Medical Education




Medical Education
Under the Medical Education, Training and Research an amount of Rs.7032.56 crore has been earmarked for the year 2015-16.
The Central Government has granted permission for renewal of MBBS courses for the academic year 2015-16 in respect of seven Government Medical College after obtaining Undertaking from the concerned State Government. A list of seven Government Medical College is given below:



LIST OF MEDICAL COLLEGES  GRANTED RENEWAL PERMISSION ON THE BASIS OF UNDERTAKING SUBMITTED TO THE CENTRAL GOVERNMENT FOR ACADEMIC YEAR 2015-16
Sl No.
State
Place
College Name
1
Kerala
Palakkad
Govt. Medical College, Palakkad
2
Kerala
Idukki
Govt. Medical College, Idukki
3
Maharashtra
Dhule
Sri Bhausaheb Hire Govt. Medical College
4
Maharashtra
Latur
Govt. Medical College, Latur
5
Maharashtra
Solapur
Dr. Vaishmapayan Memorial Govt. Medical College
6
Maharashtra
Akola
Govt. Medial College, Akola
7
Maharashtra
Yavatmal
Sri Vasantrao Naik Govt. Medical College

List of valid applications received by the Government from States/UTS including Kerala to start M.D. Radiotherapy in Government medical colleges and action thereof by this Ministry is given below:
SL No.
State
College Name
Seats
Action Taken by the Ministry
1
Punjab
Sri Guru Ram Das Institute of Medical Sciences & Research, Sri Amritsar
5 new seats
Forwarded to MCI
2
Punjab
Increase of seats 03-06
3
Kerala
Amala Institute of Medical Sciences,
2 new seats
4
Kerala
Govt. TD Medical College Alappuzha
2 new seats
5
Rajasthan
Geetanjali Medical College & Hospital, Udaipur
3 new seats
6
Karnataka
A.J Institute of Medical Sciences and Research Centre, Mangalore
2 new seats

**** 

Facilities in Government Hospitals
In so far as the three Central Government Hospitals in Delhi viz. Safdarjung Hospital (SJH), Dr. Ram Manohar Lohia Hospital (Dr. RMLH) and Lady Hardinge Medical College (LHMC) & Associated Hospitals are concerned, there is no shortage of trolleys, wheel chairs and ward-boys in these hospitals.

As far as Safdarjung Hospital is concerned, there are 590 Trolleys and 478 Wheel Chairs in the hospital. There is no post of ward boy in the hospital. However, 499 posts of Nursing Attendant and 64 posts of Stretcher Bearer exist. In addition, the services of 70 Nursing Attendant and 18 Stretcher Bearer are also outsourced.

As far as Dr. RML Hospital is concerned, there are 323 Trolleys and 137 Wheel Chairs. The services of most of the Ward-boys have been outsourced from private agency and they are deputed in various departments as per requirement.

As far as LHMC & Associated Hospitals are concerned, there are 73 Trolleys, 37 Wheel Chairs in these hospitals. The post of ward boy does not exist in these hospitals. However, 191 posts of Aaya, Ward Orderly/ Stretcher Bearer and Nursing Orderly/MTS exist in these hospitals.

Procurement of trolleys and wheel chairs and deployment of ward-boys/additional assisting staff is a continuous process as per requirement of various departments of the hospitals. 

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India Newborn Action Plan (INAP): Preventing Newborn Deaths and Stillbirths

The India Newborn Action Plan (INAP) was launched in September 2014 with the aim of ending preventable newborn deaths and stillbirths by 2030.
The salient features are:
·         INAP has set the goals for neonatal mortality and stillbirths. The goal is to attain Single Digit Neonatal Mortality and Stillbirth Rates by 2030.

·         INAP is to be implemented within the existing Reproductive, Maternal, Newborn, Child and Adolescent health (RMNCH+A) framework of the National Health Mission (NHM).

·         Six pillars of intervention packages impacting stillbirths and newborn health have been identified, which include:

o    Preconception and antenatal care
o    Care during labour and child birth
o    Immediate newborn care
o    Care of healthy newborn
o    Care of small and sick newborn
o    Care beyond newborn survival

·         For effective implementation, a systematic plan for monitoring and evaluation has been developed with a list of dashboard indicators.
INAP is now serving as a framework for the States to develop state-specific action plans and it is expected that these interventions would have an impact in reducing newborn mortality in the country.
Birth Defect surveillance has been started recently in 37 Medical Colleges across the country. This aims to build and strengthen surveillance capacity and expand the availability of standardized and accurate data on congenital anomalies.
INAP has been disseminated at the national and regional levels in order to facilitate the States to formulate their own need-based plans. As a result, the States are now in the process of developing their State-specific Newborn Action Plans.
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CGHS OPD Centres in Govternment Hospitals
There is no proposal to set up separate Central Government Health Scheme (CGHS) Out-Patient Department (OPD) centres for orthopaedics and paediatrics in all the Central Government Hospitals.

