PUBLIC HEALTH AND PREVENTIVE MEDICINE
Public Health Department in Vellore District consists of 20 Block PHCs, 75 Additional PHCs, 22 UPHCs, totally 117 Primary Health Centres are functioning. Out of the above 22 PHCs are upgraded with 30 beds. Totally 425 Health Sub Centres are functioning with Village Health Nurses.All the PHCs are functioning 24 x 7, apart from Out Patient, In Patient services deliveries are also conducted. In 6 Primary Health Centres LSCS deliveries are also conducted. 12 PHCs have Blood storage facilities, 15 PHCs Dental section, 6 PHCs with X-Ray facilities. In all the 20 Blocks, Hospital on Wheels Programme (HoWP) functioning with Block PHCs as Head Quartres. Totally 40 RBSK School Health Teams functioning in 20 Blocks, 1 Team exclusively for Male Children and another Team for Female Children. 13 Govt.Taluk and Non-Taluk Hospitals and 1 Government Medical College Hospital functioning in this District.
Services Rendered in Primary Health Centres:
Out Patients, In Patients, Deliveries and Family Welfare Services
In Primary Health Centres on an average 304 Out Patients are treated per day. In a Month on an average 7294 In Patients are admitted and treated. In a Month totally 939 deliveries conducted in the PHCs. Out of which 50 LSCS deliveries conducted. Totally 340 Sterlization done under Family Welfare Programme.
Maternal and Child Health
In MCH Programme, Village Health Nurses visit villages in their Health sub centre area, register the Antenatal Mothers in early stage, Lab investigations, immunization, IFA, Calcium Tablets and Albendazole Tablets given by them as well as scan investigations in the PHCs.
Deliveries are also conducted in the PHCs, High Risk Mothers referred to Higher Govt. institutions. In this year out of a target of 45,510 A.N. Mothers Registration, 42001 Mothers Registered with 92.3% achieved.
Under National Immunization Schedule, for Children below One Year to be immunized with 1 dose of BCG, 3 doses of OPV and Pentavalent, IPV 2 doses, 3 doses of Rota Vaccine and 1 Dose of MR Vaccine. Out of target 40914, achievement in BCG 38959 (95%), 3rd dose of OPV and Penta achievement 39873 (97%) and 39904 (97%) achieved in MR Vaccine.
Dr.Muthulakshmi Reddy Maternity Benefit Scheme:
With reduction strategy of IMR and MMR, Govt. of TamilNadu implementing the Dr.Muthulakshmi Reddy Maternity Benefit Scheme. Antenatal Mothers have been Registered at an early stage, A.N. check made at PHCs, G.H.s and Rs.4000/- received at the 5th Month of Pregnancy as 1st instalment. The 2nd instalment of Rs.4000/- given to Mothers delivered at PHCs/GHs. The 3rd instalment of Rs.4000/- given after the Child received 3rd dose of Pentavalent Vaccine. In the finance Year 2017-2018 Rs.58.08 Cr. allotted out of which Rs.22.21 Cr. spent and 28707 Pregnant women benefitted in this scheme so far.
Janani Suraksha Yojana Scheme (JSY)
Under JSY Scheme, for deliveries conducted in PHCs/GHs Rs.600 or Rs.700/- given to the Delivered Mothers. In this Scheme totally 20867 Mothers were benefitted so far in this year.
Sanitary Napkin Scheme to Adolescent Girls:
Under this Scheme all the Adolescent Girls School going and Non School going Girls with a Monthly target of 171105, Sanitary Napkins have been issued to the Girls at the Schools, also for Non School Girls at their Residence, achieving 91% every Month.
Amma Baby Care Kit:
Under Amma Baby Care Kit, Totally 6672 delivered Mothers in the Primary Health Centres, 6320 Delivered Mothers in Government Hospitals and 7050 Delivered Mothers in Government Medical College Hospital have been given ABC Kit which consist of 16 essential things for the delivered Mother as well as the Baby.
Hospital on Wheels Programme (HOWP):
Totally 20 HoWP Medical Teams functioning in this District as per the Monthly FTP which covers remote, inaccessible, and Trible Villages under the Leadership of the Medical Officer. The render Medical Services by covering One Village in Morning and another Village in the afternoon, OP, treating Diabetic patients, Pregnant Women and under 5 Children. Referral Services are also made. In this year, Out of 7380 Camps, 7195 Camps conducted so far, benefitting 651083 persons. Also for Tribal area two Tribal Teams functioning 1 at Peenjamandhai in Anaicut Block of Vellore HUD and another at Pudhurnadu in Alangayam Block of Thirupathur HUD.
