Health & Family Welfare Page
Mission & Vision
In spite of the achievements made by Kerala with regard to health indicators, the public health scenario in the State was in a state of crisis when this Government took over. Poor infrastructure, inadequate staff, lack of resources and absence of coordinated policy approach to tackle the problems and the flaws in the leadership was the major lacunae facing the sector. The Government started with the objective of revamping the Public Health Institutions and initiated short--term and medium-term measures to address to the problems. In the last three years, Government has been successful in providing a sense of direction to the public health sector and putting the department back on rail. We hope to consolidate the efforts made so far and complete the implementation of the projects in the coming years.
Smt. K. K. Shailaja Teacher
Minister for Health, Social Justice and Woman and Child Development
Room No. 216
|Department|| 6th Floor,Annex II |
Dr. Rajan N. Khobragade IAS
Room No. 603
Phone: 2518255, 2327865
|Director of Health Services|| Dr. Sarita R. L. |
Fax: 2303025 / 2303080
A Secretary to Government heads this department. Director of health services whose activities are designed for the preservation and improvement of public health by preventive, promotional, curative and rehabilitative methods, director of homeopathy Director of Indian System of Medicine and all Medical Colleges come under this department. Analytical Laboratory, Public Health Laboratory and Hospitals ranging from Medical College Hospitals to Community Health Centers fall under this department.
The Health Services perform the chief function of delivery of primary health care in a wholesome manner. Preventive and promotive health care in addition to the routine curative services and rehabilitation aspects of health care constitute the main activities of the department. The activities include the establishment and maintenance of medical institutions with necessary infrastructure, control of communicable diseases, rendering of Family Welfare services including Maternal and Child Health Services, implementation of National Control / Eradication programmes providing curative services and administration. The Analytical Laboratories and Public Health Laboratory function as a single-purpose units under the department with independent controlling officer for each.
One Sub-centre with one Health worker (male and female) for every 5000population (3000 in Tribal and Hilly area).
One PHC for every 30000 population (20000 population in Tribal and Hilly area)
One CHC / upgraded PHC for every 80000 1.20 lakh population with 30 beds (with specified service in medicine, surgery, pediatrics, gynecology and obstetrics and public health) 01-04-2001
|Average Rural Population Covered||4476|
|Primary Health Centre||943|
|Average Rural Population Covered||23850|
|Community Health Centre||105|
|Average Rural Population Covered||3.6 Lakh|
At present there are 15 mobile units of which 13 units are attached to District Hospitals and 2 are Central mobile units attached to Medical Colleges at Kottayam and Kozhikode.
1. Medical College Kottayam
2. Medical College Kozhikode
2. District Hospital, Kanhangad
3. District Hospital, Kollam
4. District Hospital, Thrissur
5. District Hospital, Alappuzha
6. District Hospital, Palakkad
7. District Hospital, Ernakulam
8. District Hospital, Pathanamthitta
9. District Hospital, Thiruvananthapuram
10. District Hospital, Kannur
11. District Hospital, Idukki
12. District Hospital, Mananthawady
13. District Hospital, Kozhikode
There are 14 district level eye units one in each district hospital, where the services of one ophthalmic surgeon and one ophthalmic assistant each are available. The following 14 hospitals have already been strengthened with additional eye units.
1. Government Hospital, Peroorkada
2. District Hospital Kollam
3. District Hospital, Alappuzha
4. General Hospital, Pathanamthitta
5. District Hospital, Painavu (Idukki)
6. General Hospital, Ernakulam
7. District Hospital, Thrissur
8. District Hospital, Manjeri
9. District Hospital, Kannur
10. District Hospital, Kannur
11. District Hospital, Palakkad
12. General Hospital, Kozhikode
13. District Hospital, Kanhangad
14. District Hospital, Kottayam
1. Medical College / Government Ophthalmic Hospital, Thiruvananthapuram
2. Medical College Hospital, Kozhikode
3. Medical College Hospital, Kottayam
4. Medical College Hospital, Alappuzha
5. Medical College Hospital, Thrissur
6. General Hospital, Ernakulam
7. District Hospital, Kannur
8. District Hospital, Manjeri
9. District Hospital, Pathanamthitta
10. District Hospital, Kanhangad
11. Taluk Headquarters Hospital, Thodupuzha
12. District Hospital,Kollam.
1. Little Flower Hospital, Angamaly
2. District Co-operative Hospital, Kozhikode
The Mobile units are conducting eye operation camps, organised by various voluntary organisations and grants are given to them through the concerned District Blindness Control Societies.
Aim : The aim of the scheme is to detect as large a number of patients as possible and to treat them effectively so that the infectious patients become non-infectious and the active and noninfectious cases do not become infectious.
There are District TB Centres in all the 14 districts besides 7 TB clinics and two Sanatoria. There are 45 TB wards attached to Government Hospitals. A total number of 1983 TB beds area available in the state.
The prime aim is to achieve 85% cure rate. Now the programme is being extended to eight more districts. Treatment organisers are appointed for the supervision and laboratory technicians for cross checking the results in microscopic camera.
The programme was launched in the State during 1955-56. Now it is implemented through 16 NFCP units, 2 Filaria Survey Units and the Filaria control works at Cherthala. Attached to the Filaria Units, 11 Filaria clinics are functioning. The Filaria Survey Unit at Thrissur was shifted to Thiruvananthapuram in May 95 and continues to function as main central unit at Valiyathura in Thiruvananthapuram.
