Health & Family Welfare Page
Smt. K. K. Shailaja Teacher
Minister for Health and Social Justice
Office: Room No. 216,
North Sandwich Block,
Phone: 0471- 2327876/2327976
Mob :9447982200/ 7034430000
Fax :0471- 2327016
| Health & Family Welfare |
| 6th Floor |
Shri. Rajeev Sadanandan IAS
Additional Chief Secretary
Department of Health & Family Welfare
| Dr. Sarita R. L. |
Director of Health Services
| Ph-0471-2303025/ 2302490 |
Fax: 2303025 / 2303080
Historically, the princely rules of the state, made a small beginning to provide infrastructural facilities for a primary health care system. After the re-organisation of the state, it has reached a fairly high level of standard and soundness. The availability of facilities for primary health care, their accessibility, the very high degree of awareness and acceptability among the people have made in Kerala model an almost perfect one. What is needed at present is to sustain these, by the personnel involved with the active participation and co-operation of the people. With the effective involvement of the private sector which plays a major role in the health sector and with the effects of voluntary organisations this task though throws a challenge is attainable.
The level of achievements attained in the implementation of the various national programmes for control / eradication of diseases and also of family welfare programme including universal immunisation programme and maternal and child health activities has helped the state to reduce the mortality rates and improve the health status of the people. The maternal mortality rate, Life expectancy has enhanced especially that of females to over 73 years. Today the infant mortality rate is as low as 16 and the maternal mortality is below 1, which are comparable to that of some of the developed countries. In 1995 the crude death rate is as low as 6, and the per school child mortality rate is also quite low. In 1991 the general fertility rate was 64.4 and in 1995 the birth rate have reduced to 17.7. The total fertility rate is as low as 1.8 in Kerala by 1992 itself which is the lowest among all the major states in the country. Under all major indicators, the state has already achieved what the country has targeted for achieving "Health for all by 2000 AD".
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.
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.
Minimum needs programme (Basic minimum services)The programme gives priority to the development of Rural Health Services. The concept of Minimum Needs Programme was introduced during Fifth Five Year Plan. The establishment of Sub-Centre, Primary Health Centre, upgradation of PHCs and construction of building of PHC / Sub-Centre and staff quarters are included in the programme.
The objectives to be achieved in a phased manner through successive plan periods by 2000 AD are as follows.
|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|
Multipurpose Workers Scheme
The Multipurpose Workers Scheme has been implemented in all Districts. The total number of multipurpose workers male and female at present (1996-97) is 5911 and 4505 respectively. There are 13 Training Centres and 18 private Training institutions with an intake capacity of 515 and 505 respectively for females (JPHN). There are four Training schools for JHI with an intake capacity of 160 and nine Nursing schools with an intake capacity of 294. There are two Health and Family Welfare Training Centres with an intake capacity of 110 and two Health Supervisors Training school with an intake capacity of 90.
National Programme for Control of Blindness
The Programme envisages comprehensive eye health care services to rural and urban people by adopting eye camp approach and eye care services at various levels and by intensification of eye health education including eye donation awareness programme. The following measures were undertaken to achieve the above objective.
i. Mobile Ophthalmic units
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.
Central Mobile Unit
1. Medical College Kottayam
1. District Hospital Manjeri
ii. District Hospitals
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
iii. Primary Health Centres
1. Medical College / Government Ophthalmic Hospital, Thiruvananthapuram
In private sector, 2 eye banks are functioning. They are
1. Little Flower Hospital, Angamaly
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.
National TB Control Programme
The National TB Control Programme is a comprehensive socially acceptable and economically feasible programme evolved with the objective of controlling the problem of Tuberculosis in the country. According to health studies 0.2% of the population in India is suffering from TB. It is estimated that there are 60000 patients in Kerala.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.
The National TB Control was formulated in 1959 by the National Tuberculosis institute, Bangalore. The Institute gives training to medical and paramedical personnel and also conducts research work in the field of TB. The entire programme is operated on the guidelines and direction of National Tuberculosis institute. The National TB Control Programme was started in 1962 as 50% centrally sponsored scheme with central share in kind i.e. in the form of anti TB Drugs, X-ray films , X-ray machines with odeoca camera etc for detection of cases through sputum examination, X-ray testing and supply of anti TB drugs and laboratory chemicals. Under the programme short course chemotherapy was implemented in 7 districts in a phased mannerThere 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.
