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PUBLIC HEALTH AND PREVENTIVE MEDICINE
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?The Directorate of Public Health is one of the oldest Departments formed as early as 1923 for the improvement of the general health conditions of the people with special emphasis on providing maternity and child health care to the rural and urban poor and for prevention and control of communicable diseases.
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In 1966, the Department of Health Services and Family Planning was formed by merging the Directorate of Medical Services (after separating the Medical Education from Medical Services) and the Directorate of Public Health. In 1976, the integrated Department was again bifurcated into the Department of Public Health and Preventive Medicine and the Department of Medical Services and Family Welfare. The Drugs Control Administration which continued under this Department was separated in November 1981 to form an independent Department. In February, 1980, the functions relating to the static component of Primary Health Centre, the mobile health teams were separated from Public Health Department and a new Department called Directorate of Primary Health Centres was formed. Again the department of Primary Health Centre was brought under the control of Directorate of Public Health and Preventive Medicine in March 1996. The State Health Transport Department was formed by separating the same from Public Health and Preventive Medicine Department.
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During 1988, a separate Directorate of Public Health Training and Continuing Education was formed to oversee pre-service and in-service training programmes for the Multi-purpose Health Workers-male and female and short term in-service training programme for Medical Officers, Health Professionals and Para Medical Professionals. This Directorate was again merged with the Directorate of Public Health and Preventive medicine in March, 1991.
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As per the re-organisation of the Department during 1980-81, there were seven regions, each headed by a Regional Deputy Director of Public Health and Preventive Medicine with jurisdiction over two or three Revenue Districts. There were 29 Health Unit Districts. Each Health Unit District was headed by a District Health Officer with jurisdiction over 30 to 40 Primary Health Centres on an average. Now there are 42 HUDs for the 29 revenue districts.
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Government have re-organised the Department during January, 1991.? A Joint Director of Health Services from the medical service cadre has been posted to each Revenue District to be incharge of all Medical, Public Health and Family Welfare Programmes at the District Level and supervise the Deputy Directors of Health Services.
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|
Objects |
Actual 2001-2002 |
Budget Estimate 2002-2003 |
||||
|
Non-Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
|
|
01 Salaries |
5811.03 |
8895.31 |
14706.34 |
6296.02 |
9833.09 |
16129.11 |
|
02 Wages |
0.16 |
0 |
0.16 |
1.00 |
1.10 |
2.10 |
|
03 Dearness Allowance |
2373.47 |
3665.11 |
6038.58 |
2741.02 |
4312.60 |
7053.62 |
|
04 Travel Expenses |
188.66 |
396.26 |
584.92 |
234.22 |
457.19 |
691.41 |
|
05 Office Expenses |
91.33 |
114.35 |
205.68 |
109.35 |
252.73 |
362.08 |
|
06 Rent, Rates and Taxes |
27.48 |
35.08 |
62.56 |
38.27 |
57.62 |
95.89 |
|
07 Books & Publications |
0 |
2.00 |
2.00 |
0 |
1.50 |
1.50 |
|
08 Advertising & Publicity |
0.92 |
3.34 |
4.26 |
1.10 |
66.80 |
67.90 |
|
09 Grants-in-Aid |
5.88 |
10.27 |
16.15 |
32.00 |
0.01 |
32.01 |
|
11 Subsidies |
0 |
36.07 |
36.07 |
0 |
0.01 |
0.01 |
|
12 Scholarship and Stipend |
0.93 |
0.90 |
1.83 |
3.05 |
5.50 |
8.55 |
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16 Major Works |
0 |
0 |
0 |
0 |
0 |
0 |
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17 Minor Works |
0.35 |
0 |
0.35 |
0.35 |
0 |
0.35 |
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18 Maintenance |
0 |
0 |
0 |
0 |
0 |
0 |
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19 Machinery & Equipment |
7.70 |
123.47 |
131.17 |
6.85 |
10.85 |
17.70 |
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21 Motor Vehicles |
3.42 |
115.24 |
118.66 |
9.96 |
5.29 |
15.25 |
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24 Materials & Supplies |
7.70 |
262.27 |
269.97 |
4.45 |
386.73 |
391.18 |
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25 Interest |
0 |
0 |
0 |
0 |
0 |
0 |
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33 PPSS |
0.38 |
14.65 |
15.03 |
2.08 |
23.45 |
25.53 |
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34 Other Charges |
0.04 |
0 |
0.04 |
0.11 |
0 |
0.11 |
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45 P.O.L. |
35.13 |
41.27 |
76.40 |
67.95 |
133.66 |
