Chapter 1
Introduction
1.1 Please throw light on the background of this handbook
(Right to Information Act –2005)
Transparency in working is essential to strengthen a Democratic system. In this perspective Govt of Jammu & Kashmir enacted the Right to Information Act, 2009. Health and Family Welfare department has also been Obliged for effective implementation of J&K RTI Act, 2009 and this handbook may prove helpful in getting information about Health and Family Welfare department Kargil and its functioning.
1.2 Objective/purpose of this handbook
Objective: The main objective of this handbook is to provide basic information to the citizens about the functioning of Health and Family Welfare department Kargil.
1.3 Who are the intended users of this handbook?
· Members of Parliament and State legislature, Concerned
· Ministry, Departments of Central Govt, State Govts. and
various NGOs.
· Officers working in various departments either directly or
indirectly concerned with the programme.
· Public at large
1.4 Organisation of the information in this handbook?
The information in the handbook is organized in the following sequence.
Manual – 1, Manual – 2, Manual – 3……………., Manual - 17.
1.5 Definitions (Please provide definitions of various terms used in the handbook).
RTI Act : Right to Information Act
H&FW : Health and Family Welfare Department.
NRHM : National Rural Health Mission.
NPCDCS;- National Programme for control of Diabetics Cancer and Stroke.
RNTCP : Revised National Tuberculosis Control Programme .
COB : Control of Blindness .
CHC : Community Health Centre .
PHC : Primary Health Centre.
NT PHC : New Type Primary Health Centre.
S/C : Sub Centers.
NT S/C : New Type Sub Center .
SNCU: Special New Born Care Unit .
RBSK : Rastriya Bal Suraksha Kary Karam .
IEC : Information Education Communication.
PPI : Pulse Polio Immunization.
OPD : Out patient door
IPD : In patient door.
CCS : Centrally Sponsored Scheme .
CHS : Central Heating System.
JSY : Janani Suraksha Youjana.
JSSK: Janani Sheshu Suraksha Kari Karam.
IFA : Iron Folic Acid .
DHK ; District Hospital Kargil.
IDSP : Integrated Disease Surveillance Programme.
NLEP : National Leprosy Eradication Programme.
DOTS: Directly Observed Treatment .
DTC : District Tuberculosis Center .
NCD : Non Communicable Disease .
DPM: District Programme Manager.
CHO: Community Health Officer.
LAHDC: Ladakh Autonomous Hill Development Council
1.6 Contact Person:
Dr.Shabir Hussain Bhat
Chief Medical Officer, Kargil
Post office Kargil .
Pin 194103.
Phone No.01985-232208
1.7 Procedure and Fee Structure for getting information
A request for obtaining information shall be accompanied by an application fee of Rupees fifty by way of cash against proper receipt or by Indian Postal Order or demand draft or bankers cheque payable to the Accounts Officer of the
Public Authority.
A request for obtaining information shall be deemed to be made duly accompanied by prescribed application fee if it is written on a non-judicial stamp paper of Rupees fifty.
Chapter-2 (Manual –1)
PARTICULAR OF ORGANIZATION, FUNCTIONS AND DUTIES
2.1 Objective/purpose of the public authority.
Health and Family Welfare department Kargil is providing health facilities to the public through out the district since its inception .Besides District Hospital and District T.B.Centre functioning at District H/Q . CHC’s PHC’s are functioning at H/Q Sub Divisions and Blocks of the District. NT PHC ,NT S/C (MAC) and S/C normal /S/C Family Welfare are existing in all and even remotest village of the district .
2.2 Mission/vision statement of the public authority
Vision Statement
To make CHC’s and PHC’s in peripheries more functional and effective ,so that more and more patients get treated there thus necessitating less referrals to District Hospital in particular pregnant ladies and sick new borns .
2.3 Brief history of the public authority
The Health and Family Welfare department Kargil is allotted funds under district plan by LAHDC Kargil mainly for purchase of Drugs , fuel for central heating system and infrastructure, ,and district plan is supported by CSS , NRHM by providing human resources (HR),to facilitate health care even upto remotest and snow bound areas in particular ensuring safe delivery of pregnant mothers thus lessening the incidences of maternal and neonete deaths .NRHM has been help full in raising infrastructure equipped with CHS in worlds 2nd coldest place like Drass and remotest block like Zanskar. Under NRHM ,ICU,SNCU, Cancer care facility, Geriatric ward , panel heating system are functioning in DHK .Also Oxygen manufacturing plant is in process of installation in the District. CHC’s and PHC’s previously suffered for staff have enough MMBS doctors, RBSK doctors, ISM doctor, Amchies ,Nurses and Pharmacists under NRHM .
