Sujaya Mam - Department of Health & Family Welfare

Report
NATIONAL PROGRAMME
FOR
HEALTH CARE OF THE
ELDERLY (NPHCE)
Activities in 11th FYP
1. Geriatric Department in 8 Regional medical Institutions/
State Medical Colleges
2. Dedicated Health Care in 91 Districts of 20 States
 Geriatric unit at District Hospitals
 Rehabilitation Units at CHCs
 Weekly Geriatric Clinic at PHCs
 Provision of supportive devices/equipments at sub centers
Financial Status
Fund
Released
State
2010-11
2011-12
2012-13
32.61 crore
52.23 crore
20.81 crore
Institutes
8.55 crore
6.30 crore
Nil
Total
41.16 crore
58.53 crore
20.81 crore
•Utilization Certificate (Audited) for the year 2010-11 has been received
from J&K, Karnataka, Madhya Pradesh, Maharashtra and Rajasthan
•Provisional UC has been received from Chhattisgarh, Haryana, Kerala,
Sikkim, Punjab and Uttarakhand.
•Andhra Pradesh, Assam, Bihar, Gujarat, Himachal Pradesh, Orissa, Tamil
Nadu and West Bengal has not furnished UC (neither provisional nor
audited)
•No fund has been released to Jharkhand and UP in 2010-11 due to nonreceipt of Bank A/c Details.
Areas of concern
• Further release of funds under NPHCE is possible only after
receipt of Utilization Certificate (duly signed by the
authorized Charters Accountant / Audit Officer and
countersigned by the competent authority of the State
Govt.) & Audited Statement of Accounts (in original) for the
year 2010-11, Provisional/Audited UC for the year 2011-12
and Statement of Expenditure as on 31.3.2012.
• Physical Performance Report not received from 3 Institutes
and 12 States
• Among States, reports received from Gujarat, Haryana, J&K,
Madhya Pradesh, Sikkim, Orissa, Punjab, Uttar Pradesh only
• Bank Account details are awaited from Uttar Pradesh (in the
name of State Health Society –NPHCE)
Reports/details to be furnished by the
States
• UC for the year 2010-11 (Audited) along with
Statement of Expenditure (2010-11)
• UC 2011-12 (provisional/audited)
• SOE up to 31.3.2012
• Physical performance Report (1st Qr. 2012-13)
• List of 5 districts proposed to be covered during 201213 (Arunachal Pradesh, Gujarat, Himachal Pradesh,
Kerala, Nagaland, Orissa and Rajasthan furnished the
list of 5 districts)
• District wise list of all District Hospitals, CHCs, PHCs
and Sub-Centres in the State/UT (so far only Nagaland
and Odisha has submitted the list)
12th Five Year Plan Proposals
• Cover the remaining districts in a phased
manner (@ 100 districts per year)
• Develop 12 additional Regional Geriatric
Centres in selected Medical Colleges of the
country (in the first three years)
• National Institutes of Aging (NIA) at MMC,
Chennai and AIIMS, New Delhi
National Mental Health Programme
Ministry of Health and Family Welfare
Government of India
National Mental Health Program
Started in 1982 with the following components:
• District Mental Health Program
•
•
•
•
•
Upgradation
of
Psychiatric
wings
of
Government Medical Colleges/ General Hospitals
Modernization of State run Mental hospitals
Manpower Development Scheme
Research & Training
Information, Education, Communication (IEC)
11th Plan outlay was Rs.623 Crore which is to be
enhanced in the 12th Plan Period
District mental Health Programme
• DMHP is operational in 123 districts across the
country.
• DMHP would be expanded to cover all
districts in the 12th plan.
• DMHP supplements man-power to states to
operationalise community services.
List of Centers of Excellences Supported Under NMHP
(Capital Work, Procurement of Equipments, Strengthenig of human-resource)
S.N
Mental Hospital/ Institute
o.
1.
Institute of Mental Health & Hospital, Agra, Uttar Pradesh
Amount Released in 11th FYP
Rs. 28,81,00,000/-
2.
Hospital for Mental Health, Ahmedabad, Gujarat
Rs. 5,28,00,000/-
3.
Rs. 26,36,38,788/-
4.
State Mental Health Institute, Pandit Bhagwat. Dayal
Sharma University of Health Sciences, Rohtak, Haryana
Institute of Psychiatry- Kolkata, West Bengal
5.
Institute of Mental Health, Hyderabad, Andhra Pradesh
Rs. 5,28,00,000/-
6.
Rs.28,84,00,000/-
8.
