I. NAME OF THE SECTOR                    : 25. MEDICAL & PUBLIC HEALTH

 

II. INTRODUCTION OF THE SECTOR    :

 

            Lakshadweep, the tiniest Union Territory in India is an archipelago with an area of 32 sq. Kmt and is comprised of 11 inhabited and 16 uninhabited islands, attached islets and 5 submerged reefs.  The Lakshadweep Medical & Health department functions under the Lakshadweep Administration and head quarter is located at Kavaratti.  Administrator is the State head assisted by Secretary (Health) and Director of Medical & Health Services for implementing the health programme in the Union Territory.  The Medical and Health Services plays a vital role in the efforts to enable the people of Lakshadweep lead a healthy life by promoting programmes covering preventive, promotive and curative health care. Through successful implementation of plan schemes and other National Health programmes, the birth rate, death rate, infant mortality rate and maternal mortality rate etc have been brought down much below the national average. The health indicators in Lakshadweep is as follows.

 

Year

Birth Rate

Death Rate

Infant

Mortality Rate

Maternal

Mortality Rate

2002-2003

17.71

5.37

31.7

1.31

2003-2004

15.68

5.12

24.29

2.02

2004-2005

14.30

4.14

19.78

3.29

2005-2006

15.79

4.16

16.71

0

2006-2007

14.70

4.59

16.73

2.09

2007-2008

12.51

4.92

19.51

1.21

2008-2009

11.05

4.80

14.90

3.73

2009-2010

10.86

4.80

17.00

1.42

               

            At present, 2 Hospitals, 3 Community Health Centres, 4 Primary Health Centres, two First Aid Centres and 14 Sub Centres are functioning in Lakshadweep.  In addition to these, two Ayurvedic Dispensaries, one Homeopathic Dispensary and Four Dental Units are also functioning in the Islands of Lakshadweep. To a good extent, the coverage and quality of health care has also improved. The physical targets laid down in the earlier Plan periods could not be achieved fully due to minor administrative and technical reasons. These programmes are to be implemented during the Annual Plan 2011-12.  The following are the major Programmes envisaged in the Annual Plan 2011-12.

 

1. The Primary Health Care system should be strengthened. Each PHC/CHC etc has to be strengthened to meet the problems now being faced.  For that we have to provide enough staff/machinery, equipment and medicines.  The Hospitals at Kavaratti and Minicoy are to be strengthened by providing more specialists, modern machinery and equipments.

 

 

2. Separate Directorate for ISM&H:  The Indian System of Medicine will be further expanded. Upgradation of the existing Ayurvedic Dispensaries of Kavaratti and Androth into a ten bedded hospital, opening  of two Unani Dispensaries one each at Kavaratti and  Kadmat to be taken up during Annual  Plan period.  The department proposes Separate Directorate for ISM&H.

 

3.  Primary Health Centres/ CHCs/ Hospitals etc have to be maintained well and adequate medicines have to be provided.

 

4. Though I.G.H., Kavaratti is regarded as the referral Hospital of Lakshadweep, specialized treatment for a variety of diseases are not available here in the absence of Specialist doctors like Cardiologist, ENT Specialist, Orthopaedic Surgeon, Gastroenterologist, Nephrologist, Neurologist etc.  Similarly no facility for scanning, endoscopy, dialysis etc in Lakshadweep.  So the present practice is that patients, for whom treatment facilities are not available, are evacuated to Mainland for specialized treatment by arranging special sorties of Helicopter or Ships. Hence the department proposes to up grade Community Health Centre, Agatti under PPP Mode during this Annual Plan Period.

 

6.  Construction:-   During the Annual Plan 2011-12  it is proposed to carry out New Directorate building, Re - Construction of Indira Gandhi Hospital, Construction of Pay Wards, Modification of CHCs, Hospitals and PHC. During the Annual Plan 2011-12 the department proposes to construct three Sub Centres one each at Amini, Kavaratti and Agatti.

III. OUTLAY AT A GLANCE       :

(` in Lakhs)

Sl.

No.

Name of the Scheme

XIth Plan

2007-12

Annual Plan 2011-12

Proposed

Outlay

ACA,

if any

Total

1

Expansion of Primary Health Care facilities

412.40

216.50

0.00

216.50

2

Expansion and modification of Hospital/ Community Health Centers/ Up-gradation of CHC, Agatti under PPP mode.

1603.20

583.00

0.00

583.00

3

Strengthening of Public Health Activities

46.60

23.60

0.00

23.60

4

Procurement and supply of medicines to Hospitals, CHCs and PHCs etc.

