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National Health Programmes: Manipur Scenario

National Leprosy Eradication Programme (NLEP)

The programme is in operation since 1955 as control programme. The prevalence of leprosy was 6 per 1000 population during the early eighties. The objective of the programme is to bring down the prevalence to 0.1 per 1000 population.

NLEP has been going on as a vertical programme but the state has already proposed to Government of India for integration of leprosy services with General Health Care Services.

Currently the programme is conducted through the following service units :

Sl. No Name of Centre No. of Units Centre Address
1 Urban Leprosy Centre 1 Imphal
2 Leprosy Control Unit 4 Thoubal, Bishnupur, Ukhrul &  Tamenglong
3 Survey education and Treatment  Centre(SET) 17
4 Leprosy Hospital (50 bedded) 1 Chingmeniring, Imphal
5 Temporary Hospitalisation Wards 2 Bishnupur & Thoubal
6 District Leprosy Societies for effective implementation of the programme 8 All Districts

Under World Bank assisted project (1996-97 to 2001-2002) Govt. of India provided cash assistance to the 8 District Leprosy Societies constituted to assist in implementing the programme. So far the World Bank has released Rs. 537.27 lakhs.

To augment the programme Modified Leprosy Elimination Campaign is launched. The first campaign was done from 8 to 14 March 1999 during which 14.59 lakhs population were covered.

2nd round Modified Leprosy Elimination campaign was held from December 1999 to Feb. 2000 about 80% of Medical Officers and 70% of Para Medical staff were given training.

Achievement for the past 5 years.

Year New Cases detection Cases discharged Under treatment PR/10000
Target Achievement (%) Target Achievement (%)
1997-98 200 244(122) 200 392(196) 520 2.36
1998-99 200 393(196.5) 400 234(98) 519 2.35
1999-2000 100 243(243) 500 505(101) 261 1015
2000-01 80 214(267.5) 300 270(90) 207 0.89
2001-02 80 166(207.5) 250 232(93) 142 0.59

National TB  Control Programme (NTCP):

Tuberculosis which has been described as a social disease is still a serious health problem in Manipur despite the control measures taken up for more than 30 years under national TB Control Programme. There is an increase in the incidence of this disease in the State and control of this disease has also become difficult due to emergence of drug resistance cases.

 


National Anti Malaria Programme (NAMP)

Malaria has been a big problem for the State

The State experienced resurgence of Malaria since 1992 which took alarming proportions with 7854 confirmed cases of which  68.1% were P.F. cases resulting to 55 deaths in 1994.

The programme was converted to 100% Centrally Sponsored Scheme (CSS) in December 1994. Henceforth, the operational cost and material cost are borne by the  Govt. of India excepting the salary of Multipurpose workers and the existing non-plan staff.

with active interaction under Modified Action Plan (MA) 1995 guidelines malaria situation has been under control.

Existing infrastructure and Facilities

The state has adequate surveillance machinery. All the Health Institutions up to PHC level have been provided facilities for blood smear examination. At present 2059 Drug Distribution Centres (DDC) amd 680 Fever Treatment Depots (FTD) are functioning in the State.

Epidemiological Data for the past 2 years:

Year Blood Smear Examinded Positive Cases of which pf % of pf Confirmed Death
2000 1.10 1064 380 35.7 Nil
2001 1.04 943 371 39.3 5
2002 (upto May) 0.25 224 91 40.6 Nil

National Programme for Control of Blindness (NPCB)

The objective of this programme is to reduce the incidence of blindness to 0.7% from the estimated present level of 1.35. The following statement shows the report on  N.P.C.B Manipur for the year 2000-01. During the period under report 41,333, patients were treated under N.P.C.B

 


National AIDS Control Programme

AIDS ( Acquired Immuno Deficiency Syndrome) has emerged as a serious public health emergency in Manipur. Its is affecting a number of youths in Manipur. Accoridng to the report published by National AIDS Control Organisation (NACO), Manipur ranks third highest as regards the total number of HIV positive cases, next to Maharastra and Tamil Nadu State.  In order to avert this looming catastrophe the following measures were taken up:

  • 100% blood safety in all the Blood banks in Manipur
  • Introduction of AIDS education in schools
  • 81% doctors, nurses & paranedicals trained in AIDS and related problems
  • Manipur State AIDS policy implemented
  • Various AIDS related  NGOs  are functioning in the State

 


National Iodine Deficiency Disorder Control Programme(NIDDCP)

Iodine defiency is a major public health problem in Manipur. The prevalence rate is 13%(1996). The objective of the programme is to reduce the prevalence rate to below 5% and ensure consumption by all household iodised salt of above 15 PPM.

