 With
the implementation of Devolution plan, the Health Department
at District level has been reorganized and structured
in a fashion to provide comprehensive medical care to
the people both curative and preventive, main emphasizes
has been laid on the preventive services, which are
being provided to the community at their door steps.
The major policy decisions i.e. planning of health services,
developmental activities, recruitment of paramedics,
doctors, specialists, procurement of medicine and equipment
has become District Govt. subject. All the aforesaid
activities have been addressed to in a befitting manner,
tremendous success have been achieved and national health
policy for fist time has been translated in to the operational
form. Capacity building of the staff through training’s,
seminars and workshops have been improved
|
Total Area |
24,830 sq km |
Total Population |
27,97222 |
|
Urban : Rural: |
30:70 |
Male :Female |
111:100 |
|
0-5 Month Children
|
44756 (1.6%) |
6-11 Month Children |
41958 (1.5%) |
|
12-59 Month Children |
447555 (12.9%) |
Under One year
Population |
86714 (3.1%) |
|
Under 5 year
Population |
4,34435 (16) |
Under 15 year
Population |
1258750 (45%) |
|
Women of Child
bearing age |
615389 (22) |
Married C.B.A |
447555 (16%) |
|
Pregnant Women |
106294 (3.8%) |
Annual Population
Growth rate |
3.2 % |
|
Infant Mortality
Rate |
65/1000 Live
Birth |
Maternal Mortality
Rate |
2.85/1000 Live
Birth |
|
Anemic Mother |
45 % |
Infant Mal Nutrition |
48 % |
|
One Doctor :
Population |
1:16787 Except
BVH |
Hospital Bed
: Population |
1:1386 |
Population
Using Health Facilities |
20% |
|
|
ORGANIZATION
»
EDO (Health) is the administrative and financial head of the Health
Department . The Department
consists of more than three thousand employees including
specialists, public health physicians, community health
experts , hospital and health administrators, medical
officers , women medical officers and paramedics of
all type along with office establishment staff.
HEALTH
FACILITIES
»
It has 155 health facilities including 4 THQ Hospitals,
10 Rural Health Centers, 71 BHUs, 5 Dispensaries,
10 MCH Centers , 51 Zila Council Dispensaries, 1 Police
Hospital and 2 T.B. Clinics.
|
Name |
Designation |
Contact Number |
|
Dr. Arshad Iqbal
Dar |
Executive District
Officer (Health ) |
9200-621-887384 |
|
Dr. Zulfiqar
Ali Rehmani |
District Officer
Health |
9200-621-875898 |
|
Dr. Mian Sharif
Akhtar |
District Officer
Health (HQ) |
9200-621-875898 |
|
Dr. Khalid Majeed
|
DDOH Bahawalpur
and Yazman |
9200-621-875898 |
|
Dr. Shabir Ahmad
Gorya |
DDOH Hasilpur
and Khairpur Tamewali |
0696-42252 |
|
Dr. Azia –Ur-Rahman |
DDOH Ahmed Pur
East |
0698-71355 |
|
Dr. Baqir Ali
Khan |
MS THQ Hospital
Ahmed Pur East |
0698-71355 |
|
Dr. Capt. Rashid
Mehmood |
MS THQ Hospital
Hasilpur |
0696-41055 |
|
Dr Saeed Asghar
|
Programme Director
DHDC |
0621-874537 |
|
Procurement
of Medicine »
With the implementation of devolution plan, the procurement
of medicines has become District Government subject.
By virtue of decentralization of this policy, the
medicines have been purchased according to local need
and demand, quality of medicines is also ensured.
The District Government Bahawalpur purchased 121 different
items of medicines during the year 2001-2002 amounting
to Rs. 1,77,12,000 These medicines have been distributed
to THQ Hospitals, RHCs, BHUs, Dispensaries and MCH
Centres in Bahawalpur District. For year 2002-2003,
Rs. 1,50,26,000 is allocated, rate contract has been
finalized and supply orders placed with the concerned
firms for 161 items.
Recruitment
of Doctors and Dental Surgeons
»
Under District Government, regular recruitment of
doctors and dental surgeons on contract basis is going
on. 83 Medical Officers , 22 Women Medical Officers
and 4 Dental Surgeons have been recruited on contract
basis for five years at THQ Hospitals, RHCs and BHUs
and Dispensaries, which would go a long way in ameliorating
a lot of poor patients and would provide best possible
medial care to the ailing humanity.
Recruitment
of Paramedics and others »
131 candidates have been selected for recruitment
on contact basis by the District Recruitment Committee
and the list of selected candidates has been sent
to the Government of the Punjab Health Department
for the issuance of appointment orders, which is still
awaited.
Recruitment
of specialist doctors for thq hospitals »
To provide the specialized care to the population
at gross root level, 12 Specialist doctors have been
recruited.
