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English Release 1-September 2014
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Ministry of Health and Family Welfare25-May, 2011 17:19 IST
Two Year (2009-21011) Achievements of Ministry of Health & Family Welfare Unveiled
The Union Minister of Health and Family Welfare Shri Ghulam Nabi Azad today released a booklet on Achievements of the Ministry of Health and Family Welfare (from 2009-2011) under various programmes of the Ministry

 

The Union Minister of Health and Family Welfare Shri Ghulam Nabi Azad today released a booklet on Achievements of the Ministry of Health and Family Welfare (from 2009-2011) under various programmes of the Ministry. Addressing a press conference in New Delhi today Shri Azad elaborated on the initiatives taken by the Ministry aimed at improving health infrastructure, medical education, regulatory oversight and health awareness, among other steps. The Ministry of Health & Family Welfare proposes that domestic funding should be increased to at least 2% of the GDP in the 12th Plan period).

The highlights of the achievements are as follows:

Medical Education

Achievements in Medical Education during last two years

·                     3625 MBBS seats and 7470 PG seats have been added to the existing capacity.

25    ew medical colleges established.

·                     As on date, there are 314 medical colleges (149 Govt & 165 Private) with more than 37,000 MBBS seats (33375 in 2008) and 20868 PG seats (13398 in 2008)

·                     Central Government provided Rs. 241 crores to 46 State Government owned medical colleges for:

i)                    strengthening and up-gradation,

ii)                  Starting new PG Departments - resulting in creation of an additional 2384 PG seats.

New initiatives in Medical Education during last two years

·                     Rationalization of norms relating to requirement of land and infrastructure, particularly in under-served, remote and inaccessible areas.

·                     The norm of 25 acres of land relaxed to 20 acres throughout the country. 

·                     For hilly areas, notified tribal areas, North Eastern States and some Union Territories, 20 acres of land can be in two pieces within a distance of 10 km’s. 

·                     In major cities, 10 acres of land in one piece.

·                     The requirement of bed strength and patient occupancy relaxed from 80% to 60%.

·                      For the first time, Companies registered in India have been permitted to set up medical colleges.

·                     To increase the availability of doctors, MBBS seats increased from 150 to 250 seats depending on the available infrastructure.

·                     PG qualifications of five English speaking countries (UK, USA, Canada, Australia and New Zealand) have been recognized.

·                     Teacher-Student ratio for PG students has been relaxed from 1: 1 to 1: 2.

·                      As a result of this, 5000 additional Post Graduate seats have been created in two years in Government Medical Colleges.

·                     Age increased from 65 to 70 years

·                     DNB qualifications have been recognized for appointment as faculty.

·                     The number of years of service stipulated in the Medical Council of India (MCI) regulations reduced by one year, i.e., from 4 years to 3 years.

 

Grades

No of years required previously

No of years required now

Assistant to Associate Professor

4

3

Associate to Additional Professor

4

3

Additional to Professor

7

4

 

(a)           50% of seats in postgraduate diploma courses reserved for government medical officers who have served in remote, difficult and inaccessible areas for 3 consecutive years.

(b) For national entrance examinations to the post-graduate courses, a weightage of 10% marks is given for each year of rural posting, whether appointed on permanent, ad-hoc or contractual basis, subject to a ceiling of 30%. 


Achievements in Nursing Education during last two years

·         The Ministry of Health and Family Welfare has sanctioned 269 GNM and ANM colleges in underserved and difficult to access areas.

·          This will increase capacity by an additional 20,000 trained persons each year.

·         An amount of Rs 2030 crores is being spent on the scheme.

·                                             In 2010-11, Government of India released an amount of Rs 252 crores for opening 53 ANM and 45 GNM schools across the country.

·                                             Rs 35.76 crores released for upgrading 21 nursing schools to nursing colleges with central assistance of Rs 6 crores per institution. 

·                                             Rs. 4 crores released for strengthening 16 nursing schools and colleges (central assistance of Rs 25 lakhs per institution).

·                                             Rs. 5 crores released for faculty development in the high focus States.  

·                                             15 States have been given central assistance of Rs. One crore each for establishing State Nursing Cells.