- Surveillance of diseases in District is being done under IDSP .
- Free and effective DOT, treatment is ensured to TB patients under RNTCP .
- Free cataract surgery camps are conducted in far-off blocks under COB .
- Free treatment of leprosy patient and survey of such patient is being conducted under NLEP.
- Free chemotherapy to cancer patients are being given under NPCDCS.
- Institutional deliveries are encouraged by providing incentives and charge free benefits to pregnant mothers and neonates under JSY JSSK NRHM.
2.4 Duties of the public authority .
The duties of the Institute involve functioning as:
· To prepare and project plans, implement and monitor work under various scheme .
· To make various IEC activities to make public aware of various Govt. schemes as the charge free schemes for pregnant mothers and sick newborn under NRHM as JSY, JSSK, referral transport, also regarding smoking hazards, adolescent health ,PC PNDT Act. ,free Chemotherapy for cancer patients and Family planning etc .
· Gepe Analysis to make the various schemes under H&FW more effective in interest of patients.
2.5 Main activities/ functions of the public authority
· To Implement various direct patient benefiting and charge free schemes as JSY,JSSK free referral transport for pregnant mothers and neonates in remote, hilly snow bound areas.
· Free chemotherapy for cancer patients .
· Ensure easy availability of facility for sputum exam and X-Ray in all health institutions for diagnosis and treatment of tuberculosis and DOTS under RNTCP .
· Enforcement of RBSK scheme under NRHM for early detection and correction of birth defect as to vision and congenital heart disease ,and other physical abnormities in child hood , also distribution of IFA and deworming in the same age group.
· Conduct free Cataract surgeries in old ages in peripheral /remote area under COB . Immunization full coverage against vaccine preventable disease like Hepatitis B,Polio ,TB, , Measles , Tentnous etc. and ensuring availability of Vit.A solution .
· Implement Govt. schemes for upliftment , infrastructure ,District Plan, NRHM,BADP,STF.
· Implement works under local area development funds like, MPLAD ,MLA/MLC’s, CDFs.
2.6 List of services being provided by the public authority with a brief write ups on them.
(A)Central Government Schemes:
1-National Rural Health Mission.
- The National Rural Health Mission launched in Kargil District in year 2005 onwards. The basic aim is to provide health services to the rural, far off and snow bound areas promising safe delivery of pregnant mothers and good health of neonates.
- PPI (National programme ) since year 1995 a complete successful programme and India is today declared Polio free.
- RNTCP is functional in the district with a goal to decrease mortility and morbidity due to tuberculosis and cut the transmission of infections until TB ceases to be a major public health problem . Objective of the scheme is to achieve and maintain cure rate of at least 85% among the newly detected infectious cases an to achieve & maintain detection of atleast 70% of such cases in the population. The strategy under RNTCP is un -interrupted supply of good quality drugs and directly observed treatment (DOTS) with a systematic monitoring and accountability .
- NLEP recently 04 patients are under treatment and about 20 patients have completed the treatment since inception of the programme (NLEP) in district Kargil. All the patients are being provided free medicines under NLEP.
- COB under which Cataract surgeries are being performed in distant and inaccessible blocks free of charge and 72 patients were operated for cataract in Zanskar Block in 2013-14. And over all 239 cataract surgeries performed in the district in years 2014-15.
- RBSK The programme launched in the district in year 2014-15 is mainly concern with screening of the children 0-18 years for congenital defects and early correction .Under the scheme 10 Medical teams are engaged on contractual basis comprising of two Ayush doctors , two pharmacist ,two ANMs each team.
- NPCDCS launched in the district in year Feb.2012 under which cancer patients are being provided free chemotherapy drugs .A Geriatric ward is established in DHK for the admission and free treatment elderly people above 60 years and especially care being given for Hypertensive’s and Diabetics .
- Mental health care OPD is being run in DHK and also OPD are run for treatment of alcoholic and drugs abusers .
- SNCU A separate SNCU ward with 45-60 admissions per month is established in DHK for care of sick new-born babies, due to which there has been marked fall infant mortality rate in the district which at present is 35 per 1000 live birth as compared to before SNCU establishment in DHK.
- Cardiac care unit ( CCU ) is Fully functional in DHK with all modern facilities sofar 114 admissions are recorded since start.
2-Border Area Development Programme BADP
Three Blocks in District Kargil close to boarder of Pakistan fall under BADP i,e, Drass, Kargil, Chiktan and funds to the tune of Rs.6.00 lacs utilized for construction of NT S/C Darchiks .
