MEDICAL & HEALTH DEPARTMENT NAGARKURNOOL DIST

- 1 -

HEALTH PROFILE –

S.No Health Institution / Facilities Govt. Private Total 1 District General Hospital (Nagarkurnool) 1 - 1 2 Specialty Hospitals - - - 3 Medical Colleges - - - 4 Area Hospitals - - - 5 MCH Centres - - - 6 Community Health Centres (CHCs) 3 - 3 (Amrabad, Achampet, Kollapur) 7 Community Health Centers TSVVP () 1 - 1 8 PP UNITS (Nagarkurnool) 1 - 1 9 Primary Health Centers (PHCs) 27 - 27 10 UPHCs - - - 11 Sub Centers 178 - 178 12 Villages 349 - 349 13 24X7 PHCs 18 - 18 14 Non 24X7 PHCs 9 - 9 15 CEMONC - Comprehensive emergency obstetric and newborn carecenters. 3 - 3 (CHCs-Kalwakurthy, Kollapur and Achampet) 16 Special New Born Care Unit (SNCU) (Achampet) 1 - 1 17 Nutrition Rehabilitation Center (NRC) - - - 18 New Born Stabilization Unit (NBSU) (DH, Nagarkurnool, 2 - 2 CHC-Kalwakurthy) 19 Blood Banks (Dist. Hospital) 1 - 1 20 Blood Storage centers (CH, Achampet) 1 - 1 21 Ultrasound clinics 5 41 46 22 108 Ambulances 11 - 11 23 No. of Anganwadi Centers 1132 - 1132 24 No. of Primary Schools 646 19 665 25 No. of Upper Primary Schools 234 79 313 26 No. of High Schools 237 59 296 27 Total Schools 1117 157 1274 28 No. of KGBV s 16 - 16 29 No of Social Welfare Hostels 54 - 54

- 2 -

NATIONAL HEALTH MISSION

The National Health Mission (NHM) was launched by the government of in 2013 subsuming the National Rural Health Mission and National Urban Health Mission. It was further extended in March 2018, to continue until March 2020. It is headed by Mission Director and monitored by National Level Monitors appointed by Government of India.

AIMS:  Build environment of trust between people and providers of health services.  Empower community to become active participants in the process of attainment of highest possible levels of health.  Institutionalize transparency and accountability in all processes and mechanisms.  Improve efficiency to optimize use of available resources.

Goals:

 Reduce MMR to 1/1000 live births  Reduce IMR to 25/1000 live births  Reduce TFR to 2.1  Prevention and reduction of Anaemia in women aged 15–49 years  Prevent and reduce mortality & morbidity from communicable, non- communicable; injuries and emerging diseases  Reduce household out-of-pocket expenditure on total health care expenditure  Reduce annual incidence and mortality from Tuberculosis by half  Reduce the prevalence of Leprosy to <1/10000 population and incidence to zero in all districts  Annual Malaria Incidence to be <1/1000  Less than 1 percent microfilaria prevalence in all districts.

ACCREDITED SOCIAL HEALTH ACTIVISTS(ASHA) Community Health volunteers called Accredited Social Health Activists (ASHAs) have been engaged under the mission for establishing a link between the community and the health system. ROALS & RESPONSIBILITIES: 1. Their tasks include motivating women to give birth in hospitals 2. Bringing children to immunization clinics 3. Encouraging family planning (e.g., surgical sterilization), 4. treating basic illness and injury with first aid. 5. Keeping demographic records, and improving village sanitation 6. Participating in Home Based Care for Young Children (HBYC) & Home Based New Born Care (HBNC) ASHA are also meant to serve as a key communication mechanism between the healthcare system and rural populations.

KCR KIT: The flagship scheme was launched on 2 June 2017 by the Chief Minister of , Chandrashekar Rao with an aim to improve the health of new born child and mother. The government earmarked Rupees 605 crores in 2017 budget.

- 3 -

The mother upon delivery is provided with a KCR Kit consisting of 16 items necessary to keep new- born babies (neonates) warm and hygienic. They are sufficient for three months. The items include: clothes, quality baby soaps, baby oil, baby powder, mosquito nets, toys, napkins, and diapers. Financial Assistance: The mother will also be provided with financial assistance of ₹12,000 (₹13,000 for a girl child) to compensate for the loss of work by the women during the pregnancy and post-natal period. This amount will be provided in instalment with the last two instalments paid after vaccinating the child. The money is sent as direct cash transfer to individual Aadhaar-lined accounts of pregnant women in the State. Eligibility: The scheme is eligible for women who give birth at government hospitals, for a maximum of two deliveries. Amma Odi (102): The scheme was launched after the success of KCR Kit by Chief Minister of Telangana, Chandrashekhar Rao on 18 January 2018. Under the scheme, a pregnant woman can use free 102 service van to visit the hospital and dropped off at no cost. It can be used any number of times as necessary. After the delivery, the mother along with the new born are dropped at home after discharge from that hospital. Presently, there are 241 multi-utility vehicles, GPS-tracked, with capacity for 10 patient. In this district is allotted 14 vehicles. The call center to avail the service is based in Hyderabad and works 8 AM to 8 PM every day, 365 days.