However, Paediatrics Specialists are posted in Safdarjung Hospital and Dr. Ram Manohar Lohia Hospital of Delhi. Two General Duty Medical Officers with PG qualifications in orthopaedics are posted in CGHS wing of Safdarjung Hospital.

There are no sanctioned posts of Orthopaedics Specialists for CGHS wing. There is no separate CGHS wing at Lady Harding Medical College and Smt. Sucheta kriplani Hospitals.

CGHS beneficiaries can avail consultation from specialists of any Government Hospital. 

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Kayakalp:
An Initiative to Promote Hygiene and Sanitation in Public Health Facilities

Kayakalp- an initiative has been launched to promote cleanliness, hygiene and infection control practices in public health facilities. Under this initiative, public healthcare facilities shall be appraised and such public healthcare facilities that show exemplary performance meeting standards of protocols of cleanliness, hygiene and infection control will receive awards and commendation.
·      Under this initiative, the number of awards are as under:
v  Best two District Hospitals in each state (Best District hospital in small states)
v  Best two Community Health Centres/Sub District Hospitals (CHC/ SDH) (limited to one in smaller states).
v  One Primary Health Centre (PHC) in every district   
·      Based on the set criterion prize winners will receive a cash award with a citation.
·       Further, Certificate of Commendation plus cash award would be given to in facilities that score over 70%, but do not make it to the list of top two/one in a particular year.
·      For FY 2015-16 awards will be taken up only for District Hospitals. Awards for SDH/CHCs and PHC will be taken up in subsequent years. Details of Kayakalp initiative are available at URL http://nrhm.gov.in/images/pdf/in-focus/Kayakalp_Guidelines.pdf

Swachhta Guidelines for public health facilities to promote Cleanliness, Hygiene and Infection Control Practices in public health facilities were released on 15th May, 2015.

The Guidelines provide details on the planning, frequency, methods, monitoring etc with regard to Swachhta in public health facilities. These guidelines are available in public domain at http://nrhm.gov.in/images/pdf/in-focus/Swachhta_Abhiyaan_Guidelines.pdf 
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Cancer Detection and Treatment
In the government sector, research activities for early detection and treatment of cancer are mostly carried out by Institutions/Departments such as the Indian Council of Medical Research, Department of Science and Technology and Department of Atomic Energy. The Bhabha Atomic Research Centre has developed Bhabhatron and the Society for Applied Microwave Electronics Engineering and Research (SAMEER) has developed Linear Accelerators (LINAC). Further, as informed by the Department of Electronics & Information Technology, under a project for 6 MV  Medical  Linac, a unit has been commissioned at Indian Institute of Head & Neck Oncology, Rau, Indore (M.P.) and is being used for patient treatment since June 2014. Medical Image Analyser for Cervical Cancer (CerviSCAN) has been developed by them for early detection of cervical cancer through image analysis of PAP smear.

