HARYANA HEALTH SCENARIO
Government of Haryana is committed to provide quality health care to its all citizens. The Health Department has been constantly upgrading itself in terms of infrastructure, human resources, equipments, drugs etc. Health Department in the State is responding to the health needs of all categories of its populace including infants, children, adolescents, mothers, eligible couples and the elderly in addition to the sick and trauma victims. Also, there is a constant endeavour to keep communicable and non-communicable diseases in check and to have strong systems of recording, reporting and planning.
The State Govt. is committed to provide quality healthcare services to all citizens of the State. At present, the health services are being provided through a network of 63 Hospitals, 125 Community Health Centres, 509 Primary Health Centres and 2,636 Sub-Health Centres. In addition to this, there are 7 Trauma Centres, 3 Burn Units and 57 urban Dispensaries/Polyclinics. There is a constant endeavour to keep communicable and non-communicable diseases at check and to have strong and robust systems of recording, reporting and planning. For the financial year 2018-19, the budget estimates of the Health Department is ` 2,588.54 crore. 6.3 The budget provision of ` 150 crore has been made for construction of various health institutions during financial year 2018-19. Administrative approval has been issued for the construction/ upgradation of 4 Civil Hospitals, 3 CHCs, 12 PHCs and 5 Sub – Health Centres and 1 GNM Training School.
Mukhya Mantri Muft Ilaj Yojana 6.4 Under Mukhya Mantri Muft Ilaj Yojana, 7 types of services, namely surgeries, laboratory tests, diagnostics (X-rays, ECG and Ultrasound services), OPD/ indoor services, medicines, referral transport and dental treatment are being provided free of cost. In addition to this, during the current financial year, radiology services of CT Scan and MRI and haemodialysis are also free for needy patients e.g. BPL patients, patients belonging to Scheduled Castes (SC) category, residents of urban slums, patients receiving handicap allowance, Haryana Govt. employees & pensioners and their dependents, unattended road side accident victims and poor patients who do not belong to any of the above categories. Cath Lab services are free for BPL, SC patients.
6.5 During financial year 2017-18, ` 33 crore were spent. It is estimated that during the current financial year 2018-19, an amount of ` 40 crore will be utilized for the needy patients under this scheme.
Public Private Partnership 6.6 Under Public Private Partnership mode, State Govt. is providing CT Scan, MRI, Haemodialysis and Cardiac Catheterization (Cath Lab) services to the people. CT scan services are available in 15 district Civil Hospitals (Bhiwani, Faridabad, Panchkula, Gurugram, Kaithal, Kurukshetra, Sonipat, Yamunanagar, Palwal, Jind, Sirsa, Ambala City, Ambala Cantt, Rohtak and Panipat) MRI services are available in 4 district Civil Hospitals (Panchkula, Faridabad, Gurugram and Bhiwani) Haemodialysis services are operational in 7 Civil Hospitals (Panchkula, Gurugram, Jind, Faridabad, Sirsa, Hisar and Ambala Cantt) Cardiology services, i.e. CATH Lab and Cardiac care units and services like angiography, angioplasty and 20 bedded Cardiac Care Units have been established at Civil Hospital of Ambala Cantt, Panchkula, Faridabad and Gurugram. Cath Lab services are free for BPL and SC patients. Limited Cashless Medical Services Scheme 6.7 A Limited Cashless Medical Services for Haryana Govt. employees and pensioners that was launched in 2017 is applicable only for 6 life threatening conditions, namely cardiac emergencies, accidents, 3rd and 4th stage cancer, coma, brain haemorrhage and electrocution. This scheme is applicable at all Govt. Medical Colleges, all district Hospitals and other health institution of Haryana Govt. and all private hospitals empanelled under Govt. of Haryana. Regular employees, spouse/dependent of employee and pensioners will also be entitled to avail the benefits in this scheme with no upper financial limit. 6.8 In the financial year 2018-19, the total budget allocation for the purchase of medicines was ` 93 crore and a total of ` 50 crore was allotted for purchase of machinery and equipments. 6.9 The State recorded 92.9 percent institutional deliveries upto December, 2018. On the basis of birth registration, sex ratio at birth up to December, 2018 was calculated as 914. The sex ratio at birth for the month of December was 929. 6.10 In a redoubled effort to curb illegal sex determination, 48 Ultrasound Centres carrying out illegal sex determination were sealed by the department during the financial year 2017-18. Under the PNDT Act. 56 court cases were launched against erring medical practitioners and 70 FIRs have been registered. 14 persons have been convicted. Non-Communicable Diseases 6.11 The Health Department is also giving full attention to non-communicable diseases (NCD). In the financial year 2018-19, till November, about 10,70,927 patients attended the NCD clinics at district Civil Hospitals of the NCD implementing districts. Population Based Screening (PBS) is a continued activity in 5 districts for common NCDs (Diabetes Hypertension, Breast, Cervical & Oral Cancer) which include Ambala, Gurugram, Panchkula, Sirsa & Yamuna Nagar. This activity is being extended to other districts. Under this, population above 30 years of age are being screened for common NCDs (Diabetes, Hypertension, Cancer-breast, Cervix, Oral Cavity). Haryana has secured I st Rank in the country for Best Performance in National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). Quality Assurance 6.12 Implementation of Quality Assurance programme is being led by Haryana State Health Resource Centre through State Quality Assurance Unit at the headquarter and District Quality Assurance Units at districts. 32 facilities have been nationally certified as per the National Quality Assurance Standards (NQAS). Haryana became the first state in the country to get UPHC Krishnanagar Gamri Nationally Certified. District Civil Hospital, Rohtak achieved the distinction of getting maximum 96 percent score in National Certification and was honoured in 12th National Quality Conclave held at Kaziranga (Assam). 6.13 Four PHCs have been accredited by National Accreditation Board of Hospitals and Healthcare Providers (NABH). 6.14 The Lab of District Civil Hospital, Panchkula also became Ist Lab in Public Health sector in Country to get NABL certification. Kayakalp Programme 6.15 In the Financial year 2018-19, Kayakalp Programme was implemented in 332 facilities across 22 districts (22 DCH, 23 SDH, 78 CHCs and 209 PHCs) under which 21 PHCs achieved Ist rank and 43 PHCs are being recommended for commendation awards. SDH Ambala Cantt achieved Ist rank and 11 facilities are being recommended for commendation awards. District Civil Hospital, Faridabad achieved Ist Rank and 7 DCH received commendation awards. Trainings 6.16 Trainings for medical and paramedical staff are being conducted at State Institute of Health and Family Welfare, Panchkula. New initiatives that have been undertaken in the field of trainings include Certificate Course in Evidence Based Diabetes Management, Accident and Emergency Care Services training, mid-career training of senior medical officers/senior staff nurses and American Heart Association certified course in Basic Life Support and Advanced Cardiac Life Support provider courses. Ayushman Bharat 6.17 The pilot launch of the scheme was conducted across the country on 15.8.2018. Haryana was the Ist State in the claim under the PMJAY scheme. Till date an amount of ` 3.21 crore has been released in payment of total 2,371 claims. Upto November, 2018, total 3,39,238 golden records have been generated under the scheme
NATIONAL HEALTH MISSION 6.18 Under the National Health Mission Programme, Haryana has brought down its Infant Mortality Rate by 8 points from 41 to 33 per thousand live births, as well as Neonatal Mortality with 4 points from 26 to 22 per thousand live births (SRS, 2016 report released in September, 2017):- • Haryana has brought down its Under 5 Mortality to 37 per thousand live births with a remarkable 6 points dip. • Haryana has been crowned with the best score in the country for Special National Care Unit (SNCU) and Special Quality of Care Index (SQCI) as per fact sheet shared during National Child Health Review cum workshop in October, 2017 organized by Ministry of Health and Family Welfare. • Haryana is among first few states to have developed Haryana New Born Action Plan (HNAP) in response to India New Born Action Plan (INAP) to address state specific challenges and to provide consistent guidance to districts for planning, implementation and review. • The State has initiated the process of establishing Kangaroo Mother Care Units (KMCU) and has provided the budget for establishing 8-10 bedded Kangaroo Mother Care Units (KMCU) in all the 22 SNCUs of 22 districts. 14 districts have already successfully established KMC units. KMC Units at PGMIS Rohtak, Civil Hospital Jind, Hisar and Panchkula have been established recently in the year 2018. • The State has launched MeaslesRubella Campaign on 25th April 2018. As per the consolidated report dated 17th July 2018, total 73,64,499 beneficiaries out of the 74,38,481 targeted beneficiaries (Age group 9 months-15 years) have been vaccinated in MR campaign, with 99 percent coverage. • Haryana is the first State which has taken initiative to launch the Pneumococcal Vaccine from the State resources, for which MoU has been signed with UNICEF for procurement of Pneumococcal vaccine worth ` 84 crore in year 2017. The Pneumococcal vaccine has been launched on 2nd November, 2018.
