Ministry of Health
and Family Welfare
Ministry of Health & Family
Welfare 2020 ACHIEVEMENTS
Posted On: 30 DEC
2020 10:59AM by PIB
1. Steps taken by the Government of India
for COVID-19 containment and management
The WHO declared COVID-19 a pandemic on
11th March and asked all countries to take urgent and aggressive action against
this public health crisis. As on 21stDecember, 2020, 222
countries/territories worldwide are affected.
With
India’s endeavor to manage COVID-19 through a whole of government & whole
of society approach, India has been able to limit its cases and deaths.As on
29thDecember, 2020, a total of 10,224,303confirmed cases (with 2,68,581 active
cases comprising 2.62% of the total cases) have been reported in India.
98,07,569(95.%92) cases have recovered while the cases fatality is 1.45%, one
of the lowest globally.
The increasing magnitude of this outbreak
in
Government of
Govt.
of India has constituted 11 Empowered Groups on 29th March 2020 on different
aspects of COVID-19 management in the country to take informed decisions on
issues ranging from (i) medical emergency planning, (ii) availability of
hospitals, isolation and quarantine facility, disease surveillance and testing,
(iii) ensuring availability of essential medical equipment, (iv) augmenting
human resource and capacity building, (v) supply chain and logistics
management, (vi) coordination with private sector, (vii) economic and welfare
measures, (viii) information, communications and public awareness, (ix)
technology and data management, (x) public grievance and (xi) strategic issues
related to lockdown. These groups have been restructured on 10th September
based on the need and evolving scenario.
The Health Ministry held video
conferences with States regularly. The Joint Monitoring Group (JMG) under the
Chairmanship of DGHS which advises MoHFW on technical matters has met several
times till now to assess the risk, review the preparedness & response
mechanisms and finalize technical guidelines.
Government of
Government of
Government of
A dedicated call center / helpline (1075)
was started in the initial days to guide community at large which is being used
by the citizens very effectively and on a regular basis. Community surveillance
was initiated initially for travel related cases and subsequently for cases
being reported from community by Integrated Disease Surveillance Programme
(IDSP).
Ministry of Health & Family Welfare
released containment plans to contain cluster and large outbreaks on 2nd March
and 4th April,
2020 respectively and these plans were updated from time to time. The
containment plans envisage a strategy of breaking the chain of transmission by
(i) defining containment and buffer zones, (ii) applying strict perimeter
control, (iii) intensive active house to house search for cases and contacts,
(iv) isolation and testing of suspect cases and high risk contacts, (v)
quarantine of high risk contacts, (vi) intensive risk communication to raise
community awareness on simple preventive measures and need for prompt treatment
seeking and (vii) strengthening of passive Influenza Like Illness (ILI)/ Severe
Acute Respiratory Illness (SARI) surveillance in containment and buffer zones.
The laboratory network is continuously
being strengthened. From a situation of a single laboratoryequipped to
undertake testing for COVID in January, by the end of December, 2288
laboratories (as on 30th December 2020) are conducting COVID-19 Testing.
Laboratories have been established in difficult terrains like Ladakh, Sikkim,
Arunachal Pradesh, Nagaland as well as other North Eastern states, Lakshadweep
and Andaman & Nicobar island.Currently the testing has crossed 1.5 million
tests a day, much higher than that stipulated by WHO which is 140 tests per
million population per day. A total of 17,09,22,030 samples have been tested so
far as on 30th December 2020.While there were no indigenous manufacturers of
laboratory diagnostics or testing machines for COVID, today India has an
indigenous production capacity of more than 10 lakh kits/day.
A three-tier arrangement of health
facilities was created for appropriate management of COVID-19 cases, [(i) COVID
Care Center with isolation beds for mild or pre-symptomatic cases; (ii)
Dedicated COVID Health Centre (DCHC) with oxygen supported isolation beds for
moderate cases and (iii) Dedicated COVID Hospital (DCH) with ICU beds for
severe cases] has been implemented. Tertiary care hospitals under ESIC,
Defence, Railways, paramilitary forces, Steel Ministry etc. have been leveraged
for case management.
As on 29th December 2020, a total of
15,378 COVID treatment facilities with 12,67,127 dedicated isolation bed
without O2 have been created. Also, a total of 2,70,710 oxygen supported
isolation beds and 81,113 ICU beds (including 40,627 ventilator beds) have been
created. Constant monitoring of the disease trend, analysis of available
infrastructure and planning in advance for the future has averted a major
crisis as was faced by many developed countries. In addition, a total of 12,669
quarantine centres with 5,91,496 beds have been created.
Guidelines on Clinical management of
COVID-19 were issued and regularly updated and widely circulated. These
included case definition, prevention of infection control, laboratory
diagnosis, early supporting therapy, management of severe cases and complications.
In addition, provisions for investigational therapies were also made for using
Remdesivir, Convalescent plasma and Tocilizumab for managing severe cases under
close medical supervision.
With the intent to ensure dissemination
of these standard treatment protocols and reduce mortality to maximum extent, a
number of initiatives were launched. An AIIMS Corona helpline 9971876591 was
started to guide the doctors on medical management. AIIMS Delhi hosts the
COVID-19 National Tele-consultation Centre (CoNTeC) which can be reached by
calling +91-9115444155. It caters to doctors, from anywhere in the country, who
want to consult AIIMS faculty for the management of COVID-19 patients, as well
as to the public in general. Telemedicine guidelines have been issued to
provide tele-consultation to patients for mitigation of their illness and
prevention of crowding in clinics. It may also help in triage, treatment and
counseling for care of ill patients by healthcare providers in areas with
limited access.
A clinical
To
ensure accessibility of quality treatment for both COVID and non-COVID health
issues, to far flung areas, use of telemedicine has been promoted in a big way.
'eSanjeevani', a web-based comprehensive telemedicine solution is being
utilized (in23states) to extend the reach of specialized healthcare services to
masses in both rural areas and isolated communities. As on 29thDecember 2020,
more than 11 lakh tele-consultations have been held on this digital platform.
ICMR is establishing a National Clinical
Registry on COVID that will provide insights into clinical course of COVID-19
disease, its spectrum and outcome of patients.
To coordinate procurement and
distribution of COVID vaccine, Government of India has constituted a National
Expert Group on Vaccine Administration for COVID-19 on 7thAugust, 2020, under
the Chairmanship of Member (Health), NITI Aayog.
Government of
2. Ayushman Bharat
·
·
Comprehensive
Primary Health Care (CPHC) through Ayushman Bharat Health and Wellness Centres
(AB-HWCs) –
Ayushman Bharat aims to holistically address health (covering prevention,
promotion and ambulatory care), at primary, secondary and tertiary level by
adopting a continuum of care approach. In the lifetime of an individual, the
primary healthcare services cater to 80-90% of the healthcare needs. The
preventive and promotive healthcare needs for the improved healthcare outcomes
and quality of life of the population.
·
The Primary Health Care team will ensure that
community outreach and population enumeration are done for individuals in their
catchment area and screened for communicable diseases and non-communicable
diseases for early detection and timely referral for accurate diagnosis. The
team will further ensure that treatment adherence and follow-up care are
provided to the patients in the community. These centres are aimed at delivering
primary healthcare services closer to the people and be the first point of
contact for healthcare provisioning and referral for secondary and tertiary
care. Thus, the essential health services along with the provisioning of
essential medicines and diagnostics are provided closer to the community
through these centres, as a step towards building stronger and resilient
primary healthcare systems which cater to the healthcare needs of the
population.
a.
·
Ayushman Bharat comprises of two components:
b.
The first component pertains to creation of
1,50,000 Health and Wellness
Centres (AB-HWCs) by upgrading the Sub Health Centres (SHCs) and
rural and urban Primary Health Centres (PHCs), in both urban and rural areas,
which will bring health care closer to the community. These centres will
provide Comprehensive Primary Health Care (CPHC), by expanding and
strengthening the existing Reproductive & Child Health (RCH) and
Communicable Diseases services and by including services related to
Non-Communicable Diseases (common NCDs such as, Hypertension, Diabetes and 3
common cancers of Oral, Breast and Cervix) and incrementally adding primary
healthcare services for Mental health, ENT, Ophthalmology, Oral health,
Geriatric and Palliative care and Trauma care as well as health promotion and
wellness activities like yoga. A few States/UTs have already started rolling
out these additional packages in a phased manner.
b.
The second component is the Ayushman Bharat-Pradhan Mantri Jan ArogyaYojana(AB-PMJAY).
Under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), around
10.74 crore poor and vulnerable families identified as per Socio-Economic Caste
Census are entitled for health cover of Rs. 5.00 lakh per family per year for
secondary and tertiary care hospitalization. As of 13.11.2020, 32 States/Union
Territories are implementing the scheme and over 1.4 crore hospitalizations
amounting to approx. Rs.17,300 Crores have been authorized under the scheme.
Additionally, over 1.4 lakh hospitalizations amounting to Rs. 315 crore have
been authorized under the inter-State portability feature. Also, so far, 12.66
crore e-cards (including cards issued by the State Governments) have been
issued under the Scheme for facilitating easy availing of benefits.
2.1 a. Status update on AB-HWCs:
·
·
The Guidelines for four expanded package of
services have been developed in consultation with the States/UTs incorporating
the experiences of the States/UTs which have already rolled out the expanded
services and remaining three guidelines are under finalization.
·
App version of the AB-HWC portal was also
launched by the Honourable HFM on the 12th of July to enable geo-tagging the location of these
AB-HWCs and entering the daily service delivery parameters by the frontline
healthcare workers.
·
A Fit Health Worker Campaign was also launched
at these centres to enable the screening and early detection of
non-communicable diseases in the Frontline-Health Care Workers. This enabled
the screening of more than 12 lakhs in 502 districts till 1st December 2020 to enable them to
take preventive, promotive and curative measures and also caution them towards
their risk categorization towards Covid19 as these Frontline Workers (FLWs)
were not only involved in ensuring essential services at these centres but also
played a crucial role in community-based surveillance and pandemic outbreak
management related activities in the community.
·
These centres also conduct various wellness
related activities like Yoga, Zumba, Meditation etc. which not only enable
improved physical health but also mental wellbeing of the community. It is
envisaged that these centres will not only be the point of delivery for
healthcare services, but at the same time enable the community to take health
in their own hands. This is in addition to the 39 Health Calendar Days
which are being done at these focussing on different health promotion
activities.
·
In coordination with School Education
Department, School Health and Wellness Ambassadors Initiative has been launched
to train two teachers per school as Ambassadors on the preventive and promotive
healthcare and it is planned to implement in more than 200 districts in the
coming year
·
Similarly, all States/UTs have started training
of ‘Eat Right’ and ‘Eat Safe’ module to the primary healthcare team at these
functional AB-HWCs.
·
Regional reviews of all the States and UTs are
being organized virtually at the National Level to understand the
implementation challenges in expanding the roll-out during the Covid19
pandemic. The best practices adopted by the States / UTs to ensure the continuity
of healthcare services are also showcased and disseminated to other States /
UTs for cross-learning.
2.1 b. Achievement and Service Delivery
at AB-HWCs :
·
So far, approvals for more than 1,04,860
Ayushman Bharat-Health & Wellness Centres have been accorded to the
States/UTs (except Delhi) and as reported by the States/UTs on the AB-HWC
Portal, 50,927 Health & Wellness Centres have been operationalized till 01st December, 2020 which includes
28,320 SHC level AB-HWCs, 18,972 PHC level AB-HWCs and 3,635 UPHC level AB–HWCs.
·
As per the data update done by the States/UTs in
HWC Portal, till date, About 6.5 Crore screenings done for hypertension and
around 5 Cr screenings done for Diabetes at these AB-HWCs. Similarly, these
functional AB-HWCs have done more than 3.27 Crore screenings for oral cancer,
more than 1.21 Crore screenings for cervical cancer in women and more than 1.78
Crore screenings for breast cancer in women.
·
Further, as on 01.12.2020, total of 33.07 lakhs
Yoga/Wellness Session have been conducted in operational HWCs.
·
Primary healthcare team at the Sub Health Centre
level AB-HWCs is headed by Community Health Officers (CHO) - who is a BSc/GNM
Nurse or an Ayurveda Practitioner trained in primary care and public health
skills and certified in a six months Certificate Programme in Community Health
or Graduate from Integrated nursing curriculum and other members of the team
being, Multi-Purpose Workers (Male and Female) and Accredited Social Health
Activists (ASHAs). The training programme is being carried out with support
from IGNOU and State specific Public/Health Universities. 276 IGNOU Programme
Study Centres (PSCs) have been notified so far and another 272 PSCs have been
notified under the state specific Certificate Programme in the state of Maharashtra
(107), Tamil Nadu (07), Gujarat (59), Uttar Pradesh (66) and West Bengal (33),
taking the total of Programme Study Centres (PSCs) to 548 PSCs across the
country.
·
Since the screening, prevention and management
of chronic illnesses including NCDs, TB and Leprosy have been introduced at
AB-HWCs, training and skill upgradation of the primary health team in all the
functional AB-HWCs on NCDs and use of IT application is undertaken.
·
To promote wellness and healthy life style,
orientation of the public on wellness activities for lifestyle modification
like increased physical activity (cyclathons and marathons), eating RIGHT and
SAFE, cessation of Tobacco and drugs, meditation, laughter clubs, open gyms,
etc. besides conduct of Yoga Session is carried out at these centres on regular
basis. Through Annual Health Calendar, planned activities at these centres on
the health condition of the day are resulting in increased awareness and
preventive measures to be adopted by the public
·
The telemedicine guidelines have also been
provided to the States to initiate specialist consultations from the PHCs to
the Hub Hospitals. So far, 23,817 AB-HWCs have initiated the tele-consultations.
2.2 Human Resources:
NHM has attempted to fill the gaps in
human resources by providing nearly 2.65 lakh additional health human resources
to the States including 11,921 GDMOs, 3,789 Specialists, 73,619 Staff Nurses,
81,978 ANMs, 44,314 Paramedics, 460 Public Health Managers and 17,222 Programme
Management staffs appointed on contractual basis. Apart from providing
financial support for hiring human resources, NHM has also focused on multi
skilling of human resources and providing technical support for human resources
in health sector in the form of technical guidance and training. NHM also
supports co-location of AYUSH services in health facilities such as PHCs, CHCs
and DHs. A total of 27,495 AYUSH doctors and 4626 have been deployed in the
states with NHM funding support.
2.3 Mainstreaming
of AYUSH:
Mainstreaming
of AYUSH has been taken up by allocating AYUSH services in 7,785 PHCs, 2,748
CHCs, 496 DHs, 4,022 health facilities above SC but below block level and 371
health facilities other than CHC at or above block level but below district
level.
2.4 Infrastructure:
Up to 33% of NHM funds in High Focus
states can be used for infrastructure development. Details of new
construction/renovation as on June, 2020 undertaken across the country under
NHM are as follows:
|
Facility |
New Construction |
Renovation/Upgradation |
|||
|
Sanctioned |
Completed |
Sanctioned |
Completed |
||
|
SC |
28150 |
21249 |
23225 |
16548 |
|
|
PHC |
2941 |
2371 |
15858 |
13428 |
|
|
CHC |
620 |
499 |
7339 |
6379 |
|
|
SDH |
242 |
159 |
1238 |
1011 |
|
|
DH |
175 |
148 |
3227 |
2407 |
|
|
Others* |
1328 |
803 |
1673 |
847 |
|
|
Total |
33456 |
25229 |
52560 |
40620 |
|
|
|
|
|
|
|
|
*
These facilities are above SCs but below block level.
2.5 National Ambulance
Services (NAS):
As on date, 35 States/UTs have the
facility where people can dial 108 or 102 telephone number for calling an
ambulance. Dial 108 is predominantly an emergency response system, primarily
designed to attend to patients of critical care, trauma and accident victims
etc. Dial 102 services essentially consist of basic patient transport aimed to
cater the needs of pregnant women and children though other categories are also
taking benefit and are not excluded. JSSK entitlements e.g. free transport from
home to facility, inter facility transfer in case of referral and drop back for
mother and children are the key focus of 102 service. This service can be
accessed through a toll-free call to a Call Centre. Presently, 10,599 Dial-108
and 10,480 (Dial-102/104) Emergency Response Service Vehicles are supported
under NHM, besides 5,412 empanelled vehicles for transportation of patients,
particularly pregnant women and sick infants from home to public health
facilities and back.
2.6 National
Support has been provided in 504
out of 716 districts for 1677 MMUs under NHM in the country. To increase
visibility, awareness and accountability, all Mobile Medical Units have been
positioned as “National Mobile Medical Unit Service” with universal colour and
design.
2.7 Free Drugs Service Initiative:
Under this Initiative, substantial
funding is being given to States for provision of free drugs and setting up of
systems for drug procurement, quality assurance, IT based supply chain
management system, training and grievance redressal etc. Detailed Operational
Guidelines for NHM-Free Drugs Service Initiative were developed and released to
the States on 2nd July, 2015.
All the States and UTs have notified
policy to provide essential drugs free in health facilities. Drugs procurement,
quality system and distribution has been streamlined through IT enabled Drugs
Distribution Management Systems in 30 States/UTs, 36 States/UTs have
centralized procurement through a corporation/procurement body, 29 States/UTs have
NABL accredited labs to ensure quality of drugs provided, 33 States/UTs have
facility wise EDL, 14 States/UTs have prescription audit mechanism and 22
States have established call center based grievance redressal mechanism with
dedicated toll free number.
2.8 Free Diagnostics Service Initiative:
To address the need of accessible and
quality diagnostics in public health facilities, Ministry of Health and Family
Welfare (MoHFW) launched Operational guidelines on Free Diagnostics Service
Initiative in consultation with experts and the States officials and
disseminated among States/UTs in July 2015. The government envisaged that this
health intervention will reduce both direct costs and Out of Pocket
expenditure. This guideline supports States/UTs to provide essential
diagnostics-Laboratory services and Radiology services (Tele radiology and CT
scan Services) at their public health facilities. As on 1stNovember 2020, free diagnostics
laboratory services have been implemented in 33 States/UTs. (In 11 States/UTs
it is implemented in PPP mode and in 22 States/UTs it is in In-house mode).
Free Diagnostics CT Scan services have been implemented in 23 States/UTs (In 13
States/UTs it is implemented in PPP mode and in 10 States/UTs it is in In-house
mode). Free Tele Radiology Services have been implemented in 11 States/UTs in
PPP mode.
The second edition of Free Diagnostics
Initiative has been released which provide a broader view of the expanded
basket of laboratory services envisaged under National Health Mission. A
dissemination workshop was organised by NHSRC to guide States/UTs for
implementation of the guidelines. In PIP 2020-21, NHM approved support for 11
States/UTs for implementation of revised guidelines of Free Diagnostics
Initiative.
2.9 Biomedical Equipment Maintenance and
Management Programme:
To address the issue of non-functional
equipment across public health facilities, comprehensive guidelines were
designed on Biomedical Equipment Management and Maintenance Program (BMMP) and
disseminated among States/UTs. As on 1st November 2020, BMMP has been implemented in 31
States/UTs (In 24 States/UTs it is implemented in PPP mode and 7 States/UTs it
is in In-House mode). The implementation of BMMP has helped in improving
diagnostics services in health facilities by making equipment available with
95% uptime, thereby reducing cost of care and improving the quality of patient
care in public health facilities. Biomedical Equipment Management and
Maintenance Program technical guidance document for in-house support and
monitoring of public private partnerships is circulated to States/UTs. A
two-day virtual dissemination workshop was organised in September 2020 to guide
States/UTs on implementation of guidelines.
2.10 Community Participation:
a.
Accredited Social Health Workers: There are
10.61 lakh ASHAs across the country in rural and urban areas under the NHM who
act as a link between the community and the public health system. The
Union Cabinet has approved increase in amount of routine and recurring
incentives under National Health Mission for ASHAs that will now enable ASHAs
to get at least Rs 2000/- per month against Rs 1000 earlier. The cabinet has
also approved proposal to cover all ASHAs and ASHA facilitators meeting
eligibility criteria under Pradhan Mantri Jeevan Jyoti Bima Yojana and Pradhan
Mantri Suraksha Bima Yojana which would be fully funded by Government of India.
Under the Pradhan Mantri Shram Yogi
Maandhan (PM-SYM) PM-SYM which has been rolled out nation-wide on 15th
February, 2019 and is a voluntary contributory pension scheme to ensure old age
protection for unorganized workers between 18 and 40 years of age with a
monthly income of Rs.15000/- or below ,the ASHAs and ASHA Facilitators in the
specified age group are invariably eligible under the scheme. The scheme
requires self-certification, 50% of the monthly contribution for the pension
scheme will be contributed by the Central Government while the remaining 50% is
to be contributed by the beneficiary. The amount varies with the age of the
beneficiary and it will be auto-deducted from the bank account of the
beneficiary. The Ministry of Labour and Employment has made the provision of
bulk enrolment facility as well through CSC-SPV. The beneficiaries under the
scheme will receive minimum assured pension of Rs 3000/- per month after
attaining the age of 60 years.
b.
VHSNCs: 5.53 lakh Village Health Sanitation and
Nutrition Committees (VHSNCs) at village level have been constituted across the
country to facilitate village level healthcare planning. More than 12.55 crore
Village Health & Nutrition Days (VHNDs) have held so far.
c.
VHSNCs: 5.53 lakh Village Health Sanitation and
Nutrition Committees (VHSNCs) at village level have been constituted across the
country to facilitate village level healthcare planning. More than 12.55 crore
Village Health & Nutrition Days (VHNDs) have held so far.
d.
The Untied Grants to Sub-Centres (SCs): At the
Village Level, the Village Health, Sanitation and Nutrition Committee (VHSNC)
monitors the services provided by the Aanganwadi Worker, the ASHA and the
sub-centre. These Committees are envisaged to function under the ambit of the
Panchayati Raj Institution with adequate representation from women and weaker
sections of the society. The VHSNC acts as a subcommittee or statutory body of
the Gram Panchayat. The same institutional mechanism is also mandated in urban
areas. VHSNCs are provided an untied fund of Rs 10,000 on annual basis which
are topped up based on expenditure of previous year. More than 5.53 lakh VHSNC
have been set up across the country till June, 2020. The capacity building of
VHSNC members with regards to their roles and responsibilities for maintaining
the health status of the village is being done in many states.
2.11 24 X 7 Services and First Referral
facilities:
To ensure service provision for Maternal
and Child Health, 24x7 services at the PHCs have been made available. 10,430
PHCs have been made 24x7 PHCs and 2953 facilities (including 698 DH, 712 SDH
and 1543 CHCs & other level) have been operationalized as First Referral
Units (FRUs) under NHM.
2.12 MeraAspataal:
'MeraAspataal' is a patient feedback
system which was launched in September 2016 with a mandate to integrate
2.13
Kayakalp:
As part of contribution towards the Swachh Bharat Abhiyaan launched by the
Prime Minister on 2nd October 2014, the Ministry of Health & Family
Welfare, Government of India launched “Kayakalp - Award to Public Health
Facilities. As on 11th November 2020, 12 Central Government (more than
80%), 352 DHs, 1459 SDHs/CHCs, 3675 PHCs, 808 UPHCs, 7 UCHCs, 307 HWCs have
scored more than 70%. Total 6620* facilities have been awarded under this
scheme in FY 2019-20.
2.13 Swachh Swasth Sarvatra:
Swachh SwasthSarvatra is a joint
initiative of Ministry of Health & Family Welfare and Ministry of Drinking
Water and Sanitation was launched in December 2016 to achieve better health
outcomes through improved sanitation and increase awareness on healthy lifestyle.
Under this initiative, one-time grant of Rs.10 Lakhs is provided to the
non-Kayakalp awardee CHC located in the ODF block as a resource for improving
the deficiencies found in the Kayakalp assessment, so that at least in the next
assessment, they become Kayakalp awardee.
2.14 Prime Minister’s National Dialysis
Programme:
PMNDP (Hemo-dialysis) has been
implemented in total 35 States / UT in 503 Districts at 882 Dialysis Centres by
deploying 5490 machines. Total of 8.52 lakh patients availed Dialysis services
and 86.37 Lakh Hemo-dialysis Sessions held as on 30th September 2020. In 2020
alone, a total of 2.76 Lakh patients received 27.9 Lakh Haemodialysis sessions
between January to November.
Under PMNDP, Peritoneal dialysis (PD) has
been introduced and guidelines for peritoneal dialysis have been launched on
10th October 2019. With the introduction of peritoneal dialysis, home based
dialysis treatment with minimal supervision and lesser disruption to normal
lifestyle and so does not put additional incremental burden on the existing
healthcare infrastructure. PD also reduces travel to the dialysis centers for
treatment and allows greater flexibility and freedom in treatment schedule. In
PIP 2020-21, NHM approved PD program support for 20 States/UTs for approx. 4000
patients.
2.15 National Quality Assurance Programme:
Quality in delivered health care services
is important for improving the health status of the population. It enhances
accessibility, increases efficiency, strengthens clinical effectiveness and
improves user satisfaction. With the aim of improving quality of care, the
Ministry of Health and Family Welfare launched the National Quality Assurance
Standards (NQAS) for District Hospitals in 2013 and subsequently for other
health facilities. These standards are internally accredited by ISQua
(International Society for Quality in Healthcare). These standards are also
recognized by IRDA and NHA. At present, a total of 667 Public Health facilities
have achieved National Quality Certification nationally.
To
promote practice of cleanliness, hygiene & sanitation, and controlling the
hospital acquired infection, Kayakalp award scheme was launched in 2015 for
Central government institutions and state’s public health facilities. Kayakalp
has now been extended to the Health & Wellness centres in all States/UTs.
Maternal and Newborn health remains a priority for the country. For ensuring
quality and safety in ‘care around birth’, LaQshya initiative was launched in
2017. Incremental growth in LaQshya certified departments has led to national
level certification of 264 Labour Rooms and 229 Maternity Operation Theatres.
Apart from this, recognizing the need to
captures the voice of patients for enhanced patient experience and continued
learning India launched its own centralized IT platform i.e. ‘Mera-Aspataal’/
‘My Hospital’ in 2018. As of now, more than 5300 government health facilities
and around 722 non-governmental health facilities are integrated with
Mera-Aspataal across 34 states and UTs. Under Free Drugs Service Initiative,
substantial funds have been given to States for provision of free drugs. All
States/UTs have notified policy to provide essential drugs free in health
facilities. Drugs procurement, quality system and distribution has been
streamlined through based Drug Distribution Management System in 29 States.
To
provide Comprehensive Primary Health Care (CPHC) through Health and Wellness
Centres (AB-HWCs), Essential Medicines List (EML) for SHC and PHC have been
finalized. To strengthen the Free Drugs Service Initiative (FDSI), Indian
Public Health Standards (IPHS) guidelines are being revised for Sub-Centres,
Primary Health Centres (PHCs), Community Health Centres (CHCs),
2.16 National Urban
Health Mission
National
Urban Health Mission (NUHM) was approved on 1st May, 2013 as a sub-mission
under an overarching National Health Mission (NHM), NRHM being the other
sub-mission. NUHM envisages strengthening the primary health care delivery
systems in urban areas and for providing equitable and quality primary health
care services to the urban population with special focus on slum dwellers and
vulnerable population. It also seeks to de-congest secondary and tertiary
health care facilities (District Hospitals/Sub-District Hospitals/Community
Health Centre) by providing robust comprehensive Primary health care services
in urban areas.
NUHM
covers all cities and towns with more than 50,000 populations and district
headquarters and State headquarters with more than 30,000 population. The
remaining cities/ towns continue to be covered under National Rural Health
Mission (NRHM). As part of Ayushman Bharat, the existing UPHCs are being
strengthened as Health & Wellness Centres (HWCs) to provide preventive,
promotive and curative services in cities closer to the communities.
u.
NUHM, the Centre-State funding pattern is 60:40
for all the states w.e.f. FY 2015-16, except all North-Eastern states and other
hilly States viz. Jammu & Kashmir, Himachal Pradesh and Uttarakhand, for
which the Centre-State funding pattern is 90:10. In the case of UTs, from FY
2017-18, the funding pattern of UT of Delhi and Puducherry has been revised to
60:40 and rest of the UTs without legislature are fully funded by Central
Government.
Implementation
of NUHM is through the State Health Department or the Urban Local Bodies
(ULBs). In seven metropolitan cities, viz., Mumbai,
II.
Achievements
Of NUHM:
a.
Physical
Progress:
The
programme is being implemented in the States/UTs for more than 6 years period
and accounts for presence of augmented infrastructure and human resources
dedicated towards urban areas. According to the 4thQuarterly Progress Report (QPR) i.e. for period Jan-March,
2020 submitted by the States/UTs, the information regarding progress of
activities approved under NUHM is as follows: -
· 2331 Medical Officers in-position
against 3463 approved
· 178 Specialists in-position against 409
approved
· 6122 Staff Nurse in-position against
9146 approved
· 13151 ANMs in-position against 16321
approved
· 2755 Pharmacist in-position against
3577 approved
· 2923 Lab Technician in-position against
3924 approved
· 406 Public Health Managers in-position
against 681 approved
· 1197 Programme Management staff
in-position at
· So far, 1068 cities/ towns covered
under NUHM
· 4870 existing facilities approved for
strengthening as Urban PHCs
· 782 new U-PHCs construction approved
· 81 new U-CHCs construction approved
· 83 Mobile Health Units approved
· 602 Health Kiosks approved
For slum habitations
i.
63025 ASHAs engaged against 74468 approved. (One
ASHA covers 200 to 500 households)
ii.
81169 MahilaArogayaSamiti (MAS) formed against
92993 approved. (One MAS covers 50-100 households)
Kayakalp and SwachhSwasthSarvatra (SSS)
have been expanded to cover urban areas also and U-PHCs have been awarded
Kayakalp awards. Out of 35 States/UTs, 12 States and UTs declared Kayakalp
awards for FY 2019-20, of which 439 urban health facilities won Kayakalp awards.
To
ensure delivery of Comprehensive Primary Health Care (CPHC) services under
Health and Wellness Centre component of Ayushman Bharat, the existing UPHCs are
being strengthened as Health and Wellness Centres (HWCs). Support for training
of PHC staff (Medical Officers, Staff Nurses, Pharmacist, and Lab Technicians),
necessary IT infrastructure and the resources required for upgrading laboratory
and diagnostics for expanded ranges of services is being provided to the
States. So, far 3339 HWCs have been made operationalized in urban areas as on
March, 2020.Training and review workshops were conducted for roll-out of
CPHC-HWC in urban areas in collaboration with NHSRC.
b.
Financial
Progress:
Since
the launch of NUHM in FY 2013-14 till the Nov 10th, 2020, funds to the tune of Rs. 7788.48 Crore and Rs.
6205.36 Crore have been allocated and released respectively to the States/ UTs
for implementation of the programme activities.
3.Reproductive, Maternal, Newborn, Child,
Adolescent Health Plus Nutrition (RMNCAH+N)
3.1 Immunization
a.
Electronic
Vaccine Intelligence Network (eVIN) rollout: Till FY 2019-20, eVIN system was
functional in 24 States/UTs and in FY 2020-21, eVIN has been expanded to the
rest of the States/UTs to cover the entire country.
b.
Pneumococcal
Conjugate Vaccine (PCV) expansion to all the Districts of Uttar Pradesh: Till FY 2019-20, PCV was available in
Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan and 19 Districts of Uttar
Pradesh and Haryana (State initiative). In FY 2020-21, PCV has been expanded to
all the Districts of UP, thus covering the entire State.
c.
