BLOCK MAP OF CUTTACK DISTRICT Health Care Infrastructure The district health system has been envisaged as per the norm set up for the state to achieve the objectives of primary health care, which comprises of preventive, curative and promotive health. The Health system based upon the modern medical care has a wide net work of health institutions starting from subcenter level to tertiary level of healthcare institutions. The network of the health system is such that ideally it can provide health care services at the doorsteps of the common people if properly planned and managed. ORGANISATIONAL CHART OF CUTTACK DISTRICT. CDMO Addl. CDMO(Project) ADMO (PH) ADMO (FW) SDH PHC/ CHC/UGPHC PHC(N) & Area Hospital ADMO (Medical) Leprosy Home & Hospital LEU/ULC Sub Centre There is one District Head Quarter Hospital (DHH) at City Hospital, Cuttack, two sub-divisional hospitals at Athagarh & Banki, 4 - UGPHC, 1 - CHC, 9 - PHC, 9 - Area Hospital and 52 - PHC(N) cater to the health care need of the people. There are also 15 Ayurvedic & 21 Homeopathic dispensaries. The list of Government health institutions is given at Annexure – I. The bed strength of these institutions is given at Annexure – II. Public Sector Units working in the district, The treatment and prevention of diseases, family welfare activities and other public health activities are managed by 3 different wings of health and Family Welfare department 1. Medical Wing 2. Family Welfare Wing 3. Public Health Wing HEALTH PROGRAMS OF CUTTACK DISTRICT Asst. District Medical Officer (FW & Immunisation) 1. Family Welfare 2. Immunisation 3. Immunisation Pulse Polio Programme 4. AIDS 5. Reproductive Child Health Care (RCH) 6. National Maternity Benefit Scheme (NMBS) 7. Infant Mortality Rate(IMR) 2 8. Revamping Scheme In Cuttack Municipal Corporation 9. Mass Media Education / IEC 10. Pre Natal Diagnostic Technique Act (PNDT) 11. Clinical Establishment Act 12. Mahila Swasthya Sangha (MSS) 13. Ambulance Service Asst. District Medical Officer (PHMal,/Fil/Lep) 1. Epidemic 2. Malaria 3. Filaria 4. Blindness 5. Leprosy 6. Panchabyadhi 7. Birth and Death 8. Disease Surveillance 9. Integrated Child Development Scheme (ICDS) 10. Heat Stroke Management 11. Natural Calamity 12. Disaster Management 13. Food Adulteration Act Asst. District Medical Officer (Medical & TB) 1. Revised National TB Control Programme (RNTCP) 2. Rehabilitation of Handicap and functioning of fitment Center (Due to want of building the District Fitment Center is functioning at SCB MCH, Cuttack.) 3. Doctors Internship Training 4. Pharmacist Practical Training 5. Cancer Control Programme 6. De Addiction of beds 7. Users Charges 8. Voluntary Organisation and Organisation of Health Camp Addl. Chief District Medical Officer, (Project) 1. 2. 3. 4. Construction of OHSDP Building Hospital Waste Management Pollution Control Training of Health Programme to Gram Panchayat Members / Health Personnel District Head Quarter Hospital District head quarter hospital is situated at Cuttack city and it is the referral hospital (secondary level) for primary health centers. The administrative head of the hospital is ADMO(M) a senior class –1 Medical officer. Both outdoor and indoor services with diagnostic facilities are available here. The Hospital building s are old ones, some building are not used, as they are not safe. Both Pediatric and eye wards not functional due to unsafe buildings. only Eye ward is new and well furnished. Total bed strength of this hospital is 130.out of this medicine –30,Surgery 30,Obs& Gyne-30,Paediatrics 10,ENT 10 and eye 20.Orhopedic, Psychiatric , skin & VD and Dental departments are not there in the District Hospital. There is a functional post partum center. Besides the Administrative head there are 9 specialists (medicine, surgery, Obs & Gyne, Pediatric, ENT, Eye, Radiology and Pathology). There are 14 Assistants Surgeons 3 BLOOD BANK SERVICE The Blood Bank Service is available at S.C.B Medical College & Hospital, Cuttack and SDH Athagarh. X-RAY X-Ray facilities available in the following Health institutions of Cuttack District :DHH- City Hospital, SDH Athagarh, SDH Banki, UGPHC Tangi, UGPHC Maniabandha, UGPHC Mahanga, UGPHC Adaspur, CHC Salipur, Area Hospital Narshinghpur and PHC(N) Khairamoda. AMBULANCE SERVICE Ambulance service is available at DHH City Hospital, SDH Athagarh and Banki, UGPHC Mahanga, Maniabandha, Tangi, PHC Kanpur, Niali, Area Hospital Jorum, Narashinghpur Hospital, Kalapathar Hospital, Baramba Hospital, Nageshpur PHC (N), Govindapur PHC(N), Khuntuni PHC(N). All ambulances are managed by Zilla Swasthya Samittee. Hospitals managed by Rotary Club, Lions Club have their own ambulance service. MEDICAL WING It deals with the treatment of patients. Govt. provides medicines @ 0.50 per OPD patient and Rs. 9.50 per indoor patient. A Zilla Swasthya Samittee (ZSS) has been formed under the chairmanship of the Collector for management and development of Medical wing and oversee implementation of National Health Programmes. A scheme called five diseases treatment scheme (Panchabyadhi) started in July 2002 to cover five most common diseases namely Respiratory Tract Infection, Malaria, Scabies, Leprosy & Diarrhoea. All medicines required for treatment of these diseases are provided free of cost at govt. health institutions. FAMILY WELFARE WING Reproductive & Child Health (RCH) Programme is being implemented in this District since 1994. One health sub centre has been established for every 5000 population in rural area. Immunization, registration of pregnancy, care of pregnant women, popularization of family welfare measures, & measures for reduction of infant mortality are some of the important activities under RCH care. All these services are provided through health sub-centre. Registration of birth is done at PHC level. Apart from routine Immunisation activities, pulse polio Immunization is being done in a campaign made on National Immunisation Days since 1995. Vit “A” supplementation campaign is being done since March 1999 . 4 PUBLIC HEALTH WING It deals with prevention of epidemic diseases in the district. The epidemic diseases common in Cuttack district are Gastroenteritis, Acute respiratory infection and Bloody Dysentery. The PH wing disinfects wells, houses and ghats to prevent epidemics. Malaria, blindness, leprosy, tuberculosis are major public health problems of the district. Many National Health Programmes such as National Anti Malaria Programme (NAMP), Enhanced Malaria Control Programme (EMCP), AIDS Control Programme, National Leprosy Eradication Programme (NLEP), District Blindness Control Scheme (DBCS) are being implemented in the district. Malaria is endemic in Cuttack District due to vast forest area, large no of immigrant population staying in unhygienic condition. National Anti Malaria Programme (NAMP) started in the year 1995 with an aim to identify high-risk areas as per epidemiological parameter. Steps are taken for surveillance and DDT spray. Cuttack district is non Enhanced Malaria Control Programme (EMCP) district. Spray of DDT, door to door surveillance, presumptive radical treatment with Primaquine, IEC activities, distribution of Chloroquine tablets through