The government of Manipur has already issued ban notification to the entry sale, storage, transportation of non-iodised salt. IEC activities and monitoring of salt samples through IDD monitoring lab and through field testing kits are the mainstay of the programme. Against the comsumption of iodised salt by 13% household in 1970, the percentage of household consuming salt has reached 96% in 2001-02.

Health Management and Education

Health Management and Education

Department of Health, Govt. of Manipur is managing the services provided through the 4 (four) main division and each division is headed by one Additional Director whose offices are located at Directorate Complex, Lamphel , Imphal Manipur.

  • Public Health (PH)
  • Planning & Finance (PF)
  • Manpower Development (MD)
  • Medical Care (MC)

Details of the activities taken up under these four divisions are as follows:

Public Health (PH) looks after
Supervision, monitoring and co-ordination of National Leprosy Eradication , T.B. Control and Anti Malaria Programme.
Control of Epidemics and containment of Communicable disease outbreaks including Immunization Programmme
Supervision and control of Health Education Bureau – Health Education & Media Coverage
Nutrition and school health programme
Prevention of Food Adulteration (PFA)
Supervision and control of – Blood bank, STD, Drug De-Addiction Centers, NGOs in this regard
To assist as Chairman Screening Committees for claims related to medical Re-imbursement
To assist Member Secretary, Medical Board for National Security Act/Under Trial prisoner
MIS & Vital Statistics
MIS & Health Statistics

 

Planning &Finance (PF), looks after
Assignments of Planning Cell ( Health and Hospital planning, Plan budget and plan expenditure etc.)
Material Management & Purchases
WHO and UNICEF Assistance
Establishment of Grade-III employees (officers, ministerial, technical and non-technical)
Assignments of Accounts & Bill section

 

Manpower Development (MD), looks after
Establishment, Training & Nursing Council  of nurses
Workshops, Seminar, & Meetings
Inspection of Medical Institutions &Technical Audit
Library
Establishment of Grade-IV
General Administration
Indigenous System of Medicine (ISM) & Nature Cure
Trainings: MBBS, MDS, B-pharm, D-pharm, B.Sc (Nsg) & other Para- Technical courses.
In-service trainings of Gaz., Non-Gaz including P.G. courses

 

Medical Care (MC), looks after
Supervision & control of Accidents & Emergencies  – Accidents & Emergencies Care, Disaster Management
Implementation of private clinics/Nsg, Home Registration Act
Supervision &control hospital affairs
Cancer Control Programme
Activities of State Health Transport Organization (SHTO)
To look after the work of state Orphan offices
National Programme for Control of Blindness (NPCB)
Drug administration including Drugs and Cosmetic Acts
All activities of State Medical Board (SMB)
Mental Health Programme

 

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Various Health Institution in Manipur

Health Institutions

The State department of Health is implementing, supervising and monitoring various health programmes and delivers health care services through  health Institutions established at every corner of Manipur.

The list of the Institutions under State Health Department with bed strength is as given below :

Sl. No Name of Institute Number of Institutions No. of Beds Remarks
Total Hill Valley Total Hill Valley
1 State Hospital 1 - 1 200 - 200 JN Hospital
2 District Hospital 7 5 2 355 255 100  
3 T.B Hospital 1   1 100 - 100  
4 Leprosy Hospital 3 - 3 70   70 Including temporary hospitalization ward
5 Maternity & Children Hospital 1 - 1 40 - 40  
6 CHC 16 6 10 314 150 160  
7 PHC 72 36 36 370 238 132  
8 PHSC 420 222 198 - - -  
9 Medical Dispensary 20 13 7 - - -  
10 Homeo Dispensary 8 5 3 - - -  
11 Nature Cure Clinic 1 - 1 - - -  
12 Drug Addiction Centre 7+2 4+2 3 NA NA NA Only 7 are functioning
13 District TB Centre 6 5 1        
14 Mini District TB Centre 2 - 2        
15 STD Clinic 6 5 1        
16 Leprosy Control Unit 4 3 1        
TOTAL 575 304 271 1449 643 802  

The state has a number of private hospitals and nursing homes registered under govt. of Manipur.