Sustaining
Routine Immunization during COVID-19 pandemic: Clear strategy & guidelines
have been developed and special efforts have been made to sustain Routine
Immunization, conduct Sub National Immunization Days for Polio and conduct
surveillance for Vaccine Preventable Diseases (VPDs) during the COVID-19
pandemic.
3.2 Maternal Health
a.
As per the report of Sample Registration System
(SRS) released in July 2020 by the Registrar General of India (RGI),
Maternal Mortality Ratio (MMR) of
b.
SurakshitMatritvaAashwasan
(SUMAN): Ministry of Health & Family
Welfare (MoHFW) launched the SUMAN Initiative on 10th October 2019 with the aims to
provide assured, dignified, respectful and quality healthcare, at no cost and
zero tolerance for denial of services, for every woman and newborn visiting the
public health facility in order to end all preventable maternal and newborn
deaths and morbidities and provide a positive birthing experience. Under SUMAN,
all existing schemes for maternal and neonatal health have been brought under
one umbrella in order to create a comprehensive and cohesive initiative which
goes beyond entitlements and provides a service guarantee for the entitlements.
c.
Midwifery
Educator Training:
The Government of India has taken a policy decision to roll out Midwifery
Services in the country in order to improve the quality of care and ensure
respectful care to pregnant women and newborns. “Guidelines on Midwifery
Services in
d.
Pradhan
Mantri SurakshitMatritva Abhiyan (PMSMA):
o
Since inception, more than 2.60 crore
Ante-Natal Care (ANC) check-ups conducted, more than 19.61 lakhs High
risk pregnancy identified and more than 6,000 volunteers registered under PMSMA.
o
In the FY 2020-21 (upto 9th December 20), 16.78 lakhs ANC
checkups conducted under PMSMA, whereas more than 2.36 lakhs High Risk
Pregnancy identified and 274 volunteers registered under PMSMA.
e.
LaQshya:
o
Since the inception (December 2017) of LaQshya
(upto 9th November
2020) , 263 Labour Rooms and 229 Maternity OTs have achieved National
Certification under LaQshya.
o
During FY 2020-21 , 08 Labour Rooms and
08 Maternity OTs have been Nationally certified for LaQshya.
f.
JSY: 40.04 lakhs beneficiaries
received benefits under JSY during the period of April-September 2020
(provisional data, 2020-21 ).
g.
Comprehensive
Abortion Care (CAC): More than 14,500 MOs have been trained in CAC trainings upto
June, 2020. Virtual training of trainers (ToT) on CAC has been conducted for
3.3 Child Health
a.
Facility
Based Newborn Care (FBNC) program: 894 Special Newborn Care Units (SNCUs) at District/
Medical College Level and 2,579 Newborn Stabilization Units (NBSUs) at the
level of FRUs/ CHC levels are functional to provide services to sick and small
newborns. A total of 6.73 lakhs sick newborns received treatment in Special
Newborn Care Units (SNCUs) at
b.
The country has recently celebrated “National Newborn Week-2020” with
the commitment of “Ensuring Quality, Equity and Dignity of Newborn Care at
Every Health Facility and Everywhere”. Two very important harmonized training
packages under Facility Based New-born Care Program – “NavajatShishu Suraksha
Karyakaram (NSSK)” and “New-born Stabilization Units (NBSUs)” for capacity
building of health care providers were released by Hon’ble Union Minister of
Health and Family Welfare (H&FW) on 20th November 2020.
c.
Home
Based Newborn Care (HBNC) program: A total of 25.38 lakh newborns received complete schedule
of home visits by ASHAs whereas 80,774 identified sick newborns were referred
to health facility by ASHAs during the period of April-June 2020.
d.
Home
Based Care of Young Child (HBYC): For FY 2020-21, the existing 242 Districts (2019-20) have
been expanded with additional 275 Districts i.e. total 517 Districts for
providing Home Based Care for Young Child (HBYC) program. More than 29.5 Lakhs
young children (3 months-15 months) visited by ASHAs during April-September,
2020.
e.
Under, Intensified Diarrhoea Control Fortnight
(IDCF), 2019, 10.01 crore children up to five years of age were provided
with ORS and Zinc against the target of 13.37 crore children of the same age
group. The data compilation for the IDCF/Diarrhoea prevention activities for
the 2020 round is in process.
f.
National
Deworming Day (NDD):
During 10th round of NDD conducted in February 2020,
around 11.02 crore children in the age group of 1-19 years had been
provided Albendazole tablets against the target of 11.66 crore children
of the same age group. 11th round of NDD is being implemented in 34 States and
UTs during the period of August-November, 2020.
g.
Nutrition
Rehabilitation Centres:
Nearly 2.25 Lakhs Severe Acute Malnutrition (SAM) children with medical
complications received treatment at 1,072 Nutrition Rehabilitation Centres
during 2019-20. During 2020-21 (April-September’20) , 32,129 Severe Acute
Malnutrition (SAM) children with medical complications received treatment at
1,077 Nutrition Rehabilitation Centres (NRCs).
h.
Lactation
Management Centres (LMCs): As of FY 2020-2021, till June 2020 (1st quarterly progress report), 15
CLMCs and 2 LMUs are established in 7 States (Maharashtra, West Bengal, Goa,
i.
AnemiaMukt
Bharat (AMB) program (April-September,
2020)
o
1.11 crore children of age group 6-59
months were provided 8-10 doses of Iron Folic Acid (IFA) Syrup every month
o
50.7 lakh children of age group 5-9 years were
provided 4-5 IFA Pink tablets every month
o
62.4 lakh children of age group 10-19
years (in school) provided 4-5 IFA Blue tablets every month
o
16.7 lakh children of age group 10-19
years (out of school girls) provided 4-5 IFA blue tablets every month
o
1.04 crore pregnant women and 9.74
lakh lactating women were provided 180 IFA Red tablets.
j.
Rashtriya
Bal Swasthya Karyakram (RBSK): During FY 2020-21, due to COVID 19 pandemic field
activities by Mobile Health Teams of RBSK Program got affected. 19.31 Lakhs
newborn screened at Delivery points under RBSK Program during April-September,
2020).
k.
Social
Awareness and Actions to Neutralize Pneumonia Successfully(SAANS): SAANS Campaign rolled-out in the
States/ UTs from 12th November, 2020 – 28th February 2021 with aims at accelerating action
against Childhood Pneumonia by generating awareness around protect, prevent and
treatment aspects of Childhood Pneumonia and to enhance early identification
and care seeking behaviours among parents and caregivers.
3.4 Family Planning
a.
Total Sterilization: 6.46 lakh sterilizations
have been reported In 2020-21 (upto November 2020)
b.
Post-partum IUCD (PPIUCD): A total of 13.41 lakh
PPIUCD insertions have been reported in FY 2020-21 (upto November 2020) with
PPIUCD acceptance rate of 16.5%.
c.
Contraceptive Injectable MPA (Antara Program): A
total of 8.10 lakh doses have been administered across the country in FY
2020-21 (upto November 2020) .
d.
Non-hormonal Pill Centchroman (Chhaya) - A total
of 25.90 lakh strips of Centchroman have been reported in FY 2020-21
(upto November 2020)
e) Mission Parivar
Vikas (MPV) - MPV was launched in November 2016
for substantially increasing access to contraceptives and family planning
services in 146 High Fertility Districts in seven high focus States with Total
Fertility Rate (TFR) of 3 and above. These Districts are from the States of
Uttar Pradesh (57), Bihar (37), Rajasthan (14), Madhya Pradesh (25),
Chhattisgarh (2), Jharkhand (9) and
o
Number of Sterilizations -
34,633
o
Number of PPIUCD insertions - 1.38 lakh
3.5.
Rashtriya Kishor Swasthya Karyakram (RKSK)
12.85 lakh adolescents received
counselling and clinical services at Adolescent Friendly Health Clinics
(AFHCs). The number of AFHCs increased from 7,980 (in March 2020) to 8,020 in
September 2020.
47.73 lakh adolescents had been
provided Weekly Iron Folic Acid Supplementation (WIFS) every month besides
Nutrition Health Education till October 2020.
Significant progress has been made in
implementation of Peer Education program with selection of 78,098 Peer
Educators in FY 2020-21 (upto September 2020).
10,934 Adolescent Health Days
(AHDs), a quarterly village level activity to create awareness about adolescent
health issues and available services were conducted till September 2020. .
School Health and Wellness Ambassador
Initiative Under Ayushman Bharat:
Government of
The aim of the programme is to foster the
growth, development and educational achievement of school going children by
promoting their health and wellbeing. A total of 11 themes have been identified.
3.6Pre-Conception
and Pre-Natal Diagnostic Techniques (PC & PNDT):
·
As per Quarterly Progress Report (QPR) of June
2020, submitted by the States/UTs, total 68,818 diagnostic facilities have been
registered under the PC& PNDT Act. So far, a total of 2,220 machines have
been sealed and seized for the violations of the law. A total of 3,116 court
cases have been filed by the District Appropriate Authorities under the Act and
6017 convictions have so far been secured, leading to suspension / cancellation
of medical licenses of 145 doctors.
·
28th meeting of Central Supervisory Board (CSB)
under PC & PNDT Act, 1994 held on 2nd December, 2020. Due to the pandemic
COVID-19, the same was held on a virtual platform.
·
Ultrasound equipment is notified vide No. S.O.
3721(E) dated October 16, 2019, as a drug under the Drugs and Cosmetic Act
1945, accordingly, licenses from Drug Controller of India, shall be mandatory
for selling / importing/ R&D of Ultrasound Machines. This has come into
effect from November 1st, 2020.
·
Six Months Training Rules, 2014 are amended vide
notification no. G.S.R. 419 (E) dated 26/06/2020. Notification is laid down on
Table of both houses of parliament. Amendments have widened scope of the
training rules: Teacher to Student Ratio is increased to 1:4 from 1:1 and the
criteria for MCI/NHC recognized and number accredited training Institutes has
expanded.
·
Review meetings were conducted in four states
including (Karnataka, Gujarat, Tamil Nadu and
·
Capacity building of District Appropriate Authorities
and PNDT Nodal Officers was conducted in the State of Delhi.
·
Training of public prosecutors was organized
with the support of
·
The continuous and consistent efforts of the
Centre along with the cooperation of States and other stakeholders, the sex
ratio at birth is beginning to show an upward increase. The improvement of the
sex ratio at birth at the national level is of 3 points going up from from 896
in 2015-17 to 899 in 2016-18. Further, 15 states out of 22 surveyed
states, have shown improvement with maximum of 15 points recorded in Rajasthan
followed by Himachal Pradesh (12 points), Gujarat (11 points), Haryana, Assam,
and J&K by 10 points.
·
Under Five Mortality Rate (U5MR) among Girls, a
strong indicator of gender discrimination, has recorded a constant decline from
45 in 2015 to 36 in 2018 as per the latest Sample Registration Survey (SRS)
report 2018. Further, the Gender Gap in Under Five Mortality Rate in the
Country has fallen to 1 in 2018 from 5 points in 2015.
4.National Tuberculosis Elimination Programme to
(NTEP)
Given the ambitious target of achieving the Sustainable Development Goal (SDG)
of eliminating Tuberculosis (TB) by 2025, five years ahead of the Global
Targets, the name and logo of the programme was changed this year from the
Revised National Tuberculosis Control Programme (RNTCP) to the National
Tuberculosis Elimination Programme to (NTEP) to epitomize the ultimate goal.
A total of 14.75 lakh TB patients were notified under the programme from
January to October 2020, a decrease of 27% (20.28 lakh cases) as compared to
the same period in 2019. This decrease in TB notification is due to the impact
of the COVID-19 pandemic on TB services, repurposing of available resources and
manpower, as well as various restrictions imposed to contain the pandemic.
36,514 Drug Resistant TB patients were notified during this period. Between
January and August 2020, about 1, 27,816 persons have been notified from tribal
populations.
From April 2018 onwards, 36.8 lakh TB patients were paid Rs 928.8 Cr under
Nikshay Poshan Yojana towards nutritional support till September 2020.
The following steps were taken to
mitigate the impact of COVID-19 and provide uninterrupted TB services:
·
Advance directives to ensure continuity of TB
services were issued and review with States/Districts conducted to monitor the
delivery of services.
·
Implementation of bi-directional TB-COVID
screening: COVID screening for all diagnosed TB patients and TB screening for
all COVID positive patients.
·
TB screening and testing for all presumptive
ILI/SARI/COVID cases in all COVID Zones (Red,
·
Guidance on TB diagnostic labs to remain
functional and usage of Personal Protective Equipment by Laboratory staff were
issued.
·
Integrated TB-COVID laboratory services
including pre-treatment evaluations for DR-TB and DS-TB for optimal utilization
of platform technologies were formulated.
·
Decentralized molecular diagnostics at block
levels for TB & COVID screening –Replacement of smear microscopy by NAAT
testing for all presumptive TB cases
·
Effective sample collection and transportation
system from Sub Centre to PHC, PHC to CHC and from CHC to District /CDST/IRLs
·
Home sample collection services in Red Zones /
Containment areas
·
Active TB case finding campaign in green zone
and areas with no / minimal COVID cases
·
Contact tracing for close household and
workplace contacts for all infectious TB cases
·
Home based sample collection and strengthening
of transport mechanisms to nearby testing centers.
·
Provision of at least one-month supply of drugs
to the patients’ doorstep.
5. National Tobacco
Control Programme (NTCP)
Tobacco
use and COVID-19:
In view of the increasing danger of COVID-19 pandemic, advisories/directives
were issued to States/UTs, to take necessary measures under the appropriate law
to prohibit the use and spitting of chewing smokeless tobacco products in
public. Smoking damages lungs and other organs, putting the smokers at higher
risk of complications due to COVID-19 and as such States were requested to
undertake awareness campaign to make general public aware on risks associated
with smoking during COVID-19. The MoHFW has also undertaken awareness campaigns
to make people aware about the risk associated with the tobacco use and
spitting in public especially during this COVID-19 pandemic.
Prohibition
of Electronic Cigarettes: The Government of India prohibited electronic-cigarettes and
like devices through ‘The Prohibition of Electronic Cigarettes (Production,
Manufacture, Import, Export, Transport, Sale, Distribution, Storage and
Advertisement) Ordinance, 2019” on 18th September, 2019 and the same was replaced by
Prohibition of Electronic Cigarettes (Production, Manufacture, Import, Export,
Transport, Sale, Distribution, Storage and Advertisement) Act, 2019 on 5th December, 2019. This prohibition
has been brought with the objective of nipping the problem in the bud,
anticipating the danger in case of spread of addiction due to e-cigarettes and
as such decisive pre-emptive action was taken to prevent the problem rather
than trying to solve the problem after it acquires unmanageable.
6. Pradhan Mantri
Swasthya Suraksha
Yojana (PMSSY)
The
Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) envisages creation of tertiary
healthcare capacity in medical education, research and clinical care, in the
underserved areas of the country. It aims at correcting regional
imbalances in the availability of affordable/reliable tertiary healthcare
services and also augmenting facilities for quality medical education in the
country. The scheme had two broad components :
·
Setting up of AIIMS like Institutions;
·
Up-gradation of old Government Medical Colleges
(GMCs).
During
the last fifteen years, construction of 22 new AIIMS and 75 Government Medical
Colleges up-gradation Projects has been approved under this scheme.
6.1 Six AIIMS under
Phase-I:
Six
AIIMS approved under Phase- I (AIIMS-Bhopal, AIIMS-Bhubaneswar, AIIMS-Jodhpur,
AIIMS-Patna, AIIMS-Raipur and AIIMS- Rishikesh) are already fully
functional. All key hospital facilities and services such as Emergency,
Trauma, Blood Bank, ICU, Diagnostic and Pathology are functioning.
More
than 1000 hospital beds increased during this year.
100
PG seats and 150 MBBS seats have been increased during this year.
Dedicated
hospitals block for treatment of CoVID-19 patients and CoVID test Lab made
functional in these AIIMS during this year.
6.2 Other New AIIMS
under Phase-II, IV, V, VI & VII:
16 AIIMS have been sanctioned/approved by
Cabinet in subsequent phases. For 2nd new AIIMS in
Limited OPD services was already
functional in 5 AIIMS viz.
Undergraduate MBBS course with 100 seats
per annum per AIIMS was already functional at eight new AIIMS viz. Mangalagiri,
Construction was already progressing in 9
AIIMS, viz. AIIMS Raebareli,
6.3.Up-gradation of
existing GMCs :
Up-gradation
programme broadly envisages improving tertiary health infrastructure through
construction of Super Speciality Blocks / Trauma Care Centres etc. in existing
Since inception of the scheme, 46
projects of
|
S. No. |
Name of the
GMC/Institute |
State |
Phase |
Type of facility |
Total Beds |
ICU Beds |
No of Super
Specialities |
|
|
GMC Yavatmal |
|
III |
SSH |
231 |
36 |
6 |
|
|
GMC |
Madhya Pradesh |
II |
SSH |
218 |
54 |
10 |
|
|
|
Uttar Pradesh |
III |
SSH |
233 |
52 |
8 |
In
addition to above, Construction works of Super Specialty Block completed in
following 05 GMCs during this year.
|
S. No. |
Name of the
GMC/Institute |
State |
Phase |
Type of facility |
Total Beds |
ICU Beds |
No of Super
Specialities |
|
|
|
Andhra Pradesh |
III |
SSH |
208 |
40 |
8 |
|
|
|
Telangana |
III |
SSH |
249 |
39 |
10 |
|
|
Rajiv Gandhi
Institute of Medical Sciences, Adilabad |
Telangana |
III |
SSH |
210 |
42 |
8 |
|
|
|
|
III |
SSH |
266 |
62 |
6 |
|
|
|
Jharkhand |
III |
SSH |
200 |
40 |
8 |
The
SSB and Trauma Centres made functional at 22 GMCs being utilized currently as
dedicated hospitals blocks for treatment of CoVID-19 patients. More than 5000
isolation beds and 1250 ICU bed facilities created.
7. Medical Education
1.
The historic National Medical Commission Act was
passed by the Parliament in August, 2019. Now, the National Medical Commission
has been constituted with effect from 25th September, 2020 and the years old MCI has been
dissolved and the Indian Medical Council Act, 1956 has been repealed. The
principal change in the regulatory mechanism is that the regulator will be
primarily ‘selected’ rather than ‘elected’. The National Medical Commission
will steer the reforms in medical education. This will include increase in
UG & PG seats alongwithimproved access to quality and affordable
medical education and maintaining high ethical standards in medical profession.
Some of the key area in which NMC will work include - implementation of
National Exit Test (NEXT) for the medical graduates, guidelines for
determination of fee for 50% seats in private medical colleges and Deemed
Universities, Regulations for Community Health Providers and rating of medical
colleges.
2.
During the last six years, MBBS Seats
increased by 30,301 (i.e. 55.75%) from 2014 (54,348 seats) to 2020 (84,649
seats) and the number of PG seats increased by 24,084 (i.e. 79.77%) from 2014
(30,191 seats) to 2020 (54,275 seats).
3.
Further, during the same period, 179 new medical
colleges have been established and now the country has 562 (Govt: 286, Pvt:
276) medical colleges.
4.
Under the Central Sponsored Scheme for
establishment of new medical colleges, establishment of 157 medical colleges
have been approved in three phases, of which 47 are functional and remaining
will be functional in few years. Of these 157 colleges, 39 are coming up in the
Aspirational Districts of the country thereby addressing the issues of inequity
in medical education.
5.
Rationalization of Minimum Standards
Requirements (MSR): The MSRs for establishment of medical college have been
streamlined. This will reduce the cost of establishment of new medical college
and increase of intake capacity.
6.
Two years post MBBS Diplomas by National Board
of Examinations: Keeping in view the importance of Diploma courses to meet the
shortfall of postgraduate students and augment healthcare in remote parts of
the country, the National Board of Examinations (NBE) has launched diplomas in
eight disciplines namely - Anaesthesia, Gynaecology & Obstetrics,
Pediatrics, ENT, Opthalmology, Family Medicine, Tuberculosis & Chest
Diseases and Medical Radiodiagnosis.
7.
District Residency Scheme for Post-Graduation:
The MCI has also notified a Scheme known as District Residency Scheme for
compulsory three months training of PG medical students at District Hospitals
an essential component of postgraduate medical training curriculum. Under the
Scheme, the second/third year PG students of medical colleges would be posted
in the district hospitals for a period of three months.
8.
The constitution of the National Medical
Commission has ushered in a landmark reform in the sector of Medical Education.
On similar lines, the Government is striving to bring institutional reforms in
the sector of nursing and dental education by passage of reformative
legislations to replace the existing Indian Nursing Council Act, 1947, and
Dentists Act, 1948. The Government is also in the process to address the long
standing vacuum of a regulatory body for various professions included in the
allied and healthcare sector by providing for a National Commission for Allied
and Healthcare Professions, and a Bill to that extent has already been
introduced in the Rajya Sabha. The basic premise and principled change that is
happening in all these professional education sectors is that the Regulator is
now being ‘selected on merits’, as opposed to an ‘elected’ regulator.
8. Central Government
Hospitals
8.1Atal Bihari
Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital (ABVIMS & Dr RML Hospital
a.
Starting of MBBS Course: Directorate General of
Health Services/ Ministry mandated PGIMER and Dr. RML Hospital to start MBBS
course with intake of 100 students from academic session 2019-20. The name of
the Institute has also been changed to “Atal Bihari Vajpayee Institute of Medical
Sciences and Dr. RML Hospital”. Now the Institute has state of art Labs,
Dissection Hall, Examination Hall, Lecture Theatres, Museum etc.
b.
Super Specialty Block: Hospital has planned to
construct a new 600+ bedded Super Specialty Block (SSB) comprise of 3 basements
+ GF+ 11 Upper Floors at a vacant plot available at G-Point of the Hospital.
The EFC in its meeting held on 18.02.2019 approved the project at a total cost
of Rs 572.61 Crore. CPWD has been nominated as the Project Management
Consultant. Tender has been awarded by CPWD and the expected period of
completion of project is 24 months.
c.
New Hostel Block: The Institute has planned to
construct 824 Rooms New Hostel Block at the vacant land available in the
campus. The total cost of the project is 178 crore. HSCC is the Project
Management Consultant. The work upto the 5th Floor level has been completed.
d.
Dr. RMLH has already received Paediatric Cath
Lab and soon department of Paediatric Cardiology will be started and it will be
first of its kind in the country in a Government hospital.
e.
Dr. RMLH is in the process of procurement of
Robotic System. This will be used by different surgical specialities to perform
complex operations. This gives enormous benefit to patients, who have to
undergo difficult and complicated surgery.
f.
Doctors of Dr. RMLH have already been trained
for Liver Transplantation and this will be started in near future after getting
all necessary approvals.
g.
E-office has been started in Dr.RMLH
h.
Dr. RMLH was made the first
8.2 Lady Hardinge
Medical College
1. LHMC
with
Following facilities were created: -
A.
Red Zone
I. Ward – 24 + 22 = 46
II. COVID ICU Beds = 30
III. Orange Zone Beds = 103 (for
suspected cases)
B.
Various infrastructures added for Treatment of
COVID-Patients.
I. Capacity of Ventilatory beds increased
by 30 beds.
II. Number of BIPAP machines – 32.
III. HHFO-facilities added.
IV. Sufficient quantities of Pulse
Oxymeters available, PPE Kits, N-95 masks and others consumables.
V. Number of beds increased with O2
supply >50 beds.
VI. Flu-Clinic for screening of COVID
patients.
C. COVID-19
TESTING FACILITY:
I. LHMC was one of the Ist institution to
start COVID-19 testing facility in shortest possible time for testing by
following methods:
a.
RTPCR
b.
CB NAAT
c.
TRUNAT
Initially services were provided to all
major hospitals where testing facilities were not available. More than 40,000
cases have been tested.
II. State of
D. LHMC
team of doctors and paramedical staff ran YMCA COVID-CARE CENTRE.
E.
LHMC Doctors were part of Central team for
Inspection of facilities and training in various states.
F.
LHMC is running facilities for both COVID and
NON-COVID patients in all departments. Maternity and child care services are
being run with great care.
G. Creative
Problem Solving Initiatives:
I. Telemedicine facilities
II. Blended teaching
III. Students focused youth wellness
initiatives, including self-help groups by providing counseling facilities.
2. Comprehensive Redevelopment Plan (CRP)
of LHMC:-
(a) ONCOLOGY BLOCK and ACADEMIC BLOCK are
ready for possession and likely to be handed over to LHMC by HSCC before 31st
December 2020.
(b) Accident Emergency and OPD Blocks are
likely to be ready by 31st March 2021.
3. Post-Graduate Seats: 24 Post-graduate
have been increased in LHMC against EWS quota.
4. Teaching Activities: For
Undergraduates, Postgraduates, Post-doctoral courses.
(a) In COVID-Situation, combination of
On-line Teaching along with practical training are being carried out keeping
COVID-19 protocols under consideration.
(b) Regular clinical meetings are held on
ONLINE platform.
(c) Post-graduate examination was held
through Video-conferencing testing practical skills and theoretical knowledge.
5. Annual convocation is being held on
12-12-2020 through Video-Conferencing with Hon’ble HFM as Chief Guest.
6. Lab Information System (LIS) as a part
by Hospital Management Information System (HMIS) has been initiated in LHMC to
provide Computer generated lab report and can be seen by treating doctors for
taking quick decisions on treatment of patients.
7. LHMC & Associated Hospitals are in
the category of Super-Speciality hospitals for PMJAY.
8.3 Safdarjung Hospital
1. COVID – 19 Pandemic Management :-
The
a). The whole Super specialty Block (SSB)
is converted into a dedicated separate block for treatment of COVID-19 patients.
b) A dedicated Control Room established
in
c) A separate hi-tech COVID-19 Lab. to do
RTPCR, and facilities in
d) The SARI Ward was started with
concurrence of District Magistrate in New Emergency Block,
e) A dedicated Core team constituted for
COVID-19 management consisting of Doctors from Anesthesia, Medicine,
Respiratory deptts etc. Separate section was created in SSB for patients of
Gyne&Obs and Pediatrics.
f) A Training programmer was being
conducted for JR/SR/Nursing staff & Intern on weekly basis to deal with
COVID – 19 management.
g) Awareness programme i.e handwashing
steps, social distancing, importance of masks and use of sanitizations in
hospital for prevention of COVID – 19 infection were conducted for the patients
& their relatives coming to the hospital in addition to hospital staff
working in various locations of SJH/VMMC.
k) Separate fever clinic & sample
collection center (RTPCR) started for COVID-19 patients in Old Casualty
Block, SJH.
i) Uninterrupted patients care services
were maintained in most of the departments of
j) Separate Ambulances were engaged
for Transportation of COVID-19 patients and dead bodies.
k) Teams are being constituted for
potential vaccinators for COVID -19 vaccination drive.
l) Fire safety drills, training &
awareness progarmme were continuously conducted for fire management in
2. 40 LDC’s and 8 PWD candidate had
joined in last three months.
3. A programme of “AaoSathchale” has
been started to provide needful help to the patients and their attendants.
4.
Status of Admission/Operations: -
Total number of In-patients (admitted)
and operations conducted in this hospital in 2020: -
|
Admission Jan - Nov 2020 |
Major
Operation Jan – Sep 2020 |
Minor Operation Jan – Sep 2020 |
Total Operation Jan – Sep 2020 |
|
101906 |
6828 |
4937 |
11765 |
5.
Statistics (X-Ray Examinations)
|
Year |
No. of X ray
Examinations |
|
January to October |
1,51,387 |
6.
Statistics Deliveries in Department of Obs&Gynae :-
|
Year |
Number of
deliveries |
|
January to Nov
2020 |
16961 |
7.
OPD Attendance :-
|
Year |
Number of OPD
Patients |
|
January to Sep
2020 |
894815 |
8.
Sports Injury Centre: - Patients
attendance/surgeries
|
S.NO. |
Year |
Ortho OPD |
Physiotherapy OPD |
IPD |
O.T |
|
1 |
Jan to Nov 2020 |
23916 |
10124 |
852 |
692 |
8.4 NEIGRIHMS, Shillong
A:
LAND
The District Collector, East Khasi Hills
Revenue , has formally handed over the 20 Acres of
B:
Infrastructure Development
Institute set up the COVID-19 ICU of 10
beds, Isolation Wards for 40 beds and Screening Area for COVID patients
catering the entire region.
·
Institute entered into an agreement with
Government of Arunachal for having cashless treatment for the people of
Arunachal at NEIGRIHMS under the CMAAY Scheme (Health Insurance Scheme).
·
Institute had imparted ICU training to doctors
of the State Government with regard to ICU COVID Care.
·
Institute has set up the COVID teleconferencing
in all OPDs for the benefit of the patients.
·
Institute has increased the departments for
hospital user charges at subsidised rates in order to generate revenue.
·
Institute has taken over the following buildings
of the new projects for conversion into COVID Quarantine Centres.
Guest House of 48 rooms.
Nursing Hostel – 1 of 88 bed capacity
Nursing Hostel – 2 of 110 bed capacity
Institute has also taken over the Under
Graduate Hostels I & II for accommodating the new batch of MBBS students.
The new
C:
Procurement
·
The Institute has procured forty numbers of Alpha Mattress (Make: ArjoHuntleigh Healthcare
Ltd., UK; Model: Alpha active3) against buy back of 48 units of
old existing obsolete unserviceable Alpha Mattress for
its patient care facility, at a total cost of Rs.24.64 lakhs (approx.), with
five years of composite warranty period, and thereafter additional five years
of CMC period, in this month of the FY 2019-20.
·
The Institute has awarded contract for the
supply and installation of one unit of Automated
Capillary Electrophoresis System (Make: Sebia; Model: Capillary 2 flex
piercing) for the department of Biochemistry for its laboratory,
at a total cost of Rs.48.38 lakhs (approx.), with five years of composite
warranty period followed by five years of CMC period including spares and
services, in this month of the FY 2019-20.
·
The Institute has awarded contract for the
supply and installation of one set of Thromboelstograhphy
system (Make: Instumentation Laboratory; Model: Rotem Delta 4) for
the department of Anaesthesiology, at a cost of Rs.14.54 lakhs (approx.), with
five years of composite warranty period followed by five years of CMC period
including spares and services, in this month of the FY 2019-20.
·
The Institute has awarded contract for the
supply and installation of one set of Ultrasound
System (Make: Mindray, P.R. China; Model: DC-80) against buy back
of old existing obsolete unserviceable Ultrasound System for the department of Radiology
& Imaging, at a cost of Rs.24.10 lakhs (approx.), with five years of
composite warranty period followed by five years of CMC period including spares
and services, in this month of the FY 2019-20.
·
The Institute has also awarded contract for the
supply and installation of one set of Electro
Surgical Unit with Smoke Evacuator (Make:
Johnson & Johnson Private Ltd.; Model: Mega 1000 & 2200J) with
necessary accessories, one unit of Radio
Frequency Ablation System (Make: Stryker; Model: Cross Fire 2), and
one number of High speed burr
system (Make: Stryker; Model: Rem B) for the department of
Orthopaedics, at a total cost of Rs.11.93 lakhs (approx.), with five years of
composite warranty period followed by five years of CMC period including spares
and services, in this month of the FY 2019-20.
