GOVERNMENT OF ANDHRA PRADESH
HEALTH MEDICAL & FAMILY WELFARE (M1) DEPARTMENT
Govt.Memo.No.5237/M1/2003-1, dt.10.3.2003
Sub:
Procurement of equipment by the Heads of
institutions – Certain instructions -Reg.
Ref: G.O.Rt.No.3037fin(BE.1) Dept., Dated
30-11-2002.
* * *
Budget
under SH 521- purchases has been released to various teaching hospitals /
Medical & Dental Colleges for purchase of equipment. This is to clarify to
the Supdts. and Principals of the Health Institutions that APHMHIDC being Govt. Organisation and very much a part of
the Health Dept. has already floated tenders and finalised rate contracts for procuring various
equipment, machinery etc. In view of the paucity of time the Heads of
Institutions are requested to obtain the same and go ahead with the
procurement, subject to the condition
that they make purchases on the same
rates as finalized by the APHMHIDC which has gone through a prescribed procedure of tendering of quality certification, approval by concerned technical committees
etc., before placing orders, in respect
of all these items for which final decisions were taken by APHMHIDC. The Heads
of Institutions may place orders subject to
need, the specifications and other details being similar.
If any
of the firms thus finalized by APHMHIDC fail to supply the equipment etc., in
time, the amount earmarked for that items/items may be drawn and kept in
HDS/CDS account of respective institutions temporarily and HDS/CDS may process
the purchase of equipment in due course following the prescribed procedure.
The
Proposals of Principal, Siddardha Medicl College, for Oncology Unit at
Chinnakakani & Principal, Govt. Dental College, Vijayawada for procurement
of intercom telephone systems in their institutions approved by DGHS is also permitted.
M.CHAYA RATAN
PRINCIPAL
SECRETARY TO GOVERNMENT
The Director of Medical
Education
A.P., Hyderabad
The Director General of Health
Services and Commissioner of A.P.V.V.P
A.P. Hyderabad
Copy to
Supdts. of teaching hospitals /
Principals of Medical Colleges /Dental
Colleges
Copy to
Chairman, HDS/CDS of various teaching hospitals / Medical Colleges / Dental
Colleges.
//
FORWARDED : : BY ORDER //
H.M.
& F.W. (M1) Department
Government Hospitals – Formation and functioning of
Hospitals Development Societies for effective functioning of Hospitals – Orders
– Reissued.
---------------------------------------------------------------------------------------------------------
Read
the following:-
1.
G.O.Ms.No.373, HM&FW (F1) Dep't., Dated: 29.8.1998
2.
G.O.Ms.No.403, HM&FW (M1) Dept., Dated:7-9-1998.
3.
G.O.Ms.No.417, HM&FW (M1) Dept., Dated:14-9-1998.
4.
G.O.Ms.No.507, HM&FW (M1) Dept., Dated 5-10-1999.
5.
G.O.Ms.No.554, HM&FW (M1) Dept., Dated:29-10-1999.
6.
G.O.Ms.No.170, Finance & Planning (FW.BG) Dept.,
Dated: 23-4-2001.
7.
G.O.Ms.No.389, HM&FW (F1) Dept. Dated: 11.10.2001.
8.
G.O.Ms.No.390, HM&FW (M1) Dep't., Dated:11-10-2001.
9.
G.O.Ms.No.391, HM&FW (R1) Dep't., Dated:11.10.2001.
10. G.O.Ms.No.392,
HM&FW (R1) Dep't., Dated:11-10-2001.
11. G.O.Ms.No.393,
HM&FW (F1) Dep't., Dated:11.10.2001
12. G.O.Rt.No.381,
HM&FW (M1) Dept., Dated: 2-5-2002.
13. G.O.Ms.No.170,
HM&FW (M1) Dep't., Dated:21-5-2002.
14. G.O.Rt.No.456,
HM&FW (F1) Dep't., Dated:21-5-2002.
15. G.O.Ms.No.601,
Finance Dept., Dated: 22-5-2002.
16. From
D.M.E., AP., Hyd. Lr. No. Z. Spl./DME/2002, Dated: 5.9.2002.
