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MEDICAL AND RURAL HEALTH SERVICES
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???????????????????????????? The Director of Medical and Rural Health Services is in charge of Planning and implementation of all programmes of Medical Services through the grid of 29 District Headquarters Hospitals, 155 Taluk Headquarters Hospitals, 80 Non-Taluk Hospitals, 12 Dispensaries, 11 Mobile Medical Units, 7 Women and Children Hospitals, 2 T.B Hospitals, 2?? T.B. Clinics and 7 Leprosy Hospitals. The Director of Medical and Rural Health Services also looks after the implementation of various schemes like Human Organ Transplantation Act and Private Clinical Establishment Regulation Act, Pre-Natal Diagnostic Techniques Act, Recognition of Private Hospitals etc.,
??????????? 29 of the 30 revenue districts in the State are served by the Director of? Medical and Rural Health Services, the exception being Chennai.? For administrative convenience the 29 districts have been divided into 42 health unit districts (HUDs) and the medical institutions in each HUD are supervised either by the Joint Director of Medical and Rural Health Services and Family Welfare(JDM&RHS &FW) or by a Deputy Director of Medical and Rural Health Services and Family Welfare (DDM&RHS &FW).
? The Deputy Director of Medical Services (T.B) in every district looks after the T.B. Control Programme.? The Deputy Directors of Medical Services (Leprosy) in each district looks after the leprosy eradication programme.? This programme has already been integrated with the Department of Public Health and Preventive Medicine (DPH & PM) to involve leprosy field staff in public health work and the Health Inspectors in leprosy work.
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Improvements to hospitals and dispensaries under the Director of Medical and Rural Health Services in the form of expanded medical facilities, specialist services such as medicine, surgery, obstetrics and gynaecology, opthalmology, ENT, venerology, orthopaedic surgery, anaesthesiology, child health, dental, psychiatry, pathological laboratory services, leprosy, T.B, diabetes, cardiology and nephrology constitute important development activities.
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Specialists in the rank of Senior Civil Surgeons are available in the district headquarters hospitals.? Accident and emergency services are also available.? The maternity and child health and family welfare activities are undertaken effectively through non-teaching medical institutions
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The other programmes, such as control of blindness, medical facilities under Hill Area Development Programme (HADP), Adi-dravidar and Tribal Welfare Programme, etc., are being coordinated and implemented by the Director of Medical and Rural Health Services.
Based on the policy decision taken by the Hon’ble Chief Minister, 25? operation theatres in District Hospitals, 89 operation theatres Taluk Hospitals and? 10 operation theatres? in? Non-Taluk Hospitals have been provided with air conditioning facilities since 2001. With this 265 operation theatres have been air conditioned.
??????????? The Government have taken a policy decision to provide generators to the District, Taluk, and Non-Taluk hospitals in a phased manner.? This decision has been implemented, 75 KVA Generators have been provided for 9 District Hospitals and 40 KVA Generators have been provided for 2 Non-Taluk Hospitals since 2001.
??????????? In order to provide better communication facilities to Government Hospitals, telephone facilities are being provided in a phased manner. since 2001, 51 telephone connection have been provided to health institutions under the control of DM&RHS.
With a view to impart proper Nursing Care to Rural Public and to provide opportunity to students from rural areas? to take nursing profession as a career,? eight new Schools of Nursing have been started in eight District Headquarters Hospitals.
To curtail the highly adverse sex ratio and to prevent female foeticide, the Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition of Sex Selection) Act 1994 is being implemented effectively in this state. State Level,? District level and Sub-District level, advisory committees have been formed, according to the Act. 2680 Scan Centres have so far been registered and constant vigil is being? maintained to prevent? discloser of the sex of the foetus. So far 93 unregistered scan centers have been identified and cases have been filed against 70 scan centers. Judgement has been delivered in 48 cases. Wide publicity is being given in the media to create awareness about this subject.??????????
Mental Health is an issue of importance to the community.? With a view to provide effective mental health, particularly in rural areas, the District Mental Health Programme is being implemented in Trichy, Madurai and Ramanathapuram.? The objectives of the programme are early identification of mental illness in the community and mental health care.? A District Mental Health Team has been constituted under this scheme.? This team visits the various places in the district, identifies the persons who are having mental sickness and arranges to provide them treatment in the Medical College Hospitals. Under this Scheme, 10 bedded Psychiatric Wards are functioning at Government Headquarters Hospital, Usilampatti and Ramanathapuram for treating mentally ill patients. The Director of Medical and Rural Health Services is the monitoring authority and the Director, Institute of Mental Health is the Nodal Officer of the programme. The programme has since been extended to Theni and Kanniyakumari districts.
Tamil Nadu State Illness Assistance Society
??????????? The Government of Tamil Nadu has constituted the Tamil Nadu State Illness Assistance Society with a Revolving Fund of Rs.15 crores as an initial corpus fund.? The funding pattern will be in the ratio of 2:1 respectively between State and Central Governments.? The affairs of the Tamil Nadu State Illness Assistance Society are administered by its Executive Committee under the Chairpersonship of the Secretary to Government, Health and Family Welfare Department.? The Director of Medical and Rural Health Services is the Member-Secretary.? The Tamil Nadu State Illness Assistance Society provides financial assistance to poor patients who undergo life saving surgeries in notified private hospitals on the lines of the Chief Minister’s Public Relief Fund Scheme.
Every year about 8 lakh persons are infected with TB bacilli in our State. About 1.8 lakh persons are suffering from Tuberculosis among which 60 thousand have TB bacilli in their sputum.
