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Department of Health and Family Welfare

Tender (Notice)

Who we are

   

The Government of Jharkhand is committed to providing quality health care services to all sections of society; particularly to those who are living in remote and difficult area. The Department of health is created at the district level to create health facilities and to deliver the health care services to the last village, the last household and the last person in the district. The department was created to prevent, treat and control various infectious and non-infectious diseases which are being done through the health and family welfare department.

 

Background

   

The Jharkhand Government is determined to provide quality health care services, particularly for those in remote and difficult areas in order to reduce diseases and deaths from preventable and infectious diseases.  It is also the mandate of the government to ensure the right to life and provide equitable and inclusive health services to the poor and disadvantaged groups and adolescents with the aim of eliminating discrimination in the provision of health care at all levels and in all sectors. The Department was set up to pay attention to the health issues of following concerns to the people in general and poor in particular

·         Give greater priority to women's health issues by following a life-cycle approach, providing quality services, and implementing safe motherhood and emergency obstetric care strategies. 

·         Place significant emphasis on child health issues by improving healthcare systems, protecting child health rights, and paying attention to nutrition issues.

·         Address gender and human rights issues related to the reproductive health of the population in general and of women in particular. It will achieve population stabilization by promoting informed choice and involving men in family planning.

·         Increase the use of modern family planning methods by creating demand through behaviour change communication strategies and by improving the quality of services provided.

·         Enhance technical, managerial and communication skills and competencies of healthcare providers and health managers.

·         Strive to achieve a convergence of services at the grass-roots level, to establish inter-departmental linkages, and to involve elected representatives in programme planning and implementation at various levels.

·         Build partnerships with various stakeholders such as NGOs, the organized sector, and other agencies to achieve synergy and develop institutional capacities.


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What we do

   

We carry out the following initiatives.

·         Running public health institutions in the district, District referral hospital, Taluk/Sub-divisional referral hospital (Community Health Centres-CHC), Primary Health Centres (PHC)and  Health Sub-centres (HSC) at the village level to provide need based health services.

·         Providing primary health care services through the PHCs and HSCs, secondary health services through the CHC and district referral hospitals.

·         Provide Mobile Health units to cater to the primary health care needs of those living in the difficult to reach areas, introduced in all the Districts.

·         Undertake health tasks to meet calamities and emergencies.

·         Monthly review meetings at the District and PHC level to monitor Health services.

·         Renovation and reconstruction of Primary care and first referral Centers in a phased manner.

·         Vigilance committee involving officials and non officials formed.

·         Implementation of Revised National Tuberculosis Control Programmes to provide treatment services to cure TB.

·         Running malaria and other vector control programmes at the district level for prevention, control and cure against malaria and other vector borne diseases.

·         Provide eye care services through Blind Control Programme.

·         Running child health services including immunisation services to children.

·         Initiating maternal care and support programmes to the pregnant and lactating women including financial support to pregnant women who completed all the treatment protocol.

·         Promoting adolescent and sexual health services including HIV prevention and control measures and services.

·         Regulating private and public health services including the enforcement of public health laws and standards.

Development Initiatives

   

Central and State government Development  programmes

The central government assisted health programmes are outlined below.

National Rural Health Mission

The central government has initiated Rural National Health Mission (NRHM) in 2005 and is in place till 2012. It may in all likelihood be further extended. The basic objective of the NRHM is to provide accessible, affordable and accountable health care in rural areas. Its primary focus is on making the public health system fully functional as per Indian Public Health Standards (IPHS) at all levels. The other key objectives of NRHM are given below.

  • Reduction in Infant Mortality Rate (IMR) and Maternal Mortality Ratio (MMR).
  • Universal access to public health services such as Women’s health, child health, water, sanitation & hygiene, immunization, and Nutrition.
  • Prevention and control of communicable and non-communicable diseases, including locally endemic diseases.
  • Access to integrated comprehensive primary healthcare
  • Population stabilization, gender and demographic balance.
  • Revitalize local health traditions and mainstream AYUSH
  • Promotion of healthy life styles.

Under NRHM, each district is mandated to draw up their own district and local plan and budget as per the district needs. NRHM provides 85% of the cost and the rest of the 15% comes from government of Jharkhand. This is a time bound mission driven programmes. It is highly decentralised and locally driven programmes.

NRHM provides for creation of decentralised services through Sahaiyas and village health committee. The district administration has already identified Sahaiyas and  they were already in place in all the villages with a population of 1000. The health committees are mandated to draw up their village plan and budget. Added to it, they are entitled to claim Rs.10000 untied fund from the NRHM and they can use the money as per their discretion for health promotion purposes. The NRHM accorded due importance to the elected representatives plan and monitoring health services and holding the health service providers accountable. The other services under  NRHM in Latehar are given below.

Mobile Medical Units

The District has received 02 medical mobile units which are currently being used by the district. The units have been handed to an NGO who are running the mobile health unit.  The MMU has a fixed village-wise map, and visit villages as per that schedule. The MMUs operate in each block in the interior and tribal areas where people face difficulties in accessing the healthcare services. The MMU team provides diagnostic, and primary curative and preventive healthcare services in the identified geographical area allotted to that MMU. The Mobile Medical Unit vehicle is being used intensively, and therefore requires regular servicing, repairing etc.

