Kashmir Healthline -I

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Newsletter from DHS , Kashmir Vol 1 (1)

Health Department is committed to provide equitable, affordable and

quality health services under the able leadership and guidance of

Hon’ble Chief Minister of Jammu and Kashmir

Mr. Omar Abdullah

&

Hon’ble Minister of Health, Floriculture & Horticulture

Mr. Sham Lal Sharma

Table of Contents

1. Messages………………………………………………………………………………......... 02

2. Initiatives by Mr. Ghulam Nabi Azad ……………………………………………………… 04 3. Vision document of Directorate of Health Services, Kashmir ………………………….... 06 4. Photo Gallery of different events…………………………………………………………….. 08 5. Various health activities reported by DCMO…………………………………... ………….. 12 6. Activities at various districts………………………………………………………………… 13 7. Activities in division of Epidemiology and Public Health & IDSP …………................... 14 8. Complicated surgeries performed at various districts…………………………………….. 16 9. Innovations by K-RICH…………………………………………………………………….. 18 10. Activities conducted under various National Program ……………………………………. 21 11. Environmental Issue…………………………………………………………..................... 31 12. IEC activity………………………………………………………………………………….. 32 13. Mysterious outbreak of 2011……………………………………………………………….. 34

14. Activity with NCD………………………………………………………………………….. 35 15. Future Programme…………………………………………………………………………... 35 16. Books Published………………………………………………………………………………. 36

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Message From Mr. Sham Lal Sharma

Our Hon'ble Minister of Health,

Floriculture & Horticulture

It gives me immense pleasure to know that Director health services, Kashmir is publishing their

first ever half yearly news letter ”Kashmir Healthline”.

It is said that “health is wealth “however physical health is not the only indicator for the progress

of any society . we should strive towards holistic health that is physical, mental and spiritual.

This is because only material progress is not the true indicator. We should understand that there is

no limit to the greeds, rather we should focus on our needs and commit ourselves for the welfare of

the people. Director health services have taken various initiatives in strengthening of health care

delivery system. I strongly believe that publication of our data /activities will make us more

accountable, transparent and also encourage doctors who perform well in the system.

Message from Mr. G A Peer

Commissioner Secretary

Health and Medical Education

I am delighted to know that Directorate of Health Service, Kashmir has taken a unique initiative

to publish their scientific newsletter “Kashmir Healthline”

Publications serve as platform for the doctors/scientists to propagate their ideas and narrate their

experiences in their fields which ultimately benefit the society.

The director health services Kashmir and his team deserves kudos for bringing out this publication.

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Message from Mr. Javed Ahmed Dar

Minister of State Health & Medical Education,

Floriculture, Horticulture, R&B,

Mechanical Engineering & Agriculture

I am very glad to learn that Directorate of Health Services, Kashmir is publishing its first ever

newsletter “Kashmir Healthline”.

A newsletter is the reflection of the status of the institution in general and creativity of each and

every staff member in particular. If the creative Horizon of the newsletter is able to module the

society, it will be a great service to humanity.

I am very impressed by the activity carried out by Directorate of Health Services, Kashmir and

appreciate the gesture. I congratulate everyone associated with publication of this newsletter and I

wish the publication a grand success

Message from the Director’s Desk

Dr Saleem -ur- Rehman

Directorate of Health Services, Kashmir

It gives me great pleasure to introduce this first ever Newsletter published by the Directorate of

Health Services, Kashmir.

The country has initiated rural health mission to provide free and fair health care to all citizens of

this country. My Endeavour is to inculcate value and ethics in the system, provide equitable

services in rural as well as urban areas and ensure quality services both in public and private

sectors. I request all to imbibe the qualities enshrined in the Hippocratic Oath and develop a sense

of belonging in the department so that we work together as a team that allows individual growth

within a responsive, efficient and patient-friendly healthcare system. I am thankful to all who

have worked hard to achieve the goals of our department. I feel great satisfaction at the launch of

the newsletter which depicts the departmental activities under various National Programmes for the

year 2011.

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Path breaking initiatives by Mr. Ghulam Nabi Azad

Our Hon'ble Union Minister of Health and Family Welfare

Government of India

Rural MBBS to be started with

relaxation of time period of course as

three years.

Initiating the process of Notification of

cancer patients.

Initiating steps to introduce laws to

prevent discrimination against HIV/AIDS

patients.

Support for construction of Super

Specialty hospitals in J&K and

elsewhere in the country

3625 MBBS Seats, 7470 PG seats and

25 new medical colleges were

established.

Rationalization and relaxation of norms

for setting up of medical colleges in

rural, under served and remote areas.

50% seats in PG diploma courses

reserved for government medical

officers who have served in rural areas

for 3 years.

Teacher –Student ratio relaxed to 1:2 for

PG courses.

DNB qualification has been recognized

for appointment as faculty.

53 new ANM and 45 GNM schools to be

opened across the country.

The vision of six AIIMS like institutions is

now closer to reality.

Under NPCB, 10480407 cataract

operations were performed of which

98% were with IOL.

Under NPMH, an intensive national

mass media campaign was launched to

generate awareness regarding mental

health problems and stigma reduction.

Up gradation and modernization of

departments of Psychiatry in medical

colleges and strengthen the capacity at

district level for mental health services.

