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GOVERNMENT OF KARNATAKA
ANNUAL REPORT
1998-59
DEPARTMENT OF
HEALTH AND FAMILY WELFARE
l<5o 21 -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
National Programme for Control of Blindness
••
34
8
■
9
National Malaria Eradication Programme
36
10
National Filaria Control Programme
38
11
Diarrhoeal Diseases and Communicable Disease
Control Programme
12
Health Education and Training
43
13
Nutrition Programme
48
14
.Hospital Pharmacy Programme
15
Health Equipment Repairs and Maintenance Unit
54
16
State Health Transport organisation
55
17
Laboratory Services
56
18
Government Medical Stores
60
19
India Population Project - IX(K)
♦♦
61
20
Population Centre
••
62
21
Externally Aided Projects
22
Department of Indian system of
Medicine and Homoeopathy
23
Drugs Control Department
24
Directorate of Medical Education
.♦
••
39
52
65
’
••
67
74
••
85
P^P-ARTOF
I
E.ALTH AND FAMILY WELFARE SERVICES
-He Department of Health and Family Welfare Services
implements various National and State Health Programmes of
Public Health importance and also provides comorehensive
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 nealth 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.
Nationalj^alaria Eradication & National Filaria
Control Programme.
9,
National Guinea Worm Eradication Programme.
10.
Preventions and Control of Communicable Diseases
like Diarrhoeal diseases, Kyasanur Forest Disease,
Japanese Encephalities etc.,
11.
12.
Health Education and Training Programme.
«
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:
Karnataka Health System Development Project with
1.
the World gunk Assistance.
looy.- -2.
2.
KFW with German Assistances
3.
India Population Project-IX(K)
4.
OPEC (improvements of District Ho spirals in Raicnur
with the assistance o£ OPEC).
5.
DANIDA Assisted Programme for control of Blindness.
ADMINISTRATION AND 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 imolementing 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 Of ficer /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 . D-ivisinn?l 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 imolementation of various
National and 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.
achifvdmd^ts for 1933-?56
789
1. “anction has been accorced tor upg
Health Centre, Bethamangala, Bangarpet -q, Ko_ar u.
and Primary Health Centre, Vittala, Buntawal Taluk
D.K.District to Community Health Cent-
2.
Formation of District "Health Offices in the newly
created seven districts i.e., District Health and FW Ofrices.
District Leprosy Offices, District T3 Centres, District
Family Welfare Offices and District Malaria cfrices.
3.
Sanction of Staff to 10 bedded Maternity Annexes attached
to : a)
Primary Heaith Centre, Ripponpet, Hosanagar Tq,
Shimoga District.
b)
Primary Health Centre, Bhagamandala, Hadikeri Tq,
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 health Paduvalahippe, Holenarasipura Tq,
Hassan District.
4.
g)
Primary health Centre, Doadarasinakere, Madcur Tq,
Mandya District.
h)
Primary Heai_th Centre, Marganakunte, Bagepalli Tq,
Kolar District.
Sanction of Staff to 6 bedded Maternity Annexes attached to
a)
Primary Health Centre, Belagola, Srirangapatna Tq,
___
_
Mandya District.
5. Sanction for enhancement of stipend to Sc/sT candidates
undergoing departmental training Rs.1000/- per month.
6. Additional Staff to:a1 General hospital, Sagar, Shimoga District.
b) Community Health Centre, B.Bagewadi, Bijapur Dist.,
c) Community Health Centre, "iresave, Channarayapetna Tq,
Hassan District.
d) District Hospital, 3idar.
e) Primary Health Centre, Gote, Jamkhandi Tq, Bagalkote Dt
7. Uj sanction for ourchase of 100 equipments for providing
Laboratory facilities to PHCs under PFA Act.
8. sanction for purchase of X’ ■Ray Units with accesoci.es. .with
Odelca Panjerasfeo the newly created district's Hcveri,
Gadag, Bagalkote and Udupi under National T3 Control
Programme.
9. Sanction of 3 New vehicles to Dist.TB Centres.Haveri,Gadag
Bagalkote under National ti
Control Programme.
Details of Staff in the Department of lealth A FW +Servioes as on 1.1.99
o
O
P
QFOUf
Posts o«n otionel
working
Vacanoles
Tbtal
in tho
Dep t.
K.a.S.D.P •
Total
in the
Dept.
K.fi.S.D.P •
Total
in the
Dept.
L.B.o.D.Pi
A
5V9
549
5728
4474
r
459
4933
705
90
795
B
420
64
484
267
32
299
153
32
185
G
37127
2264
39393
29080
1331
30411
8047
935
8982
D
15753
1327
17080
11+258
14258
1495
1327
2822
49901
10400
2384
12784
r
’ Tbtal
'5«l>79' '
4206
6268?
48079
1822
m
Aypointnents ® A Posts filled up ftdrn?; during the
Tear 1998-99
The following recruitments are cade and posts filled
up during the year 1998-99
On Proration
1.
Nursing Tutors
"
2>
2.
Staff Nurses
-
1586
Appointrent
3.
Senior lealth Assistants
«*
169
on prorotion
U.
X-Ray Technicians
-
101
Appointment
5.
Junior lealth Assistant(F«ale)
-
U6U
_ *-
6.
Deputy lealth Eiucation Officer
-
13
7.
Stenographer Gr.I
-
10
-
15
—
21
-
105
-
9U
8. Skilled Tradesmen
9.
First Dirision Asst.
10 . Second Dl.tf.sion Asst.
11 .
’ D ‘ Group
Action to recrtil tr-Er-r
started
On Promotion
_n_
Compassionate
Grounds Appointrsit
573 doctors has been
_n_
7
The District Hospitals are not only oroviding treatment
to pat lenos 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
5733
Teaching Hospitals
9
5907
Major Hospitals
3
1521
Specialised Hospitals
16
3330
HOSPITALS
General Hosoitals/Matemitv Hosoirals
127
TOTAL
176
6677
23223
8
Each District Hospitals has got the following specialities
1. Medicine
3 Skin end 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, Nose 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
serbe as referal hospitals to the peripherial institutions
Sums & Casuality wards are established at SC Hospital,
Hassan, Mogann 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 Kollegal.
Physiotherapy units are functioning at the District
Hospitals, Shimoga, Hassan, Tumkur, Chitradurga, Kolar,
Fiandya and Eijapur.
All the teaching hospitals have got
Physiotherapy Units, Physiotherapy Unit is also functioning
in KC General Hospital, Bangalore & in General Hospital,J1nagar
9
The Emergency and Casual!ty 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 gnidei5nps 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 nealth Centres and Community Health Centres.
The existing Primary Heaj_th 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
Hosoitals for the population living in rural areas for
specialised services.
'SOL-Zy.
-10 ■
j.n these 30 beded hospitals there will be a minimum
o£ four specialities viz.,
General Medicine.
2. General Surgery
3. Obstetric Gynaecology.
3. Dental Surgery.
1.
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 me Primary Health Centre for every 3 0000
population in plain areas jand one Primary Health Centre
for every 20000 population^Hilly and Tribal areas. Every
Primary Health Centre is supplied with drugs woth
Rs.50000/-annually.
Centres,
At present there are .1676 Primary Health
sanctioned in the state as on - 31.12.1998.
1
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 will be upgraded as PHU's in a phased
11
HEALTH SUB-CENTRES
It is the intention of Government of India and the State
' overnment to have one Health Sub Centre for every 5000
population in plain ■ areas and one sub—centre for every
3 000 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.5000/per annum are being supplied for treatment of minor ailments.
RURAL HEALTH CARE SERVICES ARE PROVIDED THROUGH VARIOUS
TYPES OF INSTITUTIONS WHICH ARE DETAILED BELOW
CENTRES
1996-97
Community Health Centres
2 42
Primary Health Centres
1601
1997-98 (upto^Es? 98)
252
252
1676
1676
9
9
Urban Primary Health Centres
—
Primary Health units
589
583
583
Sub-Centres
8143
8143
8143
B ed
15282
16262
16262
12
NATIONAL AIDS CO’JTROL PROGR-A.'^IE
The National AIDS Control Programme is being implemented in
the Spate as per the Guidelines of National AIDS Control Organisa
tion, Ministry of Health and Family Welfare, Govt. of India. This
is a 1CO% centrally sponsored scheme.
The Spate 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 Spate Level Empowered Committee is constituted
under the Chaimanship of Health Secretary, Govt. of Karnataka
and Karnataka Spate 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, Eangalore; National Inst, of Mental Health
and Neuro-Sciences, Hosur Road, Bangalore; and Kasturba Medical
College, Manipal,
BLOOD 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 AH 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-GOVEP.NMENTAL 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-Medical staff and Non-Governmental Organisations.
13
Since 1987 to December 1998, 3,98,887 Blood Samples
have been screened.
Out of which 4649 are found HIV positives,
167 AIDS cases and 77 have died.
Sentinel' Surveillance activities were takenup in
Eight(g) HIV Sentinel Sites as per the approved protocol of
National AIDS Control Organisation.
The following category of staff have been trained during
the year 1990-99
category
S1.No.
No. trained
1
Dental Surgeons
2
Medical Officers
3
Lab, Technicians
4
District Nodal Officer
28
• •
6
5
. .
22
Financial release by National AIDS Control Organisation,
Govt, of India
YEAR
QQQ
QQ
release
•
•
a of
ipto o
end
Dec-. 1998)
i o o 2.- 5
■ Expenditure
- 3 r. • ' •
"
731.94 lakhs .
■
115.62 lakhs
t
14
FAMILY WBLFAP.E AND MOTHER AND CHILD HEALTH FROC-RAmEES:
INTRODUCTION';
The exploding population and the vulnerao ility
of infants, chi Id r°n and mother to a host of aliments‘A
resulting in their high morbidity aid mortality rates are
among the front ranking problems emaciating the country as
a vdiole.
It is in order to tackle these
mutually -inter
linked problem^high birth rate and high infant and me-ternal
mortality rates and bring about demographic transition that
Family Welfare and Mother and Child Health Programme have been
thoughtfully formulated and implemented through out the length
and breadth of the country.
Karnataka deserves a special mention in thebe history
of Family Pl ami ng Programme due to the pioneering steps
taken as earljr in 133t’s by theMaharaj a "of Mysore by ordering
establishment, of Birth Control Clinics one
Vani Vilas Hospital
Bargalore and other at Cheluvamba Hospital , Mysore .
