Delhi State Health Mission

DELHISTATE HEALTH MISSION

Mainstreaming of AYUSH

(Ayurveda, Yoga & Naturopathy, Unani, Siddha & Homoeopathy)

YEAR 2010-2011

The Directorate of Indian Systems of Medicine and Homoeopathy (AYUSH) was established in the U. T. of Delhi in the year 1996. Its Head quarter is locatedat A & U Tibbia College Complex at Karol Bagh, New Delhi-5 and its Homoeopathic wing is located at CSC-3, Block- B, 1st Floor, Preet Vihar, Delhi-110092.

VISION OF MAINSTREAMING

•Delhi State Health Mission seeks to mainstream AYUSH facilities in the provision of health services with special focus on underserved, urban slums and rural areas of Delhi.

•The Missionwill ensure increased participation of AYUSH doctors in all Public Health Programs.

•The Mission seeks to synergize and harmonize the functioning of AYUSH facilities provided by CGHS, MCD, NDMC, Govt. of N. C. T. of Delhi, Charitable Organizations, Non Govt. Organizations', Private sector through Horizontal integration at operational levels.

Present Infrastructure

Summary of AYUSH institutions in Delhi is as under:

Subject / Homoeopathy / Ayurveda / Unani / Yoga & Naturopathy / Total
Colleges / 2 / 2 / 2 / 0 / 6
Hospitals / 2 / 14 / 2 / 1 / 19
Dispensaries / 150 / 194 / 38 / 0 / 382
Registered Medical Practitioners / 3576 / 3299 / 1775 / 0 / 8650
Research councils / 1 / 0 / 0 / 0 / 1

Agency-wise details are as under:

Dispensaries
S. No. / Government Agency / Ayurvedic / Unani / Homoeopathic
1 / Govt. of NCT Delhi / 27 / 11 / 87
2 / M.C.D. / 126 / 26 / 32
3 / E.S.I. / 14 / 0 / 4
4 / N.D.M.C. / 12 / 0 / 13
5 / CGHS / 15 / 1 / 14
Total / 194 / 38 / 150
Medical colleges with attached hospitals
1-NehruHomoeopathicMedicalCollege-Affiliated to Delhi university having 100 seats for BHMS and 4 seats for MD cources.Attached with 100 bedded hospital.
2-B.R.Sur Homoeopathic medical college- Affiliated to GuruGobindSinghIndraprasthaUniversity having 50 seats for BHMS. Attached with 50 bedded hospital.
3-Ayurvedic & UnaniTibbiaCollege – Affiliated to Delhi university having 44 seats each for BAMS and BUMS 6 seats for MD in Ayurveda and 3 seats in MD Unani. Attached with 300 bedded hospital.
4-Jamia Hamdard Tibbia college- Affiliated with Jamia hamdard university having 50 seats for BUMS and 8 seats for MD Unani. Attached with 150 bedded hospital
S. No. / Agency / Ayurvedic / Unani / Homoeopathic
1 / Govt. of NCT Delhi / 1 / 1 / 2
2 / Private / 0 / 1 / 0
Total / 1 / 2 / 2

AYUSH hospitals not attached to medical colleges (none of these is in private sector) -

S. No. / Name of Hospital
1 / AyurvedicHospital Haiderpur.
2 / AyurvedicHospital Ballimaran.
3 / AyurvedicPanchkarmaHospital Parshant Vihar.
4 / AyurvedicPanchkarmaHospital Rajinder Nagar.
5 / AyurvedicPanchkarmaHospitalRajouriGarden.
6 / AyurvedicPanchkarmaHospital Sri Ram Nagar Shahdara.
7 / AyurvedicPanchkarmaHospital Padam Nagar.
8 / AyurvedicPanchkarmaHospital Karam Pura.
9 / Ayurvedic Panchkarma Hospital Kalu Sarai.
10 / AyurvedicDiabeticCenterRajouriGarden.
11 / AyurvedicDiabeticCenter Arya Pura
12 / Charak panchakarma center , LNJP hosp
13 / Panchakarma hospital, Lodhi road
14 / Rajan babu T.B hospital, Kings way camp

DISTRICT-WISE /AGENCY WISE DETAILS of :