In July 2010, an integrated scheme was

approved for implementation o in 100

districts at the cost of 1230 crores for

the newly launched National

Programme for Prevention & Control of

Cancer, Diabetes, CVD, and Stroke,

(NPCDCS) and National Programme for

Health care of Elderly (NPHCE)

Opportunistic screening for diabetes and

high blood pressure will be provided to

all persons above 30 years, including

http://en.wikipedia.org/wiki/Minister_of_Health_and_Family_Welfare_%28India%29

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pregnant women of all age groups at

20,000 sub centers.

Under this ambitious programme, a

Cardiac Care unit, NCD clinic, Geriatric

clinic, Geriatric ward, Physiotherapy and

District Cancer Facility will be available

at District level.

65 centers will be strengthened as

tertiary Cancer Centers at the cost of 6

crore each.

Setting up of Regional Geriatric Centers.

Under NRHM 2243 more FRUs were

made functional 24x7.

6500 new facilities were upgraded under

NRHM.

Tracking of Mother and Child started.

Free drugs, consumables, diagnostics,

diet and transport to be provided to

mothers/children under JSSK

Bivalent OPV introduced which has

shown remarkable results.

Hep B vaccine expanded to whole

country

Second dose of measles vaccine

introduced across the country.

Pentavalent Combination Vaccine

introduced in two states on a pilot basis.

Maternal Death Review introduced in

2010.

The number of Public Health Labs

testing for communicable disease

increased from 2 to 44.

Universal access to second line ART.

Launch of National Early Infant

Diagnosis Programme for early

detection of HIV in infants.

Setting up of four Metro Blood banks as

Centers of Excellence in Transfusion

Medicine.

Union Minister Addressing WHA

(World Health Assembly) at Geneva Bilateral talks between Union Minister and

US Secretary Health at Washington DC

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Initiatives of Director Health Services under the guidance and leadership of

Hon’able Minister of Health, Fl oriculture & Horticulture Mr. Sham Lal Sharma

The Directorate of Health Services,

Kashmir has set for itself aims and goals

which have been discussed in the Vision

Document. The initiatives that the

Directorate has taken in the recent past

and is in the process of implementing

are discussed in this note. These are

briefly mentioned here:

Need-based and output-based

deployment of scarce health department

manpower.

A sustained and continuous supervision

of the work done output reporting at all

levels of health administration.

A self monitoring and self correcting

system working on modern managerial

principles.

Prioritizing and implementing

institutional audits, (medical, social

needs)

New hospital designs for District

Hospitals at Bandipora, Kargil, Kulgam

and other smaller institutions, have

taken into account the lacunae in earlier

designs and have been designed to

have minimum land coverage.

Planning for a modern office structure

for the offices of the Directorate of

Health, Kashmir, Directorate of Indian

System of medicine, NRHM Divisional

Offices in a single structure to be

located at Bemina. The land for this

construction has been reclaimed from

encroachers by the Directorate.

A modern and scientifically designed

Drug Warehouse complex at the same

site at Bemina.

A Simulation laboratory to be

established at RIHFW Dhobiwan, where

modern and proven technologies will be

put in place to impart and augment the

skills of the health manpower.

Trained manpower for the purpose of

Hospital Designing and aim for the

establishment of a Hospital Construction

and Hospital Maintenance Division.

Pre-hospital care: The government is

already in the process of launching

Emergency Ambulance Service (108)

and Health Helpline service (104).

A program has been concluded in

collaboration with the International

Committee of the Red Cross and Red

Crescent Societies (ICRC), to train

Trainer of Trainers in Basic Life Support

and Stabilization techniques.

Further trainings for Advanced Trauma

Life Support and Advanced Cardiac Life

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Support are being planned and will be

done at the earliest.

Strengthening of all first referral

hospitals, with Baramulla and Anantnag

being the priority, so as to make them

capable of handling casualties and

medical emergencies in a scientific and

a protocol defined manner.

Keeping in view the difficult terrain of the

state and for timely response to

emergencies particularly the far off and

difficult to access areas, the Directorate

is also conducting feasibility, and cost-

effectiveness studies for having a heli -

ambulance service.

A high speed river ambulance service

between the major district hospitals and

some of the tertiary hospitals of the city

is envisaged.

Anuradha Gupta Joint Secretary MOHFW, GOI,

Director Health Services Kashmir and Mission

Director Dr Yash Pal in conversion

Efforts will be made to address the

issues of the workforce at all stages be

it manpower planning, manpower

deployment, trainings, skill up-gradation,

working atmospheres, supportive

supervision, continuous job appraisals,

and grievance redressal.

Exploring feasibility of DNB courses in

the major institutions of DHSK.

Use of Information and Communication

Technologies will be initiated. Stress will

be placed on tele-medicine in particular

tele- cardiology and tele-radiology.

Hospital based ambulances will be fitted

with Remote tracking Devices.

PPP models in high technology and

capital intensive projects with the aim of

local capacity building and manpower

training are in the process of being

implemented.

