A. OUTLAY FOR HEALTH SERVICES: The Draft Annual Plan 2009-10 in respect of Health Services Department is prepared to the tune of Rs. 4,645.00 lakhs. As nearly as 35% of the total outlay has to spent for salary component and Rs. 1355.00 lakhs are to be spent for matching share of NRHM, the Department could not be able to take other development work amply as desired. However, the following development works were prepared to be taken up during 2009-2010.
a) Construction / buildings to be taken up during 2009-10
1) Type II, III (2 nos.), IV Quarters at Khawzawl.
2) Staff Quarters at Lungkawlh.
3) Main Centre at Lunglei ‘S’
4) Type II Quarters at Reiek.
5) Sub-Centre at Hmuncheng, Dengsur, Rualalung, Thualthu, Saitual, Mualcheng ‘S’, Rangte.
6) RCC Water Reservoir at Biate.
7) Parking Area at CMO Office Courtyard, Kulikawn.
8) Renovation of Sub-Centre building at Armed Veng, Aizawl.
9) Sub-Centre cum Quarters at Tlangpui.
10) Staff Quarters (Type I) at Bualpui H.
11) Flagstone Flooring of Courtyard at UHC at ITI.
12) Turning Point / Parking Area near Boy’s Hostel, H/W Training School, Kulikawn, Aizawl.
13) Approach Road to Boy’s Hostel, H/W Training School, Kulikawn, Aizawl.
B. MALARIA CONTROL PROGRAMME: 1. Surveillance:
The entire State is targeted for surveillance where MPW are to take blood smear of any fever cases suspected for presumptive dose which are examined in the PHC/CHC/Hospital for diagnosis. The Surveillance activities are as below:-
Year |
BSE |
POS
(Malaria cases) |
PF |
PV |
Death |
| 2008 |
165541 |
7361 |
6172 |
1189 |
91 |
| 2009 (upto April) |
32682 |
1506 |
613 |
893 |
17 |
C. T.B. CONTROL PROGRAMME: 2009 (1st Quarter only)
1. No. of Sputum positive diagnosed 150
2. No. of Sputum negatives 196
3. No. of Extra-Pulmonary TB 185
4. Total Case Detection 531
D. NATIONAL RURAL HEALTH Our History (NRHM):1) 943 nos. of Accredited Social Health Activist (ASHA) have been trained, provided with drug kits and made functional to bring about increase in institutional delivery, improvement in maternal and child health and brining about better coordination between the health sector and the community.
2) Village Health & Sanitation Committee (VHSC) have been formed in all revenue villages and Untied grant @ Rs. 10000/- for each VHSC amounting to Rs. 78,40,000/- have been sanctioned in all districts. Sub-Centre (SC) Untied grant @ Rs. 10000/- per SC for all 366 SC amounting to Rs. 36,60,00/- have been released and SC annual maintenance fund of Rs. 10000/- for 236 SC have been released for their utilization to bring about improvement at village level.
3) Rogi Kalyan Samiti, a patient welfare society is being actively undertaken. All district hospitals and CHC have been registered and registration for 90% PHC have been completed. Funds have been released and are being made functional to bring about improvement for the patients and the functioning of the hospitals. PHC and CHC untied funds @ Rs. 25000/- per PHC and Rs. 50000/- per CH have been released to be utilized for the welfare of the rural hospitals. Annual maintenance grant for 51 PHC @ Rs. 50,000/- have also been accorded to the needful PHC for their physical improvement and Annual Maintenance grant for 5 CHC @ Rs. 50,000/-.
4) Upgradation of physical infrastructure: 6 district hospitals namely Saiha, Lawngtlai, Lunglei, Kolasib, Mamit and Serchhip project has been taken up for upgradation under NRHM. Civil Hospital, Aizawl and Champhai District Hospital upgradation project initial stage has began. Infrastructure upgradation of six CHC – viz., Vairengte, Sakawrdai, Saitual, Ngopa, Thenzawl and Chawngte CHC upgradation completed. Reconstructed upgradation of another 3 CHC viz., Biate CHC, Hnahthial CHC and Kawrthah CHC is also taken up during 2008-2009. Reconstruction of eight (8) Primary Health Centre was undertaken during 2008-2009 and is expected to completed soon.