* * *
O R D E
R:-
Taking into
consideration the experience gained over the past two years and the feed back
received from various quarters and in super cession of the orders issued vide
ref. 1st to 5th and 7th to 12th
read above, the following comprehensive instructions are hereby issued for the
efficient functioning of the Health Institutions and effective delivery of
Health Services to the people. Instructions shall apply to all the Health
Institutions / Hospitals under the control of Health, Medical & Family
Welfare Department as may be applicable to each Institution / Hospital.
1. Registration of Hospital Development Societies (HDSs)
under A P Societies Registration Act 2001.
i)
All the Health Institutions / Hospitals (except those
under Andhra Pradesh Vaidya Vidhana Parishad) shall constitute hospital /
development societies as stipulated by Government.
ii)
The Hospital Development Societies concerned shall be
registered under sub section (1) section (3) of A.P. Societies Registration Act
as non profit bodies with the bye-laws as stipulated herein or as may be
amended by the Government from time to time.
2)
Constitution of the Development Societies
i)
Composition of Hospital development societies for Teaching
Hospitals (Director of Medical Education), APVVP Hospitals, the institutions
under Director of Health Hospitals, Unani Hospitals, Ayurvedic Hospitals and
Homeopathic Hospitals are annexed to this order.
ii)
As and when there
is a change in the membership the new members by designation will automatically
become the office bearers / members of the society.
iii)
The official Chair Person may depute a senior officer
unable to attend the meeting. The minutes shall however be approved by the
Chair Person within 4 days of conduct of meeting / receipt of minutes as case
may be. In …. Of dissent / material / modification of minutes, that item shall
be placed before the next meeting or modification / change got approved in
circulation by more than 50% of the members.
iv)
Any non official chairperson / member who obtains from the
development society meeting continuously for 3 times shall automatically
forfeit his right and cease to be member / chairperson. The society shall take
an appropriate decision regarding a substitute which shall be approved by not
less than 80% of the members.
3. Term
of the Hospital Development Society Members:
Term
of the Hospital Development Society Members shall be for a period of three
years or such period as each individual holds the office.
4. Convening of Meeting
of Hospital Development Societies:
i) The
Meeting of the Hospital / Institutions Development Societies shall be convened
on a pre-notified day in the first week of every month. Which each Development Society may fix as a
permanent arrangement. If that day (i.e. 1st Monday or so on ) is
holiday the meeting shall be convened on next working day.
ii) In case
the chairperson or other members are unable to attend, the member-convener /
Medical Officer of the Institution / Hospital may convene the meeting provided
a minimum quorum 40% of members are present.
iii) All the proposals received from Heads of
Department concerned shall be placed before the Hospital Development Societies
meetings for discussions and decisions.
The concerned Heads of the Department shall also be present as special
invitee and be given an opportunity to present their case.
5. Resource mobilization:
i) The hospital society may raise resources as
follows:
a) Donations
in cash or kind from individuals, and philanthropic organizations or
central sector undertakings or companies
etc.
b) Collection
of user charges for services provided like laboratory, diagnostics etc. Except
for nominal registration fee from the individuals belonging to below poverty
line / white cardholders may be
provided free treatment.
c) Auctions
of Public facilities such as Tea stalls, Canteens, Cycle Stands, Retail Medical
Shops, Telephone Booths, Scooter/Car stands as ordered in the G.O.Ms.No.604,
Health, Medical & Family Welfare (M1) Department, Dated: 15-12-1998.
Preference may be given to Physically challenged persons / Individuals below
poverty line by organizing / taking loan from concerned welfare corporations
are Nationalized Banks for starting of Tea Stalls, Cycle Stands Telephone
Booths etc.,
d) Fees for
use of Hospital infrastructure for various purposes / services including for
conferences, training and research facilities etc., to other Institutions /
Individuals.
e) Charges
towards provision of paying rooms, wards;
f) Auction
of condemned material, equipment, furniture etc.; and
g) Any
other source as may be identified by the Hospital Development Society.