Minister of Health, Floriculture & Horticulture,

Director Health Services Kashmir and Director

Indian System of Medicine (ISM) in NRHM

Samelan

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DHO (District Health Officer, Srinagar )

Addressing the Audience on WHD

WHD : World Health Day was celebrated at all District Head Quarters and main

function was celebrated at Iqbal Memorial Institute Bemina , Srinagar with support

from Chief Medical Officer Srinagar where Seminar was organized on 7th April on this

year’s theme

“Antimicrobial resistance (Antibiotic Resistance ): no action today, no cure tomorrow”

Awareness was given to students /public regarding the irrational use of Antibiotics and

wide publicity of the event was given in print and electronic media. Key messages given

to students and public were:

1. Never Do self medications especially in the use of Antibiotics

2. Consult a health care professional before taking Antibiotics

3. Always take a full course of antibiotics once prescribed by a doctor as under use or

over use both leads to development of Drug Resistance.

4. General public needs to understand that antibiotics are only effective against

bacterial infections. They are of no use against viral infections such as influenza and the

common cold.

5. Antibiotics should not be available without a proper prescription from a health care

professional.

Faculty from Division of Epidemiology and PH speaking on occasion of WHD

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Director Health Services , Kashmir

Dr Saleem –ur- Rehman interacting With participants (ISM Doctors) on

IDSP training

Hon’able Health Minister Mr Sham Lal Sharma

in conversation with Director Health Services,

Kashmir also seen are Mission Director NRHM

and Director ISM

Participants of ASHA

Module 6/7 at Regional Institute of Health and Family Welfare

Participants interacting with each other in a Training at

RIHFW , Dhobiwan

A Fully equipped SNCU established

in SNM Hospital Leh under NRHM. Director Health Services Kashmir inspecting the SNCU

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Director Health Services with Head of the Mission from ICRC Mr. Daniel

Demonstration Skills

Demonstration of Life saving Techniques

during training on Basic Life Saving and Stabilization Techniques in Collaboration with ICRC and K- RICH at Regional

Institute of Health and FW, Dhobiwan,

Dr. Eric from ICRC Geneva observing the demonstration of Survival Techniques by Participants

Department of Health, Kashmir, has initiated training of Doctors/Paramedics on BLS/ALS through ICRC

(International Committee for Red Cross )

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A glimpse of RCH Camp at Hanu, Leh A rally of students on the occasion of No Tobacco

week in Leh

Sh. Sham Lal Sharma Hon'ble Health Minister Sh. Sham Lal Sharma Hon'ble Health Minister and

inaugurating the Solarised Labour room at CHC Director Health Services ,Kashmir on their visit to

Skurbuchan (Khaltsi) constructed under NRHM. Kargil District 20111

Union Hon'ble Health Minister Mr. Ghulam Nabi Azad , Director Health Services Kashmir (Dr Saleem –ur-

speaking to Media at Review meeting of NCD Rehman , Director Health Services Jammu

Non Communicable Diseases ) at Vigyan Bhawan , (Dr Madhu Khullar ) and Mission Director NRHM

New Delhi November,2011 Dr. Yash Pal Sharma in a Review Meeting

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Name of Training/ Activity Participants /Purpose Venue

Skilled Birth Attendants Trg FMPHW/Nurses JLNM Hospital

Intra Uterine Device (IUD) Trg. FMPHW/Sr. Nurses JLNM Hospital

Lapro ligation Camps Hazrat Bal ( 104 Beneficiaries )

Sanat Nagar ( 75 Beneficiaries )

JLNM Hospital ( 15 Beneficiaries )

Biomedical Waste Pits Disposal of Vaccine Waste

( Needles and Used vials )

Constructed at various Health

Facilities (AD Batmaloo, JLNM

Hospital, Gousia Hospital,CHC

Harwan, PHC Khonmoh,

Natipora,Zakura,Hazrat Bal)

MTCT trg MOs/LHVs/FMPHW RFPTC , Barzulla, Srinagar

Time Attendance Machine at CHC Kupwara Dr Madhu Khullar taking over as

Director Jammu Division

Various Health Activities reported by Dy. Chief Medical Officer,

Srinagar during the Year 2011

Pulse Polio Immunization Director Health Services Inaugurating the Day

Trainees Learning the Skills in SBA training at JLNM Hospital

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Activities at Various Districts

Global iodine Deficiency Disorder Prevention day

on 21st october, 2011

World No Tobacco Day observed on 31st May, 2011

in District Budgam

Participants at Seminar Hon’able Health minister, Hon’able MOS health,

Commissioner Secretary Health and Medical Education

and Director Health services in a review meeting

Basic Life Support (BLS) Session in Progress ICRC Trainer interacting with participants

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Activities in Division of Epidemiology and Public Health & Integrated Disease Surveillance Project (IDSP)

Directorate of Health Services Kashmir

Surveillance Units

1. As per PIP Kashmir Division has 15

surveillance units.

2. One Divisional Surveillance Unit housed

at RFPTC Barzulla, Srinagar.

3. 12 District Surveillance Units in 12

districts ( Baramulla, Srinagar, Budgam,

Anantnag, Pulwama, Leh, Kargil). In

addition, surveillance units have been

set up at Department of

SPM/Community Medicine GMC

Srinagar and SKIMS Srinagar. For the

first time both these units have started

reporting in a timely and complete

manner.

