DISTRICT HEALTH ACTION PLAN
WEST DISTRICT
2008 -09
49
INDEX
S.No. / Content / Page No.SECTION I -- Situational Analysis
1 / Introduction / 3-4
2 / Planning Process / 5
3 / District Demographic Profile / 6-13
4 / Health Indicators / 14
5 / Existing Health and related infrastructure / 15-22
6 / Situational analysis / 23-48
7 / GOALS and Objectives / 49
SECTION II -- Interventions
8 / Reproductive and Child Health
a). Maternal Health
b). Child Health
c). Adolescent Health
d).Family Planning / 50 -60
9 / Strengthening Immunisation / 61 - 65
10 / Other National Health Programmes
a). National Leprosy Control Programme
b).National Blindness Control Programme
c).National Iodine Deficiency Disorder Control Programme
d).Revised National Tuberculosis Control Programme
e). National Vector Borne Disease Control Programme
f).Integrated Disease Surveillance Programme / 66 - 75
11 / DSHM Additionalities / 76 - 87
12 / Intersectoral Convergence / 88 - 89
13 / Special Interventions for Vulnerable segments / 90
14 / Behaviour Change Communication / 91 - 93
15 / Capacity Building / Trainings / 94-96
16 / Monitoring and evaluation / 97-98
SECTION III -- Finance
17 / Budget for the year 2008-2009 / 99
18 / ANNEXURE - I / 100 -114
49
DISTRICT HEALTH ACTION PLAN 2008-09
1 INTRODUCTION
Delhi, the capital of India, is the third largest city of the country. Due to its strategic location along the north, south, east and west route, it has been the centre of attraction for great emperors.
As per the census report of 2001, the population of Delhi is 138.5 lacs (1.3% of all India population) with an area of 1483 sq. km. The urban area is 924.68 sq. km and the rural area is 558.32 sq. km. The density of population at 9294 persons per sq. km is the highest in India. About 35% of Delhi population resides in slums. In Delhi, the slums and the posh colonies exist side by side. In last few decades, there has been a tremendous change in the configuration and character of the city. Migration into the city from several parts of the country has converted it into megapolis. Nearly 5 lacs people from neighbouring towns and cities travel into metropolis every year and form a substantional part of the government and commercial work force. It is estimated that the present population in Delhi is more than 16 million.
To meet the demands of ever increasing health needs and disease load, the government has made huge efforts for providing health services to the people of Delhi through health outlets of different agencies viz. Directorate of Health Services, Directorate of ISM, MCD, NDMC, Central Government, Delhi Cantonment Board, Railway and Autonomous bodies and NGOs. The multiplicity of authorities though sometimes creates difficulties in implementation of different programmes / strategies. On the other hand, the private health sector is very well developed and equipped to provide quality health care and is witnessing the phenomenon of ‘Medical Tourism’.
As Delhi is expanding at a very fast rate, the government is still finding it difficult to provide better health services to people. It decided to decentralize activities by dividing Delhi into nine districts- North, North-East, North-West, South, South-West, West, East, Central, New Delhi.
BASIC THEME
The National Rural Health Mission (NRHM) aims to provide for an accessible, affordable, acceptable and accountable health care through a functional public health system. It is designed to galvanize the various components of primary health system, like preventive, promotive and curative care, human resource management, diagnostic services, logistics management, disease management and surveillance, and data management systems etc. for improved service delivery.
This is envisioned to be achieved by putting in place an enabling institutional mechanism at various levels, community participation, decentralized planning, building capacities and linking health with its wider determinants. It also aims to expedite achievements of policy goals by facilitating enhanced access and utilization of quality health services, with an emphasis on addressing equity and gender dimension
Key objectives under NRHM
· Reduction in child and maternal mortality
· Universal access to public services for food and nutrition, sanitation and
hygiene
· Universal access to public health care services with emphasis on services
addressing women’s and children’s health and universal immunization
· Prevention and control of communicable and non-communicable diseases,
including locally endemic diseases
· Access to integrate comprehensive primary health care
· Population stabilization, gender and demographic balance
· Revitalize local health traditions & mainstream AYUSH
· Promotion of healthy life styles
The Delhi State Health Mission was launched on 2nd Oct 2006 for implementation of activities under National Rural Health Mission to fulfill the above objectives of NRHM by the following actions:-
n Addressing the gaps in service delivery
n Penetrating the unserved and underserved areas
n Intersectoral Convergence
n Strengthening of existing structures
n Providing new structures where needed
n Capacity building and putting enabling systems in place
Major identified problem areas pertaining to Delhi are :
· There are several health care facilities belonging to different agencies
· There is negligible interagency co-ordination
· There is no uniformity in infrastructure and service delivery components of
the various health units belonging to various health agencies
· There is suboptimal functioning of the existing units because of various
constraints such as manpower, equipment shortage, budget and planning
· There are un-served and underserved areas because of increase in population
in different areas and inequitable distribution of health infrastructure both geographically and population wise because of development of new settlements in unauthorized areas
Under the aegis of DSHM, this action plan seeks to address the issues by
1. Strengthening of the existing infrastructure and services
2. Covering the Underserved / unserved areas
3. Vertical and Horizontal integration of National Health Programmes
4. Focusing on Preventive health
5. Capacity Building
6. Special emphasis on the vulnerable groups
7. Rigorous Monitoring / evaluation against standards
8. Ensuring Community involvement
9. Effective Behaviour Change Communication strategy
2 PLANNING PROCESS
The CDMO has been made the nodal officer for health activities in the district for the first time in Delhi under the Delhi State Health Mission. The various duties thus involved gathering baseline information from various health outlets of health agencies in the district on different health related parameters such as available resources in terms of infrastructure, manpower, equipments and the services being provided. Moreover Delhi does not have health units that can be classified as per the National norms into Sub centre, PHC, CHC, District hospital etc. The exercise of providing optimal health services was further compounded by the inequitable existence of health units in the community.
