Sir,
Sub:- Clarification regarding distribution of insulin & NCD Medicines
Several
Queries are coming from different districts regarding Issue of Insulin
& NCD drugs to patients. As per the decisions
taken at the review meeting, the following clarifications are offered
1) Insulin
Vials can be issued to patients coming from the area, but give replacement
Vials only after receiving empty used vials .
2) Medicines
received in the general supply & NCD
medicines can be given to patients attending NCD Clinic. The
responsibility for taking the Stock & maintaining the Stock Register is
with the Pharmacist of the Institution.
/Thanking you/
Dr.Bipin
K Gopal,
State
Nodel Officer, NCD Division
NATIONAL
RURAL HEALTH MISSION-AROGYAKERALAM, ERNAKULAM
DISTRICT HEALTH & FAMILY WELFARE
SOCIETY, No.ER.236/2007
No.9 Anchoerage, Palliyil
Lane, Cochin-682016. Phone 04842354737
PROCEEDINGS OF THE DISTRICT HEALTH & FAMILY WELFARE
SOCIETY, ERNAKULAM
Sub:
School Health Programme
–Specialty Medical camp - Release
of addl. funds – Sanctioned orders issued
Read: 1. NRHM/SH/210//2010/SPMSU dated 14.7.2011 of
the State Mission Director, NRHM, Tvm
2.
NRHM/RCH/SH/6980/2009/SPMSU dated 3.8.2011 of the State Mission
Director, NRHM,TVM 3.
NRHM/RCH/SH/210/2010/SPMSU dated 15.10.2011 & 17.12.2011 of the State Mission
Director, NRHM,TVM
4.
Decision of 40th
Executive Meeting held at Collector Camp office on 03.10.2012
5.NRHM/4412/SH1/2012/SPMSU dated
12.10.2012
Order
No.A-2272/2009/NRHM Ekm dated 10.10.2012
The State Mission
Director, National Rural Health Mission, Trivandrum has directed to conduct
Specialty Medical camp in all
block using Rs.15000/- . The
block Medical Officers have been directed to
Conduct the camp for a minimum of
200 students
|
Sl.No
|
Name of Institution
|
No. of
camps
|
Funds
|
Funds
released
|
Lr. No. & date
|
|
1
|
THQH Ankamaly
|
1
|
15000.00
|
15000.00
|
Decision of 40th Executive
Meeting
|
|
2
|
CHC Chengamanad
|
1
|
15000.00
|
15000.00
|
“
|
|
3
|
BPHC Cheranelloor
|
1
|
15000.00
|
15000.00
|
“
|
|
4
|
CHC Ezhikkara
|
1
|
15000.00
|
15000.00
|
“
|
|
5
|
CHC Kalady
|
1
|
15000.00
|
15000.00
|
“
|
|
6
|
CHC Kumbalanghy
|
1
|
15000.00
|
15000.00
|
“
|
|
7
|
CHC Keechery
|
1
|
15000.00
|
15000.00
|
“
|
|
8
|
CHC Malayidam thuruth
|
1
|
15000.00
|
15000.00
|
“
|
|
9
|
BPHC Pizhala
|
1
|
15000.00
|
15000.00
|
“
|
|
10
|
CHC Malippuram
|
1
|
15000.00
|
15000.00
|
“
|
|
11
|
BPHC Nettor
|
1
|
15000.00
|
15000.00
|
“
|
|
12
|
CHC Pallarimanagalam
|
1
|
15000.00
|
15000.00
|
“
|
|
13
|
CHC Pambakuda
|
1
|
15000.00
|
15000.00
|
“
|
|
14
|
BPHC Pandapilly
|
1
|
15000.00
|
15000.00
|
“
|
|
15
|
CHC Ramamangalam
|
1
|
15000.00
|
15000.00
|
“
|
|
16
|
CHC Vadavucode
|
1
|
15000.00
|
15000.00
|
“
|
|
17
|
CHC Varapetty
|
1
|
15000.00
|
15000.00
|
“
|
|
18
|
CHC Varapuzha
|
1
|
15000.00
|
15000.00
|
“
|
|
19
|
CHC Vengoor
|
1
|
15000.00
|
15000.00
|
“
|
|
|
TOTAL
|
19
|
285000.00
|
285000.00
|
|
Guidelines for the Expenditure-Specialty
Medical Camp:
|
SL No
|
Item
|
Unit Cost
|
Amount
|
|
1
|
Honorarium
|
Rs 1000/- per Specialist
|
5000.00
|
|
2
|
Pharmacist
|
Rs 300/-x 1
|
300.00
|
|
3
|
Optometrist/Dental Assistant (in camps
where dentist participates)
|
Rs300/- x2
|
600.00
|
|
4
|
Supervisory staff
|
Rs200/-x 7
|
1400.00
|
|
5
|
BLOCK PRO
|
Rs200x1
|
200.00
|
|
6
|
Mobilization of students and Specialists
to the camp site(POl+ salary of driver on daily wages wherever vehicle is
available/Hiring Vehicle from outside etc)
|
Rs 2500/-
|
2500.00
|
|
5
|
Organizational Expenses under this
head medicines apart from that
supplied by the KMSCL can also be
promoted if needed
|
Rs4200/-
|
4200.00
|
|
6
|
Documentation Expenses
|
Rs 800/-
|
800.00
|
|
|
TOTAL
|
|
15000/-
|
1. The camps shall
be conducted including the students listed out by the JPHN or the MO in charge
for consultation by a specialist.