Laboratory Work :

1. One provincial Lab has been set up at

RFPTC Barzulla Srinagar which is also

the district Priority Lab for District

Srinagar. The laboratory is testing

water samples from all over the valley

both in routine course and during

outbreaks. The microbiologist forms

part of the RRT and collects

appropriate samples whenever there is

an outbreak.

a. A total of 204 water samples were

tested on routine basis and 50

during outbreaks.

b. A total of 30 stool samples were

collected in this year.

c. A total of 50 blood samples and 5

throat swabs were collected during

this quarter to confirm diagnosis.

d. We have done Hepatitis B sero

surveillance in two districts of the

valley viz Anantnag and Kupwara.

e. A district laboratory is functional at

Kupwara.

The sero surveillance is going on at

present also. All districts will be

taken up one by one.

VSAT Communication Linking :

1. Data Centres have been established at

all the districts including Headquarters

and at GMC Srinagar and SKIMS, Soura

Srinagar.

2. Video conferencing is done from SSU

and district Budgam also.

Contractual appointment:

1. All districts have advertised for

contractual appointments.

2. All illegal appointees were removed and

their contract was not renewed.

3. District Pulwama has appointed new

contractual Epidemiologist and Data

entry operator.District Kargil have

appointed DEO and Data Manager.

4. Districts Anantnag and Pulwama have

full staff.

5. The state Surveillance Unit at Srinagar

has newly recruited full staff as per

guidelines.

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6. Districts Budgam, Kupwara have

completed the process of interview of

candidates and are waiting for

declaration of results.

7. Districts Srinagar, Leh and Baramulla

have advertised for posts but interviews

have not been conducted.

Establishment of Rapid Response

Teams:

1. We have established two RRTs at the

SSU comprising of an epidemiologist,

microbiologist, entomologist, Health

inspector.

2. In pediatric cases we utilize the services

of a pediatrician.

3. During Hepatitis outbreak in District

Anantnag we used the services of a

gastroenterologist to help the team and

to guide it.

4. The team also collects laboratory

specimens for confirmation of diagnosis.

We use the services of Microbiology lab

GMC Srinagar for some cases and tests

that are not being done here are flown

to NCDC for confirmation of diagnosis.

Trainings:

1. A core group of trainers trained at NCDC

Delhi has been identified to train

doctors working in the field.

2. We have trained 6 batches of doctors

(130) from various districts to sensitize

them and train them to fill up forms in a

timely and complete manner. In

addition, PG students, Senior Residents

of SKIMS and GMC Srinagar were also

trained.

3. A batch of laboratory technicians (30)

was also trained from all the districts to

help in timely lab diagnosis of

outbreaks.

4. Our focus during trainings is on

outbreak investigation its early

detection and timely response.

Data Flow

1. Data is entered on the portal each week

in a timely manner. J&K is one of the

few states in India which have a > 80%

timely and consistent reporting of

outbreaks.

2. Outbreak investigation: We have

identified 15 outbreaks in Kashmir

province since July 2011. Of these 10

outbreaks were investigated by RRT

from Headquarters and laboratory

investigated. Samples are sent to

Microbiology lab NCDC Delhi or to GMC

Srinagar as per requirement.

Mr. P.K Pradhan Secretary Health and Family

Welfare, GOI in conversation with Health officials

Page 16


Advanced Surgeries conducted at various peripheral Institutes of

Kashmir Division

District Hospital Pulwama

Mucinous cystadeno carcinoma of ovary in pregnant woman of 7 months amenorrhea

CHC Chadoora

Type of Surgery: Excision of hydatid cyst with omentoplasty

(30 yrs old Male, was put on albendazole pre and post operatively, he is on regular

follow up and doing well) Team Members: Dr Khursheed Iqbal, Dr Saleem , Mr.Altaf,

Mr.shafi CHC Beerwah , District Budgam

Type of Surgery: Ovarian Tumour Resection (4.5kg, 20x15 cms)

30 year old Female , Team Members- Dr. Nasreen, Dr Zahoor Hamdani, Dr Asim

Laherwal, Dr. Bashir Ahmad Khan, Dr.Arif Vakil ,Mr Showkat Gul , Mr. Mir Ab Qyoom

Twin delivery conducted

at sub centre Dawhtoo ,

Block Sallar, District Anathnag

In September 2011,both babies alive

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SDH ,Charsharief , District Budgam

Type of Surgery : Removal of Ovarian cyst weighing 20 kgs

Team Members- Dr. R.A Waida , Dr. Zahoor , Dr. A. G. Raina ,Mr. Manzoor Ahmad

Type of Surgery: Modified Radical Mastectomy

78 year old female diagnosed Carcinoma Breast , Team Members- Dr. Khurshid iqbal, Late

Dr.Asif Shora, Dr.Abdul Rouf, Mr.Riyaz, Mr. Altaf ( Patient on Regular follow up and doing well )

Type of Surgery: Left Hemicolectomy

50 year old Female diagnosed carcinoma colon , Team Members - Dr.Khurshid Iqbal, Late

Dr.Asif shora, Dr.Nazia, Mr.Bilal, Mr.Mohd shafi ( Patient on Regular follow up and doing well )

Type of Surgery : Small bowel Volvulus

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In April 2011, the K-RICH team was formed and given the mandate to introduce

reforms and innovations in the healthcare delivery system in Kashmir.