The proforma for gathering baseline information of a PHC was improvised and adapted as per the felt needs for Urban PHC (UPHC) and circulated amongst the nodal officers of various stakeholders for assessment of the gaps that existed between the existing and the ideal health care delivery as per the desired norms.
This plan has been prepared as a joint effort by the nodal officers of various stake holder agencies in the district with basic inputs from the following:
Govt. of Delhi
Directorate of Health Services: Chief District Medical Officer West District
with valuable inputs from Programme officers ,
MO I/C’s of dispensaries and PHN’s
H& FW Dept, GNCTD: Medical superintendents from Guru Gobind
Singh Government Hospital, Acharyashri
Bhikshu Hospital , Sardar Vallabh Bhai Patel
Hopspital
Deptt. of Social Welfare: District Welfare Officer
MCD : Nodal officers from M & CW department,
Tilak Nagar Colony Hospital & IPP VIII , MO I/C of dispensaries, M& CW centres & Maternity homes
3 DISTRICT DEMOGRAPHIC PROFILE
WEST DISTRICT AT A GLANCE
West district of Delhi covers the area of 131 sq. km. It is expanded from Tikrikalan in west to Patel Nagar in the east, Rohtak Road in north to Pankha Road & Najafgarh road in the south.
West district comprises of 3 Sub Divisions, 11 Assemblies, & 43 Wards. Population of west district is 21.28 lacs as per 2001 census. Estimates put the population of West district at 26 lacs at present.
As regard to health, agencies such as Government of NCT of Delhi, MCD, Central Government, , ESI, Delhi Jal Board, NGO and other private health agencies are providing preventive, promotive and curative health services at primary, secondary and tertiary health care level through their dispensaries, maternal and child welfare centres, maternity homes & hospitals.
ADMINISTRATIVE SETUP OF WEST DELHI
The West District has 3 Sub Divisions headed by Sub Divisional Magistrates. They are as follows :-
1. / Sub-Division:Patel Nagar / Sub-Divisional Magistrate/Collector of Stamps / Old Middle School Bldg., Rampura, Delhi-110035.
Phone No.27391613
2. / Sub-Division:
Rajouri Garden / Sub-Divisional Magistrate/Collector of Stamps / Old Middle School Bldg., Rampura, Delhi-110035.
Phone No.27395615
3. / Sub-Division:
Punjabi Bagh / Sub-Divisional Magistrate/Collector of Stamps / Delhi State Cooperative Bank Building, Main Rohtak Road, Nangloi, Delhi-110 041.
Phone No.25183588
WEST DISTRICT PROFILE
(2001 Census)
Area /
131 Sq.Km.
Total Population / 2128908Males / 1163084
Females / 965824
Decadal growth rate / 46.31 %
Sex ratio (overall) / 830
Males (0-1 year) / 2.2 Lac
Females (0-1 year) / 2.1 Lac
0-6 Population / 289668
Projected current population / 27 Lac
No. of villages / 13
Percent villages less than 500 population / Nil
No of Unauthorised Colonies / 123
No. Of J J Cluster / 107
No. of assemblies / 11
Rural population /
0.86 lacs
Urban population /20.42 lacs
% of urban population /95.92%
Literacy –overall / 83 %Literacy- males / 87 %
Literacy-females / 75 %
Percentage population Below Poverty Line / 8.23 %
R
U / 0.40 %
9.42 %
Percentage ST population / Nil
Percentage SC population / 14.9%
Percentage of OBC population / 25.4 %
Percentage population with access to clean drinking water / 97.28%
Percentage population with access to individual /community toilets / 77 %
Crude Birth Rate / 20.49 %
Crude Death Rate / 5.26 %
Infant Mortality Rate / 75.19 %
TFR / 2.4 %
Couple Protection Rate / 84 %
Number of Anganwari centres / 222
Number of Sub centres / Nil
Number of State Dispensaries / 47
Number of PHCs / NIL
Number of M&CW Centres / 13
Number of higher health institutions
a). Maternity Homes.(15-20 bedded hospitals).