2. The Action plan
shall be submitted to the SH section before 15th October
3. Report of the
Speciality Medical camp will be submitted
in the prescribed format within one week of the conduct of the camp positively
4. Number of
students per camp will be 200 (50
students under one speciality).
5. Camps shall be
conducted block wise with the participation of 4 specialists. If there are more
students under one speciality more than one Specialist may be assigned. This
should be reported in advance to accord necessary direction/ approval.
6. The DMO may
issue a direction to MOs of CHC/PHC to provide essential medicines required for
the camp. Medicines not available in the Govt supply can be purchased locally
observing store purchase rules. Non
Availability Certificate is not required to procure such medicines
7. Follow up of
the camp such as informing the parents, planning for consultation at a secondary/
tertiary/ speciality health care centres, investigations, conduct of procedures
etc shall be completed before November 30th
8. For providing
mobility support the vehicle allotted
under the School Health Programme may be used. In case of additional
need the vehicle available in the health institutions may be provided for use
by field level officers such as PROLO,
HI/LHI, JPHNs and JHIs. In this context theDMO (H) may issue instructions to DPMs RCHOs and Medical Officers in charges of
the institutions to provide vehicle for the above said officers for the said
purposes. POL charges may be met from
School Health Programme head available under NRHM.
9. If any case a
specialist recommends some medicines after the specialist camp which was not
there with the medicines list/stock, it has to be procured under the leadership
of BLOCk/CHCMO a7 should be distributed to the student in a time lined manner.
The incurred expense in this regards shall be met from the school Health Heads
available under NRHM
Funds as shown
above are released to the Heads of the Institutions for the above activities.
The Medical Officer in Charge of the Institutions are directed to incur
expenditure as per guidelines issued vide order read as 3rd paper
above and forward the SOE periodically. Expenditure on this account will be
charged under SH Programme A.4.2.
District Programme Manager
To
The Medical Officer in Charge of the Institution
concerned
Copy to
1.
The State Mission Director, NRHM, Trivandurm
with CL
2.
The Table of the District Collector &
Executive Director, NRHM
3.
The Table of District Medical Officer of
Health & CEO, Ernakulam
4.
The District RCH Officer, Ernakulam
5.
The District Accounts Officer/Accountant
(RCH)NRHM Ernakulam for ‘ e ‘
banking
6.
The Block PRO Cum Liaison Officers concerned/
Junior Consultant (D&C),Ernakulam
7.
The
PRO(Hqs)
8.
File/SF/OS
 |
| NSV CAMP INAUGURATED BY Adv. MK SHAJI,PARAKKADAVU BLOCK PANCHAYAT PRESIDENT |
Dear All
Sub: H1N1 Deaths—tightening of control activities-reg
Sub: H1N1 Deaths—tightening of control activities-reg
This is to bring to your notice that
the no of H1N1 deaths has risen to FIVE
Ie.,
Wynad-1, Mplm-1, Kannur-1, Palakkad-1, Kozhikode -1
Of these, 2 are Antenatal cases.
This is a grave situation, and points
to the fact that the combing operations by the JPHN and ASHAs at the thrice
weekly frequency recommended is not being implemented at many places.
