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GOVERNMENT OF KARNATAKA

ANNUAL REPORT
1998-99

DEPARTMENT OF HEALTH AMD FAMILY WELFARE

\OO 2. -I

CONTENTS
Page No

1

Department of Health and Family Welfare Services ..

1

2

Urban Health Services

..

7

3

Rural Health Services

..

9

4

National Aids Control Programme

..

12

5

Family Welfare and Mother/child Health Programme . .

14

6

National Leprosy Eradication Programme

..

24

7

National Tuberculosis Control Programme

..

30

8

National Programme for Control of Blindness

..

34

9

National Malaria Eradication Programme

..

36

10

National Filaria Control Programme

..

38

11

Diarrhoeal Diseases and Communicable Disease
Control Programme

..

39

12

Health Education and Training

..

43

13

Nutrition Programme

..

48

14

Hospital Pharmacy Programme

.•

52

15

Health Equipment Repairs and Maintenance unit

..

54

16

State Health Transport Organisation

..

55

17

Laboratory Services

••

56

18

Government Medical stores

19

India Population Project - IX(K)

••

61

20

Population Centre

.•

62

21

Externally Aided Projects

••

65

22

Department of Indian System of
Medicine and Homoeopathy

.•

67

23

Drugs Control Department

..

74

24

Directorate of Medical Education

..

85

'

..60

DEPARTMENT OF HEALTH AND FAMILY WELFARE SERVICES
The Department of Health and Family Welfare Services

implements various National and state Health Programmes of
Public Health importance and also provides comprehensive

Health Care Services to the people of the State through

various types of Health and Medical Institutions.

The Health Care Services are provided by implementation
of:

1.

Rural health Component of the Minimum Needs Programne

2.

Medical Development Programme and Hospital Pharmacy
Programme.

3.

National 'AIDS* Control Programme.

4.

Mother & Child Health (MCH),Family Welfare and
Immunisation Programme.

5.

National Leprosy Eradication Programme.

6.

National Tuberculosis Control Programme.

7.

National. Programme for Control of Blindness.

8.

National Malaria Eradication & National Filaria
Control Programme.

9.

National Guinea Worm Eradication Programme.

10.

Preventiona and Control of Communicable Diseases
like Diarrhoeal diseases, Kyasanur Forest Disease.
Japanese Encephalities etc.,

11.

Health Education and Training Programme.
1

12.

Nutrition Programme—Nutrition Education & Demonstration.

13.

National Iodine Deficiency Disorder Programme.

14.

Laboratory Services and Vaccine Production Units.

15.

Education and Environmental sanitation & Curative
Services.

There are external Aided Projects implemented in the State like:

1.

Karnataka Health System Development Project with
the World Bank Assistance.

!0(52.- 2.

2.

2
KFW with German Assistance.

3.

India Population Project-IX(K)

4.

OPEC (improvements of District Hospitals in Raichur

with the assistance of OPEC).

5.

DANIDA Assisted Programme for control of Blindness.

ADMINISTRATION A?<O DIRECTION
The Director of Health and Family Welfare Services is

the Head of the Department.

The Administrative powers

and financial Powers of the Department are vested with the

Director.

The Director of Health and fw Services is

responsible to provide the Health Care Services to the

Community by way of implementing various National and
State Health Programmes in the State.

The Director of Health and Family 'Welfare Services is
assisted by Additional Directors, Joint Directors,

and

Demographer, Chief Accounts Officer -cum Financial Advisor
assist
and a Chief Administrative Officer /in all matters perta­
ining to Finance and Accounts and Administration of the

Department respectively.

There are Deputy Directors to

assist the Joint Directors.

There are Four . Divisional Joint Directors of Health &
Family Welfare Services and each Divisional Joint Director

of Health and Family Welfare Services is assisted by two
Deputy Directors.

The Divisional Joint Directors are responsible for
Supervision and effective implementation of various

Nat-ona^-

State Health Programmes, including Family

Welfare Programme and MCH Services in the Districts

3

coming under their Divisions.
At the District level, there are District Health and

Family Welfare Officers assisted by the District Leprosy
Officer, District MCH Officer, District Malaria Officers,
District TB Officers, Medical Officers of District Lab.,

Medical Officers (FW & MCH) and Taluk Health Officers.
These officers are responsible for implementing and

reporting of various National and State Health Programmes
including Family Welfare Programme and MCH Services.
The District Surgeons of the District Hospitals are

responsible for providing curative and preventive services
including referral services.

At the Taluk Level, there are 175 taluk Health Officers
and they are responsible for prompt and effective

implementation of various National and state Health

Programme-^in their taluks.
At the Primary Health Centre Level: The Medical Officers
of Health are similarly responsible for the implementation

of various National and state Health Programmes, including

Family Welfare Programme and MCH Services.

ACHIEVEMENTS FOR 1998-99
“auction has "been accorded for upgradation of Primary

1.

Health Centre, Bethamangala, sangarpet Tq, Kolar District

and Primary Health Centre, Vittala, Buntawal Taluk,
D.K.District to Community Health Centre,
Formation of District "Health Offices in the newly

2.

created seven districts i.e,. District Health and FW Offices,

District Leprosy Offices, District T3 Centres, District
Family Welfare Offices and District Malaria Offices.
3.

Sanction of Staff to 10 bedded Maternity Annexes attached

to: a) Primary Health Centre, Ripponpet, Hosanagar Tq,
Shimoga District.
Bhagamandala,
Madikeri Tq,
Centre
,
Health
b) Primary
Kodagu District.
c) Primary Health Centre, °asavapatna, Arkalagud Tq,
Hassan District.
d) Primary Health Centre, Kothathi Mandya Tq, Mandya Dt.,

e) Primary Health Centre, Kalloru, Gubbi Tq, Tumkur Dt.,
f) Primary Mealth Paduvalahippe, Holenarasipura Tq,
Hassan District.
Doddarasinakere
, Maddur Tq,
Health
Centre,
Primary
g)
Mandya District. .
h) Primary Health Centre, Marganakunte, Bagepalli Tq,
Kolar District.
4.

Sanction of Staff to 6 bedded Maternity Annexes attached to:
a) Primary Health Centre, Eelagola, Srarangapatna Tq,
Mandya District.

5.

Sanction for enhancement of stipend to Sc/sT candidates
undergoing Departmental training Rs.1000/- per month.

6.

Additional staff to:~
a; General Hospital, Sagar, Shimoga District.
b)

Community Health Centre, 3-Bagewadi, Bijapur Dist.,

c)

Community Health Centre, ^resave, Channarayapatna Tq,
Hassan District.
District Hospital, Bidar.

d)
7.

8.

e) Primary Health Centre, Gote, Jamkhandi Tq, Bagalkote Dt
£1 sanction for purchase of 100 equipments for providing
Laboratory facilities to PHCs under PFA Act.'
sanction for purchase of X-Ray Units with accesoni.es. .with
Oaelca .Camera%o the newly created distric^Hgveri,

Ga-ag, Bagalkote and udupi under National T3 Control
Programme.
9.

Sanction of 3 New vehicles to Dist.T3 Centres.Haveri.Gadag
Bagalkote under National tb Control Programme.

Details of Staff in the Department of Health A FW +Services as on 1.1.99

o
o
K

group

Poets sanctioned
in the
Dept.

K.I.S.D.P.

A

5179

5U9

B

U20

G
D

Total

Working

Total

Vacancies
- - - in the
K.H.S.D.Pt
Dept.

Total

in the
Dept.

K.tf.S.D.P 4

5728

UU7U

U59

U933

705

90

795

61+

U8U

267

32

299

153

32

185

37127

2244

39393

29 080

1331

301+11

8047

935

8982

15753

1327

17080

1U258

11+258

11+95

1327

2822

U99O1

10400

2384

1278U

• • r

‘ T?tal

’5W

’' ' U204 '

42685

1+8079

1822

m

-6 -

Appointments a 4 Posts filled up iixtuj during ths
YSar 199S-99

The following recruitments are made and posts filled
up durinc the year 199^-99

1.

Nursinc Tutors

-

2?

On Promotion

2.

Staff Norses

- 1536

Appointment

3.

Senior lealth Assistants

-

169

on Promotion

U.

X-Ray Technicians

-

101

Appointment

5.

Junior lealth Assistant(F®nale)

-

1+64

6.

Deputy lealth Education Officer

-

13

7.

Stenographer Gr.I

-

10

-

15

First Division Asst.

-

21

10. Second Did. sion Asst.

-

105

S.SkUljed Tradesmen
9.

11. ' D » Group

Action to recruitiExi
started

-

On Promotion

-n-

Compassionate
Grounds Appointment

94

573 doctors has been

7
UREA.'J HEALTH SERVICES
The District Hospitals are not only providing treatment
to patients but also provides preventive services. Major

Hospitals, Teaching Hospitals and Specialised Hospitals,
Provide Specialised Services.

The details are as follows:

NUMBER OF
INSTITUTIONS

NUMBER OF
BEDS

District Hospitals

16

5788

Teaching Hospitals

9

5907

Major Hospitals

8

1521

Specialised Hospitals

16

3330

HOSPITALS

General Hospitals/Matemity Hosoitals
127

TOTAL

176

6677
23223

8

Each District Hospitals has got the following specialities
1. Medicine

8 Skin and STD

2

Surgery

9 Radiology

3

Obstetrics & Gynaecology

10 Anaesthesia

4

Paediatric

11 Dental

5

Orthopaedic

12 Psychiatry

6

Opthalmology

13 Blood Bank

7

Ear, Hose and Throat
The Specialist Departments in the District Hospitals

are catering to the needs of the patients coming directly

as well as those referred from small peripheral rural

centres and moffusil hospitals.

The District Hospitals

serh>e as referal hospitals to the peripherial institutions
Burns & Oasuality wards are established at SO Hospital,

Hassan, Mcgann Hospl,Shimoga,SNR Hospl,Kolar and Dist.Hospl,
Bijapur, Sexually Transmitted Disease clinics are functio­
ning in District Hospitals & also in the Gnl.Hospl,at Udupi

KG" and Ko11egal.

Physiotherapy units are functioning at the District
Hospitals, Shimoga, Hassan, Tumkur, Chitradurga, Kolar,
Flandya and Bijapur.

A.11 the teaching hospitals have got

Physiotherapy Units, Physiotherapy Unit is also functioning
in KC General Hospital, Bangalore & in General Hospital,J'nagar.

9

The Emergency and Casuality Departme- : work round the

clock.
The existing Blood Banks are being strengthened in all

the District Hospitals and in all Major Hospitals of the

State. AIDS Screening facility is being developed in
District and Major Hospitals in^phased manner.
Radiology services are available in all the District

Hospitals and in many taluk level hospitals.

Dental Clinics are established in all the District
Hospitals and Major Hospitals and in Taluk Level Hospitals

Epidemic Diseases Hospitals are functioning at Bangalore

Mysore and KGF .

They are special type of institutions.

These hospitals are meant for Creating epidemic diseases
like Cholera, Gastroenteritis, Diptheria, Tetanus,
Whooping Cough, Rabies, Measles, Cnicken Pox and other

highly infectious diseases.
RURAL HEALTH SERVICES

in line with the Government of India guidelines in the
implementation of minimum needs programme (Rural Health)

the State has revised its Health Policy and decided to

establish a 3 Tier Health Infrastructure, viz., Sub-Centres,
Primary r*ealth Centres and Community Health Centres.

The existing Primary Health Units are being upgraded into
Primary Health Centres in a Phased manner and establishment

of New PHU’s has been discontinued wef 1.4.1987

COMMUNITY HEALTH CENTRE

It is the intention of Government of India and the State
Government to establish a Community Health Centre for one
lakh population/one Community Health Centre out of every

4 Primary Health Centres.

The policy of the Government is

to upgrade all the taluk level institutions to 30 beded
hospitals and at Sub-Divisional Hospitals into 50 beded
hospitals.

These institutions will serve as Rural Referral

Hospitals for the population living in rural areas for
specialised services.'
>00 3--^

-lo­

in these 30 beded hospitals there will be a minimum
of four specialities viz.,
1.

2. General Surgery

General Medicine.
k,

3. obstetric Gynaecology.

3. Dental Surgery.

In the 50 beded hospitals, in addition to these
specialities, there is one Paediatrician

PRIMARY HEALTH CENTRE

The Primary Health Centres provide the basis Health

Services which include Curative, Preventive and Promotive

Health Care Services.

The National and state Health

Programmes are also being provided through the Primary

Health Centres.

As per the guidelines given by the Government of India,
there will be '.ne Primary Health Centre for every 3 0000
pooulation in plain areas _,and one Primary Health Centre
I 71

for every 20000 population Hilly and Tribal areas.

Every

Primary Health Centre is supplied with drugs woth

Rs-50000/-annually .

At present there are,1676 Primary Health

Centres, sanctioned in the state as on - 31.12.1998.

PRIMARY HEALTH UNIT

In Karnataka, there are institutions known as Primary
Health Units, which also provide curative, preventive

and prOmotive Health Care Services and 583 PHU's are
functioning.

manner

They vzill be upgraded as PHU’s in a phased

11
HEALTH SUB-CENTRES

It is the intention of Government of India and the State
r overnment to have one Hcaith Sub Centre for every 5000

Population in plain ■ areas and one sub-centre for every
3100 population in the Hilly and Tribal areas. Each
Sub—Centre is managed by one Junior Health Assistant (F)

and one Junior Assistant (Hale) and drugs worth Rs.5030/—

per annum are being supplied for treatment of minor ailments.

RURAL HEALTH CARE SERVICES ARE PROVIDED THROUGH VARIOUS
TYPES OF INSTITUTIONS WHICH ARE DETAILED BELOV?

CENTRES

1996-97

Community Health Centres

Primary Health Centres

2 42
1601

Urban Primary Health Centres



Primary Health Units

589

583

583

Sub-Centres

8143

8143

8143

B ed

15282

16262

16262

1997—93 (upuo^Ef? 98)
252
252

1676
9

1676

9

12
NATIONAL AIDS OOiTROL PROGRAIgiE
The National AIDS Control Programme is being implemented in
the State as per the Guidelines of National AIDS Control Organisa­
tion, Ministry of Health and Family Welfare, Govt. of India. This
is a 100% centrally sponsored scheme.

