Further Details of the District Can Be Seen As Under

Further Details of the District Can Be Seen As Under

DISTRICT PROFILE – CHAMOLI (2008)

Introduction

Chamolidistrict is located in the lap of Himalayas was created out of the erstwhile Pauri Garhwal district in 1960. The district is dotted with many prilgrim centres of Hindus. The district is flooded with the natural beauty, which is accentuated during monsoon when there is burst of flowers, everywhere. Agriculture is the main occupation of the people of this district. The district headquarters are located in the Gopeshwar town.

Chamoli is surrounded by Tibet region in the north, districts of Pithoragarh and Bageshwar in the east, Almora district in the south, Pauri Garhwal district in the southwest, Rudraprayag district in the west, and Uttarkashi district in the northwest.

Further details of the district can be seen as under:

Area (Sq. km.) / 7,520
Total Population (projected - 2008) / 417,157
Urban (%) / 13.8
Rural (%) / 86.2
Male (%) / Data Not Available
Female (%) / Data Not Available
Scheduled Caste (%) / 18.4
Scheduled Tribe (%) / 2.8
Sex Ratio (M:F) / 1000:1017
No. of Nyay Panchayats / 39
No. of Gram Sabha / 552
No. of Villages / 1,233
Total No. of School
Primary / 989
Junior High School / 223
High School / 126
Intermediate
Graduate / 6
Post Graduate / 1
Literacy Rate(%) / 76.23
Male Literacy Rate (%) / 90
Female Literacy Rate (%) / 67
No. of Urban Slums / Data Not Available
JJ Cluster / Data Not Available
Persons Affected with Leprosy Homes / Nil
No. of PAL living in these homes / Not Applicable

Health Facilities in District

The rural health care system is a three tier structure. It has “Sub-center” at the most peripheral level, “Primary Health Centre” at the intermediate level and “Community Health Centre” at the secondary level. The population covered by a “Sub Centre”, “Primary Health Centre” and “Community Health Centre” are “3,000-5,000”, “20,000-30,000” and “100,000”, respectively. In addition, there are Private Voluntary Healthy Facilities, also. As per Uttarakhandgovernment organizational set up, the District is headed by a District Magistrate, who is also the chair person of the Integrated District Health Society of Chamolidistrict. The District health set up of Uttarakhand government is headed by the Chief Medical Officer followed by aDeputy CMO as second-in-command. Chief Medical Superintendent looks after the Uttarakhandgovernment hospitals in the district.

There are 207 governmenthealth care facilities in the district, as can be seen from the table given below.

Category / Number
District Hospitals / 01
No. of CHC / 05
No. of PHC / 04
No. of APHC / 07
No. of FW/MCH Centres / 104
Urban Health Posts/ Maternity centres / 01
State Allopathic Dispensaries / 29
AyurvedicHospital / 51
Homeopathic Hospitals / 05

Staff Position in the District

Following is the list of Health Personnel employed under UttarakhandGovernment. Figures related to other health agencies are not available.

Category / Approved Number / In Position / Leprosy Training received (No. trained)
Medical Officers / 99 / 42 / 42
Pharmacist / 55 / 36 / 36
Health Supervisor(F) / 21 / 21 / 21
Health Supervisor(M) / 62 / 32 / 32
Health Worker (F) / 134 / 120 / 120
Health Worker (M) / Data Not Available / Data Not Available / Data Not Available
NMS / 4 / 1 / 1
NMA / 16 / 0 / Data Not Available
ASHA / 386 / 386 / 386

Epidemiological picture of the District

Both Pr and ANCDR have shown any specific pattern over the past 5 years. However, the comment about other indicators can not be made because the number of cases registered in the year 2003-04, 2004-05, 2005-06, 2006-07 and 2007-08 were small i.e. 27, 15, 13, 09 and 18, respectively.