In addition, a random trial survey
has shown that the knowledge of the ABC guidelines, Short Febrile Illness
guidelines, or even the very existence of these guidelines is very poor among a
significantly high no of medical personnel.
It is highly possible
that further deaths may occur if this situation continues
Therefore, i request you to take up
the following with utmost urgency and seriousness
1. An immediate (today
or tomorrow, (imperatively) meeting of all JPHNs, LHS and other field staff to
be convened by DMOs, with RCHO, DPH and programme officers, with
the agenda of reviewing the status of the combing operations, and taking
necessary corrective actions to ensure that the health status of every single
ANC is enquired about once every 2 days positively, and
Oseltamivir use for those ANC with ILI(ie, Cat B-2)is ensured.
2. A similar meeting
of all ASHAS and block coordinators to ensure the above, and to have a
coordinated activity together in this regard
3. Block coordinators
may also help in Oseltamivir stock enquiry, ABC and SFI Guideline dissemination
to MOs, etc
4. Wide publicity
among all medical and paramedical staff about the two websites where these
guidelines are available ie, www.arogyakeralam.gov.in, and www.dhs.kerala.gov.in , to be given
5. Private sector also
to be definitely included in the information campaign
6. All major private
hospitals may also be directed to purchase and keep their own stock of
Oseltamivir for their paying patients.
A compliance report of the above may please
be sent to this email, as well as to the ADHS (PH) and the ADHS (FW)
Looking forward to your intensified
involvement and cooperation in this regard,
Monthly Consolidated Report
NCD Clinic
Sub Centre
Name of Sub Centre : Name
of Block/Panchayath :
Name of PHC : Name
of District :
Number of NCD Clinic Conducted : Reporting
Month :
Client Category
|
Male
|
Female
|
Total
|
|
Total Clients attended
|
||||
No. of clients with DM
|
Old
|
|||
Suspect
|
||||
New
|
||||
No. of clients with HTN
|
Old
|
|||
Suspect
|
||||
New
|
||||
No of clients with DM & HT
|
Old
|
|||
Suspect
|
||||
New
|
No of persons given tobacco cessation counseling
No of BCC sessions conducted
Name and signature of JHI
Approved by
Signature Of HI.
Monthly Consolidated Report
NCD Clinic CHC
/ PHC
Name of CHC / PHC : Name of
Block/Panchayath :
Name of District : Number
of NCD Clinic Conducted :
Reporting Month :
Client Category
|
Male
|
Female
|
Total
|
|
Total Clients attended
|
||||
No. of clients with DM
|
Old
|
|||
New
|
||||
No. of clients with HTN
|
Old
|
|||
New
|
||||
No of clients with DM & HT
|
Old
|
|||
New
|
No of persons given tobacco cessation counseling
No of BCC sessions conducted
Name
and Signature of HI.
Approved by : Signature of MO
PH1-48214/12/DHS
Directorate of Health Services
Thiruvananthapuram, 19.6.12
From.
The Director of Health services
To
All DMO(H)s
CIRCULAR
Sub: NVBDCP control of dengue-strengthening
of entomological surveillance and vector
control- instructions
issued-reg.
As you are aware, the incidence
of dengue fever is on the increase in the State. In some areas the disease has
assumed epidemic proportions. As far as dengue fever is concerned mosquito
control is the only option for its prevention and containment. Regular and
systematic entomological surveillance is inevitable to understand the
vulnerability of the disease and also to assess the impact of mosquito control
activities. Instructions have already been issued from this directorate to
carryout entomological surveillance and vector control activities on a regular
basis and to send the report to this office on a weekly basis.
In view of the prevailing situation of dengue fever in the state the
report shall be sent daily to this directorate. The Health Secretary is
directly monitoring the activities and analysing the data. Therefore the
following instructions are issued for strict compliance.
01.
Entomological surveillance with
respect to dengue and Chikungunya has to be undertaken in all the CHC/PHC areas
as well as in the urban areas on a daily basis.
02.
One site in each CHC/PHC area
should be surveyed every day.
03.
Three to five areas shall be
covered in urban areas
04.
Survey areas shall be selected
on the following order of priority. Areas with current cases of dengue, endemic
areas, vulnerable areas, border areas, areas with high population movement and
other areas.
05.
At least 50 dwelling houses
need to be inspected for vector breeding. Each and every dwelling house should
be thoroughly searched for breeding of Aedes mosquitoes.
06.