The State AIDS Cell is established during May 1992, in the
Directorate of Health and F.W.Services, to monitor and supervise
the activities under various components of National AIDS Control
Programme. The State Level Empowered Committee is constituted
under the Chaimanship of Health Secretary, Govt, of Karnataka
and Karnataka State AIDS Prevention Society is formed during
December 1997.
SURVEILLANCE AND CLINICAL MANAGEMENT

Three(3) AIDS Surveillance Centre are functioning which
are taking-up Surveillance and Sentinel Surveillance activities
at Victoria Hospital, Bangalore; National Inst, of Mental Health
and Neuro-Sciences, Hosur Road, Bangalore; and Kasturba Medical
College, Manipal,
SLOOP SAFETY PROGRAMME
Ten(10) Zonal Blood Testing Centres are established and
functioning, all the Blood Banks i.e. Government, Private and
Voluntary Blood Banks are linked to these Zonal Blood Testing
Centres for screening for HIV to ensure Blood Transfusion Safety.
52 Blood Banks have been modernised by way of supply of equipments
and consumables in a phased manner.
One Blood component Seperation Facility is sanctioned and
established during 1994-95 at Kidwai Memorial Inst, of Oncology
Bangalore,

SEXUALLY TRANSMITTED DISEASE CONTROL PROGRAMME

The service care at the existing 30 STD Clinics attached
to Major Hospitals and Teaching Hospitals are strengthened by way
of supply of equipments, drugs and laboratory supplies.
INFORMATION, EDUCATION AND COMMUNICATION

The Information, Education and Communica.ion under AIDS
Control Programme is intensified to create awareness among the
Community, Television spots and messages on Prevention of AIDS
are being telecasted through TV and Radio spots are being Adver­
tised through All India Radio(AIR).
Printed materials like.
Folders, Posters, Pamplets are being distributed. Audio Cassettes
with songs and dramas on Prevention of AIDS is distributed.
Hoardings and Wall-paints in Major cities and towns are taken-up
and street plays were conducted.
NON-GOVERNMENTAL ORGANISATION CO-ORDINATION
Nearly 97 Non-Governmental Organisations are registered
out of this 8 are supported financially, to take up awareness
.campaign on AIDS.
Training Programme is being organised for Medical Officers,
Para-Medicai staff and Non-Governmental Organisations.

13
,1 '
Since 1937 to December 1998, 3,96 8^7 Blood Samples
have been screened.
Out of which 4649 are found HI’/ positives,
167 AIDS cases and 77 have died.
Sentinel Surveillance activities were takeni.p in
Eight(g) HIV Sentinel Sites as per the approved protocol of
National AIDS Control Organisation.
The following category of staff
the year 1998-99

■ave been t.rained during

si.No.

Category

1

Dental Surgeons

28

2

Medical Officers

3

Lab, Technicians

4

District Nodal Officer

6
5
22

No. trained

Financial release by National AIDS Control Organisation,
Govt, of India

YEAR

1998-99
(upto end of
Dec. 1998)

i o o 2-- 5

release

Expenditure

731.94 lakhs

115.62 lakhs

14
FAjdllY VELFARB AIsD .MOir-ER AND CHILD

PROG-RAuLrS:

INTRODUCTION;.
T.ie exploding population and the vulnerability

of infants, children and mother to a host of aliments'3
resulting i.n their high morbidity aid. mortality rates are

among the fi'ont ranking problems emaciating the country as

a vdiole.

nut ually -inter­

It is in orier to tackle these

linked proble m^high birth rate and high infant and maternal
mortality rates and b.ring about demographic transition that

Family Welfare

and Mother and Child Health Programme have been

thoughtfully formulated and implemented through out the length
9

ard breadth of '.the country.
Karnataka deserves a special mention in then: history

of Family Planning Programme due to .the pioneering steps
taken aS early in. 15:5®'s by thelfiaharaj a .of Mysore by ordering
r

44-},

establishment of .Birth Control Clinics one

Bangalore and other

«ani Vilas Hospital 1

at Cheluvamba hospital , Mysore .

Further,

in the implementation of the programme, Karnataka has been

faiafly successful, scaling more heights than many a major

In many of the demographic indicators, Karnataka has

^tate.

bettered the national average.

2.



OB.JBCTIVES:

Ihe objectives of Family Welfare and

liCH Programmes, as set out in the National Health Policy

document 13£’3, are the following.
21

2,

Crude Birth Rate
.*
Crude Death Rate

3.

Infant Mortality Rate



4*

Net Reproduction Rate

1

•f*

5

'15
5o

Deo ad al growth Rate of Population

1.2%

6.

Effective Couple Protection Rate

68%

7.

Life Expectancy at birth

64 Years

8.

T.P. for pregnent wonen

ies%

?.

DPT, Polio, BCG and Measles
Vaccination for infants

ice%

I~~DTC Al'ORS:

Considerable inpact has been registered in
the State due to the programme.

have been awaited .

More than 1.7 crore births

The other achievenent are enumerated

below:

Fall of crude birth rate from 4-1.6 in 1?61 to 22.7 in
1997.

1.

"’ins of crude death rate from 22.2 in 1961 to
n 1997.

2.

7 • ® x.

3.

],,
n 4© •Doings fall in infant mortality rate
Lore tha
. 1571 to „
1997<
xi.

4.

Decease in i '^•n9ral fertility rate in rural areas from

134.9 in 1°72 b o

17S.1 in 1929 and in urban areas from

124.9 to 96.8 .
5.

^he total fertility rat/ h ® cone down fr0D 3*fi “
1931 to 2.9 in 1993.

6.

nu
.
1'0 to 65.1 6 6.5 years
The lue expectancy has gene t
a •>
a

respect ively for Males and Eema-L

7.

8.

og

The av- rage age at marriage has inc*

'eased as follows:

a)

Per girls from 16.4 in 19&1 to 19.2,

b)

For boys from 24.17 in 1961 to 25.86 in

ln 1591»

The eff active couple protection, rate has scalec.
57..7% ill 1997 from 23.76% in 1981.

W1,0

f

Ib.e annual '.rcv.t?. rate c f p.o pu Lat i on meoreased to
2.1% by 1?9i from 2.6% in 1®£1.

1S.

The progress; uni er immunisation is dejected in

c

A-Tv^Xcone — 1 .

11.

The average number of children-of acceptors of

Family Welfare ret hods in 1995—36 was as follows:

12.

a)

Vasectomy

2.6

b)

Fenale Sterilisation

2.6

c)

IUD

1.3

The average age of acceptors of various Family
Welfare methods in
was as follows:

a)

Vasectomy

~3o-fy

b)

Female Sterilisation

<26^

c)

IUD

‘5^-9.

Strategies adopted in implementing Family Welfare
Prograne.

IDO ACTIVITIES:

a)

Imaginatively produced informative

educative and communicatiwsr material and propogation though

multi-media have generated enormnes awareness and demand for

Family Planning and. immunisation services among general
public and in particular among eligible couples and mothers.
b) •

I IIS I'I'TUT 10 HSp.

A vast and closely limit network of

8143 sub-centres, 1676 EHCs, 5eJ FHUs and 176 hospitals

183 post partum centres, 86 urban FW centres have been

established to provide services.
c.

n,i.lv?O>i~ER DBVELCPr.ZEITT:

The Officers,

genus,

Workers and Supervisors are periodically trained in various
training centres and their skills and ccmpetance. are

upgraded.

17
d)

SPACING 1.ZETH0 LS;

Appreciating the potential of

spacing methods in the regulations of fert mLity,campaigns

are being organised twice in a year in the months of
October and Inarch.

e)

CO^Rn^TY NEEDS JS5ESSI3NT_ APPRO ACEThe success

of the programs and the attainment of goals can materialise

only if it becomes a people's programme.

In due recognition

of this, a paradign shift has been ushered

in according

to which the needs and sentiments of the community are
assessed and incorporated in the action plans formulated
for implementing the programme.

In this process, quality

of service also gets sufficient priority and ensures

desired impact.

As a part of involving the community, the 5006
and odd liahila Arogya Sanghas in rural areas and a host of
Don-Go lemnental organisat ions are assisting in educational
as veil as implementation activities.

OTHER SCHEMES;

Implementation of special programmes

like Post ?aruun Scheme, Sterilisation-bed Scheme,

and

Kedical Termination of Pregnancy Act are contributing to
-fp-rt-ii-ity control and population stabilisation.

During

unwanted pregnancies are

1997-9S,

medically terminated
REPRODUCTIVE AND CHILD HSAITH

SERVICES PR0GRAI.1CE:

The Family PI anr ing Programme has crossed several
milestones absorbing new schemes and interventions lite
E.P.I., U.I.P., C.S.S.M., ORT.

ARD CHILD HEALTH SERVICES n

I

eo 2- - G

It is with the " REPRODUCTIVE

Programme that .it is entering

18

a new era with a new look and thrust .

In deference to

,

the decisions of the International Conference on Population

and Development,

1594, held at Cairo, the emphasis is now on

provifl 5ng quality conscious Reproductive and Child Health
Services rather than on cere Family Planning.

The RCH .

Programme encompasses Fertility Regulation, Child Survival

and Safe Motherhood management of Reproductive Tract Infection;,
and Sexually Transmitted Infections.

This Programme is externally assisted and has

been shaped as a centrally sponsored scheme.

Apart from

services, its significant components are civil works, hiring

the services of consultants, operationalising FRU, appointing

contractual staff for promoting institutions deliveries,
provision of equipment aid evaluation of the services and

facilities

19
AWTEXURE-I
TARGET ACHIEVEMENT AMD PERCENTAGE OF ACHIVEMENT WIDER FAMILY WELFARE AND
IMMUNISATION PROGRAMME

Si
No

Programme/
Method.

1996-97
T

A

1997-93

%

T

A

%

(in Lakhs)
1'998-99 unto Antici
end of DES98 pated
Achivement
from. Jan tc
T
% Haren
A
s/<y.

I FAMILY 'WELFARE
3.84

1 Sterilisation

2 I.U.D.

-

3.76

-

3.96
3.72

-

2.70
2.53

-

3 CC Users

-

3.59

-

3.23

-

2.75

-

4 O.P.Users

-

1.58

-

-

1.44

-



1.56

-

NOTE: FW Programme is declared as Target Free Programme by Government
of India.

II IMMUNISATION

1 DPT
2 Polio

11.85

11.51

97.1

10.99 11.16 101.5 11.36 3.85 69.0

3.51

11.85

11.52

97.2

10.99 11.17 101.6 11.36 7.86 69.1

3.50

102.7

10.99 11.94 108.6 11.36 7.86 69.1

3.50

3 BCG

11.85

12.17

4 Measles

11.85

10.67

90.00 10.99 10.33 94.00 11.36 7.17 63..1

4.19

5 TT (P?J)

13.0$

12.78

98.0

12.08 12.50 103.40 12.41 8.42 67.8

3..9 9

20

.

ANNEXU RE II

BRIEF NOTE ON I.E.C ACTIVITIES FROM APRIL

1998 TO NOV. 98

Tha Information, Education and Communication Wing

consist* of Information and Publication sections.

Tha

IEC activities are carried out in the Stat* through

District Level, Deputy

District Health-Education Officer

at sub divisional level and Block Health Educators at
Primary Health Centr level.

They are responsible ta carry

out the educational and motivational activities on Family

Welfare, Mother and Child Health and other Health Programme
through aut the year in a phased manner, as per the plan

of action.
Th* main objectives of IEC component under Family

Welfare and Mother and Child Health are:
a)

T* motivate the eligible couples to adopt small
siz* family as a norm,

b)

To involve community and to ensure their partici­

pation in FW & MGH Programme.
The progress achieved under IEC activities from

April 1998 to November 199^is as follows:
SI.
N*.

Activities

Annual
Target

Achievement
Upt* Nov.98

Anticipa­
ted Achie­
vement from
Dec.1998
to March’98

3

4

5

1
2
I) Activities in Mahila
Swasthva Sanahas
DManila Vicnara vinimaya

5488

567

4921

2)Healthy Baby Shows

5488

1489

3?99

3)Atte Sose Samavesha

5098

320

4778

4)world Population Day/N*
Scalpel Vasectomy Training

4332

3973

5)W*raen‘s Day Celebration

3373

359
-

3373

21

1

3

2

5

4

II. Materials for MSS, PHCs
and Grama Panchayats
1)
2)

Metalla Tin Plates on
Ko Scalpel Vanectomy

2,500

Installation of Nirodh
Boxes in Hospitals

100



2,500

«•

100



1,000

III) L«ocal Specific IEC
Activities

1)

2)

3)

Production and Procure­
ment of VHS Copies
(Folk Songs)

1,000

Photo Exhibits

50 Seta

50Sets

Hoardingbo on FW & MEH

■B

10

10

IV) Publication Materials

1) Flip book on FW A MCH
2) Buntings on FW A MCH
3) FoldArg
4) Programme Information
Kit

7,200

7,200

333 Sets
2,70,000
4,000

-

333 Sets
2,70,000

.

4,000

V) workshops

1) Publication Workshop
2) State Level MSB Presidents
Workshop '
■ V • r»
3) District Level
4) workshop for IHPCC Members
5) Workshop for ZSS, NCOS and
other Developmental
Department Staff
-

6) Divisional Level IEC
Workshop
State
Level DHEO/ Dy.HEO
7)
Workshop
8) State Level world Popu—
Larion Day

Z0O2-- 7

1

w

1

1

*

1
1
1

2

1

1

SB

1

«s

1

4



4

1

1

1

1

SB


22

1

2

3

4

5



21.426

20,000



169

300

377

400

VI) Normal MEM activitiea

1) Exhibition (Mini and
Major)
2) Press Advertisement
3) Press release

802

700



7,565

5,000

6) T.V /VCP shows
7) Multi MediaCarapalgn

*

811



36

700
30

8) Folk Media Programme

*

61

150

4) Film Show*
5) Film Strip shows

-

.

/

- ?5

/

• aNHEXURB

Hl"

Statement showinc Sudcnt provision for the year 1993-99, 'xpOnditure
■ Upto Die -tnb’r 19=0 and probable expenditure for the period from 1/99
to 3/99 under the head of Account 2211 - Family Welfare


p1*
ho.

ScheaSs

/

I•

or. ~ rally S?pr.sor?d Sch m3

1.

Director and Adzii istrat ion

2. Sural F. 'll. Services
5. Urban

w.Services

4. a.c.n.

■b- in lakhs

z

Expenditure
,Bu deet
^■J'o vision up to .
12/93(MMR)

Probable
erper.diture
flrom 1/99
to 3/99

692.54

366.35

325.99

4475.93

2430.46

204 5 .47

396.11

201.92

194.1 9

3907.79

921.94

2935.05

206.64

5. Transport

279.51

72.07

6. Conp?nsation

1162.32

294.17

074.65

7. Other Services & Supplied

1163.99

313.04

345.95

3. Hass Education

114.54

11.05

102.69

9. Training

400.05

152.66

247.39

12599.00

5270.26

7323.32

3-00

2. 60

0.40

102. 55

78.31

24.24

TOTAL
TI • St at? Plan

1. Safe Motherhood and child
Su^vival

2. State Heelth Transoort
Organisation
3. Transportation of
vaccine from Regional
Bist, stalfto

3.00

1.01

1.99

4. Supply of x drugs under
FW Programme

107.66

14.64

93.02

5. India nooulation project
TH

22.00

11.42

10.53

6. Maintenance of equipments

2.00

1.16

0.34

7. Insurance scheme

1.30

0. 69

0.61

TOTAL

241.51

109.83

131.63

1 .* Tndia Population
Project- I

693. 16

475.30

222.74

2. T ndia Population
project -TTT

41.01

25.46

15.55

739.17

500.76

238.29

III. State non plan

""otal

.

24
NATIONAL LEPROSY ERADICATION PROGRAMME

I. Introduction:

Leprosy is a public health problem and also social

problem in the State.

