Final Report-Volume II
Study on Health Infrastructure in NCR
December 2015
National Capital Region Planning Board
Final274978 Report-Volume MCD ISA 04 II 00 P:\Noida\DMC\Projects\274978-Mapping of Health Infrastructure in NCR \Report \Draft Report \Final DFR \Final dfr -May 2012 \Draft Report Vol 20 October 2011
Study on Health Infrastructure in NCR
December 2015
National Capital Region Planning Board
Core-IV-B, 1st Floor, India Habitat Centre, Lodhi Road, New Delhi – 110 003
Study on Health Infrastructure in NCR
Issue and Revision Record
Revision Date Originator Checker Approver Description
00 02.06.2011 Moumita Biswas Anisur Rahman Shoma Majumdar Draft Report Nabaneeta Rudra Ruchi Bhargava Sanghamitra Sinharay 01 04.06.2011 Nabaneeta Rudra Anisur Rahman Shoma Majumdar Draft Final Report Sanghamitra Sinharay
02 28.8.2011 Nabaneeta Rudra Anisur Rahman Shoma Majumdar Draft Final Report ( Revision 1)- after Sanghamitra first CRC meeting Sinharay
03 11.6.2012 Ruchi Bhargava Nabaneeta Rudra Shoma Majumdar Draft Final Report ( Revision 2)- after second CRC meeting
04 10.07. 2015 Nabaneeta Rudra Nabaneeta Rudra Shoma Majumdar Draft Final Report ( Revision 3)- after the meeting with MS on 15 th April 2015
01 25.08.2015 Nabaneeta Rudra Nabaneeta Rudra Shoma Majumdar Final Report
02 15.09.2015 Nabaneeta Rudra Nabaneeta Rudra Shoma Majumdar Final Report-V2
03 09/10/2015 Nabaneeta Rudra Nabaneeta Rudra Shoma Majumdar Final Report – V2(R)
03 20/12/2015 Nabaneeta Rudra Nabaneeta Rudra Shoma Majumdar Final Report – V4
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Study on Health Infrastructure in NCR
Content
Chapter Title Page
Appendices 7 Appendix A. Hospital Fact sheets ______8 A.1. Fact sheets of Referral Hospitals contacted ______8 Appendix B. Terms of Reference V/S Scope of Work Addressed ______27 Appendix C. Performa of Collection of Information & Questionnaires ______28 C.1. Checklist for Mapping ______28 C.2. Checklist of Chief District Medical & Health Officer /Chief Medical Officer ______29 C.3. Tool for Hospital Administration of Tertiary & Super Speciality Hospitals ______30 C.4. Tool for Doctors Referral Hospitals ______31 C.5. In Patient Schedule ______32 Appendix D. GIS Maps ______33 Appendix E. Contact details of Medical Officials Contacted ______34
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Appendices
Appendix A. Hospital Fact sheets ______8 Appendix B. Terms of Reference V/S Scope of Work Addressed ______27 Appendix C. Performa of Collection of Information & Questionnaires ______28 Appendix D. GIS Maps ______33 Appendix E. Contact details of Medical Officials Contacted ______34
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Appendix A. Hospital Fact sheets
A.1. Fact sheets of Referral Hospitals contacted
A.1.1. Kailash Hospital and Heart Institute Name of the Facility Kailash Hospital and Heart Institute , H -33, Sector -27 NOIDA-201301 Type of facility Private- Super-speciality Contact Details ° Dr Mahesh Sharma ° Chairman & Managing Director ° Dr A K Choturvedi ° Group Medical Director ° Dr Vijay Ganju, Medical Superintendent - Mob 09871295311 Brief about the hospital This 325 bed Super-speciality multi services hospital, accredited by NABH is the largest private hospital in Uttar Pradesh. The hospital caters to patients from all over UP, Delhi and other NCR towns. The salient features of this hospital are the specialized OPD with over 160 specialists and super specialists in various fields aided by a team of over 1200 staff members. The hospital has round the clock availability of a host of facilities such as Ambulance Services, Mobile CCU, Casualty and Emergency Services, Lab and Diagnostic Services, Chemist Shop and Blood Bank ensuring smooth and efficient patient care. The Hospital is on the panel of CGHS, ECHS, and other government departments; large public sector corporations such as BHEL, NTPC, BSNL, NHPC, etc. and a number of organizations in the private sector for providing health care to their employees The hospital is accredited from NABH and ISO 9001- 2008 certified Number of beds available 325 (Total in the Facility) Room Charges per bed per INR 255 to INR 8685 depending upon the category of room day Availability of Doctors/ 200 Medical Category staff at the Facility Availability of Para Medical 500 staff at the Facility
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Availability of Diagnostics at ° Ultrafast M.R.I. 1.5 Tesla from Phillips, Netherlands the Facility ° Whole Body Multi slice Spiral CT Scanner from Siemens, Germany ° Computed Radiography System ° Color Doppler, ° Ultra Sound ° Fully Auto Lab Analyser ° Dialysis ° EEG, PFT, TMT, Uroflowmetry, Mammography, etc. ° Bone densitometry (BMD) Area of Super Specialisation Cardiothoracic & Vascular Surgery (CTVS) for which patients are Neruro referred IN to the facility Burn Unit Percentage of patients referred IN from other region
15% 15% 5%
15%
50%
Delhi NCR (UP) NCR (Haryana) NCR (Rajasthan) Other States
Major ailments for which Cardio, Neuro, Gynaecology patients are referred IN to the facility The major ailments for which No patients are referred OUT from facility to other facilities Comments It was reported by the hospital administration that they are facing a lot of problem due to unavailability of trained paramedical staffs and Doctors Source: Findings of this study
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A.1.2. Narinder Mohan Hospital Name of the Facility Narinder Mohan Hospital, Mohan Nagar, Ghaziabad Type of facility Private- Super-speciality Contact Details Brig (Rerd.) Dr KBNS Dod Medical Superintendent Mob 09868994095 Brief about the hospital The hospital is named as Narinder Mohan Hospital which is a charitable institution. The founder of this hospital is Late Padamshri Narinder Nath Mohan, who was the then Managing Director of Mohan Meakins Limited. He started the construction of this hospital in the year 1969. The hospital started functioning in the year 1974. The land area of the hospital is about 17 acres, which consists of hospital premises and the residential campus also. The total construction area of our hospital building, apart from residential area, is about 200 thousand Sq. Ft. which consists of all the departments i.e. OPD’s, Indoor and Investigations etc. within the same premises. The hospital is located in Ghaziabad, at the eastern border of Delhi and is hardly 18 Kms from Delhi (i.e. Connaught Place). It is situated on the main G.T. Road going towards Ghaziabad. Number of beds available 300 (Total in the Facility) Room Charges per bed per INR 1800 to INR 4620 depending upon the category of room. day These charges include food, nursing and RMO visit. Availability of Doctors/ 40 Medical Category staff at the Facility Availability of Para Medical 303 staff at the Facility Availability of Diagnostics at ° Hematology the Facility ° Biochemistry, Immunology, Microbiology. ° Histopathology & Cytology AngioGraphy(Coronary, Carotid, Peripheral) ° Angioplasty (Coronary, Carotid, peripheral) ° Balloon Valvuloplasty ° Electrophysiology ° Pacemaker Implantation: Temporary Pacing, Permanent Pacemaker ° ECG ° TMT ° Echo Colour Doppler Study of Heart, TEE ° Stress ECHO ° Holter Montoring ° Pulmonary Function Test ° Doppler Study of Carotid Vessels ° Peripheral Vascular Doppler Area of Super Specialisation ° Burns & Plastic Surgery for which patients are ° Full fledged CARDIAC CENTRE referred IN to the facility ° Cardiac Surgeries ° Diabetes & Endocrinology
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° Gastroenterology Medicine ° Gastroentorology Surgical ° Geriatric Medicine ° Nephrology ° Neurology ° Neurosurgery ° Oncology Medicine ° Paediatric Surgery ° Urology ( with Lithotripsy) Percentage of patients referred IN from other region
15% 15%
10%
60%
Delhi NCR (UP) NCR (Haryana) NCR (Rajasthan)
Major ailments for which ° Cardiology patients are referred IN to ° Dermatology the facility ° Ear-Nose-Throat ° Eye ° Internal Medicine ° Obstetrics and Gynaecology ° Orthopaedics ° Paediatrics The major ailments for which AIIMS, GTB, Ram Manohar Lohia - poor patients only patients are referred OUT from facility to other facilities Comments This hospital is facing a major problem of lack of adequate manpower and because of this they are not able to run some specialisations. Source: Findings of this study
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A.1.3. Fortis Escorts Hospital Name of the Facility Fortis Escorts Hospital Neelam Bata Road , Faridabad Type of facility Private -Multi Specialty hospital Contact Details Dr Pinak Moudgil Medical Superintendent Mob 09818590011 Brief about the hospital Fortis Escorts Hospital Faridabad is a 210 bedded, Multi Specialty hospital providing primary to tertiary medical care in all departments of medicine. It has a modern and superbly functional ambience along with technically superior & high quality competent Medicare. The services of this leading health care facility are sought by more than 100,000 patients every year. Fortis Escorts Hospital is also the first in the country to hold stringent ISO 9001-2000 status. It is the first hospital in Haryana to run comprehensive cardiac care program. It is also the first hospital in Haryana to run DNB Program of post graduate medical education in various specialisations. Moreover this hospital is also approved for institutions like ECHS, CGHS, Public sector companies and Insurance companies along with various government and private corporate. Number of beds available 210 (Total in the Facility) Room Charges per bed per INR 1500 to INR 6500 depending upon the category of room. day Availability of Doctors/ 91 Medical Category staff at the Facility Availability of Para Medical 345 staff at the Facility Availability of services at the ° Ultra Modern, Zero infection Operation Theatre dedicated for Facility Cardiac Surgeries Post Operative Cardiac recovery room (with 5 Isolation beds, nurse : patient ratio of 1:1 , along with round the clock availability of cardiologist) ° Well equipped cardiac care unit with 16 beds dedicated for cardiac patients. ° Dedicated cardiac ward with 8 beds. ° State of the art instrumentation including Image Intensifier , ° Most Advanced Super Speciality Dental Clinic, ° Advanced Gynaecological Laproscopy including fertility enhancing surgery Managing Infertility, Adolscent & Menopause Clinics Area of Super Specialisation ° Heart and Vascular Surgery for which patients are ° Nephrology and Urology Gastroenterology referred IN to the facility ° Orthopaedics & Joint Replacement ° Paediatric Cosmetic & Reconstructive Surgery ° Ophthalmology ° Neurology & Neurosurgery
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Percentage of patients referred IN from other region
10% 5%
85%
Faridabad District NCR Out side NCR
° Few from Iraq and African country Major ailments for which ° Heart patients are referred IN to ° Gynec the facility ° Paediatric ° Obstetrics and Gynaecology ° Dental ° Neuro The major ailments for which ° Safdarjung hospital burn case (more then 30% burn) patients are referred OUT ° B K Hospital ,District Hospital for TB from facility to other facilities ° Forties NOIDA for onco -surgery cases Comments The hospital has faced shortage of space and is coming up with extension and upgradation in the facility available. Source: Findings of this study