The K-RICH TEAM

Patron: Mr. Sham Lal Sharma, Hon'ble Health Minister, Govt. of J&K

Co Patron: Mr. Javaid Ahmed Dar , Hon’ble Minster of State Health and Medical education,

Govt. of J&K

President: Mr GA Peer, Commissioner Secretary Health and Medical Education, Govt. of J&K

Chairman: Dr Saleem ur Rehman, Director Health Services Kashmir

Member-Secretary: Dr. Bakshi Jehangir

Member: Dr. Niyaz Jan

Member: Dr. Arshad Rafi

INNOVATIONS BY K-RICH

PROJECT 1: Redesign and

Repurposing of DHSK

institutions as per NABH

(National Accreditation Board

for Hospitals) and other global

standards.Major Hospitals

like District Hospitals of

Bandipora, Kargil, Kulgam and

Ganderbal along with a large

number of smaller hospitals

like trauma hospital at

Bijbehara among others have

been redesigned in tune with

the latest international

standards. Besides a number

of existing or under-

construction hospitals have

been made more standards-

compliant and user friendly

with the addition of ramps, wheelchair

access, sub-waiting spaces, additional

toilet and attendant facilities.

PROJECT 2: Prototype CHC and PHC

as per NABH (National Accreditation

Board for Hospitals) and other global

standards. Earlier health institutions

were being designed and built in an

arbitrary fashion without regard to

scientific planning. All new institutions

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will be based on Prototype DH, CHC

and PHC designs which have been

created as per NABH (National

Accreditation Board for Hospitals) and

other global standards.

PROJECT 3: New Health Secretariat

A new Health Secretariat building has

been designed to be built on land

repossessed from Land-grabbers in

Bemina. This building will house

Directorate of Health and other

directorates like Family Welfare, ISM,

NRHM etc. It has a corporate-based

design with all modern public and

business amenities including a 500-seat

Auditorium.

PROJECT 4: Kashmir Simulation

Laboratory (KSL) Project A state-of-the-

Art Simulation Laboratory is being set

up at RIHFW Dhobiwan to enhance

patient safety and the quality of medical

care through the use of innovative and

high impact simulated training and

research.

PROJECT 5: Modern Drug Warehouse

Modern Drug Warehouse for scientific

storage, management and distribution

of medicines has been designed for

construction at Bemina.

PROJECT 6: ALS/BLS Training for all

employees of DHSK in a phased

manner.

A core team of BLS Trainers has been

trained by Dr Eric Bernes, world-

renowned expert from International

Committee of the Red Cross (ICRC).

These trainers will provide BLS training

to all health employees in a phased

manner. ALS sensitization programmes

have also been initiated and ALS

certification programmes are on the

anvil.

PROJECT 7: Facilitation of

Comprehensive Emergency Pre-hospital

Ambulance Transfer (108) Service

(EMS) and Helpline (104) Service. J-

KATS Project is in the Second Stage.

World class 108 (EMS) and 104

(Helpline) services will soon be just one

phone call away. First-of-its-kind River

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Ambulance to avoid traffic bottlenecks is

also under active consideration.

PROJECT 8: Creation of First Referral

Centres for 108 Ambulance Service

Creation of two 24X7 fully-equipped and

staffed J-KATS First Referral Centres

(ATLS & ACLS) at DH Anantnag and

DH Baramulla for optimal deployment of

108 Ambulance Service. More J-KATS

First Referral Centres will be added to

the project in a phased manner.

PROJECT9:In Kashmir nursing home

and JLNM hospital (PPP) Projects

Proposals for setting up Advanced

Cardiac Care centre, Advanced Dialysis

and Nephrology Center, and Cancer

Palliative Centre have been submitted to

the Administrative department for

approval.

PROJECT 10: Smart-Card based

biometric employee attendance systems

are being introduced in DHSK

institutions and SDH Kupwara has

already taken the lead.

PROJECT 11: Proposals for Colour-

coded aprons and QR-Code based ID

Cards are being evaluated.

REFORMS:

Comprehensive plans are being drawn

up in the thrust areas of:

A. Logical HealthCare

Logical deployment of Healthcare

manpower and resources

B. Quality HealthCare

Accreditation of our facilities by QCI

[Quality Council of India] via NABH

[National Accreditation Board for

Healthcare]

Drug Controller J&K Mr. Satish Gupta State Level Workshop on (RSBY )

and Dr waseem Qureshi Rashtriya Swasthya Bima Yojana

Page 21


Activities conducted under various National

Programmes.