·
The Institute has procured one unit of Thompson Retractor System (Make: Thompson
Surgical Instruments INC, USA) for its patient care facility in
the department of General Surgery, at a cost of Rs.30.64 lakhs (approx.), with
five years of composite warranty period, and thereafter additional five years
of CMC period, in this month of the FY 2020-21.
·
The Institute has awarded contract for the
supply and installation of two units of Air
Decontamination Unit (Make: airinspace; Model: Plasmair Guardian T- 2006) for
ICU and Isolation areas of the hospital in view of COVID-19 outbreak, at a
total cost of Rs.94.40 lakhs (approx.), with five years of composite warranty
period followed by five years of CMC period, including all the consumables and
spare parts for the machine, in this month of the FY 2020-21.
·
The Institute has also awarded contract for the
supply and installation of eight units of Electro
Surgical Unit (Make:
Johnson & Johnson Model:Mega 1000 & 2200J)with Smoke Evacuator
and necessary accessories with five years of composite warranty period &
five years of CMC period, against buy back for different OT's of the hospital,
at a total cost of Rs.77.50 lakhs (approx.), in this month of the FY 2020-21.
·
The Institute has also awarded contract for the
supply of fifty numbers of Metallic
Bed (Make: M/s Godrej
Interio; Model: EQ Bed with Head board) with 5 yrs warranty for its
Nursing hostel and quarantine centre as well, 8500 numbers of Protective Personal Equipment (PPE) Kit (Make:
Padam Shree Implex; Model: PPE) in view of COVID-19 outbreak, at a total cost
of Rs.46.78 lakhs (approx.), in this month of the FY 2020-21.
·
The Institute has procured one unit of OT table (Make: Mindray/P.R. China; Model:
HyBase 8300) with mayfield attachment and with other mandatory accessories
against buy back for its operation theatre, at a cost of Rs.
36.70 lakhs (approx.), with five years of composite warranty period, and
thereafter additional five years of CMC period, in this month of the FY 2020-21.
·
Department of Orthopaedics of the Institute has
been added with one number of High
speed burr system (Make: Stryker; Model: Rem B), at a cost of Rs.
11.12 lakhs (approx.), with five years of composite warranty period, and
thereafter additional five years of CMC period, in this month of the FY 2020-21.
·
The Institute has procured four numbers of Automated Cuff Pressure Monitoring &
Measurement (Make: Hamilton; Model: Intellicuff), four numbers of Software for High Flow Oxygen Therapy (HFO) on
Hamilton C3S (Make: Hamilton; Model: HFO) and one numbers Thromboelastography
System (Make: Instrumentation Laboratory; Model: Rotem Delta 4) for
the department of Anesthesiology, at a total cost of Rs. 37.31 lakhs (approx.),
with five years of composite warranty period, and thereafter additional five
years of CMC period, in this month of the FY 2020-21.
·
The Institute has also procured two units of Air Decontamination Unit (Make: airinspace;
Model: Plasmair Guardian T- 2006) for ICU and Isolation areas,
seven units ofICU ventilators with
necessary accessories (for CCU/ICCU/PICU) against buy back, in
view of COVID-19 outbreak, at a total cost of Rs.01.76 cr (approx.), with five
years of composite warranty period followed by five years of CMC period,
including all the consumables and spare parts for the machine, in this month of
the FY 2020-21.
·
The Institute has procured six numbers of Humidifier for Ventilator (Hamilton H900) for
the department of Anesthesiology with five years of composite warranty period,
at a total cost of Rs. 09.76 lakhs (approx.), in this month of the FY 2020-21.
·
The Institute has awarded contract for the
supply and installation of one unit of MRI
Compatible Anesthesia Workstation (Make: Draeger India Pvt. Ltd.; Model: Fabius
MRI) for the department of Anesthesiology, at a cost of Rs.38.25
lakhs (approx.), with five years of composite warranty period followed by five
years of CMC period including spares and services, in this month of the FY
2019-20.
·
The Institute has also awarded contract for the
supply and installation of three units of 4-Body
Mortuary Chamber against buy back (Make: Draeger India Pvt. Ltd.; Model: Fabius
MRI), at a total cost of Rs.98.90 lakhs (approx.), with five years of
composite warranty period followed by five years of CMC period, in this month
of the FY 2019-20.
·
The Institute has also awarded contract for the
supply and installation of six numbers of UVC
Disinfection System (Make: Ibis Medical Equipment and System Pvt. Ltd.; Model:
RAZE COV), at a total cost of Rs.25.54 lakhs (approx.), with five
years of composite warranty period followed by five years of CMC period, in
this month of the FY 2019-20.
8.5 Regional Institute
of Medical Sciences, Imphal
·
Regional Institute of Medical Sciences (RIMS),
Imphal is the only
· RIMS is in the 28th Position in NIRF
ranking 2019, released by the Ministry of Human Resource Development,
Government of India.
· The number of MBBS seats at RIMS,
Imphal increased from 100 to 125 per annum. Out of the 25 seats increased 11,
10 and 4 seats are reserved for Economically Weaker Section (EWS), NE open and
All India Quota (Al Q) respectively.
· A DM (Nephrology) course has been
started from the academic session 2019-20 with an intake of 2 seats annually.
· MSc Nursing course started in the
·
51 number of beds have been increased in the
Radiotherapy Ward.
8.6 Regional Institute
Of Paramedical And Nursing Sciences (RIPANS), Aizawl, Mizoram
Regional Institute of Paramedical and
Nursing Science (RIPANS), Aizawl was set up by the Ministry of Home Affairs,
Government of India in 1995-96 to provide Nursing, Pharmacy and Paramedical
education to the people of North East including
At present the institute is conducting
the following Courses:
|
Sl. No. |
Name of Course |
Duration |
|
1. |
B.Sc.Nursing |
4 years |
|
2. |
B.Sc. MLT
(Medical Laboratory Technology) |
4 years |
|
3. |
B. Pharm |
4 years |
|
4. |
B.Sc.RIT (Radio
Imagining Technology) |
4 years |
|
5. |
B.Optom
(Optometry) |
4 years |
|
6. |
M.Pharm |
2 years |
Achievements during the year 2019-20:
i.
No.of students newly admitted for various
Courses
- 194
ii.
The total strength of students in various
Courses
- 683
iii.
Total number of passed out
students
- 172
iv.
The project of Creation of Additional Facilities
at RIPANS viz. Academic Block-III, Library cum Examination Hall, Boys’ and
Girls’ Hostel was completed and the buildings were handed over to RIPANS ON
5.7.2019.
v.
Approval of Recruitment Rules of 27 new posts
(including the posts of Professor, Associate Professor, Assistant Professor,
Tutor, Section Officer, Accounts Officer etc.) was received from the Ministry
on 22.01.2020.
vi.
E-Tender for Civil Works of the Project of
Development of RIPANS was published on 01.09.2019 (Rs.229.46 crore). Technical
bid and financial bid were opened and recommendation to award the work to the
lowest bidder at Rs.217.97 crore was submitted to the Ministry on 5.2.2020. The
estimated cost of the Project is Rs.480.12 crore.
Financial Position during the year
2019-20: (Rs.
in lakh)
|
Sl. No. |
Particulars |
BE (In crore) |
Unspent Balance of the previous year |
Amount released by the Ministry |
Internal resources generated |
Expenditure as on 31.3.2019 |
Unspent Balance as on 31.3.2019 |
|
1. |
GIA General |
15.00 |
104.80 |
1500.00 |
- |
1,336.96 |
267.84 |
|
2. |
Grants for
Creation of Capital Assets |
9.18 |
1,125.98 |
1,468.00 |
- |
2,593.34 |
0.64 |
|
3. |
GIA Salaries |
11.00 |
140.41 |
1,080.00 |
83.81 |
1,038.53 |
265.69 |
|
TOTAL |
35.18 |
1,371.19 |
4,048.00 |
83.81 |
4968.83 |
534.17 |
|
9.
National Leprosy Eradication Programme (NLEP)
·
Percentage of Grade II Disability (G2D) /visible
deformity in new cases is decreased from 2.41% in 2019-20 to 2.21% as on 30th September, 2020.
·
The G2D amongst new cases/ million population is
decreased from 1.96/million population as on 31st March, 2020 to 0.81/million
population (annualised) as on 30th September, 2020.
·
Child cases percentage has reduced from
6.87% as on 31st March, 2020 to 5.30% as on 30th September, 2020.
·
Central Leprosy Division has introduced new
Operational strategy for Active Case Detection and Regular Surveillance both in
rural and urban areas in order to ensure detection of leprosy cases on regular
basis and at an early stage in order to prevent grade II disabilities.
·
District level Representatives from 34
States/UTs have been trained for data entry into NIKUSTH web based reporting
system for leprosy cases. A total of 1422 participants have been trained.
·
In order to strengthen the integrated approach, leprosy
screening has been converged under Rashtriya Bal Swasthya Karyakram (RBSK) and
Rashtriya Kishore Swasthya Karyakram (RKSK) for screening of children (0-18
years) and under Ayushman Bharat for screening of people above 30 years of age.
Collaborative training on the screening tools, referral protocols and reporting
has been completed with State Nodal Officers of RBSK, RKSK and NLEP on
virtual platform on 20th& 21st October, 2020.
·
In order to spread awareness about leprosy,
three short films involving direct testimonials of cured leprosy patients have
been developed, which are being telecast through Doordarshan channels in 18
states as per media plan.
·
In addition to above activities, Differential
strategy guidelines for carrying out various activities under NLEP during COVID
– 19 pandemic were issued to all States/ UTs in order to ensure the following:-
o
§
·
Uninterrupted supply of MDT to leprosy patients
during the lockdown due to COVID – 19
·
Uninterrupted DPMR services to leprosy patients
suffering from physical disabilities.
·
Besides, guidelines were issued to track the
leprosy patients on treatment among the returnee migrants during COVID – 19
pandemic, and to ensure that their treatment is continued in a seamless manner
at the places they migrate to. A number of such patients have been
successfully tracked and treated by various states/ UTs.
10. National Programme
for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and
Stroke (NPCDCS)
Under
National Programme for Cancer, Diabetes, Cardio-vascular Diseases and Stroke
Programme, 3,89,10,383 were screened for Hypertension, Diabetes, Oral Cancer,
Breast Cancer and Cervical Cancer for period January to November 2020 (Source:
Ayushman Bharat, NHSRC).
11. National Vector
Borne Disease Control Programme(NVBDCP)
11.1 Malaria
·
World Malaria Reports for 3 consecutive years
have hailed
·
Malaria cases reported in 2019 were 338494 in
comparison to 429928 cases in 2018, indicating a decline of 21.26% over the
year 2019. Similarly, malaria cases have declined by 47.77% and Pf cases by 25.15 % as on 31st October
2020, as compared to the corresponding period.
·
Malaria has been made a notifiable disease in 31
states/UTs (Andhra Pradesh, Arunachal Pradesh, Assam,Chhattisgarh, Goa,
Gujarat, Haryana, Himachal Pradesh, Jammu & Kashmir, Jharkhand, Karnataka,
Kerala, Madhya Pradesh, Manipur, Mizoram, Nagaland, Odisha, Punjab, Rajasthan,
, Sikkim, Tamil Nadu,Telangana, Tripura Uttar Pradesh,Uttarakhand, West Bengal,
Pudducherry Chandigarh, Daman &Diu, D&N Haveli and Lakshadweep).
·
Till 2020, 24 states have constituted State Task
force for Malaria Elimination and District Task Forces. The remaining
States/UTs are in the process of constituting State Task Force and District
Task Forces.
·
2.24 crore Long lasting Insecticidal Nets
(LLINs) have been supplied/distributed during year 2019-20 to high Malaria
burden areas. The process of procurement of additional 2.52 crore LLINs is in
full swing, and is likely to be completed by 31st December, 2020. Use of LLINs has been highly
accepted by the community at large and has been one of the main contributors to
the drastic malaria decline in the country.
·
Dte. of NVBDCP organized 2nd Batch of National
Malaria Microscopy Refresher Training at RoHFW,
·
Dte. of NVBDCP in collaboration with WHO and
National Institute of Malaria Research organized the External Competency
Assessment (ECA) for certification of the Lab Technicians from different States
w.e.f 20 -24 January, 2020 (1st Batch) and 27-31 January, 2020 (2nd Batch) on
malaria Microscopy by WHO ECAMM Facilitator at NIMR, Delhi.
·
Malaria microscopy, the gold standard for
malaria elimination has also been strengthened by National Refresher trainings
and certification of a core group of Laboratory Technicians from different
States. There are 11 L-1 and 13 L-2 WHO certified Laboratory technicians
trained and certified so far for strengthening microscopic activity and lab
capacity building.
11.2 Kala-Azar
·
1735 cases have been reported during 2020 upto
October in comparison to 2863 cases reported during corresponding period of
2019. A reduction of 39.4% of cases with no death was reported till
October, 2020.
·
Till October 2020 98% Kala-azar endemic blocks
have achieved the elimination target of <1 KA case per 10,000 population at
block level. 13 blocks (Bihar-3 and Jharkhand-10 blocks) are yet to achieve the
target.
·
Based on the KA Independent Assessment findings,
implementations of KA activities has been strengthened. High priority villages
have been identified for intensified action plan. SOPs for active case
detection and outbreak management have been prepared and duly disseminated in
the field formations.
11.3 Dengue &
Chikungunya
·
The number of identified Sentinel Surveillance
Hospitals (SSHs) has been increased from 680 in 2019 to 695 in 2020.
·
Case Fatality Rate (CFR) for Dengue (deaths per
100 cases) was maintained at <1%.
·
Guidelines on Mosquito and other Vector Control
Response (MVCR) were prepared and released through a webinar on 23rd & 24th
July jointly organized by NVBDCP and WHO.
·
National Guidelines on the management of cases
with Dengue and Covid-19 co- infections during Covid-19 Pandemic were finalised
and shared with all the States and Stake holders.
11.4 Japanese
Encephalitis
·
Out of 60 PICUs, 38 PICUs have been made
functional (Assam-6. Bihar-7, Tamil Nadu-5, Uttar Pradesh -10 and West
Bengal-10).
·
Funds have been provided for all 10 Physical
medicine & Rehabilitation (PMR) Deptts. 8 PMRs are functional
(Assam-2, Tamil nadu-1, Uttar Pradesh-3 and West Bengal-2)
·
JE vaccination Campaigns in children (1-15 yrs.)
have been completed in *243 JE endemic districts. 60 more districts have been
identified to be covered under JE vaccination campaign. (*Immunization Div. has
increased the number to 276 districts, based on the separation of districts
over the years.)
·
31 districts (
·
143 Sentinel sites and 15 Apex Referral
Laboratories have been identified for diagnosis of JE. 932 kits were supplied
in 2019. 372 Kits have been supplied in 2020 (till 31.10.2020)
11.5 Lymphatic
Filariasis
·
Out of 272 (257 + 15 new) endemic districts, 98
districts have cleared Transmission Assessment Survey (TAS)-1 and have
consequently stopped Mass Drug Administration (MDA). Out of 98, TAS-2 is
cleared by 87 districts and TAS-3 is cleared by 42 districts till October,
2020. During 2020 (till October), 5 districts have cleared 2nd TAS and 11
districts have cleared 3rd TAS.
·
During 2020 (till October), 84 districts have conducted MDA including 7
districts where MDA was conducted with triple drug therapy (IDA) i.e.
Ivermectin + DEC + Albendazole.
·
Regional Programme Review Group (RPRG) WHO
meeting (virtual) was held on 13-16 July, 2020.
·
Social media tool kit was prepared and
successfully used for spreading awareness about MDA rounds during COVID-19
pandemic.
12. Food Safety and Standards Authority of India
1. Two new Scientific Panels on Packaging
and Alcoholic Beverage have been established raising the total number of
Scientific Panels to 21 comprising 11 vertical (aspects related to a
particular commodity e.g. Oils and Fats) and 10 horizontal panels (Aspects
across different commodities e.g. Pesticides residues).
2. A total of 19 final
notifications and 16 draft amendment regulations have been issued
during 2020. Final notifications,inter-alia, include:
(i) Food Safety and Standards (Safe
food and balanced diets for school children) Regulations,
2020. This regulation aims to encourage schools to adopt safe
food and balanced diets amongst school children as per the guidelines issued
by the National Institute of Nutrition. Further, foods which
are referred to as food product high in saturated fat or trans-fat or added sugar
or sodium(HFSS) cannot be sold to school children in school canteens/mess
premises/hostel kitchens or in an area within fifty meters from the school gate
in any direction.
(ii) Food Safety and Standards
(Packaging and Labelling) Amendment Regulations, 2020 relating to display of
information in food service establishments: These provide that Food service
establishments (restaurants) having central licenses or outlets at 10 or more
locations will need to display the ‘calorific value in kcal per serving and
serving size’ of food items on menu cards, booklets or board. Even e-commerce
food business operators will need to get their restaurants partners to display
calorie information of food products on their digital platforms.
(iii) Food Safety and Standards
(Prohibition and Restrictions on Sales) Third Amendment Regulations, 2020
relating to limit of Total Polar Compounds unused/fresh vegetable oil/fat.
3. With a view to reduce compliance
burden on food businesses, rationalising licensing/registration, reducing paper
work etc., draft amendment FSS(Licensing and Registration) Regulations, 2011
has been finalised and is being draft notified.
4.
To address concerns of Food Business Operators , facilitate ease of
doing business, ensuring consumer safety and also simultaneously
enhancing punishment for wrongdoers to work as deterrent, FSSAI has proposed a
number of amendments in Food Safety and Standards Act, 2006. Important changes
proposed in the present Act include bringing ‘export’ and ‘animal feed’
within the purview of FSSAI; harmonization of definitions with Codex and other
Acts etc.; defining the role and duties of Chairperson; reviewing
processes to ensure expeditious finalization of regulations; bringing more
clarity to certain existing provisions; provision for reference
laboratories; protecting retailer and distributor from liability in case
of untampered packaged food; rationalization of penal provisions;
including strengthening in certain cases; provision for creation of fund
etc.The Ministry issued a public notice thereon and the response received are
under examination in FSSAI.
5. All Food Business Operators are
required to be registered or licensed under Section 31 of Food Safety and
Standards Act, 2006. Considerable progress has been made in issuance of
Licenses and Registrations. As on 30.11.2020, 70,589 Central licenses,
15,09,846 State licenses and 67,32,447 Registrations have been issued.
FSSAI has launched cloud based
upgraded new online portal called Food Safety Compliance System (FoSCoS)
replacing existing Food Licensing and Registration System in the States/UTs.
FoSCoS is conceptualised to provide one point stop for all engagement of an FBO
with FSSAI for any regulatory compliance transaction. It was
initially launched in 9 States/UTs from 01st June 2020 and has since been
launched in all remaining States/UTs from 1st November, 2020.
Initially FoSCoS will be offering licensing, registration, inspection and
annual return modules. However, other activities/ modules will be enabled in
phased mannerand it will provide one stop for all engagements of an FBO
with FSSAI related to regulatory transactions.
6. To protect the interest of
consumers, instructions have been issued requiring the container/tray holding
non-packaged/loose Indian sweets at the outlet for sale to display mandatory
‘Best Before Date’. In addition, FBO may also display the ‘Date of Manufacturing
‘which shall be purely voluntary and non-binding. The order has been made
effective from 1st October 2020.
7. As directed by the Government,
directions under Section 16(5) issued on 23rd September, 2020 operationalising
the proposed draft FSS(Prohibition and Restrictions on Sales) Amendment
Regulations, 2020prohibiting blending in mustard oil with a view to facilitate
manufacture and sale of pure mustard oil for domestic consumption in public
interest. This has been made effective from 1.10.2020. However, the
Hon’ble High Court of Delhi has stayed the order for the time being.
8.
An Advisory dated 8th September, 2020 has been issued to all Food Safety
Commissioners /Central Licensing Authorities to file complaint in courts
for violation of provisions of IMS Act for violation of Sections 3,4,9 etc. of
IMS Act relating to banning /prohibiting advertising, promotions and
incentivizing the use or sale of infant milk substitutes or feeding bottles or
infant foods , or inducement to health workers for promoting use of
infant milk substitutes etc including funding of a seminar, meeting,
conference educational course, contest, fellowship, research work
or sponsorship
9. To give relief to FBOs, a
list of labelling defects categorized into exceptions (minor labelling
defects of insignificant nature and without any food safety concern) and
mandatory cases (against which adjudication action could be taken) has been
prepared and shared with States/UTs which have been advised to issue
necessary instructions to State DOs and FSOs to deal with the cases
involving minor labelling defects not posing any food safety concern by
issue of improvement notices under Section 32 .
10. FSSAI has developed State Food Safety
Index to measure the performance of States on various parameters of Food
Safety. Index is based on performance of States/UTs on five significant
parameters, namely Human Resource and Institutional Data (weightage -20%),
Compliance (30%), Food Testing Infrastructure and Surveillance (20%), Training
and
11.An order has been issued on 06.11.2020
for exclusion of food category (13) (foodstuffs intended for particular
nutritional uses) from the scope of Proprietary Foods.
12. In order to address the gaps in the
food safety eco-system of States/UTs and to promote the culture of safe and
wholesome food through pooling of technical knowledge and best practices, as a
shared responsibility, it is proposed to extend both technical and financial
support to the States/UTs. Accordingly, a Memorandum of Understanding
(MoU) for strengthening of Food Safety Eco-system in the country is proposed to
be signed between FSSAI and States/UTs. Proposals have been received from 23
States/UTs so far . Work plans have been finalised for 18 States/UTs and
assistance will be provided to the States/UTs after signing of the MoU.
13. During the Covid-19 pandemic, FSSAI
has taken a series of steps to facilitate uninterrupted supply of safe food.
Import clearances of food items and national food testing laboratories were
declared essential services. Food imports were expedited through
Provisional Clearance of certain food items. Certain regulatory compliances for
Food Businesses have been relaxed/deferred as necessitated by the circumstances
emerged during the pandemic period. A detailed guidance note ‘Food
Hygiene and Safety Guidelines for Food Businesses during Coronavirus Disease
(COVID-19) Pandemic’ has been released. FSSAI also released an e-handbook on
“Eat Right during COVID-19” for citizens, which highlights safe food practices
to be followed diligently and tips on health and nutrition. FSSAI is also
disseminating information for public awareness through books such as ‘Do You
Eat Right’ and social media on fortified foods, dietary diversity and healthy
recipes to combat micronutrient deficiencies and reduction of salt, sugar and
fat to reduce NCDs.
14.
5 more food laboratories have been recognised and notified under Section 43 (1)
of Food Safety and Standards Act, 2006 by FSSAI. This has raised the total
number of notified food laboratories from 183 to 188 till date. In addition, 58
State Food testing labs are also functioning under transitory provisions of
Section 98 of FSS Act.
15.Under
Central Sector Scheme for upgradation of food testing infrastructure in
States/UTs, a grant of Rs.43.88 crore has been released during the year to 25
States/UTs for procurement of Basic/High-end Equipment and setting up of
Microbiology testing facilities (with CAMC and manpower) towards upgradation of
29 State Food Laboratories. With this, a total Grant in aid of Rs.312.98 Crore
has been sanctioned/released to 29 States/UTs for upgradation of 39 State Food
Laboratories, including setting up microbiological laboratories in 24 SFTLs.
16. A grant of Rs. 1.21 crore (approx..)
has been released to two referral labs viz ICAR-National Research Centre on
Meat, Hyderabad and IIFPT, Thanjavur towards procurement of high-end equipment.
A balance grant of Rs. 50 lakhsis also likely to be released to PBTI, Mohali,
17.
36 more Food Safety on Wheels along with Rs. 5 lakh/FSW for fuel and
Consumables have been sanctioned to 15 States/UTs. This has raised the total
number of FSWs from 54 to 90 across the country covering 33 States/UTs.
18. FSSAI has also released a grant of
Rs. 19.92 crore to 21 States/UTs for procurement of 3 basic equipment viz. i.e.
HPLC system with photodiode Array (PDA), Florescence & Refraction Index
(RI) indicator, GC with FID, NPD & ECD and UV- Visible Spectrophotometer
preferably through GeM. FSSAI is in the process of signing MoU with States and
one of the components of the MoU is Strengthening of Food Testing System under
which some more grant is likely to be released.
19. FSSAI has provided rapid handheld
kits/devices to States/UTs across the country that would make the testing
easier, faster and cost effective. This includes distribution of 363 Frying Oil
Monitor - to check Total Polar compound and acid value in oil and 69 Raptor
Diagnostic Reader - to identify Antibiotics in various food samples to 27
States/UT. Similarly, 210 Microbial Identification kits have also been
provided to 30 States/UTs for detection of 9 pathogenic
microorganism in various food items.
20. FSSAI is implementing Sample
Management System (SMS) across the country under which cold chain facilities
for storage and transportation of food samples are being provided to
States/UTs. FSSAI has provided 548 Compact Cabinets, 539 Vehicle Mounted Mobile
Freezer Boxes, 2328 Portable Chill Boxes and 2328 Backpack Style Bags to 21
States/UTs. SMS would be provided to remaining States/UTs subject to readiness
of the State/UT Governments. This would integrate the entire cold chain across
all districts of
21.FSSAI
has conducted PAN India Edible Oil Quality survey in the month of August, 2020.
The result of the survey is being compiled. FSSAI has also
conducted a PAN India Sampling of Milk Products (Khoa, Paneer, Channa,
Khoa based &Paner based sweets) during the festival period Diwali to
identify hotspots of adulteration During this exercise , 50 samples from
each metro cities and 5 samples from other cities and districts were drawn in
November, 2020 with the objective to assess the quality and safety of Milk
products sold during festival period in the country and to identify hotspots of
adulterated and unsafe milk products, if any; and put in place a continuous
surveillance framework for assessing quality of Milk products sold in the
country. The results of samples would be available shortly.
FSSAI is addressing micronutrient
deficiencies by notifying standards for fortification of key staple viz. edible
oil and milk (with Vitamin A & D) , wheat flour and rice (with iron, folic
acid and vitamin B12 ) and salt with iron (in addition to iodine)
for which it has notified Food Safety and Standards (Fortification
of Foods ) Regulations, 2018 on 02.08.2018 . The standards prescribe minimum
and maximum range of fortification. FSSAI has proposed to make these
standards mandatory for oil and milk. .
Food import is being regulated at 150
points of entry. FSSAI has its presence at 22 points of entry under 6 locations
namely Chennai, Kolkata, Mumbai,
To regulate imports, some important
instructions issued during the year include:
To ensure the quality of honey and
to contain the misuse of imported Golden syrup/Invert Sugar Syrup/Rice syrup in
production of honey, all the importers/Food Business Operators, which are
importing golden Syrup/Invert Sugar Syrup/Rice Syrup into India have been
directed vide order dated 20th May, 2020 to submit necessary documents to
Authorised Officers at scrutiny stage before clearance, regarding
details of manufacturers with end use as to whom the aforesaid imported food
items will be supplied.
FSSAI issued an order dated
07.07.2020 clarifying that import of Blended Edible Vegetable Oils (BEVO)
without AGMARK certification is not allowed in India and further the BEVO shall
also comply with the rules and regulations made under FSS Act, 2006.
iii) To ensure that only non-GM crops are
imported into India , pending framing of regulations related to GM in
Section 22 of FSS Act, 2006 , FSSAI issued an Order dated
21.08.2020 prescribing requirement of non-GM origin –cum-GM free
certificate issued by Competent National Authority of the exporting country,
for every consignment of imported 24 food crops as mentioned
therein. The order shall be effective from 01.01.2021.
22. Under Training and capacity building
initiatives to promote food safety and self compliance, more than 1.30 lakh
food handlers have been trained this year already through 241 Training Partners
and more than 2000 Trainers. Further, FSSAI also launched 2 hour online
training programme for food business operators exclusively on COVID-19
preventive guidelines. The training is being delivered online by the
trained & certified trainers. More than 1.07 lakh food handlers have been
trained. Further, induction/refresher courses have also been conducted for more
than 170 regulatory personnel during the period. FSAI has
also conducted 6 offline training and 306online training programs, including
live training sessions 9practical sessions) for laboratory personnel.
To foster innovation and cooperation in
the field of research areas related to food safety and nutrition, FSSAI has
created the Network for Scientific Cooperation for Food Safety and Applied
Nutrition (NetSCoFaN). This network comprises of research and academic
institutions working in the area of food and nutrition and will ensure
scientific cooperation, exchange of information development and implementation
of joint projects, exchange of expertise and best practices.
FSSAI
had developed framework of national Food Safety Emergency Response (FSER)
system which outlines multi-sectorial coordination, their roles,
responsibilities and management actions during food safety emergency situation
as envisaged under Section 16(3)(v)(&(vi) of FSS Act. Under this framework,
Food Safety Risk Assessment Committee (FSRAC) has been constituted as a risk
assessment body and shall be responsible for providing technical and scientific
support both in normal or emergency situations.
23. FSSAI has signed an MoU with CSIR on
7.8.2020. The MOU aims towards collaborative research and information
dissemination in the area of food and nutrition.
24. FSSAI has also signed a
Memorandum of Understanding with National Institute of Open Schooling on
collaboration with vocational ad academic verticals for food safety education
and integration .
25. From time to time, FSSAI is issuing
Guidance Notes to guide Food Businesses, consumers and other stakeholders on
issues of food safety and dispel myths. Guidance Notes
issued in the year include:
Guidance
Note on Food for Special Medical Purposes
Guidance Note on Clean and
Fresh Fruit and Vegetable Market
Guidance Note on Food Hygiene &
Safety Guidelines for Food Businesses during
Metal Contaminants in Foods-Potential
Risk & Mitigation measures
Safety and Quality of Traditional
Milk products
Pesticides –Food Safety
Concerns-Precautions and Safety Measures.
26. A monthly newsletter is being
published to disseminate information relating to all important activities of
FSSAI undertaken during the month for information of all stakeholders and
public at large. This is being published even during the pandemic period.
27. FSSAI is focussing on improving the
infrastructure to facilitate better functioning across levels. The staff
strength of FSSAI has increased from 356 to 824 in the year 2018. With the new
strength, 11 new offices of the Authority and two food laboratories are in the
process of being set up throughout the country. These offices will facilitate
food licensing, imports, surveillance and enforcement thereby benefitting food
business operators and consumers, both.
28.
FSSAI’s Eat Right Toolkit developed as an easy to use comprehensive package
with simple messages and interactive material (games, AVs, posters etc.) to
inculcate right eating habits at grassroots level of the country. The toolkit
is integrated in Health and wellness centre’s under Ayushman Bharat and has
been included under State PIPs (programme implementation plan) by Ministry of
Health and Family Welfare (MoHFW). The toolkit is also being translated in regional
languages to be used across
29. Training of the Trainers: A plan has
been proposed to create a pool of national and state trainers to smoothly
conduct ASHA trainings. In view on the COVID-19 pandemic, virtual training
sessions were planned.
National trainers: The training of
national trainers was conducted in two batches. A total of six national level
resource personnel (from FSSAI, NHSRC and VHAI), trained the National Trainers
(38) from Arunachal Pradesh, Assam, Chhattisgarh, Delhi, Haryana, Jharkhand,
Karnataka, Madhya Pradesh, Maharashtra, Manipur, Punjab, Rajasthan, Tamil Nadu,
Uttar Pradesh, Uttarakhand and West Bengal. The trainings were conducted on
virtual platform, in two batches in June and July, 2020.