201.61 |
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46 Clothing, Tentage and????? Stores |
0.10 |
0 |
0.10 |
0.58 |
0 |
0.58 |
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47 Stores & Equipment |
0.21 |
0 |
0.21 |
43.00 |
0 |
43.00 |
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49 Festival Advance |
-63.28 |
-116.62 |
-179.90 |
93.20 |
150.35 |
243.55 |
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51 Compensation |
0 |
0 |
0 |
0 |
0 |
0 |
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59 Prizes & Awards |
0.38 |
0.45 |
0.83 |
1.48 |
1.61 |
3.09 |
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66 Medicines |
377.53 |
402.55 |
780.08 |
327.94 |
408.56 |
736.50 |
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67 Feeding/Dietary Charges |
0.02 |
0 |
0.02 |
0.02 |
0 |
0.02 |
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68 Cost of Books |
0.66 |
0.61 |
1.27 |
1.40 |
1.20 |
2.60 |
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71 Printing Charges |
0.49 |
1.21 |
1.70 |
46.00 |
0.11 |
46.11 |
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72 Training |
12.96 |
57.22 |
70.18 |
15.35 |
6.42 |
21.77 |
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73 Transport |
1.48 |
1.89 |
3.37 |
3.34 |
3.45 |
6.79 |
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77 Deduct Recoveries |
0 |
0 |
0 |
-93.20 |
-150.35 |
-243.55 |
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??????????????????????? Total |
8885.13 |
14062.90 |
22948.03 |
9986.89 |
??????? 15969.48 |
25956.37 |
Statement showing the Financial Requirements for Public Health Schemes - OBJECTIVE CLASSIFICATION
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Subjects |
Revised Estimate 2002-2003 |
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Non-Plan |
Plan |
Total |
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01 Salaries |
3967.15 |
11887.08 |
15854.23 |
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02 Wages |
0.40 |
1.70 |
2.10 |
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03 Dearness Allowance |
1751.30 |
5337.34 |
7088.64 |
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04 Travel Expenses |
132.87 |
542.89 |
675.76 |
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05 Office Expenses |
56.78 |
267.04 |
323.82 |
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06 Rent, Rates and Taxes |
7.85 |
125.02 |
132.87 |
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07 Books & Publications |
0 |
2.00 |
2.00 |
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08 Advertising & Publicity |
2.11 |
59.60 |
61.71 |
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09 Grants-in-Aid |
22.00 |
0.01 |
22.01 |
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11 Subsidies |
0 |
0.01 |
0.01 |
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12 Scholarship and Stipend |
0.85 |
10.30 |
11.15 |
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17 Minor Works |
0.67 |
0 |
0.67 |
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18 Maintenance |
?????????? 0 |
0.50 |
0.50 |
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19 Machinery & Equipment |
14.74 |
73.28 |
88.02 |
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21 Motor Vehicles |
5.62 |
?????????? 101.58 |
107.20 |
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24 Materials & Supplies |
5.97 |
398.05 |
401.02 |
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25 Interest |
1.50 |
2.64 |
4.14 |
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33? PPSS |
0.65 |
32.96 |
33.61 |
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34 Other Charges |
0.05 |
0 |
0.05 |
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45 P.O.L. |
60.25 |
108.03 |
168.28 |
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46 Clothing, Tentage and Stores |
0.38 |
0.02 |
0.40 |
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47 Stores & Equipment |
0.21 |
44.23 |
44.44 |
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49 Festival Advance |
0 |
0 |
0 |
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51 Compensation |
0 |
0 |
0 |
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59 Prizes & Awards |
0.41 |
1.75 |
2.16 |
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66 Medicines |
327.94 |
416.56 |
744.50 |
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67 Feeding/Dietary Charges |
0.02 |
0 |
0.02 |
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68 Cost of Books |
2.00 |
1.20 |
3.20 |
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71 Printing Charges |
49.00 |
0.11 |
49.11 |
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72 Training |
15.85 |
95.33 |
111.18 |
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73 Transport |
1.36 |
4.50 |
5.86 |
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76 Computer & Accessories |
0 |
5.60 |
5.60 |
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77 Deduct Recoveries |