ii) No land or property shall be alienated or
disposed of without prior approval of the Govt. HDS may however grant
conditional licenses to reputed NGOs / philanthropists organizations etc. for
utilization of land / premises /building with the ownership over the land
/premises / building continuing to vest with the hospital /Govt. The license so granted shall be only for
providing better health care facilities and with nonprofit motive. The license
shall be revoked in case the conditions of such licenses are violated. (Refer sections 4,52,63 of Indian Easement
Act-1882) Legal opinion in such cases
may also be obtained. The license must be
executed in triplicate with one copy each in the personal custody with
HOD concerned, the Superintendent concerned, the district supervisory officer
concerned as a permanent record with each of them.
iii) The
Hospital / Institution Development Society may after due care and application
of mind secure loans from banks for infrastructure improvement i.e. purchase of
equipment which it feels will provide better / sophisticated health care
services, provided it should have sufficient resources / sustained income to
repay the loans. Govt. shall not have any liability on this account.
6. Levy
of User Charges :
The Levy
of user charges for various services shall be decided by a Committee headed by
Director General of Medical and Health Services and comprising of Commissioner,
Indian Medicine & Homeopathy, Director of Health, Commissioner of Family
Welfare, Director of Medical Education, Project Director, APSACS, Secretary,
Andhra Pradesh Yogadhyayana Parishad.
The Director General of Medical & Health Services shall convene
meetings as and when required.
7.
Procedure for collection:
i) The
Hospital / Institution will maintain savings bank account in a nationalized
bank in the name of Development Society for the Institution and it will be
jointly operated by the Medical Superintendent and Lay Secretary in Teaching
Hospitals, District Hospitals, Area Hospitals and the member convener and
another official staff member in respect of other Hospitals / Institutions.
ii) All
drawals of funds including such delegations as specified by the development
societies shall be duly authorized / ratified as case may be by the development
society.
i)
Hospitals stoppages and miscellaneous revenues, such as
rents from commercial complexes, lease amount on cycle stands, scooter, car
stands, lease amount on canteen shed, sale of scrap, license fees etc., and
damaged items, equipment articles, consumables, furniture etc generated by the
Hospital shall be deposited in the account maintained by the hospital
Development Society.
iv)
Revenues on account of hospital stoppages miscellaneous,
other revenues are required to be collected by cash or demand draft and for
each transaction, a printed pre-numbered receipt containing Serial Number and
Book Number duly printed shall be issued. The duplicate copy should be made
with a reverse carbon sheet. Each receipt must be accounted for in the cashbook
on daily basis. Collections by cash shall be avoided except where small amounts
are involved. Development Society may specify such items.
v)
All the Hospitals collections shall be remitted in the
bank account on the next working day failing which the concerned will be liable
for action for temporary misappropriation and will be dealt with accordingly.
vi)
The Officers/staff responsible for collection of hospital
stoppages and other revenues shall make good, losses incurred by the Hospitals
in case of deliberate failure on their part to collect amounts. Collections
shall not be used for any purpose, without depositing in bank, i.e., there
shall be no direct appropriation of the receipts.
8.
Financial powers:
i) The
Hospital Development Society is empowered to :
a) Undertake
maintenance and uninterrupted provision of basic amenities and essential
services in the institutions including sanitation, bio-medical waste disposal
etc., through private contracting agencies on tender basis and Civil works,
Electrical works, Water facilities by entrusting to APHMHIDC or any other
Engineering Dept., duly depositing the funds to that effect.
b) Approve
the proposals for Civil works purchase
of major equipment to be entrsuted to APHMHIDC or any other Engineering
Department Repairs and maintenance of equipment and purchase of minor equipment
will may be done by Hospital
Development Society or by entrusting to APHMHIDC.
c) Purchase of essential drugs, consumables and
medicines as may be required in the emergency and which are not supplied by
APHMHIDC – through rate contract firm - through local shopping procedures at
lowest of three quotations, the total value not exceeding 25% of the funds
collected by the Society annually.
d) Undertake
such works as will promote cleanliness of premises butification, including
provisioning of playpen for children recuperating in the pediatric ward,
greenery with path ways for recuperating patients in geriatric wards etc.