EastDistrict-

S. No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga & Naturopathy / Total
1 / Govt of NCT Delhi / 17 / 3 / 2 / 0 / 22
2 / MCD / 2 / 8 / 0 / 0 / 10
3 / ESI / 0 / 2 / 0 / 0 / 2
Total / 34

NorthEastDistrict-

S. No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga & Naturopathy / Total
1 / Govt of NCT Delhi / 8 / 6 / 3 / 0 / 17
2 / MCD / 5 / 13 / 1 / 0 / 19
3 / ESI / 0 / 3 / 0 / 0 / 3
Total / 39

SouthDistrict-

S.No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga &Naturopathy / Total
1 / Govt of NCT Delhi / 11 / 2 / 2 / 0 / 15
2 / MCD / 1 / 6 / 2 / 0 / 9
3 / NDMC / 3 / 5 / 0 / 0 / 8
4 / ESI / 0 / 0 / 1 / 0 / 1
Total / 33

NorthDistrict-

S.No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga &Naturopathy / Total
1 / Govt of NCT Delhi / 6 / 2 / 0 / 0 / 8
2 / MCD / 5 / 12 / 1 / 0 / 18
3 / ESI / 0 / 3 / 0 / o / 3
4 / CGHS / 1 / 0 / 0 / 0 / 1
Total / 30

North WestDistrict-

S.No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga &Naturopathy / Total
1 / Govt of NCT Delhi / 18 / 7 / 0 / 0 / 25
2 / MCD / 5 / 24 / 6 / 0 / 35
3 / ESI / 0 / 2 / 0 / 0 / 2
Total / 62

Central and New Delhi Districts-

S.No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga &Naturopathy / Total
1 / Govt of NCT Delhi / 4 / 2 / 3 / 0 / 9
2 / MCD / 2 / 5 / 10 / 0 / 17
3 / NDMC / 7 / 10 / 0 / 0 / 17
4 / CGHS / 4 / 0 / 0 / 1 / 5
Total / 48

WestDistrict-

S.No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga &Naturopathy / Total
1 / Govt of NCT Delhi / 13 / 2 / 1 / 0 / 16
2 / MCD / 1 / 11 / 1 / 0 / 13
3 / ESI / 1 / 2 / 0 / 0 / 3
4 / CGHS / 2 / 1 / 0 / 0 / 3
Total / 35

SouthWestDistrict-

S.No / Government Organization / Homoeopathy / Ayurveda / Unani / Yoga &Naturopathy / Total
1 / Govt of NCT Delhi / 10 / 3 / 0 / 0 / 13
2 / MCD / 1 / 14 / 3 / 0 / 18
Total / 31

(This district wise information is as per inputs provided by different agencies)

DelhiState Annual Plan 2010-11

Directorate of Indian System of Medicine & Homoeopathy
Government of NCT of Delhi
Schemewise Proposed Outlay under Annual Plan 2010-11-Financial
(Rs. in Lakhs)
S. No. / Major Heads / Minor Heads of Development / Name of Sector / Scheme / Annual Plan 2009-2010 / Annual Plan 2010-11
Approved Outlay / Anticipated Expenditure / Proposed Outlay / of which Capital Content
1 / 2 / 3 / 4 / 5 / 6
On going plan schemes
1 / Development and Strengthen of ISM&H / 3 / 771.71 / 781.78 / -
2 / Grant -in-Aid to ISM Institutions/NGOs / 40 / 10 / 30 / -
3 / Grant-in-Aid to Delhi Ayurvedic chark sansthan (Ch. B.P.C.S. at Khera Daubar) / 3400 / 3400 / 4202
4 / Development of Health Care Services of Homeopathy / 437.7 / 612.6 / 858.9 / 200
5 / Grant-in-Aid to Homeopathy Institute/NGOs / 12 / 8 / 50 / -
TOTAL / 4550 / 4802.31 / 5922.68 / 200

Budget for development of Nehru Homoeopathic college- Rs 1,00,00,000

Budget for development of B.R Sur Homoeopathic college- Rs 3,82,50,000

(Achievements of State Plan during 2009-10 and Detailed Delhi State Annual Plan 2010-11 placed at Annexure-I)

Achievements under DelhiStateHealth Mission (NRHM) during 2009-10

In pursuance of National Rural Health Mission, Delhi state Health Mission (DSHM) was launched on 2nd October 2005.