drug distribution centres (DDC) are being undertaken in Health institutions of the district. To control the vector through Larvivourus fish through hatchery is being undertaken in the district. A proposal of medicated mosquito net is also under active consideration. Anti Malaria Month is observed on the month of June every year. Training of DDC, FTD, PRI members and community leaders is going on at present. AIDS As the HIV problem intensifies, the issue of care and support for affected individual and prevention of HIV transmission to those who are not affected become critical. One Voluntary counseling and testing centre (V.C.T.C) is now functioning at DHH, City Hospital, Cuttack OPD since November, 2002. It provides free counseling on HIV / AIDS and diagnosis of HIV status by blood testing through HIV rapid test for those who come voluntarily. It distributes condoms, provides care & support to the affected. Utmost confidentiality is maintained in the process. National Leprosy Eradication Programme (NLEP) Leprosy is hyper endemic in Cuttack District. The objective of this programme is to bring down the prevalence rate of Leprosy cases to one or less than one per ten thousand population. The prevalence rate in Cuttack District is 2.90 as on 31.01.2004. The aim of NLEP is to detect and treat Leprosy cases. MDT started in this district on May 1987. 5 Leprosy health facilities:Name of the facilities LEU –Athagarh LEU- Cuttack LEU- Banki LEU- Salipur Urban Leprosy Center, Cuttack Leprosy Home and Hospital Cuttack with THW(Temporary Hospitalisation Ward) District Blindness Control Society (DBCS) This Programme started in the year 1996 in this district to bring down prevalence of blindness to 0.3% and to achieve excellence in eye care services. The primary purpose of the District Blindness Control Society (DBCS) is to plan, implement and monitor all the blindness control activities in the district under over all guidance of the state/central organization for the DBCS. Eye wards have been constructed at DHH - City Hospital, SDH Athagarh & Banki. Cataract surgery is being done at these institutions. IOL is the preferable method for cataract surgery now a days. Revised National Tuberculosis Control Programme (RNTCP) RNTCP programme has started in this District since 27.10.2003. The incidence of tuberculosis is approximately 135 per one lac population in the district. Free sputum examination in all microscopy centres of the district, free diagnosis and treatment of tuberculosis cases, supply of qualitative drugs to the patients, full course treatment under directly observed treatment short course (DOTS) strategy, proper evaluation of the treatment and frequent monitoring is under taken under this programme. Peripheral Health Institutions (PHI) for TB control programme 6 Sl. No. Location of TU / PHI No. of DOT Center No. of DP Trained A). Cuttack Urban TU 1 City Hospital, Cuttack 40 35 2 40 35 3 Anti TB Demonstration Training Center S.C.B.M.C.H. Police Hospital, Tulasipur 20 20 4 Bentkar PHC 73 71 5 Kishor Nagar PHC (N) 27 27 B). Cuttack Rural TU 6 Niali PHC 138 100 7 Adaspur UGPHC 101 100 8 Mahidarpada PHC 87 87 9 Tangi UGPHC 94 94 10 Banki SDH 42 40 11 Dampada PHC 62 62 12 Kalapathar PHC 49 49 C). Badamba TU 13 Badamba Hospital 67 67 14 Kanpur PHC 100 100 15 Narasinghpur Hospital 53 53 16 Maniabandha UGPHC 73 73 17 Bindhanima PHC 75 75 18 Athagarh SDH 62 62 19 Subarnapur PHC 36 36 20 Berhampur PHC 95 95 D). Salipur TU 21 Salipur TU 121 100 22 Mahanga UGPHC 75 75 23 Jagnathapur Hospital 25 25 24 Nischintakoili PHC 141 100 25 Nagasapur PHC 7 Prevention of Food