b). 50-100 bedded hospitals
c).100-200 bedded hospitals
d).200-300 bedded hospitals .
e).300-500 bedded hospitals
f). > 500 bedded hospitals
g).Superspeciality / Tertiary Care
Hospital / 4
(3 new to be in place by March08)
3
Nil
Nil
NIL
Nil
1
Private Hospitals / Nursing Homes (Total bed Strength) / 2672
Number of Ayush centres
a). Homeopathic
b). Ayurvedic
c). Unani / 09
11
02
FNGOs functional in the district ( under MNGO Scheme) / 4
Number of other NGOs
Functional in the District (Health Related) / 48
ASSEMBLIES: The following eleven assemblies fall in this district:
1. Janakpuri
2. Hari Nagar
3. Tilak Nagar
4. Rajouri Garden
5. Madi Pur
6. Nangloi Jat
7. Vishnu Garden
8. Hastsal
9. Najafgarh
10. Moti nagar
11. Patel Nagar
NAME & NUMBER OF MUNICIPAL WARDS
S. No / Ward No. / Ward Name / S. No / Ward No. / Ward Name1 / 30 / Mundka / 23 / 105 / Rajouri Garden
2 / 31 / Nangloi Jat (West) / 24 / 106 / Tagore Garden
3 / 32 / Nilothi / 25 / 107 / Vishnu Garden
4 / 33 / Pratap Vihar / 26 / 108 / Khyala
5 / 41 / Guru Harkishan Nagar / 27 / 109 / Janak Puri (North)
6 / 42 / Peeragarhi / 28 / 111 / Hari Nagar
7 / 43 / Nangloi (East) / 29 / 112 / Subhash Nagar
8 / 44 / Quamruddin Nagar / 30 / 113 / Mahavir Nagar
9 / 57 / Paschim Vihar (South) / 31 / 114 / Tilak Nagar
10 / 58 / Paschim Vihar (North) / 32 / 115 / Major Bhupinder Singh Ngr
11 / 93 / Baljit Nagar / 33 / 116 / Vikaspuri (East)
12 / 94 / West Patel Nagar / 34 / 117 / Janak Puri (West)
13 / 95 / East Patel Nagar / 35 / 118 / Janak Puri (South)
14 / 96 / New Ranjit Nagar / 36 / 119 / Milap Nagar
15 / 97 / Kirti Nagar / 37 / 121 / Kunwar Singh Nagar
16 / 98 / Mansarovar Garden / 38 / 122 / Hastsal
17 / 99 / Moti Nagar / 39 / 123 / Vikaspuri
18 / 100 / Karam Pura / 40 / 124 / Vikas Nagar
19 / 101 / Raja Garden / 41 / 125 / Mohan Garden
20 / 102 / Raghubir Nagar / 42 / 126 / Nawada
21 / 103 / Punjabi Bagh / 43 / 127 / Uttam Nagar
22 / 104 / Madipur
VILLAGES - There are 13 villages notified by Government of Delhi in the West District
1. Kamruddin Nagar
2. Tikri Kalan
3. Hiran Kudna
4. Neelwal
5. Bakkarwala
6. Bapraulla
7. Nilothi
8. Tilangpur Kotla
9. Safipur Ranholla
10. Nangloi Jat
11. Hastsal
12. Mundka
13. Rajapur
LIST OF UNSERVED / UNDERSERVED AREAS OF WEST DISTRICT
ASSEMBLY NO. 12 JANAK PURI
1. A-Block, Janak Puri, Asalat Pur, Possangi Pur – Population 50000
2. Chanakya Palace Part I & II Population-50000
3. Mahavir Enclave, I,II& III,
4. Area near Dayal Sir Road & Rajapuri Road
ASSEMBLY NO. 15 RAJOURI GARDEN
1. Tagore Garden, Vishal Enclave, Shivaji Enclave, Janata Colony, 608 slum Quarters, Tatar Pur Village Jhuggis near Kukreja Nursing Home
2. Rajouri Garden (all blocks) MIG Flats
3. Sudershan Park, Basai Dara Pur, Ram Garh, Rattan Park, Kailash Colony, Bali Nagar, Raja Garden Population-20000
ASSEMBLY NO. 16 MADIPUR
1. Jwala Heri
ASSEMBLY NO 25 NANGLOI JAT
1. Chander Vihar, Nihal Vihar, Ranjit Nagar, Swarn Park, Amar Colony, Uday Vihar Mundaka Village Extension, Harphool vihar, Das garden, Gurdyal vihar, Nangli vihar extn., pappu vihar, JJ colony Bakkarwala
ASSEMBLY No. 26 VISHNU GARDEN