medical facilities - Lakshadweep

THE DEPARTMENTOFHEALTH SERVICESLAKSHADWEEP

ORGANISATION AL CHARTADMINISTRATORSECRETARYDIRECTORDDHS (PublicHealth)Dist. Imm.OfficerHOSPITALSMS, KAVARATTIMO I/C, MINICOYO/C RGSH(PPP), AGATTICHCsMOI/C ANDROTHAMINIAGATTIPHCsMOI/C KALPENIKILTANKADMATHCHETLATFACBITRAFACBANGARAM

MEDICAL FACILITIES IN LAKSHADWEEP BEFOREINDEPENDENCESl. No. Name of MedicalInstitutionYear ofStarting1 Dispensary 1874 Amini2 Dispensary 1875 Amini3 Dispensary 1890 Minicoy4 Dispensary 1900 Androth5 Dispensary 1920 Amini6 Dispensary 1925 Androth7 Dispensary 1926 Minicoy8 Dispensary 1936 KavarattiName of the Island

MEDICAL FACILITIES AFTER INDEPENDENCESl. No. Name of Medical Institution Year of Starting Name of the Island1 5 Dispensaries 1947 Amini, Kavaratti, Androth,Kalpeni & Minicoy2 2 Dispensaries 1955 Agatti & Kadmath3 Dispensary 1958 Kilthan4 Dispensary 1960 Chetlath5 Hospital 1962 Minicoy6 I.G.Hospital 1964 Kavaratti7 2 Primary Heath Centers 1961 Androth & Amini8 Primary Health Center 1962 Chetlath9 Primary Health Center 1963 Agatti, Kadmath & Kalpeni10 Primary Health Center 1964 Kilthan11 First Aid Center 1973 Bitra13 Community Health Center 1994 Androth & Amini14 Community Health Center 1995 Agatti15 First Aid centre 2009 Bangaram16 RGSH (PPP) 2011 Agatti

MEDICAL FACILITIES• 2 Hospitals,3CHCs,4PHCs & 2 FACs• Facilities Available• X-ray,ECG,UltraSound,ICU,BasicLab.Investigations,Dental,Ayush etc.• Basic speciality Services likeGynaec,Paeds,Srgury,Anaesthesia and Pathology aremade available with Specialists deputed for 90 days byMOH&FW in IGH• Specialties like Surgery, Medicine, Gynaec, Anaesth,ENT, Paeds, Ortho, Pathology and Radiology are madeavailable in RGSH, Agatti through PPP mode.

Staff Details Island wiseIslandM O/Spl St Nurse ANM Radiogra Pharmaci LT MNO FNORegularContract RegContrReg Cont Reg Cont Reg Cont Reg Cont Reg Cont Reg ContKavaratti 12 8 8 9 5 4 1 3 5 1 1 4 2 0 4 0Minicoy 3 6 4 2 3 2 1 0 2 0 1 1 1 0 2 0Androth 5 6 5 7 4 1 1 0 3 1 2 0 1 0 1 0Agatti 2 1 4 0 3 6 1 1 2 1 1 1 1 0 2 0Amini 3 4 5 4 4 3 1 1 2 1 1 1 2 0 1 0Kalpeni 1 3 2 1 3 2 1 1 1 1 1 0 2 0 0 0Kadmath 2 2 2 1 2 2 1 0 1 1 1 1 1 0 1 0Kilthan 0 2 1 0 2 4 1 0 1 0 1 1 1 0 1 0Chetlath 1 1 1 2 2 4 1 0 1 1 1 0 1 0 1 0Bitra 0 1 0 0 1 2 1 0 1 0 1 0 0 0 0 0LMS 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0RGSH 16 27 0 1 4 4 10 13 (othrs)

VACANCY POSITION OFSPECIALISTSName of post Sanctioned Filled VacantMedical Spec. 1 1 0Surgeon 2 0 2Gynaecologist 2 0 2Anaesthetist 2 0 2Paediatrician 1 0 1Ophthalmologist 1 0 1Pathologist 1 0 1PHS 2 0 2Total 12 1 11

SCHEMES IMPLEMENTED BYTHE DEPARTMENT1. Expansion of Primary Health Care facilities.2. Expansion and Modernization ofHospital/CHCs.3. Strengthening of Public Health activities.4. Procurement and Supply of medicines andequipments to Hospitals/CHCs / PHCs.5. Strengthening of ISM and Homeo6. Training and Continuing Education.7. Providing financial Assistant to PsychiatricPatients of Lakshadweep

