Congratulations India: One Complete
Year Without Any Case of Polio Over the past year, India has made great strides toward
eradicating the disease. India did not report any case of polio
during the last year, compared with 42 cases in 2010 and 741 cases
in 2009.
Join Amitabh Bachchan in congratulating vaccinators, health workers,
community mobilizers, parents and caregivers for overcoming a
variety of challenges and obstacles in the hardest-to-reach areas.
Their tireless efforts, and the continuing support of the community,
have helped India reach the verge of polio eradication.
Tracking of Nomads for Polio Immunisation
Two Drops for Protection- Every Child,
Every Time Migrant/Transit Strategy for Polio Eradication In Bihar
Health in India : Statistical Perspective Life expectancy : 63.5 years
Infant mortality rate : 53 per 1000 live births
Maternal mortality ratio : 254 per lakh live births
Total fertility rate : 2.6
Janani Suraksha Yojana
1 crore institutional deliveries in 2009-10 from 7.39 lakhs in
2005-06
Number of Mobile Medical Units
363 districts in 2009-10 from 310 in 2008-09
Number of cataract operations
59 Lakh cataract operations in 2009-10 from 22 lakh operations
in 2007-08.
to provide diagnostic and outpatient care closer to hamlets and
villages in remote areas.
Below are some indicators of India's state of health and comparisons
with China and other countries:
India had 2 million new cases of TB in 2009, and it killed 280,000
people that year.
China has about 1.4 million cases of TB each year and it killed
160,000 people in 2008.
India had 963 confirmed malaria deaths in 2005 compared with 48
in China, according to the World Health Organisation.
IMR India : 53 in 2008
China : 16.5 in 2010
US : 6.1
Britain : 4.7
Hong Kong : 2.9
Singapore : 2.3
well below 10 in advanced nations.
MMR as of 2008 India : 230
China : 26
US : 24
Britain : 12
Italy : 5
Ireland : 3
Chronic diseases killed half of the 10.3 million people who died
in India in 2004
Chronic diseases will be 75 percent of all deaths by 2030.
In China, 83 percent of all deaths are because of chronic diseases,
in particular heart disease and strokes, hypertension, cancer
and respiratory diseases.
In India, there is practically no financial protection for most
people against medical expenditures. China implemented healthcare
reforms in 2003 and gave it an additional boost in 2009 by injecting
$124 billion. It says 92 percent of its people are covered by
basic healthcare insurance, but critics say that coverage is barely
enough.
Sources: The Lancet India series, World Health Organisation, UNICEF,
China's Ministry of Health, CIA World Factbook. http://in.reuters.com/article/idINIndia-54078320110111
Top 10 causes of deaths in India in all ages is given
in table below Cardiovascular diseases 18.8
COPD, asthma, other respiratory diseases 8.7
Diarrhoeal diseases 8.1
Perinatal conditions 6.3
Respiratory infections 6.2
Tuberculosis 6.0
Malignant and other neoplasms 5.7
Senility 5.1
Unintentional injuries: other 4.9
Symptoms signs and ill-defined conditions 4.8 Source
: Answer by the Minister of Health & Family Welfare in Parliament
on 12.11.2010
Health care infrastructure
SC/PHC/CHC
March 2007
1,73,770
Dispensaries and hospitals
April 1, 2008
33,855
Nursing personnel
2008
15,72,363
Doctors (modern system)
2008
84,852
National Health policy-2002
The main objective of this policy is to achieve an acceptable
standard of good health amongst the general population of the
country. The approach would be to increase access to the decentralized
public health system by establishing new infrastructure in deficient
areas, and by upgrading the infrastructure in the existing institutions.
Overriding importance would be given to ensuring a more equitable
access to health services across the social and geographical expanse
of the country. Emphasis will be given to increasing the aggregate
public health investment through a substantially increased contribution
by the Central Government. It is expected that this initiative
will strengthen the capacity of the public health administration
at the State level to render effective service delivery. The contribution
of the private sector in providing health services would be much
enhanced, particularly for the population group which can afford
to pay for services. Primacy will be given to preventive and first-line
curative initiatives at the primary health level through increased
sectoral share of allocation. Emphasis will be laid on rational
use of drugs within the allopathic system. Increased access to
tried and tested systems of traditional medicine will be ensured.
