| Major
Board & Corporations in Punjab |
Punjab
Health Systems Corporation (PHSC)
Introduction
The Corporation has been incorporated through legislative
measures by the state Govt. of Punjab to bring more administrative
flexibility for implementation of the ''Second
State Health Systems Development Project" with
World Bank assistance to upgrade Health Services at secondary
level. The Corporation has taken over 150 Institutions which
includes District Hospitals, Sub-Divisional Hospitals and
Community Health Centres. The 86 Medical Institutions are
situated in rural areas and 64 are in Urban areas.
Constitution
of the Corporation |
| (1) |
The
Corporation shall be a body corporate having perpetual
succession and a common seal, with power, subject
to the provisions of the Punjab Health Systems Corporation
Act, 1996, and the regulations made thereunder,
to acquire, hold and dispose of property , and to
enter into contracts, and shall by the said name
sure and by sued. |
| (2) |
The
Corporation shall consist of |
| |
(a)
the Chairman of the Corporation who shall be the
Secretary to the Government of Punjab in the Department
of Health and Family Welfare OR a distinguished
and eminent medical person; |
| |
(b)
the Managing Director , who shall be an officer
of the Indian Administrative Service; |
| |
(c)
a Board of Directors; and such other employees,
as may be determined by the Broad of Directors.
|
| (3) |
The
salary and other terms and conditions of the Service
of the Managing Director and those of the other
employees of the Corporation shall be such , as
may be specified by regularities. |
Functions
of the Corporation |
| |
The
functions of the Corporation shall be as follows,
namely:- |
| a) |
to
formulate and implement the schemes for the comprehensive
development of the dispensaries and hospitals; |
| b) |
to
construct and maintain dispensaries and hospitals
and maintenance of cleanliness therein; |
| c) |
to
implement National Health Programs as per the
directions of the State. The State Government and
Central Government shall make available funds for
this purpose; |
| d) |
to
purchase, maintain and allocate quality equipment
to various dispensaries and hospital; |
| e) |
To
procure , stock and distribute drugs, diet , linen
and other consumable among the dispensaries and
hospital; |
| f) |
to
provide services of specialists and super-specialist
in various hospitals; |
| g) |
to
enter into collaboration for super specialties with
health institutions both within the country or abroad
to provide better medical care; |
| h) |
to
receive donations, funds and the like from the general
public and institutions from both within and outside
India; |
| i) |
to
receive grants or contributions which may be made
by the Government on such conditions as it may impose;
|
| j) |
to
provide for construction of houses to the employees
of the dispensaries and hospital, and the maintenance
thereof by mobilizing resources for financing institutions; |
| k) |
to
plan, construct and maintain commercial complexes,
paying wards and providing diagnostic services and
treatment on payment basis and to utilize the receipts
for the improvement of the hospital and dispensaries
; |
| l) |
to
run public utility service and undertake any other
activity of commercial nature for the delivery of
health care within or without the hospital premises
directly or in collaboration with private or voluntary
agency on contracts basis ; |
| m) |
to
engage specialized agencies or individuals in the
relevant disciplines, directly or from external
sources for the efficient and expeditions conduct
of any of the functions detailed above; and |
| n) |
to
provide immediate treatment in case of emergency
and for unaccompanied patients. |
The
Projects
Second State Health Systems Development Project:
"Secondary
or First Referral Level Health Services" means clinical,
diagnostic and other services provided by community/rural,
sub-divisional/taluka/state general and district hospitals
in the State of Punjab;
The World Bank
sanctioned the Second State Health Systems Development Project
of US$ 106.10 million to upgrade the envisaged areas of
up-graduation.
Loan Rs. 252.00
crore
Grant Rs. 127.00 crore
Share of the State Govt. Rs. 43.00 crore
To
be Spent as follows:
| Head |
Rs.
In Crore |
Civil
works for renovation,
new construction & extension |
174.07
|
Major/Minor
equipment , surgical
Packs & Furniture's |
66.09
|
| Vehicles
& Ambulances |
8.49
|
| Medicines,
Medical Lab. Supplies |
26.51 |
| Information
Systems & Computers |
11.14
|
| Training
& Workshop |
12.45 |
| Salaries
& Office Expenses |
49.66 |
| Price
Contingencies |
73.47
|
| Total
|
Rs.