Statement of Health Education Activities of Kashmir Province, for The Years 2009-10, 2010-11 & 2011-2012 (Ending September 2011)

Health Education Sessions

Conducted

Seminars Exhibitions Rallies

Health Education

During Festivals

Posters Distributed

2009-10 1455 2 0 2 0 84912

2010-11 2250 19 0 0 0 22490

2011-2012 ending Sept. 2011 1748 20 0 3 0 149000

0

20000

40000

60000

80000

100000

120000

140000

160000

Page 22


National Programme for Control of Blindness (NPCB)

Physical Achievement of National Programme for Control of Blindness (NPCB) for the years 2010-2011 & 2011 -12( ending 09/2011)

Financial Achievement of National Programme for Control of Blindness (NPCB) for the years, 2010-2011 & 2011-12(ending 9/2011)

Year Opening Balance

Receipt from Govt. of India

Interest/ Recovery

Total Funds Available

Expenditure Closing

Closing Balance

2010-2011 29.85 -- 0.88 30.73 13.13 17.60

2011-12 ending 09/2011

17.60 -- 1.35 18.95 16.51 2.44

(Rs in lacs)

No. of Cataract

operations done in camps

No. of cataract

operations done in

Institutions

Total(2+3)

No. of School

Children for refractive

errors

No. of school

children whose

vision was corrected

Total patients

treated for Eye

Ailments

2010-2011 727 7778 8505 43638 5140 344066

2011-2012 ending Sept. 2011 750 7894 8644 86500 13134 422897

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

Page 23


National Leprosy Elimination Programme (NLEP)

Physical Achievement under National Leprosy Elimination Programme (NLEP) For the years, 2010-2011& 2011-12(Ending September 2011)

Financial Achievement under National Leprosy Elimination Programme (NLEP) for the years 2010-2011 & 2011-2012 ( Ending 09/2011)

Year Opening Balance

Receipt from Govt.

of India

Interest/ Recovery

Total Funds Available

Expenditure Closing Balance

2010-2011 6.00 27.74 0.21 33.95 14.07 19.88

2011-12 Ending

sept. 2011 19.88 -- 0.06 19.94 3.20 16.74

(Rs in lacs)

No. of Cases on record

No. of New cases

No. of cases discharged

Cases under treatment

2010-2011 18 39 34 23

2011-12 Ending Sept. 2011

23 18 5 36

0

5

10

15

20

25

30

35

40

45

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District Mental Health Programme (DMHP) in Kashmir Division

DMHP was started as part of National Mental Health Programme in 1982 in Bellary

District of Karnataka State and after it’s success, it was spread to 27 Districts in 9th

five year plan and later on to 94 Districts in 10th plan and the goal is to cover all

districts in 11th & 12th five year plan in phased manner. In Kashmir and Ladakh

Divisions DMHP was launched in July 2008 with following objectives:-

1. To give Mental health care in the community.

2. To identify and treat Mental disorders in the community.

3. Intensive education about Mental disorders and their treatment.

4. To reduce stigma about Mental disorders.

5. Rehabilitation and Psychosocial care of those who have recovered..

6. Training of staff especially Medical officers and Paramedicals.

7. Public private partnership.

8. Mental Health Promotion activities in schools, colleges and public places.

**********************************************************************************

Hon'ble Minister of Health, Floriculture Rashtriya Swasthya Bima Yojana (RSBY)

& Horticulture Mr. Sham Lal Sharma Meeting seen here are Mr.Anil Swaroop

addressing on Occasion of RSBY (Director General Labour Department

Meeting GOI) and Commissioner Secretary Health

& Medical Education Mr. G A Peer

Page 25


Page 26


MENTAL HEALTH ACTIVITIES (2008-2011) Patients Treated

Year No. of Patients treated

2008 (July –December ) 4818

2008 (July –December ) 4818

2009 (Jan-December ) 14399

2010 (Jan-December ) 12035

2011 (Jan-Sept) 14930

Total 46182

Diagnostic break up of Patients treated Diagnosis Year 2008

(July-Dec) Year 2009 (Full Year)

Year 2010 (Full Year)

Year 2011 (Jan-Sept)

Depressive disorders 894 3682 3113 3286

Bipolar-affective disorders 273 1531 1055 890

Schizophrenias 109 1174 493 670

Anxiety disorders 890 2492 1980 4212

Dissociative disorders 173 355 302 735

Seizure disorders 163 444 294 390

Headaches 202 858 374 730

Dementias 41 161 150 143

Substance Abuse disorders 30 138 321 654

Mental Retardation 38 150 110 145

Other Psychotic disorders 176 521 617 344

Other Neurotic disorders 359 774 931 746

PTSD 67 125 120 141

Follow up patients 1412 1994 2175 1844

Total: 4818 14399 12035 14930

Mental Health Camps

Year No. of Camps Patient’s Treated

2008 03 800

2009 06 1200

2010 04 860

2011 05 1150

Diagnostic Break Up

Diagnosis Year 2008 Year 2009 Year 2010 Year 2011

Substance Abuse disorders 610 890 580 920

Depressions 120 230 209 180

Anxiety disorders 70 80 71 50

Total:- 800 1200 860 1150

Page 27


Training Imparted

Official Year 2008 Year 2009 Year 2010 Year 2011

Medical officers (3 months) 16 X X X

Medical Officers (1 Year) 01 X 02 X

Medical Officers (5 Days) 95 30 102 50

Medical Officers (120 days in de-addiction)

01 X X 02

Para Medicals (3 days) 92 34 102 98

Workshops And Seminars Organized: Year 2008 02

Year 2009 04

Year 2010 05

Year 2011 04

Total: 15

Drugs Distributed To Patients Year 2008 Tab. Olanzapine, Tab.Sodium Valproate, Tab. Venlafaxin

Year 2009 Above All, Tab. Dothipin, Tab. Fluoxetine

Year 2010 Above All

Year 2011 Tab. Amitryptyline, Tab. Resperidon, Tab. Trihexiphenidryl

District Mental Health programme is a community based programme and is an

essential programme to screen to community for various Mental Health Problems and to

reduce stigma of these disorders. An effective implementation of this programme in

presence of the requisite budget can screen the community, reduce the stigma and

ultimate goal of the programme can be reached successfully.