0 |
0 |
0 |
|
??????????????????????? Total |
6427.93 |
19519.33 |
25947.26 |
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??????????? (Rupees in lakhs)
|
Schemes |
Actuals 2001-2002 |
Budget Estimate 2002-03 |
Revised Estimate 2002-03 |
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Non-Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
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|
Direction and Administration |
790.39 |
65.23 |
?????? 855.62 |
923.13 |
71.49 |
994.62 |
202.21 |
920.65 |
1122.86 |
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School Health Programme |
525.79 |
0 |
525.79 |
587.44 |
0 |
587.44 |
585.76 |
0 |
585.76 |
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Tribal Sub Plan |
0 |
57.86 |
57.86 |
0 |
70.75 |
70.75 |
0 |
65.06 |
65.06 |
|
Health Sub Centres |
2853.15 |
7058.49 |
9911.64 |
2940.98 |
7923.98 |
10864.96 |
0 |
10965.63 |
10965.63 |
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Prevention and Control of Diseases |
3973.52 |
6615.76 |
10589.28 |
4534.44 |
7687.26 |
12221.70 |
4733.15 |
7170.81 |
11903.96 |
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Prevention of Food Adulteration |
199.08 |
2.63 |
201.71 |
203.67 |
1.50 |
205.17 |
210.97 |
1.75 |
212.72 |
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Prevention of Air and Water Pollution |
111.58 |
14.14 |
125.72 |
131.18 |
12.59 |
143.77 |
130.32 |
12.14 |
142.46 |
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Health Statistics and Evaluation |
150.90 |
0 |
150.90 |
175.96 |
0 |
175.96 |
154.71 |
0 |
154.71 |
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Health Education and Publicity |
105.38 |
4.97 |
110.35 |
152.79 |
7.59 |
160.38 |
125.29 |
4.52 |
129.81 |
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Training |
175.34 |
242.29 |
417.63 |
336.85 |
194.32 |
531.17 |
285.52 |
378.77 |
664.29 |
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Total |
8885.13 |
14061.37 |
22946.50 |
9986.44 |
15969.48 |
25955.92 |
6427.93 |
19519.33 |
25947.26 |
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??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? (Rupees in lakhs)
|
Scheme |
Actuals 2001-2002 |
Budget Estimate? 2002-03 |
Revised Estimate? 2002-03 |
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Non- Plan |
Plan |
Total |
Non- Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
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|
2210-06-001-AA Headquarters Administration |
185.71 |
0 |
185.71 |
221.86 |
0 |
221.86 |
202.21 |
0 |
?202.21 |
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2210-06-001-AB Mofussil Administration |
604.68 |
0 |
604.68 |
701.27 |
0 |
701.27 |
0 |
0 |
?0 |
|
2210-06-001-JA Headquarters Administration |
0 |
0.68 |
0.68 |
0 |
0.95 |
0.95 |
0 |
0.75 |
? 0.75 |
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2210-06-001-JB Mofussil Administration |
0 |
51.83 |
51.83 |
0 |
53.85 |
53.85 |
0 |
0 |
? 0? |
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2211-00-001-SE Cell in the Directorate of Public Health and Preventive Medicine |
0 |
12.72 |
12.72 |
0 |
16.69 |
16.69 |
0 |
919.90 |
919.90 |
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Total |
790.39 |
65.23 |
?855.62 |
923.13 |
71.49 |
994.62 |
202.21 |
920.65 |
1122.86 |
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SCHOOL HEALTH PROGRAMME
??????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????????? ????????????????????????????????????????????????????????????????????????????????????????????????? (Rupees in lakhs)
|
Scheme |
Actuals 2001-2002 |
Budget Estimate 2002-2003 |
Revised Estimate 2002-2003 |
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Non-Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
Non-Plan |
Plan |
Total |
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2210-01-109-AA School Medical Inspection |
225.38 |
0 |
225.38 |
283.91 |
0 |
283.91 |
282.23 |
0 |
282.23 |
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2210-01-109-AB Supply of Drugs through TNMSC |
300.41 |
0 |
300.41 |
303.53 |
0 |
303.53 |
303.53 |
0 |
303.53 |
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Total |
525.79 |
0 |
525.79 |
587.44 |
0 |
587.44 |
585.76 |
0 |
585.76 |
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??????????? The School Health Programme hither to implemented in the State has been revamped and implemented in the state. The scheme aims to provide comprehensive health care services to all students in Government. and Government. aided school students in 1st to 12th standard.
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??????????? The Medical Officers of PHCs and the para medical staff constitute school medical teams and visit the schools allotted to them on Thursday on a pre-determined definite programme under advance intimation to the school authorities.? Each medical team is allotted with 200-250 students to be covered in a visit.