 

New Initiatives in Para Medical Education during last two years

·                      To standardize paramedical education across the country, the following Institutes of Excellence are being set up:

 One National Institute of Paramedical Sciences (NIPS) at Delhi and

 8 Regional Institutes of Paramedical Sciences (RIPS):                                     

 Chandigarh, Lucknow, Bhopal, Hyderabad, Coimbatore, Bhubaneswar, Patna and in Maharashtra

i)                    These will be set up at the cost of about Rs 1150 crore.

 

Six AIIMS-like institutions now closer to reality

·                     In May/June, 2010, civil construction work for medical college complex of all six AIIMS like institutions at Bhubaneshwar, Patna, Jodhpur, Rishikesh, Raipur and Bhopal started on fast track.

 The construction of medical colleges is expected to be completed by the end of 2011 and Hospitals by October 2012.

·                     Ministry of Finance has accorded approval in February, 2011 for creation of 1145 posts (Faculty & Staff) for each institution to be filled up in the first phase of recruitment process.

·                     Premier medical institutions like AIIMS, New Delhi; PGIMER, Chandigarh; and JIPMER, Puducherry have been designated as mentoring institutions for new six AIIMS-like institutions.

i)                    AIIMS will mentor Patna & Bhubaneswar;

ii)                  PGIMER will mentor Rishikesh & Jodhpur and

iii)                JIPMER will mentor Bhopal and Raipur.

·                     The cost of construction of all six AIIMS-like institutions and upgradation of 13 existing medical college institutions is Rs.9307.62 Crores.

 

National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases & Stroke Programme (NPCDCS)

 Cardiovascular Diseases (CVD), Diabetes & Stroke:

New Initiatives during last two years

·                     In July 2010, 100 districts selected for launching “National Programme for Prevention & Control of Cancer, Diabetes, CVD and Stroke (NPCDCS)” and the “National Programme for Health Care of Elderly (NPHCE)”

·                     (Total cost: Rs.1230 crores).

 A Cardiac Care Unit at a cost of Rs. 1.5 crores will be established at 100 district hospitals.

·                     NCD clinic will be established at 100 district hospitals and 700 Community Health Centres (CHCs) for diagnosis and management of Cardiovascular Diseases (CVD), Diabetes & Stroke.

·                     For life saving drugs, Rs. 50,000 will be provided to each district hospital in 100 districts.

·                     Opportunistic Screening for diabetes and high blood pressure will be provided to all persons above 30 years, including pregnant women of all age groups at 20,000 Sub-Centres.

·                     Home based care will be provided for bed ridden cases in 100 districts. 

·                     Support will be provided for contractual manpower and equipment at 100 district hospitals & 700 CHCs for management of NCDs including health promotion activities.

·                     Screening for Hypertension and Diabetes in Urban Slums was initiated in 7 Metro Cities in 2010 (Delhi, Mumbai, Kolkata, Chennai, Bangalore, Hyderabad and Ahmedabad)

·                     Glucometer Strips and Lancets procured under the national programme distributed to States for the purpose of Screening – Rs. 10.51 crores.

·                     Cost of a Glucometer Strip approximately Rs.10 at present.

·                     School health survey has been initiated in selected districts, which includes screening for childhood (juvenile) diabetes.

Cancer:

New Initiatives during last two years

o                   Common diagnostic services, basic surgery, chemotherapy and palliative care for cancer cases will made available at 100 district hospitals.

o                   Support for Chemotherapy drugs will be provided for 100 patients at each district hospital at a cost of Rs. 1.00 crore per annum.

o                   Day care Chemotherapy facilities will be established at 100 district hospitals.

o                   Facility for laboratory investigations including Mammography will be provided at 100 district hospitals and, if not available, this can be outsourced at government rates.

o                   Home based palliative care will be provided for chronic, debilitating and progressive cancer patients at 100 districts.

o                   Support will be provided for contractual manpower and equipment for management of cancer cases at the 100 district hospitals.

o                               65 centres will be strengthened as Tertiary Cancer Centres (TCCs) to provide comprehensive cancer care services at a cost of Rs. 6.00 crores each.

 

Tobacco Control

·                     In the year 2009-2010, the Global Adult Tobacco Survey India (GATS India) was conducted for systematically monitoring adult tobacco use (smoking and smokeless) and tracking key tobacco control indicators.

·                     One of the largest surveys of this kind in the world, it was carried out in all the States and 2 UT’s of Chandigarh & Puducherry.

·                     The entire survey was funded by the Government of India and was conducted by Indian Institute of Population Science (IIPS), Mumbai in technical collaboration with WHO and CDC, Atlanta, USA. The results were published in October, 2010.

