Health Department is committed to provide equitable, affordable and quality health services under the able leadership and guidance of Honble Chief Minister of Jammu and Kashmir Mr. Omar Abdullah & Honble Minister of Health, Floriculture & Horticulture Mr. Sham Lal Sharma Table of Contents 1. Messages......... 02 2. Initiatives by Mr. Ghulam Nabi Azad 04 3. Vision document of Directorate of Health Services, Kashmir .... 06 4. Photo Gallery of different events.. 08 5. Various health activities reported by DCMO... .. 12 6. Activities at various districts 13 7. Activities in division of Epidemiology and Public Health & IDSP ................... 14 8. Complicated surgeries performed at various districts.. 16 9. Innovations by K-RICH.. 18 10. Activities conducted under various National Program . 21 11. Environmental Issue..................... 31 12. IEC activity.. 32 13. Mysterious outbreak of 2011.. 34 14. Activity with NCD.. 35 15. Future Programme... 35 16. Books Published. 36
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Newsletter from DHS , Kashmir Vol 1 (1) Message From Mr. Sham Lal Sharma Our Hon'ble Minister of Health, Floriculture & Horticulture
It gives me immense pleasure to know that Director health services, Kashmir is publishing their first ever half yearly news letter Kashmir Healthline.
It is said that health is wealth however physical health is not the only indicator for the progress of any society . we should strive towards holistic health that is physical, mental and spiritual. This is because only material progress is not the true indicator. We should understand that there is no limit to the greeds, rather we should focus on our needs and commit ourselves for the welfare of the people. Director health services have taken various initiatives in strengthening of health care delivery system. I strongly believe that publication of our data /activities will make us more accountable, transparent and also encourage doctors who perform well in the system.
Message from Mr. G A Peer Commissioner Secretary Health and Medical Education
I am delighted to know that Directorate of Health Service, Kashmir has taken a unique initiative to publish their scientific newsletter Kashmir Healthline
Publications serve as platform for the doctors/scientists to propagate their ideas and narrate their experiences in their fields which ultimately benefit the society.
The director health services Kashmir and his team deserves kudos for bringing out this publication.
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Newsletter from DHS , Kashmir Vol 1 (1) Message from Mr. Javed Ahmed Dar Minister of State Health & Medical Education, Floriculture, Horticulture, R&B, Mechanical Engineering & Agriculture
I am very glad to learn that Directorate of Health Services, Kashmir is publishing its first ever newsletter Kashmir Healthline. A newsletter is the reflection of the status of the institution in general and creativity of each and every staff member in particular. If the creative Horizon of the newsletter is able to module the society, it will be a great service to humanity.
I am very impressed by the activity carried out by Directorate of Health Services, Kashmir and appreciate the gesture. I congratulate everyone associated with publication of this newsletter and I wish the publication a grand success
Message from the Directors Desk Dr Saleem -ur- Rehman Directorate of Health Services, Kashmir
It gives me great pleasure to introduce this first ever Newsletter published by the Directorate of Health Services, Kashmir.
The country has initiated rural health mission to provide free and fair health care to all citizens of this country. My Endeavour is to inculcate value and ethics in the system, provide equitable services in rural as well as urban areas and ensure quality services both in public and private sectors. I request all to imbibe the qualities enshrined in the Hippocratic Oath and develop a sense of belonging in the department so that we work together as a team that allows individual growth within a responsive, efficient and patient-friendly healthcare system. I am thankful to all who have worked hard to achieve the goals of our department. I feel great satisfaction at the launch of the newsletter which depicts the departmental activities under various National Programmes for the year 2011.
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Newsletter from DHS , Kashmir Vol 1 (1) Path breaking initiatives by Mr. Ghulam Nabi Azad Our Hon'ble Union Minister of Health and Family Welfare Government of India
Rural MBBS to be started with relaxation of time period of course as three years. Initiating the process of Notification of cancer patients. Initiating steps to introduce laws to prevent discrimination against HIV/AIDS patients. Support for construction of Super Specialty hospitals in J&K and elsewhere in the country 3625 MBBS Seats, 7470 PG seats and 25 new medical colleges were established. Rationalization and relaxation of norms for setting up of medical colleges in rural, under served and remote areas. 50% seats in PG diploma courses reserved for government medical officers who have served in rural areas for 3 years. Teacher Student ratio relaxed to 1:2 for PG courses. DNB qualification has been recognized for appointment as faculty. 53 new ANM and 45 GNM schools to be opened across the country. The vision of six AIIMS like institutions is now closer to reality. Under NPCB, 10480407 cataract operations were performed of which 98% were with IOL. Under NPMH, an intensive national mass media campaign was launched to generate awareness regarding mental health problems and stigma reduction. Up gradation and modernization of departments of Psychiatry in medical colleges and strengthen the capacity at district level for mental health services. In July 2010, an integrated scheme was approved for implementation o in 100 districts at the cost of 1230 crores for the newly launched National Programme for Prevention & Control of Cancer, Diabetes, CVD, and Stroke, (NPCDCS) and National Programme for Health care of Elderly (NPHCE) Opportunistic screening for diabetes and high blood pressure will be provided to all persons above 30 years, including
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Newsletter from DHS , Kashmir Vol 1 (1) pregnant women of all age groups at 20,000 sub centers. Under this ambitious programme, a Cardiac Care unit, NCD clinic, Geriatric clinic, Geriatric ward, Physiotherapy and District Cancer Facility will be available at District level. 65 centers will be strengthened as tertiary Cancer Centers at the cost of 6 crore each. Setting up of Regional Geriatric Centers. Under NRHM 2243 more FRUs were made functional 24x7. 6500 new facilities were upgraded under NRHM. Tracking of Mother and Child started. Free drugs, consumables, diagnostics, diet and transport to be provided to mothers/children under JSSK
Bivalent OPV introduced which has shown remarkable results. Hep B vaccine expanded to whole country Second dose of measles vaccine introduced across the country. Pentavalent Combination Vaccine introduced in two states on a pilot basis. Maternal Death Review introduced in 2010. The number of Public Health Labs testing for communicable disease increased from 2 to 44. Universal access to second line ART. Launch of National Early Infant Diagnosis Programme for early detection of HIV in infants. Setting up of four Metro Blood banks as Centers of Excellence in Transfusion Medicine.