 

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Hospital in Manipur, India

Hospitals


Jawaharlal Nehru Hospital (J.N Hospital )

J.N. Hospital also known as State Hospital is being developed into a super-specialty hospital. It is a 200 bedded hospital providing services in 11 clinical disciplines

  • General  Medicine
  • General Surgery
  • Orthopaedics Surgery
  • Gynecology & Obstetrics
  • Pediatrics
  • Neuro-Surgery
  • Psychiatry
  • Dermatology
  • Ophthalmology
  • Otolaryngology
  • Odontology

The clinical disciplines are supported by the Para clinical specialties of

  • Anaesthesiology
  • Radiology
  • Pathology
  • Microbiology
  • Biochemistry
  • Immuno-haematology

The hospital has got a fully licensed Blood Bank.

The major equipment available and giving services to the general public are

  • C.T. Scanner
  • 500 MA X-Ray machine with image intensifier
  • Ultrasound machine
  • Endoscopes for G.I. tract as well as for respiratory tract
  • Haemodialyses
  • Audiometer
  • Operating Microscopes
  • E.C.G machine
  • Anaesthesia machine
  • Multiple Biochemical Auto Analyser

The Department of Nephrology is being developed with the installation of 2(two) Haemodialysis machines. Doctors  have been exposed to short term courses on Urology, Oncology, Neurology, Arthroscopy, Special Surgery and Neurosurgery.

Contact Address of Hospital:

Medical Superintendent
Jawaharlal Nehru Hospital
Porompat, Imphal East, Manipur

Churachandpur District Hospital

This is the biggest district hospital having 100 beds. The hospital provide services in the clinical disciplines of

  • General Medicine
  • General Surgery
  • Orthopedics Surgery
  • Gynaecology & Obstetrics
  • Pediatrics
  • Psychiatry
  • Dermatology
  • Ophthalmology
  • Odontology
  • E.N.T

The hospital is backed up by a full fledged Blood Bank and laboratory manned by a Pathologist.

Among the major equipment installed in the hospital
i) 300 MA X-Ray machine and
ii) ultrasound machine are worth mentioning.

A new OPD block has been constructed and inaugurated during May 2002.


Other District Hospitals

The state has 13 Hospitals including 7 District Hospitals and 1 -State level Hospital ( JN Hospital) as referral Centre. District hospitals in the State other than Churachndpur district hospital have beds ranging from 25 to 50. These  hospitals are handicapped due to absence of Blood Bank. As a result of which major operations are not performed regularly. Construction of blood banks is going on Ukhrul and Tamenglong districts.


Private Hospitals and Clinics

The state has number of private hospitals, nursing homes and clinics. These private health institutions are registered under the  State Health Department.  Detail of the Registered Nursing Homes and Clinics under  the Department as on 30.6.2002 are as follows :

Sl.No Name of the Centre No. of  Beds No. of Doctors & Employee Facility
1 OM Clinical Lab
RIMS Road
Imphal, Manipur
NIL 1 Routine Lab Investigation
2 Cecil Medical Lab
RIMS Road
NIL 3 -do-
3 Leirik Memorial Charitable Women’s Hospital and Maternity Home, Sangaiprou, Airport Road, Imphal 30 3 Gynae & Obstetrical cases
OPD + Inpatient
4 Babina Clinical Lab
RIMS Road, Imphal
NIL 1 Lab Investigation
X-Ray, U/Sound
5 Mona Clinical Lab
Kombirei Keithel, Imphal
Nil 1 -do-
6 Associated Chamber of Commerce Medical Care and Research Centre, Thangal Bazar, Imphal 40 8 Gynae & Obstetrical cases
OPD + Inpatient
Medical/Surgery
7 Dr. Mao Dental Clinic
Thngal Bazar, Imphal
Nil 1 Dental Service
8 Sapam X-Ray Clinic
RIMS Road, Imphal
Nil 1 X-Ray, U/Sound
9 Langol View Charitable Clinic and Maternity Home,
Kombirei Keithel, Imphal
24 5 Maternity,
OPD + Inpatient services
10 Emo Optical Centre,
RIMS Road, Imphal
Nil Nil Refractionists
11 Sangai Optical Centre,
Masjid Road, Imphal
Nil Nil -do-
12 Leo Optics,
Paona Bazar, Polo ground Road, Imphal
Nil 1 -do-
13 Ranjan Clinical Lab,
BT Road Imphal
Nil 1 Lab Investigation
X-Ray, U/Sound
14 Catholic Medical Centre,
Koirengei, Imphal
40 6 Gynae & Obstetrical cases
OPD +Inpatient
Medical/Surgery
15 Joy Guru Optical Shop,
Thangal Bazar, Imphal
Nil Nil Refractionists
16 Shija Hospital & Research Centre
RIMS Road, Imphal
25 15 Gynae & Obstetrical cases
OPD + Inpatient
Medical/Surgery
Lab Facilities
17 Get-Well Clinic
Near Khuman Lampak, Imphal
6 1 Homeo Treatment
18 Imphal Hospital & research Centre
RIMS Road, Imphal
25 8 Gynae & Obstetrical cases
OPD + Inpatient, ENT
Medical/Surgery
Lab Facilities
19 Ching Tam Oral & Dental Clinic
Khoyathong, Imphal
Nil 1 Dental Surgery
20 Jobeon Imaging Clinic
RIMS Road, Imphal
Nil 1 X-Ray,
U/Sound
21 Yumnam Eye care Centre
RIMS Road, Imphal
Nil 1 Treatment of eye Diseases
Refraction
22 Kshetri ECG Centre
RIMS Road, Imphal
Nil Nil ECG Cases
23 Adarsh Lab Clinic
Kangla Park, Imphal
Nil 1 Lab Investigation
24 Lamphel X-Ray & Lab Clinic & AFCUS
RIMS Road, Imphal
Nil 1 X-Ray,
U/Sound
25 Leishiphung Christian Hospital
Ukhrul
30 4 Gynae & Obstetrical cases
OPD + Inpatient
Medical/Surgery
26 Berean Medical Centre
Ukhrul (merged with Leishiphung Christian Hospital wef March 2002)
9 1 Gynae & Obstetrical cases
OPD + Inpatient
Medical/Surgery
27