Maternal health indicators have improved in the State significantly. As per the latest MMR bulletin released in May, 2018, MMR of Haryana has reduced remarkably by 26 points to 101 (SRS-2014-16). • National Health Mission, Haryana received “SKOCH Gold Award” and “SKOCH Order of Merit Award” for Maternal Health Innovations for ensuring compassionate patient care and reducing Maternal Mortality Ratio on 10th March 2018. • Haryana has been awarded with PMSMA “I pledge for 9” Achievers Award for its exemplary performance under PMSMA. The award was presented by Hon’ble Union Minister of Health and Family Welfare in New Delhi on 29th June, 2018. • High Risk Pregnancy Management Policy and Portal of the State has been appreciated by Niti Ayog and Union Ministry of Health and Family Welfare and had selected it as “best practice” for presentation in the conference of 115 backward districts organized by Niti Ayog on 5th January, 2018 under the chairmanship of Hon’ble Prime Minister of India. Haryana is the first State in the country to devise and launch HRP policy and portal. • In Haryana, Institutional Deliveries have increased from 43.3 percent in 2005 to 92.9 percent in 2018 (CRS till September, 2018) and Govt. Institutional Deliveries from 16.30 percent in 2006 to 51.5 percent in 2018 (CRS till September, 2018). Civil Hospital, Rohtak was awarded certificate of merit for achieving the highest score in National Quality Assurance Standard (NQAS) in the country for the year 2017-18.
Haryana has secured 1st Rank in the country for Best Performance in National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)programme implementation regarding which MOH&FW, Govt. of India has been awarded Certificate of Merit in 5th National Summit on Good, Replicable Practices & Innovations in Public Health Care Systems in India held in Kaziranga, Assam from 30th October, 2018 to 1st November, 2018. • 5 New Born Ambulances have been added to the fleet (Ambala, Bhiwani,Fatehabad, Narnaul, Mewat) for taking care of sick neonates which require ventilator support during the transportation to the higher health facilities. This will help in reducing the Infant Mortality Rate (IMR). • Under Digital India, ANMOL – ANM online application, tablet based application is launched in 9 districts of the State. Through ANMOL tablet, ANM will upload data of pregnant women, mothers and newborn in Haryana at the session site itself for better authentication of data. The Key Health Indicators of National Health Mission is given in Table 6.1.
Table 6.1- Key Health Indicators of National Health Mission in the State.
Sr. No. Indicator with Source Year Year 2013-14 2018-19
1 Neonatal Mortality Rate (NMR) 26 (SRS 2013) 22 (SRS 2016)
2 Infant Mortality Rate (IMR) 41 SRS 2013) 33 (SRS 2016)
3 Maternal Mortality Ratio(MMR) 127 (SRS 2013) 101 (SRS 2014-16)
4 First Referral Unit 40 (including 2 urban 50 (including 2 urban
FRU in Faridabad FRU in Faridabad) 2017-18
5 Under-5 Mortality Rate 45 (SRS 2013) 37 (SRS 2016)
6 Sex Ratio at Birth (CRS) 868 (CRS 2013) 900 (CRS 2016) 914 (CRS 2017) 7 Institutional Delivery(HIMS) 90.37 % (CRS 2017) 92.9% (upto Nov. 2018,CRS)
8 Full Immunization HMIS 85.7 % 85 % (upto Sept. 2018)
9 ASHA 16,800 93.33% 19,989 (96.60%) (upto December, 2018)
10 Special Newborn Care Units SNCU 15 22 (2017-18)
11 New Born Stabilizing Units NBSU 52 66 (2017-18)
12 New Born Care Corners NBCC 192 318 (2017-18)
Source: National Health Mission, Department, Haryana.
AYUSH 6.19 The Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH) Systems of Medicine have an age old acceptance among various communities in India. They are time tested and validated by thousands of years of use during which they have played role in prevention and mitigation of diseases. AYUSH System of Medicine has important role in the prevention and management of many life style related chronic ailments where modern medicines are not so successful. 6.20 AYUSH Department, Haryana is providing medical relief, medical education and health awareness to the masses particularily in the rural areas. For this purpose 4 Ayurvedic Hospitals, 1 Unani Hospital, 6 Ayurvedic Prathmic Swasthya Kendras, 465 Ayurvedic Dispensaries, 18 Unani Dispensaries, 20 Homoeopathic Dispensaries and 1 Institute of Indian Systems of Medicine and Research (IISM&R), Panchkula are functioning. 6.21 Besides this, 33 AYUSH Dispensaries (29 Ayurvedic, 2 Unani & 2 Homoeopathic) including 3 Speciality Clinics of AYUSH (Gurugram, Hisar, Ambala) & 1 Specialized Therapy Centre (Jind) have been relocated and upgraded as AYUSH Wing in 2009-10, 21 AYUSH Wings at District Hospitals & 98 AYUSH IPD (Polyclinic) at CHCs, 109 AYUSH OPD at PHCs are providing medical relief to the masses. 6.22 The department is providing medical education in Haryana through Shri Krishna AYUSH University, Shri Krishna Govt. Ayurvedic College, Kurukshetra. 12 Ayurvedic and 1 Homeopathic College are also running by private management in private sector. The Gram Panchayat Fathuhpur has provided 94 acre 5 Kanal 1 Marla land for AYUSH University on lease basis. 6.23 To promote Ayurvedic education in the state another Govt. Ayurvedic College has been constructed at Village Pattikara (Narnaul). The manpower for the hospital has been sanctioned. 6.24 For the Establishment of “Post Graduate Institute of Yoga & Naturopathy Education and Research” at Deverkhana (Jhajjar), 83 Kanal land has been provided to Govt. of India. The Govt. has approved the proposal of department in principle. 6.25 The foundation stone of Govt. Unani College & Hospital at Village Akera, District Nuh has been laid on 14.7.2018. Govt. of India has decided to set up a National Level Institute for Ayurvedic Treatment, Education and Research with 250 beds IPD (100 Ayurveda & 150 Naturopathy) and catering for 500 students every year offering UG, PG, Ph.D degrees. 6.26 The Govt. of Haryana as well as Shri Mata Mansa Devi Shrine Board has provided 19.87 acre of land of Shri Mata Mansa Devi Shrine Board, Panchkula on lease to the Ministry of AYUSH, Govt. of India, New Delhi. • There is a proposal of Govt. of India to establish National Research Institute in Unani Medicine for NCDs with 120 beds IPD in NCR in the State of Haryana. The State Govt. has sent a proposal to the Secretary Govt. of India, Ministry of AYUSH, New Delhi vide letter dated 1.9.2017 to offer the land measuring 68 Kanal 17 Marla (approx. 9 Acre) of Gram Panchayat Kheri Gujran, district Faridabad within the NCR to set up National Research Institute in Unani Medicine for NCDs with 120 beds IPD. • The State Govt. has agreed to setup the 50 bedded integrated Govt. AYUSH Hospital at Mayyer, Hisar. Land measuring 15 Acre and 7 Marla has been identified and has been transferred for a period of 33 years at the rate of ` 1 per acre per year in the name of AYUSH Department, Haryana.