PRADHAN MANTRI SURAKSHITMATRITVA ABHIYAN (PMSMA):

The programme was launched in the year 2016 and aims to provide assured, comprehensive and quality antenatal care, free of cost, universally to all pregnant women on the 9th of every month

Objectives of the program:  Ensure at least one antenatal check-ups for all pregnant women in their second or third trimester by a physician/specialist  Appropriate management of any existing clinical condition such as Anaemia, Pregnancy induced hypertension, Gestational Diabetes etc.  Additional service opportunity to pregnant women who have missed ante-natal visits  Identification and line-listing of high-risk pregnancies based on obstetric/ medical history and existing clinical conditions.  Appropriate birth planning and complication readiness for each pregnant woman especially those identified with any risk factor or co morbid condition.  Special focus on adolescent and early pregnancies as these pregnancies need extra and specialized care HELP DESK: Launched 4 Tagged Facility Help Desk Centres in Dist. Hospital, Nagarkurnool, CHCs Achampet, Kollapur & Kalwakurthy for ANC 3rd& 4thCheck-ups with Gynaecologist.

JANANI SURAKSHA YOJANA (JSY) OBJECTIVE:Reducing maternal and neo-natal mortality by promoting institutional delivery among the poor pregnant women.3rd and above delivery: For Asha: S.no Rural area Urban Area 1 600 200 For Mother: S.no Rural area Urban Area 1 1400 1000

- 4 -

JANANI SHISHU SURAKSHA KARYAKARAM (JSSK) Government of India has launched Janani Shishu Suraksha Karyakaram (JSSK) on 1st June, 2011. The following are the Free Entitlements for pregnant women: 1. Free C-Section 2. Free and cashless delivery 3. Free drugs and consumables 4. Free diagnostics 5. Free diet during stay in the health institutions 6. Free provision of blood 7. Exemption from user charges 8. Free Transport from Home to Health Institutions (102 utilized) 9. Free Transport between facilities in case of referral (102 utilized) 10. Free drop Back from Institutions to home (102 utilized) The following are the Free Entitlements for Sick new-borns till 30 days after birth. 1. Free treatment 2. Free drugs and consumables 3. Free diagnostics 4. Free provision of blood 5. Exemption from user charges

PC & PNDT ACT. 1994 AND RULES 1996 (Pre-Conception and Per-Natal Diagnostic Techniques Act,1994 and Rules 1996) Objective: -To stop female foeticides and arrest the declining the sex ratio in India. Total No. of Registered Ultra sound scanning centers in Nagarkurnool District. Non- S.No Division Govt. Private Total Functioning Functioning 1 Nagarkurnool 1 12 13 5 8 2 Kollapur 1 5 6 3 3 3 Kalwakurthy 1 11 12 5 7 4 Achampet 2 9 11 6 5 Total 5 37 42 19 23

IEC ACTIVICES  Sensitization meeting conducted on MOs, Supervisory staff, ANMs, ASHAs & AWTs on PC&PNDT Act. and Save the Girl child.  Sensitization Work shop conducted to all Govt. & Pvt. Gynaecologists/Radiologists on 07-02-2019.  Awareness programme conducted at District & Mandal level Mahila Samakyas and village level - SHG members and Urban level – MEPMA members on PC&PNDT Act. and Save the Girl child.  Awareness programme conducted to High school children on PC&PNDT Act. And Save the Girl child.  Prachara Ratham and Kalajatha programmes conducted at low sex ratio mandals i.e. Kollapur, Pentlavelly, , Peddakothapally, Thimmajipet, Balmoor, Lingal e.t.c  NGO – Shramika Vikasa Kendram conducting awareness programme on Save the Girl child.  500 Flexi Banners on PC&PNDT Act. and Save the Girl child, displayed at 461GPs, MPDO &Tahsildar office.  60 Foam Boards displayed at all Govt. & Pvt. Scanning centers and PHCs, CHCs.