 

Public X-ray 7 clinical Lab
RIMS Road
Nil 1 X-Ray,
U/Sound
28 Sielmat Christian Hospital
Churachandpur
25 2 Gynae & Obstetrical cases
OPD + Inpatient
Medical/Surgery
29 Bethsaida Hospital
Churachandpur
15 2 General Medicines
30 Health Care Centre
Wangjing, Thoubal
8 1 Homeo Treatment
31 Sanasam X-ray & lab Clinic
Thoubal
8 1 X-ray &
Lab Investigation
32 Daya Clinic
Moirang, Bishnupur
5 2 Maternity Cases

Regional Institute of Medical Sciences (RIMS)

Regional Institute of Medical Sciences (RIMS) was established on 14th Sept. 1972 in a picturesque Lamphelpat at the heart of Imphal, the capital city of Manipur.
Imphal is well connected by air with the rest of the country. It is also connected by road through Dimapur (Nagaland) and Silchar ( Assam) at a distance of 215 Kms. and 245 Kms. respectively.

This Institute is a joint venture of the north eastern states viz. Manipur, Meghalaya , Mizoram, Nagaland, Tripura and Arunachal Pradesh. It is fully funded by the Government of India through the North Eastern Council (NEC) and the six beneficiary states.

The campus of the Institute occupies 192 acres of land and comprises of 881 bedded hospital and 25 major departments including super specialties with an extensive area of residential campus for the staff and adequate hostel accommodation for the students.

The administration of the Institute was with the Government of Manipur till 31st July, 1976. Subsequently, from Ist August 1976 it was managed by an autonomous registered Society of Registered Institute of Medical Sciences, Imphal.

The administration and management of the Institute vested to the Executive Council and the Board of Governors with the Secretary of NEC and the Hon’ble  Chief Minister of Manipur as Chairman respectively. The Director of the Institute is the Ex-officio Member Secretary for both the council and the Board. All the Health Ministers of the six beneficiary states, Secretary of NEC, Secretary Home, Secretary Health and DGHS.  Government of India are the members of the Governing Body. The Health Commissioners of beneficiary states , a representative of Manipur University, a representative of Central Government and a representative of academic staff of the Institute are the members of the Executive Council.

The RIMS Hospital has 881 bed strength. Round the year,  Doctors are attending number of OPD patients and numbers of patients are admitted in the hospital. There had been better nursing care with the induction of more staff nurses. It has 18 clinical departments, Casualty and emergency ward and a blood bank. Number of voluntary donors are donating blood and the blood bank continues to provide blood whenever needed. It has a stand-by Diesel Generator of 250 KVA capacity also.

For the welfare of the retired employees of RIMS, a separate pension scheme is also implemented.

