Health

MEDICAL & HEALTH ACTIVITIES IN TRIBAL AREA

INTRODUCTION

  • To monitor the Health Activities in Tribal Area, the Govt. of Andhra Pradesh have created Office of Additional District Medical and Health Officer (Tribal)with headquarters at Utnoor headed by ADM&HO (Tribal) with supporting staff of Medical Officers and Paramedical staff.
  • The main objective of this department is to provide better health facilities to peoples especially the tribals in the Tribal Areas covering on 23 Mandals.
  • In addition to the ADM&HO office, the District Malaria Office is also situated at Utnoor as head quarters headed by District Malaria Officer (DMO) with the assistant of ADMO and supporting staff, to make control over the communicable diseases in tribal area.
  • A local tribal woman is selected in every village and intensively trained in maternal and child health services, minor ailments management, environmental hygiene, serious cases identification and epidemic information.
  • A medical kit is also provided to the CHWs who acts as a link health worker between the village and the Primary Health Centre (PHC).
  • This scheme has enabled the extension of health care to the most remote and far-flung villages.

HEALTH SERVICES PROVIDED IN AGENCY AREA

  • 2 Nutrition Rehabilitation Centers established at Adilabad and Utnoor for Malnourished  and anemic Children for  Age groups of  6 months to 5 years to give nutrition support and treatment and also for anemic adolescent girls and pregnant women. 1 Ambulance   is attached to NRC to Mobilize  the malnourished children from interial remote habitations.
  • 2 SNCUs ( Specialist New Born Care Units ) established at Adilabad and Utnoor for stabilizing in neonatal disorders for age groups of 0 to  6 months.
  • Establishment of 1 NBSU ( New Born Specialization Unit ) at CHC Asifabad for stabilization of neonate.
  • Fixed day health services are provided by 17 vehicle in agency area by 104 services. The services provided with communicable / non communicable diseases.(Diabetes , Epilepsy , Asthma , Hypertension)
  • 16 vehicles of 108 services are provided for emergency transport of the ANC , delivery and other cases with reverse transportation.
  • Arogya  Sree Health Care provided to the beneficiaries selected at PHC level by MO and Arogya Mitra.
  • All tribal welfare girls institutions are provided with ANM round the clock services.
  • Every week screening of children’s  will be conducted by Medical Officers in JBAR programme.
  • Branch Central Drug Store established at ITDA Utnoor for 31 Tribal PHCs.
  • Every Wednesday Referral of Chronic diseased patients to Hyderabad with free transportation along with Arogya Sree Facilitator  in ITDA Ambulance.

FUNDS FOR HEALTH ACTIVITIES

  • NRHM : The NRHM funds will received from Commissioner Health Family Welfare, AP, Hyd for various interventions to the ITDA Health Society Joint Account ( PO & ADMHO ).
  • Funds received  through  CFW, AP, Hyd
  • Construction of Primary Health Centre & Sub – Centre Buildings
  • MCH & Epidemic Teams ( Medical Officer, Staff Nurse with Vehicle)
  • Specialist Health Camps
  • Village Health Sanitation Funds @ Rs.10000/- for each Grampanchayath.
  • ASHAs Fixed  Honorarium @ Rs.400/-PM
  • Establishment of Adolescent Friendly Health Clinics
  • Incentives to the  MO / Paramedical Staff for Best Performance in conducting deliveries.
  • Re-orientation Trainings to Hospital Development Society Members

Funds received  through  DM&HO

  • Hospital Development Society Funds @ Rs.1.75 Lakhs to each PHC for year.
  • Sub Center Untied Funds @ Rs.10000/-  to each S/C. for year.
  • Performance Base Incentives to ASHAs
  • Janani Shishu Samrakshana Karyakramamu (JSSK)for safe institutional delivery , treatment (Surgical), transportation , food and medicine for pregnant women.

HEALTH INSTITUTIONS:

  • 16 PHCs, 91 sub centres, are functioning in Adilabad district
  • 548789 tribal population covered by these institutions
  • CHNCs (Utnoor, Boath, Narnoor, Adilabad) are functioning
  • 905 habitations are covered with 700 Ashas and 695 AWW
  • CHC Utnoor, Boath are covered as a referral units
  • SNCU, NRC in CHC Utnoor and RIMS Adilabad
  • Ayush centres in 10 PHCs

Mobility for Health services:

  • 12 Mandal covered with 7 vehicles of 104 for fixed day health services
  • 12 mandals covered with 14 vehicles of 108 for emergency transportation
  • 4 Avval ambulances are functioning in the agency area for transportation of ANCs and PNCs to the govt. institutions for safe institutional delivery (Narnoor,Gadiguda, Indervelly, Bheempur)

Rapid Fever Survey program:

  • House to house surveillance and medical camp conducted by RFS team
  • 4 rounds of RFS program conducted from June 2016
  • of Medical camps conducted————————— 5271 from June 2016.
  • of Out patients treated in this camps—————–245243 in various levels
  • of Fever cases detected and RD tested—————33202
  • of Malaria Positives detected and treated———–242 in RFS programs
  • of Typhoid cases detected and treated—————1142 in CHC & PHCs from June 2016
  • of Diarrhea cases identified and treated———–4152

DRUGS:

  • 80000 chlorine tablets are r distributed in remote areas for  Pot chlorination
  • 183000 ORS distributed in IDCF programme for each ORS packet to the Family
  • 92500 RD kits are deployed to the gross route health staff (ASHA, MPHA) for early detection of malaria positive in remote interial areas
  • Age wise ACT tablets are distributed for PFR Cases
  • 4 Lakhs Iron tablets are distributed to the ATWOs for issue to the Residential institution children.