Union Minister Addressing WHA (World Health Assembly) at Geneva Bilateral talks between Union Minister and US Secretary Health at Washington DC
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Newsletter from DHS , Kashmir Vol 1 (1) Initiatives of Director Health Services under the guidance and leadership of Honable Minister of Health, Fl oriculture & Horticulture Mr. Sham Lal Sharma The Directorate of Health Services, Kashmir has set for itself aims and goals which have been discussed in the Vision Document. The initiatives that the Directorate has taken in the recent past and is in the process of implementing are discussed in this note. These are briefly mentioned here: Need-based and output-based deployment of scarce health department manpower. A sustained and continuous supervision of the work done output reporting at all levels of health administration. A self monitoring and self correcting system working on modern managerial principles. Prioritizing and implementing institutional audits, (medical, social needs) New hospital designs for District Hospitals at Bandipora, Kargil, Kulgam and other smaller institutions, have taken into account the lacunae in earlier designs and have been designed to have minimum land coverage. Planning for a modern office structure for the offices of the Directorate of Health, Kashmir, Directorate of Indian System of medicine, NRHM Divisional Offices in a single structure to be located at Bemina. The land for this construction has been reclaimed from encroachers by the Directorate. A modern and scientifically designed Drug Warehouse complex at the same site at Bemina. A Simulation laboratory to be established at RIHFW Dhobiwan, where modern and proven technologies will be put in place to impart and augment the skills of the health manpower. Trained manpower for the purpose of Hospital Designing and aim for the establishment of a Hospital Construction and Hospital Maintenance Division. Pre-hospital care: The government is already in the process of launching Emergency Ambulance Service (108) and Health Helpline service (104). A program has been concluded in collaboration with the International Committee of the Red Cross and Red Crescent Societies (ICRC), to train Trainer of Trainers in Basic Life Support and Stabilization techniques. Further trainings for Advanced Trauma Life Support and Advanced Cardiac Life
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Newsletter from DHS , Kashmir Vol 1 (1) Support are being planned and will be done at the earliest. Strengthening of all first referral hospitals, with Baramulla and Anantnag being the priority, so as to make them capable of handling casualties and medical emergencies in a scientific and a protocol defined manner. Keeping in view the difficult terrain of the state and for timely response to emergencies particularly the far off and difficult to access areas, the Directorate is also conducting feasibility, and cost- effectiveness studies for having a heli - ambulance service. A high speed river ambulance service between the major district hospitals and some of the tertiary hospitals of the city is envisaged.
Anuradha Gupta Joint Secretary MOHFW, GOI, Director Health Services Kashmir and Mission Director Dr Yash Pal in conversion Efforts will be made to address the issues of the workforce at all stages be it manpower planning, manpower deployment, trainings, skill up-gradation, working atmospheres, supportive supervision, continuous job appraisals, and grievance redressal. Exploring feasibility of DNB courses in the major institutions of DHSK. Use of Information and Communication Technologies will be initiated. Stress will be placed on tele-medicine in particular tele- cardiology and tele-radiology. Hospital based ambulances will be fitted with Remote tracking Devices. PPP models in high technology and capital intensive projects with the aim of local capacity building and manpower training are in the process of being implemented.
Minister of Health, Floriculture & Horticulture, Director Health Services Kashmir and Director Indian System of Medicine (ISM) in NRHM Samelan
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Newsletter from DHS , Kashmir Vol 1 (1)
DHO (District Health Officer, Srinagar ) Addressing the Audience on WHD
WHD : World Health Day was celebrated at all District Head Quarters and main function was celebrated at Iqbal Memorial Institute Bemina , Srinagar with support from Chief Medical Officer Srinagar where Seminar was organized on 7 th April on this years theme Antimicrobial resistance (Antibiotic Resistance ): no action today, no cure tomorrow
Awareness was given to students /public regarding the irrational use of Antibiotics and wide publicity of the event was given in print and electronic media. Key messages given to students and public were: 1. Never Do self medications especially in the use of Antibiotics 2. Consult a health care professional before taking Antibiotics 3. Always take a full course of antibiotics once prescribed by a doctor as under use or over use both leads to development of Drug Resistance. 4. General public needs to understand that antibiotics are only effective against bacterial infections. They are of no use against viral infections such as influenza and the common cold. 5. Antibiotics should not be available without a proper prescription from a health care professional.