Further,
in the implementation of the programme, Karnataka has been
fairly successful, scaling more heights than many a major
state.
In many of the demographic indicators, Karnataka has
bettered the national average.
2.
OBJECTIVES;
The objectives of Family Welfare and
ECH Programmes, as set out in the National Health Policy
document 1383,
1.
are the follovdng.
Crude Birth Rate
21
. t
3
2,
Crude Death Rate ■
3.
Infant Mortality Rate
£•
4.
Net
3-0(2^^- j_on £ate
1
-15
5.
Decadal growth Rate of Population
1.2%
6.
Effective Couple Protection Rate
6e%
7.
Life Expectancy at birth
64 Years
8.
T.T. for pregnent women
ieo%
9.
DPT, Polio, .BCG and Measles
Vaccination for infants
ice%
r/DICJgORS;
5.
IMPACTS:
Considerable inpact has been registered in
the State due to the programs.
have been awaited .
Llore than 1.7 crore births
The other achievement are enumerated
below:
1.
Fall' of crude birth rate from 41.6 in 1961 to 22.7 in
1997.
2.
Decline of crude death rate from 22.2 in 1961 to
7.6 in -1997.
3.
here than.4® noints fall in infant mortality rate
from 95 in 1'971 to 55 in 19-97.
4.
Decrease in General Fertility rate in rural areas from
154,.9 in 1972 to 11,8.1 in 1929 and in urban areas from
124.9 to 96,.» .
5.
rhe total fertility rate h ze come down from 5.6 in
1981 to 2.9 in 1995.
6.
The life expectancy has gene up to -.65.1 66. 5J^ years
respectively for Males and Females.
7.
8.
The average age at marriage has increased as follows:
a)
For girls from 16.4 in 19°1 to 19.21 in 1991.
b)
For beys from 24.17 in 1961 to 25.S6 in 1991.
The effective couple protection rate has scaled upto ■
57.7% in 1997 fi-on 25.76% in 1981.
-he annual crcv.-r?. ro: = cf population. aeoreased to
J,
2.1% by 1551 fr-cn 2.6% in 1321.
-he progress under immunisation is deijx-cted in
18.
A-ivncxac-^ -1 .
The average number of children-of accepters of
11.
Family Welfare methods in 1955 — 56 was as follows:
2.6
0)
p
C
J
Jl
IUD
m
r-l
c)
Q
)
b)
d
Vasectomy
Q
)
12.
a)
ilisation
2.6
1.3
The average age of acceptors of various Family
Well’are methods in _ y
___ was as follows:
•3o -Lf
a)
Vasectomy
t)
Female Sterilisation
c)
IUD
Strategies adopted in implementing Family Welfare
Programme.
IEU ACTIVITIES:
a)
Imaginatively produced informative
educative and communicatimr material and prepogation though
multi—media have generated enormnes awareness and demand for
Family Planning and inmn5Ratson services among general
public and in particular amonr eligible couples and mothers.
b) ■
i-I3i2’-UTI0HSj.
A. vast and closely limit network of
8145 siib-centres, 1676 PECs, 52^ PHUs and 17» hospitals
1CJ post partun centres, 8» urban F’7 centres have been
established to provide services.
c.
MANPOWER DEVELCPKEITT:
The Officers, ^urgecns,
Workers and Supervisors are periodically trained in various
training centres and their skills and competance. are
upgraded
17
d)
SPACING Lrn:O IS:
Appreciating the potential of
spacing methods in the regulations of fen- ^.ity, campaigns
are being organised tv,'ice in a year in the months of
October and March.
e)
COMLiiP^XTX
jJS STS SM3MI_ APPRO ACHThe success
of the programme 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 wnich 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 5<2£6
and cdd Mahila Arogya Sanghas in rural areas and a host of
Non-Goxemmental organisat icns are assisting in educational
as tell as implementation activities.
OTESR SCnS-PS.;
Implementation of special programmes
like Post * ar tun Scheme, Sterilisation-bed Scheme,
and
Medical termination of Pregnancy Act are contributing to
fertility control and population stabilisation.
During
unwanted pregnancies are
1997-95,
medically terminated
REPRODUCTIVE A1TD CRIED HEALTH SIRVISTS PR0GRAI.13):
Ihe Family Planning Programme has crossed several
mlsstcnss absorbing new schemes and interventions lite
E.P.I., U.I.P., C.S.S.M., ORT.
AKD CHILD HEALTH SERVICES "
I 60 S2- - Co
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,
1934, held at Cairo, the emphasis is now on
providing quality conscious Reproductive and Child Health
Services rather than on re re Family Planning.
The RCH
Programme encompasses Fertility Regulation, Child Survival
and Safe Motherhood management of Reproductive Tract Infection;
snd 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 and evaluation of the services and
facilities.
19
ANTTEXURE-I
target achieve:'lELT aid percentage of achivemei’t under family welfare Ara
IMMUNISATION PROGRAtCIE
(in Lakhs)
Si
No
Prograrwe/
Method.
1996-97
T
A
1998-99 u gto
end of DE:T98
1997-98
OZ
T
A
%
T
A
.z
'•>
Antici
>
pated
z
Achivement
from Jan- t<
r-iarcn
I FAMILY WELFARE
3.34
1 Sterilisation
2 I.U.D.
-
3.76
-
-
3.96
3.72
2.70
2.53
-
3 CC Users
4 O.P.Users
-
3.59
-
-
3.23
2.75
-
-
1.58
-
-
1.56
1.44
—
NOTE: FW Pr ogramme is deol area as> Target Freie Programme by Government
of In/Ji fa
ii irr-rjniSATio.M
1 DPT
ll.85
11.51
97.1
2 Polio
11.35
11.52
97.2
10.99 11.16 101.5 11.36 3. 85 69.0
10.99 11.17 101.6 11.36 7. 86 69.1
102.7
3.51
3.50
3 BCG
11.85
12.17
10.99 11.94 108.6 11.36 7. 86 69.1
3.50
4 Measles
11.85
10.67
90.00 10.99 10.33 94.00 11.36 7. 17 63..1
4.19
5 TT (PW)
13. X
12.78
98.0
12.08 12.50 103.40 12.41 3. 42 67.3
3..99
11
20
annexure II
BRIEF NOTE ON I.E.C ACTIVITIES FROM APRIL
1998 TO NOV. 98
The Information, Education and Communication King
consists of Information and Publication sections.
I
The
EC activities are carried out in the State through
District Level, Deputy
District Health-Education officer
at sub divisional level and Block Health Educators at
primary Health Centr level.
They are responsible te carry
out the educational and motivational activities en Family
Welfare, Mother and Child Health and other Health Programme
through eut the year in a phased manner, as per the plan
of action.
The main objectives of IEC ’’Component under Family
Welfare and Mother and Child-Health are:
a)
Te motivate the eligible couples to adopt small
size family as a norm, -
b)
To involve community and te ensure their partici
pation in FW & MCH Programme.
The progress achieved under IEC activities from
April 1998 to November 199^is as fellows:
Annual
Target
Achievement
Upte Nov.98
Anticipa
ted Achie
vement from
Dec. 1998
to March'98
_1______________ 2_
3
4
5_
I) Activities in Manila
Swasthva Sanahaa
UManila Vicr.ara Vinimaya
5488
567
4921
2)Healthy Baby Shows
5488
1489
3<?99
. 3)Atte Sose Samavesha
5098
320
4778
4)world Population Day/Ne
Scalpel Vasectomy Tra 1 ni.ng
4332
359
3973
5) Women's Day Celebration
3373
-
3373
31.
Ne.
Activities
21
1
2
3
’ 4
5
1) Metalia Tin Plates ©a
Ro Scalpel Vasectotny
2,500
OS
2,500
2)i Installation of Nirodh
Boxes In Hospitals
loo
•
100
II. Materials for MS5, PHCs
and Grau* Panchavats
III) Irocal Specific IEC
Activities
1) Production and Procure
ment of VHS Caples
(Folk Songs)
1,000
1,000
2) Photo exhibits
SOSetB
3) Hoardingso an FM & MCH
10
—
-
7,200
as
50 Sets
10
IV) Publication Materials
1) Flip book on FW <■ HCH
2) Buntings on FW 4 MGH
3) FcldSC?
4) Programme Information
Kit
7,200
333 Sets
2,70,000
4,000
.
333 Seta
2,70,000
•
4,000
V) workshops
1) Publication Workshop
1
«S»
1
2) State Level MSS Presidents
worksnop ’
1
«•
1
4) Workshop for IHPCC Members
2
1
1
•
1
1
5) Workshop for CSS, NCQs and
other Developmental
Department Staff
1
1
6) Divisional Level ICC
Workshop
4
4
7) State Level DHEO/ Dy. HEO
Workshop
1
1
a) State Level World Popu
lation Day
1
1
3) District Level
loo 9^- 7
■
•
22
1
2 '
3
4
5
-
21.425
20,000
■*
169
300
VI) Hernial mem activities
1) Exhibition (Mini and
Major)
2) Press ^dvertlseroent
377
400
«w
802
700
•
7,565
5,000
•
811
—
36
700
30
ew
51
150
3) Press release
4) Film Show*
5) Film Strip shows
6) T.V /VCP shows
7) Multi ModlaCampalgn
8) Folk Media Programme
—
/
2J
• annexure
III"
•
.
Statement showing Budcnt provision for th? year 199-0-99, 'xpenditure
"pto Die Tiber 1990 and probable expenditure for the period from 1/99
to 5/9:1 under the head of Account 2211 - Family Welfare
■r.. tn lakhs
z
SI.
,,
ho.
~ .
^cnenSs
Expenditure
• Bu dce'ii
p Jo vi sion up to .
12/93(HMH)
•
I. 0er,:rallv Snor.aored Sch~m 3
1.
Director and Admi istrat ion
Pro be. bl-2
expenditure
firon 1/99
to 5/99
692.54
566.55
525.99
2. Sural F. I'. Services
4475.93
24JO.46
2045 .47
v.Services■
596. 11
201.92
194.1 9
4. ?..c.n.