A. Control Mosquito larvicidal spraying operation, pistia removal and anti parasitic (DEC) treatment.
B. Assessment Entomological and parasitological (filaria survey).
In view of the high incidence of resistant leprosy, the Government of India constituted a committee in 1981 and in pursuance of the suggestions in the report the National Leprosy Control Programme was re-designated as National Leprosy Eradication Programme. With a view to wiping out leprosy from India by 2000 AD, it was brought under a 20 point programme and was subsequently made 100 % centrally sponsored scheme.
The most significant feature of the National Leprosy Eradication Programme is the introduction of a specialized form of treatment for leprosy known as M.D.T (Multi Drug Therapy) in all endemic districts, step by step. In Kerala M.D.T was implemented in Alappuzha (1987, Thrissur and Palakkad (1990), Kollam and Thiruvananthapuram (1991) and Ernakulam, Kannur, Kasaragod, Malappuram and Kozhikode (1993) and later in the other districts.
|Alappuzha (1987)||4.75/1000 to 0.14|
|Thrissur (1990)||7.8/1000 to 0.25|
|Thiruvananthapuram (1991)||3.6/1000 to 0.31|
|Palakkad (1990)||2.45/1000 to 0.37|
|Kollam (1991)||2.5/1000 to 0.15|
|Ernakulam (1993)||0.80/1000 to 0.10|
|Malappuram (1993)||0.90/1000 to 0.24|
|Kozhikode (1993)||1.04/1000 to 0.50|
|Kannur (1993)||1.05/1000 to 0.89|
|Kasaragod (1993)||0.95/1000 to 0.50|
|District Leprosy unit||1|
|Leprosy control unit||15|
|Modified Leprosy control unit||35|
|Urban Leprosy Centre||52|
|Leprosy Training Centre||1|
|Voluntary Organisations Working Leprosy||17|
|Population (1996)||315.3 lakhs|
|Population Covered||121.0 lakhs|
|Population examined||89.0 lakhs|
|Cases on record as on 31-3-1997||6483|
|Number of cases undergoing treatment||6066|
|Number of cases discharged||5949|
National AIDS Control Programme was implemented in the state from September 1993. The AIDS cell was created under an Additional Director of Health Services. There is also a State AIDS Committee and State Technical Advisory Committee to oversee the programme implementation of prevention and control of HIV/AIDS. The main activities are surveillance, modernisation of blood banks, establishment of zonal blood testing centres, component separation unit and incineration, strengthening and establishment of STD clinics, training of staff, IEC activities including adolescent education.
The reports from hospitals, blood banks and laboratories in the state indicate that the incidence of HIV infection in the state is steadily increasing. The reported case of HIV positive and AIDS cases till 31-12-1997 is 1791 and 166 respectively. The incidence shows that even though there is a fair degree of awareness among the public it has not lead to the desired behavioural changes.
The IEC activities are conducted in a moderate way using print media, electronic media and other arts form. Awareness programme for the public is done through All India Radio and Doordarshan. The Government of Kerala has decided to appoint a Communication agency of IEC consultant to give target specific IEC activities to the public. Both Government and private doctors were trained in HIV/AIDS. Training is also given to staff nurses and other paramedical staff and high school teachers and head masters. Both blood bank officers and technicians were trained, a workshop on syndromic management of STDs for 22 medical officers was conducted and counseling training for HIV/AIDS was also given. The 23 licensed blood banks in Government section have been modernised and in the state there are 83 modernised and licensed blood banks including those in private, autonomous and central Government institutions. The 3 component separation units attached to blood banks in the Medical Colleges are nearing completion. A large incinerator has been installed in the Medical College campus of Thiruvananthapuram.
Since the surveillance centre in Medical College alone is inadequate steps are being taken to start five more centres. Kerala State AIDS cell has conducted three workshop for eminent Doctors, Educationalists, Social Workers, Director of Public Instructions, Director of Collegiate Education, Head Masters and Principals of colleges for evolving a strategy to give sexual health education to high school students from 8th standard onwards. A module named Family Life Education for training the teachers of high schools to impart training for their students was formed and was printed and supplied by UNICEF.
In order to streamline the work of different Non Governmental Organisations (NGOs) the AIDS Cell is conducting a meeting every year viz. AIDS Circle Meet. Representatives from important NGOs in other states, nominees send by WHO, NACO, UNAID and DFID also are participating in this meet.
The first Department of Physical Medicine and Rehabilitation in Kerala was established in the Medical College, Thiruvananthapuram in 1968. A state level advisory committee on Medical Rehabilitation Science to advise the Government in the implementation of Physical Medicine and Rehabilitation in the state was constituted in 1975. The Deputy Director of Health Services (PM&R) was also included as member of the committee.
Under the Department of Health Services, 11 Physical Medicine and Rehabilitation units are functioning in major hospitals in all districts except Pathanamthitta, Idukki and Kasaragod.
Three limb fitting centres are functioning in G. H. Ernakulam, District Hospitals at Kollam and Kannur. A fourth one is being set up at District Hospital, Palakkad.
The Welfare Society for the Locomotor Disabled has been formed for the rehabilitation of locomotor disabled. The society augmented Government activities in the field of medical rehabilitation by conducting medical camps for the locomotor disabled and supplying sufficient artificial appliances tot he selected.