National Leprosy Eradication

Programme (NLEF) was conceived of as a control programme
and launched in 195^-55-

Its main thrust was early detec­

tion, sustained and regular treatment of all patients

with 'Dapsone1.

This had some limitations like treatment-

was long leading to irregular treatment and this was
leading to development of drug resistance.

To overcome these limitations, Multi Drug Treatment

(MDT) was introduced which' was brought into all endemic
districts which had a prevalence rate of 5 or more per
1000 population.

This became the National Policy after

1986 and in Karnataka all districts are covered under
MDT in phased manner.

II. Main Objectives:

1. Rendering all infections case, non-infections in a
short period by early detection and treatment.

/

2. Preventing deformities by early detection and prompt
treatment.

25

J.

To disseminate correct information about the disease

and removing mis-conception by means of Health Education

for the community, family and individual.
4.

To provide rehabilitation services to the cured persons.

5.

Arresting the diseases in all leprosy cases by 2000 A.D.

ioo2--3

26

MODIFIED LEPROSY E1ILIKATION CAMPAIGN PROGRAMS
Modified Leprosy Elimination Campaign has been carried

out in the State from 20.4-.93 to 25.4.98 as per the Govt, of
India guidelines.

About 29,450 Searchers were engaged in

the programme and enumerated 4,65,80,776 people, examined
5,66,45,454, suspected 75,515 and confirmed 9,881 leprosy

cases and treated during the above period.

KARNATAKA

Karnataka is considered as a low endemic state upto
end of 51.5.98.

There are 1 3,6t>7 cases.

So far, 5,48,865

cases have been cured with KDT from 1986.
1.

infrastructure facilities available for eradication of

leprosy in Karnataka is as follows: —
Joint Director (Leprosy),

'EPST*, SSA Units - A,

DLO’s-18, iJLCC’s - 51, ISCU’s - 1A, ULC's -^9, SET Centres

— 677, THW s -22, LTC’s - 2, LRPU's - 2 in audition to this

infrastructure, there are 25 Voluntary Organisations are
working for eradication of leprosy.

There are 1,110 beds

available out of which, 410 beds are maintained by Voluntary
Organisations for which grantmin-aid is provided by the Govt.

of India, at the rate of ,3.185/— per bed for adults and L.90/—
per bed for children

27

Eudget Allocation and Expenditure for the Year

1995-97, 1997-93 and 1998-99 (Upto end' of Dec. 98)

1995-97

100.00

83.44

35.00

24.35

1997-93

96.00

111 .39

70.00

27.31

-j 09S-99
(Upto
1 2/98)

108.00

76.83

90.00

23.73

1

tn

b‘

|U

P-

p.

'<
(D tD
S3

a >j j

l

Budget
Provision
(in lakhs)

H

P<

b'

(D (D

(V

b -1 'd

Budget.
Provision
(in lakhs)

— ch .1
w- u ;!

State (Plan)

100;$ CSS (Plan)

V 2 ell*

— ch m

2

Ant ic in at ed Exo en diture for Remaining 5 Months
W CSS (Plan)

State (Plan)

35 Lakhs

1 0 Lakhs

1.1.99
to
il .3.99

PHYSIC AL TARGET A?O ACHIEVE! IERTS
i;eV7

C2.S2S

Cases Cured

Lenecxed

Target

JAchievement

Target

Achievement

1995-97

8,000

19,539

23,000

20,883

1997-93

6,000

17,761

19,520

21,202

1998-99
(Upto
1 2/93)

1 ,502

947

2,004

1 ,31 5

73;i

66s£

Anticipated Achievement for the Remaining 3 Months

I-Jew Cases to he Detected
1 ,600

Cases to be Cured
2,000

28

5.

MULTI DRUG TREATMENT



As per "the main objectives of ■the I-IDT Porjects were
"taken in all "the 20 districts in a phased manner iron
1985 to 1991.

The prevalence rate has been drastically reduced to

early detection, regular treatment, monitoring of self drug
administration and follow-up of defaulters.
in the State are free from leprosy cases.

50% of villages
10110% cases are

voluntary reporters. This shows awareness treated in the
community is very high.

1.

Surveillance: —

Apart from active surveillance and

voluntary reporting SSA units and EFST Units have been carry­
ing out Epidemologioal Surveillance and Sample Survey during

1997-98 in 10 Districts.

510 Villages are covered in 90 schools

survey has been covered and 11 new cases were detected.
5. Evaluation:—

For evaluation of the programme, monthly

and quarterly review is being conducted to know the programme
activities.

5.1 Supervision: -

Additional Director, State Leprosy Officer,

District Leprosy Officers, Medical Officers, lJon~2edical
Supervisors are taking frequent field visits.

29

5.2

Consultants: -

Appointed by Govt, of India are also

evaluating the programme and guide in implementation of

the programme.

Prompt feed back is given to the Directo

and District Leprosy Officers.
6.

Patches:-

cases are more.

/among newlydetected cases, single patch

This shows early detection.

Nearly,

5O?o cases are single patch cases.

Plan of -^ctioh for 1999-2000

1. Consolidation of IDT services.
2.

Intensification of Health Education Activities.

5.

n-i ng for all the Health Personnel and Public
in ibis I7Z-HP •

4. R.eplacei?.ent of wornout vehicles under •77 P-3,
5. Establishment of Regional' Leprosy Train-ing &

Research Institute (RLTRI) from Govt, of India.

30
' NATIONAL TUBERCULOSIS CONTROL PROGRAMME

National Tuberculosis Control Programme is a

Centrally sponsored scheme which is integrated with General
Health Services at the peripheral level.

Ihls programme is

being run by State and Central assistance of 50:50 share.
The state

Tuberculosis Centre located in

Bangalore is responsible for Planning, Implementation, Super­
vision, Monitoring and Evaluation of Tuberculosis Programme

in the State.

Dae State Tuberculosis -Centre has got the

folio-wing 7 wings:

1) Epidemiology and Survellance
2) Bacteriology
3) Research Wing
4J Administrative Wing

5) Monitoring of Nationa 1 IB Programme in the State
6) Training to Medical and Para Medical Personnel &
7) Clinical section to cater the needs of IB

patients who are

referred to State Centre.

All the Districts in Karnataka State are provided

with District Tuberculosis Centres for implementing National
Tuberculosis Control Programme.

Revised National Tuberculosis Control Ptogramme
under Phase III with World Bank assistance has been implemented
in Bangalore Urban

District since November'98.

The remaining .

four Districts will be implemented frena next year for which
prepaaatory activities are going on.

31

OBJECTIVES OF TEE PROGRAM:

1)

To provide facilities for diagnosis of

,

IB patients through integrated general
health services.

2)

Detection of nev TB cases (sputum posi­
tives, x-ray suspects and extra pulmonary
cases) .

3)

To provide optimum treatment nearer to the

pesidence of the patients.
4)

To prevent infection, immuni sation is done
by doing BCG

5)

vaccination.

Health Education to encourage p-atients and
their relatives, village leaders through

Health workers to take full course of treatment.
RBCTURE UNDER TT.4TION.4L TE CONTROL PROGRAMME?

1)

One ’state TB Centre at Bangalore

2)

20 District TB Centres (one in each District)

3)

5 .additional District 73 Centres at Sirs!

(Karwar Dist) , SirafTumkur) Dist) , Hospet

(Bellar-y Dist), ana Yadgir (Gulbarga Dist)
and Chikkaballapura (Kolar Dist).

4)

9 Government TB & Chest Disea ses Hospitals

5)

2836 TB beds in Government Hospitals

6)

172 X-ray Centres

7)

805 Microscopic

8)

840 Referal Centres

9)

One After Care

Centres

and Rehabilitation Training

Centre at Bangalore
10)

Short Course Chemotherapy is

provided in

all the 20 Districts of the State.

32
TRAINING REGARDING NATIONAL TUBERCULOSIS CONTROL PROGR.hCIE
IS BEING PROVIDED FOR MEDICAL /r;D PARS- MEDICAL PERSON^

AJ STATE TB CENTRE DURING 1993-99 (Up tq 77g END OF DEC'93) .

. 4

B)

1. 7th serai st er Medical students

-

122

2. 8t]i

-

90

3. House Surgeons

-

67

4. Doctors from KTI (trainers
training) He al th & FW Training

-

21

5. Doctors

-

25

6. B. Sc. , Nursing S tudents

-

60

st pt Medical students

7. Nursing Students

-

30

8. Senior Health A ssistants

-

12

1) Doctors

-

65

2E Laboratory Tec hnicians

-

23

TRAINING UNDER R, N, T, C.P:

3) S. T. S.

3

4) S. T. L. S.

3

5 )Treatment Organ!son

-

1

PHYSICAL ACTIVITIES:

Tarset a-nd Achiev— err.ent durins the year 1998-99

New TB Cases Detected
Target

Percentage

Target

Achievene nt
unto
31^12.98

Percentage

55557

79 %

782172

236175

30 %

18519

2 6 X

'1212.5

11 X

Aohievemen t
upto 31;12.98

70284

(1.1.99 to
31.3.99 anti­
cipated achievement)

Sputum foaH nati n n

33'
FINANCIAL ACTIVITIES?

BUDGET ALLOCATION Ar'D EXPENDITURE INCURRED DURING

199R-99

Central
budget

Information
is yet to be
received

(fojn lakhs).

Expenditure
(upto 31.12.98)

State
budget

320.00
lakhs

Expenditure
(upto 31.12.98)

Central assis­
tance is through
supply of + Drugs,
X-ray films, and
eq uipments.

ICX92-- io

6

xt'vyxxS 01: xx rl x. 10 £x AjU 1'xx.vJ Lx x’CAxVx.xr x £/ £; UR L>OlxiRO<_ ?F
’• u/ • :
BLINDNESS IN KARNATAKA STATE
"f In: ;’gCuciU.;u

.if.'
The national Propgramme for 'Control of Bbndne.ss'fonnid.-il.-'d
i» 1976 as a Centrally Sponsored Scheme. '

£1\ Ohjnvi i\ «•> '■
The Programme aims at reduction in the incidenv.co.f the
blindness from 1.4% to 0.3% by 2000 A.D. The main cause of
. blindness is cataract ■'..•liich covers 82%. The population of
.:.
Karnataka is 4.8c.rores. The incidence rate in Karnataka is
1.29/'. The estimated incidence is above 4.51akhs. To tackle
/ ' ■’
this aspect following infrastructure was developed.
?'l j:

■I. Ones • ate Opthalmic cell has
to evaluate the programme.

been

creatcdtopl." n.ninni tor

Mid

T •
Minto , Ophthalmic Hospital, Pangalore has
been upgraded
nsilegional Institute of Ophthalmology to provide- advance
health care.

3. Vive medical colleges have been upgraded to provide higher
- clinical ophthalmic, service. They are

f ■
■; 1
*.:■

'

a. JJM Medical college. Davanager.e '
b. J.N.Med.college,' Belgaura
c. KMC Hubli
'
d. Medical college, Mysore Sz
e. Medical college, Eellary
'•

:’4. .All district hospitals of Karnataka have’been develop-d !■>
provide surgical/clinical ophthalmic services and in ad T; l.'nm
Gen.Hospitals have been upgraded at Hospet, Ddupj, KG:1’,
.
Gadag and Holenarasipura

n.5. 29Dist.Mobile Ophthalmic units are established at. Davan;ai•re.

Cjuckmagalur,3i japur.Raichur, Karwar, Tumkur, Hassan. Bidar,
"• ' Sb.imoga, Pharwad, Mandya, Mangalore, Kolar, Mysore, Bellarv,
.</ Gulbargn. Kodagn, Belgnum Cnitradurga, K.C.General H'-r.pitnl
•;
&Gen.Hospital,JayanagaratBangalore,gal]'.ote,Chamara janagar.K-app
al and GckaltTiptur.Yadgir.Gadag, and Hospet.
G. 416 Pile's were developed with a creation of '.'ae opld halnspasst. Post.

'7. Three eye banks are functioning at Minto Hospital. Bain’-'d-ore:
K.H.Hospital.Mysore' and District hospital Heh’.aum tn pr-.-vide
grafting services.
8. Danica is supporting HrCB Programme by providing folb
facilities:

'

a. Equipment &vehiclesto mobilie ophthalmic units.
b. Equipments to Primary ’’ealt'n Centres
c. Co nt inues educat.'.m £)-.vining Programme for •
m-.-:.iical officer: of Pi..’.'s and P.MOA's

35
d. Recurring expenditore of State Ophthalmic ...---di
o. Su'i'T.ortjng ;ii.d monitoring of District blindivs«••.
control socities. .....
,

i •;■_ districts Dist.DLindncsa Control Socities have l-'-on
est.nbl.'.r.hed. The Deputy Commissioner will be the Chairman. The.
D?M ■ ' 1 be appointed by DANIDA who will be the Member
Secretary. The following are the functions of DECS.
a) Periodically assess the magnitude of the prr.bJ.-m-. of
blindness in the District & to onitor and to report
b) To activate voluntary organisation in arranging camps.
provide free spectacles to the poor patients who have
under gone cataract surgery.
c) Grants to voluntary organisation for free eyecamps

DANIDA is giving financial assistance directly to i.he<«e r..>-i f.ieg.
through Government of India.

TV PHYSICAL TARGET A ACHIEVEMENTS UNDER NPCB
YEAR

TARGET

1996-97
1937-98
1993-99

1,50.000 '
1,68,000
1,84.800

ACHIEVEMENT
i



PERCENNTAGE

.1,36,683
1,60.32.31,2.0,245

91.10
95.40
6 4 33

Up t-•Dec. si 8

V.zALLOCATION OF FUNDS & EXPENDITURE OF STATE PL,AN SCHEME
(Rs.in lakhs)

YEAR

ALLOCATION

EXPENDITURE

1996-97
1997-98
1993-99

■ 35.00
69.63
147.00

32.56
8 S'. 9 3
48.09

REMARKS

Upto Dec.98

VI ALLOCATION OFFUNDS X- EXPENDITURE TOWARDS CEN’TRL SHARE
YEAR

1996-97
1997-93
1998-99

STATE
n ^LOCATION
110.00
110.00
4 2.57

ALLOCATION
OF GOVT.
OF INDIA

7 4.44
27.00
61.20

ACTUAL EXPENDITURE
P.EI,EASED

97.19
20.66
30.60

97.1.3
11.96
11.68 UpLo

56

NATIONAL MALARIA ERADICATION PROGRAMME
Molario Control Programme Is Implemented In the State os per the technical
guidelines of Government of India.
The main objective of the programme is to prevent deaths due to Malaria and io

bringdown the Incidence of Molario to such on extent that It is no longer o Public Health
problem.
Activities implemented under the Programme are as follows:

1.

SURVEILLANCE : Regular fortnightly surveillance (active surveillance) is done by the
Health Assistants visiting house to house to screen the fever cases and administer
presumptive treatment after collecting blood smears. Passive surveillance is done at

the PHCs. PHUs. Hospitals. Dispensaries etc., where fever cases visiting the Medical

Institutions are screened for Malcrra and treated with cnti materials.

2.

