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2
HEALTH DEPARTMENT

• Wings
• Director Health Services
• PHSC Secondary level hospitals
• Drug Controller
• Food Safety PFA
• Employee State Insurance
• Ayurveda Homeopathy
• NRHM
• PSACS

3
Health Institutions -fjs zEktK
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p ?ANo (jo fJZe 5000 dh nkpkdh fgZS/) 2950
wZYbk fjs e/Ado (jo fJZe 30000 dh nkpkdh fgS/) pbke b?tb Ts/ ns/ j'o 394 41 353
efwTfBNh fjs e/Ado (jo fJZe 120000 dh nkpkdh fgS/) ghHn?uHn?Hha (PHSC) tZb'A ubkJhnK ik ojhnK vhHn?uHn?H tZb'A ubkJhnK ik ojhnK 129 114 15
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4
BUDGET FY (2009-10)
Amount in Crores
PLAN NON PLAN GOI/CSS OTHERS Total
DHS 38.29 576.98 6.70 - 621.97
DFW - 22.78 17.38 - 40.16
PHSC 43.00 15.40 7.50 20.00 85.90
AYURVEDA 0.20 35.82 6.98 - 43.00
HOMOEPATHY 0.13 9.21 1.02 - 10.36
ESI - 47.50 - - 47.50
AIDS - - 18.15 - 18.15
NRHM 32.71 - 218.05 2.14 252.90
TOTAL 114.33 707.69 275.78 22.14 1119.94
HSE (Excluding Medical Education) is 0.79 of the
GDP against desired 2 3. Per Capita Public
Expenditure of Health Rs. 448/- per year.
5
SUMMARYSTAFF
Sr. No Category Sanction Filled Vacant Remarks
1 Medical 3864 3272 592
2 Drug and Food 45 42 3
3 Nursing 3104 2502 602
4 Laboratory 1065 840 225
5 Paramedical 9810 9331 1324 Diminishing Cadre for Pharmacists
6 IEC 207 104 103
6
SUMMARY STAFF
Sr. No Category Sanction Filled Vacant Remarks
7 Malaria Section 254 149 105
8 Technician 202 122 80
9 Statistical 387 272 115
10 Ministerial /Class IV 9451 8547 904 Diminishing Cadre for Class IV
11 Paramedical (TB and Leprosy) 28 16 12
Total 28427 25197 4065
7
STAFF (Medical)
Sr. No Category Sanction Filled Vacant
Medical Medical      
1 Director 3 2 1
2 Additional Director 2 0 2
3 Joint Director 1 1 0
4 Deputy Director 34 24 10
5 Deputy Director (Dental) 18 14 4
6 Senior Medical Officer 379 321 58
7 Medical Officer 3142 2752 390
8 Medical Officer (Dental) 285 158 127
8
STAFF (Drug and Food)
Sr. No Category Sanction Filled Vacant
1 Assistant Drug Controller 3 3 0
2 Drug Inspector 19 16 3
3 Food Inspector 23 23 -
9
STAFF (Nursing)
Sr. No Category Sanction Filled Vacant
1 Superintendent Punjab Health School Amritsar at Mohali 1 - 1
2 Nursing Superintendent 5 - 5
3 Principal Tutor 10 8 2
4 Matron 44 28 16
5 District Public Health Nurse 12 - 12
6 Public Health Nurse (Teaching) 42 34 8
7 Sister Tutor 50 37 13
8 Nursing Sister 410 370 40
9 Staff Nurse 2506 2010 496
10 Lady House Keeper 24 15 9
10
STAFF (Laboratory- Food Chemical)
Sr. No Category Sanction Filled Vacant
1 Bio Chemist 1 1 -
2 Junior Analytical Assistant 5 - 5
3 Senior Analytical Assistant 3 - 3
4 Analyst 31 29 2
5 Public Analyst 1 - 1
6 Deputy District Public Analyst 3 2 1
7 Deputy Chemical Examiner 2 - 2
8 Assistant Chemical Examiner 3 2 1
9 Government Analyst 1 - 1
10 Bio Chemist 1 1 0
11 Senior Medical Laboratory Technician 57 43 14
12 Senior Medical Laboratory Technician Grade-1 512 477 35
13 Medical Laboratory Technician Grade-2 445 285 160
11
STAFF (Paramedical)
Sr. No Category Sanction Filled Vacant
1 Multipurpose Health Worker (Female) 3631 3559 72
2 Multipurpose Health Worker (Male) 2958 2153 805