Government of Kerala has not issued notification for banning the sale of non-iodized salt.
The beginning of the programme in Kerala in 1955 was with 11 clinics attached to Medical institutions. But over the years, the state has evolved innovative strategies like mass camps, which were later adopted in other parts of the country. The course of development falls into three distinct phases. First a period of slow growth during 1955-64, second a period of reorganisation and establishment of State Family Planning Centres during 1964-70 and lastly a period of intensified maternal and child health services from mid 70's onwards. During the period 1956-61, of the first phase. 70 family planning clinics were opened in the state with facilities for sterilization in 53 institutions. During the next four years, which was a period of slow growth, 50 more clinics were started and family planning clinics were opened in 93 panchayats. Subsequently more infrastructure facilities were provided and incentives for promoters and doctors were introduced to boost up the programme. At various levels, committees were constituted to promote the activities of Family Planning clinics. In 1964 on the basis of the recommendation of the Mukharjee Committee, a network of service units was established and it was a period of recoganisation till 1970. From 1970-1973 conduct of mass sterilization camps was the hallmark of the programme. Since 1970 the state has stepped up the pace and reached several milestones in the implementation of the various family welfare programmes.
Delivery of various Family Planning services is undertaken through the sub centres, Primary Health Centres, Taluk Hospitals, District Hospitals and Medical Colleges. People's participation was sought through local self government including voluntary organisations and opinion leaders at various levels. Imaginative use of mass media and inter personal communication were made for highlighting the benefit of small family norm and removal of socio-cultural barriers for adoption of family limitation programme.
The Junior Public Health Nurses located at the sub-centre along with Junior Health Inspectors are the front line workers providing services in the community. For skill upgradation of medical and paramedical personnel at the subcentre, PHCand CHCS two Health and Family Welfare Training Centres are functioning in the state.
In the mid 1970s, MCH services were integrated with FP and the programme was renamed Family Welfare Programme. Since then Kerala has made rapid strides in the implementation of Family Welfare Programmes. The programme seek to promote responsible and planned parenthood through voluntary and choice of methods best suited to individual acceptors.
In Kerala from 1957 to 1973 as in other states the number of vasectomies out numbered tubectomies, accounting for as much as 76% of the total sterilization conducted by the state. But since, then, there was a reversal of the trend, tubectomies outstanding vasectomies in all the years except in 1976. Male sterilization declined from 14% in 1980-81 to about 2% in 1990-91 and to as low as 0.3 % in 1996-97. In the case of IUD insertions, OP & CC uses also, a decreasing trend was noticed indicating clearly that the people of Kerala prefer permanent methods for Family Planning.
One redeeming feature of the implementation of the Family Welfare Programme in Kerala was that since 19980-81 it was able to maintain consistently an achievement of over 90% of the target under sterilization and could even excel the targets consistently for two years in 1980-81 and 1981-82 in 1984-85 and again from 1988-89 to 1994-95 except to 1990-91. For the creditable performance during 1986-87 the state secured the second prize of an award of Rupees one crore among group A states and first prize during 1987-88 of a cash award of Rupees 2.5 crores. In 1997, Population Foundation of India has adjusted Kerala as the best performing state in India in terms of population and reproductive health programmes for a cash award of Rs. 10 lakhs and a running trophy. Similarly Palakkad district was adjusted as the best performing district for a cash of RS 2 lakhs.
One of the important tools to assess the impact of the performance of the Family Welfare Programme on birth rate is the couple protection rate. In Kerala the percentage of effectively protected couples is higher than the All India average. According to the Government of India estimates the couple protection rate as on 31-3-1994 i 51.5 % for Kerala, while the all India rate is 45.4 %.
In fact the true measure of effectiveness of the Family Welfare Programme is neither the number of sterilization conducted nor that of IUDs inserted or - OP and CC users, - but the demographic impact to the extend that the birth rate is reduced. The birth rate registered a decline from 23.2 in 1985 to 17.7 in 1995.
As a result of the fall in birth rates the TFR also declined from 2.3 in 1986 to 1.8 in 1991 and GRR from 1.1 to 0.9.
The long term demographic goals, as laid down in the National Health Policy (1983) was to achieve the net reproduction rate of unity by the year 2000 AD. The state has achieved this goal ahead of the targeted year. Kerala's achievements in the Family Welfare front have been impressive in terms of major indicators viz. birth rate, death rate, neonatal mortality rate, infant mortality rate, couple protection rate etc.
The social factors such as high female literacy, higher age at marriage of girls, status of women, effective role played by non Governmental Organisations and the general socio-economic consciousness of the people have contributed to this unique position.
In Kerala UIP was launched in 1985, in the selected districts of Palakkad and Idukki and by 1988 all the 14 districts were covered. Infant below 1 year are immunised against six killer diseases viz. Diphtheria, Whooping cough, Tetanus, child hood TB, Poliomyelitis and Measles.
The allocation and supplies of all vaccines to the immunisation programme are done by the Government of India. The supplies of vaccine to the state are made to the regional vaccine stores at Thiruvananthapuram, Ernakulam and Kozhikode. The regional vaccine store at Thiruvananthapuram also functions as a state store. The supply of vaccines to District Stores is made from Regional vaccine stores and from District stores to PHC, CHCs, PP units etc.