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A.1.4. Dharamshila Hospital Name of the Facility Dharamshila Hospital, Dharamshila Marg, Vasundhara, Delhi Type of facility Private - Specialty hospital Contact Details Dr Raja Dutta Medical Superintendent Mob- 09560450172 Brief about the hospital Dharamshila hospital is the first and only cancer hospital of India accredited by NABH not only for cancer but all other allied specialities. Dharamshila Labs are also accredited by NABL. This hospital provides preventive, diagnostic, therapeutic, rehabilitative, palliative and support services under one roof. Responding to the healthcare needs of the community all other allied services like Neurosurgery, Cosmetic and Plastic Surgery, Dental and Faciomaxillary Surgery, Orthopaedics, Gastroenterology, Nephrology and Urology etc. have been added over a period of time. Dharamshila hospital was first in India to start three years full time doctorate course - DNB Medical Oncology in 2002, DNB Surgical Oncology in 2003 and Post Basic Diploma in Oncology Nursing in 2010. First private sector Blood Bank of North India with cold room storage facilities for 8000 fresh frozen plasma and 2000 blood units. Number of beds available (Total 299 in the Facility) Room Charges per bed per day Not provided Availability of Doctors/ Medical 118 Category staff at the Facility Availability of Para Medical staff 396 at the Facility Availability of services at the ° Radiation Oncology at Dharamshila Hospital and Facility Research Centre is one of the busiest departments servicing 50-60% of cancer patients. It provides facilities for IGRT, IMRT, SRS, SRT and SBRT using volumetric Arc Therapy (VMAT), Conventional 3D Radiation. The facility provides ° Therapy and Brachytherapy. ° IMRT (Intensity Modulated Radiation Therapy) ° IGRT (Image Guided Radiation Therapy) ° Stereotactic Radio surgery (SRS) ° Stereotactic Body Radiation Therapy (SBRT) ° Brachytherapy Area of Super Specialisation for ° Cancer which patients are referred IN to the facility
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Percentage of patients referred IN from other region 5% 10%
40%
45%
Delhi NCR (UP) NCR (Haryana) Other states
Major ailments for which patients Cancer are referred IN to the facility The major ailments for which No Referral patients are referred OUT from facility to other facilities Comments Lack of trained manpower is a major problem this hospital is facing. They are also facing problem of staff retention as staff after training leave the hospital for better salary. Source: Findings of this study
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A.1.5. St.Stephen's Hospital Name of the Facility St.Stephens Hospital, Delhi Type of facility Super speciality Contact Details Dr. Grace Cheriyan, Deputy Director Mob. 09868399103 Brief about the hospital St Stephen's Hospital is the oldest and one of the largest private Hospitals run in charitable mode in Delhi. Established in 1885, it has a capacity of about 600 beds, and is a super speciality tertiary care Hospital offering care in all Specialities and most super specialities. Apart from treating patients, the Hospital runs training programmes in various Speciality and Super speciality courses affiliated to the National Board of Examinations and recognized by the Medical Council of India Number of beds available (Total 724 in the Facility) Room Charges per bed per day Not Provided Availability of Doctors/ Medical 284 Category staff at the Facility Availability of Para Medical staff at the Facility 3% 2% 15%
80%
Delhi NCR (UP) NCR (Haryana) Other states
Availability of services at the ° Gynaecology Facility ° Neonatology ° Paediatrics ° Cardiology ° Cardiac Surgery ° Neurology ° Orthopaedics Area of Super Specialisation for ° Paediatric surgery which patients are referred IN to ° Orthopaedic disorders the facility Percentage of patients referred IN from other region Major ailments for which patients ° Paediatric surgery are referred IN to the facility ° Orthopaedic disorders ° Cardiac Surgery ° Paediatric The major ailments for which No referral patients are referred OUT from
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facility to other facilities Comment Lack of trained manpower is a major problem this hospital is facing. They are also facing problem in staff retention as this is a charitable hospital and their salary structure is lower than even Government hospitals. Source: Findings of this study
A.1.6. Govind Ballabh Pant Hospital Name of the Facility Govind Ballabh Pant Hospital, Delhi Type of facility Government Contact Details Dr. H.P. Singh Addl. Medical Superintendent Ph. No. 9718599004 Brief about the hospital The Foundation stone of Pt. Govind Ballabh Pant Hospital was laid in October 1961 and inaugurated by the then Prime Minister late Pundit Jawaharlal Nehru on 30th April 1964. Today it is a nationally recognized tertiary care institution for Heart, Brain and Gastrointestinal disorders. It offers specialized medical and surgical treatment to about 3 lakh patients in the OPD and almost 15,000 patients in General and Private wards every year. The institution offers post-doctoral D.M. degrees in Cardiology, Neurology and Gastroenterology and M.Ch. degrees in Cardio thoracic Surgery, Neuro Surgery and Gastrointestinal Surgery. The students are also admitted in M.D. courses in the fields of Microbiology, Pathology, Psychiatry and Radio-Diagnosis - in association with Maulana Azad Medical College - a sister institution. In addition, many departments are recognized for PhD. courses and active research work is going on under their supervision. New proposal for expansion of 99 beds is under process. Number of beds available (Total 629 in the Facility) Room Charges per bed per day A/C private room is chargeable (@ INR 600 + INR 50 for food. Other all beds are free Availability of Doctors/ Medical At present out of 80 sanctioned posts, 57 are working as Category staff at the Facility faculty members, 17 General Duty Medical Officers (G.D.M.O), 1 Specialist., 131 Senior Residents (S.R.) and 90 Junior Residents are also working there. Availability of Para Medical staff 371 technical staff, 1042 Nursing Staff at the Facility Availability of services at the ° Neuropathology, Facility ° Cardiovascular pathology, ° Gastrointestinal pathology, ° Cytology, ° Clinical pathology and hematology.
Area of Super Specialisation for ° Cardiology which patients are referred IN to the facility
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Percentage of patients referred IN from other region
25% 40%
15% 10% 10%
Delhi NCR (UP) NCR (Haryana) NCR (Rajasthan) Other States
° Few from Bangladesh and Pakistan Major ailments for which patients Cardiology are referred IN to the facility The major ailments for which Guru Nanak Eye hospital for Eye patients are referred OUT from facility to other facilities Comment Problem of retention of staff due to lower salary levels. Source: Findings of this study
A.1.7. Guru Teg Bahadur Hospital Name of the Facility Guru Teg Bahadur Hospital, Dilshad Garden, Delhi Type of facility Government – Tertiary care Contact Details Dr. P. K. Malik Deputy Medical Superintendent Mob. – 9868399512 Brief about the hospital The University College of Medical Sciences (UCMS)s was established in 1971 as a Constituent College of University of Delhi. It imparts various medical and paramedical courses. Guru Teg Bahadur Hospital is the associated teaching hospital with 1000 beds. Number of beds available (Total 1014 in the Facility) Room Charges per bed per day Private rooms – INR 300 per day + Diet INR 50 per day + drugs and procedures and tests as per govt rates Semi private – INR 150 per day + Diet INR 50 per day + drugs and procedures and tests as per govt rates General & staff – all free of cost Availability of Doctors/ Medical Total 199 out of which 63 (grade A) are staff of GTB. There Category staff at the Facility are 160 senior residents & 59 junior residents too. Availability of Para Medical staff 1251 (982 permanent + 269 contractual staffs) at the Facility
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Availability of services at the ° Gynaecology Facility ° Paediatrics & neonatal ° Ophthalmic ° Medicine ° Orthopaedic ° Surgery ° Dermatology ° Dental ° ENT ° Neurosurgery ° Neurology ° Accident & Emergency ° Burns and plastics ° Apart from the above, the facility has OPD for urology, psychiatry, anti retroviral diseases, pain clinic, anti-rabies clinic and ayurveda, homoeopathy and yoga. Area of Super Specialisation for No Specialisation which patients are referred IN to the facility Percentage of patients referred IN from other region
5% 5%
20%
70%
Delhi NCR (UP) NCR (Haryana) Other States
Major ailments for which patients ° Surgical are referred IN to the facility ° Neurosurgical ° Neurological ° Burns and plastics ° Obstetrics & Gynaecological ° Paediatrics and Neonatal ° Eye ° ENT The major ailments for which For cardiac, vascular, facio-maxillary surgeries and for in- patients are referred OUT from vitro fertilization, patients are reffered out to GB Pant facility to other facilities Hospital, AIIMS and Safdarjung Hospital Comment Problem of retention of staff due to lower salary levels. Source: Findings of this study
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A.1.8. Post Graduate Institute of Medical Education & Research, Rohtak Name of the Facility Post Graduate Institute of Medical Education & Research, Rohtak Type of facility Government –Medical College Contact Details Dr Chand S Dhull Director Mob- 09896091449 Brief about the hospital Pt. B.D.Sharma, PGIMS, Rohtak is located at a distance of about 240 km from Chandigarh and about 70 km from Delhi on Delhi-Hissar-Sirsa-Fazilka National Highway (NH-10). It is the only major Institution for Medical Education and Research and a tertiary care centre for provision of specialized health care services not only to the people of the State of Haryana, but also to those from Punjab, Rajasthan, Delhi and western U.P. The Institute has a remarkably well developed campus spread over an area of 350 acres of land THE INSTITUTE COMPLEX houses the following buildings ° Medical College ° Well Equipped Hospital of 1597 beds ° Super-specialty Centre ° Multislice whole body CT Scan building ° De-addiction centre ° Dental College and Hospital ° Pharmacy College ° College of Nursing ° Future pan for the year 2011-2012 ° Trauma centre -40 bed ° Mother and child care centre – 200 bed ° State Institute of Mental Health under construction Number of beds available (Total 1597 in the Facility) Room Charges per bed per day A/C private room is chargeable `400. Other all beds are free Availability of Doctors/ Medical 195 Category staff at the Facility Availability of Para Medical staff - at the Facility Availability of services at the All facilities Facility Area of Super Specialisation for General which patients are referred IN to the facility
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Percentage of patients referred IN from other region
20% 30%
10%
10% 30%
Delhi NCR (UP) NCR (Haryana) NCR (Rajasthan) Other States
Major ailments for which patients General are referred IN to the facility The major ailments for which ° Kidney transplant patients are referred OUT from ° Nephrology facility to other facilities ° Neurology Comment Problem of retention of staff due to lower salary levels. Source: Findings of this study
