ORDERS


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



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







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 



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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



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