A wide range of equipments including walk in coolers, Deep freezer, ice lined refrigerator, cold boxes, vaccine carriers, day carriers etc are used in the cold chain system. In order to ensure the potency of vaccines at all levels and quality of the cold chain system samples of vaccine from all levels are collected and sent to Coonoor regularly for potency testing.
In Kerala the programme was started in 1987 in a phased manner. By 1988-89 Diarrheal diseases Treatment Units were established in all Medical Colleges and in seven district hospitals. ORS depots are being established in all villages and urban areas at he rate of one per thousand population to increase ORS accesses rate.
The 25th year of ORS discovery was celebrated in 1994-95. Kerala is having a unique phenomenon of high morbidity and low mortality. As a result of effective implementation of this programme the IMR and child morbidity rate have declined remarkably.
Immunisation camps are arranged in sub-centres, anganwadies and other suitable locations as per pre-arranged plan of action. Due importance is given to education of mothers, motivation and in reminding mothers for second and third doses of vaccination. Vaccine is supplied to private hospitals free of cost. The state has made tremendous achievements like elimination of neonatal tetanus and polio and reduction of other vaccine preventable diseases and many districts have become polio free. After s series of polio mop-up rounds, Kerala state along with the entire nation is conducting the pulse polio immunisation in December 7th and January 18th every year. 71 FRUs have been already been identified in the state and measures are being taken to strengthen them for emergency obstetric care and neonatal care
The Health Services performs with the chief functions of delivery of primary health care in wholesome manner. Preventive and promotive health care in addition to the routine curative services and rehabilitation aspects of health care constitute the main activities of the department. The activities include the establishment and maintenance of medical institutions with necessary infrastructure, control of communicable diseases, rendering of Family Welfare services including Maternal and Child Health Services, implementation of National Control / Eradication programmes providing curative services and administration. The Analytical Laboratories and Public Health Laboratory function as a single-purpose units under the department with independent controlling officer for each.
2. All Complaints on irregularities of these Officers, Disciplinary cases of these categories.
3. State Service Special Rules of all Medical Officers in the Department and its amendment.
4. Formation of Speciality cadre and its rules and postings of these Doctors, Pensionary Claims.
5. Promotion of Civil Surgeons and their transfers.
6. D.P.C. (Higher) of Medical Officers in the Health Services Department of the category of Civil Surgeons and above.
7. Establishment Papers of Medical Officers (except deputation) and Special Sanction for Payment of arrear (claims) in the grade of Assistant Surgeons, Civil Surgeon and Dental Surgeons.
8. Complaints on irregularities of these Officers and their disciplinary cases.
9. Appointment, Promotion, Transfer and Granting of Grade promotion of these categories.
10. Pensionary claims of these Officers.
11. D.P.C. for Officers of this category for promotion as Civil Surgeons.
12. Compassionate Employment Assistance to the dependants of Medical Officers of Health Services.
13. All complaints from public on irregularities against Medical Officers.
14. Appeal and Revisions on disciplinary cases of these categories.
15. Complaint/Appeal against postings, transfers of these categories.
16. Request from public for getting posted as Medical Officers of Health Services in Hospitals and Primary Health Centres.
17. Complaint against non-receipt of pensionary claims of Medical Officers of Health Services.
(a) Dental Colleges and Dental Wings in the Medical Colleges.
(b) Department of (i) Microbiology, (ii) Pharmacology, (iii) Pathology, (iv) Orthopaedics.
2. Establishment Papers of teaching staff (except deputation) including creation of posts of the following Departments/Units of the Medical Colleges.
(a) Obstetrics & Gynaecology
3. Establishment matter of Technical Staff of all Medical Colleges.
4. D.P.C. in respect of the posts dealt within the section.
5. Establishment of teaching staff (except deputation) including creation of posts in respect of Regional Institute of Opthalmology, General Surgery, peadiatric Surgery, plastic surgery, Genito-Urinary Surgery, Thoracic surgery Departments/Units in the Medical Colleges.
6. Establishment Papers related to the Regional Institute of Opthalmology.
7. Papers on Compassionate Employment Assistance in respect of the posts dealt within the section.
8. Establishment matters of General Surgery and all other Surgical Specialities Opthalmology.
9. Transplantation of Human Organ Act and Rules and related maters.
10. Miscellaneous papers on Medical Education.
11. Dental Council Acts and Rules.
(a) Community Medicine
(e) General Medicine
(g) Nuclear Medicine and Institute of Oncological Science
(i) Radiology, Radio-diagnosis Radiotherapy
( j ) State Board of Medical Research and Medicine (Research)— T.B. and Chest Diseases.
2. All papers except deputation related to all Principals (Except Principal of Dental Colleges), Joint Directors and Director of Medical Education.
3. Convening of DPC Lower and Higher in respect of posts dealt within the section under DME.
4. Review of Administration Report in respect of Medical Education Department–Consultative Committee relating to Medical Education Department.
5. Act and Rules and papers related to Indian Medical Council and State Medical Council.
6. Establishment of teaching staff in respect of the following Department/Units in the Medical Colleges and Allied institutions. Anatomy, Anaesthesiology, Blood Bank, Bio-chemistry, Cardiology, Dermatology and Venerology (Skin and V.D.), Forensic Medicine, Infectious Diseases, Nephrology, Neurology, Neurosurgery, Physical Medicine and Rehabilitation, Surgical Gasteroenterology, Regional Limb Fitting Centre.
7. Special Rules relating to all posts of teaching staff, paper on Pay revision to the teaching staff under Medical Education Service.