5907.79
921.94
5. Transport
279-51
72.07
2935.05
206.64
5. Urban
•
6. Compensation
1163.32
294.17
074. 65
7. Other Services & Suppli=»
1165.99
313. O'1
545.95
0. Hass Education
114.54
11.05
102.69
400.05
152.66
247.59
12599.00
5270.26
7323.32
5-00
2.60
0.40 ’
102. 55
73.51
24.24
9. Training
TOTAL
TI. Stat? Plan ■
1. Safe “otherhood and child
Suvvival
2. State wealth Transoort
Organisation
5. Transportation of
vaccine from Regional
Di st. statib
5.00
1.01
1.99
4. Supply of. z drugs under
Pro fT am tn ft
107.66
14.64
95.02
5. India oooulation project
TH
22.00
11.42
10.53
6. Maintenance of eo_uipm?nts
2.00
1.16
0.04
7. Insurance scheme
1.50
0.69
0.61
TOTAL
241.51
109.35
151.63
1.' Tndia Population
Project- I
69 5. 16
475.50
222.74
2. Tndia Population
project -TTT
41.01
25.46
15.55
759.17
500.76
258.29
11T. St?t^ no n ’’’Ian
'"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 (NLEP) -was conceived of as a control programme
and launched in 1954-55.
Its main thrust was early detec
tion, susta-inpd and regular treatment of all patients
with 'Dapsone*.
This had some limitations like treatment.
/
was long leading to irregular treatment and this was
leading to development of drug resistance.
To overcome these 1imitations, 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 al 1 infections case, non-infections in a
short period by early detection end treatment.
/
2. Preventing deformities by early detection and prompt
treatment.
25
J. To disseminate correct information about the disease
and removing mis-concepticn 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 2300 A.D.
I0O2--3
26
1100 IF IIP T "PROSY ELS'S<.-\TION CAIZPAIC-K 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»?15 and confirmed 9,831 leprosy
cases and treated during the above reriod.
K A E N A T A-K A
Karnataka is considered as a low endemic state upto
end of 51 .5.98.
There are 1 8,6~67 cases.
So far, 5.48,355
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, I-ZLCU’s - 1A, ULC’s -^9, SET Centres
- 677, THU’s -22, LT"1 s - 2, LRPU's - 2 in addition 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 grant-in- aid is provided by the Govt.
of India, at the rate of Fs.185/- per bed for adults and P2.9O/-
per bed for children
27
2.
Budget Allocation and. Ez^penditure for the Year
'995-97, 1997-93 and 199S-99 (Upto end' of Dec. 93
100=5 CSS (Plan)
Year
State (Plan)
(in lakhs) (in lakhs
1995-97
100.00
65.44
55.00
24.35
1997-93
96.00
111-39
70.00
27.31
-) 095-99
(Upto
12/98)
103.00
76.33
90.00
23.75
Ant ic ioated E vn
ci
1
for R
a S ’n ~i n n- 5 Monti
1 0(7,5 CSS (Plan)
State (Pl an)
55 Lakhs
10 Lakhs
1.1.99
to
31-3-99
I
•rl
6i o>
P. 5.
•0
ftp
0C
0) -rl
P •-Itn
>
to >
rn p
IJ E
Budget
Ezzpendz.Provision ture
(in lakhs) (in lakhs)
PHYSICAL TARGET A?!D ACHIEVE! ZEkT S
new Cases Lececred.
Cases Cured
Y222?
Target
A chieven ent %
Target
Achievement %
20,335
1 097-93
6,000
17,761
19,520
21 ,202
(0
1 ,502
947
2,004
1 ,31 5
0
i
23,000
cn
19,539
O'*
8,000
G>
V"
1995-97
73%
66%
(Upto
1 2/93)
Anticipated Achievemeirt x or the Remain!na 5 Months
New Cases to he Detected
.
1,600
Cases to oe C
2,000
OBJECTIVES OF IKE P.K>GR£-2<E:
1}
To provide facilities for diagnosis of
IB patients through integrated general
health services.
2)
Detection of new 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, immunisation 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
RUCTURE UNDER ]V.4TIOK.41 TB CONTROL PR0GRN3S:
1)
One State TB Centre at Bangalore
2)
20 District TB Centres (one in each District)
3)
5 Additional District T3 Centres at Sirs!
(Karwar Di st) , Sira (Tumkur) Di st) , Hospet
(Bellar-y Dist) , znd Yadglr (Gulbarga Dist)
and Chikkaballapura (Kolar Dist).
4)
9 Government TB &. Chest Disea ses Hospitals
5)
2836 TB beds in Government Hospitals
6)
172 S-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.
■ NJTIONZL TUBERCULOSIS COT'TROL P°OGR.»!MB
National Tuberculosis Control Progracne is a
Centra-! 1 y sponsored scheme ^-h-l rh is integrated with General
Health Services at the peripheral level.
Diis 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
The State Tuberculosis -Centre has got the
in the State.
following 7 wings:
.—
1)
Epidemiology and Survellance
2)
Bacteriology
3)
Research Wing
4)
.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.
JU the Districts in Karnataka State are provided
with District Tuberculosis Centres for implementing National
Tuberculosis Control Programme.
Revised National Tuberculosis Control Programme
under Phase III with World Bank assistance has been implemented
in Bangalore Urban
District since November’98.
The remaining .
four Districts will be implemented from next year for which
prepaaatory activities are going on.
35-
FINANCIAL ACTIVITIES:
Budget ALLOCATION ABD EXPENDITURE INCURRED during
1998-99
Central
budget
Information
is yet to be
received
(Rs,in 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
equipments.
(o<22-- io
~2
TR.-INING REGARDING E/uIQN.AL TuBERQuLOgl? CONTROL PROGRAC:E
IS BEING PROVIDED FOR MEDIC.*! AND PARS- MEDICAL ?ERSO?EgCL
AT STATE IB CENTRE DURING 1998-99 (Up TO IRE END OF DEC1 OS) .
. A)
1. 7th semi qte-" Medical students
-
122
2. 8tti spri star Medical students
-
90
3. House Surgeons
-
67
4. Doctors from KTI (trainers
training) He al th 1 FW Training
-
21
5.' ■Doctors
-
25
6. B. Sc. , Nursing S tudents
-
60
7.
-
30
-
12
1) Doctors
-
65
2^ Laboratory Tec hnicians
-
23
3) S. T. S.
-
3
4) S. T. L. S.
-
3
Nursing Students
8. Senior Health A ssistants
B)
TR AIMING UNDER R. N. T. C. P:
5 )Treatment Organisor
1
-
PHYSICAL ACTIVITIES;
Target a --nd Achiev—ament during the v@ar 1998-99
Sputum Examination
New TB Cases Detected
Target
Percentage
Target
Achi ev fi
ne nt
unto
31’. 12. 98
Per
cen
tage
55557
79 %
78217 2
23617 5
30 %
18519
2 6 %
-
787 25
11 %
Achievemen t
upto 31;12.98
70284
(1.1.99 to
31.3.99 anti
cipated achie
vement)
35
d. Recurring expenditure of State Ophthalmic . :.|i
c. Supporting •u.i! muni, to ring of Dir.l.rict blimliiess
control sccitiea .
•
districts Dist.Dlindhesa Control Socities have '.-••>;.n
''-ob.ed. The Deputy Commissioner will be the Chairman. The
i.'rM ■
.• be- appointed by DAHIDA who will be the Member
Secretary. The fallowing are the functions of DECS.
a) Periodical I y assess the magnitude of the pn.lij>-iu.-. of
blindness in tne District & to onitor and to report
b) 10 activate voluntary organisation in arranging camps.
provide tree spectacles to the poor patients who Lave
under gone cataract surgery.
ci Grants to voluntary organisation for free eyecamps
DANiDA is giving financial assistance directly to l.h^se
through Government of India.
r.:.~r.
TV PHYSICAL TARGET A ACHIEVEMENTS UNDER NTCB
YEAR
i cag _g7
1S97-98
j 99 9 -99
TARGET-
ACHIEVEMENT
i
1,50,030
1,68.000
1,84.800
■
PERCENtIT/lGE
1.36.683
1,60.3231.2 0.2 4.r>
9.1.10
95.40
G-’r 93
Upt-'Dec. u8
V.ALLOCATION OF FUNDS A EXPENDITURE OF STATE PLAN SCHEME
(B.S.iTi l.ai-.h.-.l
YEAR
1SS6-S7
1997-93
1995-99
EXPENDITURE
ALLOCATION
32.56
8 5'. 9 3
48.09
35.00
G9.63
14 7.O0
REMARKS
Uptp Dec.9 8
VI ALLOCATION OFFUNDS A EXPENDITURE TOWARDS CEN'TRL SHARE
YEAR
1996-97
1997-93
jq93-qq
STATE
ALLOCATION
00
110.30
42.57
ALLOCATION
OF GOVT.
OF INDIA
74.4 4
27.00
61.20
actual’
EXPENDITURE REM
RELEASED
97.19
20.66
30.60
97.13
11.96
11.68 UpLo D--'- !>•'
54
ELINDNESS IN ILARNATAKA STATE
-iatior.nl Propgraimne for ’Control of P-Lindnesc.forinukit-'d
tn 1975 as a- Centrally Sponsored Scheme. *
■ 7. ■
;
.
.
The Programme aims at reduction in the incidenv.oof the
li'.ess from 1.4% to 0.3% by 2000 A.D. The main cause of
e idleness is cataract '..'bach covers 32%. The population of
“.arnamka is 4.3crores. The incidence rate in Karnataka is
1.29%. The estimated incidence is above 4.51ak!i3. To tackle
tnis aspect following infra structure was developed.
Oner, halt 0p1 hnlmic cell has been ere a ted top] a n.moni t<r
to evaluate the programme.
Minto Ophthalmic Hospital. Bangalore has
been upgraded
asRegjon.il Institute of Ophthalmology to provide- advatico <-y>:
3. live medical colleges have been upgraded to provide l:i>,.!i;-r
- clinic:-.! ophthalmic service. They are
• •
■; ‘
4.
■
a. uJM Medical college, Davanagere '
b. v.N.Med.college,1 Eelgau.m
c. KMC Hubli
1
d. Medical college, Mysore ce. Medical college, Eellary
All district hospitals of Karnataka have'been develop-d
provice surgical/clir.ical ophthalmic services and in .-idrl; l.’n >n
Gen.Hospitals have been upgraded at Hospet, Udupi, KG’:1',
Gadog and Holenarasipura
.5. 2 9 Mist. Mo bile Ophthalmic units are established al Da vu ing.