Within these broad objectives, NHP-2002 will endeavour to achieve
the time-bound goals Read
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Navjaat Shishu Suraksha Karyakram (NSSK)
Navjaat Shishu Suraksha Karyakram - Basic Newborn Care and Resuscitation,
has been launched to address care at birth issues i.e. Prevention
of Hypothermia, Prevention of Infection, Early initiation of Breast
feeding and Basic Newborn Resuscitation. Newborn care and resuscitation
is an important starting-point for any neonatal program and is
required to ensure the best possible start in life. The objective
of this new initiative is to have one person trained in Basic
newborn care and resuscitation at every delivery.
Master trainers at Central and State level are pediatricians
from tertiary hospital and medical college and at district level
pediatricians and gynecologists from the district hospital. This
training is being imparted to Medical officers, Staff nurses and
ANMs at CHC/FRUs and 24x7 PHCs where deliveries are taking place.
The training package is based on the latest available scientific
evidence and will be immensely useful in decreasing neonatal mortality.
The training is for 2 days and is expected to reduce neonatal
mortality significantly in the country.
Integrated Management and Childhood Illness Facility based care for new born and children and Integrated
Management and Childhood Illness (F-IMNCI) as an integrated package
to take care of referrals and to enhance capacity of all health
personnel at facilities as well as at community level to address
sick new born and sick child.
Newborn Care corners Strengthening newborn care at by establishing Newborn
Care corners at 24x7 PHCs where deliveries are taking place; Newborn
Stabilization Units at First Referral Unit ( FRUs) / Community
Health Centre ( CHCs); Special New Born Care units at District
Hospitals to cater to the sick newborns
Nutrition Rehabilitation Centres Setting up Nutrition Rehabilitation Centres (NRCs) in
states with large magnitude of the problem of malnutrition
Updating Indian Public Health Standards
Indian Public Health Standards (IPHS) updated to conform to the
requirement of Child Health norms at facilities.
Integrated Management of Neonatal and Childhood Illness
( IMNCI )
Integrated Management of Neonatal and Childhood Illness (IMNCI)
strategy is one of the main interventions under the RCH II/NRHM.
The strategy encompasses a range of interventions to prevent and
manage the commonest major childhood illnesses which cause death
i.e. neonatal illnesses, Acute Respiratory Infections, Diarrhoea,
Measles, Malaria and Malnutrition. It focuses on preventive, promotive
and curative aspects, i.e. it gives a holistic outlook to the
programme. The objectives is to implement IMNCI package at the
level of household and Subcentres (through ANMs), Primary health
centres (through medical officers, nurse and LHVs), to provide
a comprehensive newborn and child health services to address major
neonatal and child hood illnesses
The School Health Programme
The School Health Programme is the only public sector programme
specifically focused on school age children. Its focus is to address
holistically the health and nutrition needs of children in a manner
which fulfils the needs of today's lifestyle School Health Program
is envisaged as an important tool for the provision of preventive,
promotive and curative health services to the population. The
programme at the national level has been developed to provide
guidance to States who are already implementing or plan to
implement their own versions of programme and to give guidance
in proposing a coherent strategy
Components of School Health Program: · Health service provision: Screening, health
care and referral, Immunization, Micronutrient (Vitamin A &
Iron Folic Acid) management, De-worming and Health Promoting Schools.