(I)Launch of campaign on “Homoeopathy for Healthy Mother and Happy Child”-

The campaign was launched on 24 September 2009, by Smt. Sheila Dikshit, Hon’ble Chief minister of Delhi. It was followed by two days workshop.

A) State level Training of Trainers (TOT) -

In Five days program, 50 homoeopaths from various Govt and Non govt organizations was given extensive training according to the AYUSH modules.

B) District level activities:

Three programs

One days orientation program (minimum 100 participants)
Three days Capacity building workshop (minimum 20 participants)
IEC activities (poster, banners and pamphlet distribution)

In two districts (West & North west) program me has already been launched and during February, it shall also be Launch three more districts (South/central, East & North east)

A sum of Rs 23 lacs has been sanctioned, so far Rs 14.80 lacs has been utilized to undertake above activities.

(II) Workshop on mainstreaming of AYUSH (Under flexi-pool)

To enhance the knowledge and skills of the AYUSH Doctors to understand Strategic actions required to be taken for mainstreaming these systems, this workshop was organized wherein more than 100 AYUSH doctors from various agencies interacted for two days.

A sum of Rs 70,000/- has been utilized, out of Rs 1,20,000 sanctioned amount.

(III)Training on disaster Management-

A sum of Rs 50,000/- has been sanctioned for the capacity building of AYUSH doctors in the Emergencies & disaster management. First batch of 30 AYUSH doctors have completed the training which imparted by Directorate of Health services. No expenditure on this training has been incurred as it was sponsored by the disaster management cell. In first batch 30 AYUSH doctors received training. List enclosed at Annexure-II.

(IV) Reorientation and Training Programmes under AYUSH component-

Reorientation and Training Programmes/Continued Medical Education-Five programmes of ROTP and One CME in Homoeopathy in 2009-10-

Total six programmes were undertaken in B.R Sur Homoeopathic medical clooege, three in anatomy ,one each for medicine, mother and child and pharmacy .Around 130 doctors had attended these trainings. Total budget sanctioned for all these training programmes was Rs 20 lacs. Out of this Rs 10,54,556 has been incurred.

(V) Supply of essential drugs to hospitals and dispensaries-

Purchased AYUSH drugs of Rs 28 Lacs (Rs 20 Lacs Homoeopathy,Rs 6.25 Lacs for Ayurveda and Rs1.75 lacs for Unani).

PROGRAMME IMPLEMENTATION PLAN FOR 2010-11

I-NRHM Flexi pool-

1)Objective- Establishment of AYUSH OPD clinics in the PrimaryHealthCenters and hospitals (Co-location)-

Present Status of co-location-

Govt. Agency / Allopathic / Ayurvedic / Unani / Homoeopathic
Govt. of NCT Delhi / 213 +27 hospitals / 27 / 11 / 87
M.C.D. / 64 + 6 / 115+11
(p/h)=126 / 27 / 31
CGHS / 80 +6 / 14+1 / 1 / 14
E.S.I. / 40+4 / 14 / 0 / 3
N.D.M.C. / 13+1 / 12 / 0 / 13
397+44 / 194 / 39 / 148
Collocation / 441 / 381

Co-location of AYUSH dispensaries of the Directorate of ISM &H-

District / No of AYUSH Disp / Disp Co-located with Allopathy
Central / 9 / 8
East / 22 / 21
North / 8 / 8
North East / 17 / 13
North West / 25 / 23
South / 15 / 11
South West / 13 / 11
West / 16 / 14
Total / 125 / 109

Details of co-location w.r.t AYUSH streams-

Locations having 1 AYUSH stream / Locations having2 AYUSH streams / Locations having3 AYUSH streams
64 / 44 / 1

2-Establishment of AYUSH Seed PUHCs-

In Delhi there are 30 seed PUHCs already existing for allopathic facility. Efforts shall be made to start atleast one AYUSH component in these seed PUHC’s.