·                     The survey revealed that more than one-third of adults (35%) use tobacco in some or the other. Among them, 21% adults use only smokeless tobacco, 9% use only smoke and 5% use smoke as well as smokeless tobacco.

·                     The prevalence of overall tobacco use among males is 48% and among females is 20%. Nearly 2 in 5 adults (38%) in rural areas and 1 in 4 adults (25%) in urban areas use tobacco in some form. The extent of use of smokeless tobacco products among males (33%) is higher than among females (18%).

·                     The results of the survey are being used to formulate policies aimed at mainstreaming tobacco control strategies with other national health programmes, within the overall framework of the National Rural Health Mission (NRHM). The GATS India initiative will strengthen the Ministry’s efforts to prevent any further increase in the prevalence of tobacco use, especially among the vulnerable groups such as youth, children and females. 

 

National Rural Health Mission

Achievements during last two years

·         Since the launch of NRHM, Rs. 63,268.43 crores have been released to the States/UTs.

·          During 2009-10, Rs. 13261 crores were provided, which was an increase of 12% over the previous year.

 During 2010-11, Rs. 14,652 crores were provided which shows further increase of 12% over the releases in 2009-10.

·                     During the last two years, 6500 new health facilities such as District Hospital / Sub-Divisional Hospitals / Community Health Centres and Primary Health Centres were constructed.

  In addition, 4828 health centers were renovated/ upgraded

·                     During the last 2 years,  2243 more PHCs were made functional round-the-clock ( 24 X 7 )

·                     623 facilities were operationalized as First Referral Units (FRUs)

·                     During 2009-11, additional 70,830 personnel were added to the health system on contractual basis which include:

i)                    9457 Doctors/specialists,

ii)                   6193 AYUSH doctors,

iii)                 12913 Staff Nurses,

iv)                18379 Para-medics and

v)                  20037 ANMs.

vi)                With this, additional human resources added to the health system under NRHM have increased to 1.4 lakhs.

  In addition, to overcome the shortage of Male Health Workers, the Government of India has approved engagement of 50,000 Male Health Workers on contractual basis in 235 districts having high disease burden for a period of 3 years.

·                     During 2009-11, 1.46 lakhs, ASHAs were added.

·                      The total number of ASHAs engaged by States/UTs is now 8.05 lakh.

·                     6.5 lakh ASHAs provided with drug kits.

·                     New Mobile Medical Units (MMUs) introduced in 214 districts in the country.

·                     518 out of 642 districts now have operational MMUs rendering services to under-served populations.

·                     11624 new Rogi Kalyan Samitis (RKS) registered

·                     Additional 1.37 lakh VHSCs  constituted.

·                     Promoting institutional delivery: Under Janani Suraksha Yojana (JSY), the number of beneficiaries has gone up from 7.39 laks in 2005-06 to over 1 crore per year, both during 2009-10 and 2010-11.

  

New Initiatives during last two years in NRHM

Free Care to Mothers and Children

Government of India has asked all the States to ensure free and cashless services to all pregnant women delivering in government health institutions as well as to sick neonates.  This includes

(a)                Provision of free drugs,

(b)               Free Consumables and Diagnostics,

(c)                Free Diet during stay and

(d)               Free transport to health facility and drop back home.

 

(ii) Special focus on backward districts

264 high focus districts in 21 States, which are difficult, inaccessible, backward and under-served, having poor health indicators on a perpetual basis, have been identified by the Government of India to give focused attention.  

 Separate district plans have been prepared for these districts keeping their special needs in view.

Facilities in these districts at three levels will be developed as mother and child health centres.

Besides providing additional resources, teams to monitor progress in these districts on a regular basis have been set up.

 

(iii) Tracking of mother and children

For effective implementation of vaccination, Government of India provides vaccines and also meets operational costs for immunization of children. 

Support is also provided for ante-natal and post-natal care of the mothers.

To ensure full immunization of children, registration of all pregnant mothers and children and to monitor the ante-natal and post-natal checkup of mothers,

Government of India has introduced name, address and telephone based Mother and Child Tracking System to provide complete data.

 A BPO type system is being set up in the Ministry to verify the authenticity and accuracy of data provided by state governments and follow up on the needed interventions.

As the system evolves, it would also provide a platform for effective IEC activities, including awareness on emerging non-communicable diseases for improving health seeking behaviour.