As informed by the Department of Science & Technology, “National facility on community based cancer tissue bio bank for drug target” is sanctioned to study the genetics and genomics to understand cancer progression and pathology in Indian population.
Prevalent methods for diagnosing cancer include Fine Needle Aspiration cytology (FNAC), X- rays, Ultrasound, CT scan, MRI, biochemical tests, tumour markers besides histo-pathological confirmation by biopsy.
Advanced Radiotherapy Technology including Robotic Radio surgery equipment e.g. Cyberknife are eligible for financial assistance in State Cancer Institutes and Tertiary Care Cancer Centres under “Strengthening of Tertiary Care of Cancer” scheme.
Institute of Cytology and Preventive Oncology under the Indian Council of Medical Research has developed a hand held device called Magnivisualizer with inbuilt source of light that can be used in field conditions for early detection of cervical cancer and oral cancer lesions.
Central Government supplements the efforts of the State Government for improving healthcare including prevention, diagnosis and treatment of Cancer.  At present, National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) being implemented under National Health Mission(NHM) for interventions upto the district level includes awareness generation for Cancer prevention, screening, early detection and referral to an appropriate level institution for treatment.  The focus is on three areas namely breast, cervical and oral Cancer.  Screening guidelines have been provided to State Governments for implementation.  Suspected cases are to be referred for confirmatory diagnosis by various tests including histo-pathological biopsy.
Government of India has approved “Tertiary Care for Cancer” Scheme under National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in the year 2013-14. Under the said scheme, Government of India will assist to establish/set up 20 State Cancer Institutes (SCI) and 50 Tertiary Care Cancer Centres (TCCC) in different parts of the country. The maximum assistance inclusive of State share for SCI is upto Rs.120 crore and for TCCC is upto Rs.45 crore subject to eligibility as per scheme guidelines and availability of funds.
In addition to Cancer diagnosis and treatment by the State Governments Health Institutes, the Central Government Institutions such as All India Institute of Medical   Sciences, Safdurjung Hospital, Dr Ram Manohar Lohia Hospital, PGIMER Chandigarh, JIPMER Puducherry, Chittaranjan National Cancer Institute, Kolkata, etc. provide facilities for diagnosis and treatment of Cancer.
Oncology in its various aspects has focus in case of new AIIMS and many upgraded institutions under Pradhan Mantri Swasthya Suraksha Yojna (PMSSY). Setting up of 2nd campus of Chittranjan National Cancer Institute, Kolkata has also been approved.
Details of funds released under NPCDCS and Tertiary Care for Cancer scheme during the last three years and current year are given below:

NATIONAL PROGRAMME FOR PREVENTION  AND CONTROL OF CANCER, DIABETES, CARDIOCASCULAR DISEASES & STROKE (NPCDCS)









(Rs. in Lakh)

 Sl. No

 Name Of State

2012-13
2013-14
2014-15
2015-16
Released
Utilised
Released
Utilised
Released
Utilised
Allocation
1
Andhra Pradesh
0
69.34
0
61.33
561.00
115.41
558.00
2
Assam
0
310.58
1714.00
620.7
579.00
288.43
740.00
3
Bihar
0
120.17
972.00
228.08
1208.00
50.14
1365.00
4
Chhattisgarh
0
44.08
0
162.2
504
390.27
764.00
5
Gujarat
0
329.02
0
564.04
666
543.28
979.00
6
Haryana
0
129.23
0
261.94
799.00
207.89
936.00
7
Himachal Pradesh
0
15.54
0
73.9
0
23.79
704.00
8
Jharkhand
0
10.63
332.00
148.95
835.00
139.25
1082.00
9
Jammu & Kashmir
0
396.24
0.00
300.55
913.00
160.11
1004.00
10
Karnataka
0
156.02
0.00
639.86
976.00
231.46
1082.00
11
Kerala
0
616.33
0.00
167.17
545.00
768.38
970.00
12
Madhya Pradesh
0
293.19
462.00
315.52
1694.00
681.07
1725.00
13
Maharashtra
0
615.5
586.00
1044.66
1289.00
954.2
1296.00
14
Odisha
0
84.45
0
480.22
1234.00
414.97
1021.00
15
Punjab
0
279.25
0
199.85
803
368.32
678.00
16
Rajasthan
0
154.27
59.00
242.01
1180.00
445.48
1004.00
17
Sikkim
0
89.07
0.00
81.62
176.00
81.46
157.00
18
Tamil Nadu
0
0
89.00
175.13
1355.00
2.7
1253.00
19
Uttarakhand
0
95.73
0.00
34.7
545.00
35.87
489.00
20
Uttar Pradesh
2431.25
0
1398.00
347.12
2027.00
2519.38
1579.00
21
West Bengal
0
83.73
1027.00
416.78
754.00
416.34
790.00
22
Andaman & Nicobar
0
0
5.00
0
25.00
0.63
32.00
23
Dadra & Nagar Haveli
0
0
5.00
0
17.00
0.12
32.00
24
Daman & Diu
0
0
4.00
0
13.00
0
32.00
25
Lakshadweep
0
0
1.00
0
13.00
4.68
32.00
26
Delhi
0
0
247.00
0
141.00
0
84.00
27
Pondicherry
0
0
18.00
7.02
152.00
38
218.00
28
Goa
0
0
22.00
0
127.00
0
232.00
29
Chandigarh
0
0
16.00
0
13.00
6.04
32.00
30
Arunachal Pradesh
0
0
76.00
69.2
354.00
146
504.00
31
Meghalaya
0
0
163.00
0
147.00
24.35
307.00
32
Mizoram
0
0
60.00
26.25
176.00
116.08
386.00
33
Nagaland
0
0
109.00
0
346.00
15.26
433.00
34
Tripura
0
0
202.00
0
176.00
0
157.00
35
Manipur
0
0
0.00
0
296.00
0
354.00
36
Telangana
0
0
0.00
0
401.00
0
489.00

