19-03-2018 Medical Infrastructure in Medical Infrastructure in Medical Infrastructure in Medical Infrastructure in Gujarat Gujarat Gujarat Gujarat Dr N B Dholakia Additional Director, Medical Services Department of Health and Family Welfare Gandhinagar 14 March 2018 Aim: To prevent & reduce Emergency Medical Response Emergency Medical Response Emergency Medical Response Emergency Medical Response Mortality and Morbidity with intact survival Security Pr Organization Police Ambulances e Firebrigade 108 Emergency Coworkers Wards ICU First Responders Ambulances Department Laymen p ar e Inc ide d nt Rehabilitation Interhospital n Lessons Learnt Transfers Organization es Emergency No s 108 Hospital Phase Prehospital Phase 1
19-03-2018 Institutional Structure in Gujarat Institutional Structure in Gujarat Institutional Structure in Gujarat Institutional Structure in Gujarat First Aid, Stabilization, + Definitive Treatment Primary Treatment Super Specialty Facility Super Specialty Facility - Super Specialty Facility Super Specialty Facility - - 03 - 03 03 03 Sub- Sub Sub Sub -Centers - - Centers Centers Centers - - 9156 - - 9156 9156 9156 Mobile Health Units - Mobile Health Units Mobile Health Units Mobile Health Units - - - Medical College Hospitals – Medical College Hospitals Medical College Hospitals Medical College Hospitals – – 21 – 21 ( 21 21 ( ( ( 118 118 118 118 Govt Govt Govt Govt- - - -6 , GMERS 6 , GMERS - 6 , GMERS 6 , GMERS -7 , Corp. - - 7 , Corp. - 7 , Corp. 7 , Corp. - -3 , Pvt. - 3 , Pvt. 3 , Pvt. 3 , Pvt. - -5 ) - - 5 ) 5 ) 5 ) Primary Health Centers - Primary Health Centers Primary Health Centers Primary Health Centers - - - District Hospitals District Hospitals - District Hospitals District Hospitals - 22 - - 22 22 22 1427 1427 1427 1427 Community Health Centers Community Health Centers - - 351 351 Community Health Centers Community Health Centers - - 351 351 Sub Sub Sub Sub- - - -District Hospitals District Hospitals District Hospitals District Hospitals - - - - 33 33 33 33 Institutional Structure in Gujarat Private Industry based hospitals: Sector/NGOs/ ESIC Hospitals and Tie-up Central Govt. Hospitals Institutions ONGC Hospitals and Tie-up Hospitals IFFCO Facility- Kalol Reliance Hospitals- Grant-in-aid Adani Hospitals- Mundra, Bhuj Hospitals 119 H & FW Deptt. 4 Health & Family Welfare Department 2
19-03-2018 Govt. Services Sr. No. Particular of Services Provision of Services ( Annually) 1 Total No.of Beds 35,843 2 OPD 3,57,04,407 3 IPD 44,15,079 4 Total IPD 1,84,448 5 Major Operations 2,10,319 6 Minor Operations 6,06,696 5 3
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19-03-2018 Department Overview • Public Health & Family Welfare • Medical Education & Medical Services • Vital Statistics ( VS) • State Institute of Health & Family Welfare ( SIHFW) • AYUSH • National Health Mission ( NHM) • Gujarat Medical Services Corporation Limited • Project Implementation Plan ( PIU) • Food & Drugs Control Administration ( FDCA) • Employees’ State Insurance Scheme ( ESIS) January 8, 2013 Commissionerate of Health 15 Health & Family Welfare Main Focus Area and Activities- Public Health • Epidemics-Waterborne diseases like cholera, typhoid/Airborne diseases like swine flu (H1N1)/MERS CoV/Ebola/Health services during Natural disasters/Man made disasters • Preparing Primary Health Centres as First Responders and First Aid Posts / Units • Training of Ground Level workers – ASHA, Female and Male Health Workers, Medical Officers and through them training the people January 8, 2013 Commissionerate of Health 16 Health & Family Welfare 8
