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

National Health Programme in UttaranchalTable 6. Family Health Awareness Campaign, Uttaranchal, May 2001 and March 2002May 2001 March 2002Item Male Female Total Male Female TotalTotal estimated targeted population 1,696,411 1,673,650 3,370,061 1,653,878 1,588,641 3,242,519Number (and percentage) of persons whoattended the camp 121,977 185,328 307,305 129,075 238,130 367,205(7.19) (11.07) (9.11) (7.80) (14.98) (11.32)Total number referred to health centres/hospitals 13,162 45,001 58,163 12,763 53,957 66,720Number of RTI/STI cases treated 2,367 23,197 25,564 4,967 35,618 40,585a) with ulcers 420 671 1,091 303 1,203 1,506b) with discharge 835 17,938 18,773 1,578 25,852 27,430c) other (STD) 1,112 4,588 5,700 3,086 8,563 11,649Percentage of persons treated with RTI/STI 17.98 51.54 43.95 38.91 66.01 60.82the targeted population attended the camps in May 2001 compared with 11% in March 2002. Thepercentage of females who attended the camps was much higher than the percentage of malesduring both the reference periods. The total number of cases referred to health centres/hospitals as well as the number of RTI/STI cases treated also increased during the two timeperiods; about 44% were treated for RTI/STI during May 2001 and this increased to about 61% inMarch 2002. During both reference periods, it was found that the females sought treatment moreoften than the males.Present Scenario and Future PlansThe socio-economic and cultural factors in Uttaranchal are slightly different from its parent stateUttar Pradesh. A large number of persons in Uttaranchal are employed in the military andparamilitary forces. Besides, the huge male migration from Uttaranchal for employment createsan environment conducive to the spread of HIV/AIDS. As such, there are no identified red lightareas in Uttaranchal, but specific focus and arrangements are still needed for the migrantpopulation. Also, there is a need to identify indictable drug users in Hardwar and Rishikesh, asthere are a number of sadhus (ascetics) and foreign tourists living in these areas.For prevention of transmission among the high-risk groups, targeted interventions are plannedfor CSW, truck drivers, street children, men having sex with men (MSM), intravenous drug users(IDUs), rag pickers, and migrant populations. Steps will be taken to increase condom use,especially among these high-risk groups. For prevention of transmission among low-riskgroups, IEC (print media, folk media, interpersonal communication, etc.) specific to the area willbe developed.Regarding blood safety, 16 licensed blood banks exist in the state. A model blood bank is to beestablished at Doon Hospital in Dehradun. Four new blood banks are to be established at BaseHospital Srinagar, Base Hospital Haldwani, Combined Hospital Kotdwar, and CombinedHospital Roorkee.74