559.46

250.00

0.00

250.00

5

Training & Continuing education

9.10

0.30

0.00

0.30

6

Providing financial assistance to Psychiatric patient of Lakshadweep.

24.60

0.50

0.00

0.50

7

Financial assistance to referral/Evacuated poor patients of Lakshadweep for specialized treatment at mainland. 

282.00

59.50

0.00

59.50

8

Setting up of Public Health Laboratory/Drug Analyzing Lab

43.60

1.10

0.00

1.10

9

Bio Waste Management Cell.

67.80

50.50

0.00

50.50

10

Strengthening of ISM & Homeopathy

452.10

245.00

0.00

245.00

 

Providing of Multy Purpose High Speed Ambulance Boat

489.60

0.00

0.00

0.00

 

Conversion of IGH,  into Super Specialty Hospital

113.00

0.00

0.00

0.00

Total

4103.46

1430.00

0.00

1430.00

 

IV. DETAILS OF SCHEMES      :

 

1. Scheme No.                          : 2501

 

2. Name of the schemes          : Expansion of Primary Health Care facilities

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

The main objective of the scheme is to provide primary health care facilities to the doorsteps of the people through sub centers.  As per Govt. of India norms each sub Center is to be manned by an Auxiliary Nursing Midwife (ANM) and MPHW. In the previous plan periods 14 Sub Centres were established. The department proposed to construct three sub centers one each at Kavaratti, Agatti and Amini during the Annual Plan 2011-12.

 

During the Annual Plan 2011-12 one first Aid Centre is proposed to be opened at Suheli, which is one of the most busy fishing areas of Lakshadweep. Hence it is necessary to provide some medical facilities including required staff for the centre.  At present there are Four PHCs and two First Aid Centre under this scheme. It is proposed to provide essential diagnostic facilities, basic laboratory facilities, Digital X-ray facilities  in all the four Primary Health Centres.   Also provision has to be made for renovation/modification of the existing buildings of PHCs and First Aid Centres.   During this plan period we proposed to establish Telemedicine facilities in all PHCs and  First Aid Centre, Bithra.

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 216.50 Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Posts (Salary)

Nos

32

 

8.00

8.00

2

Office expenses/ stationary

Nos

 

 

0.50

0.50

3

Annual Rent for EVER ALERT

Nos

 

 

2.00

2.00

4

 Purchase of Computer/Xerox  etc  (IT)

Nos

 

 

11.00

11.00

5

Hospital Machinery and Equipments.

Nos

18

18

44.00

44.00

6

Civil Work

Nos

3

3

89.00

89.00

Total

 

 

 

154.50

154.50

 

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Posts (Salary)

Nos

38

2210

03001

010001

27.00

 

27.00

2

Office Expense/Stationary

Nos

 

2210

03001

010013

0.50

 

0.50

3

Annual Rent for EVER ALERT

Nos

 

2210

06800

259913

2.00

 

2.00

4

Amount for Information Technology

Nos

 

2210

06800

259950

12.00

 

12.00

5

Purchase of Hospital Machinery & Equipments

Is-land

4

4210

02800

010052

0.00

50.00

50.00

6

Civil Works

a) Re-Construction of Ward at All PHCs

Nos

4

4210

80800

010053

0.00

90.00

90.00

 

b) Construction of Sub Centres at Kavaratti, Agatti and Amini.

Nos

3

4210

80800

010053

0.00

25.00

25.00

 

c) Construction of additional room for First Aid Centre at Bitra

Nos

1

4210

80800

010053

0.00

10.00

10.00

Total

 

 

 

 

 

41.50

175.00

216.50

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Medical  Officer Lady

15600-39100

5400

 

 

5

26.68

1

0.03

2

Dental Doctor

15600-39100

5400

 

 

 

 

4

0.04

3

Dental Hygien./ Mec.