Target and Achievement : Targets are fixed by the Government of India for new TB case detection and sputum examination
Revised National TB Control Programme: This programme is implemented through 100 % World Bank assistance and was first implemented in Pathanamthitta district in 1994.
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.
National Filaria Control Programme
Filariasis is prevalent in the entire coastal belt and in some pockets of Kerala. About 6.3 million people are exposed to the risk Filarisis and 2.8 million people are protected by NFCP.
A. Control Mosquito larvicidal spraying operation, pistia removal and anti parasitic (DEC) treatment.
The State Headquarters Bureau of Filariasis under the Assistant Director (Filaria) attached to the Directorate of Health Services is monitoring and assessing the work at the State level.
A total number of 93811 persons were examined during 1996-97
National Malaria Eradication Programme
Kerala state entered the maintenance phase of NMEP in 1965. The malaria free status was maintained till 1968. As a result of imported cases, small outbreaks of malaria occurred in 1976 with 1951 cases in Kannur district and it was effectively controlled by immediate containment measures. The modified plan of operations under NMEP was implemented in 1977. One zonal malaria organisation was sanctioned in 1977 with 50% of central assistance. The zonal malaria organisation with 50% central assistance which helped in coordinating the NMEP work in the state. There are at present 14 District Malaria Officers in the state. The Zonal Malaria organisation carried out detailed entomological studies in vulnerable areas of various districts. The programme is implemented under Multipurpose Workers scheme since 1983.
The Ministry of Health and Family Welfare, Government of India appointed an expert committee in 1994 to identify the problem areas and formulate specific strategies to tackle problems in such areas. As per the suggestions the malaria action programme has been launched from 1995 and was implemented with the Deputy Director of Health Services (Malaria) as the Programme Officer.
Detection of malaria cases through active and passive surveillance and remedial operation through radical treatment plan and contract survey, follow up of positive cases and DDT focal spray.
National Leprosy Eradication Programme
The National Leprosy Eradication Programme was started in 1959. The main strategy of the programme was continuous case detection of leprosy cases and its treatment with dapsone and also health education of the patient family and the community. The system was later found to have drawbacks, because of the enormous number of defaulters due to the prolonged nature of treatment and also the emergence of Dapsone resistant leprosy.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.
As a result, the prevalence rate in these districts was reduced considerably as given below:
|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|
Components of National Leprosy Eradication Programme
|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|
Magnitude of the problem
|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|
| Sexually Transmitted Diseases Control Programme |
Sexually Transmitted Diseases (STDs) are known to be one of the major health problems. As women are major reservoirs of infection in syphilis, screening of all pregnant women and subsequent treatment will not only lead to decrease in the incidence of the disorders, but will also reduce the incidence of congenital syphilis, arising from untreated cases besides that of abortions, miscarriages, still births, deafness and blindness. In the state there are STD clinics attached to district/ taluk hospitals, which are known as Skin and V.D departments.
National AIDS Control Programme
Considering the gravity of increasing prevalence of HIV / AIDS the state Government has intensified and started a control programme. An AIDS surveillance centre was established in 1986 at Medical College, Thiruvananthapuram. Here screening of blood donors and blood products are carried out.
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.
State Mental Health Programme
The State has a Mental Health Programme of its own and the first District Psychiatry unit was opened in 1970 attached to District Hospital, Ernakulam. Initially psychiatric services were provided through the 3 Mental Hospitals. Stress in now on domicilliary care and secondary prevention of major mental disorders. Drug de-addition programme is also incorporated into it. There are 3 Mental Health Centres, 5 psychiatric units and district psychiatric units (in teaching hospitals) in the public sector, besides hospital / wards / rehabilitation centres in private hospitals and voluntary organisations. They provide OP and IP care and give training to medical students and nurses. A suicide prevention clinic has been started in the General Hospital, Thiruvananthapuram. The doctors and paramedical staff of Taluk Hospitals and Primary Health Centres are being trained and it is proposed to distribute the Psychiatric drugs through selected PH Centres. A project viz. The Need Assessment of Severe Mental Morbidity of Kerala State has been launched and an office of the State Mental Health Authority was opened in pH laboratory campus on 29-7-1997.