LABORATORY SERVICES: Laboratory services have been provided at PHC level. Disi.tet

level and state level for examination of blood smears.
3.

RADICALTREATMENT: Malaria coses detected are radically treated with ontimaiori. «ls
F.T.Ds. and D.D.C's have been established.

4.

INSECTICIDAL SPRAY : Regular rounds of Insecticidal spray operations with DI T,

Malathion and synthetic pyrethroids Is takenup in areas reporting APT 2 and above

and focal spray in areas below API 2.
5.

ENTOMOLOGICAL STUDIES : Four Entomological teams are provided one in ea..h

division which is functioning for regular entomological studies to study the prevalent e
of vector species bionomics and resistance status to the Insecticides.

6.

Blo-environmental methods of malaria control Is also being implemented in stale by

introduction of lorvivorus fishes for control of mosquito breeding and materia.
PHYSICAL ACHIEVEMENTS :

Incidence cf Malaria are as follows:

Year

B/s

T997
1998

MPP

API

RT

P(

ABER

SPR

SFR

7 50 4866 1 6 1 7 7 5

59 877

1 7.09

2. 59

0.5 4 4.0 6 9 7

7550068 107910

25469

-

1.49

0.52

examined

-

97

cas

37
During the year 199 Gthere is a decrease of 33..£'- pi malaria Incidence when
compared to 1997. Special measures hove been implemented in high risk areas for
Immediate detection and treatment of molcrio coses by establishing field laboratories

and implementation of revised drug policy as per NMEP guide lines and Insecticidal spray
with Synthetic pyrethroids was takenup in the Districts of Hassan, Chickmagalur, Tumkur.

Chltradurga, Mandya. Bljapur and Roichur.
FINANCIAL ACHIEVEMENTS:

PLAN
Year



NON-PIAN

Budget alloted
Expenditure
Budget
----------------------------------------------------------------------------------- --allpted
State
Centre
State
Centre
i-.'ioi

1997~

950

9 50.00 805 . 89 561.07

1998

950

700.54 585.67 156.59

Expendlfure

URBAN MALARIA SCHEME
Urban Malaria Scheme is implemented in 8 Cifies/towns namely. Bangalore. Tuml.ur,
Chikmagalur. Hassan, Bellary, Hospet. Belgoum and Raichur by the concerned local
bodies. Main activities under the programme are weekly anti-larval measures to check
the breeding of mosquitoes along with pyrethrum space spray In and around the house

where malaria cases are detected.
PHYSICAL ACHIEVEMENTS :

Year

B/s.
Examined

Malaria
Cases

Pf
CAses

Radical
Treafmenl %

1997
1998

103671

12548

582

94.0

121544

7521

598

93.0

FINANCIAL ACHIEVEMENTS
PLAN

Budget Alloted
Centre
Slate

1997-98

100

100

1998-99

55

55

Expenditure
Slate
Centre

-------- 20.45

{002-' II

38

NATIONAL FILARIA CONTROL PROGRAMME
Filaria Central activities are continued in the Districts of Gulbarga. Bidar, Bijapur,

Rolchur. Dckshina Kannada and Uttara Kanada.
Under Notional Filaria control programme there are 8 Filaria Control Units and 25

Filaria Clinics hae been established In the endemic towns.
Main activities under the programme ore Anti-mosquito measures caried out through
filaria control units, filaria clinics undertake parasitological surveys to detect and treat
microfilaria and disease manifestation cases with DEC tablets. One Filaria Survey unit Is
functioning in Rcichur to conduct Filaria Survey In the District..
-

PHYSICAL ACHIEVEMENTS :
Year

No.of
persons
examined

No. of +ve
person for
microfilaria

No.of persons
with disease
manifestation

‘ ’ 1997-98

121145
97516

930

4960

5682

1253

4420

5872

1998-99

No. of
persons
treated

FINANCE PROGRESS:
he expenditurte on materials and equipments is shared an 50:50 basis between
are and Centre, entire operational cost Is met by the State.
(Rs. in Lakhs)

Year

Centre

1997-98
1998-99

Expenditure

Allocation

16.00
6.22

State

Centre

6.72

16.00

6.00

Slate





7
39
DIARRHOEAL DISEASES AND COMMUNICABLE DISEASE CONTROL PROGRAMME

INTRODUCTION

The Diarrhoeal Diseases and Communicable Diseases
control ?rogramme deals with Communicable Diseases like Guinea
Worm, Gastroentertities and Cholera, Kyasanur Forest Disease,

Viral Hepatitis, Typhoid etc., and Management of Handigodu Synd
rome Disease,

GUINEA WORM ERADICATION PROGRAMME (Centrally Sponsored Scheme)

Guinea worm eradication programme was started in
Karnataka during 1981-32 on a 50;50 sharing basis between
State and Centre.
to be endemic.

Out of 20 Districts, 8 Districts were found

They are Bellary, Raichur, Gulbarga, Bidar.

Dharwad, Karv;ar, “elgaum and Bijapur, From 1987 to 1990 Bellary

Belgaum, Bidar, Dharwad and Kan/ar Districts are declared as
free from Guinea worm disease. At present Gulbarga, Raichur
and Bijapur districts are endemic districts.

OBJECTIVES:
1. Prompt implementation of the programme to erodicate the
disease at village level to achieve ZERO incidence.
2. To identify un safe drinking water sources in the affected

villages.
•. .’eat the unsafe drinking water sources with Temophos.
4.

Bandaging wounds of all Guinea worm patients if traced.

5.

Intensifying the search and supervision every month in
the infected areas.

6.

Intensifying Health Education activities.

PHYSICAL PROGRESS :

incidence of Guinea worm cases are reported during 1998
FINANCIAL PROGRESS

(Rs.in lakhs)
YEAR
1998-99

*

BUDGET ALLOCATION
Rs.6.00

EXPENDITURE

1.25 (upto end
of December 1998

40
GASTROENTREEIS AND CHOLERA

Karnataka is endemic for Cholera/Gastroentritis almost every
year during pre and post monsoon, in order to contain the

disease, Government of Karnataka has sanctioned 5 District
Cholera Combat Teams and these are located in endemic

districts of Karnataka i.e.,, Gulbarga, Bellary, Bijapur,

Chitradurga and Mysore.

The main activity of these Cholera

. Combat Teams is to make epidemiological investigations and
also to take containment measures, whenever epidemic occur.

By sinking of Bore wells in rural areas and supply of

safe drinking water in Towns by local Municipalities, the

i

hdence of water borne diseases are reduced.

All preventive measures viz.. Chlorination of drinking

water, treatment of Gastroenterities/cholera patients,

distribution of ORS packets, disinfection of houses were
takenup.

Health Education to the Public through All India

Radio, Doordarshan, Pamphlets, Posters were given during
epidemic.
PHYSICAL PROGRESS

Incidence of Gastroenteritis/ Cholera‘during the period
from 1.1.1998 to 31.12.1998.
GASTROENTERITIS
ATTACKS
DEATHS

CHOLERA
ATTACKS
DEATHS

501

26881

434

2

VIRAL HEPATITIS

The disease is caused by consumption of
contaminated water and food.

The incidence of Viral Hepatitis

during the year 1998 is as follows:

ATTACKS

DEATHS

2520

2

TYPHOID

The incidence of Typhoid during 1998 was reported in Epidemic
form from seven districts viz., Hassan, Chikmagalur, Raichur,

Uttara Kannada, Bijapur, 3elgaum Shimoga and Dharwad.
ATTACKS

DEATHS'

8242

4

41
The affected villages and towns were taken up for control
of* fly nuisance and all drinking water sources have been

Chlorinated with bleaching powder.
FINANCIAL PROGRESS

For the control of Diarrhoeal diseases the .State Government
have allocated (under State Sector PLAN Scheme) a sum of
Rs. 25 lakhs for the purchase of medicine, disinfectant and
to supply the same to the affected district through the

Government Medical Stores, Bangalore.
(Rs.in lakhs)
YEAR

EXPENDITURE

BRIDGET ALLOCATED

1998-99

.

25.00 (upto
end of Dec 98)

25.00

KYASNUR FOREST DISEASE

This disease is prevalent in the districts of Shimoga,
Uttara Kannada, Dakshina Kannada and Chikmagalur.
The disease is prevalent in the Taluk of Thirthahally,

Hosanagar and saraba an Shimoga District, Honnavara, Bhatkal,


e

*

Kumta, Supa and Yellapura Taluks in Uttara Kannada District,
Koppa taluk in Chikmagalur District and Belthangadi Taluk
in Dakshinna Kannada District.
in addition, the surveillance activities are carried out

by the staff of both field stations and field staff of
district'Health and FW Officer, for diagnosis, treatment

and prevention.
PHYSICAL PROGRESS

The incidence of Kyasanur Forest Disease during 1998
are as follows:1'
number of SUSPECTED CASESV

-




ATTACKS

DEATHS

298

1

NUMBER CONFIRMED

ATTACKS
47

DEATHS
1

FINANCIAL PROGRESS

(Rs. in Lakhs)

1002. - |

YEAR

BUDGET

1998-99

5.00

EXPENDITURE
1.5 (upto end
of Dec. 1993)

' 42

HAHDIGODU SYNDROME

This is a peculiar disease of genetic origin found
in few villages of shimoga and Chikmagalur Districts and

found mostly in Harijan Families.
c

This disease will eatiss

:se the disability mainly because of its affliction of

joints and bones.

The rehabilitation and symptamatic treatment are given
:hese patients.

PHYSICAL PROGRESS

The incidence of Handigodu Syndrome are as follows:
NO. OF VILLAGES
49

NO. OF CASES
43S

Chilcmagalur

30

338

TOTAL

79

776

DISTRICT
Shimoga

43

HEALTH EDUCATION AND TRAINING
The Health Education and ^raining section of the

Directorate is mainly repos idle for Planning, Organising

and inpiementation of Health Education Activities and
school Health services in the State including production &

supply of Health Education materials and Audio-visual
Equipments.
I.

Pre-Service Basic Training Courses:
1) Multipurpose workers training (Male)

2) X-Ray Technicians Training.
II. In-service Basic Training courses:
1) Para Medical Workers Training Course
2) Health inspectors Training Course.

Ill.

m Service Continued Education Training;

In Service Training Course under continued education,
under IPP IX (K) to Medical and Para Medical personnel of

short duration/orientation course are organised at Five
Health andFamily Welfare Training Centres of the State

under different programmes, deputation of officers and
officials, within the state and outside the state are

being done by the Bureau.

The workshop conference of short

duration are also being organised by the Bureau,

-44'
ACHIEVEMENT DURING THE YEAR 1997-98 AND 199S-99

The ‘’.’orld Health Day on 7th April was observed throughout
the State on theTheme -selected relating to the year 1997-98

and 1998-99 issuing necessary guidelines to all the districts .
A major Health and Family Welfare Staff was arranged on the

occassion of t-ysore Ijasara Exhibition at Mysore during these
years and also assisted to organise the Health and Family

Welfare Exhibition at Hassan, Tumkur and other places.

The Health Education materials like Folders, Posters,
leaf-lets etc., were prepared and printed in local languages
on different programmes in addition to purchase of Audio­
visual Equipments, File prints. Exhibition sets etc.,
pertaining to different health detipline.

TRAINING ACTIVITIES

The programme of continued education programme under
IPP IX (K) programme with duration of 2 to 3 weeks has been
conducted at five Health and Family Welfare Training Centres

the state.
31
No

’1
. 2
3
4
5

Name of the Training
Centre

Medical Officers
Elock Health Educators
Senior Health Asst., (Male & Female)
Junior Health Asst,(Male & Female)
Senior & Junior health
Assistants (Male and Female)
trained by Mobile Team, Bangalore.

1997-98

1998-99 unto
end of 11/93

156
144
574
341
145

206
125
388
2956
175

1997-98

1998-99 unto
end of '11798

t

II BASIC TRAINING

Si
Mo

Name of the Training Centre

1 . Para Medical Workers
2 Training of MPW (Male)
3 X-Ray Technicians
«

127



-

102

30

45 .
III. Number of Medical and Para i-iedical Personnel deputed and
trained within the state and outside the state and abroa d
•on various training programmes.
Year

Outside the State

Within the State

Medical Paramedical
1997-93

Abroad-

Medical Paramedical MediPara
cal
Medical

50

12

7

5

1998-99
200
upto 11/98

80^

2

8

-

4



SCHOOL HEALTH PROGRA'IME

The School Health Programme has been implemented
in all the Primary and Higher Primary schools in Rural areas

of the state. Various activities such as medical examination
of students, immunisation of children with DT and TT providing
treatment for minor ailments and students requiring specialists

care are referred to nearest hospital,

regularly.

Health

Education to teachers as well as students regarding personal
■.ne, environmental sanitation, drinking water, use of

.erines etc., are being inspected reguiarly.
ilEVEMENTS UNDER SCHOOL HEALTH PROGRAMME:

SI
NO
1
2
3

Particulars
No. of students in Schools
(I, IV & VII)
No. of students medically
examined.

No. of students fotind
defective

1997-98

1998-99 upto
end of Nov.98■•

3130472

3373185

1585474

477832

278719

101442

4

No. of students followed up
for defects.
IMMUNISATION SERVICES

193332

74358

1

No. of students given
D&T Vaccination.

683786

485864

2

No. of students given
TT Vaccination.

701025

490977

3

No. of Health Talks
given in school.

96706

46131

4

No. of teachers trained
under School Programme.

1366

135U-

I ©o 2_- 13

46

Four Mobile Optliaimic and Dental Specialists Units

attached to Divisional Joint Directors of Health and Family
Welfare Services are functioning under this programme in the
state.
SI
No

Particulars

1997-98

1998-'99 upto
end o:f 11/98

46525

17334

DENTAL

1.
2.
2.

No . of students examined
I’ IV & VII Std.
No. found defective

99go

3819

3.

No ♦ of students treated

5225

1416

No. of students examined

48334

19368

2.

No . found defective

1988

Zf.24

3.

No. of students treated

1660

493

OPTHALM IC

1.

Budget allocation and expenditure for the year 1997-98 and

1998-99 under State Sector Scheme.
-1

(in Lakhs)

Name of the Scheme

No*



.EXPENDITURE

1997-98

1998-99

1997-98

1998-99tupto
end of1T/98

2

3

4

5

6

1

Bureau of Health Edn.,

9.42

-

8.99



2

School Health Services

55.00

10.50

55.00

-

3

X-Ray Techn. Training

0.60

0.60

’ 0.60

4

Support of employment
2.00
Programme for Women (STEP)

2.00

2.00

-

5

Financial Assistance
to professional organi­
sations .

0.80

1.00

1.00



6

Incentive to SC & STs
(Under Plan & Sub-Plan)

0.40

30.40

0.05

-

7

Training of Medical and
Para Medical personnel.

-

-

-

-

1

0.60

47

The following are the anticipated achievements from
January 1999 to end of March 1999.
1.

The ongoing training programmes under continued education

and IPP-IX Programme will be continued to the training batches

as per annual training calender for the year 1999-2000.
2.

The school Health Services and Incentives to sc/sT

candidates programmes, Budget, Government order has been

received and action will be taken to implement the programme.
3.