Psychiatric Diseases Hospital, Government Medical
College, Srinagar, Jammu & Kashmir
Department of Psychiatry, Govt. Medical College,
Chandigarh
Mental Health Institute, Cuttack,Orissa
Rs. 27,78,00,000/-
9
IMHANS, Kozhikode
Rs. 28,84,00,000/-
7.
10. IHBAS, Shahdra, Delhi
11. Maharashtra
Maharastra
Institute
Rs. 5,28,00,000/-
Rs. 5,28,00,000/-
Rs. 5,28,00,000/of
Mental
Health,
Pune,
Rs. 30,00,00,000/-
Total
Rs. 197,03,38,788/-
List of Institutes Supported Under Scheme B
(Upgradation & strengthening of PG Departments in Mental Health Specialty for starting PG Courses in
Mental Health Specialty)
S.No.
1.
Mental Hospital/ Institute
Amount Released in 11 FYP
----------------------------------------------------------------------
2.
Government Medical College, Surat, Gujarat
3.
CSM Medical University, Lucknow, Uttar Pradesh
4.
Ranchi Institute of Mental Health & Neuro
Sciences, Ranchi, Jharkhand
5.
Dr. RML Hospital, Delhi
6.
S.P Medical College, Bikaner, Rajasthan
7.
R. N. T. College, Udaipur, Rajasthan
8.
Institute of Mental Health, Chennai, Tamil Nadu
9.
LGB Regional Institute of Mental Health, Tezpur,
Assam
10.
Government Medical College, Trivandrum, Kerala
11.
NIMHANS, Bangalore, Karnataka
Total
th
PDU Medical College, Rajkot, Gujarat
Rs. 32,78,000/(For Psychiatric Nursing)
Rs. 47,12,000/(For Clinical Psychology)
Rs. 1,73,66,000/(For Psychiatry, Clinical. Psychology, Psychiatric Social
Work, Psychiatric Nursing)
Rs. 1,21,00,000/(For Psychiatry, Clinical. Psychology, Psychiatric Social
Work, Psychiatric Nursing)
Rs. 1,65,16,000/(For Psychiatric Social Work)
Rs. 58,60,000/(For Psychiatry)
Rs. 58,60,000/(For Psychiatry)
Rs. 90,38,000/(For Psychiatry & Psychiatric Nursing)
Rs. 1,73,66,000/(For Psychiatry, Clinical Psychology, Psychiatric Social Work,
Psychiatric Nursing)
Rs. 1,73,66,000/(For Psychiatry, Clinical Psychology, Psychiatric Social Work,
Psychiatric Nursing)
87,12,000/(For faculty support for 1 unit each of Clinical Psychology
and Psychiatric Social Work)
Rs. 11,81,74,000/-
New Initiative in the 12th Plan
• Expansion of DMHP to all the District of the
country in a phased manner
• Strengthening District Hospitals for providing
hospital services to mentally ill patients
• Participation of NGOs & private sector for
providing extended treatment facility and
rehabilitation through community outreach
programme
Issues requiring attention
• Further release in of funds in 2012-13 under NMHP is possible only after
receipt of UCs duly audited and SOE(in original) for 2010-11.
• Provisional UC for the year 2011-12 and Statement of Expenditure as on
31.03.2012
• Only 10 Districts in Tamil Nadu have been released funds as per the
revised guidelines. Others could not be released due to non submission of
UCs & SOE.
• MCI clearance/approval to be obtained by States to start PG Courses
under Manpower Development Programme
• To observe “World Mental Health Day” falling on 10th October, States may
ensure awareness building through IEC activities.
National Program for Control of
Blindness
Government of India
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Introduction
• National Programme for Control of Blindness
was Launched in 1976 as a 100% Centrally
Sponsored Programme to reduce prevalence
of blindness from 1.4% to 0.3%
• As per rapid survey on avoidable blindness
conducted during 2006-07, the prevalence of
blindness has come down to 1%.
• 11th plan outlay was Rs. 1250 Crore.
11th plan Initiatives
Infrastructural strengthening
Non recurring assistance (NPCB)
Facilities
supported
• RIO
Rs. 60L
20
• Med College
Rs. 40L
122
• District Hospitals
Rs. 20L
*
• Sub-district Hospitals
Rs. 5L
*
• Vision Centres
Rs.50,000/- 2208
• Eye Banks
Rs. 15 L
76
• Eye Donation Centre
Rs. I L
178
• Teleophthalmology
Rs. 60L
23
• Dedicated Eye OT
Rs. 75L
43
• NGO
Rs. 30 L
54
State may ensure operationalisation of facilities supported and their
functioning and reporting
* Data not available
11th plan Initiatives (Contd.)