: Ctdc-cnagaiur,3i japur .P.aichur. Karwar, Tumkur, Hassan. Bidnr,
■ Glumoga. Dharwad, Mandya, Mangalore, Kolar, Mysore, B-?ll.ai-y.
Guibargn. Kodagn, P.elgaum C'nitradurga, K.C.General H-al
•‘•:Gen.Hospital,Ja.vanagaratBangalore,gall:ote,Ch.amaraj;- ,.n.--.ga:-.K-:'Pp
al and GchalcTiptur.Yadrir.Gadag, and Hospet.
G. ‘ilu PiiC’s were developed with a creation of '.'lie c>|'hl li.ilmi'-
,
7. Tiiree eye banks ,are functioning at Minto Hospital. }fat»I
K.H.nospitnl.Mysore and District hospital Helr.-.ium tn pr -vhi>..’grafting services.
8.
D.-.-.n-da is suppr-rting HrCB Programme by providin/T Tc-1
4J i
*
•
a. equipment -f.-vehiciesto mcbilie ophthalmic units.
b.
:ipme::t.s to Primary :ealt:i Centres
u. C< nt inuec educat.’.m r :-.vining Programme for ■
i--.--.u.u'c-l officer- of P:..'.’s and PH'JA s
37
During the year 199 Qthere is o decrease of 33 d- x malaria Incidence when
compared to 1997. Special measures hove been implemented in high risk areas for
Immediate detection and treatment of malaria cases by establishing field laborctciies
and implementation of revised drug policy os per NMEP guide tines and Insecticidal spray
with synthetic pyrethroids wcs takenup in the Districts of Hasson. Chickmcgolur. Tumkur.
Chltrcdurga. Mandya. Bijapur and Raichur.
FINANCIAL ACHIEVEMENTS:
PLAN
NON-PLAN
Budget alloted
Budget
■ --allpfed
Expenditure
Year
State
' 1997~
”950'
1998
950
Centre
State
ExpendlJure
i-.-O’
Centre
950.00 805 . 89 561.07
700.54 585.67 156. 39
URBAN MALARIA SCHEME
Urban Malaria Scheme is implemented in 8 Cities/tcwns namely. Bangalore. Tuml.ur.
Chikmagclur. Hasson. Bellary. Hospet. Belgaum and Raic.hur by the concerned locci
bodies. Main activities under the programme are weekly anti-larval measures to check
the breeding of mosquitoes clang 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
Treatment %
1997
1998
105671
12548
382
94.0
121544
7521
59 8
93.0
FINANCIAL ACHIEVEMENTS
PLAN
Bud get Alloted
Slate
Centre
Expenditure
Slate
Centre
1997-98
100
100
-2O.I3
1998-99
55
55
—
—
-------
—
(007-' II
56
NATIONAL MALARIA ERADICATION PROGRAMME
Malaria Control Programme Is implemented In the Stere as per the technical
guidelines of Government of India.
(y
The main objective of the programme is to prevent deaths due to Malaria end io
o
ringdown the Incidence of Malaria to such an extent that It is no longer a Public Health
roblem.
Activities implemented under the Programme are as follows:
:.
SURVEILLANCE : Regular fortnightly surveillance (active surveillance) is done by tt-e
Health Assistants visiting house to house to screen the fever cases and administer
presumptive treatment after collecting bleed smears. Passive surveillance :s done ar
the PHCs. PHUs. Hospitals. Dispensaries etc., where fever cases visiting the Medical
Institutions ere screened for Malaria and treated with ent; materials.
2.
LABORATORY SERVICES: Lcacrotcry services nave been provided at PHC level. Disrupt
level and state level for examination of blood smears.
3.
RADICAL TREATMENT: Malaria coses delected are radically treated with anti melon, .is
F.T.Ds. and D.D.C's have been estcolished.
•4
INSECTICIDAL SPRAY : Regular rounds of Insecticidal spray operations with DI T.
Malathion and synthetic pyrethroids is tokenup 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 prevalen. e
of vector species bionomics and resistance status to the Insecticides.
6.
Bio-environmental methocs of malaria control Is also being implemented in stale l.-y
introduction of lervivorus fishes for control of mosquito breeding and malaria.
PHYSICAL ACHIEVEMENTS :
Incidence cf Maleno are as follows:
Year
I997
1998
B/s
MFP
Pf
examined
CQS3S
cases
750 4866 161775
755006 8 107910
59 877
23469
RT it,
ABER
SPR
SER
17.09
-
2.59
0.54 4.06 97
0.52
- 97
1.49
API
DIARRHOEAL DISEASES AND COMMUNICABLE DISEASE CONTROL PROGRAMME
INTRODUCTION
The Diarrhoeal Diseases and Communicable Diseases
control Programme 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, Karwar, 5elgaum and Bijapur, From 1987 to 1990 Bellary
Belgaum, Bidar, Dharwad and Karwar Districts ere declared as
free from Guinea worm disease. At present Gulbarga, Raichur
and Bijapur districts are endemic districts.
OBJECT IVES:
1.
Prompt implementation of the programme to eradicate 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
38
NATIONAL FILARIA CONTROL PROGRAMME
Filaria Control activities ore continued in the Districts of Gulbcrga. Bidcr. Bijopur,
Raichur. Dckshina Kannada and Uttcro Kanoda.
Under Notional Filaria control programme there ore S Filaria Control Units and 25
Filaria Clinics hae been established In the endemic towns.
Main activities under the programme are Antl-mosqulto measures caried out.trough
filaria control units, filoria clinics undertake parasitological surveys to deteci end .teat
microfilaria and disease manifestation cases with DEC tablets. One nlaria Survey unit is
functioning in Raichur to conduct Filaria Survey In the District. .
-- — .
PHYSICAL ACHIEVEMENTS ;
No. of
persons
treated
No.of
persons
examined
No. of +ve
person for
microfilaria
No.of persons
with disease
manifestation
1997-98
1211 45
93CL
49 60
pa dil
1998-99
97516
1253
4420
5872
Year
FINANCE PROGRESS:
'he expenditurte on materials and equipments is shared on 50:50 basis between
and Centre, entire operational cost is met by the State.
(Rs. in Lakhs)
Year
Expenditure
Allocation
Centre
State
1997-98
16.00
16.00
1998-99
6.22
6.00
Centre
Slate
6.72
-
“
.
43
HEALTH EDUCATION AND TRAINING
The Health Education and ^raining section of the
Directorate is mainly repo:S ible 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
Equipnents.
I. Pre-Service Basic Training Courses;
1) Multipurpose workers training (Male)
II.
2) X-Ray Technicians Training.
In-Service Basic Training courses;
1) Para Medical Workers Training Course
2) Health Inspectors Training Course.
Ill.
Tn service Continued Education Training;
In Service Training Course under continued education,
under I?P 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 ph-ean.
40
GASTROENTRITIS AND CHOLERA
Karnataka is endemic for Cholera/Gastroentrrtxs 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 locates an endemic
districts of Karnataka i.e.,, Gulbarga, Bellary, Bajaour,
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
zidence 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 31.12.1993.
CHOLERA
ATTACKS
DEATHS
GASTROENTERITIS
ATTACKS
DEATHS
501
25831
434
2
VIRAL HEPATITIS
The disease is caused by consumption of
contaminated water and food.
CZ^.l-rdr.-
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, ^elgaum shimoga and Dharwad.
ATTACKS
DEATHS’
8242
4
. .. 45 III. Number of Medical and Para Medical Personnel deputed and
trained within the state and outside the state and abroa d
•on various training programmes.
Within the State
Year
Medical Paramedical
Abroad-
Outside the State
Para
Medical Paramedical Medi
Medical
cal
50
12
7
5
4
-
1999-99
200
upto 11/98
80g
2
8
-
—
1997-98
SCHOOL HEALTH PROGRAMME
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
.arines 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 fotmd
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
1353-.
I OO
(J
' : 42
t
HAHDIGODU SYNDROME
This is a peculiar disease of genetic origin found
in few villages of Shi nog a and Chikmagalur Districts and
found mostly in Harijan Families.
c
This disease will easfs
:se the disability mainly because of its affliction of
joints and bones.
The rehabilitation and symptamatic treatment are given
these patients.
PHYSICAL PROGRESS
The incidence of Handigodu Syndrome are as follows:
DISTRICT
Shimoga
Chikmagalur
TOTAL
NO. OF VILLAGES
49
30
79
NO. OF CASES
438
338
776
-44 '
ACHIEVE'-iENE DURING THE YEAR 1997-93 AND 1993-99
The V.'orld Health Day on 7th April was observed throughout
the State on theTheme selected relating to the year 1997-93
and 1993-99 issuing necessary guidelines to all the districts.
A major Health and Family Welfare Staff was arranged on the
occassion of Mysore Pasara 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-bets 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
I?P ~<(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
Block Health Educators
Senior Health Asst., (Male & Female)
Junior Health Asst,(Male & Female)
Senior & Junior health
Assistants (Male and Female)
trained by Mobile Team, Bangalore.
1997-93
1993-99 UDtD
end of 1 1/93
155
144
574
341
145
206
125
388
2956
175
1997-93
1998-99 unto
end of 1 l'/93
II BASIC TRAINING
Si
No
Name of the Training Centre
1 . Para Medical Workers
2 Training of MPtt (Male)
3 X-Ray Technicians
•
127
—
—
•
102
—
30
II
46 .
Four Mobile Opthaimic and Dental specialists Units
z
attached to Divisional Joint Directors of Health and Family
Welfare Services are functioning under this programme in the
state.
Si
NO
1997-98
1998-99 upto
end of 11/98
46525
17334
2.
2.
No. of students examined
I, TV & VII std.
No. found defective
9990
3.
No. of students treated
5225
3819
1416
Particulars
n>F NT AL
1.
OPTHALMIC
—
1.
No. of students examined
48334
19368
2.
Ko. found defective
1988
Zf.24
3.
No. of students treated
1660
493
Budget allocation and expenditure for the year 1997-98 and
(in Lakhs)
1928-99 under State Sector scheme.
LAY
1997-98 1998-99
EXPENDITURE
1997-98 1998 —99iupto
end of IT'/98
.1
No •
Name of the scheme
1
2
3
4
5
1
Bureau of Health Edn.,
9.42
-
8.99
-
2
School Health Services
55.00
10.50
55.00
-
' 0.60
OUT
6
0.60
3
X-Ray Techn. Training
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.
-
-
-
-
■HI
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 ,?orld 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.