Educational Activities & Achievement ( as on Aug, 2002)
1. Undergraduate:
Enrolment
Intake capacity                    : 100 per annum
No. of students( in roll)        : 510
No. of doctors produced       : 1764 ( as on 31/8/02
2. Postgraduate (Degree)
(a) Enrolment
Intake capacity                    : 52 per annum
No. of students( in roll)        : 155
No. of doctors produced       : 251( as on 31/8/02
(b) Department having P.G, Courses
M.S 1 General Surgery
2 E.N.T (Otorhinolaryngology)
3 Ophthalmology
4 Orthopaedics
5 Anatomy
MD 1 General Medicine
2 Obstetrics & Gynecology
3 Pediatrics
4 Anesthesiology
5 Biochemistry
6 Psychiatry
7 Physiology
8 Pharmacology
9 Forensic Medicine
10 Pathology
11 Community Medicine
12 Microbiology
13 Radiotherapy
14 Radio diagnosis

 

3. Diploma Courses:
(a)  D.C.P. ( Diploma in Clinical Pathology)
Enrolment
Intake capacity                    : 2 per annum
No. of students( in roll)        : 4
No. of passed students         : 18 ( as on 31/8/02
(b) D.A. (Diploma in Anesthesiology)
Enrolment
Intake capacity                    : 4 per annum
No. of students( in roll)        : 8
No. of passed students         : 12 ( as on 31/8/02)

 

Important facilities Available at RIMS, Imphal
Hospital: ICU
ICCU
Dialysis
GI Endoscopy
Selection & TPG
Advance dental X-ray
CT Scan
ESWL
Carm image intensifier
Arthroscope
Interlocking nail
Tread mill stress testing system
FAC scan
MRI
Library: It is a Regional Medical library with the facilities of Internet and MEDLARS
Lecture Hall: There are 9 (nine) Lecture Halls
Indoor Stadium: with Gallery
Auditorium: Known as Jubilee Hall with 1000 capacity
Canteen: 2 (two) in the RIMS complex
Hostels: 2 PG Hostels, 6 MBBS students hostels ( Boys & Girls separate)
Quarters & Guest House: 249 Quarters and 1 Guest House
Bank: A branch of UBI is in the campus
Centres: * State medico legal centre at Forensic Medicine department.
* One of the 8 AIDS referral centers of India at Microbiology Dept.
* 6 (six) bodies cold storage in Anatomy & Forensic Dept.

 

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Manipur Health Services

April 4, 2011 1 comment

Organisation: The State Health Department of Manipur fully is committed in the total health cafe of its people in the spirit of Heath for All. The priority of the Department is to provide the optimum health needs of the people in general and particularly to those living in  Rural and Tribal areas of the State.

A complete chart showing the department’s  organizational structure can be found either in the following MS WORD format or PDF format.

The Health system of the State is based upon the Primary Health  Care approach as envisaged in the   National Health Policy of 1983 with the objective of attainment of “Health for All” and “All for Health

The three tier administrative set up of the Health Services in the State is as follows :

The highest level of the organisation is the Administrative level.  A cabinet Minister heads it and major decisions concerning policies, programmes and proposals are taken at this level. The minister is supported by a Commissioner/Secretary, Joint Secretary, Deputy Secretary and under Secretary of Manipur Secretariat .

At directorate level, the department  is headed by the Director as the Technical and health  Administrator of the state. The Director is  assisted by Additional Directors, Joint Directors and Deputy Directors to give direction and undertake planning, supervision, evaluation and monitoring of various health programmes taken up in the  state of Manipur.

The District level Health Administration is organised through the Chief Medical Officer (CMO) as the head who is assisted by District Level Programme Officers. The District Health Organization is responsible for implementation of various health programmes under primary health care through a network of various health care centres and hospitals in the district.

A complete chart showing the District level Health Administration structure can be found either in the following MS WORD format or PDF format.

Health Infrastructure: The state has altogether 539 Primary Health Care Institutions,  13  hospitals including one state level hospital (J.N Hospital) as referral centre and 7 District Hospitals. Other  9 Drug de-addiction centres, TB Centers at 6 districts, 4 Leprosy Control Unit and 6 STD Clinics tea  are functioning in the State.

Health Manpower: A total of 626 Medical officers, 37 dental surgeons, 321 pharmacists, 235 staff nurses, 148 male heath supervisors and 412 female health workers are working in various institutions of the organization. Out of a requirement of 260 clinical specialists, only 107 are available with the organization to cater to the needs of the people of Manipur.

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