Faculty from Division of Epidemiology and PH speaking on occasion of WHD
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Newsletter from DHS , Kashmir Vol 1 (1)
Director Health Services , Kashmir Dr Saleem ur- Rehman interacting With participants (ISM Doctors) on IDSP training Honable Health Minister Mr Sham Lal Sharma in conversation with Director Health Services, Kashmir also seen are Mission Director NRHM and Director ISM Participants of ASHA Module 6/7 at Regional Institute of Health and Family Welfare Participants interacting with each other in a Training at RIHFW , Dhobiwan A Fully equipped SNCU established in SNM Hospital Leh under NRHM. Director Health Services Kashmir inspecting the SNCU
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Newsletter from DHS , Kashmir Vol 1 (1)
Director Health Services with Head of the Mission from ICRC Mr. Daniel Demonstration Skills
Demonstration of Life saving Techniques during training on Basic Life Saving and Stabilization Techniques in Collaboration with ICRC and K- RICH at Regional Institute of Health and FW, Dhobiwan,
Dr. Eric from ICRC Geneva observing the demonstration of Survival Techniques by Participants
Department of Health, Kashmir, has initiated training of Doctors/Paramedics on BLS/ALS through ICRC (International Committee for Red Cross )
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Newsletter from DHS , Kashmir Vol 1 (1)
A glimpse of RCH Camp at Hanu, Leh A rally of students on the occasion of No Tobacco week in Leh
Sh. Sham Lal Sharma Hon'ble Health Minister Sh. Sham Lal Sharma Hon'ble Health Minister and inaugurating the Solarised Labour room at CHC Director Health Services ,Kashmir on their visit to Skurbuchan (Khaltsi) constructed under NRHM. Kargil District 20111
Union Hon'ble Health Minister Mr. Ghulam Nabi Azad , Director Health Services Kashmir (Dr Saleem ur- speaking to Media at Review meeting of NCD Rehman , Director Health Services Jammu Non Communicable Diseases ) at Vigyan Bhawan , (Dr Madhu Khullar ) and Mission Director NRHM New Delhi November,2011 Dr. Yash Pal Sharma in a Review Meeting
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Newsletter from DHS , Kashmir Vol 1 (1)
Name of Training/ Activity Participants /Purpose Venue Skilled Birth Attendants Trg FMPHW/Nurses JLNM Hospital Intra Uterine Device (IUD) Trg. FMPHW/Sr. Nurses JLNM Hospital Lapro ligation Camps Hazrat Bal ( 104 Beneficiaries ) Sanat Nagar ( 75 Beneficiaries ) JLNM Hospital ( 15 Beneficiaries ) Biomedical Waste Pits Disposal of Vaccine Waste ( Needles and Used vials )
Constructed at various Health Facilities (AD Batmaloo, JLNM Hospital, Gousia Hospital,CHC Harwan, PHC Khonmoh, Natipora,Zakura,Hazrat Bal) MTCT trg MOs/LHVs/FMPHW RFPTC , Barzulla, Srinagar
Time Attendance Machine at CHC Kupwara Dr Madhu Khullar taking over as Director Jammu Division Various Health Activities reported by Dy. Chief Medical Officer, Srinagar during the Year 2011
Pulse Polio Immunization Director Health Services Inaugurating the Day Trainees Learning the Skills in SBA training at JLNM Hospital
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Newsletter from DHS , Kashmir Vol 1 (1) Activities at Various Districts
Global iodine Deficiency Disorder Prevention day on 21st october, 2011
World No Tobacco Day observed on 31 st May, 2011 in District Budgam
Participants at Seminar Honable Health minister, Honable MOS health, Commissioner Secretary Health and Medical Education and Director Health services in a review meeting
Basic Life Support (BLS) Session in Progress ICRC Trainer interacting with participants
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Newsletter from DHS , Kashmir Vol 1 (1) Activities in Division of Epidemiology and Public Health & Integrated Disease Surveillance Project (IDSP) Directorate of Health Services Kashmir
Surveillance Units 1. As per PIP Kashmir Division has 15 surveillance units. 2. One Divisional Surveillance Unit housed at RFPTC Barzulla, Srinagar. 3. 12 District Surveillance Units in 12 districts ( Baramulla, Srinagar, Budgam, Anantnag, Pulwama, Leh, Kargil). In addition, surveillance units have been set up at Department of SPM/Community Medicine GMC Srinagar and SKIMS Srinagar. For the first time both these units have started reporting in a timely and complete manner. Laboratory Work : 1. One provincial Lab has been set up at RFPTC Barzulla Srinagar which is also the district Priority Lab for District Srinagar. The laboratory is testing water samples from all over the valley both in routine course and during outbreaks. The microbiologist forms part of the RRT and collects appropriate samples whenever there is an outbreak. a. A total of 204 water samples were tested on routine basis and 50 during outbreaks. b. A total of 30 stool samples were collected in this year. c. A total of 50 blood samples and 5 throat swabs were collected during this quarter to confirm diagnosis. d. We have done Hepatitis B sero surveillance in two districts of the valley viz Anantnag and Kupwara. e. A district laboratory is functional at Kupwara. The sero surveillance is going on at present also. All districts will be taken up one by one. VSAT Communication Linking : 1. Data Centres have been established at all the districts including Headquarters and at GMC Srinagar and SKIMS, Soura Srinagar. 2. Video conferencing is done from SSU and district Budgam also. Contractual appointment: 1. All districts have advertised for contractual appointments. 2. All illegal appointees were removed and their contract was not renewed. 3. District Pulwama has appointed new contractual Epidemiologist and Data entry operator.District Kargil have appointed DEO and Data Manager. 4. Districts Anantnag and Pulwama have full staff. 5. The state Surveillance Unit at Srinagar has newly recruited full staff as per guidelines.