A.1.9. Medanta – The Medicity Name of the Facility Medanta – The Medicity Type of facility Private – Multi speciality Contact Details Dr Nalini Kaul Senior Consultant – Medical Affairs Mob- 9999921968 Brief about the hospital Medanta - The Medicity is a multi speciality hospital located in Gugaon Sector 38. Number of beds available (Total 497 (including 100 ICU beds) in the Facility) Room Charges per bed per day A/C private room is chargeable (@ INR 400. Other all beds are free Availability of Doctors at the 486 Facility Availability of Para Medical staff 380 (excluding staff nurse) at the Facility Availability of services at the All facilities Facility Area of Super Specialisation for ° Renal and Liver Transplant which patients are referred IN to ° Gastro and Gastro Intestinal the facility ° Oncology ° Cardio Thoracic Vascular Surgery (CTVS) ° Cardiology ° Neurology & neurosurgery ° Nephrology & Urology ° Orthopaedics ° Internal Medicine
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° Obstetrics and Gynaecology ° Respiratory and Sleep ° Vascular ° Rheumatology ° Plastic Surgery ° ENT Percentage of patients referred IN from other region
10% 20% 10%
15%
30% 15%
Outside Country NCR (Haryana) Gurgaon Other states NCR Rajasthan Delhi
Major ailments for which patients This hospital is promoting itself for medical tourism are referred IN to the facility The major ailments for which No referral patients are referred OUT from facility to other facilities Comment There is shortage of trained paramedical staff in the facility. Lack of communication with international patients due to language barrier is another problem being faced by the paramedical staff and ward attendants. Source: Findings of this study
A.1.10. Vardhaman Mahavir Safdarjung Hospital Name of the Facility Vardhaman Mahavir Safdarjung Hospital Type of facility Government – Super speciality Contact Details Safdarjang Hospital, New Delhi - 110 029, EPABX: 26165060, 26165032, 26168336, FAX: 011-26163072 Brief about the hospital Safdarjung Hospital started as an American Army Base Hospital during the II World war. In 1947 it was made annexe to Irwin Hospital (Presently LNJP Hospital). It was taken over by the Central Government in 1954 and named as Safdarjung Hospital. Until the inception of All India Institute of Medical Science in 1956, Safdarjung Hospital was the only tertiary care hospital in South Delhi. Number of beds available (Total 1576 in the Facility) Room Charges per bed per day ° There are a total of 34 wards providing free indoor patient care ° Free diet is provided to all patients in General Wards ° Investigations like CAT scan, Ultrasound, Barium Meal, ECHO, TMT etc are charged for as per Govt. approved rates. ° For poor patients, these charges can be waived partially
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or fully by the Additional Medical Superintendent on the recommendations of the H.O.D. ° In case of emergency C.M.O on duty may waive off these charges. Availability of Doctors at the 352 Grade A + 550 Senior residents & Junior residents Facility Availability of Para Medical staff 1896 (1122 nursing staffs + 774 paramedical staffs) at the Facility Availability of services at the ° Coronary Artery Bypass Surgery Facility ° Heart Valves Replacement and repair Surgery ° Congenital Heart Disease Repair Surgeries ° Angiography and Angioplasty ° Total Hip Replacement surgery ° Knee Replacement Surgery ° Arthroscopies and Arthroscopy assisted surgery of joints ° Sports Injury Clinic ° Lithotripsy for Kidney stones ° Dialysis for Kidney Failure patients ° Laparoscopic Chole-cystectomy ° Radiotherapy ° Cancer Surgery ° Artificial Limb Implant Facility ° Antiretroviral therapy for AIDS patients ° DOTS for TB patients ° Ayurveda, Homeopathy & Unani treatment Centres ° Advanced Diagnostics like Blood Tests by Fully automated Machines, Mammography, MRI, Digital X-Ray, OPG, Whole Body Spiral CT Scan etc Area of Super Specialisation for ° Cardiac Surgery ( CTVS) which patients are referred IN to ° Cardiology the facility ° Neurology ° Nephrology ° Nuclear medicine ° Medical Oncology ° Neurosurgery ° Respiratory Medicine ° Endocrinology ° Haematology ° Gastroenterology ° Urology ° Cancer Surgery ° Burns and Plastic surgery ° Paediatric Surgery
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Percentage of patients referred IN from other region
10% 3%
15%
60% 12%
Delhi NCR (UP) NCR (Haryana) Other States NCR (Rajasthan)
Major ailments for which patients For all facilities especially Burns and Plastic are referred IN to the facility The major ailments for which Does not refer out patients patients are referred OUT from facility to other facilities Comment Source: Findings of this study
A.1.11. All India Institute of Medical Sciences (AIIMS) Name of the Facility All India Institute of Medical Sciences (AIIMS) Type of facility Government – Super Specialty Contact Details AIIMS Main Hospital is located at Ansari Nagar, in front of Safdarjung Hospital at the crossing of Ring Road and Aurobindo Marg. Main entrance is on Aurobindo Marg Brief about the hospital All-India Institute of Medical Sciences was established as an institution of national importance by an Act of Parliament with the objects to develop patterns of teaching in Undergraduate and Post-graduate Medical Education in all its branches so as to demonstrate a high standard of Medical Education in India; to bring together in one place educational facilities of the highest order for the training of personnel in all important branches of health activity; and to attain self-sufficiency in Post-graduate Medical Education.
The Institute has comprehensive facilities for teaching, research and patient-care. As provided in the Act, AIIMS conducts teaching programs in medical and para-medical courses both at undergraduate and postgraduate levels and awards its own degrees. Teaching and research are conducted in 42 disciplines. In the field of medical research AIIMS is the lead, having more than 600 research publications by its faculty and researchers in a year. AIIMS also runs a College of Nursing and trains students for B.Sc.(Hons.)
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Nursing post-certificate) degrees.
Twenty-five clinical departments including four super specialty centers manage practically all types of disease conditions with support from pre- and Para-clinical departments. However, burn cases, dog-bite cases and patients suffering from infectious diseases are not entertained in the AIIMS Hospital. AIIMS also manages a 60-beded hospital in the Comprehensive Rural Health Centre at Ballabgarh in Haryana and provides health cover to about 2.5 lakh population through the Centre for Community Medicine.
Number of beds available (Total 1803 beds (including newly constructed Emergency & Private in the Facility) wards) Room Charges per bed per day General Ward - currently Rs. 375 - the rates approved by Government (to be deposited in advance of 10 days). This entitles them for doctor’s consultations, certain basic investigations, life saving medicines and surgical items, diet, linen, I.V. fluids etc. Private Wards : The hospitalization charges (Inclusive of doctors visit fee and routine investigation, diet etc.) of private room are as under:- Deluxe (A Class) - Rs. 1700/- per day Semi Deluxe (B Class) - Rs. 1100/- per day Availability of Doctors/ Medical 1323 doctors (incl. Faculty members, Sr. and Jr. Residents). Category staff at the Facility Availability of Para Medical staff 1810 Nurses at the Facility Availability of services at the • Anaesthesiology • Nephrology Facility • Anatomy • Nuclear Medicine • Biochemistry • Nuclear Magnetic • Biomedical Resonance Imaging Engineering • Obstetrics and • Biophysics Gynaecology • Biostatistics • Orthopaedics • Biotechnology • Otorhinolaryngology • Cardiology • Paediatrics • Centre for Community • Paediatric Surgery Medicine • Pathology • College of Nursing • Pharmacology • Dermatology & • Physiology Venereology • Physical Medicine & • Endocrinology, Rehabilitation Metabolism & • Psychiatry Diabetes • Radio Diagnosis • Forensic Medicine • Reproductive Biology • Gastroenterology and • Surgical Disciplines Human Nutrition • Transplant Immunology • Gastrointestinal & Immunogenetics Surgery • Transfusion Medicine
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• Haematology (Blood Bank) • Hospital • Urology Administration • Laboratory Medicine • Medicine • Microbiology
Other facilities available • Medical Social & Welfare Services • National Poisons Information Centre • Organ Retrieval Banking Organisation • Patent Cell • Stem Cell Facility • Telemedicine Facility Area of Super Specialisation for ° Cardio Thoracic and Neuro Sciences Centre. which patients are referred IN to ° Dr. Rajendra Prasad Centre for Ophthalmic Sciences. the facility ° Dr. B.R. Ambedkar Institute Rotary Cancer Hospital. ° National Drugs Dependency Treatment Centre, Ghaziabad Specialty Centres ° Centre for Dental Education and Research ° Neurosciences Centre ° Jai Prakash Narayan Apex Trauma Center Percentage of patients referred ° IN from other region
5% 5% 20%
15% 45% 10%
Delhi NCR (UP) NCR (Haryana) Other States NCR (Rajasthan) Other Countries
Major ailments for which patients All facilities are referred IN to the facility The major ailments for which None patients are referred OUT from facility to other facilities Comment Source: Findings of this study
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Appendix B. Terms of Reference V/S Scope of Work Addressed
Sl.No. Scope of Work Chapters No 1 Literature survey – a brief discussion of previous works Collected data provide as related to various aspects of health infrastructure in NCR Appendix C 2 Assessment of existing infrastructure facilities as per level Chapter 2 of care (primary, secondary, tertiary including super- speciality) at different hierarchical levels in government
sector, like sub centre, primary health centre, community health centre, govt hospital, sub-divisional hospital, and non-govt sector, like dispensary, nursing home, clinic, hospital and referral facilities in both government and private sector. The information to be provided on a map (GIS). Assessment of health care related services such as ambulance, no. of beds, etc. 3 Primary survey in major referral hospital to assess the Chapter 3 number of patients, types of diseases, no. of patients referred to hospitals from outside NCR/ by location. 4 Indian systems of medicine (AYUSH) in NCR – facilities Chapter 2 available, relevance, etc. Needs assessment and study of Section -2.6 population characteristics and assessment of current &
future needs on the basis of population projection (demand- supply gap). Chapter-5 5 Needs assessment and study of population characteristics Chapter 5 and assessment of current & future needs on the basis of population projection. 6 Study of norms and policies of WHO, IPHS norms, Chapter 4 Government of India and constituent states of NCR i.e. beds/population ratio, doctor/population ratio (i.e. population norms), accessibility norms, etc. and prepare a comparative and accordingly recommend optimum norms for NCR for urban and rural areas. 7 Identification of sub-region wise & district-wise issues, Chapter 6 problems and future health infrastructure requirements to meet likely demand. 8 Preparation of action plan, identification of projects in Chapter 6 & 7 different Sub-regions/districts of NCR and possibility of public-private partnership for provision of new facilities. 9 Conducting a workshop (about 100 participants) with the Organised on August participating States and concerned stakeholders before 2015 finalizing the report.