All the states and All the UTs are having school health program
adapting the guidelines issued from the Ministry
RASHTRIYA AROGYA NIDHI
The Department related Parliamentary Standing Committee on Human
Resource
Development in its 31st Report on the functioning of the Central
Government Hospitals under the Department of Health, had expressed
concern about inadequate facilities for the treatment of poor
patients for major illness. The Committee felt that it was essential
to explore all appropriate sources of funds to assist poor patients
coming to AIIMS or other Central Govt. Hospitals for their treatment
of specific life threatening illness. In view of the recommendations
of the above Committee, it was decided to set up a National Illness
Assistance Fund under the Department of Health, Ministry of Health
& Family Welfare. The Committee on non-Plan Expenditure in
its meeting held on 17th October 1996 approved the proposal for
setting up of the fund. Accordingly the National Illness Assistance
Fund was set up vide Resolution No. F-7-2/96-Fin-II dated 13/1/97
and was also registered under the Society Registration Act, 1860,
as an autonomous
Society. The name of National Illness Assistance Fund has now
been changed as Rashtriya Arogya Nidhi (RAN) vide Resolution dated
8th April, 2003.
The scheme provides for financial assistance to patients, living
below poverty line who
are suffering from major life threatening diseases, to receive
medical treatment at any of the super speciality Hospitals/Institutes
under the Government or other government hospitals. The financial
assistance to such patients is released in the form of ‘one-time
grant’, to the Medical Supdt. of the Hospital in which the
treatment is being received.
In a bid to speed up the assistance to the needy patients, an
advance of Rs. 20 lakhs has been kept with the Medical Supdts.
of AIIMS, New Delhi and Rs. 10 lakhs each to Dr. RML Hospital,
Safdarjung Hospital LHMC & Smt. S.K. Hospital, New Delhi,
PGIMER, Chandigarh, JIPMER Pondicherry, NIMHANS, Bangalore, CNCI,
Kolkata, SGPGIMS, Lucknow, Gandhi Memorial & Associated Hospitals
KGMC, Lucknow and CIP, Ranchi to enable sanction of an amount
up to Rs. 50,000/- in each deserving case reporting for treatment
in the respective Hospitals/Institute.
All State Govts./UT Administrations have been advised vide Ministry
of Health &
Family Welfare letter dated 11/11/96 to set up an Illness Assistance
Fund in their respective States/UTs. It has been decided that
grant-in-aid from Central Government would be released to each
of these States/UTs (with Legislature) where such Funds are set
up. The Grant-in-aid to States/UTs would be to the extent of 60%
of the contributions made by the State Govts./UTs to the State
Fund/Society subject to a maximum of Rs. 5 crores to States with
larger number and percentage of population below poverty line
viz. Andhra Pradesh, Bihar, Madhya Pradesh, Karnataka, Maharashtra,
Orissa, Rajasthan, Tamilnadu, Uttar Pradesh and West Bengal and
Rs. 2
crores to other States/UTs. The State/UT level Funds could also
receive contributions / donations from donors, as mentioned for
RAN. The Illness Assistance Fund at the State/UT level would release
financial assistance to patients living in their respective States/UT
up-to Rs. 1.5 lakhs in an individual case and forward all such
cases to RAN, where the quantum of financial assistance is likely
to exceed Rs. 1.5 lakhs.
The following States/UTs (with Legislature) have set up Illness
Assistance Fund:-
Karnataka, Madhya Pradesh, Tripura, Haryana, Andhra Pradesh, Tamilnadu,
Himachal Pradesh, Jammu & Kashmir, Maharashtra, West Bengal,
Kerala, Mizoram, Rajasthan, Goa, Gujarat, Sikkim, Bihar, Jharkhand,
Chhattisgarh, Uttranchal, the NCT of Delhi and Pondicherry..
As per recent decision taken by Hon’ble Health & Family
Welfare Minister, all
applicants receiving treatment in Delhi Hospitals would be eligible
for receiving grants of Rashtriya Arogya Nidhi.
The following States/UTs have not yet set up the respective State
Illness Assistance
Fund.
1. Assam
2. Manipur
3. Arunachal Pradesh
4. Meghalaya
5. Orissa
6. Punjab
7. U.P.
8. Nagaland
Rashtriya Arogya Nidhi is managed by a Management Committee, consisting
of the
following members:-
1. Health & Family Welfare Minister - Chairman
2. Secretary (Health & FW) - Member
3. DGHS - Member
4. Joint Secretary, M/o Health & F.W. - Member Secretary
5. C.C.A., M/o Health & F.W. – Treasurer
There is also a provision of two non-official members to be co-opted
from amongst the
prominent donors to the fund.