State Trainers:The training of state
trainers was organized by the National trainers with help of national level
resource personnel from FSSAI, NHSRC and VHAI. The training was organised by
NHSRC in collaboration with the States and was organised for three days to
effectively deliver the messages. Till date,09 batches of online training of
State Trainers have been conducted covering 252 State Trainers and 45 State
Observers.
30. The ‘Eat Right India’ movement
initiated by FSSAI under the aegis of Ministry of Health & Family Welfare,
has gone a long way in creating awareness amongst people about eating safe,
healthy and sustainably. Recently, FSSAI has been adjudged among top ten
finalists for the Food System Vision Prize by the Rockefeller Foundation,
31. FSSAI has undertaken several
activities to amplify the Eat Right India initiative:
Launches:
·
An annual competition known as ‘The Eat Right
Challenge’ for districts and cities to recognize their efforts in adopting and
scaling up various initiatives under Eat Right India. 179 cities and districts
have participated in this challenge from States/ UTs all over the country.
·
Eat Right Creativity Challenge for schools, a
poster and photography competition that aims to promote healthy dietary habits
amongst Children through interactive activities.
·
‘Eat Smart City’ (Challenge) by FSSAI in
partnership with Smart City Mission under Ministry of Housing and Urban Affairs
with an aim to create an environment of right food practices and habits in
India’s smart cities and can set an example for other cities to follow.
Releases:
·
The ‘Eat Right Handbook’, a comprehensive guide
for the Food Safety Commissioners and district officials to adopt and scale-up
Eat Right India (ERI) initiatives. The handbook provides detailed information,
SOPs, resources and success stories about various ERI initiatives.
·
e-handbook on “Eat Right during COVID-19” for
citizens which highlights safe food practices to be followed diligently with
simple tips on health and nutrition
·
The ‘Food Safety and Hygiene Guidelines for Safe
Reopening of School Canteen/Mess’ document that highlights the best practices
to be followed in the ‘New normal of COVID-19’ by all the stakeholders. It also
includes tips on personal and environmental hygiene and common myths with their
clarifications.
·
‘Do you Eat Right?’ An eBook which translates
technical concepts on foodand nutrition and Eat Right initiatives into simple
conventional style for the general public.
·
The ‘Orange Book’ for Eat Right Campus that
serves as a resource guide to implement the mandatory food safety and hygiene
requirements in campus canteens, ensure provision of healthy and
environmentally sustainable food and build awareness among the individuals in
workplaces, colleges, universities, institutions, hospitals etc. across the country.
·
Daily Recommendations and Food Fortification- A
handbook for States that will provide answers to the prime concerns around food
fortification to State government officials. It will further elaborate the
difference in the average consumption of micronutrients such as Vitamin A,
Vitamin D, iron, folic acid and Vitamin B12 in a regular diet when compared
with inclusion of fortified staples in everyday meals.
13. NACO
1.
Hon'ble Minister (HFM) Dr. Harsh Vardhan
participated in the virtual Ministerial Meeting of the Global Prevention
Coalition (GPC) – HIV Prevention 2021-2025, on 18-11-2020 for taking stock,
planning the future, hosted by UNAIDS and UNFPA. The meeting focused on
strengthening HIV Prevention and Roadmap.
2.
To achieve NACP fast track targets, NACO
envisaged nine output indicators and three outcome indicators. HIV testing has
increased from 1.25 crore to 2.65 crore among pregnant women and 1.6 crore to
2.89 crore among vulnerable population in last five years. Around 73 lakh blood
units are being collected in NACO supported blood banks to ensure availability
of safe blood in the country. In addition of this, during the same period
number of PLHIV taking free lifelong ART has increased from around 9.4 lakh to
14.86 lakh.
3.
National AIDS Control organization (NACO),
periodically undertakes HIV sentinel surveillance and estimation process to
provide the updated information on the status of HIV epidemic in
4.
NACO has released topline findings of national
level key indicators of Behavioural Surveillance Survey lite, 2020.
5.
NACO has developed district specific integrated
action plan for states of Nagaland, Manipur, Mizoram and Meghalaya. It includes
full details and granularity with measurable indicators to be required in
addition to routine activities.
6.
NACO has developed SBCC package for key
population, bridge population and service providers with objective to influence
and support behaviour change among key population and bridge
population/high-risk population with respect to HIV services in
7.
The ART reduces the HIV-related morbidity and
mortality; prevents HIV transmission by suppressing the viral load improving
the quality of life of People Living with HIV (PLHIV). ART being a life-long
treatment, retention in care remains the essential component for achieving
viral suppression. Keeping in view, NACO has developed IEC material on
treatment literacy to promote treatment adherence and address related issues to
the treatment. This material has been developed provide correct information
about HIV treatment and how to manage side effects, promote ART adherence,
promote positive living, promote timely viral load testing and to provide
information about social protection schemes.
8.
As per the ART Technical Resource Group
recommendations and in line with WHO recommendations Dolutegravir based regimen
has been rolled out across country and currently more than 1 lakh PLHIV are on
DTG based regimen. Currently all newly HIV diagnosed patients are
initiated on Dolutegravir based ART regimen.
9.
NACO has rolled out Blended Clinical training
project for capacity building of health staff involved in delivery of HIV care
services. This is a unique model to train health staff by using blend of
virtual and class room training mode.
10. HIV-1
Viral Load testing was disrupted throughout the country from 24th March, 2020
due to Country wide lockdown owing to Covid pandemic as there were no patients
coming to the ART centres for testing and the phlebotomists were not able to
reach the ART centres for sample collection.Therefore, efforts were made by
NACO and Communication was sent to Ministry of Civil Aviation and Ministry of
Home Affairs by Secretary (MOHFW) to allow transport of blood samples of HIV
patients through Govt/ private cargo flights and also allow free movement of
PLHIVs to the ART centres and personnel involved in blood sample collection.
11. On
the request of ICMR, NACO has set aside 30 out of 64 Public sector HIV-1 viral
load labs for the purpose of Covid-19 testing.
14. E-Health
National
telemedicine services
The
National Telemedicine Service "eSanjeevani" is a digital health
initiative of the Ministry supports two types of teleconsultation
services-Doctor-to-Doctor (eSanjeevani) and Patient-to-Doctor (eSanjeevani OPD)
Tele-consultations. eSanjeevani was rolled out in November 2019 as an important
component of the Ayushman Bharat Health and Wellness Centre (AB-HWCs)
programme. It aims to implement tele-consultation in all the 1.5 lakh Health
and Wellness Centres in a 'Hub and Spoke' model, by December 2022. NHM in
States identify and set up dedicated 'Hubs' in
On the
13th April 2020, the MoHFW rolled out 'eSanjeevaniOPD' - the patient to doctor
tele-consultation service owing to the COVID-19 pandemic during the lockdown
when OPDs in the country were shut down.
eSanjeevani has
completed 8 lakh consultations on 20 November 2020. Over 11,000 patients are
seeking health services on a daily basis in 27 States/UTs. The top ten States
which have registered highest consultations through eSanjeevani and
eSanjeevaniOPD platforms are Tamil Nadu (259904), Uttar Pradesh (219715),
Kerala (58000), Himachal Pradesh (46647), Madhya Pradesh (43045), Gujarat
(41765), Andhra Pradesh (35217), Uttarakhand (26819), Karnataka (23008),
National Digital Health
The NDHM is envisaged to be implemented in phase
wise manner.
·
Phase 1 to cover 6 UTs on pilot basis.
·
Phase 2 will cover additional States with expansion of the services.
·
Phase 3 will target nation-wide roll-out, operationalizing and converging
with all health schemes across
Currently,
the NDHM is being implemented in 6
National Medical College Network (NMCN) is
being established with the purpose of e-Education and e-Healthcare delivery,
wherein 50 Government Medical Colleges are being interconnected, riding over
NKN (National Knowledge Network — high speed bandwidth connectivity). National
Resource Centre (NRC) with required centralized infrastructure and 7 Regional
Resource Centres (RRCs) have been established as below:
• NRC cum Central RRC -SGPGIMS,
15. National Centre
for Disease Control (NCDC)
National Centre for Disease Control (NCDC) is
the key premier institute of the country and is mandated for surveillance,
response, epidemiological investigation with its ten divisions (headquarters
in Delhi) and has 8 branches (located at Alwar (Rajasthan), Bengaluru
(Karnataka), Kozhikode (Kerala), Coonoor (Tamil Nadu), Jagdalpur
(Chhattisgarh), Patna (Bihar), Rajahmundry (Andhra Pradesh) and Varanasi (Uttar
Pradesh).
The
technical Centres/Divisions at the headquarters:
1.
Integrated Disease Surveillance Programme (IDSP)
2.
Division of Epidemiology
3.
Division of Microbiology (including Centre for AIDS & related
Diseases and Biotechnology)
4.
National Program for Surveillance of Viral
Hepatitis
5.
Division of Parasitic Diseases
6.
Centre for Medical Entomology and Vector
Management,
7.
Division of Zoonosis
8.
Division of Zoonotic Disease Programme,
9.
Division of Malariology & Coordination
(M&C),
10.
Centre for Environmental & Occupational
Health, Climate Change & Health
11.
Centre for Non Communicable Diseases
During 2020 NCDC has been at the centre
of surveillance and response for Covid-19 pandemic since January. As the
pandemic gradually spread from one district to over 700 districts in various
states, nearly all the divisions and officers were involved. NCDC Public health
specialists assisted Key surveillance and response activities.
Microbiologists and Biotechnologists supported the testing and genomic
sequencing by NCDC.
1.
In the initial phase:
a.
IDSP Program supported the surveillance of
International traveler (who had history of exposure/travel to COVID affected
Countries) in coordination with PH(IH) division.
b.
All the suspects were kept under quarantine.
c.
Testing of samples from all the suspects and
contacts was done in 3 labs. Initially samples from nearly all the states in
northern and central region.
d.
NCDC Coordinated with Defence and para-military
forces in managing quarantine of returnees from
e.
Around 39 lakhs persons were kept under
community surveillance (14 days home quarantine and 14 days self-health
monitoring)
f.
Over 1crore contact were traced and samples were
tested in the community.
g.
ILI & SARI Surveillance cases were detected
by active house to house searches by field teams in non-affected areas to detect
hidden transmission
h.
Epidemiological investigation into
super-spreader events. Important events were:
i.
Italian tourist group related suspects in 7
districts of Rajasthan
j.
Famous artist related contacts in
k.
TabligeeJamat related spread into 18 States
l.
Vegetable market spread in Chennai and 8 other
districts.
2.
Preparation of guidelines for contact tracing,
quarantine in home & health facilities, surveillance in containment zones,
house to house case search, Trainings at land border crossing, District control
room, Dead body management, Disinfection of health facilities and quarantine
centres.
3.
Laboratory testing capacity was significantly
enhanced by new COBAS-6800, automated RNA extractors and Next Generation
Sequencer for Genome sequencing.
4.
Central teams were deployed to various States
for cluster containment. Important once are:-
5.
Central teams deployed to bordering districts of
6.
Central teams for periodic review of
surveillance and containment measures in high case load districts.
7.
Strategic Health Operation Centre (SHOC), NCDC
managed by IDSP has been activated for coordinating surveillance &
monitoring of CoVID-19 response activities from 8th February’ 2020 and is actively monitoring the
situation.
8.
Sero-surveillance in
9.
Online trainings for competency building for use
of IT tools like Arogya Setu and ITIHAAS in States of Delhi, Punjab, Srinagar,
Maharashtra, etc.
10. Coordinated
regular data uploading on IT portal for regular situation assessment and
planning effective containment strategies.
11. IEC:
technical review of IEC material for community awareness. Preparing IEC
material and various guidelines to help the States in various phases of the
pandemic
12. Trained
more than 500 participants from various institutes and organizations, viz. BSF,
ITBP, INMAS, DRDO, ICMR, MAMC, LHMC, Delhi Government, Supreme Court of India,
National Human Rights Commission, etc. on COVID-19 Diagnosis and Management
including RT-PCR testing, rapid card testing, BMW management, Sample collection
& transport, PPE donning & doffing, Maintaining hand & respiratory
hygiene, etc.
NCDC’s
mandate is to strengthen public health capacity and infrastructure at State
level and enable NCDC expertise to effectively cover the entire country. A
proposal (concept note) on strengthening of Surveillance and lab testing
capacity was developed and submitted under PM-ASBY. Main components were
Regional NCDC, Metropolitan surveillance units, SHOC, AMR, Bio-security, One
Health, Zoonotic lab capacity etc.
NCDC is the Nodal division for National AMR
containment programme. National Guidelines on Infection Prevention and Control
developed for Healthcare facilities. Annual AMR surveillance data to Global AMR
Surveillance System (GLASS) in time. Further,
annual Tripartite AMR country self-assessment survey (TrACSS) and Virtual
trainings on ECHO platform done for the 29 state medical colleges in 24 states
for standardisation of laboratory techniques. IEC, Media material for awareness developed. National
reference laboratory conducted EQAS for network labs and carried out
confirmation and characterisation of emerging AMR strains submitted by network
sites.
Centre For Arboviral And
Zoonotic Diseases: COVID-19 testing by RT-PCR and Referral
sample testing for zoonotic pathogens and hands-on Workshop on Diagnostic Rickettsiology for
Microbiologists and Laboratory Staff of institutions from Delhi NCR. Five
scientific publications in the year.
IDSP
covers all states and UTs with the objective to strengthen/maintain decentralized
laboratory based IT enabled disease surveillance system for epidemic prone
diseases and to monitor disease trends to detect and respond to outbreaks in
early rising phase through trained Rapid Response Team (RRTs). This year, IDSP
is also coordinating overall surveillance activities in India regarding CoVID –
19 pandemic.A total of 474 outbreaks of epidemic prone diseases like Kyasanur
Forest Disease, Crimean-Congo Haemorrhagic Fever, Seasonal Influenza A (H1N1),
Anthrax, Leptospirosis, Scrub Typhus etc., outbreaks were successfully
detected, epidemiology division assisted the epidemiological investigation and
containment by the State/ District units. A near real time, web enabled
electronic health information system called Integrated Health Information
Platform (IHIP) was launched in 7 States namely Andhra Pradesh, Himachal
Pradesh, Karnataka, Odisha, Uttar Pradesh, Kerala and Karnataka. Till date,
IHIP has been formally launched in 9 States.
Department
of Parasitic Diseases (DPD):Soil Transmitted Helminths (STH) prevalence assessment
re-surveys conducted in Odisha (6 districts) and Andhra Pradesh (6 Districts).
Assisted field data of STH survey collection and prevalence in Kerala,
Meghalaya,
8 NCDC branches were also involved
in support
to state governments in COVID-19 screening and contact tracing of international
passengers in
Upgradation
of NCDC branches: The NCDC Branch will provide State of
Status
of establishing New NCDC branches: in 13 states land has been identified and made available
by the states and MoU has been signed. Jharkhand-. Building construction
work of NCDC branch is near completion.
Biotechnology
Division: The division provides molecular
diagnostic services, molecular epidemiology, specialized training and applied
researchonvarious important epidemic-prone diseases of public health. The
Division procured and installed the COBAS 6800 fully Automated Diagnostic
Machine for COVID-19 and carried out testing of approx. 175000 samples during
the past 7 months.
Whole
Genome Sequencing: Standardized whole genome sequencing of SARS-CoV-2. In addition
Whole Genome Sequencing of 352 COVID-19 positive samples were carried and
submitted to the GISAID in collaboration with IGIB. Phylogenetic analysis
revealed local transmission and persistence of genomes A4, A2a and A3. The most
prevalent genomes with patterns of variance (confined in a cluster) remain
unclassified, and are here proposed as A4-clade based on its divergence within
the A cluster (Fig.1).
Fig. 1. Phylogenetic analysis of
SARS-CoV-2 genomes sequenced by NCDC-IGIB
Nucleotide sequencing was carried out for
identification and differentiation of various viral genotypes and serotypes of
dengue, hepatitis and microbial samples. Biotechnology division was able to
identify annual changes in dominant serotype of dengue virus in
Applied
Research: Detection
of other respiratory pathogens using nested multiplex PCR in samples received
for Covid 19 diagnosis: A total of 600Covid19 negative samples
and 400 COVID-19 positive samples were tested for the presence of other
respiratory pathogens by nested multiplex PCR technique. Gene sequencing for
the positive samples is currently underway.
National Program For
Surveillance Of Viral Hepatitis: The National Program for Surveillance of
Viral Hepatitis under the aegis of National Centre for Disease Control, DGHS is
a central sector scheme with a budget outlay of Rs 38.34 crores. The program
has got extension for one year till 31st March 2021. The
program has expanded to all fifteen regional laboratories for carrying out
surveillance of acute viral hepatitis. The guidelines, Procurement of testing
kits and equipment for initiation ofsurveillance of acute viral hepatitis from 1st week of Jan 2021 completed. The viral hepatitis markers for
Anti HAV IgM, Anti HEV IgM, HBsAg, Anti HBc, HBeAg, Anti HCV tested.
Centre
For Environmental Occupational Health And Climate Change & Health Division
(Ceoh-Cch)- conducts
of activities and undertakes coordination with other sectors including
non-health to address the health related issues pertaining to climate and
environmental factors. After introduction of “
Applied Research: Detection of other respiratory pathogens
using nested multiplex PCR in samples received for Covid 19 diagnosis (in 600Covid19
negative and 400 Covid 19 positive samples) for the presence of other
respiratory pathogens by nested multiplex PCR technique. These pathogens are
divided into 5 groups and their corresponding primers were used for
amplification of that particular target pathogen/ group. A total of 55 PCR products of Dengue
Virus, which were received from Zoonosis division for Nucleotide Sequencing
during 2015 to 2020 were resolved using Bioinformatics tools to find out the
serotype. The bioinformatics analysis revealed that the sequences belonged to
serotype DENV1, DENV2, DENV3 and DENV4. During 2019-20 DENV1, DENV3 & DENV4
have been detected.
16.
National Viral Hepatitis Control
Program (NVHCP)
National Viral Hepatitis Control Program
under the National Health Mission in alignment with SDG 3.3 aims to target the
management of 5 crore people possibly harbouring the infection. Under the
program, free diagnostics and drugs are being made available to all in need,
not only for treatment of hepatitis C, but also for life-long management of
hepatitis B. The key strategies adopted under the program include preventive,
promotive and curative interventions with the focus on awareness generation,
increasing access, promoting diagnosis and providing treatment for viral
hepatitis.
Achievements (Till September 2020):
§
No of serological tests done for diagnosis of
viral hepatitis C – 11,99,524
§
No of new patients initiated on treatment of
hepatitis C – 49,590
§
No. of new patients completed treatment of HCV
(End of treatment) – 12,086
§
No of serological tests done for diagnosis of
viral hepatitis B – 21,11,238
§
Establishment of 456 Treatment sites for
management of viral hepatitis across 362 districts
Amidst COVID 19 pandemic, Viral hepatitis
services were included in non-COVID essential health care services and
guidelines for multi month dispensation were issued to ensure uninterrupted
supply of drugs for management of viral hepatitis. Coordination among the
states was ensured for uninterrupted treatment. During lockdown period a
good inter-state coordination was observed to address the needs of all
patients. Electronic communications played a pivotal role to enable prompt
response to the key concerns for all in real time. During lockdown the tracking
of patients was attempted by the states through various modes of communication
like WhatsApp, SMS by State Nodal Officers and facilitated by the Program
Division. Door step delivery of drugs in various states was done leveraging on
other health schemes. Movement passes were issued to avail treatment services
with the help of District Administration in some states like
With ongoing COVID 19 pandemic, all
states /UTs are being supported virtually to build capacities at all levels of
healthcare facilities such that there is access to diagnosis and management
till health and wellness centres in a phased manner.
In order to strengthen the NVHCP-
Management Information System under M&E framework, a web portal for
Hepatitis B has been launched on 28th July 2020 on the occasion of World
Hepatitis Day.
17. Central Government Health Services (CGHS)
CGHS is providing healthcare facilities
to 12.92 Lakh primary Card holders ( and 37.71 Lakh- total beneficiaries)
through a network of 331 Allopathic Wellness Centres and 88 Ayush Centres
located in 74 Cities across
17.1 Opening of New
Allopathic Wellness Centers
Opening
of New Allopathic Wellness Centers during the year at
·
Kannur
·
17.2 Other
Achievements:
1.
CGHS Medical Officers and Staff have been part
of the fight against COVID-19 Infection — performing duties at Air-ports and
Quarantine Centres.
2.
Special Provisions to CGHS beneficiaries in view
of the COVID-19 Infection:
•
Option to purchase OPD Medicines for Chronic illnesses till 31st December 2020
and claim reimbursement
•
Temporary extension of validity of Card in case of pensioner CGHS beneficiaries
availing card on annual basis and expiring on 31St March onwards
•
Temporary provision of CGHS facilities till 31st July 2020 for Central
Government employees superannuating from 31st March 2020 onwards
•
Directions to open separate 'Fever Clinic' at Wellness Centres for screening
beneficiaries for Fever and other suggestive symptoms and referral to Nodal
Centres
•
Directions to CGHS Wellness Centres to provide assistance to COVID 19 +ve CGHS
beneficiaries under Home Quarantine and permission to such CGHS beneficiaries
to purchase one Pulse Oxymeter (@ Rs1200/-) per family
•
Tele- consultation facility with Govt. Specialists through
e-Sanjeevani
•
Online payment of subscription through `Bharatkosh'
17.3 Settlement of
Hospital Bills:
Special
Attention to settlement of Hospital Bills to ensure availability of Liquidity
with private hospitals empanelled under CGHS so that they extended facilities
to CGHS beneficiaries , particularly pensioners.
Hospitals bills of about Rs.952 Cr are
cleared during current financial year till date.
18. Drug Regulation
·
Doorstep delivery of drugs to consumers under
Section 26B of the Drugs and Cosmetics Act, 1940, published vide G.S.R. 220(E)
dated 26.03.2020, applicable only for retail chemists having retail sale
license in Form-20 or Form-21 under the Drugs and Cosmetics Rules, 1945 vide
gazette notification GSR No. 220(E) dated 26.03.2020
·
National Institute of Biologicals, Noida has
been notified for testing of COVID-19 vaccines in addition to the existing
Central Drugs Laboratory, Kasauli for temporary period (12 months) under
Section 26B of the Drugs and Cosmetics Act, 1940 in the wake of COVID-19
pandemic vide gazette notification No. SO 4206 (E) dated 24.11.2020
·
Cosmetics Rules, 2018 has been published
vide gazette notification GSR No. 763(E) dated 15.12.2020.
19. Dental Education
19.1 Increase in MDS seats:
Permission
for increase of 461 additional MDS seats was granted for academic session
2020-21 taking the total number of MDS seats in the country to 6,689.
19.2 Increase in BDS seats:
Permission
for increase of 575 additional BDS seats was granted for academic session
2020-21 taking the total number of BDS seats in the country to 27,595. Two new
Dental Colleges were also established in the current academic session taking
the count of number of Dental Colleges in the country to 315.
*******
MV/SJ
(Release ID: 1684546) Visitor Counter : 322
Ministry of Health
and Family Welfare
20 persons found with the new
mutant variant of SARS- CoV-2 virus reported from UK
Daily Recoveries outnumbering
daily New Cases successively since last 33 days further push down the Active
Caseload
India's Cases per million and Deaths per million population one of the lowest
in the world
Posted On: 30 DEC
2020 11:08AM by PIB
Total of 20 persons have been found with the mutant variant of SARS- CoV-2 virus reported
from
Government of
Daily recoveries have outnumbered the daily new
cases since last 33 days
successively. In the last 24 hours, 20,549 persons
were found to be COVID positive in the country. During the same period, 26,572 new recoveries were
registered ensuring drop in the Active Caseload.
When compared globally,
78.44% of the new recovered cases are observed to be
concentrated in 10 States/UTs.
79.24% of the new
cases are from 10
States and UTs.
Kerala reported the highest daily new cases at 5,887. It
is followed by
286case fatalities have been reported in the past 24 hours.
Ten States/UTs account for 79.37% of
the new deaths.
Focussed measures including aggressive and targeted
testing, early identification of the positive cases, timely isolation & prompt
hospitalization of the severe cases (and supervised home isolation of the mild
cases) & Standard Treatment Protocol have collectively ensured that the
daily fatalities are under 300.
Daily deaths in
****
MV/SJ
HFW/COVID States data/30th December2020/1
(Release ID: 1684544) Visitor Counter : 339
Ministry of Health
and Family Welfare
Health Ministry recommends
extension of temporary suspension of international flights from the UK to India
Health Secretary writes to
all States to keep strict vigil to curb “super spreader” events in the wake of
New Year celebrations
Posted On: 30 DEC
2020 11:39AM by PIB
The Health Ministry has recommended to the Ministry of
Civil Aviation the extension of the temporary suspension of flights originating
from UK into India to be further extended till
7th January (Thursday), 2021.
This has been recommended based on the inputs received
from the Joint Monitoring Group (JMG) headed by the Director General of Health
Services (DGHS) and the National Task Force jointly headed by DG, ICMR and
Member (Health), NITI Aayog.
It has also been suggested to Ministry of Civil Aviation
that after 7th January
2021, strictly regulated resumption of limited number of flights originating
from
The Union Health Secretary has written to all the States
to keep a strict vigil on all events that could be potential "super
spreader" events, and to curb crowding in the wake of the New Year celebrations
and various events associated with it as well as on-going winter season.
The recent advice and guidance to the States by Home
Ministry has been reiterated by the Health Ministry. Ministry of Home Affairs
has mandated that States/UTs based on their assessment of the situation, may
impose local restrictions with a view to contain the spread of Covid 19, such
as night curfew. The Home Ministry has also stipulated that there shall be no
restriction on interstate and intra-state movement of persons and goods.
Drawing attention to this, the Health Secretary has urged the States to
promptly assess the local situation and consider imposition of appropriate
restrictions on 30th and 31 December, 2020 as well as on 1st January, 2021.
*****
MV/SJ
HFW/COVID Letter to States/30th December2020/2
(Release ID: 1684551) Visitor Counter : 311
Ministry of Health
and Family Welfare
Dr. Harsh Vardhan reviews status of
Kala Azar in Four States of Uttar Pradesh, Bihar, Jharkhand and West Bengal
“One Final Push required to
eliminate Kala-Azar from India
Posted On: 30 DEC
2020 5:46PM by PIB
Dr. Harsh Vardhan, Union Minister of
Health and Family Welfare today chaired an event to review the status of the
disease Kala-Azar in the four states of Uttar Pradesh, Bihar, Jharkhand and
Shri Mangal Pandey, Minister of Health,
Bihar, Ms. Chandrima Bhattacharya, Minister of State for Health and Family
Welfare, West Bengal, Shri Jai Pratap Singh, Minister of Medical and Health,
Family Welfare, Mother and Child Welfare, Uttar Pradesh and Shri Banna Gupta,
Health, Medical Education & Family Welfare, Jharkhand were also present in
the event.
The Union Health Minister started by
reminding the audience that the Government of India is strongly committed to
the elimination of Kala Azar. He stated “Kala Azar is the 2nd largest
parasitic killer in the world after Malaria and results in a 95% fatality rate
if the patients are not treated. Additionally, up to 20% of the patients who
are correctly treated and cured, develop a skin condition called Post-Kala-Azar
Dermal Leishmaniasis (PKDL) which surfaces within months to years after
treatment. These patients can contain large amounts of parasites in their skin
lesions, making them an important source of transmission.” He was apprised that
there are 54 districts in four states namely Bihar, Jharkhand, Uttar Pradesh,
and West Bengal that are currently affected by Kala-azar with sporadic cases in
other states like
Speaking on the gains made in elimination
of Kala Azar, he noted:
·
As of 30th November 2020, only 12 blocks in
Jharkhand and 4 blocks in
·
Bihar which has traditionally had a large burden
of Kala-azar has achieved elimination target in almost all except 4 blocks
located in districts of Siwan and Saran (out of 458 blocks).
·
Jharkhand too has made significant progress both
in reduction of Kala-azar and PKDL cases, as well as in number of blocks
reporting more than 1 case per 10,000 population.
·
Uttar
Pradesh and
Appealing to all the District Magistrates
and their officers at the district and block/level that are still reporting
more than 1 case per 10,000 populationto take some time out of their
schedule for a regular review of Kala-azar and to help the district teams in
overcoming the issues coming in the way of elimination target, Dr. Harsh
Vardhan said, “A risk based stratified approach needs to be formulated with clear
activities and responsibilities that come with measurable monitoring
indicators.Kala Azar disproportionately impacts the people at lower
socio-economic strata of societywhose houses are not sprayed often. In
addition, they are unable to apply for pucca houses since they don’t own land.”
In this respect, he underlined the
importance of the following activities to target the elimination of the disease:
·
·
Development of a plan for the “unreached
poorest” or underprivileged sections in endemic areas.
·
Leveraging ofKala-azar elimination programme
within POSHAN Abhiyaan for maximum benefit at community level.
·
Exploration of the opportunity of providing
improved housing under the flagship program of the Prime Minister Awas
Yojana-Gramin (PMAY-G). (The Minister added that Jharkhand has made good
progress on this front).
·
Exploration of the opportunity of providing
improved housing under State Schemes, as has been done by Jharkhand under Birsa
Munda Awas Yojana and Bhimrao Ambedkar Awas Yojana.
·
Involvement of Rural Health Practitioners (RHPs)
who are often used as the first point-of-care in referral, surveillance, and
IEC.
·
Co-ordination with the rural development
department and engage with Panchayati Raj functionaries for awareness,
community engagement, environment management and social empowerment.
·
Focusing on
IEC messages on prolonged fever, associated symptoms and free access to
diagnosis and treatment, proper use of ITN/LLINs, and compensations/incentives.
·
Dr.
Harsh Vardhan explored possible solutions in this regard like sensitization of
the population, proper training of human resource, quick completion of Prime
Minister’s dream of ‘Housing for All’ by 2022, strengthening adverse drug
reaction reporting system, both for Kala-azar and PKDL with special focus on
PKDL cases with eye complications, institutional management of Kala Azar/HIV
cases at the district level,etc.
Dr. Roderico Orfin, WHO representative to
Ms. Rekha Shukla, Jt. Secretary (NVBDCP)
and other senior officials of the Health Ministry were present. Senior
government officials serving the various States and UTs joined digitally.
****
MV/SJ
(Release ID: 1684701) Visitor Counter : 224
Ministry of Health
and Family Welfare
Subject Expert Committee (SEC)
meets to consider the EUA request from Pfizer, SII and Bharat Biotech
To reconvene on 1st Jan 2021
Posted On: 30 DEC
2020 8:02PM by PIB
The Subject Expert Committee (SEC) in the
Central Drugs Standard Control Organisation (CDSCO) met today in the afternoon
to consider the Emergency Use Authorisation (EUA) request of Pfizer, Serum
Institute of India (SII) and Bharat Biotech Pvt. Ltd.
Further time was requested on behalf of
Pfizer. The additional data and information presented by SII and Bharat Biotech
Pvt. Ltd. was perused and analysed by the SEC.
The analysis of the additional data and
information is going on. SEC will convene again on 1st January 2021 (Friday).