6.27 An expenditure of ` 109.92 crore under Plan Recurring/Non-plan schemes and ` 42.17 crore under Plan/Non-Plan/Recurring Plan schemes for Ayush Department has been incurred during the year 2017-18. During the year 2018-19, ` 149.03 crore under Plan (Non- Recurring/Plan) and ` 132.81 crore under Plan (Recurring/Non-Plan) schemes have been approved for Ayush Department.
ESI HEALTH CARE 6.28 ESI Health Care, Haryana is providing comprehensive medical services and facilities under Employees State Insurance Act, 1948 to 31.25 lakh Insured Persons (IPs) and their dependent members through 7 ESI Hospitals (4 ESI State Hospitals + 3 ESI Corporation Hospitals) and 79 ESI Dispensaries including 3 Ayurvedic Units & 1 Mobile Dispensary located in all over the State. State Govt. provides primary and secondary care to IPs and their dependents. Tertiary care (Super Specialty Treatment) is also being provided by ESI Health Care through private hospitals (empanelled by Employees State Insurance Corporation). Major Activities/Achievements 6.29 Sanction has been granted by the Govt. regarding opening of 100 bedded ESI Hospital at Bahadurgarh (Jhajjar) and in-principle approval has been received from ESIC Coprporation New Delhi. Construction for this building is to be done by ESIC. For this hospital, 5 acre land has been earmarked by HSIIDC. Payment of ` 2.80 crore (10 percent of plot value) has been deposited with HSIIDC for allotment of plot. The estimated cost of this project is ` 60-70 crore. • Sanction has been granted by the Govt. regarding opening of 100 bedded ESI Hospital at Bawal and in-principle approval has been received from ESIC, New Delhi. Procurement and construction for this building is to be done by ESIC (HQ), New Delhi. HSIIDC has agreed for allotment 5.08 acre land at a price of ` 14.02 crore out of which ` 4.69 crore has been deposited by ESIC Corporation HSIIDC. The estimated cost of this project is ` 60-70 crore. • Insurance Medical Practitioner (IMP) System was implemented to provide primary medical facilities to IPs and their families in Shahabad (Kurkshetra) & Charkhi Dadri and medical facilities were provided by them upto dated 31.12.2017. After that extension has been given to Shahabad (Kurkshetra) IMP upto 30.4.2019 or selection of new IMP (whichever is earlier).
• Two Private/Charitable Hospitals have been empanelled to provide secondary health care/medical facilities to IPs and their dependents of Ambala region at C.G.H.S. rates on cashless basis and delivery of medical facilities/services was started from 8.9.2015 and upto 7.9.2017 and now extension has been given to Rotary Ambala Cancer & General Hospital, Ambala Cantt. upto 31.3.2019 till new empanelment. • Apointment letters were issued to 76 MPHW(F) recommended by Haryana Staff Selection Commission and out of that 74 have joined. Apartment letters were issued to 3 OTA recommended by Haryana Staff Selection Commission and all 3 have joined. • Sanction has been granted by the Govt. to appoint 26 retired Doctors for providing medical facility in ESI institutions. • List of 12 Clerks has been recommended by Haryana Staff Selection Commission and appointment letters have been issued by the Department. • Sanction has been granted by the Govt. to open 5 Doctors ESI Dispensary at Jhajjar and inprinciple approval has been received from ESIC. Starting of this dispensary is under process. • Sanction has been granted by the Govt. to open 3 Doctors ESI Dispensary at Gohana and in principle approval of 1 Doctor has been given by ESIC. Starting of this dispensary is under process. • Sanction has been granted by the Govt. to open new ESI Dispensary at Barsat Road, Panipat to provide the health services to IPs and their families whose in-principle approval has not been received from ESIC after that dispensary will started. The budget of ESI scheme, Haryana is given in Table 6.2 6.30 Projects/Programmes-2019-20: (i) Opening of new ESI Dispensary at Taraori (Karnal), Kurukshetra and Kaithal. (ii)Opening of New ESI Dispensary at Charkhi Dadri in lod implemented areas. (iii) Construction of building for 100 bedded ESI Hospital at Bahadurgarh (Jhajjar) by ESIC. (iv) Construction of building for 100 bedded ESI Hospital at Bawal (Rewari) by ESIC. (v) Construction of building for Directorate, ESI Health Care, Haryana at Sector 14, Panchkula by ESIC. (vi)Construction of building for ESI Dispensary at Panchkula in Industrial Area Phase- 1, Panchkula by ESIC.
Table 6.2- Budget of ESI Scheme Haryana for the year 2018-19. (` in lakh)
Name of Scheme State Share 1/8th ESIC/Centre Share 7/8th Grand Total
Budget under ESI Scheme 1,987.50 13,912.51 15,900.01 100%
ESIC Share Basis 0 100.00 100.00
Total 1,987.50 14,021.51 16,000.01
Source: Employees State Insurance Department Haryana
MEDICAL EDUCATION & RESEARCH 6.31 The Department of Medical Education & Research was established vide Govt. Notification dated 4th September, 2014 for estiablishement, up-gradation, expansion and relgulation of medical and research. The total Budget of the Department of Medical Education & Research in the financial year 2018-19 is ` 1343 crore.The State Govt. is providing quality education through various Medical, Dental, Ayush, Nursing & Para medical Institutions in the State. The current states of Institutes working in the State is given in Table 6.3.
6.32 In Addition, Essentiality Certificate have been issued to 4 Societies/Trusts and Letter of Intent have been issued to 3 Societies/ Trusts to establish Medical Colleges in Private Sector.
Realizing the importance of Medical System within this holistic and personalized system of Medicare, the Govt. has initiated a number of steps for its promotion. The Govt. has established 3 new Govt. Medical Colleges in the State, namely i.e. Bhagat Phool Singh Govt. Medical College for Women, Khanpur Kalan- Sonipat, Shaheed Hasan Khan Mewati Govt. Medical College, NalharNuh and Kalpana Chawla Govt. MedicalKarnal. BPS Govt. Medical College for Women, Khanpur Kalan Sonipat
6.33 Bhagat Phool Singh Govt. Medical College for Women, Khanpur KalanDistrict Sonipat, Shaheed Hasan Khan Mewati Govt. Medical College, NalharNuh and Kalpana Chawla Govt.
Medical- Karnal and is in the process of establishing 4 more Govt. Medical Colleges in the State in district Bhiwani, Jind, Gurugram and Narnaul.
Pandit. Deendayal Upadhya University of Health Sciences (UHS), Karnal. 6.34 In adddtion to Pt. B.D. Sharma, University of Health Sciences (UHS), Rohtak, the State Govt. in the year 2015 decided that a Health University as a center of Excellence will be established in Village Kutail, District Karnal. The proposed Health University will have 500 beded Super Specialty Hospital with attached emergency and ICU beds etc., including 50 beds of Trauma Centre offering Post Graduate, Post Doctoral Courses. UHS will have the Department of Biotechnology, Experimental Medicine, Advance Research Centre in Genetics, Immunology and Virology etc., Dental College, Pharmacy College, Mental Health Institute & Sports Medicine. • 144 acre 2 Marla of land has been leased out to Department of Medical Education and Research by Gram Panchayat, Kutail. • In the campus of UHS College of Nursing & College of Physiotherapy are being constructed with Prefab Technology (pre-organized light gauge steel with PVF panels). 79 percent of the civil construction work is already completed. Procurement of furniture, medical equipment, recruitment of staff is under process simultaneously. • Admission to the Academic Session 2018-19 has started with 40 seats in College of Nursing and 30 seats in College of Physiotherapy.• The construction work of UHS has been awarded to B&R. The project will be completed in 30 months. • There is a provision of ` 50 crore in the State Budget under capital outlay during the current financial year 2018-19 for this project. The estimated cost of the project is ` 800 crore. Govt. Medical College, Bhiwani 6.35 Bhiwani District in Haryana has been identified by Ministry of Health and Family Welfare, Govt. of India for opening new Medical College under Centrally Sponsored Scheme. • 60 percent of cost ` 189 crore would be met by Central Govt. and remaining 40 percent by the State Govt. • The existing 300 bedded District hospital at Bhiwani will be upgraded to teaching hospital. • The land measuring 37 acre for college in village Prem Nagar which is approximately 7 km from Bhiwani, at Bhiwani-Hansi Road has already been transferred to the department. • The construction work of UHS has been awarded to PWD (B&R). The estimated cost of Project is ` 372 crore and the project will be completed in 27 months time. Govt. Medical College, Jind 6.36 Govt. Medical College is being established in village Haibatpur at Jind in 24 acre of land. The foundation stone has already been laid down. The boundary wall at the site is being constructed by PWD (B&R). Bids have been received and the process of finalizing the executing agency is under process. The estimated project cost is ` 550 crore.