e) Under
take such measures as computerization etc., as will improve the efficiency and
facilitate better accountability of staff in the provisioning of health care
services and ultimately provide for improved patient satisfaction.
f) Under
take such measures to ensure maximum efficient and proper use of
infrastructure, equipments, drugs and other resources.
g) Under
take such measures as will contribute to a congenial, comfortable and a secure
work situation for all staff and trainees in the Institution.
ii. The
funds so generated may be utilized for strengthening the infrastructure etc in
the other institutions in the primary, secondary or tertiary sectors including,
the medical college concerned which are located in the same district.
iii. The
following however shall be ensured while exercising the above mentioned
financial powers:-
a) The
preparation of estimates and entrustment of works or procurement as case may be
shall be resorted to as per the Govt. prescribed procedures.
b) In case
of emergency, i.e. break down of essential services the APHMHIDC shall
undertake the responsibility of restoration of services with the approval of
the Superintendent concerned.
c) In all
other important matters the Hospital Development Society shall give an
opportunity to the Andhra Pradesh Health & Medical Housing &
Infrastructure Development Corporation to participate in the tenders /
nominations / quotations and take a decision based on merits including
reputation on maintenance of quality.
d) The
Hospital Development Societies shall ensure that there is absolute transparency
in mobilization of resources, in contracting / entrusting works and ensure
proper judicious use of resources so generated in the best interest of improved
health care and development of health infrastructure in the institution. Any
negligence in this regard shall be viewed seriously and warrant stringent
action against concerned.
9. Other
Powers:
i) The Hospital Development
Societies may engage specialist Doctors, paramedical staff, including
anesthetist, grief counselor etc., on hourly /daily basis on contract /
honorarium for conduct of special camps, surgeries
etc. The specialist doctors may be
motivated to render honorary service failing which only they may be paid
honorarium. The services of such
persons who have an established reputation and experience shall be engaged with
due care and in a consultative manner duly consulting the Heads of Department
concerned and other professionals / experts etc. The Grief counselors could
motivate the mentally ill patients to pledge corneal buttons etc.,
ii) The HDS shall review the district health action plan /
the village specific PHC action Plan and the national health programmes such
NMEP, RNTCP, NPCB, NLEP, Family Welfare Porgrammes, programmes for maternal and
child health activities to ensure that the health institutions concerned take
all possible measures for effective implementation of those programmes / action
plans.
iii) The Hospital Development Societies shall ensure
correct and proper recording of data / facts and also review the performance
indicators and take such measures as are necessary to rectify deficiencies and
problems affecting the delivery of health services or health status of the
people concerned
Larger issues
requiring Government Orders / Instruction by other Departments etc., for
example assured protected water supply, measures to prevent contamination of
drinking water sources, other problems arising due to factors beyond their
control, etc., may be referred to Heads of Department and Government as ordered
in the G.Os.13th and 14th read above.
iv) Hospital / Institutions Development Society is also
empowered to select contractor for supply of good diet in the Hospital by
calling for tenders. Hospital Development
Society / concerned staff should monitor and ensure the supply of good
diet to patients as per norms prescribed by the Government from time to time.
10.
MAINTENANCE OF ACCOUNTS:-
i) The Society shall maintain proper books of
accounts, which shall be audited by Chartered Accountant, or a firm of
Chartered Accountants to be appointed with the approval of the Society and also
ensure the accounts are subject to Accountant General’s audit.
ii) The audited accounts of the Society for every
quarter of the year shall be placed before the Society for approval and a copy
of the accounts with auditor’s report shall be furnished to the Head of the
Department concerned. The Abstract of Progress report shall be submitted by
Head of the Department concerned to the Government within one month of the last
date of the quarter.
iii) The Superintendent and Heads of Department and
each of staff shall be individually responsible for the discharge of duties as per
the specific job chart as assigned to them and for such duties as may be
entrusted by the Hospital Development Societies or Heads of the Institution or
Head of the Department or the Government from time to time.
iv) The
entire staff shall work with a team spirit, maintain effective co-ordination
and build a reputation for the Institution in providing a caring and quality
health care services to the people. Each patient should go back with the
highest possible patient satisfaction feeling.