5200-20200

2800

 

 

 

 

4

0.04

4

Staff Nurse

9300-34800

4200

 

 

 

 

4

0.04

5

ANM

5200-20200

2800

 

 

 

 

4

0.04

6

Food Inspector

9300-34800

4200

 

 

 

 

1

0.01

7

Lady Health Visitor

5200-20200

2800

 

 

 

 

4

0.01

8

Lab Attender

5200-20200

1800

 

 

 

 

1

0.01

9

Sevak

5200-20200

1800

 

 

 

 

1

0.01

10

MNO

5200-20200

1800

 

 

 

 

2

0.02

11

Pharmacist

5200-20200

1800

 

 

 

 

3

0.03

12

Dhobi

5200-20200

1800

 

 

 

 

3

0.03

13

Record Keeper

5200-20200

1800

 

 

 

 

1

0.01

Total

 

 

 

 

5

26.68

33

0.32

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

27.00

 

 

 

 

125.00

64.50

216.50

 

10.  Foreign Exchange               : Nil

11. Remarks                              : Nil

@@@@@@@@@@@@@@@@@@@@

1. Scheme No.                          : 2502

 

 

2. Name of the schemes          : Expansion and Modification of Hospitals/ Community Health Centers/ Up-gradation of CHC, Agatti under PPP mode

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

 

This Scheme emphasizes mainly on expansion and modernization of the existing health infrastructure. The thrust is given to qualitative improvement in the health Services.  It is also proposes to provide required Machineries and Equipments during Annual Plan 2011-12 period.   The funds required for the construction of new Directorate building and Residential Quarters for Staff has also included in the plan proposal.

         

Though I.G.H., Kavaratti is regarded as the referral Hospital of Lakshadweep, specialized treatment for a variety of diseases are not available here in the absence of Specialist doctors like Cardiologist, ENT Specialist, Orthopaedic Surgeon, Gastroenterologist, Nephrologist, Neurologist etc.  Similarly no facility for scanning, endoscopy, dialysis etc in Lakshadweep.  So the present practice is that patients, for whom treatment facilities are not available, are evacuated to Mainland for specialized treatment by arranging special sorties of Helicopter or Ships. Hence the department proposes to up grade  Community Health Centre, Agatti under PPP Mode during this Annual Plan Period

 

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 583.00 Lakhs

 

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Posts (Salary)

Nos

67

-

48.40

14.00

2.

DTE

Nos

-

-

0.20

0.20

3.

Office stationary/ expenses

Nos

1

1

0.50

0.50

4

Rent for building

Nos

1

1

0.70

0.70

5

Fund for NRHM

Nos

1

1

50.00

50.00

6

Up gradation of  CHC, Agatti under PPP Mode

Nos

1

1

74.00

0.00

7

Purchase of Machinery & Equipments

Nos

14

14

176.00

176.00

8.

Civil Work

Nos

4

2

171.00

171.00

Total

 

 

 

520.80

412.40

 

 

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Posts (Salary)

Nos

76

2210

03001

010001

26.70

 

26.70

2

Office stationary/ expenses

Nos

5

2210

03001

010013

0.50

 

0.50

3

Rent for building

Nos

1

2210

03001

010014

0.80

 

0.80

4

Fund for NRHM

Nos

1

2210

03001

010050

80.00

 

80.00

5

Up-gradation of CHC, Agatti under PPP mode

Nos

1

2210

03001

010050

40.00

 

40.00

6

Hospital Machinery & Equipments for Hospitals/  CHCs

Nos

5

4210

02800

010052

 

200.00

200.00

7

Civil  Work

a) Construction of new Directorate building

Nos

1

4210

80800

010053

 

100.00

100.00

b) Renovation of IGH

Nos

1

4210

80800

010053

 

75.00

75.00

c) Construction of Store at Androth

Nos

1

4210

80800

010053

 

25.00

25.00

d) Acquisition of Land

Nos

1

4210

80800

010053

 

35.00

35.00

Total

 

 

 

 

 

148.00

435.00

583.00

 

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Cardiologist 

15600-39100

5400

 

 

 

 

1

0.01

2

Orthopedic Surgeon

15600-39100

6600

 

 

 

 

1

0.01

3

ENT Specialist

15600-39100

6600

 

 

 

 

1

0.01

4

Psychiatrist

15600-39100

6600

 

 

 

 

1

0.01

5

Lady Doctor

15600-39100

6600

 

 

2

10.00

1

0.01

6

Dental Surgeon

15600-39100

5400

 

 

3

16.00

3

0.03

7

Food Inspector

9300-34800

4200

 

 

 

 

5

0.05

8

Lady Health Visitor

5200-20200

2800

 

 

 

 

5

0.05

9

Dental Technician

5200-20200

2800

 

 

 

 

3

0.03

10

Junior Investigator

5200-20200

2400

 

 

 

 

5

0.05

11

Electrician

5200-20200

2400

 

 

 

 

5

0.05

12

Staff Nurse

9300-34800

4200

 

 

 

 

