Health Policy Issues and Health Programmes in ... - Amazon S3

National Health Programme in UttaranchalTo improve the rural services, it is essential that every schoolchild be examined annually at thePHC level and be provided with free spectacles. Most of the children with refractive errors arenot regularly provided spectacles under the DBCS. Regarding SES, only a few school-teachershave been trained for examining refractive errors. The refractive error among school children isabout six to seven per cent—there are about 2,060,536 children in the 5 to 15 year age group andthus about 123,632 (about six per cent) of children in that age group have refractive errors. Thecost of spectacles as per the government norms is Rs 75.There is also a need for establishment of a new Management Information System (MIS) andmaintenance of the existing MIS.In 2001/02, the state conducted 27,628 of its target 28,234 cataract operations—a 98%achievement rate.Annex 2Tuberculosis Control Programme in UttaranchalJ P JoshiTuberculosis (TB) is a major communicable disease and India accounts for nearly one-third ofthe global TB burden. It has been found that every year nearly 5 lakh people die of TB. A recentsurvey estimate shows that the TB prevalence in Uttaranchal is about 1225 per 100,000population, while the prevalence rate for India as a whole is 544 per 100,000 population. Thisclearly indicates that the prevalence of TB in the state is muchTable 1. Health Facilities Engaged inTuberculosis Control Activitieshigher than at the national level. This is attributable to variousfactors—socio-economic, geographical, and irregular andDistrict Type of Activityinadequate case findings, diagnosis, and treatment. InUttaranchal, TB is treated under the National TB ControlDehradun Short Course Chemotherapy (SCC)Almora SCCProgramme (NTC) through the state government and underPauriTehriUttarkashiStandard Regimen (SR)SRSRtechnical and financial guidelines from the Government ofIndia and the National TB Institute (NTI).ChamoliNainitalPithoragarhSRSRSRThe state has eight TB centres. In Hardwar district, theprogramme is being run through a TB hospital. Parent districtsUdham Singh Nagar (reported by Nainital), Champawat(reported by Pithoragarh), Bageshwar (reported by Almora),and Rudraprayag (reported by Chamoli) look after the remaining newly formed districts. Aproposal for sanctioning TB centres in the newly formed districts has been sent to the GoI.The state has two TB clinic —one in Dehradun district and one at Rishikesh. There are two TBsanatoria—Bhawali (378 beds) and Gethia 100 beds, both located in Nainital district. Under NTC,there are three TB hospitals—one each in Hardwar, Pithoragarh, and Chamoli, each of which is a40-bed hospital.60Of Uttaranchal’s 13 districts, six have no vehicle facility and in four, the vehicle is off the roads.Only three districts have vehicles on the road. Man miniature radiography (MMR) facilities are