
Govt. level
The State Department of
Health and Family Welfare, under the Ministry of Health & Family Welfare, guides
and supervises the Health and Family Welfare Programmes in the State. The
Principal Secretary to the Government, Health & Family Welfare Department has
overall responsibility in the administration and programme implementation. The
Principal Secretary is supported by two additional Secretaries &
one Under Secretary.
Directorate level
At the Directorate level, the programmes of Health & Family Welfare are
implemented, supervised and co-ordinated by the Director of Health and Family
Welfare. In the year 1991, a new Directorate of Social Insurance was set up for
the implementation of the ESI (Medical benefit) Scheme. There are three Directors
i.e. one Director Health Services, one Director Family Welfare and one Director
ESI.
Various
Health and Family Welfare Programmes are looked after by one Additional
Directors, two Joint Directors, seven Deputy Directors including Malaria, One
Joint Controller (F&A) and a number of other officers belonging to various
specialties.
District level
At the District level, the Civil Surgeon in the grade of Deputy Director, is incharge of the health activities. Each Civil Surgeon is assisted by a team of
Programme Officers designated as Distt. Family Welfare Officer, Assistant Civil
Surgeon, Distt. Health Officer, Distt. Immunisation Officer, Distt. TB/Leprosy
Officer. In addition, other officers like Mass Media Education and Information
Officer, Assistant Controller (F&A) etc. also join hands to implement various
programmes.
Block level
At the
Block level, Senior Medical Officer is incharge of the Primary Health Centre. He
is assisted by one to two Medical Officers, one male and one female. Dental
Surgeon is also part of the Health Management in some of the block level PHCs.
Multipurpose Health Supervisor (Male), Multipurpose Health Supervisor (Female)
and Block Extension Educator assist them to supervise the delivery of health
services at the peripheral level where Multi Purpose Worker (Male) and Multi
Purpose Worker (Female) provide services of primary health care to the people, on
their door-steps.
Primary Level
Preventive & Curative Care:
· Sub-Centre
- There are 2950 Sub-Centres (each for population of approximately 5000 manned
by one Male and one Female Health Worker). This is the first contact point with
the masses. Manpower deployed there support in implementation of
· (i)
Maternal Child Health (Antenatal Check up, Institutional
Delivery & Post Natal Check Up).
(ii) Universal Immunization Programme ( TT
for pregnant mothers, BCG, DPT, Polio, Hepatits-B & Measles).
(iii) Family Planning: Counselling/Motivation.
(iv) Management of diarrhoea especially in infants.
(v) Health Education i.e. educating the community about the various available
services.
(vi)
Control of Acute Respiratory Infection especially in infants.
(vii) Identify the women requiring help for medical termination of pregnancy and refer
them to nearest approved institution.
(viii) Health Survey.
-
1187 subsidiary health centers
(rural dispensaries) have been transferred to department of Rural Development
and Panchayats. Where Rural Medical Officers i.e. Service Providers (doctors)
have been appointed by the Zila Parishad.
-
There are 395 Primary Health Centres for every 30,000 population having staff
of one Medical Officer, one Pharmacist, one Staff Nurse, one Lab Technician, one
Sewadar and one Sweeper. Four bedded institutions providing curative and
preventive health care.
-
There are 129 Community Health Centres for every 1,00,000 population with bed
strength of 25/30 beds PHC/CHC providing promotive, preventive and curative
health care.
Secondary Level
Curative Care:
Under Secondary Level healthcare services, all type of curative treatment for
various diseases is provided. All type of surgeries and other interventions are
being carried apart from by-pass and transplantations, which are being carried
in the tertiary level institutions (Medical Colleges). In these institutions,
all the preventive healthcare services and other disease control programme are
being taken care of. Presently, there are 164 secondary level hospitals in the
State as per following details.
-
There are 19
District Hospitals having bed range of 50-400 beds. these hospitals are
situated in all the districts.
-
There are 2
Special Hospitals i.e. Special Gynae Hospital Mata Kaushyla Hospital at
Patiala having 200 beds and Special Children Hospital at Bathinda having 100
beds.