8. Papers relating to admission to all Medical Colleges and Dental Colleges and for the Courses such as MBBS and Post Graduate Courses (Except M. Pharm and Msc. Nursing) including Super Speciality.
9. Stipend to House surgeons and Post-graduate students under Medical Education Department, Senior House Surgeoncy Programme, Residency Dental College programe.
10. Papers related to starting of new Medical Colleges
11. Papers related to Medical University
12. Transfer of Medical students.
13. Complaints and problems of all Medical Students(Except para medical students).
14. Compulsory Rural Posting for Medical Graduates/Post Graduates/ Super Speciality Post Graduates as part of bonded obligation.
2. Establishment papers of Midwives and A.N.Ms. other than under Family Welfare.
3. All types of training programme and their deputation sponsored by the Director of Health Services for Seminars.
4. Disciplinary cases of these categories, appeal and revision.
5. Complaint against non-receipt of pensionary benefits.
6. Papers related to compassionate employment assistance to dependents of these categories.
7. Establishment papers of Health Assistants, Multipourpose Health workers, Basic Health Workers, Family Welfare Health Assistant, Junior Health Inspector Grade I and II and equivalent posts, Health Inspectors and Health Supervisors.
8. All papers related to Malaria Filaria Staff, absorption of National Malaria Eradication Programme/National Self Employment Programme Staff.
9. Papers related to compossionate employment assistance to dependents of above categories.
10. All Establishment papers of Staff Nurses (except leave exceeding 120 days.)
11. All Papers relating to Government Nursing Colleges. Admiission to General Nursing Courses, B.Sc. Nursing Courses and M.Sc. Nursing both in Government sector and private sector. All Papers relating to Self Financing Institutions.
12. Starting of new Nursing College/Schools in Nursing Sector.
13. Transfer of Students and all complaints of Nursing Students and connected papers.
14. Nursing Council of India Act and Rules.
15. The Nursing Council of India and the Nursing Council of Kerala.
16. Nurses and Midwives Act and Rules.
17. Kerala Government Nurses and Midwives Welfare Fund.
18. A. N. M's. Welfare Fund.
19. Miscellanneous and General papers on Nursing.
20. Draft para and Audit objections on Nursing Colleges.
21. Papers relating to State Institute of Medical Education and Technology.
22. LWA of Junior Health Inspector Gr. II.
2. Papers of Teaching staff upto the Principal of Ayurveda Colleges.
3. All pappers of Gazetted staff upto the rank of Director of Indian Systems of Medicine.
4. Framing of Special Rules/Amendment to such Special Rules relating to these categories.
5. Papers related to Departmental Promotion Committee (Higher).
6. Appointment to the dependents of Government Servents under Compassionate Employment Scheme of the above category.
7. Papers related to Oushadi/Pharmaceutical Corporation (IM) Kerala Ltd.
8. Papers related to Indian Council of Indigenous Medicine, Poojapura, Ayurveda Research Institute.
9. Establishment of all para medical and non-teaching/non- ministerial staff including all Nursing staff and supervisor staff, Pharmacists etc. upto Last Grade Government Servents, Contingent employees in the Department of Ayurveda and Ayurveda Colleges.
10. Framing of Special Rules/General Orders related to all these categories other than those dealt within the P & ARD and Convey of D. P. C. (Lower) in which Joint Secretary/Additional Secretary is a member.
11. Kottakkal Arya Vaidyasala, Dhanwantari etc.
12. Complaint against private Ayurveda Hospitals/Dispensaries.
13. Papers on Yogasana Nature Cure Centres.
14. Employment Assistance to defendants of Government Servants (Paramedical staff) under compassionate employment Scheme.
15. Budget papers (Non Plan) of Ayurveda Department and Ayurveda College of Indian Systems of Medicine.
16. Purchase of medicines and equipments, dietarry articles and stores required for the Ayurveda Colleges, Hospitals and Ayurveda Department Hospitals and Dispensaries.
17. Non-plan construction of building for Ayurveda Colleges and Department of Indian Systems of Medicine.
18. Papers relating to Ayurveda University.
19. Consultative Committees on Ayurveda Systems of Medicines.
20. Ayurveda Mental Hospital, Kottakkal.
21. Social Forestry on the cultivation of medicinal plants.
22. General papers on Ayurveda College and the Department of Ayurveda.
23. Papers relating to Ayurveda Courses in Colleges (Admission, transfer of students and problems of students).
24. Inspection report of the Accountant General and Stores Purchase Department related to Ayurveda Departments.
25. Draft paras and P.A.C. on Ayurveda Department and Ayurveda Colleges.
2. Establishment papers relating to all Mechanical staff including Health Tranport Officer under D. H. S.
3. Purchase of vehicles under Health Services Department, repairs and maintenance.
4. Creation of posts of Driver/Cleaner and establishment matters.
5. Lunacy Act and Rules.
6. Mental Hospitals.
7. Mental Health Centre-IMHANS.
8. Leprosy Hospitals and Board of visitors to these Hospitals and the staff under these hospitals who are treated as non-transferable i.e. patient- employees, SET Centres.
9. Claims of Co-operative Societies related to these institutions.
10 Establishment papers on Para medical staff of Leprosy Control Programme like Leprosy Health Visitors, Non-medical Supervisor, Urban Supervisor. National Leprosy Eradication Programme— Voluntary Organisation.