Facilities are available in the three Mental Health Centres to the relatives of the patients for staying with them if they desire so. The Social Welfare Department is running a rehabilitation centre for ex-female mental patients of Mental Health Centre.
Physical Medicine and Rehabilitation
The physical medicine and rehabilitation units are started with the main objective of providing maximum care to the physically disabled for the treatment of disability producing diseases and rehabilitation of the disabled.
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.
National Iodine Deficiency Disorder Control Programme
This is a centrally sponsored scheme with 100 % central assistance. Under the programme a Goiter cell was sanctioned in the Directorate of Health Services in 1988 and was fully established in 1990. The programme envisages imparting health education regarding goiter, conduct of goiter prevalence surveys and awareness creation for the use of iodised salts instead of common salt. Various publicity activities such as the preparation of folders, posters, cinema slides, stickers, exhibition sets on IDD, slides on IDD etc were done under the Directorate of Health Services. A series of seminars, workshops, operational training and state level meetings on IDD also were conducted. The activities were organised by various voluntary organisations, women associations, youth clubs, Civil Supplies Officers, representatives from Social Welfare Department & medical officers of Primary Health Centres. The IDD cell started iodine monitoring system on iodized salt by distributing MBF kits to District Medical Officers, supplied by UNICEF, Madras.From 1989-94, the IDD cell conducted 30 Goiter prevalence surveys in 14 districts of Kerala and found out that prevalence rate is 4.7 to 20 %.
Government of Kerala has not issued notification for banning the sale of non-iodized salt.
Family Welfare Programme
The Family Planning Programme was officially implemented in India in 1952. During the first and second plan periods (1951-61) the programme was taken up in a very modest way. It was reorganised in the third plan period and it gathered momentum with the starting of full fledged department in 1966. During the fourth plan period, it was implemented as a target-oriented, time-bound, incentive-based programme. During the fifth plan period it was integrated with maternal health and child care and nutrition and was implemented as a package programme, which include health, family planning, maternal and child health and nutrition.
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.
Maternal and Child Health Programme
Right through the ages care for mothers and children has been one of the causes to which Indian policy has remained committed. Since independence Human Resource Development programmes focused on maternal and child health. The immunisation programme is one of the most cost effective public health measures and is an important component of the primary health care services. Recognising the need for immunization, Government of India launched the expanded programme of immunization (EPI) UN 1978, with the objective of increasing the average levels of various antigens.
Immunisation plays a vital role in the control of infectious diseases, by building up immunity among immunised persons against some specific vaccine preventable diseases and by helping to decrease the transmission of diseases from one person to another. In Kerala the EPI started in 1978 as a phased programme to cover 33 NES blocks every year. T.T immunisation to pregnant women started in 1975-76 was integrated with EPI in 1978 itself. Polio and typhoid vaccinations were included in 1979-80 and T.T immunisation for school children in 1980-81, while BCG vaccination was brought under the purview of EPI during 19981-82. Measles vaccination was initiated only in 1985-86. By the year 1982 all the then 151 NES blocks in the state were covered under the EPI and from 1983 onwards it became a permanent ongoing programme.
Universal Immunisation Programme
With a view to improving vaccine coverage and quality of service, a major shift in emphasis and strategy was adopted by the Government of India in 1985. The Universal Immunisation Programme was thus launched under National Immunisation Mission. The main objective of the programme is immunisation of all children below one year of age (infants) against 6 vaccine preventable diseases and 100 % coverage of pregnant women with T.T maintenance of universal prophylaxis against anaemia in women and children and also better management of diarrheal diseases.
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.
Cold Chain Programme
Under the UIP the cold chain system of storage of vaccines is maintained. Vaccines are generally sensitive to heat. Hence the shortage and transport of vaccines should be done at the required low temperature levels. The system of storage and transport of vaccines at low temperature from manufacturer to the point of use is called the Cold Chain System.
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.