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??????????? Child hood diseases that affect education and develop in to serious illness later on causing handicaps in the students are detected ad treated with due care and affection.? Students who require specialized treatment are referred to higher medical institutions.? The referred cases of students are treated in the referral centres? in a separate counter.? All Thursdays are observed as "School Health".? All Saturdays are observed as "Referral Days"
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??????????? Two Teachers in each school are identified to co-ordinate and assist in the effective implementation of the scheme.? A massive training programme to these teachers has been taken up.? The students studying in higher classes are identified to work as "Health Guides".? These students will also identify the students with health problem and bring to the notice of the Teachers, Doctors and the visiting para medical teams.
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??????????? School Health cards have been printed and supplied for distribution to the students.? These Health cards will be issued to the students with T.C. when they leave the school.? Health Appraisal Register, Referral Register and Drug Stock Registers are printed and supplied for recording different health status and morbid conditions.
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??????????? Medicines worth Rs.300.00 lakhs have been arranged to be supplied through TNMSC Ltd for the PHCs, SMI Teams, other local bodies and referral centres for treating the referred case of school children.
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??????????? To facilitate easy mobility of School Medical Teams and to transport referral cases of students, POL charges have been released from out of a sanction of Rs.21.00 lakhs.
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??????????? All field officers have been directed to identify the morbidity of diseases in the early stage and give due care and treatment to the students to create a healthy society.
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The functioning of school Health Programme is closely monitored by the State level Officials by prescribing a check list to the district level officials.? The check list is reviewed at the State level and the feed back is sent to the District Officers for effective functioning.
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??????????? On the referral side several cases of congenital heart diseases and other major ailments have been referred to major hospitals for treatment and for further investigations.? The students are also examined for defective vision and spectacles have been supplied to the students free of cost through District Blindness Control Society.
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??????????? Portable exhibition and IEC materials have been supplied to all Deputy Director of Health Services for exhibition in schools during Health checkup on Thursdays.? The students are educated continuously on health and nutrition.
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??????????? Inter departmental co-ordination committees are functioning at State and District level and periodical review is taken up to improve and monitor the over all performance.
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Progress upto Decmber 2002
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Sl. No. |
Particulars |
Primary, Middle, High and Higher Secondary Schools |
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|
March 2002 |
December2002 |
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|
Number |
% |
Number |
% |
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|
1 |
Total No. of Schools to be covered |
40308 |
-- |
40308 |
-- |
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2. |
Number of Schools covered so far ???????????????????? I visit ???????????????????? II visit ???????????????????? III visit |
? 40166 16808 1248 |
? 99.7 41.7 3.1 |
? 38539 1492 - |
? 95.6 3.7 - |
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3. |
Total Number of Students to be examined |
9297206 |
-- |
9297206 |
- |
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4. |
Number of Students examined so far ????????????????????? I visit ???????????????????? II visit ???????????????????? III visit |
? 8799189 2075955 189516 |
? 98.7 22.3 2.0 |
? 7435838 283882 - |
? 80.0 3.1 - |
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5. |
Number of Students treated for minor ailments |
5587905 |
50.5 |
3911892 |
50.6 |
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6. |
Morbidity Pattern |
? |
? |
? |
? |
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a) Dental Carries |
1203452 |
10.9 |
828179 |
10.7 |
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? |
b) Worm Infestation |
1022716 |
9.2 |
705710 |
9.1 |
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? |
c) A.R.I. |
1189231 |
10.8 |
811755 |
10.5 |
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? |
d) Anaemia |
533983 |
4.8 |
264847 |
3.4 |
|
? |
e) Vitamin - A Deficiency |
244481 |
2.2 |
163881 |
2.1 |
|
? |
f) Scabies |
163177 |
1.5 |
107180 |
1.4 |
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? |
g) Defective Vision |
24550 |
0.2 |
14978 |
0.2 |
|
? |
h) Ottitis Media |
40138 |
0.4 |
31387 |
0.4 |
|
? |
i) Leprosy |
4885 |
0.04 |
3217 |
0.04 |
|
? |
j) Defective Hearing |
4550 |
0.04 |
3400 |
0.04 |
|
? |
k) Rheumatic Heart Diseases |
5826 |
0.05 |
5087 |
0.07 |
|
? |
l) T.B. |
4987 |
0.05 |
2220 |
0.03 |
|
? |
m) Goitre |
2136 |
0.02 |
1939 |
0.03 |
|
7. |
Number of students referred to Taluk Hospitals or any other referral Hospitals |
70252 |
0.63 |
48787 |
0.63 |
?????????????????????????????????????????????????????????????????????????????????????????????????????????????????????Page1 ?Page2 ?Page3
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