11. The Government Hospitals / Institutions are
exempted from the procedure prescribed for collection of User Charges and its
Utilization in the G.Os.6th and 15th read above.
This
order issues with the concurrence of Finance Department vide their
U.O.No.37928/178/A1/EBSVIII/2002 dt.7-2-2003.
To
All Hospitals / Institutions
working under the control of HM & FW Department through concern HODs.
All HODs under the control of
HM&FW Department.
All District Collectors.
All DM&HOs
All Sections under the control
of Health Department.
(with a request to take action
with which they are concerned institutions)
Copy to:-
All Departments of Secretariat.
PS to JS
to Hon’ble CM.
PS to
Hon’ble Minister, HM&FW Department.
PS to
Principal Secretary to Government.
PS to EO
Secretary to Government.
PA to JS
/ Addl. Secretary.
SF /
SC’s
A N N E X U R E
Composition
of Hospital / Institutions Development Societies
1. Teaching Hospital Development Society :-
(1)
District Collector / A senior IAS Officer to be
Nominated by the Government. .. Chairman
(2) One
Doctor by rotation nominated by the Chairman .. Member.
(3)Three
representatives selected from Janani group / : Members.
Self-help groups / NGOs/Social
Workers /
Prominent Citizens of which at
least one shall
be a woman. (Members of Janani groups should
be given preference wherever the
groups exist
for the purpose of giving
representation from
self-help groups / social
workers /NGOs.
(4) Three
MLAs (to be nominated by the Chairman) .. Members.
(5) Mayor
/ Municipal Chairman. .. Member.
(6) Principal
of Medical College Concerned. .. Member.
(7) Superintendent
of Hospital. .. Member/Convener.
(8) Z.P.
Chairman concerned,
(9) Executive
Engineer APHMHIDC. ..
Member
(10)
Representative of Ex-students /Old Students Association
of the
Medical College.
.. Member.
(11) A
representative of House-surgeons/ PG students. .. Member.
(12) RMO
concerned. .. Member.
(13) M.P.
Concerned. ..
Special Invite / Member
2.
District Headquarters Hospital Development Society :-
(1) District Collector. .. Chairman
(2) Two M.L.As. of the
District(including the local M.L.A.). .. Members.
(3) Chairman of the Municipality
in which Institution is located. .. Member.
(4) Two Z.P.T.C./M.P.P. Members
of whom one shall be a Woman. .. Members.
(5) Executive Engineer, APHMHIDC .. Member
(6) Three representatives
selected from social workers / .. Members.
Philanthropists / Self-help groups / NGOs of whom
at least one shall be Woman.
(7) District I.M.A. President. .. Members.
(8) Superintendent of the
Hospital. .. Member /
Convener.
(9) M.P. Concerned. .. Member.
(10) Chairman of Zilla
Parishad. .. Special Invitee/Member.
3. Community Health Centre Development Society (CHC)
/Area Hospital Development Society , Civil Hospital Development Society and
Hospitals / Institutions Development Societies under the control of Director of
Health Hospitals and Institutions :
(1) M.L.As. in whose
Constituency the Institution is .. Chairman.
located Chairperson.
(2) Municipal Chairperson of the
respective Municipalities. .. Member.
(3) One Member from M.P.Ps. /
Z.P.T.Cs. in which Community .. Member.
Health Centre / Area Hospital is located.
(4) Executive Engineer, APHMHIDC .. Member
(5) Sarpanch of the Gram
Panchayat in which Community Health ..
Member.
Centre / Area Hospital is located.
(6) Three representatives
selected from social workers / self-help .. Members.
groups / NGOs of whom at least one shall be a woman. Members
of Janani groups should be given preference wherever the
groups
exists for the purpose of giving representation from
self-help
groups / Social Workers / NGOs.
(7) One (Weaker sections)
representative from (SC/ST/Minority) .. Member.
(8) Medical Officer-in-charge of
the Community Health Centre / .. Member /
Area Hospital. Convener.
(9) M.P. Concerned. ..
Special invitee/ Member.
4. Primary Health Centre
Development Society :
(1) President of Mandal Praja
Parishad. .. Chairman.