3 Multipurpose Health Supervisor (Female) 750 537 213
4 Trained Dai 376 233 143
5 Ophthalmic Officer 199 194 5
6 Senior Radiographer 40 33 7
7 Radiographer 220 143 77
8 Radiographer (Contract Basis) 115 113 2
9 Pharmacist 1531 2390 0
12
STAFF (IEC)
Sr. No Category Sanction Filled Vacant
1 State Mass Media and Information Officer 1 - 1
2 District Mass Media and Information Officer 18 16 2
3 Deputy MEIO 42 29 13
4 Assistant Editor 1 - 1
5 B.E.E 142 56 86
6 Photographer 1 1 0
7 Technical Officer/ Audio Visual 1 1 0
8 Publicity Supervisor 1 1 0
13
STAFF (Malaria Section)
Sr. No Category Sanction Filled Vacant
1 Assistant Malaria Officer 14 - 14
2 Assistant Unit Officer 39 10 29
3 Entomologist-cum-Parasitamologist 1 - 1
4 Entomologist Assistant 5 1 4
5 Insect Setter 1 1 -
6 Insect Collector 29 18 11
7 Draftsman 1 1 -
8 Superior Field Worker 151 118 33
9 Biologist 13 - 13
14
STAFF (Technician)
Sr. No Category Sanction Filled Vacant
1 Refrigerator Mechanic 16 15 1
2 Assistant Dental Mechanic 8 3 5
3 Dental Mechanic 18 2 16
4 Dental Hygienist 20 15 5
5 Dental Electrician 1 0 1
6 Dark Room Assistant 21 18 3
7 E.C.G. Technician 13 9 4
8 Operation Theatre Assistant 41 34 7
9 Pump Mechanic 12 8 4
10 Field Assistant 1 1 -
15
STAFF Cont.. (Technician)
Sr. No Category Sanction Filled Vacant
11 Sanitary Supervisor (Health Core) 11 5 6
12 Microscope Mechanic 1 1 -
13 Artist 13 7 6
14 Projectionist 17 1 16
15 Developer 1 0 1
16 Machine Operator 1 0 1
17 Tradonal Machine Operator 1 0 1
18 Senior Compositor 1 0 1
19 Compositor 1 0 1
20 Copy Holder 1 1 0
21 Proof Assistant 1 1 0
22 Manager off-set Press 1 0 1
23 Cold Chain Officer 1 1 0
16
STAFF (Statistical)
Sr. No Category Sanction Filled Vacant
1 Joint Director(Evaluation) 1 0 1
2 Deputy Director(Statistics) 1 0 1
3 Senior Research Officer 2 1 1
4 Statistical Officer 11 2 9
5 Superintendent (Statistics) 22 19 3
6 Statistical Assistant 61 25 36
7 Junior Statistical Assistant 25 25 0
8 Computor 264 200 64
17
STAFF (Ministerial)
Sr. No Category Sanction Filled Vacant
1 Administrative Officer 1 0 1
2 Registrar (Budget) DRME 1 0 1
3 Superintendent Grade-1 18 15 3
4 Superintendent Grade-2 14 14 -
5 Senior Assistant 135 135 -
6 Junior Assistant/Clerk 129 96 33
7 Personal Assistant 4 2 2
8 Junior Scale Stenographer 4 4 -
9 Senior Scale Stenographer 6 6 -
10 Steno-Typist (Head Quarter) 9 9 0
18
STAFF Cont.. (Ministerial)
Sr. No Category Sanction Filled Vacant
11 Steno-Typist (Field) 231 166 65
12 Superintendent Grade-2 68 59 9
13 Senior Assistant 298 292 6
14 Clerk 1110 1033 110
15 Librarian 1 1 -
16 Home Science Assistant 1 - 1
17 Senior Scale Stenographer 16 13 3
18 Junior Scale Stenographer 2 2 -
19 Packer / Sweeper 5 4 1
20 Class IV ( Head Quarter) 86 84 2
21 Sweeper (Head Quarter) 5 5 -
22 Chowkidar 8 8 -
23 Class IV (Field) (Total Posts) 7299 6599 1193
19
Requirement of New Health Institutions Sub
Centers

• 2950 Sub- centers are functioning.
• Shortage of 289 Sub Centers as per census 2001
  and 687 Sub Centers as per estimates of 2011
  population , as per norm of 1 sub centre for
  every 5000 population. Cost of new Sub Center is
  Rs. 7 lac.