Oral Rehydration Therapy (ORT)
ORT was launched as a national child health programme from 1985 along with UIP. The ORT was introduced in 1971 by WHO on a part of improving the management of diarrheal diseases, so as to control deaths due to these diseases. Oral fluid therapy is based on the observation that glucose given orally enhances the intestinal absorption of salt and water and is capable of correcting the electrolyte and water deficit. The aim of the programme is to prevent diarrhoeal deaths due to dehydration among children under five years.
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.
Child Survival and Safe Motherhood Programme (CSSM)
The CSSM programme was launched in 1992-93 in a phased manner with the assistance of World Bank and UNICEF. The programme seeks to sustain the high coverage levels of immunization achieved through UIP in good performing areas, and strengthening the immunisation services where the coverage is still not satisfactory. The programme also provides for augmenting services under oral rehydration therapy, universalising the prophylaxis scheme for control of anaemia in pregnant women and control of blindness due to vitamin A deficiency in children and initiating a programme for control of acute respiratory infection in children and strengthening of FRUs to deal with risk obstetric cases and obstetric emergencies.
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.
|Health and Family Welfare Department|
|Health and Family Welfare(A) Department||2517144|
|Health and Family Welfare(B) Department||2518340|
|Health and Family Welfare (S)Department|| |
|Health and Family Welfare (C)Department||2518750|
|Health and Family Welfare(D) Department||2518066|
|Health and Family Welfare(E) Department||2518559|
|Health and Family Welfare (F)Department||2518068|
|Health and Family Welfare(G) Department||2518568|
|Health and Family Welfare (H)Department||2518816|
|Health and Family Welfare(J) Department||2518562|
|Health and Family Welfare(K) Department||2518631|
|Health and Family Welfare(M) Department||2518127|
|Health and Family Welfare (P)Department||2518768|
|Health and Family Welfare (FW)Department||2517136|
|Health and Family Welfare(Parliament )Department||2517118|
1. Health and Family Welfare (A) Department
Phone :0471- 251 7144
1. Establishment papers of Medical Officers in the Health Service Department.
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
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
17. Complaint against non-receipt of pensionary claims of Medical Officers of Health Services.
2. Health and Family Welfare (B) Department
Phone :0471- 2518340.
1. Establishment papers of teaching staff (except deputation) including creation of posts in respect of the
(a) Dental Colleges and Dental Wings in the Medical Colleges.
(b) Department of (i) Microbiology, (ii) Pharmacology, (iii) Pathology,
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.
3. Health and Family Welfare (S) Department
Phone :0471- 2518060.
1. Establishment of teaching staff in respect of the following department/Units in the Medical Colleges and
(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
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.
4. Health and Family Welfare (C) Department.
Phone :0471- 251 8750
1. All Establishment papers (except leave exceeding 120 days) of all public Health Nurses, Public Health
Nursing tutors, District Public Health Nurse and District Nursing Officers, Nursing Superindendents
included in the Family Welfare Programme and Head Nurses in the Department of Health Services and
Directorate of Medical Education.
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
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.
5. Health and Family Welfare (D) Department.
Phone : 0471- 2518066
1. Establishment papers of teaching staff and Ministerial staff (both Gazetted and Non-Gazetted) in the
Department of Indian Systems of Medicine.
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
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
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
24. Inspection report of the Accountant General and Stores Purchase Department related to Ayurveda
25. Draft paras and P.A.C. on Ayurveda Department and Ayurveda Colleges.
6. Health and Family Welfare (E) Department.
Phone : 0471- 2518559
1. Establishment papers of Public Health Laboratory and Analytical Laboratory, Thiruvananthapuram,
Regional Laboratory at Ernakulam, Calicut and District Laboratory.
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
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
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.
7. Health and Family Welfare (F) Department.
Phone : 0471- 2518068
1. Establishment papers relating to Drugs Control Department.
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
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.
