Delhi Govt plans big in the 12th 5-year plan 2012-17 (Part III)

Health Care Comments Off

1. Delhi is going to adopt Clinical Establishments Act 2010 and will cover GPs and diagnostic centres. (The DMA/IMA did not oppose it)
2. Delhi will soon start de-worming school children (including MCD and anganwari children) project from mid February. The de-worming will be done every six months.
3. 50% of Delhi Government hospitals will be accredited by NABH in the next plan.
4. Government is thinking of starting HBV, Hib vaccine as compulsory. Vaccine for cervical carcinoma is under debate. The govt is also thinking of providing flu vaccine to the elderly.
5. Biomedical waste management will be associated with four operations (presently there are two).
6. Delhi Arogya Kosh will provide free treatment for the poor. Rs. 100 crores are being deposited as a corpus and the interest will look after poor patients. An assistance of 2.5 lakh for transplant and 1.5 lakh for other life-threatening diseases is planned for. Transplant patients will also get 1.5 lakh additional per year for follow up treatments. The amount is still under debate.
7. The definition of BPL for central government is family earning less than Rs. 24000 per annum (for Delhi Govt. it is less than Rs. 36000 per annum). Under Delhi Arogya Kosh, it will be less than one lakh per year.
8. Delhi will have 150 new ambulances under Public Private Partnership Initiative.
9. Delhi Government is coming up with 70 acre medicine plant garden at Chaudhary Brahm Prakash Ayurvedic Charak Sansthan Khera Dabur.
10. Delhi will also have many hospices for terminal care patients.
11. Delhi will have more satellite dental centres under Public Private Partnership Initiative. For poor, government will pay and for the rest, price will be fixed.
12. Delhi Govt will be implementing Food Safety and Standard Act 2006.
13. Delhi Govt will be buying all equipments under 5-year warranty and five years additional AMC.
14. Delhi will have more places reserved for health services and proposes to increase the FAR.
15. Patient safety will be the priority.
16. Hospital acquired infection control program will start.
17. Disease surveillance will be set up at every level.
18. For JE, 8 centers are being set up,
19. Under organ transplant, NOC will be given to the donor as well as the recipient.

Delhi Govt plans big in the 12th 5-year plan 2012-17 (Part II)

Health Care Comments Off

1. Crude birth rate (2008) 18.4 (22.8)
2. Crude death rate (2008) 4.8 (India 7.4)
3. Delhi Infant mortality rate is 33 as against 50 in India. The aim is to bring it to lower than 15
4. 0-6 child sex ratio is 866 as against Indian ratio 914. Sex ratio 2001 821/933; 2011 866/940
5. Neonatal mortality rate (2008) 20 (National 35)
6. Antenatal care (2008) 3.38 lakhs ( National 232.48 lakhs)
7. Immunization cover (2008) 83.2 % (National 43.5%)
8. Institutional deliveries in Delhi are 74.4% as against a national figure of 28.3%. The aim is to bring it to 100%.
9. Delhi Maternal Mortality Rate is 160/100000 live births as against 212/100000 in India. The aim is to bring it to 100/100000 live births.
10. Under Chacha Nehru Sehat Yojna, every school child in Delhi will be screened (with a digital record) for blood sugar, hemoglobin, blood group, immunization and a proper reference linkages to hospitals. This will be under a Private Public Partnership Initiative. Under this scheme, 954 schools will be covered by 125 teams including doctors, nurses and data operators.
11. Non-communicable diseases will be the focus. The government aims to screen all in next five years. Over one lakh patient screened in Delhi showed an incidence of 20% hypertension, 10% diabetes and 4.5% having both.
12. Delhi plans to have 100 dialysis stations (50 x 2 stations) under Public Private Partnership Initiative. Dialysis will be free for the poor and a pre defined fixed rate for the others. As of now, kidney transplants are not done in Delhi Govt hospitals. However, 300 transplants are done by AIMMS and RML combined (only 10% of them are for BPL patients). 90% patients die without getting a transplant as they cannot afford. ILBS will be starting Kidney and Liver Transplant Centre.
13. For transplant it has been suggested that the Govt should adopt an Opt-Out policy. This policy is already in place in Singapore. In the Opt-Out policy, one donates the organs after death unless they are refused.
14. Delhi proposes to build up new cancer-related services in all large hospitals. The current cancer institute caters to 700 OPD patients daily.
15. Delhi proposes to have half way homes for mentally challenged patients in IHBHAS with additional 5 more centers at other places.
16. Delhi will have three more medical colleges. Deen Dayal Upadhyay Hospital with 150 seats, Dr BR Ambedkar hospital with 150 beds and a 150 seats at Bharat Ratna Indira Gandhi 750-bedded Hospital.
17. Delhi will have five more nursing schools.
18. Delhi will have a separate directorate for medical education.
19. Delhi will be starting NAT testing in all blood banks. ELISA 4 testing is already mandatory. This would mean testing 3 lakh blood samples yearly at an additional cost of Rs 16 crore.