19-03-2018 Main Focus Areas Medical Services : • Secondary Health care Service • National Programme for Cancer, Diabetes, Cardio-vascular Disease & Stroke • National Programme for Health care of the Elderly • Burns, Trauma Care, Dialysis. Mental Health • 108 Services / Rapid Response Team • Nursing Services • Disability Certificates Medical Education • Medical/ Dental/ Physiotherapy UG/PG Education • Tertiary care through medical College affiliated Hospitals • Medical Research January 8, 2013 Commissionerate of Health 17 Health & Family Welfare Main Focus Areas Vital Statistics : • Registration of Births, Deaths & Marriages SIHFW • FHW/ANM School • Training to In-Service Health Staff • Self Finance Institute ( SFI ) for ANMs GMSCL • Procurement of Drugs & medical equipment PIU • Construction, Repair, renovation and maintenance of medical infrastructure NHM • Umbrella for RCH/National Health Programmes/ASHA/ HR January 8, 2013 Commissionerate of Health 18 Health & Family Welfare 9
19-03-2018 Gujarat Medical Service Corporation Limited Gujarat Medical Service Corporation Limited Gujarat Medical Service Corporation Limited Gujarat Medical Service Corporation Limited (GMSCL) (GMSCL) (GMSCL) (GMSCL) • Procurement of quality Drugs/ Drugs/ Drugs/ Drugs/ Promotion of GENERIC Drugs GENERIC Drugs GENERIC Drugs GENERIC Drugs • Procurement of Medical Instruments Medical Instruments Medical Instruments and Maintenance Medical Instruments Maintenance Maintenance Maintenance • Diagnostics Diagnostics Diagnostics Diagnostics centers and Services • Store, preserve, distribute and manage warehouses and establish new Drug depots at different locations across the State to ensure smooth and timely timely timely timely supply of Drugs supply of Drugs & Instruments supply of Drugs supply of Drugs Instruments Instruments Instruments to Health Institutes. • Rational use of Drugs Rational use of Drugs Rational use of Drugs Rational use of Drugs • To develop, devise and enable real time monitoring real time monitoring real time monitoring real time monitoring system of Drug Stock management up to PHC level • Will be involved in procurement and stocking of antidotes Will be involved in procurement and stocking of antidotes Will be involved in procurement and stocking of antidotes Will be involved in procurement and stocking of antidotes Food & Drug Control Administration ( FDCA) Food & Drug Control Administration ( FDCA) Food & Drug Control Administration ( FDCA) Food & Drug Control Administration ( FDCA) � Implements Following Major Central Acts & Rules. � Drugs & cosmetics Act 1940 � Drugs & Cosmetics rules 1945. � Food Safety and Standard Act 2006 � Food Safety and Standard Rules and Regulation 2011 � Drugs ( Price Control ) Order 2013. � 25 District Offices, 4 State Laboratories (for analysis of Food & Drug Samples) � Coordinate with major antidote manufactures from Pharma Industries in Gujarat and outside. 10
19-03-2018 Antidote Manufacturers in Gujarat Activated Charcoal Ambrosia remedies pvt.Ltd., Vadodara Atropine Morvel Laboratories Pvt. Ltd, Mehsana Geevet Remedies, Mehsana Cyanide Antidote Kit Troika, Ahmedabad Edetate calcium disodium Shanpar Industries Pvt. Ltd Pralidoxime Dishman Pharmaceuticals & Chemicals Limited Troika, Ahmedabad Sodium thiosulfate Shakti Chemicals, Halol Launch of EMS in Gujarat Gujarat Gujarat Gujarat Launch of EMS in Launch of EMS in Launch of EMS in 22 Launch Dt: 29 Aug 2007 11
19-03-2018 108 - Emergency Medical Services - Gujarat Synergizing Innovation Technology Sustainable Integration Processes for Scalable efficiency and Communication effectiveness in IT performance Fleet delivery Medical Strengths of Capacity Public & Building (Leadership, Skill, Private Sector Attitude, Quality Community Assurance) Education Awareness Media Support 24 12
19-03-2018 World class State-of-the-Art - 108 Infrastructure Gujarat Emergency Response Centre, Ahmedabad 108 Emergency Service 108 Emergency Service 108 Emergency Service 108 Emergency Service - - - - Ambulance Specification Ambulance Specification Ambulance Specification Ambulance Specification Ambulance Basic Force : Tempo Winger ST Specification Traveler VOLUME 10.15 cubic meters 10.31cubic meter LENGTH 3300mm 3200mm HEIGHT 1830mm 1820mm Force – Tempo Traveller TATA Winger – ST 13
19-03-2018 High-tech and Equipped Ambulance : 27 108 Emergency Service - Ambulance Interiors & Equipments 14
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