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There are 10 TB Sanatoria in Tamilnadu, 2 under the control of the Directorate of Medical and Rural Health Services, 6 under the control of Director of Medical Education and 2 which are non Governmental.? There are 3654 beds in the State exclusively for in-patient treatment of acutely ill-patients.?? All the other patients are under the Directly Observed Treatment Short course (DOTS) Treatment in the nearest health facility of the patient.? A State Level Officer in the rank of Additional Director of Medical and Rural Health Services is acting as State Tuberculosis Officer to coordinate and supervise the? Revised National Tuberculosis Control Programme (RNTCP).? At the District level, the Deputy Director of Medical Services (TB) is the manager of the Programme.
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The Government of India under the external assistance component (World Bank assisted) is providing 100% expenditure for drugs and establishment cost of all District TB Control Societies headed by District Collectors.? The State Government meets the entire expenditure on running all the 29 District TB Centres and 10 Government TB Hospitals.
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The RNTCP is implemented in all the Districts through 138 TB Units, 648 Microscopic centers and about 11,000 DOT Centres. The RNTCP Programme has also a good partnership with NGOs, Private Hospitals, Private Doctors, Railways, Port Trust and Military Hospitals. The Programme has examined 6.2 lakh chest symptomatics and diagnosed about 90,000 TB patients. 89% of the patients have been cured in 2004-2005. It has achieved all the parameters and targets fixed by the Government of India.
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Leprosy Rehabilitation Promotion Unit, Tambaram
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This is one among the 3 units run by the State Governments in the country. This unit has 50 beds and located at Tambaram. Reconstructive surgery of hands, feet and eyes of the leprosy patients with deformity is carried out.
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Four Senior Civil Surgeons (Ortho, Plastic Surgery, Pathology and Ophthalmology), four Assistant Surgeons, six Staff Nurses and other staff are working in this unit. An operation theatre is functioning in this unit.
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This unit is under the administrative control of DM&RHS.?
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New Schemes for 2005-2006
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1.????? Construction of Outpatient block at District Headquarters Hospital at Mettur Dam, Salem District at a total cost of Rs.43.00 lakhs.
2.????? Construction of Mortuary block with cold storage facilities for the newly formed District Headquarters Hospitals at Walajah, Manapparai, Kovilpatti and Krishnagiri at a total cost of Rs.48.00 lakhs.
3.????? Provision of one Computer, UPS, Printer, Modem, Furniture and Accessories with Internet facility to all the Joint Director of Medical and Rural Health and Family Welfare offices (29) at Rs.75,000 each at a total cost of Rs.29.00 lakhs.
4.????? Construction of Outpatient block at 5 Government Taluk Headquarters Hospitals at Edapadi, Dharapuram, Kadaladi, Kodumudi and Aranthangi at a total cost of Rs.150.00 lakhs.
5.????? Construction of 12-bedded Maternity Ward with Labour Room at 2 Government Hospitals at Sirkali, Nagapattinam District and Vadipatty, Madurai District at a total cost of Rs.42.00 lakhs.
6.????? Construction of 12 bedded Burns Ward in Government Hospital at Sivakasi, Virudhunagar District at a total cost of Rs.30.17 Lakhs.
7.????? Construction of Operation Theatre with Air-Conditioning facility to 2 Government Taluk Headquarters Hospitals at Tharangampadi and Tiruchengode at a total cost of Rs.50.40 Lakhs.
8.????? Construction of building and extension of Accident and Emergency Services with 10 bedded ward at 2 Government Taluk Hospitals, Tambaram and Manamadurai at a total cost of Rs.190.66 lakhs.
9.????? Construction of X-ray Block and provision of
300 MA X-ray plant at Government Hospital, Sirkali, Nagapattinam district at a total cost of Rs.11.20 lakhs.
10. Construction of 48 bedded ward at Government Taluk Headquarters Hospital at Mannargudi, Thanjavur district at a total cost of Rs.80.00 lakhs.
11. Construction of Out Patient block at 2 Government Non Taluk Hospitals at Vaitheeswarankoil, Nagapattinam District and Kurinchipadi, Cuddalore District at a total cost of Rs.63.00 lakhs.
12. Improvement of Infrastructure facilities by construction of 12 bedded ward at 2 Government Non-Taluk Hospitals at Thuvarankurichi and Valliyur at a total cost of Rs.30.60 lakhs.
13. Improvement of Infrastructure facilities by constructing 12 bedded Maternity Ward with Labour Room at Government Hospital, Ambur at a total cost of Rs.22.17 lakhs.
14. Improvement of Infrastructure facilities by constructing building for generator and provision of 40 KVA generator to 2 Non-Taluk hospitals at Mathur and Vadipatty at a total cost of Rs.25.00 lakhs.
15. Provision of Telephone facilities to 13 Non-Taluk Hospitals at a total cost of Rs.0.81 lakhs.
16. Construction of 10 bedded ward, Ambulance Shed, Duty Doctor Room at Government Hospital, Porayar at a total cost of Rs.32.08 lakhs.
17. Opening of Dental Clinic in 4 Taluk Hospitals at Kadaladi, Sathankulam, Vedaranyam and Kanniyakumari at a total cost of Rs.25.76 lakhs.
18. Modernisation of office administration by providing one server, 10 NODES with UPS, One Laser Printer, One Dot Matrix Printer, Furniture and Accessories in Networking at the Director of Medical and Rural Health Services Office, Chennai-6 at a total cost of Rs.7.25 lakhs.
????19. Replacement of two lists in the Office of the Director of Medical and Rural Health Services Office, ????Chennai-6 at a total cost of Rs.49.33 lakhs.?
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