GOVERNMENT OF KARNATAKA HEALTH AND FAMILY WELFARE DEPARTMENT ANNUAL REPORT (2018-2019) HEALTH AND FAMILY WELFARE DEPARTMENT ANNUAL REPORT (2018-2019) INDEX PART-I HEALTH AND FAMILY WELFARE DEPARTMENT Sl.No. Subject Page No. 1.1 Organization and Functions of the Department 1-2 1.2 Important National & State Health Programmes 2-44 1.2.1 Immunization Programme 2-6 1.2.2 National Leprosy Eradication Programme 6-9 1.2.3 Revised National Tuberculosis Control Programme 9-14 1.2.4 National Programme for Control of Blindness 14-19 1.2.5 Karnataka State AIDS Prevention Society 20-28 1.2.6 National Vector Borne Diseases Control Programme 28-30 1.2.7 Communicable Diseases (CMD) 30-31 1.2.8 Reproductive and Child Health Programme 32-37 1.2.9 RCH Portal 37 1.2.10 Mother Health 38 1.2.11 Emergency Management and Research Institute (EMRI): 38-43 Pre-Conception and Pre-natal Diagnostic Techniques 1.2.12 Programmes (PC & PNDT) 43-44 1.3 School Health Programme 45-48 1.4 SAKALA Guaranteed services rendered 48-49 1.5 Health Indicators 49 1.6 Health Services 49-51 1.7 National Urban Health Mission 51-58 1.7.1 Quality Assurance 58-65 National Programme for Prevention and Control of 1.7.2 Fluorosis (NPPCF) 65-67 1.8 Citizen Friendly Facilities 68-69 1.9 Regulation of Private Medical Establishments 69-71 1.10 Health Education and Training 71-72 1.11 Mental Health Programme 72-76 Information, Education & Communication (IEC) 1.12 programme 76-77 1.13 State Health Transport Organization 77 1.14 Integrated Disease Surveillance Project (IDSP) 77-79 1.15 Nutrition Programmes 80-82 National Iodine Deficiency, Disorder Control Programme 1.16 (NIDDCP) 82-83 1.17 Karnataka State Drug Logistics and Ware Housing Society 84-86 1.18 State Institute of Health & Family Welfare 86-87 1.19 Public Health Institute 87-89 1.20 Suvarna Arogya Suraksha Trust 89-94 1.21 Food Laboratory 94-104 PART II DRUG CONTROL DEPARTMENT 2.1 Introduction 107-109 2.2 Organization Setup 109-110 2.3 Enforcement Wing 110-113 2.4 Drugs testing Laboratory 113-116 2.5 Pharmacy Education 116-123 2.6 Finance 123-124 PART III AYUSH DEPARTMENT 3.1 Organization Setup 127 3.2 Departmental Brief Note, Staff Position of the Department 128 3.3 Health Sector (Details Of Hospitals & Dispensaries) 128-131 3.4 Government Central Pharmacy & Drug Testing Laboratory) 131 3.5 Ayush Drugs Control 131-132 3.6 Statutory Boards 132 3.7 Ayush Medical Education 132-134 3.8 Herbal Garden Details 134 3.9 The Right To Information Act 2005 135 3.10 Bio Medical Wastage Management 135 3.11 Sakaala Yojane 135 3.12 Ayush Department : Achievements For The Year 2018-19 135 3.13 Proposed Plan For The Year 2019-20 135-136 NATIONAL AYUSH MISSION: Achievement For 2018-19 & 3.14 New Proposal For The Year 2019-20 136-137 NATIONAL HEALTH MISSION Achievement For The Year 3.15 137-138 2018-19 & Intended Programmes For 2019-20 Annexure 3.16 Ayurveda (District and Taluk wise details) 138-142 3.17 Unani System (District and Taluk wise details) 142-143 3.18 Homoeopathy System (District and Taluk wise details) 143-144 Nature Cure And Yoga System (District and Taluk wise 3.19 144 details) 1 PART I HEALTH AND FAMILY WELFARE DEPARTMENT 1.1. Organisation and functions of the Department: The Department is headed by the Commissioner of Health & Family Welfare Services and the Director of Health & Family Welfare Services.The Commissioner is the administrative head and Director is the technical head. National Health Mission (NHM) is headed by a Mission Director (NHM). Karnataka State AIDS Prevention Society is headed by project director. These officers are assisted by Additional Directors, Joint Directors, Deputy Directors & Demographer in implementing and monitoring health programmes. The Chief Administrative Officer and Chief Accounts Officers cum Financial Adviser assist in administrative and financial matters of this Department. At the District level, District Health and Family Welfare Officer is the head of Public Health Services.Implementation and monitoring of various National & State Health Programmes in all below 100 beds health care service institutions which are under ZillaPanchayat Sector are done by the District Health and Family Welfare Officer. He is assisted by 1. District Reproductive & Child Health Officer 2. District Programme Management Officer 3. District TB Officer 4. District Malaria Officer 5. District Family Welfare Officer 6. District Surveillance Officer 7. District Leprosy Officer (who also oversees Blindness Control Programme). Above 100 beds healthcare services institutions are under state sector. The District Surgeons of District Hospitals are responsible for providing curative, emergency and promotive services including referral services. Presently 15 District Hospitals are under the control of Health & Family Welfare Department.176 Taluk Health Officers are positioned at Taluk headquarter.They are the implementing authorities of Public Health, National and State Health Programs in their respective Taluks.The Medical Officers of Health at Primary Health Centre Level are responsible for the implementation of various National and State Health Programs including Family Welfare Programme and Maternal and Child Health Services.To provide Primary Health Care throughout the State, a network of 8871 Sub Centres, 2359 Primary Health Centres, 207 Community Health Centres and 146 Taluk Hospitals have been provided. 