49 •
THE PROGRESS DURING THE YEAR 109 &-QQ (IRCI4 AP3II—08 TO DECEMEER-Q3)
'''•
18 AS FOLLOWS,
'' .
Achieveme at%
Target
1. Measles linked vit 'A'
programme
■ 2. Prophylaxis programme for
1-5* years children
1017000
•
24570CO
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 ard Department of
Women ard Child Development. A package of services like Immunisation,
Supplementary Nutrition, Health Check-up, Referral services, non-Formal
pre—school Education, Nutrition and Health Education are provided.
The beneficiaries of this programme are 0-6 years children and pregnant
and lactating mothers.
At present 184 projects are Sanctioned atd
all projects are monitored.
THE PROGRESS FCR Q8-no IS aS FOLLOWS, (UPTO DECEMBEP.-Q8)
a) SECTORAL LEVEL TRAINING CONDUCTED Bi MCS,
Qj ARTER' *
TARGET
ACHIEVEMENT
PERCE NT AGE
5562 '
1
69
' 5841
5562
II
30 42
54
III
5562
2781
50
in
in
in
b) ANGaNWADI CENTRES VISITED BY II OS F OR HEALTH CHECK-UP:
CU ARTER
TARGET
ACHIEVEME NT
PERCENTAGE
I
59855 ’
22127
II
. 59 855
60 .-2
24001
III
59 855
61.1
24111
c) IHMU?uSATION PROGRAMME;
VACCINE
BCG ' •’
target
measles
1009 562
100 9 562
1009 562
1009 562
TT (M)
1109270
DPT
POLIO
III.
ACHIEVEMENT
' 499515
516 560
515526
445952
5570 87
’
PERCENTAGE
49.4
51.1
51
44.1
-
48.4
NATIONAL IODINE DEFICIENCY DISORDERS CCtTTROL PROGRAMME;
National Iodine Deficiency Disorders Control programme was
initiated in the State Health Directorate during 1988-89 aS 100%
centrally sponsored scheme to control the Goitre aid other Iodine
Deficiency Disorders in the state.
Da
c
51
/
.
IV.
NUTRITION EDUCATION ACTIVITIES INCLUDING TRAINING;
Five Nitrition Education k demonstration units are functioning
in 5 districts of Bangalore Division viz., Barg al ore (Rural), Kolar,
Chitradurga, Shimoga and Tumkur.
Cooking demonstrations, Fils shows,
exhibitions atri Group meetings on Nutrition are organised in rural
areas.
A joint training programme on MCHN activities was organised
for LHVs and Hukhya Sevikas of Bellary District from 24-6—98 io
26.6.98 at Bellary. 41 menbers attended the training programme.
Similar training programmes were organised for LHVs and Mukhyi
'IkaS of Bijapur district from 17-11-aa to 10-11-98 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 programme.
V. CONTINUOUS MOKITORIJC OF DIET AND NUTRITION SURVEYS ;BY NNM3 UNIT;
NM4B unit, a branch of ICI-1R attached to Bureau of Nutrition is
conducting Diet and Nutrition surveys on the protocol of Naticnal
Institute of Nutrition, Hyderabad. During this year the unit haS
conducted tribal surveys in Chickmagalur and Dakshina Fanned a
district.
<2i OV
48
NUTRITION PROGRAMMES
I99 8-Q9,
The major goal to be achieved under Nutrition is reduction
of severe and moderate malnutrition by half by 20C0 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.
ill) Universal consumption of Iodised Salt.
iv) Reduction of Iron deficiency Anaemia.
THE MID DEC.IDE 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 supplementary feeding
by 90% of mothers.
7.
All hospitals and maternity centres to be 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 Defi ciency Dis orderz,Control programme.
4.
Wutri ti on Edu cati on Activities including Training.
5.
Continuous Monitoring of Diet and Nutrition surveys by
NUMB 11 rri t,
I. PROPHYLAXIS PROGRAMME aC-aIRST VITAMIN 'A' DEFICIENCY;
In order to prevent severe form of vitamin 'A' Deficiency
a Mega dose of vitamin 'A1 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 lakh I.U. is administered to
the children of 1-3 years orally at six monthly intervals. The
vitamin 'a' is supplied by Government of India free of cost.
53
Physical Progress of the Hospital Pharmacy Units for the year
1998-99 (UPTO November '98).
NO. OF BOTTLES MANUFACTURED
NAME OF THE HOSPITAL
1 victoria Hospital, Bangalore
148846
2
Bowring & uady Curzon Hospital,
Bangalore.
63433
3
KR Hospital, Mysore
86070
4
Wenlock Hospital, Mangalore
44531
5
CG Hospital, Davangere
6
KMC Hospital, Hubli
81318
2443 (No production since
April '98 due to PUD
works)
7
District Hospital, Belgaum
76305
8
District Hospital, Gulbarga
26492
9
Medical College Hospital, Bellary
68641
10
McGann Hospital, Shimoga
63049
11
District Hospital, Mandya
6450 (No production.since
June198 due to PUD
wo rks)
' District Hospital, Chitradurga
District Hospital, Bidar
14 District Hospital, Bijapur
36694
35221
No production due to want
of qualified staff.
ANNUAL PHYSICAL PROGRESS
• YEAR
NO. OF BOTTLES
1997—98
1293090
1998»-99
744413 (Provisional upto NOV *98)
FINANCIAL PROGRESS( RS. IN lakhs)
YEAR
‘.997.98
.998.99
PLAN
ALLOTMENT
3.28
14.32
EXPd.,
3.28
■J—
NON PLAN
Allotment
EXPND.
57.8
63.60
—
..
Since April—°8 546 cases of Goitre has been reported from 27
districts of the state (upto the end of December-98).
QUALITY 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, Bangalore.
samples analysed unier pfa;
Total
Satisfactory
30
29
Not Satisfactory .
1
samples analysed UNDER NON-PFA:
•
No. of samnles
A-.
sed
941
Satisfactory
59 2
_
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 SaMPIES TESTED WITH THE HELP OF FIELD TESTIfE KITS BY THS
HEALTH FUNCTIONARIES;
Total samples
tes ted
3,76,678
Above 15 FEM
Below 15 PPM
1,64, 849
1,34,515
(43. 8%)
(35.7%)
■
0 PPM
77,314
(20.5%)
HEALTH EDUCATION ACTIVITIES;
During May-98 taluk level Buyers and Sellers meet in three
taluks i.e., Koppa, Sringeri aid Mudigere & Chickaagalur district
were organised to sort out the problems of salt dealer5. Similarly
District level buyers ard sellers meet at Mudigere was also held
during August-9 8.
During Global IDD celebrations of different health education
activities like arrarKiig talk on IDD to the school children, group
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.
55
STATE
HEALTH
TRANSPORT ORGANISATION
The main object of this organisation is to
provide dependable Transport system far the successful
implementation e-f the various Health and Fg.~n ly Welfare
programme by providing prompt services maintains and
repairs of the vehicles of this Directorate as well p.s
Directorate of medical 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 done at Central Workshop.
Apart from this Central Workshop there are
25 Districts having mobile workshops in the State ( except
Bangalore Urban and Hural).
The 25 E. id.Units undertake major and m? nor
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 cf Zilla Panchayat and 218 vehicles are
under control of Directorate of Health and Family Welfare
services-'out of 1542 vehicles 1087 vehicles are on Read
and remaining 455 vehicles are off Road, which are under
various stages of repairs, for the year 1998-99, twelve
vehicles have been proposed for condemnation and at
Central workshop 106 vehicles have been repaired.
51
HEALTH EQUIPMENT REPAIRS AMD MAINTEMAMCE 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
p
ACHIEVEMENTS DURING
Si
No
Head of Account
and Budget
"2210.01.110.2.19"
Equipment to Dist.
& Major Hospitals.
Rs.10.13 lakhs.
1
i
?
"TO
Name of
Hospital
Amount
released
Rs.2.00
"
3. District Hospital,
Madikeri.
___
.
i r 1t-L
1. KC Gann Hospital,
Shimoga.
Rs.2.00
"
o
2. KC Gnl.Hospital
B angalore.
C)
Rs. 1.00 lak:
i
1. Mcgann Hospital,
Shimoga.
£
“2210.01.800.0.02"
Repairs to Hospital
Ecruioments.
>«V
2
83
. 1 ^1
Rs.l.00
2. Dist Hospital,
Chitradurga.
Rs.2.00
3. Dist.Hospital,udupi
Rs.0.25
4. Genl.Hospl, KGF
Rs.9.50
' r
-
5. Women £ Children Hospl,
‘ KGF.
' .
6. General Hospital,
Channapatna.
Rs.0.50
Rs.0.75
7. SNR Hospital, Kolar.
Rs.0.50
8.KC Gann Hospital.Shimoga
cj
-do. Shimoga
Rs.0.17,15 0
Rs.0.34,100
. Total
.
Rs.5,01.250
57
■r-
PUBLIC HEALTH INSTITUTE
■ -
Public Health Institute is the state level
Health Laboratory in the department of Health and
ranily Tielfare Services.
This institute is headed
by the Joint Director (Laboratories).
ACTI v3?IZS:
1.Diagnostic B= cLeriological Sec-ion
Bacteriological examination of rood Samples
and isolation of vibro cholera in steol samples are
undertaken in this section.
2.’..’ater Bacteriological section
Bacteriological exam!nation of water f>_.r
drinking purposes are being undertaken to confirm
whether the water is fit for human consumption.
5. Chen ic.-.l Irani ner'o section
Analysis of lokayc.katha oases under Preven
tion of Corruption Act, analysis of Spiritus Hedioinal
preparations and Excise samples under Excise Act are
being undertaken.
Also examination of blood cz urine
samples for alcohol content.
4.Hood Analysis section
Analysis of food samples received under
prevention of Bood Adulteration Act 1P5^ and. samples
received from other sources are being undertaken.
5. ,7ater Analysis section
In this section, water for potable purpose,
and for industrial purposes are being analysed.
samples received under '."a ter (Pollution Control Act)
Air (Bolluticn Control Ac~) are being analysed.
..part from this chemical substances like Alum and
Bleaching powder ’.’.•kick are used in rater treatment.
are also being analysed.
6. Di vi sio na 1 rood Laboratory
rood and Liquor samples of Bangalore Division
are being analysed at this laboratory.