 New initiatives include
 Construction of dedicated Eye Wards and Eye Operation theaters
in NE and few other (poor infrastructure or newly formed )states
 Appointment of Ophthalmic Surgeons @ Rs 25,000/- and
Ophthalmic Assistants Rs 8,ooo/ and appointment of Eye
Donation Counselors @Rs 10,000/- on contract basis.
 Treatment of other eye diseases like DR, glaucoma, Childhood
blindness, keratoplasty andVitreoretinal Surgery etc.
 Maintenance of Ophthalmic Equipments supplied to Regional
Institutes of Ophthalmology, Medical Colleges, District/SubDistrict Hospitals, PHC/Vision Centres.
 Comprehensive and quality delivery of eye care services
Issues in 11th plan
• Non implementation of new initiatives
• Non appointment of contractual manpower
• Release of sanctioned grants and inability of
SPOs to exercise their powers
• Non submission of UCs and audited statement
of expenditure. Submission of UCs for 2010-11
is must for further grants
12th Plan
• Emphasis is on comprehensive eye care with
quality delivery of services, infrastructural
development, augmenting manpower and
capacity building
• Proposal for presbyopic glasses primarily in
women
• Development of mobile vans
• Enhanced funding
National Programme for
Prevention and Control of
Deafness (NPPCD)
Disease Scenario
• Prevalence of severe to profound Hearing Loss is
291 per lakh population in India (NSSO Report of
year 2002)
• As per WHO (year 2003) Prevalence of significant
auditory impairment is 6.3% in India
• Causes of Hearing Impairment are - Acute
Suppurative Otitis Media (ASOM), Chronic
Suppurative Otitis Media (CSOM), Secretory Otitis
Media, Trauma, Rubella, Noise Induced Hearing
loss etc.
• Over 80% of the above causes are either
preventable, treatable or rehabilitation is possible
Objectives of NPPCD
 Preventing avoidable hearing loss on account of
disease or injury
 Early identification, diagnosis and treatment of ear
problems responsible for hearing loss and deafness
 Developing institutional capacity for ear care
services by providing support for equipment,
material and trained manpower
 Rehabilitation of persons of all age groups suffering
with Hearing Impairment
 Strengthening inter-sectoral linkages with other
Ministries for Prevention & Rehabilitation
22
Achievements & Strategies
• NPPCD was started in January 2007 in 25 districts of
10 States & 1 UT. Total of 184 districts of 16 States
and 3 UTs covered till 31/3/2012
• Total Programme expenditure during 11th F.Y.P. was
Rs. 47.57 crore out of which Grants-in-aid to
State/UTs was Rs 36.78 crore
• Strategies of Programme are:
1. Capacity Building of Human resource for service
delivery and development of institutional capacity
2. Promotion of outreach activities
3. Increased awareness through IEC
Provision of Funds at DH/CHC
1. Sound treated Room at DH for Audiological Assessment
2. Procurement of ENT & Audiological Equipments at DH &
CHC/PHC (Surgical Microcsope, Audiometers, Microdrills
etc.)
3. Salary for one Audiologist/ Audiometric Asst. & Hearing
Impaired Instructor at DH level
4. Training programme for ENT Specialist, Obstetricians &
Pediatricians, MO, CDPOs, ANM, AWW, ASHA
5. Procurement of Hearing Aids
6. Screening Camps in DH, CHC, PHC and Outreach
7. Approximately Rs 30 lakh is given to each district
CONCERNS…
1. Less priority accorded to Programme by
States/UTs
2. Lack of Coordination between State Nodal
Officer and District Health Administration
3. Failure to procure Equipments and hiring of
Manpower by State/UTs
4. Non submission of Utilization Certificates and
Progress Report to MoHFW by 11 States out of
19 States/UTs. (Assam, AP, Gujarat, Tamil
Nadu, Uttarakhand, UP, Manipur, Madhya
Pradesh, Jammu & Kashmir, Himachal Pradesh
and Meghalaya) resulting in non release of
funds in the current year.
25
12th Plan Proposal
• 12th Plan proposed outlay is Rs. 834.09 crore
• All 642 districts to be covered by the end of 12th
FYP.
• ENT Department of State Govt. Medical Colleges to
be Strengthened by providing Rs 50 lakh.
• IEC activity will be done both by MoHFW and State
Governments
• PPP for Urban Slums screening and School Children
screening
THANK YOU
27

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