***
MV
(Release ID: 1684821) Visitor Counter : 215
Ministry of Health
and Family Welfare
Ministry of Health & Family
Welfare 2020 ACHIEVEMENTS
Posted On: 30 DEC
2020 10:59AM by PIB
1. Steps taken by the Government of India
for COVID-19 containment and management
The WHO declared COVID-19 a pandemic on
11th March and asked all countries to take urgent and aggressive action against
this public health crisis. As on 21stDecember, 2020, 222
countries/territories worldwide are affected.
With
India’s endeavor to manage COVID-19 through a whole of government & whole
of society approach, India has been able to limit its cases and deaths.As on
29thDecember, 2020, a total of 10,224,303confirmed cases (with 2,68,581 active
cases comprising 2.62% of the total cases) have been reported in India.
98,07,569(95.%92) cases have recovered while the cases fatality is 1.45%, one
of the lowest globally.
The increasing magnitude of this outbreak
in
Government of
Govt.
of India has constituted 11 Empowered Groups on 29th March 2020 on different
aspects of COVID-19 management in the country to take informed decisions on
issues ranging from (i) medical emergency planning, (ii) availability of
hospitals, isolation and quarantine facility, disease surveillance and testing,
(iii) ensuring availability of essential medical equipment, (iv) augmenting
human resource and capacity building, (v) supply chain and logistics
management, (vi) coordination with private sector, (vii) economic and welfare
measures, (viii) information, communications and public awareness, (ix)
technology and data management, (x) public grievance and (xi) strategic issues
related to lockdown. These groups have been restructured on 10th September
based on the need and evolving scenario.
The Health Ministry held video
conferences with States regularly. The Joint Monitoring Group (JMG) under the
Chairmanship of DGHS which advises MoHFW on technical matters has met several
times till now to assess the risk, review the preparedness & response
mechanisms and finalize technical guidelines.
Government of
Government of
Government of
A dedicated call center / helpline (1075)
was started in the initial days to guide community at large which is being used
by the citizens very effectively and on a regular basis. Community surveillance
was initiated initially for travel related cases and subsequently for cases
being reported from community by Integrated Disease Surveillance Programme
(IDSP).
Ministry of Health & Family Welfare
released containment plans to contain cluster and large outbreaks on 2nd March
and 4th April,
2020 respectively and these plans were updated from time to time. The
containment plans envisage a strategy of breaking the chain of transmission by
(i) defining containment and buffer zones, (ii) applying strict perimeter
control, (iii) intensive active house to house search for cases and contacts,
(iv) isolation and testing of suspect cases and high risk contacts, (v)
quarantine of high risk contacts, (vi) intensive risk communication to raise
community awareness on simple preventive measures and need for prompt treatment
seeking and (vii) strengthening of passive Influenza Like Illness (ILI)/ Severe
Acute Respiratory Illness (SARI) surveillance in containment and buffer zones.
The laboratory network is continuously
being strengthened. From a situation of a single laboratoryequipped to
undertake testing for COVID in January, by the end of December, 2288
laboratories (as on 30th December 2020) are conducting COVID-19 Testing.
Laboratories have been established in difficult terrains like Ladakh, Sikkim,
Arunachal Pradesh, Nagaland as well as other North Eastern states, Lakshadweep
and Andaman & Nicobar island.Currently the testing has crossed 1.5 million
tests a day, much higher than that stipulated by WHO which is 140 tests per
million population per day. A total of 17,09,22,030 samples have been tested so
far as on 30th December 2020.While there were no indigenous manufacturers of
laboratory diagnostics or testing machines for COVID, today India has an
indigenous production capacity of more than 10 lakh kits/day.
A three-tier arrangement of health
facilities was created for appropriate management of COVID-19 cases, [(i) COVID
Care Center with isolation beds for mild or pre-symptomatic cases; (ii)
Dedicated COVID Health Centre (DCHC) with oxygen supported isolation beds for
moderate cases and (iii) Dedicated COVID Hospital (DCH) with ICU beds for
severe cases] has been implemented. Tertiary care hospitals under ESIC,
Defence, Railways, paramilitary forces, Steel Ministry etc. have been leveraged
for case management.
As on 29th December 2020, a total of
15,378 COVID treatment facilities with 12,67,127 dedicated isolation bed
without O2 have been created. Also, a total of 2,70,710 oxygen supported
isolation beds and 81,113 ICU beds (including 40,627 ventilator beds) have been
created. Constant monitoring of the disease trend, analysis of available
infrastructure and planning in advance for the future has averted a major
crisis as was faced by many developed countries. In addition, a total of 12,669
quarantine centres with 5,91,496 beds have been created.
Guidelines on Clinical management of
COVID-19 were issued and regularly updated and widely circulated. These
included case definition, prevention of infection control, laboratory
diagnosis, early supporting therapy, management of severe cases and complications.
In addition, provisions for investigational therapies were also made for using
Remdesivir, Convalescent plasma and Tocilizumab for managing severe cases under
close medical supervision.
With the intent to ensure dissemination
of these standard treatment protocols and reduce mortality to maximum extent, a
number of initiatives were launched. An AIIMS Corona helpline 9971876591 was
started to guide the doctors on medical management. AIIMS Delhi hosts the
COVID-19 National Tele-consultation Centre (CoNTeC) which can be reached by
calling +91-9115444155. It caters to doctors, from anywhere in the country, who
want to consult AIIMS faculty for the management of COVID-19 patients, as well
as to the public in general. Telemedicine guidelines have been issued to
provide tele-consultation to patients for mitigation of their illness and
prevention of crowding in clinics. It may also help in triage, treatment and
counseling for care of ill patients by healthcare providers in areas with
limited access.
A clinical
To
ensure accessibility of quality treatment for both COVID and non-COVID health
issues, to far flung areas, use of telemedicine has been promoted in a big way.
'eSanjeevani', a web-based comprehensive telemedicine solution is being
utilized (in23states) to extend the reach of specialized healthcare services to
masses in both rural areas and isolated communities. As on 29thDecember 2020,
more than 11 lakh tele-consultations have been held on this digital platform.
ICMR is establishing a National Clinical
Registry on COVID that will provide insights into clinical course of COVID-19
disease, its spectrum and outcome of patients.
To coordinate procurement and
distribution of COVID vaccine, Government of India has constituted a National
Expert Group on Vaccine Administration for COVID-19 on 7thAugust, 2020, under
the Chairmanship of Member (Health), NITI Aayog.
Government of
2. Ayushman Bharat
·
·
Comprehensive
Primary Health Care (CPHC) through Ayushman Bharat Health and Wellness Centres
(AB-HWCs) –
Ayushman Bharat aims to holistically address health (covering prevention,
promotion and ambulatory care), at primary, secondary and tertiary level by
adopting a continuum of care approach. In the lifetime of an individual, the
primary healthcare services cater to 80-90% of the healthcare needs. The
preventive and promotive healthcare needs for the improved healthcare outcomes
and quality of life of the population.
·
The Primary Health Care team will ensure that
community outreach and population enumeration are done for individuals in their
catchment area and screened for communicable diseases and non-communicable
diseases for early detection and timely referral for accurate diagnosis. The
team will further ensure that treatment adherence and follow-up care are
provided to the patients in the community. These centres are aimed at delivering
primary healthcare services closer to the people and be the first point of
contact for healthcare provisioning and referral for secondary and tertiary
care. Thus, the essential health services along with the provisioning of
essential medicines and diagnostics are provided closer to the community
through these centres, as a step towards building stronger and resilient
primary healthcare systems which cater to the healthcare needs of the
population.
a.
·
Ayushman Bharat comprises of two components:
b.
The first component pertains to creation of
1,50,000 Health and Wellness
Centres (AB-HWCs) by upgrading the Sub Health Centres (SHCs) and
rural and urban Primary Health Centres (PHCs), in both urban and rural areas,
which will bring health care closer to the community. These centres will
provide Comprehensive Primary Health Care (CPHC), by expanding and
strengthening the existing Reproductive & Child Health (RCH) and
Communicable Diseases services and by including services related to
Non-Communicable Diseases (common NCDs such as, Hypertension, Diabetes and 3
common cancers of Oral, Breast and Cervix) and incrementally adding primary
healthcare services for Mental health, ENT, Ophthalmology, Oral health,
Geriatric and Palliative care and Trauma care as well as health promotion and
wellness activities like yoga. A few States/UTs have already started rolling
out these additional packages in a phased manner.
b.
The second component is the Ayushman Bharat-Pradhan Mantri Jan ArogyaYojana(AB-PMJAY).
Under Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), around
10.74 crore poor and vulnerable families identified as per Socio-Economic Caste
Census are entitled for health cover of Rs. 5.00 lakh per family per year for
secondary and tertiary care hospitalization. As of 13.11.2020, 32 States/Union
Territories are implementing the scheme and over 1.4 crore hospitalizations
amounting to approx. Rs.17,300 Crores have been authorized under the scheme.
Additionally, over 1.4 lakh hospitalizations amounting to Rs. 315 crore have
been authorized under the inter-State portability feature. Also, so far, 12.66
crore e-cards (including cards issued by the State Governments) have been
issued under the Scheme for facilitating easy availing of benefits.
2.1 a. Status update on AB-HWCs:
·
·
The Guidelines for four expanded package of
services have been developed in consultation with the States/UTs incorporating
the experiences of the States/UTs which have already rolled out the expanded
services and remaining three guidelines are under finalization.
·
App version of the AB-HWC portal was also
launched by the Honourable HFM on the 12th of July to enable geo-tagging the location of these
AB-HWCs and entering the daily service delivery parameters by the frontline
healthcare workers.
·
A Fit Health Worker Campaign was also launched
at these centres to enable the screening and early detection of
non-communicable diseases in the Frontline-Health Care Workers. This enabled
the screening of more than 12 lakhs in 502 districts till 1st December 2020 to enable them to
take preventive, promotive and curative measures and also caution them towards
their risk categorization towards Covid19 as these Frontline Workers (FLWs)
were not only involved in ensuring essential services at these centres but also
played a crucial role in community-based surveillance and pandemic outbreak
management related activities in the community.
·
These centres also conduct various wellness
related activities like Yoga, Zumba, Meditation etc. which not only enable
improved physical health but also mental wellbeing of the community. It is
envisaged that these centres will not only be the point of delivery for
healthcare services, but at the same time enable the community to take health
in their own hands. This is in addition to the 39 Health Calendar Days
which are being done at these focussing on different health promotion
activities.
·
In coordination with School Education
Department, School Health and Wellness Ambassadors Initiative has been launched
to train two teachers per school as Ambassadors on the preventive and promotive
healthcare and it is planned to implement in more than 200 districts in the
coming year
·
Similarly, all States/UTs have started training
of ‘Eat Right’ and ‘Eat Safe’ module to the primary healthcare team at these
functional AB-HWCs.
·
Regional reviews of all the States and UTs are
being organized virtually at the National Level to understand the
implementation challenges in expanding the roll-out during the Covid19
pandemic. The best practices adopted by the States / UTs to ensure the continuity
of healthcare services are also showcased and disseminated to other States /
UTs for cross-learning.
2.1 b. Achievement and Service Delivery
at AB-HWCs :
·
So far, approvals for more than 1,04,860
Ayushman Bharat-Health & Wellness Centres have been accorded to the
States/UTs (except Delhi) and as reported by the States/UTs on the AB-HWC
Portal, 50,927 Health & Wellness Centres have been operationalized till 01st December, 2020 which includes
28,320 SHC level AB-HWCs, 18,972 PHC level AB-HWCs and 3,635 UPHC level AB–HWCs.
·
As per the data update done by the States/UTs in
HWC Portal, till date, About 6.5 Crore screenings done for hypertension and
around 5 Cr screenings done for Diabetes at these AB-HWCs. Similarly, these
functional AB-HWCs have done more than 3.27 Crore screenings for oral cancer,
more than 1.21 Crore screenings for cervical cancer in women and more than 1.78
Crore screenings for breast cancer in women.
·
Further, as on 01.12.2020, total of 33.07 lakhs
Yoga/Wellness Session have been conducted in operational HWCs.
·
Primary healthcare team at the Sub Health Centre
level AB-HWCs is headed by Community Health Officers (CHO) - who is a BSc/GNM
Nurse or an Ayurveda Practitioner trained in primary care and public health
skills and certified in a six months Certificate Programme in Community Health
or Graduate from Integrated nursing curriculum and other members of the team
being, Multi-Purpose Workers (Male and Female) and Accredited Social Health
Activists (ASHAs). The training programme is being carried out with support
from IGNOU and State specific Public/Health Universities. 276 IGNOU Programme
Study Centres (PSCs) have been notified so far and another 272 PSCs have been
notified under the state specific Certificate Programme in the state of Maharashtra
(107), Tamil Nadu (07), Gujarat (59), Uttar Pradesh (66) and West Bengal (33),
taking the total of Programme Study Centres (PSCs) to 548 PSCs across the
country.
·
Since the screening, prevention and management
of chronic illnesses including NCDs, TB and Leprosy have been introduced at
AB-HWCs, training and skill upgradation of the primary health team in all the
functional AB-HWCs on NCDs and use of IT application is undertaken.
·
To promote wellness and healthy life style,
orientation of the public on wellness activities for lifestyle modification
like increased physical activity (cyclathons and marathons), eating RIGHT and
SAFE, cessation of Tobacco and drugs, meditation, laughter clubs, open gyms,
etc. besides conduct of Yoga Session is carried out at these centres on regular
basis. Through Annual Health Calendar, planned activities at these centres on
the health condition of the day are resulting in increased awareness and
preventive measures to be adopted by the public
·
The telemedicine guidelines have also been
provided to the States to initiate specialist consultations from the PHCs to
the Hub Hospitals. So far, 23,817 AB-HWCs have initiated the tele-consultations.
2.2 Human Resources:
NHM has attempted to fill the gaps in
human resources by providing nearly 2.65 lakh additional health human resources
to the States including 11,921 GDMOs, 3,789 Specialists, 73,619 Staff Nurses,
81,978 ANMs, 44,314 Paramedics, 460 Public Health Managers and 17,222 Programme
Management staffs appointed on contractual basis. Apart from providing
financial support for hiring human resources, NHM has also focused on multi
skilling of human resources and providing technical support for human resources
in health sector in the form of technical guidance and training. NHM also
supports co-location of AYUSH services in health facilities such as PHCs, CHCs
and DHs. A total of 27,495 AYUSH doctors and 4626 have been deployed in the
states with NHM funding support.
2.3 Mainstreaming
of AYUSH:
Mainstreaming
of AYUSH has been taken up by allocating AYUSH services in 7,785 PHCs, 2,748
CHCs, 496 DHs, 4,022 health facilities above SC but below block level and 371
health facilities other than CHC at or above block level but below district
level.
2.4 Infrastructure:
Up to 33% of NHM funds in High Focus
states can be used for infrastructure development. Details of new
construction/renovation as on June, 2020 undertaken across the country under
NHM are as follows:
|
Facility |
New Construction |
Renovation/Upgradation |
|||
|
Sanctioned |
Completed |
Sanctioned |
Completed |
||
|
SC |
28150 |
21249 |
23225 |
16548 |
|
|
PHC |
2941 |
2371 |
15858 |
13428 |
|
|
CHC |
620 |
499 |
7339 |
6379 |
|
|
SDH |
242 |
159 |
1238 |
1011 |
|
|
DH |
175 |
148 |
3227 |
2407 |
|
|
Others* |
1328 |
803 |
1673 |
847 |
|
|
Total |
33456 |
25229 |
52560 |
40620 |
|
|
|
|
|
|
|
|
*
These facilities are above SCs but below block level.
2.5 National Ambulance
Services (NAS):
As on date, 35 States/UTs have the
facility where people can dial 108 or 102 telephone number for calling an
ambulance. Dial 108 is predominantly an emergency response system, primarily
designed to attend to patients of critical care, trauma and accident victims
etc. Dial 102 services essentially consist of basic patient transport aimed to
cater the needs of pregnant women and children though other categories are also
taking benefit and are not excluded. JSSK entitlements e.g. free transport from
home to facility, inter facility transfer in case of referral and drop back for
mother and children are the key focus of 102 service. This service can be
accessed through a toll-free call to a Call Centre. Presently, 10,599 Dial-108
and 10,480 (Dial-102/104) Emergency Response Service Vehicles are supported
under NHM, besides 5,412 empanelled vehicles for transportation of patients,
particularly pregnant women and sick infants from home to public health
facilities and back.
2.6 National
Support has been provided in 504
out of 716 districts for 1677 MMUs under NHM in the country. To increase
visibility, awareness and accountability, all Mobile Medical Units have been
positioned as “National Mobile Medical Unit Service” with universal colour and
design.
2.7 Free Drugs Service Initiative:
Under this Initiative, substantial
funding is being given to States for provision of free drugs and setting up of
systems for drug procurement, quality assurance, IT based supply chain
management system, training and grievance redressal etc. Detailed Operational
Guidelines for NHM-Free Drugs Service Initiative were developed and released to
the States on 2nd July, 2015.
All the States and UTs have notified
policy to provide essential drugs free in health facilities. Drugs procurement,
quality system and distribution has been streamlined through IT enabled Drugs
Distribution Management Systems in 30 States/UTs, 36 States/UTs have
centralized procurement through a corporation/procurement body, 29 States/UTs have
NABL accredited labs to ensure quality of drugs provided, 33 States/UTs have
facility wise EDL, 14 States/UTs have prescription audit mechanism and 22
States have established call center based grievance redressal mechanism with
dedicated toll free number.
2.8 Free Diagnostics Service Initiative:
To address the need of accessible and
quality diagnostics in public health facilities, Ministry of Health and Family
Welfare (MoHFW) launched Operational guidelines on Free Diagnostics Service
Initiative in consultation with experts and the States officials and
disseminated among States/UTs in July 2015. The government envisaged that this
health intervention will reduce both direct costs and Out of Pocket
expenditure. This guideline supports States/UTs to provide essential
diagnostics-Laboratory services and Radiology services (Tele radiology and CT
scan Services) at their public health facilities. As on 1stNovember 2020, free diagnostics
laboratory services have been implemented in 33 States/UTs. (In 11 States/UTs
it is implemented in PPP mode and in 22 States/UTs it is in In-house mode).
Free Diagnostics CT Scan services have been implemented in 23 States/UTs (In 13
States/UTs it is implemented in PPP mode and in 10 States/UTs it is in In-house
mode). Free Tele Radiology Services have been implemented in 11 States/UTs in
PPP mode.
The second edition of Free Diagnostics
Initiative has been released which provide a broader view of the expanded
basket of laboratory services envisaged under National Health Mission. A
dissemination workshop was organised by NHSRC to guide States/UTs for
implementation of the guidelines. In PIP 2020-21, NHM approved support for 11
States/UTs for implementation of revised guidelines of Free Diagnostics
Initiative.
2.9 Biomedical Equipment Maintenance and
Management Programme:
To address the issue of non-functional
equipment across public health facilities, comprehensive guidelines were
designed on Biomedical Equipment Management and Maintenance Program (BMMP) and
disseminated among States/UTs. As on 1st November 2020, BMMP has been implemented in 31
States/UTs (In 24 States/UTs it is implemented in PPP mode and 7 States/UTs it
is in In-House mode). The implementation of BMMP has helped in improving
diagnostics services in health facilities by making equipment available with
95% uptime, thereby reducing cost of care and improving the quality of patient
care in public health facilities. Biomedical Equipment Management and
Maintenance Program technical guidance document for in-house support and
monitoring of public private partnerships is circulated to States/UTs. A
two-day virtual dissemination workshop was organised in September 2020 to guide
States/UTs on implementation of guidelines.
2.10 Community Participation:
a.
Accredited Social Health Workers: There are
10.61 lakh ASHAs across the country in rural and urban areas under the NHM who
act as a link between the community and the public health system. The
Union Cabinet has approved increase in amount of routine and recurring
incentives under National Health Mission for ASHAs that will now enable ASHAs
to get at least Rs 2000/- per month against Rs 1000 earlier. The cabinet has
also approved proposal to cover all ASHAs and ASHA facilitators meeting
eligibility criteria under Pradhan Mantri Jeevan Jyoti Bima Yojana and Pradhan
Mantri Suraksha Bima Yojana which would be fully funded by Government of India.
Under the Pradhan Mantri Shram Yogi
Maandhan (PM-SYM) PM-SYM which has been rolled out nation-wide on 15th
February, 2019 and is a voluntary contributory pension scheme to ensure old age
protection for unorganized workers between 18 and 40 years of age with a
monthly income of Rs.15000/- or below ,the ASHAs and ASHA Facilitators in the
specified age group are invariably eligible under the scheme. The scheme
requires self-certification, 50% of the monthly contribution for the pension
scheme will be contributed by the Central Government while the remaining 50% is
to be contributed by the beneficiary. The amount varies with the age of the
beneficiary and it will be auto-deducted from the bank account of the
beneficiary. The Ministry of Labour and Employment has made the provision of
bulk enrolment facility as well through CSC-SPV. The beneficiaries under the
scheme will receive minimum assured pension of Rs 3000/- per month after
attaining the age of 60 years.
b.
VHSNCs: 5.53 lakh Village Health Sanitation and
Nutrition Committees (VHSNCs) at village level have been constituted across the
country to facilitate village level healthcare planning. More than 12.55 crore
Village Health & Nutrition Days (VHNDs) have held so far.
c.
VHSNCs: 5.53 lakh Village Health Sanitation and
Nutrition Committees (VHSNCs) at village level have been constituted across the
country to facilitate village level healthcare planning. More than 12.55 crore
Village Health & Nutrition Days (VHNDs) have held so far.
d.
The Untied Grants to Sub-Centres (SCs): At the
Village Level, the Village Health, Sanitation and Nutrition Committee (VHSNC)
monitors the services provided by the Aanganwadi Worker, the ASHA and the
sub-centre. These Committees are envisaged to function under the ambit of the
Panchayati Raj Institution with adequate representation from women and weaker
sections of the society. The VHSNC acts as a subcommittee or statutory body of
the Gram Panchayat. The same institutional mechanism is also mandated in urban
areas. VHSNCs are provided an untied fund of Rs 10,000 on annual basis which
are topped up based on expenditure of previous year. More than 5.53 lakh VHSNC
have been set up across the country till June, 2020. The capacity building of
VHSNC members with regards to their roles and responsibilities for maintaining
the health status of the village is being done in many states.
2.11 24 X 7 Services and First Referral
facilities:
To ensure service provision for Maternal
and Child Health, 24x7 services at the PHCs have been made available. 10,430
PHCs have been made 24x7 PHCs and 2953 facilities (including 698 DH, 712 SDH
and 1543 CHCs & other level) have been operationalized as First Referral
Units (FRUs) under NHM.
2.12 MeraAspataal:
'MeraAspataal' is a patient feedback
system which was launched in September 2016 with a mandate to integrate
2.13
Kayakalp:
As part of contribution towards the Swachh Bharat Abhiyaan launched by the
Prime Minister on 2nd October 2014, the Ministry of Health & Family
Welfare, Government of India launched “Kayakalp - Award to Public Health
Facilities. As on 11th November 2020, 12 Central Government (more than
80%), 352 DHs, 1459 SDHs/CHCs, 3675 PHCs, 808 UPHCs, 7 UCHCs, 307 HWCs have
scored more than 70%. Total 6620* facilities have been awarded under this
scheme in FY 2019-20.
2.13 Swachh Swasth Sarvatra:
Swachh SwasthSarvatra is a joint
initiative of Ministry of Health & Family Welfare and Ministry of Drinking
Water and Sanitation was launched in December 2016 to achieve better health
outcomes through improved sanitation and increase awareness on healthy lifestyle.
Under this initiative, one-time grant of Rs.10 Lakhs is provided to the
non-Kayakalp awardee CHC located in the ODF block as a resource for improving
the deficiencies found in the Kayakalp assessment, so that at least in the next
assessment, they become Kayakalp awardee.
2.14 Prime Minister’s National Dialysis
Programme:
PMNDP (Hemo-dialysis) has been
implemented in total 35 States / UT in 503 Districts at 882 Dialysis Centres by
deploying 5490 machines. Total of 8.52 lakh patients availed Dialysis services
and 86.37 Lakh Hemo-dialysis Sessions held as on 30th September 2020. In 2020
alone, a total of 2.76 Lakh patients received 27.9 Lakh Haemodialysis sessions
between January to November.
Under PMNDP, Peritoneal dialysis (PD) has
been introduced and guidelines for peritoneal dialysis have been launched on
10th October 2019. With the introduction of peritoneal dialysis, home based
dialysis treatment with minimal supervision and lesser disruption to normal
lifestyle and so does not put additional incremental burden on the existing
healthcare infrastructure. PD also reduces travel to the dialysis centers for
treatment and allows greater flexibility and freedom in treatment schedule. In
PIP 2020-21, NHM approved PD program support for 20 States/UTs for approx. 4000
patients.
2.15 National Quality Assurance Programme:
Quality in delivered health care services
is important for improving the health status of the population. It enhances
accessibility, increases efficiency, strengthens clinical effectiveness and
improves user satisfaction. With the aim of improving quality of care, the
Ministry of Health and Family Welfare launched the National Quality Assurance
Standards (NQAS) for District Hospitals in 2013 and subsequently for other
health facilities. These standards are internally accredited by ISQua
(International Society for Quality in Healthcare). These standards are also
recognized by IRDA and NHA. At present, a total of 667 Public Health facilities
have achieved National Quality Certification nationally.
To
promote practice of cleanliness, hygiene & sanitation, and controlling the
hospital acquired infection, Kayakalp award scheme was launched in 2015 for
Central government institutions and state’s public health facilities. Kayakalp
has now been extended to the Health & Wellness centres in all States/UTs.
Maternal and Newborn health remains a priority for the country. For ensuring
quality and safety in ‘care around birth’, LaQshya initiative was launched in
2017. Incremental growth in LaQshya certified departments has led to national
level certification of 264 Labour Rooms and 229 Maternity Operation Theatres.
Apart from this, recognizing the need to
captures the voice of patients for enhanced patient experience and continued
learning India launched its own centralized IT platform i.e. ‘Mera-Aspataal’/
‘My Hospital’ in 2018. As of now, more than 5300 government health facilities
and around 722 non-governmental health facilities are integrated with
Mera-Aspataal across 34 states and UTs. Under Free Drugs Service Initiative,
substantial funds have been given to States for provision of free drugs. All
States/UTs have notified policy to provide essential drugs free in health
facilities. Drugs procurement, quality system and distribution has been
streamlined through based Drug Distribution Management System in 29 States.
To
provide Comprehensive Primary Health Care (CPHC) through Health and Wellness
Centres (AB-HWCs), Essential Medicines List (EML) for SHC and PHC have been
finalized. To strengthen the Free Drugs Service Initiative (FDSI), Indian
Public Health Standards (IPHS) guidelines are being revised for Sub-Centres,
Primary Health Centres (PHCs), Community Health Centres (CHCs),
2.16 National Urban
Health Mission
National
Urban Health Mission (NUHM) was approved on 1st May, 2013 as a sub-mission
under an overarching National Health Mission (NHM), NRHM being the other
sub-mission. NUHM envisages strengthening the primary health care delivery
systems in urban areas and for providing equitable and quality primary health
care services to the urban population with special focus on slum dwellers and
vulnerable population. It also seeks to de-congest secondary and tertiary
health care facilities (District Hospitals/Sub-District Hospitals/Community
Health Centre) by providing robust comprehensive Primary health care services
in urban areas.
NUHM
covers all cities and towns with more than 50,000 populations and district
headquarters and State headquarters with more than 30,000 population. The
remaining cities/ towns continue to be covered under National Rural Health
Mission (NRHM). As part of Ayushman Bharat, the existing UPHCs are being
strengthened as Health & Wellness Centres (HWCs) to provide preventive,
promotive and curative services in cities closer to the communities.
u.
NUHM, the Centre-State funding pattern is 60:40
for all the states w.e.f. FY 2015-16, except all North-Eastern states and other
hilly States viz. Jammu & Kashmir, Himachal Pradesh and Uttarakhand, for
which the Centre-State funding pattern is 90:10. In the case of UTs, from FY
2017-18, the funding pattern of UT of Delhi and Puducherry has been revised to
60:40 and rest of the UTs without legislature are fully funded by Central
Government.
Implementation
of NUHM is through the State Health Department or the Urban Local Bodies
(ULBs). In seven metropolitan cities, viz., Mumbai,
II.
Achievements
Of NUHM:
a.
Physical
Progress:
The
programme is being implemented in the States/UTs for more than 6 years period
and accounts for presence of augmented infrastructure and human resources
dedicated towards urban areas. According to the 4thQuarterly Progress Report (QPR) i.e. for period Jan-March,
2020 submitted by the States/UTs, the information regarding progress of
activities approved under NUHM is as follows: -
· 2331 Medical Officers in-position
against 3463 approved
· 178 Specialists in-position against 409
approved
· 6122 Staff Nurse in-position against
9146 approved
· 13151 ANMs in-position against 16321
approved
· 2755 Pharmacist in-position against
3577 approved
· 2923 Lab Technician in-position against
3924 approved
· 406 Public Health Managers in-position
against 681 approved
· 1197 Programme Management staff
in-position at
· So far, 1068 cities/ towns covered
under NUHM
· 4870 existing facilities approved for
strengthening as Urban PHCs
· 782 new U-PHCs construction approved
· 81 new U-CHCs construction approved
· 83 Mobile Health Units approved
· 602 Health Kiosks approved
For slum habitations
i.
63025 ASHAs engaged against 74468 approved. (One
ASHA covers 200 to 500 households)
ii.
81169 MahilaArogayaSamiti (MAS) formed against
92993 approved. (One MAS covers 50-100 households)
Kayakalp and SwachhSwasthSarvatra (SSS)
have been expanded to cover urban areas also and U-PHCs have been awarded
Kayakalp awards. Out of 35 States/UTs, 12 States and UTs declared Kayakalp
awards for FY 2019-20, of which 439 urban health facilities won Kayakalp awards.
To
ensure delivery of Comprehensive Primary Health Care (CPHC) services under
Health and Wellness Centre component of Ayushman Bharat, the existing UPHCs are
being strengthened as Health and Wellness Centres (HWCs). Support for training
of PHC staff (Medical Officers, Staff Nurses, Pharmacist, and Lab Technicians),
necessary IT infrastructure and the resources required for upgrading laboratory
and diagnostics for expanded ranges of services is being provided to the
States. So, far 3339 HWCs have been made operationalized in urban areas as on
March, 2020.Training and review workshops were conducted for roll-out of
CPHC-HWC in urban areas in collaboration with NHSRC.
b.
Financial
Progress:
Since
the launch of NUHM in FY 2013-14 till the Nov 10th, 2020, funds to the tune of Rs. 7788.48 Crore and Rs.
6205.36 Crore have been allocated and released respectively to the States/ UTs
for implementation of the programme activities.
3.Reproductive, Maternal, Newborn, Child,
Adolescent Health Plus Nutrition (RMNCAH+N)
3.1 Immunization
a.
Electronic
Vaccine Intelligence Network (eVIN) rollout: Till FY 2019-20, eVIN system was
functional in 24 States/UTs and in FY 2020-21, eVIN has been expanded to the
rest of the States/UTs to cover the entire country.
b.
Pneumococcal
Conjugate Vaccine (PCV) expansion to all the Districts of Uttar Pradesh: Till FY 2019-20, PCV was available in
Bihar, Himachal Pradesh, Madhya Pradesh, Rajasthan and 19 Districts of Uttar
Pradesh and Haryana (State initiative). In FY 2020-21, PCV has been expanded to
all the Districts of UP, thus covering the entire State.
c.