TOTAL
2431.25
3892.37
7567.00
6668.8
21040.00
9189.36
23500.00

Note :i) Now, NPCDCS programme  has been merged under N C D Flexi Pool
ii) Total allocation under N C D Flexi pool is Rs.554.50Cr.for the 2015-16





State-wise funds released under TCCC component of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS):     
                        (1)        Funds released during the financial year 2012-13:
            S No.
State/UTs
Amount Released
(in Crore)
1.
Arunachal Pradesh
4.80
2
Kerala
9.60
3.
Maharashtra
4.80
4.
Sikkim
4.80
Total
24.00

            (2)        Funds released during the financial year 2013-14:  NIL.
            (3)        Funds released during the financial year 2014-15:
           
S No.
State/UTs
Amount Released
(in Crore)
1
Gujarat
67.50
2
Jammu & Kashmir
47.25
3
Karnataka
67.50
4
Kerala
25.03
5
Tripura
55.00
6
West Bengal
22.24
7
Tamil Nadu
67.38
Total
351.90

            (4)        Funds released during the financial year 2015-16 (till July, 2015):   NIL

National Cancer Institute (NCI) Jhajjar has been sanctioned at a cost of Rs. 2035 crores. The implementation of the project is at an initial stage.

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National Tobacco Control Programme
The key activities undertaken under the National Tobacco Control Programme include:
1)      National Level Public awareness campaigns
2)      Monitoring, Evaluation and Research.
3)      Advocacy and inter-sectoral linkages
4)      Training and capacity building of multiple stakeholders.
5)      Enforcement of the Tobacco Control Act (COTPA, 2003)
6)      School Awareness Programmes
7)      Setting up and expansion of cessation services.
The details of the achievements and funds released/utilized during the last three years are given below:

Year
Achievements under NTCP

2012 -13
·         Issued notification to regulate the depiction of tobacco products or its use in films and TV programmes.
·         Issued the packaging and labelling Rules 2012 vide notification G.S.R. No. 724 (E) dated 27-09-12.
·         Launched Public awareness campaign using electronic media as well as outdoor media like Bus panels, bus queue shelters, unipole, back light display at railway station, metro rail display etc.
·         Number of people challaned (21 states) :  1,04,750
·         Number of tobacco users counselled (21 states) : 32,328
·         Number of children covered under school programme (21 states) : 1,71,986
·         Number of people trained through workshops/trainings (21 states) : 82,182
2013-14
·         Up-scaled the coverage of National Tobacco Control Programme (NTCP) from existing 42 districts of 21 states to 53 districts of 29 states in 2013, subsumed under the National Health Mission (NHM) Flexi-pool for Non-Communicable disease (NCD’s).
·         Organized “National Consultation on Tobacco Economics” which dwelt on three issues of economics of tobacco (i) Health Cost of Tobacco Use, (ii) Alternative livelihood to tobacco farmers and bidi rollers and (iii) tobacco taxation.
·         Launched Public awareness campaign launched using electronic media and Radio and outdoor (train wrap-up & bus panels).
·         Number of people challaned (21 states) : 69,278
·         Number of tobacco users counselled (21 states) : 15,477
·         Number of children covered under school programme (21 states ): 2,40,508
·         Number of people trained through workshops/trainings (21 states) : 15,147
2014-15
·         Issued notification of new Rules on tobacco pack pictorial warnings on 15th October, 2014, which mandate display of pictorial health warnings on 85% of principal display area of tobacco packs and on both sides.
·         Launched Public awareness campaign using electronic media and Radio.
·         Funds released for setting up/upgradation of State Tobacco Control Cells in 35 States/UTs and for setting up district tobacco control cells in 56 districts.
·         Initiated the process of setting up national quit line  and strengthening violation helpline.
·         Number of people challaned (22 states) :  2,21,922
·         Number of tobacco users counselled (22 states) : 26,666
·         Number of children covered under school programme (22 states) : 98,805
·         Number of people trained through workshops/trainings(22 states) : 22,574