2 In order to ensure transparency in transfer of Medical Officers / Staff Govt. has enacted “Karnataka Civil Services (Transfer of Medical Officers and other staff) Act 2011 which has come in to force from 13-05-2011. Necessary Rules have also been framed there under. As per these Rules Medical Officers and other staff is being done once in a year i.e. During April/ May through computerized counselling. The Department of Health and Family Welfare Services implements various National and State Health programmes of Public Health importance to provide comprehensive Health Care Services to the people of the State through various Health and Medical Institutions. (Department is striving to achieve the goals set by Central Government in vision 2020). Health Care Services rendered are classified into Curative Services, Health Education and Training and School health services, nutritional services, laboratory services. Health and Family Welfare department was responsible for implementation of Rural Health component of Minimum Needs Programme, National Health Mission (NHM), National Leprosy Eradication Programme, Revised National Tuberculosis Control Programme, National Programme for Control of Blindness, National Vector Borne Disease Control Programme (NVBDCP), National Guinea Worm Eradication Programme, Prevention and control of Communicable Diseases like Diarrhoea, Kysanur Forest Diseases, National Iodine Deficiency Disorder Control Programme and AIDS Prevention Programme. 1.2. Important National and State Health Programmes: The Department of Health and Family Welfare Services implements various National and State Health programs of Public Health importance and also provides comprehensive Health Care Services to the people of the State through various Health and Medical Institutions. Progress of implementation of Major Programmes are as follows: 1.2.1. Immunization Programme: Goals: • To ensure 100% immunization of all Pregnant Women and children against 10 vaccine preventable diseases • To maintain Polio free status • To achieve Measles Elimination & Rubella Control by year 2020 Objectives: • To prevent incidence and deaths due to vaccine preventable diseases by providing free vaccines to all eligible beneficiaries in the state • To Maintain highly sensitive surveillance system for early identification and control of all Vaccine preventable diseases 3 Achievement: • 2013: Introduction of Pentavalent Vaccine (DPT+Hib+ HepB) • 2014: Appreciation from W.H.O for contribution of state in Polio Eradication • 2015-17: Four Phases of Mission Indradhanush (MI) and Intensified MI • April 25th 2016: Switch from tOPV to bOPV and successful validation • 2016 April : IPV Introduction into RI: Karnataka one of first 8 states to start Fractional dose of IPV in RI (0.1 ml Intra-Dermal) • 2016 October: Transition from outbreak based to case based MR surveillance; Karnataka first state in India • 2017:- Measles – Rubella Vaccination Campaign conducted from 7th February to 19th March • 2018: Special Intensified Mission Indradhanush Programme is running(May, June & July 2018)(excluding Udupi & Dakshina Kannada Districts) • 2018: Implementation of Mission Indradhanush in Bengaluru Urban, Belagavi, Kalburgi, Davangere, Dharwad, Bellary, Vijayapura, Mysore, Tumkuru, Dakshina Kannada & Shimoga Corporation Districts with Raichuru & Yadgiri Aspiration Districts (July, August & September). • 2018- TT Vaccine replace by Td Vaccine. 1. Full Immunization of Children (All vaccines to child in first year of life) Core Health indicator under Chief Minister’s Dash board- Pratibimba 2. Intensified Mission Indradhanush (IMI) Prime Minister's review under PRAGATI To achieve 90% full immunization by 2018 3. To Achieve Measles Elimination and Rubella Control by 2020 State, National and Regional Goal The Pulse Polio Programme is being implemented in the State since 1995-96 with the main objective of eradication of Poliomyelitis by 2000 AD. Every year, Polio drops are being administered to the children below the age of five years in two rounds. Pulse Polio Programme held on 10th March 2019, the achievement is 102.21 % children aged less than 5 years