Action is being taken to observe the ,Jorld Health

Organisation on 7th April 1999.
4.

The Action is being taken to start the next batch of

X-Ray Technicians training course during the year 1999-2000,

5.

Action is being taken for production and procurement of

posters, folders, book lets, file books, flash cards etc.,
according to the requirement of the concerned programme
officers of the Directorate.

6.

A letter received from Chief Managing Director (P & D)

stating that the support of employment programme for women
training is completed, the medicines are not required,
therefore provided budget is not necessary on the basis of
a letter addressed to Government, the above training budget

may be cancelled.

48
■ NUTRITION PROGRAMMES
199 8-99,
The major goal to be achieved under Nutrition is reduction
of severe and moderate malnutrition by half by 2000 AD of children
of below five years of age with the specific goals of:
i)

Control of vitamin 'A' deficiency and its consequences
including blindness,

ii)

Reduction in the incidence of low birth weight babies,

iii)

Universal consumption of Iodised Salt,

iv)

Reduction of Iron deficiency Anaemia,

THE MID DECADE GOALS INCLUDE;

1.

To bring down the level of severe malnutrition to half
of the level of 1990.

2.

Reduction of low 'birth weight babies by 10%.

3,

Reduction of Iron deficiency anaemia by 20%.

4.

Ensure universal consumption of iodised saLt.

5.

To reduce the prevalance of Bitot spots to less than 1%.

6.

Exclusive breast feeding upto 4 to 6 months by 50% of
mothers and introduction of proper suppleme ntary feeding
by 90% of mothers.

7.

All hospitals and maternity centres to b? made 'Baby
friendly',

.

THE EXISTING PROGRAMMES UNDER NUTRITION INCLUDE;

1. Prophylaxis programme against vitamin 'A' deficiency.

2.

Integrated Child Development Services Scheme.

3.

National Iodine Deficiency Dis order^Control programme.

4.

Wutriti on Educati on Activities including Trainirg.

5.

Continuous Monitoring of Diet and Nutrition surveys by

NNMB uni t.
I. PROPHYLAXIS PROGRAMME AGAINST VITAMIN 'A' DEFICIENCY;
In order to prevent severe form of vitamin 'A' Deficiency
a Mega dose of vitamin 'A' concentrate is administered to the

children of 9 months to 3'years.
One ml of vitamin *A' concentrate
containing ore lakh I.U. of vitamin 'A' is administered to the
children of 9 months along with measles immunisation. 2 ml of
vitamin 'A’ concentrate containing 2 laddi I.U. is administered to
the children of 1-3 years orally at six monthly intervals.

vitamin 'A' is supplied by Government of India free of cost.

The

49 .
-

THEi PROGRESS DURING THE year 199B_QQ( to CM ApHIL-9 8 TO DECEMBER-98)
18 AS FOLLOWS;

Target
1. Measles linked vit 'A f
programme
2. Prophylaxis programme for
1-3* years children

1017000



2457000

Achievement

£

255457

25%

617165

25. 5*

II. INTEGRATED CHILD DEVELOPMENT SERVICES SCHEME;

This programme is

being implemented with the co-ordinated

efforts of Department of Health & F. W.Services and Department of
Women and Child Development.
A package of services like Immunisation,
Supplementary Nutrition, Health Check-up, Referral services, non-Formal
pre-scnool Education, Nutrition and Health Education are provided.
The beneficiaries of this programme are 0-6 years children aid pregnant
and lactatin'? mothers.
At present 134 projects are Sanctioned ard
all projects are monitored.

THE PROGRESS FCR 9&.00 IS aS FOLLOWS; (UPTO DECEMBER-98)
a) SECTORAL LEVEL TRAINING CONDUCTED BY MOS;
QUARTER"
TARGET
ACHIEVEMENT
percentage
I
5562 '
5841
69
II
5562
30 42
54
III
5562
2781
50
b) ANGaNWADI CE HIRES VISITED BY 1-1 OS FOR HEALTH CHECK-UP:
OU ARTER
target
ACHIEVEMENT
percentage
I
59 855 '
22127
' ' 55.5
II
. 59 855
60.2
24001
III
59 855
61.1
24111

c) IMMUNISATION PROGRAMME:
VACCINE
BCG ' "

target

ACHIEVEMENT

DPI
POLI 0
measles

1009 552
100 9 562
100 9 562
1009 562

' 499515
516 56O
515526

TT (M)

1109270

5570 87

445952



percentage

49.4
51.1
51
44.1
48.4

III. NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAM!

National Iodine Deficiency Disorders Control programme was

t

initiated in the State Health Directorate during 1988-89 aS 100%
centrally sponsored scheme to control the Goitre and other Iodine
Deficiency Disorders in the state.

50.
Since Apri 1—98 546 cases of Goitre has been reported fr on 27
districts of the state (upto the end of December-9 8).

» \.

CUALITY CONTROL;

Inorder to maintain the quality of iodised salt at different
levels samples of salt under PFA are being collected from wholesale
and retailers aid- analysed at the Public Health'Institute, Bargalore.
samples analysed unier pfai

Total

Satisfactory

Not Satisfactory .

50
29
1
———————---------------- -------- --- ------------------------------------ ----- samples analysed UNDER NON-PFA;

No. of samples
A-. ' sed

941

Satisfactory

592

Not Satisfactory

549

Samples of salt at the consumer level are also being tested, by
the Health functionaries with the help of field testing kits to know
the iodine content of the Samples.
salt samples tested with the help of field testihts by the

HEALTH lUNCTIONARIES;
T°^LSaEpleS

.Above 15 PPM

Below 15 PPM

3,76,678

1,64, 849

1,54,515

77, 514

(43.5%)

(55.7%)

(20.5%)

0 PPM

HEALTH EDUCATION ACTIVITIES;

During May-98 taluk level Buyers and Sellers meet in three
taluks i.e., Koppa, Sringeri and Mudigere & Chicknagalur district
were organised to sort out the problems of Salt dealers. Similarly
District level buyers and sellers meet at Mudigere was also held
during August-98.
During Global IDD celebrations of different health education
activities like arranging talk on IDD to the school children grcxip

discussion to the Manila Mandal members, Jatha by the fchool Children
and testing of Salt with the help of field testing kits by the health
functionaries were undertaken in all the districts of the state.'

IV.

NUTRITION EDUCATION ACTIVITIES INCLUDING TRAINING;

Five Nutrition Education & demonstration units are functioning
in 5 districts of Bangalore Division viz., Baigalore(Rural), Kolar,
Chitradurga, Shimoga and Tumkur.
Cooking demonstrations, Fili shows
exhibitions atd Group meetings on Nutrition are organised in rural

areas.

A joint training programme on MCHN activities was organised
for LHVs and Mukhya SevikaS of Bellary District from 24—6—98 io
26.6.98 at Bellary.
41 members attended the training programme.'"imilar training programmes were organised for LHVs and Mukhyi
ikaS of Bijapur district from 17-11-98 to I9-H-98 and for
galkot District from 18-11-98 to 20-11-98 at Bijapur. 48 members
__om Bijapur and 35 from Bagalkot attended the training progrimme,

V.

CONTINUOUS MONITORING OF DIET AND NUTRITION SURVEYS 'EY NNM3 UNIT;

NM-’.B unit, a branch of ICMR attached to Bureau of Nutrition is
conducting Diet and Nutrition surveys on the protocol of National
Institute of Nutrition, Hyderabad. During this year the unit has

conducted tribal surveys in Chickraagalur and Dakshina Kannada

52

!•

HOSPITAL PHARMACY PROGRAMME

INTRODUCTION

•Hospital Pharmacy' is a programme being implemented by
the Government of Karnataka under State sector.•
OBJECTIVES:

1) To organise a technically sound dispensing section*,
Quality Control System, Central Sterile Supply Division

and store Practice in the Hospitals.

2)

To develop a reliable 'Drug Information Service*

for the benefit of staff and the patients/their attendants.
3)

To manufacture life saving intravenous fluids for

use in the hospitals.

.53
Physical Progress of the Hospital Pharmacy units for the year

1998-99 (UPTO November '98).
NO. OF BOTTLES MANUFACTURED

NAME OF THE HOSPITAL

148846

1 Victoria Hospital, Bangalore
2 Bowring & tady Curzon Hospital,
B angalore.

63433

3 KR Hospital, Mysore

86070

4 Wenlock Hospital, Mangalore

44531

5 CG Hospital, Davangere

81318

6 KMC Hospital, Hubli

2443 (No production since
April '98 due to Pwd
works)

7 District Hospital, Belgaum

76305

8 District Hospital, Gulbarga

26492

9 Medical College Hospital, Bella’

68641

10 McGann Hospital, shimoga

63049

11 District Hospital, Mandya

6450 (No production.since
June'98 due to PWD
works)
36694

' District Hospital, Chitradurga

District Hospital, Bidar
14 District Hospital, Bijapur

35221
No production due to want
of qualified staff.

ANNUAL PHYSICAL PROGRESS

YEAR

NO. OF

BOTTLES

1293090

1997-v98
■1998^99

744413 (Provisional upto NOV ‘98)

FINANCIA1

PROGRESS( RS. IN lakhs)

YEAR

PLAN
ALLOTMENT

'.99 7.98
.998.99

3.28
14.82

EXPd.,

3.23

NON PLAN
Allotment

57.8
63.60

EXPND

54
HEALTH EQUIPMENT REPAIRS AMD MAINTENANCE UNIT

OBJECTIVES: Procurement repairs and maintenance of the

Equipments.
THE MAJOR REGULATORY FUNCTIONS ARE:
1) To keep the records of equipments.

2) Monitoring of the equipments.
3)

Maintenance and repairs of the equipments.

4)

Supply, installation and the Commissioning of
equipments.
p

ACHIEVEMENTS DURING ■ I

SI
No
1

2

Head of Account
and Budget

"2210.01.110.2.19"
Equipment to Dist.
& "Major Hospitals.
Rs.10.13 lakhs.

"2210.01.800.0.02"
Repairs to Hospital
Ecuioments.

°L GO lc-VU.

'

»
~h>

Name of
Hospital

S

Amount
released

1. Mcgann Hospital,
Shimoga.

Rs.1.00 lakh

2. KC Gnl.Hospital
B angalore.

Rs.2.00

3. District Hospital,
Madikeri.
, .
VrfcJ.
1. MC Gann Hospital,
Shimoga.

~

"

Rs.2.00 "
D ■ 0C " ■'
Rs.1.00

2. Dist Hospital,
Chitradurga.

Rs.2.00

3. Dist.Hospital,udupi

RS.0.25

4. Genl.Hospl, KGF

Rs.0.50

A. ' ’ f

5. Women « Children Hosol,
’ KGF.
" .
6. General Hospital,
Channapatna.

Rs.0.50
Rs.0.75

7. SNR Hospital, Kolar.

Rs.0.50

8.KC Gann Hospital.Shimoga
a
-do.Shimoga

Rs.0.17,15 0
Rs.0.34,100

Total
j

*



Rs.6,01,250

55

ST.4TB

HEALTH

TRANSPORT ORGANISATION

The main object of this organisation is to
provide dependable Transport system far the successful
implementation of the various Health and Family Welfare

programme by providing prompt ser.'ices maintains and
repairs of the vehicles of this Directorate as well ?.s

Directorate of Helical Education.

The central workshop

attached to this Directorate will undertake repair works

of various types of Vehicles and also painting works to

Jeeps etc. being dene at Central VZorkshop.
Apart from this Central Workshop there are
25 Districts having mobile workshops in the State (except
Bangalore Urban and Rural).

The 25 ii.Iu.Units undertake major and minor

repairs to the vehicles of the Health Department coming
under district juridicticn of Zilla Panchayats.
The total vehicles position as on 31.12.1998
in the department is 1542 among them 1324 vehicles are
under control of Zilla Panchayat and 218 vehicles are

under control of Directorate of Health and Family Welfare
services.'out of 1542 vehicles 1087 vehicles are on Road
and remaining 4o5 vehicles are off Road, which are under

various stages of rep airs, for. the year 1998-99, twelve

vehicles have been proposed fcr condemnation and at
Central workshop 106 vehicles have been repaired.

56

LABORATORY SERVICES
.VACCINE INSTITUTE, BELGAUM '
^The vaccine institute, Belgaum, is manufacturing Anti-

,-Rabies Vaccine (PPL. inactivated) and supply the vaccine to

all Government Health and Medical institutions and to the
Health and Medical Institutions run by local bodies and also
the Registered Medical Practitioners, In addition to the UIP

Vaccines_supplied by Government of India are also stored and

supplied to 8 districts of Belgaum and Gulbarga Divisions,

institute also import training to Medical students of
Jerent Medical Colleges, Health Inspectors trainees, AHMs

■ nd Staff Nurses of District Hospitals and Demonstrations
have also been arranged in connection with the preparation of

Anti Rabies Vaccine and Testing and Mode of Administration
of Anti Rabies vaccine.

This institute also undert akes, quality control test of
KFD vaccine manufactured at KFD Vaccine Unit of Virus
Diagnostic Laboratory, Shimoga.

During the year 199j-°3

(upto end of December 1998/16,17,100 ML of Anti Rabies
vaccine has been manufactured as against the annual target

of 25,00,000 ml.

thus covering 64.7 of Annual Target.

BUDGET AND EXPENDITURE FOR THE YEAR 1998-99
z__________________________________________________________________
Yv,p

1998-99

PLAN

BUDGET
NON PLAN

75,000

93,14,000

EXPENDITURE
PLAN
NON PLAN

67,389

60,90,440

57
-

■ -

PUBLIC HEALTH INSTITUTE ---Public Health Institute is the state level

Health Laboratory in the department of Health and
Family Tielfare Services.

This institute is headed

by the Joint Director (Laboratories).
ACTIVITIES:
1.Diagnostic Bacteriologica1 Section

Bacteriological examination of Food Samples
and isolation of vibro cholera in stool samples are

undertaken in this section.

'..'ater
2.

Bacteriological section

Bacteriological examination of water fur
drinking purposes are being undertaken to confirm
whether the water is fit for human consumption.
5. Chemic.-.l Examiner’s section

Analysis of lokayukatha cases under Preven­

tion of Corruption Act, analysis of Spiritus i'edicinal
preparations and Excise samples under Excise Act are

being undertaken. Also examination of blood « urine
samples for alcohol content.
4.Food Analysis section
Analysis of food samples received under

prevention of Food Adulteration Act 1954 and samples
received from other sources are being undertaken.
5.',Tatar Analysis section

In this section, v.’ater for potable purpose,
and for industrial purposes are being analysed.

samples received under ’.Vater (Pollution Control Act)
Air (Pollution Control Act) are being analysed.

.-.part from this chemical substances like Alum and
Bleaching powder ’.’.•hick are used in rater treatment

are also being analysed.
6.Di visional Food Laboratory

Food and Liquor samples of Bangalore Division
are being analysed at this laboratory.