Progress Report Of Drugs Inspectors District
Bahawalpur With Effect From January 2001 To November,
2002.
|
S.No. |
Action taken |
2001 |
11/2002 |
|
1 |
#
of shop inspected |
866 |
550 |
|
2 |
#
of shop sealed |
38 |
51 |
|
3 |
#
of samples taken |
327 |
333 |
|
4 |
#
of samples declared substandard |
04 |
09 |
|
5 |
#
of cases sent to PQCB / DQCB |
86 |
83 |
|
6 |
#
of cased challaned in the Court |
103 |
17 |
|
7 |
#
of cases decided by the Court |
85 |
220 |
|
8 |
Fine
imposed by the Court |
Rs. 4,33,500/- |
14,46,000/- |
District
Quality Control Board »
The District Quality Control Board has been established
in each District after Devolution by the Government.
It is functioning under the Chairmanship of District
Coordination officer, Bahawalpur which has scrutinized
the reports of the Provincial Drug Inspectors in respect
of non quality cases of violation of the Drugs Act,
1976 including the cases of registration of FIR pertaining
to the District except for the cases involving test
reports of the government Analyst or o licensed manufacturer.
The District Quality Control Board, Bahawalpur meets
at least once in month. Five meetings of District
Quality Control Bahawalpur have been conducted up
till now.
The progress report of District Quality Control
Board, Bahawalpur is as under:-
|
1 |
Total Number
of cases placed before the DQCB for scrutiny |
80 |
|
2 |
Total Number
of cases decided |
65 |
|
3 |
No. of cases
pending with Drug Inspectors and under investigation |
05 |
|
4 |
No. of cases
ignored / warned by the DQCB |
01 |
|
5 |
No. of cases
pending with DQCB and are under process. |
09 |
Measures
to control quackery »
The menace of quackery is being curbed by initiating
anti quackery campaign to protect the community from
the hazards of toxic drugs, prescribed by the quacks
|
Action Taken |
2001 |
11/2002 |
|
#
of shops Raided |
26 |
32 |
|
#
of shops sealed |
12 |
14 |
|
Fine
imposed by the Court |
Rs. 2,500/- |
Rs. 3,100/- |
Measures
to control spurious drug sale »
The spurious drugs are injurious to the health and
incompliance to the orders of Honourable Governor
of Punjab, following is the outcome of control measures.
|
Action Taken |
2001 |
11/2002 |
|
#
of samples taken |
327 |
333 |
|
#
of cases registered |
103 |
83 |
|
Fine
imposed by the Court |
Rs. 4,33,500 |
Rs. 14,46,000/- |
Measures
to control the food adulteration »
Food adulteration is menace in our society and is
hazardous for public health. The performance of Health
Department is as under:-
|
Action Taken |
2001 |
11/2002 |
|
1.
#
of shops visited |
208 |
335 |
|
2.
#
of samples of water taken |
236 |
131 |
|
3.
#
of food samples taken |
208 |
335 |
|
4.
#
of cases challaned |
100 |
138 |
|
5.
Fine
imposed by the Court |
Rs. 37,300/- |
Rs. 17,600/- |
Control
measures against pilferage of medicines and vaccines
»
The following strategies are implemented to control
the pilferage of drugs & vaccines.
1. Pasting of specific label on procured medicine
having word “District Government property” “NOT FOR
SALE”
2. Defacing of medicine at each health facility.
3. Random physical checking of store and comparing
with stock entries.
4. Updating of Bin Cards, expiry list display.
Preventive programme , - targets and achievements
(a) EPI(expended program for immunization
This programme was launched during 1984 in District
Bahawalpur
The objective of this programme is to reduced the
morbidity/ mortality and ultimately eradicate the
following seven communicable diseases in the children.
1. Polio.
2. Measles.
3. Tuberculosis. 4. Diphtheria
5, Peruses.
6. Tetanus.
7. Hepatitis
The immunization is carried out both through static’s
centres established in each health outlet (where cold
chain facility is available) and through out reach
teams.
1. Manpower (DSV, AV IV, Vaccinators)
= 113
2. Vaccine Points
= 89
3. Target population under 1 Years.(3.2%) = 86,887
4. Target population uner 5 years.(16%) 4,34435
b)
NATIONAL PROGRAMME FOR FAMILY PLANNING & PRIMARY
HEALTH CARE »
This program is designed to control the population
explosion and to provide the primary health services
at the door steps of the community. At present 30
% of the population is covered by this programme through
the recruitment of 1056 LHWs and in phased programme
744 LHWs would be recruited in this year.
The detail is as under:-
Recruitment / Training of staff & Logistics.
|
|
1999 |
2000 |
2001 |
2002 |
|
LHS |
25 |
23 |
22 |
25 |
|
Drivers |
20 |
13 |
11 |
13 |
|
LHWS |
694 |
709 |
1031 |
1056 |
|
Trainers |
220 |
260 |
260 |
260 |
|
FLCF |
55 |
55 |
60 |
70 |
|
Vehicle |
21 |
17 |
17 |
29 |
c)
WOMEN HEALTH PROJECT »
It was started in 2000 and main objective is to reduce
the infant and maternal mortality and provision of
better health facilities for the mother and child
through safe motherhood .