SCHEMES IMPLEMENTED BYTHE DEPARTMENT (Contd..)8. Financial Assistant to Referral/Evacuated poorPatients9. Setting up of Public Health Laboratory/DrugAnalyzing Lab.10. Bio Waste Management Cell

1901-1911-1921-1931-1941-1951-1961-1971-1981-1991-2001-2011-Population of Lakshadweep7060504030MaleFemaleTOTAL20100

Density of Population3000250020001951196115001971198110001991200150020110Ami Kav Bit Kal Min Aga Kil Che And Kad Bang

Sex Ratio10601040104310201027101810201000994980960978975Series1940943947 9469209008801921- 1931- 1941- 1951- 1961- 1971- 1981- 1991- 2001- 2011-

200347215958217541220142358750345051332002376325382240389009TREATMENT OF OUT PATIENTS4500004000003500003000002500002000001500001000005000002000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10

TREATMENTS OF THE IN-PATIENTS450000400000376325382240389009350000358750345051332002300000250000200000200347215958 217541 2201421500001000005000002000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10

IMMUNIZATION STATUSCoverage of Vaccine‣ TT : 100%‣ Hepatitis B : 100%‣ Polio : 100%‣ DPT : 100%‣ BCG : 100%

Evacuation for the last 3 yearsYear Mainland Kavaratti Total2007-08 200 24 2242008-09 230 41 2712009-10 312 49 361

Vital Statistics 2008-09EVENTS LD NATNL1 Infant Mort.Rate(IMR) 14.08 582 Matrnl Mort.Rate(MMR) 2.56 3013 Birth Rate (BR) 12.51 23.84 Death Rate (DR) 4.97 7.6

ALLOCATION & EXPENDITUREYear Allocation Expenditure2005-06 242.00 216.002006-07 178.00 161.002007-08 440.00 291.002008-09 243.00 234.002009-10 832.31 825.03

NRHMComponents• PART-A : Reproductive & Child Health• PART-B : Additionalties under NRHM• PART-C : Immunization• PART-D : Disease Control Programmes• PART-E : Intersectoral Convergence(AYUSH)

Disease Control Programmes• RNTCP• IDSP• NLEP• NIDDCP• NVBDCP• NPCB• AIDS

GOALS FOR COMING YEARS.NO PARTICULARS Nos.1. Optimal Functionalisation RGSH,Agatti 12. Establishment of Blood Bank at IGH Kavaratti& Blood Storage Facility in GH,Minicoy & RGSH,Agatti33 Establishment of NICU at IGH,Kavaratti 14 Establishment of Dialysis Unit at IGH,Kavaratti 15 Renovation/ Reconstruction of IGH,Kavaratti 16 Renovation of PHCs in Chetlath,Kiltan,Kadmath & Kalpeni 47 New Building for CHC/PHC – AgattiPay wards & Store facility for CHC,AndrothRenovation of Wards & Store Facility for CHC,Amini8 Installation of Incinerators inAgatti,Amini,Androth,Kadmath,Kiltan,Chetlath & Kalpeni37

GOALS FOR COMING YEARContd…S.No PARTICULARS Nos.9 New Ayurvedic Dispensaries (Amini, Agatti & Minicoy) 310 Setting up of ICU facility in Kalpeni, Kadmath, Kiltan &Chetlath411 Digitisation of X-Rays in Androth, Amini, Agatti,Kalpeni,Kadmath,Kiltan & Chetlath712 Portable X-Ray in FAC,Bitra 113 Up gradation of Labs in all islands with Auto Analyser &Augmented Machineries914 Procurement of new vehicles for ambulances at Kochi,Kavaratti, Agatti, Androth, Amini & Minicoy15 Preparation of Data Base regarding Health Status for Entirepopulation61

MAJOR ISSUES1. Shortage of Specialistsout of 12 sanctioned posts only one is filled on regularbasis,11 out of 12 are vacant.2. Shortage of LMOs (7 sanctioned posts are vacant.)3. 3 Ayu MO posts, 2 Homoeo, 1 Unani to be filled byMinistry.4. 7 more Ayu MOs and 7 Homoeo MOs to besanctioned5. Establishment of storage facility at Beypore6. Optimal functionalization of RGSH, Agatti7. Delay in Civil Works hampers our all activities8. Delay in transportation creates artificial shortage ofmedicine and machineries.

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