Year Existing Required as per Norms Additions Required Fund Required (Rs. in Crore)
2001 2950 3239 289 20.00
2011 2950 3637 687 48.00
20
Requirement of New Health Institutions PHCs

• 394 PHCs are functioning.
• Shortage of 146 as per census 2001 and 212 PHCc
  as per 2011 estimated population . Rs. 1 crore
  per PHC.

Year Existing Required as per Norms Additions Required Fund Required (Rs. in Crore)
2001 394 540 146 146.00
2011 394 606 212 212.00
21
Requirement of New Health Institutions CHCs

• 142 Administrative Blocks in the State.
• One CHC is to be provided in each block.

Number of Administrative Block 142
Number of CHC Required as per norms(1 per block 2 for Block with population more than 1.50 lac) 165
Number of CHCs already functioning under PHSC 114
No of blocks were no CHC Exists (108 out of 142 ok) 34
Number of CHCs more required (6 double) (165-1146) 57
Number of CHCs under DHS which needs to be strengthen 15
Number of CHCs to be constructed at new places 42
Funds Required for 57 CHCs including CHCs under DHS (Rs. in Crores) (In the first phase 34 CHCs would suffice) 171
22
Staff and Building for New Districts

• Posts - 8 New districts i.e. Mansa, Moga,
  Muktsar, SBS Nagar, SAS Nagar, Barnala, F.G.Sahib
  and Tarn Taran were created after 1992 but all
  the required posts for the office of Civil
  Surgeons have not been sanctioned. In all 274 new
  posts of other than Class-IV are required.
• Office - There is no office accommodation for
  the office of Civil Surgeons in these 8
  districts. The office of Civil Surgeon at
  Amritsar, Ludhiana, Patiala, Gurdaspur and
  Hoshiarpur required to be constructed at proper
  place. The total requirement of funds would be
  about Rs. 26 crore.
• Residence - Civil Surgeons of districts
  Amritsar, Barnala, F.G.Sahib, Hoshiarpur,
  Kapurthala, Mansa, Moga SBS Nagar do not have
  residential accommodation earmarked. They are
  staying in the premises of Senior Medical
  Officers or in Private Accommodation.

23
Details of posts required at Newly created
districts
Shortage of Staff Contd..
Sr. No. Name of Post Scale Requirement of Posts Remarks
1 District Immunization Officer 10025-15100 5
2 District Dental Health Officer 10025-15100 3
3 Epidemiologist 7880-13500 5
4 Deputy Medical Commissioner 10025-15100 5
5 Distt. Mass Media Information Officer 6400-10640 6
6 Deputy Mass Media Information Officer 5800-9200 6
7 Artist Cum Photographer 5800-9200 8
8 District Public Health Nurse 6400-10640 8
9 Food Inspector 4550-7220 6
10 Assistant Malaria Officer 5800-9200 6
11 Multipurpose Health Worker(M) 4550-7200 48
12 Superintendent Grade-II 6400-10640 12
13 Superintendent Statistics 6400-10640 8
14 Senior Assistant 5800-9200 22
15 Statistical Assistant 5800-9200 11
24
Details of posts required at Newly created
districts Contd..
Shortage of Staff Contd..
Sr. No. Name of Post Scale Requirement of Posts Remarks
16 Steno Typist 3330-6200 16
17 Clerk 3120-5160 60
18 Computer/ Statistical Clerk 3120-5160 6
19 Multi Purpose Supervisor (M)/ Health Supervisor 4550-7220 5
20 Driver 3330-6200 64
21 Senior Lab. Technician 5000-8100 8 For District Malaria Laboratory
22 Medical Laboratory Technician Grade II 3330-6200 8 For District Malaria Laboratory
23 Lab. Attendant 3120-5160 8 For District Malaria Laboratory
24 District TB Officer 7880-13500 8 For TB Clinics
25 Medical Laboratory Technician Grade I 4020-6200 8 For TB Clinics
26 Medical Officers 7880-13500 8 For School Health Clinics
27 Medical Officer (Dental) 7880-13500 8 For School Health Clinics
28 Public Health Nurse 5000-8100 8 For School Health Clinics
29 Class IV (Helper/ Watchman/ Sweeper) 2520-4140 128
16 Steno Typist 3330-6200 16
25
Food and Drug Control

• Drug Inspectors
• 19 posts of Drug Inspectors are sanctioned in
  the state . 1 Inspector for 1 district.
• Present strength is grossly inadequate for
  about 22000 shops.
• 38 posts of Drug Inspectors are more required
  so as to have one Drug Inspector for every 600
  chemist shop.

