PUBLIC HEALTH AND PREVENTIVE MEDICINE

?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.

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.

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.

As per the re-organization 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.

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.

Statement Showing the Financial Requirements for Public Health Schemes - OBJECTIVE CLASSIFICATION

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????????????? Statement showing the Financial Requirements for Public Health Schemes -

OBJECTIVE CLASSIFICATION

?(Rs. in lakhs)

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STATEMENT SHOWING THE FINANCIAL REQUIREMENT OF PUBLIC HEALTH SCHEMES

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DIRECTION AND ADMINISTRATION

(Rupees in lakhs)

SCHOOL HEALTH PROGRAMME

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SCHOOL CHILDREN HEALTH CAMP PROGRAMME

The School Health Programme hitherto being implemented in the State has been revamped and implemented to provide comprehensive health care services to all students studying in Government and Government aided schools in first to twelfth standards.

The Medical officers of Primary health centers and the paramedical staff constitute school Medical teams and visit the schools allotted to them on Thursdays on a pre determined definite programme under advance intimation to the school authorities. Each Medical team is allotted with 200 to 250 students to be covered in a visit. The team will?? provide health care checkup to the students thrice a year.

Childhood diseases that affect education and development lead to serious illness causing handicaps in the students are detected and treated with due care and love. Students who require specialised treatment are referred to higher medical institutions. The referred cases of students are treated in the referral centres in a special counter. All Thursdays are observed as school health days. All Saturdays are observed as referral days.

Two teachers in each school are identified to co-ordinate and assist in the effective implementation of the scheme. A sum of Rs.14.00 lakhs have been released for a massive training programme to these teachers. The students studying in higher classes are identified to work as Health Guides. These students will also identify the students with health problems and bring to the notice of the Teachers, Doctors and the visiting Para medical teams.

School health cards have been printed and supplied. These health cards will be issued to the students with Transfer Certificate when they leave the school. Health appraisal register, Referral registers and Drug stock registers are printed and supplied for recording different health status and morbid conditions. Medicines worth Rs.300 lakhs have been arranged to be supplied through TNMSC Ltd., for the Primary Health Centres, 40 SMI teams, other local bodies and for referral centres for treating the referred case of school children.

To facilitate easy mobility of school medical teams and transport of referred cases of students a sum of Rs.21.00 lakhs have been released for POL charges.? IEC and other educative materials like portable exhibition panels and posters carrying health message and visuals on good health habits and practices to strengthen medicare services and to create awareness among paramedical staff, teachers and students are supplied.

??????? For the current year up to March 2004?? 9112389 students were examined. Of them, 4695246 students were treated for one or other Health Problems and 46503 students were referred to Higher Medical Institutions for further treatment

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