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Newsletter from DHS , Kashmir Vol 1 (1) 6. Districts Budgam, Kupwara have completed the process of interview of candidates and are waiting for declaration of results. 7. Districts Srinagar, Leh and Baramulla have advertised for posts but interviews have not been conducted. Establishment of Rapid Response Teams: 1. We have established two RRTs at the SSU comprising of an epidemiologist, microbiologist, entomologist, Health inspector. 2. In pediatric cases we utilize the services of a pediatrician. 3. During Hepatitis outbreak in District Anantnag we used the services of a gastroenterologist to help the team and to guide it. 4. The team also collects laboratory specimens for confirmation of diagnosis. We use the services of Microbiology lab GMC Srinagar for some cases and tests that are not being done here are flown to NCDC for confirmation of diagnosis. Trainings: 1. A core group of trainers trained at NCDC Delhi has been identified to train doctors working in the field. 2. We have trained 6 batches of doctors (130) from various districts to sensitize them and train them to fill up forms in a timely and complete manner. In addition, PG students, Senior Residents of SKIMS and GMC Srinagar were also trained. 3. A batch of laboratory technicians (30) was also trained from all the districts to help in timely lab diagnosis of outbreaks. 4. Our focus during trainings is on outbreak investigation its early detection and timely response. Data Flow 1. Data is entered on the portal each week in a timely manner. J&K is one of the few states in India which have a > 80% timely and consistent reporting of outbreaks. 2. Outbreak investigation: We have identified 15 outbreaks in Kashmir province since July 2011. Of these 10 outbreaks were investigated by RRT from Headquarters and laboratory investigated. Samples are sent to Microbiology lab NCDC Delhi or to GMC Srinagar as per requirement.
Mr. P.K Pradhan Secretary Health and Family Welfare, GOI in conversation with Health officials
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Newsletter from DHS , Kashmir Vol 1 (1) Advanced Surgeries conducted at various peripheral Institutes of Kashmir Division District Hospital Pulwama
Mucinous cystadeno carcinoma of ovary in pregnant woman of 7 months amenorrhea CHC Chadoora
Type of Surgery: Excision of hydatid cyst with omentoplasty (30 yrs old Male, was put on albendazole pre and post operatively, he is on regular follow up and doing well) Team Members: Dr Khursheed Iqbal, Dr Saleem , Mr.Altaf, Mr.shafi CHC Beerwah , District Budgam
Type of Surgery: Ovarian Tumour Resection (4.5kg, 20x15 cms) 30 year old Female , Team Members- Dr. Nasreen, Dr Zahoor Hamdani, Dr Asim Laherwal, Dr. Bashir Ahmad Khan, Dr.Arif Vakil ,Mr Showkat Gul , Mr. Mir Ab Qyoom Twin delivery conducted at sub centre Dawhtoo , Block Sallar, District Anathnag In September 2011,both babies alive
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Newsletter from DHS , Kashmir Vol 1 (1) SDH ,Charsharief , District Budgam
Type of Surgery : Removal of Ovarian cyst weighing 20 kgs Team Members- Dr. R.A Waida , Dr. Zahoor , Dr. A. G. Raina ,Mr. Manzoor Ahmad
Type of Surgery: Modified Radical Mastectomy 78 year old female diagnosed Carcinoma Breast , Team Members- Dr. Khurshid iqbal, Late Dr.Asif Shora, Dr.Abdul Rouf, Mr.Riyaz, Mr. Altaf ( Patient on Regular follow up and doing well )
Type of Surgery: Left Hemicolectomy 50 year old Female diagnosed carcinoma colon , Team Members - Dr.Khurshid Iqbal, Late Dr.Asif shora, Dr.Nazia, Mr.Bilal, Mr.Mohd shafi ( Patient on Regular follow up and doing well )
Type of Surgery : Small bowel Volvulus
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Newsletter from DHS , Kashmir Vol 1 (1) K A S H M I R
R E F O R M S
&
I N N O V A T I O N S
C O M M I T T E E
f o r
H E A L T H C A R E
( A n
i n i t i a t i v e
o f
t h e
D i r e c t o r a t e
o f
H e a l t h
S e r v i c e s
K a s h m i r )