Janani Suraksha Yojana in Rural Areas

 

Government of India has launched a new scheme named “Janani Suraksha Yojana” in modification of the “National Maternity Benefit Scheme”.  The salient features of the new scheme are as follows:

·         A cash benefit of Rs.1400/- is being provided to the eligible Below-Poverty-Line pregnant women. The pregnant women can opt to get her baby delivered at the district Hospital, PHC, HSCs or identified Hospitals in and around the District (MOU with identified hospitals). The amount is paid “during the delivery”, whether the delivery is at any of the identified hospitals in the district.

·         Further, an amount of Rs.250/- is paid to such eligible rural pregnant women who avails transportation facilities .

·         The Sahiyya receives Rs. 350 as motivation money if she takes care of the mother for one week and gets the child immunized for BCG.

·         This has helped the district in improving Institutional deliveries.

  Vector Borne Disease Control Programme (VBDCP)

This is central government programme converged with NRHM . This scheme has been functioning to  reduce malaria deaths rate by 50% , malaria disease by 30% and increase the health seeking behavior of the people. This scheme has the following features.

 

·         Provision of mosquito bed nets to below the poverty line families.

·          Introduction of rapid malaria test and collection of blood samples for detection of malaria.

·         Indoor spray.

·         Raising awareness on malaria, its prevention, control and treatment.  

 

Revised National TB Control Programmes

This is a central government scheme, implemented through the district health department. The the programme’s focus has been on ensuring expansion of quality Directly Observed Treatment Short Course (DOTS) services to the entire country. The Revised National TB Control Programme now aims to widen the scope for providing standardized, good quality treatment and diagnostic services to all TB patients in a patient-friendly environment. Recognizing the need to reach to every TB patient in the country, the programme has made special provisions to reach marginalized sections of the society, including creating demand for services through specific advocacy, communication and social mobilization activities. RNTCP has the following salient features.

1.    Pursue quality DOTS expansion and enhancement, by improving the case finding are cure through an effective patient-centred approach to reach all patients, especially the poor.

2.    Address TB-HIV, MDR-TB and other challenges, by scaling up TB-HIV joint activities, DOTS Plus, and other relevant approaches.

3.    Contribute to health system strengthening, by collaborating with other health programmes and general services

4.    Involve all health care providers, public, nongovernmental and private, by scaling up approaches based on a public-private mix (PPM), to ensure adherence to the International Standards of TB care.

5.    Engage people with TB, and affected communities to demand, and contribute to effective care. This will involve scaling-up of community TB care; creating demand through context-specific advocacy, communication and social mobilization.

Leprosy Control Programme

This is a Central Government scheme implemented through the state government. The scheme has provision for early detection of leprosy, treatment, care and rehabilitation of leprosy patients

Blind Control Programme

This scheme is indented to identify blind persons and helping them to get eye care and treatment services. It includes cataract operation, provision of goggles and treating eye related ailments.

Mental Health Programme

This scheme provides care, support and rehabilitation of mentally ill patients through the help of specialised agencies.

STATE SCHEMES

Primary Health Care

Under this scheme, government is providing the following primary health centres through the Primary Health Centres and Health Sub-centres. The services are:

1.    Immunisation services

2.    Child health services

3.    Antinatal services for pregnant women

4.    Pregnancy monitoring services

5.    Immunisation services for pregnant women

6.    Distribution of iron and folic acid for pregnant women.

7.    Safe delivery services including promotion of institutional delivery for prevention of maternal deaths.

Under this, the government provides general health services such as

·         Malaria prevention and control services

·         TB prevention and control services

·         Adolescent health services

Medical Assistance to BPL Patients

This is an ongoing scheme under which a maximum financial assistance of Rs 1.50 lac is provided to those patients who are below poverty line and find it difficult to afford expensive treatment for diseases like cancer, heart ailments and kidney transplant etc.

 Mobile Medical Units (MMU) at CHC level

The Community Health Centers are supposed to deliver the specialized indoor treatment facilities in the rural areas. But people from remote and far off areas cannot reach these CHCs due to poor connectivity. As a result it becomes even the more essential to reach out to their door step. This can be achieved to some extent by making the facility of Mobile Medical Unit available at each CHC. It is therefore proposed to provide one MMU at every CHC. NRHM fund from Government of India would be used as additionally for this scheme as per the Project Implementation Plan.

TRIBAL health Plan

The government of Jharkhand through the auspicious of NRHM has evolved tribal health policy including the integration of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy (AYUSH). The government has mapped out hard to reach health services. It has also evolved micro plan for extending health services in hard to reach areas as per the needs of the tribal community.

Who is who

Latehar district has constituted the District Rural Health Mission. The members of the District Rural Health Mission is given below.

Sl No

Name

Designation

Post in the Committee.

1

Rahul Kumar Purwar

DC Latehar

President

2

Dr. Eron Tigga

CS cum CMO

Vice President.

3

Samresh Kumar Singh

DPM

Co-ordinator

4

Ranjit Kumar Singh

Dist Sahiya Coordinator

Member

5

Dr Royan Jems Tiru

MO I/C, Garu

Member

6

Dr. Shiv Pujan Sharma

DTO cum I/C Mo, Latehar

Member

7

Kumar Madhusudan

Nodal officer, Visstar

Member

8

Sandeep Srivastava

Programme officer , Care

Member

9

Asit Kumar

A2Z

Member

10

Sandeep Saran Sahaya

Vikas Bharti

Member

11

Santosh Kumar Sahu

VBDC

Member

At the district level, Civil Surgeon cum Chief Medical Officer is heading the District health unit. At present Dr. Eron Tigga is the Civil Surgeon of Latehar. The District Rural Health Mission is headed by District Project Manager. Mr.Samresh Kumar Singh is the DPM of Latehar.

 

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