Strategy- To start 30 AYUSH seed PUHCs

No of existing seed PUHCs(allopathic) / Proposed seed PUHCs for AYUSH
30 / 30

Details of existing seed PUHCs district wise-

District / No of existing seed PUHCs
West / 3
East / 2
North east / 8
North / 9
Central/New Delhi / 0
South / 0
South west / 4
North west / 4
Total / 30

Budget for one AYUSH seed PUHC-

Rent- 10000/month= 30000

Salary of medical officer- 37625/month=112875

Salary for pharmacist-13975/month=41925

Salary for NO-7525/month=22575

Total for 3 months ( last quarter)=Rs 2,07,375

For 30 seed PUHCs=62,21,250

Furniture and equipments-

Item / No required / Price for 1 no(Rs) / Total
Officer's Table / 30 / 6900 / 207000
Asst./Clerk Table / 30 / 2900 / 87000
Chair (Armed) / 30 / 900 / 27000
Chair (Without Arm) / 120 / 360 / 43200
Almirah (Big) / 60 / 11250 / 675000
Revolving Stool / 30 / 780 / 23400
Rack 6 shelves / 60 / 2995 / 179700
Airport Bench / 60 / 1990 / 119400
B.P instrument(digital) / 30 / 3600 / 108000
Stethoscope / 30 / 500 / 15000
Weighing machine / 30 / 1500 / 45000
Total / 15,29,700

Total budget required for 30 seed PUHCs will be Rs 62,21,250/-+1529700

Budget- Rs 77,50,950/-

3-Capacity Building / Training-

A-For AYUSH Doctors- capacity building and training of AYUSH doctors is required for providing quality care.

a-Workshops on mainstreaming of AYUSH-

Strategy-Two workshops, one in six months(2 days). First workshop in June 2010 (for PIP implementation and discussion about the activities and achievements of 2009-10)and one in Dec 2011(for preparation of PIP of 12-13) is proposed for 120 participants(per workshop) from all Govt agencies providing AYUSH health care in Delhi. The objective of workshops shall be-

Objectives -

To enhance the knowledge and skills of the AYUSH Doctors to understand Strategic actions required to be taken for mainstreaming.

Details of one workshop -

ACTIVITY / Unit / Target / Expenditure / Total Amount
Workshop on mainstreaming / 2 day s workshop
Each Work Shop of 120 Doctors / 2 Workshops in the year / Resource person - 4 Nos/day
Honorarium Per person = Rs. (1000)
For 4 person/ day = 4000
(2000 x 2)= Rs. 8000/- / 8000/-
Stationary expenses
Bags + pen/pencils per person = 150/-
For 120 persons (120x150/-) = 18,000/- / 18,000/-
Honorarium for supporting staff = 300/- per person/
300//day- x 2x4 / 2400/
Lunch & Snacks per person = 200/-
Tentative persons per workshop= 140
28,000/-x2 / 56000/-
Misc. Expenses/workshop = 8000/- / 8000/-
TA to participants
300x120x2= 72000 / 72,000/-
Total / 1,64,400/-

Budget- Budget required for 2 workshop shall be-

2x164400=3,28,800/-

b-Workshop on disaster management

The AYUSH manpower should be trained for their utilisation in disaster management. Training will be given by Disaster management cell of Directorate of Health Services.

Details of Training-

ACTIVITY / Unit / Target / Expenditure / Total Amount
Training- Disaster management / 2 days training
Each training of 30 Doctors / 4 Workshops in the year / Resource person – 4(for full day) 1 (for lecture of 2 hrs) /day
Honorarium Per person(for full day) = Rs. 2000/-
For 4 person/ day = 8000
For 1 person( 2hrs lecture)=Rs 1000/-
Rs 9000/dayx2=Rs 18,000/- / 18,000/-
Stationary expenses
Bags + pen/pencils per person = 150/-
For 30 persons (30x150/-) = 4500/- / 4,500/-
Honorarium for supporting staff = 300/- per person/dayX2= 600 / 600/-
Lunch & Snacks per person = 200/-
Tentative persons per workshop= 30
6000/x2=12000 / 12,000/-
Misc. Expenses/workshop = 2000/- / 2000/-
TA to participants
300x30x2= 18000 / 18,000/-
Total / 55,100/-

Budget required for one training of 30 doctors will be Rs 55,100/-

Total budget required for 4 training will be Rs 55,100x4=Rs2,20,400

B-Training/orientation of AYUSH paramedical and Class IV staff-

There are about 200 paramedical staff and 200 Class IV are working in AYUSH institutions. There is need to give them refresher courses/sensitization about AYUSH systems, first aid, National health programs, computer training etc. This shall be helpful in improving the quality of care.