District Profile Chamoli - Uttarakhand 2008Page 1 of 5

District Profile Chamoli - Uttarakhand 2008Page 1 of 5

Treatment Completion Rate (TCR)in the District

Multibacillary cases registered in the year 2005-06 –45.45

Paucibacillary cases registered in the year 2006-07–75.00

The TCR of both “Paucibacillary” and “Multibacillary” cases is slightly below the state average.

SUPPORT

Programme Support

NLR has placed a one Leprosy Programme Advisor (LPA), who is a medical doctor with training in leprosy and having experience of working in public health activities. He is covering 6 districts with his head quarter at Haldwani (Nainital) The LPA is visiting this district and transferring his skills, and providing guidance to District Nucleus (DN) so that DN improves their supervisory activities and in turn quality of leprosy services are improved, which will be provided through GHC staff. Through support from this LPA, following support activities have been completed in Chamoli District in the year 2008.

  • On the basis of information available in the district, LPA has prepared the district profile of Chamoli District.
  • During first quarter of 2008, situational analysis of functioning of District Nucleus (DN) was conducted. On the basis of this analysis, weaknesses, of the functioning of DN, were identified and following activities were planned to overcome these weaknesses.
  • Support in Supervision: NLR LPA initiated & motivated DN for the preparation of Advance Tour programme, Activity Under Taken Report and Checklist for supervision, Gantt Chart and Supervisory Report. LPA supports the District Nucleus and visits peripheral health care facilities along with District Nucleus Team and provides them on the job technical support in carrying out supervision of the peripheral GHC staff and in performing Cohort study.
  • LPA also assists and transfers his skills required in preparation of “Annual Plan of Action” and monitoring of activities in the district.
  • DN team of Chamoli district was supported by LPA, in preparation of monthly reports including“Quarterly Performance Reports” and “Monthly Reporting Formats”.
  • Training of Pharmacists and Storekeepers: In the third quarter of 2008 LPA facilitated the training of Pharmacists and storekeepers in the district; so as to streamline the MDT management with special emphasis on indenting of MDT. 13 out of 13 Pharmacists participated in this workshop.
  • Management of “Lepra Reactions” and “Complicated Cases”: LPA supported the DN in management of lepra reactions and complicated cases and maintenance of records & generation of reports related to it.
  • LPA also supported the D.N. in Case Validation, Health Education and IEC Activities.

Outcome

  • Preparation of ATP will be done in future also.
  • Preparation of Gantt Chart and Supervisory Report in future also.
  • Cohort study for the reporting year 2007-2008 (MB-100% & PB-100%)
  • Improvement in record keeping.
  • Improvement in MDT management
  • Improvement in technical skill of D.N.
  • Improvement in Retrieval of Absentees.
  • Improvement in Healthy Contact.
  • Preparation of need based result oriented POA for the year 2009-2010

REHABILITATION

Promotion of self care

Because Chamoli District has no Leprosy Colony so no promotion activity could be done.

Contact addressesof District Officials

District Profile Chamoli - Uttarakhand 2008Page 1 of 5

Dr. D. S. Rawat

Chief Medical Officer

C.M.O. Office

Gopeshwar

Chamoli

Tel: 01372-252187

Fax not available

E-mail not available

Dr. O. P. Agarwal

District Leprosy Officer

C.M.O. Office

Gopeshwar

Chamoli

Tel: 01372-252930

Fax not available

E-mail not available

Mr. Y. P. Thapaliyal

Non Medical Supervisor

C.M.O. Office

Gopeshwar

Chamoli

Tel: 01372-252930

Fax not available

E-mail not available

Dr. V. S. Pal

NLR Leprosy Programme Advisor

Netherlands Leprosy Relief – India Branch

Villa Garima, Plot No. 15, T.H.D.C. Colony

Tea Estate, Banjarawala

Chamoli – 248001 (UK)

Mob 09412006248

E-mail

District Profile Chamoli - Uttarakhand 2008Page 1 of 5

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