Chapter 11 Education, Health, Environment and Housing Education




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Secondary Health Care

11.109 In order to provide better health services to the people, the Government undertook a lot of developmental activities in the hospitals at secondary level under the World Bank funded project – The State Health System Development Project-II (SHSDP-II), Major benefits have flown from these project as the following Table 11.5 show :


Table 11. 5





Performance Indicators (1997 & 2006 )

Indicator

Type of Hospital

1997

2006 (Provisional)

Average no. of admission per month per hospital

DH

2338

3160

SDH/SGH

1104

1351

RH

257

424

Average no. of outpatients attendance per month per hospital

DH

15348

20168

SDH/SGH

7998

11715

RH

6081

7914

Bed occupancy rate (%)

DH

81.2

92.6

SDH/SGH

74.2

88.7

RH

47.9

85.3

Bed turn over rate per month

DH

4.6

7.5
SDH/SGH

5.5.

7.7

RH

6.2

9.8

Percentage of inpatients and outpatients receiving imaging and electro medical test
DH

2.9

5.0

SDH/SGH

2.7

4.0

RH

0.6

1.8

Percentage of major surgeries to admission

DH

7.8

10.1

SDH/SGH

6.8

7.8

Source : SBHI.


11.110 At present, following services are provided to the people in secondary hospitals :
1. Ultrasonography up to the level of State General Hospitals (SGH).

2. 300 M.A. X-Ray services in District Hospitals (DH) and Sub-Divisional Hospital(SDH)

3. Dental X-Ray services are available from tertiary hospitals up to the level of State

General Hospitals (SGH).

4. Physiotherapy clinics have been started from the tertiary hospitals up to the level of State

General Hospitals.

5. Laboratory facility developed up to State General Hospitals.

6. E.C.G. services rendered up to Rural Hospital (RH)

7. Colour Doppler available up to District Hospitals (DH).

8. Operating Microscope and endoscope supplied up to Sub-Divisional Level Hospitals.

9. ICCU / ITU started in District Hospitals (DH) of Uttar Dinajpur and Howrah, M.R.

Bangur Hospital, South 24 Parganas and Chinsura District Hospitals, Hooghly

10. Audiometric and E.N.T. Microscope supplied up to District Hospital.

Indo-German Basic Health Project
11.111 The involvement of Non-Government Organisations /private sectors is an important Component of KFW funded Indo-German Basic Health Project. Apart from involvement of NGOs in the new Scheme of Ambulance Services, a Scheme of providing certain essential Diagnostic Services in Rural Hospitals under PPP is also being implemented by the Project. During last financial year, Diagnostic units had been established under PPP in 13 Rural Hospitals. Based on the positive impact of this initiative, Govt. has decided to establish Diagnostic units under PPP in 77 Rural Hospitals and 74 upgraded BPHCs during the current year.

National Public Health Programmes





    1. The Various National Public Health Programmes run by the Government of India have been executed by the State Government as preventive measures. These comprise of various communicable and non-communicable diseases control programmes . These include—National Vector Borne Disease Control Programme (NVBDCP), National Leprosy Elimination programme (NLEP), Revised National Tuberculosis Control Programme ( RNTCP), National Cancer Control Programme (NCCP), National Mental Health Programme (NMHP), National Iodine Deficiency Disorder Control Programme (NIDDCP), National Programme for Control of Blindness (NPCB), etc.

a) Under NVBDCP, Decentralized rapid testing of Dengue, Japanese Encephalities, Malaria, and Falciparum are being made. Culture of Larvivorous fish to combat growth of mosquito and distribution of bed-nets treated with chemicals to prevent Malaria, and other Borne Disease are also parts of the programme.

b) Under Integrated Disease Surveillance Project (IDSP), laboratories at State district and rural hospital level are being upgraded. Under NLEP, all the district are covered under Multi-Drug Therapy (MDT).
c) The prevalence rate of Leprosy has come down to 1.21 in the State. The districts like Purba Medinipur, North 24-Parganas, South 24-Parganas, Howrah, Murshidabad , Darjeeling, Hooghly, Nadia and Coochbehar have reached the goal of elimination of Leprosy. The districts like Jalpaiguri, Kolkata, Birbhum and Burdwan are close to the goal by 2006-07.
d) The Revised National Tuberculosis Control Programme (RNTCP) is being implemented in all the districts. The main objectives of this programmes are : I) to achieve at least 80 per cent cure rate among newly detected infections and II) to detect at least 70 per cent of such cases in the population. The TB drugs are being given under Direct Observation Short Course Therapy popularly named as ‘DOTS’. The State has a network of 10,668 DOTS Centres.
e) Under the National Programme for Control of Blindness, the state was able to perform 2,64,293 cataract operations in the year 2005-06 exceeding the target fixed by the Central Government .
State Public Health Programmes

11.113 Apart from National Programmes, the State Government has also initiated some State Programmes out of its own plan provision like West Bengal Arsenicosis Prevention, Control and Management Programme , Viral Hepatities Control Programme, Gastroenteritis Control Programme and other dieases control programmes etc.



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