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          Health

Panipat is a small compact District of Haryana situated on the National Highway north of the National Capital.  It came into existence in 1992.

 

Organisation Structure:

The NRHM activities are carried out in Panipat District by the way of Swasthya Kalyan Samitis at different levels.  First level is managed by the way of Governing Council Chaired by Worth Deputy Commissioner.  After that comes Executive Council having Civil Surgeon as its Chairman and after that SKS is working at each CHC/PHC for smooth working & effective management of work.  The Civil Surgeon Office is structured in the following manner:-

Civil Surgeon:                          Chairperson of DHFW Society

Sr. No.	Name of Programme Officer	Designation	Work Allotted	Area Allotted   Urban                                              Rural
1	Dr. S.N. Dawar	Deputy Civil Surgeon (School)	BCC/IEC & Community Participation	Sanoli Road to Sector- 29 east of G.T. Road	CHC Bapoli, PHC Ujha and Ugra Kheri
2	Dr. Anita Tandon	Deputy Civil Surgeon (Training)	Capacity Building & Training, HR Planning	All Samalkha -Urban	CHC Samalkha, PHC Patti Kalyana , PHC Chulkana
3	Dr. Ashwani Garg	Deputy Civil Surgeon (Malaria)	Monitoring & Evaluation HMIS	Jattal Road to Sugar Mill & NFL, west of Railway Line	PHC  Naraina & Sewah
4	Dr. Bhupesh Chaudhry	Deputy Civil Surgeon (NRHM)	Infrastructure Planning, Policy, Planning, Implementation & Co-ordination	Jattal Road to  Model town , Industrial area & Court Road area, west of railway line	PHC Madlouda &  Kawi
5	Dr. Rajkumar	Deputy Civil Surgeon (Health)	Procurement & Provisioning	All area  Railway line  and G.T. Road	PHC Ahar, Mandi , Seenk & Naultha
6	Dr. P.K. Gandhi	Deputy Civil Surgeon ( FW)	Family Planning & RTI	Red Light to Sector 13-17 east of G.T. Road	PHC Kabri

 

This organization structure is developed for the smooth implementation of NRHM activities. This organization structure works by the way of Swasthay Kalyan Samitis. Under the SKS of Civil Surgeon Office, RCH Works. RCH Office consist of:

 

District Headquarter                                                                      1
	CHC                                                                     3
		PHC                                            13
			Sub Centre          90

 

 

 

District Headquarter

 

Deputy Civil Surgeon (NRHM) :      Member Secretary cum Incharge RCH

 

DPMU Unit:

 

    1.    District Programme Manager

    2.    District Accounts Manager

    3.    Account Assistants

    4.    Secreterial Assistant

 

CHC (Community Health Centre):

 

Health infrastructure of Panipat consist of three Community Health Centres. The organization Structure at these health centers is headed by SMO (senior Medical Officer)/ Medical Officer.

 

Four staff nurses are recruited under RCH and posted at CHC Samalkha as this is upgraded to FRU. For the maintenance of accounts, one Account Asstt. is posted at CHC Samalkha & CHC Ahar.

 

For collection& compilation of Data one Additional Information Assistant and one Information Assistant is posted at each CHC.

 

PHC (Primary Health Centre):

 

Health infrastructure of Panipat consist of thirteen Primary Health Centres. The organization Structure at these health centers is headed by MO  (Medical Officer)/Dental Surgeon.

 

For round the clock health services 12 PHCs has been provided with three staff nurses each.

 

For proper maintenance of account at PHC Level one Account Assistant from CHC visit each PHC once a month.

 

Sub Centre:

 

Health infrastructure of Panipat consists of ninety Sub Centres. In each sub center two ANM (One regular & one RCH) and one MPHW(M) are posted.

 

 

Health Facilities: -

 

Health Department provides curative, preventive & social services to the public to its utmost competence through various health institutions in the district.

 

 

SCHEMES UNDER NATIONAL RURAL HEALTH MISSION

IN HEALTH DEPARTMENT

 

1. Delivery Huts

 

Under this Scheme, the aim is to establish the delivery hut at a central place of the village where the ANM is available round the clock. This is to ensure the clean, safe and acceptable place of delivery and newborn care at the doorstep. For this in Distt. Panipat 16 Delivery Huts have been established in the year 2005-06 & 11 delivery huts established in the year 2006-07. In the coming time the entire sub centers located in Govt. Building will be converted into delivery huts.