There is a Technical Committee to advise the Managing Committee
on technical matters, such as nature of illness to be covered
for assistance under the Scheme and other ancillary issues.
The Technical Committee comprises of the following:-
1. DGHS
2. Joint Secretary
3. Medical Superintendent, Dr. RML Hospital
4. HOD, Cardiology, AIIMS, New Delhi.
It has also been provided in the scheme that Union Territories
(which do not have a
legislature) will be sanctioned a budget outlay out of the RAN,
as and when the UT
administration have sets up an Illness Assistance Society/Committee.
It was decided in the first meeting of the Managing Committee
held on 21-10-98 that each UT will be sanctioned a budget outlay
of Rs. 50 lakhs. Accordingly the following UTs have been sanctioned
a budget outlay of Rs.50 Lakhs each, during the year1998-99.
1. Lakshdweep
2. Daman & Diu
3. Dadra & Nagar Haveli
4. Andaman & Nicobar Islands
5. Chandigarh
For more detailed information contact:
Director
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi-110011
Tele. 011-2306 1527.
BUDGET ALLOCATION ( In lakh of rupees)
Year
B.E
R.E
2005-06
430.00
470.00
2006-07
580.00
HEALTH PROMOTION & EDUCATION PROGRAMME
Introduction:
Central Health Education Bureau (CHEB) is a national institution
under the Directorate General of Health Services (Ministry of
Health & F.W.) Govt. of India looking after the health promotion
and health education activity in the country. The institution
was created in 1956.
The Institute imparts both long and short term training courses:-
For health professionals (doctors and paramedical of Allopathic
as well as of Indian System of medicine & Homeopathy),
For teachers Courses for WHO for the participants from SEARO countries.
Two year Post Graduate Diploma in Health Education (DHE) under
Delhi University.
Tailor made courses for different organizations of different Diseases
and Programmes (e.g. IEC on Cancer for CGHS doctors)
Orientation courses for the students of different medical colleges,
nursing colleges and schools.
CHEB is also actively involved in development of Health education
materials both for print and electronic media and dissemination
of health information to the masses. The T.V. video spots on health
issues produced by CHEB are telecast through Doordarshan for public
awareness. Copies can be made available to State Govt. & other
organizations working in health care or health education. The
title of the spots are :
i) Say No to Tobacco.
ii) Say No to Alcohol.
iii) Tobacco and Society.
iv) Alcohol and Society.
v) Passive Smoking and Society.
vi) Passive Smoking and Pregnancy.
vii) Oral Health (Dental Care).
viii) Oral Health (Mouth, Teeth).
ix) Oral Health (Cancer).
x) Anaemia.
xi) Healthy Life Style.
Xii) Safe Drinking Water.
Xiii) Washing Hands.
Xiv) Mental Tension.
Health Education material is also available on the following topics
:-
i) Handbill on Hepatitis - B
ii) Poster on 'Our Children need clean habits'.
iii) Posters on Locomotor Disability with the caption -
a) 'See The Difference'
b) 'Both the children need your equal love and affection'.
c) 'Surgical Intervention, Exercise & Appliances can help
Rehabilitation'.
iv) Handbill on Clean Habits'.
v) Folders on Dengue Fever.
vi) Booklet on Malaria for School children in both Hindi &
English.
The School Health Division of this Bureau plans, strengthens and
revises health and population education curriculum; provides consulative
and advisory service in school health to various organizations.
It also coordinates Plans and programmes in the
field of School Health carried out in the states & UTs to
produce model instructional material for strengthening health
education component of formal and informal education.
The institute has also taken up projects in the Kalahandi and
Nuapada districts of Orissa under the SCP and STP programme.
• CHEB has taken up awareness programme in ill effects of
tobacco through Panchayat leaders in the states of U.P, Bihar,
Orissa, M.P., and Rajasthan (under WHO funded Tobacco Free Initiative).
• CHEB has also taken up awareness programme on ill effects
of tobacco through school teachers and school children in the
states of Andhra Pradesh, Rajasthan, Bihar and West Bengal (under
WHO funded Tobacco Free Initiative).