Govt. Medical College & Hospital, Gurugram 6.37 Gurugram Metropolitan Development Authority (GMDA), Munipal Corporation, Gurugram (MCG) and Shri. Sheetla Mata Devi Board Shrine (SSMDSB) have jointly proposed to establish a new Medical College and Hospital in Gurugram. The land measuring 29 acre 2 kanal 4 marla in Village Kherki Majra on the outskirts of the Municipal jurisdiction and belonging to the Corporation, has already been identified for the said project. The estimated project cost is ` 500 crore. The project cost will be shared as 40:40:20 ratio.The bids have been received and the process of finalizing the executing agency is under process. Establishment of Govt. Medical College and Hospital at Narnaul 6.38 State Govt. has approved the proposal for establishment of Govt. Medical College in Village Koriyawas, District Mohindergarh and land measuring 79 acre has been leased out in the name of the Department. The construction work has been awarded to PWD (B&R) Haryana and the estimated project cost is ` 500 crore. Dental College at SHKM GMC, Nalhar- Nuh 6.39 To take care of oral health of people, the State Govt. is setting up a Dental College in the existing Shaheed Hasan Khan Mewati Govt. Medical College, Nalhar- Nuh. The project has been approved by the Standing Finance Committee at an estimated cost of ` 135 crore. PWD (B&R) has been appointed as the Executing Agency for the construction of Dental College. Govt. Nursing Colleges in Districts Faridabad, Rewari, Kaithal, Kurukshetra and Panchkula
6.40 Nursing Education is one of the primary allied health education at present because of the huge demand in the market due to the expansion in curative health care system. 6 CM Announcements have been made for nursing colleges in the State of Haryana in the above mentioned districts. The budget of ` 20 crore is available with the department under the capital Head-4210 for construction of these Nursing Colleges. The work of construction of these Nursing Colleges has been allotted to HSVP (Haryana Shehri Vikash Pradhikaran). The building site plan of the nursing collage have already been prepared by the Chief Architect Haryana and their appointment is under consideration. National Cancer Institute, Badhsa, District Jhajjar 6.41 National Cancer Institute, Village Badhsa Jhajjar is a Govt. of India Project and implemented by AIIMS, New Delhi. The State Govt. has allotted 300 acre of land to AIIMS, New Delhi for this project. The National Cancer Institute with 710 beds is Govt. of India’s largest financial investment in a single hospital project with the project cost of ` 2,035 crore. NCI would be Apex Centre having Translational Research in Prevention/ Treatment and care for Cancer patients. The Institute would be the first one to have Proton facility for the treatment of advanced cancers in Northern India. The project, completion, would be commissioned in phases. The first phase of the project is nearing completion in which 250 beds shall be made operational for which the basic Oncology OPD Service on trial basis have started since 18.12.2018 and basic Oncology in patient services shall start from 14.1.2019. The Outreach Outdoor Patient Department (OOPD) at the AIIMS ext. campus is functional since November, 2012 with daily OPD of 800-1,000 patients at present. Achievements in Functional Medical Colleges Pt. B.D. Sharma University of Health Sciences, Rohtak 6.42 UHS, Rohtak has been awarded NAAC Grade A in February, 2017 and is at Rank 2nd amongst all Health Universities in the country. PGIMS, has been approved as Centre of Excellence by Ministry of Youth Affairs & Sports. Post Graduate Courses in Sports Medicine will be started soon. CT Scan & MRI facilities got NABH Accreditation in the year 2017. Bio Chemistry Lab got NABL Accreditation in the year 2017. The State of the art with 120 beds Dhavantari Apex Trauma Centre is operational since January, 2018 with 5 modern OT, 22 bedded ICU, 30 beds in triage area and a 3 tesla MRI. More than 50,000 patients are treated in last 6 months. 200 beds Apex Mother & Child Hospital has been operationalized recently. It is the largest MCH in North India. Construction of Linear accelerator facility for cancer treatment is under process. University has various foreign collaborations like Indo Japanese collaboration for study on cancer and radiation oncology, SMART health Extend project in collaboration with George Institute for Global Health, Australia. Various construction projects like Mortuary, Sports Injury Centre and Multi-storied New Residential wing for Class 3 and 4 employees is under process. Other Achievements of Department 6.43 Centralized Combined Counseling for admission in Under Graduate and Post Graduate CoursesThe department is conducting admissions for all Under Graduate and Post Graduate Courses through Centralized Combined Counseling. Haryana Nurses & Nurse Midwives Council 6.44 In order to streamline the admission, curriculum, examination and registration process associated with Nursing Education in the State, the Govt. enacted a new Act “The Haryana Nurses and Nurses Mid Wives Act 2017” and has established Haryana Nurses and Nurses Mid Wives Council which has replaced then the existing Haryana Nurses Registration Council (HNRC) and now Haryana Nurses and Nurses Mid Wives Council is regulating Nursing Education in Haryana State. Ayushman Bharat Haryana Health Protection Mission 6.45 The Department has successfully implemented Ayushman Bharat Mission in hospitals attached to the Govt. Medical Colleges. In the 1st phase, the scheme has been implemented in all Govt. and Govt. aided Medical Colleges, namely i.e. PGIMS Rohtak, KCGMC Karnal, BPSGMC (W) Khanpur Kalan, Sonipat, SHKMGMC Nalhar- Nuh and MAMC Agroha. The first successful claim for the patient treated under the scheme in the entire country has been processed by KCGMC, Karnal. Total 542 patients have been treated under this scheme. Affordable Medicine and Reliable Implants for Treatment -AMRIT 6.46 AMRIT Pharmacy has been established in KCGMC, Karnal and is functional. The space for establishing
AMRIT Pharmacy in other Medical Colleges have also been earmarked and agreement with HLL has also been signed. AMRIT Pharmacies will be functional soon in these Medical Colleges. Pradhan Mantri Bhartiya Jan Aushadhi Kendra (PMBJK) 6.47 Pradhan Mantri Bhartiya Jan Aushadhi Pariyojana are being opened in all the Govt. Medical Colleges. Private Medical Colleges in the State have also been directed to implement PMBJAP in their hospitals. BPSGMC (W) Khanpur Kalan, Sonipat 6.48 Post Graduate Degree and Diploma courses have been started in the institute in various specialities. Virology Lab is being established under ICMR and will be functional soon. A Dialysis Unit has been installed in the College Hospital. SHKMGMC, Nalhar- Nuh .
6.49 CBNAAT machine has been installed for the detection of Multi Drug Resistant Tuberculosis. Yoga and Naturopahty Centre has been established in collaboration with Central Council for Research in Yoga and Naturopathy in November, 2017. KCMGMC, Karnal 6.50 The Hospital became functional since, 13.04.2017 and 1st batch of 100 MBBS students was admitted in academic session 2017-18. MRI 1.5 tesla machine and 64 slice CT Scan machine have been installed. MAMC, Agroha, Hisar 6.51 The Medical College has got permission for increase in MBBS seats from 50 to 100 and various Post Graduate Degree and Diploma courses have started in the institute for many specialities. CathLab on PPP mode has been made functional on 1st August, 2018. Establishment of Trauma Centre & Cancer Institute is in pipeline.