In April 2011, the K-RICH team was formed and given the mandate to introduce reforms and innovations in the healthcare delivery system in Kashmir. The K-RICH TEAM Patron: Mr. Sham Lal Sharma, Hon'ble Health Minister, Govt. of J&K Co Patron: Mr. Javaid Ahmed Dar , Honble Minster of State Health and Medical education, Govt. of J&K President: Mr GA Peer, Commissioner Secretary Health and Medical Education, Govt. of J&K Chairman: Dr Saleem ur Rehman, Director Health Services Kashmir Member-Secretary: Dr. Bakshi Jehangir Member: Dr. Niyaz Jan Member: Dr. Arshad Rafi INNOVATIONS BY K-RICH PROJECT 1: Redesign and Repurposing of DHSK institutions as per NABH (National Accreditation Board for Hospitals) and other global standards.Major Hospitals like District Hospitals of Bandipora, Kargil, Kulgam and Ganderbal along with a large number of smaller hospitals like trauma hospital at Bijbehara among others have been redesigned in tune with the latest international standards. Besides a number of existing or under- construction hospitals have been made more standards- compliant and user friendly with the addition of ramps, wheelchair access, sub-waiting spaces, additional toilet and attendant facilities. PROJECT 2: Prototype CHC and PHC as per NABH (National Accreditation Board for Hospitals) and other global standards. Earlier health institutions were being designed and built in an arbitrary fashion without regard to scientific planning. All new institutions
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Newsletter from DHS , Kashmir Vol 1 (1) will be based on Prototype DH, CHC and PHC designs which have been created as per NABH (National Accreditation Board for Hospitals) and other global standards. PROJECT 3: New Health Secretariat A new Health Secretariat building has been designed to be built on land repossessed from Land-grabbers in Bemina. This building will house Directorate of Health and other directorates like Family Welfare, ISM, NRHM etc. It has a corporate-based design with all modern public and business amenities including a 500-seat Auditorium. PROJECT 4: Kashmir Simulation Laboratory (KSL) Project A state-of-the- Art Simulation Laboratory is being set up at RIHFW Dhobiwan to enhance patient safety and the quality of medical care through the use of innovative and high impact simulated training and research. PROJECT 5: Modern Drug Warehouse Modern Drug Warehouse for scientific storage, management and distribution of medicines has been designed for construction at Bemina. PROJECT 6: ALS/BLS Training for all employees of DHSK in a phased manner. A core team of BLS Trainers has been trained by Dr Eric Bernes, world- renowned expert from International Committee of the Red Cross (ICRC). These trainers will provide BLS training to all health employees in a phased manner. ALS sensitization programmes have also been initiated and ALS certification programmes are on the anvil.
PROJECT 7: Facilitation of Comprehensive Emergency Pre-hospital Ambulance Transfer (108) Service (EMS) and Helpline (104) Service. J- KATS Project is in the Second Stage. World class 108 (EMS) and 104 (Helpline) services will soon be just one phone call away. First-of-its-kind River
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Newsletter from DHS , Kashmir Vol 1 (1) Ambulance to avoid traffic bottlenecks is also under active consideration. PROJECT 8: Creation of First Referral Centres for 108 Ambulance Service Creation of two 24X7 fully-equipped and staffed J-KATS First Referral Centres (ATLS & ACLS) at DH Anantnag and DH Baramulla for optimal deployment of 108 Ambulance Service. More J-KATS First Referral Centres will be added to the project in a phased manner. PROJECT9:In Kashmir nursing home and JLNM hospital (PPP) Projects Proposals for setting up Advanced Cardiac Care centre, Advanced Dialysis and Nephrology Center, and Cancer Palliative Centre have been submitted to the Administrative department for approval.
PROJECT 10: Smart-Card based biometric employee attendance systems are being introduced in DHSK institutions and SDH Kupwara has already taken the lead. PROJECT 11: Proposals for Colour- coded aprons and QR-Code based ID Cards are being evaluated. REFORMS: Comprehensive plans are being drawn up in the thrust areas of: A. Logical HealthCare Logical deployment of Healthcare manpower and resources B. Quality HealthCare Accreditation of our facilities by QCI [Quality Council of India] via NABH [National Accreditation Board for Healthcare]
Drug Controller J&K Mr. Satish Gupta State Level Workshop on (RSBY ) and Dr waseem Qureshi Rashtriya Swasthya Bima Yojana
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Newsletter from DHS , Kashmir Vol 1 (1) Activities conducted under various National Programmes.