26
Food and Drug Control

• Food Inspectors
• 23 Food Inspectors sanctioned. Only 1
  inspector for a district.
• There should be at least 1 Food Inspector in
  every Sub-Division.
• 53 more Posts of Food Inspectors are required.

27
Requirement of funds for existing Health
Institutions

• Sub-Centres Out of 2950 Sub-Centres 1030 are
  functioning from Dharmshalas etc. New buildings
  would require Rs. 60 crore.
• PHCs - 80 PHCs out of 394 PHCs are similarly
  situated. A sum of Rs. 80 crore is required for
  these new buildings.

28
Requirement of Medicines
SN Institution Requirement (Cr.) Provision Provision Gap
SN Institution Requirement (Cr.) Rs. Source Gap
1 SHC (1187) 10.68 11.79 Non-Plan (RDP) Nil
2 SC (2950) 1.00 1.00 GoI in Kind Nil
3 PHC (394) 8.00 11.00 NRHM (1.00), Non-Plan (10.00) Nil
4 CHC/SDH/DH 19.00 14.00 NRHM (6.00), Non-Plan (2.50), User Charges (5.50) 5.00
TOTAL 38.68 37.79 5.00
29
Requirement of Equipments
SN Institution Requirement (Cr.) Provision Provision Gap
SN Institution Requirement (Cr.) Rs(Cr.) Source Gap
1 SHC (1187) 11.87 Nil Non-Plan (RDP) 11.87
2 SC (2950) 2.90 2.90 NRHM Untied funds Nil
3 PHC (394) 10.00 5.58 NRHM (3.25), Non-Plan (2.33) 4.41
4 CHC/SDH/DH 80.00 14.24 NRHM (13.24), Plan (1.00) 65.76
TOTAL 104.77 22.72 82.04
30
Requirement for Infrastructure As per 2011
Estimates
SN Institution Requirement (Cr.) Provision Provision Gap
SN Institution Requirement (Cr.) Rs(Cr.) Source Gap
1 SC (2950) 48.00 10.00 per year NRHM 18.00
2 PHC (394) 212.00 5.00 per year NRHM 200.00
3 CHC/SDH/DH 153.00 5.00 per year NRHM 25.00 Cr. State Plan 113.00
TOTAL 413.00 60.00 25.00 328.00
31
Shortage of Vehicles/ Ambulances

• Ambulances were procured more than 10 years
  back and majority of them are not road worthy.
• 172 vehicles (Ambassador (27), Gypsy(26),
  Trucks(10), Buses(39), Jeep(59) and
  Ambulances(11) were condemned and Rs.95.47 lacs
  was deposited in the State Treasury.
• Due to its condemnation and auction there is
  huge shortage of vehicles.

More Vehicles Required
Type of Vehicles Required Qty Place
Ambulances 50 for district hospitals, sub division hospitals and community health centers
Ambassadors 25 The offices of Civil Surgeons and Head Office
Tata Sumo, Gypsy etc 85 district and state head quarters
32
CANCER CONTROL
India 200- 250 cases per one lakh population.
Punjab - As per survey conducted by Health
Department in Districts Mukatsar, Bathinda ,
Faridkot and Mansa the prevalence of cancer
patients is 52.2 per lakh population (2005
survey).
SN District Population No. of cancer patients No. of cancer patients per lakh population
1 Muktsar 8,27,906 453 56.6
2 Bathinda 12,00,736 711 59.3
3 Faridkot 5,85,500 164 28.0
4 Mansa 7,31,535 420 57.5
33
CANCER CONTROLContd..

• The number of deaths because of Cancer in 2007 in
  Bathinda, Faridkot, Mansa, Muktsar, Sangrur,
  Barnala, Patiala, Ludhiana and Ferozepur (Malwa
  districts) was 591.
• The number of Cancer patients in whole of Punjab
  in Government Institutions was 2300.

