 Hospitals)
ABSTRACT
SI.
No.
1.
2.
3.
Particulars
No. of Civil Works
Works taken up under World Bank assisted
KHSDP Project
Balance works to be taken up under German
Assisted KfW Project Phase - II_______________
No. of
Hospitals
25
4
21
71
ANNEXURE - II (B)
TRAINING FOR DOCTORS AND PARAMEDICAL STAFF
For the
year
Physical targets
2000-2001
3046 Nos
2001-2002
Financial
targets
(Rs. in lakhs)
Achievements
Physical
Financial(INR)
250.00 Lakhs
2845 Nos
151.72 Lakhs
1587 Nos
75.00 Lakhs
1698 Nos
74.04 Lakhs
2002-2003
519 Nos
24.85 Lakhs
567 Nos
24.85 Lakhs
2003-2004
1489 Nos
31.00 Lakhs
1202 Nos
7.65 Lakhs
(INR)
72
ANNEXURE - II (C)
Progress in the Physical Targets and Achievements
KARNATAKA HEALTH SYSTEMS DEVELOPMENT PROJECT:
SI.
No.
Particulars of
Components
I.
2__
3.
4.
Medical Equipment
Vehicles
Furniture
Drugs &
Pharmaceuticals
Non-clinical
Services
5
During 2002-03
During 2001-02
For the year 2003-04
Physical
Target
Physical
Achievement
Physical
Target
Physical
Achievement
Physical
Target
Physical
Achievement
39 pkgs.
79 Nos.
23 pkgs.
44 pkgs.
20 pkgs.
22 pkgs.
33 pkgs.
19 pkgs.
79 Nos.
-
17 pkgs.
-
59 pkgs.
79 Nos.
18 Pkgs
1 Pkg
33 pkgs.
18 Pkgs
-
55 hosp.
42 hosp.
13 hosp.
4 hosp.
Action plan
Upto 31-3-2004
Physical
Physical
Achievement
Target
26 pkgs.
1 pkg-
-
Name of the Project: KfW Project
During 2001-02
SI.
No.
Particulars of
Components
1.
Medical Equipment
2.
3.
4.
Drugs & Chemicals
Vehicles
Furniture
Physical
Target
177
pkgs.
-
8 Nos.
24 pkgs.
Physical
Achievement
-
-
During 2002-03
Physical
Target
177
pkgs.
-
8 Nos.
24 pkgs.
For the year 2003-04
Physical
Achievement
Physical
Target
Physical
Achievement
19 pkgs.
158 pkgs.
102 pkgs.
-
12 pkgs.
8 Nos.
12 pkg.
4 Nos
12 pkgs.
Action plan
Upto 31-3-2004
Physical
Physical
Target
Achievement
56 pkgs.
-
73
ANNEXURE - II (D)
Comparison of Previous three year
2000-2001
1) Karnataka Health Systems
Development Project
2) KfW Project - Phase -I
2001-2002
2002-2003
2003-2004
Target
Achievement
Target
Achievement
Target
Achievement
Target
Achievement
60
51
50
50
43
43
4
-
-
-
11
2
11
11
2
ANNEXURE - II (E)
Forecast of the projects under taken by Karnataka Health Systems Development Project
(Rs. in crores)
Financial
Year
2001-2002
2002-2003
2003-2004
2004-2005
TOTAL
KHSDP World Bank assisted
No. of Hospitals 200 + 4 (KfW) Hospitals
Physical
Financial
Commence
completion
ment
193 works already commenced
235.00
up to 2000-01
KfW Phase I German Assisted
No. of Hospitals 26
Physical
Financial
Commence
, „.
completion
ment
10 works already
4.00
commenced in the year 2000
51.00
185
11
54.00
19
(One year extension given. Project closes in 3103-2004)
340.00
204_______
204
10
14.00
12
12
4
10.00
Extension of Project has been given upto
31.12.2003.