 

Total Deliveries conducted in the financial year (2009-10) till Nov. 09 are:- 1391

 

2. Accredited Social Health Activist (Asha):-

ASHA is a woman from the village for 1000 population. A matriculate woman from the village who is sensitive to the health needs of people is eligible for becoming ASHA.

 

ASHA is to mobilize the pregnant mother for institutional delivery and accompany her to the health institution for delivery. She will arrange transport in case of emergency, motivate the eligible couples to use the appropriate contraceptive methods and be a depot holder for CC and Oral Contraceptives and counsel the mothers for safe MTP and on prevention and treatment of RTIs / STIs along with facilitating the needed care during the antenatal and postnatal period. She is paid honorarium based on the services she has rendered and have no fixed payment. In Distt. Panipat 200 ASHA’s have been selected in the year 2005-2006 and all have been trained.  250 Ashas in year 2006-07 have selected. 95 more Ashas have been selected in the year 2007-08.

 

 

 

Total Honorarium paid to ASHA’s in the Financial year (2009-10) till Nov. 09 is as under: -

 

Immunization Strengthening:  Rs.    710220/-

                                                 ---------------

              Total                       Rs    710220/-

                                                 ---------------

 

3. First Referral Units for 24 hr Emergency Health Care   (FRU): -

 

These are the CHCs that can take care of all emergencies round the clock. Steps are being taken to upgrade nearly 40 Community Health Centers to the level of Indian Public Health Standards in the state. These will be having round the clock specialist and emergency services especially for the mother and the child. We have one FRUs in distt. Panipat in CHC Samalkha.  Four  staff Nurses under RCH II have been posted at CHC Samalkha to conduct deliveries round the clock. Apart from this, Institutional Deliveries are also being conducted in B.S.S. Hospital and E.S.I. Hospital Panipat.

 

Tie up with the private Hospitals has been made and they provide services Viz. Anesthetist, Gynecologist , Pediatrician and Surgeon on call basis.

 

Expenditure till Nov. 09:

 

 

 

4. Janani Suraksha Yojna (Govt. of India Plan):-

 

This scheme is essentially for BPL families.  The purpose is to ensure the early registration of pregnant woman and early detection of complicated cases, facilitating appropriate referral. Under this scheme the eligible pregnant mother of the BPL family living in the rural areas will receive a cash assistant of Rs. 500 at the time of delivery.  In case the mother delivery is in a health institution (Govt. as well as private) she will receive an additional amount of Rs. 200. If hospitalization is immediately followed by the Tubectomy / laproscopy operation a compensation of Rs. 150 will be available through the family Welfare Scheme to JSY beneficiary.

 

Total Beneficiaries Under J.S.Y:-

 

 

5. SC/ST Component under JSY (State Plan):-

 

An Assistance of Rs 1500/- will be given to each pregnant women belonging to SC/ST family who get themselves delivered in the Health Institution both in Govt. & Private. In this Financial Year 355 SC/ST beneficiaries has been given the benefit amounting to Rs. 305000/-.

 

6. UNTIED FUND:

 

A sum of Rs. 17 Lacs 80 thousands was provided to this District. A sum of Rs. 10000.00 has been allotted to each sub center per year for the last 2 years in the name of Account jointly operated by Lady Sarpanch /Panch & ANM of the concerned village. This money has been given under RCH-II Programme to improve the Health Services at Sub Center Level by ANM herself. An amount of Rs. 889950/- has been utilized by the ANMs under this fund.

 

 

7. Annual Maintenance & SKS Grant:

 

The Annual Maintenance Grant is provided to every Health institution for the maintenance of the premises. SKS Grant is provided 100000 to each CHC/PHC in order to provide the additional facility like clean drinking water, toilets, sitting arrangements, patient care additionalities etc. 

 

                                        AMG Fund                                   SKS Grant

 

8. AROGYA KOSH:

 

This scheme is meant for people suffering from chronic diseases e.g: Chronic Lung Disease, Heart Disease, Kidney Disease, Cancer etc. and requiring treatment under super specialist and living under BPL. Only those patients who take treatment from AIIMS New Delhi, PGI Chandigarh and PGI M.S. Rohtak are eligible for this. Amount is directly reimbursed to the institution.