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Appendix C. Performa of Collection of Information & Questionnaires
C.1. Checklist for Mapping
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Checklist for Mapping Health Facilities
For All Facilities Name of the Facility: Type of Health Facility: District Hospital CHC PHC Sub-centre
Private Hospital Private Nursing Home Address of the Facility: Information to be collected S.No. Particulars Details 1. Covered area of the facility/ building (approximate) 2. No. of OPDs functioning 3. Types of OPDs functioning: Yes-1, No-2 General Medicine Paediatrics General Surgery Paediatric Surgery Neuro-Surgery Cardiac Surgery Obstetric & Gynaecology Eye ENT Skin Urology Cardiology Psychiatry Radiotherapy Neurology Orthopaedics Burns & plastics Dental OPD Ayurveda Yoga Unani Siddha Homeopathy Any other (specify …….) 4. Inpatient facility available (Yes-1, No-2) 5. Number of Beds available 6. Number of Beds Occupied presently 7. Average occupancy rate 8. Percentage Patients from District NCR Outside NCR Abroad 9. Total number of Ambulance General Trauma available 10. Are the following facilities Yes-1, No-2 available: Blood test Histopathology test Urine test Radiological test Operation facility Emergency care facility CSSD Blood Storage Facility Blood Bank Facility Blood Bank Facility – without – with component component Kitchen Laundry 11. Total Number of Doctors available 12. Number of following human resources available: General Physicians General Surgeons Obstetrician & Gynaecologists Paediatricians Paediatric Surgeon Cardiologists Cardio-thoracic Vascular Gastro-enterologists Surgeons Nephrologists Urologists Neurologists Neurosurgeons Oncologists Endocrinologists Ayurveda Yoga Unani Siddha Homeopathy Anaesthetists Paramedical staffs
Study on Health Infrastructure in NCR
C.2. Checklist of Chief District Medical & Health Officer /Chief Medical Officer
29
Checklist of District Medical Officer
Checklist of Chief District Medical & Health Officer /Chief Medical Officer – Information Status
Gautam Q No Faridabad Gurgaon, Rohtak Sonepat Rewari, Jhajjar Mewat Panipat Palwal Alwar Meerut, Ghaziabad Buddha Bulandshahr Baghpat Delhi Nagar 2001 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 Checklist of District Medical Officer
Gautam Q No Faridabad Gurgaon, Rohtak Sonepat Rewari, Jhajjar Mewat Panipat Palwal Alwar Meerut, Ghaziabad Buddha Bulandshahr Baghpat Delhi Nagar 2022 2023 2024 2025 Meeting with IMA
Note
Information collected put -Yes
Partly collected put - Part
Not available put- NA
Not collected put– No Study on Health Infrastructure in NCR
C.3. Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
30
Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
SECTION –I- Identification 1001 State 1002 District 1003 Name of the health facility
1004 Type of Facility
Government------1 Go to 1005
Private------2 Go to 1006 1005 If Government
District Hospital------1 CHC------2 Others------3 1006 If Private Hospital
General------1 Speciality------2 Super Speciality ------3 Nursing Home------4 Others (Specify) 1007 Name of the interviewee
1008 Contact Address
1009 Tel No. 1010 Mobile No. 1011 Email if any
Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
SECTION –II- Basic Information Number of beds available (Total in the Facility) Total number Average of patient number of Unit 2001 Name of Ward Male Female Total admitted stay per cost/day during patient last year Delivery room (including pre and 2002 post delivery) 2003 Deluxe Suits 2004 Deluxe Room 2005 Double Bed 2006 General 2007 Intensive Care Unit (ICU) 2008 Deluxe Suits 2009 Deluxe Room 2010 Double Bed 2011 General 2012 Surgical Wards 2013 Deluxe Suits 2014 Deluxe Room 2015 Double Bed 2016 General 2017 Gynaecology Wards 2018 Deluxe Suits 2019 Deluxe Room 2020 Double Bed 2021 General 2022 Paediatric Wards 2023 Deluxe Suits 2024 Deluxe Room 2025 Double Bed 2026 General 2027 General Wards 2028 Deluxe Suits 2029 Deluxe Room 2030 Double Bed 2031 General 2032 Availability of different facility at the Hospital 2033 Availability of Doctors/ Regular Contract Total Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
Medical Category staff at the Facility 2034 Chief Medical Superintendent 2035 Medical Specialist 2036 Surgery Specialists 2037 O&G specialist 2038 Psychiatrist 2039 Dermatologist / Venereologist 2040 Paediatrician 2041 Anaesthetist (Regular / trained) 2042 ENT Surgeon 2043 Ophthalmologist 2044 Orthopaedician 2045 Radiologist 2046 Microbiologist Pathologist and Blood Bank In- 2047 charge 2048 Casualty Doctors / General 2049 Dental Surgeon 2050 Forensic Specialist 2051 Public Health Manager 2052 AYUSH Physician 2053 Environmental Officer 2054 Waste Management Officer Availability of Para Medical 2055 staff at the Facility 2056 Staff Nurse 2057 Infection Control Nurse Hospital worker (OP/ward +OT+ 2058 blood bank) 2059 Sanitary Worker Ophthalmic Assistant / 2060 Refractionist 2061 Social Worker / Counsellor Dermatology/STD/Leprosy 2062 Technician AIDS/STD Counsellor cum field 2063 Support 2064 Cytotechnician 2065 ECG Technician 2066 ECHO Technician Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
2067 Audiometrician Laboratory Technician ( Lab + 2068 Blood Bank) Laboratory Attendant (Hospital 2069 Worker) 2070 Dietician 2071 PFT Technician 2072 Maternity assistant (ANM) 2073 Radiographer 2074 Dark Room Assistant 2075 Pharmacist 2076 Matron 2077 Physiotherapist 2078 Statistical Assistant Medical Records Officer / 2079 Technician 2080 Electrician Availability of Equipments at Functional Non Total Unit cost 2081 the Facility - Functional 2082 Imaging equipments 2083 X Ray Room Accessories 2084 Cardiac Equipments Labour ward & Neo Natal 2085 Equipments 2086 Ear Nose Throat Equipments 2087 Eye Equipments 2088 Dental Equipments 2089 Operation Theatre Equipment 2090 Laboratory Equipments 2091 Surgical Equipment Sets 2092 Physio Therapy Equipments 2093 Endoscopy Equipments 2094 Anaesthesia Equipments 2095 Furniture & Hospital Accessories 2096 PM equipments 2097 Linen 2098 Teaching Equipments 2099 Administration 2100 Refrigeration & AC 2101 Hospital Plants Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
2102 Hospital Fittings & Necessities 2103 Transport 2104 Availability of Diagnostics at the Facility CLINICAL PATHOLOGY Yes-1, If Yes Unit Cost 2105 No-2 2106 Haematology 2107 Urine Analysis 2108 Stool Analysis 2109 Semen Analysis 2110 CSF Analysis 2111 Aspirated fluids 2112 Pathology 2113 PAP smear 2114 Sputum 2115 Haematology 2116 Histopathology 2117 Microbiology 2118 Serology 2119 Endoscopy 2120 Physiology 2121 Radiology 2122 X Ray 2123 ECG 2124 Ultra Sound 2125 C Scan If Yes Water Supply Source of Yes-1, No-2 2126 supply Electricity 2127 Yes-1, No-2 Power Backup (Generator, Inverter, etc.) 2128 Yes-1, No-2 Sewage/Drainage 2129 Yes-1, No-2 System of Biomedical Waste Handling & Disposal: 2130 Yes-1, No-2 2131 If Yes whether it is ‘Segregated in Separate bins and Mutilated before Disposal’ following the 2132 prescribed methods (Yes-1,No-2) System of Disposal 2133 (Buried in a Pit-1, Collected by an Agency-2, Others (specify)-3) Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
SECTION –III- Information on Medicine
3001 Whether medicine available in the facility If No go to Yes-1, No-2 3002 3002 If Yes ,Condition of availability of Medicines in general (Generally availability -1, Some are in short supply-2, Many are in short supply-3) 3003 Whether there is any shortage of Medicines (Yes-1, No-2) 3004 If Yes , specify the name of medicines in Short Supply
SECTION –IV- Information on Referral System 4001 If No Do you have Referral facility Go to Yes -1, No-2 4004 4002 Name In Number
Delhi
NCR (UP)
If Yes NCR (Haryana) Please give the number of patients referred IN from other health facilities situated in NCR (Rajasthan)
Other States
Other Country
4003 Which are the countries, where patients are generally referred from?
4004 What are the major ailments for which patients are referred IN to your facility? 4004 Do you refer patients OUT to other facility? If No Go to Yes -1, No-2 5001 4005 Other facility in
Delhi Yes-1, No-
2
Other facility in
NCR. Yes-1, No- 2
Where do you refer OUT your patients? Other state Yes- 1, No-2
Other country Yes-1, No-2 Tool for Hospital Administration of Tertiary & Super Speciality Hospitals
4006 Other facility in Delhi
Other facility in Please name the facilities where you refer OUT your NCR . patients Other state
Other country 4007 What are the major ailments for which patients are referred OUT from your facility to other facilities?
SECTION –V- Suggestion