PERFORMANCE
Training of TBAs 91 TBAs were trained.
Course and training material Developed
Master trainer workshop for TB.DOTS Done
Office equipment, furniture of MCH Coord Purchased
Midwifery training at PHNS Started
LHWs 100 appointed under WHP
d)
T.B.DOTS PROGRAMME »
T.B.DOTS Programme was included in District Bahawalpur
through Women Health Project. The purpose of this
programme is to control T.B. and distribution of anti
T.B.Drugs to the patients free of cost.
IODINE DEFICIENCY DISEASES (IDD)
PROGRAMME
Training of participants ______________ done.
Survey conducted ______________ done
Meeting with salt processors ___________done
District Plan of Iodine Deficiency Disorder for prevention
is prepared & submitted .
e)
EARLY CHILD CARE DEVELOPMENT PROJECT. (ECCD) »
The objective of this programme is to monitor the
growth of children under five
year of age so as to reduce the infant and child mortality.
• Implementation of plan
• Training of District Manager Health.
• Training of NGOs & LHS done with the help of
Project Director, Punjab / UNICEF,
• Training of LHWs done
• Survey at gross root level by LHWs in their own
community started.
f)
CURATIVE SERVICES ACHIEVEMENTS »
Year |
New & Old
Patient |
New Patients |
|
Male |
Female |
Total |
Male |
Female |
Total |
2001 |
473922 |
603174 |
1077096 |
436468 |
561994 |
998462 |
10/2002 |
385732 |
532677 |
918409 |
354008 |
493625 |
847633 |
|
|
2001 |
10/2002 |
|
No.
of Major Operations |
846 |
953 |
|
No.
of Minor Operations |
5203 |
3318 |
|
No.
of X-Ray done |
28395 |
27587 |
|
No.
of Medico-legal done |
3886 |
3132 |
|
No.
of Postmortem conducted |
171 |
150 |
g)
ACHIEVEMENTS OF DHDC BAHAWALPUR »
District Health Development was established
in District Bahawalpur in year
1995, the purpose of this centre is to impart in service
training to the doctors,
paramedics, and other field staff.
Training of MOs/ SMOs/ WMOs / Paramedics &
other staff.
|
|
2001 |
2002 |
|
SMO |
0 |
9 |
|
MO |
34 |
66 |
|
WMO |
22 |
24 |
MA |
0 |
7 |
|
LHVs |
68 |
48 |
|
FMT |
4 |
6 |
|
MT |
13 |
10 |
|
S.Inspector |
0 |
9 |
|
RHI |
3 |
0 |
|
Dispensers |
90 |
70 |
|
LHS |
0 |
0 |
|
LHWs |
11 |
11 |
|
Lab
Assistants |
0 |
0 |
|
Junior
Clerks |
0 |
0 |
|
Vaccinators
|
38 |
4 |
|
CDC
Supervisor |
4 |
4 |
Total |
134 |
261 |
Establishment
of complaint cell »
A complaint cell is established in EDO(Health)
office, Bahawalpur for redressing the grievances of
public. So far 205 complaints have been disposed off
according to law.
Preparation
of disaster and evacuation plan »
A comprehensive disaster and evacuation plan is has
been prepared
by the EDO(Health) for effective management in any
untoward situation or calamity.
Collection
of funds of Red Crescent Society »
The performance of Red Crescent Society was not
satisfactory and it was in financial crises . Only Rs.10000/-
were lying in the account of the society in the year
2001 and by the concerted efforts of DCO and EDO Health
, the funds were raised to the tune of Rupees Three
Lacs Seventy Five Thousand (3,75,000/-) and one lac
was presented to Honourable Governor of Punjab on
behalf of District Bahawalpur.
To provide the specialized care to the population
at gross root level, 12 Specialist has been selected.
100% coverage of doctors, Dental Surgeons to all health
facilities.
Provision of 100% paramedics and other staff to all
health facilities.
100% specialist coverage.
100% implementation of the Drugs Act, 1976 and Rules 1980.
100% control of quackery.
100% control of spurious drug sale.
100% control of food adulteration.
100% coverage of under 5 years children.
|
Sr. No. |
Name of vaccine |
Yearly |
|
1 |
BCG(3.2%) |
86,8,87 |
|
2 |
DPT (3.1%) |
84172 |
|
3 |
OPV (3.1%) |
84172 |
|
4 |
TT (3.8%) |
103178 |
|
5 |
Measles (3.1%) |
84172 |
|
6 |
Hepatitis (3.1%) |
84172 |
|
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