Statement of Health Education Activities of Kashmir Province, for The Years 2009-10, 2010-11 & 2011-2012 (Ending September 2011)
Newsletter from DHS , Kashmir Vol 1 (1) National Programme for Control of Blindness (NPCB) Physical Achievement of National Programme for Control of Blindness (NPCB) for the years 2010-2011 & 2011 -12( ending 09/2011)
Financial Achievement of National Programme for Control of Blindness (NPCB) for the years, 2010-2011 & 2011-12(ending 9/2011)
Year Opening Balance
Receipt from Govt. of India Interest/ Recovery Total Funds Available Expenditure Closing Closing Balance 2010-2011 29.85 -- 0.88 30.73 13.13 17.60 2011-12 ending 09/2011 17.60 -- 1.35 18.95 16.51 2.44 (Rs in lacs) No. of Cataract operations done in camps No. of cataract operations done in Institutions Total(2+3) No. of School Children for refractive errors No. of school children whose vision was corrected Total patients treated for Eye Ailments 2010-2011 727 7778 8505 43638 5140 344066 2011-2012 ending Sept. 2011 750 7894 8644 86500 13134 422897 0 50000 100000 150000 200000 250000 300000 350000 400000 450000
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Newsletter from DHS , Kashmir Vol 1 (1) National Leprosy Elimination Programme (NLEP) Physical Achievement under National Leprosy Elimination Programme (NLEP) For the years, 2010-2011& 2011-12(Ending September 2011)
Financial Achievement under National Leprosy Elimination Programme (NLEP) for the years 2010-2011 & 2011-2012 ( Ending 09/2011)
Year Opening Balance Receipt from Govt. of India Interest/ Recovery Total Funds Available Expenditure Closing Balance 2010-2011 6.00 27.74 0.21 33.95 14.07 19.88
2011-12 Ending sept. 2011 19.88 -- 0.06 19.94 3.20 16.74 (Rs in lacs) No. of Cases on record No. of New cases No. of cases discharged Cases under treatment 2010-2011 18 39 34 23 2011-12 Ending Sept. 2011 23 18 5 36 0 5 10 15 20 25 30 35 40 45
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Newsletter from DHS , Kashmir Vol 1 (1) District Mental Health Programme (DMHP) in Kashmir Division DMHP was started as part of National Mental Health Programme in 1982 in Bellary District of Karnataka State and after its success, it was spread to 27 Districts in 9 th
five year plan and later on to 94 Districts in 10 th plan and the goal is to cover all districts in 11 th & 12 th five year plan in phased manner. In Kashmir and Ladakh Divisions DMHP was launched in July 2008 with following objectives:- 1. To give Mental health care in the community. 2. To identify and treat Mental disorders in the community. 3. Intensive education about Mental disorders and their treatment. 4. To reduce stigma about Mental disorders. 5. Rehabilitation and Psychosocial care of those who have recovered.. 6. Training of staff especially Medical officers and Paramedicals. 7. Public private partnership. 8. Mental Health Promotion activities in schools, colleges and public places. **********************************************************************************
Hon'ble Minister of Health, Floriculture Rashtriya Swasthya Bima Yojana (RSBY) & Horticulture Mr. Sham Lal Sharma Meeting seen here are Mr.Anil Swaroop addressing on Occasion of RSBY (Director General Labour Department Meeting GOI) and Commissioner Secretary Health & Medical Education Mr. G A Peer
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Newsletter from DHS , Kashmir Vol 1 (1)
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Newsletter from DHS , Kashmir Vol 1 (1) MENTAL HEALTH ACTIVITIES (2008-2011) Patients Treated Year No. of Patients treated 2008 (July December ) 4818 2008 (July December ) 4818 2009 (Jan-December ) 14399 2010 (Jan-December ) 12035 2011 (Jan-Sept) 14930 Total 46182
Mental Health Camps Year No. of Camps Patients Treated 2008 03 800 2009 06 1200 2010 04 860 2011 05 1150 Diagnostic Break Up Diagnosis Year 2008 Year 2009 Year 2010 Year 2011 Substance Abuse disorders 610 890 580 920 Depressions 120 230 209 180 Anxiety disorders 70 80 71 50 Total:- 800 1200 860 1150
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Newsletter from DHS , Kashmir Vol 1 (1) Training Imparted Official Year 2008 Year 2009 Year 2010 Year 2011 Medical officers (3 months) 16 X X X Medical Officers (1 Year) 01 X 02 X Medical Officers (5 Days) 95 30 102 50 Medical Officers (120 days in de-addiction) 01 X X 02 Para Medicals (3 days) 92 34 102 98 Workshops And Seminars Organized: Year 2008 02 Year 2009 04 Year 2010 05 Year 2011 04 Total: 15 Drugs Distributed To Patients Year 2008 Tab. Olanzapine, Tab.Sodium Valproate, Tab. Venlafaxin Year 2009 Above All, Tab. Dothipin, Tab. Fluoxetine Year 2010 Above All Year 2011 Tab. Amitryptyline, Tab. Resperidon, Tab. Trihexiphenidryl District Mental Health programme is a community based programme and is an essential programme to screen to community for various Mental Health Problems and to reduce stigma of these disorders. An effective implementation of this programme in presence of the requisite budget can screen the community, reduce the stigma and ultimate goal of the programme can be reached successfully.