5001 Please provide us suggestion for better utilisation of the following in any health facility on 5002 Infrastructure
5003 Human Resource
5004 Equipments
5005 Medicine
Signature of the Researcher Signature of the Supervisor Date: Date: Study on Health Infrastructure in NCR
C.4. Tool for Doctors Referral Hospitals
31
Tool for Doctors of Referral Hospitals
Tool for Doctors Referral Hospitals
SECTION –I- Identification 1001 State 1002 District 1003 Name of the health facility
1004 Type of Facility
Government------1 Go to 1005
Private------2 Go to 1006 1005 If Government
District Hospital------1 CHC------2 Others------3 1006 If Private Hospital
General------1 Speciality------2 Super Speciality ------3 Nursing Home------4 Others (Specify) 1007 Name of the interviewee
1008 Contact Address
1009 Tel No. 1010 Mobile No. 1011 Email if any 1012 Association with the hospital
Regular------1 Visiting Doctor------2 1013 Professional qualification
1014 Specialisation
Physician------1 Surgeon------2 Specialization (if any)------3 1015 Years of Experience
Tool for Doctors of Referral Hospitals SECTION –II- General Information Sl No Questions Responses Skip to 2001 What is the average working hours in a week
2002 What is the frequency of emergency ward duty
2003 What is the frequency of night shifts
2004 What is the average hours rendered in OPD in a week 2005 Highly demanding
How would you rate the work load Bearable Yes-1, No-2 Comfortable
SECTION –III- Quality of Service 3001 How do you rate the performance Nursing Attendant and Paramedical Others of? staff Ward boys staffs
3002 Excellent
3003 Very good
3004 Good
3005 Average
3006 How do you rate the performance of facilities as per the following scale Excellent -1, Very good- 2, Good-3, Average- 4, Poor- 5, Not applicable- 0
3007 Name of facility Rate Name of facility Rate
3008 OPD Rooms Laboratory
3009 In patient wards X-ray
3010 Maternity ward Ultra Sound Facility
3011 Child care Pharmacy
3012 ICCU Ward Ambulance
3013 Neonatal care ward Generator
3014 Availability of Beds Telephone or other communication 3015 Minor Operation theatre Accommodation facility for medical staff
Tool for Doctors of Referral Hospitals 3016 Major operation theatre Electricity supply
3017 Medicine Water supply at your cabin
3018 Blood Bank Other
3019 Other
3020
3021
3022
3023 How many patients visit OPD per day 3024 Total number of patients admitted as inpatients in last month -TELL US TENTATIVELY 3025 What is the impact of work load High 1 on quality service rendered by medical staff Significant 2
Moderate 3
Little 4
No effect 5
3026 Please give the number of Delhi patients referred IN from other health facilities situated in NCR (UP) Yes-1, No-2 NCR (Haryana)
NCR (Rajasthan)
Other States
Other Country
3027 Does the facility have adequate supply of life saving medicine? Yes-1, No-2, Partly -3 3028 How many life support systems are available in this facility? Yes-1, No-2, Partly -3
Tool for Doctors of Referral Hospitals SECTION –IV- Suggestion
4001 What assistance is required for further improvement of this facility? 4002 Infrastructure
4003 Human Resource
4004 Equipments
4005 Medicine
Signature of the Researcher Signature of the Supervisor Date: Date:
Study on Health Infrastructure in NCR
C.5. In Patient Schedule
32
In Patient Schedule
In Patient Schedule SECTION –I- Identification – Facility Attended by the In Patient (Information to be collected from In Patients (or Relative or Friends accompanying the In Patient) who are currently admitted in the Facilities at the time of the visit in the facilities) 1001 In Patient Schedule No
1002 Location of the Facility admitted in (Rural-1, Urban-2)
1003 District (Name) Type of the Facility 1004 (DH-1, CHC-2, Private Hospital-3, Others-4)
1005 Name & Address of the Facility
Respondent 1006 (Self-1, Relative-2, Friends/Others-3) Have you been referred from other health facility 1007 Yes-1, No-2 If Yes Nature of referee health facility
1008 Government----1 Private------2 District hospital 1 Sub-division level If Government 2 1009 hospital Type of referee health facility Primary Health Centre 3 Others 4 Dispensary 1 If Private Hospital Clinic 2 1010 Type of referee health facility Nursing Home 3 Hospital 4 Treatment not available 1 in previous hospital Better provision of 2 1011 What is the cause of referral treatment in this facility Critical condition of 3 patient Others (please specify) Delhi 1 NCR (UP) 2 NCR (Haryana) 3 1012 Region where you are coming from NCR (Rajasthan) 4 Other countries (please
specify) Other states (please
specify)
In Patient Schedule
SECTION –II- Background Information of the In Patient 2001 Name 2002 Location (Rural-1, Urban-2) 2003 Village/Town 2004 Gram Panchayat/Municipality 2005 Tehsil / Taluka / Block 2006 District 2007 Sex (Male-1 Female-2) 2008 Age (in complete years) 2009 Patient Staying in NCR (Yes-1 , No-2) Marital Status (Unmarried-1, Married-2, Widowed-3
2010 Divorced/Separated-4) Highest level of Schooling/ Education Attainment (Not literate-00, Literate but never attended school-01; Attended school but not beyond that: Specify the highest Class attended (Class I-XII); Attended above School Education 2011 Programme: specify the Degree/Diploma) Employment Status (Employed-1, Unemployed-2, Out of Labour
2012 Force-3) If 1 in Q.2.12, Mention the Principal Employment Status (Self-employed in Non-Ag-1, Ag Labour-2, Casual Labour-3, Self- 2013 employed in Ag-4, Others (specify)-9) 2014 Whether the Patient’s family/In patient has BPL Card: (Yes-1, No-2) Average Monthly Income (Rs) of the patient’s family (less than 5000-1, 5000~10000-2,10000~15000-3, 15000~20000-4, 2015 20000~25000-5, more than 25000-9) Reason for being admitted in the Facility (describe the ailment):
2016 Type of Ward Admitted in 2017 (General-1, Surgery-2, Gynaecology-3, Paediatric-4, Others (specify)-9) From where this patient is referred here/who has referred: (DH-1, 2018 CHC-2, PHC-3, Pvt. Doctor/Clinic-5, Self/Family-6, Others (specify)- 7) Reason for getting treatment from/visiting this particular Facility (On recommendation-1, Closest to own dwelling-2, No other facility in 2019 the area -3, Facility well equipped-4, Particular specialist available-5, Others (specify)-9) 2020 Is this your (patient) first visit to this facility (Yes-1, No-2)
2021 If Yes, no of times visited
In Patient Schedule
SECTION –III- Information on Accessibility Distance of the visited health 3001 facility from residence (in km) Ambulance 1 2 Public Transport 1 2 Mode of transport used for Private vehicle 1 2 reaching the health facility Free Vehicle arranged by some 3002 Yes-1, No-2 1 2 trust/NGOs (Encircle All Applicable Local health centre’s transport 1 2 Responses) On foot / rickshaw 1 2 Others Facility Distance Available public Time required for in KM. facility to Reach that in mint. (Auto/bus) District level hospital Sub-division level hospital What is the distance of the Rural hospital mentioned types of health facilities (government sector) Primary 3003 Health from your residence and facilities to reach there? (give Centre distance in km) Sub-centre
Dispensary/ Clinic Nursing Home Other (specify)
SECTION –IV-Quality of Services 4001 What do you think about the waiting time of the following places? Mention Average time in minutes Registration Doctor’s Call Examination Time Getting Injection / Medicines Dressings Laboratory/pathology Test X Ray Paying Bills 4002 Are you satisfied with the behaviour of Codes: 1-very dissatisfied, 2-dissatisfied, 3-average, 4-good, 5-highly satisfied Doctor Nurse Pharmacist Technical staff Ward Boys Others Specify 4003 Did the doctor listen to your (patient’s) In Patient Schedule
complaints?
Yes-1, patiently Yes-2, somewhat patiently-3 did not listen -4, did not interact / Not applicable-5 4004 Did the doctor let you ask questions?
Yes-1, always Yes-2, sometimes-3, did not interact / Not applicable -5, No-5 4005 Did the doctor respond to your (patient’s) questions
Yes-1, patiently Yes-2, somewhat patiently-3, did not respond Did not interact / Not applicable 4006 Did the doctor discuss with you (patient) about ailment and recovery
Yes-1, No-2, did not interact / Not applicable- 3 4007 Over all, were your patient/you satisfied with the treatment To answer the above question use the following codes: 1-very dissatisfied, 2- dissatisfied, 3-average, 4-good, 5-highly satisfied 4008 If very dissatisfied and dissatisfied what was the reasons Lack of facilities -1, poor quality of service -2, bad experience with doctor-3, Charges too high-4, others-5 4009 Would you like to visit this facility again If Yes go to Yes-1, No-2 4012 4010 If yes give reason