(2) Member of Z.P.T.C. of that
Mandal. .. Member.
(3) Three persons from Self-help
groups / Social Workers / .. Members.
NGO of whom at least one shall be a woman. Members
of Janani groups should be given preference wherever the
groups exists for the purpose of giving representation from
self-help groups / Social Workers / NGOs.
(4) Headquarters Surpanch. .. Member.
(5) M.L.As. concerned PHC
limits. .. Special Invitee.
(6) M.P. concerned .. Special invitee
(7) Medical Officer. .. Member / Convener.
5. Health sub Centre Development
Society :-
(1) Sarpanch of Village
Concerned. .. Chairman
(2) One Woman representative
from Janani Group / .. Member.
Self-help group.
(3) One Anganwadi worker. .. Member.
(4) One School Teacher/Village
Committee(V.E.C.)President... Member.
(5) A.N.M. .. Member/Convener.
6. Unani Hospital Development
Society :-
(1) District Collector or
Nominee. .. Chairman.
(2) One Unani Doctor by Rotation
nominated by the Chairman…Member.
(3) Three representatives
selected from Self-help groups/ .. Members.
NGOs / Social Workers / Prominent Citizens of which
at least one shall be a woman. Members of Janani groups
should be given preference wherever the groups exists
for the purpose of giving representation from self-help
groups / Social Workers / NGOs.
(4) Three MLAs. (to be nominated by the Chairman ..
Members.
(5) Mayor / Municipal Chairman. .. Member.
(6) Executive Engineer, APHMHIDC .. Member
(7) M.P. concerned .. Member
(8) Superintendent of Hospital. .. Member/Convener.
7. Ayurvedic Hospital
Development Society :-
(1) District Collector or
Nominee. .. Chairman.
(2) One Ayurvedic Doctor by
Rotation nominated by the Chairman.
.. Member.
(3) Three representatives
selected from Self-help groups/ .. Members.
NGOs / Social Workers / Prominent Citizens of which
at least one shall be a woman. Members of Janani groups
should be given preference wherever the groups exists
for the purpose of giving representation from self-help
groups / Social Workers / NGOs.
(4) Three MLAs. (to be nominated by the Chairman .. Members.
(5) M.P. concerned .. Member
(6) Mayor / Municipal Chairman. .. Member.
(7) Executive Engineer, APHMHIDC .. Member
(8) Superintendent of Hospital. .. Member/Convener.
8. Homeopathic Hospital
Development Society :-
(1) District Collector or
Nominee. .. Chairman.
(2) One Homeopathic Doctor by
Rotation nominated by the Chairman…Member.
(3) Three representatives
selected from Self-help groups/ ..
Members.
NGOs / Social Workers / Prominent Citizens of which
at least one shall be a woman. Members of Janani groups
should be given preference wherever the groups exists
for the purpose of giving representation from self-help
groups / Social Workers / NGOs.
(4) Three MLAs. (to be nominated by the Chairman .. Members.
(5) Mayor / Municipal Chairman. .. Member.
(6) M.P. concerned .. Member
(7) Executive Engineer,
APHMHIDC. .. Member
(8) Superintendent of Hospital. ..
Member/Convener.
9.
Nature Cure Hospital Development Society :-
(1)Officer
as nominated by Government ..
Chairman.
(2)Representative
of P.G. Students. ..
Member.
(3)Secretary,
Vemana Yoga. ..
Member.
(4)Representative
of Ex-Students Association. ..
Member.
(5)Superintendent
of Nature Cure Hospital. ..Member/Convener.
(6) Local
MLA ..
Member
(7) Local
M.P. ..
Member
(8) C.E.O /
MAP ...
Member
(9) Three Representatives Social Workers/Philanthropists/NGOs. ..Members.
Who have contributed substantially in this
field.
(10) Secretary, Yogadhyayana
Parishad. ..Member
/ convener
Note:- In respect of the health institutions / Hospitals situated in Tribal
Areas, the Project Officer, ITDA concerned shall be the Vice Chairman of
Hospital Development Society and can be authorized by the chairman to officiate
on his behalf.