421.88 |
As per the
suggestions, the Project for revamping the Secondary Level
Health Care Services was proposed to help in:
- Adding & renovating
hospital building at the block, sub-divisional and district
headquarter;
- Supplementation of
accommodation for essential staff;
- Provision of more ambulances
and better machinery and equipment;
- Increase in body strength
at some places;
- Additional hospital
linen and accessories ; and
- Maintenance funds for
building, vehicles, machinery and equipment.
The Benefits to
the General Public:
- Free consultation
for all ;
- Free diagnostic analysis,
medicines and also treatment like operations , etc.
for Yellow Card holders, Punjab Government Employees,
Pensioners, past & present Members of Legislative
Assembly, Hon'ble Judges, Freedom Fighters, under trial
Prisoners, under emergencies and natural calamities
and under National Programs ;
- Full availability
of equipment and chemicals, etc. for diagnostic facilities
;
- Cleanliness, repair
and up-keep of all building would be better;
- The whole of the State
is to be covered through 86 Government Health Centers
in the rural areas.
Steps for the
betterment of employees:
- Chance of foreign
training for all Doctors and Para-medical staff ;
-
Substantial training
opportunities and fellow-ships, etc. within the country;
-
Doctors would also
get a chance to work in their areas of specialization;
and
-
No
chance in the terms & conditions of the services,
Establishment matters will remain wherever they are .
The
Objectives of the Project are:
The objectives
of proposed project would be to assist to Govt. of Punjab
to :
-
to improve efficiency
in the allocation and use of health resources in the
Project States through policy and institutional development
; and
-
to improve the performance
of the health care system in the Project States through
improvements in the quality, effectiveness and coverage
of health services at the first referral level and selective
coverage at the primary level, so as to improve the
health status of the people, especially the poor. By
reducing mortality morbidity and disability
The Project consists of the
following parts, subject to such modifications thereof as
the Corporation and the World Bank (Association) agreed
upon from time to time to achieve such objectives:
Part
A: Management Development and Institutional Strengthening
-
Improving the institutional
framework for policy development through the establishment
of a Strategic Planning Cell to review and evaluate
critical issues in the health sector, including private
health care and insurance, burden of disease and cost
effectiveness of public health interventions, medical
manpower, cost recovery mechanisms and sectoral resource
allocation patterns.
-
Strengthening management
and implementation capacity through: (i) provision of
physical facilities in Punjab ; (ii) renovation and
expansion of the office facility of Punjab Health Sytems
Corporation and Department of Health and Family Welfare(DOHFW)
in Punjab (iii) provision of additional staff at the
Head Office of DOHFW in Punjab (iv) reorienting the
organizational structure of Department of Health and
Family Welfare in Punjab; (v) enhancing and extending
the computerized system of data collection and utilization
through the provision of hardware and software. And
consultancy support (vi) establishing trained and equipped
information cells;
(vii) training management staff in appropriate record
keeping; (viii) introducing a revised medical record
keeping system for in-patients and diagnostic services:
and (ix) provision of support to Punjab Health Sytems
Corporation for the promotion of health care activities
in Punjab through private and voluntary organizations.
-
Developing surveillance
capacity for major communicable diseases to cover the
identification of cases through, inter alia, laboratory
support, education of health workers and community involvement,
and indexing of cases or isolation of cases and treatment.
Part
B: Improving Services Quality, Access and Effectiveness
at the First Referral Level
-
Renovation and extension
of hospitals providing Secondary or First Referral Level
Health Services and construction of staff quarters.
-
Strengthening and improving
the effectiveness of clinical and support services at
hospitals providing Secondary or First Referral Level
Health Services through, inter alia, (i) establishment
and application of streamlined norms and standards for
technical services, staffing, quality assurance, contracting
out services. And monitoring improvements in the quality
of clinical care; and (ii) provision of training to
strengthen staff skills in clinical and technical areas,
to improve the quality of management services and enhance
the capacity for equipment maintenance; and (iii) provision
of training to enhance management and supervision capabilities
of Department of Health and Family Welfare and Punjab
Health Systems Corporation in Punjab in respect of essential
operational activities, including construction and maintenance
activities.