Government of Haryana is committed to provide quality health care to its all citizens. The Health Department has been constantly upgrading itself in terms of infrastructure, human resources, equipments, drugs etc. Health Department in the State is responding to the health needs of all categories of its populace including infants, children, adolescents, mothers, eligible couples and the elderly in addition to the sick and trauma victims. Also, there is a constant endeavour to keep communicable and non-communicable diseases in check and to have strong systems of recording, reporting and planning.
The State Govt. is committed to provide quality healthcare services to all citizens of the State. At present, the health services are being provided through a network of 63 Hospitals, 125 Community Health Centres, 509 Primary Health Centres and 2,636 Sub-Health Centres. In addition to this, there are 7 Trauma Centres, 3 Burn Units and 57 urban Dispensaries/Polyclinics. There is a constant endeavour to keep communicable and non-communicable diseases at check and to have strong and robust systems of recording, reporting and planning. For the financial year 2018-19, the budget estimates of the Health Department is ` 2,588.54 crore. 6.3 The budget provision of ` 150 crore has been made for construction of various health institutions during financial year 2018-19. Administrative approval has been issued for the construction/ upgradation of 4 Civil Hospitals, 3 CHCs, 12 PHCs and 5 Sub – Health Centres and 1 GNM Training School.
Mukhya Mantri Muft Ilaj Yojana 6.4 Under Mukhya Mantri Muft Ilaj Yojana, 7 types of services, namely surgeries, laboratory tests, diagnostics (X-rays, ECG and Ultrasound services), OPD/ indoor services, medicines, referral transport and dental treatment are being provided free of cost. In addition to this, during the current financial year, radiology services of CT Scan and MRI and haemodialysis are also free for needy patients e.g. BPL patients, patients belonging to Scheduled Castes (SC) category, residents of urban slums, patients receiving handicap allowance, Haryana Govt. employees & pensioners and their dependents, unattended road side accident victims and poor patients who do not belong to any of the above categories. Cath Lab services are free for BPL, SC patients.
6.5 During financial year 2017-18, ` 33 crore were spent. It is estimated that during the current financial year 2018-19, an amount of ` 40 crore will be utilized for the needy patients under this scheme.
Public Private Partnership 6.6 Under Public Private Partnership mode, State Govt. is providing CT Scan, MRI, Haemodialysis and Cardiac Catheterization (Cath Lab) services to the people. CT scan services are available in 15 district Civil Hospitals (Bhiwani, Faridabad, Panchkula, Gurugram, Kaithal, Kurukshetra, Sonipat, Yamunanagar, Palwal, Jind, Sirsa, Ambala City, Ambala Cantt, Rohtak and Panipat) MRI services are available in 4 district Civil Hospitals (Panchkula, Faridabad, Gurugram and Bhiwani) Haemodialysis services are operational in 7 Civil Hospitals (Panchkula, Gurugram, Jind, Faridabad, Sirsa, Hisar and Ambala Cantt) Cardiology services, i.e. CATH Lab and Cardiac care units and services like angiography, angioplasty and 20 bedded Cardiac Care Units have been established at Civil Hospital of Ambala Cantt, Panchkula, Faridabad and Gurugram. Cath Lab services are free for BPL and SC patients. Limited Cashless Medical Services Scheme 6.7 A Limited Cashless Medical Services for Haryana Govt. employees and pensioners that was launched in 2017 is applicable only for 6 life threatening conditions, namely cardiac emergencies, accidents, 3rd and 4th stage cancer, coma, brain haemorrhage and electrocution. This scheme is applicable at all Govt. Medical Colleges, all district Hospitals and other health institution of Haryana Govt. and all private hospitals empanelled under Govt. of Haryana. Regular employees, spouse/dependent of employee and pensioners will also be entitled to avail the benefits in this scheme with no upper financial limit. 6.8 In the financial year 2018-19, the total budget allocation for the purchase of medicines was ` 93 crore and a total of ` 50 crore was allotted for purchase of machinery and equipments. 6.9 The State recorded 92.9 percent institutional deliveries upto December, 2018. On the basis of birth registration, sex ratio at birth up to December, 2018 was calculated as 914. The sex ratio at birth for the month of December was 929. 6.10 In a redoubled effort to curb illegal sex determination, 48 Ultrasound Centres carrying out illegal sex determination were sealed by the department during the financial year 2017-18. Under the PNDT Act. 56 court cases were launched against erring medical practitioners and 70 FIRs have been registered. 14 persons have been convicted. Non-Communicable Diseases 6.11 The Health Department is also giving full attention to non-communicable diseases (NCD). In the financial year 2018-19, till November, about 10,70,927 patients attended the NCD clinics at district Civil Hospitals of the NCD implementing districts. Population Based Screening (PBS) is a continued activity in 5 districts for common NCDs (Diabetes Hypertension, Breast, Cervical & Oral Cancer) which include Ambala, Gurugram, Panchkula, Sirsa & Yamuna Nagar. This activity is being extended to other districts. Under this, population above 30 years of age are being screened for common NCDs (Diabetes, Hypertension, Cancer-breast, Cervix, Oral Cavity). Haryana has secured I st Rank in the country for Best Performance in National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). Quality Assurance 6.12 Implementation of Quality Assurance programme is being led by Haryana State Health Resource Centre through State Quality Assurance Unit at the headquarter and District Quality Assurance Units at districts. 32 facilities have been nationally certified as per the National Quality Assurance Standards (NQAS). Haryana became the first state in the country to get UPHC Krishnanagar Gamri Nationally Certified. District Civil Hospital, Rohtak achieved the distinction of getting maximum 96 percent score in National Certification and was honoured in 12th National Quality Conclave held at Kaziranga (Assam). 6.13 Four PHCs have been accredited by National Accreditation Board of Hospitals and Healthcare Providers (NABH). 6.14 The Lab of District Civil Hospital, Panchkula also became Ist Lab in Public Health sector in Country to get NABL certification. Kayakalp Programme 6.15 In the Financial year 2018-19, Kayakalp Programme was implemented in 332 facilities across 22 districts (22 DCH, 23 SDH, 78 CHCs and 209 PHCs) under which 21 PHCs achieved Ist rank and 43 PHCs are being recommended for commendation awards. SDH Ambala Cantt achieved Ist rank and 11 facilities are being recommended for commendation awards. District Civil Hospital, Faridabad achieved Ist Rank and 7 DCH received commendation awards. Trainings 6.16 Trainings for medical and paramedical staff are being conducted at State Institute of Health and Family Welfare, Panchkula. New initiatives that have been undertaken in the field of trainings include Certificate Course in Evidence Based Diabetes Management, Accident and Emergency Care Services training, mid-career training of senior medical officers/senior staff nurses and American Heart Association certified course in Basic Life Support and Advanced Cardiac Life Support provider courses. Ayushman Bharat 6.17 The pilot launch of the scheme was conducted across the country on 15.8.2018. Haryana was the Ist State in the claim under the PMJAY scheme. Till date an amount of ` 3.21 crore has been released in payment of total 2,371 claims. Upto November, 2018, total 3,39,238 golden records have been generated under the scheme
NATIONAL HEALTH MISSION 6.18 Under the National Health Mission Programme, Haryana has brought down its Infant Mortality Rate by 8 points from 41 to 33 per thousand live births, as well as Neonatal Mortality with 4 points from 26 to 22 per thousand live births (SRS, 2016 report released in September, 2017):- • Haryana has brought down its Under 5 Mortality to 37 per thousand live births with a remarkable 6 points dip. • Haryana has been crowned with the best score in the country for Special National Care Unit (SNCU) and Special Quality of Care Index (SQCI) as per fact sheet shared during National Child Health Review cum workshop in October, 2017 organized by Ministry of Health and Family Welfare. • Haryana is among first few states to have developed Haryana New Born Action Plan (HNAP) in response to India New Born Action Plan (INAP) to address state specific challenges and to provide consistent guidance to districts for planning, implementation and review. • The State has initiated the process of establishing Kangaroo Mother Care Units (KMCU) and has provided the budget for establishing 8-10 bedded Kangaroo Mother Care Units (KMCU) in all the 22 SNCUs of 22 districts. 14 districts have already successfully established KMC units. KMC Units at PGMIS Rohtak, Civil Hospital Jind, Hisar and Panchkula have been established recently in the year 2018. • The State has launched MeaslesRubella Campaign on 25th April 2018. As per the consolidated report dated 17th July 2018, total 73,64,499 beneficiaries out of the 74,38,481 targeted beneficiaries (Age group 9 months-15 years) have been vaccinated in MR campaign, with 99 percent coverage. • Haryana is the first State which has taken initiative to launch the Pneumococcal Vaccine from the State resources, for which MoU has been signed with UNICEF for procurement of Pneumococcal vaccine worth ` 84 crore in year 2017. The Pneumococcal vaccine has been launched on 2nd November, 2018.