IMMUNIZATION: Immunization is the process whereby a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. Vaccines are substances that stimulate the body’s own immune system to protect

- 5 -

the person against subsequent infection or disease. Conducting Sessions at Sub centre & PHC level on every Wednesday and every Saturday in outreach villages.Under the programme Td, OPV, BCG, Pentavalent, Rota Virus Vaccine, MR, JE, DPT, Vitamin A will be given to be given to beneficiaries.

Covering Programmes: Pulse Polio, NDD, Mission Indradhanush, IDCF, IYVF,Anaemia Mukt Bharat, WIFS.

RASHTRIYA BAL SWASTHYA KARYAKRAM (RBSK) Launched across the country in February, 2013, Rashtriya Bal Swasthya Karyakram (RBSK) is a significant health initiative aiming at early identification and early intervention for children from birth to 18 years to cover 4 ‘D’s viz. Defects at birth, Deficiencies, Diseases, Development delays including disability. It is important to note that the 0 - 6 years age group will be specifically managed at District Early Intervention Center ( DEIC ) level while for 6 -18 years age group, management of conditions will be done through existing public health facilities. DEIC will act as referral linkages for both the age groups.

RASHTRIYA KISHOR SWASTHYA KARYAKRAM (RKSK):

The Rashtriya Kishor Swasthya Karyakram was launched on 7th January, 2014 for adolescents, in the age group of 10-19 years, which would target their nutrition, reproductive health and substance abuse, among other issues To guide the implementation of this programme, MOHFW in collaboration with UNFPA has developed a National Adolescent Health Strategy. It realigns the existing clinic-based curative approach to focus on a more holistic model based on a continuum of care for adolescent health and developmental needs. Objectives:  Improve Nutrition  Improve Sexual and Reproductive Health  Enhance Mental Health  Prevent Injuries and violence  Prevent substance misuse The reduction of anaemia is one of the important objectives of the POSHAN Abhiyaan launched in March 2018. Complying with the targets of POSHAN Abhiyaan and National Nutrition Strategy set by NITI Aayog, the Anaemia Mukt Bharat strategy has been designed to reduce prevalence of anaemia by 3 percentage points per year among children, adolescents and women in the reproductive age group (15–49 years), between the year 2018 and 2022.

FAMILY PLANNING PROGRAMME  Family Planning Programme was launched in 1952. India was first country in the world to have National Family Planning Programme.  In 1976 National Family Planning Programme was re-designated as Family Welfare Programme.In 2000 it is changed as National Population Policy. AIM: -  To reduce of Total fertility Rate  Reduce of Maternal and Infant Deaths.  Compensation paid to Family Planning Acceptors

Female Sterilization @ Rs. 880/- Male Sterilization @ Rs. 1100/- Permanent Methods of Family Planning 1.Minilap Tubectomy 2. Double Puncher Laparoscopy - 6 -

3. Non-Scalpel Vasectomy

NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF CANCER, DIABETES, CARDIOVASCULAR DISEASES AND STROKE (NPCDCS): It is estimated that the overall prevalence of  Diabetes – 62.47/1000 population  Hypertension – 159.46/1000 population  Ischemic Heart Diseases (IHD)- 37/1000 population  Stroke- 1.54/1000 population In the age group of 15-49 years, 8 per cent of men and 5.8 per cent of women in India have high random blood sugar levels and 13.6 per cent men and 8.8 per cent women are hypertensive. The main strategies of the program are as follows: a) Health promotion through behavior change with involvement of community, civil society, community- based organizations, media etc. b) Management of chronic Non-Communicable diseases, especially Cancer, Diabetes, CVDs and Stroke through early diagnosis, treatment and follow up through setting up of NCD clinics. C) Provide support for development of database of NCDs through a robust Surveillance System and to monitor NCD morbidity, mortality and risk factors.

NATIONAL LEPROSY ERADICATION PROGRAMME: Leprosy, also known as Hansen’s disease, is a chronic infectious disease caused by Mycobacterium leprae. The disease mainly affects the skin, the peripheral nerves, mucosal surfaces of the upper respiratory tract and the eyes. National Leprosy Eradication Programme (NLEP) launched in the year 1983. Objectives: a)Elimination of leprosy i.e. prevalence of less than 1 case per 10,000 population in all districts of the country. b)Strengthen Disability Prevention & Medical Rehabilitation of persons affected by leprosy. c)Reduction in the level of stigma associated with leprosy. Involvement of ASHA– A scheme to involve ASHAs was drawn up to bring out leprosy cases from their villages for diagnosis at PHC and follow up cases for treatment completion. To facilitate involvement, they are being paid an incentive as below: o On confirmed diagnosis of case brought by them – Rs. 250/- o On completion of full course of treatment of the case within specified time – Pauci bacillary (PB) leprosy case – Rs. 400/- and Multibacillary (MB) Leprosy case – Rs. 600/-.The scheme has been extended to involve any other person who brings in or reports a new case of leprosy. o An early case before onset of any visible deformity – Rs 250 o A new case with visible deformity in hands, feet or eye – Rs 200