34
CANCER CONTROL . . .Contd..

• Detection of Cancer
• Imaging
• X-Ray CHC, SDH, DH and Medical College
  Hospitals.
• Ultrasound Sub-Divisional, District and Govt.
  Medical College Hospitals
• CT Scan All Govt. Medical College Hospitals.
• Biopsy CH Jalandhar and Govt. Medical College
  Hospitals.
• Mammography CH Bathinda and Mata Kaushalya
  Hospital, Patiala
• Laboratory Fine Needle Aspiration Cytology,
  Peripheral Blood Smear
• examination available at District Hospitals and
  Medical College Hospitals

35
Cancer Control .. Contd..

• Treatment
• Surgery Sub-Divisional, District and Medical
  College Hospitals.
• Chemotherapy Medical College Hospitals.
• Radiotherapy Medical College Patiala.
• PGIMER, Chandigarh has been approved as Regional
  Cancer Centre for Punjab by Govt.of India.
  Regional Cancer Centre provides comprehensive
  cancer treatment services and training to Medical
  Para-medical staff for detection prevention
  of cancer and supportive care to patients. It is
  also a referral centre for other hospitals.
• Palliative Care It is provided at all levels.
  It includes relief of pain and symptomatic
  treatment of terminally ill patients. It also
  includes provision of psychosocial support and
  aims at improving quality of life of patients.

36
Cancer Control .. Contd..

• Projects completed
• Mammography unit at Civil Hospital Bathinda and
  Mata Kaushalya Hospital Patiala.
• Brachytherapy Machine costing Rs 70 lacs for the
  treatment of cancer patients has been installed
  at Govt. Medical College Patiala.
• Cobalt Source for the treatment of cancer
  patients has been installed at Sri Guru Ram Dass
  Institute of Medical Sciences and Research with
  assistance of Rs. 25.00 Lac from Govt. of Punjab.

37
Cancer Control .. Contd..

• Ongoing Projects
• Multispecialty Cancer Hospitals are being setup
  at Mohali and Bathinda in Public Private
  Partnership mode in collaboration with M/S Max
  Health Care India.
• Regional Cancer Centre at Medical College
  Amritsar Government of India has provided Rs.
  2.00 Crore for machinery and equipment.
• Simulator and Treatment Planning system for Govt.
  Medical College Patiala. Government of India has
  provided Rs. 2.00 Crore for this purpose.
• Mammography unit is to be installed at Medical
  College Patiala. Rs. 30 lacs have been provided
  for this.
• Radiotherapy unit at Sri Guru Gobind Singh
  Medical College Faridkot. Rs. 3.00 Crore have
  been provided by Govt. of India for machinery and
  equipment and construction.

38
Cancer Control .. Contd..

• Projects under consideration of Govt. of India
• Onconet Service- A Tele Medicine Service is to be
  established by Govt. of India. Regional Cancer
  Centre PGI will be connected to four district
  Hospitals namely Hoshiarpur, Sangrur, Bathinda
  and Muktsar for this service.
• Setting up of a Cancer Registry in Districts
  Bathinda Muktsar.
• District Cancer Control Programme for districts
  Hoshiarpur and Patiala. This programme is to be
  implemented by PGI Chandigarh.

39
Cancer Control .. Contd..

• Other facilities to cancer patients
• Financial assistance under State Illness fund to
  cancer patients belong in to below poverty line
  families up to the tune of Rs. 1.5 Lacs.
• School children suffering from cancer are
  provided free treatment by Punjab Government.
• Punjab Government provides free travel facility
  to cancer patient and one attendant.
• Health Education activities are under taken to
  make people aware about the causes signs and
  symptoms and prevention of cancer.

40
Preparedness to Combat Drug Abuse In The State

• There are 12 De-addiction Centers functional, 3
  in State medical Colleges i.e. Patiala, Amritsar
  and Faridkot and 9 in Govt. Hospitals Tarn Taran,
  Pathankot, Kapurthala, Jullandhar, Bathinda,
  Faridkot, Muktsar, Hoshiarpur and Badal. 2 De-
  Addiction Centers at Civil Hospitals Talwandi
  Saboo and Ferozpur are in the process of being
  established. A state level 50 bedded Drug
  Dependence Treatment Center is being set up at
  Government Medical College, Amritsar.
• 22 De-addiction Centers/Counseling Centers in
  Punjab are being run under the control of
  Ministry of Social Welfare, Govt. of India. Out
  of this 13 centres are run by Indian Red Cross
  Society and 09 by Non-Govt. Organizations. 37
  such centers in Punjab (33 functional and 4 under
  construction) is insufficient to handle the drug
  abuse problem in the State. In 33 functional
  DDTCs there are 142 beds out of which 30 beds are
  with State Medical Colleges and 112 are with the
  Department of Health and Family Welfare, Punjab
  in various Civil Hospitals.