8
4
36.00
26
26
KfW Phase II German Assisted
No. of Hospitals 21
Physical
Financial
Commence
completion
ment
-
a
-
21
21
10
11
21
20.00
18.70
38.70
74
ANNEXURE III
KARNATAKA HEALTH SYSTEMS DEVELOPMENT PROJECT - 2833 IN
Statement showing the Budget & Revised Estimate for the year 2002-03 and 2003-04
Rs. in lakhs
World Bank Expenditur Category
State Budget Head
2
1
Accounts for
2002-03
Budget Estimate
for 2003-04
3
4
Revised Budget
Estimate for
2003-04
5
Category I
Civil Works (New Construction & Extn)
Civil Works
Category I Total
3555.32
1000.00
1847.55
3555.32
1000.00
1847.55
Category II
Furniture
Hospital Accessories
51.85
183.36
183.36
Major Medical Equipments
Machinery and Equipment
410.60
400.00
400.00
Vehicles
Purchase of New Motor
Vehicles- Transport
Expenses
-
75.00
75.00
Medicines
Drugs & Chemicals
517.96
100.00
230.00
Medical Lab Supplies
Materials and Supplies
151.92
100.00
320.25
1132.32
858.36
1208.61
Other Supplies
MIS7IEC Materials
Category II Total
75
—
Category III
Local Training
Subsidiary Expenses
80.55
158.80
361.00
Other Expenses
32.78
20.00
20.00
Category III Total
113.32
4800.96
178.80
2037.16
381.00
Total Investment Costs
3437.16
Professional Services, Consultants
Studies
Workshops
Fellowships
NGOs
Recurring Costs
Salaries of Additional Staff
Pay-Officers
2662.77
209.84
209.84
Operational Expenses
Diet Expenses
Travel Expenses
Office Expenses
470.69
216.00
216.00
34.59
38.23
20.00
20.00
17.00
17.00
3206.29
462.84
462.84
________ 8007.25
2500.00
3900.00
Telephone Charges
Electricity & Water Charges
Rents, Rates and Taxes
Fuel and Oil Expenses Transport
Repair of Motor Vehicles
Lump sum Grant in Aid
Building Maintenance
Maintenance of Buildings
Equipments Maintenance
Maintenance of Equipments
Total Recurring Costs
Grand Total
Annexure IV
Statement showing the Status of Reimbursement Claims for the period ending December 2003
Period
1
Total
Expenditure
Amount
Expenditure
Eligible for
of Claims
incurred
Reimbursement
2
3
4
Appl
No.
5
Amount of
Claims
Submitted
6
Claims
Admitted
Amount
Withdrawn
for SA
ACA
Received
ACA
Due
7
8
9
10
136.39
136.39
111.87
111.87
111.87
111.87
111.87
-
1996-97
17.75
17.75
16.43
16.43
16.43
16.43
16.43
-
1997-98
605.72
590.91
500.27
500.27
500.27
500.27
500.27
-
1998-99
951.84
919.06
778.70
778.70
778.70
778.70
778.70
-
1999-2000
1214.00
1173.50
968.70
968.70
968.70
968.70
968.70
-
2000-2001
1020.78
991.39
768.35
767.47
767.47
767.47
767.47
-
2001-2002
1164.98
1097.38
775.97
774.19
749.23
749.23
749.23
24.96
2002-2003
800.73
832.03
529.71
527.92
399.15
399.15
399.15
128.77
Cumilative upto
2002-2003
5912.21
5758.41
4450.00
4445.54
4291.82 ’
4291.82
4291.82
153.73
2003-2004
159.34
149.82
130.31
126.07
120.69
120.69
109.16
11.53
Grand Total
6071.55
5908.23
4580.30
4571.61
4412.51
4412.51
4400.98
165.26
World Bank Loan
4580.30
State Share
1491.24
Retroactive Finance
Prospective:
77
Statement A
2210 Medical and Public Health
(Karnataka Health System Development Project)
Rs. in lakhs
SI.
Head of Account
No.
Accounts for
2002-03
Estimated
Budget for
2003-04
Revised
Estimated
Budged for
• Expenditure
for 2003-04
Estimated
Budget for
2004-05
2003-04
1.
2210-01-110-2-83
4032.18
1100.00
1653.00
1256.17
200.00
2.
4210-01-110-1-83
3586.51
1000.00
1847.00
1841.19
337.00
429.29
400.00
400.00
355.33
0.00
8047.98
2500.00
3900.00
3452.69
537.00
Major Civil Works
3.
4210-01-110-2-83
Equipment and Machineries
Total
78
Statement A
2210 Medical and Public Health
(Secondary Level Hospitals KFW Project Gulbarga)
Rs. in lakhs
Si.
Head of Account
No.
Accounts for
2002-03
Estimated
Budget for
2003-04
Revised
Estimated
Budged for
1
Expenditure
for 2003-04
Estimated
Budget for
2004-05
2003-04
117.40
337.00
I.
2210-01-110-2-80
1223.64
508.00
508.00
2.
4210-01-110-1-84
4.90
10.00
10.00
530.00
530.00
32.44
500.00
1048.00
1048.00
149.84
3337.00
2500.00
Major Civil Works
3.
4210-01-110-2-84
Equipment and Machineries
Total
1228.54
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Printed by: The Director of Printing. Stationery & Publication Govt.. Press. Peenya.kBlore-58.
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