REVISED NATIONAL TB CONTROL PROGRAMME (RNTCP) Tuberculosis (TB) is an infectious disease usually caused by Mycobacterium tuberculosis (MTB) bacteria. Tuberculosis generally affects the lungs, but can also affect other parts of the body.

The National TB Programme (NTP) was launched by the Government of India in 1962. In 1978, BCG vaccination was shifted under the Expanded Programme on Immunisation. Directly observed treatment – short course (DOTS), was officially launched as the Revised National TB Control Programme (RNTCP) strategy in 1997.  RNTCP First phase 1997 -2005  RNTCP second phase 2006–11

National Strategic Plan for Tuberculosis Control 2012-2017 ‘National strategic plan for tuberculosis elimination 2017-2025 - 7 -

RNTCP has released a ‘National strategic plan for tuberculosis 2017-2025’ (NSP) for the control and elimination of TB in India by 2025. According to the NSP TB elimination have been integrated into the four strategic pillars of “Detect – Treat – Prevent – Build” (DTPB).

FIXED DAY HEALTH SERVICES 104 NAGARKURNOOL DIST.  104 FIXED DAY HEALTH SERVICES start in the year 2008 with HMRI management memorandum of understanding with Government.  Government under taken 104 FDHS Staff with District selection committee as per roster rule of reservation on May, 2012. OBJECT: 104 FIXED DAY HEALTH SERVICES given to all villages and hamlets (distance 3 km above Villages fromPHC’S) for treatment of chronic patients (HTN, DMEpilepsy, Asthma etc.) ANC and PNCcheck- ups, treatment minor ailments to 0-3 years children Vehicles: - 9 Vehicles providing 104 FIXED DAY HEALTH SERVICES in Nagarkurnool District Nagarkurnool Division 5 Vehicles On Road 2 Off Road 3 Achampet Division 2 Vehicles On Road 1 Off Road 1 Kalwakurthy Division 2 Vehicles On Road 0 Off Road 2 Repairs: - Minorrepairs need 5vehicles and Major repair need

EPIDEMIOLOGICAL STATUS ON SEASONAL DISEASES: We are conducting thefollowing activities to prevent and control for Seasonal Diseases  No. of RRT (Rapid Response Teams) established the dist. level : 01  No. of RRT (Rapid Response Teams) established the Divisional level : 03  No. of RRT (Rapid Response Teams) established the PHC level : 24  IEC activities i.e. Pamphlets distribution, displaying of Flexi Banners, awareness creating through establishing dengue and COVID-19 corners in every PHC and in all awareness meetings.  LLINS (Long lasting Insecticidal bed nets) distribution started 14960 bed nets to the Chenchu people & other of tribal PHCs to control the vector borne diseases  Chlorination have been conducting regularly in the overhead tanks in all habitations and municipalities to reduce the water borne diseases.

Fry Day Dry Day, ALO, Fogging Operations and Pyrethrum Spray  Through conducting weekly Friday Dry day programme in all Habitations, all Municipalities we reducing vector borne diseases and through Conducting of ALO, Pyrethrum spray, Fogging operations in High risk villages we reducing cases when we compared with last year and before last year.  Prachara ratham; Awarenesscreating through conducting publicity with Prachararatham on seasonal diseases, we reducing all cases. Through conducting all above activities, we reduced all seasonal diseases fall down when compared last year & before last year. Sentinel lab  We are collecting sera samples frequently from suspected fever cases i.e. Dengue & Chikungunya and the same sending to sentinel lab, for detection of Positive cases.

E-Aushadhi: The Corporation has adopted the e-Aushadhi Software for the process of Online Indenting, Distribution & Prescription-Audit of Drugs & Surgicals, from Peripheral to State level. The e-Aushadhi project, deals with the Supply Chain Management (SCM) Drugs and Surgicals; has been live at the CMS level at all the District HQs. The system acts as a track-n-trace mechanism for each and every drug/surgical right from procurement to supply to end user. This programme is implementing in 31 Institutions in the District. - 8 -

e-Office: e-Office has begun to be implemented in DM&HO Office, Mahbubnagar. All office superintendents and section clerks and Administrative officer and DM&HO files sending to the Dist. Collector for approval.