6) 130 Sub-Centres, Sub-Centre cum reconstruction quarters has been completed already, 50 more will be taken up during 2009-2010.
7) 17 Ambulances has been procured for Patient Referral system and distributed to 8 District Hospitals and 9 CHC. Another 32 Ambulance were also procured for distribution to the thirty two 24x7 PHC. These 32 PHCs are also supplied with a back-up generator for improving the quality of services especially delivery and maternal and child health.
E. REPRODUCTIVE AND CHILD HEALTH:
PHYSICAL PERFORMANCE OF RCH PROJECT MIZORAM DURING 2008-2009 |
S/N |
Name of Services |
2008-2009 |
% |
1 |
Total ANC Register |
26067 |
|
2 |
ANC within 1st Trimester |
11032 |
42 |
3 |
3 ANC |
18863 |
73 |
4 |
Below 19 yrs ANC register |
1189 |
5 |
5 |
Below 19 yrs within 1st Trimester |
926 |
78 |
6 |
Below 19 yrs 3 ANC |
2461 |
207 |
7 |
Pregnant given TT2+B |
21035 |
81 |
8 |
Pregnant given 100 IFA |
20124 |
77 |
9 |
Pregnant given more than 100 |
2195 |
8 |
10 |
Total live birth |
20244 |
|
11 |
Still birth |
147 |
|
12 |
Abortion |
402 |
|
13 |
Institutional Delivery |
15176 |
75 |
14 |
Safe Delivery |
17215 |
85 |
15 |
3rd Order |
6777 |
34 |
16 |
PNC within 48 hrs of delivery |
7120 |
|
17 |
PNC within 2-14 days of delivery |
9183 |
|
18 |
MTP upto 12 weeks of pregnancy |
472 |
|
19 |
MTP more than 12 weeks of delivery |
134 |
|
20 |
Fully immunized below 1 yr (% against plan target to EPI) |
19111 |
85 |
21 |
Diarrhoea cased under 5 yrs |
16331 |
|
22 |
ARI cases under 5 yrs |
20131 |
|
23 |
Maternal death / MMR |
5 |
MMR25 |
24 |
Child death <1 years / IMR |
600 |
IMR30 |
25 |
Under 5 yrs Mortality / U5MR |
790 |
U5MR15 |
26 |
Female sterilization |
2032 |
CYPR |
27 |
Male sterilization |
4 |
-39 |
28 |
IUD Insertion |
1958 |
|
29 |
Oral Pills Cycle / Users |
60594 |
4661 |
30 |
Condoms pieces / Users |
206759 |
2872 |
F. SCHOOL HEALTH PROGRAMME (2008-2009):
1) Activities under School Health:-
i) No. of School visit - 1680
ii) No. of children examined - 21534
iii) No. of Children referred - 342
iv) No. of Children immunized - 21660
v) No. of School Health Card filled - 3236
vi) No. of Dental Problem - 512
vii) No. of Eye problem - 156
G. NURSING PROGRAMME : (2008-2009)
1. 20 nos. of Nursing Students passed out GNM from Nursing School, Lunglei.
H. AYUSH:
1) Establishment of AYUSH Wing (AYUSH OPD) in 8 District Hospitals and 3 CHCs and the appointment of AYUSH Doctors.
2) Establishment of State Drug Testing Laboratory for Quality Control of Ayurveda, Siddha, Unani and Homoeopathy Drugs and to carry out Research and Development in ethnobotanically important plants.
I. BLINDNESS:
1) During 2008-2009, 2397 nos. of Cataract Operation was performed.
2) In the year 2008-2009, 47452 nos. of eye screening was done for School children and out of this 4328 nos. of children had eye problem, 3345 nos. of poor children were given free spectacles.
3) Eye Bank was established at Civil Hospital, Aizawl.
4) Fund was received from Govt. of India for establishment of Eye Ward & Eye O.T. at Civil Hospital, Aizawl and another proposal for Eye Ward & Eye O.T. for Civil Hospital, Lunglei and Serchhip under consideration.
J. LEPROSY:
During 2008-2009, 23 nos. of Leprosy cases was detected and the total number of Leprosy patients was 50 nos. Out of this, 31 nos. of Leprosy patient were cured and only 15 nos. of Leprosy patient is still on treatment.
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