Fund Allocation and utilization under NTCP

Financial Year

Allocation RE
(in Crore)
Expenditure
(in Crore)
2012 -13

30.00
 10.48
2013-14
 51.30

35.20
2014-15
 60.00

51.90
2015-16

20.00
--



Status of the release of funds (in INR) under the National Tobacco Control Programme (NTCP)
 for the years 2012-13 to 2014-15
S. No.
State
2012-13
2013-14
2014-15
1
Rajasthan
14,56,623
45,38,000
108,87,000
2
Assam
26,23,212
59,97,000
85,83,000
3
Karnataka+
__
__
136,88,000
4
West Bengal*
__
__
23,32,000
5
Tamil Nadu
__
__
130,98,000
6
Uttar Pradesh
__
__
296,43,000
7
Gujarat
__
__
136,16,000
8
Delhi
__
__
12,81,000
9
Madhya Pradesh*
__
__
167,09,000
10
Nagaland
__
61,99,000
7,19,000
11
Tripura
13,63,884
57,64,000
80,06,000
12
Mizoram
22,20,000
64,13,000
51,05,000
13
Arunachal Pradesh
__
__
47,30,000
14
Sikkim
__
__
56,89,000
15
Jharkhand**
__
__
136,88,000
16
Bihar**
__
50,57,000
163,50,000
17
Uttarakhand
22,18,452
48,55,000
94,50,000
18
Maharashtra**
__
76,79,000
172,00,000
19
Goa
__
47,71,000
30,00,000
20
Andhra Pradesh
__
-
123,75,000
21
Odisha**
__
50,27,000
136,88,000
22
Chhattisgarh
__
26,72,000
30,00,000
23
Himachal Pradesh
__
26,72,000
30,00,000
24
J & K
__
__
30,00,000
25
Haryana
__
__
101,25,000
26
Kerala
__
26,72,000
30,00,000
27
Meghalaya
__
64,13,000
7,85,000
28
Punjab
__
26,72,000
30,00,000
29
Puducherry
__
__
30,00,000
30
Chandigarh
__
__
0
31
Andaman & Nicobar
__
__
30,00,000
32
Daman & Diu
__
__
30,00,000
33
Lakshadweep
__
__
65,00,000
34
Manipur
__
__
19,70,000
35
Dadra & Nagar Haveli
__
__
40,00,000
36
Telangana
NA
NA
89,74,000
17,24,000 INR/ released to West Bengal and Madhya Pradesh in 2007-08.
+13,29,472 INR/ released to Karnataka in 2010-11
** 12,12,000 INR/ released to Jharkhand, Bihar, Maharashtra and Odisha in 2008-09.

The Government of India got an external evaluation done of the National Tobacco Control Programme through Public Health Foundation of India (PHFI) in 2012-13. The key recommendations of the evaluation are as under:
1)      School Awareness Programme – to impart awareness and skills among youth to empower and advocate with them for adopting tobacco free norms in the family and community.
2)      Setting up tobacco product testing laboratories- to ensure effective product regulation.
3)      Multi-disciplinary research in tobacco control - encompassing interventions, evidence-based policy reforms and alternatives for tobacco growers/workers.
4)      Periodic Monitoring and Surveillance - to measure the success, failures and lessons learnt.
5)      Accessible and affordable cessation facilities at all levels.
6)      Effective information, education & communication (IEC) materials and mass media to create public awareness at National , state and district levels
7)      Enhance resource allocation at all level for IEC activities/Campaigns.
8)      Synergy of tobacco control with other health programmes like National Health Mission (NHM), National Programme for Prevention and Control of Cancer, Diabetes, Cardio Vascular Disease and Stroke (NPCDCS) for extended outreach and effective implementation 
9)      Establish National Tobacco Regulatory Authority (NTRA)  - A unified central agency for regulation of tobacco products in India.
The recommendations of this evaluation have been suitably incorporated in the 12th Five Year Plan for National Tobacco Control Programme, to make the outcomes more effective.
Section 5 of the Cigarettes and other Tobacco Products (Prohibition of Advertisement and Regulation of Trade and Commerce, Production, Supply and Distribution) Act, 2003 (COTPA, 2003), prohibits all direct and indirect advertisements, promotion and sponsorship. The said prohibition also extends to any activity that promotes the use or consumption of cigarettes or any other tobacco products.

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