11. Schemes for rehabilitation of Cured Leprosy Patients.
12. Condemnation of all unserviceable articles including vehicles in the Health services Department.
13. Papers related to Non-plan Budget (except relating to Family Welfare) under Health Services Department.
14. Original and additional authorisation—re-appropriation, Supplementary Demands for Grants.
15. Papers on appropriation accounts-Regularisation of excess over voted Grant.
16. Request for providing land for construction of building under the Health Services Department—Transfer of land between departments and acceptance of private land donated by individuals/Lions Club and Charitable Institutions.
17. Constructions of Hospitals, Dispensaries under Health Services Department.
18. Lease of Government land in the premises of Offices/Government Hospital/Dispensaries.
19. Right of Collection of usufructs of trees in the Government Land on contract basis by public auction and complaints against it.
20. Taking private building on P.W.D. rent rate for starting Dispensaries/ Offices under Health Services Department beyond the delegation of D.H.S.
21. Request for import of valuable private hospital's equipments on exemption from Customs duty.
22. Request for land, timber appliances, etc. by private Medical Institutions.
23. Construction Work (Non-Plan) of Hospitals and Dispensaries under D.H.S.
24. papers related to Best Doctors Award.
25. All papers relating to sanctioning of L.W.A. exceeding 120 days. Deputation, Tour, Training to all Medical Officers in Health Department/Dental Surgeons and of all Nurses/Midwives in the Health Services Department either on Medical Certificate or for private employment/study purpose.
26. Papers related to prevention of Food Adulteration Act and Rules.
27. All establishment papers of Food Inspectors.
2. Blood Bank of Private Hospitals and Government Hospitals.
3. Complaint against private medical stores.
4. Drugs and Cosmetics Act and Rules.
5. Pharmacy Act and Rules.
6. Pharmacy Council of India and Pharmacy Council of Kerala.
7. Poisons Act and Rules.
8. Inspection Reports.
9. Draft para of Public Accounts Committee of the Drugs Control Department.
10. Establishment papers related to Class IV Employees and part-time contingent employees in the Health Services Department.
11. Papers related to Attenders, Peons and Hospital Attendants.
12. Papers related to former Dias and Field Workers on Mosquito eradication.
13. Appointment of dependents of Class IV Employees under the Compassionate Employment Scheme.
2. Special sanction for treatment in private hospitals in and outside the State.
3. Rules relating to allotment of staff quarters in Health Services Department.
4. Complaint against irregularities of staff quarters in the Health Services Department.
5. Private Medical Practitioners Act and Rules.
6. All complaints against private Doctors and Hospitals in the State.
7. Private Hospital Employees Salary Regulation Act.
8. Papers relating to Pensioners Medical Benefit/Medical Assistance in Hospitals.
9. Papers relating to Medical Aid and Freedom Fighters.
10. Papers relating to Public Health Act.
11. Central Council of Health.
12. Hospital stoppages and enhancement of fees on equipments on the basis of Resource Commission Report.
13. General consultative committees and guidelines on Drugs, de-addiction, narcotics harmful to health.
14. Notification on fairs, festivals, conduct of exhibitions/shows on Health Services Department.
15. Sanitory arrangements and medical facilities to fairs and festivels in Ochira, Sabarimala and Maramon Convention.
16. Burial and cremation grounds.
17. Prevention of epidemics and communicable diseases.
18. Investigation Report, Sample Survey Reports and monitoring activities at Secretariat level.
19. Papers related to outbreak of all types of epidemic diseases.
20. Papers related to construction of buildings (Non-plan) relating to Health Services (Papers dealt within section on construction of buildings under Family Welfare Programme will be dealt within Family Welfare section) in Districts Thrissur, Palakkad, Malappuram, Kozhikode, Wayanadu, Kannur and Kasargode.
21. Taking over of Private Hospitals.
22. Papers related to Health Education Programmes, School Health Education and School Health Cards (World Health Day, April 7).
23. Establishment of Eye Banks and Eye Donation Programme, National Blindness Control Programme.
24. Papers relating to rules of allotment of KHRWS paywards.
25. KHRWS Quarters.
26. KHRWS development activities and its budget.
27. Visha Vaidya and Grant in Aid to Visha Vaidyas.
28. Rules relating to Government Hospital Pay wards in Government Medical Colleges, General Hospital and District Hospitals.
2. Papers related to Class III Staff under DHS other than para medical not specifically allotted to any other section.
3. Establishment papers of Ministerial (both Gazetted and non- Gazetted) staff of the Health Services Department.
4. Administration Report of Health Services Department.
2. Purchase of medicines from Central Purchase Committee approved firms.
3. Complaint on surplus/time expired/useless medicines.
4. Local purchase and emergency purchse of medicines.
5. Complaint from Drugs firms on purchase.
6. Purchase of equipments, Stores-dietary articles, furniture under Non-plan.
7. Repair and maintenance of equipments under Health ServicesDepartment.
8. Papers related to Kerala State Drugs and Pharmaceuticals Ltd. and similar drugs manufacturing units.
9. Internal audit objections, draft para, PAC-Raised by the Accountant General on purchase of stores, drugs.
10. Internal inspection report and objections of Stores Purchase Department in respect of Health Department.
11. Papers relating to Sree Chithra Institute of Medical Sciences, Thiruvananthapuram and Regional Cancer Center, Thiruvananthapuram.