-
Improving the referral
mechanism and strengthening linkages with the Primary
Level Health Services and the Tertiary Level Health
Services through, inter alia, (i) the provision of technical
support to improve the quality of care at the Primary
Level Health Services and the Secondary or First Referral
Level Health Services; (ii) establishing and implementing
referral and clinical management protocols; (iii) formulating
and implementing mechanisms to provide greater access
to Secondary Level Health Services and Tertiary Level
Health Services in a timely and effective manner; and
(iv) establishing and implementing an incentive system
with differentiated fees for users and non-users of
the referral mechanism.
Part
C: Improving, Access to Primary Health Care in Remote and
Underdeveloped Areas
-
Renovation and extension
of primary health centers providing Primary Level Health
Services in the remote areas of Punjab and establishment
and operation of floating medical units to deliver effective
health care, including establishment and operation of
a wireless communication system.
-
Increasing access
to primary health care services among Scheduled Caste
and Scheduled Tribe population in Punjab through, inter
alia, introduction of a system of annual health check-ups,
establishment of health check-up camps, dissemination
of general information related to implementing the referral
mechanisms referred to in Part B (3) hereof and maintaining
records of health
check-ups.
Organization
Structure
| Constitution
of Board of Directors |
| |
There
shall be Board of Directors consisting of the
following members namely:- |
| a) |
The
Chairman of the Corporation who shall be the
Secretary to the Government of Punjab in the
Department of Health and Family Welfare or a
distinguished and eminent medical persons ; |
| b) |
the
Managing Director ; |
| c) |
the
Secretary to the Government of Punjab in the
Department of Finance ; |
| d) |
the
Secretary to the Government of Punjab in the
Department of Rural Development and Panchayats
; |
| e) |
the
Secretary to the Government of Punjab in the
Department of Local Government ; |
| f) |
a
representative of the Government of India in
the Ministry of Health ; |
| g) |
the
Director of Health Services, Punjab ;and |
| h) |
six
eminent persons as given below, nominated by
the Government for a period of three years :
Provided that no nominee shall be a member of
the Board of Directors for more than two terms
or six years whichever is less; |
| |
(i)
a representative of Medical Institution of excellence
in the country ; |
| |
(ii)
two distinguished experts in professions related
to Medicine and Health ; |
| |
(iii)
an experienced professionals in Systems Management
or Telecommunication ; |
| |
(iv)
(iv) the Director of the National Institute
of Pharmaceutical Education and Research ; and
|
| |
(v)
a representative of a reputed industrial house
manufacturing pharmaceuticals. |
| Members
of the Board of Director. |
Member |
Telephone
|
| The
Principal Secretary to Govt. of Punjab. Deptt.
of Health Civil Secretariat Chandigarh |
Off.
742836 |
| The
Principal Secretary to Govt. of Punjab. Deptt.
of Finance, Punjab Civil Secretariat, Chandigarh
|
Off.
740350 |
The
Secretary to Govt. of Punjab, Deptt. of Rural
Dev. & Panchayats, Punjab Civil
Secretariat, Chandigarh |
Off.
742312 |
The
Secretary to Govt. of Punjab, Deptt. of Local
Govt. Punjab Civil Secretariat,
Chandigarh |
Off.
741237 |
Additional
Secretary to Govt of India,
Ministry of Health, New Delhi. |
|
| Director
Health Services, Punjab, Chandigarh |
Off.
600455 |
| Eminent
Doctor and Director of Medical Institution PGIMER,
Chandigarh. |
Off.
541062 |
| Eminent
Doctor and Director of the National Institute
of Pharmaceutical Education and Research (NIPER)
Sector 67, SAS Nagar, Mohali. |
Off.
677193 |
Expert
in Systems Management and
Telecommunication. |
Off.
780444 |
Eminent
Doctor and
Director, Punjab Health Systems Corporation. |
|
Job
Responsibilities and Powers of the Managing Director:
-
The Managing Director
shall be the Executive officer of the Corporation and
he shall implement the decisions of the Board of Directors
and shall exercise such other powers and perform such
other functions , as may be delegated to him from time
by the Broad of Directors .
-
The Managing Director
shall exercise general control and supervision over
the dispensaries and hospitals in the effective performance
of their functions under this Act or the regulations
made there under.
-
Corporate Level Departments
-
Strategic Planning
Cell (SPC)
-
Department of Administration
-
Department of Procurement
-
Engineering Wing
-
Department of Finance
and Accounts
-
Computer Cell..