• Organised Exhibitions in the Health Melas at Mathura and
Kargil and also to be held at Patna from 19th to 21st November
2000.
For more information contact :
Director
Central Health Education Bureau
Kotla Road, Temple Line, New Delhi
MEDICAL CARE FOR REMOTE AND MARGINALISED TRIBAL &
NOMADIC COMMUNITIES.
A new Scheme entitled “Medical Care for Remote and Marginalised
Tribal and Nomadic Communities” has been launched during
IXth Five Year plan. An approval outlay of Rs. 10.00 Crores exists
under the IX th plan period for the scheme. The scheme could be
launched from 1998-99, as necessary plan provision for launching
the scheme was
provided from 1998-99 onwards. Under this scheme following projects
have been taken up by ICMR.
Name of Projects
1. Prevention & Control of Hepatitis ‘B’ infection
among primitive Tribes of Andaman & Nicobar Islands.
2. Intervention for hereditary common hemolytic disorders among
major Tribals of Sundergarh Distt.
3. Intervention programme for Cholera and Intestinal; Parasiptism,
Vitamin A deficiency disorders among some primitive Tribal population
Orissa.
4. Intervention Programme for Nutritional Anaemia and Hemoglobinopathies
amongst primitive Tribal Population in India.
For more information contact :
Under Secretary (Research)
Ministry of Health and Family Welfare
Nirman Bhawan, New Delhi-110011
‘NATIONAL PROGRAMME FOR CONTROL AND TREATMENT OF
OCCUPATIONAL DISEASES’
A New national programme entitled ‘National Programme for
Control and Treatment of Occupational Diseases has been launched
during the IXth Five Year Plan. An outlay of Rs. 25.00 crores
has been proposed for the programme during the entire plan period.
The Scheme was started in 1998-99. Under this Scheme following
projects have been under-taken by NIOH, Ahmedabad (ICMR)
Name of the Project 1. Prevention control & treatment of silica Tuberculosis
in Agate Industry & Occupational Health Problems of Tobacco
Harvesters and their prevention.
2. Evaluation of Occupational Health Problems Evaluation and Control.
3. Child Labour Occupational Health Problems, Evaluation and Control.
4. Capacity Building to promote Research Education & Training.
5. Prevention & Control of Occupational Health hazards among
salt workers in remote desert areas of Gujarat & Rajasthan.
6. Health risk assessment and development of intervention programme
in Cottage Industries with high risk silicosis.
7. Hazardous process of Chemicals, Database generation, Documentation
and Information Dissemination.
For more information contact :
Under Secretary (Research)
Ministry of Health and Family Welfare
Nirman Bhawan, New Delhi-110011
Assamese
Bengali
Bodo
Dogri
Gujarati
Hindi
Kannada
Kashmiri
Konkani
Maithili
Malayalam
Manipuri
Marathi
Nepali
Oriya
Punjabi
Sanskrit
Santali
Sindhi
Tamil
Telugu
Urdu
National Anthem Jana gana mana adhinayaka jaya he
Bharata bhagya vidhata
Pañjab Sindhu Gujarata Maratha
Dravida Utkala Vanga
Vindhya Himachala Jamuna Ganga
Uchhala jaladhi taranga
Tava subha name jage
Taba subha ashisha mage
Gaye tava jaya gatha
Jana gana mangala dhayaka jaya he
Bharata bhagya vidhata
Jaya he, jaya he, jaya he
Jaya jaya jaya, jaya he.
National Anthem (Translation) Thou art the ruler of the minds of all people,
Dispenser of India's destiny.
Thy name rouses the hearts of Punjab, Shindhu,
Gujarat and Maratha,
Of the Dravida and Orisa and Bangla;
It echoes in the hills of the Vindhyas and Himalayas,
mingles in the music of Jamuna and Ganges and is
chanted by the waves of the Indian Ocean.
They pray for thy blessings and sing thy praise.
The saving of all people waits in thy hand,
Thou dispenser of India's destiny.
victory forever. Source
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