6

0.06

13

X- Ray Technician

9300-34800

4200

 

 

 

 

5

0.04

14

Chief Radiographer

9300-34800

4600

 

 

 

 

1

0.01

15

Senior Radiographer

9300-34800

4200

 

 

 

 

2

0.01

16

Dental Therapist

9300-34800

4200

 

 

 

 

3

0.03

17

Dark Room Attender

5200-20200

2400

 

 

 

 

2

0.02

18

Technical Supervisor for Lab

9300-34800

4600

 

 

 

 

2

0.02

19

Deriver for Mobile Ophthalmic/ Pick up Van

(3050-4590)

 

 

 

 

 

2

0.03

20

Data Entry Operator

5200-20200

2800

 

 

 

 

2

0.02

21

Ophthalmic Nursing Asst.

5200-20200

1900

 

 

 

 

1

0.01

22

Sevak

5200-20200

1900

 

 

 

 

3

0.03

23

Dental Attendant

5200-20200

1900

 

 

 

 

1

0.01

24

Dhobi

5200-20200

1900

 

 

 

 

1

0.01

25

Technical Assistant

9300-34800

4200

 

 

 

 

1

0.01

26

Lab Assistant

5200-20200

1900

 

 

 

 

2

0.02

27

Senior Refractionist

9300-34800

4200

 

 

 

 

2

0.02

28

UDC

5200-20200

2800

 

 

 

 

4

0.04

Total

 

 

 

 

5

26.00

71

0.70

 

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

26.70

 

 

 

 

235.00

321.30

583.00

 

10.  Foreign Exchange               : Nil

 

11. Remarks                              : Nil

 

@@@@@@@@@@@@@@@@@@@@

 

1. Scheme No.                          : 2503

 

2. Name of the schemes          : Strengthening of Public Health Activities

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

The main objective of this Scheme is to take concerted measures to combat communicable and non communicable diseases which cause major Public Health problems in this U.T. Malaria, Filarial, Dengue, Chikungunya are the major Vector Borne Diseases which need effective control. Leprosy, Smallpox, TB etc. are the diseases which has ravaged these Islands for centuries but some of them are controlled and some are totally eradicated. Malaria was highly endemic in few islands during seventies.  But due to the concerted efforts the same could be contained by the year 1980.  Though imported cases of malaria are reported indigenous cases of Malaria had not been reported from any of the Islands of Lakshadweep for the last few years. Due to the frequent movement of Tourists and Labour population from highly endemic areas to this area, it may lead to the outbreak of diseases at any time. The recent outbreaks of Chikunguniya in the islands are the very example for such importations. The climatic and other conditions are very much conducive in Lakshadweep for the occurrence of communicable diseases due to a variety of reasons such as inadequate drinking water facilities, poor sanitary conditions, lack of other essential civic amenities, expansion of mosquito breading sources and insufficient mosquito control measures, water storage practices, lack of awareness among the general public etc. In order to improve the quality of life we should give attention to preventive Health Services rather than curative aspect. This aspect necessitates posting of field workers in each island to carry out preventive measures to check communicable and other diseases. Hence surveillance measures have to be intensified against malaria, Filaria, Chikunguniya, Dengue etc.  Non Communicable diseases like Cancer, Heart Diseases, Diabetes and Mental disorders are the diseases as the rise.   In order to carry out these programmes sufficient number of man power is also to be provided in each Island.

 

(iii) Achievement (if continuing):     The effective awareness to be created among the publics about the communicable & Non Communicable diseases. So under this scheme comprehensive field programmes are proposed to be taken up during this year. This includes the programmes like (1) anti mosquito and other vector control measures. (2) anti fly measures (3) chlorination programme (4) detection cum treatment surveys (Filariasis) (5) active and  passive surveillance for Malaria (6) observance of Malaria month etc

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 23.60 Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Posts (Salary)

Nos

11

-

0.10

0.00

2.

Office stationary/ Office expenses

Nos

-

-

4.00

4.00

3.