Adulteration Programme The Food inspector posted at Cuttack inspects different food establishments from time to time to check food adulteration. Orissa Health System Development project ( OHSDP ) (World Bank Assisted) Orissa Health system Development project is being implemented since 1998. Nine medical institutions i.e. DHH - City Hospital, SDH Athagarh, SDH Banki, UGPHC Mahanga, Maniabandha, PHC Kanpur, Niali, Area Hospital Baramba and Narshinghpur have been taken up for up gradation of existing building and new building to provide more no. of beds for patients, supply of equipments and medicines for better treatment. Under OHSDP Activities Disease Surveillance, Quality Assurance Activities, Hospital waste management and field service by District Task Force (DTF) is managed by OHSDP. Disease Surveillance Activities. Cuttack District is prone to Communicable Diseases like Diarrhoea, dysentery, malaria, acute respiratory infection and common water borne diseases. Cuttack is also prone to various natural disasters like flood cyclone, drought, heat wave etc which magnify the communicable disease burden and outbreak potential. In this context it is imperative to detect theses diseases early enough to prevent their spread to other susceptible and reduce unnecessary morbidity and mortality. After the Super cyclone Multi-disease Surveillance System (MDSS) is implemented in Cuttack Districts for epidemic prone diseases with the support from international agencies. MDSS is now functioning well in the rural Health system of Orissa .It has proved its efficiency during the 2001 Orissa flood by providing adequate information to the planners and policymakers to take timely decision for action. In normal situation it is helping to monitor the trend of diseases under surveillance in the state and early outbreak investigations are conducted with containment measures. In the context of increased incidences and threats of outbreaks of communicable diseases in the Cuttack Municipal Corporation area it is essential to implement the Weekly Multi Disease Surveillance System in Cuttack Municipality Corporation. In this regard attempt has been taken on pilot basis to operationalise the system in this Urban Body. After discussion on Quality Improvement Group ( QIG) all 25 nos. of Urban Dispensaries have been instructed to send the weekly Multi Disease Surveillance report on every Tuesday of the week by filling up the OMDSS primary data collection format. In this regard only a short orientation has been given to the medical officers. Now the District Surveillance Cell is receiving 90 % of weekly reports each week which is very encouraging. 8 ANNEXURE - 1 GOVT. HEALTH INSTITUTIONS OF CUTTACK DISTRICT Sl. No 1 Name of the institutions DHH- City Hospital Block Cuttack Urban Salipur CHC Salipur Mahanga UGPHC Mahanga Adaspur UGPHC Kantapada Tangi UGPHC Tangi 6 Maniabandha UGPHC Badamba 7 Mahidharpada PHC Baranga 8 Niali PHC Niali Nischintakoili PHC Nischintakoili Bentkar PHC Cuttack Sadar Berhampur PHC Athagarh 2 3 4 5 9 10 11 PHC(N) & Area Hospital There are 25 Nos of Urban Dispensaries are functioning in the Cuttack City. 1 Raisunguda Hospital 2 Padmapur PHC(N) 3 Rameswar PHC(N) 4 Kunipadia PHC(N) 5 Tentol PHC(N) 1 Nadiasahaspur Hospital 2 Jagannathpur Hospital 3 Erkana PHCN) 4 Nurtanga PHC(N) 5 Bhadreswar PHC(N) 6 Basudevpur PHC(N) 7 Samsarpur PHC(N) 1 Sailobadbil PHC(N) 2 Gobindaput PHC(N) 1 Bhagatpur Hospital 2 Bhatimunda PHC(N) 3 Sofa PHC(N) 4 Mangarajpur PHC(N) 5 Kayalpara PHC(N) 6 Sanitota PHC(N) 1 Badamba Hospital 2 Gopinathpur PHC(N) 3 Khairamoda PHC(N) 1 Baramga PHC(N) 