The
following however shall be ensured while exercising the above mentioned
financial powers:-
i.
The preparation of estimates and entrustment of works or
procurement as case may be shall be resorted to as per the Govt. prescribed
procedures.
ii.
The Superintendent/Hospital Development Society can
engage a Plumber, Electrician and Carpenter etc from their funds for day to day
maintenance of the Hospital. The APHMHIDC
will look after restoration of services incase of emergency i.e., break down.
iii.
APHMHIDC cannot be treated on par with the private
Agencies in obtaining the quotations/participating in the tenders etc., in all
building works pertaining to the Hospitals, in view of the fact that it is a
Government Agency created exclusively for taking care of all civil works
pertaining to entire Medical and Health Department.
iv.
APHMHIDC can be identified as a sole agency to under take
during emergency (i.e.,) break down of any essential services it and only if it is treated as sole Agency to under
take the responsibility of restoration of the services with the approved of the
Superintendent concerned.
GOVERNMENT
OF ANDHRA PRADESH
HEALTH
MEDICAL & FAMILY WELFARE DEPARTMENT
Govt.Memo.No.
693/M1/ 2003, dt. 9.1.2003
Sub:
Launching of a programme to address the problem of anemia among adolescent girls
/women by administering required supplements /medicines – Reg.
The
Department of Women Development & Child Welfare and the Health Dept. in
coordination with other departments, UNICEF etc. proposes to launch a massive programme to address the problem of
severe anemia among girls / women in A.P.
reported to be as high as 75 to 80%. It is proposed to take by taking up
a survey of prevalence of anemia among adolescent girls (11-18 years) and
follow up with administering of IFA, de worming and periodic health check up
with such supplementation as may be required / possible, coupled with a strong
IEC Detailed discussions followed by a joint visit by Prl.Secy. WD&CW, Prl.Secy. HM&FW, Director General of
Health Services and Commissioner WD&CW to Community Health Centre, Golconda
has necessitated certain follow up measures.
Accordingly
a Committee is constituted as follows:
Dr. Anji Reddy, DGHS Chairman Commr. WD & CW Member
Director, Medical Education Member
Commissioner, Family Welfare
Member
Dr.Swarajya Lakshmi Member
Sultan Bazar Hospital
Representative, UNICEF Member
DGHS shall immediately enlist
other experts if required and the Committee shall submit its report by
18.1.2003 on the following:
i)
Other common problems among adolescent girls if any may
also be identified and specific recommendations made on the follow up measures
that may be required separately for severely and moderately anemic girls along
with financial implications if possible so as to consider incorporation of the
same in the proposed programme.
ii)
It was found that supplementation with requisite medicines
/ supplements is not effective at present as the girls do not come back to
PHC/referral hospitals at requisite intervals.
Therefore the modalities to be followed in ensuring continuous
administration of medicines / supplements if necessary by handing over the
requisite monthly stocks to anganwadi worker or ANM needs to be explored and
recommendations given.
iii)
Keeping in view the above, the health card developed by
the WD&CW Dept. for the adolescent girls may need revision. The aspect of
prevalence or otherwise of consanguineous marriage in the family, blood group
of the adolescent girls and other cols. to monitor i) and ii) above may need to be provided. The health card may therefore be gone into
by the experts and their recommendations given.
iv)
Taking the IEC material prepared by the Dept. of WD&CW
and the Health Dept. as the basis, a separate directory of IEC material for
adolescent girls may be got developed leaving provision for inclusion /
modification of IEC messages to include village /area specific concerns in IEC
directory to be followed by each PHC / ICDS centre..
v)
The dosage of IFA etc. for moderately and severely anemic
girls to be suggested.
Prl.Secretary to Goernment
To
1.The Director General Health
Services, & Commr. APVVP
2. Commissioner. WD & CW,
Hyderabad
3. Director, Medical Education
4. Commissioner, Family Welfare
5. Dr.Swarajya Lakshmi
Sultan Bazar Hospital
6. Director, UNICEF
Copy to Prl.Secy. WD & CW
//
Forwarded : : By order //
SECTION OFFICER