3-ANMT School
A CSS for training of Para medical staff are functional and 30 paramedics are taking training in various discipline like, Pharmacist ,Lab.Tech.Dental and FMPHW .An amount of 5.00 crores has been released for construction of ANMT School Kargil in which an amount of Rs.5.00 crores has been utilized till date .
(B) Hospital Development Fund.
All the users charges of health institutions including District Hospital are deposited in the hospital development fund of respective institution and are utilized for the needs of the respective institutions after approval taken from the RKS committee under the chairman ship of concerned MLA of the respective constituency .
( C ) Special Task Force ;-
200 bedded Hospital at Kurbathang and a Trauma Hospital at Drass are under construction under special task force with an estimated cost of Rs 45.15 crore and 2.74 crores respectively , out of which an amount 5.00 crores released for 200 bedded hospital and Rs.2.74 crores released for trauma hospital Drass till date .
( D ) Public Service Guaranty Act.
a, District Medical Board certificate/ Disability certificate /Medical fitness certificate and Post partum report are being provided to the needy person/ Offices under J&K Public service guarantee Act ( No.IX of 2011 )
2.7 ORGANISATIONAL CHART OF HEALTH AND FAMILY WELFARE DEPARTMENT
KARGIL
Medical SuperintendentDH Kargil
Dy.Chief Medical Officer
Distt.Tuberculosis Officer Kargil
District Leprosy Officer
DPM ( NCD )
2.8 Expectation of the public authority from the public for Enhancing its effectiveness and efficiency:
To the general public is expected to send their feedback of various programmes by the department.
2.9 Arrangements and methods made for seeking public /contribution.
Complaint box in health institution ,CMO office , MS, Dy.CMO and BMO’s office, visitors book at DHK,CHC,PHCs.
2.10 Mechanism available for monitoring the service delivery and public grievance
resolution.
- Frequent tour by administrators to health institutions.
- Checking OPD/IPD Registers.
- Mobile calls to beneficiaries of JSY/Asha by CMO , Dy,CMO, DPM and District Monitor NRHM.
2.11 Addresses of the main office and other offices at different levels.
Main Office: 1- Office of Chief Medical Officer, Kargil .
2- Office of Dy.Chief Medical Officer Kargil
3-Office of Medical Superintendent DHK.
Offices at Block level.
1- Office of Block Medical Officer ,
Drass,Sankoo,Taisuroo,Chiktan,Shargole, Kargil and Padum ,
2.12 Morning hours of the office: 10 am
Closing hours of the office: 4.00pm
(six days a week)
( Casualty at DHK /CHC/PHC are run 24x7 hours )
Chapter-3 (Manual-2)
Powers and Duties of Officers and Employees
3.1 Please provide details of the powers and duties of officers and employees of the
organization.
Chief Medical Officer ;-
He is the sectoral head of the department
Duties:-
1. He is also overall in-charge of all schemes implemented in the district .
2. Monitoring, Inspection and Supervision of the performances of the schemes and submission of reports to
Deputy Commissioner/CEO LAHDC Kargil and Director Health Services ,Mission Director NRHM
J&K.
3. Conduct of Review Meeting for assessing the performance of the schemes with the BMOs
take corrective action and submission of Reports to the Higher Authorities.
4- Preparation of annual plan and submission to higher authorities .
4. Any other works assigned to by the Council/Deputy Commissioner .
Medical Superintendent District Hospital Kargil.
1-He is the over all incharge of District Hospital Kargil.
Duties
1-Over all administration in the Hospital .
2-Conduct meetings with the specialists regarding various performance
3-Member Secretary RKS committee of the District Hospital.
4-Purchase of Drugs & Instrument for DHK.
Deputy Chief Medical Officer Kargil.
Administrative Power:
1-He is over all incharge /DDO of 2211 Family Welfare for ( CCS )
2-Nodal Officer NCD,IDSP, Disaster Management ,RTI .
3-Incharge Immunization in the district.
Duties
1-To execute, monitor and report of family planning programmes.
2-To hold IEC activities regard the national programmes as PPI, NCD, Family Planning .
3-To execute and supervise survey like Population ,House hold ,Eligible couple ,Death and Birth ,and
Immunization etc.
4-Repsponsible to hold all trainings as family planning procedures, mother & child health (NSSK/INMCI)
and Asha Functionaries .
5-To receive Acute Flaccid Paralysis ( Polio ) and Measles weekly reporting from Blocks.
District Tuberculosis Officer ;
Administrative power ;-