41
Preparedness to Combat Drug Abuse In The State..
Contd..

• There are 26 Psychiatrists within the department
  working at different health institutions of the
  state and are providing services in drug abuse
  prevention at their place of postings. All of
  them can be judiciously and optimally utilized to
  manage/advisor to DDDAC/any drug de-addiction
  centers in every district.) The NDDTC, AIIMS has
  already trained 20 psychiatrists as Master
  Trainers in Drug Abuse Prevention. It has also
  trained 10 health personnel from four
  districts of the state (4 psychiatrists, 3 staff
  nurses, 3 laboratory technicians) for Opioid
  Substitution Clinics which are going to be
  established by GOI to prevent IDU in
  collaboration with NACO.
• Health department has already commissioned a
  study on Drug abuse in the border districts of
  Punjab funded by National Rural Health Mission,
  (NRHM), Punjab at the cost of Rs. 5.0 lakh in
  2009. The study will be completed by March 2010.
  There are many steps being taken to establish
  de-addiction centers like
• DHS (16)- Annual Plan 2009-10- Rs. 200.0 lakh,
  Total Plan Outlay Rs. 330.0 lakh
• DHS (17) State Level Drug Dependence Treatment
  Center (SDDTC), Govt. Medical College, Amritsar
  (Swami Viveka Nand Drug Dependence Treatment
  Center )-Annual Plan2009-10 Rs. 200.0 lakh,
  Total Plan Outlay Rs. 334.0 lakh,

42
Preparedness to Combat Drug Abuse In The State..
Contd..

• Trained Manpower -

S.No. Item Number
1 Total Districts 20
2 Psychiatrist in State Health Services 26
3 Districts with a Psychiatrist 18
4 Districts without a Psychiatrist 02 (Fatehgarh Sahib, SBS Nagar)
5 Psychiatrists Trained as Master Trainer 20
6 Health employees Trained in Opioid Substitution Therapy 10
43
Drug De-Addiction Program Contd..

• Drug Menace During the year 2008, 617 Joint
  raids were conducted by the Drug Inspectors with
  the help of police department to check the menace
  of drug addiction.
• 37 licenses of chemist shops have been cancelled
  and licenses of 294 chemists were suspended due
  to various contraventions of drug and cosmetics
  Act.
• Drugs worth Rs. 3.18 crore have been seized
  during the year 2008 and action taken against the
  defaulters.
• Drugs worth Rs. 1.34 crore have been seized
  during the year 2009 (upto July) and action taken
  against the defaulters.
• 329 Joint raids were conducted and 119 licenses
  of chemist shops have been cancelled and 244
  chemist's licences were suspended during
  2009(upto July).

44
Prevention of Food Adulteration

• During 2008, 290 samples out of 3520 samples
  were found to be adulterated.
• During 2009 (upto July) 183 samples out of 1981
  samples were found to be adulterated.