This gives best available treatment-1,The doctors are very good -2,Other services are very good-3, The charges are affordable we get value for money-4, I get all services at one place-5, The facility has reputation-6, This facility is close to my residence-7
4011 If No give reason 4012 Would you recommend this facility to others Yes-1, No-2 4013 Would you (patient) come to this facility even if the treatment purpose is served at a place closer to your residence Yes-1, No-2, Cant say-3 4015 Did you find proper instructions to find the services Yes, always-1, Yes, sometimes-2, No-3
In Patient Schedule
SECTION –V- Affordability 5001 Did you find the service expensive in comparison to other facilities visited earlier
Yes, very expensive-1, Yes, somewhat expensive-2, Same as others-3, No, less expensive -4 , No-5, very economical – 6, Don’t know / can’t say -7 5002 Did you find the service affordable in comparison to other facilities visited earlier
Yes, very much-1, Yes, somewhat-2, Same as others -3, No, less-4, Don’t know / can’t say-5. 5003 Diet 5004 Whether the Facility provides Diet to In If Yes go to 5005 Patients If No go to 5012 (Yes-1, No-2) 5005 If Yes Whether the In Patient consuming the If Yes go to 5006 food supplied by the facility? If No go to 5011 (Yes-1, No-2) 5006 Breakfast Type of Diet provided Lunch (Multiple response possible) Tea/Snacks Yes-1, No-2 Dinner 5007 Quantity of Food (Sufficeint-1, Somewhat sufficient-2, Not sufficient-3) 5008 Quality of Food (Satisfactory-1, Somewhat satisfactory-2, Not Satisfactory-3) 5009 If Diet is not Free of Cost, Specify Amount (Rs) Spent on Diet/Day for the In Patient only (Leave the Box ‘Blank’, if Diet is Free of Cost) 5010 If the In Patient has to pay any extra money to get Food/ Better Quality Food, even if Diet is Free of Cost (Rs), specify the Amount/Day (Leave the Box ‘Blank’, if No extra money is paid) 5011 Poor Quality Insufficient quantity Reason for not consuming food provided by Facility staff the facility non Yes-1, No-2 cooperative (Multiple response possible) Expensive Others (specify) 5012 If Diet is not provided by the Facility at all (‘No’ in Q. 7.1), Specify Amount (Rs) Spent on Diet/Day for the In Patient only
In Patient Schedule
SECTION –VI-Perception about the services available at the location /district of patient
6001 Perception about the facility available at their district/location Yes No (Encircle All Applicable Responses) Availability of good doctors 1 2 Availability of good paramedical staff 1 2 Availability of good quality of medicine paramedical staff 1 2 Availability of beds in the hospital 1 2 Availability of good quality and latest equipment at the facility 1 2 Availability of multi speciality hospital 1 2 Not easily accessibility 1 2 Others specify
SECTION –VII-Suggestion for future improvement of this facility
7001 What suggestion do you have for upgradation of this facility
7002 If you (patient) are coming from a distant place, what problems did you face outside the health facility?
7003 What suggestion do you have for availability of diet of this facility
Signature of the Researcher Signature of the Supervisor Date: Date:
Study on Health Infrastructure in NCR
Appendix D. GIS Maps
33
) DELHI DISTRICT MAP
Sisana )
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Tuglakabad ) Dhankot ) Private Hospital "
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Private Hospital " G U R G A O N )
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! Harsaru ) DISPENSARY Badshahpur ) X GOVT HOSPITAL ! Others ^_ PHC
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Danina ALWAR DISTRICT MAP ) Bahora )
Nangal Mundi RS Zianabad ) ) Sohna )
Dharuhera ) Taoru )
CHC BHIWADISS HOSPITAL ""#""CITY NURSING HOME GOPINATH HOSPITALGULATI CHILDREN HOSPITAL R E W A R I ) Ü ) Bhiwadi )
Bharawas PHC ETEDA Mandkaula ) ^_ )
Nuh ) Ghasera PHC HARSANA PHC JAITPUR ) CHC MANDHA^_N ^_ # Tapukrah ) Madhan ) M E W A T Tankri ) PHC MAJRIKA)LA ^_ Bawal ) Hattin MAHILA CHIKITSALAY ) " Malab Kot Qasim ) ) PHC HARSORA CHC KOTKASIM PHC KAYSA ^_ # ^_
PHC JATBEHROR Khor PHC BIBIRANI ^_ ) ^_ CHC NIMARANA CHC SHANJANPUR # Manpur # ) Shanjahanpur PHC KALWADI ) PHC JHALATALA ^_ PHC NEEMUCHANA ^_ ^_ PHC MACHADI ^_ Fatehabad Bhadas ) ) PHC GUDACHURANI GOVT CHILDRENS HOSPPHC SARAIKALAN PHC BHITEDA TIJARA ^_ PHC JINDAULI "^_ ) ^_ Neemrana ) CHC KISHANGURHBADCHC TIJARA ) ^_ Shahbach # PHC PINAN PHC RAJPURBADA ^_ PHC GOLA KA BAS ^_ ^_ Pinangwan Baraud ) ) AYURVEDIC HOSPITAL Nagina Bahror PHC MUNDANWADKALAN PHC KHO DARIBA " ) ) CHC BARROD ^_ ^_ # PHC BAGHLRIKALA Bhindusi PHC JAGVWAS ^_ ) ^_ Mandawan PHC TASAI ) ^_ CHC MUNDAWARPHC KARNIKOT # ^_ #CHC BEHROR Sakras Harsauli ) Punahana ) )
PHC BARODAMER ^_ Samda Kishangarh ) Khairthal ) ) #CHC KHERATHAL
Firozpur jhirka Tatarpur ) PHC JAKHRANA ) ^_ PHC KOHRANA ^_ PHC MAJRA Harsora ) ^_ PHC HAZIPUR ^_ Vhairthal Ghasoli Gunta ) ) ) PHC KISHORI ^_
PHC BA)HADURPUR Raoli PHC HARSOLI ) ^_ ^_ PHC PUR ^_ PHC ISHRODA CHC BANSUR Bahadurpur # ^_ ) Hajirpur Bansur ) ) PHC KUTINA ^_ PHC JODIYA PHC CHANDOLI ^_ Indrara ^_ ) Rampur ) PHC DEHRASHAHPUR NH-8 ^_ ) PHC MUBARIKPUR ^_ PHC HAMEERPUR PHC CHANDPUR ^_ ^_ CHC RAMGARH ALWAR # )Ramgarh CHOPDA HOSPITALDISHA HOSPITAL ) PHC TARARPU"""R""PHC JAMDOLI PHC UTWAL """"" SAAHIL HOS^_X^_PITALCITY HOSPITAL Milkapur ^_ " ) SUNIL NURSING HOSPITA"LKK PRIVATE HOSPITAL G""DAKSH PRIVATE HOSPITAL MITALEE PRIVATE HOSPITA"LB LAL CHILDREN HOSPITAL
Narayanpur ) Govlngarh CHC NARAYANPUR Bagar Meo ) ) # CHC GOVINDGARH CHC UMRAIN # # PHC MOJPUR PHC BALET^_A PHC JHIWANA ^_ ^_
Akbarpur ) PHC BAHTUKALA ^_
Thana Gazi AYURVEDA HOSPITAL ) "
Malakher ) CHC THANAGAZI CHC MALAKHERA # PHC SIHALIKAL#A ^_ Maujpur Sariska ) ) CHC LAXMANGARH PHC TAPUKARA Nangal Bani AYURVED HOSPITA#L ^_ ) PHC GUTA Baleta " ^_ PHC KHOKHAR ) PHC BALDEVGARH ^_ ^_ Lachhmangarh ) LIFELINE HOSPITAL CHC KATHUMARCHC KHERALI " PHC NOAGAVA ) # ^_ Kathumar
Bamanwas Dhamrer Baseth ) ) )
PHC MALLANA PHC RAMNAGAR ^_ ^_ PHC SAKAT PHC RAMPUR ^_ P)HC KARANA Tehla ^_ PHC BASKRIPALNAGARPHC BAMBOLI ^_ Partapgarh ) )Jaharu ^_^_ #CHC TEHALA Manoheri AYURVEDIC BIBIRANI #CHC RAJGARH ) " "AYURVED HOSPITAL Garthi ) PHC BHIJWADCHAUHAN Raigarh ^_ ) PHC AJABGARH AYURVEDIC HOSPITALHARSOL ^_ Khoh " )
Ajabgarh ) PHC DHAMRED ^_ Ren PHC TASEENG ) CHC RAINI PHC PRATAPGARH # ^_ ^_ Legend PHC AKBARPUR PHC ISMILPUR PHC GADI SAWAIRAM ^_ ^_ ^_ Baldeogarh ) AlwarHospital PHC NANGALBANI ^_ # CHC
PHC GANDALA X ^_ District Hospital ^_ PHC " Private Hospital 0 5 10 20 30 G Private Nursing Home Kilometers AlwarBoundary BAGHPAT DISTRICT MAP Ü NEW PHC KIRTHAL ^_ NEW PHC TIKRI ^_ NEW PHC RAMOLA ^_
Tikri ) CHC-CHAPRAULI UJALA HOSPITA#L "G NEW PHC DOGHAT NEW PHC DHAHA BIRMATI MAHILA HOSPITAL ^_ ^_ Mulhaira ) PHC - Kisanpur Baral Chhaprauli ^_ )
Doghat )
NEW PHC MULSAM ^_
PHC KANDERA NEW PHC ADARS NAGLA ^_ ^_
PHC BAWALI ^_
Bauli PHC - Bijraul ) ^_
Binauli )
CHC - Baraut CHC- BINAULI # # AASTHA MULTISPECIALITY " Karnawal )
Baraut )
PHC DHANORA PHC SAROORPUR ^_ ^_
PHC - Gwalikheda ^_
Aminnagar ) PHC AMINAGARSARAI ^_
DaulaPHC - Daula PHC - Amipur Baleni )^_ ^_ DEEPAK NURSING HOMEPHC TATIRI G^_ CHC BAGHPAT # JEEVAN DEEP HOSPITAL CHC PILANA " # RAKSHAH)OSPITAL TRAMUMA " B A G H P A T
PHC PAWLA ^_
Patla ) CHC KHEKRA # PHC - Badegam PHC KHEKRA ^_ ^_ Kundli ) Niwari )
Khekra )
PHC RATOL ^_
Legend
# CHC ^_ PHC " Private Hospital G Private Nursing Home 0 3 6 12 BaghpatBoundary Kilometers
) BULANDSHAHR DISTRICT MAP
Kithor ) Ü NH-24 ) MODINAGAR )
Bhojpur ) Garhmuktesar )
HAPUR )
Babugarh )
PHC BULANSHERCHC WAIR ^_# Pilkhua ) CHC B.B.NAGAR BULANDSHAHERPHC RANJEET ^_# BALROG CHIKITSALAY " PNH SAYANA PH SAYANAG G"PNH SAYANA PHC BANBOI PH BULSASHI ^_ PHC SADEPUR ) ^_ ^_"#0PHC BULANSHER Saidpur Siyana VANSHI CLINIC BURSASHI ) )
PHC SEGA JAGAT Gulaothi ^_ )
#CHC SAYANA PHC AONGATAPHC SARAY ^_ PHC KHANPUR ^_ ^_)PHC DOLATPUR Khanpur Dadri NPHC PAVSARA PHC LAKHAVATICHC LAKHAWATI ) ^_ ^_#PHC PARI PRATAP #CHC AONGABAD Saiyad ) PRIMARY HEALTH CENTRECHC MALAGADH #^_ CHC UCHA PHC BARAL NPHC LUHARLI # ^_ ^_ PHC BULANSHER ^_ SIKANDARABAD PHC AHER ) ^_ PHC BULANSHER ^_ PHC BULANSHER CHC BULANSHAR^_ # SUB CENTRE SUJANPUR ^_ PHC SHIUOL ^_ PHC BULANSHER ^_ #CHC ILANA KALAAM BHUD RASTOGIG"""G BHUD" MITTAL #0 "GG" ANSHARI JHAGERABAD K.P GROAD"GG#0GG#G0" #0 ""#0G""G#0!XX!!PH MACHAD " """"G" B U L A N D S H A H R PH K P ROADPHG U P ROAD ) PHC SHIVAJI "HERITAMAMAN ROAD ^_ PHC BULANSHERCHC TAULI ^_# Anupshahr Jahangirabad ) GULAVATI ) PH GULAVATIG "G"SISODIYAULAVATI PNH CIVIL LINES "SHARDH HOSPITAL PMC BHATONACHC BHATONA ^_#