 

Total Budget is Rs. 400000/-

Exp. Incurred :-290000/-

No. Of Beneficiaries:- 2 (Two)

 

9. Jacha Bacha Scheme:

 

This scheme is launched by worthy Chief Minister of Haryana on 15 August 2008. This scheme is meant to encourage the Staff Nurse/ANMs to conduct institutional deliveries at CHC/PHC/Sub-centres & a cash incentive of Rs. 400/- in case of male newborn and Rs. 600/- in case of female newborn is provided. This benefit can be availed after 3 deliveries.

 

The Fund received under this scheme           Rs. 10,00,000/-

 

Funds Utilized:                                             Rs. 229400/-

 

10. Urban RCH Centers:

 

In order to cater the health needs of the Urban Slum Population, Govt. has opened Urban RCH Health Centre in the slums of the District. In Panipat District Four Urban Health Centres are opened in the year 2009-10. The services is available there are OPD, Immunization, ANC, lab facilities etc. These facilities are provided free of cost. For providing services to the community two Doctors, one Pharmacist, one LT and two ANM’s are posted there. The people of those areas have keen interest in getting the health services, which can be viewed by the increasing rate of average number of OPD per day.

 

11. Surgery Package Programme:                         

 

The Haryana Govt. launched this Programme on 1st July 2009. Under this programme different surgeries (major & minor) are performed at District Hospital Panipat. This package is available free of cost for the BPL Families and for General category it is available at very nominal rates i.e approx 1/4th of the charges of private hospital.  Under this scheme the operation for Cleft Lip and palette and Cataract (IOL) operation is available free of cost for all the categories.

 

12. Referral Transport Scheme:

 

Haryana Govt. launched this scheme on 14th of Nov. 2009 to provide the free services to the victims of roadside accidents, patient belonging to BPL families and to the pregnant women to get them delivered at the Govt. Institution. This service is available in each health institution (DH/CHC/PHC) and can be availed free of cost by dialing 102 Toll Free from any phone service provider (Landline/cellular). Till dated i.e. 05.01.10, 638 patients has availed the facility of RTS.  

The meeting of Executive Council of District Health & Family Welfare Society took place in the first week of every month at District Health Department. The meeting of Governing Council took place after every three months. The meeting of the 3^rd  Quarter was held on 06-01-2010. The major decisions passed in the meeting was:

 

1. Proposal was sent to state Headquarter for the up-gradation of 11 sub center to Delivery huts.

2. Estimate of 20.55 lakhs for the renovation of 3 Medical Officers residence in the campus of GH has been sent to the State Headquarter for the approval.

3. The estimate of Boundary wall of Civil Surgeon Office was prepared & the work will be started soon.

4. The selection of the site for the construction of Central Medicine Store has been finalized & in this connection correspondence has been done with the PWD for preparing the estimate.

5. A proposal for the construction of new building for Programme Officers & Handicap Board is made & in this connection a meeting will be scheduled with Director General Health Services & Chief Architect Haryana soon.

6. A Jan Aushdhi Store costing Rs. 2.44 lakhs is under construction in the campus of BSS GH & it will be completed soon.

7. Purchase of one DG set of 30 KVA for the CHC Ahar to be made functional as FRU is under progress & it will be procured soon.

8. The work of acquiring separate land for CHC Bapoli is under process & in this connection a meeting with BDPO will be scheduled very soon.

9. Proposal to the State Headquarter has been sent for the upgradation of District Hospital upto 200 bedded.

10. It was decided in the meeting to install Animal Catcher at ESI gate by BSS GH in order to prevent it from stray animals.

The progress made by Health Department in this financial year is:

1. CHC Ahar is on the way of upgradation as per IPHS. For this purpose OT is made functional & renovation work is going on.

2. In PHC Mandi one room is under construction, which will be used for updated delivery hut/labour room or OPD purpose,& one baby corner is also established.

3. The renovation of PHC Madlauda is going on. Major civil work has been done & delivery hut is updated.

4. Minor repair work is going at PHC Seenk.

5. The new building of PHC Kavi is under construction & it will be handed over to Health Department by the end of this financial year.

6. At CHC Samalkha,the minor civil work is going on for the setting up of Blood Bank.

7. At PHC Pattikalyana, the upgradation/renovation work is going on.

8. Sub Center Atta is converted to PHC.

9. PHC