Purchase of Public Health articles

Nos

23

23

18.00

18.00

Total

 

 

 

22.10

22.00

 

 

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Posts (Salary)

Nos

11

2210

06001

050001

0.10

 

0.10

2

Office Stationary/ Expenses

Nos

10

2210

06001

050013

0.50

 

0.50

3

Purchase of  Public Health articles

Nos

10

2210

06001

050050

23.00

 

23.00

Total

 

 

 

 

 

23.60

0.00

23.60

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

District Malaria  Officer

9300-34800

4600

 

 

 

 

1

0.01

2

Food Inspector

5200-20200

2400

 

 

 

 

10

0.09

Total

 

 

 

 

 

 

11

0.10

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

0.10

 

 

 

 

 

23.50

23.60

 

10.  Foreign Exchange               : Nil

11. Remarks                              : Nil

@@@@@@@@@@@@@@@@@@@@

 

1. Scheme No.                          : 2504

 

2. Name of the schemes          : Procurement and supply of Medicines to Hospitals, Community Health Centre, Primary Health Centres, etc.

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

As the Lakshadweep group of Islands are lying scattered  in the Arabian Sea, medicines, equipment and other medical items required for the Hospitals, Community Health Centres and Primary Health Centres are to be brought from Kerala or from elsewhere in the mainland. The Medical Store Department at Kochi is responsible for the procurement and supply of the above items.  Also the medical store at Kochi is the agency to collect various supplies from the National and International organizations like UNICEF, WHO etc and to distribute them to various institutions in the Islands through ships & we also proposed infra red fever detection system to be introduced at Kochi & Agatti.

 

       The buffer stock of medicines and other medical stores are available at the head quarters for the uninterrupted supply to other Islands according to their necessity. The buffer stock plays an important role in supplying life saving drugs whenever a natural calamity or out break of epidemic occurs. So this Scheme is to be continued in the Annual Plan 2010-11. Sending of various medicines, equipments and other medical stores including Ayurveda and Homoeo to the head quarter Island of Kavaratti and from Kavaratti to other Islands especially during monsoon is a very tough job. In order to avoid transit loss of costly items and to ensure the receipt of drugs sent to each medical institution in the Islands, packing and dispatching of medicines is to be dealt very cautiously.  So there is need of a post of senior packing supervisor.

 

(iii) Achievement (if continuing)   : The main aim of the Scheme is to procurement & Supply of Medicines to Hospitals, CHCs & PHCs.  Department purchased & supplied to essential quantity of Medicines to above institutions.

 

5. Proposed out lay for Annual Plan 2011-2012 : ` Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Posts (Salary)

Nos

6

-

0.06

0.00

2.

Purchase of Allopathic Medicines

 

10

-

200.00

200.00

Total

 

 

 

200.06

200.00

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Posts (Salary)

Nos

6

2210

0104

010001

0.05

 

0.05

2

Purchase of Allopathic Medicines

Nos

10

2210

01110

290021

249.95

 

249.95

Total

 

 

 

 

 

250.00

0.00

250.00

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Pharmacist

5200-20200

2800

 

 

 

 

1

0.01

2

Drug Inspector

9300-34800

4200

 

 

 

 

1

0.02

3

Drug Analyzer

9300-34800

4200

 

 

 

 

1

0.02

Total

 

 

 

 

 

 

3

0.05

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

0.05

 

 

 

 

 

249.95

250.00

 

10.  Foreign Exchange               : Nil

 

11. Remarks                              : Nil

 

@@@@@@@@@@@@@@@@@@@@

 

1. Scheme No.                          : 2505

 

2. Name of the schemes          : Training and continuing education

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

          The main objective of this scheme is to extend the knowledge, understanding and develop skill among the Medical and Para Medical Personnel working in this remote area. The health technology is changing fast and many of our Medical Officers and Para medical staff will not get chance to cope up with the changing technology.  So it is proposed to bring medical experts from mainland to impart training so as to equip them with advanced knowledge in their fields.

    

(iii) Achievement (if continuing)   : The main aim of the Scheme is to give Training to Medical Officers and Paramedical Medical Staff.

 

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 0.30 Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Training to Medical Officers

Nos

10

10

0.30

0.30

2.

Training to Para medical Staff

Nos

20

20

0.20

0.20

Total

 

 

 

0.50

0.50

 

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Training to Medical Officers

Nos

15

2210

03001

010020

0.20

 

0.20

2

Training to Para Medical Staff

Nos

30

2210

03001

010020

0.10

 

0.10

Total

 

 

 

 

 

0.30

0.00

0.30

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Nil

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

0

0.00

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

 

 

 

 

 

 

0.30

0.30

 

10.  Foreign Exchange               : Nil

11. Remarks                              : Nil

@@@@@@@@@@@@@@@@@@@@

 

1. Scheme No.                          : 2506

 

2. Name of the schemes          : Providing financial assistance to Psychiatric patients of Lakshadweep

 

3. Whether continuing or new     : Continuing

4. Objectives of the scheme      :

The objective of the scheme is to provide Medical Assistance to the poor patients evacuated from the Islands to the mainland with approval of the Director of Medical & Health Services, Lakshadweep. Due to the  inadequate specialized medical treatment facilities and non availability of services of specialist  doctors like Neurologist, Cardiologist, Orthopedic surgeon, Psychiatrist, Gastroenterologist  etc. in these Islands the Medical Department is compelled to refer the patients to hospitals at mainland. Further we have no facilities for certain investigations like scanning, endoscopy, Radiation, dialysis etc.