-
District Level Management
of the Corporation
-
Deputy Medical
Commissioner
- District Health
Committee
- Assistant Medical
Commissioner
- Other medical and
Paramedical Staff
- Hospital Level Staff
- Senior Medical
Officer
- Medical Officer
- Other medical and
Paramedical Staff
Database
Of Drugs Used In The Hospitals
1) Tablets:
| Description
of Medicine |
| Acetyl
Salvicalic Acid IP-300mg |
| Alprazolam
USP: 0.25mg |
| Alprazolam
USP: 0.5mg |
| Aminophylline
IP 100mg |
Antacid
uncoated NFI formula.
Containing Magnesium Trisilicate- IP- 250mg Dried
Aluminium Hydroxide IP 150mg
Piperment 0.03ml |
| Atenonol
BP 50mg |
Cotrimoxazole
IP.
Each containing trimethoprim IP-80 mg sulphemethoxazole
IP-400mg. |
| Diclofenac
Sodium-50mg. |
| Digoxion
IP 0.25mg |
| Erythromycin-IP
250mg |
| Ferrous
Sulphate- IP 200mg |
| Folic
Acid IP 5mg. |
| Ibuprofen-IP:
200mg |
| Ibuprofen-IP:
400mg |
| Metronidazole-200mg |
| Paracetamel-IP
500mg |
| Prednisolone
IP 5mg |
| Propanolel-IP
40mg. |
| Ranitidine
BP 150mg |
| Tablosorbide
dinitrae IP : 5mg |
| Tablosorbide
dinitrae IP : 10mg |
| Tablosorbide
dinitrae IP : 20mg |
| Tablosorbide
dinitrae IP : 40mg. |
| Verpamal
140mg. |
Vitamin
B.Complex.
Each le (Not sugar coated) containing.
Vitamin B1 iP 2mg, Vitamin B2-IP 1mg,
Vitamin B6-IP 1mg, Nicotinamide-IP20mg |
| Vitamin-C
Ascorbic Acid IP-100mg |
2)
Capsules:
| Amoxcycillin-250mg |
| Cloxacillin-250mg |
| Cephalexine-250mg |
| Doxycycline
IP-100mg |
| Nifedipine
IP 5mg. |
3)
Injections:
| Description
of Medicine |
| Adernaline
Hydrochloride 0.09.0.115% W/V in 1ml amp. |
| Aminophyline
IP-25mg/ml in 10ml vial. |
| Ampicilline-500mg
Vial. |
| Anti
Rables vaccine and Serum IP 30ml vial. |
| Anti
Tetanus Serum IP 250 IU vial Human Immunoglobin. |
| Atropine
Sulphate BP 0.3%mg/1ml amp. |
| Benzyl
Pencillin sodium 1 million unit per vial. |
| Chloropromazine
Hydrochloride IP 25mg/2ml amd |
| Crystalline
Insulin IP 40IU /ml.10ml vial. |
| Dexamehasone
Phosphate (Na+salt) 8mg/per 2ml vial. |
| Dextrose
5% Saline 0.09% I.V. Flund. in 540ml btl. |
| Dextrose
5% IV Fluid 540ml btl. |
| Dextrose
10%IV Fluid (540ml btl.) |
| Diazepam
IP-10mg/2ml.amp |
| Dopamine
Hydrochloride 40mg/ml amp. |
| Electrolyte
'M' IV Fluid (540ml btl.) |
| Electrolyte
'P' IV Fluid (540ml btl.) |
| Frusemide
IP10mg 2ml |
| Gentamicin
Sulphate BP 80mg/ml, in 2ml vial |
| Hydrocortisone
Sodium Succinate -IP 100mg vial. |
| Ketamine
Hydrochloride BP-50mg/ml in 10ml. vial. |
| Lignocaine
Hydrchloride IP-2% (plain) in 30ml vial. |
| Manitol
20%W/V in 350ml btl. |
| Mephentermine
Sulphate 30mg/in ml vial. |
| Metronidazole
IP 500mg/100ml vial. |
| Oxytocin
-5unit in 1ml amp. |
| Paracetamol
150mg/ml in 2ml AMP. |
| Penthazocine
Lactate 30mg/1ml.amp |
| Pethidine
Hydrochloride IP-50mg./1ml amp. |
| Pheniramine
Maleate IP 2ml amp. |
| Phenobarbitone
sodium IP 200mg/1ml amp |
| Promethazine
Hydrochloride 25mg/2ml.amp |
| Ringerlactae
IV.Fluid 540ml.btl |
| Saline(normal)
10.9% IV Fluid in 540 ml bottle. |
| Snake
Venom Anti Serum IP-30ml vial. |
| Vit.