56
LABORATORY SERVICES
VACCIN£ INSTIT UTE, BELGA UM
’rhe Vaccine institute, Belgaum, is manufacturing Anti-
-Rabies Vaccine (BPL- 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 i-iedical 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, ANMs
;nd Staff Nurses of District Hospitals and Demonstrations
have also been arranged in connection with the preparation o
Anti Rabies Vaccine and Testing and Mode of Administration
of Anti Rabies vaccine.
This institute also under! akes, quality control test of
KFD vaccine manufactured at KFD Vaccine Unit of Virus
Diagnostic Laboratory, Shimoga.
During the year 1992.-?g
(upto end of December 1993/16,17,100 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 1998-39
YEAR
1998-99
PLAN
BUDGET
NON PLAN
75,000
93,14.000
,
EXPENDITURE
PLAN
NON PLAN
67,389
60,90,440
-- 53
2
& 1
-■i
?0-l Ti 0» :
Ke~enue/l noose during the year (Unto 12/96)
cocp-.risioQ v.’ith corresponding figures of loot .~=w
two years:
year
Revenue
___________ £C“SL~1S_ _
i9=)6-O7
ic._7-na
199&-99
(Upto 12/ys)
3s. 1,3:, 567
1,52,566
91,620
viuukl 2U3G2~ AID E.3UUUI UJ3Z 7f?. 199.6-$’?(Up'■o 1-.?/:'t’)
vi th oo_ re spending figures of last two years:
4
56
LABORATORY SERVICES
VACCINE INSTITUTE, BELGAUM
’rhe Vaccine institute, Belcaum, is manufacturing Anti,-Rabies Vaccine (BPL. 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 I-iedical Practirdoners, In addition to the uiP
Vaccines_supplied by Government of India are also stored and
supplied to 8 districts of Belgaum and Gulbarga Divisions.
ingtitute also import training to Medical students of
Jerent Medical Colleges, Health Inspectors trainees, AllMs
;nd Staff Nurses of District Hospitals and Demonstrations
have also been arranged in connection with the preparation o
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 IT'D Vaccine unit of Virus
Diagnostic Laboratory, Shimoga.
During the year 199G>-?9
(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 54.7 of Annual Target.
BUDGET AND EXPENDITURE FOR THE YEAR 1998-99
YEAp
1998-99
PLAN
BUDGET
NON PLAN
75,000
93,14,000
,
EXPENDITURE
PLAN
NON PLAN
67,389
60,90,440
53
2
5
4
1549
621
( 50
847
552
& 1
O
tl
h
>
»n
.. 4->
rl
O
h
•i J (11
CJ
»
l< P i
G
c.
n
e (U
A ’ nEl
-J | :
P i tj
4)
ID
m
I-*
W
0
cb
1
(U
P)
ct-
■i
<0
5
<<•
C
.J
»rj
(n
0
n.
0
H
•d
(D
—
*
i
di
:r
<1-
<D
i b
Cl>
('
L<
4->
O
r-1
X)
h
A
C.
r»
Pi
nJ
Id
0)
h
0 0'
h
(J
h
C
Xi
O
4
<n 4>
>
(.J
,H
0
1
(»)
r
•
pesticide
1
</}
•rl
'!
'7 a >
p,
n
t>)
7)
•<l r j
h 0
n>
ci
:'= (J
5)
u'
rood Adulteration Act
x.-obomtory:
584
27
659
68
02
151'
003
??4
456
0
z-
-•1 UArlQiAL PO-1 ?I OU:
pe-enue/lnoone during the year (Upto 12/95)
coap.'.rision v.'itb corresponding figures of last t~~r
two years:
year
iqc)6_Q7
Revenue
rcoeints_
3s. 1,pl, 557
19^7-^b
1,52,556
91,620
199&-99
(Upto 12/96)
A’~J..-.L ZUZGZf AUD Z.-UZUZi jPRZ ~C?. 19O3--’9(Upio 1.2/98)
•.-.it'd oo-responding figures of last two years:
1
1
1
I
1
1
1
1
1
1
1
1
1
p
c>
n
1. 1
fl
II
'0
.
:u
VI
Oi
P22? oe n
1
1
1
1
1
i9Q6-97
1997-jg
1990-99
(Upto 12/9b)
- ’.-Q O Q "7 t —
ture
?.s.
96,17,000
95,59,700
92,40,500
1
69,24,957
o2,12,6>5
58,50,523
72?1
54.5
42.2
CZ”-?^1LY SPOUOCRZD S0HZUZ5( 100-/)
Budret
pre vi sio n
(?.c. in laizhs)
• <>
13
I
p n o>
<
•rl .11 c> t:.
■
'
<
1
>
7.50
0 n t'Cll| -H3( ;l
<j
0
•I*
%
«)
(.1 C
’
h h
O
.0 *(j
l-l □
<H 4 ■» O
° 0)? *'1
c; •
r-l O .-|[
•
n :i l-i
L
J
’0 M Pi
2.Providi nr Laboratory
Anilities to 100
Prin-_ry Health Centres
11.25
ssu e d.
3 tore 3
ase den t.lias been
seed to supply th
□eats.
s su e -d. Action is
be in.7 t.f:en ^0 tdaress
“ S3 O .’.Z.
n Dora to
—5S ide s =
oe s
'o
bora
thi a
8.Food Inspector’s
ro
tea tai G
s
iven rooa
o
rood Ad
.abora tory
o
J u :ii o
Ke
□
□oratory
a .nd 3e ni o.
d
,u
and tie
i
re-
a of food adult
h.;
ty
ibition an
>a
vi seal
o-
s
Uo. oi
o-
1905-07
1997-9 b
2
5
4
51 5'i
5509
1902
115
-
1350
2225
1 S'! z
60
192
70
86
154
95
91
1 05
23
71
49
b*0
199S-.00
(upto
-4-2_/O)
1
•«
(
u
■
O
1-'
Q
(D
o
r
o
r o
UJ
(c
O Cl-
rl- Cl
<
1-1
u
O Cl
U P
(1 HVP
1
a) Steel samples
o>
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O,
ej
01
l.l
'O
■
s
Illi
3
Fl
■l ■
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J
Cl
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al
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f, 75
•!->
.H
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.-1 O
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•.-4
OI f , ■rlr: |.| :•» Llw •M
(l<
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q
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n PFll
f | il O 71. Q)
II O ,!.|
< 1
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a) ,q
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.0
■
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III l.l
•1 •
:
o)Licuiors
cjSeesSlood i Urine
d)Lc;:ayu;-:tha cases
61
India Peculation Project-IX( K)
Programmes, Achievements undertaken, .duri ng the vear 1393-99
under India Peculation Pro iect-.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 -.-/elfare Training Center in 3angalore, 8 Cist.
Training Centers,
4 Junior Health Assistants (Female) Training
Centers and 1 Healt i & Family Welfare Training Center in
Mysore have been completed.
Apart from this reoairs of the
all 1225 buildings have also been completed.
In Training,sector under IPP-I'<(K), totally 3994 different
healtn staff including Medical Officer1s have been orovided
training during the year 1998-99.
Curing the year 1393-99, action has been taken to put
1000 metallic tin boards having the aims of the IPP-IX(K) in
K. S.R.T.C. buses.
Alsozto bring awareness among the rural
people about Health « Family Welfare, 12 Tele serials, 11 Tele
Films and 100 V.S.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 supoly
furnitures to the buildings which are already completed and
action has also been taken to orovide comouters to each Dist.
Hospital.
60
GOVERNMENT MEDICAL STORES-BANGALQRE
Government Medico! Stores. Bangalore. is Central Store catering to the Medical
end Health Institutions in the State.
Tne Main objective of the Government Meaiool 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 drags so procured to the needy Medical
and Health Institutions as per their Indents and budget provision.
2.
a)
To effect timely supply of the procured items tc all the concerned institutions.
• and "to mainrain accurate accounts Government Medical Stores has
computerised arrangements. The Drugs are also suoolied to the needy institutions
in the event of emergencies like flood, natural calamities, resulting in epicemics
era.. 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 Medical Stores will have a reserve stock of Drugs of about Rs.7.C0
crores for meeting the urgent needs.
The therapeutic committee cum experts deciae the number and items of Drugs to be
tendered, and to procure tne 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 rates and the
forms from whom to procure etc..
To arrange for proper accounting and maintenance of the store, the main store is
divided into sub-stores as under:
I)
'A' Stores (Injections)
Injections
ii)
'A' Stores (Tablets)
Tablets and Capsules
iir)
'3' Stores
Powders. Ointments. IV Fluids.
and disinfectents
iv)
'C & 'D' Stores
Instruments. Sondage Cloths.
Stature materials era..
65
III. FINANCIAL DEIAILS
cudget allotment and expenditure for the.year 1998-99
Head of' Account! Plan: "2211 Family Welfare - 108 Selected
Area Programme - 071 IPP-IX (Karnataka)
102 - Special grants.
Non-Plan: "2211 Family welfare - 108
Selected area Programme - Including
IPP-01-India Population Project Population Centre".
Budget
p noose
Ss-99
Item
Rs.
Expenditure
incurred upto
«
Rs.
Plan
Usefulness of the training
acted 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
medical 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/-
Ncn-Plan
Total
62
POPULATION CENTRE, BANGALORE.
I. IKTkCDUCTICN
The main objective of the Population Centre is
to assist the Government of Karnataxa, especially the
Directorace of Health and Family Welfare services,
in implementing various Health and Family welfare
Programme nore e frect’ively ana efficiently by under-
taxin3 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.J. Hiattacharjee
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
A
Number of filled-in costs
Male
Female
SC
ST
15
4
2
1
-
B
3
-
-
-
C
44
16
9
5
-
D
7
2
1
-
1
Total
69
22
12
6
1
65
- -
• Externally Aided projects
.
. . -
Kornatitka 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. 199S is as under
I.
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 158 works. 119 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 1hospitals 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. 2.58.78.179 - during the current year. Tenders have been invited on IO
S-1998 and 28-10-1998 in respect of equipment and machineries required for the hospitals
included in III and IX' phases of the project and the same will be provided. Action has also been
taken to provide necessary medical equipment to the Laboratories.
3.
i'ehicies
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.6-
10-1998 and after evaluation, the same has been approved by the World Bank. Orders have been
issued for the supplv of these Ambulances on 4-2-1999. The total cost of these Ambulances is
.3 3.58.547/-.
-
Medicines
During 1998-99. 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'^.