O/o DM&HO POS & Other Important Contact Numbers, Nagarkurnool District

Sl. No Name of the Officer Designation Contact No.

1 Dr. K. Sudhakar Lal DM&HO 9440489057

2 Dr. M. Venkatadas Dy.DM&HO, Nagarkurnool 9440981172

3 Dr. Babar I/cDy.DM&HO, Kalwakurthy 9908765801

4 Dr. Sridhar I/c Dy.DM&HO, Achampet 9985222736

5 Dr. G. Sainath I/c PO CH&I 9440056770

6 Dr. Rajashekhar I/c PO TB & Leprocy 8978218676

7 Dr. Srikanth I/c PO NCD & PODTT 7013143359

8 Varaprasad I/c DMO 9492765301

9 O. Sreenivasulu I/c Dy.DEMO 9440192895

10 Narya I/c SO 9849658561

11 Smt. Dorka bayamma I/c DPHNO 9490603242

12 Renaiah DPO 9581586883

13 Sandeep Rao DDM 7207067225

- 9 -

Statement showing the list CAS / DAS working under control of DM&HO Nagarkurnool

Name of the Medical Officer Name of the Institution Mobile Numbers

Sl.No. 1 Dr.G.Pradeep Kumar PHC-Peddur 9052226853

2 Dr.Babar Mohammad PHC Raghupathipet 9908765801

3 Dr.Priyanka Rani PHC Thotapally 9866921005

4 Dr. R. Thilak PHC-Vangoor 9296956128

5 Dr.V.Yashwanth Rani CHC-Kollapur 8498035226

6 Dr.K.Roopa PHC-Charakonda 9177098265

7 Dr. P. Vani CHC-Achampet 9640802224

8 Dr.Shailaja PHC-Vangoor 9866647787

9 Dr.Chandulal PHC-Siddapur 9949950288

10 Dr. A. Nagaraju PHC-Amrabad 9182719079

11 Dr.G.Srikanth O/o DM&HO Nagarkurnool 7013143465

12 Dr.D.Aruna PHC-Mannanoor 7780524096

13 Dr.B.Sridhar PHC-Balmoor 9985222736

14 Dr.Goutham PHC-Padra 7793932939

15 Dr. G. Sainath O/o DM&HO Nagarkurnool 9010204032

16 Dr.G.Satya Sri Naidu PHC-Palem 8374249849

17 Dr.Jayasree PHC-Pentlvelly 9652156003

18 Dr.Hari Babu CHC-Amrabad 9182994726

19 Dr.B.Narayanaswamy PHC-Telkapally 9052269469

20 Dr.P.Shiva Kumar CHC-Lingal 9052269469

21 Dr.B.Shravan Kumar PHC Bijinapally 9985001567

22 Dr.Nazimuddin Mohd. CHC-Kollapur 8297778677

23 Dr. Chandra Shekar PHC-Pentlvelly 9652772025

24 Dr.R.Usha Rani PHC-Raghupathipet 9440615481

25 Dr.B.Krishnaiah PHC- 8019796766

26 Dr.A.Darasaratham PHC-Peddamudunoor 8897909711

27 Dr.H.Pradeep Kumar PHC-Boppally 9440219501

- 10 -

28 Dr. T. Manjula Vani PHC-Thimmajipet 9866851661

29 Dr.C. Anudeep Varma PHC-Thimmajipet 9966951819

30 Dr.Shantha Bai PHC- 8368639004

31 Dr.Mounika PHC-Peddakothapally 9491915375

32 Dr.R.Suresh Babu PHC-Vatvarlapally 9985659890

33 Dr. Rajshekar PHC-Vennacherla & Kodair 8978218676

34 Dr. A.Anil Joseph PHC-Thimmajipet 9701731629

35 Dr.M.Sridhar Reddy ICDS Nagarkurnool 9550074919

36 Dr.Shankar CHC-Achampet 8977362016

37 Dr. Bikku Lal CHC-Achampet 9652351270

38 Dr.Syed Mohd.Sirajuddin CHC-Achampet 9908869369

39 Dr.Jayachandra Prasad yadav CHC-Kollapur 9908904320

40 Dr.Tara Singh PHC-Uppununthala 9848094597

41 Dr. Rajesh goud PHC Lattupally 9704299875

42 Dr. G. Srinivas Guptha PHC Ambatpally 9949868652

43 Dr. VVRS Durga Kiran Airport Duty 8919290078

Dist. Medical and Health Officer Nagarkurnool

- 11 -