In CHC/PHC areas HS/HI will be
responsible for the collection of data. Jr.HI/Jr.PHN with the help of ASHAS
will carry out the survey.
07.
In urban areas staff of the DVC
Unit will conduct the survey. Sr. Biologist /Biologist / Entomologist will
monitor and supervise the survey works in urban areas and send the report to
DMOH.
08.
The DMOH will send the
consolidated report in NVBDCP mail.
09.
The format for sending the
report is given below.
Daily Aedes Survey Report
District : Date:
No. of selection areas
|
No. of areas surveyed
|
No of High risk areas
|
Name of high risk areas
( House Index>10/Breteau Index >50)
|
Species
of vector
|
Major breeding habitat
|
Activities done
|
Sd/-
DHS
Office
Dr.A.S.Pradeep Kumar
19.06.2012 Additional
Director of Health Services
State TB Cell
Thiruvananthapuram
28.05.2012
CIRCULAR
It gives me great pleasure to inform you that Kerala state is
ready to get shifted to Criteria C of MDRTB suspect definition.
Let me remind you that Criteria C denotes all cases under
Criteria B along with
- All smear -ve previously treated pulmonary TB cases (Cat 2) at diagnosis and
- HIV TB co-infected cases at diagnosis
All the districts may start sending samples from now onwards
fulfilling MDRTB suspect definition as per criteria C. I request your whole hearted support for the
implementation of this important shift in the management of Tuberculosis in our
state.
Sd/-
Addl. Director of Health Services-TB/State
TB Officer
NATIONAL RURAL HEALTH
MISSION,-AROGYAKERALAM,ERNAKULAM
DISTRICT HEALTH & FAMILY
WELFARE SOCIETY, ERNAKULAM
No.
9-ANCHORAGE,PALLIYIL LANE,FORESHORE ROAD, KOCHI-16–Phone No.2354737
-------------------------------------------------------------------------------------------------
PROCEEDINGS OF THE
DISTRICT HEALTH & FAMILY WELFARE SOCIETY, ERNAKULAM
Sub: Ward Health & Sanitation Committee
funds- Internal Audit -Constitution of teams –Orders issued
Read: 1.
G.O.(Rt) No.650/2007/H&FWD dated 24.2.2007 of Government of Kerala
2.
Audit enquiry by the Accountant General (A&E),Trivandrum.
Order
No.DAO/WHSC/2012/NRHM Ekm dted 4.7.2012
Government have given sanction to release Ward Health
& Sanitation Committee funds to all the wards of LSGD @ Rs.10,000/- per
ward and guidelines for the utilization of the same vide GO read as 1st
paper above. Accordingly funds @
Rs.10,000/- per ward were released to all the LSGD wards of Panchayath/Municipalities
and Corporation of Cochin from 2006 onwards. Regular Statement of Expenditure
was received from these WHSCs .
The Accountant General (A&E), Trivandrum has started
the thematic audit of these accounts and verification of accounts of
Arogyakeralam since 2006 onwards. It has been directed to conduct the Internal
audit of accounts of all WHSC funds by a team constituted for the purpose.
Accordingly a team for the internal audit of the Ward
Health Sanitation Committee funds of all wards is constituted with the
following members.
1.
Health Supervisor/Lady Health Supervisor of
the Block/Lady Health Inspector of Taluk.
2.
Block PRO cum
Liaison Officer of the Block/PRO of the Institution
3.
One member from
the DPMSU,NRHM Ekm
The team
should conduct the audit of the WHSC funds of all wards form 2006 onwards. The
Medical Officer in Charge of
the Institutions concerned should render all assistance for the same. The
JHIs/JPHNs who are dealing with the accounts should be directed to present the
cash book/Bank pass book/Counterfoil of Cheque book/Stock book/Minutes book of
the Committee an vouchers with Statement of Expenditure before the audit team
on the date which will be intimated. The ward member should be intimated about
the audit by the concerned Medical Officer.
Sd/- Sd/-
District Programme Manager District Medical Officer of Health & CEO
To
All the Health Supervisors/Lady Health Supervisors
through the MO i/c
Copy to
1.
The Table of District Collector &
Executive Director, Ernakulam
2.
The Table of
District Medical Officer of Health &
CEO, Ernakulam
3.
The Medical
Officer in Charge of all Institutions
4.
The District Accounts
Officer/Accountant (RCH),Ernakulam/The file/SF/OS
Forwarded/By order
Office Secretary
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