Training Details of each workshop (First aid and AYUSH systems) will be-

ACTIVITY / Unit / Target / Expenditure / Total Amount
Training of AYUSH staff / 2 days (3 hrs/day)
(from 3 to 6 pm)
Each Work Shop for 30 participants / Workshop 2 days (3 hrs/day)
(from 3 to 6 pm)
in the year 2010-11 (Each Workshop of 30 participants) / Resource person - 6 Nos
Honorarium Per person = Rs. 500/-and TA Rs 300 per person
For 6 = 3000+1800 / 4,800/-
Stationary expenses
Bags + pen/pencils per person = 150/-
For 30 persons (30x150/-) = 4500/- / 4500/-
Honorarium for supporting staff = 300/- per person/
300/- x 6 = Rs.1800/- / 1,800/
Snacks per person = 150/- for 2 days
Tentative persons per day = 30
Expenditure (30 x 150) =4500 / 4500/-
Misc. Expenses/workshop = 5000/- / 5,000/-
Total = / 20,600/-

Pharmacists- (Training of first aid and AYUSH systems)

No / Training district wise / Time / Duration of training / No of participants / Budget required
1 / Central / I st quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
2 / East / I st quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
3 / North East / II nd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
4 / North / II nd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
5 / North West / III rd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
6 / South West / III rd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
7 / West / IV th quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
8 / South / IV th quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-

Budget Required- Rs 1,64,800/-

Group D Employees- (Training of first aid and AYUSH systems)

No / Training district wise / Time / Duration of training / No of participants / Budget required
1 / South / I st quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
2 / East / I st quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
3 / North / II nd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
4 / South West / II nd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
5 / North East / III rd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
6 / Central / III rd quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
7 / West / IV th quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-
8 / North West / IV th quarter / 2 days
(3 hrs/day)
(from 3 to 6 pm) / 30 / 20,600/-

Total budget required- Rs 1,64,800/-

Computer Training-

Plan for Computer training: five days twice a year for 30 participants shall be organized. No budget is required as training will be given by I.T department of Govt. of NCT, Delhi.

Budget for Capacity Building- Rs 8,78,800/-

4-Information Education Communication/Behavior Change Communication-

Behavior change communication (BCC) is part of an integrated, multilevel, interactive process with communities aimed at developing tailored messages and approaches using a variety of communication channels. BCCaimsto fosterpositive behavior; promote andsustainindividual,community, and societalbehaviorchange; and maintain appropriate behavior. Information Education and Communication (IEC) as a tool for behavior change plays a pivotal role increatingawareness, mobilizing people and making development participatory through advocacy and by transferring knowledge, skills and techniques to the people

The directorate is having good number of AYUSH dispensaries in all parts of Delhi especially in underserved areas. Around 24 lacs patients took treatment from all these dispensaries last year and day to day patients flow to these AYUSH dispensaries is increasing It is felt that if we do proper IEC activities then the more number of people will get aware about this infrastructure and various facilities available in dispensaries. Not only this but IEC activities will make AYUSH systems more popular in community and they will also understand the benefits of AYUSH system. It will also help to sustain ongoing national campaigns of AYUSH in community for their betterment. For this the following activities are proposed-

Strategy-

a- Advertising in news papers for publicity and promotion of AYUSH-

One advertisement per month.

Sr No / Advertise nos / Type / Coverage / Budget Required
1 / 12 / Half page color / Six newspaper, two English, two hindi, one Punjabi & one urdu. / Rs8.5 lacs/ ad (DAVP rates)
Total= Rs 1,02,00,000/-

Total budget required shall be Rs 1,02,00,000/-

b-Citizen charter-

The information bulletin incorporating all the patient care facilities provided by the directorate of ISM&H across Delhi will be prepared and distributed to all dispensaries.1000 copies per dispensary per year are required and as the directorate is having around 125 dispensaries total 1.25 lacs copies may be printed.

Cost of 1 copy= Rs 5

Budget for 1.25 lacs copies shall be Rs 6,25,000/-

Nukkad Natak-

Preparation of three concepts and scripts for AYUSH nukkad nataks(mime show) – budget required will be as per the norms of ministry of information and broadcasting. Preparation of script- Rs 50,000

Show presentation- Rs 4000/show

One show/district/month for last 3 quarters.

Budget required for 72 shows will be Rs 2,88,000/-

Total budget required will be Rs 3,38,000/-

Electronic media-

For effective publicity of AYUSH dispensaries Radio and Television advertises in slots specially kept is required.