12. All establishment and non-establishment papers related to Government and Private (except Grant-in- aid) Homoeo Medical Colleges.
13. Papers related to B.H.M.S./D.H.M.S. Degree Courses and Post- Graduate Courses in Homoeo.
14. Nurse-cum-Pharmacist Course in Homoeo.
15. Complaints of Homoeo College Students.
16. Request for transfer of students.
17. Indian Council of Homoeopathy.
18. Conducting Homoeo check up camps and camps for prevention of diseases.
19. Internal audit report of A. G. and inspection report of Stores Purchase Department relating to Homoeo Colleges.
20. All non-plan Budget, Establishment and non-Establishment papers relating to the Department of Homoeopathy.
21. Private Homoeopathic Medical Practitioners Act and Rules.
22. Grant-in-aid to private Homoeo Colleges.
23. Request from Research Institute of Homoeopathy, Kurichy.
24. Purchase of Homoeo Medicines and papers related to Co-operative Homoeo Pharmacy , Alappuzha.
25. Internal Audit Report and Inspection Report of the Accountant General and Stores purchase Department in respect of the Homoeo Department.
26. All Papers relating to Cancer.
27. All papers relating to Malabar Cancer Center.
28. Kerala Medical Service Corporation.
29. Papers relating to Radiation Safety.
2. Deputation of Medical Officers of Medical Education Department and Health Services Department for Short-term courses.
3. Conference or seminars outside the State in India.
4. Deputation of expert Doctors from Medical Colleges to places of Epidemics and Contagious diseases.
5. Deputation of Doctors in Medical Education Department and Health Services Department to higher studies and higher training, from one Department to another Department and Government Institution/ Local bodies.
6. Non-plan budget papers and plan budget for construction of buildings.
7. Land acquisition under Medical Education Department.
8. Medical check-up camp, eye camp, blood donation motivation camp by voluntary organisations and Private/Government Institutions under Health Services Department/Medical Education Department.
9. Papers related to INCLEN.
10. Visit of W. H. O. Authorities to Medical Colleges.
11. Establishment papers of Ministerial staff (both Gazetted and non- Gazetted) of Medical Education Department.
12. Papers on Paramedical Courses under DME except Nursing courses prospectus, admission and conduct of their examinations—Paramedical Courses in Government and Private Colleges including D. Pharm., B. Pharm. and M. Pharm.
13. Transfer of Paramedical students.
14. Complaints on these courses.
15. Paramedical Board of Examinations.
16. Paramedical Council/Accreditation Council.
17. Rules of allotment of Staff Quarters in the Medical Education Department and complaints/irregularities on such allotment, action against illegal occupants.
18. Secretariat Health Clinic and M.L.A. Hostel Clinic.
19. Advisory Councils of administration in Medical Colleges.
20. Referral systems in Medical Colleges.
21. Papers relating to Pharmacy Courses (M.Pharm.) and establishment papers of Pharmaceutical Colleges under Medical Eduction Department.
22. Purchase of equipments, machinery, medicines for Medical Colleges and Dental Colleges and for associated institutions under D.M.E. (under Plan and Non-plan expenditure).
23. Papers relating to import of these items.
24. Papers related to repair and maintenance.
25. Disposal of unserviceable items in the Medical Education Department.
26. Internal audit objections of the Accountant General and Stores Purchase Department, Inspection Report.
27. Draft para and PAC Report on purchase of Medical Education Department.
28. Papers related to Loma Linda University, John Hopkins University, MAYO CLINIC, USA on training exchange programme and starting of centres for excellence.
29. Starting of Trauma Care Unit in Medical Colleges.
30. Providing vehicles and telephone facilities in the institutions under DME and its repair.
2. Starting of specialities and additional units, upgradation of Medical Institutions such as PHCs, Sub Centres, Community Health Centres, Taluk Hospital etc. under non-plan.
3. Delegation of Powers of Health Services Department.
4. Issuance of Office Orders of Health and Family Welfare Department.
5. Departmental Staff Conferences.
6. Consolidation work of all papers referred from other Departments (except on interpellations).
7. Consolidation of Monthly Business Statement.
8. Papers relating to Chief Minister's Conference, Chief Secretary's Conference, M.P's Conference, Collector's Conference.
9. Papers related to meetings not specified in other sections.
10. Red Cross Society of India/District Red Cross Society.
11 . Grant-in-aid to private Voluntary Health Organisations.
12. Miscellaneous papers not dealt within other sections.
13. Papers relating to TB (TB Association of Kerala. TB Hospitials and Clinics under the Health Service Department, TB Seal Ward, Financial Assistance to TB Patients)
14. All papers on Souhrida Samithies and Hospital Development Committee/ Hospital Development Societies.
15. All general matters relating to PHCs, Sub Centres, MCH Centre.
16. Request for sanctioning Milma booth, Private telephone booth, food stall, canteen, in all the institutions under Health and Family Welfare Department (MCs., HSD, Homoeo, Ayurveda).
17. Providing telephone facilities to all offices, Institutions in the Health Services Department under Plan, Non-plan.
18. P.H. Training Schools, Thiruvananthapuram, State Health Centre, Neyyattinkara and SC/ST Welfare Health Training Schools and Health Workers under Heath Service Department.