Honable Health Minister Mr Sham Lal Sharma and Officers from Jammu Division Director Health Services, Kashmir Attending RSBY workshop in Srinagar
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Newsletter from DHS , Kashmir Vol 1 (1) Revised National TB Control Programme (RNTCP) KASHMIR
Honable Health Minister Mr Sham Lal Sharma addressing get-together meet organized by Doctors of various Districts at Royal Springs Golf Course, Srinagar
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Newsletter from DHS , Kashmir Vol 1 (1) Honable Health Minister presenting memento to Director ISM and also seen here is Director Health Services Kashmir
Honable Health Minister Mr Sham Lal Sharma and Director Health Services, Kashmir and Mission Director NRHM
Director Health Services Kashmir at Sub Centre Dachi located near LOC.Institute has conducted 40 deliveries
Director Health Services, Kashmir Visiting health institutes in District Kupwara
NRHM Samelan at District Budgam seen here are Honable Health minister, Honable Finance Minister , Honable MOS Health , Commissioner Secretary Health and Medical Education
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Newsletter from DHS , Kashmir Vol 1 (1) Environmental Issues: Millipedes in Kashmir, India Story of Insects from Marrhama Block Trehgam District Kupwara , Kashmir , India: Is it a public health problem? Insects infestation has been found in Marrhama, a village in Block Trehgam in the District of Kupwara Jammu and Kashmir, India. The main water source used for drinking purposes is badly affected by the insects.Health Professionals along with a Block Medical Officer, visited the village, which is about 20 km away from District Head Quarter Kupwara. The area is mostly surrounded by forests and hills, and the population of the affected village Marrhama is about 3500. The people of the area are very poor subsistence farmers who possess little land. A local resident told the Integrated Disease Surveillance Project (IDSP) Team that he had seen a large number of the same kind of insects in the forest one month previously, creeping from the jungle area towards the village .
Millipeds are white in colour, approximately 1 inch long, and each insect has 40 pairs of legs
IDSP team District Kupwara interacting with affected Community Read the full story at http://blog.jidc.org/2011/08/05/enivronmental-issues-millipedes-in-Kashmir - india/ published in JIDC ( Journal of Infection in Developing Countries ) However, the insect infestation has little Public Health importance and is more of an environmental issue. This awareness was given to the local community by the IDSP team.
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Newsletter from DHS , Kashmir Vol 1 (1) List of Trainings conducted at Regional Institute of Health and FW (RIHFW ) and Regional Family Planning Training Centre(RFPTC) Srinagar , JK During the year 2010-2011
S.No Category Subject Dated Period Venue No of participants 1 Health Supervisors CME in Water borne Diseases 5- 6 April 2010 Two(2) day RIHFW/ RFPTC 66 2 Health Educators CME in Prevention in water born diseases 8-9 April 2010 Two (2) Day DO 73 3 Health Educators / MPWs Collection processing & Transportations of Different Samples 12th April 2010 One(1) day Do 103 4 Nurses Blood Borne infections 16th April 2010 One(1) day Do 54 5 CHOs, MPHWs/HEs Out Break response with special emphasis on water borne Diseases( WBDs) 19th April 2010 One(1) day Do 87 6 Block Medical Officers ( BMOs ) from Kashmir Province Management Skills for Health Care Professionals 20 -21 April 2011 Two (2)day Do 21 7 Block Medical Officers ( BMOs ) from Kashmir Province Management Skills for Health Care Professionals 25-26 April 2011 Two (2)day Do 29 8 Block Medical Officers ( BMOs ) from Kashmir Management Skills for Health Care Professionals 27-28 April 2011 Two (2)day Do 18 9 TOT Training for ASHA Module 6/7 Maternal & Child Health Care 14/2/2011 14 days Do 25 10 TOT Training for ASHA Module 6/7 Maternal & Child Health Care 6th March 2011 ( Two Batches) 14 days Do 50 11 TOT Training for ASHA Module 6/7 Maternal & Child Health Care 23th may 2011 14 days
Do 25 12 TOT for Anesthetists/ Surgeons Basic Life Saving and Stabilization Techniques in Collaboration with ICRC 10-15th October,2011 5 Days RIHFW, Dhobwi an 23 13 FMPHW ASHA facilitators module 6/7 on HBNC 12TH December - 18th Dec,2011 7 days RIHFW 61 14 Medical officers from Kashmir Province Workshop on Management of Trauma in Peripheral Hospitals 19th December 2011 1 day RIHFW 150
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Newsletter from DHS , Kashmir Vol 1 (1) IEC activities Awareness given to the public in print media regarding increasing incidence of various eye diseases (Cataract and Glaucoma) and water borne diseases which are the common outbreaks encountered during summer season.