—-

uiiors tory

7 Vpe sti cl de

Spray scraping and pesticides e-.e—r used
under Hat io ml Malaria Pradication Programme are

being analysed in this laboratory.
8.Pood Inspector's Training programme

Departmental Graduate Health Assistants

are being given Pood Inspector's Training under
Prevention of rood Adulteration Act.
Senior Laboratory -Technician's Training programme

9.

under this programme, departmental Junior

and Senior Laboratory Technicians are being given
train! ng.

10.Pood Sound

Liu eating the consumers and merchants
regarding hazards of food adulteration by
participating in exhibition and through audio­
visual aids throughout the State.

7o .01

tn

V.1

•1 *

U)

(.»

O r-l

h

tv

f.

C!

co

!>» (J

f-<

r r

/ 0I

0 H

?P. OGPJZ23 TH?ORT

1996-07

nalysed

3

4

43

3509
115

1902
-

1250

2225

1812

60
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70
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154
93
91
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3151

b) rood samples

2)

P

1997-98

1
1)

"• 9 S

3) Chemical rz-rmriner’ s
Laboratory:
a-)Spiritus Medicinal
Preparation
b)Licuiors
c}Dee-a31ood d: Urine
d)Lc::ayuktha cases

1:



H - .t j

CD

( T '.p

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to

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Revenue
_____ __ zLc£el"lsRs.1,51,587
1,52,566

t—

69,24,957
62,12,695
58,50,528
••

1

456

O

-1

to

C.j

!>>

:> h

S'

"l

O

1*5

:.

JO

c

1

l99a-99
(Upto 12/yS)

C!

O r -l

tl

to H

b) Divisional Food Labor..tory:
7) Pesticide L? eoratory:

l

Q W

1

1

1

1

H

& 1

G '. 1 J

1

I J -.-l ..-1
■ 0 ;>
.



1

<■•1) ci)

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Mj

id

u'

4) Food Laboratory:
c) Laser prevention of
Food Adulteration Act
b) other Food samples
=)
5) Later Analysis Loborctory:
a) Potable water

5—

to
to

96,17,000
95,o*,700
92,40,500
PI

O

l ’ i r-<

1

1

0 O C)
ra i-i
d . Pi
'-

1

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r j .,1

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to

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i9-.7-.nb

1

1

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1'1

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01

1

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1

year

f 'l <H

0

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-Cl

rn

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1

i 996--97
1997--98
199a--99
(Upto 12/90)

H to
r i ?’
i ’i to

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53

POUT?I OU:

72?1
64.5
42.2

CFU-?^.LLY :5FOU3ORZD S0HDU33( 100^)

60

GOVERNMENT MEDICAL STORES-BANGALORE
Government Medical Stores. Bangalore. is Centra! Store catering to the Medical
and Health Institutions in the State.

Tne Main abjective of the Government Medical Stores:
1.

To procure drugs chemicals, from the rate contract firms and such other, sources such
as Public Sector undertakings, with the specific approval of Government to the extent
of the budget allocated and to supply the drugs so procured to the needy Medical
and Health Institutions as per their Indents and budget provision.
a)

To effect timely supply of the procured Items to all the concerned institutions.
• and to maintain accurate accounts Government Medico! Stores has
computerised arrangements. The Drugs ore also supplied to the needy institutions
in the event of emergencies like flood, narural calamities, resulting in epidemics
etc.. Drugs are also supplied to the needy institutions under National Programmes
such as Family Welfare, Prevention and Control of Blindness. Leprosy Eradication
Programme etc.,

b)

The Government Medico! Stores will have a reserve stock of Drugs of about Rs.7 CO
crores for meeting the urgent needs.

2.

The therapeutic committee cum experts deciae the number and items of Drugs to be
tendered, and to procure the same after rare contract is awarded. The High Power
Committee after examining the recommendations of the experts Committee
recommends to the Government the items to be procured with the rares and the
forms from whom to procure etc..

3.

To arrange for proper accounting and maintenance of the store, the mam store is
divided into sub-stores as under:
Injections

I)

’A' Stores (Injections)

ID

'A' Stores Cablets)

z

Tablets and Capsules

iir)

’B’ Stores

-

Powders. Oinrments, IV Fluids.
and disinfectents

iv)

'C & 'O' Stores

-

Instruments. Bandage Cloths.
Stature materials etc..

61

India Pooulation Project-IX( K)

Programmes, Achievements undertaken .curine the year 1993-99
under India Peculation Pro ject-IX( K)

"'

During 1993-99 totally construction of

315 sub-centres,

14 Primary Health Centres and 43 Medical Officers quarters
works have been completed in the selected 13 districts, of the

state under TPP—IX(K).

Also construction works of State

Health & Family Welfare Training Center in Sangalore, 8 Dist.

Training Centers,

4 Junior Health Assistants (Female) Training
I
Centers and 1 Healt.i & Family Welfare Training Center in
Mysore have been completed.

Apert from this repairs of the

all 1225 buildings have also been completed.
In Training,sector under IPP-IX(X), totally 3994 different
healtn staff including Medical Officer's have been provided

training curing the year 1998-99.

During the year 1993-99, action has been taken to put
1000 metallic tin boards having the aims of the IPP-IX(:<) in

K. S.R.T.C, buses.

Alsoyto bring awareness among the rural

people aoout Health & Family Welfare, 12 Tele serials, 11 Tele­

Films and 100 V.H.C. copies of telefilms have been provided
for exhibition under I.E.C.

To get cooperation of N.G.Os for

implementation of the Project,

3 workshops have been conducted.

During the year 1998-99, action has been taken to suooly
furnitures to the buildings which are already comoleted and

action has also been taken to provide computers to each Dist.
Hospital.

62

POPULATION CENTRE, BANGALORE.

I.

INTRODUCTION
The main objective of the Population Centre is

to assist the Government of Karnataka, especially the

Directorate of health and Family rielfare Jervices,
in implementing various Health and. Family rielfare
programme more e frectively ana efriciently by under-

taKin3 various research and evaluation studies and

organising in-service training programmes for various
categories of officials.

II.

ADMINISTRATION

During the period under report Dr.P.O. Siattacharjee
Assistant Director is continuing in additional charge of
the post of Director.

Staff Position as on 31.12.1998

Category
of post

Sanctioned
number of
posts at
the end of
the year

Male

Female

SC

A

15

4

2

1

B

3

-

-

-

C

44

16

9

5

-



7

2

1

-

1

Total

69

22

12

6

1

Number of filled-in costs

ST

65
III.

FINANCIAL, DEPAILS
Budget allotment and expenditure for the year 1998-99

Head of' Accounts Plan: "2211 Family Welfare - 108 Selected
Area Programme — 071 IPP-IX (KarnataPa)
102 - Special grants.

Non-Plan: "2211 Family Welfare - 108
Selected area Programme - Including
IPP-01-India population Project Population Centre".

Budget
prooosed
for"
1996-99

Item

Rs.

Expenditure
incurred upto
Dec. 98
Rs.

Plan
Usefulness of the training
acted to the tribal <jirls

25,000/—

25,000/-

1. Pay of Officers

7,39,OOO/-

2,59,826/-

2. Pay of Staff

11,47,000/-

7,26,519/-

3. Dearness Allowance

28,16,000/-

15,19,442/-

4. Other Allowance (including
ire dical expenses)

4,49,000/-

2,64,407/-

5. Office Expenditure

4,00,000/—

50,044/-

6. Motor vehicles

2,00,000/-

8,665/-

7. Travel Expenses

1,00,000/-

8,947/-

58,51,000/-

27,92,810/-

Non-Plan

Total

62
POPULATION CENTRE, BANGALORE.

I.

INTRODUCTION
The main objective of the Population Centre is

to assist the Government of Karnataxa, especially the

Directorate of health and Family Welfare services,
in implementing various health and Family welfare

Programme more e frectively ana efriciently by undertaKins various research and evaluation studies and
organising in-service training programmes for various

categories of officials.

II.

ADMINISTRATION

During the period under report Dr.P.O. 3iattacharjee
Assistant Director is continuing in additional charge of

the post of Director.
Staff Position as on 31.12.1998

Category
of post

Sanctioned
number of
posts at
the end of
the year

Male

Female

SC

A

15

4

2

1

B

3

-

-

-

C

44

16

9

5

-

D

7

2

1

-

1

Total

69

22

12

6

1

Number of filled-in costs

ST

63
III.

FINANCIAL DETAILS
Budget allotment and expenditure for the.year 1998-99

Head of- Accounts Plan: "2211 Family Welfare - 108 Selected
Area Programme — 071 IPP-IX (Karnataka)
102 - Spacial grants.

Non-Plan: "2211 Family welfare - 108
Selected area Programme - including
IPP-01-India population Project Population Centre".

Budget
proposed
for
1998-99

Item

Rs.

Expenditure
incurred upto
Dec. 98

Rs.

Plan
Usefulness of the training
.arted to the tribal girls

25,000/-

25,000/-

1. pay of Officers

7,39,000/-

2,59,826/-

2. Pay of Staff

11,47,000/-

7,26,519/-

3. Dearness Allowance

28, 16,000/-

15,19,442/-

4. Other Allowance (including
ire dical expenses)

4,49,000/-

2,64,407/-

5. Office Expenditure

4,00,000/-

50,044/-

6. Motor vehicles

2,00,000/—

8,665/-

7. Travel Expenses

1,00,000/-

8,947/-

58,51,000/-

27,92,810/-

Non- Plan

Total

64
ACTIVITIES OF POPULATION CSITRS D:?'I?-TG 1998-99

I

STUDIES COMPLETED

1. Perception of People about Quality of 'ledical
Services in Secondary Level Hospitals in Kolar
District.

ii

2.

Status of Primary Health Care in Hassan District.

3.

A District Profile of Karnataka on Socio-Economic,
Demographic and Family Welfare Indicators.

4.

Concurrent Evaluation of Family
Printed on KSTRC Tickets.

Zelfare Slogans

studies in progress

1. Evaluation of ANM Training for Tribal Girls under
the Innovation scheme of IPP-IX.
2.

’lulti-lndicator Cluster Survey.

3.

A study on benefit accrued from IPP-I and IPP-IH
in Karnataka.

4.

Role of !lahila Swasthya Sangha - A Study.

65

.

. .

. Externally Aided projects

.

. . >

Karnataka Health Systems Development Project

A grant of Rs. SO Crores has been provided for this project during the year 1998-99. The
progress achieved under various components of the project to end of December. 1998 is as under

1.

■ Civil works

Out of 201 hospital building works. 46 Architects have been engaged for 200 hospital works.
Preliminary drawings have been cleared by World Bank Architect for 170 hospital works.
Estimate have been approved for 15S works. 1 19 works have been awarded after evaluation of
bids under National Competitive Bidding. 6 works are taken up on Local Shopping Procedure. In
addition to this World Bank Architect has reviewed and cleared the preliminary drawings for 14
hospitals with some observations and formal clearance is awaited. In addition to this. Karnataka
Health Systems Development Project has also undertaken improvements to existing Blood Bank
Buildings and construction of new Blood Bank buildings, improvements to existing District
Laboratories and construction of new District Laboratories and District Workshop Buildings.
Karnataka Health Systems Development Project has also constructed a Workshop buildings.
Karnataka Health Systems Development Project has also constructed a State Surveillance Unit
building in E.D. Hospital campus at Bangalore and it has started functioning. So far 12 hospital
buildings are completed and handed over.

Equipment (■Medical and others)
Equipment and machinery required for the hospitals coming under this project have been
provided at a cost of Rs. 2.5S.7S. 1 79'- during the current year. Tenders have been invited on IO­
S-1998 and 2S-10-1998 in respect of equipment and machineries required for the hospitals
included in III and IV phases of the project and the same will be provided. Action has also been
taken to provide necessary medical equipment to the Laboratories.
3.

Vehicles

The World Bank has already given approval to procure a total of 116 Ambulances for the
District and Taluk Hospitals covered under this project. Tenders were invited in this regard on 610-199S and after evaluation, the same has been approved by the World Bank. Orders have been
issued for the suppiv of these Ambulances on 4-2-1999. The total cost of these Ambulances is
.33.5S.547/-.
-. Medicines

During 199S-99. orders have been placed for the supply of 54 life saving drugs and other
drugs required by the hospitals on various companies. These drugs have been partially supplied
and full suppliers are expected before the end of March 1999. The cost of these drugs is

66

Rs. 10,44,47,963/-. In addition, action has also been taken to supply the required chemicals'^1
Speciality Blocks of Hospitals and District Laboratories.

5.

Local Training

During the period April 1998-January 1999. a total of 230 Specialist Doctors have been
trained in various disciplines. Training in Paediatrics was provided at Indira Gandhi Institute of
Child Health: Orthopaedics at HOSMAT & Malya Hospital. ICCU at Sri Jayadeva Institute of
Cardiology. OBG- at M.S. Ramaiah Medical College & Hospital. Neurology. Neuro-surgery.
Psychatric and Mental Health at NIMHANS, Dental Surgery' at Government Dental College.
Ultrasonography at Anjana Diagnostic Centre, Sreenivasa Scanning Centre and Victoria
Hospital. ENT at Basavanagudi Care Centre. General Surgery at SDS TB Sanitorium and RajivGandhi Chest Diseased Hospital and Medico-legal Training at Victoria Hospital.
At District Level. 110 Doctors have been trained so far. Administrative Training has been
provided to 73, Induction Training to 135, Equipment Induction Training to 34 persons to end of
November 199S. During the period April 1998 to January' 1999, a total of 1120 Nurses have been
trained in various disciplines. So far 57 Nurses have been trained in Equipment Management.

Under this programme. 21 Doctors have been trained abroad and one Doctor is continuing
Post-graduate studies abroad.
In order to provide better health care facilities to SC.'ST population. Yellow Card Programme
has been introduced which is continued. Since a large number of "D" Group posts are va.in
several hospitals, the non-clinical activities have been hampered. Therefore, the non-chntcal
activities have been entrusted to private agencies in respect of 6 hospitals and action has taken to
extend this system to 12 more hospitals.

German assisted KfW Project
An amount of Rs. 4.00 Crores has been released for the project. The project envisages
renovation and expansion of 51 hospitals of Gulbarga Revenue Division. In the I Stage. 26
hospitals are proposed to be covered. Under civil works component, out of 26 hospitals.
preliminary drawings in respect of 23 hospitals have been approved. Final drawings and
estimates for these 23 works are under preparation. The objectives of this project are similar to
those of Karnataka Health Systems Development Project. In accordance with the agreement
between KfW and the World Bank, items not provided under KfW project will be provided under
Karnataka Health Systems Development Project.

OPEC assisted Project at Raichur
In order to cater to the medical needs of the people of North Karnataka a modern Super
Speciality Hospital with a Bed Strength of 350 has been taken at Raichur at a cost of Rs. 26.90
Crores with the assistance of OPEC. The work will be completed by the end of March 1999. The
existing District Hospital at Raichur will be improved with the assistance of OPEC at cost of
Rs. 2.86 Croce^yvhich will function as Women & Child Hosoital.
-

67
D E PART i IE I >T_ OF IliDIA!! SYSTEMS OF 'lEOTSIYE & HOMOEOPATHY

The Department of the Indian Systems of Medicine and Homo­
eopathy is rendering Medical relief to th< "’ublic In Ayurveda,
Unar.l, Yoga, Naturopathy and Homoeopathy Systems of Medicine

and regulates Medical Education, Drugs Manufacture and Practice
of Medicine in these Systems.