PHC BULANSHER PHC SANOTH ^_ ^_ PHC KAITHALAPHC^_ BOHANA PHC DABKA ^_^_ ^_ ^_SUB CENTRE BAUSARA CHC DARPA PHC DADUPURPHC DAIPUR Kakod ^_ ^_#PHC BULANSHER ) ^_ PHC BULANSHER PHC BULANSHER ^_ Shikarpur BAJAR KAKA HOSPITALBAJAR ^_ ) "!BAJAR DEKHSIT HOSPITAL RAJKIY SAUKAT CHIKITSALAYA
PAHSU! Rabupura CHC BULANSHERG #0" ! Dibai ) "Ssmj"#G"G# khurja"PH KHURJA ) PHL BULANSHER "0 "G" CHOLA JANPAT) ^_ GAYAN CHOLA JAPAT
PHC RHRODA ^_ PHC JAPAT ^_ #CHC JANPAD Jhangirpur ) PHC BULANSHER ^_ CHOHANUAUOR HOSPITAL KHURJA G#0 PHC KAUOR #0 Pahasu Naraura "^_VAADANA HEALTH CENTRE ) ) RADHE HAUOR SHYA HOSPITA PHC UADVESHRAJGHAT ^_#0
PHC BARODA AHMADHMADE GAD SIUANDARABAD ^_ ^_" PHC DOLAIPUR #0 PRIMARY HEALTH^_ CENTRE PHC BULANSHER ^_ CHC PAHASU JANPAD BULANDSHAHERDUBAI RAJEM HOSPITAL PHC JANPAT #" PHC KASER ^_ PHC JANPATCHC DANPUR ^_# ^_# CHC KASERKALAN T.I. AIRPORT PHC CHODERA ) ^_ PHC BANEL JANPAT ^_
PHC SRIBANPHC HATRI Jewar ^_ ^_ ) Legend NH-91 ) BulandshahrHospital
NH-93 ) # CHC X District Hospital ! Gov others ^_ PHC #0 Private Clinic " Private Hospital 05 10 20 G Private Nursing Home Kilometers BulandshahrBoundary GAUTAM BUDDH NAGAR) DISTRICT MAP
GHAZIABAD )
PHC DANKAUR ^_ FORTIS HOSPITAL "
NEW DELHI ) TIRUPATHI HOSPITAL " SUMITRA HOSPITAL CHAUHAN ORTHO" G" CENTRE &BAGHEL GG # SAI MEDICARE CENTREPRAKASHGGG HOSPITAL Ü " SHARMA MEDICAREBISRAKH PHC SATYA MEDICAL CENTRE G " APOLLO HOSPITALG GG^_"" G "PHCG JEWAR G GF )^_ MAX" MEDCENTRE SURBHI HOSPITAL MANGALSEN CHCG G #X "VINAYAK HOSPITAL District Hospital#KASIRAM HOSPITAL " " BHARDWAJ HOSPITAL" LIFE LINE HOSPITALG SRI RAM HOSPITAL " "SAMVEDANA HOSPITALS RESE) G. NOIDA
Surajpur Dadri ) )
Badarpur )
GAUTAM BUDH NAGAR )
SIKANDARABAD )
Kondli Tilpat ) )
DADRI COMMUNITY HEALTH #
FARIDABAD )
Tigaon )
Ballabgarh ) Dankapur )
Kakod )
Rabupura )
Mohana )
Jhangirpur )
Ghori )
Legend GautamBuddhNagarHospital # CHC
X T.I. AIRPORT DH ) ^_ PHC " Private Hospital )Chandhat F Private Multispeciality Hospital Jewar G Private Nursing Home ) 0 10 20 GautamBuddhNagarBoundary Kilometers GHAZIABAD DISTRICT MAP
Aminnagar ) Ü
Daula )
B A G H P A T )
Patla )
SURANA PHC ^_ MODI NAGAR GYASHPUR # ^_ Niwari ) Khekra ) JEEVAN HOSPITALAKASH HOSPITAL """LOKPRIY HOSPITAL SHAKUNTALA HOSPITAL MODINAGAR )
PHC KAKRA ^_
Bhojpur )
CHC MURADNAGAR #
LONI ) Muradnagar )
Karawalnagar )
(dehroti) )
HOLY CROSS HOSPITAL " PARAKASH HOSPITALXXGF"F""SHREYAG HOSPITAL G G G "F G" KHUSHI" G MATERNITYG" JOSEPHS HOSPITAL DASNA G AMBAY HOSPITAL # NAV JEEVAN CHILD CARE"" " SANJIVANIF NURSING HOMEHIRA LAL HOSPITAL G G G"GEYEG CAREG" NARANDER MOHAN HOSPITALSANJEVINI HOSPITAL VERMA" NURSINGG SHRI HARI HOSPITALG"" G"GGGGGG GG" NAGAR" HOSPITAL"BRIJGF HOSPITAL " " " LOK PRIYA HOSPITAL MITTAL""G HOSPITAL Pilkhua " ""G""G ) MANISHA HOSPITALG"" G G "GGGANESHG HOSPITALCOLUMBIA ASIA VASUNDHARA HOSPITALYASHODA HOSPITAL " "" SHANKAR LAL HOSPITALG SUDHERSON HOSPITAL SHRI KRISHNA HOSPITAL" "" AVANTIKA HOSPITAL KAMAL" MOSPITAL"" " G SHANTIDEVI CHARITABLE GHAZIABAD SARVODAY HOSPITAL" " ADITT HOSPITALG" "" ) MEENAKSHI HOSPITAL G "G SCOPE HOSPITAL YASHODAG GHOSPITAL " ISHU NURSING HOME PUSHPANJALI CROSSLAY
NEW DELHI ED ) )
NOIDA ) Legend
G. NOIDA ) Ghaziabad Hospital # CHC
Surajpur X Dadri ) DH) ^_ PHC
Badarpur " ) Private Hospital
F GAUTAM BUDH NAGAR Private Multispeciality Hospital SD ) ) 0 5 10 G Private Nursing Home Kilometers Ghaziabad Boundary HAPUR DISTRICT MAP Daurala )
Mawana ) ) Ü
M E E R U T Parhattgarh ) )
Kithor )
MODINAGAR )
Bhojpur ) CHC GARH # Garhmuktesar ) PHC SAMBHOLI ^_
HAPUR ) Muradnagar )
HAPUR HAPUR PPC# ^_"""CITY HOSPITAL LIFE LINE HOSPITAL PILKHAWA ^_ Babugarh )
Pilkhua )
GHAZIABAD ) Bagrasi ) Siyana Saidpur ) )
Gulaothi )
Khanpur )
Dadri )
Saiyad )
SIKANDARABAD )
Legend Hapur Hospital B U L A N D S H A H R ) # CHC
Jahangirabad ^_ ) PHC
" 0 10 20 Private Hospital Kilometers Dankapur ) HapurBoundary
) MEERUT DISTRICT MAP Ü
NH-119 ) NH-58 )
NEW PHC SALAWA NEW PHC KHERA ^_ ^_
PHC BHASUMA ^_ PHC PHALAWADA Bahsuma ^_ ) New Govt. Ayurvedic Hosp Mulhaira !PHC LALITPUR ) ^_ NEW PHC CHURR ^_
HastinapurPHC HASTINAPUR ) ^_ Sardhana ) CHC-SARDHANA ESHWAR NURSINGG HOME# BHARTIYA JAIN MILAN HOSP"MENKAG SANJIVNINURSINGHOM PHC NILOHA PHC-SUROORPURKHURD ^_ ^_ CHC-DAURALA # )Daurala PHC - Lavad CHC MAWANA ^_ # NEW PHC KARNAWAL ^_ PHC - Mawana Khurd PHC ALIPUR MORANA ^_ ^_
Mawana ) Karnawal PHC MEENA ) ^_ NEW PHC-KALINA NEW PHC DABTHUA DULHERA PHC ^_ ^_ ^_ GM MODI HOSPITAL "
PRIMARY HEALTH CENTRE ^_
PHC THOFAPUR PHC-ROHTA ^_ ^_ AASHUTOSH HOSPITAL " PHC SAHJADPUR NEW PHC-GOVINDPUR GHISAU ^_ ^_ PHC RAJPURA PHC KASTHLA ^_ ^_ PHC AGWAPUR ^_ METRO HOSPITAL " HOPE" " ST LUKES HOSPITAL PHC PARIKSHITGARH P L SHARMA DISTT HOSPITA PHC BHAWANPUR XX " ^_ ^_ DISTRICT FEMALE HOSPITAL Parhattgarh )M E E R U T ) TULSI HOSPITALMIMHANS """ "" ANAND HOSPITAL PHC- JANIKHURD LOKPRIYA HOSPITAL "" ^_ UPADHYAYNURSING HOMEGBHARAT"! HOSPITAL PREM NURSING HOME JAGDAMBA HOSPITAL"G "" ARJUNMEMORIALHOSPITALSUNITA NURSING HOME PHC KAYASTH BADDHA NEWPHC SIVALKHAS NEWPHC- KALINJARI ^_ ^_ ^_
NEWPHC-RASOOLPUR DHAULDI PHC SISAULI ^_ ^_ PHC AMARPUR ^_ PHC - Nawal ^_ BHOODBHARAL PHC ^_ PHC MACMHRA New CHC Building Constru^_ NEW PHC PHAFUNDA # ^_
Patla PHC KITHORE ) PHC BIJAULI ^_ ^_ )Kithor
Niwari )
CHC KHARKHODA # MODINAGAR )
Bhojpur )
Garhmuktesar Legend )
HAPUR ) MeerutHospital Muradnagar ) # CHC X District Hospital
Babugarh ! ) Gov others ^_ PHC " Private Hospital Pilkhua ) 0 10 20 G Kilometers Private Nursing Home GHAZIABAD ) MeerutBoundary
) ) FARIDABAD DISTRICT MAP Surajpur Dadri ) )
Mahrauli ) Badarpur )
GAUTAM BUDH NAGAR SD ) ) Tuglakabad ) PHC PALLA ^_ PHC ANANGPUR ^_ Ü Kondli Tilpat ) )
G U R G A O N ) JINDAL NURSING HOME G
CITYG HOSPITAL"" FARIDABAD " " ) PHC KHERI KALAN HANDA MEDICAL CENTRE#^_CHC KHERI KALAN CHANDRAWATI HOSPITALF " "SUNFLAG" HOSPITAL & RESEARCH CENTRE PHC PALI MAHABTABAD ^_ QRG CENTRAL HOSPITAL " Badshahpur ) PHC PALI ^_ Tigaon )
PHC TIGAON ^_ !ESI DISPENSARY Bhaundsi ANNURADHA HOSPITALKESAR HOSPITAL ) Dhauj PHC DHAUJ "G" ) ^_ MANGLA NURSING HOME SKG HOSPITAL AMAN HOSPITAL"G GG" SHANS HOSPITAL"GG Ballabgarh """" ) Dankapur BHAGWANI NURISNG HOMEZENITH HOSPOTAL CHC KURALIPHC KURALI ) #^_
Kakod PHC DAYALPUR ) ^_
FORTIES ESCORTS F
PHC PANHERA KHURD PHC CHHAINSA ^_ ^_ Rabupura DR NAYYAR HOSPITALGUPTA NURSING HOME ) G Sohna SHARMA NURSING HOME"CITY EYE CARE ) "G MEHTA HOSPITAL G"G"ESI HOSPITAL X !""ASTHA EYE CENTERE SHIV MANI HOSPITAL
PHC MOHNAMohana ^_ )
Jhangirpur )
P A L W A L Ghori ) )
Mandkaula )
T.I. AIRPORT )
Ghasera )
BR MEMORIAL HOSPITAL Chandhat " )
Jewar )
M E W A T )
Hattin )
Hassanpur ) Manpur ) Legend
# CHC X District Hospital
HODAL ) ! Gov others
Pinangwan ) ^_ PHC " Private Hospital F Pvt.Multispeciality Hospital
G Punahana ) Private Nursing Home 0 5 10 Kilometers FaridabadBoundary GURGAON DISTRICT MAP
WD Chhara ) )
Bapania )
Najafgarh ) Ü
J H A J J A R )
I.G.I. AIRPORT ) Badli Okhla ) )
Mahrauli )
SD ) Tuglakabad ) Dhankot ESI-Hospital ) NARULA DENTAL HOSPITAL! JAIN"" HOSPITAL" " G" BHAGWAN MAHABIR RAJKIYNHOSPITA FLORENCEFG#0#0 G" UMKAL HOSPITAL RAJESH HOPITAL NAGPAL ""#0""#0G"#"X0"""" """#0"#0 RAJEEV HOSPITAL #0""#0#0 " " PHC GHANGHOLA JEEWAN" CLINIC SIRODA" NURSING HOME "" "KAVITA HOSPITAL SETHI HOSPITAL ^_ MAX HOSPITAL PHC BHANGROLA #0 KAILASHG HOSPITAL PHC WAZIRABADPHC PATAUDI ^_ " JEEVAN REKOMEHA NURSING HOME ^_^_""" AMAR HOSPITAL CHIRANJV HOSPITAL PHC BHODSI CHC FARUKH NAGARPHC FARUKH NAGAR ^_ #^_ PHC MAND PURA G U R G A O N^_ )
Farrukhnagar )
Patauda ) Harsaru ) YADAV HOSPITAL JYOTI HOSPITAL " " )Badshahpur
PHC GURGAON ^_
PHC GHARI HOSPITAL Manesar CHC PATAUDI ^_ ) # Bhaundsi ) Dhauj )
PHC BADSHAHPUR ^_ Pataudi ) PHC KASAN VILLAGE ^_
Bahora )
Sohna ) CHC GHANGHOLA # PHC BHORKALAN ^_
Dharuhera ) Taoru )
Bhiwadi ) Legend
# Mandkaula ) CHC X District Hospital
Nuh ) ! Ghasera Govt others ) ^_ PHC Tapukrah ) " Private Hospital
M E W A T F ) Pvt. Multispeciality Hospital G Private Nursing Home Hattin #0 ) Malab Private Others ) Kot Qasim ) 0 5 10 GurgaonBoundary Kilometers JHAJJAR DISTRICT MAP
Maham )
Kilot ) Madina Silana ) )
Sisana ) Ü
R O H T A K Bohar ) ) Kharkhauda )
Lahi )
PHC - Bhembheva ^_
Kharak Kalanaur ) )
PHC - Jassour Kheri ^_
Dighal ) Kahnaur CHC - DighalPHC - Dighal PHC KANONDHA ) #^_ ^_
BAHADURGARH PHC - Mandothi ) GENERAL HOSPITAL X ^_ Beri Khas ) CIVIL HOSPITAL X PHC - ChharaPHC CHHARA VANDANA HOSPITAL"GG GKAMLA DAYAL ^_ GG""G" Dubaldhan PU"SH"PA" HGOSPITAL ) CHC-DUBHALDHAN PHC - Dujana # AASTHA HOSPITALCITY HOSPITAL ^_PHC - Dhubhaldhan ^_ PHC NOONA MAJRA Dujana Sub-PHC - Noona Majr^_a PHC-DD MAJRA ) ^_ ^_ PHC CHUDDANI ^_ Chhara Jahazgarh ) ) PHC-JAHAJGARH Bapania ^_ )
GENERAL HOSPITAL X PHC-CHUCHAKWAS J H A J J A R ^_ ) Chuchajwas ) PHC - Jahangirpur ^_ PHC-BIROHAR CHC BADLI ^_ # PHC MATANHAIL I.G.I. AIRPORT ^_ Matanhel PHC - Silani ) ) ^_ Badli )