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. Raniaiah 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 Rajiv
Gandhi 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 1998. 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.
Linder 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 v:---- ; m
several hospitals, the non-clinicai activities have been hampered. Therefore, the non-clinical
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 Raich nr
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 ot March 1999. The
existing District^Hospital at Raichur will be improved with the assistance ot OPEC at cost ot
Rs. 2.86 Croces which will function as Women &. Child Hosoital.
-
67
D E PART i IE i .T_ OF
Il.'DIAU SYSTEMS OF 'iE~i~CITE & HO’IOEOPATHY
The Department of the Indian Systems of Medicine and Homo
eopathy is rendering Medical relief to th<
"’ubllc in Ayurveda,
Unar.i, Yosa, 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, Dlrec tor.
(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 yeir 1998498 and 1998-99 is as follows:(Rs.in lakhs).
1997-98.
'
1998-99.
’ ->.P SECTOR .
IeCTOR
SECT OP
Budg et. Revised.
Expr. Rua get. Rxpr.
Buaget.
Rua get.
Plan.
150.CO 101.85
99.05 311.49
89.69
200.00
247.41
NonPlan.
,ig6 ,5
1037.07 982.27
"
1044,23
982.27
1266.’12
1121.93
STATE SECTOR
C.S.S.
6.GO
TOTAL:1352.35
6.00
2. 17
-
-
- „_1138.29 1293.76 1072.16
1 1J 4. • U o
6.00
1472.12
1369.34
The Expenditure under Plan provided to Z. P.'s is available
only through H.M. R. rigures.
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. F. 1 s is spent.
68
ACHIEVEMENTS FOR THE YEAR 1995—39.
STATE SECTOR:-
(UP TO 31-12- 1998);-
!■
126 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 ISMS.H.
has been sanctioned to
Bangalore Division and essential posts have been created
to divisional Office of ISMS.H, Belagaum.
4.
A 10 Beded Govt. Unani Hospital has been sanctioned to
Bell ary.
5.
Govt, have accorded to Purchase One Vehicle (jeep) for
Divisional Office of ISMiH. , Belgaum.
6.
The Bed Strength of Unani Unit at Sri. Jayachamarajendra
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, Bljapur.
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 Medical 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 ISMRH. Dispensaries in the Rural areas.
69
HSL'ICZd. RLLIEFi-
■
Thero arc 92 Hospitals and 532 Dispensaries functioning
in the State es on 31-12-96.
The System wise breakup is given
hereunder.
bl rare of th a
Systems.
NO.of Di &—
pansari es.
Hospitals.
NO. Of
Beds*
No. of Hospl tals.
507
Ayurveda.
68
Unani.
Hoaioeopathy.
Naturecure.
11
06
1077
2C2
90
03
26
05
Yoga.
03
15
—
Slddha.
01
10
—
92
1420
582
TOTALi
45
25
AYU-IVi.DAl16 Ayurveclc Hospitals axe at District level of which the
following 3 Servos as Teaching hospitals.
Beds Strength, (Ayurveda).
1.
Sri. Jayachamaraj^ndra Institute ofIndlan Medicine, B'lore,
225
2.
Govt.Ayurvedic Medical college andHospital, 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.
61.NO.
Name of the
1
2
Bed
Strength.
3
Bed Strength.
1G Beds.
• 6 Beds.5 Beds.
4
5
TALUK LEVEL HOSPITALS,4-
pi ST. LEVKL HOSPITALS
1.
Bljapiir.
50
2.
Shimoga.
40
3.
4.
Hubll.
25
K arwar.
10
5.
Mandy a.
25
6.
7.
Hassan.
25
Madikeri.
10
8.
Tumkur.
15
9.
Bld ar.
10.
Ralchur.
15
15
24
13
-
RURAL AREAS HOSPITALS!-
01
c
12 ■ .
1
70
2
1
Kopp al a*
Chanarajanagara
13.
Gad aga.
10
10
14.
Bagalkot.
10
There are 507
S tate.
5
06
12.
11.
4
3
Ayurvedic dispensaries functioning in the
UNANI:—
There are n unani hospitals and 45 dispensaries in the
The Unani wing of 100 Beds attached to Sri. Jay achamaIndian Medicine, B'lore is serving as a
Teaching Hospital for Govt. Unani Medical college, B'lore.
20
State.
rajendra Institute of
Beds are provided in Govt. Ayurvedic Medical college & Hospital,
10 Beded Unani Wings are functioning at Eldar, Tumkur,
Mysore.
Shimoga, Bijapur, Rayachur and Ramanagara.
A 10 Beded Govt.Unani-
Hospltal has been sanctioned to Bellary during the year 1998-99.
2 Six Beded Unani hospitals arc functioning at Manvi and Thimmapur Ranganpet.
A Clinical Research Unit in Unani Systems of Medicine has
been functioning at Sri. Jayachamaraj endra Institute of Indlandiclne, 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. Purther 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
Instltute of Indian Medicine, B'lore, Govt. Ayurvedic Medic
college and Hospital, Mysore and Taranatha Ayurvedic Hospit
ft ft
provide treatment in Yoga Therapy at Sri. Jayaohamarajendra-
Further Yoga Camps are being conducted.
Bell ary.
SIDDHA:A siddha wing of 10 Beds has been provided in the
Sri. Jay achamarajendra Institute of Indian Medicine, B'lore.
RES EARCH iResearch on Madhumeha (Diabetics) has been under taken
by the Research Wing at Sri. Jay achamarajendra Institute ofIndian Medicine, Bangalore.
MEDICAL EDUCATIONi-
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,
Name of the college.
Intake^
1.
Govt,Ayurvedic Medical college, B'lore.
60
2,
' Govt.Ayurvedic Medical college, Mysore,
50
3.
Taranatha Govt. Ayurvedic MedicalCollege, Bellary.
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 Bellary Ayurvedic Medical colleges.
Si. No a
College.
1.
Govt. Ayurvedic Medical college.
Bangalore.
2.
3.
Sub i ect.
Intake.
Dr avy agun a.
Sh alakyat antra.
Shaly atanta.
07
Govt.Ayurvedic Medical college.
My sore.
Kay achikltsa.
10
Taranatha Ayufvedlc Medical
College, Belf-^ry. (1C0XC.S.S. )
Rasashastra &
Bhyshajy akalpana.
07
07
72
UH.ANI;- (E.u.EUS. COURSE);—
One Govt. Unanl 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 4O.InThe reamining 14 Homoeopathic Un-alded 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
college is 25.
It will function from 1999-2000 academic year.
Further Sri. Dharmastai a Manjunatheshwara College of Naturecure
and Yoga is functioning at Ujlre with an Intake capacity of 40
Students.
Further a private Naturecure and Yoga college is
functioning at E'lore (zindal - 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 so for for manufacture of
Ayurveda, Unanl and Homoeopathy Medicines as on 31-12-98 are
as follov/s.
Systems.
Ayurveda.'
Unanl.
Homo eop a thy e
Ho.of Manu
facturing
Licence Hol
ders.
No.of Sales
Licence Holders
Wholesale. Retail
-
23
01
-
14
-
-
10
—
so
108
241
'
Loan
Licence.
75GOVT. CENTRAL PHARMACY, BANGALORE: —
Ayurveda and Unani Medicines are being manufactured
at the Govt. Central Pharmacy, B'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 this 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 dally for demonstration of students
nd green herbs required dally for the hospitals are being
raised in these herb Gardens.
Further, Dhanwantri Vana has
been established in 30 acres of land at Nagarabhavi near
B'lore University campus for development of Herbarium and
about 500 Herbs are raised.
74
2J5P.UGS CONTROL DEPARTMENT
Ths Drugs Control Departmant in Karnataka is
functioning
?n independent Department since 1962
ur.dXsr
the
Health
s
Family
welfare
Department,
Government of Karnataka with the Drugs Controller as
the. Head of Department.
There, are. three wings in
the Department:ADMIMISTPATIOIFJ 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 !-tha
provisions of Drugs and Cosmetics Act, 19-40 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 (C-bjectioinable)
Advertisements Act, 1954 and Rules
thereunder.
4.The Pharmacy Act, 1948 and Educatioins
•Regulations thareirdar.
•5.The Poisons Act, 1919 and Karnataka Poisons
P.ules, 1966.
6.Narcotics and Psychotropic Substances Act,
1985 in relation to Drugs covered by the
Drugs and Cosmetics Act 4 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
unites (large
and
small
scale)
engaged
in
the
manufacture of both bulk drugs and formulations.
ThePe are 83 Blood Banks operating in the State and
approved
8 Testing Laboratories are functioning.
There
are
12,747 dealers,
namely,. Chemists
and
Druggists,
wholesale
dealers '
and
Restricted
licencees who sell House-hold Remedies.
76
EHFORCEMEnT OF THE DRUGS AHO COSMETICS ACT,
RULES THEREUNDER.
1940 AND
»T
W
Ths following are the detail? pertaining to the
prosecutions instituted under this Act and Rule
durina the year 1998-99 (April 1998 to Decembe
1998) ’
si.
No.
Particulars
as
per
____________
D & C Act
O.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),
137
3.Total (as on 31.12.1998) “
4.Prosecutions decided
(as on 31;12;1998)
2
(a) Cases ended in acquittal
1
/discharge as on 31.12.1998.
(b) Cases ended in conviction
1
(as on 31.12.1993)
5. Prosecutions pending
185
(as on 31.12.1998)
44
43
—
-
Ill
77
U. 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, Blood S Blood
products.
Analytical facililties are extended to
the samples drawn by the Drugs Inspectors of Delhi.
ACHIEVEMENTS
(FROM 1,4.1998 TO 31.12.1993)
Number of drugs samples analysed. 1090
Humber of samples found to be
standard Qualilty.
922
Number of sample found to be not
of standard qualilty.
91
cf ■S'^O'bU-.
o rcloM .
'iH
III. PHARMACY EDUCATION
Pharmacy Education consists of two wings viz:-
Governrnent College of Pharmacy at Bangalore
Board of Examining Authority at Bangalore
The Government College of Pharmacy was started
in the year 1964 under the Administrative Control of
this Department.
The Pharmacy Educatioin imparted,
iere 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 fiarmacy.
78
'
The fallowing disciplines are estabiilshed under the
Post-graduate Courses:Fharmacautical Technology,
Pharmacology,
Pharmacognosy,
Pharmaceutical Chemistry.
