??????????? The Director of Medical and Rural Health Services is incharge of planning and execution of all programmes of Medical Services.? He is responsible for rendering medical care services, through the grid of 25 District Head Quarters Hospitals, 161 Taluk Hospitals, 79 Non Taluk Hospitals, 12 Dispensaries, 11 Mobile Medical Units, 7 Women and Children Hospitals, 2 TB Hospitals / Sanatorium, 2 TB Clinics and 1 Leprosy Rehabilitation Promotion Unit.

??????????? The State has been divided into Twenty Eight Revenue District for the implementation of the Medical Services.

??????????? The Joint Directors of Health Services in Districts are the overall controlling officers of all the Medical institutions of the Implementation of medical services including family Welfare and supervising authority for all health programmes.? The Deputy Directors of Medical Services (Thoracic Medicine) in every District look after the TB Control programme.? Specialists in the rank of? Civil Surgeons are also provided in the district Headquarters Hospitals.? The Deputy Directors of Medical Services (Leprosy) in every District look after the Leprosy Eradication Programme.? The Leprosy Programme has been integrated with the Department of Public Health in order to involve Leprosy Field staff in Public Health work and the Health Inspectors in Leprosy work.

??????????? Improvements to District, Taluk, Non Taluk Hospital and Dispensaries constitute an important development of plan of activities in the shape of expanded medical facilities, specialized services such as Medicine, Surgery, Obstetrics and Gynaecology, Ophthalmology, ENT, Venerology, Orthopaedic Surgery, Anaesthesiology, Child Health, Dental, Psychiatric Clinic, Cardiology, Nephrology and most of other improvements.? Accident and Emergency service to meet the accident hazard is being implemented in a phased manner.? The Maternity and Child health and Family Welfare activities are undertaken effectively through non teaching medical Institutions under family Welfare Postpartum Programme.

??????????? In other Health Medical Programmes, such as Control of Blindness, Medical facilities under Hill Area Development Programme and Adi Dravidar and Tribal Welfare Schemes, etc., the Medical Services Department is cording and implementing the Programmes through the Government Medical Institutions under this Department.

Director, Supervision and Policy Formulation:

??????????? The Strength of various categories of staff is given below:

Staff Strength

Sl.No.	Staff position	No. of Posts 2002-2003
1.	Director	1
2.	Additional Directors of Medical and Rural Health Services	6
3.	Additional Directors of Medical and Rural health Services (Admn)	1
4.	Joint Director of Medical and Rural Health Services	3
5.	Joint Director of Medical and Rural Health Services (Admn)	1
6.	Deputy Director of Medical Services (Leprosy)	3
7.	Deputy Director of Medical and Rural Services (Admn)	1
8.	Financial Advisor & Chief Accounts Officer	1
9.	Other A & B Group Staff	39
10.	Ministerial Staff	153
11.	Office Assistants and Others	89
?	Total	298

Hospital and Dispensaries:

??????????? Each District has a District Headquarters Hospital, Taluk Headquarters Hospital, Non-Taluk Hospitals and Dispensaries.? The district level Administrative Control of the Medical Institutions including Family Welfare Programme is vested with the Joint Director of Health Services.

The Strength of staff under District Level Administration is given below:

Sl.No.	Name of the Post	No. of Posts
1	Joint Director of Health Services	28
2	Hospital Superintendent (in the cadre of Senior Civil Surgeon)	30
3	Deputy Director of Medical and Rural Health Services ( in the cadre of Senior Civil Surgeon)	24
4	Senior Civil Surgeons	165
5	Senior Civil Surgeon Specialist	176
6	District Leprosy Officer (now Deputy director of Medical Services (Leprosy))	25
7	District T.B. Officer (including one post of Superintendent, TB Hospital)	22
8	Assistant Surgeon / Sr, Asst Surgeons / Civil Surgeons	1540
9	Nursing Staff	3177
10	Ministerial Staff	1190
11	Paramedical Staff	3293
12	Other Staff	6934
?	?????????????????????????? Total	16604