Free Birth Certificate:
All the Mothers delivered at PHCs and GHs have been given free birth certificates at the time of Discharge from the Hospitals. In this year so far 20042 Birth Certificate have been issued.
Amma Arokiya Thittam:
Under Amma Arokiya Thittam, 25 Medical Tests have been done on every Thursdays and Fridays in all the 20 Block Primary Health Centres and 4 Urban Primary Health Centres. In this year Totally 35036 Males, 55967 Females and totally 91003 were benefitted in this scheme.
Hon’ble Chief Minister’s Special Medical Camp:
In this, 3 Camps have to be conducted in each block in a year. Out of 60 Special Medical Camps, 58 Camps have been conducted so far. Totally 15656 Males, 31448 Females and totally 57353 were benefitted so far. 270 patients have been referred to Govt. Higher institutions.
National School Children Health Scheme (RBSK):
Under National School Children Health Scheme which was started in December 2014, right from new born children to 18 years adolescent have to be screened for congenital deformities, developmental and Nutritional deformities at an early stage. As it is diagnosed at the early stage, also treated at the earliest without any delay. In the scheme 40 teams have been functioning in 20 Blocks, 1 Team exclusively for treating Male Children and another for Female children.
In this Scheme, 3607 AWC have been visited and totally 231194 children have been examined. 2460 Schools have been visited and 389710 students have been examined. Out of which 29045 Children and Students have been referred to Higher institutions for further treatment. The referral Children have been taken to DEIC Centre functioning at Government Vellore Medical College Hospital on every Saturdays, and treatment given to them exclusively by a Pediatrician allotted for the DEIC.
National Programe for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)
Followed by the Non Communicable diseases (NCD) Programme in 2012 in all Primary Health Centres and Govt. Hospitals, in 2016 National Programme for Prevention and Control of Cancer, Diabetics, Cardiovascular diseases and Stroke (NPCDCS) has been extended.
During this year totally 284064 persons have been screened for Hyper Tension, Out of which 24520 persons have been diagnosed with HT. Out of 233142 persons screened for Diabetics, 14220 persons found to be with Diabetics. Totally 83090 persons have been examined for Cancer Cervix, 1080 women found Positive. Totally 106721 Women have been examined for Cancer Breast, 1243 found positive.
Adolscents Counseling Centre (RKSK):
Adolescents in the age group of 10 to 19 have been given counseling both physically and Mentally. It is carried out in all the Blocks PHCs, Govt. Hospitals and Govt. Medical College Hospitals through the counselors. In this Scheme totally 10187 Adolescent received counseling and the benefitted.
Vector Borne Diseases Control:
Activities Carried Out:
- Daily fever Surveillance report collected from various Government and Private Hospitals through Integrated Disease Surveillance Programme, and line list is communicated to PHC/HSC level, Corporation, Municipalities, Town Panchayats and Village Panchayats on daily basis.
- Preventive and control measures are initiated through block Level RRT and monitored daily.
- Cases of other District and other States are Cross Notified through IDSP on daily basis.
- Fever camps and fever surveillance work are ongoing regularly in all blocks through Hospital on Wheels and the concerned primary health centre Medical Officers and RBSK Medical Officers.
- The co-ordination meeting of various departments viz., local bodies, Public Health, Medical and Rural Health Services, Medical Education, School Education and TWAD board are conducted on weekly basis in the morning under the Chairmanship of District Collector to review the situation and control measures taken during the previous week in the field.
- District Level epidemic Co-ordination Committee Meeting is held every month under the Chairmanship of District Collector with all line department and discussed about the situation of Vector Borne diseases and Acute Diarrheal diseases in our District.
Deployment of DBC :
- Deployment of DBC is done after assessing the priority areas on weekly basis after analyzing the following details in District. 1926 temporary DBS workers engaged for Dengue control.
- Dengue positive case area
- Fever case reported area
- High vector indices observed area
- Previous hot spot villages
- Previous Outbreak areas
- Construction sites, Hospitals, Government buildings, Schools, Industrial areas, Cinema Theatres, Marriage Halls, Hotels, Parks , ICDS Centres, Temple, Church, Mosque and Residential quarters etc.
In each block one dedicated Block Epidemic Control team (RRT) is formed and they monitor the DBC activities. The team comprising one Block Medical Officer, One Medical Officer nominated as Nodal Officer, One Block Health Supervisor and two Health Inspectors and one driver with a vehicle.
The teams visit all the houses and premises in the district comprising of Health, Local bodies staff and volunteers. Teams are having a form for entry of details of destruction of breeding sources.
