WELCOME 1
Health Care in Andhra Pradesh 68th LEVEL ‘D’ TRAINING PROGRAMME FOR SECTION OFFICERS/ UNDER SECRETARIES CONDUCTED BY INSTITUTE OF SECRETARIAT TRAINING & MANAGEMENT 1. Shri V. Sripathi, Deputy Director 2. Shri S. Sridhar, Section Officer 3. Shri Yogesh Dhingra, Section Officer 4. Shri Soumitra Basu, Section Officer 5. Shri Rajeev Mohan, Section Officer
District Profile-Prakasam Formation - 02 February, 1970 Area - 17,624 Sq.Km Total Population - 33,92,764 Male Population - 17,12,735 Female Population - 16,80,029 Density of Population - 192/Sq. Km Sex Ratio(Female : Male) - 981:1000 Overall Literacy - 63.08% Male Literacy - 72.92% Female Literacy - 53.11% 3
District Profile- Prakasam (Administrative Structure) Municipal Corporation - 01 Municipalities - 03 Revenue Divisions - 03 Mandals - 56 Nagar Panchayats - 04 Gram Panchayats - 1036 4
Health care in Andhra Pradesh Primary Primary Health Sub Centres/ Health Care/ DPH& ASHA/ANM Centres FW Secondary Community Area District Health Care/ Health Hospitals Hospitals APVVP Centres Teaching Super speciality Tertiary Health Hospital Hospitals Care / DME 5
Field Visits ❖ Area Hospital, Chirala, Prakasham District ❖ Rural Health Training Centre, Maddipaddu ❖ Office of District Co-ordinator of Hospital Services, Prakasam District ❖ Anti Retroviral Treatment Centre, RIMS, Ongole 6
Area Hospital, Chirala, Prakasam District 7
Area Hospital, Chirala, Prakasam District ❖ Administration- Government of Andhra Pradesh ❖ Monitoring- Andhra Pradesh Vaidya Vidyan Parishad ❖ Capacity- 100 beds ❖ Coverage- 50 villages ❖ NTR Arogya Shree Vaidya Seva- Provision of free of cost Medical facilities including emergency operations for poor people.
Area Hospital, Chirala, Prakasam District 9
Area Hospital, Chirala, Prakasam District ❖ OPD Patients- 150 patients daily average. ❖ Immunisation- 9 th of every month. ❖ E-Aushadi – On line Monitoring & Procurement System. ❖ Diagnostic Tests - 42 different Diagnostic & Pathological tests.
Area Hospital, Chirala, Prakasam District ❖ Suraksha Clinic- A separate department for counseling the HIV affected patients. ❖ Tele Radiology - Reports of diagnostic tests are made available/uploaded for use of the Doctors within 4 hours. ❖ Janani Suraksha Yojna- Central Government Scheme - Rs. 600 and Rs.1000 are given to Child and Mother respectively. ❖ Thallibidda Express- For transportation of the mother & Child to home after delivery - Driver of the ambulance to ensure vaccination of the child.
Rural Health Training Centre (RHTC)-Maddipaddu 12
Rural Health Training Centre (RHTC)-Maddipaddu ❖ Patients- 120 daily average ❖ Coverage- 32 villages ❖ Capacity- Presently 6 beds to be increased to 10 beds. ❖ Funding-Central Government under National Health Mission. ❖ Sub Centres- 9 sub Centres & 53 Accredited Social Health Activists (ASHAs). ❖ Training Centre-100 Students doing internship.
Rural Health Training Centre (RHTC)-Maddipaddu ❖ ASHAs- Paid for the every service e.g. Registration of pregnant mothers, vaccination and immunization of Child etc. ❖ ANMs- Provided Tablet and software ANMOL - used for tracking patients & follow up. ❖ Central Government Schemes-Integrated Disease Surveillance Programme (IDSP), Janani Suraksha Yojana (JSK) ❖ State Government Schemes- Janani Sishu Suraksha Karyakram -Digital birth certificate with Aadhar seeding. 98% institutional deliveres. Awareness programmes and treatment for Non Communicable Diseases.
Office of District Co-ordinator of Hospital Services, Prakasam District 15
Office of District Co-ordinator of Hospital Services, Prakasam District ❖ Presentation from Dr. P. Durga Prasada Rao, District Co-ordinator Of Hospital Services, Prakasam Distirct ❖ General information about Health Challenges, Human Development Indicators, Causes of Death- status in India ❖ Status of Health Facilities in Andhra Pradesh. 16
HEALTH INDICATORS TARGETS AND ACHIEVEMENTS IN INDIA 2005 2012 2015 2017 MMR (Maternal Mortality Rate) 301 100 167 100 IMR (Infant Mortality Rate) 57 30 40 25 TFR( Total Fertility Rate) 2.7 2.1 2.4 2.1 HEALTH INDICATORS TARGETS AND ACHIEVEMENTS IN ANDHRA PRADESH 2005 2012 2015 2017 195 100 92 57 MMR (Maternal Mortality Rate) 53 30 39 18 IMR (Infant Mortality Rate) 1.8 1.5 1.8 1.8 TFR( Total Fertility Rate) 17
Anti Retroviral Treatment Centre, RIMS, Ongole 18
Anti Retroviral Treatment Centre, RIMS, Ongole ❖ Briefing by Dr. K. Padmavathi, Addl. DM&HO (AIDS & Leprosy), DAPCU – Prakasam District ❖ Coverage- 56 mandals of Prakasam District ❖ Aegis - Andhra Pradesh State AIDS Control Society-National AIDS Control Organisation of Ministry of Health and Family Welfare. ❖ Information about AIDS Control Programmes in the District, Facilities provided in the Centre, Challenges etc. ❖ Causes for Prevalence- Poverty, Coastal land, Industrial area and Migrant population, Long Highway. 19
Anti Retroviral Treatment Data ❖ Total Positives (2006 to July-2016) : 26,560 ❖ Cumulative Pre ART : 26,560 ❖ Ever on ART cumulative : 16,166 ❖ Cumulative alive on ART : 7,191 ❖ Lost Follow Up (LFU, Cumulative) : 1,445 ❖ Number of Deaths Reported : 4,219 20
Observations ❖ Patients - Satisfied, Hospital staff- Caring. ❖ Hygienic & Atmosphere - Clean and tidy. ❖ Best Practices- Tele Radiology, E-Aushadi,TBS Helpline number for maintenance of hospital equipments. ❖ Filling up of vacancies of the Doctors, Nurses, Para Medical & Support Staff.
Observations ❖ Registration of OPD patients to be made on computer at initial stage. ❖ Provision of the over head fans for OPD Patients. ❖ ACs to be provided in Doctors’ Rooms. ❖ Wheel chairs- Also to be kept at the entrance.
THANK YOU
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