The Director of Indian Systems of Medicine and Homoeopathy
is being assisted by the following Officers at the Directorate

as well as at the Divisional level.

1.
2.
3.
4.

Deputy. Director.
(Ayurveda).
Deputy Director.
(Unani).
Deputy Director.
(Homoeopathy).
Physician Gr-I. (Naturecure & Yoga).

5.

Administrative Officer.

6.

Accouhts Officer.

7.

Deputy Director, Divisional Offices of
Gulbarga, Mysore and Belagaum.

The,Department is provided with a Budgetary Provision for
the year 1998498 and 1998-99 is as follows:-

(Rs.in lakhs).
1997-98.

1998-99.
ZP
SECTOR
Budget.

Budget. Revised.

Expr. Budge t. Rxpr.

STATE
SECTOR
Due get.

150.CO 101.85

99.05 311. 49

89.69

200.00

247.41

Non­
1196-351044.231037,07 982.27
Pl an.

982.27

1266. 12

1121.93

SECTOR

STATE SECTOR

Pl an.

C. S. S.

6.00

6.00

2. 17





TOTAL:1352,35,
1138.29 1293.76 1072.16
1152.08

6.00

1472.12


1369.34

The Expenditure under Plan provided to 2. P.'s is available

only through M.M.R. figures.

Since the Non-Plan Expenditure is
maintained by the Z.F.'s and Budget directly released by the
Govt., the expenditure under Non-Plan of Z.P.'s is not available
Hence it is presumed the entire amount provided under Non-Plan
to z. P.'s is spent.

68
ACHIEVEMENTS FOR THE YEAR 1998-99.

(UP TO 31- 12- 1998);-

STATE- SECTOR: 1.

1^6 Physicians are appointed through Public Service

Commission for the year 1998-99,,

2.

One Post of Drug Inspector (Homoeopathy) and other
essential Posts have been created for Directorate of
Indian Systems of Medicine and Homoeopathy.

3.

A divisional Office of ISME.H. has been sanctioned to

Bangalore Division and essential posts have been created
to divisional Office of IShE<H, Belagaum.
4.

A 10 Beded Govt. Unani Hospital has been sanctioned to
Bellary.

5.

Govt, have accorded to Purchase One Vehicle (Jeep) for
Divisional Office of ISMAH. , Belgaum.

6.

The Bed Strength of Unani Unit at Sri. Jay achamarajendr a
Institute of Indian Medicine, B'lore has been increased from
75 to 100 and one 10 Beded Homoeopathic Unit has been
Established at Govt. Ayurvedic Hospital, Bijapur.

7.

Ladies Hostels one each to Mysore and Bellary have been
Sanctioned.

8.

5 Teaching Posts to Taranatha Govt. Ayurvedic Medical
college, Bellary and essential teaching and Non-Teaching

posts to Govt. Unani Medic-al college and Govt. HomoeopathicMedical college, B'lore have been created,
DISTRICT SECTOR:—
1.

5 Taluk level hospitals have been sanctioned and 2 Ayur­
vedic dispensaries have been Upgraded in to 6 Beded Hospi­
tals,

THE FOLLOWING PROPOSALS ARE UNDER THE CONSIDERATION OF GOVT:1.

Creation of essential Posts to Govt. Naturecure and Yoga
college of Mysore.

2.

Establishment of IS/-&H. Dispensaries in the Rural areas.

69
HELICAL RELIEFi-

There arc 92 Hospitals and 532 Dispensaries functioning
in the State bb on 31-12-98.

The System wise breakup is given

hereunder.
No. of Die—
pansari es.

Hospitals.

Nnme of th a
Systems.

NO. of
Beds*

No. of Hos­
pitals.

507
45
25

Ayurveda.

68

1C77

Unani.
Hoaio eop athy.

11
06

202
90

Naturecure.

03

26

05

Yoga.

03

15



Slddha.

01

10



92

1420

582

TOTAL«

'

ATO.Wi.rA;16 Ayurvedic Hospitals axe at District level of which the
following 3 Servos as Teaching hospitals.
Beds Strength. (Ayurveda).

1.

Sri. Jay achamarajendra Institute ofIndian Medicine, B'lore,

225

2.

Covt. ayurvedic Medical college endHospital, Mysore.

140

3.

Govt. Taranatha Ayurvedic Hospital,
Bell ary.

85

The remaining 13 Hospitals at Diet, level, as well as the
Hospitals functioning in the Rural areas with the Bed Strength

of 6 to 10 Beds 13 noted below.

SI.NO.

Bed
Strength.

Name Of the
Piece.

1

_

2

_

- .

3

1.

Bl j spur.

50

2.

Shlmoga.

40
25
10

3.

Hubll.
Karwar.

6 Beds.5 Beds.

4

___ 5____________

TALUK LEVEL HOSPITALS;^-

PIST. LEVEL HOSPITALS; —

4.

Bed Strength.
10 Beds.

5.

Mandy a.

25

6.

Hassan.

25

7.
8.

Medlkeri.

10

Tuinkur.

15

9.

Eldar.

10.

Raichur.

15
15

24

13

-

RURAL AREAS HOSPITALS;-

01

t

12 ’ •

1

70
12

12.

Kopp al a.
Ch am ar a j an agar a-

06
10

13.

Gadaga.

10

14.

Bagalkot.

10

11.

There are 507

4

3

5

Ayurvedic dispensaries functioning in the

State«
UNANI:—

There are 11 Unani hospitals and 45 dispensaries in the
The Unani wing of 100 Beds attached to Sri. Jay achama-

State.

rajendra Institute of

Indian Medicine, B'lore is serving as a

Teaching Hospital for Govt. Unani Medical college, B'lore,

20

Beds are provided in Govt. Ayurvedic Medical college & Hospital,

Mysore.
10 Beded Unani Wings are functioning at Bidar, Tumkur,
Shimoga, Bijapur, Rayachur and Ramanagara.
A 10 Beded Govt.UnaniHospital has been sanctioned to Bellary during the year 1998-99.
2 Six Beded Unani hospitals are functioning at Manvi and Thimmapur Ranganpet.

A Clinical Research Unit in Unani Systems of Medicine has
been functioning at Sri. Jayachamaraj endra Institute of Indiandicine. Bangalore by the Govt, of India.

HOMOEOPATHY; One Govt. Homoeopathic Hospital is functioning at B'lore.
with 40 Beds as a Teaching hospital to Govt. Homoeopathic Medical
college, B'lore. A 10 Beded Homoeopathic hospital is functioning
at Somwarpet.

Further 10 Beded Homoeopathic wings are established

One each at Mysore, Hassan and Shimoga.

During 98-99 One 10 Beded

Homoeopathic wing has been sanctioned to Govt. Ayurvedic Hospital,

Bijapur.

There are 25 Homoeopathic Dispensaries functioning in

the rural areas of the state.
NATURECURE: -

Two 10 Beded Naturecure hospitals are functioning at
B'lore and Bellary.

One 6 Beded hospital is functioning at

Mysore.
There are 5 Naturecure dispensaries functioning in
the State.

- 71
YOGA:-

Yoga wings of 5 Beds each have been established to
provide treatment in Yoga Therapy at Sri.Jayachamarajendra•a a

Institute of Indian Medicine, E'lore, Govt. Ayurvedic Medic
college and Hospital, Mysore and Taranatha Ayurvedic Hospit
Further Yoga Camps are being conducted.

Bell ary.

SIDDHAt-

A siddha wing of 10 Beds has been provided in the
Sri, Jay achamarajendra Institute of Indian Medicine, B‘lore.
RES EARCH1-

Research on Madhumeha (Diabetics) has been under taken
by the Research Wing at Sri. Jay achamarajendra Institute of-

Indian Medicine, Bangalore.
MEDICAL EDUCATION! —

AYURVEDAt- (B. A.M. S. COURSE)
There are 3 Govt. Ayurvedic Medical colleges and -39
Private Ayurvedic Medical colleges functioning k in the State
Of which .5 Ayurvedic Medic al -coll eges are under Grant-in-Aid.

The names and Intake of Govt. Ayurvedic Colleges are given
below.

Si. Mo,

Intake,

Name of the College.

1,

Govt.Ayurvedic Medical college, B'lore.

60

2.

Govt.Ayurvedic Medical college, Mysore,

50

3.

Taranatha Govt. Ayurvedic MedicalCollege, Bell ary.

50

The Intake capacity of the Private colleges is fixed
from 25 to 75 on the availability of the facilities and
infrastructure of the concerned college*.

Apart from this Post>-Graduate Degree courses in Ayurveda
are being conducted in the following specialities at B'lore,
Mysore and Bell ary Ayurvedic Medical colleges.
SI. No,

College.

1*

Govt.Ayurvedic Medical college.
Bangalore.

2.

3.

Sub j ect.

Intake.

Dravyaguna.
Sh alakyat antra.
Shaly at ant a.

07

Govt.Ayurvedic Medical college,
Mysore.

Kayachikitsa,

10

Taranatha Ayurvedic Medical
College, Beli^xy. ( 1CO% C.S.S. )

Rasashastra &
Bhyshajy akalpana.

07

07
07

72
UNANI;- (E.U. bLS. COURSE);-

One Govt. Unani Medical college is functioning at

B'lore with an Intake capacity of 50.

Further Govt, have

sanctioned 2 Private Un-aided Unani Medical colleges One
each to Tumkur and Gulbarga with an intake strength of 25.

HOMOEOPATHY;- (E.H. M.S. COURSE);-

There are 15 Homoeopathic Medical colleges in the
State., of which One is run by the Govt, at B'lore with an
intake of 40.InThe reamining 14 Homoeopathic Un-aided Medical

Colleges the intake strength is fixed from 25 to 100 on the
availability of the facilities and infrastructure of the
concerned colleges.

NATURECURE;—
One Govt. Naturecure and Yoga Degree college has been
sanctioned during 98-99 to Mysore.
The intake capacity of the

It will function from 1999-2000 acedemic year.
Further Sri. Dharmastala Manjunatheshwara College of Naturecure

college is 25.

and Yoga is functioning at Ujire with an intake capacity of 40

Students,

Further a private Naturecure and Yoga college is

functioning at B'lore (zlndal



Institute of Naturopathy and

Yogic Sciences) with an intake capacity of 40.

DRUGS CONTROL
The Department regulates manufacture and Sale of Medi­
cines of Indian Systems of Medicine and Homoeopathy under the
Provision of Drugs and Cosmetics Act 1940 and the rules there­

under.
The number of Licence issued to for for manufacture of
Ayurveda, Unani and Homoeopathy Medicines as on 31-12-98 are

as follows.

Systems.

Ayurveda.

No.of Manu­
facturing
Licence Hol­
ders,

Loan
Lieence.

Unani.

241
14

01

Homo eopathy.

10



23

No.of Sales
Licence Holders,
Wholesale. Retail.
-

-

60

108

75
GOVT. CENTRAL Pt^P-'-'ACY, 3ANGALORE:-

A/urveda and Unani Medicines are being manufactured
at the Govt. Central Pharmacy, 3'lore.
Out of the Budget

Provision made for the purchase of Medicines for Hospitals

and Dispensaries 60% of the Medicines are being supplied
by the Govt, central pharmacy, Bangalore.

A Drug Testing

Laboratory 'is also attached to thia Institution, to ensure

the quality of Raw Drugs and Medicines,

The Budget Provi­

sion for drugs during 93-99 is Rs.72.CO lakhs.
HERR CARDEN:—

Small Herb Gardens, are being maintained at B'lore,
Mysore and Bell ary which are attached to the college. The

Medical plants required daily for demonstration of students
nd green herbs required daily for the hospital3 are being
raised in these herb Gardens, Further, Dhanwantri Vana has

been established in 30 acres of land at Nagarabhavi near
3'lore University campus for development of Herbarium and

about 500 Herbs are raised.

74
yjDP.UGS CONTROL DEPARTMENT

The Drugs Control Department in Karnataka is
functioning as an independent Department since 1962
under

the

Health

&

Family

Welfare

Department,

Government of Karnataka with the Drugs Controller as
the. Head of Department.
There are three wings in
the Department:ADMI ?-II STRATIOIN AMD ENFORCEMENT,

DRUGS TESTING LABORATORY,
PHARMACY" EDUCATION.
I.

ADMINISTRATION AND ENFORCEMENT WING:-

The main function of the Department is ' to
protect the health of the consumers by enforcing ‘the
provisions of Drugs and Cosmetics Act,
1940 and
Rules
thereunder
and
other
allied
Acts
and
exercising strict control and vigilance so that the
drugs which are. manufactured and sold in this State.
are of standard quality, safe and effective and are
available at controlled prices.
The department enforces the following
Legislations through its administra-tive machinery:-

Central
,,

1.Drugs and Cosmetics Act, 1940 and Rules
thereunder.
2.Drugs (Prices Control) Order, 1995.
3.Drugs and Magic Remedies (Objectioinable)
Advertisements Act, 19.54 and Rules
thereunder.

754.The Pharmacy Act, 1'348 and Educatioins
•Regulations thereunder.
5.The Poisons Act, 1919 and Karnataka Poisons
Rules, 1'366.
6.Narcotics and Psychotropic Substances Act,
1985 in relation to Drugs covered by the
Drugs and Cosmetics Act & Rules thereunder.

A.

Administrative and Enforcement Wing:

Presently there are 616 Licensees comprising of
268 manufacturing units, 273 Loan Licencees and
67
Cosmetics manufactu- -ring Licencees and 3 repacking
unijis (large
and
small
scale)
engaged
in
the
manufacture of both bulk drugs and formulations.
There are 83 Blood Banks operating in the State and
approved
8 Testing Laboratories are functioning.
There are 12,747 dealers,
namely,
Chemists
arid
Druggists,
wholesale
dealers
and
Restricted
licencees who sell House-hold Remedies.

76
ENFORCEMENT OF THE DRUGS AND COSMETICS ACT, 1940 AND
RULES THEREUNDER.

to

Ths following, are the details pertaining to the
prosecutions instituted under this Act and Rule
during the year 1996-99 (April 1998 to Decembe
1998)^

l-|

Si.
No.

Particulars

As per
____________
D & C Act
D.P.C.O.