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Newsletter from DHS , Kashmir Vol 1 (1)
Honble Chief Minister of J&K visiting, a Stall in NRHM Samelan at Ganderbal
Anuradha Gupta Joint Secretary MOHFW, Minister of State Health & Medical GOI on her Visit to JLNM Hospital Education, Floriculture, Horticulture, R&B, Mechanical Engineering & Agriculture Mr Javaid Dar visiting Health institutes
Director Health Services,Kashmir and Director Health Services, Kashmir Director Indian System of Medicine (ISM) Director Indian System of Medicine (ISM) in meeting with ISM Doctors and Mission Director NRHM
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Newsletter from DHS , Kashmir Vol 1 (1) Mysterious outbreak of the Year 2011 Outbreak of Influenza at Sangarwani, Distrtict Shopian which was confirmed as Influenza A H1N1 by NCDC (National Center of Disease Control , Delhi ) . The villages affected were Sangarwani and Ardibal occupying hilly terrain with scattered households comprising a population of 11,000.
Out of total thirty (30) samples tested , eleven (11) were positive for Inf A H1N1 (Confirmed from National Center for Disease Control, Delhi) suggesting a positivity rate of 36.33 percent. Results suggested that Inf A H1N1 is affecting extremes of age ( pediatric and geriatric age groups). The reason of affecting these age groups as this is the high risk group because of lowered immunity and Influenza A H1N1 has merged with seasonal influenza and outbreaks will occur till the community develop herd immunity. The positive cases were treated with Tamiflu (Oseltamivir) given for 5 days and contacts were given prophylaxis Tamiflu (Oseltamivir) for 10 days as per the WHO protocols. All cases responded to the treatment and recovered.
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Newsletter from DHS , Kashmir Vol 1 (1)
NCD cell formed in Directorate of Health Services, Kashmir and Jammu respectively. Nodal Officers for both Jammu and Kashmir Divisions nominated. Separate space identified in RFPTC Barzulla and in Directorate of Health Services Jammu for NCD cell. MOU signed on 07-09-2011 by Commissioner Secretary Health and sent to New Delhi on 08-10-2011. Training of ANMs in use of Glucometers done on 17-09-2011 in district Leh for screening of diabetes. Identified district Nodal Officers for Leh, Kupwara and Kargil. Glucometers dispatched to Subcentres. Facility survey of District Hospital Kargil and Kupwara conducted and reports sent to New Delhi.
Funds released by GOI in February 2011 (50% of 80% Central share) under the Cancer and Diabetes,CVD and Stroke component of NPCDCS for Leh and Udhampur districts. Funds released under NPHCE on 27- 12-2010. Funds released to district Leh on 10th October 2011. At District Hospital Handwara ( District Kupwara) wards for Diabetes, Cancer and Geriatrics and Space for NCD clinic , Geriatric clinic , Coronary care unit and physiotherapy unit have been identified . All the activities will be carried out in the ground floor of the hospital adjacent to CT scan and Blood bank Separate OPD register maintained for geriatric age group both in General OPD and Casuality
Setting up of Simulation laboratory: Department of Health is in the process of setting up of simulation laboratory at Regional Institute of Health and FW, Dhobiwan. This laboratory will be first of its kind in the Northern India in government sector with the aim to intend to train doctors and para medicals so that a quality human resource is developed . Recently in the month of September, 2011 Dr. Kanav Kahol, the team leader of Affordable Health Technologies division in Public Health Foundation of India was invited and visited the site at the institute. Dr Kahol leverages these state of the art technologies to advance optimal human-machine symbiosis frameworks towards inculcating best practices in medical education and promoting patient compliance and patient access through information technology.
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Newsletter from DHS , Kashmir Vol 1 (1) Restarting of Indian Journal for Practicing Doctors: We have restarted Indian Journal for Practicing Doctors. It is a peer reviewed indexed journal aiming to communicate high quality research articles, short communications, and reviews in the field of Medicine and Public Health. Authors are invited to submit research articles at kadrism@gmail.com & visit us at www.ijpd.pbworks.com
Surveys under Progress: Screening for Non-Communicable Diseases (Hypertension, Diabetes Mellitus ) among people aged between 35 to 64 Years in Kashmir. A pilot survey has been started in Block Chatergam, District Budgam . Block Chattergam is a semi urban block and once the survey is completed in this Block it will be continued in other districts of Kashmir Division in a phased manner. Non Communicable diseases (NCDs) are known to be increasing at an alarming pace in the South East Asian countries. These diseases are like coronary heart diseases, cancer, hypertension, diabetes, obesity, accidents, blindness etc and come under one umbrella called life style diseases/NCDs.
Publications: Following books Published in year 2011 for Health professionals 1. Essential Epi demiol ogy For Heal th Professi onal s 2. Understanding Communi cation Book in progress: Cl i mate change and Human Health
We are thankful to all Programme Officers for providing the Necessary information on various National Health Programmes. Our Thanks to Dr Ghulam Ahmed Wani, Dr G.M. Shaksaaz, Dr Mir Mohammad Shafi, Dr Ali Mohammad Mehand, Dr Rehana Kounsar , Dr Nighat and the K-RICH Team.
Editorial Board: Editor-in-Chief: Saleem ur- Rehman Editor: SM Kadri Web Editor: Bakshi Jehangir Layout, Design and Processing: Chinmay Shah Printed and Published in December 2011 by The Directorate of Health Services, Kashmir Please feel free to give your Comments/ Feedback at Kadrism@gmail.com