The team also educate the house holds about the water stored in vessels to be covered with cloth or lids to prevent mosquito breeding.
The team also distributes pamphlets on Dengue awareness and bleaching powder to the households and educate them to wash all the water storage containers, once in a week all unwanted containers and waste materials lying in the house hold premises are removed and collected in garbage collection vehicle.
Mike publicity vehicle accompanied with the team is utilised for awareness creations to the households, public buildings, Hotels, Cinema theatres, Marriage Halls, Schools, Colleges and office buildings are covered by the team for control of Dengue Vectors.
- The Premises of ICDS centres are to be checked by the teams.
- They should do complete source reduction, Anti-larval measures and fogging operations.
- Containers and other waste material with breeding potential like tyres, coconut shells, plastic cups, carry bags, thermocol boxes etc are removed and disposed properly.
- Fever case / Dengue reported areas have to be visited by the BMO, Area MO and BHS on the same day.
- Fever camps are conducted in Dengue cases and fever cases recorded areas.
- In case of focal outbreak, entire to be mobilized.
- Areas for inspections including municipalities / Corporation allotted for each second level officers.
- The District Entomologist of Health Unit Districts every day monitoring the Vector Indices through Junior Entomologists and alert given to Block level team i.e Block Health Supervisors, Block Development Officers, Executive Officer (Town Panchayat) Commissioners of Municipalities and Commissioner of corporation for immediate action for reducing the house index to zero.
- Mass Cleaning, Source reduction, Anti- larval work and Chlorination work carried out daily in rural and urban areas and periodical tyre removal is done in all places.
- Schools, Colleges, Public Buildings, Offices, Industries, Hotel, Parks, Cinema theatres and Marriage Halls were informed for keeping their premises free from Aedes Mosquitoe breeding in every Thursday chlorination is ensured in all drinking water sources of OHTs and houses.
Fine Imposed for Dengue Control:
As per Public Health Act 17,94,650 fine imposed and collected from various organization in Vellore District.
Diagnosis and case management
- Standard treatment protocol for the diagnosis of Dengue and treatment for vector borne and communicable diseases were given to all primary health centre, Government hospitals and private medical practitioners.
- The District Headquarter Hospital, Government Medical College Hospital, all taluk and non – taluk Government hospitals, Private Medical College Hospital and Private Nursing Homes, were instructed to maintain separate ward for fever cases.
- Private IMA and IAP medical practitioners meetings were organized and sensitized to follow the standard treatment protocol. The Health Minister Appeal, Health Advisory for Doctors, Clinics and Hospitals are distributed on Fever
- Case Management and ‘Dengue Fever’ Mobile Android Application in Tamil User Guidelines are distributed to all private practitioners. The National Guidelines for Clinical Management of Dengue Fever were also distributed to all practitioners.
- The District Headquarter Hospital and Government Medical College Hospital are made available with, adequate blood and blood products.
Treatment of Fever through ISM Drugs
- All the Medical Officer of PHCs and Government hospitals are informed that the Dengue cases should be treated with Nilavembu Kudineer and health education given on preparation of papaya leaf juice and malaivembu leaf juice for controlling of fever.
- All the Medical Officer of PHCs and Government hospitals are maintaining Fever register ORS solution and Nilavembu kudineer in male and female fever wards and also given daily to the OP fever patients.
- The elected representatives were sanitized through public health staff and BOs for cooperating with the Health System for the control measures.
- Fine imposed.
- Colleges and School students were created awareness about Dengue and Aedes mosquito Control through Public Health Staff.
- Awareness is also created to the households about Dengue and Larval Control methods of Aedes Mosquitoes, use of Mosquito net in infants i.e. wearing of full sleeves in children in day time for preventing the Dengue and Chikungunya through field staff.
- Creating awareness through video films about Dengue in all blocks through Hospital on wheels.
- Creating awareness to school children (Dengue oath ) about Dengue in school in all blocks through RBSK teams.
- Peoples are educated about source removal through Inter Personnel Communication (IPC) and in case of fever are advised to not to take self medication.
In Alangayam Block 30 Bedded Upgraded PHC Building have been constructed in Pudhur Nadu PHC, Jolarpet PHC in Jolarpet Block and Patchur PHC in Natrampalli Block. Also new PHC Buildings have been constructed in Nellivasalnadu and Pungampattu Nadu in Alangayam Block, Athurkuppam in Natrampalli Block, Chinnapallikuppam in Madhanur Block and Peenjamandhai in Anaicut Block. Totally Rs.615.00 Lakhs have been spent for the above construction of PHC Buildings.
Deputy Director of Health Services,