45
Scheme Wise Outlay Expenditure
Code No. Sub-Head/Name of the Scheme 11th Plan(2007-12)Approved Outlay Annual Plan(2007-08)Expenditure Annual Plan (2008-09) Annual Plan (2008-09) Annual Plan (2008-09) Annual Plan (2009-10)
Code No. Sub-Head/Name of the Scheme 11th Plan(2007-12)Approved Outlay Annual Plan(2007-08)Expenditure Approved Outlay Revised Outlay Expenditure Approved Outlay
  DIRECTORATE OF HEALTH SERVICES(DHS)Department of Health and Family Welfare            
  Centrally Sponsored/Funded Schemes            
DHS 1 National Malaria Eradication Programme (Rural)- (5050) 200.00 29.66 40.00 40.00 21.19 45.00
DHS 2 National Malaria Eradication Programme (Urban) - (5050) 100.00 3.34 20.00 20.00 15.72 25.00
DHS 3 Punjab Nirogi Yojana- (3367) 200.00 100.00 100.00 100.00 100.00 200.00
DHS 4 Integrated Disease Surveillance Project(IDSP), Punjab -(7030) 57.52 0.00 34.50 34.50 0.00 34.50
  State Funded Schemes            
DHS 5 Implementation of Tele-medicine Application in the State of Punjab 147.00 0.00 150.00 150.00 150.00 0.00
DHS 9 Balri Rakshak Yojana 300.00 8.72 100.00 50.00 26.04 60.00
DHS 10 Construction of new hospitals (PAP Jalandhar and Nangal) 1000.00 0.00 837.00 837.00 500.00 300.00
DHS 11 Upgradation and expansion of existing Health Institutions 0.00 0.00 0.00 250.00 0.00 2500.00
DHS 12 National Rural Health Mission (NRHM) (8515) 19567.10 0.00 3000.00 2884.00 2884.00 4125.00
  New Scheme            
DHS 12(i) National Urban Health Mission (NUHM) (8515) 0.00 0.00 0.00 0.00 0.00 100.00
46
Scheme Wise Outlay Expenditure
Code No. Sub-Head/Name of the Scheme 11th Plan(2007-12)Approved Outlay Annual Plan(2007-08)Expenditure Annual Plan (2008-09) Annual Plan (2008-09) Annual Plan (2008-09) Annual Plan (2009-10)
Code No. Sub-Head/Name of the Scheme 11th Plan(2007-12)Approved Outlay Annual Plan(2007-08)Expenditure Approved Outlay Revised Outlay Expenditure Approved Outlay
  State Funded Schemes            
DHS 13 Medical Equipment/Diagnostic Services in the hospitals 500.00 13.16 165.00 210.00 206.15 100.00
DHS 15 Setting up of Urban Healthcare Centres in Muncipal Corporation Town, Bathinda (ACA-2008-09) 5000.00 0.00 1000.00 1000.00 0.00 500.00
DHS 16 Establishment of De-addiction Centres in the State 330.00 0.00 165.00 40.00 0.00 200.00
DHS 17 Establishment of State Level Drug Dependence Treatment Centre 383.00 0.00 200.00 0.10 0.00 200.00
DHS 18 Specialized Healthcare Services in the Rural areas of the State and Continuing Medical Education through tele-medicine 1000.00 0.00 0.10 0.00 0.00 0.00
DHS 19 Assistance to NGOs/District Administration for enforcement of PNDT Act, monitoring of pregnancies, helpline etc. 500.00 0.00 100.00 0.00 0.00 0.00
  Centrally Sponsored/Funded Scheme            
DHS 20 Rashtriya Swasthya Bima Yojana for workers covered under BPL (7525) 0.00 0.00 200.00 100.00 100.00 200.00
  New Schemes            
  State Funded Scheme            
DHS 21 Implementation of Emergency Response Services in the State 0.00 0.00 0.00 0.00 0.00 100.00
47
Scheme Wise Outlay Expenditure
Code No. Sub-Head/Name of the Scheme 11th Plan(2007-12)Approved Outlay Annual Plan(2007-08)Expenditure Annual Plan (2008-09) Annual Plan (2008-09) Annual Plan (2008-09) Annual Plan (2009-10)
Code No. Sub-Head/Name of the Scheme 11th Plan(2007-12)Approved Outlay Annual Plan(2007-08)Expenditure Approved Outlay Revised Outlay Expenditure Approved Outlay
DHS 22 Assistance for Institutional deliveries to poor families 0.00 0.00 0.00 0.00 0.00 1000.00
DHS 23 Providing hotline facilities in the district as well as sub-divisional hospitals (more than 100 beds) for maintaining emergency services. 0.00 0.00 0.00 0.00 0.00 200.00
DHS 24 Setting up of mobile cancer detection units in the State. 0.00 0.00 0.00 0.00 0.00 1.00
DHS 25 Setting up of Urban Healthcare Centres in Jalandhar, Ludhiana and Malerkotla for urban poor and slum dwellers 0.00 0.00 0.00 0.00 0.00 1500.00
  Total (DHS) 29284.62 154.88 6111.60 5715.60 4003.10 11390.50
  AYURVEDADepartment of Health Family Welfare            
  State Funded Schemes            
AY 1 Upgradation and Extension of Govt. Ayurvedic Pharmacy and Stores, Patiala 50.00 0.00 20.00 20.00 9.00 10.00
  Total(Ayurveda) 50.00 0.00 20.00 20.00 9.00 10.00
  HOMOEOPATHYDepartment of Health Family Welfare            
  State Funded Schemes            
HM 1 Strengthening of Existing Govt. Homoeopathic Dispensaries 65.00 0.00 13.00 13.00 11.98 13.00
  Total (Homoeopathy) 65.00 0.00 13.00 13.00 11.98 13.00
  Grand Total (Medical Public Health) 40621.00 324.40 9544.60 9614.97 4423.74 16938.92
48
Summary Issues and Challenges

• Food Adulteration Significant seizures but
  requirement for extra enforcement staff 53 Food
  Inspectors (One per Sub-Division).
• Drug Menace Campaign launched and habit forming
  drugs worth more than Rs. 6.00 Cr. seized during
  last 2½ years. Need for increasing the strength
  of Drug Inspectors from 19 to 57 so as to have 1
  Drug Inspector per every 600 Chemist Shops.
• Sex Ratio Latest data shows an improvement from
  796 in 2001 to 838 in 2006 as per SRS 2007. Need
  for strengthening the schemes for girl child.
  Some States are depositing upto Rs. 30,000/- per
  girl child at birth to enable her to receive
  staggered payment through academic career.