Sustaining
Routine Immunization during COVID-19 pandemic: Clear strategy & guidelines
have been developed and special efforts have been made to sustain Routine
Immunization, conduct Sub National Immunization Days for Polio and conduct
surveillance for Vaccine Preventable Diseases (VPDs) during the COVID-19
pandemic.
3.2 Maternal Health
a.
As per the report of Sample Registration System
(SRS) released in July 2020 by the Registrar General of India (RGI),
Maternal Mortality Ratio (MMR) of
b.
SurakshitMatritvaAashwasan
(SUMAN): Ministry of Health & Family
Welfare (MoHFW) launched the SUMAN Initiative on 10th October 2019 with the aims to
provide assured, dignified, respectful and quality healthcare, at no cost and
zero tolerance for denial of services, for every woman and newborn visiting the
public health facility in order to end all preventable maternal and newborn
deaths and morbidities and provide a positive birthing experience. Under SUMAN,
all existing schemes for maternal and neonatal health have been brought under
one umbrella in order to create a comprehensive and cohesive initiative which
goes beyond entitlements and provides a service guarantee for the entitlements.
c.
Midwifery
Educator Training:
The Government of India has taken a policy decision to roll out Midwifery
Services in the country in order to improve the quality of care and ensure
respectful care to pregnant women and newborns. “Guidelines on Midwifery
Services in
d.
Pradhan
Mantri SurakshitMatritva Abhiyan (PMSMA):
o
Since inception, more than 2.60 crore
Ante-Natal Care (ANC) check-ups conducted, more than 19.61 lakhs High
risk pregnancy identified and more than 6,000 volunteers registered under PMSMA.
o
In the FY 2020-21 (upto 9th December 20), 16.78 lakhs ANC
checkups conducted under PMSMA, whereas more than 2.36 lakhs High Risk
Pregnancy identified and 274 volunteers registered under PMSMA.
e.
LaQshya:
o
Since the inception (December 2017) of LaQshya
(upto 9th November
2020) , 263 Labour Rooms and 229 Maternity OTs have achieved National
Certification under LaQshya.
o
During FY 2020-21 , 08 Labour Rooms and
08 Maternity OTs have been Nationally certified for LaQshya.
f.
JSY: 40.04 lakhs beneficiaries
received benefits under JSY during the period of April-September 2020
(provisional data, 2020-21 ).
g.
Comprehensive
Abortion Care (CAC): More than 14,500 MOs have been trained in CAC trainings upto
June, 2020. Virtual training of trainers (ToT) on CAC has been conducted for
3.3 Child Health
a.
Facility
Based Newborn Care (FBNC) program: 894 Special Newborn Care Units (SNCUs) at District/
Medical College Level and 2,579 Newborn Stabilization Units (NBSUs) at the
level of FRUs/ CHC levels are functional to provide services to sick and small
newborns. A total of 6.73 lakhs sick newborns received treatment in Special
Newborn Care Units (SNCUs) at
b.
The country has recently celebrated “National Newborn Week-2020” with
the commitment of “Ensuring Quality, Equity and Dignity of Newborn Care at
Every Health Facility and Everywhere”. Two very important harmonized training
packages under Facility Based New-born Care Program – “NavajatShishu Suraksha
Karyakaram (NSSK)” and “New-born Stabilization Units (NBSUs)” for capacity
building of health care providers were released by Hon’ble Union Minister of
Health and Family Welfare (H&FW) on 20th November 2020.
c.
Home
Based Newborn Care (HBNC) program: A total of 25.38 lakh newborns received complete schedule
of home visits by ASHAs whereas 80,774 identified sick newborns were referred
to health facility by ASHAs during the period of April-June 2020.
d.
Home
Based Care of Young Child (HBYC): For FY 2020-21, the existing 242 Districts (2019-20) have
been expanded with additional 275 Districts i.e. total 517 Districts for
providing Home Based Care for Young Child (HBYC) program. More than 29.5 Lakhs
young children (3 months-15 months) visited by ASHAs during April-September,
2020.
e.
Under, Intensified Diarrhoea Control Fortnight
(IDCF), 2019, 10.01 crore children up to five years of age were provided
with ORS and Zinc against the target of 13.37 crore children of the same age
group. The data compilation for the IDCF/Diarrhoea prevention activities for
the 2020 round is in process.
f.
National
Deworming Day (NDD):
During 10th round of NDD conducted in February 2020,
around 11.02 crore children in the age group of 1-19 years had been
provided Albendazole tablets against the target of 11.66 crore children
of the same age group. 11th round of NDD is being implemented in 34 States and
UTs during the period of August-November, 2020.
g.
Nutrition
Rehabilitation Centres:
Nearly 2.25 Lakhs Severe Acute Malnutrition (SAM) children with medical
complications received treatment at 1,072 Nutrition Rehabilitation Centres
during 2019-20. During 2020-21 (April-September’20) , 32,129 Severe Acute
Malnutrition (SAM) children with medical complications received treatment at
1,077 Nutrition Rehabilitation Centres (NRCs).
h.
Lactation
Management Centres (LMCs): As of FY 2020-2021, till June 2020 (1st quarterly progress report), 15
CLMCs and 2 LMUs are established in 7 States (Maharashtra, West Bengal, Goa,
i.
AnemiaMukt
Bharat (AMB) program (April-September,
2020)
o
1.11 crore children of age group 6-59
months were provided 8-10 doses of Iron Folic Acid (IFA) Syrup every month
o
50.7 lakh children of age group 5-9 years were
provided 4-5 IFA Pink tablets every month
o
62.4 lakh children of age group 10-19
years (in school) provided 4-5 IFA Blue tablets every month
o
16.7 lakh children of age group 10-19
years (out of school girls) provided 4-5 IFA blue tablets every month
o
1.04 crore pregnant women and 9.74
lakh lactating women were provided 180 IFA Red tablets.
j.
Rashtriya
Bal Swasthya Karyakram (RBSK): During FY 2020-21, due to COVID 19 pandemic field
activities by Mobile Health Teams of RBSK Program got affected. 19.31 Lakhs
newborn screened at Delivery points under RBSK Program during April-September,
2020).
k.
Social
Awareness and Actions to Neutralize Pneumonia Successfully(SAANS): SAANS Campaign rolled-out in the
States/ UTs from 12th November, 2020 – 28th February 2021 with aims at accelerating action
against Childhood Pneumonia by generating awareness around protect, prevent and
treatment aspects of Childhood Pneumonia and to enhance early identification
and care seeking behaviours among parents and caregivers.
3.4 Family Planning
a.
Total Sterilization: 6.46 lakh sterilizations
have been reported In 2020-21 (upto November 2020)
b.
Post-partum IUCD (PPIUCD): A total of 13.41 lakh
PPIUCD insertions have been reported in FY 2020-21 (upto November 2020) with
PPIUCD acceptance rate of 16.5%.
c.
Contraceptive Injectable MPA (Antara Program): A
total of 8.10 lakh doses have been administered across the country in FY
2020-21 (upto November 2020) .
d.
Non-hormonal Pill Centchroman (Chhaya) - A total
of 25.90 lakh strips of Centchroman have been reported in FY 2020-21
(upto November 2020)
e) Mission Parivar
Vikas (MPV) - MPV was launched in November 2016
for substantially increasing access to contraceptives and family planning
services in 146 High Fertility Districts in seven high focus States with Total
Fertility Rate (TFR) of 3 and above. These Districts are from the States of
Uttar Pradesh (57), Bihar (37), Rajasthan (14), Madhya Pradesh (25),
Chhattisgarh (2), Jharkhand (9) and
o
Number of Sterilizations -
34,633
o
Number of PPIUCD insertions - 1.38 lakh
3.5.
Rashtriya Kishor Swasthya Karyakram (RKSK)
12.85 lakh adolescents received
counselling and clinical services at Adolescent Friendly Health Clinics
(AFHCs). The number of AFHCs increased from 7,980 (in March 2020) to 8,020 in
September 2020.
47.73 lakh adolescents had been
provided Weekly Iron Folic Acid Supplementation (WIFS) every month besides
Nutrition Health Education till October 2020.
Significant progress has been made in
implementation of Peer Education program with selection of 78,098 Peer
Educators in FY 2020-21 (upto September 2020).
10,934 Adolescent Health Days
(AHDs), a quarterly village level activity to create awareness about adolescent
health issues and available services were conducted till September 2020. .
School Health and Wellness Ambassador
Initiative Under Ayushman Bharat:
Government of
The aim of the programme is to foster the
growth, development and educational achievement of school going children by
promoting their health and wellbeing. A total of 11 themes have been identified.
3.6Pre-Conception
and Pre-Natal Diagnostic Techniques (PC & PNDT):
·
As per Quarterly Progress Report (QPR) of June
2020, submitted by the States/UTs, total 68,818 diagnostic facilities have been
registered under the PC& PNDT Act. So far, a total of 2,220 machines have
been sealed and seized for the violations of the law. A total of 3,116 court
cases have been filed by the District Appropriate Authorities under the Act and
6017 convictions have so far been secured, leading to suspension / cancellation
of medical licenses of 145 doctors.
·
28th meeting of Central Supervisory Board (CSB)
under PC & PNDT Act, 1994 held on 2nd December, 2020. Due to the pandemic
COVID-19, the same was held on a virtual platform.
·
Ultrasound equipment is notified vide No. S.O.
3721(E) dated October 16, 2019, as a drug under the Drugs and Cosmetic Act
1945, accordingly, licenses from Drug Controller of India, shall be mandatory
for selling / importing/ R&D of Ultrasound Machines. This has come into
effect from November 1st, 2020.
·
Six Months Training Rules, 2014 are amended vide
notification no. G.S.R. 419 (E) dated 26/06/2020. Notification is laid down on
Table of both houses of parliament. Amendments have widened scope of the
training rules: Teacher to Student Ratio is increased to 1:4 from 1:1 and the
criteria for MCI/NHC recognized and number accredited training Institutes has
expanded.
·
Review meetings were conducted in four states
including (Karnataka, Gujarat, Tamil Nadu and
·
Capacity building of District Appropriate Authorities
and PNDT Nodal Officers was conducted in the State of Delhi.
·
Training of public prosecutors was organized
with the support of
·
The continuous and consistent efforts of the
Centre along with the cooperation of States and other stakeholders, the sex
ratio at birth is beginning to show an upward increase. The improvement of the
sex ratio at birth at the national level is of 3 points going up from from 896
in 2015-17 to 899 in 2016-18. Further, 15 states out of 22 surveyed
states, have shown improvement with maximum of 15 points recorded in Rajasthan
followed by Himachal Pradesh (12 points), Gujarat (11 points), Haryana, Assam,
and J&K by 10 points.
·
Under Five Mortality Rate (U5MR) among Girls, a
strong indicator of gender discrimination, has recorded a constant decline from
45 in 2015 to 36 in 2018 as per the latest Sample Registration Survey (SRS)
report 2018. Further, the Gender Gap in Under Five Mortality Rate in the
Country has fallen to 1 in 2018 from 5 points in 2015.
4.National Tuberculosis Elimination Programme to
(NTEP)
Given the ambitious target of achieving the Sustainable Development Goal (SDG)
of eliminating Tuberculosis (TB) by 2025, five years ahead of the Global
Targets, the name and logo of the programme was changed this year from the
Revised National Tuberculosis Control Programme (RNTCP) to the National
Tuberculosis Elimination Programme to (NTEP) to epitomize the ultimate goal.
A total of 14.75 lakh TB patients were notified under the programme from
January to October 2020, a decrease of 27% (20.28 lakh cases) as compared to
the same period in 2019. This decrease in TB notification is due to the impact
of the COVID-19 pandemic on TB services, repurposing of available resources and
manpower, as well as various restrictions imposed to contain the pandemic.
36,514 Drug Resistant TB patients were notified during this period. Between
January and August 2020, about 1, 27,816 persons have been notified from tribal
populations.
From April 2018 onwards, 36.8 lakh TB patients were paid Rs 928.8 Cr under
Nikshay Poshan Yojana towards nutritional support till September 2020.
The following steps were taken to
mitigate the impact of COVID-19 and provide uninterrupted TB services:
·
Advance directives to ensure continuity of TB
services were issued and review with States/Districts conducted to monitor the
delivery of services.
·
Implementation of bi-directional TB-COVID
screening: COVID screening for all diagnosed TB patients and TB screening for
all COVID positive patients.
·
TB screening and testing for all presumptive
ILI/SARI/COVID cases in all COVID Zones (Red,
·
Guidance on TB diagnostic labs to remain
functional and usage of Personal Protective Equipment by Laboratory staff were
issued.
·
Integrated TB-COVID laboratory services
including pre-treatment evaluations for DR-TB and DS-TB for optimal utilization
of platform technologies were formulated.
·
Decentralized molecular diagnostics at block
levels for TB & COVID screening –Replacement of smear microscopy by NAAT
testing for all presumptive TB cases
·
Effective sample collection and transportation
system from Sub Centre to PHC, PHC to CHC and from CHC to District /CDST/IRLs
·
Home sample collection services in Red Zones /
Containment areas
·
Active TB case finding campaign in green zone
and areas with no / minimal COVID cases
·
Contact tracing for close household and
workplace contacts for all infectious TB cases
·
Home based sample collection and strengthening
of transport mechanisms to nearby testing centers.
·
Provision of at least one-month supply of drugs
to the patients’ doorstep.
5. National Tobacco
Control Programme (NTCP)
Tobacco
use and COVID-19:
In view of the increasing danger of COVID-19 pandemic, advisories/directives
were issued to States/UTs, to take necessary measures under the appropriate law
to prohibit the use and spitting of chewing smokeless tobacco products in
public. Smoking damages lungs and other organs, putting the smokers at higher
risk of complications due to COVID-19 and as such States were requested to
undertake awareness campaign to make general public aware on risks associated
with smoking during COVID-19. The MoHFW has also undertaken awareness campaigns
to make people aware about the risk associated with the tobacco use and
spitting in public especially during this COVID-19 pandemic.
Prohibition
of Electronic Cigarettes: The Government of India prohibited electronic-cigarettes and
like devices through ‘The Prohibition of Electronic Cigarettes (Production,
Manufacture, Import, Export, Transport, Sale, Distribution, Storage and
Advertisement) Ordinance, 2019” on 18th September, 2019 and the same was replaced by
Prohibition of Electronic Cigarettes (Production, Manufacture, Import, Export,
Transport, Sale, Distribution, Storage and Advertisement) Act, 2019 on 5th December, 2019. This prohibition
has been brought with the objective of nipping the problem in the bud,
anticipating the danger in case of spread of addiction due to e-cigarettes and
as such decisive pre-emptive action was taken to prevent the problem rather
than trying to solve the problem after it acquires unmanageable.
6. Pradhan Mantri
Swasthya Suraksha
Yojana (PMSSY)
The
Pradhan Mantri Swasthya Suraksha Yojana (PMSSY) envisages creation of tertiary
healthcare capacity in medical education, research and clinical care, in the
underserved areas of the country. It aims at correcting regional
imbalances in the availability of affordable/reliable tertiary healthcare
services and also augmenting facilities for quality medical education in the
country. The scheme had two broad components :
·
Setting up of AIIMS like Institutions;
·
Up-gradation of old Government Medical Colleges
(GMCs).
During
the last fifteen years, construction of 22 new AIIMS and 75 Government Medical
Colleges up-gradation Projects has been approved under this scheme.
6.1 Six AIIMS under
Phase-I:
Six
AIIMS approved under Phase- I (AIIMS-Bhopal, AIIMS-Bhubaneswar, AIIMS-Jodhpur,
AIIMS-Patna, AIIMS-Raipur and AIIMS- Rishikesh) are already fully
functional. All key hospital facilities and services such as Emergency,
Trauma, Blood Bank, ICU, Diagnostic and Pathology are functioning.
More
than 1000 hospital beds increased during this year.
100
PG seats and 150 MBBS seats have been increased during this year.
Dedicated
hospitals block for treatment of CoVID-19 patients and CoVID test Lab made
functional in these AIIMS during this year.
6.2 Other New AIIMS
under Phase-II, IV, V, VI & VII:
16 AIIMS have been sanctioned/approved by
Cabinet in subsequent phases. For 2nd new AIIMS in
Limited OPD services was already
functional in 5 AIIMS viz.
Undergraduate MBBS course with 100 seats
per annum per AIIMS was already functional at eight new AIIMS viz. Mangalagiri,
Construction was already progressing in 9
AIIMS, viz. AIIMS Raebareli,
6.3.Up-gradation of
existing GMCs :
Up-gradation
programme broadly envisages improving tertiary health infrastructure through
construction of Super Speciality Blocks / Trauma Care Centres etc. in existing
Since inception of the scheme, 46
projects of
|
S. No. |
Name of the
GMC/Institute |
State |
Phase |
Type of facility |
Total Beds |
ICU Beds |
No of Super
Specialities |
|
|
GMC Yavatmal |
|
III |
SSH |
231 |
36 |
6 |
|
|
GMC |
Madhya Pradesh |
II |
SSH |
218 |
54 |
10 |
|
|
|
Uttar Pradesh |
III |
SSH |
233 |
52 |
8 |
In
addition to above, Construction works of Super Specialty Block completed in
following 05 GMCs during this year.
|
S. No. |
Name of the
GMC/Institute |
State |
Phase |
Type of facility |
Total Beds |
ICU Beds |
No of Super
Specialities |
|
|
|
Andhra Pradesh |
III |
SSH |
208 |
40 |
8 |
|
|
|
Telangana |
III |
SSH |
249 |
39 |
10 |
|
|
Rajiv Gandhi
Institute of Medical Sciences, Adilabad |
Telangana |
III |
SSH |
210 |
42 |
8 |
|
|
|
|
III |
SSH |
266 |
62 |
6 |
|
|
|
Jharkhand |
III |
SSH |
200 |
40 |
8 |
The
SSB and Trauma Centres made functional at 22 GMCs being utilized currently as
dedicated hospitals blocks for treatment of CoVID-19 patients. More than 5000
isolation beds and 1250 ICU bed facilities created.
7. Medical Education
1.
The historic National Medical Commission Act was
passed by the Parliament in August, 2019. Now, the National Medical Commission
has been constituted with effect from 25th September, 2020 and the years old MCI has been
dissolved and the Indian Medical Council Act, 1956 has been repealed. The
principal change in the regulatory mechanism is that the regulator will be
primarily ‘selected’ rather than ‘elected’. The National Medical Commission
will steer the reforms in medical education. This will include increase in
UG & PG seats alongwithimproved access to quality and affordable
medical education and maintaining high ethical standards in medical profession.
Some of the key area in which NMC will work include - implementation of
National Exit Test (NEXT) for the medical graduates, guidelines for
determination of fee for 50% seats in private medical colleges and Deemed
Universities, Regulations for Community Health Providers and rating of medical
colleges.
2.
During the last six years, MBBS Seats
increased by 30,301 (i.e. 55.75%) from 2014 (54,348 seats) to 2020 (84,649
seats) and the number of PG seats increased by 24,084 (i.e. 79.77%) from 2014
(30,191 seats) to 2020 (54,275 seats).
3.
Further, during the same period, 179 new medical
colleges have been established and now the country has 562 (Govt: 286, Pvt:
276) medical colleges.
4.
Under the Central Sponsored Scheme for
establishment of new medical colleges, establishment of 157 medical colleges
have been approved in three phases, of which 47 are functional and remaining
will be functional in few years. Of these 157 colleges, 39 are coming up in the
Aspirational Districts of the country thereby addressing the issues of inequity
in medical education.
5.
Rationalization of Minimum Standards
Requirements (MSR): The MSRs for establishment of medical college have been
streamlined. This will reduce the cost of establishment of new medical college
and increase of intake capacity.
6.
Two years post MBBS Diplomas by National Board
of Examinations: Keeping in view the importance of Diploma courses to meet the
shortfall of postgraduate students and augment healthcare in remote parts of
the country, the National Board of Examinations (NBE) has launched diplomas in
eight disciplines namely - Anaesthesia, Gynaecology & Obstetrics,
Pediatrics, ENT, Opthalmology, Family Medicine, Tuberculosis & Chest
Diseases and Medical Radiodiagnosis.
7.
District Residency Scheme for Post-Graduation:
The MCI has also notified a Scheme known as District Residency Scheme for
compulsory three months training of PG medical students at District Hospitals
an essential component of postgraduate medical training curriculum. Under the
Scheme, the second/third year PG students of medical colleges would be posted
in the district hospitals for a period of three months.
8.
The constitution of the National Medical
Commission has ushered in a landmark reform in the sector of Medical Education.
On similar lines, the Government is striving to bring institutional reforms in
the sector of nursing and dental education by passage of reformative
legislations to replace the existing Indian Nursing Council Act, 1947, and
Dentists Act, 1948. The Government is also in the process to address the long
standing vacuum of a regulatory body for various professions included in the
allied and healthcare sector by providing for a National Commission for Allied
and Healthcare Professions, and a Bill to that extent has already been
introduced in the Rajya Sabha. The basic premise and principled change that is
happening in all these professional education sectors is that the Regulator is
now being ‘selected on merits’, as opposed to an ‘elected’ regulator.
8. Central Government
Hospitals
8.1Atal Bihari
Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital (ABVIMS & Dr RML Hospital
a.
Starting of MBBS Course: Directorate General of
Health Services/ Ministry mandated PGIMER and Dr. RML Hospital to start MBBS
course with intake of 100 students from academic session 2019-20. The name of
the Institute has also been changed to “Atal Bihari Vajpayee Institute of Medical
Sciences and Dr. RML Hospital”. Now the Institute has state of art Labs,
Dissection Hall, Examination Hall, Lecture Theatres, Museum etc.
b.
Super Specialty Block: Hospital has planned to
construct a new 600+ bedded Super Specialty Block (SSB) comprise of 3 basements
+ GF+ 11 Upper Floors at a vacant plot available at G-Point of the Hospital.
The EFC in its meeting held on 18.02.2019 approved the project at a total cost
of Rs 572.61 Crore. CPWD has been nominated as the Project Management
Consultant. Tender has been awarded by CPWD and the expected period of
completion of project is 24 months.
c.
New Hostel Block: The Institute has planned to
construct 824 Rooms New Hostel Block at the vacant land available in the
campus. The total cost of the project is 178 crore. HSCC is the Project
Management Consultant. The work upto the 5th Floor level has been completed.
d.
Dr. RMLH has already received Paediatric Cath
Lab and soon department of Paediatric Cardiology will be started and it will be
first of its kind in the country in a Government hospital.
e.
Dr. RMLH is in the process of procurement of
Robotic System. This will be used by different surgical specialities to perform
complex operations. This gives enormous benefit to patients, who have to
undergo difficult and complicated surgery.
f.
Doctors of Dr. RMLH have already been trained
for Liver Transplantation and this will be started in near future after getting
all necessary approvals.
g.
E-office has been started in Dr.RMLH
h.
Dr. RMLH was made the first
8.2 Lady Hardinge
Medical College
1. LHMC
with
Following facilities were created: -
A.
Red Zone
I. Ward – 24 + 22 = 46
II. COVID ICU Beds = 30
III. Orange Zone Beds = 103 (for
suspected cases)
B.
Various infrastructures added for Treatment of
COVID-Patients.
I. Capacity of Ventilatory beds increased
by 30 beds.
II. Number of BIPAP machines – 32.
III. HHFO-facilities added.
IV. Sufficient quantities of Pulse
Oxymeters available, PPE Kits, N-95 masks and others consumables.
V. Number of beds increased with O2
supply >50 beds.
VI. Flu-Clinic for screening of COVID
patients.
C. COVID-19
TESTING FACILITY:
I. LHMC was one of the Ist institution to
start COVID-19 testing facility in shortest possible time for testing by
following methods:
a.
RTPCR
b.
CB NAAT
c.
TRUNAT
Initially services were provided to all
major hospitals where testing facilities were not available. More than 40,000
cases have been tested.
II. State of
D. LHMC
team of doctors and paramedical staff ran YMCA COVID-CARE CENTRE.
E.
LHMC Doctors were part of Central team for
Inspection of facilities and training in various states.
F.
LHMC is running facilities for both COVID and
NON-COVID patients in all departments. Maternity and child care services are
being run with great care.
G. Creative
Problem Solving Initiatives:
I. Telemedicine facilities
II. Blended teaching
III. Students focused youth wellness
initiatives, including self-help groups by providing counseling facilities.
2. Comprehensive Redevelopment Plan (CRP)
of LHMC:-
(a) ONCOLOGY BLOCK and ACADEMIC BLOCK are
ready for possession and likely to be handed over to LHMC by HSCC before 31st
December 2020.
(b) Accident Emergency and OPD Blocks are
likely to be ready by 31st March 2021.
3. Post-Graduate Seats: 24 Post-graduate
have been increased in LHMC against EWS quota.
4. Teaching Activities: For
Undergraduates, Postgraduates, Post-doctoral courses.
(a) In COVID-Situation, combination of
On-line Teaching along with practical training are being carried out keeping
COVID-19 protocols under consideration.
(b) Regular clinical meetings are held on
ONLINE platform.
(c) Post-graduate examination was held
through Video-conferencing testing practical skills and theoretical knowledge.
5. Annual convocation is being held on
12-12-2020 through Video-Conferencing with Hon’ble HFM as Chief Guest.
6. Lab Information System (LIS) as a part
by Hospital Management Information System (HMIS) has been initiated in LHMC to
provide Computer generated lab report and can be seen by treating doctors for
taking quick decisions on treatment of patients.
7. LHMC & Associated Hospitals are in
the category of Super-Speciality hospitals for PMJAY.
8.3 Safdarjung Hospital
1. COVID – 19 Pandemic Management :-
The
a). The whole Super specialty Block (SSB)
is converted into a dedicated separate block for treatment of COVID-19 patients.
b) A dedicated Control Room established
in
c) A separate hi-tech COVID-19 Lab. to do
RTPCR, and facilities in
d) The SARI Ward was started with
concurrence of District Magistrate in New Emergency Block,
e) A dedicated Core team constituted for
COVID-19 management consisting of Doctors from Anesthesia, Medicine,
Respiratory deptts etc. Separate section was created in SSB for patients of
Gyne&Obs and Pediatrics.
f) A Training programmer was being
conducted for JR/SR/Nursing staff & Intern on weekly basis to deal with
COVID – 19 management.
g) Awareness programme i.e handwashing
steps, social distancing, importance of masks and use of sanitizations in
hospital for prevention of COVID – 19 infection were conducted for the patients
& their relatives coming to the hospital in addition to hospital staff
working in various locations of SJH/VMMC.
k) Separate fever clinic & sample
collection center (RTPCR) started for COVID-19 patients in Old Casualty
Block, SJH.
i) Uninterrupted patients care services
were maintained in most of the departments of
j) Separate Ambulances were engaged
for Transportation of COVID-19 patients and dead bodies.
k) Teams are being constituted for
potential vaccinators for COVID -19 vaccination drive.
l) Fire safety drills, training &
awareness progarmme were continuously conducted for fire management in
2. 40 LDC’s and 8 PWD candidate had
joined in last three months.
3. A programme of “AaoSathchale” has
been started to provide needful help to the patients and their attendants.
4.
Status of Admission/Operations: -
Total number of In-patients (admitted)
and operations conducted in this hospital in 2020: -
|
Admission Jan - Nov 2020 |
Major
Operation Jan – Sep 2020 |
Minor Operation Jan – Sep 2020 |
Total Operation Jan – Sep 2020 |
|
101906 |
6828 |
4937 |
11765 |
5.
Statistics (X-Ray Examinations)
|
Year |
No. of X ray
Examinations |
|
January to October |
1,51,387 |
6.
Statistics Deliveries in Department of Obs&Gynae :-
|
Year |
Number of
deliveries |
|
January to Nov
2020 |
16961 |
7.
OPD Attendance :-
|
Year |
Number of OPD
Patients |
|
January to Sep
2020 |
894815 |
8.
Sports Injury Centre: - Patients
attendance/surgeries
|
S.NO. |
Year |
Ortho OPD |
Physiotherapy OPD |
IPD |
O.T |
|
1 |
Jan to Nov 2020 |
23916 |
10124 |
852 |
692 |
8.4 NEIGRIHMS, Shillong
A:
LAND
The District Collector, East Khasi Hills
Revenue , has formally handed over the 20 Acres of
B:
Infrastructure Development
Institute set up the COVID-19 ICU of 10
beds, Isolation Wards for 40 beds and Screening Area for COVID patients
catering the entire region.
·
Institute entered into an agreement with
Government of Arunachal for having cashless treatment for the people of
Arunachal at NEIGRIHMS under the CMAAY Scheme (Health Insurance Scheme).
·
Institute had imparted ICU training to doctors
of the State Government with regard to ICU COVID Care.
·
Institute has set up the COVID teleconferencing
in all OPDs for the benefit of the patients.
·
Institute has increased the departments for
hospital user charges at subsidised rates in order to generate revenue.
·
Institute has taken over the following buildings
of the new projects for conversion into COVID Quarantine Centres.
Guest House of 48 rooms.
Nursing Hostel – 1 of 88 bed capacity
Nursing Hostel – 2 of 110 bed capacity
Institute has also taken over the Under
Graduate Hostels I & II for accommodating the new batch of MBBS students.
The new
C:
Procurement
·
The Institute has procured forty numbers of Alpha Mattress (Make: ArjoHuntleigh Healthcare
Ltd., UK; Model: Alpha active3) against buy back of 48 units of
old existing obsolete unserviceable Alpha Mattress for
its patient care facility, at a total cost of Rs.24.64 lakhs (approx.), with
five years of composite warranty period, and thereafter additional five years
of CMC period, in this month of the FY 2019-20.
·
The Institute has awarded contract for the
supply and installation of one unit of Automated
Capillary Electrophoresis System (Make: Sebia; Model: Capillary 2 flex
piercing) for the department of Biochemistry for its laboratory,
at a total cost of Rs.48.38 lakhs (approx.), with five years of composite
warranty period followed by five years of CMC period including spares and
services, in this month of the FY 2019-20.
·
The Institute has awarded contract for the
supply and installation of one set of Thromboelstograhphy
system (Make: Instumentation Laboratory; Model: Rotem Delta 4) for
the department of Anaesthesiology, at a cost of Rs.14.54 lakhs (approx.), with
five years of composite warranty period followed by five years of CMC period
including spares and services, in this month of the FY 2019-20.
·
The Institute has awarded contract for the
supply and installation of one set of Ultrasound
System (Make: Mindray, P.R. China; Model: DC-80) against buy back
of old existing obsolete unserviceable Ultrasound System for the department of Radiology
& Imaging, at a cost of Rs.24.10 lakhs (approx.), with five years of
composite warranty period followed by five years of CMC period including spares
and services, in this month of the FY 2019-20.
·
The Institute has also awarded contract for the
supply and installation of one set of Electro
Surgical Unit with Smoke Evacuator (Make:
Johnson & Johnson Private Ltd.; Model: Mega 1000 & 2200J) with
necessary accessories, one unit of Radio
Frequency Ablation System (Make: Stryker; Model: Cross Fire 2), and
one number of High speed burr
system (Make: Stryker; Model: Rem B) for the department of
Orthopaedics, at a total cost of Rs.11.93 lakhs (approx.), with five years of
composite warranty period followed by five years of CMC period including spares
and services, in this month of the FY 2019-20.