PHC BADSA Kasnl ^_ ) Jharli )
CHC - Dhakla Dhankot # ) CHC-JAMALPUR PHC - Machroli Bahu # ^_ ) Salahawas )
PHC BAHUJHOLRI ^_ PHC-SALAWAS ^_ Kulana )
Farrukhnagar ) PHC - Tumbaheri ^_ Patauda ) Harsaru Kosli ) Nahar ) )
Jatusan ) Pataudi ) Musepur ) Legend Danina )
Bahora JhajjarHospital ) # CHC Nangal Mundi RS Zianabad ) X ) District/SD Hospital
^_ Dharuhera PHC ) Taoru " Private Hospital ) G Private Nursing Home R E W A R I 0 10 20 ) Kilometers JhajjarBoundary MEWAT DISTRICT MAP
Sohna )
Taoru )
PH^_GC_Taoro ^_ G PHC_MohammadpurAhGir GogiaClinic DevanshHospital Ü P A L W A L )
Bhiwadi )
Mandkaula )
PHC_Gassera ^_ Nuh ) Ghasera )
DrShabbirAhmGed LifecineHospital GOmHospital Chandhat G" ) ) CHC_NuhPHGC_Nuh #^_ GAdarshHospital HussainHospit"al
M E W A T )
Hattin ) PHC_Ujina Malab ^_ )
Manpur )
Bhadas )
TIJARA )
HODAL PHC_Nagina ) ^_ PHC_Marora ^_ Pinangwan AlafiaGeneralHospital PHC_Pinagn)a X ^_ Nagina )
CHC_PHC_Punhana # PHC_Singar ^_
Sakras ) Punahana ) PHC_Tigaon ^_
PHC_Fp_Jhirka #^_ Firozpur jhirka CHC_FP_Jhirk)a
Legend PHC_Biwan ^_ MewatHospital # CHC X DistrictHospital
Raoli ) ^_ PHC " PrivateHospital 0 10 20 Kilometers G PrivateNursingHome MewatBoundary Badarpur PALWAL DISTRICT MAP
GAUTAM BUDH NAGAR SD
Tuglakabad
Kondli Tilpat Ü
FARIDABAD
Tigaon
Dhauj
Ballabgarh Dankapur
Rabupura Sohna
Mohana
CHC HATHIN CHC DUDHALA Jhangirpur # #
PHC RASHOOLPURPHC AMARPUR PHC SOLADA ^_ ^_ ^_
P A L W A L Ghori
PHC MANDKOLA ^_
Mandkaula PHC.UTTAWAR MITAL NURSINGHOMEGOYAL NURSINGHOME ^_ G G CHC HODAL PALWAL HOSPITAL SHUSILAG HOSPITAL# #0 " " GOYAL NURSINGHOME T.I. AIRPORT
Ghasera
Chandhat
Jewar
Hattin TAVATIYA HOSPITAL PALWAL CIVIL HOSPITA G X PHC ALWARPUR ^_
CHC TAPPABLOCHPUR #
PHC MAGALJAT Hassanpur Manpur ^_ Legend SAMANYA HOSPITAL " G GURUNANK HOSPITAL PalwalHospital # CHC PHC HASANPUR ^_ X District Hospital
^_ HODAL PHC " Private Hospital Pinangwan CHC AURANGBAD G ARORA NURSINGHOME##0 Home G MAA BHAGWATI INSTITU Private Nursing #0 Private others PalwalBoundary 0 10 20 Punahana Kilometers ) ) PANIPAT DISTRICT MAP
NH-1 ) Ü
Sherah )
Babarpur AKAS HOSPIT EYE HOSPITA ) " "
Aaon Khurd ) MALIK HOSPI " CHC AHAR HAWA SINGH# G""X#"" MAHARAJA EG"PHC""" """""" ""AHAR ^_"^_ ^_ PHC UJHA PHC SEWAH^_ )SANDEEP HOS "^_ ^_PHC MANDI" " " MAHENDIRATT """"" " JITENDRA HO PHC"" "SEENK "" ^_^_^_^_PHC""" QAWI NEERAJ HOSP PHC DARPA^_ PHC KABRI " Narah SONI HOSPIT ) "
MEHENDIRATT CHARBUJ LELG.C. Gupta G "
Naultha ) Bapauli )
GOYAL HOSPI KHANDANI HO " " SONY HOSPITSINHA FRACT G"
PHC BAPOLI ^_
Shahpur ) SHARMA HOSP " AART NURSIN G
Manana KAPEELA HOS ) " Samalkha )
TALWAR NURS G
)
SURYA KIRANMEHR EYE & GGGG NEW HIRA HO KALYANI HOS ANIL MITALCHATURBHUJ GGGGGGGGGSHREE NURSI VIKASH HOSP KHURANA HOSNEEMA HOSPI GG G G GRAVINDRA HO RAJAT ENT HBANDHU HOSP
GOHANA )
Ganaur ) Legend
# CHC X District Hospital
Mohana ^_ ) PHC
" S O N I P A T Private Hospital ) G Private Nursing Home 0 10 20 PanipatBoundary Farmana Kilometers ) REWARI DISTRICT MAP I.G.I. AIRPORT Matanhel ) ) Badli )
Kasnl ) Jharli ) Ü
Bahu ) Salahawas )
Kulana )
Farrukhnagar )
NAHAR RATHINURSINGHOME Patauda ^_ G ) SBDIVISIONALKOSLI X ) Nahar )Kosli ) BAWWA ^_ GURAWARA #
GURIANI ^_
Jatusan ) SAIUSANA Pataudi FATHPURI ^_ ) Musepu^_r )
Danina )
DAHINA Bahora ^_ )
Nangal Mundi RS Zianabad ) )
MEERPUR # )Dharuhera
D"HARUMERA ARORAHOSPITALSIRSHAADILAL ^_ HWAYHOSPITAL R E W A R I "X" ) G""""DGEEPHOSPITAL KHOL SHARMAHOSPITA"G""GL " # "" "H_WAYHOSPITAL KESARHOSPIT"GA""L G"GG"" ARORAHOSPITA"GLSGETHIHOSPITAL "GARORANURSINGHOME ASWANISAXSENAHOSPITAL Bhiwadi BASDUDA ) ^_ SANGHWARI ^_ Bharawas ) BARRAWAS ^_
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) X District/SDHospital ^_ PHC Baraud ) " PrivateHospital Bhindusi G Priva)teNursingHome Mandawan 0 1)0 20 Kilometers RewariBoundary Harsauli ) ROHTAK DISTRICT MAP
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CHC KALANAURPHC KALANAUR #^_
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PRIMARY HEALTH CENTER FORM PHC CHIRI ^_ Sisana ^_ ) CHC CHIRI CHC SAMPLA # ""GGGGGGGG PGIMS Rohtak # ^_ BAMAL HOSPITAL ! ^_PHC BANIYANI MALBAR HOSPITAL R O H T A K ) Bohar PHC BHALAUT ) ^_
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Sisana PHC JHAKHOULI ) ^_
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Bawana )
Dighal Kahnaur ) ) ND ) Badli ) Legend BAHADURGARH ) ) Locations Beri Khas ) SonepatHospital ) # CHC Dujana ) X District/SD Hospital Chhara WD Jahazgarh ) ) ^_ ) PHC Bapania ) " Private Hospital Najafgarh ) G Home Private Nursing ) J H A J J A R 0 10 20 ) Kilometers #0 Private others Chuchajwas ) SonepatBoundary I.G.I. AIRPORT ) ) ) Study on Health Infrastructure in NCR
Appendix E. Contact details of Medical Officials Contacted
S. District State Name Designation Contact No No 1 Central(Paharganj) Delhi Dr. Bansal Add.CDMO 9868110801 2 East(Surajmal Viahar) Delhi Dr. Rajendra Midha CDMO 9811031656 3 Dr. Meera Hajerla CDMO 011-26693339 South (Malviya Nagar) Delhi Dr. Jyoti Sachdeva Add.CDMO 011-26682061 9999360639/ 4 North(Gulabi Bagh) Delhi Dr. Archana Rai CDMO 9654100322/ 23653176 North West(Rajori 011- 5 Delhi Dr. A.K.Saini Add.CDMO Garden) 27861592,27516640 011- 6 South West (Dwarka) Delhi Dr. Sonia Gupta Dept CDMO 25082969,25089596 7 West(Paschim Vihar) Delhi Dr. Sunil Bhatnagar Dept CDMO 9810012026 North East(Dilshad 8 Delhi Dr. Rajesh Kumar Add.CDMO 9811720485 Garden) Dept. Civil 9 Sonepat Haryana Dr. J.S.Punia 9813065161 Surgeon Head, DPMU, 10 Panipat Haryana Anuj Tondan 9896436361 NRHM Dept. Civil 11 Gurgoan Haryana Dr. V.K. Singhal 2322413/ Surgeon 12 Faridabad Haryana Dr. Anup Kumar Dy Civil Surgeon 9999455641 Dr. Anu Gupta 9810423471 Dr Aditya Civil Surgeon 01275-242102 Chaudhary 13 Palwal Haryana Dr.Vaid prakesh SMO 9254255371 Gupta Lok veer singh 9254255372 Dr.C.Rao/ kuldeep 9254321102,01268- 14 Mewat Haryana Civil Surgeon rao 273010 Dr.V.K Govilla CDMO 9215156185 15 Rohtak Haryana Kuldeep 9315431453 8950344330/ USHA / Mani ram 92551243071 Dr.Bharat singh CDMO 9215156177 16 Jhajjar Haryana Bishnoi
Suneeta DPM 8053111505 17 Rewari Haryana Dr.Rajeev CDMO 9416245274 DPM- Manish DPM 9416891311 18 Bagpat U P Dr. M L Arya CDMO 9415409010 Suresh Jayant 9412834184 19 Bulandshaher U P Dr Deelip Singh DPO 20 Meerut U P Dr Dinesh Add Director 9412321566 Dr Badri Vishal 9415461731 21 Ghaziabad U P Dr.AK Dhawan CDMO 9899971014 R.P Chawhan 0120-2850780 22 Gautam Budhnagar U P Anu Radha 2502023
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Study on Health Infrastructure in NCR
S. District State Name Designation Contact No No Dr Meena Mishra DGO 9582793059 9414152941/ 0144- Dr. C.B Dhanawat CDMO 2340145 23 Alwar Rajistan Dr. S K Taygi 9560272190 Dr. subodh kr 945073424 / 0120- Tewari 2540055 Dharamshila Cancer Medical 24 Delhi Dr Raja Dutta 9560450172 Hospital Superintendent Medical Dr Pinak Moudgil 9818590011 25 Fortis Escort Hospital Superintendent Haryana Asst Manager- Rajani Quality Dr Veena Director Chowdhury 26 GB Panth Hospital Delhi Asst Medical Dr H P Singh 9718599004 Superintendent
Director-Professor Dr Ashok Sharma 9811111933 Redio-Dignosis Medical Dr U C Varman 27 Guru Teg Bahadur Delhi Superintendent Dr P K Malik CMO 9868399512 Dr. Mahesh Chairman & 9990-444444 Sharma, Managing Director
Kailash Hospital and Medical 28 NOIDA Dr Vijay Ganju 9871295311 Heart Institute Superintendent Group Medical Dr A K Chaturvedi 95-1202444444 Director Mr P Asst. General 95-1202444444 UNNIKRISHNAN Manager
Mr Parveen Kumar Manager HR and 9711918258 Jha Personal
Chairman and 29 Medanta Medicity Harayana Dr Naresh Trehan 9971698163 Managing Director
Narendermohan Hospital Brig (Retd.) Dr Medical 30 Ghaziabad 9868994095 and Heart Centre KBNS Dod Superintendent
Post Graduate Institute of Mr C S Dhulla Director 9896091449 31 Medical Education & Research , Rohatak Rohatak Dy Medical Dr Amit Lathwa 9315642062 Superintendent Medical 32 Safdarjung Hospital Delhi Dr N K Mohanty Superintendents Dr. Sudhir Cecil Director Joseph 33 St Stephens Hospital Delhi Dr. Grace Cheriyan Deputy Director 9868399103 Public Relation Mr Balbir Singh cum Promotional 9868399104 Officer Dr R N Sharma 011-22306226/ 34 Delhi Delhi Dr. R. N. Sharma Deputy Director 9654100301 Planning DHS
35 Study on Health Infrastructure in NCR
S. District State Name Designation Contact No No (HQ)
Nodal Officer (Infrastructure), Heath Department, Government of 35 Panchkula Haryana Dr. Rajesh Bali Haryana, 0172-2585501/5 Swasthaya Bhawan, Sector- 06, Panchkula, Haryana Director (Statistics), Ministry of Health and Family 36 Delhi Delhi Sh. Rajesh Bhatia 011-23062647 Welfare, Room No. 512-A, Nirman Bhawan, New Delhi - 110108 Executive Director 37 Delhi Delhi Dr. S. Khanna Dharamshila 09810050395 Cancer Hospital
36