8. Health and Family Welfare (G) Department
Phone : 0471- 2518568
1. All papers on rules relating to reimbursement of Government Servants Medical claims.
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
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
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
9. Health and Family Welfare (H) Department
1. Establishment papers of Pharmacists, Pharmacists-cum-store keepers, Laboratory Technicians, X-ray
Technicians, Orthoptists, Refractionists, Opthalmic Assistant, Dental Hygienists and Dental Mechanic,
Extension Education and Mass Media Officers, Entomologists, Dark room Assistant, Anesthetic
Technician, Dietician and any other para medical staff belonging to Class III in the Health Services
Department not specifically alloted to the Health Services Department and their higher Posts.
2. Papers related to Class III Staff under DHS other than para medical not specifically allotted to any other
3. Establishment papers of Ministerial (both Gazetted and non- Gazetted) staff of the Health Services
4. Administration Report of Health Services Department.
10. Health and Family Welfare (J) Department
Phone :0471- 251 8562
1. All papers relating to Hospital Drugs Policy and Drugs formulary.
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,
10. Internal inspection report and objections of Stores Purchase Department in respect of Health
11. Papers relating to Sree Chithra Institute of Medical Sciences, Thiruvananthapuram and Regional Cancer
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
20. All non-plan Budget, Establishment and non-Establishment papers relating to the Department of
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.
11. Health and Family Welfare (K) Department
1. Papers relating to Tutor-trainee system in Medical Colleges, Dental Colleges and other Colleges in the
Medical Education Department.
2. Deputation of Medical Officers of Medical Education Department and Health Services Department for
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/
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
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.
12. Health and Family Welfare (M) Department
Phone: 0471- 2518127
1. Creation of posts under non-plan and continuance of temporary posts under non-plan in the Health
Services Department except those belonging to Family Welfare.
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,
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
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,
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
22. Modernisation Government Programme.
23. Revision of Staff Pattern.
24. Construction (Non Plan) under DHS in Thrissur, Palakkad, Malappuram, Kozikode, Wayanad, Kannur and
25. KHRC/NHRC/Women Commission Reports.
26. Papers related to Audit Para/Draft Para.
13. Health and Family Welfare (P) Department
1. 20 point programmes/15 point programmes.
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
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
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.
14. Health and Family Welfare (FW) Department
1. General papers on sterilisation scheme, IUCD scheme, progress reports of sterilisation operations and
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
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,
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
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.
15. Health and Family Welfare (Parliament) Department
1. Collection and distribution and monitoring of papers related to assembly questions. Assurances, Draft
Para, Subject Committee, Estimate Committees, Committee on Subordinate Legislation, Public Accounts
2. Monitoring of High Court cases.
3. Any item not specifically allotted to other sections
|Additional Secretary 1|| |
Health and Family Welfare Department
Tel: 0471-2336632, 2518968
|Additional Secretary 2|| |
Health and Family Welfare Department
Tel: 0471-2337087, 2518344
|Directorate of Health Services||www.dhs.kerala.gov.in|
|Kerala State AIDS Control Society||www.ksacs.in/www.ksacs.kerala.gov.in|
|Karunya Benevolent Fund||www.karunya.kerala.gov.in|
|Kerala State Blood Transfusion council||www.blood.kerala.gov.in|
National Rural Health Mission
|Government of India Website||www.india.gov.in|
|Comprehensive Health Insurance Agency of Kerala||www.chiak.org|
|Official Website of Directorate of Medical Education||www.dme.kerala.gov.in|
|Sree Chitra Institute of Medical Science & Technology||www.sctimst.ac.in|
|Kerala Medical Service Corporation||www.kmscl.kerala.gov.in|
|Oushadhi ( Government of Kerala Under taking)||www.oushadhi.org|
|Kerala State Homoeopathic Co-operative Pharmacy||www.homcokerala.com|
|Regional Cancer Center, Thiruvananthapuram||www.rcctvm.org|
|Community Health Center, Pinarayi||www.chcpinarayi.kerala.gov.in|
|Govt.Ayurveda college, Kannur||www.gack.kerala.gov.in|
|Malabar Cancer Centre||www.mcc.kerala.gov.in|
|NRHM - HR & Payroll service||www.nrhmhrapps.kerala.gov.in|
|NCD CONTROL PROGRAMME||www.ncd.kerala.gov.in|
|Digital Document Filing System||www.ddfsnrhm.kerala.gov.in|