·
The Institute has procured one unit of Thompson Retractor System (Make: Thompson
Surgical Instruments INC, USA) for its patient care facility in
the department of General Surgery, at a cost of Rs.30.64 lakhs (approx.), with
five years of composite warranty period, and thereafter additional five years
of CMC period, in this month of the FY 2020-21.
·
The Institute has awarded contract for the
supply and installation of two units of Air
Decontamination Unit (Make: airinspace; Model: Plasmair Guardian T- 2006) for
ICU and Isolation areas of the hospital in view of COVID-19 outbreak, at a
total cost of Rs.94.40 lakhs (approx.), with five years of composite warranty
period followed by five years of CMC period, including all the consumables and
spare parts for the machine, in this month of the FY 2020-21.
·
The Institute has also awarded contract for the
supply and installation of eight units of Electro
Surgical Unit (Make:
Johnson & Johnson Model:Mega 1000 & 2200J)with Smoke Evacuator
and necessary accessories with five years of composite warranty period &
five years of CMC period, against buy back for different OT's of the hospital,
at a total cost of Rs.77.50 lakhs (approx.), in this month of the FY 2020-21.
·
The Institute has also awarded contract for the
supply of fifty numbers of Metallic
Bed (Make: M/s Godrej
Interio; Model: EQ Bed with Head board) with 5 yrs warranty for its
Nursing hostel and quarantine centre as well, 8500 numbers of Protective Personal Equipment (PPE) Kit (Make:
Padam Shree Implex; Model: PPE) in view of COVID-19 outbreak, at a total cost
of Rs.46.78 lakhs (approx.), in this month of the FY 2020-21.
·
The Institute has procured one unit of OT table (Make: Mindray/P.R. China; Model:
HyBase 8300) with mayfield attachment and with other mandatory accessories
against buy back for its operation theatre, at a cost of Rs.
36.70 lakhs (approx.), with five years of composite warranty period, and
thereafter additional five years of CMC period, in this month of the FY 2020-21.
·
Department of Orthopaedics of the Institute has
been added with one number of High
speed burr system (Make: Stryker; Model: Rem B), at a cost of Rs.
11.12 lakhs (approx.), with five years of composite warranty period, and
thereafter additional five years of CMC period, in this month of the FY 2020-21.
·
The Institute has procured four numbers of Automated Cuff Pressure Monitoring &
Measurement (Make: Hamilton; Model: Intellicuff), four numbers of Software for High Flow Oxygen Therapy (HFO) on
Hamilton C3S (Make: Hamilton; Model: HFO) and one numbers Thromboelastography
System (Make: Instrumentation Laboratory; Model: Rotem Delta 4) for
the department of Anesthesiology, at a total cost of Rs. 37.31 lakhs (approx.),
with five years of composite warranty period, and thereafter additional five
years of CMC period, in this month of the FY 2020-21.
·
The Institute has also procured two units of Air Decontamination Unit (Make: airinspace;
Model: Plasmair Guardian T- 2006) for ICU and Isolation areas,
seven units ofICU ventilators with
necessary accessories (for CCU/ICCU/PICU) against buy back, in
view of COVID-19 outbreak, at a total cost of Rs.01.76 cr (approx.), with five
years of composite warranty period followed by five years of CMC period,
including all the consumables and spare parts for the machine, in this month of
the FY 2020-21.
·
The Institute has procured six numbers of Humidifier for Ventilator (Hamilton H900) for
the department of Anesthesiology with five years of composite warranty period,
at a total cost of Rs. 09.76 lakhs (approx.), in this month of the FY 2020-21.
·
The Institute has awarded contract for the
supply and installation of one unit of MRI
Compatible Anesthesia Workstation (Make: Draeger India Pvt. Ltd.; Model: Fabius
MRI) for the department of Anesthesiology, at a cost of Rs.38.25
lakhs (approx.), with five years of composite warranty period followed by five
years of CMC period including spares and services, in this month of the FY
2019-20.
·
The Institute has also awarded contract for the
supply and installation of three units of 4-Body
Mortuary Chamber against buy back (Make: Draeger India Pvt. Ltd.; Model: Fabius
MRI), at a total cost of Rs.98.90 lakhs (approx.), with five years of
composite warranty period followed by five years of CMC period, in this month
of the FY 2019-20.
·
The Institute has also awarded contract for the
supply and installation of six numbers of UVC
Disinfection System (Make: Ibis Medical Equipment and System Pvt. Ltd.; Model:
RAZE COV), at a total cost of Rs.25.54 lakhs (approx.), with five
years of composite warranty period followed by five years of CMC period, in
this month of the FY 2019-20.
8.5 Regional Institute
of Medical Sciences, Imphal
·
Regional Institute of Medical Sciences (RIMS),
Imphal is the only
· RIMS is in the 28th Position in NIRF
ranking 2019, released by the Ministry of Human Resource Development,
Government of India.
· The number of MBBS seats at RIMS,
Imphal increased from 100 to 125 per annum. Out of the 25 seats increased 11,
10 and 4 seats are reserved for Economically Weaker Section (EWS), NE open and
All India Quota (Al Q) respectively.
· A DM (Nephrology) course has been
started from the academic session 2019-20 with an intake of 2 seats annually.
· MSc Nursing course started in the
·
51 number of beds have been increased in the
Radiotherapy Ward.
8.6 Regional Institute
Of Paramedical And Nursing Sciences (RIPANS), Aizawl, Mizoram
Regional Institute of Paramedical and
Nursing Science (RIPANS), Aizawl was set up by the Ministry of Home Affairs,
Government of India in 1995-96 to provide Nursing, Pharmacy and Paramedical
education to the people of North East including
At present the institute is conducting
the following Courses:
|
Sl. No. |
Name of Course |
Duration |
|
1. |
B.Sc.Nursing |
4 years |
|
2. |
B.Sc. MLT
(Medical Laboratory Technology) |
4 years |
|
3. |
B. Pharm |
4 years |
|
4. |
B.Sc.RIT (Radio
Imagining Technology) |
4 years |
|
5. |
B.Optom
(Optometry) |
4 years |
|
6. |
M.Pharm |
2 years |
Achievements during the year 2019-20:
i.
No.of students newly admitted for various
Courses
- 194
ii.
The total strength of students in various
Courses
- 683
iii.
Total number of passed out
students
- 172
iv.
The project of Creation of Additional Facilities
at RIPANS viz. Academic Block-III, Library cum Examination Hall, Boys’ and
Girls’ Hostel was completed and the buildings were handed over to RIPANS ON
5.7.2019.
v.
Approval of Recruitment Rules of 27 new posts
(including the posts of Professor, Associate Professor, Assistant Professor,
Tutor, Section Officer, Accounts Officer etc.) was received from the Ministry
on 22.01.2020.
vi.
E-Tender for Civil Works of the Project of
Development of RIPANS was published on 01.09.2019 (Rs.229.46 crore). Technical
bid and financial bid were opened and recommendation to award the work to the
lowest bidder at Rs.217.97 crore was submitted to the Ministry on 5.2.2020. The
estimated cost of the Project is Rs.480.12 crore.
Financial Position during the year
2019-20: (Rs.
in lakh)
|
Sl. No. |
Particulars |
BE (In crore) |
Unspent Balance of the previous year |
Amount released by the Ministry |
Internal resources generated |
Expenditure as on 31.3.2019 |
Unspent Balance as on 31.3.2019 |
|
1. |
GIA General |
15.00 |
104.80 |
1500.00 |
- |
1,336.96 |
267.84 |
|
2. |
Grants for
Creation of Capital Assets |
9.18 |
1,125.98 |
1,468.00 |
- |
2,593.34 |
0.64 |
|
3. |
GIA Salaries |
11.00 |
140.41 |
1,080.00 |
83.81 |
1,038.53 |
265.69 |
|
TOTAL |
35.18 |
1,371.19 |
4,048.00 |
83.81 |
4968.83 |
534.17 |
|
9.
National Leprosy Eradication Programme (NLEP)
·
Percentage of Grade II Disability (G2D) /visible
deformity in new cases is decreased from 2.41% in 2019-20 to 2.21% as on 30th September, 2020.
·
The G2D amongst new cases/ million population is
decreased from 1.96/million population as on 31st March, 2020 to 0.81/million
population (annualised) as on 30th September, 2020.
·
Child cases percentage has reduced from
6.87% as on 31st March, 2020 to 5.30% as on 30th September, 2020.
·
Central Leprosy Division has introduced new
Operational strategy for Active Case Detection and Regular Surveillance both in
rural and urban areas in order to ensure detection of leprosy cases on regular
basis and at an early stage in order to prevent grade II disabilities.
·
District level Representatives from 34
States/UTs have been trained for data entry into NIKUSTH web based reporting
system for leprosy cases. A total of 1422 participants have been trained.
·
In order to strengthen the integrated approach, leprosy
screening has been converged under Rashtriya Bal Swasthya Karyakram (RBSK) and
Rashtriya Kishore Swasthya Karyakram (RKSK) for screening of children (0-18
years) and under Ayushman Bharat for screening of people above 30 years of age.
Collaborative training on the screening tools, referral protocols and reporting
has been completed with State Nodal Officers of RBSK, RKSK and NLEP on
virtual platform on 20th& 21st October, 2020.
·
In order to spread awareness about leprosy,
three short films involving direct testimonials of cured leprosy patients have
been developed, which are being telecast through Doordarshan channels in 18
states as per media plan.
·
In addition to above activities, Differential
strategy guidelines for carrying out various activities under NLEP during COVID
– 19 pandemic were issued to all States/ UTs in order to ensure the following:-
o
§
·
Uninterrupted supply of MDT to leprosy patients
during the lockdown due to COVID – 19
·
Uninterrupted DPMR services to leprosy patients
suffering from physical disabilities.
·
Besides, guidelines were issued to track the
leprosy patients on treatment among the returnee migrants during COVID – 19
pandemic, and to ensure that their treatment is continued in a seamless manner
at the places they migrate to. A number of such patients have been
successfully tracked and treated by various states/ UTs.
10. National Programme
for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and
Stroke (NPCDCS)
Under
National Programme for Cancer, Diabetes, Cardio-vascular Diseases and Stroke
Programme, 3,89,10,383 were screened for Hypertension, Diabetes, Oral Cancer,
Breast Cancer and Cervical Cancer for period January to November 2020 (Source:
Ayushman Bharat, NHSRC).
11. National Vector
Borne Disease Control Programme(NVBDCP)
11.1 Malaria
·
World Malaria Reports for 3 consecutive years
have hailed
·
Malaria cases reported in 2019 were 338494 in
comparison to 429928 cases in 2018, indicating a decline of 21.26% over the
year 2019. Similarly, malaria cases have declined by 47.77% and Pf cases by 25.15 % as on 31st October
2020, as compared to the corresponding period.
·
Malaria has been made a notifiable disease in 31
states/UTs (Andhra Pradesh, Arunachal Pradesh, Assam,Chhattisgarh, Goa,
Gujarat, Haryana, Himachal Pradesh, Jammu & Kashmir, Jharkhand, Karnataka,
Kerala, Madhya Pradesh, Manipur, Mizoram, Nagaland, Odisha, Punjab, Rajasthan,
, Sikkim, Tamil Nadu,Telangana, Tripura Uttar Pradesh,Uttarakhand, West Bengal,
Pudducherry Chandigarh, Daman &Diu, D&N Haveli and Lakshadweep).
·
Till 2020, 24 states have constituted State Task
force for Malaria Elimination and District Task Forces. The remaining
States/UTs are in the process of constituting State Task Force and District
Task Forces.
·
2.24 crore Long lasting Insecticidal Nets
(LLINs) have been supplied/distributed during year 2019-20 to high Malaria
burden areas. The process of procurement of additional 2.52 crore LLINs is in
full swing, and is likely to be completed by 31st December, 2020. Use of LLINs has been highly
accepted by the community at large and has been one of the main contributors to
the drastic malaria decline in the country.
·
Dte. of NVBDCP organized 2nd Batch of National
Malaria Microscopy Refresher Training at RoHFW,
·
Dte. of NVBDCP in collaboration with WHO and
National Institute of Malaria Research organized the External Competency
Assessment (ECA) for certification of the Lab Technicians from different States
w.e.f 20 -24 January, 2020 (1st Batch) and 27-31 January, 2020 (2nd Batch) on
malaria Microscopy by WHO ECAMM Facilitator at NIMR, Delhi.
·
Malaria microscopy, the gold standard for
malaria elimination has also been strengthened by National Refresher trainings
and certification of a core group of Laboratory Technicians from different
States. There are 11 L-1 and 13 L-2 WHO certified Laboratory technicians
trained and certified so far for strengthening microscopic activity and lab
capacity building.
11.2 Kala-Azar
·
1735 cases have been reported during 2020 upto
October in comparison to 2863 cases reported during corresponding period of
2019. A reduction of 39.4% of cases with no death was reported till
October, 2020.
·
Till October 2020 98% Kala-azar endemic blocks
have achieved the elimination target of <1 KA case per 10,000 population at
block level. 13 blocks (Bihar-3 and Jharkhand-10 blocks) are yet to achieve the
target.
·
Based on the KA Independent Assessment findings,
implementations of KA activities has been strengthened. High priority villages
have been identified for intensified action plan. SOPs for active case
detection and outbreak management have been prepared and duly disseminated in
the field formations.
11.3 Dengue &
Chikungunya
·
The number of identified Sentinel Surveillance
Hospitals (SSHs) has been increased from 680 in 2019 to 695 in 2020.
·
Case Fatality Rate (CFR) for Dengue (deaths per
100 cases) was maintained at <1%.
·
Guidelines on Mosquito and other Vector Control
Response (MVCR) were prepared and released through a webinar on 23rd & 24th
July jointly organized by NVBDCP and WHO.
·
National Guidelines on the management of cases
with Dengue and Covid-19 co- infections during Covid-19 Pandemic were finalised
and shared with all the States and Stake holders.
11.4 Japanese
Encephalitis
·
Out of 60 PICUs, 38 PICUs have been made
functional (Assam-6. Bihar-7, Tamil Nadu-5, Uttar Pradesh -10 and West
Bengal-10).
·
Funds have been provided for all 10 Physical
medicine & Rehabilitation (PMR) Deptts. 8 PMRs are functional
(Assam-2, Tamil nadu-1, Uttar Pradesh-3 and West Bengal-2)
·
JE vaccination Campaigns in children (1-15 yrs.)
have been completed in *243 JE endemic districts. 60 more districts have been
identified to be covered under JE vaccination campaign. (*Immunization Div. has
increased the number to 276 districts, based on the separation of districts
over the years.)
·
31 districts (
·
143 Sentinel sites and 15 Apex Referral
Laboratories have been identified for diagnosis of JE. 932 kits were supplied
in 2019. 372 Kits have been supplied in 2020 (till 31.10.2020)
11.5 Lymphatic
Filariasis
·
Out of 272 (257 + 15 new) endemic districts, 98
districts have cleared Transmission Assessment Survey (TAS)-1 and have
consequently stopped Mass Drug Administration (MDA). Out of 98, TAS-2 is
cleared by 87 districts and TAS-3 is cleared by 42 districts till October,
2020. During 2020 (till October), 5 districts have cleared 2nd TAS and 11
districts have cleared 3rd TAS.
·
During 2020 (till October), 84 districts have conducted MDA including 7
districts where MDA was conducted with triple drug therapy (IDA) i.e.
Ivermectin + DEC + Albendazole.
·
Regional Programme Review Group (RPRG) WHO
meeting (virtual) was held on 13-16 July, 2020.
·
Social media tool kit was prepared and
successfully used for spreading awareness about MDA rounds during COVID-19
pandemic.
12. Food Safety and Standards Authority of India
1. Two new Scientific Panels on Packaging
and Alcoholic Beverage have been established raising the total number of
Scientific Panels to 21 comprising 11 vertical (aspects related to a
particular commodity e.g. Oils and Fats) and 10 horizontal panels (Aspects
across different commodities e.g. Pesticides residues).
2. A total of 19 final
notifications and 16 draft amendment regulations have been issued
during 2020. Final notifications,inter-alia, include:
(i) Food Safety and Standards (Safe
food and balanced diets for school children) Regulations,
2020. This regulation aims to encourage schools to adopt safe
food and balanced diets amongst school children as per the guidelines issued
by the National Institute of Nutrition. Further, foods which
are referred to as food product high in saturated fat or trans-fat or added sugar
or sodium(HFSS) cannot be sold to school children in school canteens/mess
premises/hostel kitchens or in an area within fifty meters from the school gate
in any direction.
(ii) Food Safety and Standards
(Packaging and Labelling) Amendment Regulations, 2020 relating to display of
information in food service establishments: These provide that Food service
establishments (restaurants) having central licenses or outlets at 10 or more
locations will need to display the ‘calorific value in kcal per serving and
serving size’ of food items on menu cards, booklets or board. Even e-commerce
food business operators will need to get their restaurants partners to display
calorie information of food products on their digital platforms.
(iii) Food Safety and Standards
(Prohibition and Restrictions on Sales) Third Amendment Regulations, 2020
relating to limit of Total Polar Compounds unused/fresh vegetable oil/fat.
3. With a view to reduce compliance
burden on food businesses, rationalising licensing/registration, reducing paper
work etc., draft amendment FSS(Licensing and Registration) Regulations, 2011
has been finalised and is being draft notified.
4.
To address concerns of Food Business Operators , facilitate ease of
doing business, ensuring consumer safety and also simultaneously
enhancing punishment for wrongdoers to work as deterrent, FSSAI has proposed a
number of amendments in Food Safety and Standards Act, 2006. Important changes
proposed in the present Act include bringing ‘export’ and ‘animal feed’
within the purview of FSSAI; harmonization of definitions with Codex and other
Acts etc.; defining the role and duties of Chairperson; reviewing
processes to ensure expeditious finalization of regulations; bringing more
clarity to certain existing provisions; provision for reference
laboratories; protecting retailer and distributor from liability in case
of untampered packaged food; rationalization of penal provisions;
including strengthening in certain cases; provision for creation of fund
etc.The Ministry issued a public notice thereon and the response received are
under examination in FSSAI.
5. All Food Business Operators are
required to be registered or licensed under Section 31 of Food Safety and
Standards Act, 2006. Considerable progress has been made in issuance of
Licenses and Registrations. As on 30.11.2020, 70,589 Central licenses,
15,09,846 State licenses and 67,32,447 Registrations have been issued.
FSSAI has launched cloud based
upgraded new online portal called Food Safety Compliance System (FoSCoS)
replacing existing Food Licensing and Registration System in the States/UTs.
FoSCoS is conceptualised to provide one point stop for all engagement of an FBO
with FSSAI for any regulatory compliance transaction. It was
initially launched in 9 States/UTs from 01st June 2020 and has since been
launched in all remaining States/UTs from 1st November, 2020.
Initially FoSCoS will be offering licensing, registration, inspection and
annual return modules. However, other activities/ modules will be enabled in
phased mannerand it will provide one stop for all engagements of an FBO
with FSSAI related to regulatory transactions.
6. To protect the interest of
consumers, instructions have been issued requiring the container/tray holding
non-packaged/loose Indian sweets at the outlet for sale to display mandatory
‘Best Before Date’. In addition, FBO may also display the ‘Date of Manufacturing
‘which shall be purely voluntary and non-binding. The order has been made
effective from 1st October 2020.
7. As directed by the Government,
directions under Section 16(5) issued on 23rd September, 2020 operationalising
the proposed draft FSS(Prohibition and Restrictions on Sales) Amendment
Regulations, 2020prohibiting blending in mustard oil with a view to facilitate
manufacture and sale of pure mustard oil for domestic consumption in public
interest. This has been made effective from 1.10.2020. However, the
Hon’ble High Court of Delhi has stayed the order for the time being.
8.
An Advisory dated 8th September, 2020 has been issued to all Food Safety
Commissioners /Central Licensing Authorities to file complaint in courts
for violation of provisions of IMS Act for violation of Sections 3,4,9 etc. of
IMS Act relating to banning /prohibiting advertising, promotions and
incentivizing the use or sale of infant milk substitutes or feeding bottles or
infant foods , or inducement to health workers for promoting use of
infant milk substitutes etc including funding of a seminar, meeting,
conference educational course, contest, fellowship, research work
or sponsorship
9. To give relief to FBOs, a
list of labelling defects categorized into exceptions (minor labelling
defects of insignificant nature and without any food safety concern) and
mandatory cases (against which adjudication action could be taken) has been
prepared and shared with States/UTs which have been advised to issue
necessary instructions to State DOs and FSOs to deal with the cases
involving minor labelling defects not posing any food safety concern by
issue of improvement notices under Section 32 .
10. FSSAI has developed State Food Safety
Index to measure the performance of States on various parameters of Food
Safety. Index is based on performance of States/UTs on five significant
parameters, namely Human Resource and Institutional Data (weightage -20%),
Compliance (30%), Food Testing Infrastructure and Surveillance (20%), Training
and
11.An order has been issued on 06.11.2020
for exclusion of food category (13) (foodstuffs intended for particular
nutritional uses) from the scope of Proprietary Foods.
12. In order to address the gaps in the
food safety eco-system of States/UTs and to promote the culture of safe and
wholesome food through pooling of technical knowledge and best practices, as a
shared responsibility, it is proposed to extend both technical and financial
support to the States/UTs. Accordingly, a Memorandum of Understanding
(MoU) for strengthening of Food Safety Eco-system in the country is proposed to
be signed between FSSAI and States/UTs. Proposals have been received from 23
States/UTs so far . Work plans have been finalised for 18 States/UTs and
assistance will be provided to the States/UTs after signing of the MoU.
13. During the Covid-19 pandemic, FSSAI
has taken a series of steps to facilitate uninterrupted supply of safe food.
Import clearances of food items and national food testing laboratories were
declared essential services. Food imports were expedited through
Provisional Clearance of certain food items. Certain regulatory compliances for
Food Businesses have been relaxed/deferred as necessitated by the circumstances
emerged during the pandemic period. A detailed guidance note ‘Food
Hygiene and Safety Guidelines for Food Businesses during Coronavirus Disease
(COVID-19) Pandemic’ has been released. FSSAI also released an e-handbook on
“Eat Right during COVID-19” for citizens, which highlights safe food practices
to be followed diligently and tips on health and nutrition. FSSAI is also
disseminating information for public awareness through books such as ‘Do You
Eat Right’ and social media on fortified foods, dietary diversity and healthy
recipes to combat micronutrient deficiencies and reduction of salt, sugar and
fat to reduce NCDs.
14.
5 more food laboratories have been recognised and notified under Section 43 (1)
of Food Safety and Standards Act, 2006 by FSSAI. This has raised the total
number of notified food laboratories from 183 to 188 till date. In addition, 58
State Food testing labs are also functioning under transitory provisions of
Section 98 of FSS Act.
15.Under
Central Sector Scheme for upgradation of food testing infrastructure in
States/UTs, a grant of Rs.43.88 crore has been released during the year to 25
States/UTs for procurement of Basic/High-end Equipment and setting up of
Microbiology testing facilities (with CAMC and manpower) towards upgradation of
29 State Food Laboratories. With this, a total Grant in aid of Rs.312.98 Crore
has been sanctioned/released to 29 States/UTs for upgradation of 39 State Food
Laboratories, including setting up microbiological laboratories in 24 SFTLs.
16. A grant of Rs. 1.21 crore (approx..)
has been released to two referral labs viz ICAR-National Research Centre on
Meat, Hyderabad and IIFPT, Thanjavur towards procurement of high-end equipment.
A balance grant of Rs. 50 lakhsis also likely to be released to PBTI, Mohali,
17.
36 more Food Safety on Wheels along with Rs. 5 lakh/FSW for fuel and
Consumables have been sanctioned to 15 States/UTs. This has raised the total
number of FSWs from 54 to 90 across the country covering 33 States/UTs.
18. FSSAI has also released a grant of
Rs. 19.92 crore to 21 States/UTs for procurement of 3 basic equipment viz. i.e.
HPLC system with photodiode Array (PDA), Florescence & Refraction Index
(RI) indicator, GC with FID, NPD & ECD and UV- Visible Spectrophotometer
preferably through GeM. FSSAI is in the process of signing MoU with States and
one of the components of the MoU is Strengthening of Food Testing System under
which some more grant is likely to be released.
19. FSSAI has provided rapid handheld
kits/devices to States/UTs across the country that would make the testing
easier, faster and cost effective. This includes distribution of 363 Frying Oil
Monitor - to check Total Polar compound and acid value in oil and 69 Raptor
Diagnostic Reader - to identify Antibiotics in various food samples to 27
States/UT. Similarly, 210 Microbial Identification kits have also been
provided to 30 States/UTs for detection of 9 pathogenic
microorganism in various food items.
20. FSSAI is implementing Sample
Management System (SMS) across the country under which cold chain facilities
for storage and transportation of food samples are being provided to
States/UTs. FSSAI has provided 548 Compact Cabinets, 539 Vehicle Mounted Mobile
Freezer Boxes, 2328 Portable Chill Boxes and 2328 Backpack Style Bags to 21
States/UTs. SMS would be provided to remaining States/UTs subject to readiness
of the State/UT Governments. This would integrate the entire cold chain across
all districts of
21.FSSAI
has conducted PAN India Edible Oil Quality survey in the month of August, 2020.
The result of the survey is being compiled. FSSAI has also
conducted a PAN India Sampling of Milk Products (Khoa, Paneer, Channa,
Khoa based &Paner based sweets) during the festival period Diwali to
identify hotspots of adulteration During this exercise , 50 samples from
each metro cities and 5 samples from other cities and districts were drawn in
November, 2020 with the objective to assess the quality and safety of Milk
products sold during festival period in the country and to identify hotspots of
adulterated and unsafe milk products, if any; and put in place a continuous
surveillance framework for assessing quality of Milk products sold in the
country. The results of samples would be available shortly.
FSSAI is addressing micronutrient
deficiencies by notifying standards for fortification of key staple viz. edible
oil and milk (with Vitamin A & D) , wheat flour and rice (with iron, folic
acid and vitamin B12 ) and salt with iron (in addition to iodine)
for which it has notified Food Safety and Standards (Fortification
of Foods ) Regulations, 2018 on 02.08.2018 . The standards prescribe minimum
and maximum range of fortification. FSSAI has proposed to make these
standards mandatory for oil and milk. .
Food import is being regulated at 150
points of entry. FSSAI has its presence at 22 points of entry under 6 locations
namely Chennai, Kolkata, Mumbai,
To regulate imports, some important
instructions issued during the year include:
To ensure the quality of honey and
to contain the misuse of imported Golden syrup/Invert Sugar Syrup/Rice syrup in
production of honey, all the importers/Food Business Operators, which are
importing golden Syrup/Invert Sugar Syrup/Rice Syrup into India have been
directed vide order dated 20th May, 2020 to submit necessary documents to
Authorised Officers at scrutiny stage before clearance, regarding
details of manufacturers with end use as to whom the aforesaid imported food
items will be supplied.
FSSAI issued an order dated
07.07.2020 clarifying that import of Blended Edible Vegetable Oils (BEVO)
without AGMARK certification is not allowed in India and further the BEVO shall
also comply with the rules and regulations made under FSS Act, 2006.
iii) To ensure that only non-GM crops are
imported into India , pending framing of regulations related to GM in
Section 22 of FSS Act, 2006 , FSSAI issued an Order dated
21.08.2020 prescribing requirement of non-GM origin –cum-GM free
certificate issued by Competent National Authority of the exporting country,
for every consignment of imported 24 food crops as mentioned
therein. The order shall be effective from 01.01.2021.
22. Under Training and capacity building
initiatives to promote food safety and self compliance, more than 1.30 lakh
food handlers have been trained this year already through 241 Training Partners
and more than 2000 Trainers. Further, FSSAI also launched 2 hour online
training programme for food business operators exclusively on COVID-19
preventive guidelines. The training is being delivered online by the
trained & certified trainers. More than 1.07 lakh food handlers have been
trained. Further, induction/refresher courses have also been conducted for more
than 170 regulatory personnel during the period. FSAI has
also conducted 6 offline training and 306online training programs, including
live training sessions 9practical sessions) for laboratory personnel.
To foster innovation and cooperation in
the field of research areas related to food safety and nutrition, FSSAI has
created the Network for Scientific Cooperation for Food Safety and Applied
Nutrition (NetSCoFaN). This network comprises of research and academic
institutions working in the area of food and nutrition and will ensure
scientific cooperation, exchange of information development and implementation
of joint projects, exchange of expertise and best practices.
FSSAI
had developed framework of national Food Safety Emergency Response (FSER)
system which outlines multi-sectorial coordination, their roles,
responsibilities and management actions during food safety emergency situation
as envisaged under Section 16(3)(v)(&(vi) of FSS Act. Under this framework,
Food Safety Risk Assessment Committee (FSRAC) has been constituted as a risk
assessment body and shall be responsible for providing technical and scientific
support both in normal or emergency situations.
23. FSSAI has signed an MoU with CSIR on
7.8.2020. The MOU aims towards collaborative research and information
dissemination in the area of food and nutrition.
24. FSSAI has also signed a
Memorandum of Understanding with National Institute of Open Schooling on
collaboration with vocational ad academic verticals for food safety education
and integration .
25. From time to time, FSSAI is issuing
Guidance Notes to guide Food Businesses, consumers and other stakeholders on
issues of food safety and dispel myths. Guidance Notes
issued in the year include:
Guidance
Note on Food for Special Medical Purposes
Guidance Note on Clean and
Fresh Fruit and Vegetable Market
Guidance Note on Food Hygiene &
Safety Guidelines for Food Businesses during
Metal Contaminants in Foods-Potential
Risk & Mitigation measures
Safety and Quality of Traditional
Milk products
Pesticides –Food Safety
Concerns-Precautions and Safety Measures.
26. A monthly newsletter is being
published to disseminate information relating to all important activities of
FSSAI undertaken during the month for information of all stakeholders and
public at large. This is being published even during the pandemic period.
27. FSSAI is focussing on improving the
infrastructure to facilitate better functioning across levels. The staff
strength of FSSAI has increased from 356 to 824 in the year 2018. With the new
strength, 11 new offices of the Authority and two food laboratories are in the
process of being set up throughout the country. These offices will facilitate
food licensing, imports, surveillance and enforcement thereby benefitting food
business operators and consumers, both.
28.
FSSAI’s Eat Right Toolkit developed as an easy to use comprehensive package
with simple messages and interactive material (games, AVs, posters etc.) to
inculcate right eating habits at grassroots level of the country. The toolkit
is integrated in Health and wellness centre’s under Ayushman Bharat and has
been included under State PIPs (programme implementation plan) by Ministry of
Health and Family Welfare (MoHFW). The toolkit is also being translated in regional
languages to be used across
29. Training of the Trainers: A plan has
been proposed to create a pool of national and state trainers to smoothly
conduct ASHA trainings. In view on the COVID-19 pandemic, virtual training
sessions were planned.
National trainers: The training of
national trainers was conducted in two batches. A total of six national level
resource personnel (from FSSAI, NHSRC and VHAI), trained the National Trainers
(38) from Arunachal Pradesh, Assam, Chhattisgarh, Delhi, Haryana, Jharkhand,
Karnataka, Madhya Pradesh, Maharashtra, Manipur, Punjab, Rajasthan, Tamil Nadu,
Uttar Pradesh, Uttarakhand and West Bengal. The trainings were conducted on
virtual platform, in two batches in June and July, 2020.