Maternal health indicators have improved in the State significantly. As per the latest MMR bulletin released in May, 2018, MMR of Haryana has reduced remarkably by 26 points to 101 (SRS-2014-16). • National Health Mission, Haryana received “SKOCH Gold Award” and “SKOCH Order of Merit Award” for Maternal Health Innovations for ensuring compassionate patient care and reducing Maternal Mortality Ratio on 10th March 2018. • Haryana has been awarded with PMSMA “I pledge for 9” Achievers Award for its exemplary performance under PMSMA. The award was presented by Hon’ble Union Minister of Health and Family Welfare in New Delhi on 29th June, 2018. • High Risk Pregnancy Management Policy and Portal of the State has been appreciated by Niti Ayog and Union Ministry of Health and Family Welfare and had selected it as “best practice” for presentation in the conference of 115 backward districts organized by Niti Ayog on 5th January, 2018 under the chairmanship of Hon’ble Prime Minister of India. Haryana is the first State in the country to devise and launch HRP policy and portal. • In Haryana, Institutional Deliveries have increased from 43.3 percent in 2005 to 92.9 percent in 2018 (CRS till September, 2018) and Govt. Institutional Deliveries from 16.30 percent in 2006 to 51.5 percent in 2018 (CRS till September, 2018). Civil Hospital, Rohtak was awarded certificate of merit for achieving the highest score in National Quality Assurance Standard (NQAS) in the country for the year 2017-18.
Haryana has secured 1st Rank in the country for Best Performance in National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)programme implementation regarding which MOH&FW, Govt. of India has been awarded Certificate of Merit in 5th National Summit on Good, Replicable Practices & Innovations in Public Health Care Systems in India held in Kaziranga, Assam from 30th October, 2018 to 1st November, 2018. • 5 New Born Ambulances have been added to the fleet (Ambala, Bhiwani,Fatehabad, Narnaul, Mewat) for taking care of sick neonates which require ventilator support during the transportation to the higher health facilities. This will help in reducing the Infant Mortality Rate (IMR). • Under Digital India, ANMOL – ANM online application, tablet based application is launched in 9 districts of the State. Through ANMOL tablet, ANM will upload data of pregnant women, mothers and newborn in Haryana at the session site itself for better authentication of data. The Key Health Indicators of National Health Mission is given in Table 6.1.
Table 6.1- Key Health Indicators of National Health Mission in the State.
Sr. No. Indicator with Source Year Year 2013-14 2018-19
1 Neonatal Mortality Rate (NMR) 26 (SRS 2013) 22 (SRS 2016)
2 Infant Mortality Rate (IMR) 41 SRS 2013) 33 (SRS 2016)
3 Maternal Mortality Ratio(MMR) 127 (SRS 2013) 101 (SRS 2014-16)
4 First Referral Unit 40 (including 2 urban 50 (including 2 urban
FRU in Faridabad FRU in Faridabad) 2017-18
5 Under-5 Mortality Rate 45 (SRS 2013) 37 (SRS 2016)
6 Sex Ratio at Birth (CRS) 868 (CRS 2013) 900 (CRS 2016) 914 (CRS 2017) 7 Institutional Delivery(HIMS) 90.37 % (CRS 2017) 92.9% (upto Nov. 2018,CRS)
8 Full Immunization HMIS 85.7 % 85 % (upto Sept. 2018)
9 ASHA 16,800 93.33% 19,989 (96.60%) (upto December, 2018)
10 Special Newborn Care Units SNCU 15 22 (2017-18)
11 New Born Stabilizing Units NBSU 52 66 (2017-18)
12 New Born Care Corners NBCC 192 318 (2017-18)
Source: National Health Mission, Department, Haryana.
AYUSH 6.19 The Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homeopathy (AYUSH) Systems of Medicine have an age old acceptance among various communities in India. They are time tested and validated by thousands of years of use during which they have played role in prevention and mitigation of diseases. AYUSH System of Medicine has important role in the prevention and management of many life style related chronic ailments where modern medicines are not so successful. 6.20 AYUSH Department, Haryana is providing medical relief, medical education and health awareness to the masses particularily in the rural areas. For this purpose 4 Ayurvedic Hospitals, 1 Unani Hospital, 6 Ayurvedic Prathmic Swasthya Kendras, 465 Ayurvedic Dispensaries, 18 Unani Dispensaries, 20 Homoeopathic Dispensaries and 1 Institute of Indian Systems of Medicine and Research (IISM&R), Panchkula are functioning. 6.21 Besides this, 33 AYUSH Dispensaries (29 Ayurvedic, 2 Unani & 2 Homoeopathic) including 3 Speciality Clinics of AYUSH (Gurugram, Hisar, Ambala) & 1 Specialized Therapy Centre (Jind) have been relocated and upgraded as AYUSH Wing in 2009-10, 21 AYUSH Wings at District Hospitals & 98 AYUSH IPD (Polyclinic) at CHCs, 109 AYUSH OPD at PHCs are providing medical relief to the masses. 6.22 The department is providing medical education in Haryana through Shri Krishna AYUSH University, Shri Krishna Govt. Ayurvedic College, Kurukshetra. 12 Ayurvedic and 1 Homeopathic College are also running by private management in private sector. The Gram Panchayat Fathuhpur has provided 94 acre 5 Kanal 1 Marla land for AYUSH University on lease basis. 6.23 To promote Ayurvedic education in the state another Govt. Ayurvedic College has been constructed at Village Pattikara (Narnaul). The manpower for the hospital has been sanctioned. 6.24 For the Establishment of “Post Graduate Institute of Yoga & Naturopathy Education and Research” at Deverkhana (Jhajjar), 83 Kanal land has been provided to Govt. of India. The Govt. has approved the proposal of department in principle. 6.25 The foundation stone of Govt. Unani College & Hospital at Village Akera, District Nuh has been laid on 14.7.2018. Govt. of India has decided to set up a National Level Institute for Ayurvedic Treatment, Education and Research with 250 beds IPD (100 Ayurveda & 150 Naturopathy) and catering for 500 students every year offering UG, PG, Ph.D degrees. 6.26 The Govt. of Haryana as well as Shri Mata Mansa Devi Shrine Board has provided 19.87 acre of land of Shri Mata Mansa Devi Shrine Board, Panchkula on lease to the Ministry of AYUSH, Govt. of India, New Delhi. • There is a proposal of Govt. of India to establish National Research Institute in Unani Medicine for NCDs with 120 beds IPD in NCR in the State of Haryana. The State Govt. has sent a proposal to the Secretary Govt. of India, Ministry of AYUSH, New Delhi vide letter dated 1.9.2017 to offer the land measuring 68 Kanal 17 Marla (approx. 9 Acre) of Gram Panchayat Kheri Gujran, district Faridabad within the NCR to set up National Research Institute in Unani Medicine for NCDs with 120 beds IPD. • The State Govt. has agreed to setup the 50 bedded integrated Govt. AYUSH Hospital at Mayyer, Hisar. Land measuring 15 Acre and 7 Marla has been identified and has been transferred for a period of 33 years at the rate of ` 1 per acre per year in the name of AYUSH Department, Haryana.