    

The patients referred to the mainland by arranging special sortie of Helicopter with escorts have to purchase air tickets and also to spend a lot of money for their stay at mainland and for various investigations and treatment. As per the existing scheme, the treatment charges from Govt. Hospital at mainland for a patient whose annual income per year is below Rs.12000/- (BPL).  The transportation charges for such patients and the escorts recommended by the treating Medical Officer and treatment charges at mainland, investigation, laboratory charges etc are to be reimbursed to the poor patients of Lakshadweep Islands.

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 0.50 Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

 Financial Assistance to Psychiatrist patients

Nos

3

1

0.25

0.25

Total

 

 

 

0.25

0.25

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Financial Assistant to Psychiatrist patients

No

35

2210

03001

000050

0.50

 

0.50

Total

 

 

 

 

 

0.50

0.00

0.50

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Nil

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

0

0.00

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

 

 

 

 

 

 

0.50

0.50

 

10.  Foreign Exchange               : Nil

11. Remarks                              : Nil

@@@@@@@@@@@@@@@@@@@@

 

1. Scheme No.                          : 2507

 

2. Name of the schemes          : Financial Assistance to Referral/ Evacuated poor Patients for Specialized Treatment at Mainland

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

The main objective of the Scheme is to reduce the Government expenditure while arranging special sorties of Helicopter/Ship to Mainland taking the evacuated patients from Lakshadweep for specialized treatment at mainland. The Scheme approved in 11th 5 year plan.

 

Though Indira Gandhi Hospital, Kavaratti is regarded as the referral hospital  of Lakshadweep,  specialized treatment for a variety of diseases are not available here due to  the absence of Specialist doctors like Cardiologist, ENT Specialist, Orthopedic Surgeon, Gastroenterologist, Nephrologist,  Neurologist, etc. Similarly there is no facility for scanning, endoscopy, dialysis etc. in Lakshadweep.  So the present practice is that patients for whom treatment facilities are not available are evacuated to mainland by arranging special sorties of Helicopter/Ship.  Such patients with two escorts will be provided with helicopter charge to reach Kochi/Kavaratti.  Very often patients are evacuated to mainland by Ship for specialized treatment such poor patients may also be provided for treatment under this scheme.

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 59.50 Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

 Financial Assistant to poor evacuated patients to Lakshadweep

Nos

250

250

39.75

39.75

Total

 

 

 

39.75

39.75

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Financial Assistant to Referral/ Evacuated poor patients for Specialized Treatment at Mainland

Nos

290

2210

03001

000050

59.50

 

59.50

Total

 

 

 

 

 

59.50

0.00

59.50

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Nil

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

0

0.00

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

 

 

 

 

 

 

59.50

59.50

 

10.  Foreign Exchange               : Nil

 

11. Remarks                              : Nil

 

@@@@@@@@@@@@@@@@@@@@

 

1. Scheme No.                          : 2508

 

2. Name of the schemes          : Setting up of Public Health Laboratory/ Drug Analyzing Lab

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

In Lakshadweep there is no Public Health Laboratory/Drug Analyzing Lab, so we propose for a Public Health Lab/Drug Analyzing Lab especially with provision of a micro-biologist who can analyze and supervise the Laboratory for epidemic control etc.  Since we have the basic infrastructure we can develop other facilities and procure the needy machinery. We have laboratory Technician in all the Islands they can be given appropriate refresher training to update the latest techniques and knowledge.  This District Health Laboratory can be used for routine purposes in normal period.

 

Lakshadweep Islands have no facility for safe drinking water.  People use shallow wells for drinking water.  Theses wells get contaminated very easily as all these wells are open. Hence it is essential to analyze the drinking water for its chemical and biological quality regularly, for this purpose also the Public Health Laboratory will be of much use. 

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 1.00 Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Posts (Salary)

Nos

5

-

0.10

0.10

2.

