ANNUAL HEALTH BULLETIN 2004 - Ministry of Health

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Donor supported vertical programme. Resource gap - insufficient financial support to maintain quality services through regular services. Recognition of VHW s for remuneration / incentive / compensation (packaging)~miformly has been problem. Retention / drop out I replacement of trained VHWs. Community participation for ownership & sustenance. Growing expectations & demands. Multi-sectoral dimension for health development. Regular refresher courses need to be maintained. Adequate financial support for above and other non-financial incentives. Vertical program I reprogramming within the decentralization policy. Fixed target setting for better planning and monitoring. Dzongkhag & Geog budgeting from regular resources. Ownership building and sustenance by community in long run. Recognition- remuneration & incentive packaging modalities for VHW s All programs to recognize VHW as channel or a medium to reach the community and utilize them optimally. Therefore all programs must coordinate to support fund to ensure regular refresher & new trainings to reduce high dropouts.
STD/AIDS control program was established under the Department of Health in 1988 and the first case of AIDS was detected in 1993. • As of 16 th February 2005 there are 72 HN positive cases • The first mother to child transmission case was reported in 2001 . • Total of 5 pregnant mothers were detected with HN infection. • The mode of infection of all the detected cases is through heterosexual sex. • Most of detected cases so far are through sentinel surveillance, contact tracing, and medical checkup. • The cases are distributed in all occupations with maximum in civil servants and business peoples. • According to gender there are 33 female and 39 male infected with HIV. The ratio of female to male is (1:1.3). • The current prevalence of HIV infection is 0.05%, which shows that Bhutan is at early phase of epidemic. 1. To reduce transmission of HN infection through sexual, blood products, and perennial and STIs. 2. To reduce risk of STI and HIV transmission through lEC and multi sector approach. 3. To reduce morbidity and mortality associated with HIV/AIDS and STls. 4. VCT services and HIV surveillance system established in all districts. 1. Prevent sexual transmission through multi-sectoral approach and lEe 2. Prevent transmission through blood and blood products 3. Prevent vertical transmission 4. Counseling and care facilities established 5. Program Strengthening and management. The National AIDS Committee was established in 1994 and the terms of reference (TOR) are: • Formulate policies on prevention and control of STDs and HN/ AIDS. • Facilitate linking of national HIV/AIDS plan and policies with other important policy making processes.
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ROYAL GOVERNMENT OF BHUTAN MINISTRY
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National Referral Hospital JDWNRH O
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Page 14 and 15:
Activities The Royal Institute of H
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The structure for QAS has been inst
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• Establishment of goals and stra
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quality assurance activities and re
Page 24 and 25:
SN Cases Male Female Total 1 New ca
Page 26 and 27:
1. The National Institute of Tradit
Page 28 and 29:
Introduction The laboratory service
Page 30 and 31:
• Hematology services for routine
Page 32 and 33: • Since 2000, annual intake of la
Page 34 and 35: The vision of IC&HWM program is to
Page 36 and 37: Nursing services in Bhutan is the b
Page 38 and 39: Nilme of Hospit41s/ Bed Patients lo
Page 40 and 41: Besides the routine curative care,
Page 42 and 43: Oral health is an important compone
Page 44 and 45: An X-Ray service in the country was
Page 46 and 47: History In the 1990s, radio telepho
Page 48 and 49: Some of the main constraints faced
Page 50 and 51: Perinatal medicine services are goi
Page 53: J!])cPJ, rmffil:mcPJ1Yfl il: ([J)f
Page 56 and 57: • 11 new doctors trained on Basic
Page 58 and 59: Type of -. . complications 2001 200
Page 60 and 61: Complied by: Dr. K.C Buragohain, JD
Page 62 and 63: About 30% (29.71%) of the populatio
Page 64 and 65: discontinuation. Medical side effec
Page 66 and 67: The overall CPR improved to 46% if
Page 68 and 69: Expanded Program On Immunization (E
Page 70 and 71: Sl. District BeG Measles DPT- OPV O
Page 72 and 73: Str~gthen the DOTS component of DOT
Page 74 and 75: v. Treatment outcome (%) 2000 2001
Page 76 and 77: ~~::; ...~~.:=---- ."' 0 Diseases 1
Page 78 and 79: The National Control of Dirrhoeal D
Page 80 and 81: Background The Village Health Worke
Page 84 and 85: • Function as coordinating body i
Page 86 and 87: SI.No Gender No. of cases 1 Male 39
Page 88 and 89: Background. The National Malaria Er
Page 90 and 91: Malaria case load contributed by f"
Page 92 and 93: 45 40 .. - . Malaria mortality 35T
Page 94 and 95: 13. Professional Human Resource Dev
Page 96 and 97: The integration of Community Based
Page 98: Establishment of Audio logy Unit at
Page 102 and 103: District ANC atte"dances Average 1s
Page 104 and 105: Child attendances Total District In
Page 106 and 107: District IUD Cycles of DMPA Male Fe
Page 108 and 109: Procedures Cases % Caesarian sectio
Page 110 and 111: District Caesarian General General
Page 112 and 113: District X-ray X-ray X-ray Ultrasou
Page 114 and 115: Outreach Clinic Tsimalakha Hospital
Page 116 and 117: Districts Hospitals Basic Health Un
Page 118 and 119: ~ ICD Priority Health ProblemlDisea
Page 120 and 121: ICD Priority Health Problem/Disease
Page 122: ~ ~ ~ =:: Q(" :;l ~ ~~ ..:: ~ ,,~ ~
Page 125 and 126: ABER ACO AEFI AFP AGUS AIDS AN ANC
Page 127: OCP OPD OPV ORC ORT OT PEM PHC PHD
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ANNUAL HEALTH BULLETIN 2004 - Ministry of Health

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