6.27 An expenditure of ` 109.92 crore under Plan Recurring/Non-plan schemes and ` 42.17 crore under Plan/Non-Plan/Recurring Plan schemes for Ayush Department has been incurred during the year 2017-18. During the year 2018-19, ` 149.03 crore under Plan (Non- Recurring/Plan) and ` 132.81 crore under Plan (Recurring/Non-Plan) schemes have been approved for Ayush Department.
ESI HEALTH CARE 6.28 ESI Health Care, Haryana is providing comprehensive medical services and facilities under Employees State Insurance Act, 1948 to 31.25 lakh Insured Persons (IPs) and their dependent members through 7 ESI Hospitals (4 ESI State Hospitals + 3 ESI Corporation Hospitals) and 79 ESI Dispensaries including 3 Ayurvedic Units & 1 Mobile Dispensary located in all over the State. State Govt. provides primary and secondary care to IPs and their dependents. Tertiary care (Super Specialty Treatment) is also being provided by ESI Health Care through private hospitals (empanelled by Employees State Insurance Corporation). Major Activities/Achievements 6.29 Sanction has been granted by the Govt. regarding opening of 100 bedded ESI Hospital at Bahadurgarh (Jhajjar) and in-principle approval has been received from ESIC Coprporation New Delhi. Construction for this building is to be done by ESIC. For this hospital, 5 acre land has been earmarked by HSIIDC. Payment of ` 2.80 crore (10 percent of plot value) has been deposited with HSIIDC for allotment of plot. The estimated cost of this project is ` 60-70 crore. • Sanction has been granted by the Govt. regarding opening of 100 bedded ESI Hospital at Bawal and in-principle approval has been received from ESIC, New Delhi. Procurement and construction for this building is to be done by ESIC (HQ), New Delhi. HSIIDC has agreed for allotment 5.08 acre land at a price of ` 14.02 crore out of which ` 4.69 crore has been deposited by ESIC Corporation HSIIDC. The estimated cost of this project is ` 60-70 crore. • Insurance Medical Practitioner (IMP) System was implemented to provide primary medical facilities to IPs and their families in Shahabad (Kurkshetra) & Charkhi Dadri and medical facilities were provided by them upto dated 31.12.2017. After that extension has been given to Shahabad (Kurkshetra) IMP upto 30.4.2019 or selection of new IMP (whichever is earlier).
• Two Private/Charitable Hospitals have been empanelled to provide secondary health care/medical facilities to IPs and their dependents of Ambala region at C.G.H.S. rates on cashless basis and delivery of medical facilities/services was started from 8.9.2015 and upto 7.9.2017 and now extension has been given to Rotary Ambala Cancer & General Hospital, Ambala Cantt. upto 31.3.2019 till new empanelment. • Apointment letters were issued to 76 MPHW(F) recommended by Haryana Staff Selection Commission and out of that 74 have joined. Apartment letters were issued to 3 OTA recommended by Haryana Staff Selection Commission and all 3 have joined. • Sanction has been granted by the Govt. to appoint 26 retired Doctors for providing medical facility in ESI institutions. • List of 12 Clerks has been recommended by Haryana Staff Selection Commission and appointment letters have been issued by the Department. • Sanction has been granted by the Govt. to open 5 Doctors ESI Dispensary at Jhajjar and inprinciple approval has been received from ESIC. Starting of this dispensary is under process. • Sanction has been granted by the Govt. to open 3 Doctors ESI Dispensary at Gohana and in principle approval of 1 Doctor has been given by ESIC. Starting of this dispensary is under process. • Sanction has been granted by the Govt. to open new ESI Dispensary at Barsat Road, Panipat to provide the health services to IPs and their families whose in-principle approval has not been received from ESIC after that dispensary will started. The budget of ESI scheme, Haryana is given in Table 6.2 6.30 Projects/Programmes-2019-20: (i) Opening of new ESI Dispensary at Taraori (Karnal), Kurukshetra and Kaithal. (ii)Opening of New ESI Dispensary at Charkhi Dadri in lod implemented areas. (iii) Construction of building for 100 bedded ESI Hospital at Bahadurgarh (Jhajjar) by ESIC. (iv) Construction of building for 100 bedded ESI Hospital at Bawal (Rewari) by ESIC. (v) Construction of building for Directorate, ESI Health Care, Haryana at Sector 14, Panchkula by ESIC. (vi)Construction of building for ESI Dispensary at Panchkula in Industrial Area Phase- 1, Panchkula by ESIC.
Table 6.2- Budget of ESI Scheme Haryana for the year 2018-19. (` in lakh)
Name of Scheme State Share 1/8th ESIC/Centre Share 7/8th Grand Total
Budget under ESI Scheme 1,987.50 13,912.51 15,900.01 100%
ESIC Share Basis 0 100.00 100.00
Total 1,987.50 14,021.51 16,000.01
Source: Employees State Insurance Department Haryana
MEDICAL EDUCATION & RESEARCH 6.31 The Department of Medical Education & Research was established vide Govt. Notification dated 4th September, 2014 for estiablishement, up-gradation, expansion and relgulation of medical and research. The total Budget of the Department of Medical Education & Research in the financial year 2018-19 is ` 1343 crore.The State Govt. is providing quality education through various Medical, Dental, Ayush, Nursing & Para medical Institutions in the State. The current states of Institutes working in the State is given in Table 6.3.
6.32 In Addition, Essentiality Certificate have been issued to 4 Societies/Trusts and Letter of Intent have been issued to 3 Societies/ Trusts to establish Medical Colleges in Private Sector.
Realizing the importance of Medical System within this holistic and personalized system of Medicare, the Govt. has initiated a number of steps for its promotion. The Govt. has established 3 new Govt. Medical Colleges in the State, namely i.e. Bhagat Phool Singh Govt. Medical College for Women, Khanpur Kalan- Sonipat, Shaheed Hasan Khan Mewati Govt. Medical College, NalharNuh and Kalpana Chawla Govt. MedicalKarnal. BPS Govt. Medical College for Women, Khanpur Kalan Sonipat
6.33 Bhagat Phool Singh Govt. Medical College for Women, Khanpur KalanDistrict Sonipat, Shaheed Hasan Khan Mewati Govt. Medical College, NalharNuh and Kalpana Chawla Govt.
Medical- Karnal and is in the process of establishing 4 more Govt. Medical Colleges in the State in district Bhiwani, Jind, Gurugram and Narnaul.
Pandit. Deendayal Upadhya University of Health Sciences (UHS), Karnal. 6.34 In adddtion to Pt. B.D. Sharma, University of Health Sciences (UHS), Rohtak, the State Govt. in the year 2015 decided that a Health University as a center of Excellence will be established in Village Kutail, District Karnal. The proposed Health University will have 500 beded Super Specialty Hospital with attached emergency and ICU beds etc., including 50 beds of Trauma Centre offering Post Graduate, Post Doctoral Courses. UHS will have the Department of Biotechnology, Experimental Medicine, Advance Research Centre in Genetics, Immunology and Virology etc., Dental College, Pharmacy College, Mental Health Institute & Sports Medicine. • 144 acre 2 Marla of land has been leased out to Department of Medical Education and Research by Gram Panchayat, Kutail. • In the campus of UHS College of Nursing & College of Physiotherapy are being constructed with Prefab Technology (pre-organized light gauge steel with PVF panels). 79 percent of the civil construction work is already completed. Procurement of furniture, medical equipment, recruitment of staff is under process simultaneously. • Admission to the Academic Session 2018-19 has started with 40 seats in College of Nursing and 30 seats in College of Physiotherapy.• The construction work of UHS has been awarded to B&R. The project will be completed in 30 months. • There is a provision of ` 50 crore in the State Budget under capital outlay during the current financial year 2018-19 for this project. The estimated cost of the project is ` 800 crore. Govt. Medical College, Bhiwani 6.35 Bhiwani District in Haryana has been identified by Ministry of Health and Family Welfare, Govt. of India for opening new Medical College under Centrally Sponsored Scheme. • 60 percent of cost ` 189 crore would be met by Central Govt. and remaining 40 percent by the State Govt. • The existing 300 bedded District hospital at Bhiwani will be upgraded to teaching hospital. • The land measuring 37 acre for college in village Prem Nagar which is approximately 7 km from Bhiwani, at Bhiwani-Hansi Road has already been transferred to the department. • The construction work of UHS has been awarded to PWD (B&R). The estimated cost of Project is ` 372 crore and the project will be completed in 27 months time. Govt. Medical College, Jind 6.36 Govt. Medical College is being established in village Haibatpur at Jind in 24 acre of land. The foundation stone has already been laid down. The boundary wall at the site is being constructed by PWD (B&R). Bids have been received and the process of finalizing the executing agency is under process. The estimated project cost is ` 550 crore.