49
Summary Issues and Challenges

• Access to Health Care Free delivery, free
  referral for school students, free treatment for
  BPL families in Govt. Hospitals.
• Implementation of RSBY for BPL families in all
  the districts for cashless treatment upto Rs.
  30,000/-.
• Implementation of Bhai Kanhaya by Cooperation
  Deptt. for cashless treatment upto Rs. 2,00,000/-
  for members of Co-op. Societies.
• State illness fund for BPL families.
• Need Definition of BPL families restrictive
  and need for enlarging the scope of insurance
  scheme for greater number of poor people.
• Supply of free medicines more medicines should
  be added.

50
Summary Issues and Challenges

1. Telemedicine Made functional but needs to be
   strengthened. Greater involvement of medical
   colleges.
2. PPP Projects Two Hospitals awarded. Case of 3
   Hospitals Mother and Child Hospital, FGH Sahib,
   SDH Nangal and Nabha being referred to PIDB.
3. Jan Aushadhi Stores 8 opened and remaining 12
   would be opened by 30-11-2009 for sale of cheaper
   generic medicines manufactured mostly by CPSUs.

51
Summary Issues and Challenges

1. EMRI Emergency Medical Response System needs to
   be made functional. 16 States have already
   undertaken this work and GoI is encouraging it
   under NRHM.
2. Recruitment of Staff After many years Govt. has
   allowed recruitment of MOs, MO Dental and
   Specialists which needs to be continued on
   regular basis. 191 more Ayurvedic Doctors needs
   to be recruited.
3. ESI Recruitment of Doctors on contract basis.
   ESI willing to set up a Medical College provided
   State Govt. arranges 30 acres of land.

52
Summary Issues and Challenges

• Institutional Deliveries Significant increase
  but still deliveries in Govt. Institutions
  account for about 15 of all births and 23 of
  total institutional deliveries. (5 lakh birth,
  62 institutional deliveries and 70000 deliveries
  in Govt. Hospitals).
• Need for more incentives for poor people.
  Provision of delivery kit of Rs. 1500/- per child
  during 2009-10.
• Need for strengthening the community monitoring
  system specially at PHCs and SCs level.
• Involvement of private parties in under served
  pockets.

53
Summary Issues and Challenges

• Work of ANMs Hardly any vacancy of ANMs in 2950
  SCs. Bigger SCs have 2 ANMs. They are being
  provided mobiles and an application based on
  mobiles for online monitoring of their
  performance.
• ASHAs Proper selection and weeding out of
  non-performers.
• Community Monitoring Payment of allowances and
  incentives to ANMs/Staff Nurses and other Doctors
  enganged under NRHM through the Planning and
  Monitoring Committees.

54
Summary Issues and Challenges

• Monitoring of Staff A website of NRHM,
  Computerization of service particulars and
  administrative maps by PRSC, Ludhiana.
• Involvement of District Administration and PRIs
  in District Health Societies and Missions. Need
  for greater accountability on the part of the
  staff in the field.
• Staff and Buildings in New Districts New 24
  Health Blocks.
• Upgradation of DH/SDH/CHCs and new constructions
  as per norms.

55
Summary Issues and Challenges

1. Funds for equipments for PHSC.
2. HMIS in all Hospitals for effective monitoring of
   service delivery.

56
Summary Issues and Challenges

• Rationalization of postings and transfers End
  to irrational deployment of Doctors and Other
  Paramedical Staff for the first time. Need to
  continue this.
• Deputation- 82 doctors on deputation with
  UT and many for more than 25 years. Doctors
  should return after completion of their tenure of
  3-5 years after replacement.
• Similarly about 45 doctors are with
  Medical Colleges. These doctors did not return
  after completion of SR and PG and were adjusted
  in an irregular manner by the Medical Education
  Department against the post of Teaching faculty.