STATISTICS
(FROM 1.4.98 TO EUD OF 31.12.98)
Arceared
Passed
Number c-f B.Pharm
students passed
P.ajiv Gandhi Health University
1 Year
II Year
Bangalore University
III vear
Final year
Number of M.Pharm
students passed
—
Rajiv Gandhi Health University
Part. I
Fart II
48
23
2.3
IS
43
22
13
23
le
12
18
The Board of Examining Authority under the
Chairmanship of the Principal, Government College of
entrusted with
Pharmacy, Bangalore is ,functioning
enf orci ng
Education
the
responsibility
of
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.
79
ACHIEVEMENTS
(FROM 1.4.98 TO EHD OF 31.12.98)
ER-81
Number of students appeared
for a)Preliminary D.Pharm
1269
b)Number of students passed.
217
c)Number of students appeared
for Final D.Pharm
2171
d)Number of students passed in
Final D.Pharm
392
ER-91
1507
34 8
500
174
83
STATEMENT SHOWING THE ACHIEVEMENTS OF DRUGS CONTROL
DEPARTMENT DURING 1993-99.
i'l)
Large
scale
violations
of
investigation
by
nianuf acaturers of prices fixed by Government cd
India lias been
taken up
Fries Control Call for
3 ?. t Lip i H
<2)
11"J 9.
and
an
exclusive
Drugs
has
La= i
invosligation
3 n t HI 9 D t •
Cl 9
With a view to ensure quality of drugs supplied
to
the
Government
institutions
and
hospitals,
G.M.F Certificates as per W.H.O guidelines have
been issued
to
units
Administrative
sanction
who
are
follcuinq
WHG-
-given
for
G. M . P norms.
(?•;
construction
College
of
of
4th
Pharmacy
has
floor
to
Computer
section
Gov?_rnni9nt CoAA?d?
of the students.
has
at
augment
facility and the work has
(4)
been
been
the
Government
the . laboratory
started.
established
Ph-3£‘m3Cj' Jfor- tih?
at
tha
t.
81
FINANCE
T.V!£ I C11 CU'i ’J 1u h S '* •'■ call’ of Sudaa h Allot!ner:C
and Expenditore for the year 1908 -9 9
Budget Hr-ad
31.
no.
Fl idu o t.
ING l i C
Plan
4
Al It.I' -
X or
Expend! lin e
curing 99-99
Mon-plan Flan Hon-plan
j
£.
(upto Dec.06i
(Fs. in lak.’ii;i
4
c
(unto Dec.9?)
99 . G 4
5 5 . 1 ?<
3. 2210-06-104-0-14
Gcvt.Coll?Q9 O-f
Pharmacy
15.00
109.95
35,29
'2.00
3.14
C,
106.75
c?
1.00
1
2. 2210-06-104-0-02
Dni;.’ Testing LaboP.atory -
kf?
196.59
C>)
-
r-j
1. 1. 2 21 0 - 0 <5 - 1C -1 - 0 - 01
Drugs Controller.
-
Add 1.Tech s Suppor
ting staff.
►
5 . 2210 - 0 ‘5 - 10 4 - 0 - 0 5
Vigilance Cell
-
2.04
6. 2210-06-104-0-05
-
-
Legal Cell
Q . 3 5*
1.19
-
82
3
4
5
6
7. 2210-06-104-0-07
Blood Bank
36.3 3
5.4S'
6. 01
1.91
8. 2210-06-104-0-08
Enforcement Scheme
2.00
-
—
—
2210-06-10 4-0-0'?
degradation of
□1st. Offices
9.67
15.47
1.51
8.60
-
-
-
1
2
10. 2210-06-104-0-11
2.00
Consumer Awarness
On Drug & Cosmetic 5
t
!
11. world Bank Assisted Eroiect
1.00
2210-05-105-1-32
strengthening of
Enforcement machin ery
And Drugs Testing Laboratory.
12. 4210-03-105-2-01
31.00
Capital outlay buildings
Total:
100.00
-
-
-
-
►
444.43
7.52
205.00
f
83
1
4
5
6
1. 2210-06-104-0-15
20.00
o
Central E'lan Scheme
16.99
4.40
10.16
2. 2210-06-104-0-10
20.00
Drugs Testing faci
lities - Drugs
Testing Laboratory.'
.__
16.50
__
40.00
16.99
2
3
CEUTRALLY SPONSORED SCHEME
Total:
i
20.90
10.16
84
REVENUE RECEIPTS:
31.No
Budget Head
Rs.
0210-04-104-0
Drugs Controller.
9,20,000.00
0210-03-105-01
Government College of
Pharmacy i Board of
Examining Authority.
7,4 6,000.00
Total:
16,65,000.00
85
DT?.EC'*
12
345678?OP.A'T'E 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.
The 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 MedicalEducation.
1.
Joint Director (Medical Education )
2.
Deputy Director ( Med.Edn )- I & II.
3.
Chief Administrative Officar (M.E.)
4.
Administrative Officer (M.E.)
5.
Chief Accounts Officer-cum-F inane ial
Adviser (Medical Education ).
6.
Planning Officer ( M.E.).
7.
Health Equipment Officer (M.E.).
8.
Deputy Director - Transport - common to
Health and Medical Education.
.
86 .
In the .State there are 21 Teaching Hospitals
which have full fledged Units, Spec ia1 ists,
certain surer 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-5
6. Skin and STD Centres.
7. Mental disease rehabilitation Centres.
8. Dental Clinics.
9. Eye 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 Colleces.
2. Dental Colleges.
3. Nursing Colleges.
4. X.Pay Technician Training Centres.
5. Lab.Technician Training Centres.
6.
Nursing Schools.
7.
Teaching Hospitals.
3.
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/Denta1/Nu r~ ing and
Pharmacy 0cl2eges run by the Government and
Private Organisations.
Sub iacts.
Gove r n. Prive te. Total.
merit .
1.Medical Colleges .
4
2.Dental Colleges.
1
40
41
3.Nursing Colleges
1
26
27
4. Nursing Schools
11
132
143
5. Pharmacy
Col leges .
1
41
42
The following training centres have been
established to train up the Para Medical
S tudents .
1. X.Ray 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
8 6
getting grants through the Government:-
1. KIMHANS
( National Institute of Mental
Health anc b'euro Sciences ) Bangalore.
2. Kidwai Memorial Institute of Oncology,
Dance.lore .
3. S ri. Jeyadeva Institute of Card iology,
Bengal 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 these Hospitals come under the
control of
this Directorate.
Re—Orientation programmes
implemented in
9 Districts anc 3 Primarv Health Centres in each
District are being continued. 2 0 Bedded Temporary
Leprosy wards have be'n provided under the modified
National Leprosy Control Programme established
&
Bellary, Mysore, Hubli.
To develop the Eve operations,
in
training
programmes have been taken up for Doctors and
Ophthalmic Assistants in Medical Colleges, Cancer
detection Units
in Priliminary stage are running
in the Medical Colleges at Mvsore and Karnataka
-institute of Medical Sciences.
B9
TE A C r. I MG HOS PI TA LS :
Victoria, Van! Vilas, Bowring and Lady
Curzon Hospital, S.D.S.T.B. & C.O.Hospital
and Minto Ophthalmic Hospital are coming under
Bangalore Medical College. A Master plan has
been sanctioned by the Governmcnt for the
construction of building.
COLLEGE HOSPITAL, MYSORE:
The K.R.Eospitc'l,
Chel.uvamba Hospital
and P.K.T.B. & C.D.Hospital, Mysore and the
said Hospitalservices 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, BELLA RY;
The Government Medical Col 1ege,Be 11 ary
is now an autonomous Institution. A sum of
Rs.656.53 lakhs has been earmarked under
Plan Scheme to the Vijfayanagara Institute of
Medical Sciences, Bellary.
Similarly K .M ,C. Hos pi tai, Hubl i is now
an autonomous Institution as Karnataka
Institute of Medical Sciences and. K.M.C.
Hospital and Karnataka Institute of Mental
Sciences,Dharwad are attached to KIMS,Hubli.
90
DISTRICT HOSPITAL,
MANGALORE:
••.’enlock Hospital,
Mange lore and Lady
Gcschen Hospital, Mangel ore- are the two Teaching
Hospitals which have be°n attached to Manipal
and Mangalore Medical Colleges. The -Artificial
Limb Centre build inc of Mangalore is completed
and functioning. The building work attached to
'senlock 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. Construction 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 ViJs Hospital is under progress.
5. Building work under the Jurisdiction
of Victoria Hospital is completed.
1998-99 ANNUAL REPORT PROGRESS AND ACHIEVEMENTS:
i
1.
Inthe Jurisdiction of the Directorate of
Medical Education there are 4 Government hn«3
14 Private Medical Colleges. And there is
Prevision for 400 MBBS Students admission -
91
capacity end in the Private Medical Colleges,
there is a provision of 1565 MBBS Students
I
admission capacity. In.the Government Dental
College,
there is a provision of 60 Students
and 1361 Students in Private Dental Colleges.
2.
i
Tnthe P.G.Selection,
Colleges,
the Gov^-.Medical
there is a provision for 226 Degree
end 216 D>ipioma seats wherein in Medical
Colleges there are 89 Degree and 83 Diploma
seats .Government seats available.
3.
At Govt.Dental College, Sangalore there is
provision for 17 P.G.seats and in Private
Cental College,
there is provision for
17 seats and total management seats are 56.
4.
The Entrance Examination for I-'BBS/BDS
Examination are he ing 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 cut the administration effectively
6.
For the development of Library of Medical/
Dental Colleges,
adequate funcEs are released -
92
and are being utilised, At Govt .f- ec-'.zel
'■“Ollecres,
computers and CDRMO & Viceo libraries
have been provided.
7.
The new OPD Block of K.R.Hosp ital, Mysore
is well equipped and furnished anc
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.
Dharmashala building work at Victoria
Hospital is under progress.
11.
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 Curnon 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 po^>bc-^-
have been filled up.
16.
Action has becn taken for appointment of
42 Staff Nurses at K . R.Hospita 1, Mysore.
17.
Proposal have been submitted to Government
to fill up 46 Group *D' 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 So cie ty/Fund. Out of
this amount Rs .5,00,00, 000/- have been rec=ived
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
from various Institutions. An in >-e
Rs.6, 25,39,1S9.69 has been accrued rrom 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 00.
Position: 316 (10 views)