Other Charges

 

-

-

0.84

0.84

Total

 

 

 

0.94

0.94

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Posts (Salary)

Nos

5

2210

06001

050001

0.10

 

0.10

2

Purchase of Public Health article/ Lab. item/ Furniture

Nos

10

islands

2210

06001

050050

0.90

 

0.90

Total

 

 

 

 

 

1.00

0.00

1.00

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Microbiologist

9300-34800

5400

 

 

 

 

1

0.02

2

Public Health Analyst

9300-34800

4200

 

 

 

 

1

0.02

3

Attender

5200-20200

1800

 

 

 

 

1

0.02

4

Medical Lab Technician

5200-20200

1800

 

 

 

 

1

0.02

5

Safaiwala

5200-20200

1800

 

 

 

 

1

0.02

Total

 

 

 

 

 

 

5

0.10

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

0.10

 

 

 

 

 

0.90

1.00

 

10.  Foreign Exchange               : Nil

11. Remarks                              : Nil

@@@@@@@@@@@@@@@@@@@@

             

1. Scheme No.                          : 2509

 

2. Name of the schemes          : Bio Waste Management Cell

 

3. Whether continuing or new     : Continuing

4. Objectives of the scheme      :

Bio Medical Waste shall be treated and deposed of in accordance with schedule I and in compliance with the standard prescribed in schedule 5.  As per schedule I the human anatomical waste to be deposited either by incinerator or by deep burial.  In the islands situation deep burial is not advisable since the Island sand is porous.  As per Section 6 (1) of the Environment (Protection) Act of 1986 (29 of 1986) the Bio medical waste should not be mixed with other waste materials. The matter discussed with Science & Technology department, they provide incinerator site only, but transportation & Labor charge provide by the Medical Department, but its not permanent solution.  Therefore the department proposes to purchase required Incinerator during this year. 

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 50.50 Lakhs

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Posts (Salary)

Nos

18

-

0.10

0.10

2.

Other Charges

 

-

-

1.00

1.00

3.

OAE

 

-

-

2.00

2.00

4

Machinery & Equipments

 

4

4

50.00

50.00

Total

 

 

 

53.10

53.10

 

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Posts (Salary)

Nos

18

2210

06001

050001

0.10

 

0.10

2

Purchase of Office items

Nos

 

2210

06001

050050

0.40

 

0.40

3

Machinery & Equipments

Nos

 

4210

04112

020052

 

50.00

50.00

Total

 

 

 

 

 

0.50

50.00

50.50

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Incinerator Operator

5200-20200

2400

 

 

 

 

10

0.05

2

Helper

5200-20200

1800

 

 

 

 

8

0.05

Total

 

 

 

 

 

 

18

0.10

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other

GIA

Subsidy

Loan

Bldg.

Other than

Loan & Bldg.

Total

2011-12

0.10

 

 

 

 

 

50.40

50.50

 

10.  Foreign Exchange               : Nil

 

11. Remarks                              : Nil

 

@@@@@@@@@@@@@@@@@@@@

 

 

1. Scheme No.                          : 2510

 

2. Name of the schemes          : Strengthening of ISM and Homeopathy

 

 

3. Whether continuing or new     : Continuing

 

4. Objectives of the scheme      :

 

 

The main objective of the Scheme is to develop Indian System of Medicine & Homoeopathy which is widely accepted by the people of Lakshadweep. Traditional system of medicines is a part of our cultural heritage & it is to be strengthened. Only 2 Ayurvedic dispensaries were open during 1976 and 1978, one Homoeo dispensary started functioning during 1986. Local people, who are very much liking and preferring treatment of ISM&H are availing specialized treatment from Kerala since we could not provide proper infrastructure & manpower, even though we had well qualified Physician, Pharmacist, but they are not able to meet full demand and workload of remote islands.  Keeping in view it was suggested that 3 more Ayurvedic Dispensaries (Amini, Agatti and Minicoy) are to be opened with full-fledged infrastructure & equipment which was approved by the Planning Commission during 8th Five Year Plan.  Accordingly Amini & Minicoy Ayurvedic Dispensary building was constructed as per the guideline provided by Ministry, at Agatti Community Health Centre provision was made to provide space for ISM&H, during the construction of Community Health Centre, Agatti. The department approached Ministry to create the posts and fill up the posts for smooth functioning of these three dispensaries, but building was inaugurated by Minister during 1994 but so far manpower and equipments are not provided. At present there are two Ayurvedic Dispensaries and one Homoeopathic dispensary only functioning in Lakshadweep. The average attendance in the Out Patient Department of each Ayurvedic Dispensary is around 100 per day, even though the attendance increase during the fair season but our infrastructure and manpower is not able to meet the demand.  Hence the patients are being return to their native island or referred to Mainland. There are a number of patients who have to be treated as in patients. But the Ayurvedic dispensaries of Lakshadweep do not have any ward facility to admit deserving patients more serious patients are being admitted in the ward the staff posted and trained for allopathic system are looking after the patients admitted by the Ayurvedic Physician, this facility was started as time gap arrangement which continue as such even after 30 years. Therefore it is proposed to establish separate directorate for ISM&H.