PREVENTIVE STEPS:

  • 328 villages are selected for two rounds of IRS Spray for control of mosquitos
  • First round IRS spray started from 10 July 2016 with Ashas and VTDAs completed the 328 villages are completed
  • 145 Residential Institutions are covered with first round IRS spray
  • High risk mandals (Utnoor, Narnoor, Indervelly) are formed with 10 Member teams with vehicle for sanitation, chlorination,
  • All un used wells (138) are covered with ALM

BED NETS:

  • 11800 Bed nets are purchased and distributed through IKP, Medical & Health in PTG families in Adilabad district involvement of local leaders and groups.
  • Hon’ble Tribal Welfare Minister & Health Minister Inaugurated the programme at Kolamguda, Marlawai in Jainoor and Sirpur-U Mandal in the month of July & August.
  • Action plan prepared for 145000 LLIN bed nets,

SCHOOL HEALTH PROGRAMME:

  • CHNC wise RBSK 7 Medical officers with team formed Allopathy, Ayush in the district and position in 4 CHNCs of Agency area
  • All Childrens are screened by team regularly
  • 76 Ashram School are positioned with ANMs for Regular monitoring

RE-ORIENTATION TRAINING:

  • 73 Medical Officers, 11 SPHOs are trained in NVBDCP activities at KB Complex Utnoor
  • 136 RMP & PMPs who are practice in high risk agency area mandals.  Training and instructions to the RMPs for treatment schedule and importance of life saving, referral to the institutions by Addl.DM&HO, DMO, DSP and RDO under charirmanship of Project Officer, ITDA Utnoor.
  • 66 Lab Technicians, 93 supervisors, 6 MTS are trained
  • 586 Asha workers are trained in how to use of RD kit treatment and preventive steps

REFERRAL CASES:

  • The serious cases are refer to higher institutions like Gandhi, Nilofer, Sarojini, MGM and other hospitals at Hyderabad as on today 223 cases are refer to the institutions and followup the cases after treatment.
  • Avval ambulances are regularly shifted the serious patients

NVBDCP PROGRAM:

  • From Jan 2016 to 13th Oct 2016 in the district 65264 fever cases are tested with RD and BS , 268 positives cases are detected and treated in the district
  • 56 suspected cases of Dengue in the district, 2 cases are conformed in 120 serum samples are collected in various levels
  • There is no chikungunya cases are identified

KALAJATHA PROGRAM:

  • 10 high risk mandals (Utnoor, Indervelly, Jainoor, Narnoor, Sirpur U, Kerameri, Wankidi, Asifabad, Thiryani, Khanapur) are covered with 10 teams of Kalajatha with vehicles and covered the 686 villages for creating awareness on fevers, diarrahea, preventive steps, personalizing, health activities and all national health programs in local gond and tribal languages
  • Thea teams are distributed IEC in the villages

ACTION PLAN PREPARED FOR CONTROL OF DIARROHEAL DISEASES

  • All drinking water sources are chlorinated on emergency basis
  • Regular cleaning and chlorination of water Tanks.
  • 296 Kgs Granules of Quick Bait purchased for control House Flies which are creating problems in Residential Institutions and issue to the institutions by ATWOs.
  • PHC wise Epidemic Teams are working in emergency basis.
  • Sufficient IV Fluids, Drugs are positioned in Gross route level and in institutions.

REPORT ON SICKLE CELL CONTROL PROGRAM

SNO SUB-CASTE NO OF STUDENTS SCREENED NOF OF POSTITIVES %
1 GOND 20716 910 4.39
2 KOLAM 2456 135 5.50
3 KOYA 1512 89 5.89
4 LAMBADA 6414 345 5.38
5 ANDH 1636 71 4.34
6 NAIKPOD 2375 94 3.96
7 PRADHAN 634 75 11.83
8 THOTI 132 34 25.76
9 MANNE 729 45 6.17
10 YERUKULA 34 0 0.00
11 GOUDS 45 0 0.00
12 KAMMARA 11 0 0.00
13 KOLAWAR 202 23 11.39
14 OTHERS 875 25 2.86
  TOTAL 37771 1846 4.89

Comparative Statement of Diarrhoeal Diseases in Agency Area

Sl.No Month Year
2014 2015 2016
Diarrhoea Cases Deaths Diarrhoea Cases Deaths Diarrhoea Cases Deaths
1 January 0 0 0 0 0 0
2 February 0 0 0 0 0 0
3 March 0 0 0 0 0 0
4 April 0 0 0 0 0 0
5 May 0 0 0 0 23 0
6 June 975 0 433 0 1434 1
7 July 1624 1 1235 1 3107 3
8 August 2852 2 3128 3 2850 1
9 September 2163 0 1936 0 1635 0
10 October 973 0 1225 0 598 0
  Total 8587 3 7957 4 9647 5

NVBDCP- Comparative Statement

Sl.

No

Month Year
2014 2015 2016
BS.

Collection

Positives BS

Collection

Positives BS

Collection

Positives
1 January 15973 48 14821 20 14784 105
2 February 17013 17 16679 22 15779 54
3 March 16037 17 15262 25 15832 50
4 April 18343 36 15038 29 14621 43
5 May 20166 29 15713 44 16017 53
6 June 18130 31 15998 20 18128 111
7 July 26720 76 22493 132 28570 211
8 August 35907 191 44895 1365 37458 193
9 September 55638 472 61501 4183 36418 172
10 October 38913 266 42011 2035 23196 82
11 November 34242 258 30380 959
12 December 21617 57 24190 364
  Total 318699 1498 318981 9198 220803 1074