19. Health Minister's Welfare Fund for indigent patients.
20. Papers related to Dietary articles under Health Services Department.
21. Claims of Co-operative Socities related to revision of rate of dietary articles supplied in Leprosy Sanatorium.
22. Modernisation Government Programme.
23. Revision of Staff Pattern.
24. Construction (Non Plan) under DHS in Thrissur, Palakkad, Malappuram, Kozikode, Wayanad, Kannur and Kasaragod.
25. KHRC/NHRC/Women Commission Reports.
26. Papers related to Audit Para/Draft Para.
2. Implementation of National Health Policy.
3. All Centrally Sponsored Programmes.
4. Release and adjustment of Central Assistance for plan schemes (other than those of Family Welfare).
5. Monthly and quarterly review reports on Centrally Sponsored Programme and external aided programme.
6. External aided projects.
7. Plan Schemes of Regional Institute of Ophthalmology, Thiruvananthapuram.
8. Revised T. B. Control Programme.
9. State Plan Schemes including construction works and land acquisition for Medical Education Department (except that of DHS), Indian Systems of Medicine, Ayurveda Colleges, Homoeopathy Colleges, Drugs Control, Regional Cancer Centre etc.
10. Draft para on plan schemes/PAC report on subjects deal within the section.
11. Monthly and quarterly reports and review of the above State Plan Schemes.
12. Papers related to Budget Speech, Governer's address.
13. Implementation of new schemes introduced in the Budget Speech.
14. State Plan Schemes of DHS including Land acquisition and construction.
15. Chemical Examiner's Laboratory and Public Health Laboratory.
16. Opening of new Primary Health Centres, Conversion of Rural Dispensaries and Opening of Community Health Centres.
17. Annual Plan Papers.
18. General papers on Five Year Plan, Annual Plan, Papers for discussion with Planning Board.
19. Consolidation of data for onward transmission to Government of India, Planning Board and Planning Commission.
20. Consolidation of expenditure statements and compilation for obtaining Central Assistance.
21. Working Groups of Plan Schemes.
22. Papers relating to iodised salt Goitre Control.
23. Papers relating to Finance Commission.
24. Institute of Virology and Infectious Diseases.
25. National Disease Surveillance Programme/Integrated Disease Surveillance Programme.
26. Special Disease Survelliance Programme in Kottayam and Alappuzha Districts.
2. Expenditure and preparation of statement.
3. Creation and continuance of posts under Family Welfare, State Family Welfare Board, District Family Welfare Advisory Committees and other Conferences/Seminars and propaganda under the programme.
4. Complaints regarding sterilisation operation and IUCD insertions and abortions.
5. Family Welfare Training Centres and Training of personnel.
6. Papers relating to Target Free Approach CSSM RCH and RH, UNFPA aided IPD Scheme.
7. Departmental (Plan and Non-plan) and private construction under Family Welfare Programme.
8. Mass Education of Medical activities, production of files/films, publication, drama and other media of advertisements. Film shows, Seminars, Orientation Camps, Group discussion, Exhibition, wall paintings/hoardings etc.
9. Papers relating to Child Health Centres and implementation of UNICEF Programme.
10. Fertility Clinic, Baby Clinic, Milk Feeding Programme, Breast Feeding Programme.
11. Implementation of the schemes of Government of India under Family Welfare Programme and World Health Organisation Demographic and Evaluation Cell.
12. Monthly Bulletin on Family Welfare and MCH.
13. Creation of posts of ANMs and Midwives continuance and abolition of such posts.
14. Opening of ANM. Training Schools, Stipends/enhancement of stipends to trainees and remuneration to teachers in A. N. M. Schools under F. W. Programme, Multipurpose Health Worker's Schemes, prophylaxis Schemes.
15. Setting up of a network of First Referral Units (FRU) for improving emergency obstetrics case.
16. Papers relating to Universal Immunisation Programme, ORT (Oral Rehydration Therapy) Child Development and safe mothers food programme.
17. Papers relating to Central Council of Health and Family Welfare, Construction of buildings under the scheme.
18. All papers related to India Population Project.
19. All papers related to AIDS.
20. Mahila Swast Sangh Volunteers.
21. Papers related to NRHM.
22. Child Development Centre.
2. Monitoring of High Court cases.
3. Any item not specifically allotted to other sections
|No.||Department Sections.||Phone No.|
|1.||Health and Family Welfare (A) Department||0471-2517144|
|2.||Health and Family Welfare (B) Department||0471-2518340|
|3.||Health and Family Welfare (S) Department||0471-2518060|
|4.||Health and Family Welfare (C) Department||0471-2518750|
|5.||Health and Family Welfare (D) Department||0471-2518066|
|6.||Health and Family Welfare (E) Department||0471-2518559|
|7.||Health and Family Welfare (F) Department||0471-2518068|
|8.||Health and Family Welfare (G) Departmentt||0471-2518568|
|9.||Health and Family Welfare (H) Department||0471-2518816|
|10.||Health and Family Welfare (J) Department||0471-2518562|
|11.||Health and Family Welfare (K) Department||0471-2518631|
|12.||Health and Family Welfare (M) Department||0471-2518127|
|13.||Health and Family Welfare (P) Department||0471-2518768|
|14.||Health and Family Welfare (FW) Department||0471-2517136|
|Additional Secretary 1|| |
Health and Family Welfare Department
Tel: 0471-2336632, 2518968
|Additional Secretary 2|| |
Health and Family Welfare Department
Tel: 0471-2337087, 2518344