Hon’able Health Minister Mr Sham Lal Sharma and Officers from Jammu Division Director

Health Services, Kashmir Attending RSBY workshop in Srinagar

Page 28


Revised National TB Control Programme (RNTCP) KASHMIR

Hon’able Health Minister Mr Sham Lal Sharma addressing get-together meet organized by Doctors of various

Districts at Royal Springs Golf Course, Srinagar

Page 29


Hon’able Health Minister presenting memento

to Director ISM and also seen here is

Director Health Services Kashmir

Hon’able Health Minister Mr Sham Lal

Sharma and Director Health Services,

Kashmir and Mission Director NRHM

Director Health Services Kashmir at Sub

Centre Dachi located near LOC.Institute

has conducted 40 deliveries

Director Health Services, Kashmir

Visiting health institutes in District

Kupwara

NRHM Samelan at District Budgam seen

here are Hon’able Health minister, Hon’able

Finance Minister , Hon’able MOS Health ,

Commissioner Secretary Health and Medical

Education

Page 30


Environmental Issues: Millipedes in Kashmir, India

Story of Insects from Marrhama Block Trehgam District Kupwara , Kashmir , India:

Is it a public health problem?

Insects infestation has been found in Marrhama, a village in Block Trehgam in the

District of Kupwara Jammu and Kashmir, India. The main water source used for drinking

purposes is badly affected by the insects.Health Professionals along with a Block

Medical Officer, visited the village, which is about 20 km away from District Head

Quarter Kupwara. The area is mostly surrounded by forests and hills, and the

population of the affected village Marrhama is about 3500. The people of the area are

very poor subsistence farmers who possess little land. A local resident told the

Integrated Disease Surveillance Project (IDSP) Team that he had seen a large number

of the same kind of insects in the forest one month previously, creeping from the jungle

area towards the village .

Millipeds are white in colour,

approximately 1 inch long, and each

insect has 40 pairs of legs

IDSP team District Kupwara interacting

with affected Community

Read the full story at http://blog.jidc.org/2011/08/05/enivronmental-issues-millipedes-in-Kashmir -

india/ published in JIDC ( Journal of Infection in Developing Countries )

However, the insect infestation has little Public Health importance and is more of an environmental

issue. This awareness was given to the local community by the IDSP team.

http://blog.jidc.org/2011/08/05/enivronmental-issues-millipedes-in-kasmir-india/

http://blog.jidc.org/2011/08/05/enivronmental-issues-millipedes-in-kasmir-india/

Page 31


List of Trainings conducted at Regional Institute of Health and FW (RIHFW ) and Regional Family Planning Training Centre(RFPTC) Srinagar , JK During the year 2010-2011

S.No Category Subject Dated Period Venue No of

participants

1 Health Supervisors CME in Water borne Diseases

5- 6 April 2010 Two(2) day

RIHFW/RFPTC

66

2 Health Educators CME in Prevention in water born diseases

8-9 April 2010 Two (2) Day

DO 73

3 Health Educators / MPWs

Collection processing & Transportations of Different Samples

12th April 2010 One(1) day

Do 103

4 Nurses Blood Borne infections 16th April 2010 One(1) day

Do 54

5 CHOs, MPHWs/HEs Out Break response with special emphasis on water borne Diseases( WBDs)

19th April 2010 One(1) day

Do 87

6 Block Medical Officers ( BMOs ) from Kashmir Province

Management Skills for Health Care Professionals

20 -21 April 2011 Two (2)day

Do 21

7 Block Medical Officers ( BMOs ) from Kashmir Province


25-26 April 2011 Two (2)day

Do 29

8 Block Medical Officers ( BMOs ) from Kashmir


27-28 April 2011 Two (2)day

Do 18

9 TOT Training for ASHA Module 6/7

Maternal & Child Health Care

14/2/2011 14 days Do 25



6th March 2011 ( Two Batches)

14 days Do 50



23th may 2011

14 days

Do 25

12 TOT for Anesthetists/ Surgeons

Basic Life Saving and Stabilization Techniques in Collaboration with ICRC

10-15th October,2011

5 Days RIHFW,Dhobwian

23

13 FMPHW ASHA facilitators module 6/7 on HBNC

12TH December -18th Dec,2011

7 days RIHFW 61

14 Medical officers from Kashmir Province

Workshop on Management of Trauma in Peripheral Hospitals

19th December 2011

1 day RIHFW 150

Page 32


IEC activities

Awareness given to the public in print media regarding increasing incidence of various eye

diseases (Cataract and Glaucoma) and water borne diseases which are the common

outbreaks encountered during summer season.