State Trainers:The training of state
trainers was organized by the National trainers with help of national level
resource personnel from FSSAI, NHSRC and VHAI. The training was organised by
NHSRC in collaboration with the States and was organised for three days to
effectively deliver the messages. Till date,09 batches of online training of
State Trainers have been conducted covering 252 State Trainers and 45 State
Observers.
30. The ‘Eat Right India’ movement
initiated by FSSAI under the aegis of Ministry of Health & Family Welfare,
has gone a long way in creating awareness amongst people about eating safe,
healthy and sustainably. Recently, FSSAI has been adjudged among top ten
finalists for the Food System Vision Prize by the Rockefeller Foundation,
31. FSSAI has undertaken several
activities to amplify the Eat Right India initiative:
Launches:
·
An annual competition known as ‘The Eat Right
Challenge’ for districts and cities to recognize their efforts in adopting and
scaling up various initiatives under Eat Right India. 179 cities and districts
have participated in this challenge from States/ UTs all over the country.
·
Eat Right Creativity Challenge for schools, a
poster and photography competition that aims to promote healthy dietary habits
amongst Children through interactive activities.
·
‘Eat Smart City’ (Challenge) by FSSAI in
partnership with Smart City Mission under Ministry of Housing and Urban Affairs
with an aim to create an environment of right food practices and habits in
India’s smart cities and can set an example for other cities to follow.
Releases:
·
The ‘Eat Right Handbook’, a comprehensive guide
for the Food Safety Commissioners and district officials to adopt and scale-up
Eat Right India (ERI) initiatives. The handbook provides detailed information,
SOPs, resources and success stories about various ERI initiatives.
·
e-handbook on “Eat Right during COVID-19” for
citizens which highlights safe food practices to be followed diligently with
simple tips on health and nutrition
·
The ‘Food Safety and Hygiene Guidelines for Safe
Reopening of School Canteen/Mess’ document that highlights the best practices
to be followed in the ‘New normal of COVID-19’ by all the stakeholders. It also
includes tips on personal and environmental hygiene and common myths with their
clarifications.
·
‘Do you Eat Right?’ An eBook which translates
technical concepts on foodand nutrition and Eat Right initiatives into simple
conventional style for the general public.
·
The ‘Orange Book’ for Eat Right Campus that
serves as a resource guide to implement the mandatory food safety and hygiene
requirements in campus canteens, ensure provision of healthy and
environmentally sustainable food and build awareness among the individuals in
workplaces, colleges, universities, institutions, hospitals etc. across the country.
·
Daily Recommendations and Food Fortification- A
handbook for States that will provide answers to the prime concerns around food
fortification to State government officials. It will further elaborate the
difference in the average consumption of micronutrients such as Vitamin A,
Vitamin D, iron, folic acid and Vitamin B12 in a regular diet when compared
with inclusion of fortified staples in everyday meals.
13. NACO
1.
Hon'ble Minister (HFM) Dr. Harsh Vardhan
participated in the virtual Ministerial Meeting of the Global Prevention
Coalition (GPC) – HIV Prevention 2021-2025, on 18-11-2020 for taking stock,
planning the future, hosted by UNAIDS and UNFPA. The meeting focused on
strengthening HIV Prevention and Roadmap.
2.
To achieve NACP fast track targets, NACO
envisaged nine output indicators and three outcome indicators. HIV testing has
increased from 1.25 crore to 2.65 crore among pregnant women and 1.6 crore to
2.89 crore among vulnerable population in last five years. Around 73 lakh blood
units are being collected in NACO supported blood banks to ensure availability
of safe blood in the country. In addition of this, during the same period
number of PLHIV taking free lifelong ART has increased from around 9.4 lakh to
14.86 lakh.
3.
National AIDS Control organization (NACO),
periodically undertakes HIV sentinel surveillance and estimation process to
provide the updated information on the status of HIV epidemic in
4.
NACO has released topline findings of national
level key indicators of Behavioural Surveillance Survey lite, 2020.
5.
NACO has developed district specific integrated
action plan for states of Nagaland, Manipur, Mizoram and Meghalaya. It includes
full details and granularity with measurable indicators to be required in
addition to routine activities.
6.
NACO has developed SBCC package for key
population, bridge population and service providers with objective to influence
and support behaviour change among key population and bridge
population/high-risk population with respect to HIV services in
7.
The ART reduces the HIV-related morbidity and
mortality; prevents HIV transmission by suppressing the viral load improving
the quality of life of People Living with HIV (PLHIV). ART being a life-long
treatment, retention in care remains the essential component for achieving
viral suppression. Keeping in view, NACO has developed IEC material on
treatment literacy to promote treatment adherence and address related issues to
the treatment. This material has been developed provide correct information
about HIV treatment and how to manage side effects, promote ART adherence,
promote positive living, promote timely viral load testing and to provide
information about social protection schemes.
8.
As per the ART Technical Resource Group
recommendations and in line with WHO recommendations Dolutegravir based regimen
has been rolled out across country and currently more than 1 lakh PLHIV are on
DTG based regimen. Currently all newly HIV diagnosed patients are
initiated on Dolutegravir based ART regimen.
9.
NACO has rolled out Blended Clinical training
project for capacity building of health staff involved in delivery of HIV care
services. This is a unique model to train health staff by using blend of
virtual and class room training mode.
10. HIV-1
Viral Load testing was disrupted throughout the country from 24th March, 2020
due to Country wide lockdown owing to Covid pandemic as there were no patients
coming to the ART centres for testing and the phlebotomists were not able to
reach the ART centres for sample collection.Therefore, efforts were made by
NACO and Communication was sent to Ministry of Civil Aviation and Ministry of
Home Affairs by Secretary (MOHFW) to allow transport of blood samples of HIV
patients through Govt/ private cargo flights and also allow free movement of
PLHIVs to the ART centres and personnel involved in blood sample collection.
11. On
the request of ICMR, NACO has set aside 30 out of 64 Public sector HIV-1 viral
load labs for the purpose of Covid-19 testing.
14. E-Health
National
telemedicine services
The
National Telemedicine Service "eSanjeevani" is a digital health
initiative of the Ministry supports two types of teleconsultation
services-Doctor-to-Doctor (eSanjeevani) and Patient-to-Doctor (eSanjeevani OPD)
Tele-consultations. eSanjeevani was rolled out in November 2019 as an important
component of the Ayushman Bharat Health and Wellness Centre (AB-HWCs)
programme. It aims to implement tele-consultation in all the 1.5 lakh Health
and Wellness Centres in a 'Hub and Spoke' model, by December 2022. NHM in
States identify and set up dedicated 'Hubs' in
On the
13th April 2020, the MoHFW rolled out 'eSanjeevaniOPD' - the patient to doctor
tele-consultation service owing to the COVID-19 pandemic during the lockdown
when OPDs in the country were shut down.
eSanjeevani has
completed 8 lakh consultations on 20 November 2020. Over 11,000 patients are
seeking health services on a daily basis in 27 States/UTs. The top ten States
which have registered highest consultations through eSanjeevani and
eSanjeevaniOPD platforms are Tamil Nadu (259904), Uttar Pradesh (219715),
Kerala (58000), Himachal Pradesh (46647), Madhya Pradesh (43045), Gujarat
(41765), Andhra Pradesh (35217), Uttarakhand (26819), Karnataka (23008),
National Digital Health
The NDHM is envisaged to be implemented in phase
wise manner.
·
Phase 1 to cover 6 UTs on pilot basis.
·
Phase 2 will cover additional States with expansion of the services.
·
Phase 3 will target nation-wide roll-out, operationalizing and converging
with all health schemes across
Currently,
the NDHM is being implemented in 6
National Medical College Network (NMCN) is
being established with the purpose of e-Education and e-Healthcare delivery,
wherein 50 Government Medical Colleges are being interconnected, riding over
NKN (National Knowledge Network — high speed bandwidth connectivity). National
Resource Centre (NRC) with required centralized infrastructure and 7 Regional
Resource Centres (RRCs) have been established as below:
• NRC cum Central RRC -SGPGIMS,
15. National Centre
for Disease Control (NCDC)
National Centre for Disease Control (NCDC) is
the key premier institute of the country and is mandated for surveillance,
response, epidemiological investigation with its ten divisions (headquarters
in Delhi) and has 8 branches (located at Alwar (Rajasthan), Bengaluru
(Karnataka), Kozhikode (Kerala), Coonoor (Tamil Nadu), Jagdalpur
(Chhattisgarh), Patna (Bihar), Rajahmundry (Andhra Pradesh) and Varanasi (Uttar
Pradesh).
The
technical Centres/Divisions at the headquarters:
1.
Integrated Disease Surveillance Programme (IDSP)
2.
Division of Epidemiology
3.
Division of Microbiology (including Centre for AIDS & related
Diseases and Biotechnology)
4.
National Program for Surveillance of Viral
Hepatitis
5.
Division of Parasitic Diseases
6.
Centre for Medical Entomology and Vector
Management,
7.
Division of Zoonosis
8.
Division of Zoonotic Disease Programme,
9.
Division of Malariology & Coordination
(M&C),
10.
Centre for Environmental & Occupational
Health, Climate Change & Health
11.
Centre for Non Communicable Diseases
During 2020 NCDC has been at the centre
of surveillance and response for Covid-19 pandemic since January. As the
pandemic gradually spread from one district to over 700 districts in various
states, nearly all the divisions and officers were involved. NCDC Public health
specialists assisted Key surveillance and response activities.
Microbiologists and Biotechnologists supported the testing and genomic
sequencing by NCDC.
1.
In the initial phase:
a.
IDSP Program supported the surveillance of
International traveler (who had history of exposure/travel to COVID affected
Countries) in coordination with PH(IH) division.
b.
All the suspects were kept under quarantine.
c.
Testing of samples from all the suspects and
contacts was done in 3 labs. Initially samples from nearly all the states in
northern and central region.
d.
NCDC Coordinated with Defence and para-military
forces in managing quarantine of returnees from
e.
Around 39 lakhs persons were kept under
community surveillance (14 days home quarantine and 14 days self-health
monitoring)
f.
Over 1crore contact were traced and samples were
tested in the community.
g.
ILI & SARI Surveillance cases were detected
by active house to house searches by field teams in non-affected areas to detect
hidden transmission
h.
Epidemiological investigation into
super-spreader events. Important events were:
i.
Italian tourist group related suspects in 7
districts of Rajasthan
j.
Famous artist related contacts in
k.
TabligeeJamat related spread into 18 States
l.
Vegetable market spread in Chennai and 8 other
districts.
2.
Preparation of guidelines for contact tracing,
quarantine in home & health facilities, surveillance in containment zones,
house to house case search, Trainings at land border crossing, District control
room, Dead body management, Disinfection of health facilities and quarantine
centres.
3.
Laboratory testing capacity was significantly
enhanced by new COBAS-6800, automated RNA extractors and Next Generation
Sequencer for Genome sequencing.
4.
Central teams were deployed to various States
for cluster containment. Important once are:-
5.
Central teams deployed to bordering districts of
6.
Central teams for periodic review of
surveillance and containment measures in high case load districts.
7.
Strategic Health Operation Centre (SHOC), NCDC
managed by IDSP has been activated for coordinating surveillance &
monitoring of CoVID-19 response activities from 8th February’ 2020 and is actively monitoring the
situation.
8.
Sero-surveillance in
9.
Online trainings for competency building for use
of IT tools like Arogya Setu and ITIHAAS in States of Delhi, Punjab, Srinagar,
Maharashtra, etc.
10. Coordinated
regular data uploading on IT portal for regular situation assessment and
planning effective containment strategies.
11. IEC:
technical review of IEC material for community awareness. Preparing IEC
material and various guidelines to help the States in various phases of the
pandemic
12. Trained
more than 500 participants from various institutes and organizations, viz. BSF,
ITBP, INMAS, DRDO, ICMR, MAMC, LHMC, Delhi Government, Supreme Court of India,
National Human Rights Commission, etc. on COVID-19 Diagnosis and Management
including RT-PCR testing, rapid card testing, BMW management, Sample collection
& transport, PPE donning & doffing, Maintaining hand & respiratory
hygiene, etc.
NCDC’s
mandate is to strengthen public health capacity and infrastructure at State
level and enable NCDC expertise to effectively cover the entire country. A
proposal (concept note) on strengthening of Surveillance and lab testing
capacity was developed and submitted under PM-ASBY. Main components were
Regional NCDC, Metropolitan surveillance units, SHOC, AMR, Bio-security, One
Health, Zoonotic lab capacity etc.
NCDC is the Nodal division for National AMR
containment programme. National Guidelines on Infection Prevention and Control
developed for Healthcare facilities. Annual AMR surveillance data to Global AMR
Surveillance System (GLASS) in time. Further,
annual Tripartite AMR country self-assessment survey (TrACSS) and Virtual
trainings on ECHO platform done for the 29 state medical colleges in 24 states
for standardisation of laboratory techniques. IEC, Media material for awareness developed. National
reference laboratory conducted EQAS for network labs and carried out
confirmation and characterisation of emerging AMR strains submitted by network
sites.
Centre For Arboviral And
Zoonotic Diseases: COVID-19 testing by RT-PCR and Referral
sample testing for zoonotic pathogens and hands-on Workshop on Diagnostic Rickettsiology for
Microbiologists and Laboratory Staff of institutions from Delhi NCR. Five
scientific publications in the year.
IDSP
covers all states and UTs with the objective to strengthen/maintain decentralized
laboratory based IT enabled disease surveillance system for epidemic prone
diseases and to monitor disease trends to detect and respond to outbreaks in
early rising phase through trained Rapid Response Team (RRTs). This year, IDSP
is also coordinating overall surveillance activities in India regarding CoVID –
19 pandemic.A total of 474 outbreaks of epidemic prone diseases like Kyasanur
Forest Disease, Crimean-Congo Haemorrhagic Fever, Seasonal Influenza A (H1N1),
Anthrax, Leptospirosis, Scrub Typhus etc., outbreaks were successfully
detected, epidemiology division assisted the epidemiological investigation and
containment by the State/ District units. A near real time, web enabled
electronic health information system called Integrated Health Information
Platform (IHIP) was launched in 7 States namely Andhra Pradesh, Himachal
Pradesh, Karnataka, Odisha, Uttar Pradesh, Kerala and Karnataka. Till date,
IHIP has been formally launched in 9 States.
Department
of Parasitic Diseases (DPD):Soil Transmitted Helminths (STH) prevalence assessment
re-surveys conducted in Odisha (6 districts) and Andhra Pradesh (6 Districts).
Assisted field data of STH survey collection and prevalence in Kerala,
Meghalaya,
8 NCDC branches were also involved
in support
to state governments in COVID-19 screening and contact tracing of international
passengers in
Upgradation
of NCDC branches: The NCDC Branch will provide State of
Status
of establishing New NCDC branches: in 13 states land has been identified and made available
by the states and MoU has been signed. Jharkhand-. Building construction
work of NCDC branch is near completion.
Biotechnology
Division: The division provides molecular
diagnostic services, molecular epidemiology, specialized training and applied
researchonvarious important epidemic-prone diseases of public health. The
Division procured and installed the COBAS 6800 fully Automated Diagnostic
Machine for COVID-19 and carried out testing of approx. 175000 samples during
the past 7 months.
Whole
Genome Sequencing: Standardized whole genome sequencing of SARS-CoV-2. In addition
Whole Genome Sequencing of 352 COVID-19 positive samples were carried and
submitted to the GISAID in collaboration with IGIB. Phylogenetic analysis
revealed local transmission and persistence of genomes A4, A2a and A3. The most
prevalent genomes with patterns of variance (confined in a cluster) remain
unclassified, and are here proposed as A4-clade based on its divergence within
the A cluster (Fig.1).
Fig. 1. Phylogenetic analysis of
SARS-CoV-2 genomes sequenced by NCDC-IGIB
Nucleotide sequencing was carried out for
identification and differentiation of various viral genotypes and serotypes of
dengue, hepatitis and microbial samples. Biotechnology division was able to
identify annual changes in dominant serotype of dengue virus in
Applied
Research: Detection
of other respiratory pathogens using nested multiplex PCR in samples received
for Covid 19 diagnosis: A total of 600Covid19 negative samples
and 400 COVID-19 positive samples were tested for the presence of other
respiratory pathogens by nested multiplex PCR technique. Gene sequencing for
the positive samples is currently underway.
National Program For
Surveillance Of Viral Hepatitis: The National Program for Surveillance of
Viral Hepatitis under the aegis of National Centre for Disease Control, DGHS is
a central sector scheme with a budget outlay of Rs 38.34 crores. The program
has got extension for one year till 31st March 2021. The
program has expanded to all fifteen regional laboratories for carrying out
surveillance of acute viral hepatitis. The guidelines, Procurement of testing
kits and equipment for initiation ofsurveillance of acute viral hepatitis from 1st week of Jan 2021 completed. The viral hepatitis markers for
Anti HAV IgM, Anti HEV IgM, HBsAg, Anti HBc, HBeAg, Anti HCV tested.
Centre
For Environmental Occupational Health And Climate Change & Health Division
(Ceoh-Cch)- conducts
of activities and undertakes coordination with other sectors including
non-health to address the health related issues pertaining to climate and
environmental factors. After introduction of “
Applied Research: Detection of other respiratory pathogens
using nested multiplex PCR in samples received for Covid 19 diagnosis (in 600Covid19
negative and 400 Covid 19 positive samples) for the presence of other
respiratory pathogens by nested multiplex PCR technique. These pathogens are
divided into 5 groups and their corresponding primers were used for
amplification of that particular target pathogen/ group. A total of 55 PCR products of Dengue
Virus, which were received from Zoonosis division for Nucleotide Sequencing
during 2015 to 2020 were resolved using Bioinformatics tools to find out the
serotype. The bioinformatics analysis revealed that the sequences belonged to
serotype DENV1, DENV2, DENV3 and DENV4. During 2019-20 DENV1, DENV3 & DENV4
have been detected.
16.
National Viral Hepatitis Control
Program (NVHCP)
National Viral Hepatitis Control Program
under the National Health Mission in alignment with SDG 3.3 aims to target the
management of 5 crore people possibly harbouring the infection. Under the
program, free diagnostics and drugs are being made available to all in need,
not only for treatment of hepatitis C, but also for life-long management of
hepatitis B. The key strategies adopted under the program include preventive,
promotive and curative interventions with the focus on awareness generation,
increasing access, promoting diagnosis and providing treatment for viral
hepatitis.
Achievements (Till September 2020):
§
No of serological tests done for diagnosis of
viral hepatitis C – 11,99,524
§
No of new patients initiated on treatment of
hepatitis C – 49,590
§
No. of new patients completed treatment of HCV
(End of treatment) – 12,086
§
No of serological tests done for diagnosis of
viral hepatitis B – 21,11,238
§
Establishment of 456 Treatment sites for
management of viral hepatitis across 362 districts
Amidst COVID 19 pandemic, Viral hepatitis
services were included in non-COVID essential health care services and
guidelines for multi month dispensation were issued to ensure uninterrupted
supply of drugs for management of viral hepatitis. Coordination among the
states was ensured for uninterrupted treatment. During lockdown period a
good inter-state coordination was observed to address the needs of all
patients. Electronic communications played a pivotal role to enable prompt
response to the key concerns for all in real time. During lockdown the tracking
of patients was attempted by the states through various modes of communication
like WhatsApp, SMS by State Nodal Officers and facilitated by the Program
Division. Door step delivery of drugs in various states was done leveraging on
other health schemes. Movement passes were issued to avail treatment services
with the help of District Administration in some states like
With ongoing COVID 19 pandemic, all
states /UTs are being supported virtually to build capacities at all levels of
healthcare facilities such that there is access to diagnosis and management
till health and wellness centres in a phased manner.
In order to strengthen the NVHCP-
Management Information System under M&E framework, a web portal for
Hepatitis B has been launched on 28th July 2020 on the occasion of World
Hepatitis Day.
17. Central Government Health Services (CGHS)
CGHS is providing healthcare facilities
to 12.92 Lakh primary Card holders ( and 37.71 Lakh- total beneficiaries)
through a network of 331 Allopathic Wellness Centres and 88 Ayush Centres
located in 74 Cities across
17.1 Opening of New
Allopathic Wellness Centers
Opening
of New Allopathic Wellness Centers during the year at
·
Kannur
·
17.2 Other
Achievements:
1.
CGHS Medical Officers and Staff have been part
of the fight against COVID-19 Infection — performing duties at Air-ports and
Quarantine Centres.
2.
Special Provisions to CGHS beneficiaries in view
of the COVID-19 Infection:
•
Option to purchase OPD Medicines for Chronic illnesses till 31st December 2020
and claim reimbursement
•
Temporary extension of validity of Card in case of pensioner CGHS beneficiaries
availing card on annual basis and expiring on 31St March onwards
•
Temporary provision of CGHS facilities till 31st July 2020 for Central
Government employees superannuating from 31st March 2020 onwards
•
Directions to open separate 'Fever Clinic' at Wellness Centres for screening
beneficiaries for Fever and other suggestive symptoms and referral to Nodal
Centres
•
Directions to CGHS Wellness Centres to provide assistance to COVID 19 +ve CGHS
beneficiaries under Home Quarantine and permission to such CGHS beneficiaries
to purchase one Pulse Oxymeter (@ Rs1200/-) per family
•
Tele- consultation facility with Govt. Specialists through
e-Sanjeevani
•
Online payment of subscription through `Bharatkosh'
17.3 Settlement of
Hospital Bills:
Special
Attention to settlement of Hospital Bills to ensure availability of Liquidity
with private hospitals empanelled under CGHS so that they extended facilities
to CGHS beneficiaries , particularly pensioners.
Hospitals bills of about Rs.952 Cr are
cleared during current financial year till date.
18. Drug Regulation
·
Doorstep delivery of drugs to consumers under
Section 26B of the Drugs and Cosmetics Act, 1940, published vide G.S.R. 220(E)
dated 26.03.2020, applicable only for retail chemists having retail sale
license in Form-20 or Form-21 under the Drugs and Cosmetics Rules, 1945 vide
gazette notification GSR No. 220(E) dated 26.03.2020
·
National Institute of Biologicals, Noida has
been notified for testing of COVID-19 vaccines in addition to the existing
Central Drugs Laboratory, Kasauli for temporary period (12 months) under
Section 26B of the Drugs and Cosmetics Act, 1940 in the wake of COVID-19
pandemic vide gazette notification No. SO 4206 (E) dated 24.11.2020
·
Cosmetics Rules, 2018 has been published
vide gazette notification GSR No. 763(E) dated 15.12.2020.
19. Dental Education
19.1 Increase in MDS seats:
Permission
for increase of 461 additional MDS seats was granted for academic session
2020-21 taking the total number of MDS seats in the country to 6,689.
19.2 Increase in BDS seats:
Permission
for increase of 575 additional BDS seats was granted for academic session
2020-21 taking the total number of BDS seats in the country to 27,595. Two new
Dental Colleges were also established in the current academic session taking
the count of number of Dental Colleges in the country to 315.
*******
MV/SJ
(Release ID: 1684546) Visitor Counter : 322
Ministry of Health
and Family Welfare
20 persons found with the new
mutant variant of SARS- CoV-2 virus reported from UK
Daily Recoveries outnumbering
daily New Cases successively since last 33 days further push down the Active
Caseload
India's Cases per million and Deaths per million population one of the lowest
in the world
Posted On: 30 DEC
2020 11:08AM by PIB
Total of 20 persons have been found with the mutant variant of SARS- CoV-2 virus reported
from
Government of
Daily recoveries have outnumbered the daily new
cases since last 33 days
successively. In the last 24 hours, 20,549 persons
were found to be COVID positive in the country. During the same period, 26,572 new recoveries were
registered ensuring drop in the Active Caseload.
When compared globally,
78.44% of the new recovered cases are observed to be
concentrated in 10 States/UTs.
79.24% of the new
cases are from 10
States and UTs.
Kerala reported the highest daily new cases at 5,887. It
is followed by
286case fatalities have been reported in the past 24 hours.
Ten States/UTs account for 79.37% of
the new deaths.
Focussed measures including aggressive and targeted
testing, early identification of the positive cases, timely isolation & prompt
hospitalization of the severe cases (and supervised home isolation of the mild
cases) & Standard Treatment Protocol have collectively ensured that the
daily fatalities are under 300.
Daily deaths in
****
MV/SJ
HFW/COVID States data/30th December2020/1
(Release ID: 1684544) Visitor Counter : 339
Ministry of Health
and Family Welfare
Health Ministry recommends
extension of temporary suspension of international flights from the UK to India
Health Secretary writes to
all States to keep strict vigil to curb “super spreader” events in the wake of
New Year celebrations
Posted On: 30 DEC
2020 11:39AM by PIB
The Health Ministry has recommended to the Ministry of
Civil Aviation the extension of the temporary suspension of flights originating
from UK into India to be further extended till
7th January (Thursday), 2021.
This has been recommended based on the inputs received
from the Joint Monitoring Group (JMG) headed by the Director General of Health
Services (DGHS) and the National Task Force jointly headed by DG, ICMR and
Member (Health), NITI Aayog.
It has also been suggested to Ministry of Civil Aviation
that after 7th January
2021, strictly regulated resumption of limited number of flights originating
from
The Union Health Secretary has written to all the States
to keep a strict vigil on all events that could be potential "super
spreader" events, and to curb crowding in the wake of the New Year celebrations
and various events associated with it as well as on-going winter season.
The recent advice and guidance to the States by Home
Ministry has been reiterated by the Health Ministry. Ministry of Home Affairs
has mandated that States/UTs based on their assessment of the situation, may
impose local restrictions with a view to contain the spread of Covid 19, such
as night curfew. The Home Ministry has also stipulated that there shall be no
restriction on interstate and intra-state movement of persons and goods.
Drawing attention to this, the Health Secretary has urged the States to
promptly assess the local situation and consider imposition of appropriate
restrictions on 30th and 31 December, 2020 as well as on 1st January, 2021.
*****
MV/SJ
HFW/COVID Letter to States/30th December2020/2
(Release ID: 1684551) Visitor Counter : 311
Ministry of Health
and Family Welfare
Dr. Harsh Vardhan reviews status of
Kala Azar in Four States of Uttar Pradesh, Bihar, Jharkhand and West Bengal
“One Final Push required to
eliminate Kala-Azar from India
Posted On: 30 DEC
2020 5:46PM by PIB
Dr. Harsh Vardhan, Union Minister of
Health and Family Welfare today chaired an event to review the status of the
disease Kala-Azar in the four states of Uttar Pradesh, Bihar, Jharkhand and
Shri Mangal Pandey, Minister of Health,
Bihar, Ms. Chandrima Bhattacharya, Minister of State for Health and Family
Welfare, West Bengal, Shri Jai Pratap Singh, Minister of Medical and Health,
Family Welfare, Mother and Child Welfare, Uttar Pradesh and Shri Banna Gupta,
Health, Medical Education & Family Welfare, Jharkhand were also present in
the event.
The Union Health Minister started by
reminding the audience that the Government of India is strongly committed to
the elimination of Kala Azar. He stated “Kala Azar is the 2nd largest
parasitic killer in the world after Malaria and results in a 95% fatality rate
if the patients are not treated. Additionally, up to 20% of the patients who
are correctly treated and cured, develop a skin condition called Post-Kala-Azar
Dermal Leishmaniasis (PKDL) which surfaces within months to years after
treatment. These patients can contain large amounts of parasites in their skin
lesions, making them an important source of transmission.” He was apprised that
there are 54 districts in four states namely Bihar, Jharkhand, Uttar Pradesh,
and West Bengal that are currently affected by Kala-azar with sporadic cases in
other states like
Speaking on the gains made in elimination
of Kala Azar, he noted:
·
As of 30th November 2020, only 12 blocks in
Jharkhand and 4 blocks in
·
Bihar which has traditionally had a large burden
of Kala-azar has achieved elimination target in almost all except 4 blocks
located in districts of Siwan and Saran (out of 458 blocks).
·
Jharkhand too has made significant progress both
in reduction of Kala-azar and PKDL cases, as well as in number of blocks
reporting more than 1 case per 10,000 population.
·
Uttar
Pradesh and
Appealing to all the District Magistrates
and their officers at the district and block/level that are still reporting
more than 1 case per 10,000 populationto take some time out of their
schedule for a regular review of Kala-azar and to help the district teams in
overcoming the issues coming in the way of elimination target, Dr. Harsh
Vardhan said, “A risk based stratified approach needs to be formulated with clear
activities and responsibilities that come with measurable monitoring
indicators.Kala Azar disproportionately impacts the people at lower
socio-economic strata of societywhose houses are not sprayed often. In
addition, they are unable to apply for pucca houses since they don’t own land.”
In this respect, he underlined the
importance of the following activities to target the elimination of the disease:
·
·
Development of a plan for the “unreached
poorest” or underprivileged sections in endemic areas.
·
Leveraging ofKala-azar elimination programme
within POSHAN Abhiyaan for maximum benefit at community level.
·
Exploration of the opportunity of providing
improved housing under the flagship program of the Prime Minister Awas
Yojana-Gramin (PMAY-G). (The Minister added that Jharkhand has made good
progress on this front).
·
Exploration of the opportunity of providing
improved housing under State Schemes, as has been done by Jharkhand under Birsa
Munda Awas Yojana and Bhimrao Ambedkar Awas Yojana.
·
Involvement of Rural Health Practitioners (RHPs)
who are often used as the first point-of-care in referral, surveillance, and
IEC.
·
Co-ordination with the rural development
department and engage with Panchayati Raj functionaries for awareness,
community engagement, environment management and social empowerment.
·
Focusing on
IEC messages on prolonged fever, associated symptoms and free access to
diagnosis and treatment, proper use of ITN/LLINs, and compensations/incentives.
·
Dr.
Harsh Vardhan explored possible solutions in this regard like sensitization of
the population, proper training of human resource, quick completion of Prime
Minister’s dream of ‘Housing for All’ by 2022, strengthening adverse drug
reaction reporting system, both for Kala-azar and PKDL with special focus on
PKDL cases with eye complications, institutional management of Kala Azar/HIV
cases at the district level,etc.
Dr. Roderico Orfin, WHO representative to
Ms. Rekha Shukla, Jt. Secretary (NVBDCP)
and other senior officials of the Health Ministry were present. Senior
government officials serving the various States and UTs joined digitally.
****
MV/SJ
(Release ID: 1684701) Visitor Counter : 224
Ministry of Health
and Family Welfare
Subject Expert Committee (SEC)
meets to consider the EUA request from Pfizer, SII and Bharat Biotech
To reconvene on 1st Jan 2021
Posted On: 30 DEC
2020 8:02PM by PIB
The Subject Expert Committee (SEC) in the
Central Drugs Standard Control Organisation (CDSCO) met today in the afternoon
to consider the Emergency Use Authorisation (EUA) request of Pfizer, Serum
Institute of India (SII) and Bharat Biotech Pvt. Ltd.
Further time was requested on behalf of
Pfizer. The additional data and information presented by SII and Bharat Biotech
Pvt. Ltd. was perused and analysed by the SEC.
The analysis of the additional data and
information is going on. SEC will convene again on 1st January 2021 (Friday).
***
MV
(Release ID: 1684821) Visitor Counter : 215
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