K. BP-10mg/ml amp. |
4)
Syrups:
| Description
of Medicine |
Amoxycillin
for oral suspension
BP-125mg/ 5ml, 60ml bottle |
Cough
Syrup in 50ml bottel.
Each 5ml comprising containing Pseudoephedrine
hydrochloride 30mg. Diphenydramine Hydrochloride
15 mg , Ammouium Chloride IP-150mg Sodium Citrate
IP-85mg. |
| Erthromycin
125mg/5ml, 40ml bottel |
Experctrant
Syrup in 50ml btl.
5ml Containing diphenhydramine hydro chloride
BP 0.03mg Guaiphenesine BP-50mg Bromhexine Hydrochloride
BP-4mg Ammonium Chloride IP 100mg Menthol IP-1mg. |
| Paracetamol
IP 60ml btl. 125mg/5ml |
Trimethoprim
and Sulphemethoxozol suspension in 50ml bottel.
Containing Trimethoprim IP-40mg per 5ml
,
Sulphemethoxazole IP-2000mg per 5ml bottle. |
Vitamin-B
Complex Syrup in 2ml bottel.
Each 5ml. Containing Ascorbic Acid IP-100mg.
Micotinamide IP-50 mg. Thiamine Monoittrate-IP-5mg.
Ribottelavin phosphate Sodium- IP-6.85mg Pyridoxine
Hydrochloride IP-2mg Panthenol IP-5mg. |
5)
Drops:
| Description
of Medicine |
| Chloram-phenicol
Eye Drops BP-0.4% W/V in 5ml droper btl. |
| Fremycetin
Sulphate Eye Drops 5ml Vial. 3ml Vial (2000 each). |
| Gentamycin
Eye Drops IP-0.3% W/V in 5ml. Vial. |
| Sulphacemide
sodium IP 20% with phenyl Ethyal Alcohol 0.5%
Eye drops 10ml droper bottle. |
6)
Ointments:
| Description
of Medicine |
| Anaethetic
Ether IP-500ml Btl. |
| Benzyl
Benzoate Emulsion 25% IP 450ml Btl. |
| Betamethsone
Valerate onitment 0.12%. |
| Framcetin
Sulphate skin oint 20mg tube. |
| G.V.
Paint 500ml Btl. |
| Povidine
Iodine Solution IP 5% W/V 500ml btl. |
| Miconazole
nitrate ointment 15gm. |
Facilities
Available
1)
Facilities Available at District Hospitals
| Major Equipments
|
| Baby
Incubators |
| Boyles
Apparatus |
| Cardiac
Monitor |
| Dental
Chair |
| Dosimeter |
| ECG |
| Emergency
Resustication Kit |
| Endoscope(fibric
optic) |
| Opthalmoscopes |
| Perimeter |
| Phototherapy
Unit |
| Retinoscope |
| Short
Wave Diathermy (Physio therapy) |
| Sigmoidoscopes |
| Slit
Lamp |
| Ultra
Sound |
| X-Ray |
| Many
other Major and Minor Operation equipments. |
| Laboratory
Tests |
| Complete
Blood Haemogame Analysis |
| Complete
Urine Examination |
| Stool
Test |
Special
Test Like:-
(i) Blood Urea
(ii) Blood Sugar
(iii) Lever Function Test etc. |
| Blood
Grouping and Matching test |
| Biopsy
test |
| Culture
and Smear Examination |
Miscellaneous
Tests:
(i) Semion’s Examination
(ii) Vagina
(iii) Bone Marrow Examination
(iv) VDRL tests |
| Many
other routine tests. |
Dental Services
Emergency Services
Delivery Services etc.