Page 33


Hon’ble Chief Minister of J&K visiting, a Stall in NRHM Samelan at Ganderbal

Anuradha Gupta Joint Secretary MOHFW, Minister of State Health & Medical

GOI on her Visit to JLNM Hospital Education, Floriculture, Horticulture, R&B,

Mechanical Engineering & Agriculture

Mr Javaid Dar visiting Health institutes

Director Health Services,Kashmir and Director Health Services, Kashmir

Director Indian System of Medicine (ISM) Director Indian System of Medicine (ISM)

in meeting with ISM Doctors and Mission Director NRHM

Page 34


Mysterious outbreak of the Year 2011

Outbreak of Influenza at Sangarwani, Distrtict Shopian which was confirmed as Influenza

A H1N1 by NCDC (National Center of Disease Control , Delhi ) . The villages affected were

Sangarwani and Ardibal occupying hilly terrain with scattered households comprising a

population of 11,000.

Out of total thirty (30) samples tested , eleven (11) were positive for Inf A H1N1 (Confirmed

from National Center for Disease Control, Delhi) suggesting a positivity rate of 36.33

percent. Results suggested that Inf A H1N1 is affecting extremes of age ( pediatric and

geriatric age groups). The reason of affecting these age groups as this is the high risk

group because of lowered immunity and Influenza A H1N1 has merged with seasonal

influenza and outbreaks will occur till the community develop herd immunity. The positive

cases were treated with Tamiflu (Oseltamivir) given for 5 days and contacts were given

prophylaxis Tamiflu (Oseltamivir) for 10 days as per the WHO protocols. All cases

responded to the treatment and recovered.

Page 35


NCD cell formed in Directorate of Health

Services, Kashmir and Jammu

respectively. Nodal Officers for both

Jammu and Kashmir Divisions

nominated.

Separate space identified in RFPTC

Barzulla and in Directorate of Health

Services Jammu for NCD cell.

MOU signed on 07-09-2011 by

Commissioner Secretary Health and

sent to New Delhi on 08-10-2011.

Training of ANMs in use of Glucometers

done on 17-09-2011 in district Leh for

screening of diabetes.

Identified district Nodal Officers for Leh,

Kupwara and Kargil.

Glucometers dispatched to Subcentres.

Facility survey of District Hospital Kargil

and Kupwara conducted and reports

sent to New Delhi.

Funds released by GOI in February

2011 (50% of 80% Central share) under

the Cancer and Diabetes,CVD and

Stroke component of NPCDCS for Leh

and Udhampur districts.

Funds released under NPHCE on 27-

12-2010.

Funds released to district Leh on 10th

October 2011.

At District Hospital Handwara ( District

Kupwara) wards for Diabetes, Cancer

and Geriatrics and Space for NCD

clinic , Geriatric clinic , Coronary care

unit and physiotherapy unit have been

identified . All the activities will be

carried out in the ground floor of the

hospital adjacent to CT scan and Blood

bank

Separate OPD register maintained for

geriatric age group both in General OPD

and Casuality

Setting up of Simulation laboratory: Department of Health is in the process of setting up

of simulation laboratory at Regional Institute of Health and FW, Dhobiwan. This

laboratory will be first of its kind in the Northern India in government sector with the

aim to intend to train doctors and para medicals so that a quality human resource is

developed . Recently in the month of September, 2011 Dr. Kanav Kahol, the team

leader of Affordable Health Technologies division in Public Health Foundation of India

was invited and visited the site at the institute. Dr Kahol leverages these state of the art

technologies to advance optimal human-machine symbiosis frameworks towards

inculcating best practices in medical education and promoting patient compliance and

patient access through information technology.

Page 36


Restarting of Indian Journal for Practicing Doctors: We have restarted Indian Journal for

Practicing Doctors. It is a peer reviewed indexed journal aiming to communicate high

quality research articles, short communications, and reviews in the field of Medicine and

Public Health. Authors are invited to submit research articles at [email protected] &

visit us at www.ijpd.pbworks.com

Surveys under Progress: Screening for Non-Communicable Diseases (Hypertension,

Diabetes Mellitus ) among people aged between 35 to 64 Years in Kashmir. A pilot

survey has been started in Block Chatergam, District Budgam . Block Chattergam is a

semi urban block and once the survey is completed in this Block it will be continued in

other districts of Kashmir Division in a phased manner. Non Communicable diseases

(NCDs) are known to be increasing at an alarming pace in the South East Asian

countries. These diseases are like coronary heart diseases, cancer, hypertension,

diabetes, obesity, accidents, blindness etc and come under one umbrella called life

style diseases/NCDs.

Publications: Following books Published in year 2011 for Health professionals

1. Essential Epidemiology For Health Professionals

2. Understanding Communication

Book in progress: Climate change and Human Health

We are thankful to all Programme Officers for providing the Necessary information on

various National Health Programmes. Our Thanks to Dr Ghulam Ahmed Wani, Dr G.M.

Shaksaaz, Dr Mir Mohammad Shafi, Dr Ali Mohammad Mehand, Dr Rehana Kounsar ,

Dr Nighat and the K-RICH Team.

Editorial Board: Editor-in-Chief: Saleem –ur- Rehman Editor: SM Kadri

Web Editor: Bakshi Jehangir Layout, Design and Processing: Chinmay Shah

Printed and Published in December 2011 by The Directorate of Health Services, Kashmir

Please feel free to give your Comments/ Feedback at [email protected]

mailto:[email protected]

http://www.ijpd.pbworks.com/

http://in.mc946.mail.yahoo.com/mc/[email protected]

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