DIRECTOR OF MEDICAL AND RURAL HEALTH SERVICES (MEDICAL WING) OBJECTWISE CLASSIFICATION

(Rs. In Lakhs)

Sl.No.	Object	Accounts 2001-2002	Budget Estimate 2002-2003	Revised Estimate 2002-2003
1.????? ?	Salaries	11245.35	12487.70	11640.97
2.????? ?	Wages	0.04	0.04	0.04
3.????? ?	Dearness Allowance	4533.91	5491.38	5180.26
4.????? ?	Travel Expenses	55.38	66.08	65.95
5.????? ?	Office Expenses	510.59	530.01	611.16
6.????? ?	R.R.T.	51.13	29.95	27.69
7.????? ?	Publicity	?	?	?
8.????? ?	Advertisement	4.58	3.01	3.00
9.????? ?	Grants	28.68	37.58	037.59
10.? ?	Contribution	?	0.04	---
11.? ?	Subsides	?	---	---
12.? ?	Hospitality	?	---	---
13.? ?	Major Works	?	0.01	0.01
14.? ?	Minor Works	?	---	---
15.? ?	Maintenance	0.32	1.13	1.54
16.? ?	Machinery & Equipment	64.41	229.52	277.46
17.? ?	Motor Vehicle	14.06	28.19	15.98
18.? ?	Materials and Supplies	?	?	?
19.? ?	Depreciation	?	?	---
20.? ?	Inter Transfer Accounts	?	(-)15.01	(-)15.01
21.? ?	PPSS	0.11	0.25	1.23
22.? ?	Investments	491.00	826.00	826.00
23.? ?	Other Charges	0.10	0.02	0.02
24.? ?	Rewards	?	---	---
25.? ?	Service Commit charge	?	---	---
26.? ?	Ration Charges	?	---	---
27.? ?	Petrol , Oil Lubricant	61.64	73.00	73.04
28.? ?	Clothing	49.57	82.14	90.69
29.? ?	Stores an Equipments	150.65	403.82	414.57
30.? ?	Foreign allowance	?	---	---
31.? ?	Festival Advance	39.53	144.20	135.46
32.? ?	Compensation	1.74	---	---
33.? ?	Conducted Tour Expdr	?	---	---
34.? ?	Prizes and Awards	1.29	2.35	1.46
35.? ?	T A for non Officials	?	---	---
36.? ?	Lands	?	---	---
37.? ?	Buildings	?	---	---
38.? ?	Medicines	3456.61	4398.67	4100.66
39.? ?	Diet	550.22	584.24	615.40
40.? ?	Books	?	---	---
41.? ?	Procurement of Agri Inputs	?	---	---
42.? ?	Computer & Accessories	---	0.33	0.30
43.? ?	Training	22.00	4.00	4.00
44.? ?	Deduct Recoveries(-)	(-)158.25	(-)147.34	(-)135.58
?	Total	21174.66	25261.31	23990.73

DISTRICTWISE INSTITUTIONJS

(ABSTRACT)

Sl.No.	District	H.Qrs.	Taluk	Non-Taluk	Others	Total
1	Kancheepuram	1	6	1	1	9
2	Vellore	0	6	4	0	10
3	Thiruvannamalai	1	5	1	0	7
4	Cuddalore	1	5	2	1	9
5	Dharmapuri	1	9	1	3	14
6	Salem	1	6	2	1	10
7	Erode	1	6	3	1	11
8	Coimbatore	1	6	8	2	17
9	Ooty	1	5	0	6	12
10	Trichy	0	7	2	1	10
11	Pudukottai	1	7	4	1	13
12	Dindigul	1	6	5	2	14
13	Madurai	1	4	1	1	7
14	Virudhunagar	1	7	1	1	10
15	Sivaganga	1	5	4	7	17
16	Ramanathapuram	1	6	3	0	10
17	Tirunelveli	1	6	6	1	14
18	Tuticorin	1	5	3	0	9
19	Kanniyakumari	0	6	3	0	9
20	Nagapatinam	1	7	4	1	13
21	Thanjavur	1	6	6	0	13
22	Villupuram	1	7	2	3	13
23	Karur	1	3	2	0	6
24	Perambalur	1	5	1	0	7
25	Tiruvallur	1	7	3	1	12
26	Tiruvarur	1	6	1	1	9
27	Theni	1	4	2	0	7
28	Namakkal	1	3	4	0	8
?	?	25	161	79	35	300