 

Interventions in Polio eradication

In January 2010, Bivalent oral polio vaccine was introduced for the first time to control Polio.

  Following this, as well as focus on improving quality of vaccination, an unprecedented achievement has been made towards polio eradication.

After the introduction of this vaccine, new polio cases have come down to 42 in 2010 as against 741 in 2009.

 During 2011, only one polio case has been identified till 1st April as compared to 19 cases during the same period in 2010.

Adolescent Health

For improvement of the menstrual hygiene among adolescent girls, a new scheme for supply of sanitary napkins at subsidized rate to rural adolescent girls has been taken up.

  In the first phase, nearly 1.4 million girls in the age group of 10-19 in 152 districts of 20 States will be covered.

 The supply will be made through ASHAs @ Rs. 6 per pack of 6 sanitary napkins.

 

Population Stabilization

During the last 2 years, special efforts were made to reposition family planning and population stabilization as integral part of improvement in maternal and child health. 

During 2010, a population week was observed coinciding with World Population Day to generate awareness on population issues.

  After nearly 3 decades, Parliament discussed population issues for about 6 hours to give a thrust on population stabilization.

  Emphasis has been given by Government on the following:

(a) Promotion of fixed day family planning services at health facilities.

(b) Promotion of IUDs as short and long term spacing methods.

(c) Distribution of contraceptives through ASHAs. 

 

THE  CLINICAL ESTABLISHMENTS    (REGISTRATION & REGULATION)  ACT, 2010.

          A new law has been enacted in 2010-11 to register and regulate all  hospitals including single doctor and Super-speciality hospitals in  the private and public sectors in the country.

          The law will enable the Central Government/State Governments to know the exact number of hospitals/clinics and bed capacity, human resource, equipment and type of treatment available in each of such hospitals/clinics across the country.

          Such data base will help the Central Government/State Governments to plan creation of more healthcare facilities across the country.

          Such a data base will also ensure greater involvement of hospitals/clinics in management of calamity/crisis situations.

          This law will enable the general public to access appropriate and affordable treatment in all such registered hospitals/clinics.

 

 

DEPARTMENT OF HEALTH RESEARCH

Achievements during last two years:

·                     The number of testing labs for communicable diseases increased from the existing 2 to 44

New Initiatives during last two years:

·                     First Indigenous Reagents for H1N1 diagnostics: Development and evaluation of three kits in India was completed in one years’ time.

·                     Indigenous H1N1 vaccine was developed in 2010 in collaboration with private manufacturers:

·                     National Institute for Research on Environmental Health (31st Institute of the ICMR) was established at Bhopal on 11th October, 2010, to focus on long-term effects of M.I.C. exposure; health hazards due to chemical exposures and environmental pollution.

·                     National Centre for Diseases Informatics and Research was established at Bangalore during 2010-11. This centre has the mandate to develop and sustain a national research data-base on cancer, diabetes, CVD and stroke.

·                      Model Rural Health Research Units: Proposals from five States (Himachal Pradesh, Rajasthan, Bihar, Tamil Nadu and Maharashtra) have been approved to establish model rural research health units. These units are being established to transfer new technology for early diagnosis and management of various diseases to state health services on a continued basis.

·                     Eight viral and infectious disease laboratories located at Lucknow, Jaipur, Bhubaneswar, Port Blair, Manipal, Trivandrum, Allapuzha and Raipur, respectively have been approved. 

·                     These are in addition to five BSL II plus laboratories for H1N1 as well as five BSL II labs at Patna, Bhubaneshwar, Jabalpur, Jodhpur & Port Blair and one BSL III laboratory at Agra for tuberculosis established in ICMR Institutes in different parts of the country during this period. 

·                     During 2010-11, a programme has been initiated for the development of affordable diagnostic methods for diabetes.

 

 

Department of AIDS Control

 

Achievements during last two years

·                     Recent HIV estimations show that the annual new HIV infections in India have declined by more than 50% during the last decade. India continues to be a low prevalence country (Adult HIV Prevalence – 0.31%) with an estimated 23.9 lakh persons living with HIV. 

·                     Prevention through focused interventions amongst High Risk Groups and General Population is the main strategy under National AIDS Control Programme (NACP) Phase-III, along with Care, Support & Treatment for persons living with HIV/AIDS.