1.Prosecutions pending at
the beginning of the year
(i.e.,‘as on’1.4.1998)
163
2.Prosecutions launched (ae­
24
on 31.12.1998)
187
3.Total (as on 31.12.1998)
4.Prosecutions decided
2
(as on 31.12.1998)
(a) Cases ended in acquittal
1
/discharge as on 31.12.1998.
(b) Cases ended in conviction
1
(as on 31.12.1998)
5. Prosecutions pending
185
(as on 31.12.1998)

44

'4
48


-

-

77
II. DRUGS TESTING LABORATORY

The Drugs Testing Laboratory was started during
the 3rd Five Year Plan period.
At present the
laboratory is equipped to analyse all types of drugs
and cosmetics except Vaccines, Sera, Blopd 6 Blood
products.
Analytical facililties are extended to
the samples drawn by the Drugs Inspectors of Delhi.
ACHIEVEMENTS

(FROM 1,4.1998 TO 31.12,1998)

Number of drugs samples analysed.
Number of samples found to be
standard Qualilty.
Number of sample found to be not
of standard qualilty.
of
O'J-U-, |,a.Vk| o r
III. PHARMACY EDUCATION

1090 .
922

91

Pharmacy Education consists of two wings viz:Government College of Pharmacy at Bangalore
Board of Examining Authority at Bangalore

The Government College of Pharmacy was started
in the year 196-1 under the Administrative Control of
this Department.
The Pharmacy Educatioin imparted.
■ ere is at Diploma, Degree and Post Graduate levels.
"he Government of India is giving 100% assistance
ir the. development of
Post-graduate,
course in
F narmacy.

78
The following disciplines are establilshed tinder the
Post-graduate Courses:Fharmacautical Technology,
Pharmacology,
Pharmacognosy,
Pharmaceutical Chemistry.
STATISTICS

(FROM 1.4.90 TO EUD OF 31.12 .90)

Number of S.Pharm
students passed
Rajiv Gandhi Health University
I Year
II Year
Bannalore University
III year
Final year
Number of 14. Fir arm
students passed
Rajiv Gandhi Health University
Part. I
Fart II

Appeared

Far sed

48
23

2.3
IS

43
23

22
13

23
18

12
ie

The Board of Examining Authority under the
Chairmanship of the Principal, Government College of
Pharmacy, Bangalore is,functioning
entrusted with
the
responsibility
of
enforcing
Education
Regulations stipulated by the Pharmacy Council of
India at Diploma level in this State and to conduct
examinations at Diploma level for the students
admitted in the Government, and Private Pharmacy
Colleges in the State.
There are 95 Diploma
Colleges imparting Pharmacy Education.

..7?
ACHIEVEMENTS

(FROM 1.4.98 TO EHD OF 31.12.98)

ER-81
Number of students appeared
for a)Preliminary D.Pharm
126’3
p)Number of students passed.
217
c)Number of students appeared
for Final D.Pharm
2171
d)Number of students passed in
Final D.Pharm
332

ER-91
1507
34 8

500
174

80
STATEMENT SHOWING THE ACHIEVEMENTS OF DRUGS CONTROL
DEPARTMENT DURING 1398-99.

fl)

Large

scale

violations

of

investigation

by

manufacaturers of prices fixed by Government of
India has been taken up and an exclusive Drugs
Price

Control Call for

investigation

has

bai.i

set up in the department.

(2)

With a view to ensure quality of drugs supplied

to

the

Government

and

institutions

hospitals,

G.M.F Certificates as per W.H.O guidelines have

been

issued

to

units

are

who

following

»Hj

given

for

G.M.P norms.
(3;

construction

College

of

has

sanction

Administrative,
of

-J th

Pharmacy

at

the

Government

augment

the

laboratory

floor

to

facility and the work lias
(4)

Computer

section

<3ov9jrnm9nt
of the students.

has

been

been

started.
established

of Ph-3jrni3cy

JTojt

t.h?

at

tha

81
FINANCE

s following ir ths details of Budget Allotment

T

and Expenditure for the year 199S-99

(unto Dec.3?)
(Fs.in lal'.hsi

S.1

Budget Head

Budget. a.llut-

Expendituis

merit for '?3-'?'? curing 99-'?'?

Ilo.

Plan
-J

2

3

Mon-plan Flan rion-pla
5

4

-3

(unto Dec.98)
uj

o

c?

<n

O

O

Oi

1

i



55. 1 ?<

J . 2210-06-104-0-14
Govt.College of
Pharmacy

15.00

109.?5

-

35.29

4. 2219-06-104-0-94’
Add 1.Tech & Suppor­
ting staff.

'2.99

3.14

-

3.35

n

-

10

106.75

J 5;

in

e- -l

o c:

r j er

• H
*-4 Cj

1.00



1

2210-06-104 -0-02
Drugs Testing L-aboP.atory.

5. 2210-06-104-0-05
Vigilance Cell
6. 2210-06-104-0-06
Lea al Cell


-

2.04

-

1.10

82
1

3

4

5

6

7. 2210-06-104-0-07
Blood Bank

36.33

5.49

6.01

1.91

8. 2210-06-104-0-08
Enforcement Scheme

2.00

9. 2210-05-104 -0-09
Upgradation of
□ist. Offices

9.67

15.47

1.51

8.60

2

10.2210-06-104-0-11
2.00
Consumer Awarness
On Drug R Cosmetics

t

«

11. world Bank Assisted Project
2210-05-105-1-32
1.00
strengthening of
Enforcement machinery
And Drugs Testing' Laboratory.

- *

-

12. 4210-03-105-2-01
31.00
Capital outlay buildings
Total:

100.00

444.43

7.52

205.00

T

83

12

3

4

5

6

16.99

4.40

10.16

CENTRALLY SPONSORED SCHEME

1. 2210-06-104-0-15
20.00
Central Plan Schemes
2. 2210-06-104-0-10
20.00
Drugs Testing faci­
lities - Drugs
Testing Laborator’/.'
Total:

40.00

16.50

t

16.99

20.90

10.16

84

REVENUE RECEIPTS:
Si.No.
1.

B U cl g g t 1lead

Rs.

0210-04-104-02
Drugs Controller.

9,20,000.00

0210-037,105-01
Government College of
Pharmacy & Board of
Examining Authority.

7,46,000.00

Total:

16,66,000.00

85

DIRECTORATE OF MEDICAL EDUCATION.

PURPOSE;
The Directorate of Medical Education was

established to streamline the administration and

for the effective functioning of the Institutions

coming under the Jurisdiction of the Director
of Medical Education.
ADMINISTRATION:

The Director of Medical Education will be
the administrative head for the Institutions

coming under the Jurisdiction of the Medical/
Dental/Nursing Colleges and Nursing Schools and

also the Teaching Hospitals.
Che following Officers will be supervising

the administrative,Technical, financial and Plan

Schemes and will be rendering the recuired help

and assistance to the Director of Medical-

Education.
1.

Joint Director (Medical Education )

2.

Deputy Director ( Med.Edn )- I & II.

3.

Chief Administrative Officer (M.E.)

4.

Administrative Officer

5.

Chief Accounts Offiesr-cum-Finaneial
Adviser (Medical Education ).

6.

Planning Officer ( M.E.).

7.

Health Equipment Officer

S.

Deputy Director - Transport - common to
Health and Medical Education.

(M.E.)

(M.E.).

In the .State there are 21 Teaching Hospitals

which have full fledged Units, Specialists,

certain super specialities and well equipped
with u(tra modern equipments.

1.

Hospital Pharmacy Units.

2.

Burns Units and Trauma Centres

3.

I.C.U.Unit.

4.

Child Guidance Clinics.

5.

Blood Bank Service,.1;

6.

Skin and STD Centres.

7.

Mental disease rehabilitation Centres.

8.

Dental Clinics.

9.

Bye Banks.

10.

National Blindness Prevention
Service Units.

11.

Security Service Units.

The following institutions function under
the control of the Directorate of Medical Education.

1.

Medical Colleges.

2.

Dental Colleges.

3.

Nursing Colleges.

4.

X.Pay Technician Training Centres.

5.

Lab.Technician Training Centres.

6.

Nursing Schools

7.

Teaching Hospitals.

S. Some Centres attached to each Medical

Colleges as per the pattern of Govt.of
India with 3 Primary Health Centres
attached.

The list of Medical/Dente1/Nu rs ing and
Pharmacy Colleges run by the Government and

Private Organisations.
Subiects.

Govern. Private. Total.
ment.

1.Medical Colleges .

4

14

18

2.Dental Colleges.

1

40

41

3.Nursing Colleges

1

26

27

4. Nursing Schools

11

132

143

Pharmacy
Col leges .

i

41

42

5 .

The following training centres have been

established to train up the Para Medical
Students.
1.

X.p.ay Technician Training.

2.

Laboratory Technician Training.

3.

Dental Mechanic and DentalHygienist Training.

4.

Medical Records Technicians tra in ing.

5.

Ophthalmic Asst.Training.

The followi-g Autonomous Institutions are

86
getting grants through the Government

( National Institute of Mental

NIMHANS

1.

Health ano Neuro Sciences )Bangalore.
2.

Kidwai Memorial Institute of Oncology,
Bangalore.

3.

Sri.Jeyadeva Institute of Cardiology,
Bangel ore .

4.

Indira Gandhi Institute of Child Health,
Bangalore.

5.

Vijayanagara Institute of Medical
Sciences, Bellary.

6.

Karnataka Institute of Medical Sciences,
Hubli.

The artificial Limbs Centres have been

established at Bangal ore and Mangalore District
Hospitals and thes~ Hospitals come under the

control of

this Directorate.

Re-Orientation programmes

implemented

in

3 Primarv Health Centres in each

9 Districts and

District are being continued.

20 Bedded Temporary

Leprosy wards have be~n provided under the modified
National Leprosy Control Programme established

8s

Bellary, Mysore,

in

Hubli.

To develop the Eye operations,

training

programmes have been t aken up for Doctors and

Ophthalmic Assistants

detection Units

in Medical Colleges, Cancer

in Priliminary stage are running

in the Medical Colleges at Mysore and Karnataka

Institute of Medical Sciences.

89
TEA CHING HOS PI TA LS ;

Victoria,

Vani Vilas,

Curzon Hospital,

Bowring and Lady

S.D.S.T.B. & C.L.Hospital

and Minto Ophthalmic Hospital are coming under
Bangalore Medical College. A Master plan has

been sanctioned by the Government for the

construction of building.
COLLEGE HOSPITAL,

MYSORE?

The K,R.Hospital,

Cheluvamba Hospital

and P.K.T.B. & C.D.Hospital, Mysore and the

said Hospita 1 s ervices have be^n made available
and

these Hospitals are coming under the

administrative control of Mysore Medical ; .
College. They have the required different
specialists service which are functioning well.

COLLEGE HOSPITAL,

BELLARY;

The Government Medical College,Be 11 ary

is now an autonomous Institution. A sum of

Rs.656.53 lakhs has been earmarked under

Plan Scheme to the Virfayanagara Institute of

Medical Sciences,

Bellary.

Similarly K.M.C.Hos pital,Hubli is now

an autonomous Institution as Karnataka
Institute of Medical Sciences and K.M.C.

Hospital and Karnataka Institute of Mental
Sciences,Ehan-ad are attached to KIMS,Hubli.

90
DISTRICT HOSPITAL,

MANGALORE;

'■’enlock Hospital,

Mangalore and Lady

Gcschen Hospital,Mangel ore are

the two Teaching

Hospitals which have been attached to Manipal
and Mangalore Medical Colleges. The Artificial
Limb Centre building of Mangalore is completed

and functioning. The building work attached to

Wenlock Hospital is under progress.
BUILDING CONSTRUCTION;

1.

The O.P.D.Block rectification of

K.R.Hospital, Mysore is completed
except the lift work.

2.

Out patient block

in K.R.Hospital,

Mysore have been completed.

3.

Const ruction work of Auditorium at

J.K.Ground attached to Mysore Medical
College have been completed and
roof work and other works are under

progress.
4.

Providing water facility work to
Vani Vife Hospital is under progress.

5.

Bui.’.ding work under the Jurisdiction
of Victoria Hospital is completed.

1998-99 ANNUAL REPORT PROGRESS AND ACHIEVEMENTS;
/

1.

Inthe Jurisdiction of the Directorate of

Medical Education there are 4 Government 3ncl
14 Private Medical Colleges. And there is

Provision for 400 MBBS Students admission -

91
capacity and

in the Private Medical Colleges,

there is a provision of 1565 MBBS Students

.

.

admission capacity.

College,

I

In.the Government Dental

there is a provision of 60 Students

and 1361 Students in Private Dental Colleges.

2.

Tnthe P.G.Selection,

Colleges,

there

the Gov*-.Medical

is a provision for 226 Degree

and 216 Dipioma seats wherein in Medical
Colleges there are 89 Degree and 83 Diploma
seats .Government seats available.

3.

At Govt.Dental College,

Bangalore there

is

provision for 17 P.G.seats and in Private
Dental College,

there is provision for

17 seats and total management seats are 56.

4.

The Entrance Examination for MBBS/BDS

Examination are being conducted by Common

Entrance Cell.
5.

The Government Medical Colleges of Bellary

and Hubli have been made autonomous Institutions
The Directors and Principals have been

appointed for these Institutions who are

able to carry out the administration effectively
6.

For the development of Library of Medical/

Dental Colleges,

adequate funcEs are released -

92
end

are being utilised. At Govt .Med-ieal

-olleges, computers and CDRMO & Video libraries
*
have been provided.

7.

The new CPD Block of K.R.Hospital,

is well equipped and furnished and

Mysore

adequate

staff have also been appointed.
8.

The building construction work a t Victoria

and Bowring and Lady Curzon Hospital are under

progress.
9.

Master Plan building of Vani Vilas Hospital

is completed and required

instruments and

equipments for Surgical Wing have ^een provided.
10.

Dharrr.ash-la building work at Victoria

Hospital

11.

is under progress.

Incinerators are

provided

to all major

Hospitals.

12.

Under the Plan Schemes,

total of Rs.2597.74

lakhs grants is provided under the Plan Scheme.
In this,

State share is Rs.2500.00 lakhs. Centre

share is Rs.97.74 lakhs and for the building

Rs.230.00 lakhs is provided.
13.

For the building works during the year

1998-99 Rs.230.00 lakhs has been released by

the Ditectorate of Medical Education.

93

14.

The mortury and cold storage units at
Bowring and Lady Curzon Hospital building

have been completed.
15.

Building construction work at K.R.Hospital,

Mysore ,

OPD and Innatient block is

completed. Required grants for equipments
and instruments has been released.

Furniture for these blocks have been
provided. The total no.of 112 po6boSfo-Aihave been filled up.

16.

Action has becn taken for appointment of

42 Staff Nurses at K.R.Hospital, Mysore.
17.

Proposal

have been submitted to Government

to fill up 46 Group ’D1 Staff to K.R.

Hospital, Mysore.

KARNATAKA CHIRP MINISTER'S MEDICAL RELIEF SOCIETY:
A sum of Rs.19,86,54,503.00 has been
collected for the Karnataka State Chief

Minister's Medical Relief Society/Fund. Out of

this amount Rs.5,00,00,000/- have been received

from Govt, of India and another Rs.5,00,00, 000/—

has been received from the State Government.
Rs.9, 86,54,503/- has been received as donations

.94
frar. various Institutions. An interest of
Rs.6,28,39,189.69 has been accrued from this

Corpus Fund which is invested in various
Financial Institutions. So far 3178 patients have

been benefitted from this Scheme by incurring
an expenditure of Rs . 1,5 2,00, 000/-.

Printed by : The Director of Printing. Stationery & Publications. Government Press. Bangalore - 560 001

Position: 1275 (4 views)