Govt. Medical College & Hospital, Gurugram 6.37 Gurugram Metropolitan Development Authority (GMDA), Munipal Corporation, Gurugram (MCG) and Shri. Sheetla Mata Devi Board Shrine (SSMDSB) have jointly proposed to establish a new Medical College and Hospital in Gurugram. The land measuring 29 acre 2 kanal 4 marla in Village Kherki Majra on the outskirts of the Municipal jurisdiction and belonging to the Corporation, has already been identified for the said project. The estimated project cost is ` 500 crore. The project cost will be shared as 40:40:20 ratio.The bids have been received and the process of finalizing the executing agency is under process. Establishment of Govt. Medical College and Hospital at Narnaul 6.38 State Govt. has approved the proposal for establishment of Govt. Medical College in Village Koriyawas, District Mohindergarh and land measuring 79 acre has been leased out in the name of the Department. The construction work has been awarded to PWD (B&R) Haryana and the estimated project cost is ` 500 crore. Dental College at SHKM GMC, Nalhar- Nuh 6.39 To take care of oral health of people, the State Govt. is setting up a Dental College in the existing Shaheed Hasan Khan Mewati Govt. Medical College, Nalhar- Nuh. The project has been approved by the Standing Finance Committee at an estimated cost of ` 135 crore. PWD (B&R) has been appointed as the Executing Agency for the construction of Dental College. Govt. Nursing Colleges in Districts Faridabad, Rewari, Kaithal, Kurukshetra and Panchkula
6.40 Nursing Education is one of the primary allied health education at present because of the huge demand in the market due to the expansion in curative health care system. 6 CM Announcements have been made for nursing colleges in the State of Haryana in the above mentioned districts. The budget of ` 20 crore is available with the department under the capital Head-4210 for construction of these Nursing Colleges. The work of construction of these Nursing Colleges has been allotted to HSVP (Haryana Shehri Vikash Pradhikaran). The building site plan of the nursing collage have already been prepared by the Chief Architect Haryana and their appointment is under consideration. National Cancer Institute, Badhsa, District Jhajjar 6.41 National Cancer Institute, Village Badhsa Jhajjar is a Govt. of India Project and implemented by AIIMS, New Delhi. The State Govt. has allotted 300 acre of land to AIIMS, New Delhi for this project. The National Cancer Institute with 710 beds is Govt. of India’s largest financial investment in a single hospital project with the project cost of ` 2,035 crore. NCI would be Apex Centre having Translational Research in Prevention/ Treatment and care for Cancer patients. The Institute would be the first one to have Proton facility for the treatment of advanced cancers in Northern India. The project, completion, would be commissioned in phases. The first phase of the project is nearing completion in which 250 beds shall be made operational for which the basic Oncology OPD Service on trial basis have started since 18.12.2018 and basic Oncology in patient services shall start from 14.1.2019. The Outreach Outdoor Patient Department (OOPD) at the AIIMS ext. campus is functional since November, 2012 with daily OPD of 800-1,000 patients at present. Achievements in Functional Medical Colleges Pt. B.D. Sharma University of Health Sciences, Rohtak 6.42 UHS, Rohtak has been awarded NAAC Grade A in February, 2017 and is at Rank 2nd amongst all Health Universities in the country. PGIMS, has been approved as Centre of Excellence by Ministry of Youth Affairs & Sports. Post Graduate Courses in Sports Medicine will be started soon. CT Scan & MRI facilities got NABH Accreditation in the year 2017. Bio Chemistry Lab got NABL Accreditation in the year 2017. The State of the art with 120 beds Dhavantari Apex Trauma Centre is operational since January, 2018 with 5 modern OT, 22 bedded ICU, 30 beds in triage area and a 3 tesla MRI. More than 50,000 patients are treated in last 6 months. 200 beds Apex Mother & Child Hospital has been operationalized recently. It is the largest MCH in North India. Construction of Linear accelerator facility for cancer treatment is under process. University has various foreign collaborations like Indo Japanese collaboration for study on cancer and radiation oncology, SMART health Extend project in collaboration with George Institute for Global Health, Australia. Various construction projects like Mortuary, Sports Injury Centre and Multi-storied New Residential wing for Class 3 and 4 employees is under process. Other Achievements of Department 6.43 Centralized Combined Counseling for admission in Under Graduate and Post Graduate CoursesThe department is conducting admissions for all Under Graduate and Post Graduate Courses through Centralized Combined Counseling. Haryana Nurses & Nurse Midwives Council 6.44 In order to streamline the admission, curriculum, examination and registration process associated with Nursing Education in the State, the Govt. enacted a new Act “The Haryana Nurses and Nurses Mid Wives Act 2017” and has established Haryana Nurses and Nurses Mid Wives Council which has replaced then the existing Haryana Nurses Registration Council (HNRC) and now Haryana Nurses and Nurses Mid Wives Council is regulating Nursing Education in Haryana State. Ayushman Bharat Haryana Health Protection Mission 6.45 The Department has successfully implemented Ayushman Bharat Mission in hospitals attached to the Govt. Medical Colleges. In the 1st phase, the scheme has been implemented in all Govt. and Govt. aided Medical Colleges, namely i.e. PGIMS Rohtak, KCGMC Karnal, BPSGMC (W) Khanpur Kalan, Sonipat, SHKMGMC Nalhar- Nuh and MAMC Agroha. The first successful claim for the patient treated under the scheme in the entire country has been processed by KCGMC, Karnal. Total 542 patients have been treated under this scheme. Affordable Medicine and Reliable Implants for Treatment -AMRIT 6.46 AMRIT Pharmacy has been established in KCGMC, Karnal and is functional. The space for establishing
AMRIT Pharmacy in other Medical Colleges have also been earmarked and agreement with HLL has also been signed. AMRIT Pharmacies will be functional soon in these Medical Colleges. Pradhan Mantri Bhartiya Jan Aushadhi Kendra (PMBJK) 6.47 Pradhan Mantri Bhartiya Jan Aushadhi Pariyojana are being opened in all the Govt. Medical Colleges. Private Medical Colleges in the State have also been directed to implement PMBJAP in their hospitals. BPSGMC (W) Khanpur Kalan, Sonipat 6.48 Post Graduate Degree and Diploma courses have been started in the institute in various specialities. Virology Lab is being established under ICMR and will be functional soon. A Dialysis Unit has been installed in the College Hospital. SHKMGMC, Nalhar- Nuh .
6.49 CBNAAT machine has been installed for the detection of Multi Drug Resistant Tuberculosis. Yoga and Naturopahty Centre has been established in collaboration with Central Council for Research in Yoga and Naturopathy in November, 2017. KCMGMC, Karnal 6.50 The Hospital became functional since, 13.04.2017 and 1st batch of 100 MBBS students was admitted in academic session 2017-18. MRI 1.5 tesla machine and 64 slice CT Scan machine have been installed. MAMC, Agroha, Hisar 6.51 The Medical College has got permission for increase in MBBS seats from 50 to 100 and various Post Graduate Degree and Diploma courses have started in the institute for many specialities. CathLab on PPP mode has been made functional on 1st August, 2018. Establishment of Trauma Centre & Cancer Institute is in pipeline.
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