2)Facilities Available at Sub Divisional Hospitals
| Major Equipments
|
| Boyels
Apparatus with circle absorber |
| Cardiac
Monitor |
| Dental
Chair |
| ECG |
| Emergency
Resustication Kit |
| Opthalmoscopes |
| Sigmoidoscopes |
| Ultra
Sound |
| X-Ray |
| Many
other Major and Minor Operation equipments. |
| Laboratory
Tests |
| Complete
Blood Haemogame Analysis |
| Complete
Urine Examination |
| Stool
Test |
Special
Test Like:-
(i) Blood Urea
(ii) Blood Sugar |
| Blood
Grouping and Matching test |
| Many
other routine tests. |
Dental Services
Emergency Services
Delivery Services.
3)Facilities
Available at Community Health Centre Hospitals.
| Major Equipments
|
| Boyels
Apparatus with circle absorber |
| Dental
Chair |
| Emergency
Resustication Kit |
| Opthalmoscopes |
| Sigmoidoscopes |
| X-Ray |
| Many
other minor Operation equipments. |
| Laboratory
Tests |
| Complete
Blood Haemogame Analysis |
| Complete
Urine Examination |
| Stool
Test |
Special
Test Like:-
(i) Blood Urea
(ii) Blood Sugar |
| Blood
Grouping and Matching test |
| Many
other routine tests. |
Dental Services
Emergency Services
Delivery Services.
Common
Disease Profile In Punjab And Some Statistics
| |
Year
1995 |
| Diseases
Gruops |
Out
Door |
%
age |
In
Door |
%
age |
Deaths |
| Infections
and Parasitic Diseases |
18,51,472 |
0.18 |
68,253 |
0.14 |
2,770 |
| Neo
Plasms |
67,482 |
0.01 |
9,839 |
0.02 |
376 |
| Endocrine,
Nutritional and metabolic Diseases and Immunity
Disorders |
2,11,958 |
0.02 |
10,153 |
0.02 |
554 |
| Diseases
of Blood and Blood forming Organs |
8,51,606 |
0.08 |
8,550 |
0.01 |
221 |
| Mental
Disorders |
94,656 |
0.09 |
4,673 |
0.01 |
69 |
| Diseases
of the Nervous system and sense organs |
9,50,812 |
0.09 |
30,372 |
0.06 |
329 |
| Diseases
of the Circulatory System |
2,96,467 |
0.03 |
26,358 |
0.05 |
2,794 |
| Diseases
of the Respiratory System |
17,91,685 |
0.18 |
31,092 |
0.06 |
1,148 |
| Diseases
of the Digestive System |
10,17,340 |
0.10 |
26,918 |
0.06 |
701 |
| Diseases
of Geuito Urinary System |
2,57,389 |
0.03 |
29,919 |
0.06 |
234 |
| Complications
of Pregnancy child birth and puerparium |
2,19,136 |
0.02 |
81,969 |
0.17 |
130 |
| Diseases
of the skin and sub cutaneous Tissue |
8,46,548 |
0.08 |
3,538 |
0.01 |
15 |
| Diseases
of the musculor -skettetal system and Connective
Tissue |
3,88,509 |
0.04 |
4,491 |
0.01 |
84 |
| Congenital
Anomalies |
14,358 |
0.001 |
3,084 |
0.01 |
134 |
| Certain
Conditions originating in the period |
28,977 |
0.003 |
7,702 |
0.02 |
542 |
| Symptoms,
Signs and ill defined Conditions |
6,23,781 |
0.06 |
37,422 |
0.08 |
2,068 |
| Injury
and Poisioning |
6,54,580 |
0.06 |
82,128 |
0.17 |
3,122 |
| TOTAL |
1,01,67,206 |
|
4,66,461 |
|
15,291 |
Estimated
Vital Indicators (Punjab):
| Year |
Birth
Rate(,000 Population) |
Death
Rate (,000 Population) |
Infant
Mortality Rate
(,000 Population) |
| |
Rural |
Urban |
Com-
bined |
Rural
|
Urban |
Com-
bined |
Rural |
Urban |
Com-
bined |
| 1992 |
28.3 |
24.2 |
27.1 |
8.8 |
6.5 |
8.2 |
61 |
41 |
56 |
| 1993 |
27.7 |
22.6 |
26.3 |
8.8 |
5.5 |
7.9 |
60 |
39 |
55 |
| 1994 |
26.2 |
22.0 |
25.0 |
8.2 |
|