Hill Area Development Programme

??????????? The following Schemes are now functioning under Hill Area Development Programme in the State.

1.????????????????? Forty bedded ward at Government Headquarters Hospital, Udhagamandalam.

2.????????????????? Forty bedded ward at Government Hospital, Gudalur.

3.????????????????? Government Dispensary at Gudalur Bazar.

4.????????????????? Government Hospital, Yercadu.

Tribal Development Programme

??????????? Government have established the following Dispensary to provide medical facilities to the Tribal Population especially living in remote area.

1.????????????????? Thoradipattu, Kalrayan Hills in Cuddalore District.

2.????????????????? Melnivalur, Kalrayan Hills, Cuddalore District.

3.????????????????? Mobile Medical Unit at Valliamalai, Cuddalore District.

4.????????????????? Kariyakoil, Kalrayan Hills, Salem District.

5.?? ???? Sempulichempatti, Trichy District.

TB CONTROL PROGRAMME

????? There are about 2 lakh TB patients in Tamil Nadu.?? Among them, 0.7 Lakh are infectious.? There are 10 TB Sanatoria and TB Hospitals (5 Government Institutions under the control of Director of Medical and Rural Health Services, 3 Government institutions under the control of Director of Medical Education and 2 Private Institutions) in the State.? In all, there are 3,654 beds in the State exclusively for inpatient treatment of the acutely-ill TB patients, all the TB patients are on domiciliary (home) treatment in the nearest Medical or health facility.? As per RNTCP DOTS Programme Officer in the rank of Additional Director is at the State-level to co-ordinate and supervise the TB Control Programme activities.? At the District-level, each District TB Centre is headed by a Deputy Director or Medical Services (TB).? Central Assistance under the External Assistance Component is provided meeting100% requirement of anti TB drugs and the establishment cost of 29 Districts Societies.? State Government meets the entire expenditure on running the TB institutions (towards staff, maintenance of TB Institutions, drugs, vehicles etc.).? In 2001-2002 about one lakh TB patients were diagnosed and cured.

????? The Revised National Tuberculosis Control Programme (RNTCP) is implanted in all District now, 136 TB Units one for every 5 Lakh population, 614 Microscopy Centre one for every lakh population were created.? Thus the Programme is completely decentralized upto the village level.? With full coverage of the State under Revised National Tuberculosis Control Programme the incidence of Tuberculosis would be brought under control.? NGOs, Private Practitioners, SHGs are being involved in RNTCP in a phased manner.? Tamil Nadu will be a number one state within another 2 years.

ACHIEVEMENTS UNDER THE REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME

Year	Not Sputum Positive TB Patients diagnosed			Chest Symptomatics for whom sputum examination was done			Cure Rate
?	Target	Achievement	%	Target	Achievement	%	Target	Achievement
1999-2000	30630	27947	91	306280	464963	152	---	---
2000-2001	30890	24533	79	308880	384506	124	85%	37%
2001-2002	31055	23589	76	310550	380747	123	85%	81%
2002-2003 (upto 31.12.2002)	31055	24346	78	310550	376037	121	85%	84%

EXPENDITURE DETAILS UNDER TB CONTROL PROGRAMME

Year	Centre	State
1999-2000	170.48	170.48
2000-2001	---	---
2001-2002	---	768.07

FINANCIAL EQUIPMENTS