-
There is one
Special Mental Hospital at Amritsar having 400 beds, which has been
reconstructed recently and is functioning under the name & style of
"Institute of Mental Health" Amritsar.
-
35
Sub-Divisional Hospitals are there having bed range of 50-60 beds.
Curative,
preventive and promotive services are provided at 2076 Medical Institutions in
the State. The details of Medical Institutions is as under:-
|
Category |
No. of
Institution |
No. of
Sanctioned Beds |
|
|
Rural |
Urban |
Total |
Rural |
Urban |
Total |
|
1. |
Hospitals
|
46 |
92 |
138 |
5536 |
10818 |
16354 |
|
|
Government |
44 |
65 |
109 |
1140 |
8090 |
9230 |
|
|
Police,
Jail etc |
2 |
20 |
22 |
60 |
573 |
633 |
|
|
ESI |
- |
7 |
7 |
- |
501 |
501 |
|
2. |
Community Health Centres |
77 |
52 |
129 |
2310 |
1560 |
3870 |
|
3 |
Primary
Health Centres |
383 |
12 |
395 |
2026 |
94 |
2120 |
|
4 |
Subsidiary Health Centres/ Dispensaries etc. |
1206 |
208 |
1414 |
4785 |
644 |
5429 |
|
|
Government |
- |
122 |
122 |
- |
573 |
573 |
|
|
Zila
Parishad |
1187 |
- |
1187 |
4748 |
- |
4748 |
|
|
Police,
Jail etc |
8 |
26 |
34 |
37 |
71 |
108 |
|
|
ESI etc. |
11 |
60 |
71 |
- |
- |
- |
The sanctioned
strength of Medical and Para-medical manpower of the State Health Department
includes 379 Senior Medical Officers, 3142 Medical Officers, 285 Dental
Doctors, 2975 Pharmacists, 2506 Staff Nurses, 759 Lady Health Visitors,
3631
Auxiliary Nurse Mid-wives, 178 Radiographers and 200 Ophthalmic Officers, 1055
Lab Technicians.
Health Indicators
All
the health indicators in Punjab are better than All India averages. Life
Expectancy is 68.9 years (63.0), Infant Mortality Rate per 1000 live birth is 44
(57), Birth Rate per 1000 population is 18.1 (23.5), Maternal Mortality Rate
per1 (2.9).
|
Sr. No. |
Indicator |
Unit |
Current Status |
|
|
|
|
INDIA |
PUNJAB |
|
1. |
Birth Rate (2008) |
Per 1000 Population |
22.8 |
17.3 |
|
2. |
Death Rate(2008) |
-do- |
7.4 |
7.2 |
|
3. |
Infant Mortality
Rate(2007) |
1000 live births |
53 |
41 |
|
4. |
Expectation of Life at Birth
(2001-2005 )Male/Female |
- |
62.3
(Male)
63.9(Female) |
68.1(Male)
70.1(Female) |
|
5. |
Percentage of currently
married women using family planning methods NFHS-II (2005-06) |
|
48.2 |
66.7
|
|
6. |
Annual Natural growth
rate of population |
|
1.54 |
1.01 |
|
7. |
Total fertility rate (No.
of
children per couple) (2008) |
|
2.7 |
1.9 |
|
8. |
Still Birth Rate (Per 000.
Births)(2007) |
|
9.0 |
12.0 |
|
9. |
Peri Natal Mortality Rate(Per 000.
Births) |
|
37 |
32 |
|
10. |
Maternal Mortality Rate (Per 000 Live Births) |
|
2.54 |
1.92 |
|
11. |
Neo Natal Mortality Rate (Per 000 ,Live
Births) |
|
36 |
29 |
|
12. |
Immunisation
Status(2005-2006) |
|
(2005-06) |
|
|
|
(i) T. T. Pregnant
|
|
77.8% |
87.5% |
|
|
(ii) D. P. T.
|
|
91.0 % |
100.9% |
|
|
(iii)B. C. G.
|
|
100.0 % |
105.3 % |
|
|
(iv) Polio |
|
92.3% |
100.9 % |
|
|
(v)Measels
|
|
85.5% |
99.2%
|
|