 

 

5. Proposed out lay for Annual Plan 2011-2012 : ` 245.00 Lakhs

 

 

6. Target achievement during previous Annual Plan 2010-2011                                                    

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Physical

Financial

Target

Achi.

Target

Achi.

1

Posts (Salary)

Nos

75

5

37.00

20.00

2.

Office expenses / stationary

-

-

-

10.00

10.00

3.

Other Charges

-

-

-

1.00

1.00

4

Purchase of Medicines

-

-

-

90.00

90.00

5

Purchase of Machinery & Equipments

Nos

10

10

30.00

30.00

6

Civil Work

Nos

3

3

90.00

90.00

Total

 

 

 

258.00

241.00

 

 

7. Target for Annual Plan 2011-2012 (Component as above)

(` in Lakhs)

Sl.

No.

Item/ Component

Unit

Phy.

Target

Financial Target

Amount

Major

Head

Minor

Head

Object

Head

Rev

Cap

Total

1

Posts (Salary)

Nos

75

2210

04101

010001

20.00

 

20.00.

2

Office Expense/ Stationary

Island

10

2210

04101

010013

15.00

 

15.00

3

Purchase of Medicines

Island

9

2210

04101

010021

140.00

 

140.00

4

Purchase of Machinery and Equipments

Nos

10

4210

02101

010052

 

30.00

30.00

5

Civil Work

Nos

1

4210

80800

010053

 

40.00

40.00

Total

 

 

 

 

 

175.00

70.00

245.00

 

 

 

8.  Post                        :

(` in Lakhs)

Sl.

No.

Designation

Pay

Band

Grade

Pay

Filled

Vacant

Proposed

No

Amt

No

Amt

No

Amt

1

Deputy Director

37400-67000

8700

 

 

 

 

1

0.01

2

Stenographer

5200-20200

2800

 

 

 

 

1

0.01

3

Ayurvedic Physician

15600-39100

5400

 

 

3

9.25

9

0.09

4

Superintendent

9300-34800

4200

 

 

 

 

1

0.01

5

Store Superintendent

9300-34800

4200

 

 

 

 

1

0.01

6

Accountant

9300-34800

4200

 

 

 

 

1

0.01

7

UDC

5200-20200

2800

 

 

 

 

2

0.02

8

LDC

5200-20200

1900

 

 

 

 

3

0.03

9

Nursing Supervisor

9300-34800

4600

 

 

 

 

2

0.02

10

Ayurvedic Pharmacist      

5200-20200

2800

 

 

 

 

9

0.09

11

Staff Nurse

9300-34800

4200

 

 

 

 

4

0.04

12

Store Supt.

9300-34800

4200

 

 

 

 

1

0.01

13

MNO

5200-20200

1800

 

 

 

 

2

0.02

14

FNO

5200-20200

1800

 

 

 

 

2

0.02

15

Masseur

5200-20200

1800

 

 

 

 

5

0.05

16

Peon

5200-20200

1800

 

 

 

 

2

0.02

17

Attender

5200-20200

1800

 

 

 

 

7

0.07

18

Homeopathic Physician

15600-39100

5400

 

 

1

3.00

2

0.02

19

Pharmacist (Homeo)

5200-20200

2800

 

 

 

 

2

0.02

20

Sevak

5200-20200

1800

 

 

 

 

9

0.09

21

Dhobi

5200-20200

1800

 

 

 

 

2

0.02

22

Physician Unani

15600-39100

5400

 

 

2

7.00

2

0.02

23

Watchman

5200-20200

1800

 

 

 

 

3

0.03

24

Pharmacist (Unani) 

5200-20200

2800

 

 

 

 

2

0.02

Total

 

 

 

 

6

19.25

75

0.75

 

 

9. Summary of Expenditure

(` in Lakhs)

Year

Estt.

GIA to

Panchayat

Other