2 Mundali PHC(N) 3 Korkara PHC(N) 1 Kasarda PHC(N) 2 Bodargaon PHC(N) 3 Pahanga PHC(N) 4 Krishnaprasad PHC(N) 1 Orti PHC(N) 2 Santapaur PHC(N) 3 Asureswar PHC(N) 4 Nagespur PHC(N) 1 Arada PHC(N) 2 Kandarpur PHC(N) 3 Subhadrapur PHC(N) 4 Kishoranagar PHC(N) 5 Telengapentha PHC(N) 1 Gurudijhatia PHC(N) 2 Joranda PHCA(N) 3 Jenapada PHC(N) 4 Jagiapada PHC(N) 5 Khuntuni PHC(N) 9 12 Bindhanima PHC Tigiria Kanpur PHC Narsinghpur Dompara PHC Banki-II Subarnapur PHC Banki-I Leprosy Home & Hospital LEU, Cuttack Urban LEU, Cuttack Sadar LEU Salipur LEU Athagarh LEU Banki Cuttack Urban Cuttack Urban Cuttack Sadar Salipur Athagarh Banki-I 13 14 15 16 17 18 19 20 21 22 1 2 3 4 5 1 2 3 4 5 1 2 1 2 3 4 Tigiria Hospital Viruda PHC(N) Achalkota PHC(N) Badanauput PHC(N) Nuapatna PHC(N) Narshingpur Hospital Debabhuin PHC(N) Jorum Hospital Sagar PHC(N) Ekdal PHC(N) Tulasipur PHC(N) Talabasta PHC(N) Kalapathar Hospital Baideswar PHC(N) Berhampur PHC(N) Barput PHC(N) ANNEXURE - II BED STRENGTH OF DIFFERENT GOVT. HEALTH INSTITUTIONS OF CUTTACK DISTRICT Sl No. Institution Name 1 City Hospital, Cuttack 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Athagarh Banki Salipur Maniabandha Tangi Adaspur Mahanga Bentkar Berhampur Bindhanima Dampara Kanpur Mahidharpada Niali Nischintakoili Subarnapur Barmba Narshinghpur Raisunguda Nadiasahaspur Jaganathapur Bhagatpur Categories Total No of Beds DHH 130 SDH SDH CHC UGPHC UGPHC UGPHC UGPHC PHC PHC PHC PHC PHC PHC PHC PHC PHC Area Hospital Area Hospital Area Hospital Area Hospital Area Hospital Area Hospital 66 36 16 10 16 16 16 6 6 6 6 6 6 6 6 6 10 20 6 4 4 6 10 24 25 26 27 28 29 30 31 32 Jorum Kalapathar Tigiria Leprosy Home & Hospital LEU, Cuttack Urban LEU, Cuttack Sadar LEU Salipur LEU Athagarh LEU Banki Area Hospital Area Hospital Area Hospital 10 10 10 110 All PHC(N) of Cuttack District having 2 nos. of bed AYURVEDIC & HOMEOPATHIC DISPENSARIES IN THE DISTRICT OF CUTTACK LIST OF AYURVEDIC DISPENSARIES Block Dispensary Baramba Damangadia Gopinathpur Athagarh Dhurusia Kandarpur Kandari Pateni gaon(at Megha Gp) Narasinghpur Olab ( at Godibandha Gp) Nischintakoili Sungula(U) at Fagal Gp Mahanga Sahaniajpur(at Kuannal) Sadar Amansaol(at Khandayat Gp) Banki Similiput (at Similipur Gp) Bandal Niali Raniola Tangi dfalizoda Berhampur Salepur Balia (U) LIST OF HOMEOPATHIC DISPENSARIES Block Dispensary Niali Erancha Sadans(at Sadanga GP) Salepur Gopinathpur Ramakrishnapur 11 Mahanga Gunupur (at Mulabasanta) goudagpa (at mahanga GP) Nrutanga Pallisahi Champatipur (at Podamorei) Jatadhari ashram 9at Mouda gp ) Kantapada Dhanmandal(at brahmansailo GP) Sadar Dahigaon (at Kalapada GP) Nischintakoili Janardanpur(at Keklgmeri) Tangichoudwar Napanga Athagarh Kumarpur Arakhpatna(Jenspada) Tigiria Manpur (at Gadadharpur GP) HOMEOPATHIC DISPENSARIES IN CUTTACK MUNICIPALITY Sartol homeopathic(at Sartol) Sikharpur Rajabagicha( at Rajabagicha) Deulsahi Name of the Institutions CDMO Addl. CDMO(Project) PH Med. & TB CODE 95671 ADMO Important Telephone Numbers PHONE 2301007 2307284 2307283 2621578 2623969 2302530 220244 240269 255418 2684387 2871169 235874 PHC/ CHC/ UGPHC FW SDMO Athagarh 956723 Banki 956723 Adaspur 956724 Bentkar 95671 Berhampur 95671 Bindhanima 956723 Dampara Kanpur 956721 275332 Mahanga 95671 2767109 Mahidharpada 95671 2356507 Maniabandha 956723 238260 Niali 956724 252719 Nischintakoili 95671 2353981 Salipur 95671 2351014 Subarnapur 95671 2381355 Tangi 95671 2695377 Health Officer CMC 95671 2616272 Ambulance Service at DHH, City Hospital, 102 Cuttack ** Information provided by the Chief Medical Officer, Cuttack. ** (on 25.02.2004 ) 12