1-Radio- It is proposed to do advertisement on most popular radio channels.

Details-

Sr no / Channel / Rate for 10 sec/spot in Rs / Total(1spot/wk,48spots)
1 / Radio Mirchi / 1300 / 62,400
2 / All India radio primary channel / 600 / 28800
3 / All India FM gold / 900 / 43200
4 / All India FM Rainbow / 1000 / 48000
5 / Red FM / 500 / 24,000
Total / 2,06,400

2-T.V Channels -

Sr.no / Channel / Rate for 10 sec/spot in Rs
(7-8 pm) / Total
(1spot/wk,48spots)
1 / Delhi aaj tak / 495 / 23760
2 / Star plus / 21019 / 1008912
3 / Zee T.V / 29000 / 1392000
4 / Colors / 20069 / 963312
5 / Sahara one / 3495 / 167760
6 / Delhi Door Darshan / 3000 / 144000
7 / Local Cable(all over Delhi) / 25000/month / 300000
Total / 39,99,744

Total budget for electronic media will be Rs 39,99,744+2,06,400=Rs 42,06,144

Budget- Rs 1,53,69,144

5-Strengthening of NehruHomoeopathicMedicalCollegeHospital for Gynecology and Obstetrics Care- (Pl add this in Flexipool and also add information for Dr.B.R.sur college)

Nehru Homoeopathic Medical College & Hospital is a premier institution under Govt of Delhi, situated at B-block, Defence colony, New Delhi. It imparts education to the students in Homoeopathy. There is an attached 100-bedded hospital, which provides indoor and outdoor patient services. There is a labor room, which is presently not working. It is felt that for public as well as academic purposes, the working of the labor room should be started and strengthened.

1)BASIC OBSTETRICS CARE:

The labor room was running at the Nehru Homoeopathic Medical College & Hospital till the year 2000. At present it is not functioning because of lack of adequate manpower and equipments. The following are the requirements needed to initiate the basic obstetrics care at the Nehru Homoeopathic Medical College & Hospital.

MAN POWER

a) Incorporation of Public Private Partnership in the Obstetrics care at the NehruHomoeopathicMedicalCollege & Hospital:

At present a specialist in Gynecology & Obstetrics has been working at Nehru Homoeopathic Medical College & Hospital who has been conducting M.T.P, I.U.C.D insertion & also attending to the Gynecology & Obstetrics OPD.

It is being proposed to incorporate the private Obstetricians & Pediatricians as under the PPP module for the smooth functioning of the Obstetrics unit. A panel is planned to be set in this regard, of competent doctors from private sector, who can conduct deliveries in assistance with the incumbent Obstetrician and their payment made according to the set rates of PPP of NRHM.

Number of expected deliveries per month: 20 [Initially]

Number of expected deliveries per annum: 240

Out of the total deliveries the panel of PPP doctors is expected to conduct about 200 deliveries.

Estimated cost of incorporating PPP in the Obstetrics care:

Payment for Obstetrician per delivery / Rs.2000
Payment for Pediatrician per delivery / Rs.500
Total cost for incorporating private doctors for one delivery / Rs.2500
Total cost for 200 deliveries / Rs.5, 00,000

Budget: 5,00,000/-

b. Personnel for strengthening labor room at NehruHomoeopathicMedicalCollege & Hospital:

For the smooth functioning of the labour room the manpower at the labor room should be increased. The personnel except specialist will be provided by the NRHM on contract basis. The estimated costs of personnel for strengthening the labor room at Nehru Homoeopathic Medical College & Hospital are given in next page.

Sl.no / Post / Salary per month / Annual salary / No of posts / Annual amount / Remarks
1. / Medical Officer
(D.G.O) / 37,625/- / 4,51,500/- / 1 / 4,51,500/- / To assist in OPD,OT&LR
2. / A.N.M / 12,000/- / 1,44,000/- / 4 / 5,76,000/- / For 3shifts,
To help in JSU
3. / N.O / 8,000/- / 96,000/- / 2 / 1,92,000/- / For 2shifts
4. / Ayah / 8,000/- / 96,000/- / 4 / 3,84,000/- / For 3 shifts
5. / Sweeper / 8,000/- / 96,000/- / 4 / 3,84,000/- / For 3shifts
Total / 19,37,500/-

Budget: 19,37,500/-