·                     As of March 2011, nearly 12.5 lakh persons living with HIV/AIDS have registered and 4.07 lakh clinically eligible patients, including 23,854 children, are currently receiving free Anti Retroviral Treatment (ART) at 300 ART centres and 580 Link ART Centres.

·                     The targets of NACP-III for providing access to free ART have already been exceeded and wider access to ART has resulted in a decline in the estimated number of people dying due to AIDS related causes.

·                     Access to safe blood has been ensured through a network of 1,127 blood banks, including 155 Blood Component Separation Units, 795 district level blood banks and 28 Model Blood Banks.

·                     Collection of blood units through voluntary blood donation has increased from 62% in 2008-09 to 79.5% in 2010-11. During 2010-11, 54,271 VBD camps were conducted and overall 79.2 lakh blood units were collected.

 

New Initiatives in NACO during last two years:

·                     Universal access of second line ART: The Second Line ART introduced in 2008 has been expanded to 10 centres in 2009. Currently, 1,929 patients are receiving free Second Line ART.

·                     New initiatives under Blood Safety programme include setting up of four Metro Blood Banks as Centres of Excellence in Transfusion Medicine with capacity to process more than 100,000 units of blood each annually in New Delhi, Mumbai, Kolkata and Chennai, and a Plasma Fractionation Centre with a processing capacity of more than 1,50,000 litres of plasma, which can fulfill the country‘s demand.

·         State Governments of Delhi, Maharashtra, Tamil Nadu and West Bengal have identified land for the construction of these centres. Design DPR Consultants for these sites have been identified to initiate work. Lay-out plans and detailed Project report have been received for all four sites, and equipment requirement has been planned.


Department of AYUSH

Achievements during last two years

1.                  During 2009-10 and 2010-11, for Mainstreaming of AYUSH under National Rural Health Mission, grants-in-aid amounting to Rs. 467.26 crore was given to the State/UT Governments for establishment of new AYUSH facilities in 800 Additional Primary Health Centres/Primary Health Centres, 111 Community Health Centres, 23 District Hospitals and for up-gradation of 378 exclusive AYUSH hospitals and 415 dispensaries

2.                  A total number of 11,485 AYUSH doctors and 4,810 AYUSH para-medics have been appointed on contract basis at Primary Health Centres and Community Health Centres with the assistance from National Rural Health Mission flexipool.

3.                  During 2009 and 2010, 8 new Ayurveda medical colleges and 4 new Homoeopathy medical colleges have been granted permission.

4.                  360 under graduate additional seats and 640 new post graduate seats have been permitted in the existing 71 Ayurveda, Siddha and Unani medical colleges.

5.                  Sales of Indian Medicine Pharmaceutical Corporation Ltd. increased from Rs. 13.94 crore during 2008-09 to Rs. 19.90 crore during 2009-10 and Rs. 24 crore during 2010-11.

 

6.                  During 2009-10 and 2010-11, assistance amounting to Rs.117 crores was provided to 26 States for cultivating medicinal plants on additional 44,598 hectares, establishing 538 nurseries under Centrally Sponsored Scheme of National Mission on Medicinal Plants which supports market driven cultivation of medicinal plants.

 

New Initiatives in AYUSH during last two years

1.                  The existing Indian systems of medicine (namely Ayurveda, Yoga, Unani, Siddha and Homoeopathy) have been expanded to include Sowa Rigpa as a recognized system of medicine through an amendment to the Indian Medicine Central Council Act which was passed by the Parliament in September, 2010.

 A separate research council for Siddha system of medicine has been established by bi-furcating the Central Council for Research in Ayurveda and Siddha. This was registered in July, 2010 under the Tamil Nadu Societies Act, 1975.

2.                  In 2010, a Pharmacopoeia Commission for Indian Medicine having autonomous status was set up to give greater impetus to the ongoing work of the Pharmacopoeia Committees in respect of Ayurveda, Siddha and Unani drugs.

3.                  In 2009-10, a Centre for Research in Indian System of Medicine (CRISM) was set up under National Centre for Natural Products Research (NCNPR), University of Mississippi (USA) to facilitate collaborative research and dissemination of information on Ayurveda, Siddha and Unani medicines.

4.                  During the Prime Minister’s visit to Malaysia in October, 2010 a Memorandum of Understanding was signed between India and Malaysia for cooperation on traditional medicine to promote AYUSH systems in Malaysia.

 

*********

SBS


(Release ID :72307)

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